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Sample records for cost reductive laparoendoscopic

  1. Heliostat cost reduction study.

    Energy Technology Data Exchange (ETDEWEB)

    Jones, Scott A.; Lumia, Ronald. (University of New Mexico, Albuquerque, NM); Davenport, Roger (Science Applications International Corporation, San Diego, CA); Thomas, Robert C. (Advanced Thermal Systems, Centennial, CO); Gorman, David (Advanced Thermal Systems, Larkspur, CO); Kolb, Gregory J.; Donnelly, Matthew W.

    2007-06-01

    Power towers are capable of producing solar-generated electricity and hydrogen on a large scale. Heliostats are the most important cost element of a solar power tower plant. Since they constitute {approx} 50% of the capital cost of the plant it is important to reduce heliostat cost as much as possible to improve the economic performance of power towers. In this study we evaluate current heliostat technology and estimate a price of $126/m{sup 2} given year-2006 materials and labor costs for a deployment of {approx}600 MW of power towers per year. This 2006 price yields electricity at $0.067/kWh and hydrogen at $3.20/kg. We propose research and development that should ultimately lead to a price as low as $90/m{sup 2}, which equates to $0.056/kWh and $2.75/kg H{sup 2}. Approximately 30 heliostat and manufacturing experts from the United States, Europe, and Australia contributed to the content of this report during two separate workshops conducted at the National Solar Thermal Test Facility.

  2. Regression Testing Cost Reduction Suite

    Directory of Open Access Journals (Sweden)

    Mohamed Alaa El-Din

    2014-08-01

    Full Text Available The estimated cost of software maintenance exceeds 70 percent of total software costs [1], and large portion of this maintenance expenses is devoted to regression testing. Regression testing is an expensive and frequently executed maintenance activity used to revalidate the modified software. Any reduction in the cost of regression testing would help to reduce the software maintenance cost. Test suites once developed are reused and updated frequently as the software evolves. As a result, some test cases in the test suite may become redundant when the software is modified over time since the requirements covered by them are also covered by other test cases. Due to the resource and time constraints for re-executing large test suites, it is important to develop techniques to minimize available test suites by removing redundant test cases. In general, the test suite minimization problem is NP complete. This paper focuses on proposing an effective approach for reducing the cost of regression testing process. The proposed approach is applied on real-time case study. It was found that the reduction in cost of regression testing for each regression testing cycle is ranging highly improved in the case of programs containing high number of selected statements which in turn maximize the benefits of using it in regression testing of complex software systems. The reduction in the regression test suite size will reduce the effort and time required by the testing teams to execute the regression test suite. Since regression testing is done more frequently in software maintenance phase, the overall software maintenance cost can be reduced considerably by applying the proposed approach.

  3. PV O&M Cost Model and Cost Reduction

    Energy Technology Data Exchange (ETDEWEB)

    Walker, Andy

    2017-03-15

    This is a presentation on PV O&M cost model and cost reduction for the annual Photovoltaic Reliability Workshop (2017), covering estimating PV O&M costs, polynomial expansion, and implementation of Net Present Value (NPV) and reserve account in cost models.

  4. Laparo-endoscopic single-site left adrenalectomy using conventional ports and instruments

    Directory of Open Access Journals (Sweden)

    Deepraj S Bhandarkar

    2014-01-01

    Full Text Available Laparo-endoscopic single-site adrenalectomy (LESS-A is commonly performed using specialized access devices and/or instruments. We report a LESS-A in a 47-year-old woman with a left aldosteranoma via a subcostal approach utilizing conventional laparoscopic ports and instruments. The feasibility and cost-effectiveness of this approach are highlighted and the literature on the subject is reviewed.

  5. Photovoltaic cost reduction powered by nuclear spending

    Science.gov (United States)

    Smith, Timothy; Deinert, Mark

    2013-04-01

    Between 1975 to 2010, Japan has spent an average of 2700 Million per year on nuclear R&D and 74 Million per year on solar energy R&D (2010 dollars). While the cost of photovoltaics dropped by a factor of 30 during that time, the overnight cost to build a nuclear power plant has doubled between 2003 and 2009. The price of commercially available photovoltaics has been shown to follow a power law reduction with the number of units produced. This begs the question as to what the current price of these systems would be had some of the available funds used for nuclear R&D been spent on the acquisition of photovoltaics. Here we show the reduction in price for single crystal photovoltaic panels if the Japanese government spent some of their nuclear R&D funds on the installation of these systems. We use historical cost and cumulative production for the world and Japan to build a learning curve model for PV. If the government had spent only 0.07% of its nuclear R&D budget toward PV technology since 1975, photovoltaics would now have reached 1/Watt, the point at which they are cost competitive with conventional resources.

  6. Optical Networks for Cost Monitoring and Reduction

    Directory of Open Access Journals (Sweden)

    R Buvanesvari

    2011-03-01

    Full Text Available This paper focuses on cost reduction and monitoring in optical networks. Optical mesh networks are cost savings with switching systems that are interconnected by point-to-point networks. Transponders play a major role in it. All-optical packet switching has been intensively investigated in recent years as an alternative to static, cross connect based networks. Several switch architectures have been proposed, all of them using buffers made of fiber delay lines. We consider the problem of minimizing the congestion in wireless optical (FSO backbone networks by placing controllable relay nodes. We propose algorithms for placement of relays in the network under node interface constraints. Further reduction in cost is done by the conversion of optical to electrical at the intermediate nodes. Optical transport networks offer a new level of flexibility in the optical layer allowing various services and thereby improving the efficiency, performance and robustness. An optical path with a transparent feature allows the transmission of signals that are optical and also independent of data rate and modulation format. Client layer protocol provides transparency for the transport layer in optical networks. Thus there is a significant challenge in terms of function, flexibility and monitoring cost.

  7. Further Cost Reduction of Battery Manufacturing

    Directory of Open Access Journals (Sweden)

    Amir A. Asif

    2017-06-01

    Full Text Available The demand for batteries for energy storage is growing with the rapid increase in photovoltaics (PV and wind energy installation as well as electric vehicle (EV, hybrid electric vehicle (HEV and plug-in hybrid electric vehicle (PHEV. Electrochemical batteries have emerged as the preferred choice for most of the consumer product applications. Cost reduction of batteries will accelerate the growth in all of these sectors. Lithium-ion (Li-ion and solid-state batteries are showing promise through their downward price and upward performance trends. We may achieve further performance improvement and cost reduction for Li-ion and solid-state batteries through reduction of the variation in physical and electrical properties. These properties can be improved and made uniform by considering the electrical model of batteries and adopting novel manufacturing approaches. Using quantum-photo effect, the incorporation of ultra-violet (UV assisted photo-thermal processing can reduce metal surface roughness. Using in-situ measurements, advanced process control (APC can help ensure uniformity among the constituent electrochemical cells. Industrial internet of things (IIoT can streamline the production flow. In this article, we have examined the issue of electrochemical battery manufacturing of Li-ion and solid-state type from cell-level to battery-level process variability, and proposed potential areas where improvements in the manufacturing process can be made. By incorporating these practices in the manufacturing process we expect reduced cost of energy management system, improved reliability and yield gain with the net saving of manufacturing cost being at least 20%.

  8. A different technique in gasless laparoendoscopic single-site hysterectomy.

    Science.gov (United States)

    Demirayak, Gökhan

    2017-07-01

    The aim of this study was to show a different technique for a gasless laparoendoscopic single-site (LESS) hysterectomy and to present advantages and limitations of this technique. Women undergoing gasless LESS hysterectomy with a different technique were evaluated. A total of 14 LESS hysterectomies were performed using this gasless technique and rigid laparoscopic instruments by one surgeon. The mean age of the patients was 48.6 (±4.6). The average blood loss was 80 ± 35 ml. The average time between an umbilical incision and starting hysterectomy was 5 (±2,1) min. The time between starting hysterectomy and umbilical incision closure was 120 (±24) min in the laparoscopic suture group and 88 (±16) min in the vaginal suture group. The mean uterus weight was 188 (±95) g. In conclusion, this different technique is feasible and low cost, especially in non-obese patients. But further studies with large participants are needed to elucidate the safety. Impact statement Conventional CO2 pneumoperitoneum has many adverse effects on cardiopulmonary function, haemodynamic, metabolic and neurologic systems due to high-intraperitoneal pressure. The usage of gasless technique eliminates these adverse effects and postoperative shoulder pain. The satisfaction of patients is higher in laparoendoscopic single-site (LESS) hysterectomy due to improved cosmesis and reduced postoperative analgesic requirements. In the literature, there are a few studies showing techniques combining LESS and gasless laparoscopy for hysterectomy. In this study, a different approach for creating operational space in gasless laparoscopy is described. Creation of intraabdominal operational space is convenient and takes a short time in this technique. The average time between an umbilical incision and starting a hysterectomy is five minutes. Additional training is not needed for experienced surgeons in LESS. Also, cost-effectiveness is one of important advantages. It is quite safe, no possibility of

  9. Energy cost reduction in oil pipeline

    Energy Technology Data Exchange (ETDEWEB)

    Limeira, Fabio Machado; Correa, Joao Luiz Lavoura; Costa, Luciano Macedo Josino da; Silva, Jose Luiz da; Henriques, Fausto Metzger Pessanha [Petrobras Transporte S.A. (TRANSPETRO), Rio de Janeiro, RJ (Brazil)

    2012-07-01

    One of the key questions of modern society consists on the rational use of the planet's natural resources and energy. Due to the lack of energy, many companies are forced to reduce their workload, especially during peak hours, because residential demand reaches its top and there is not enough energy to fulfill the needs of all users, which affects major industries. Therefore, using energy more wisely has become a strategic issue for any company, due to the limited supply and also for the excessive cost it represents. With the objective of saving energy and reducing costs for oil pipelines, it has been identified that the increase in energy consumption is primordially related to pumping stations and also by the way many facilities are operated, that is, differently from what was originally designed. Realizing this opportunity, in order to optimize the process, this article intends to examine the possibility of gains evaluating alternatives regarding changes in the pump scheme configuration and non-use of pump stations at peak hours. Initially, an oil pipeline with potential to reduce energy costs was chosen being followed by a history analysis, in order to confirm if there was sufficient room to change the operation mode. After confirming the pipeline choice, the system is briefly described and the literature is reviewed, explaining how the energy cost is calculated and also the main characteristics of a pumping system in series and in parallel. In that sequence, technically feasible alternatives are studied in order to operate and also to negotiate the energy demand contract. Finally, costs are calculated to identify the most economical alternative, that is, for a scenario with no increase in the actual transported volume of the pipeline and for another scenario that considers an increase of about 20%. The conclusion of this study indicates that the chosen pipeline can achieve a reduction on energy costs of up to 25% without the need for investments in new

  10. 48 CFR 970.5215-4 - Cost reduction.

    Science.gov (United States)

    2010-10-01

    ... reduction effort which is negotiated on a cost-plus-incentive-fee, fixed-price incentive, or firm-fixed... savings which result from— (1) A specific cost reduction effort which is negotiated on a cost-plus... establishment of cost-plus-incentive-fee, fixed-price incentive, or firm-fixed-price efforts or for design...

  11. Laparoendoscopic single site in pelvic surgery.

    Science.gov (United States)

    Sanchez-Salas, Rafael; Clavijo, Rafael; Barret, Eric; Sotelo, Rene

    2012-01-01

    Laparoendoscopic single site (LESS) has recently gained momentum as feasible techniques for minimal access surgery. Our aim is to describe the current status of laparoendoscopic single site (LESS) in pelvic surgery. A comprehensive revision of the literature in LESS pelvic surgery was performed. References for this manuscript were obtained by performing a review of the available literature in PubMed from 01-01-01 to 30-11-11. References outside the search period were obtained selected manuscript΄s bibliography. Search terms included: pelvic anatomy, less in gynecology, single port colectomy, urological less, single port, single site, NOTES, LESS and single incision. 314 manuscripts were initially identified. Out of these, 46 manuscripts were selected based in their pelvic anatomy or surgical content; including experimental experience, clinical series and literature reviews. LESS drastically limit the surgeon's ability to perform in the operative field and the latter becomes hardened by the lack of space in anatomical location like the pelvis. Potential advantages of LESS are gained with the understanding that the surgical procedure is more technically challenging. Pelvic surgical procedures related to colorectal surgery, gynecology and urology have been performed with LESS technique and information available is mostly represented by case reports and short case series. Comparative series remain few. LESS pelvic surgery remain in its very beginning and due to the very specific anatomical conditions further development of LESS surgery in the mentioned area can be clearly be facilitated by using robotic technology. Standardization ad reproducibility of techniques are mandatory to further develop LESS in the surgical arena..

  12. Energy cost reduction in the baking industry

    Energy Technology Data Exchange (ETDEWEB)

    1979-01-01

    Information is presented on methods for saving fuel and electric power in the baking industry; the cost of specific retrofits to bakery equipment and of modifications to processes; ways to reduce transportation costs and energy; and reducing energy demand for lighting, cooling, and heating bakeries. (LCL)

  13. Systemic cost-effectiveness analysis of food hazard reduction

    DEFF Research Database (Denmark)

    Jensen, Jørgen Dejgård; Lawson, Lartey Godwin; Lund, Mogens

    2015-01-01

    stage are considered. Cost analyses are conducted for different risk reduction targets and for three alternative scenarios concerning the acceptable range of interventions. Results demonstrate that using a system-wide policy approach to risk reduction can be more cost-effective than a policy focusing...

  14. Distributed Wind Cost Reduction: Learning from Solar

    Energy Technology Data Exchange (ETDEWEB)

    Tegen, Suzanne

    2016-02-23

    The distributed wind energy industry can learn several lessons from the solar industry regarding reducing soft costs. Suzanne Tegen presented this overview at the 2016 Distributed Wind Energy Association Business Conference in Washington, D.C., on February 23, 2016.

  15. Low-Cost Radon Reduction Pilot Study

    Energy Technology Data Exchange (ETDEWEB)

    Rose, William B. [Partnership for Advanced Residential Retrofit, Champaign, IL (United States); Francisco, Paul W. [Partnership for Advanced Residential Retrofit, Champaign, IL (United States); Merrin, Zachary [Partnership for Advanced Residential Retrofit, Champaign, IL (United States)

    2015-09-01

    The aim of the research was to conduct a primary scoping study on the impact of air sealing between the foundation and the living space on radon transport reduction across the foundation-living space floor assembly. Fifteen homes in the Champaign, Illinois area participated in the study. These homes were instrumented for hourly continuous radon measurements and simultaneous temperature and humidity the foundation was improved. However, this improved isolation did not lead to significant reductions in radon concentration in the living space. Other factors such as outdoor temperature were shown to have an impact on radon concentration.

  16. Achieving Cost Reduction Through Data Analytics.

    Science.gov (United States)

    Rocchio, Betty Jo

    2016-10-01

    The reimbursement structure of the US health care system is shifting from a volume-based system to a value-based system. Adopting a comprehensive data analytics platform has become important to health care facilities, in part to navigate this shift. Hospitals generate plenty of data, but actionable analytics are necessary to help personnel interpret and apply data to improve practice. Perioperative services is an important revenue-generating department for hospitals, and each perioperative service line requires a tailored approach to be successful in managing outcomes and controlling costs. Perioperative leaders need to prepare to use data analytics to reduce variation in supplies, labor, and overhead. Mercy, based in Chesterfield, Missouri, adopted a perioperative dashboard that helped perioperative leaders collaborate with surgeons and perioperative staff members to organize and analyze health care data, which ultimately resulted in significant cost savings. Copyright © 2016 AORN, Inc. Published by Elsevier Inc. All rights reserved.

  17. Cost reduction in absorption chillers: Phase 2

    Energy Technology Data Exchange (ETDEWEB)

    Leigh, R.W.

    1989-02-01

    A research program at Brookhaven National Laboratory (BNL) has addressed the possibility of dramatically lowering the first costs of absorption chillers through lowered material intensity and the use of lower cost materials, primarily in the heat exchangers which make up the bulk of the operating components of these systems. This must be done while retaining the best performance characteristics available today, a gross design point coefficient of performance (COP) of 1.3 and a net design (seasonal) average COP of 1.0 (0.90) in a directly fired, double effect unit. We have investigated several possible routes to these goals, and here report on these findings, focusing on the areas that appear most promising. The candidate technologies include the use of polymer film heat exchangers in several applications, the use of thin strips of new, corrosion resistant alloys to replace thicker, less impervious metals in applications exposed to gas flames, and copper or cupro-nickel foils in contact with system water. The use of such materials is only possible in the context of new heat exchanger and system designs, which are also discussed. To lend focus, we have concentrated on a directly fired double effect system providing capacity only. If successful, these techniques will also find wide applicability in heat pumps, cogeneration systems, solar cooling, heat recovery and chemical process heat transfer. 46 refs., 24 figs., 22 tabs.

  18. Cost reductions from a smoking policy.

    Science.gov (United States)

    Nixon, J C; West, J F

    1989-03-01

    The health of its workforce is of paramount importance to a business. The loss of even one key person to heart and lung disease can have a detrimental effect on organizational efficiency. Provided strides similar to those made in the last five years continue, perhaps within the next five years major employers will have all work areas smoke free. In large cities considerable help in implementing a nonsmoking policy is available to employers. Individual companies need to consider the merits of each type of program and then decide which best fits the organization. Compared with a nonsmoker, the average employed smoker in the United States 1. Takes approximately 50% more sick leave 2. Uses the health care system at least 50% more 3. Suffers over twice the mortality rate during working years 4. Spends 6% of working hours smoking 5. Causes indoor work facilities to expend six times the capital and operating outlays to maintain air circulation rates that meet building code specifications 6. Imposes a much greater maintenance burden for cleaning, repairing, repainting and replacing furnishings and equipment 7. Imposes unnecessary costly liability on employers for damages sustained by co-workers who are forced to work in a smoky environment 8. Exacts a high price in employee morale because of the irritation and discomfort suffered by fellow workers.

  19. Low-cost Radon Reduction Pilot Study

    Energy Technology Data Exchange (ETDEWEB)

    Rose, William B. [Univ. of Illinois, Urbana-Champaign, IL (United States); Francisco, Paul W. [Univ. of Illinois, Urbana-Champaign, IL (United States); Merrin, Zachary [Univ. of Illinois, Urbana-Champaign, IL (United States)

    2015-09-01

    The U.S. Department of Energy's Building America research team Partnership for Advanced Residential Retrofits conducted a primary scoping study on the impact of air sealing between the foundation and the living space on radon transport reduction across the foundation and living space floor assembly. Fifteen homes in the Champaign, Illinois, area participated in the study. These homes were instrumented for hourly continuous radon measurements and simultaneous temperature and humidity measurements. Blower door and zone pressure diagnostics were conducted at each house. The treatments consisted of using air-sealing foams at the underside of the floor that separated the living space from the foundation and providing duct sealing on the ductwork that is situated in the foundation area. The hypothesis was that air sealing the floor system that separated the foundation from the living space should better isolate the living space from the foundation; this isolation should lead to less radon entering the living space from the foundation. If the hypothesis had been proven, retrofit energy-efficiency programs may have chosen to adopt these isolation methods for enhanced radon protection to the living space.

  20. COST REDUCTION STUDIES OF DECORATIVE LAMINATES

    Directory of Open Access Journals (Sweden)

    Dharm Dutt

    2011-03-01

    Full Text Available Barrier paper, which is made of bleached absorbent kraft pulp, is a significant layer of decorative laminates, since it controls the see-through of brown color of saturating kraft paper and its opacifying effect usually is achieved by a heavy loading of TiO2. The TiO2, due to its very small particle size, passes between the cellulosic fibers and drains into the white water. To overcome this problem, papermakers try to use various retention aids for improving overall retention of TiO2, but agglomeration of TiO2 causes a decrease in light scattering efficiency of TiO2. During the subsequent saturation operation, the air in the voids is replaced by melamine formaldehyde, which has a refractive index close to that of cellulose. As a result, the sheet becomes translucent and poses 'see through' problem. Keeping this in view, anhydrous magnesium silicate is used as an extender with TiO2 because it effectively increases the overall filler retention, sheet brightness, opacity. The dispersed aqueous slurry of anhydrous magnesium silicate forms fine gel that entraps TiO2 in the wet web and prevents removal of fines and fillers. The addition of 25% TiO2, 7% micronized soapstone powder, 8% anhydrous magnesium silicate, 1% melamine formaldehyde, and 0.1% sodium hexameta-phosphate was found to improve the overall retention by 65.25% and to cut the manufacturing cost by US$ 546.00 per tonne of pulp without affecting the product quality.

  1. A top-down approach to heliostat cost reduction

    Science.gov (United States)

    Larmuth, James N.; Landamn, Willem A.; Gauché, Paul

    2016-05-01

    The Technology Innovation Agency (TIA) has funded a South African central receiver collector technology development project, called Helio100. The project aims to provide South Africa's first commercially viable heliostat technology, which is both low in cost and offers high local content potential. A top-down approach is employed for heliostat cost reduction. This approach incorporates interlinked tools which move from high level cost analyses based on qualitative data during early stages of conceptual design, to detailed quantitative analyses in the final stages of design. Low cost heliostat designs are realized by the incorporation of both a top-down and bottom-up method. The current H100 design results in heliostat costs of 155/m2 at 20 000 units p.a. while further industrialisation results in heliostat costs of 126/m2 at 20 000 units.

  2. Fine particle emissions, emission reduction potential and reduction costs in Finland in 2020

    OpenAIRE

    Karvosenoja, Niko; Klimont, Zbigniew; Tohka, Antti; Johansson, Matti

    2006-01-01

    Fine particulate matter (PM2.5) in the atmosphere have been associated with severe human health effects. This report explores future emissions of primary PM2.5, their reduction potential and related reduction costs in Finland. One activity pathway of 2020 of the Finnish Climate Strategy was studied with two different PM emission control utilization scenarios: (1) "Baseline" which involves PM control technology utilization complying with current legislation, and (2) "Reduction" which assumes t...

  3. Extreme Cost Reductions with Multi-Megawatt Centralized Inverter Systems

    Energy Technology Data Exchange (ETDEWEB)

    Schwabe, Ulrich [Alencon LLC; Fishman, Oleg [Alencon LLC

    2015-03-20

    The objective of this project was to fully develop, demonstrate, and commercialize a new type of utility scale PV system. Based on patented technology, this includes the development of a truly centralized inverter system with capacities up to 100MW, and a high voltage, distributed harvesting approach. This system promises to greatly impact both the energy yield from large scale PV systems by reducing losses and increasing yield from mismatched arrays, as well as reduce overall system costs through very cost effective conversion and BOS cost reductions enabled by higher voltage operation.

  4. Study on air pollution reduction costs of power industry

    Energy Technology Data Exchange (ETDEWEB)

    Yun, W.C. [Korea Energy Economics Institute, Euiwang (Korea, Republic of); Kwon, O.S. [Seoul University, Seoul (Korea, Republic of)

    1998-04-01

    This study mainly treats the productivity change due to the use of low-sulfur fuel oil in the power generation sector and estimates marginal reduction cost due to air pollution as contents. For this, domestic energy use, supply and demand status and forecast of power sector are described, and the effect of the use of low-sulfur fuel oil in power generation sector was analyzed and the result was summarized. The marginal reduction cost of air pollutants in domestic power sector was estimated and the result was summarized using products distance functions. Major results can be summarized as follows. 1. Pollution control, profitability based on size and technology development are found to exert a statistically meaningful influence on a productivity change in power generation sector. Among these, pollution control by the supply of low- sulfur fuel oil is found to have both primary factors that either increase or decrease productivity. 2. The result of estimating the marginal reduction cost of domestic thermoelectric power plants using the duality of products distance function and import function shows that average marginal reduction costs for the period of 1990 {approx} 1995 are 310.6 thousands Won for SO{sub X}, 146.7 thousands Won for NO{sub X}, 15,482.3 thousands Won for TSP, and 3.8 thousands Won for CO{sub 2} in case four pollutants are all included though there may be some difference based on the assumption of model. 70 refs., 16 figs., 30 tabs.

  5. Cost-effective Sulphur Emission Reduction under Uncertainty

    OpenAIRE

    Altman, A; Ruszczynski, A.

    1993-01-01

    The problem of reducing SO2 emissions in Europe is considered. The costs of reduction are assumed to be uncertain and are modeled by a set of possible scenarios. A mean-variance model of the problem is formulated and a specialized computational procedure developed. The approach is applied to the transboundary air pollution model with real-world data.

  6. Cost reductions in the nickel—hydrogen battery

    Science.gov (United States)

    Beauchamp, Richard L.; Sindorf, Jack F.

    1988-04-01

    For the past several years, Johnson Controls, Inc. has been working with COMSAT Laboratories and Sandia National Laboratories on the development of the The major emphasis of the program was on reduction of the manufacturing cost of the aerospace cell. The intent of the developmental effort was to redes The approach was to adapt JCI's experience in the high-volume production of lead—acid automotive batteries to the manufacture of the nickel—hydroge A significant reduction in cost was achieved through several technical developments, component changes, and process improvements. Two technical develop As an integral part of the program, the details of the manufacturing costs were carefully studied. One purpose was to highlight those raw material and

  7. Time-driven activity-based costing to identify opportunities for cost reduction in pediatric appendectomy.

    Science.gov (United States)

    Yu, Yangyang R; Abbas, Paulette I; Smith, Carolyn M; Carberry, Kathleen E; Ren, Hui; Patel, Binita; Nuchtern, Jed G; Lopez, Monica E

    2016-12-01

    As reimbursement programs shift to value-based payment models emphasizing quality and efficient healthcare delivery, there exists a need to better understand process management to unearth true costs of patient care. We sought to identify cost-reduction opportunities in simple appendicitis management by applying a time-driven activity-based costing (TDABC) methodology to this high-volume surgical condition. Process maps were created using medical record time stamps. Labor capacity cost rates were calculated using national median physician salaries, weighted nurse-patient ratios, and hospital cost data. Consumable costs for supplies, pharmacy, laboratory, and food were derived from the hospital general ledger. Time-driven activity-based costing resulted in precise per-minute calculation of personnel costs. Highest costs were in the operating room ($747.07), hospital floor ($388.20), and emergency department ($296.21). Major contributors to length of stay were emergency department evaluation (270min), operating room availability (395min), and post-operative monitoring (1128min). The TDABC model led to $1712.16 in personnel costs and $1041.23 in consumable costs for a total appendicitis cost of $2753.39. Inefficiencies in healthcare delivery can be identified through TDABC. Triage-based standing delegation orders, advanced practice providers, and same day discharge protocols are proposed cost-reducing interventions to optimize value-based care for simple appendicitis. II. Copyright © 2016 Elsevier Inc. All rights reserved.

  8. Sustainable cost reduction by lean management in metallurgical processes

    OpenAIRE

    A. V. Todorut; L. Paliu-Popa; V. S. Tselentis; D. Cirnu

    2016-01-01

    This paper focuses on the need for sustainable cost reduction in the metallurgical industry by applying Lean Management (LM) tools and concepts in metallurgical production processes leading to increased competitiveness of corporations in a global market. The paper highlights that Lean Management is a novel way of thinking, adapting to change, reducing waste and continuous improvement, leading to sustainable development of companies in the metallurgical industry. The authors outline the main L...

  9. Pipeline cost reduction through effective project management and applied technology

    Energy Technology Data Exchange (ETDEWEB)

    Jenkins, A. [TransCanada Pipeline Ltd., Alberta (Canada); Babuk, T. [Empress International Inc., Westwood, NJ (United States); Mohitpour, M. [Tempsys Pipeline Solutions Inc., Vancouver, BC (Canada); Murray, M.A. [National Energy Board of Canada (Canada)

    2005-07-01

    Pipelines are regarded by many as passive structures with the technology involved in their construction and operation being viewed as relatively simple and stable. If such is the case how can there be much room for cost improvement? In reality, there have been many technological and regulatory innovations required within the pipeline industry to meet the challenges posed by ever increasing consumer demand for hydrocarbons, the effects of aging infrastructure and a need to control operating and maintenance expenditures. The importance of technology management, as a subset of overall project management, is a key element of life cycle cost control. Assurance of public safety and the integrity of the system are other key elements in ensuring a successful pipeline project. The essentials of best practise project management from an owner/ operator's perspective are set out in the paper. Particular attention is paid to the appropriate introduction of new technology, strategic procurement practice and material selection, indicating that capital cost savings of up to 15% are achievable without harming life cycle cost. The value of partnering leading to technical innovation, cost savings and improved profitability for all the participants is described. Partnering also helps avoid duplicated effort through the use of common tools for design, planning schedule tracking and reporting. Investing in appropriate technology development has been a major source of cost reduction in recent years and the impact of a number of these recently introduced technologies in the areas of materials, construction processes and operation and maintenance are discussed in the paper. (author)

  10. Power Tower Technology Roadmap and cost reduction plan.

    Energy Technology Data Exchange (ETDEWEB)

    Mancini, Thomas R.; Gary, Jesse A. (U.S. Department of Energy); Kolb, Gregory J.; Ho, Clifford Kuofei

    2011-04-01

    Concentrating solar power (CSP) technologies continue to mature and are being deployed worldwide. Power towers will likely play an essential role in the future development of CSP due to their potential to provide dispatchable solar electricity at a low cost. This Power Tower Technology Roadmap has been developed by the U.S. Department of Energy (DOE) to describe the current technology, the improvement opportunities that exist for the technology, and the specific activities needed to reach the DOE programmatic target of providing competitively-priced electricity in the intermediate and baseload power markets by 2020. As a first step in developing this roadmap, a Power Tower Roadmap Workshop that included the tower industry, national laboratories, and DOE was held in March 2010. A number of technology improvement opportunities (TIOs) were identified at this workshop and separated into four categories associated with power tower subsystems: solar collector field, solar receiver, thermal energy storage, and power block/balance of plant. In this roadmap, the TIOs associated with power tower technologies are identified along with their respective impacts on the cost of delivered electricity. In addition, development timelines and estimated budgets to achieve cost reduction goals are presented. The roadmap does not present a single path for achieving these goals, but rather provides a process for evaluating a set of options from which DOE and industry can select to accelerate power tower R&D, cost reductions, and commercial deployment.

  11. GHG emission reductions and costs to achieve Kyoto target

    Institute of Scientific and Technical Information of China (English)

    2003-01-01

    Emission projection and marginal abatement cost curves (MACs) are the central components of any assessment of future carbonmarket, such as CDM (clean development mechanism) potentials, carbon quota price etc. However, they are products of very complex,dynamic systems driven by forces like population growth, economic development, resource endowments, technology progress and so on. Themodeling approaches for emission projection and MACs evaluation were summarized, and some major models and their results were compared.Accordingly, reduction and cost requirements to achieve the Kyoto target were estimated. It is concluded that Annex I Parties' total reductionrequirements range from 503-1304 MtC with USA participation and decrease significantly to 140-612 MtC after USA' s withdrawal. Totalcosts vary from 21-77 BUSD with USA and from 5-36 BUSD without USA if only domestic reduction actions are taken. The costs wouldsharply reduce while considering the three flexible mechanisms defined in the Kyoto Protocol with domestic actions' share in the all mitigationstrategies drops to only 0-16%.

  12. Compact teleoperated laparoendoscopic single-site robotic surgical system: Kinematics, control, and operation.

    Science.gov (United States)

    Isaac-Lowry, Oran Jacob; Okamoto, Steele; Pedram, Sahba Aghajani; Woo, Russell; Berkelman, Peter

    2017-03-27

    To date a variety of teleoperated surgical robotic systems have been developed to improve a surgeon's ability to perform demanding single-port procedures. However typical large systems are bulky, expensive, and afford limited angular motion, while smaller designs suffer complications arising from limited motion range, speed, and force generation. This work was to develop and validate a simple, compact, low cost single site teleoperated laparoendoscopic surgical robotic system, with demonstrated capability to carry out basic surgical procedures. This system builds upon previous work done at the University of Hawaii at Manoa and includes instrument and endoscope manipulators as well as compact articulated instruments designed to overcome single incision geometry complications. A robotic endoscope holder was used for the base, with an added support frame for teleoperated manipulators and instruments fabricated mostly from 3D printed parts. Kinematics and control methods were formulated for the novel manipulator configuration. Trajectory following results from an optical motion tracker and sample task performance results are presented. Results indicate that the system has successfully met the goal of basic surgical functionality while minimizing physical size, complexity, and cost. Copyright © 2017 John Wiley & Sons, Ltd.

  13. Development of pollution reduction strategies for Mexico City: Estimating cost and ozone reduction effectiveness

    Energy Technology Data Exchange (ETDEWEB)

    Thayer, G.R.; Hardie, R.W. [Los Alamos National Lab., NM (United States); Barrera-Roldan, A. [Instituto Mexicano de Petroleo, Mexico City (Mexico)

    1993-12-31

    This reports on the collection and preparation of data (costs and air quality improvement) for the strategic evaluation portion of the Mexico City Air Quality Research Initiative (MARI). Reports written for the Mexico City government by various international organizations were used to identify proposed options along with estimates of cost and emission reductions. Information from appropriate options identified by SCAQMD for Southem California were also used in the analysis. A linear optimization method was used to select a group of options or a strategy to be evaluated by decision analysis. However, the reduction of ozone levels is not a linear function of the reduction of hydrocarbon and NO{sub x} emissions. Therefore, a more detailed analysis was required for ozone. An equation for a plane on an isopleth calculated with a trajectory model was obtained using two endpoints that bracket the expected total ozone precursor reductions plus the starting concentrations for hydrocarbons and NO{sub x}. The relationship between ozone levels and the hydrocarbon and NO{sub x} concentrations was assumed to lie on this plane. This relationship was used in the linear optimization program to select the options comprising a strategy.

  14. Sustainable cost reduction by lean management in metallurgical processes

    Directory of Open Access Journals (Sweden)

    A. V. Todorut

    2016-10-01

    Full Text Available This paper focuses on the need for sustainable cost reduction in the metallurgical industry by applying Lean Management (LM tools and concepts in metallurgical production processes leading to increased competitiveness of corporations in a global market. The paper highlights that Lean Management is a novel way of thinking, adapting to change, reducing waste and continuous improvement, leading to sustainable development of companies in the metallurgical industry. The authors outline the main Lean Management instruments based on recent scientific research and include a comparative analysis of other tools, such as Sort, Straighten, Shine, Standardize, Sustain (5S, Visual Management (VM, Kaizen, Total Productive Maintenance (TPM, Single-Minute Exchange of Dies (SMED, leading to a critical appraisal of their application in the metallurgical industry.

  15. Implementation of activity-based costing (ABC) to drive cost reduction efforts in a semiconductor manufacturing operation

    Science.gov (United States)

    Naguib, Hussein; Bol, Igor I.; Lora, J.; Chowdhry, R.

    1994-09-01

    This paper presents a case study on the implementation of ABC to calculate the cost per wafer and to drive cost reduction efforts for a new IC product line. The cost reduction activities were conducted through the efforts of 11 cross-functional teams which included members of the finance, purchasing, technology development, process engineering, equipment engineering, production control, and facility groups. The activities of these cross functional teams were coordinated by a cost council. It will be shown that these activities have resulted in a 57% reduction in the wafer manufacturing cost of the new product line. Factors contributed to successful implementation of an ABC management system are discussed.

  16. Low cost biological lung volume reduction therapy for advanced emphysema

    Directory of Open Access Journals (Sweden)

    Bakeer M

    2016-08-01

    Full Text Available Mostafa Bakeer,1 Taha Taha Abdelgawad,1 Raed El-Metwaly,1 Ahmed El-Morsi,1 Mohammad Khairy El-Badrawy,1 Solafa El-Sharawy2 1Chest Medicine Department, 2Clinical Pathology Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt Background: Bronchoscopic lung volume reduction (BLVR, using biological agents, is one of the new alternatives to lung volume reduction surgery.Objectives: To evaluate efficacy and safety of biological BLVR using low cost agents including autologous blood and fibrin glue.Methods: Enrolled patients were divided into two groups: group A (seven patients in which autologous blood was used and group B (eight patients in which fibrin glue was used. The agents were injected through a triple lumen balloon catheter via fiberoptic bronchoscope. Changes in high resolution computerized tomography (HRCT volumetry, pulmonary function tests, symptoms, and exercise capacity were evaluated at 12 weeks postprocedure as well as for complications.Results: In group A, at 12 weeks postprocedure, there was significant improvement in the mean value of HRCT volumetry and residual volume/total lung capacity (% predicted (P-value: <0.001 and 0.038, respectively. In group B, there was significant improvement in the mean value of HRCT volumetry and (residual volume/total lung capacity % predicted (P-value: 0.005 and 0.004, respectively. All patients tolerated the procedure with no mortality.Conclusion: BLVR using autologous blood and locally prepared fibrin glue is a promising method for therapy of advanced emphysema in term of efficacy, safety as well as cost effectiveness. Keywords: BLVR, bronchoscopy, COPD, interventional pulmonology

  17. Vehicle Lightweighting: Mass Reduction Spectrum Analysis and Process Cost Modeling

    Energy Technology Data Exchange (ETDEWEB)

    Mascarin, Anthony [IBIS Associates, Inc., Waltham, MA (United States); Hannibal, Ted [IBIS Associates, Inc., Waltham, MA (United States); Raghunathan, Anand [Energetics Inc., Columbia, MD (United States); Ivanic, Ziga [Energetics Inc., Columbia, MD (United States); Clark, Michael [Idaho National Lab. (INL), Idaho Falls, ID (United States)

    2016-03-01

    The U.S. Department of Energy’s Vehicle Technologies Office, Materials area commissioned a study to model and assess manufacturing economics of alternative design and production strategies for a series of lightweight vehicle concepts. In the first two phases of this effort examined combinations of strategies aimed at achieving strategic targets of 40% and a 45% mass reduction relative to a standard North American midsize passenger sedan at an effective cost of $3.42 per pound (lb) saved. These results have been reported in the Idaho National Laboratory report INL/EXT-14-33863 entitled Vehicle Lightweighting: 40% and 45% Weight Savings Analysis: Technical Cost Modeling for Vehicle Lightweighting published in March 2015. The data for these strategies were drawn from many sources, including Lotus Engineering Limited and FEV, Inc. lightweighting studies, U.S. Department of Energy-funded Vehma International of America, Inc./Ford Motor Company Multi-Material Lightweight Prototype Vehicle Demonstration Project, the Aluminum Association Transportation Group, many United States Council for Automotive Research’s/United States Automotive Materials Partnership LLC lightweight materials programs, and IBIS Associates, Inc.’s decades of experience in automotive lightweighting and materials substitution analyses.

  18. Low-cost carbon pellets for NOx reduction

    Energy Technology Data Exchange (ETDEWEB)

    J.M. Soriano-Mora; A. Bueno-Lopez; A. Garcia-Garcia; R. Perry; C.E. Snape [University of Alicante (Spain). Department of Inorganic Chemistry

    2005-07-01

    Carbonaceous materials have been proposed as potential inexpensive reducing agents for NOx reduction under suitable operating conditions. Potassium has been found to be an effective catalyst in the C-NOx reaction at sufficiently high concentration. In the current work it was decided to explore low-cost carbon precursors for their suitability for NOx reduction, and to incorporate them in pellets rather than briquettes. The much greater surface area afforded by pellets should allow them to be used to better effect in removing NOx from flue gases passing through a fixed bed. The feedstocks selected included bituminous coal, high- and medium-temperature cokes, petroleum coke, anthracite, scrap tyre pyrolysis char and power station PFA. Cashew nut shell liquid (CNSL) was used as a binder, as it can be heat-cured per se at ca. 275{sup o}C, with little loss in volatile matter. To test their propensity to reduce NOx in flue gas, 10g samples of pellets were heated in a reactor at 325 - 350{sup o}C in a 2 dm{sup 3}/min flow of gas comprising 2000 ppmv NO, 5% oxygen with nitrogen as the balance. A selectivity factor was then calculated for each pellet sample and test condition, which defines the proportion of carbon consumed in reducing NOx relative to its combustion with oxygen. The results show that constant levels of NOx reduction are kept after 2 hours of reaction, being the consumption of O{sub 2} hardly appreciable, leading to satisfactory values of selectivity factor. This parameter is highly dependent on potassium content of the samples following all stages of heat treatment. The highest selectivity of ca. 0.4 was obtained for the carbonised bituminous coal and this was comparable to that achieved for briquettes from earlier studies. (Abstract only).

  19. Low-cost carbon pellets for NOx reduction

    Energy Technology Data Exchange (ETDEWEB)

    Soriano-Mora, J.M.; Bueno-Lopez, A.; Garcia-Garcia, A.; Perry, R.; Snape, C.E. [University of Alicante, Alicante (Spain)

    2005-07-01

    Various low-cost carbon precursors were examined for their suitability and selectivity towards NOx reduction. The carbon feedstocks selected included bituminous coal, high- and medium-temperature cokes, petroleum coke, anthracite, scrap tyre pyrolysis char and power station PFA. Cashew nut shell liquid (CNSL) was the binder. Pellets were prepared from a solid mixture containing 65 mass % of air-dried carbon feedstock crushed to {lt} 0.5 mm, 30% potassium hydroxide milled to {lt}0.2 mm and 5% CNSL. To test their propensity to reduce NOx in flue gas, 10 g samples of pellets were heated in a reactor at 325-350{sup o}C in a 2 dm{sup 3}/min flow of gas comprising 2000 ppmv NO, 5% oxygen with nitrogen as the balance. The reduction in NOx and O{sub 2} conversion were measured on-line together with CO{sub 2} and CO evolution. A selectivity factor was then calculated for each pellet sample and test condition, which defines the proportion of carbon consumed in reducing NOx relative to its combustion with oxygen. The results show that constant values of NOx reduction are kept after 2 hours of reaction leading to satisfactory values of selectivity factor. This parameter is highly dependent on potassium content of the samples following all stages of heat treatment. Final potassium content is itself obviously dependent on the loss in mass experienced by the pellets during heat treatment, but measured potassium contents were without exception higher than those attributable to volatile losses alone, suggesting that there was alkali-induced activation occurring resulting in some of the carbon being consumed during carbonisation. The highest selectivity of around 0.4 was obtained for the carbonised bituminous coal. 3 refs., 1 fig., 1 tab.

  20. Lean-Six Sigma: tools for rapid cycle cost reduction.

    Science.gov (United States)

    Caldwell, Chip

    2006-10-01

    Organizational costs can be grouped as process cost, cost of quality, and cost of poor quality. Providers should train managers in the theory and application of Lean-Six Sigma, including the seven categories of waste and how to remove them. Healthcare financial executives should work with managers in eliminating waste to improve service and reduce costs.

  1. The Role of Logistics in Practical Levelized Cost of Energy Reduction Implementation and Government Sponsored Cost Reduction Studies: Day and Night in Offshore Wind Operations and Maintenance Logistics

    DEFF Research Database (Denmark)

    Poulsen, Thomas; Hasager, Charlotte Bay; Jensen, Christian Munk

    2017-01-01

    This paper reveals that logistics make up at least 17% of annual operational expenditure costs for offshore wind farms. Annual operational expenditure is found to vary by a factor of 9.5, making its share of levelized cost of energy for offshore wind range from 13% to 57%. These are key findings...... contrast to the shore-based office personnel who develop studies directing cost reduction efforts. This paper details the company motivation to join industry-wide cost reduction initiatives. A business case for offshore wind operations and maintenance logistics yielding 1% savings in levelized cost...... of a 20-month research project targeting cost reduction initiatives for offshore wind systems. The findings reveal that cost-out measures are difficult to implement due to cultural differences. Implementation efforts are rendered by personnel located offshore in a harsh sea environment which is in stark...

  2. Laparoendoscopic single-site nephrectomy in obese living renal donors.

    Science.gov (United States)

    Afaneh, Cheguevara; Sheth, Seema; Aull, Meredith J; Leeser, David B; Kapur, Sandip; Del Pizzo, Joseph J

    2012-02-01

    Laparoendoscopic single-site (LESS) surgery has been shown to be feasible in living donor nephrectomies (DNs). Obesity is an established risk factor for perioperative morbidity. We sought to determine whether LESS-DN is safe and effective in the obese (body mass index [BMI] ≥30 kg/m(2)) population. Between August 2009 and September 2010, 125 consecutive LESS-DN were performed; 32 patients were obese. This group was matched to 32 nonobese LESS-DN (BMI obese conventional laparoscopic DN (obese LAP-DN) patients, and 32 nonobese LAP-DN patients. Comparison parameters included organ recovery time, operative time, estimated blood loss (EBL), warm ischemia time (WIT), incision length, complications, and recipient allograft function. Demographic data were similar between the groups, except BMI (P>0.0001). Organ recovery time, EBL, WIT, complications, and recipient allograft function were similar between the obese LESS-DN group and the other three groups (P>0.05). Total operative time was longer in the obese LESS-DN compared with the nonobese LAP-DN (Pobese LESS-DN group compared with either LAP group (Pobese donor cases were converted to hand-assisted laparoscopy). Our results indicate that LESS-DN can be performed safely in obese donors without increased donor morbidity and similar recipient allograft outcomes compared with ideal-sized donors as well as with conventional LAP-DN patients.

  3. Laparoendoscopic single-site nephroureterectomy for morbid obese patients

    Directory of Open Access Journals (Sweden)

    Cesar Augusto Braz Juliano

    2013-12-01

    Full Text Available Since the first laparoendoscopic single-site (LESS surgery report in urology in 2007 (1 (Rane A e Cadeddu JA, the few reports of LESS extraperitoneal access in the literature were mainly described for less complex cases. The aim of this video is to demonstrate the feasibility of LESS extraperitoneal access in a morbid obese patient presenting a malignant tumor in the renal pelvis. The patient is positioned in 90-degree lateral decubitus. An incision is made below the abdominal skin crease on the left side of the patient and the anterior rectus fascia is vertically incised with manual dissection of the extra/retroperitoneal space. We use an Alexis® retractor to retract the skin maximizing the incision orifice. Three trocars (12, 10 and 5 mm are inserted through a sigle-port. The pedicle was controlled “en bloc” with a vascular stapler and the bladder cuff treated by the conventional open approach through the same incision. Operative time was 126 minutes with minimal blood loss. The pathology reported high grade papillary urothelial carcinoma in the pelvis (pT3N0M0 and in the ureter (pTa. LESS extraperitoneal nephroureterectomy is feasible and safe, even in more complex cases. It is a good alternative for morbid obese patients and for patients with synchronous distal ureteral tumors for whom an open approach to the bladder cuff is proposed to avoid incisions in two compartments of the abdominal wall.

  4. COST OF SELECTIVE CATALYTIC REDUCTION (SCR) APPLICATION FOR NOX CONTROL ON COAL-FIRED BOILERS

    Science.gov (United States)

    The report provides a methodology for estimating budgetary costs associated with retrofit applications of selective catalytic reduction (SCR) technology on coal-fired boilers. SCR is a postcombustion nitrogen oxides (NOx) control technology capable of providing NOx reductions >90...

  5. A cooperative reduction model for regional air pollution control in China that considers adverse health effects and pollutant reduction costs.

    Science.gov (United States)

    Xie, Yujing; Zhao, Laijun; Xue, Jian; Hu, Qingmi; Xu, Xiang; Wang, Hongbo

    2016-12-15

    How to effectively control severe regional air pollution has become a focus of global concern recently. The non-cooperative reduction model (NCRM) is still the main air pollution control pattern in China, but it is both ineffective and costly, because each province must independently fight air pollution. Thus, we proposed a cooperative reduction model (CRM), with the goal of maximizing the reduction in adverse health effects (AHEs) at the lowest cost by encouraging neighboring areas to jointly control air pollution. CRM has two parts: a model of optimal pollutant removal rates using two optimization objectives (maximizing the reduction in AHEs and minimizing pollutant reduction cost) while meeting the regional pollution control targets set by the central government, and a model that allocates the cooperation benefits (i.e., health improvement and cost reduction) among the participants according to their contributions using the Shapley value method. We applied CRM to the case of sulfur dioxide (SO2) reduction in Yangtze River Delta region. Based on data from 2003 to 2013, and using mortality due to respiratory and cardiovascular diseases as the health endpoints, CRM saves 437 more lives than NCRM, amounting to 12.1% of the reduction under NCRM. CRM also reduced costs by US $65.8×10(6) compared with NCRM, which is 5.2% of the total cost of NCRM. Thus, CRM performs significantly better than NCRM. Each province obtains significant benefits from cooperation, which can motivate them to actively cooperate in the long term. A sensitivity analysis was performed to quantify the effects of parameter values on the cooperation benefits. Results shown that the CRM is not sensitive to the changes in each province's pollutant carrying capacity and the minimum pollutant removal capacity, but sensitive to the maximum pollutant reduction capacity. Moreover, higher cooperation benefits will be generated when a province's maximum pollutant reduction capacity increases.

  6. Proton pump inhibitors: potential cost reductions by applying prescribing guidelines.

    LENUS (Irish Health Repository)

    Cahir, Caitriona

    2012-01-01

    There are concerns that proton pump inhibitors (PPI) are being over prescribed in both primary and secondary care. This study aims to establish potential cost savings in a community drug scheme for a one year period according to published clinical and cost-effective guidelines for PPI prescribing.

  7. Biological waste by-production costs in forest management and possibilities for their reduction

    Directory of Open Access Journals (Sweden)

    Jiří Kadlec

    2004-01-01

    Full Text Available Biological wastes in forestry were observed from view of their by-production in silvicultural and logging operations. There were identified points where biological waste was produced in this paper, waste costs ratio for silvicultural and logging operations and were made suggestions for reduction of these costs. Biological waste costs give 34.4% of total costs of silvicultural operations and 30% of total costs of logging operations. Natural regeneration and minor forest produce operations are opportunities for reduction of these costs.

  8. Launcher Systems Development Cost: Behavior, Uncertainty, Influences, Barriers and Strategies for Reduction

    Science.gov (United States)

    Shaw, Eric J.

    2001-01-01

    This paper will report on the activities of the IAA Launcher Systems Economics Working Group in preparations for its Launcher Systems Development Cost Behavior Study. The Study goals include: improve launcher system and other space system parametric cost analysis accuracy; improve launcher system and other space system cost analysis credibility; and provide launcher system and technology development program managers and other decisionmakers with useful information on development cost impacts of their decisions. The Working Group plans to explore at least the following five areas in the Study: define and explain development cost behavior terms and concepts for use in the Study; identify and quantify sources of development cost and cost estimating uncertainty; identify and quantify significant influences on development cost behavior; identify common barriers to development cost understanding and reduction; and recommend practical, realistic strategies to accomplish reductions in launcher system development cost.

  9. Cost reduction potential of the DSN data base

    Science.gov (United States)

    Mckenzie, M.

    1977-01-01

    The cost of the DSN data base can be reduced by computerizing and unifying the current multiplicity of separate manual, computer, and hybrid data bases. Savings would accrue from eliminating all manual system costs, increasing efficiency in data base implementation and maintenance-and-operation, and increasing data accuracy. By applying a simple mathematical savings model to current data base costs, this study estimates the probable range of net ten-year savings. The minimum net savings, under the assumptions of the study, are calculated as $7.5 million.

  10. Modelling cost-effectiveness of interrelated emission reduction strategies

    NARCIS (Netherlands)

    Brink, J.C.

    2003-01-01

    Keywords:Environmental pollution; Acidification; Global warming; Agriculture; Abatement cost; Environmental policy interrelations; Ammonia; Nitrous Oxide; MethaneAgriculture is an important source of ammonia, contributing to acidification and eutrophication, as well as emissions of the greenhouse

  11. Effect of Cost-Sharing Reductions on Preventive Service Use

    Data.gov (United States)

    U.S. Department of Health & Human Services — Section 4104 of the Patient Protection and Affordable Care Act waives previous cost-sharing requirements for many Medicare-covered preventive services. In 1997,...

  12. Total Ownership Cost Reduction Case Study: AEGIS Radar Phase Shifters

    National Research Council Canada - National Science Library

    Bridger, Wray W; Ruiz, Mark D

    2006-01-01

    The goal of this research is to provide a case study that captures the production and design processes and program management solutions used to reduce total ownership costs of AEGIS Radar Phase Shifters...

  13. Modelling cost-effectiveness of interrelated emission reduction strategies

    NARCIS (Netherlands)

    Brink, J.C.

    2003-01-01

    Keywords:Environmental pollution; Acidification; Global warming; Agriculture; Abatement cost; Environmental policy interrelations; Ammonia; Nitrous Oxide; MethaneAgriculture is an important source of ammonia, contributing to acidification and eutrophication, as well as emissions of the greenhouse ga

  14. Marginal cost curves for water footprint reduction in irrigated agriculture: guiding a cost-effective reduction of crop water consumption to a permit or benchmark level

    Science.gov (United States)

    Chukalla, Abebe D.; Krol, Maarten S.; Hoekstra, Arjen Y.

    2017-07-01

    Reducing the water footprint (WF) of the process of growing irrigated crops is an indispensable element in water management, particularly in water-scarce areas. To achieve this, information on marginal cost curves (MCCs) that rank management packages according to their cost-effectiveness to reduce the WF need to support the decision making. MCCs enable the estimation of the cost associated with a certain WF reduction target, e.g. towards a given WF permit (expressed in m3  ha-1 per season) or to a certain WF benchmark (expressed in m3  t-1 of crop). This paper aims to develop MCCs for WF reduction for a range of selected cases. AquaCrop, a soil-water-balance and crop-growth model, is used to estimate the effect of different management packages on evapotranspiration and crop yield and thus the WF of crop production. A management package is defined as a specific combination of management practices: irrigation technique (furrow, sprinkler, drip or subsurface drip); irrigation strategy (full or deficit irrigation); and mulching practice (no, organic or synthetic mulching). The annual average cost for each management package is estimated as the annualized capital cost plus the annual costs of maintenance and operations (i.e. costs of water, energy and labour). Different cases are considered, including three crops (maize, tomato and potato); four types of environment (humid in UK, sub-humid in Italy, semi-arid in Spain and arid in Israel); three hydrologic years (wet, normal and dry years) and three soil types (loam, silty clay loam and sandy loam). For each crop, alternative WF reduction pathways were developed, after which the most cost-effective pathway was selected to develop the MCC for WF reduction. When aiming at WF reduction one can best improve the irrigation strategy first, next the mulching practice and finally the irrigation technique. Moving from a full to deficit irrigation strategy is found to be a no-regret measure: it reduces the WF by reducing water

  15. Marginal cost curves for water footprint reduction in irrigated agriculture: guiding a cost-effective reduction of crop water consumption to a permit or benchmark level

    Directory of Open Access Journals (Sweden)

    A. D. Chukalla

    2017-07-01

    Full Text Available Reducing the water footprint (WF of the process of growing irrigated crops is an indispensable element in water management, particularly in water-scarce areas. To achieve this, information on marginal cost curves (MCCs that rank management packages according to their cost-effectiveness to reduce the WF need to support the decision making. MCCs enable the estimation of the cost associated with a certain WF reduction target, e.g. towards a given WF permit (expressed in m3  ha−1 per season or to a certain WF benchmark (expressed in m3  t−1 of crop. This paper aims to develop MCCs for WF reduction for a range of selected cases. AquaCrop, a soil-water-balance and crop-growth model, is used to estimate the effect of different management packages on evapotranspiration and crop yield and thus the WF of crop production. A management package is defined as a specific combination of management practices: irrigation technique (furrow, sprinkler, drip or subsurface drip; irrigation strategy (full or deficit irrigation; and mulching practice (no, organic or synthetic mulching. The annual average cost for each management package is estimated as the annualized capital cost plus the annual costs of maintenance and operations (i.e. costs of water, energy and labour. Different cases are considered, including three crops (maize, tomato and potato; four types of environment (humid in UK, sub-humid in Italy, semi-arid in Spain and arid in Israel; three hydrologic years (wet, normal and dry years and three soil types (loam, silty clay loam and sandy loam. For each crop, alternative WF reduction pathways were developed, after which the most cost-effective pathway was selected to develop the MCC for WF reduction. When aiming at WF reduction one can best improve the irrigation strategy first, next the mulching practice and finally the irrigation technique. Moving from a full to deficit irrigation strategy is found to be a no-regret measure: it reduces the WF

  16. The cost of applying current helicopter external noise reduction methods while maintaining realistic vehicle performance

    Science.gov (United States)

    Bowes, M. A.

    1978-01-01

    Analytical methods were developed and/or adopted for calculating helicopter component noise, and these methods were incorporated into a unified total vehicle noise calculation model. Analytical methods were also developed for calculating the effects of noise reduction methodology on helicopter design, performance, and cost. These methods were used to calculate changes in noise, design, performance, and cost due to the incorporation of engine and main rotor noise reduction methods. All noise reduction techniques were evaluated in the context of an established mission performance criterion which included consideration of hovering ceiling, forward flight range/speed/payload, and rotor stall margin. The results indicate that small, but meaningful, reductions in helicopter noise can be obtained by treating the turbine engine exhaust duct. Furthermore, these reductions do not result in excessive life cycle cost penalties. Currently available main rotor noise reduction methodology, however, is shown to be inadequate and excessively costly.

  17. Reduction in Fabrication Costs of Gas Diffusion Layers

    Energy Technology Data Exchange (ETDEWEB)

    Jason Morgan; Donald Connors; Michael Hickner

    2012-07-10

    Ballard Material Products (BMP) performed a pre-design technical and cost analysis of state of the art production technologies feasible for high volume GDL manufacturing. Based upon criteria that also included environmental health and safety, customer quality requirements, and future needs, BMP selected technologies that can be integrated into its current manufacturing process. These selections included Many-At-A-Time (MAAT) coating and continuous mixing technologies, as well as various on-line process control tools. These processes have allowed BMP to produce high performance GDLs at lower cost for near-term markets, as well as to define the inputs needed to develop a conceptual Greenfield facility to meet the cost targets for automotive volumes of 500,000 vehicles per year.

  18. REDUCTION OF COST AND TIME CONSUMPTION IN WELL-CONSTRUCTION

    Directory of Open Access Journals (Sweden)

    Mladen Zelenika

    1998-12-01

    Full Text Available A Contractor usually utilizes the available drilling equipment when constructing just one single well. Drilling cost and time consumption in constructing the well MB-1, using the percussion method, and the well MB-2, using the conventional rotary drilling method, call for a separate analysis in order to justify the investment cost for the acquisition of additional equipment for a single well only. The wells, located in a karst vrtača close to an estavelle near Tomislavgrad, with a diameter of 500 mm and approximately 80 m deep, have been accomplished with a low rate of penetration using the conventional Cable tool and resp. Rotary Drilling Method. In this paper results of analyses for the given circumstances are shown: both the efficiency and cost of the mentioned drilling methods performed by the crews of »Geotehnika d.d.« Zagreb, as well as the justifiability of investments in new equipment are evaluated.

  19. Inefficiency of the anti-doping system: cost reduction proposals.

    Science.gov (United States)

    Maennig, Wolfgang

    2014-07-01

    The anti-doping system, under the guidance of WADA, costs at least $228 million per year, mostly to cover the cost of performing about 270,000 doping tests. However, "testing has not proven to be particularly effective in detecting dopers/cheats" (WADA). It is suggested, competitions of doping-endangered disciplines be redesigned. Sports with numerous doping cases should be temporarily excluded from the Olympic program and not be televised. Pecuniary fines should be higher and collection guaranteed by a deferred compensation model. Sports with multiple doping offenses should bear most of the anti-doping costs. Finally, appropriate tenders should guarantee fees of anti-doping laboratories develop more competitively.

  20. Class Size Reduction or Rapid Formative Assessment?: A Comparison of Cost-Effectiveness

    Science.gov (United States)

    Yeh, Stuart S.

    2009-01-01

    The cost-effectiveness of class size reduction (CSR) was compared with the cost-effectiveness of rapid formative assessment, a promising alternative for raising student achievement. Drawing upon existing meta-analyses of the effects of student-teacher ratio, evaluations of CSR in Tennessee, California, and Wisconsin, and RAND cost estimates, CSR…

  1. The impact of unit cost reductions on gross profit: Increasing or decreasing returns?

    Directory of Open Access Journals (Sweden)

    Ely Dahan

    2011-09-01

    Full Text Available We suggest that marketers actively participate in reducing unit costs during new product development, consistent with the theme of integrated marketing and manufacturing. Most marketing managers misjudge the impact on gross profit of reducing variable unit manufacturing costs, mistakenly believing that such cost reductions yield decreasing or linear returns while they actually generate increasing returns.

  2. Cost reduction through combined solutions?; Kostensenkung durch Kombinationsloesungen?

    Energy Technology Data Exchange (ETDEWEB)

    Bilitewski, B. [Technische Univ. Dresden (Germany). Inst. fuer Abfallwirtschaft und Altlasten

    1998-09-01

    The implementation of material-specific residue treatment processes requires reconstruction measures both in the case of mechanical-biological and in that of thermal treatment plants. Such measures involves great uncertainties and wide variation in cost prediction. The present paper deals with various factors that influence the costs of residual waste treatment. [Deutsch] Zur Umsetzung der stoffspezifischen Restabfallbehandlung sind Anpassungen sowohl der derzeit betriebenen mechanisch-biologischen als auch der thermischen Anlagen erforderlich, was zu Unsicherheiten und grossen Schwankungsbreiten bei den Kostenprognosen fuehrt. Der Bericht beleuchtet verschiedene Einflussgroessen auf die Kosten der Behandlung des Restabfalls. (orig./SR)

  3. The Role of Logistics in Practical Levelized Cost of Energy Reduction Implementation and Government Sponsored Cost Reduction Studies: Day and Night in Offshore Wind Operations and Maintenance Logistics

    Directory of Open Access Journals (Sweden)

    Thomas Poulsen

    2017-04-01

    Full Text Available This paper reveals that logistics make up at least 17% of annual operational expenditure costs for offshore wind farms. Annual operational expenditure is found to vary by a factor of 9.5, making its share of levelized cost of energy for offshore wind range from 13% to 57%. These are key findings of a 20-month research project targeting cost reduction initiatives for offshore wind systems. The findings reveal that cost-out measures are difficult to implement due to cultural differences. Implementation efforts are rendered by personnel located offshore in a harsh sea environment which is in stark contrast to the shore-based office personnel who develop studies directing cost reduction efforts. This paper details the company motivation to join industry-wide cost reduction initiatives. A business case for offshore wind operations and maintenance logistics yielding 1% savings in levelized cost of energy is included on how to expand working hours from daytime to also work at night.

  4. Virginia Offshore Wind Cost Reduction Through Innovation Study (VOWCRIS) (Poster)

    Energy Technology Data Exchange (ETDEWEB)

    Maples, B.; Campbell, J.; Arora, D.

    2014-10-01

    The VOWCRIS project is an integrated systems approach to the feasibility-level design, performance, and cost-of-energy estimate for a notional 600-megawatt offshore wind project using site characteristics that apply to the Wind Energy Areas of Virginia, Maryland and North Carolina.

  5. GTHTR300 cost reduction through design upgrade and cogeneration

    Energy Technology Data Exchange (ETDEWEB)

    Yan, Xing L., E-mail: yan.xing@jaea.go.jp; Sato, Hiroyuki; Kamiji, Yu; Imai, Yoshiyuki; Terada, Atsuhiko; Tachibana, Yukio; Kunitomi, Kazuhiko

    2016-09-15

    Japan Atomic Energy Agency began design and development of the Gas Turbine High Temperature Reactor of 300MWe nominal output (GTHTR300) in 2001. The reactor baseline design completed three years later was based on 850 °C core outlet temperature and a direct cycle gas turbine balance of plant. It attained 45.6% net power generation efficiency and 3.5 US¢/kW h cost of electricity. The cost was estimated 20% lower than LWR. The latest design upgrade has incorporated several major technological advances made in the past ten years to both reactor and balance of plant. As described in this paper, these advances have enabled raising the design basis reactor core outlet temperature to 950 °C and increasing power generating efficiency by nearly 5% point. Further implementation of seawater desalination cogeneration is made through employing a newly-proposed multi-stage flash process. Through efficient waste heat recovery of the reactor gas turbine power conversion cycle, a large cost credit is obtained against the conventionally produced water prices. Together, the design upgrade and the cogeneration are shown to reduce the GTHTR300 cost of electricity to under 2.7 US¢/kW h.

  6. Redesigning of Shopping Cart for Cost Reduction Using DFMA

    Directory of Open Access Journals (Sweden)

    Naiju C. D.

    2017-01-01

    Full Text Available Product Design is a way of creating new designs for various products to be sold by a business to customers. It is very efficient as certain new designs and ideas can lead to products with less cost. The two methodologies of design for manufacture and assembly (DFMA include design for manufacture (DFM which is concentrated on reducing the number of redundant parts for the ease of manufacturing and also design for assembly (DFA which is concentrated on reducing the assembly time of the parts included in the design of the product. It also helps to reduce the inefficiency and waste in the product design. This paper includes a case study of manufacture and assembly costs estimation of a shopping cart which is widely used in supermarkets, department stores all around the world. The main aim of this paper is to reduce the overall manufacturing cost of the shopping cart. The CAD model of the different parts of the shopping cart was generated using solid works and then analysed using the DFMA software. The outcomes were studied and the re-design is done. The final assembly cost of the re-designed product was compared to that of the existing design and the results are discussed.

  7. Manufacturing cost reductions and ecoefficiency: a relationship based on a case study

    Directory of Open Access Journals (Sweden)

    Rosangela Maria Vanalle

    2014-12-01

    Full Text Available In the search for higher profits or competitiveness, firms have frequently used structured procedures to reduce their costs and expenses. However, the environmental consequences associated to those processes have hardly been considered. Hence, the central purpose of this paper is to show that it is possible to obtain relevant environmental gains even not considering the environmental issues as part of the operational cost reduction efforts. This particular point was verified through a single case study where value analysis was used to obtain manufacturing cost reductions in a company belonging to the Brazilian textile sector. Even not considering environmental aspects as part of the value analysis procedures, when the cost reduction actions were implemented it was possible to confirm that they also brought significant improvements to the environmental conditions, which were measured by the firm ecoefficiency levels before and after the cost reduction implementations. Normal 0 21 false false false PT-BR X-NONE X-NONE

  8. Achieving cost reductions in EOSDIS operations through technology evolution

    Science.gov (United States)

    Newsome, Penny; Moe, Karen; Harberts, Robert

    1996-01-01

    The earth observing system (EOS) data information system (EOSDIS) mission includes the cost-effective management and distribution of large amounts of data to the earth science community. The effect of the introduction of new information system technologies on the evolution of EOSDIS is considered. One of the steps taken by NASA to enable the introduction of new information system technologies into the EOSDIS is the funding of technology development through prototyping. Recent and ongoing prototyping efforts and their potential impact on the performance and cost-effectiveness of the EOSDIS are discussed. The technology evolution process as it related to the effective operation of EOSDIS is described, and methods are identified for the support of the transfer of relevant technology to EOSDIS components.

  9. Inventory Reduction Without Regret: Balancing Storage and Rebuy Costs

    Science.gov (United States)

    2015-01-01

    savings. Unfortunately, some managers view the Army’s currently high (relative to current demand) parts inventory as an inherent source of waste...which has led to a push within the Army to dispose of inventory . This push is unlikely to save money. The primary metric now used to assess the cost of... inventory is its total dollar value, calculated as purchase price times the quantity on hand. Setting a goal to reduce the dollar value of parts

  10. Report Tunneling Cost Reduction Study prepared for Fermilab

    Energy Technology Data Exchange (ETDEWEB)

    1999-07-16

    Fermi National Accelerator Laboratories has a need to review the costs of constructing the very long tunnels which would be required for housing the equipment for the proposed Very Large Hadron Collider (VLHC) project. Current tunneling costs are high, and the identification of potential means of significantly reducing them, and thereby helping to keep overall project costs within an acceptable budget, has assumed great importance. Fermilab has contracted with The Robbins Company to provide an up-to-date appraisal of tunneling technology, and to review the potential for substantially improving currently the state-of-practice performance and construction costs in particular. The Robbins Company was chosen for this task because of its long and successful experience in hard rock mechanical tunnel boring. In the past 40 years, Robbins has manufactured over 250 tunneling machines, the vast majority for hard rock applications. In addition to also supplying back-up equipment, Robbins has recently established a division dedicated to the manufacture of continuous conveying equipment for the efficient support of tunneling operations. The study extends beyond the tunnel boring machine (TBM) itself, and into the critical area of the logistics of the support of the machine as it advances, including manpower. It is restricted to proven methods using conventional technology, and its potential for incremental but meaningful improvement, rather than examining exotic and undeveloped means of rock excavation that have been proposed from time to time by the technical community. This is the first phase of what is expected to be a number of studies in increasing depth of technical detail, and as such has been restricted to the issues connected with the initial 34 kilometer circumference booster tunnel, and not the proposed 500 kilometer circumference tunnel housing the VLHC itself. The booster tunnel is entirely sited within low to medium strength limestone and dolomite formations

  11. Robotic laparoendoscopic single-site surgery(R-LESS):current status in urology%Robotic laparoendoscopic single-site surgery(R-LESS) :current status in urology

    Institute of Scientific and Technical Information of China (English)

    Riccardo Autorino; YANG Bo; Jihad H. Kaouk

    2011-01-01

    Laparoendoscopic single-site surgery (LESS) is technically challenging; it can reduces instrument triangulation and robust retraction and is associated with a steep learning curve.The instruments of the daVinci(R) surgical system (Intuitive Surgical) are designed with seven degrees of motion mimicing the dexterity of the human hand and wrist.This inherent feature of the robotic arm provides superior ergonomics when performing LESS,especially for complex reconstructive surgery.This review analyzes the evidence supporting current and future application of robotic technology in the field of urologic LESS.

  12. Cost reduction for web-based data imputation

    KAUST Repository

    Li, Zhixu

    2014-01-01

    Web-based Data Imputation enables the completion of incomplete data sets by retrieving absent field values from the Web. In particular, complete fields can be used as keywords in imputation queries for absent fields. However, due to the ambiguity of these keywords and the data complexity on the Web, different queries may retrieve different answers to the same absent field value. To decide the most probable right answer to each absent filed value, existing method issues quite a few available imputation queries for each absent value, and then vote on deciding the most probable right answer. As a result, we have to issue a large number of imputation queries for filling all absent values in an incomplete data set, which brings a large overhead. In this paper, we work on reducing the cost of Web-based Data Imputation in two aspects: First, we propose a query execution scheme which can secure the most probable right answer to an absent field value by issuing as few imputation queries as possible. Second, we recognize and prune queries that probably will fail to return any answers a priori. Our extensive experimental evaluation shows that our proposed techniques substantially reduce the cost of Web-based Imputation without hurting its high imputation accuracy. © 2014 Springer International Publishing Switzerland.

  13. Complications of laparo-endoscopic single-site surgery in urology

    Directory of Open Access Journals (Sweden)

    Hagop Sarkissian

    2013-01-01

    Full Text Available The objective was to give a general overview of common complications and rates reported in the current literature during performance of a variety of urologic procedures using laparo-endoscopic single-site surgery or LESS. A search of published reports using Pubmed and MEDLINE was performed with the following search terms: laparo-endoscopic single-site surgery, LESS or laparo-endoscopic single-site surgery complications within the date range of 2005--2011. Studies that were deemed appropriate and relevant to the current symposium were chosen for review. Overall complication rates were reported as ranging between 10% and 25%. In general, reconstructive procedures had consistently higher rates of complications than their extirpative/ablative counterparts (27% vs. 8%. There remain insufficient data to comment on differences in the rates or types of complications related to variations in the approach (transperitoneal vs. retroperitoneal, site of surgery (upper tract vs. lower tract or specific technique used (instruments, access devices, robotic platforms, etc.. Complication rates associated with LESS in urology appear only slightly higher than with conventional laparoscopy. However, with proper patient selection and careful application of these techniques, proofs of concept and technical feasibility have been shown in several series. There continues to be a need for more standardization of the technique and reporting as well as more collaborative efforts to fully address questions of safety and efficacy of these new procedures.

  14. Reduction of operations and maintenance costs at geothermal power plants

    Energy Technology Data Exchange (ETDEWEB)

    Bruton, C.J.; Stevens, C.G.; Rard, J.A.; Kasameyer, P.W. [Lawrence Livermore National Lab., CA (United States)

    1997-12-31

    To reduce chemical costs at geothermal power plants, we are investigating: (a) improved chemical processes associated with H{sub 2}S abatement techniques, and (b) the use of cross dispersive infrared spectrometry to monitor accurately, reliably, and continuously H{sub 2}S emissions from cooling towers. The latter is a new type of infrared optical technology developed by LLNL for non-proliferation verification. Initial work is focused at The Geysers in cooperation with Pacific Gas and Electric. Methods for deploying the spectrometer on-site at The Geysers are being developed. Chemical analysis of solutions involved in H{sub 2}S abatement technologies is continuing to isolate the chemical forms of sulfur produced.

  15. Technological cost-reduction pathways for attenuator wave energy converters in the marine hydrokinetic environment.

    Energy Technology Data Exchange (ETDEWEB)

    Bull, Diana L; Ochs, Margaret Ellen

    2013-09-01

    This report considers and prioritizes the primary potential technical costreduction pathways for offshore wave activated body attenuators designed for ocean resources. This report focuses on technical research and development costreduction pathways related to the device technology rather than environmental monitoring or permitting opportunities. Three sources of information were used to understand current cost drivers and develop a prioritized list of potential costreduction pathways: a literature review of technical work related to attenuators, a reference device compiled from literature sources, and a webinar with each of three industry device developers. Data from these information sources were aggregated and prioritized with respect to the potential impact on the lifetime levelized cost of energy, the potential for progress, the potential for success, and the confidence in success. Results indicate the five most promising costreduction pathways include advanced controls, an optimized structural design, improved power conversion, planned maintenance scheduling, and an optimized device profile.

  16. IT/Automation Cost Reduction in Intel€ٳ Manufacturing Environment

    OpenAIRE

    Subirana, Brian

    2004-01-01

    Intel manufacturing relies heavily on IT and Factory Automation during the manufacturing processes. At Intel, everything from scheduling products on the floor and product delivery systems to statistical process control is done through automation systems. Shortly after an Intel meeting described in the case, a new position Computing Cost Reduction Manager - was created to lead a team within Factory Automation to drive cost reduction efforts which was a top priority for Intel in 2003. The compu...

  17. Investigations into Cost Reductions of X-band Instrumentation

    Energy Technology Data Exchange (ETDEWEB)

    Van Winkle, D.; Dolgashev, V.A.; Fox, J.D.; Tantawi, S.G.; /SLAC

    2009-05-15

    The prohibitive costs of commercial test equipment for making fast and accurate pulsed phase and amplitude measurements at X-Band result in decreased productivity due to shortages of shared equipment across the test laboratory. In addition, most current set-ups rely on the use of pulsed power heads which do not allow for the measurement of phase thereby limiting the flexibility of available measurements. In this paper, we investigate less expensive in-house designed instrumentation based upon commercial satellite down converters and widely available logarithmic detector amplifiers and phase detectors. The techniques are used to measure X-Band pulses with widths of 50 ns to 10's of usec. We expect a dynamic range of 30-40 dB with accuracies of better than +/- 0.1 dB and +/- 1 degree of phase. We show preliminary results of the built and tested modules. Block diagrams of the down conversion scheme, and the architecture of a multi-signal X-band RF monitor and measurement system is illustrated. Measured results, and possible modifications and upgrades are presented.

  18. COMPARISON OF WEST GERMAN AND U.S. FLUE GAS DESULFURIZATION AND SELECTIVE CATALYTIC REDUCTION COSTS

    Science.gov (United States)

    The report documents a comparison of the actual cost retrofitting flue gas desulfurization (FGD) and selective catalytic reduction (SCR) on Federal Republic of German (FRG) boilers to cost estimating procedures used in the U.S. to estimate the retrofit of these controls on U.S. b...

  19. Understanding the reductions in US corn ethanol production costs: an experience curve approach

    NARCIS (Netherlands)

    Hettinga, W.; Junginger, H.M.; Dekker, S.C.; Hoogwijk, M.; McAloon, A.; Hicks, K.

    2009-01-01

    The US is currently the world's largest ethanol producer. An increasing percentage is used as transportation fuel, but debates continue on its costs competitiveness and energy balance. In this study, technological development of ethanol production and resulting cost reductions are investigated by us

  20. Understanding the reductions in US corn ethanol production costs: an experience curve approach

    Science.gov (United States)

    The US is currently the world's largest ethanol producer. An increasing percentage is used as transportation fuel, but debates continue on its cost competitiveness and energy balance. In this study, technological development of ethanol production and resulting cost reductions are investigated by usi...

  1. Understanding the reductions in US corn ethanol production costs: an experience curve approach

    NARCIS (Netherlands)

    Hettinga, W.; Junginger, H.M.|info:eu-repo/dai/nl/202130703; Dekker, S.C.|info:eu-repo/dai/nl/203449827; Hoogwijk, M.; McAloon, A.; Hicks, K.

    2009-01-01

    The US is currently the world's largest ethanol producer. An increasing percentage is used as transportation fuel, but debates continue on its costs competitiveness and energy balance. In this study, technological development of ethanol production and resulting cost reductions are investigated by

  2. Solar cost reduction through technical improvements: the concepts of learning and experience

    Energy Technology Data Exchange (ETDEWEB)

    Krawiec, F.; Flaim, T.

    1979-10-01

    The concepts of learning and experience are reviewed and their usefulness for predicting the future costs of solar technologies are evaluated. The literature review indicated that the cost estimates for solar energy technologies are typically made assuming a fixed production process, characterized by standard capacity factors, overhead, and labor costs. The learning curve is suggested as a generalization of the costs of potential solar energy systems. The concept of experience is too ambiguous to be useful for cost estimation. There is no logical reason to believe that costs will decline purely as a function of cumulative production, and experience curves do not allow the analyst to identify logical sources of cost reduction directly. The procedures for using learning and aggregated cost curves to estimate the costs of solar technologies are outlined. It is recommended that production histories of analogous products and processes are analyzed and the learning and cost curves for these surrogates are estimated. These curves, if judged applicable, can be used to predict the cost reductions in manufacturing solar energy technologies.

  3. The economic cost of using restraint and the value added by restraint reduction or elimination.

    Science.gov (United States)

    Lebel, Janice; Goldstein, Robert

    2005-09-01

    The purpose of this study was to calculate the economic cost of using restraint on one adolescent inpatient service and to examine the effect of an initiative to reduce or eliminate the use of restraint after it was implemented. A detailed process-task analysis of mechanical, physical, and medication-based restraint was conducted in accordance with state and federal restraint requirements. Facility restraint data were collected, verified, and analyzed. A model was developed to determine the cost and duration of an average episode for each type of restraint. Staff time allocated to restraint activities and medication costs were computed. Calculation of the cost of restraint was restricted to staff and medication costs. Aggregate costs of restraint use and staff-related costs for one full year before the restraint reduction initiative (FY 2000) and one full year after the initiative (FY 2003) were calculated. Outcome, discharge, and recidivism data were analyzed. A comparison of the FY 2000 data with the FY 2003 data showed that the adolescent inpatient service's aggregate use of restraint decreased from 3,991 episodes to 373 episodes (91 percent), which was associated with a reduction in the cost of restraint from $1,446,740 to $117,036 (a 92 percent reduction). In addition, sick time, staff turnover and replacement costs, workers' compensation, injuries to adolescents and staff, and recidivism decreased. Adolescent Global Assessment of Functioning scores at discharge significantly improved. Implementation of a restraint reduction initiative was associated with a reduction in the use of restraint, staff time devoted to restraint, and staff-related costs. This shift appears to have contributed to better outcomes for adolescents, fewer injuries to adolescents and staff, and lower staff turnover. The initiative may have enhanced adolescent treatment and work conditions for staff.

  4. Reduction of Baltic Sea nutrient inputs and allocation of abatement costs within the Baltic Sea catchment.

    Science.gov (United States)

    Wulff, Fredrik; Humborg, Christoph; Andersen, Hans Estrup; Blicher-Mathiesen, Gitte; Czajkowski, Mikołaj; Elofsson, Katarina; Fonnesbech-Wulff, Anders; Hasler, Berit; Hong, Bongghi; Jansons, Viesturs; Mörth, Carl-Magnus; Smart, James C R; Smedberg, Erik; Stålnacke, Per; Swaney, Dennis P; Thodsen, Hans; Was, Adam; Zylicz, Tomasz

    2014-02-01

    The Baltic Sea Action Plan (BSAP) requires tools to simulate effects and costs of various nutrient abatement strategies. Hierarchically connected databases and models of the entire catchment have been created to allow decision makers to view scenarios via the decision support system NEST. Increased intensity in agriculture in transient countries would result in increased nutrient loads to the Baltic Sea, particularly from Poland, the Baltic States, and Russia. Nutrient retentions are high, which means that the nutrient reduction goals of 135 000 tons N and 15 000 tons P, as formulated in the BSAP from 2007, correspond to a reduction in nutrient loadings to watersheds by 675 000 tons N and 158 000 tons P. A cost-minimization model was used to allocate nutrient reductions to measures and countries where the costs for reducing loads are low. The minimum annual cost to meet BSAP basin targets is estimated to 4.7 billion Euro.

  5. Evaluation of Contrail Reduction Strategies Based on Environmental and Operational Costs

    Science.gov (United States)

    Chen, Neil Y.; Sridhar, Banavar; Ng, Hok K.; Li, Jinhua

    2013-01-01

    This paper evaluates a set of contrail reduction strategies based on environmental and operational costs. A linear climate model was first used to convert climate effects of carbon dioxide emissions and aircraft contrails to changes in Absolute Global Temperature Potential, a metric that measures the mean surface temperature change due to aircraft emissions and persistent contrail formations. The concept of social cost of carbon and the carbon auction price from recent California's cap-and-trade system were then used to relate the carbon dioxide emissions and contrail formations to an environmental cost index. The strategy for contrail reduction is based on minimizing contrail formations by altering the aircraft's cruising altitude. The strategy uses a user-defined factor to trade off between contrail reduction and additional fuel burn and carbon dioxide emissions. A higher value of tradeoff factor results in more contrail reduction but also more fuel burn and carbon emissions. The strategy is considered favorable when the net environmental cost benefit exceeds the operational cost. The results show how the net environmental benefit varies with different decision-making time-horizon and different carbon cost. The cost models provide a guidance to select the trade-off factor that will result in the most net environmental benefit.

  6. Electricity from geothermal energy: Costs and cost reduction potentials; Strom aus Geothermie. Kosten und Kostensenkungspotenziale

    Energy Technology Data Exchange (ETDEWEB)

    Koelbel, Thomas; Eggeling, Lena [EnBW Energie Baden-Wuerttemberg AG, Karlsruhe (Germany). Forschung und Innovation; Kruck, Christoph [Stuttgart Univ. (DE). Inst. fuer Energiewirtschaft und Rationelle Energieanwendung (IER); Weimann, Thorsten [gec-co Global Engineering and Consulting-Company GmbH, Augsburg (Germany)

    2012-07-01

    The use of geothermal energy for power generation in low-enthalpy devices is a young technology. The first German plant was taken in operation in 2004 at Neustadt-Glewe (Federal Republic of Germany). Three more plants came up by the end of 2009. Although the demonstration stage just was left, investigations provided prime costs similar to those of other renewable energies.

  7. A supply chain cost reduction framework for the South African mobile phone industry

    Directory of Open Access Journals (Sweden)

    Musenga F. Mpwanya

    2017-03-01

    Aim: The purpose of this study is to explore supply chain costs in the South African mobile phone industry, and to develop a supply chain cost-reduction framework for the South African mobile phone industry. Setting: This study explores supply chain costs in four mobile phone companies operating in the South African mobile phone industry, of which three mobile network operators and one mobile retailing group. It uses semi-structured interview data collected in 2011. Method: This study adopted a qualitative case study design to understand supply chain costs and develop a supply chain cost-reduction framework for the South African mobile phone industry. Eight semi-structured interviews with managers of mobile phone companies were conducted. The data were analysed with the help of Atlas.ti, using an adapted three-phased analytical framework as suggested by Miles and Huberman (1994 and O’ Dwyer (2004. Results: The study found that consolidation of strategic relationships through collaboration and strategic alliances between MNOs and other supply chain players is one of the ways to drive costs down across the supply chain. Outsourcing of some of the support activities and retailers’ direct purchasing transactions from device manufacturers were also found to be other avenues for reducing supply chain costs in the industry. Conclusion: The study suggests that mobile network operators (MNOs need to consolidate their strategic relationships by increasing the share of the network infrastructure, and emphasising the need to strive for operational efficiencies. This combined effort should result in significant cost reductions across the supply chain. The findings of this study provided some avenues that managers of mobile-phone companies could consider to drive costs down supply chain-wide and service end-users at lower rates. The findings of this study could also help regulating authorities to get insights into supply chain cost reduction and develop appropriate

  8. Cost effective reductions in the agricultural load of nitrogen to the Baltic Sea

    Energy Technology Data Exchange (ETDEWEB)

    Elofsson, K.

    1997-11-01

    To restore the health of the Baltic Sea, the Helsinki Commission, HELCOM, suggests that the nitrogen load should be reduced by 50%. The agricultural sector accounts for about 1/3 of the total load of nitrogen to the Baltic Sea, while point sources account for about 1/4. The remaining load reaches the Baltic as atmospheric deposition. The purpose of this study is to calculate cost effective reductions in the agricultural load of nitrogen to the Baltic Sea coastal waters. The Baltic Sea drainage basin is divided into 17 regions, which differ with respect to costs, leaching and nitrogen retention. For each region, cost functions are estimated for 11 nitrogen abatement measures in the agricultural sector. It is difficult to find reliable data on both costs and biological parameters for all regions included, and several assumptions are made to obtain the cost functions. In this paper the total cost of a 50% reduction of the nitrogen load from arable land is estimated to 11,700 million SEK per year. A decrease in the use of fertilizer nitrogen is the most important measure in a cost effective policy. Other measures included in the cost effective solution are changes in land-use and in manure management practices. If, instead, each country is required to reduce its load by 50%, the total cost will increase by nearly 60%. Three out of nine countries around the Baltic Sea would gain from separate reduction targets, while all others lose by such a policy. The results are sensitive to assumptions about the biological parameters and the shape of the cost functions for reductions in chemical fertilizer. 75 refs, 3 figs, 11 tabs

  9. Cost reductions of fuel cells for transport applications: fuel processing options

    Science.gov (United States)

    Teagan, W. P.; Bentley, J.; Barnett, B.

    The highly favorable efficiency/environmental characteristics of fuel cell technologies have now been verified by virtue of recent and ongoing field experience. The key issue regarding the timing and extent of fuel cell commercialization is the ability to reduce costs to acceptable levels in both stationary and transport applications. It is increasingly recognized that the fuel processing subsystem can have a major impact on overall system costs, particularly as ongoing R&D efforts result in reduction of the basic cost structure of stacks which currently dominate system costs. The fuel processing subsystem for polymer electrolyte membrane fuel cell (PEMFC) technology, which is the focus of transport applications, includes the reformer, shift reactors, and means for CO reduction. In addition to low cost, transport applications require a fuel processor that is compact and can start rapidly. This paper describes the impact of factors such as fuel choice, operating temperature, material selection, catalyst requirements, and controls on the cost of fuel processing systems. There are fuel processor technology paths which manufacturing cost analyses indicate are consistent with fuel processor subsystem costs of under 150/kW in stationary applications and 30/kW in transport applications. As such, the costs of mature fuel processing subsystem technologies should be consistent with their use in commercially viable fuel cell systems in both application categories.

  10. Cost-effectiveness analysis of risk-reduction measures to reach water safety targets.

    Science.gov (United States)

    Lindhe, Andreas; Rosén, Lars; Norberg, Tommy; Bergstedt, Olof; Pettersson, Thomas J R

    2011-01-01

    Identifying the most suitable risk-reduction measures in drinking water systems requires a thorough analysis of possible alternatives. In addition to the effects on the risk level, also the economic aspects of the risk-reduction alternatives are commonly considered important. Drinking water supplies are complex systems and to avoid sub-optimisation of risk-reduction measures, the entire system from source to tap needs to be considered. There is a lack of methods for quantification of water supply risk reduction in an economic context for entire drinking water systems. The aim of this paper is to present a novel approach for risk assessment in combination with economic analysis to evaluate risk-reduction measures based on a source-to-tap approach. The approach combines a probabilistic and dynamic fault tree method with cost-effectiveness analysis (CEA). The developed approach comprises the following main parts: (1) quantification of risk reduction of alternatives using a probabilistic fault tree model of the entire system; (2) combination of the modelling results with CEA; and (3) evaluation of the alternatives with respect to the risk reduction, the probability of not reaching water safety targets and the cost-effectiveness. The fault tree method and CEA enable comparison of risk-reduction measures in the same quantitative unit and consider costs and uncertainties. The approach provides a structured and thorough analysis of risk-reduction measures that facilitates transparency and long-term planning of drinking water systems in order to avoid sub-optimisation of available resources for risk reduction. Copyright © 2010 Elsevier Ltd. All rights reserved.

  11. An attempt of reduction of optimization costs of complex industrial processes

    Science.gov (United States)

    Sztangret, Łukasz; Kusiak, Jan

    2017-09-01

    Reduction of computational costs of optimization of real industrial processes is crucial, because the models of these processes are often complex and demand time consuming numerical computations. Iterative optimization procedures have to run the simulations many times and therefore the computational costs of the optimization may be unacceptable high. This is why a new optimization methods and strategies which need less simulation runs are searched. The paper is focused on the problem of reduction of computational costs of optimization procedure. The main goal is the presentation of developed by the Authors new, efficient Approximation Based Optimization (ABO) and Modified Approximation Based Optimization (MABO) methods which allow finding the global minimum in smaller number of objective function calls. Detailed algorithm of the MABO method as well as the results of tests using several benchmark functions are presented. The efficiency of MABO method was compared with heuristic methods and the results show that MABO method reduces the computational costs and improve the optimization accuracy.

  12. Cost reduction study for the LANL KrF laser-driven LMF design

    Energy Technology Data Exchange (ETDEWEB)

    1989-10-27

    This report is in fulfillment of the deliverable requirements for the optical components portions of the LANL-KrF Laser-Driven LMF Design Cost Reduction Study. This report examines the future cost reductions that may accrue through the use of mass production, innovative manufacturing techniques, and new materials. Results are based on data collection and survey of optical component manufacturers, BDM experience, and existing cost models. These data provide a good representation of current methods and technologies from which future estimates can be made. From these data, a series of scaling relationships were developed to project future costs for a selected set of technologies. The scaling relationships are sensitive to cost driving parameters such as size and surface figure requirements as well as quantity requirements, production rate, materials, and manufacturing processes. In addition to the scaling relationships, descriptions of the selected processes were developed along with graphical representations of the processes. This report provides a useful tool in projecting the costs of advanced laser concepts at the component level of detail. A mix of the most diverse yet comparable technologies was chosen for this study. This yielded a useful, yet manageable number of variables to examine. The study has resulted in a first-order cost model which predicts the relative cost behavior of optical components within different variable constraints.

  13. Major cost savings associated with biologic dose reduction in patients with inflammatory arthritis.

    LENUS (Irish Health Repository)

    Murphy, C L

    2015-01-01

    The purpose of this study was to explore whether patients with Inflammatory Arthritis (IA) (Rheumatoid Arthritis (RA), Psoriatic Arthritis (PsA) or Ankylosing Spondylitis (AS)) would remain in remission following a reduction in biologic dosing frequency and to calculate the cost savings associated with dose reduction. This prospective non-blinded non-randomised study commenced in 2010. Patients with Inflammatory Arthritis being treated with a biologic agent were screened for disease activity. A cohort of those in remission according to standardized disease activity indices (DAS28 < 2.6, BASDAI < 4) was offered a reduction in dosing frequency of two commonly used biologic therapies (etanercept 50 mg once per fortnight instead of weekly, adalimumab 40 mg once per month instead of fortnightly). Patients were assessed for disease activity at 3, 6, 12, 18 and 24 months following reduction in dosing frequency. Cost saving was calculated. 79 patients with inflammatory arthritis in remission were recruited. 57% had rheumatoid arthritis (n = 45), 13% psoriatic arthritis (n = 10) and 30% ankylosing spondylitis (n = 24). 57% (n = 45) were taking etanercept and 43% (n = 34) adalimumab. The percentage of patients in remission at 24 months was 56% (n = 44). This resulted in an actual saving to the state of approximately 600,000 euro over two years. This study demonstrates the reduction in biologic dosing frequency is feasible in Inflammatory Arthritis. There was a considerable cost saving at two years. The potential for major cost savings in biologic usage should be pursued further.

  14. Low-cost risk reduction strategy for small workplaces: how can we spread good practices?

    Science.gov (United States)

    Kogi, K

    2006-01-01

    Recent advances in health risk reduction approaches are examined based on inter-country networking experiences. A noteworthy progress is the wider application of low-cost improvements to risk reduction particularly in small enterprises and agriculture in both industrially developing and developed countries. This is helped by the readiness of managers and workers to implement these improvements despite many constraints. Typical improvements include mobile racks, simple workstation changes, screening hazards, better welfare facilities and teamwork arrangements. In view of the complex circumstances of work-related health risks, it is important to know whether a low-cost strategy can advance risk reduction practices effectively and what support measures are necessary. It is confirmed that the strategy can overcome related constraints through its advantages. Main advantages lie in (a) the facilitation of improved practices in multiple technical areas, (b) the strengthening of realistic stepwise risk reduction, and (c) the enhanced multiplier effects through training of local trainers. Action-oriented risk assessment tools, such as action checklists and low-cost improvement guides, can encourage risk-reducing measures adjusted to each local situation. It is suggested to spread the low-cost risk reduction strategy for improving small workplaces in diversified settings with the support of these locally tailored tools.

  15. Laparoendoscopic Single-Site Surgery (LESS for a Large Ovarian Tumour: First Clinical Case Report

    Directory of Open Access Journals (Sweden)

    Yao Dong Chua

    2011-01-01

    Main Outcome Measure(s. Conversion to standard laparoscopic technique or laparotomy, estimated blood loss, operative time , extent of scarring, occurrence of intra- and perioperative surgical complications, technical adequacy, and clinical outcome. Result(s. No conversion to standard laparoscopic technique or laparotomy, and no intraoperative or postoperative complications were observed. Total operative time was 99 minutes. The patient was discharged home on postoperative day one. Conclusion(s. Laparoendoscopic single-site bilateral salpingo-oophorectomy of a large ovarian tumour is feasible with standard laparoscopic instruments. It is safe and effective, with good results in terms of excellent cosmesis and minimal postoperative pain.

  16. Guidelines for process development and future cost reduction of CO 2 post-combustion capture

    NARCIS (Netherlands)

    Abu-Zahra, M.R.M.; Fernandez, E.S.; Goetheer, E.L.V.

    2011-01-01

    In this work, a perspective is given on the development lines for CO 2 post-combustion capture technology. Guidelines for cost reductions and suggestions for future research on solvent and process development are presented. By analyzing the post-combustion capture process in this work, it is evident

  17. Annual Energy Usage Reduction and Cost Savings of a School: End-Use Energy Analysis

    Directory of Open Access Journals (Sweden)

    Aiman Roslizar

    2014-01-01

    Full Text Available Buildings are among the largest consumers of energy. Part of the energy is wasted due to the habits of users and equipment conditions. A solution to this problem is efficient energy usage. To this end, an energy audit can be conducted to assess the energy efficiency. This study aims to analyze the energy usage of a primary school and identify the potential energy reductions and cost savings. A preliminary audit was conducted, and several energy conservation measures were proposed. The energy conservation measures, with reference to the MS1525:2007 standard, were modelled to identify the potential energy reduction and cost savings. It was found that the school’s usage of electricity exceeded its need, incurring an excess expenditure of RM 2947.42. From the lighting system alone, it was found that there is a potential energy reduction of 5489.06 kWh, which gives a cost saving of RM 2282.52 via the improvement of lighting system design and its operating hours. Overall, it was found that there is a potential energy reduction and cost saving of 20.7% when the energy conservation measures are earnestly implemented. The previous energy intensity of the school was found to be 50.6 kWh/m2/year, but can theoretically be reduced to 40.19 kWh/mm2/year.

  18. Costs and benefits of bacterial culturing and pathogen reduction in the Netherlands

    NARCIS (Netherlands)

    Janssen, M.P.; van der Poel, C.L.; Buskens, E.; Bonneux, L.; Bonsel, G.J.; van Hout, B.A.

    2006-01-01

    BACKGROUND: Bacterial contamination is a life-threatening risk of blood transfusion, especially with platelet (PLT) transfusions. Bacterial culturing (BCU) of PLTs as well as pathogen reduction (PRT) reduce the likelihood of such contamination. The cost-effectiveness (CE) of these interventions was

  19. Blood pressure reduction, persistence and costs in the evaluation of antihypertensive drug treatment – a review

    Directory of Open Access Journals (Sweden)

    Hasford Joerg

    2009-03-01

    Full Text Available Abstract Background Blood pressure lowering drugs are usually evaluated in short term trials determining the absolute blood pressure reduction during trough and the duration of the antihypertensive effect after single or multiple dosing. A lack of persistence with treatment has however been shown to be linked to a worse cardiovascular prognosis. This review explores the blood pressure reduction and persistence with treatment of antihypertensive drugs and the cost consequences of poor persistence with pharmaceutical interventions in arterial hypertension. Methods We have searched the literature for data on blood pressure lowering effects of different antihypertensive drug classes and agents, on persistence with treatment, and on related costs. Persistence was measured as patients' medication possession rate. Results are presented in the form of a systematic review. Results Angiotensin II receptor blocker (ARBs have a competitive blood pressure lowering efficacy compared with ACE-inhibitors (ACEi and calcium channel blockers (CCBs, beta-blockers (BBs and diuretics. 8 studies describing the persistence with treatment were identified. Patients were more persistent on ARBs than on ACEi and CCBs, BBs and diuretics. Thus the product of blood pressure lowering and persistence was higher on ARBs than on any other drug class. Although the price per tablet of more recently developed drugs (ACEi, ARBs is higher than that of older ones (diuretics and BBs, the newer drugs result in a more favourable cost to effect ratio when direct drug costs and indirect costs are also considered. Conclusion To evaluate drugs for the treatment of hypertension several key variables including the blood pressure lowering effect, side effects, compliance/persistence with treatment, as well as drug costs and direct and indirect costs of medical care have to be considered. ARBs, while nominally more expensive when drug costs are considered only, provide substantial cost savings

  20. Systematic review of surgical innovation reporting in laparoendoscopic colonic polyp resection.

    Science.gov (United States)

    Currie, A; Brigic, A; Blencowe, N S; Potter, S; Faiz, O D; Kennedy, R H; Blazeby, J M

    2015-01-01

    The IDEAL framework (Idea, Development, Exploration, Assessment, Long-term study) proposes a staged assessment of surgical innovation, but whether it can be used in practice is uncertain. This study aimed to review the reporting of a surgical innovation according to the IDEAL framework. Systematic literature searches identified articles reporting laparoendoscopic excision for benign colonic polyps. Using the IDEAL stage recommendations, data were collected on: patient selection, surgeon and unit expertise, description of the intervention and modifications, outcome reporting, and research governance. Studies were categorized by IDEAL stages: 0/1, simple technical preclinical/clinical reports; 2a, technique modifications with rationale and safety data; 2b, expanded patient selection and reporting of both innovation and standard care outcomes; 3, formal randomized controlled trials; and 4, long-term audit and registry studies. Each stage has specific requirements for reporting of surgeon expertise, governance details and outcome reporting. Of 615 abstracts screened, 16 papers reporting outcomes of 550 patients were included. Only two studies could be put into IDEAL categories. One animal study was classified as stage 0 and one clinical study as stage 2a through prospective ethical approval, protocol registration and data collection. Studies could not be classified according to IDEAL for insufficient reporting details of patient selection, relevant surgeon expertise, and how and why the technique was modified or adapted. The reporting of innovation in the context of laparoendoscopic colonic polyp excision would benefit from standardized methods. © 2015 BJS Society Ltd. Published by John Wiley & Sons Ltd.

  1. Cost-effectiveness of salt reduction to prevent hypertension and CVD: a systematic review.

    Science.gov (United States)

    Schorling, Elisabeth; Niebuhr, Dea; Kroke, Anja

    2017-08-01

    To analyse and compare the cost-effectiveness of different interventions to reduce salt consumption. A systematic review of published cost-effectiveness analyses (CEA) and cost-utility analyses (CUA) was undertaken in the databases EMBASE, MEDLINE (PubMed), Cochrane and others until July 2016. Study selection was limited to CEA and CUA conducted in member countries of the Organisation for Economic Co-operation and Development (OECD) in English, German or French, without time limit. Outcomes measures were life years gained (LYG), disability-adjusted life years (DALY) and quality-adjusted life years (QALY). Relevant aspects in modelling were analysed and compared. Quality assessments were conducted using the Drummond and Jefferson/British Medical Journal checklist. OECD member countries. Mainly adults. Fourteen CEA and CUA were included in the review which analysed different strategies: salt reduction or substitution in processed foods, taxes, labelling, awareness campaigns and targeted dietary advice. Fifty-nine out of sixty-two scenarios were cost-saving. The incremental cost-effectiveness ratio in international dollars (Intl.$; 2015) was particularly low for taxes, a salt reduction by food manufacturers and labelling (303 900 Intl.$/DALY). However, only six studies analysed cost-effectiveness from a societal perspective and quality assessments showed flaws in conducting and a lack of transparency in reporting. A population-wide salt reduction could be cost-effective in prevention of hypertension and CVD in OECD member countries. However, comparability between study results is limited due to differences in modelling, applied perspectives and considered data.

  2. How Expensive Is Expensive Enough? Opportunities for Cost Reductions in Offshore Wind Energy Logistics

    DEFF Research Database (Denmark)

    Poulsen, Thomas; Hasager, Charlotte Bay

    2016-01-01

    This paper reveals that logistics may conservatively amount to 18% of the levelized cost of energy for offshore wind farms. This is the key finding from an extensive case study carried out within the organization of the world’s leading offshore wind farm developer and operator. The case study aimed...... to, and produced, a number of possible opportunities for offshore wind cost reductions through logistics innovation; however, within the case study company, no company-wide logistics organization existed to focus horizontally on reducing logistics costs in general. Logistics was not well defined...... within the case study company, and a logistics strategy did not exist. With full life-cycle costs of offshore wind farms still high enough to present a political challenge within the European Union in terms of legislation to ensure offshore wind diffusion beyond 2020, our research presents logistics...

  3. Cost-Optimal Pathways to 75% Fuel Reduction in Remote Alaskan Villages: Preprint

    Energy Technology Data Exchange (ETDEWEB)

    Simpkins, Travis; Cutler, Dylan; Hirsch, Brian; Olis, Dan; Anderson, Kate

    2015-10-28

    There are thousands of isolated, diesel-powered microgrids that deliver energy to remote communities around the world at very high energy costs. The Remote Communities Renewable Energy program aims to help these communities reduce their fuel consumption and lower their energy costs through the use of high penetration renewable energy. As part of this program, the REopt modeling platform for energy system integration and optimization was used to analyze cost-optimal pathways toward achieving a combined 75% reduction in diesel fuel and fuel oil consumption in a select Alaskan village. In addition to the existing diesel generator and fuel oil heating technologies, the model was able to select from among wind, battery storage, and dispatchable electric heaters to meet the electrical and thermal loads. The model results indicate that while 75% fuel reduction appears to be technically feasible it may not be economically viable at this time. When the fuel reduction target was relaxed, the results indicate that by installing high-penetration renewable energy, the community could lower their energy costs by 21% while still reducing their fuel consumption by 54%.

  4. Perceptions of managers regarding supply chain cost reduction in the South African mobile phone industry

    Directory of Open Access Journals (Sweden)

    Musenga F. Mpwanya

    2015-02-01

    Full Text Available Background: Many industries, including the mobile phone industry, experience a surge in supply chain (SC costs in the provision of products and services to their customers. Despite this, only a few studies have been conducted on SC cost reduction in South Africa and globally.Objective: This study seeks to understand the perceptions of managers regarding cost reduction in the South African mobile phone SC.Method: A qualitative case study was conducted, involving eight willing managers and using semi-structured interviews, observation and documents. Interviews transcripts were analysed thematically with the help of Atlas.ti and a threefold process was followed, comprising data reduction, data display and data interpretation and conclusion drawing.Results: The findings suggest that mobile phone companies should consolidate their strategic relationships and be efficient, in order to effectively reduce costs in the South African mobile phone SC. To achieve this, whilst South African mobile network operators have to share more and more infrastructure and outsource their operations, other mobile phone companies should re-engineer their operational processes and their reduce costs across the SC.Conclusion: The knowledge generated from this study should assist South African mobile phone companies to reduce their SC costs and address high-priced mobile services. On the other hand, this study should assist regulating authorities (the Department of Communications and the Independent Communication Authority of South Africa to gain insights into the challenges faced by the mobile phone industry in South Africa and, therefore, to make appropriate and adequate mobile telecommunication policies.

  5. Optimal scenario balance of reduction in costs and greenhouse gas emissions for municipal solid waste management

    Institute of Scientific and Technical Information of China (English)

    邓娜; 张强; 陈广武; 齐长青; 崔文谦; 张于峰; 马洪亭

    2015-01-01

    To reduce carbon intensity, an improved management method balancing the reduction in costs and greenhouse gas (GHG) emissions is required for Tianjin’s waste management system. Firstly, six objective functions, namely, cost minimization, GHG minimization, eco-efficiency minimization, cost maximization, GHG maximization and eco-efficiency maximization, are built and subjected to the same constraints with each objective function corresponding to one scenario. Secondly, GHG emissions and costs are derived from the waste flow of each scenario. Thirdly, the range of GHG emissions and costs of other potential scenarios are obtained and plotted through adjusting waste flow with infinitely possible step sizes according to the correlation among the above six scenarios. And the optimal scenario is determined based on this range. The results suggest the following conclusions. 1) The scenarios located on the border between scenario cost minimization and GHG minimization create an optimum curve, and scenario GHG minimization has the smallest eco-efficiency on the curve;2) Simple pursuit of eco-efficiency minimization using fractional programming may be unreasonable; 3) Balancing GHG emissions from incineration and landfills benefits Tianjin’s waste management system as it reduces GHG emissions and costs.

  6. How Expensive Is Expensive Enough? Opportunities for Cost Reductions in Offshore Wind Energy Logistics

    Directory of Open Access Journals (Sweden)

    Thomas Poulsen

    2016-06-01

    Full Text Available This paper reveals that logistics may conservatively amount to 18% of the levelized cost of energy for offshore wind farms. This is the key finding from an extensive case study carried out within the organization of the world’s leading offshore wind farm developer and operator. The case study aimed to, and produced, a number of possible opportunities for offshore wind cost reductions through logistics innovation; however, within the case study company, no company-wide logistics organization existed to focus horizontally on reducing logistics costs in general. Logistics was not well defined within the case study company, and a logistics strategy did not exist. With full life-cycle costs of offshore wind farms still high enough to present a political challenge within the European Union in terms of legislation to ensure offshore wind diffusion beyond 2020, our research presents logistics as a next frontier for offshore wind constituencies. This important area of the supply chain is ripe to academically and professionally cultivate and harvest in terms of offshore wind energy cost reductions. Our paper suggests that a focused organizational approach for logistics both horizontally and vertically within the company organizations could be the way forward, coupled with a long-term legislative environment to enable the necessary investments in logistics assets and transport equipment.

  7. Energy cost reduction in the pulp and paper industry - an energy benchmarking perspective

    Energy Technology Data Exchange (ETDEWEB)

    Francis, D.W.; Towers, M.T.; Browne, T.C. [Pulp and Paper Research Institute of Canada (Canada)

    2002-07-01

    With the increasing cost of energy and the rising concerns over the environment, interest in energy saving methods is growing in the industry sector. In the pulp and paper sector, energy represents a significant part of costs and the aims of this paper are first, to demonstrate that there is a potential for energy use reduction in the pulp and paper industry and secondly, to show how it can be achieved. Benchmarking studies have been carried out for both the kraft market pulp and newsprint sectors; in both cases the energy consumption of existing Canadian mills was compared to that of a modern mill using the best current technologies. Results showed that in both sectors, the application of best practices could result in significant savings. This study demonstrated that the application of current technologies in existing mills would yield significant energy use reductions.

  8. Productivity improvement through cost reduction of a manufacturing line of electrical harnesses

    OpenAIRE

    Moreno Perea, Karlos Gerardo; Universidad Autónoma de Querétaro; Reyes López, Octavio; Universidad Virtual del Estado de Guanajuato

    2015-01-01

    Nowadays due to the great variety of automotive suppliers, the companies have adopted a cost reduction system which allow them to remain competitive for the main automotive OEM´s (Original Equipment Manufacturers). In this particular case, the studied company established as a mid-term objective the improvement of the productivity in one of its production lines that produced automotive electrical harnesses of the Clutch Jumper family during two work shifts, using thirty five direct operators p...

  9. Non-Hardware ("Soft") Cost-Reduction Roadmap for Residential and Small Commercial Solar Photovoltaics, 2013-2020

    Energy Technology Data Exchange (ETDEWEB)

    Ardani, K.; Seif, D.; Margolis, R.; Morris, J.; Davidson, C.; Truitt, S.; Torbert, R.

    2013-08-01

    The objective of this analysis is to roadmap the cost reductions and innovations necessary to achieve the U.S. Department of Energy (DOE) SunShot Initiative's total soft-cost targets by 2020. The roadmap focuses on advances in four soft-cost areas: (1) customer acquisition; (2) permitting, inspection, and interconnection (PII); (3) installation labor; and (4) financing. Financing cost reductions are in terms of the weighted average cost of capital (WACC) for financing PV system installations, with real-percent targets of 3.0% (residential) and 3.4% (commercial).

  10. Left Transperitoneal Adrenalectomy with a Laparoendoscopic Single-Site Surgery Combined Technique: Initial Case Reports

    Directory of Open Access Journals (Sweden)

    Yasuhiro Sumino

    2011-01-01

    Full Text Available Laparoendoscopic single-site surgery (LESS is a step toward the development of minimally invasive surgery. It is initially difficult for surgeons with limited experience to perform the surgery. We describe two cases of left adrenalectomy with a LESS combined with the addition of an accessory port. After a 2.5-cm skin incision was made at the level of the paraumbilicus to insert the primary 12-mm trocar for the laparoscope, a 5-mm nonbladed trocar was placed through the skin incision side-by-side with the primary trocar. A second 3-mm nonbladed trocar was then placed along the anterior axillary line; a multichannel trocar was not used as a single port. Both adrenalectomies were completed successfully. In patients with a minor adrenal tumor, a combined technique using LESS and an additional port is easier than LESS alone and may, therefore, be a bridge between the conventional laparoscopic approach and LESS.

  11. Reward Pays the Cost of Noise Reduction in Motor and Cognitive Control

    Science.gov (United States)

    Manohar, Sanjay G.; Chong, Trevor T.-J.; Apps, Matthew A.J.; Batla, Amit; Stamelou, Maria; Jarman, Paul R.; Bhatia, Kailash P.; Husain, Masud

    2015-01-01

    Summary Speed-accuracy trade-off is an intensively studied law governing almost all behavioral tasks across species. Here we show that motivation by reward breaks this law, by simultaneously invigorating movement and improving response precision. We devised a model to explain this paradoxical effect of reward by considering a new factor: the cost of control. Exerting control to improve response precision might itself come at a cost—a cost to attenuate a proportion of intrinsic neural noise. Applying a noise-reduction cost to optimal motor control predicted that reward can increase both velocity and accuracy. Similarly, application to decision-making predicted that reward reduces reaction times and errors in cognitive control. We used a novel saccadic distraction task to quantify the speed and accuracy of both movements and decisions under varying reward. Both faster speeds and smaller errors were observed with higher incentives, with the results best fitted by a model including a precision cost. Recent theories consider dopamine to be a key neuromodulator in mediating motivational effects of reward. We therefore examined how Parkinson’s disease (PD), a condition associated with dopamine depletion, alters the effects of reward. Individuals with PD showed reduced reward sensitivity in their speed and accuracy, consistent in our model with higher noise-control costs. Including a cost of control over noise explains how reward may allow apparent performance limits to be surpassed. On this view, the pattern of reduced reward sensitivity in PD patients can specifically be accounted for by a higher cost for controlling noise. PMID:26096975

  12. Transvesical Laparoendoscopic Single-Site Management of Distal Ureter During Laparoscopic Radical Nephroureterectomy.

    Science.gov (United States)

    Nunez Bragayrac, Luciano A; Machuca, Victor; Saenz, Eric; Cabrera, Marino; de Andrade, Robert; Sotelo, Rene J

    2014-09-11

    Abstract Objective: To describe the management of the distal ureter during radical nephroureterectomy with the transvesical laparoendoscopic single-site surgery (T-LESS) approach. Methods: Between January 2010 and October 2013, five patients underwent laparoscopic radical nephroureterectomy for upper urinary tract carcinoma (UTUC) with the T-LESS approach. Patients were placed in the supine position. A 2.5-cm skin incision was made in the line between the pubis and the umbilicus. The bladder was identified and a multiport was inserted into the bladder. The patients were repositioned to a lateral decubitus position; pneumovesicum was established and the ureteral openings were identified. We marked the bladder cuff with electrocautery all the way through to the extravesical fat. The bladder defect was sealed with sutures. After checking for any leak or bleeding, the multiport was removed and the bladder was closed. At this point, we continued with nephrectomy by standard laparoscopy or LESS. A 18F Foley catheter was placed into the bladder. Results: The mean age was 70 years (range 58-81 years), the mean operative time was 198 minutes (range 115-390 minutes), the mean time for the management of the distal ureter was 35 minutes (range 27-45 minutes), the mean estimated blood loss was 234 mL (range 60-850 mL), and the mean hospital stay was 3.8 days (range 2-8 days). In all patients the bladder cuff was free of disease. Conclusion: The transvesical laparoendoscopic single-site approach to the distal ureter for UTUC appears safe and reproducible, with faster closure of the bladder defect and improved cosmesis.

  13. Acute biliary pancreatitis and cholecystolithiasis in a child:one time treatment with laparoendoscopic "Rendez-vous" procedure

    Institute of Scientific and Technical Information of China (English)

    Gaetano La Greca; Michele Di Blasi; Francesco Barbagallo; Manuela Di Stefano; Saverio Latteri; Domenico Russello

    2006-01-01

    Acute biliary pancreatitis (ABP) is rare in childhood and endoscopic sphincterotomy should be avoided in the child due to the risk of both early and late complications but, when necessary, the optimal timing between endoscopic procedure and cholecystectomy is still uncertain.A nine years old child with acute biliary pancreatitis underwent successfull laparo-endoscopic "Rendez-Vous" procedure in which endoscopic drainage of the common bile duct and laparoscopic cholecystectomy were performed simultaneously. This is the first case reported of laparo-endoscopic Rendez-Vous in a child. The excellent outcome of this patient and the review of the literature concerning other available options for the treatment of such cases suggest that this procedure offers great advantages, especially in children, of reducing the required number of treatments, the risk of ineffectiveness, the number of anaesthesia, the length of hospital stay and the risk of iatrogenic morbidity.

  14. Initial Experience of Laparoendoscopic Single-Site Radical Prostatectomy Requiring Well-Equipped Appliances and a Skilled Technique

    Directory of Open Access Journals (Sweden)

    Joo Yong Lee

    2010-12-01

    Full Text Available We report an initial experience in laparoendoscopic single-site radical prostatectomy (LESSRP using a homemade single-port device for prostate cancer. A 63-year-old man was diagnosed with prostate cancer. The patient underwent LESSRP using an Alexis® wound retractor, which was inserted through an umbilical incision. A homemade single-port device was made by fixing a 61/2 surgical glove to the retractor’s outer ring and securing the glove finger to the end of 4 trocars with a tie. Using the flexible laparoscopic and rigid instruments, LESSRP was performed using a procedure similar to conventional laparoscopic radical prostatectomy (LRP. In the current case, we could not perform complete LESSRP, so we report our initial experience and consider the reason why laparoendoscopic single-site surgery was converted to conventional LRP.

  15. Osteopathic manipulative treatment showed reduction of length of stay and costs in preterm infants

    Science.gov (United States)

    Lanaro, Diego; Ruffini, Nuria; Manzotti, Andrea; Lista, Gianluca

    2017-01-01

    Abstract Background: Osteopathic medicine is an emerging and complementary method used in neonatology. Methods: Outcomes were the mean difference in length of stay (LOS) and costs between osteopathy and alternative treatment group. A comprehensive literature search of (quasi)- randomized controlled trials (RCTs), was conducted from journal inception to May, 2015. Eligible studies must have treated preterm infants directly in the crib or bed and Osteopathic Manipulative Treatment (OMT) must have been performed by osteopaths. A rigorous Cochrane-like method was used for study screening and selection, risk of bias assessment and data reporting. Fixed effect meta-analysis was performed to synthesize data. Results: 5 trials enrolling 1306 infants met our inclusion criteria. Although the heterogeneity was moderate (I2 = 61%, P = 0.03), meta-analysis of all five studies showed that preterm infants treated with OMT had a significant reduction of LOS by 2.71 days (95% CI −3.99, −1.43; P < 0.001). Considering costs, meta-analysis showed reduction in the OMT group (−1,545.66€, −1,888.03€, −1,203.29€, P < 0.0001). All studies reported no adverse events associated to OMT. Subgroup analysis showed that the benefit of OMT is inversely associated to gestational age. Conclusions: The present systematic review showed the clinical effectiveness of OMT on the reduction of LOS and costs in a large population of preterm infants. PMID:28328840

  16. Photovoltaic Electricity for Sustainable Building. Efficiency and Energy Cost Reduction for Isolated DC Microgrid

    Directory of Open Access Journals (Sweden)

    Manuela Sechilariu

    2015-07-01

    Full Text Available In the context of sustainable buildings, this paper investigates power flow management for an isolated DC microgrid and focuses on efficiency and energy cost reduction by optimal scheduling. Aiming at high efficiency, the local produced power has to be used where, when, and how it is generated. Thus, based on photovoltaic sources, storage, and a biofuel generator, the proposed DC microgrid is coupled with the DC distribution network of the building. The DC bus distribution maximizes the efficiency of the overall production-consumption system by avoiding some energy conversion losses and absence of reactive power. The isolated DC microgrid aims to minimize the total energy cost and thus, based on forecasting data, a cost function is formulated. Using a mixed integer linear programming optimization, the optimal power flow scheduling is obtained which leads to an optimization-based strategy for real-time power balancing. Three experimental tests, operated under different meteorological conditions, validate the feasibility of the proposed control and demonstrate the problem formulation of minimizing total energy cost.

  17. Generation IV Nuclear Energy Systems Construction Cost Reductions Through the Use of Virtual Environments

    Energy Technology Data Exchange (ETDEWEB)

    Timothy Shaw; Vaugh Whisker

    2004-02-28

    The objective of this multi-phase project is to demonstrate the feasibility and effectiveness of using full-scale virtual reality simulation in the design, construction, and maintenance of future nuclear power plants. The project will test the suitability of immersive virtual reality technology to aid engineers in the design of the next generation nuclear power plant and to evaluate potential cost reductions that can be realized by optimization of installation and construction sequences. The intent is to see if this type of information technology can be used in capacities similar to those currently filled by full-scale physical mockups. This report presents the results of the completed project.

  18. UWB Wind Turbine Blade Deflection Sensing for Wind Energy Cost Reduction

    DEFF Research Database (Denmark)

    Zhang, Shuai; Jensen, Tobias Lindstrøm; Franek, Ondrej

    2015-01-01

    A new application of utilizing ultra-wideband (UWB) technology to sense wind turbine blade deflections is introduced in this paper for wind energy cost reduction. The lower UWB band of 3.1–5.3 GHz is applied. On each blade, there will be one UWB blade deflection sensing system, which consists...... is always of sufficient quality for accurate estimations under different deflections. The measured results reveal that the blade tip-root distance and blade deflection can be accurately estimated in the complicated and lossy wireless channels around a wind turbine blade. Some future research topics...

  19. Cost Reduction Key Drivers Within a Small Batch Aerospace Manufacturing Line

    OpenAIRE

    Delamare, Adrien

    2016-01-01

    This report details my work at the endpoint of the internship I spent within the Composite Manufacturing Unit of Airbus Defence & Space in Les Mureaux, France. It is as well the conclusion of the master’s program in aerospace engineering that I attended at KTH Royal Institute of Technology, Sweden.This document gives an overview of the cost reduction key drivers within a small batch aerospace manufacturing line. Some of the suggested leads developed in the paper have been set up in the pa...

  20. Final cost reduction study for the Geysers Recharge Alternative. Volume 1

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-11-01

    The purpose of this study is to determine whether or not cost reduction opportunities exist for the Geysers Recharge Alternative as defined in the Santa Rosa Subregional Long-Term Wastewater Project EIR/EIS. The City of Santa Rosa has been directed to have a plan for reclaimed water disposal in place by 1999 which will meet future capacity needs under all weather conditions. A Draft EIR/EIS released in July 1996 and a Final EIR certified in June 1997 examine four primary alternatives plus the No Action Alternative. Two of the primary alternatives involve agricultural irrigation with reclaimed water, either in western or southern Sonoma County. Another involves increased discharge of reclaimed water into the Russian River. The fourth involves using reclaimed water to replenish the geothermal reservoir at the Geysers. The addition of this water source would enable the Geysers operators to produce more steam from the geothermal area and thereby prolong the life and economic production level of the steamfield and the geothermal power plants supplied by the steamfield. This study provides additional refined cost estimates for new scenarios which utilize an alternative pipeline alignment and a range of reclaimed water flows, which deliver less water to the Geysers than proposed in the EIR/EIS (by distributing flow to other project components). Also, electrical power rates were revised to reflect the recent changes in costs associated with deregulation of the power industry. In addition, this report provides information on sources of potential public and private funding available and future environmental documentation required if the cost reduction scenarios were to be selected by the City as part of their preferred alternative.

  1. Cost-effectiveness analysis of salt reduction policies to reduce coronary heart disease in Syria, 2010-2020.

    Science.gov (United States)

    Wilcox, Meredith L; Mason, Helen; Fouad, Fouad M; Rastam, Samer; al Ali, Radwan; Page, Timothy F; Capewell, Simon; O'Flaherty, Martin; Maziak, Wasim

    2015-01-01

    This study presents a cost-effectiveness analysis of salt reduction policies to lower coronary heart disease in Syria. Costs and benefits of a health promotion campaign about salt reduction (HP); labeling of salt content on packaged foods (L); reformulation of salt content within packaged foods (R); and combinations of the three were estimated over a 10-year time frame. Policies were deemed cost-effective if their cost-effectiveness ratios were below the region's established threshold of $38,997 purchasing power parity (PPP). Sensitivity analysis was conducted to account for the uncertainty in the reduction of salt intake. HP, L, and R+HP+L were cost-saving using the best estimates. The remaining policies were cost-effective (CERs: R=$5,453 PPP/LYG; R+HP=$2,201 PPP/LYG; R+L=$2,125 PPP/LYG). R+HP+L provided the largest benefit with net savings using the best and maximum estimates, while R+L was cost-effective with the lowest marginal cost using the minimum estimates. This study demonstrated that all policies were cost-saving or cost effective, with the combination of reformulation plus labeling and a comprehensive policy involving all three approaches being the most promising salt reduction strategies to reduce CHD mortality in Syria.

  2. Interventional CT and MRI: a challenge for safety and cost reduction in the health care system

    Science.gov (United States)

    Groenemeyer, Dietrich H.; Seibel, Rainer M.

    1995-10-01

    For increasing safety in guidance techniques of endoscopes and instruments, fast radiologic imaging should be integrated. Magnetic resonance imaging (MRI), computer tomography (CT) and electron beam tomography (EBT) scanners permit transparency of the operative field; CT and EBT can be combined with fluoroscopy and ultrasound units. MRI avoids x ray exposure, but entails the possibility for 3 D localization. Open access and keyhole imaging allows nearly real time guidance of instruments. Combining minimally invasive techniques using endoscopes and tomographic guidance these technologies improve surgical access and reduce complications. This offers a safe access into the body and leads to the new field of interventional and surgical tomography. Important cost reduction for health care systems is possible, especially in the outpatient treatment of common diseases like disk herniation, back and tumor pain, metastasis, or arteriosclerosis. For realizing a long term cost reduction effect, these techniques have to be integrated in a quality management combining prevention, modern diagnosis, minimal access techniques and, if necessary, hospital stay with maximal access treatments as well as rehabilitation and secondary/tertiary prevention.

  3. Reduction in energy consumption and operating cost in a dried corn warehouse using logistics techniques

    Directory of Open Access Journals (Sweden)

    Korrakot Y. Tippayawong

    2013-06-01

    Full Text Available Corn is one of the major economic crops in Thailand. Corn postharvest operation involves various practices that consume a large amount of energy. Different energy conservation measures have been implemented but logistics consideration is not normally employed. In this work, attempt has been made to demonstrate that logistics techniques can offer a significant reduction in energy and cost. The main objective of this work is to identify and demonstrate possible approaches to improving energy efficiency and reducing operating cost for a dried corn warehouse operator. Three main problems are identified: (i relatively high fuel consumption for internal transfer process, (ii low quality of dried corn, and (iii excess expenditure on outbound transportation. Solutions are proposed and implemented using logistics operations. Improvement is achieved using plant layout and shortest path techniques, resulting in a reduction of almost 50% in energy consumption for the internal transfer process. Installation of an air distributor in the grain storage unit results in a decrease in loss due to poor-quality dried corn from 17% to 10%. Excess expenditure on dried corn distribution is reduced by 6% with application of a global positioning system.

  4. Spacecraft COst REduction Team (SCORE): TQM/CI on a massive scale

    Science.gov (United States)

    Bullard, Jerry D.

    The business of building satellites and space systems has matured. Few missions require, or can afford, excellent performance at any price. The new paradigm is doing more with less, providing quality systems at lower cost--in other words, doing our job 'Faster-Better-Cheaper.' The TRW Spacecraft COst REduction (SCORE) initiative was launched in 1990 by Daniel S. Goldin, then general manager of TRW's Space & Technology Group. The SCORE mission is to apply continuous improvement (CI) techniques to effect major reductions in the cost (our primary goal) and span time (as a corollary) required for the production of spacecraft. SCORE is a multi-year initiative that is having a profound effect on both the procedural and the cultural aspects of how we do business. The objectives of this initiative are being realized. The focus of this paper is not on the results of SCORE per se, but rather on the things we have leaned about how to do continuous improvement on a massive scale, with multilevel (hierarchical) CI teams. The following sections summarize the chronology of the SCORE initiative, from team formation to development of the year-end report for 1991. Lessons learned, the core of this presentation, are discussed--with particular focus on the unique aspects of SCORE. The SCORE initiative is continuing and, as a part of our evolving culture, will never end. It has resulted in profound insights into the way we do work and (the topic at hand) how to do CI for large and complex multidisciplinary development activities.

  5. ISS Operations Cost Reductions Through Automation of Real-Time Planning Tasks

    Science.gov (United States)

    Hall, Timothy A.; Clancey, William J.; McDonald, Aaron; Toschlog, Jason; Tucker, Tyson; Khan, Ahmed; Madrid, Steven (Eric)

    2011-01-01

    In 2007 the Johnson Space Center s Mission Operations Directorate (MOD) management team challenged their organizations to find ways to reduce the cost of operations for supporting the International Space Station (ISS) in the Mission Control Center (MCC). Each MOD organization was asked to define and execute projects that would help them attain cost reductions by 2012. The MOD Operations Division Flight Planning Branch responded to this challenge by launching several software automation projects that would allow them to greatly improve console operations and reduce ISS console staffing and intern reduce operating costs. These tasks ranged from improving the management and integration mission plan changes, to automating the uploading and downloading of information to and from the ISS and the associated ground complex tasks that required multiple decision points. The software solutions leveraged several different technologies including customized web applications and implementation of industry standard web services architecture; as well as engaging a previously TRL 4-5 technology developed by Ames Research Center (ARC) that utilized an intelligent agent-based system to manage and automate file traffic flow, archive data, and generate console logs. These projects to date have allowed the MOD Operations organization to remove one full time (7 x 24 x 365) ISS console position in 2010; with the goal of eliminating a second full time ISS console support position by 2012. The team will also reduce one long range planning console position by 2014. When complete, these Flight Planning Branch projects will account for the elimination of 3 console positions and a reduction in staffing of 11 engineering personnel (EP) for ISS.

  6. Ordering Cost Reduction in Inventory Model with Defective Items and Backorder Price Discount

    Directory of Open Access Journals (Sweden)

    Karuppuchamy Annadurai

    2014-01-01

    Full Text Available In the real market, as unsatisfied demands occur, the longer the length of lead time is, the smaller the proportion of backorder would be. In order to make up for the inconvenience and even the losses of royal and patient customers, the supplier may offer a backorder price discount to secure orders during the shortage period. Also, ordering policies determined by conventional inventory models may be inappropriate for the situation in which an arrival lot contains some defective items. To compensate for the inconvenience of backordering and to secure orders, the supplier may offer a price discount on the stockout item. The purpose of this study is to explore a coordinated inventory model including defective arrivals by allowing the backorder price discount and ordering cost as decision variables. There are two inventory models proposed in this paper, one with normally distributed demand and another with distribution free demand. A computer code using the software Matlab 7.0 is developed to find the optimal solution and present numerical examples to illustrate the models. The results in the numerical examples indicate that the savings of the total cost are realized through ordering cost reduction and backorder price discount.

  7. A least cost energy analysis of US CO sub 2 reduction options

    Energy Technology Data Exchange (ETDEWEB)

    Morris, S.C.; Lee, J.; Goldstein, G. (Brookhaven National Lab., Upton, NY (USA)); Solomon, B.D. (Environmental Protection Agency, Washington, DC (USA)); Hill, D. (Hill (Douglas), Huntington, NY (USA))

    1990-03-01

    Public policy debate on global climate change is increasingly focused on the cost of mitigating greenhouse gas emissions. Discussion in the US has centered on national energy policy and the desirability and cost of increased energy conversion efficiency and end-use conservation, and on shifting from high greenhouse gas emitting fuels to natural gas, renewable and nuclear-based energy sources. This paper overviews the US MARKAL model, a dynamic linear programming (LP) model of US energy supply and demand. Useful energy projections are specified exogenously to the model, which then determines the optimal energy supply that can meet the demand. We have updated MARKAL with currently available energy technology cost and market penetration data and have applied it to the CO{sub 2} reduction problem for the US. In addition, we have varied some key inputs to the model to test the sensitivity of the energy system to alternative assumptions and to overcome some of the key limitations of the input data. 27 refs., 10 figs., 5 tabs.

  8. The cost reduction in hospitalization associated with paliperidone palmitate in the People's Republic of China, Korea, and Malaysia.

    Science.gov (United States)

    Chiou, Chiun-Fang; Wang, Bruce Cm; Caldwell, Ronald; Furnback, Wesley; Lee, Jung-Sun; Kothandaraman, Nathan; Lee, SunKyoung; Wang, Jin; Zhang, Fan

    2015-01-01

    Schizophrenia results in substantial health care utilization costs. Much of these costs can be attributed to health care use resulting from nonadherence to treatment, relapse, and hospitalization. The objective of this research is to further estimate the health care resource utilization costs of patients with schizophrenia in the People's Republic of China, Korea, and Malaysia with a specific focus on the reduction in hospitalization costs associated with the use of long-acting, injectable paliperidone palmitate (PP) relative to alternative treatment medications. The study focuses exclusively on the estimated reduction in hospitalization days following treatment with PP and the potential associated cost savings. Cost analysis was done using a payer's perspective and only includes direct health care costs associated with hospitalization. Localized cost data were taken from published sources, and health care utilization was estimated based on a clinical study conducted in countries in the Asia-Pacific region. People's Republic of China, Korea, and Malaysia had the highest number of patients enrolled in the clinical study, and thus were chosen for this research. Analysis looked at 12-month and 18-month periods following initial treatment with PP relative to a retrospective 12-month period utilizing alternative treatment medications. Results suggest that reductions in hospital utilization cost over 12 months may occur through the use of PP relative to alternatives-ranging from $1,991 for the People's Republic of China to $6,698 for Korea and $6,716 for Malaysia. Given the substantial costs associated with the treatment of schizophrenia both worldwide and in Asia, it is important to fully understand the costs and outcomes associated with various treatment options. In this research, we have specifically analyzed the direct health care cost savings associated with hospital utilization for patients taking PP relative to alternative treatment methods. The results suggest

  9. Risk management study for the Hanford Site facilities: Risk reduction cost comparison for the retired Hanford Site facilities. Volume 4

    Energy Technology Data Exchange (ETDEWEB)

    Coles, G.A.; Egge, R.G.; Senger, E.; Shultz, M.W.; Taylor, W.E.

    1994-02-01

    This document provides a cost-comparison evaluation for implementing certain risk-reduction measures and their effect on the overall risk of the 100 and 200 Area retired, surplus facilities. The evaluation is based on conditions that existed at the time the risk evaluation team performed facility investigations, and does not acknowledge risk-reduction measures that occurred soon after risk identification. This evaluation is one part of an overall risk management study for these facilities. The retired facilities investigated for this evaluation are located in the 100 and 200 Areas of the 1450-km{sup 2} Hanford Site. The Hanford Site is a semiarid tract of land in southeastern Washington State. The nearest population center is Richland, Washington, (population 32,000) 30 km southeast of the 200 Area. This cost-comparison evaluation (1) determines relative costs for reducing risk to acceptable levels; (2) compares the cost of reducing risk using different risk-reduction options; and (3) compares the cost of reducing risks at different facilities. The result is an identification of the cost effective risk-reduction measures. Supporting information required to develop costs of the various risk-reduction options also is included.

  10. The value of supply security The cost of power interruptions: Economic input for damage reduction and investment in networks

    NARCIS (Netherlands)

    de Nooij, M.; Koopmans, C.C.; Bijvoet, C.

    2007-01-01

    Most research into the reliability of electricity supply focuses on the suppliers. Reductions in the number of power interruptions will often be possible, but are often very costly. These costs will eventually be borne by electricity users. This paper studies the value of supply security in order to

  11. The impact of BPO on cost reduction in mid-sized health care systems.

    Science.gov (United States)

    Perry, Andy; Kocakülâh, Mehmet C

    2010-01-01

    At the convergence of two politico-economic "hot topics" of the day--outsourcing and the cost of health care-lie opportunities for mid-sized health systems to innovate, collaborate, and reduce overhead. Competition in the retail health care market can serve as both an impetus and an inhibitor to such measures, though. Here we are going to address the motivations, influences, opportunities, and limitations facing mid-sized, US non-profit health systems in business process outsourcing (BPO). Advocates cite numerous benefits to BPO, particularly in cost reduction and strategy optimization. BPO can elicit cost savings due to specialization among provider firms, returns to scale and technology, standardization and automation, and gains in resource arbitrage (off-shoring capabilities). BPO can also free an organization of non-critical tasks and focus resources on core competencies (treating patients). The surge in BPO utilization has rarely extended to the back-office functions of many mid-sized health systems. Health care providers, still a largely fragmented bunch with many rural, independent non-profit systems, have not experienced the consolidation and organizational scale growth to make BPO as attractive as other industries. Smaller firms, spurning merger and acquisition pressure from large, tertiary health systems, often wish to retain their autonomy and identity; hence, they face a competitive cost disadvantage compared to their larger competitors. This article examines the functional areas for these health systems in which BPO is not currently utilized and dissects the various methods available in which to practice BPO. We assess the ongoing adoption of BPO in these areas as well as the barriers to adoption, and identify the key processes that best represent opportunity for success. An emphasis is placed on a collaborative model with other health systems compared to a single system, unilateral BPO arrangement.

  12. Cost reduction in the production process using the ABC and Lean tools: Case Study in the refrigeration components industry

    Directory of Open Access Journals (Sweden)

    Levi da Silva Guimarães

    2015-03-01

    Full Text Available This paper focuses on production management with respect to operating costs that relate directly to the value of the product. For this study, three methods were used, ABC - Activity Based Costing, which provides accurate information about the knowledge of the real costs, VSM - Value Stream Mapping and Lean Manufacturing. The method adopted for this research was the case study. The study was conducted at a refrigeration components company in the Industrial Center of Manaus. The analyses and observations initially went through the process of mapping the value stream, measuring the current state of activities (cycle time, setup, etc.. After analysis it was possible to map the cost for each activity and finally calculate the cost of the product before and after the improvements resulting from the lean methodology. The results obtained in this study showed a 20% reduction in product costs resulting from operational improvements. The activity-based cost led to a discovery of the real costs of waste. The steps for this study include process mapping through the value stream, measuring the current state of activities (cycle time, setup, etc., establishing the cost driver for each activity, and finally calculating the cost of the product before and after the application of lean improvements. The paper was conducted through literature and descriptive review, and used a case study method. It describes the model that has been tested in a production line for a refrigeration components company from the Manaus Industrial Center, achieving a 20% reduction in product cost.

  13. Strategies for cost-effective carbon reductions: A sensitivity analysis of alternative scenarios

    Energy Technology Data Exchange (ETDEWEB)

    Gumerman, Etan; Koomey, Jonathan G.; Brown, Marilyn

    2001-07-11

    Analyses of alternative futures often present results for a limited set of scenarios, with little if any sensitivity analysis to identify the factors affecting the scenario results. This approach creates an artificial impression of certainty associated with the scenarios considered, and inhibits understanding of the underlying forces. This paper summarizes the economic and carbon savings sensitivity analysis completed for the Scenarios for a Clean Energy Future study (IWG, 2000). Its 19 sensitivity cases provide insight into the costs and carbon-reduction impacts of a carbon permit trading system, demand-side efficiency programs, and supply-side policies. Impacts under different natural gas and oil price trajectories are also examined. The results provide compelling evidence that policy opportunities exist to reduce carbon emissions and save society money.

  14. Marginal cost curves for water footprint reduction in irrigated agriculture : Guiding a cost-effective reduction of crop water consumption to a permit or benchmark level

    NARCIS (Netherlands)

    Chukalla, Abebe D.; Krol, Maarten S.; Hoekstra, Arjen Y.

    2017-01-01

    Reducing the water footprint (WF) of the process of growing irrigated crops is an indispensable element in water management, particularly in water-scarce areas. To achieve this, information on marginal cost curves (MCCs) that rank management packages according to their cost-effectiveness to reduce

  15. Savings plan of transportation energy: Automobile running and cost reduction at the age of austerity

    Energy Technology Data Exchange (ETDEWEB)

    Yeom, T.J. [Ministry of Commerce, Industry and Energy, Kwachon (Korea, Republic of)

    1998-01-01

    The effect that appears due to driving small compact cars can be largely divided into national and territorial levels and another at personal level. As the use of small cars is activated, the effects at the national and territorial levels are as follows: energy savings, reduction of environmental pollution, capacity increase of transportation facilities, improvements in residential area environments. The benefits given to small car users are savings in automobile operating costs, solution of parking problems due to the decrease of required parking space, savings in fuel costs. The effects at the national and territorial levels can be the indispensable but not the sufficient condition of the use of small cars. That is, when the effect at the national and territorial levels following the use of small cars is transferred to persons and the effect is ensured, then running small compact cars will be more activated. There are a few tasks to overcome for activating the operation of small compact cars even though they have a lot of benefits. First, there should be the change of perception toward the size of cars, and second, legal and systematic supports are needed to activate the running small compact cars. 6 tabs.

  16. The Impact of Green Supply Chain Management on Transportation Cost Reduction in Turkey

    Directory of Open Access Journals (Sweden)

    Mehmet SARIDOGAN

    2012-01-01

    Full Text Available Supply chain management (SCM has become an important competitive approach for organizations. The issue of green supply chain management is critical for the successful implementation of industrial ecosystems and industrial ecology. Organizations have a number of reasons for implementing these green supply chain policies, from reactive regulatory reasons, to proactive strategic and competitive advantage reasons. From an overall environmental and organizational perspective, it is important to understand the situation and what issues exist in this field. Many organizations worldwide have already experienced globalization and a shifting focus to competition among networks of companies in this environment. Multinational enterprises have established global networks of suppliers that take advantage of country-industry specific characteristics to build this competitive advantage. To success having this competitive advantage, logistics and supply chain managers have to balance efforts to reduce costs and innovate while maintaining good environmental (ecological performance (Pagell et al., 2004. Therefore, today, competition is not between companies, between supply chains. This study brings us the effect of Green Supply Chain Management (GSCM on the Transportation Cost Reduction (TCR.

  17. Reduction from cost-sensitive ordinal ranking to weighted binary classification.

    Science.gov (United States)

    Lin, Hsuan-Tien; Li, Ling

    2012-05-01

    We present a reduction framework from ordinal ranking to binary classification. The framework consists of three steps: extracting extended examples from the original examples, learning a binary classifier on the extended examples with any binary classification algorithm, and constructing a ranker from the binary classifier. Based on the framework, we show that a weighted 0/1 loss of the binary classifier upper-bounds the mislabeling cost of the ranker, both error-wise and regret-wise. Our framework allows not only the design of good ordinal ranking algorithms based on well-tuned binary classification approaches, but also the derivation of new generalization bounds for ordinal ranking from known bounds for binary classification. In addition, our framework unifies many existing ordinal ranking algorithms, such as perceptron ranking and support vector ordinal regression. When compared empirically on benchmark data sets, some of our newly designed algorithms enjoy advantages in terms of both training speed and generalization performance over existing algorithms. In addition, the newly designed algorithms lead to better cost-sensitive ordinal ranking performance, as well as improved listwise ranking performance.

  18. Key parameters influencing the NOx reduction process by low-cost char pellets: An overview

    Energy Technology Data Exchange (ETDEWEB)

    J.M. Soriano-Mora; A. Bueno-Lopez; A. Garcia-Garcia; R. Perry; C.E. Snape [University of Alicante, Alicante (Spain). Dept. of Inorganic Chemistry

    2007-07-01

    High potassium content char briquettes prepared from a bituminous coal have shown to be remarkably selective towards NOx reduction by the carbon contained within them. For the present work, it was decided to pursue the preparation of a number of pelletised formulations as well as testing reaction temperatures and lifetime tests. Low-cost carbon feedstocks were selected for pellet preparation (a metallurgical coke breeze, petroleum coke fines and a medium temperature domestic coke), two coals (an anthracite and a high volatile bituminous coal), a scrap tyre pyrolysis char and a carbon concentrate from PFA. Pellets were prepared from a solid mixture containing 65% of air-dried carbon, 30% potassium hydroxide and 5% of cashew nut shell liquid as binder. The results show that good and constant values of NOx reduction are kept after 2 hours of reaction as well as satisfactory selectivity factors (up to 0.45). This parameter is highly dependent on potassium content of the samples and on reaction temperature. The most efficient pellets in terms of high selectivity and high amount of NOx reduced were analysed under lifetime tests at 400{sup o}C. Very encouraging results were obtained showing that high values of NOx conversions (well above O{sub 2} conversions), long lifetimes, no uncontrolled increase in sample temperature and very low CO emissions, (leading to an optimum sample efficiency) were observed throughout lifetime tests. 4 refs., 4 figs., 5 tabs.

  19. The Application of High Density Electronic Packaging for Spacecraft Cost and Mass Reduction

    Science.gov (United States)

    Lowry, Lynn E.; Prokop, Jon S.; Sandborn, Peter; Evans, Kristan

    1995-01-01

    It has become clear over the past few years that packaging of spacecraft electronic systems must be improved. Not only have the weight and volume taken up by conventional packaging and interconnect systems become excessive, but active devices have advanced to the point where system performance is often limited by the packaging. Since electronic systems account for up to 30% of the size and weight budgets of a spacecraft, the utilization of high density electronic packaging will be a very important path to overall spacecraft miniaturization. In the late 1970's high density interconnection technologies were being introduced into mainframe computer applications. Subsequently, these technologies have been applied to avionics, telecommunication, biomedical and automotive systems. In each application the driving forces behind the adoption of these technologies were; improved electrical performance, miniaturization, reduced power consumption, increased reliability and reduced manufacturing costs. The application of these technologies to planetary missions could provide significant benefits by way of reduced cost and design time if commercial technology and best commercial manufacturing practices are accepted. A mixed signal telecommunication function has been used as an example to illustrate the potential mass, volume and power reduction achievable with the implementation of high density packaging technologies. The tradeoff analysis which was performed demonstrated that packaging technology selection is application specific, and system level impact must be considered early on in the design process. The results of this study which compare size, performance, cost, risk and system level impact are given. Finally, the technical and cultural obstacles which have inhibited the implementation of these technologies is discussed. Specifically, the issues of space qualified hardware and technology availability is addressed. Space qualification is perceived by industry as being the

  20. Cost-Benefit Analysis of Green Infrastructures on Community Stormwater Reduction and Utilization: A Case of Beijing, China

    Science.gov (United States)

    Liu, Wen; Chen, Weiping; Feng, Qi; Peng, Chi; Kang, Peng

    2016-12-01

    Cost-benefit analysis is demanded for guiding the plan, design and construction of green infrastructure practices in rapidly urbanized regions. We developed a framework to calculate the costs and benefits of different green infrastructures on stormwater reduction and utilization. A typical community of 54,783 m2 in Beijing was selected for case study. For the four designed green infrastructure scenarios (green space depression, porous brick pavement, storage pond, and their combination), the average annual costs of green infrastructure facilities are ranged from 40.54 to 110.31 thousand yuan, and the average of the cost per m3 stormwater reduction and utilization is 4.61 yuan. The total average annual benefits of stormwater reduction and utilization by green infrastructures of the community are ranged from 63.24 to 250.15 thousand yuan, and the benefit per m3 stormwater reduction and utilization is ranged from 5.78 to 11.14 yuan. The average ratio of average annual benefit to cost of four green infrastructure facilities is 1.91. The integrated facilities had the highest economic feasibility with a benefit to cost ratio of 2.27, and followed by the storage pond construction with a benefit to cost ratio of 2.14. The results suggested that while the stormwater reduction and utilization by green infrastructures had higher construction and maintenance costs, their comprehensive benefits including source water replacements benefits, environmental benefits and avoided cost benefits are potentially interesting. The green infrastructure practices should be promoted for sustainable management of urban stormwater.

  1. BACKORDER AND LOST SALES CONTINUOUS REVIEW RAW MATERIAL INVENTORY CONTROL SYSTEM WITH LEAD TIME AND ORDERING COST REDUCTION

    Directory of Open Access Journals (Sweden)

    Tiena Gustina Amran

    2012-06-01

    Full Text Available The purpose of this research is to suggest the optimal raw material inventory system alternatives synchronized with the stock out characteristics and the condition can be occurred, the backorder raw material inventory control, beside that it also can reduce lead time and raw material ordering cost. In this case, the inventory models also extent (Q, R Inventory Model Under lead Time and Ordering Cost Reduction with lead time and ordering cost can be reduced. After the calculation, the optimal solution of inventory models can be obtained; those are with backorder condition which produced the annual inventory total cost for the company.

  2. Laparoendoscopic single-site surgery in gynaecology: A new frontier in minimally invasive surgery

    Directory of Open Access Journals (Sweden)

    Fader Amanda

    2011-01-01

    Full Text Available Review Objective: To review the recent developments and published literature on laparoendoscopic single-site (LESS surgery in gynaecology. Recent Findings: Minimally invasive surgery has become a standard of care for the treatment of many benign and malignant gynaecological conditions. Recent advances in conventional laparoscopy and robotic-assisted surgery have favorably impacted the entire spectrum of gynaecological surgery. With the goal of improving morbidity and cosmesis, continued efforts towards refinement of laparoscopic techniques have lead to minimization of size and number of ports required for these procedures. LESS surgery is a recently proposed surgical term used to describe various techniques that aim at performing laparoscopic surgery through a single, small-skin incision concealed within the umbilicus. In the last 5 years, there has been a surge in the developments in surgical technology and techniques for LESS surgery, which have resulted in a significant increase in utilisation of LESS across many surgical subspecialties. Recently published outcomes data demonstrate feasibility, safety and reproducibility for LESS in gynaecology. The contemporary LESS literature, extent of gynaecological procedures utilising these techniques and limitations of current technology will be reviewed in this manuscript. Conclusions: LESS surgery represents the newest frontier in minimally invasive surgery. Comparative data and prospective trials are necessary in order to determine the clinical impact of LESS in treatment of gynaecological conditions.

  3. [Laparoendoscopic single-site retroperitoneal adrenalectomy:a report of 7 cases].

    Science.gov (United States)

    Gao, Yi; Chen, Ming; Xu, Dan-feng; Liu, Yu-shan; Cui, Xin-gang; Yao, Ya-cheng; Ren, Ji-zhong; Che, Jian-ping; Chen, Jie; Wang, Jun-kai; Chen, Lu; Li, Yao; Gan, Si-shun; Ye, Jian-qing

    2011-07-12

    To summarize our preliminary clinical experiences of laparoendoscopic single-site (LESS) retroperitoneal adrenalectomy. Since October 2009 to January 2011, the investigators have performed LESS retroperitoneal adrenalectomy for 7 patients with adrenal tumors. A waist axillary midline incision of around 2 - 3 cm was made and a single incision for inserting a homemade port. Cambridge endo flexible laparoscopic instrument and other common laparoscopic accessories were used during the surgical procedures. LESS retroperitoneal adrenalectomies were technically successful in 6 cases with no extra skin incisions, no conversion into an open procedure or standard laparoscopy. Conversion to standard laparoscopy (3 ports) was inevitable in one case. The reason for conversion was due to tumor size (6 cm). No perioperative complication occurred. The mean operative duration was 139 min (95 - 200 min), the mean volume of blood loss 96 ml (30 - 350 ml) and the mean hospital stay 5 d (3 - 8 d). LESS retroperitoneal adrenalectomy is technically feasible and safe for the treatment of small adrenal tumors.

  4. Natural orifice transendoluminal surgery and laparoendoscopic single-site surgery: the future of laparoscopic radical prostatectomy.

    Science.gov (United States)

    Barret, Eric; Sanchez-Salas, Rafael; Ercolani, Matthew C; Rozet, Francois; Galiano, Marc; Cathelineau, Xavier

    2011-03-01

    Techniques for minimally invasive radical prostatectomy (RP) have been carefully reviewed by surgical teams worldwide in order to identify possible weaknesses and facilitate further improvement in their overall performance. The initial plan of action has been to carefully study the best-practice techniques for open RP in order to reproduce and standardize performance from the laparoscopic perspective. Similar to open surgery, the learning curve of minimally invasive RP has been well documented in terms of objective evaluation of outcomes for cancer control and functional results. Natural orifice transluminal endoscopic surgery (NOTES) and laparoendoscopic single-site surgery (LESS) have recently gained momentum as feasible techniques for minimal access urological surgery. NOTES-LESS drastically limit the surgeon's ability to choose the site of entry for operative instruments; therefore, the advantages of NOTES-LESS are gained with the understanding that the surgical procedure is more technically challenging. There are several key elements in RP techniques (in particular, dorsal vein control, apex exposure and cavernosal nerve sparing) that can have significant implications on oncologic and functional results. These steps are hard to perform in a limited working field. LESS radical prostatectomy can clearly be facilitated by using robotic technology.

  5. ISS Operations Cost Reductions Through Automation of Real-Time Planning Tasks

    Science.gov (United States)

    Hall, Timothy A.

    2011-01-01

    In 2008 the Johnson Space Center s Mission Operations Directorate (MOD) management team challenged their organization to find ways to reduce the costs of International Space station (ISS) console operations in the Mission Control Center (MCC). Each MOD organization was asked to identify projects that would help them attain a goal of a 30% reduction in operating costs by 2012. The MOD Operations and Planning organization responded to this challenge by launching several software automation projects that would allow them to greatly improve ISS console operations and reduce staffing and operating costs. These projects to date have allowed the MOD Operations organization to remove one full time (7 x 24 x 365) ISS console position in 2010; with the plan of eliminating two full time ISS console support positions by 2012. This will account for an overall 10 EP reduction in staffing for the Operations and Planning organization. These automation projects focused on utilizing software to automate many administrative and often repetitive tasks involved with processing ISS planning and daily operations information. This information was exchanged between the ground flight control teams in Houston and around the globe, as well as with the ISS astronaut crew. These tasks ranged from managing mission plan changes from around the globe, to uploading and downloading information to and from the ISS crew, to even more complex tasks that required multiple decision points to process the data, track approvals and deliver it to the correct recipient across network and security boundaries. The software solutions leveraged several different technologies including customized web applications and implementation of industry standard web services architecture between several planning tools; as well as a engaging a previously research level technology (TRL 2-3) developed by Ames Research Center (ARC) that utilized an intelligent agent based system to manage and automate file traffic flow

  6. The economics of gasoline subsidy cost reduction policy: Case study of Indonesia

    Science.gov (United States)

    Akimaya, Muhammad I.

    only provides a subsidy for regular gasoline and in turn proposes an alternative policy that introduces a subsidy for premium gasoline at a lower rate to reduce the overall gasoline subsidy cost. There has yet to be any research that simulates price controls for gasoline with different grades. Simulations based on the calibrated demand are performed and the results confirm the existence of potential savings that are largely determined by the cross-price elasticities between regular and premium gasoline. The benchmark scenario, based on a recent study of substitutability between gasoline by grades, results in an 11.5% reduction in subsidy cost of around 950 million USD with a subsidy rate of Rp 2,254/liter. Furthermore, the optimal rate of subsidy for premium gasoline results in a reduction of inefficiency as consumers' welfare increase by 6.8 trillion rupiahs (or 560 million USD).

  7. A perspective on cost-effectiveness of greenhouse gas reduction solutions in water distribution systems

    Science.gov (United States)

    Hendrickson, Thomas P.; Horvath, Arpad

    2014-01-01

    Water distribution systems (WDSs) face great challenges as aging infrastructures require significant investments in rehabilitation, replacement, and expansion. Reducing environmental impacts as WDSs develop is essential for utility managers and policy makers. This study quantifies the existing greenhouse gas (GHG) footprint of common WDS elements using life-cycle assessment (LCA) while identifying the greatest opportunities for emission reduction. This study addresses oversights of the related literature, which fails to capture several WDS elements and to provide detailed life-cycle inventories. The life-cycle inventory results for a US case study utility reveal that 81% of GHGs are from pumping energy, where a large portion of these emissions are a result of distribution leaks, which account for 270 billion l of water losses daily in the United States. Pipe replacement scheduling is analyzed from an environmental perspective where, through incorporating leak impacts, a tool reveals that optimal replacement is no more than 20 years, which is in contrast to the US average of 200 years. Carbon abatement costs (CACs) are calculated for different leak reduction scenarios for the case utility that range from -130 to 35 t-1 CO2(eq). Including life-cycle modeling in evaluating pipe materials identified polyvinyl chloride (PVC) and cement-lined ductile iron (DICL) as the Pareto efficient options, however; utilizing PVC presents human health risks. The model developed for the case utility is applied to California and Texas to determine the CACs of reducing leaks to 5% of distributed water. For California, annual GHG savings from reducing leaks alone (3.4 million tons of CO2(eq)) are found to exceed California Air Resources Board’s estimate for energy efficiency improvements in the state’s water infrastructure.

  8. A cost effectiveness analysis of salt reduction policies to reduce coronary heart disease in four Eastern Mediterranean countries.

    Directory of Open Access Journals (Sweden)

    Helen Mason

    Full Text Available BACKGROUND: Coronary Heart Disease (CHD is rising in middle income countries. Population based strategies to reduce specific CHD risk factors have an important role to play in reducing overall CHD mortality. Reducing dietary salt consumption is a potentially cost-effective way to reduce CHD events. This paper presents an economic evaluation of population based salt reduction policies in Tunisia, Syria, Palestine and Turkey. METHODS AND FINDINGS: Three policies to reduce dietary salt intake were evaluated: a health promotion campaign, labelling of food packaging and mandatory reformulation of salt content in processed food. These were evaluated separately and in combination. Estimates of the effectiveness of salt reduction on blood pressure were based on a literature review. The reduction in mortality was estimated using the IMPACT CHD model specific to that country. Cumulative population health effects were quantified as life years gained (LYG over a 10 year time frame. The costs of each policy were estimated using evidence from comparable policies and expert opinion including public sector costs and costs to the food industry. Health care costs associated with CHDs were estimated using standardized unit costs. The total cost of implementing each policy was compared against the current baseline (no policy. All costs were calculated using 2010 PPP exchange rates. In all four countries most policies were cost saving compared with the baseline. The combination of all three policies (reducing salt consumption by 30% resulted in estimated cost savings of $235,000,000 and 6455 LYG in Tunisia; $39,000,000 and 31674 LYG in Syria; $6,000,000 and 2682 LYG in Palestine and $1,3000,000,000 and 378439 LYG in Turkey. CONCLUSION: Decreasing dietary salt intake will reduce coronary heart disease deaths in the four countries. A comprehensive strategy of health education and food industry actions to label and reduce salt content would save both money and lives.

  9. A cost effectiveness analysis of salt reduction policies to reduce coronary heart disease in four Eastern Mediterranean countries.

    Science.gov (United States)

    Mason, Helen; Shoaibi, Azza; Ghandour, Rula; O'Flaherty, Martin; Capewell, Simon; Khatib, Rana; Jabr, Samer; Unal, Belgin; Sözmen, Kaan; Arfa, Chokri; Aissi, Wafa; Ben Romdhane, Habiba; Fouad, Fouad; Al-Ali, Radwan; Husseini, Abdullatif

    2014-01-01

    Coronary Heart Disease (CHD) is rising in middle income countries. Population based strategies to reduce specific CHD risk factors have an important role to play in reducing overall CHD mortality. Reducing dietary salt consumption is a potentially cost-effective way to reduce CHD events. This paper presents an economic evaluation of population based salt reduction policies in Tunisia, Syria, Palestine and Turkey. Three policies to reduce dietary salt intake were evaluated: a health promotion campaign, labelling of food packaging and mandatory reformulation of salt content in processed food. These were evaluated separately and in combination. Estimates of the effectiveness of salt reduction on blood pressure were based on a literature review. The reduction in mortality was estimated using the IMPACT CHD model specific to that country. Cumulative population health effects were quantified as life years gained (LYG) over a 10 year time frame. The costs of each policy were estimated using evidence from comparable policies and expert opinion including public sector costs and costs to the food industry. Health care costs associated with CHDs were estimated using standardized unit costs. The total cost of implementing each policy was compared against the current baseline (no policy). All costs were calculated using 2010 PPP exchange rates. In all four countries most policies were cost saving compared with the baseline. The combination of all three policies (reducing salt consumption by 30%) resulted in estimated cost savings of $235,000,000 and 6455 LYG in Tunisia; $39,000,000 and 31674 LYG in Syria; $6,000,000 and 2682 LYG in Palestine and $1,3000,000,000 and 378439 LYG in Turkey. Decreasing dietary salt intake will reduce coronary heart disease deaths in the four countries. A comprehensive strategy of health education and food industry actions to label and reduce salt content would save both money and lives.

  10. A variation reduction allocation model for quality improvement to minimize investment and quality costs by considering suppliers’ learning curve

    Science.gov (United States)

    Rosyidi, C. N.; Jauhari, WA; Suhardi, B.; Hamada, K.

    2016-02-01

    Quality improvement must be performed in a company to maintain its product competitiveness in the market. The goal of such improvement is to increase the customer satisfaction and the profitability of the company. In current practice, a company needs several suppliers to provide the components in assembly process of a final product. Hence quality improvement of the final product must involve the suppliers. In this paper, an optimization model to allocate the variance reduction is developed. Variation reduction is an important term in quality improvement for both manufacturer and suppliers. To improve suppliers’ components quality, the manufacturer must invest an amount of their financial resources in learning process of the suppliers. The objective function of the model is to minimize the total cost consists of investment cost, and quality costs for both internal and external quality costs. The Learning curve will determine how the employee of the suppliers will respond to the learning processes in reducing the variance of the component.

  11. Estimation of cost reduction and increase for the final disposal associated with the categorization of inert waste landfills in Japan.

    Science.gov (United States)

    Nakayama, Hirofumi; Tsuchida, Daisuke; Shimaoka, Takayuki

    2012-02-01

    This study estimates the overall cost savings that have been realized due to disposal of inert wastes in Japan because this material has been deposited in inert waste landfills (IWLs) that are designed exclusively for this purpose, instead of being co-dipsosed with organic wastes in more costly in sanitary landfills (SLs). The total realized cost savings were based on the disposed volume of inert waste and the actual disposal fees for IWLs and SLs for the period 1977-2006. The estimated reduction in expense is 4748 billion JPY for the period. On the other hand, if organic wastes had been deposited in IWLs along with inert wastes, costs would be incurred to clean up the sites because the surrounding environment may be polluted by the decomposition of the non-inert wastes and considerable efforts probably would be required to restore the polluted environment to its normal condition (this is because IWLs typically do not have a barrier system.) The potential cleanup cost was estimated to be 616 to 1226 billion JPY. These estimated costs were compared and it was found that the net reduction in expense was 3522 billion to 4122 billion JPY. Although the expense was reduced substantially, it was noted that a considerable cleanup cost would be generated. In particular, it was found that the increase in cleanup costs becomes most significant after the late 1990s.

  12. 2014 U.S. Offshore Wind Market Report: Industry Trends, Technology Advancement, and Cost Reduction

    Energy Technology Data Exchange (ETDEWEB)

    Smith, Aaron; Stehly, Tyler; Walter Musial

    2015-09-29

    2015 has been an exciting year for the U.S. offshore wind market. After more than 15 years of development work, the U.S. has finally hit a crucial milestone; Deepwater Wind began construction on the 30 MW Block Island Wind Farm (BIWF) in April. A number of other promising projects, however, have run into economic, legal, and political headwinds, generating much speculation about the future of the industry. This slow, and somewhat painful, start to the industry is not without precedent; each country in northern Europe began with pilot-scale, proof-of-concept projects before eventually moving to larger commercial scale installations. Now, after more than a decade of commercial experience, the European industry is set to achieve a new deployment record, with more than 4 GW expected to be commissioned in 2015, with demonstrable progress towards industry-wide cost reduction goals. DWW is leveraging 25 years of European deployment experience; the BIWF combines state-of-the-art technologies such as the Alstom 6 MW turbine with U.S. fabrication and installation competencies. The successful deployment of the BIWF will provide a concrete showcase that will illustrate the potential of offshore wind to contribute to state, regional, and federal goals for clean, reliable power and lasting economic development. It is expected that this initial project will launch the U.S. industry into a phase of commercial development that will position offshore wind to contribute significantly to the electric systems in coastal states by 2030.

  13. UWB Wind Turbine Blade Deflection Sensing for Wind Energy Cost Reduction.

    Science.gov (United States)

    Zhang, Shuai; Jensen, Tobias Lindstrøm; Franek, Ondrej; Eggers, Patrick C F; Olesen, Kim; Byskov, Claus; Pedersen, Gert Frølund

    2015-08-12

    A new application of utilizing ultra-wideband (UWB) technology to sense wind turbine blade deflections is introduced in this paper for wind energy cost reduction. The lower UWB band of 3.1-5.3 GHz is applied. On each blade, there will be one UWB blade deflection sensing system, which consists of two UWB antennas at the blade root and one UWB antenna at the blade tip. The detailed topology and challenges of this deflection sensing system are addressed. Due to the complexity of the problem, this paper will first realize the on-blade UWB radio link in the simplest case, where the tip antenna is situated outside (and on the surface of) a blade tip. To investigate this case, full-blade time-domain measurements are designed and conducted under different deflections. The detailed measurement setups and results are provided. If the root and tip antenna locations are properly selected, the first pulse is always of sufficient quality for accurate estimations under different deflections. The measured results reveal that the blade tip-root distance and blade deflection can be accurately estimated in the complicated and lossy wireless channels around a wind turbine blade. Some future research topics on this application are listed finally.

  14. Economic Rationality of On-Orbit Servicing by Reduction of Transportation Cost

    Science.gov (United States)

    Akiyama, Yasuhiro; Inatani, Yoshifumi

    The costs of transportation from the Earth to the orbit are very high. Decreasing the transportation costs should increase the launch market significantly. However, the objective of transportation costs is ambiguous and few studies have examined the relationship between transportation costs and commercial profits of businesses. On-Orbit Servicing (OOS) is a business that could profit from lower transportation costs, and we quantified the relationship between costs and profitability for this business. Real-coded Adaptive Range Genetic Algorithm optimized the OOS method. The results showed that the revenues generated by OOS would support the outlay required to decrease transportation costs.

  15. Estimate of the technological costs of CO{sub 2} emission reductions in passenger cars. Emission reduction potentials and their costs; Technikkostenschaetzung fuer die CO{sub 2}-Emissionsminderung bei Pkw. Emissionsminderungspotenziale und ihre Kosten

    Energy Technology Data Exchange (ETDEWEB)

    Herbener, Reinhard; Jahn, Helge; Wetzel, Frank [Umweltbundesamt, Dessau-Rosslau (Germany). Fachgebiet I 3.2 - Schadstoffminderung und Energieeinsparung im Verkehr

    2008-08-06

    The Federal Environmental Office intended to identify the current fuel consumption reduction potential and the cost of efficiency-enhancing measures on passenger cars. For this purpose, an extensive bibliographic search was carried out, and experts from research institutes and from the automobile supplier industry were asked for their opinion. The results are published in table form. (orig.)

  16. Cost reduction in the cold: heat generated by terrestrial locomotion partly substitutes for thermoregulation costs in Knot Calidris canutus

    NARCIS (Netherlands)

    Bruinzeel, L.W.; Piersma, T.

    1998-01-01

    To test whether heat generated during locomotion substitutes for the thermoregulation cost, oxygen consumption of four post-absorptive temperate-wintering Knot Calidris canutus was measured at air temperatures of 25 degrees C (thermoneutral) and 10 degrees C (c. 10 degrees below the lower critical

  17. Cost reduction in the cold : heat generated by terrestrial locomotion partly substitutes for thermoregulation costs in Knot Calidris canutus

    NARCIS (Netherlands)

    Bruinzeel, Leo W.; Piersma, T

    To test whether heat generated during locomotion substitutes for the thermoregulation cost, oxygen consumption of four post-absorptive temperate-wintering Knot Calidris canutus was measured at air temperatures of 25 degrees C (thermoneutral) and 10 degrees C (c. 10 degrees below the lower critical

  18. Managing Hotel’s Operation in Viet Nam in Global Economic Crisis : A case study on cost reduction in hotel

    OpenAIRE

    Nguyen, Son

    2011-01-01

    The aim of the research for this thesis is to find out the costs which can be reduced in hotels in Vietnam to copes with difficulties and challenges from the global economic crisis. The idea is to find out what kinds of cost can be reduced and how they are reduced to minimize expenditures of hotel, how the costs reduction affect quality of hotel’s products and services. In order to achieve goals of the research, two structure telephone interviews were conducted in a case study in the Huu Ngh...

  19. Analysis of Fuel Cell Markets in Japan and the US: Experience Curve Development and Cost Reduction Disaggregation

    Energy Technology Data Exchange (ETDEWEB)

    Wei, Max [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Smith, Sarah J. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Sohn, Michael D. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)

    2016-07-15

    Fuel cells are both a longstanding and emerging technology for stationary and transportation applications, and their future use will likely be critical for the deep decarbonization of global energy systems. As we look into future applications, a key challenge for policy-makers and technology market forecasters who seek to track and/or accelerate their market adoption is the ability to forecast market costs of the fuel cells as technology innovations are incorporated into market products. Specifically, there is a need to estimate technology learning rates, which are rates of cost reduction versus production volume. Unfortunately, no literature exists for forecasting future learning rates for fuel cells. In this paper, we look retrospectively to estimate learning rates for two fuel cell deployment programs: (1) the micro-combined heat and power (CHP) program in Japan, and (2) the Self-Generation Incentive Program (SGIP) in California. These two examples have a relatively broad set of historical market data and thus provide an informative and international comparison of distinct fuel cell technologies and government deployment programs. We develop a generalized procedure for disaggregating experience-curve cost-reductions in order to disaggregate the Japanese fuel cell micro-CHP market into its constituent components, and we derive and present a range of learning rates that may explain observed market trends. Finally, we explore the differences in the technology development ecosystem and market conditions that may have contributed to the observed differences in cost reduction and draw policy observations for the market adoption of future fuel cell technologies. The scientific and policy contributions of this paper are the first comparative experience curve analysis of past fuel cell technologies in two distinct markets, and the first quantitative comparison of a detailed cost model of fuel cell systems with actual market data. The resulting approach is applicable to

  20. Cost-effective policy instruments for greenhouse gas emission reduction and fossil fuel substitution through bioenergy production in Austria

    Energy Technology Data Exchange (ETDEWEB)

    Schmidt, Johannes, E-mail: johannes.schmidt@boku.ac.at [Institute for Sustainable Economic Development, University of Natural Resources and Life Sciences, Peter Jordan Strasse 82, A-1190 Vienna (Austria); Leduc, Sylvain [International Institute for Applied Systems Analysis, Schlossplatz 1, A-2361 Laxenburg (Austria); Dotzauer, Erik [Maelardalen University, P.O. Box 883, SE-72123 Vaesteras (Sweden); Schmid, Erwin [Institute for Sustainable Economic Development, University of Natural Resources and Life Sciences, Peter Jordan Strasse 82, A-1190 Vienna (Austria)

    2011-06-15

    Climate change mitigation and security of energy supply are important targets of Austrian energy policy. Bioenergy production based on resources from agriculture and forestry is an important option for attaining these targets. To increase the share of bioenergy in the energy supply, supporting policy instruments are necessary. The cost-effectiveness of these instruments in attaining policy targets depends on the availability of bioenergy technologies. Advanced technologies such as second-generation biofuels, biomass gasification for power production, and bioenergy with carbon capture and storage (BECCS) will likely change the performance of policy instruments. This article assesses the cost-effectiveness of energy policy instruments, considering new bioenergy technologies for the year 2030, with respect to greenhouse gas emission (GHG) reduction and fossil fuel substitution. Instruments that directly subsidize bioenergy are compared with instruments that aim at reducing GHG emissions. A spatially explicit modeling approach is used to account for biomass supply and energy distribution costs in Austria. Results indicate that a carbon tax performs cost-effectively with respect to both policy targets if BECCS is not available. However, the availability of BECCS creates a trade-off between GHG emission reduction and fossil fuel substitution. Biofuel blending obligations are costly in terms of attaining the policy targets. - Highlights: > Costs of energy policies and effects on reduction of CO{sub 2} emissions and fossil fuel consumption. > Particular focus on new bioenergy production technologies such as second generation biofuels. > Spatially explicit techno-economic optimization model. > CO{sub 2} tax: high costs for reducing fossil fuel consumption if carbon capture and storage is available. > Biofuel policy: no significant reductions in CO{sub 2} emissions or fossil fuel consumption.

  1. Laparoendoscopic Single-site Repair of Retrocaval Ureter Without any Special Devices

    Directory of Open Access Journals (Sweden)

    Rafael B. Rebouças

    2013-01-01

    Full Text Available INTRODUCTION The retrocaval ureter is a rare congenital anomaly. The extrinsic compression may be responsible for obstruction and pain symptoms. The laparoscopic approach has been used with good results and less morbidity than the open surgery. Herein we describe a case of retrocaval ureter treated with LESS. To our knowledge, this represents the second such case reported in the literature, and the first without using any special devices, such as, single port or bended instruments. PRESENTATION Female, 23 years, complaining of right low back pain for a long time and recurrent urinary tract infection. Renal ultrasound demonstrated right-sided hydronephrosis and intravenous urography suggested the presence of retrocaval ureter. DTPA renal scintigraphy confirms delay in the elimination of contrast through the right kidney. A laparoendoscopic single-site repair was planned. The patient was placed in rightside-up modified flank position. A semicircular intra-umbilical incision was made and the conventional trocars (one 10 mm and two 5 mm were inserted through the same incision on different points of the aponeurosis. The colon was dissected medially and the proximal ureter lateral to the vena cava was identified and dissected. An extra corporeal repair with Vycril 2-0 was used to facilitate the ureteral dissection and the anastomosis. A segment of ureter was ressected due to the tortuosity. Two 4-0 Vycril sutures were used to perform a running anastomosis. An ureteral stent was placed after the posterior layer on an antegrade fashion. A suction drain was left through the umbilicus. RESULTS The total operative time was 145 min. The blood loss was minimal. The patient was discharged on the third postoperative day and resumed total activity about 10 days after surgery. The double J was removed within 4 weeks. DISCUSSION Albeit technically challenging, LESS repair for retrocaval ureter might represent a feasible new treatment option for this rare anatomic

  2. Laparoendoscopic Rendezvous for Concomitant Cholecystocholedocholithiasis: A Successful Modality Even in the Most Difficult Presentations Including Pregnancy

    Science.gov (United States)

    Mikwar, Zaher Abdulaziz; Ahmad, Akram Neyaz

    2016-01-01

    Background. Laparoendoscopic rendezvous (LERV) technique is emerging as an attractive treatment option for concomitant cholecystocholedocholithiasis. In this paper, we report our experience in performing the LERV technique in patients with unusual presentations in terms of anatomical difficulty, pregnancy, multiple comorbid diseases, and postlaparotomy. We aim to highlight the effectiveness of the LERV technique in some clinical situations where conventional methods would fail or carry high risks in adequately managing concomitant cholecystocholedocholithiasis. Methods. Four patients diagnosed to have concomitant cholecystocholedocholithiasis with associated difficult presentation or comorbid diseases were treated using the LERV technique. One patient presented with difficult anatomy where ERCP failed at initial attempts. Another patient was pregnant (first trimester). A third patient had complex comorbid diseases (bronchial asthma, hypertension, congestive heart failure, and end-stage renal disease on regular hemodialysis). A fourth patient had previous laparotomy and sigmoidectomy for diverticular disease and had severe hospital phobia. Results. All patients tolerated the LERV technique very well; no intraoperative occurrence was reported. The mean operative time was 86.3 ± 17.2 minutes; mean time of the endoscopic part was 29.4 ± 3.57 minutes. The mean blood loss was 44.3 ± 18.2 mL (range 20–85). Residual stone, postoperative complications, postoperative morbidity, and postoperative mortality were 0 (0%). Postoperative short hospital stay was reported in all patients, average 3 days (range 2–4). Conclusion. LERV procedure is a safe and effective treatment option for the management of concomitant cholecystocholedocholithiasis, even in difficult situations where other methods would fail or carry high risks, or in patients presenting with severe comorbid diseases or pregnancy. This procedure may emerge as an attractive alternative option for high

  3. Laparoendoscopic Rendezvous for Concomitant Cholecystocholedocholithiasis: A Successful Modality Even in the Most Difficult Presentations Including Pregnancy

    Directory of Open Access Journals (Sweden)

    Bader Hamza Shirah

    2016-01-01

    Full Text Available Background. Laparoendoscopic rendezvous (LERV technique is emerging as an attractive treatment option for concomitant cholecystocholedocholithiasis. In this paper, we report our experience in performing the LERV technique in patients with unusual presentations in terms of anatomical difficulty, pregnancy, multiple comorbid diseases, and postlaparotomy. We aim to highlight the effectiveness of the LERV technique in some clinical situations where conventional methods would fail or carry high risks in adequately managing concomitant cholecystocholedocholithiasis. Methods. Four patients diagnosed to have concomitant cholecystocholedocholithiasis with associated difficult presentation or comorbid diseases were treated using the LERV technique. One patient presented with difficult anatomy where ERCP failed at initial attempts. Another patient was pregnant (first trimester. A third patient had complex comorbid diseases (bronchial asthma, hypertension, congestive heart failure, and end-stage renal disease on regular hemodialysis. A fourth patient had previous laparotomy and sigmoidectomy for diverticular disease and had severe hospital phobia. Results. All patients tolerated the LERV technique very well; no intraoperative occurrence was reported. The mean operative time was 86.3±17.2 minutes; mean time of the endoscopic part was 29.4±3.57 minutes. The mean blood loss was 44.3±18.2 mL (range 20–85. Residual stone, postoperative complications, postoperative morbidity, and postoperative mortality were 0 (0%. Postoperative short hospital stay was reported in all patients, average 3 days (range 2–4. Conclusion. LERV procedure is a safe and effective treatment option for the management of concomitant cholecystocholedocholithiasis, even in difficult situations where other methods would fail or carry high risks, or in patients presenting with severe comorbid diseases or pregnancy. This procedure may emerge as an attractive alternative option for high

  4. Laparoendoscopic single-site common bile duct exploration using the manual manipulator.

    Science.gov (United States)

    Shibao, Kazunori; Higure, Aiichiro; Yamaguchi, Koji

    2013-08-01

    Laparoendoscopic single-site (LESS) surgery has developed as a new surgical modality that has increased cosmetic benefits over conventional endoscopic surgery. However, there are no reports about LESS surgery in common bile duct exploration. This report presents a LESS surgery to manage CBD stones by laparoscopic choledochotomy and C-tube placement with favorable outcomes. This retrospective review analyzes 13 patients who underwent LESS CBD exploration with C-tube drainage for choledocholithiasis. The technique is herein described and the outcomes measured. The Radius Surgical System (Tübingen Scientific Medical, Tübingen, Germany) is a flexible manual manipulator that was applied for suturing and ligation to overcome the difficulties associated with LESS surgery. The diameters of the CBDs ranged from 12 to 20 mm, the median number of stones was 5.8, and the median diameter of stones was 9 mm. All of the routine procedures including choledochotomy, intraoperative ultrasound, choledochoscopy, and intraoperative cholangiography guidance were performed. Stone clearance from the CBD was achieved for all but one of the patients. It was possible to close the common bile duct opening with regular forceps, but this required extra effort compared to conventional laparoscopic surgery. On the other hand, the manual manipulator enabled the optimal penetration angle and was useful for both intracorporeal suturing and ligation for the closure of the common bile duct opening. The manual manipulator also helped to overcome in-line viewing and hand/instruments collisions, which are common problems in LESS surgery. No mortality was associated with this procedure, and two wound infections were drained without anesthesia. No recurrent stones were observed during the follow-up period. LESS surgery was successfully applied to CBD exploration as an available alternative to conventional laparoscopic surgery. This method is technically feasible and produces superior cosmetic results

  5. High-Energy-Density Fuel Blending Strategies and Drop Dispersion for Fuel Cost Reduction and Soot Propensity Control

    Science.gov (United States)

    Bellan, J.; Harstad, K.

    1998-01-01

    The idea that low soot propensity of high-energy-density (HED) liquid sooting fuels and cost reduction of a multicomponent energetic fuel can be achieved by doping a less expensive, less sooting liquid fuel with HED is tested through numerical simulations.

  6. 48 CFR 52.215-10 - Price Reduction for Defective Certified Cost or Pricing Data.

    Science.gov (United States)

    2010-10-01

    ... complete, accurate, and current as certified in its Certificate of Current Cost or Pricing Data; (2) A... complete, accurate, and current as certified in the Contractor's Certificate of Current Cost or Pricing... been modified even if accurate, complete, and current certified cost or pricing data had been...

  7. A NOVEL OPTIMIZATION MODEL FOR SIMULTANEOUS COST-RISK REDUCTION IN MULTI-SUPPLIERS JUST-IN-TIME SYSTEMS

    Directory of Open Access Journals (Sweden)

    Faraj El Dabee

    2013-01-01

    Full Text Available In today’s competitive global markets, Just-in-Time (JIT is one of the main lean manufacturing approaches. It is used in organizations to improve performance and reduce costs and as a strategic core capability to ensure their market position. However, using JIT tightly couples various functions of the Supply Chain and increases the risk of propagating disruptions through the entire system. This study presents an ordering strategy for the supply of raw materials to the production system to meet customer satisfaction. A general model for cost-risk reduction is developed embracing multiple external and local backup suppliers. The outcomes from this model will be used to obtimise the simultaneous cost/risk reduction within JIT systems. The effectiveness of the developed model will be validated using a simplified example.

  8. Reduction of computer usage costs in predicting unsteady aerodynamic loadings caused by control surface motions: Analysis and results

    Science.gov (United States)

    Rowe, W. S.; Sebastian, J. D.; Petrarca, J. R.

    1979-01-01

    Results of theoretical and numerical investigations conducted to develop economical computing procedures were applied to an existing computer program that predicts unsteady aerodynamic loadings caused by leading and trailing edge control surface motions in subsonic compressible flow. Large reductions in computing costs were achieved by removing the spanwise singularity of the downwash integrand and evaluating its effect separately in closed form. Additional reductions were obtained by modifying the incremental pressure term that account for downwash singularities at control surface edges. Accuracy of theoretical predictions of unsteady loading at high reduced frequencies was increased by applying new pressure expressions that exactly satisified the high frequency boundary conditions of an oscillating control surface. Comparative computer result indicated that the revised procedures provide more accurate predictions of unsteady loadings as well as providing reduction of 50 to 80 percent in computer usage costs.

  9. Central Plant Optimization for Waste Energy Reduction (CPOWER). ESTCP Cost and Performance Report

    Science.gov (United States)

    2016-12-01

    EW-201349) Central Plant Optimization for Waste Energy Reduction (CPOWER) December 2016 This document has been cleared for public release...Optimization for Waste Energy Reduction (CPOWER) Girija Parthasarathy Honeywell Honeywell - 1985 Douglas Drive North, Golden Valley, MN 55422 ERDC...technology that commands all equipment in a central plant. Central Plant Optimization for Waste Energy Reduction (CPOWER), Building Automation System (BAS

  10. Cardiovascular disease and impoverishment averted due to a salt reduction policy in South Africa: an extended cost-effectiveness analysis.

    Science.gov (United States)

    Watkins, David A; Olson, Zachary D; Verguet, Stéphane; Nugent, Rachel A; Jamison, Dean T

    2016-02-01

    The South African Government recently set targets to reduce cardiovascular disease (CVD) by lowering salt consumption. We conducted an extended cost-effectiveness analysis (ECEA) to model the potential health and economic impacts of this salt policy. We used surveys and epidemiologic studies to estimate reductions in CVD resulting from lower salt intake. We calculated the average out-of-pocket (OOP) cost of CVD care, using facility fee schedules and drug prices. We estimated the reduction in OOP expenditures and government subsidies due to the policy. We estimated public and private sector costs of policy implementation. We estimated financial risk protection (FRP) from the policy as (1) cases of catastrophic health expenditure (CHE) averted or (2) cases of poverty averted. We also performed a sensitivity analysis. We found that the salt policy could reduce CVD deaths by 11%, with similar health gains across income quintiles. The policy could save households US$ 4.06 million (2012) in OOP expenditures (US$ 0.29 per capita) and save the government US$ 51.25 million in healthcare subsidies (US$ 2.52 per capita) each year. The cost to the government would be only US$ 0.01 per capita; hence, the policy would be cost saving. If the private sector food reformulation costs were passed on to consumers, food expenditures would increase by policy could also provide large government savings on health care. © The Author 2015. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine.

  11. Alternatives for operational cost reduction in oil pipelines; Alternativas para reducao de custos energeticos operacionais em oleodutos

    Energy Technology Data Exchange (ETDEWEB)

    Krause, Philipe Barroso; Carneiro, Leonardo Motta; Pires, Luis Fernando Goncalves [Pontificia Universidade Catolica do Rio de Janeiro (SIMDUT/DEM/ PUC-Rio), RJ (Brazil). Dept. de Engenharia Mecancia. Nucleo de Simulacao Termo-Hidraulica de Dutos

    2012-07-01

    This paper intends to give a brief overview of some cost reduction alternatives in oil pipelines, to optimize the pipeline operation. Four different alternatives are presented, based on previous studies made on existing pipelines, to demonstrate the response obtained with these solutions. Pipeline operation, especially on mature ones, tends to have a high operational cost, be by tradition, the aging of the installation, change of operational characteristics - such as nominal flow, product, or even flow direction - for which the pipeline wasn't originally designed. The alternatives showed allow for an increase survival time of the pipeline, without resorting to major changes, such as replacement of pipes or adding pumping stations to the system. The alternative studied varies from no implementation cost to high installation cost or operational cost increase, depending on the system and the alternative chosen. From changing the pump arrays during operation or changing the products viscosity with different blends, that represent virtually no cost to the pipeline operation, to the use of VFDs, with a high installation cost or DRA, which increase the operational cost. (author)

  12. A single-vendor and a single-buyer integrated inventory model with ordering cost reduction dependent on lead time

    Science.gov (United States)

    Vijayashree, M.; Uthayakumar, R.

    2017-03-01

    Lead time is one of the major limits that affect planning at every stage of the supply chain system. In this paper, we study a continuous review inventory model. This paper investigates the ordering cost reductions are dependent on lead time. This study addressed two-echelon supply chain problem consisting of a single vendor and a single buyer. The main contribution of this study is that the integrated total cost of the single vendor and the single buyer integrated system is analyzed by adopting two different (linear and logarithmic) types ordering cost reductions act dependent on lead time. In both cases, we develop effective solution procedures for finding the optimal solution and then illustrative numerical examples are given to illustrate the results. The solution procedure is to determine the optimal solutions of order quantity, ordering cost, lead time and the number of deliveries from the single vendor and the single buyer in one production run, so that the integrated total cost incurred has the minimum value. Ordering cost reduction is the main aspect of the proposed model. A numerical example is given to validate the model. Numerical example solved by using Matlab software. The mathematical model is solved analytically by minimizing the integrated total cost. Furthermore, the sensitivity analysis is included and the numerical examples are given to illustrate the results. The results obtained in this paper are illustrated with the help of numerical examples. The sensitivity of the proposed model has been checked with respect to the various major parameters of the system. Results reveal that the proposed integrated inventory model is more applicable for the supply chain manufacturing system. For each case, an algorithm procedure of finding the optimal solution is developed. Finally, the graphical representation is presented to illustrate the proposed model and also include the computer flowchart in each model.

  13. Insourcing as a Stratagy for Cost Reduction: a Methodology to Identifiy and Mensurate the Supporting Decition Factors

    Directory of Open Access Journals (Sweden)

    Geraldo Magela Ribeiro dos Santos

    2015-08-01

    Full Text Available The 2008, market crisis made the national siderurgy industry reconsider its cost structure in order to maintain its competitiveness. Among the adopted strategies, insourcing was used in order to reduce costs and improve its productive capacity from its people and equipments resulting from declining sales. This research has been developed within this context and has as its objective to quantify the results of this choice. In order to achieve this objective, an insourcing case study of mechanical maintenance at ArcelorMittal Tubarão (AMT was used. Among the main advantages of insourcing at AMT are: the reduction of 24, 41% in maintenance services costs; a reduction in the level of rework and the level of lost time injuries (LTI; increased productivity and the index for available time fulfillment on shutdown. The factors that most contributed for the services insourcing are: collective bargaining agreements of the contractors higher than those of contracting and the incidence of profit, management fees (rates administration and taxes on the cost of labor and benefits to employees. This research also concludes that if the service prices of third parties were only adjusted based upon the inflation index (INPC over the last ten years, the insourcing of services, if viewed from the costs standpoint, would have been unfeasible.

  14. A study on the reduction in the production cost of the long-running collieries and mechanization of coal mining

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-12-01

    The reducing coal market has been enforcing the coal industry to make exceptional rationalization and restructuring efforts since the end of the eighties. To the competition from crude oil and natural gas has been added the growing pressure from rising wages and rising production cost as the workings get deeper. To improve the competitive position of the coal mines against oil and gas through cost reduction, studies to improve mining system have been carried out. This report consists of 3 articles. 1) Mining method, 2) Mechanization of cutting and loading using plough, 3) Analysis and evaluation of the result of 1995`s the mechanization program. (author). 24 refs., tabs., 54 figs.

  15. Evidence for cost reduction based on pre-admission MRSA screening in general surgery

    NARCIS (Netherlands)

    Diller, Ricarda; Sonntag, Anne K; Mellmann, Alexander; Grevener, Knut; Senninger, Norbert; Kipp, Frank; Friedrich, Alexander W

    2008-01-01

    Colonization with methicillin-resistant Staphylococcus aureus (MRSA) is a risk factor for MRSA infection causing increased costs in patient's care and treatment. To evaluate cost efficiency, pre-admission MRSA screening and subsequent MRSA decolonization of patients admitted to the Department of Gen

  16. Reverse Auction: A Potential Strategy for Reduction of Pharmacological Therapy Cost

    Directory of Open Access Journals (Sweden)

    Sara Michelly Gonçalves Brandão

    2015-01-01

    Full Text Available Background: Polypharmacy is a significant economic burden. Objective: We tested whether using reverse auction (RA as compared with commercial pharmacy (CP to purchase medicine results in lower pharmaceutical costs for heart failure (HF and heart transplantation (HT outpatients. Methods: We compared the costs via RA versus CP in 808 HF and 147 HT patients followed from 2009 through 2011, and evaluated the influence of clinical and demographic variables on cost. Results: The monthly cost per patient for HF drugs acquired via RA was $10.15 (IQ 3.51-40.22 versus $161.76 (IQ 86.05‑340.15 via CP; for HT, those costs were $393.08 (IQ 124.74-774.76 and $1,207.70 (IQ 604.48-2,499.97, respectively. Conclusion: RA may reduce the cost of prescription drugs for HF and HT, potentially making HF treatment more accessible. Clinical characteristics can influence the cost and benefits of RA. RA may be a new health policy strategy to reduce costs of prescribed medications for HF and HT patients, reducing the economic burden of treatment.

  17. Management of pediatric and adolescent adnexal masses by gasless laparoendoscopic single-site surgery.

    Science.gov (United States)

    Takeda, Akihiro; Imoto, Sanae; Nakamura, Hiromi

    2014-10-01

    To evaluate the safety and feasibility of gasless transumbilical laparoendoscopic single-site (LESS) surgery for the management of adnexal masses in pediatric and adolescent girls aged 19 years or younger. Retrospective study of 28 pediatric and adolescent girls each undergoing gasless LESS surgery and gasless multiport laparoscopic surgery for adnexal masses. In each case, laparoscopic surgery was performed by the abdominal-wall lift method under endotracheal general anesthesia. The two groups were compared for their patient demographics and surgical outcome measures. In the LESS surgery group, median age of the patients including three pre-menarcheal girls was 17.5 years. The most common symptom was abdominal pain. Median tumor diameter in the LESS surgery group was 7.4cm. There were no statistical differences in clinical features between LESS surgery and multiport laparoscopic surgery groups. In the LESS surgery group, adnexal masses were managed by unilateral cystectomy (n=20), unilateral salpingo-oophorectomy (n=5), bilateral cystectomy (n=2), and unilateral salpingectomy (n=1). Emergency LESS surgery was performed for seven cases due to adnexal torsion and one case due to cyst rupture. Preservation of affected ovary was not achieved in three emergency cases with adnexal torsion due to severe necrosis, and in one case each of recurrent mucinous cystadenoma and huge mucinous cystadenoma. In 24 adnexal masses from 22 girls who received adnexal cystectomy by LESS surgery, LESS-assisted extracorporeal cystectomy, was possible in 14 masses while intracorporeal cystectomy was required in other 10. In a case of dermoid cyst managed by LESS-assisted extracorporeal cystectomy, additional hemostasis was required by intracorporeal suturing due to laceration of utero-ovarian ligament. Median-excised tissue weight in the LESS surgery group was 111g. Significant differences between LESS surgery and multiport laparoscopic surgery groups were not noted in surgical outcomes

  18. Understanding the determinants of the complex interplay between cost-effectiveness and equitable impact in maternal and child mortality reduction

    Directory of Open Access Journals (Sweden)

    Mickey Chopra

    2012-06-01

    Full Text Available One of the most unexpected outcomes arising from the efforts towards maternal and child mortality reduction is that all too often the objective success has been coupled with increased inequity in the population. The aim of this study is to analyze the determinants of the complex interplay between cost-effectiveness and equity and suggest strategies that will promote an impact on mortality that reduce population child health inequities.

  19. COST ANALYSIS IN CONSTRUCTION OF UNDERGROUND MINING STRUCTURES AND OPPORTUNITIES FOR THEIR REDUCTION

    Directory of Open Access Journals (Sweden)

    Nikolinka Doneva

    2015-12-01

    Full Text Available The construction of underground mining facilities is of essential importance to the exploitation of mineral resources. Confirmation of this is the fact that the construction costs of main facilities occupy 40-60% of the underlying investments in the main construction and equipping. The main underground mining facilities are: shafts, drifts, raise, pump chambers, warehouses etc. This paper presents detailed analysis of underground mining facility - drift construction costs per individual working operations, following their change which depends on the rock type and profile size of underground mining facility, as well as possibilities of reducing these costs.

  20. Dietary fibre intakes and reduction in functional constipation rates among Canadian adults: a cost-of-illness analysis

    Directory of Open Access Journals (Sweden)

    Mohammad M. H. Abdullah

    2015-12-01

    Full Text Available Background: Evidence-based research highlights beneficial impacts of dietary fibre on several aspects of the gut pathophysiology that are accompanied by a considerable financial burden in healthcare services. Recommended intakes of dietary fibre may thus associate with financial benefits at a population level. Objective: We sought to systematically assess the potential annual savings in healthcare costs that would follow the reduction in rates of functional constipation and irregularity with increased dietary fibre intakes among Canadian adults. Design: A cost-of-illness analysis was developed on the basis of current and recommended levels of fibre intake in Canada, constipation reduction per 1 g fibre intake, proportion of adults who are likely to consume fibre-rich diets, and population expected to respond to fibre intake. Sensitivity analyses covering a range of assumptions were further implemented within the economic simulation. Results: Our literature searches assumed a 1.8% reduction in constipation rates with each 1 g/day increase in fibre intake. With intakes corresponding to the Institute of Medicine's adequate levels of 38 g/day for men and 25 g/day for women, among 5 and 100% of the adult populations, anywhere between CAD$1.5 and CAD$31.9 million could be saved on constipation-related healthcare costs annually. Each 1 g/day increase in dietary fibre was estimated to result in total annual healthcare cost savings that ranged between CAD$0.1 and CAD$2.5 million. Conclusions: The present research suggests an economic value of increasing dietary fibre intake beyond its well-known health benefits. Healthy-eating behaviours consistent with the recommended intakes of dietary fibre by the general public should hence be advocated as a practical approach for reducing costs associated with the management of constipation in Canada.

  1. Cost Reduction of IMM Solar Cells by Recycling Substrates using Wet Chemical Etching Project

    Data.gov (United States)

    National Aeronautics and Space Administration — This program focuses on reducing the cost of substrate reclaim for high-efficiency solar cells fabricated via an epitaxial lift-off (ELO) process, while increasing...

  2. Cost Reduction of IMM Solar Cells by Recycling Substrates Using Wet Chemical Etching Project

    Data.gov (United States)

    National Aeronautics and Space Administration — The goal of the program is to reduce the cost of substrate reclaim for high-efficiency solar cells fabricated by an epitaxial lift-off (ELO) process, and to increase...

  3. Cost reductions in absorption chillers. Final report, June 1984-May 1985

    Energy Technology Data Exchange (ETDEWEB)

    Leigh, R.W.

    1986-05-01

    Absorption chillers have great difficulty competing with the electric-driven compression alternative, due in part to modest operating efficiencies and largely to high first costs. This project is an assessment of the possibility of lowering the costs of absorption chillers dramatically by the use of low material intensity in the design of a new generation of these machines. Breakeven costs for absorption chillers, their heat exchangers and heat exchanger materials were established which will allow commercial success. Polymeric and metallic materials appropriate to particular components and which meet the cost goals were identified. A subset of these materials were tested and ordered by success in tolerating conditions and materials found in absorption chiller applications. Conceptual designs which indicate the practicality of the low material intensity approach were developed. The work reported here indicates that there is a high probability that this apporach will be successful.

  4. OPTIMIZATION METHOD AND SOFTWARE FOR FUEL COST REDUCTION IN CASE OF ROAD TRANSPORT ACTIVITY

    Directory of Open Access Journals (Sweden)

    György Kovács

    2017-06-01

    Full Text Available The transport activity is one of the most expensive processes in the supply chain and the fuel cost is the highest cost among the cost components of transportation. The goal of the research is to optimize the transport costs in case of a given transport task both by the selecting the optimal petrol station and by determining the optimal amount of the refilled fuel. Recently, in practice, these two decisions have not been made centrally at the forwarding company, but they depend on the individual decision of the driver. The aim of this study is to elaborate a precise and reliable mathematical method for selecting the optimal refuelling stations and determining the optimal amount of the refilled fuel to fulfil the transport demands. Based on the elaborated model, new decision-supporting software is developed for the economical fulfilment of transport trips.

  5. Potential Cost Savings Associated with a Reduction of Stress Fractures among US Army Basic Trainees

    Science.gov (United States)

    1984-07-01

    ANEMIA 1 22 2953 SCHIZOPH~RENIA9 3 PARANOID TYPE 23 2954? ACUTE S:HIZDPHPE-N- 9 IC EPTS~jE 24 2956 RESIDUAL SC-lZ>D PHRENI A 25 2959 SCHIZO)Pw~RE-:%A NOS1...1-3 (Rec Sta). d. INDIRECT COSTS. Items 8-10 (ATC) and Items 5-7 (Rec Sta) are explained below. These costs consist of a pro rata share of base

  6. Use of Aggregate Emission Reduction Cost Functions in Designing Optimal Regional SO2 Abatement Strategies

    OpenAIRE

    Mariam, Yohannes; Barre, Mike; Molburg, John

    1997-01-01

    The 1990 Canadian long-range transport of air pollutants and acid deposition report divided North America into 40 sources of emission and 15 sensitive receptor sites. For the purpose of national policy making and international negotiation, the use of these large sources and few receptors may prove adequate. Due to inadequate information regarding cost of reducing emissions from each point source, it was felt necessary to design a method to generate cost functions for emission regions. T...

  7. Cost-effective reductions of PM2.5 concentrations and exposure in Italy

    Science.gov (United States)

    Ciucci, A.; D'Elia, I.; Wagner, F.; Sander, R.; Ciancarella, L.; Zanini, G.; Schöpp, W.

    2016-09-01

    In recent years several European air pollution policies have been based on a cost-effectiveness approach. In the European Union, the European Commission starts using the multi-pollutant, multi-effect GAINS (Greenhouse Gas Air Pollution Interactions and Synergies) model to identify cost-effective National Emission Ceilings and specific emission control measures for each Member State to reach these targets. In this paper, we apply the GAINS methodology to the case of Italy with 20 subnational regions. We present regional results for different approaches to environmental target setting for PM2.5 pollution in the year 2030. We have obtained these results using optimization techniques consistent with those of GAINS-Europe, but at a higher resolution. Our results show that an overall health-impact oriented approach is more cost-effective than setting a nation-wide limit value on ambient air quality, such as the one set for the year 2030 by the European Directive on ambient air quality and cleaner air for Europe. The health-impact oriented approach implies additional emission control costs of 153 million €/yr on top of the baseline costs, compared to 322 million €/yr for attaining the nation-wide air quality limit. We provide insights into the distribution of costs and benefits for regions within Italy and identify the main beneficiaries of a health-impact approach over a limit-value approach.

  8. Reduction of fuel side costs due to biomass co-combustion.

    Science.gov (United States)

    Wils, Andrea; Calmano, Wolfgang; Dettmann, Peter; Kaltschmitt, Martin; Ecke, Holger

    2012-03-15

    The feasibility and influence of co-combustion of woody biomass on the fuel side costs is discussed for three hard coal power plants located in Berlin, Germany. Fuel side costs are defined as the costs resulting from flue gas cleaning and by-products. To have reliable data, co-firing tests were conducted in two power plants (i.e., slag tap furnace and circulating fluidising bed combustion). The amount of wood which was co-fired varied at levels below 11% of the fuel heat input. Wood chips originating from landscape management were used. The analyses show that co-combustion of woody biomass can lower the fuel side costs and that the co-combustion at a level below 10% of the thermal capacity is technically feasible without major problems. Furthermore, a flexible spreadsheet tool was developed for the calculation of fuel side costs and suggestions for operational improvements were made. For example, the adaptation of the Ca/S ratio (mass ratio of calcium in limestone to sulphur in the fuel) in one plant could reduce the fuel side costs up to 135 k€ yr(-1) (0.09 €M Wh(-1)).

  9. Summary Report of Advanced Hydropower Innovations and Cost Reduction Workshop at Arlington, VA, November 5 & 6, 2015

    Energy Technology Data Exchange (ETDEWEB)

    O' Connor, Patrick [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Rugani, Kelsey [Kearns & West, Inc., San Francisco, CA (United States); West, Anna [Kearns & West, Inc., San Francisco, CA (United States)

    2016-03-01

    On behalf of the U.S. Department of Energy (DOE) Wind and Water Power Technology Office (WWPTO), Oak Ridge National Laboratory (ORNL), hosted a day and half long workshop on November 5 and 6, 2015 in the Washington, D.C. metro area to discuss cost reduction opportunities in the development of hydropower projects. The workshop had a further targeted focus on the costs of small, low-head1 facilities at both non-powered dams (NPDs) and along undeveloped stream reaches (also known as New Stream-Reach Development or “NSD”). Workshop participants included a cross-section of seasoned experts, including project owners and developers, engineering and construction experts, conventional and next-generation equipment manufacturers, and others to identify the most promising ways to reduce costs and achieve improvements for hydropower projects.

  10. U-AVLIS feed conversion using continuous metallothermic reduction of UF{sub 4}: System description and cost estimate

    Energy Technology Data Exchange (ETDEWEB)

    1994-04-01

    The purpose of this document is to present a system description and develop baseline capital and operating cost estimates for commercial facilities which produced U-Fe feedstock for AVLIS enrichment plants using the continuous fluoride reduction (CFR) process. These costs can then be used together with appropriate economic assumptions to calculate estimated unit costs to the AVLIS plant owner (or utility customer) for such conversion services. Six cases are being examined. All cases assume that the conversion services are performed by a private company at a commercial site which has an existing NRC license to possess source material and which has existing uranium processing operations. The cases differ in terms of annual production capacity and whether the new process system is installed in a new building or in an existing building on the site. The six cases are summarized here.

  11. The Comparison of Mode Choice Sensitivity to the Reduction of Travel Time and Cost in Multimodal Trip

    Directory of Open Access Journals (Sweden)

    Mohammad Ganji

    2013-07-01

    Full Text Available Nowadays, with the extension of travel distances and accessibility to the various commuting options, multimodal trip proposes as the most competent travelling strategy. However, with increasing in demand by using these options as well as metro, subway, buses, cycles and sidewalk, some problems arose. The import of this quantitative study is to sympathize with the significance of the multimodal as a novel factor in the transportation. In this study, we discussed about cost and time as two significant factors, which affect everybody's life. While improving these two factors have a meaningful effect on encouraging/discouraging private vehicle commuters to switch to public transport. The methodology of this study is an empirical research in which a survey was conducted among the students at The National University of Malaysia with a numeric sample. Hence, a case study based on areas around UKM campus is used to demonstrate the results. What were investigated in this study were the attributes of a reduction in either travel cost or time to promote people who use their own vehicles to shift toward public transportation. The results show that the two factors: time and cost made a significant contribution in motivating private vehicle users to switch public transport. However, the most important purpose of this study was determining the most effective factor (at least based on our condition since it's not practically possible to have the travel time and cost reduction together.

  12. The Learning Curve of Transareola Single-site Laparoendoscopic Thyroidectomy: CUSUM Analysis of a Single Surgeon’s Experience

    Science.gov (United States)

    Zhu, Guanghui; Zhang, Xueli; Tang, Zhiqiang; Tan, Zhanhai; Chen, Jianrong

    2016-01-01

    Background: Transareola single-site laparoendoscopic thyroidectomy (TASSET) is a rapidly advancing minimally invasive procedure. The purpose of this study was to evaluate the learning curve for TASSET. Subjects and Methods: Forty-five consecutive patients were prospectively divided into group 1 (initial phase), group 2 (intermediate phase), and group 3 (advanced phase) according to their surgical order (15 patients in each group). The operative time, operative blood loss, duration of hospital stay, postoperative pain, and postoperative complications were compared using phases. Results: Statistically significant differences were observed in the different learning phases, among operative time (P<0.05), operative blood loss (P<0.05), hospital stay (P<0.05), and postoperative pain (P<0.05). The postoperative complication rate was low (3/45). Conclusions: Learning curve of the TASSET are improved synchronized at different phases and technical indicators. The establishment of operative space take longer time to skilled master. PMID:27552376

  13. Current status of natural orifice trans-endoscopic surgery (NOTES and laparoendoscopic single site surgery (LESS in urologic surgery

    Directory of Open Access Journals (Sweden)

    Rafael E. Sanchez-Salas

    2010-08-01

    Full Text Available Laparoendoscopic single site surgery (LESS and natural orifice transluminal endoscopic surgery (NOTES represent novel approaches in urological surgery. To perform a review of the literature in order describe the current status of LESS and NOTES in Urology. References for this manuscript were obtained by performing a review of the available literature in PubMed from 01-01-02 to 15-05-09. Search terms included single port, single site, NOTES, LESS and single incision. A total of 412 manuscripts were initially identified. Out of these, 64 manuscripts were selected based in their urological content. The manuscript features subheadings for experimental and clinical studies, as NOTES-LESS is a new surgical technique and its future evolution will probably rely in initial verified feasibility. A subheading for reviews presents information regarding common language and consensus for the techniques. The issue of complications published in clinical series and the future needs of NOTES-LESS, are also presented.

  14. Cost-Effectiveness Analysis of Surface Flow Constructed Wetlands (SFCW) for Nutrient Reduction in Drainage Discharge from Agricultural Fields in Denmark.

    Science.gov (United States)

    Gachango, F G; Pedersen, S M; Kjaergaard, C

    2015-12-01

    Constructed wetlands have been proposed as cost-effective and more targeted technologies in the reduction of nitrogen and phosphorous water pollution in drainage losses from agricultural fields in Denmark. Using two pig farms and one dairy farm situated in a pumped lowland catchment as case studies, this paper explores the feasibility of implementing surface flow constructed wetlands (SFCW) based on their cost effectiveness. Sensitivity analysis is conducted by varying the cost elements of the wetlands in order to establish the most cost-effective scenario and a comparison with the existing nutrients reduction measures carried out. The analyses show that the cost effectiveness of the SFCW is higher in the drainage catchments with higher nutrient loads. The range of the cost effectiveness ratio on nitrogen reduction differs distinctively with that of catch crop measure. The study concludes that SFCW could be a better optimal nutrients reduction measure in drainage catchments characterized with higher nutrient loads.

  15. [Evaluation of drug cost reduction resulting from the free supply of investigational drugs].

    Science.gov (United States)

    Corvaisier, Stéphane; Ferry, Serge; Rochefort, Françoise

    2003-01-01

    Excluding all other costs or benefits of participation in clinical trials, the objective of this study was to evaluate and analyse the cost avoidance represented by the free supply of the investigational drug in place of paying for a marketed drug. The cost avoided was defined as money that would most likely have been spent, but not because of inclusion of the patient in the clinical study. Only studies for which a marketed alternative drug was available with a standard dosage have been analysed. The numbers of delivered doses or the treatment durations were tabulated from pharmacy dispensing records for each study, and were used to calculate the medication cost avoided. No marketed alternative drug was available for 10 of 56 clinical studies. In total, in 2000, the cost avoidance was estimated between [symbol: see text] 585,492 and [symbol: see text] 603,674, with a wide variability between studies or between patients (CV: 120-520%). The two disease categories associated with the largest cost avoidance were multiple sclerosis and growth hormone deficiency. The cost avoidance was essentially of benefit to the medical insurance or the patient (98%) and was lower than [symbol: see text] 10,000 for the hospital, because 91% of patients are not hospitalised. So, why are clinical studies involving ambulatory patients performed in hospital? Of the 56 studies analysed, 46 could be shown to be non-innovative, because a marketed alternative drug was available. Few studies appeared to permit free access to treatment with non-reimbursable marketed drugs.

  16. A study on effect of outsourcing on cost reduction: A case study of tile industry

    Directory of Open Access Journals (Sweden)

    Amir Reza Shirzadeh

    2014-01-01

    Full Text Available During the past few decades, many organizations have attempted to reduce their costs through outsourcing of non-value added activities. This paper presents an empirical investigation to find important factors on reducing production expenses through outsourcing activities. The proposed study of this paper designs a questionnaire in Likert scale consists of 19 questions and distributes it among some experts. Using structural equation modeling, the study investigates different variables and the results indicate that outsourcing could reduce the production cost through time, inventory and human resources. The implementation of Freedman for ranking these factors indicate that time played the most influential factor followed by inventory and human resources. The results of structural equation modeling indicate that there are some positive and meaningful relationship between human capital and cost (β=0.78, t-value = 9.38, a positive and meaningful relationship between inventory and cost (β=0.81, t-value=10.54 and a positive and meaningful relationship between time and cost (β=0.89, t-value = 11.26.

  17. [Rational prescribing and cost reduction in the treatment of arterial hypertension: a simulation exercise].

    Science.gov (United States)

    Bonet, A; Gosalbes, V; Fito, M; Navarro, J

    2001-01-01

    Cost of antihypertensive drugs in Spain raises 100.000 millions of pesetas. The utilization of new drugs more expensive than classics diuretics and beta blockers is the main reason of this cost increase.The Joint National Commission on Hypertension 6th Report supports the utilization of diuretics and beta blockers as the first choice in patients without any special condition, based in their best efficience. Other professional group don't point out any therapeutic drugs because each of them have their indication. Health authorities have implemented measures intended more to achieve savings than to improve prescriptions. There are not any studies which demonstrate that the second type of measures are more efficient than first one. To realize an economic evaluation, of a program of blood hypertension treatment taking and not taking into account the The Joint National Commission on Hypertension 6th Report. Descriptive, prescription-indication study. Cost minimization. Health center from Valencia (Spain). Three hundred and thirteen patients were studied, randomly selected. Three strategy of cost decrease were considered: a) same prescription profile using the cheapest drugs, b) change of profile taken into account JNC-VI recommendations using the original drugs, and c) second option, but using the cheapest drugs. Ninety seven percent of diuretics had specific indications, 84% of beta blockers, 64.5% of IECAS, 31.6% of alfa blockers and 13% de calcium channel blockers. Diuretics were counter-indicated in 3.5% of patients, beta blockers in 10.5%, and both in 3.1%. Total cost of the unmodifed prescription was 12.412.839 pesetas, cost of the first strategy was 10.067.107, of the second 5.311.783 pesetas and of the third 1.999.094 pesetas. Our prescription profile don't follow JNC VI recommendations and this is not justified on indications or counterindications of diuretics and beta blockers. Following JNC VI is more efficient than looking only for the cheapest drug.

  18. Complexity Management - A multiple case study analysis on control and reduction of complexity costs

    DEFF Research Database (Denmark)

    Myrodia, Anna

    of products, with features more custom-made to cover individual needs, both regarding characteristics of products and support services. This necessity leads to a considerable increase of the complexity in the company, which affects the product portfolio, production and supply chain, market segments...... product and process complexity. The possible factors for describing this correlation are identified and defined as complexity cost factors (CCFs). By identifying the CCFs this research intends to analyze the most relevant processes where the complexity and cost are directly related to the complexity...

  19. Prospects for cost reductions from relaxing additional cross-border measures related to livestock trade

    NARCIS (Netherlands)

    Hop, G.E.; Mourits, M.C.M.; Slager, R.; Oude Lansink, A.G.J.M.; Saatkamp, H.W.

    2013-01-01

    Compared with the domestic trade in livestock, intra-communal trade across the European Union (EU) is subject to costly, additional veterinary measures. Short-distance transportation just across a border requires more measures than long-distance domestic transportation, while the need for such addit

  20. The hidden costs of fossil power generation in Indonesia: A reduction approach through low carbon society

    Directory of Open Access Journals (Sweden)

    Muhammad Ery Wijaya

    2010-03-01

    Full Text Available Energy production and consumption is always accompanied with environmental and societal issues. Electricity as onefinal energy form plays an important role in people’s activities. However, the electric utilities have focused on producingelectricity in abundance and with an affordable price. The production of electricity results in undesirable emissions and environmental effects called externalities. This paper assesses the externality cost of electricity production in Indonesia by using the life cycle inventory analysis approach. In 2025, the results show that the total external costs according to the government plan are 42 billion US$. In addition, low carbon society behavior will be introduced into the Indonesian society to reducethe externality cost in the long term Indonesian electricity expansion planning. The results of low carbon society actionsshow that in the long term the Indonesian electricity expansion planning of 34.6 TWh of electricity demand and 7.3 GW of installed capacity can be reduced from these actions. Finally, at the end of the period, these actions are successful, and reducing the total external cost by 2 billion US$.

  1. Aiming for cost reduction at Tepco's Kashiwazaki-Kariwa BWR

    Energy Technology Data Exchange (ETDEWEB)

    Kawahito, T.; Seko, T. (Tokyo Electric Power Co., Inc. (Japan))

    1984-08-01

    Tokyo Electric Power Company's Kashiwazaki-Kariwa units 2 and 5 will be the first BWRs fully to incorporate all the benefits of the second phase of Japan's systematic reactor improvement programme. A large number of technical innovations are being implemented to reduce construction times, increase productivity and lower costs.

  2. Low cost Czochralski crystal growing technology. Near implementation of the flat plate photovoltaic cost reduction of the low cost solar array project

    Science.gov (United States)

    Roberts, E. G.

    1980-01-01

    Equipment developed for the manufacture of over 100 kg of silicon ingot from one crucible by rechanging from another crucible is described. Attempts were made to eliminate the cost of raising the furnace temperature to 250 C above the melting point of silicon by using an RF coil to melt polycrystalline silicon rod as a means of rechanging the crucible. Microprocessor control of the straight growth process was developed and domonstrated for both 4 inch and 6 inch diameter. Both meltdown and melt stabilization processes were achieved using operator prompting through the microprocessor. The use of the RF work coil in poly rod melting as a heat sink in the accelerated growth process was unsuccessful. The total design concept for fabrication and interfacing of the total cold crucible system was completed.

  3. Cost and value of pathogen reduction for land application of sludges

    Energy Technology Data Exchange (ETDEWEB)

    Sivinski, H.D.; Morris, M.E.

    1978-03-01

    This paper discusses the general pressures that are forcing sewage sludge managers to reconsider land application of sludges where it is not already used; presents the cost of using gamma-radiation from the isotope cesium-137 for sludge disinfection; and documents the economic and social pressures that could compel a city such as Washington, D.C. to disinfect its compost before sale. Washington was chosen as an example because it is a city for which suitable compost marketing data are readily available. With these data it is reasonably straightforward to document the costs and benefits of radiation processing. The economic and social pressures that affect Washington are probably similar to those in many other areas where the radiation disinfection of dried sludge could provide the same disposal options.

  4. Reliability improvements and cost reductions through the innovative use of materials and processes

    Energy Technology Data Exchange (ETDEWEB)

    Khan, A.; Reid, D.; Chiovelli, S. [Syncrude Canada Ltd., Edmonton, AB (Canada)

    1998-09-01

    Syncrude has an annual maintenance budget of about $350 million. Most repairs are driven by material degradation which in most cases is predictable. One way to reduce repair costs is to address the damage mechanisms which result in the required maintenance. This can be done through emerging technologies such as: (1) bi-metallic and composite castings for wear resistance in double roll crushers and feeder breaker wear components, (2) new manufacturing processes for hydrotransport screens, (3) structural repairs through the use of fiber composite materials, (4) improved pump life through surface modifications and coatings, and (5) a user friendly materials database. A series of case studies are described to show how maintenance costs can be reduced and reliability improved through the innovative use of materials and processes. 3 refs., 4 tabs., 19 figs.

  5. CNS development of health maintenance programs: quality improvement and cost reduction.

    Science.gov (United States)

    Mullin, M H; Opperwall, B C; White, S L

    1995-01-01

    Several outpatient health maintenance programs were developed by CNSs that resulted in quality improvement and cost savings. Common implementation strategies, barriers to implementation, marketing issues and techniques, and revenue generation issues were found. An outpatient consultation model was used to expand enterostomal therapy and diabetic teaching services. Education and support programs include a cardiac support group and community education classes on aging. Preadmission programs include physical therapy consultation for patients scheduled for elective orthopedic surgery. Outpatient programs facilitate continuity of care in a managed care format, promote cost savings, and provide unique services that encourage patients to return to our hospital, thereby increasing market share. Key barriers encountered include inconsistent or ambiguous administrative support, budgetary constraints, lack of collaboration, communication problems, facility limitations, funding considerations, resource allocation, and territoriality. The programs are consistent with the change in focus of health care from treatment to prevention.

  6. Cost-effective reduction of eutrophication in the Gulf of Kalloni (Island of Lesvos, Greece

    Directory of Open Access Journals (Sweden)

    B. ZANOU

    2012-12-01

    Full Text Available This study presents a cost-effective analysis by comparing the costs of measures (options to improve the quality of bathing waters in the Gulf of Kalloni (island of Lesvos, Greece in order to reduce the anthropogenic eutrophication in the coastal water of the Kalloni Gulf.The Gulf of Kalloni is a semi-enclosed gulf (115 km2 which receives municipal wastewater, agricultural activity drainage, and at times sewage from olive oil plants processing the local olives harvest. The area of study consists of the coastal waters and the river basin of which water run-off drains into the gulf. Four options are comparable in their environmental effectiveness to reduce eurtophication damages which are: municipal wastewater treatment plant, construction of dams, organic farming plus training and olive oil wastewater treatment plant.

  7. PowerFilm PowerShade Fixed Site Solar System Cost Reduction Plan

    Science.gov (United States)

    2014-07-31

    years lifetime in the field. The life-cycle costs could be reduced significantly when this lifetime is increased to ten years. The photovoltaic ...design and improved manufacturing processes and flows. Improving the performance of the photovoltaic has the same impact by effectively increasing...elements of the PowerShade were fully redesigned for Generation II. This includes moving to double wide panels , 24 V operating voltages which

  8. Reduction of Baltic Sea Nutrient Inputs and Allocation of Abatement Costs Within the Baltic Sea Catchment

    OpenAIRE

    Wulff, Fred; Andersen, Hans Estrup; Blicher-Mathiesen, Gitte; Czajkowski, Mikolaj; Elofsson, Katarina; Fonnesbech-Wulff, Anders; Hasler, Berit; Humborg, Christoph; Hong, Bongghi; Jansons, Viestur; Mörth, Carl-Magnus; Thodsen, Hans; Smart, James C. R.; Smedberg, Erik; Stålnacke, Per

    2014-01-01

    The Baltic Sea Action Plan (BSAP) requires tools to simulate effects and costs of various nutrient abatement strategies. Hierarchically connected databases and models of the entire catchment have been created to allow decision makers to view scenarios via the decision support system NEST. Increased intensity in agriculture in transient countries would result in increased nutrient loads to the Baltic Sea, particularly from Poland, the Baltic States, and Russia. Nutrient retentions are high, wh...

  9. Laparoendoscopic single-site donor nephrectomy (LESS-DN) versus standard laparoscopic donor nephrectomy.

    Science.gov (United States)

    Gupta, Ameet; Ahmed, Kamran; Kynaston, Howard G; Dasgupta, Prokar; Chlosta, Piotr L; Aboumarzouk, Omar M

    2016-05-27

    Advances in minimally invasive surgery for live kidney donors have led to the development of laparoendoscopic single site donor nephrectomy (LESS-DN). At present, laparoscopic donor nephrectomy is the technique of choice for donor nephrectomy globally. Compared with open surgical approaches, laparoscopic donor nephrectomy is associated with decreased morbidity, faster recovery times and return to normal activity, and shorter hospital stays. LESS-DN differs from standard laparoscopic donor nephrectomy; LESS-DN requires a single incision through which the procedure is performed and donor kidney is removed. Previous studies have hypothesised that LESS-DN may provide additional benefits for kidney donors and stimulate increased donor rates. This review looked at the benefits and harms of LESS-DN compared with standard laparoscopic nephrectomy for live kidney donors. We searched the Cochrane Kidney and Transplant's Specialised Register to 28 January 2016 through contact with the Information Specialist using search terms relevant to this review. We included randomised controlled trials (RCTs) that compared LESS-DN with laparoscopic donor nephrectomy in adults. Three authors independently assessed studies for eligibility and conducted risk of bias evaluation. Summary estimates of effect were obtained using a random-effects model and results were expressed as risk ratios (RR) or risk difference (RD) and their 95% confidence intervals (CI) for dichotomous outcomes, and mean difference (MD) and 95% CI for continuous outcomes. We included three studies (179 participants) comparing LESS-DN with laparoscopic donor nephrectomy. There were no significant differences between LESS-DN and laparoscopic donor nephrectomy for mean operative time (2 studies, 79 participants: MD 6.36 min, 95% CI -11.85 to 24.57), intra-operative blood loss (2 studies, 79 participants: MD -8.31 mL, 95% CI -23.70 to 7.09), or complication rates (3 studies, 179 participants: RD 0.05, 95% CI -0.04 to 0

  10. Wind turbine noise reduction. An indicative cost estimation; Sanering windturbinegeluid. Een indicatieve raming van kosten

    Energy Technology Data Exchange (ETDEWEB)

    Verheijen, E.N.G.; Jabben, J.

    2011-11-15

    Since the 1st of January 2011 new rules apply for wind turbine noise. The rules include a different calculation method and different noise limits, intended for new wind turbines. In order to tackle noise annoyance from existing wind turbines the government is considering to set up a abatement operation, for which a cost estimate is given in this study. At an abatement limit of 47 decibel L{sub den} (Level day-evening-night) approximately 450 dwellings would be eligible for noise remediation. The costs of this operation are estimated at 4.9 million euro. However, in many of these cases the wind turbine is probably owned by the respective residents. It is possible that public funds for noise remediation will not be allocated to the owners of dwellings that directly profit from the turbines. If these cases are excluded, the abatement operation would cover 165 to 275 dwellings with estimated costs for remediation of 1.6 to 2.6 million euro. A tentative cost-benefit analysis suggests that noise remediation will be cost effective in most situations. This means that the benefits of reduced annoyance or sleep disturbance are in balance with the cost of remediation. Only for the small group of wind turbines that are in use for over fifteen years, remediation will not be cost effective. These wind turbines are nearing the end of their lifespan and are therefore ignored in the above estimates. [Dutch] Sinds 1 januari 2011 zijn nieuwe regels rond windturbinegeluid van kracht. Bij de nieuwe regelgeving hoort een andere berekeningsmethode en normstelling, bedoeld voor nieuw te plaatsen windturbines. Voor de aanpak van de geluidhinder door bestaande windturbines overweegt de overheid een saneringsoperatie op te zetten, waarvoor in dit onderzoek een kostenraming wordt gegeven. Bij een saneringsgrenswaarde van 47 decibel zouden ongeveer 450 woningen voor sanering in aanmerking komen. De kosten voor sanering daarvan worden geschat op 4,9 miljoen euro. Bij een groot deel van deze

  11. A Stackelberg Game Approach in an Integrated Inventory Model with Carbon-Emission and Setup Cost Reduction

    Directory of Open Access Journals (Sweden)

    Biswajit Sarkar

    2016-12-01

    Full Text Available This paper formulates an integrated inventory model that allows Stackelberg game policy for optimizing joint total cost of a vendor and buyer system. After receiving the lot, the buyer commences an inspection process to determine the defective items. All defective items the buyer sends to vendor during the receiving of the next lot. Due to increasing number of shipments fixed and variable transportation, as well as carbon emissions, are considered, which makes the model sustainable integrated model forever. To reduce the setup cost for the vendor, a discrete setup reduction is considered for maximization more profit. The players of the integrated model are with unequal power (as leader and follower and the Stackelberg game strategy is utilized to solve this model for obtaining global optimum solution over the finite planning horizon. An illustrative numerical example is given to understand this model clearly.

  12. Mobile app self-care versus in-office care for stress reduction: a cost minimization analysis.

    Science.gov (United States)

    Luxton, David D; Hansen, Ryan N; Stanfill, Katherine

    2014-12-01

    We calculated the cost of providing stress reduction care with a mobile phone app (Breathe2Relax) in comparison with normal in-person care, the standard method for managing stress in military and civilian populations. We conducted a cost-minimization analysis. The total cost to the military healthcare system of treating 1000 patients with the app was $106,397. Treating 1000 patients with in-office care cost $68,820. Treatment using the app became less expensive than in-office treatment at approximately 1600 users. From the perspective of the civilian healthcare system, treatment using the app became less expensive than in-office treatment at approximately 1500 users. An online tool was used to obtain data about the number of app downloads and usage sessions. A total of 47,000 users had accessed the app for 10-30 min sessions in the 2.5 years since the release of the app. Assuming that all 47,000 users were military beneficiaries, the savings to the military healthcare system would be $2.7 million; if the 47,000 users were civilian, the savings to the civilian healthcare system would be $2.9 million. Because of the large number of potential users, the total societal savings resulting from self-care using the app may be considerable.

  13. Nash and integrated solutions in a just-in-time seller-buyer supply chain with buyer's ordering cost reductions

    Science.gov (United States)

    Lou, Kuo-Ren; Wang, Lu

    2016-05-01

    The seller frequently offers the buyer trade credit to settle the purchase amount. From the seller's prospective, granting trade credit increases not only the opportunity cost (i.e., the interest loss on the buyer's purchase amount during the credit period) but also the default risk (i.e., the rate that the buyer will be unable to pay off his/her debt obligations). On the other hand, granting trade credit increases sales volume and revenue. Consequently, trade credit is an important strategy to increase seller's profitability. In this paper, we assume that the seller uses trade credit and number of shipments in a production run as decision variables to maximise his/her profit, while the buyer determines his/her replenishment cycle time and capital investment as decision variables to reduce his/her ordering cost and achieve his/her maximum profit. We then derive non-cooperative Nash solution and cooperative integrated solution in a just-in-time inventory system, in which granting trade credit increases not only the demand but also the opportunity cost and default risk, and the relationship between the capital investment and the ordering cost reduction is logarithmic. Then, we use a software to solve and compare these two distinct solutions. Finally, we use sensitivity analysis to obtain some managerial insights.

  14. Implications of the international reduction pledges on long-term energy system changes and costs in China and India

    DEFF Research Database (Denmark)

    Lucas, Paul L.; Shukla, P.R.; Chen, Wenying

    2013-01-01

    This paper analyses the impact of postponing global mitigation action on abatement costs and energy systems changes in China and India. It compares energy-system changes and mitigation costs from a global and two national energy-system models under two global emission pathways with medium likelih...... indoor air pollution, but it is likely to provide synergies for energy security. These relations should be taken into account when designing national climate policies. © 2013 Elsevier Ltd. All rights reserved....... India and China with respect to the timing of emission reductions and the choice of mitigation measures relate to differences in projections of rapid economic change, capital stock turnover and technological development. Furthermore, depending on the way it is implemented, climate policy could increase......This paper analyses the impact of postponing global mitigation action on abatement costs and energy systems changes in China and India. It compares energy-system changes and mitigation costs from a global and two national energy-system models under two global emission pathways with medium...

  15. Generation IV Nuclear Energy Systems Construction Cost Reductions through the use of Virtual Environments: Task 1 Completion Report

    Energy Technology Data Exchange (ETDEWEB)

    Whisker, V.E.; Baratta, A.J.; Shaw, T.S.; Winters, J.W.; Trikouros, N.; Hess, C.

    2002-11-26

    OAK B204 The objective of this project is to demonstrate the feasibility and effectiveness of using full-scale virtual reality simulation in the design, construction, and maintenance of future nuclear power plants. Specifically, this project will test the suitability of Immersive Projection Display (IPD) technology to aid engineers in the design of the next generation nuclear power plant and to evaluate potential cost reductions that can be realized by optimization of installation and construction sequences. The intent is to see if this type of information technology can be used in capacities similar to those currently filled by full-scale physical mockups.

  16. Telecommuting and health care: a potential for cost reductions and productivity gains.

    Science.gov (United States)

    Jacobs, S M; Pelfrey, S; Van Sell, M

    1995-12-01

    Health care administrators are striving to maintain positive operating margins while remaining responsive to community needs. As they look for ways to reduce costs and improve productivity, they may consider the benefits associated with telecommuting. Telecommuting refers to the work performed by organizational employees who use computers and telecommunication equipment to work at home or at remote sites one or more days a week. Benefits to the health care industry include release of valuable hospital space, reduced employee turnover, and increased productivity. The time away from the institution may provide administrators with valuable planning time, free from interruptions.

  17. Energy cost reduction in the synchronization of a pair of nonidentical coupled Hindmarsh-Rose neurons

    CERN Document Server

    Moujahid, A; Torrealdea, F J; Sarasola, C; 10.1007/978-3-642-12433-4_77

    2012-01-01

    Many biological processes involve synchronization between nonequivalent systems, i.e, systems where the difference is limited to a rather small parameter mismatch. The maintenance of the synchronized regime in this cases is energetically costly \\cite{1}. This work studies the energy implications of synchronization phenomena in a pair of structurally flexible coupled neurons that interact through electrical coupling. We show that the forced synchronization between two nonidentical neurons creates appropriate conditions for an efficient actuation of adaptive laws able to make the neurons structurally approach their behaviours in order to decrease the flow of energy required to maintain the synchronization regime.

  18. Can Water-Injected Turbomachines Provide Cost-Effective Emissions and Maintenance Reductions?

    Science.gov (United States)

    Hendricks, Robert C.; Daggett, David L.; Shouse, Dale T.; Roquemore, William M.; Brankovic, Andreja; Ryder, Robert C., Jr.

    2011-01-01

    An investigation has been performed to evaluate the effect of water injection on the performance of the Air Force Research Laboratory (AFRL, Wright-Patterson Air Force Base (WPAFB)) experimental trapped vortex combustor (TVC) over a range of fuel-to-air and water-to-fuel ratios. Performance is characterized by combustor exit quantities: temperature and emissions measurements using rakes, and overall pressure drop, from upstream plenum to combustor exit. Combustor visualization is performed using gray-scale and color still photographs and high-frame-rate videos. A parallel investigation evaluated the performance of a computational fluid dynamics (CFD) tool for the prediction of the reacting flow in a liquid fueled combustor (e.g., TVC) that uses water injection for control of pollutant emissions and turbine inlet temperature. Generally, reasonable agreement is found between data and NO(x) computations. Based on a study assessing the feasibility and performance impact of using water injection on a Boeing 747-400 aircraft to reduce NO(x) emissions during takeoff, retrofitting does not appear to be cost effective; however, an operator of a newly designed engine and airframe might be able to save up to 1.0 percent in operating costs. Other challenges of water injection will be discussed.

  19. RECYCLING OF CATHETER FOR EMBRYO RECOVERY: A TOOL FOR COSTS REDUCTION IN EQUINE EMBRYO TRANSFER

    Directory of Open Access Journals (Sweden)

    Alberto Lopes Gusmao

    2010-06-01

    Full Text Available The embryo transfer is becoming a widespread practice.Most embryos are collected from spontaneous single ovulatingmares and result in 50% of embryo recovery, increasing the costsof production. To illustrate, the price of a catheter for embryosrecovery range from US$ 194.00 to US$ 250.00 (R$ 350.00 to R$450.00. Therefore, the aim of this work was to verify if catheterwith damaged balloon can be recuperated and reused withoutaltering its efficiency. For this study, two groups were used: acontrol group (GI, n=10, on which the nonsurgical recovery of theembryos of mares was performed with the catheter with originalballoon; and another group (GII, n=20, in which a restored catheterwas utilized. The mares of GI had an embryo recovery rate of60%, and GII mares had an embryo recovery rate of 55%. Therewas not statistical difference between groups I and II (P>0.05.Considering that the material used to restore the catheter costsUS$16.66 (R$30.00, this data show that the recuperation of thecatheters for embryo recovery in mares may reduce costs withoutcompromising the rates of embryo recovery.

  20. Line-Focus Solar Power Plant Cost Reduction Plan (Milestone Report)

    Energy Technology Data Exchange (ETDEWEB)

    Kutscher, C.; Mehos, M.; Turchi, C.; Glatzmaier, G.; Moss, T.

    2010-12-01

    Line-focus solar collectors, in particular parabolic trough collectors, are the most mature and proven technology available for producing central electricity from concentrated solar energy. Because this technology has over 25 years of successful operational experience, resulting in a low perceived risk, it is likely that it will continue to be a favorite of investors for some time. The concentrating solar power (CSP) industry is developing parabolic trough projects that will cost billions of dollars, and it is supporting these projects with hundreds of millions of dollars of research and development funding. While this technology offers many advantages over conventional electricity generation -- such as utilizing plentiful domestic renewable fuel and having very low emissions of greenhouse gases and air pollutants -- it provides electricity in the intermediate power market at about twice the cost of its conventional competitor, combined cycle natural gas. The purpose of this document is to define a set of activities from fiscal year 2011 to fiscal year 2016 that will make this technology economically competitive with conventional means.

  1. Estimates of associated outdoor particulate matter health risk and costs reductions from alternative building, ventilation and filtration scenarios.

    Science.gov (United States)

    Sultan, Zuraimi M

    2007-05-01

    Although many studies have reported calculations of outdoor particulate matter (PM) associated externalities using ambient data, there is little information on the role buildings, their ventilation and filtration play. This study provides the framework to evaluate the health risk and cost reduction of building, ventilation and filtration strategies from outdoor PM pollution on a nationwide level and applied it to a case study in Singapore. Combining Indoor Air Quality (IAQ) and time weighted exposure models, with established concentration-response functions and monetary valuation methods, mortality and morbidity effects of outdoor PM on the population of Singapore under different building, ventilation and filtration strategies were estimated. Different interventions were made to compare the effects from the current building conditions. The findings demonstrate that building protection effect reduced approximately half the attributable health cases amounting to US$17.7 billion due to PM pollution when compared to levels computed using outdoor data alone. For residential buildings, nationwide adoption of natural ventilation from current state is associated with 28% higher cases of mortality and 13 to 38% higher cases for different morbidities, amounting to US$6.7 billion. The incurred cost is negligible compared to energy costs of air-conditioning. However, nationwide adoption of closed residence and air-conditioning are associated with outcomes including fewer mortality (10 and 6% respectively), fewer morbidities (8 and 4% respectively) and economic savings of US$1.5 and 0.9 billion respectively. The related savings were about a factor of 9 the energy cost for air-conditioning. Nationwide adoption of mechanical ventilation and filtration from current natural ventilation in schools is associated with fewer asthma hospital admissions and exacerbations; although the economic impact is not substantial. Enhanced workplace filtration reduces the mortality and morbidity

  2. Performance evaluation of low cost adsorbents in reduction of COD in sugar industrial effluent.

    Science.gov (United States)

    Parande, Anand K; Sivashanmugam, A; Beulah, H; Palaniswamy, N

    2009-09-15

    Studies on reduction of chemical oxygen demand (COD) in effluent from sugar industry have been carried out by employing different absorbents optimizing various parameters, such as initial concentration of adsorbate, pH, adsorbent dosage and contact time. Experimental studies were carried out in batches using metakaolin, tamarind nut carbon and dates nut carbon as adsorbents by keeping initial adsorbent dosage at 1 g l(-1), agitation time over a range of 30-240 min, adsorbent dosage at 100-800 mg l(-1) by varying the pH range from 4 to 10. Characterization of there adsorbents were done using techniques such as Fourier transforms infra red spectroscopy (FTIR), X-ray diffraction (XRD) and scanning electron microscope (SEM). The experimental adsorption data fitted well to Langmuir and Freundlich adsorption isotherms. The isotherms of the adsorbents indicate appreciable adsorption capacity. Higher COD removal was observed at neutral pH conditions. Studies reveal that maximum reduction efficiency of COD takes place using metakaolin as an absorbent at a dosage of 500 mg l(-1) in a contact time of 180 min at pH 7 and it could be used as an efficient absorbent for treating sugar industrial effluent.

  3. [Quality management (TQM) in public health-care (PHC): principles for cost-performance calculations and cost reductions with better quality].

    Science.gov (United States)

    Bergholz, W

    2008-11-01

    In many high-tech industries, quality management (QM) has enabled improvements of quality by a factor of 100 or more, in combination with significant cost reductions. Compared to this, the application of QM methods in health care is in its initial stages. It is anticipated that stringent process management, embedded in an effective QM system will lead to significant improvements in health care in general and in the German public health service in particular. Process management is an ideal platform for controlling in the health care sector, and it will significantly improve the leverage of controlling to bring down costs. Best practice sharing in industry has led to quantum leap improvements. Process management will enable best practice sharing also in the public health service, in spite of the highly diverse portfolio of services that the public health service offers in different German regions. Finally, it is emphasised that "technical" QM, e.g., on the basis of the ISO 9001 standard is not sufficient to reach excellence. It is necessary to integrate soft factors, such as patient or employee satisfaction, and leadership quality into the system. The EFQM model for excellence can serve as proven tool to reach this goal.

  4. Modelled Cost-Effectiveness of a Package Size Cap and a Kilojoule Reduction Intervention to Reduce Energy Intake from Sugar-Sweetened Beverages in Australia.

    Science.gov (United States)

    Crino, Michelle; Herrera, Ana Maria Mantilla; Ananthapavan, Jaithri; Wu, Jason H Y; Neal, Bruce; Lee, Yong Yi; Zheng, Miaobing; Lal, Anita; Sacks, Gary

    2017-09-06

    Interventions targeting portion size and energy density of food and beverage products have been identified as a promising approach for obesity prevention. This study modelled the potential cost-effectiveness of: a package size cap on single-serve sugar sweetened beverages (SSBs) >375 mL ( package size cap ), and product reformulation to reduce energy content of packaged SSBs ( energy reduction ). The cost-effectiveness of each intervention was modelled for the 2010 Australia population using a multi-state life table Markov model with a lifetime time horizon. Long-term health outcomes were modelled from calculated changes in body mass index to their impact on Health-Adjusted Life Years (HALYs). Intervention costs were estimated from a limited societal perspective. Cost and health outcomes were discounted at 3%. Total intervention costs estimated in AUD 2010 were AUD 210 million. Both interventions resulted in reduced mean body weight ( package size cap : 0.12 kg; energy reduction : 0.23 kg); and HALYs gained ( package size cap : 73,883; energy reduction : 144,621). Cost offsets were estimated at AUD 750.8 million ( package size cap ) and AUD 1.4 billion ( energy reduction ). Cost-effectiveness analyses showed that both interventions were "dominant", and likely to result in long term cost savings and health benefits. A package size cap and kJ reduction of SSBs are likely to offer excellent "value for money" as obesity prevention measures in Australia.

  5. Quality management as a resource of transaction costs reduction: empirical inputs from the international fruit trade

    Directory of Open Access Journals (Sweden)

    José Márcio Carvalho

    2014-02-01

    Full Text Available Fruit is a highly perishable product, susceptible to biological, physical and chemical hazards. All these risks are higher when fruit are transacted in international trade. In this case fruit suppliers and fruit buyers are exposed to elevated transaction costs, since both sides need to deal with questions like product specifications, post-harvest processing and logistics. Quality management can be employed in order to organize all production, processing and logistics operations. Our aim in this paper was to verify if producers, exporters and importers of fruit are making use of quality management concepts in order to reduce risks and transaction costs. As investigation method, semi-structured interviews were conducted in Brazil and the UK. The content of the semi-structured interview questions was chosen based on the literature review of TCE, the international fruit trade and quality management. The questions were carefully chosen to reveal the factors which are determinant for the configuration of transaction arrangements in the fruit trade. The topics investigated were: the technical activities performed by the organisations operating in the fruit commerce; the main types of commercial clients (partners of the firm; the nature of the market type relations maintained by the firm; the level of quality problems perceived by the firm; and the quality management strategies adopted by the firm. These topics served as the foundation for the elaboration of the main questions and the probe questions. They also gave the direction for possible follow-up questions. The results of the interviews support the idea that quality consciousness is fundamental in the fruit trade. The majority of companies approached in the research were shown not to perceive as a problem the several parameters that affect the quality of the final product. In other words, the results suggest that firms that are incapable of handling quality issues satisfactorily find little place

  6. Two-photon reduction: a cost-effective method for fabrication of functional metallic nanostructures

    Science.gov (United States)

    Tabrizi, Sahar; Cao, YaoYu; Lin, Han; Jia, BaoHua

    2017-03-01

    Metallic nanostructures have underpinned plasmonic-based advanced photonic devices in a broad range of research fields over the last decade including physics, engineering, material science and bioscience. The key to realizing functional plasmonic resonances that can manipulate light at the optical frequencies relies on the creation of conductive metallic structures at the nanoscale with low structural defects. Currently, most plasmonic nanostructures are fabricated either by electron beam lithography (EBL) or by focused ion beam (FIB) milling, which are expensive, complicated and time-consuming. In comparison, the direct laser writing (DLW) technique has demonstrated its high spatial resolution and cost-effectiveness in three-dimensional fabrication of micro/nanostructures. Furthermore, the recent breakthroughs in superresolution nanofabrication and parallel writing have significantly advanced the fabrication resolution and throughput of the DLW method and made it one of the promising future nanofabrication technologies with low-cost and scalability. In this review, we provide a comprehensive summary of the state-of-the-art DLW fabrication technology for nanometer scale metallic structures. The fabrication mechanisms, different material choices, fabrication capability, including resolution, conductivity and structure surface smoothness, as well as the characterization methods and achievable devices for different applications are presented. In particular, the development trends of the field and the perspectives for future opportunities and challenges are provided at the end of the review. It has been demonstrated that the quality of the metallic structures fabricated using the DLW method is excellent compared with other methods providing a new and enabling platform for functional nanophotonic device fabrication.

  7. Two-photon reduction: a cost-effective method for fabrication of functional metallic nanostructures

    Science.gov (United States)

    Tabrizi, Sahar; Cao, YaoYu; Lin, Han; Jia, BaoHua

    2017-03-01

    Metallic nanostructures have underpinned plasmonic-based advanced photonic devices in a broad range of research fields over the last decade including physics, engineering, material science and bioscience. The key to realizing functional plasmonic resonances that can manipulate light at the optical frequencies relies on the creation of conductive metallic structures at the nanoscale with low structural defects. Currently, most plasmonic nanostructures are fabricated either by electron beam lithography (EBL) or by focused ion beam (FIB) milling, which are expensive, complicated and time-consuming. In comparison, the direct laser writing (DLW) technique has demonstrated its high spatial resolution and cost-effectiveness in three-dimensional fabrication of micro/nanostructures. Furthermore, the recent breakthroughs in superresolution nanofabrication and parallel writing have significantly advanced the fabrication resolution and throughput of the DLW method and made it one of the promising future nanofabrication technologies with low-cost and scalability. In this review, we provide a comprehensive summary of the state-of-the-art DLW fabrication technology for nanometer scale metallic structures. The fabrication mechanisms, different material choices, fabrication capability, including resolution, conductivity and structure surface smoothness, as well as the characterization methods and achievable devices for different applications are presented. In particular, the development trends of the field and the perspectives for future opportunities and challenges are provided at the end of the review. It has been demonstrated that the quality of the metallic structures fabricated using the DLW method is excellent compared with other methods providing a new and enabling platform for functional nanophotonic device fabrication.

  8. Cost reduction by using micro-fingers in thin film silicon modules

    Energy Technology Data Exchange (ETDEWEB)

    Slooff, L.H.; Bosman, J.; Loffler, J.; Budel, T. [ECN Solar Energy, Petten (Netherlands)

    2013-06-15

    A finite element electrical model is described that can be used to calculate the performance of monolithic thin film photovoltaic modules. The model is suitable for all type of thin film modules, like e.g. p-i-n a-Si:H, CIGS and polymer based modules and it includes losses due to interconnection. Using this model a parameter study is performed for a-Si:H cells with the aim to reduce metal consumption in the cell and interconnection. It is shown that a reduction in metal consumption by a factor 1.3 can be achieved with only marginal loss in performance if short cell are used with very short fingers.

  9. Evaluation of costs associated with tolvaptan-mediated length-of-stay reduction among heart failure patients with hyponatremia in the US, based on the EVEREST trial.

    Science.gov (United States)

    Chiong, Jun R; Kim, Sonnie; Lin, Jay; Christian, Rudell; Dasta, Joseph F

    2012-01-01

    The Efficacy of Vasopressin Antagonism in Heart Failure Outcome Study with Tolvaptan (EVEREST) trial showed that tolvaptan use improved heart failure (HF) signs and symptoms without serious adverse events. To evaluate the potential cost savings associated with tolvaptan usage among hospitalized hyponatremic HF patients. The Healthcare Cost and Utilization Project (HCUP) 2008 Nationwide Inpatient Sample (NIS) database was used to estimate hospital cost and length of stay (LOS), for diagnosis-related group (DRG) hospitalizations of adult (age ≥18 years) HF patients with complications and comorbidities or major complications and comorbidities. EVEREST trial data for patients with hyponatremia were used to estimate tolvaptan-associated LOS reductions. A cost offset model was constructed to evaluate the impact of tolvaptan on hospital cost and LOS, with univariate and multivariate Monte Carlo sensitivity analyses. Tolvaptan use among hyponatremic EVEREST trial HF patients was associated with shorter hospital LOS than placebo patients (9.72 vs 11.44 days, respectively); 688,336 hospitalizations for HF DRGs were identified from the HCUP NIS database, with a mean LOS of 5.4 days and mean total hospital costs of $8415. Using an inpatient tolvaptan treatment duration of 4 days with a wholesale acquisition cost of $250 per day, the cost offset model estimated a LOS reduction among HF hospitalizations of 0.81 days and an estimated total cost saving of $265 per admission. Univariate and multivariate sensitivity analysis demonstrated that cost reduction associated with tolvaptan usage is consistent among variations of model variables. The estimated LOS reduction and cost savings projected by the cost offset model suggest a clinical and economic benefit to tolvaptan use in hyponatremic HF patients. The EVEREST trial data may not generalize well to the US population. Clinical trial patient profiles and relative LOS reductions may not be applicable to real-world patient

  10. Technical and cost assessment of energy efficiency improvement and greenhouse gas emission reduction potentials in Thai cement industry

    Energy Technology Data Exchange (ETDEWEB)

    Hasanbeigi, A. [The Joint Graduate School of Energy and Environment, King Mongkut' s University of Technology Thonburi, 126 Pracha-uthit Rd, Bangmod, Tungkru, Bangkok (Thailand); Menke, C. [Department of Building Engineering Services, Energy Technology Division, University of Applied Sciences, Schneidershof, 54293 Trier (Germany); Therdyothin, A. [The School of Energy, Environment, and Material, King Mongkut' s University of Technology Thonburi, Bangkok (Thailand)

    2011-01-15

    The cement industry is one of the most energy-consuming industries in Thailand, with high associated carbon dioxide (CO2) emissions. The cement sector accounted for about 20.6 million tonnes of CO2 emissions in 2005. The fuel intensity of the Thai cement industry was about 3.11 gigajoules (GJ)/tonne cement; the electricity intensity was about 94.3 kWh/tonne cement, and the total primary energy intensity was about 4.09 GJ/tonne cement in 2005 with the clinker to cement ratio of around 82%. In this study, the potential application of 47 energy-efficiency measures is assessed for the Thai cement industry. Using a bottom-up electricity conservation supply curve model, the cost-effective electricity efficiency improvement potential for the Thai cement industry is estimated to be about 265 gigawatt hours (GWh), which accounts for 8% of total electricity use in the cement industry in 2005. Total technical electricity-saving potential is 1,697 GWh, which accounts for 51% of total electricity use in the cement industry in 2005. The CO2 emission reduction potential associated with the cost-effective electricity savings is 159 kilotonne (kt) CO2, while the total technical potential for CO2 emission reductions is 902 ktonne CO2. The fuel conservation supply curve model shows a cost-effective fuel-efficiency improvement potential of 17,214 terajoules (TJ) and a total technical fuel efficiency improvement potential equal to 21,202 TJ, accounting for 16% and 19% of the total fuel use in the cement industry in 2005, respectively. CO2 emission reduction potentials associated with cost-effective and technical fuel-saving measures are 2,229 ktonne and 2,603 ktonne, respectively. Sensitivity analyses were conducted for discount rate, electricity and fuel prices, and exchange rate that showed the significant influence of these parameters on the results. Hence, the results of the study should be interpreted with caution.

  11. Carbon abatement potential of solar home systems in India and their cost reduction due to carbon finance

    Energy Technology Data Exchange (ETDEWEB)

    Chaurey, A. [TERI, Darbari Seth Block, Habitat Place, Lodhi Road, New Delhi 110003 (India); Kandpal, T.C. [Centre for Energy Studies, Indian Institute of Technology, Hauz Khas, New Delhi 110016 (India)

    2009-01-15

    About 78 million rural households in India reportedly lack access to grid electricity. About 67 million of them use kerosene for lighting. Government of India is promoting the use of solar home systems (SHS) as one of the options for meeting lighting requirements in households in remote and less inhabited villages. About 363,399 SHS were reportedly disseminated across the country by December 2007. Apart from meeting the basic lighting need of the households, SHS also help in abating the emissions of green house gases (GHGs) by directly displacing the use of kerosene in households that currently use it for lighting. This study has attempted at estimating the CO{sub 2} mitigation potential of SHS in India by studying the potential for their diffusion and the appropriate baseline. Subsequently, the scope for cost reduction to the user due to carbon finance, if received, is also studied. It is found that carbon finance could reduce the effective burden of SHS to the user by 19% if carbon prices were $10/tCO{sub 2} and no transaction costs were involved in getting the carbon revenues. These benefits are also estimated for scenarios where transaction costs are incurred by the project proponent in getting the carbon benefits. (author)

  12. Simple and cost-effective fabrication of size-tunable zinc oxide architectures by multiple size reduction technique

    Directory of Open Access Journals (Sweden)

    Hyeong-Ho Park, Xin Zhang, Seon-Yong Hwang, Sang Hyun Jung, Semin Kang, Hyun-Beom Shin, Ho Kwan Kang, Hyung-Ho Park, Ross H Hill and Chul Ki Ko

    2012-01-01

    Full Text Available We present a simple size reduction technique for fabricating 400 nm zinc oxide (ZnO architectures using a silicon master containing only microscale architectures. In this approach, the overall fabrication, from the master to the molds and the final ZnO architectures, features cost-effective UV photolithography, instead of electron beam lithography or deep-UV photolithography. A photosensitive Zn-containing sol–gel precursor was used to imprint architectures by direct UV-assisted nanoimprint lithography (UV-NIL. The resulting Zn-containing architectures were then converted to ZnO architectures with reduced feature sizes by thermal annealing at 400 °C for 1 h. The imprinted and annealed ZnO architectures were also used as new masters for the size reduction technique. ZnO pillars of 400 nm diameter were obtained from a silicon master with pillars of 1000 nm diameter by simply repeating the size reduction technique. The photosensitivity and contrast of the Zn-containing precursor were measured as 6.5 J cm−2 and 16.5, respectively. Interesting complex ZnO patterns, with both microscale pillars and nanoscale holes, were demonstrated by the combination of dose-controlled UV exposure and a two-step UV-NIL.

  13. Multi-objective optimization of aircraft design for emission and cost reductions

    Institute of Scientific and Technical Information of China (English)

    Wang Yu; Yin Hailian; Zhang Shuai; Yu Xiongqing

    2014-01-01

    Pollutant gases emitted from the civil jet are doing more and more harm to the environ-ment with the rapid development of the global commercial aviation transport. Low environmental impact has become a new requirement for aircraft design. In this paper, estimation method for emis-sion in aircraft conceptual design stage is improved based on the International Civil Aviation Orga-nization (ICAO) aircraft engine emissions databank and the polynomial curve fitting methods. The greenhouse gas emission (CO2 equivalent) per seat per kilometer is proposed to measure the emis-sions. An approximate sensitive analysis and a multi-objective optimization of aircraft design for tradeoff between greenhouse effect and direct operating cost (DOC) are performed with five geom-etry variables of wing configuration and two flight operational parameters. The results indicate that reducing the cruise altitude and Mach number may result in a decrease of the greenhouse effect but an increase of DOC. And the two flight operational parameters have more effects on the emissions than the wing configuration. The Pareto-optimal front shows that a decrease of 29.8%in DOC is attained at the expense of an increase of 10.8%in greenhouse gases.

  14. Multi-objective optimization of aircraft design for emission and cost reductions

    Directory of Open Access Journals (Sweden)

    Wang Yu

    2014-02-01

    Full Text Available Pollutant gases emitted from the civil jet are doing more and more harm to the environment with the rapid development of the global commercial aviation transport. Low environmental impact has become a new requirement for aircraft design. In this paper, estimation method for emission in aircraft conceptual design stage is improved based on the International Civil Aviation Organization (ICAO aircraft engine emissions databank and the polynomial curve fitting methods. The greenhouse gas emission (CO2 equivalent per seat per kilometer is proposed to measure the emissions. An approximate sensitive analysis and a multi-objective optimization of aircraft design for tradeoff between greenhouse effect and direct operating cost (DOC are performed with five geometry variables of wing configuration and two flight operational parameters. The results indicate that reducing the cruise altitude and Mach number may result in a decrease of the greenhouse effect but an increase of DOC. And the two flight operational parameters have more effects on the emissions than the wing configuration. The Pareto-optimal front shows that a decrease of 29.8% in DOC is attained at the expense of an increase of 10.8% in greenhouse gases.

  15. Reduction of electricity comsumption during 'high cost' periods in winter 2005 - 2006

    CERN Multimedia

    Mario Batz

    2005-01-01

    In previous years CERN was able to limit its electricity consumption during the winter months sufficiently to be supplied from the Swiss grid. In order to make enough power available for the LHC machine and experiments at the lowest possible cost during the coming winter 2005 / 2006 CERN is supplied from the French grid by EDF (Electricité de France). As a consequence, when the grids are at peak demand during the tariff period 'Effacement Jour de Pointe' (EJP) in France, the energy price is at least four times as high as for the usual winter period. From 1st November until 31st March these increased prices are applicable during twenty-two 18-hour periods, each beginning at 7 a.m. and ending at 1 a.m. the following day. Notice will be given by EDF to the Technical Infrastructure Control Room (TI) at 5 p.m. the previous day. The notice period may be reduced to two hours for days following weekends and public holidays, or omitted entirely for technical reasons. During these days of EJP CERN has a strong fina...

  16. Reduction of electricity comsumption during 'high cost' periods in winter 2005 - 2006

    CERN Multimedia

    Mario Batz

    2005-01-01

    In previous years CERN was able to sufficiently limit its electricity consumption during the winter months to be supplied from the Swiss grid. In order to make enough power available for the LHC machine and experiments at the lowest possible cost during the coming winter 2005 / 2006, CERN will be supplied from the French grid by EDF (Electricité de France). As a consequence, when the grids are at peak demand during the tariff period 'Effacement Jour de Pointe' (EJP) in France, the energy price is at least four times higher than for the usual winter period. From 1st November until 31st March these increased prices are applicable during twenty-two 18-hour periods, each beginning at 7 a.m. and ending at 1 a.m. the following day. Notice will be given by EDF to the Technical Infrastructure Control Room (TI) at 5 p.m. the previous day. The notice period may be reduced to two hours for days following weekends and public holidays, or omitted entirely for technical reasons. During these days of EJP CERN has a stro...

  17. Pollen viability reduction as a potential cost of ant association for Acacia constricta (Fabaceae).

    Science.gov (United States)

    Wagner, D

    2000-05-01

    Field studies investigating the impact of ants on the reproduction of plants bearing extrafloral nectaries have traditionally focused on seed production, a component of female fitness. The purpose of this study was to test whether ants can affect the pollen viability, a component of male fitness, when they visit flowers of the shrub Acacia constricta. Acacia constricta inflorescences hand-pollinated with flowers over which Formica perpilosa ants had crawled set significantly fewer seed pods than inflorescences hand-pollinated by control flowers that had no contact with ants. Many ant species secrete antibiotic substances onto the integument that render pollen inviable, and these secretions are probably the mechanism for reduced pollen viability in this study. The ratio of seed pods produced by self-pollinated inflorescences to those produced by cross-pollinated inflorescences was 0.16, indicating that A. constricta is largely self-incompatible. Because F. perpilosa workers forage primarily on the acacia tree under which they nest, they are unlikely to serve as efficient vectors of outcrossing. Previous work showed that A. constricta shrubs with F. perpilosa ants produce approximately twice as many seeds as similarly sized plants not so associated. The results indicate that association with F. perpilosa could cause a reproductive trade-off for A. constricta: benefits to female function may be accompanied by costs to male function. Selection to discourage ant visitation to flowers may have affected the pollination biology of this and other ant-associated plant species.

  18. Effects of Integration on the Cost Reduction in Distribution Network Design for Perishable Products

    Directory of Open Access Journals (Sweden)

    Z. Firoozi

    2014-01-01

    Full Text Available Perishable products, which include medical and pharmaceutical items as well as food products, are quite common in commerce and industries. Developing efficient network designs for storage and distribution of perishable products plays a prominent role in the cost and quality of these products. This paper aims to investigate and analyze the impact of applying an integrated approach for network design of perishable products. For this purpose, the problem has been formulated as a mixed integer nonlinear mathematical model that integrates inventory control and facility location decisions. To solve the integrated model, a memetic algorithm (MA is developed in this study. For verification of the proposed algorithm, its results are compared with the results of an adapted Lagrangian relaxation heuristic algorithm from the literature. Moreover, sensitivity analysis of the main parameters of the model is conducted to compare the results of the integrated approach with a decoupled method. The results show that as the products become more perishable, application of an integrated method becomes more reasonable in comparison with the decoupled one.

  19. Numerical Feynman integrals with physically inspired interpolation: Faster convergence and significant reduction of computational cost

    Directory of Open Access Journals (Sweden)

    Nikesh S. Dattani

    2012-03-01

    Full Text Available One of the most successful methods for calculating reduced density operator dynamics in open quantum systems, that can give numerically exact results, uses Feynman integrals. However, when simulating the dynamics for a given amount of time, the number of time steps that can realistically be used with this method is always limited, therefore one often obtains an approximation of the reduced density operator at a sparse grid of points in time. Instead of relying only on ad hoc interpolation methods (such as splines to estimate the system density operator in between these points, I propose a method that uses physical information to assist with this interpolation. This method is tested on a physically significant system, on which its use allows important qualitative features of the density operator dynamics to be captured with as little as two time steps in the Feynman integral. This method allows for an enormous reduction in the amount of memory and CPU time required for approximating density operator dynamics within a desired accuracy. Since this method does not change the way the Feynman integral itself is calculated, the value of the density operator approximation at the points in time used to discretize the Feynamn integral will be the same whether or not this method is used, but its approximation in between these points in time is considerably improved by this method. A list of ways in which this proposed method can be further improved is presented in the last section of the article.

  20. Simultaneous flue gas bioremediation and reduction of microalgal biomass production costs

    Energy Technology Data Exchange (ETDEWEB)

    Douskova, I.; Doucha, J.; Livansky, K.; Umysova, D.; Zachleder, V.; Vitova, M. [Academy of Sciences of the Czech Republic, Trebon (Czech Republic). Laboratory of Cell Cycles of Algae; Machat, J. [Masaryk University, Brno (Czech Republic). Research Centre for Environmental Chemistry and Ecotoxicology; Novak, P. [Termizo Inc., Liberec (Czech Republic)

    2009-02-15

    A flue gas originating from a municipal waste incinerator was used as a source of CO{sub 2} for the cultivation of the microalga Chlorella vulgaris, in order to decrease the biomass production costs and to bioremediate CO{sub 2} simultaneously. The utilization of the flue gas containing 10-13% ({nu}/{nu}) CO2 and 8-10% ({nu}/{nu}) O{sub 2} for the photobioreactor agitation and CO{sub 2} supply was proven to be convenient. The growth rate of algal cultures on the flue gas was even higher when compared with the control culture supplied by a mixture of pure CO{sub 2} and air (11% ({nu}/{nu}) CO{sub 2}). Correspondingly, the CO{sub 2} fixation rate was also higher when using the flue gas (4.4 g CO{sub 2} l{sup -1} 24 h{sup -1}) than using the control gas (3.0 g CO{sub 2} l{sup -1} 24 h{sup -1}). The toxicological analysis of the biomass produced using untreated flue gas showed only a slight excess of mercury while all the other compounds (other heavy metals, polycyclic aromatic hydrocarbons, polychlorinated dibenzodioxins and dibenzofurans, and polychlorinated biphenyls) were below the limits required by the European Union foodstuff legislation. Fortunately, extending the flue gas treatment prior to the cultivation unit by a simple granulated activated carbon column led to an efficient absorption of gaseous mercury and to the algal biomass composition compliant with all the foodstuff legislation requirements. (orig.)

  1. Cost-Effectiveness Analysis of Surface Flow Constructed Wetlands (SFCW) for Nutrient Reduction in Drainage Discharge from Agricultural Fields in Denmark

    DEFF Research Database (Denmark)

    Gachango, Florence Gathoni; Pedersen, S M; Kjærgaard, Charlotte

    2015-01-01

    Constructed wetlands have been proposed as cost-effective and more targeted technologies in the reduction of nitrogen and phosphorous water pollution in drainage losses from agricultural fields in Denmark. Using two pig farms and one dairy farm situated in a pumped lowland catchment as case studies...... could be a better optimal nutrients reduction measure in drainage catchments characterized with higher nutrient loads....

  2. Prospective validation of a blood ordering protocol for elective spine arthrodesis and its impact on cost reduction

    Directory of Open Access Journals (Sweden)

    Muhammad Waqas

    2014-01-01

    Full Text Available Background: On the basis of an institutional audit, the authors published an individual patient-based protocol for preoperative arrangement of blood products in patients undergoing elective spine arthrodesis. The present study was conducted for the prospective validation of the proposed protocol in reducing cross match to transfusion ratio, and its implications on overall cost. Methods: This cross-sectional study was conducted over 1 year (2012. All adult patients who underwent elective spinal arthrodesis were included and prospectively observed. The actual transfusion index was calculated for individual patients with the formula C1/T, where C1 is the number of units of packed RBCs cross matched and T is the number of actual transfusions. C1/T was then compared with a theoretical transfusion index C2/T for the same group of patients, C2 being the number derived from calculating the number of units of packed RBCs that would have been ordered for individual patient according to the protocol. The cost difference between C1/T and C2/T was analyzed. Results: A total of 125 patients were included. A total of 435 units of packed RBCs were ordered (C1, out of which only 108 units were transfused (T, yielding a C1/T of 4.02. The C2 for the same group of patients was 188 units of packed RBCs and the C2/T was thus calculated to be 1.74. Implementation of the protocol would reduce per patient cost from Pakistani Rupees (PKR 6676.8 ± 4125.8 to 4700.8 ± 1712.86, with a P < 0.001 and an overall reduction of 30%. Conclusion: Cross match to transfusion ratio and blood ordering related cost are both significantly reduced with the application of institutional cross-match protocol.

  3. Data synchronisation and cost reduction using API in customer relationship management

    Directory of Open Access Journals (Sweden)

    Tomić Željko

    2016-01-01

    Full Text Available Research has shown that 51% of all ERP implementations involve some kind of problems in business operations during the 'go live' phase. Despite all the efforts to increase efficiency and improve business processes, many organizations come to a conclusion that once they move to the new ERP system they are not able to perform some of the basic business processes (both in the data migration phase and operational procedures, such as issuing goods from the warehouse. The ERP implementations are too often accompanied by technical and organizational issues that may cause problems in the functioning of a business system. As organizational issues are more frequently the cause of the problem, it is crucial to accurately perform the business processes analysis phase, as well as the final testing. Based on the analysis of the ERP (Enterprise Resource Planning, CRM (Customer Relationship Management and SCM (Supply Chain Management e-business models of the largest producers of software applications, the bottlenecks and shortcomings typical of the implementation of these models were identified in a select sample of clients and it has been established that there are certain inconsistencies and programme problems between the company information system (IS and the implemented ERP/CRM or SCM models. The identified problems served as the basis for designing and programming an application programming interface (API aimed at addressing certain application needs of the companies, i.e. the inadequate synchronization of databases and other IT resources. The API has been designed and programmed with a view to resolving the problems with inconsistencies and synchronization and reducing business operations costs. It has been tested as a pilot application on ISs of selected companies that apply the ERP/CRM business support systems. This work describes the ERP/CRM database synchronization process and tests the quality of the API solution based on a programmed web survey, i

  4. Prospects for energy efficiency improvement and reduction of emissions and life cycle costs for natural gas vehicles

    Science.gov (United States)

    Kozlov, A. V.; Terenchenko, A. S.; Luksho, V. A.; Karpukhin, K. E.

    2017-01-01

    This work is devoted to the experimental investigation of the possibilities to reduce greenhouse gas emissions and to increase energy efficiency of engines that use natural gas as the main fuel and the analysis of economic efficiency of use of dual fuel engines in vehicles compared to conventional diesel. The results of experimental investigation of a 190 kW dual-fuel engine are presented; it is shown that quantitative and qualitative working process control may ensure thermal efficiency at the same level as that of the diesel engine and in certain conditions 5...8% higher. The prospects for reduction of greenhouse gas emissions have been assessed. The technical and economic evaluation of use of dual fuel engines in heavy-duty vehicles has been performed, taking into account the total life cycle. It is shown that it is possible to reduce life cycle costs by two times.

  5. Reduction of computer usage costs in predicting unsteady aerodynamic loadings caused by control surface motion. Addendum to computer program description

    Science.gov (United States)

    Rowe, W. S.; Petrarca, J. R.

    1980-01-01

    Changes to be made that provide increased accuracy and increased user flexibility in prediction of unsteady loadings caused by control surface motions are described. Analysis flexibility is increased by reducing the restrictions on the location of the downwash stations relative to the leading edge and the edges of the control surface boundaries. Analysis accuracy is increased in predicting unsteady loading for high Mach number analysis conditions through use of additional chordwise downwash stations. User guideline are presented to enlarge analysis capabilities of unusual wing control surface configurations. Comparative results indicate that the revised procedures provide accurate predictions of unsteady loadings as well as providing reductions of 40 to 75 percent in computer usage cost required by previous versions of this program.

  6. Laparoendoscopic single-site surgery (LESS) for major urological procedures in the pediatric population: A systematic review.

    Science.gov (United States)

    Symeonidis, Evangelos N; Nasioudis, Dimitrios; Economopoulos, Konstantinos P

    2016-05-01

    Improvements in laparoscopic surgery have led to the introduction of laparoendoscopic single-site surgery (LESS) as an alternative to conventional laparoscopy conferring a number of possible advantages. In this review, we aim to elucidate the aspects of LESS for major urological procedures in the pediatric population. An in-depth search of the literature was performed in the databases of PubMed and Scopus, for studies investigating the technical aspects and clinical outcomes of partial nephrectomies, nephrectomies, nephroureterectomies, varicocelectomies and pyeloplasties in children. Data on parameters such as operation time, instrumentation, perioperative complications, hospital stay and follow up period were collected and further analyzed cumulatively. Twenty nine studies met the inclusion criteria incorporating 386 patients who underwent 401 procedures. There were no major intraoperative complications, with only 19 patients (4.73%) facing postoperative complications. No perioperative deaths were reported. In the hands of experienced surgeons LESS seems a feasible, efficient and less invasive alternative to standard laparoscopy in the field of pediatric urology. There is an eminent need of well-designed randomized controlled trials comparing the two techniques. Copyright © 2016 IJS Publishing Group Ltd. Published by Elsevier Ltd. All rights reserved.

  7. Laparoendoscopic Single-Site Cholecystectomy: First Experiences with a New Standardized Technique Replicating the Four-Port Technique.

    Science.gov (United States)

    Morales-Conde, Salvador; Cañete-Gómez, Jesús; Gómez, Virginia; Socas Macías, María; Moreno, Antonio Barranco; Del Agua, Isaias Alarcón; Ruíz, Francisco Javier Padillo

    2016-10-01

    After reports on laparoendoscopic single-site (LESS) cholecystectomy, concerns have been raised over the level of difficulty and a potential increase in complications when moving away from conventional gold standard multiport laparoscopy due to incomplete exposure and larger umbilical incisions. With continued development of technique and technology, it has now become possible to fully replicate this gold standard procedure through an LESS approach. First experiences with the newly developed technique and instrument are reported. Fifteen patients presenting with cholelithiasis without signs of inflammation were operated using all surgical steps considered appropriate for the conventional four-port laparoscopic approach, but applied through a single access device. Operation-centered outcomes are presented. There were no peri- or postoperative complications. Mean operating time was 32.3 minutes. No conversion to regular laparoscopy was required. The critical view of safety was achieved in all cases. Mean skin incision length was 2.2 cm. The application of a standardized technique combined with the use of a four-port LESS device allows us to perform LESS cholecystectomy, giving us a correct exposure of the structures and without increasing the mean operating time combining previously reported advantages of LESS. A universal trait of any new technique should be safety and reproducibility. This will enhance its applicability by large number of surgeons and to large number of patients requiring cholecystectomy.

  8. Comparative study of multiport laparoscopy and umbilical laparoendoscopic single-site surgery with reusable platform for treating renal masses.

    Science.gov (United States)

    Chantada, C; García-Tello, A; Esquinas, C; Moraga, A; Redondo, C; Angulo, J C

    Umbilical laparoendoscopic single-site (LESS) surgery is an increasingly used modality for treating renal masses. We present a prospective comparison between LESS renal surgery and conventional laparoscopy. A comparative paired study was conducted that evaluated the surgical results and complications of patients with renal neoplasia treated with LESS surgery (n=49) or multiport laparoscopy (n=53). The LESS approach was performed with reusable material placed in the navel and double-rotation curved instruments. An additional 3.5-mm port was employed in 69.4% of the cases. We assessed demographic data, the type of technique (nephrectomy, partial nephrectomy and nephroureterectomy), surgical time, blood loss, haemoglobin, need for transfusion, number and severity of complications (Clavien-Dindo), hospital stay, histological data and prognosis. There were no differences in follow-up, age, sex, body mass index, preoperative haemoglobin levels or type of surgery. Conversion occurred in 2 cases (1 in each group). The surgical time was equivalent (P=.6). Intraoperative transfusion (P=.03) and blood loss (Pmasses, with time consumption and safety comparable to conventional laparoscopy. The LESS approach is advantageous in terms of blood loss and hospital stay. Copyright © 2016 AEU. Publicado por Elsevier España, S.L.U. All rights reserved.

  9. Development of a module for Cost-Benefit analysis of risk reduction measures for natural hazards for the CHANGES-SDSS platform

    Science.gov (United States)

    Berlin, Julian; Bogaard, Thom; Van Westen, Cees; Bakker, Wim; Mostert, Eric; Dopheide, Emile

    2014-05-01

    Cost benefit analysis (CBA) is a well know method used widely for the assessment of investments either in the private and public sector. In the context of risk mitigation and the evaluation of risk reduction alternatives for natural hazards its use is very important to evaluate the effectiveness of such efforts in terms of avoided monetary losses. However the current method has some disadvantages related to the spatial distribution of the costs and benefits, the geographical distribution of the avoided damage and losses, the variation in areas that are benefited in terms of invested money and avoided monetary risk. Decision-makers are often interested in how the costs and benefits are distributed among different administrative units of a large area or region, so they will be able to compare and analyse the cost and benefits per administrative unit as a result of the implementation of the risk reduction projects. In this work we first examined the Cost benefit procedure for natural hazards, how the costs are assessed for several structural and non-structural risk reduction alternatives, we also examined the current problems of the method such as the inclusion of cultural and social considerations that are complex to monetize , the problem of discounting future values using a defined interest rate and the spatial distribution of cost and benefits. We also examined the additional benefits and the indirect costs associated with the implementation of the risk reduction alternatives such as the cost of having a ugly landscape (also called negative benefits). In the last part we examined the current tools and software used in natural hazards assessment with support to conduct CBA and we propose design considerations for the implementation of the CBA module for the CHANGES-SDSS Platform an initiative of the ongoing 7th Framework Programme "CHANGES of the European commission. Keywords: Risk management, Economics of risk mitigation, EU Flood Directive, resilience, prevention

  10. Marginal cost curves for water footprint reduction in irrigated agriculture: a policy and decision making guide for efficient water use in crop production

    Science.gov (United States)

    Chukalla, Abebe; Krol, Maarten; Hoekstra, Arjen

    2016-04-01

    Reducing water footprints (WF) in irrigated crop production is an essential element in water management, particularly in water-scarce areas. To achieve this, policy and decision making need to be supported with information on marginal cost curves that rank measures to reduce the WF according to their cost-effectiveness and enable the estimation of the cost associated with a certain WF reduction target, e.g. towards a certain reasonable WF benchmark. This paper aims to develop marginal cost curves (MCC) for WF reduction. The AquaCrop model is used to explore the effect of different measures on evapotranspiration and crop yield and thus WF that is used as input in the MCC. Measures relate to three dimensions of management practices: irrigation techniques (furrow, sprinkler, drip and subsurface drip); irrigation strategies (full and deficit irrigation); and mulching practices (no mulching, organic and synthetic mulching). A WF benchmark per crop is calculated as resulting from the best-available production technology. The marginal cost curve is plotted using the ratios of the marginal cost to WF reduction of the measures as ordinate, ranking with marginal costs rise with the increase of the reduction effort. For each measure, the marginal cost to reduce WF is estimated by comparing the associated WF and net present value (NPV) to the reference case (furrow irrigation, full irrigation, no mulching). The NPV for each measure is based on its capital costs, operation and maintenances costs (O&M) and revenues. A range of cases is considered, including: different crops, soil types and different environments. Key words: marginal cost curve, water footprint benchmark, soil water balance, crop growth, AquaCrop

  11. Standardized Elemental Basis for Gas-Turbine Engine Heat Exchangers is the Key Factor for Their Cost Reduction

    Institute of Scientific and Technical Information of China (English)

    Soudarev A.V; Soudarev B.V; Kondratiev V.V; Lazarev M.V

    2001-01-01

    The competitiveness of the small gas turbine units (GTUs) (Ne<300 kW) in the world power market is dependent on both the maintenance expenses and the capital costs of production. Reduction in the maintenance expenditures could be achieved by increasing the plant efficiency. This task could be solved by some methods: increasing the cycle inlet temperature TIT, getting the cycle more complex (use of heat regeneration and compressed air intermediate cooling), cutting the power consumption on heat-stressed parts cooling. Putting the above into effect is linked with introduction of novel structural materials, a sharp increase in the mass-size values and the plant manufacture expenditures, in particular, at provision of its self-regulation.In connection with the above, the development of the combined metal-ceramic airheaters and standardization of the elemental basis of the metal gas-gas heat exchangers will promote reduction in the expenditures of the maintenance and the manufacture of the small-size independent power GTEs.

  12. The costs of reducing the excess CO{sub 2} emissions. Reduction potential and costs in certain sector; Hvad koster det at reducere CO{sup 2}-mankoen? - Reduktionspotentiale og omkostninger i udvalgte sektorer

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2003-07-01

    The report presents the results from the project 'The costs of reducing the excess CO{sub 2} emissions - reduction potential and costs in certain sectors'. The aim of the project has been to elucidate the full extent of the reduction potentials and the costs for certain CO{sub 2} reducing initiatives, which are not included in the present projections of the excess CO{sub 2} emissions. The initiatives included in this report are: Accumulation of methane from Danish disposal facilities; Accumulation of methane from disposal facilities in Russia; Reduction in the use of industrial greenhouse gases; Aquifer disposal of CO{sub 2} in the underground; Offshore CO{sub 2} disposal in oil fields in the North Sea. Furthermore, the report presents a general evaluation of the potential of methane accumulation from wastewater treatment. (ba)

  13. Residential, Commercial, and Utility-Scale Photovoltaic (PV) System Prices in the United States: Current Drivers and Cost-Reduction Opportunities

    Energy Technology Data Exchange (ETDEWEB)

    Goodrich, A.; James, T.; Woodhouse, M.

    2012-02-01

    The price of photovoltaic (PV) systems in the United States (i.e., the cost to the system owner) has dropped precipitously in recent years, led by substantial reductions in global PV module prices. However, system cost reductions are not necessarily realized or realized in a timely manner by many customers. Many reasons exist for the apparent disconnects between installation costs, component prices, and system prices; most notable is the impact of fair market value considerations on system prices. To guide policy and research and development strategy decisions, it is necessary to develop a granular perspective on the factors that underlie PV system prices and to eliminate subjective pricing parameters. This report's analysis of the overnight capital costs (cash purchase) paid for PV systems attempts to establish an objective methodology that most closely approximates the book value of PV system assets.

  14. Laparoendoscopic single-site radical hysterectomy with pelvic lymphadenectomy: initial multi-institutional experience for treatment of invasive cervical cancer.

    Science.gov (United States)

    Boruta, David M; Fagotti, Anna; Bradford, Leslie S; Escobar, Pedro F; Scambia, Giovanni; Kushnir, Christina L; Michener, Chad M; Fader, Amanda Nickles

    2014-01-01

    To describe the feasibility, safety, and outcomes of women with stage I cervical cancer treated with laparoendoscopic single-site surgery radical hysterectomy (LESS-RH). A retrospective descriptive study (Canadian Task Force classification III). Multiple academic teaching hospitals. Women with Fédération Internationale de Gynécologie et d'Obstétrique FIGO stage IA1 to IB1 cervical cancer. LESS-RH as the primary therapy for cervical cancer performed by a gynecologic oncologist with expertise in LESS. A multichannel, single-port access device; a flexible-tipped 5-mm laparoscope; and a multifunctional instrument were used in all cases. Clinicopathologic, surgical, and perioperative outcomes were analyzed. Twenty-two women were identified in whom a LESS-RH was attempted; 20 (91%) successfully underwent the procedure, including 19 in whom pelvic lymphadenectomy (PLND) was completed. Of the 2 converted procedures, 1 patient underwent 2-port laparoscopy secondary to truncal obesity, and 1 patient underwent conversion to laparotomy secondary to external iliac vein laceration during PLND. The median age and body mass index were 46 years and 23.3 kg/m(2), respectively. The median number of pelvic lymph nodes removed was 22. One patient experienced an intraoperative complication, and no patient required reoperation. The margins of excision were negative. One patient with 2 positive pelvic nodes and 1 patient with microscopic parametrial disease received adjuvant chemosensitized radiation; 3 additional patients received adjuvant radiation therapy secondary to an intermediate risk for recurrence. After a median follow up of 11 months, no recurrences were detected. LESS-RH/PLND is feasible and safe for select patients with stage I cervical cancer. Larger studies are needed to confirm whether the increased technical difficulty of this procedure justifies its use in routine gynecologic oncology practice. Copyright © 2014 AAGL. Published by Elsevier Inc. All rights reserved.

  15. Laparoendoscopic single site surgery versus conventional laparoscopy for transperitoneal pyeloplasty: A systematic review and meta-analysis

    Directory of Open Access Journals (Sweden)

    Luis Felipe Brandao

    2015-01-01

    Full Text Available We aimed to review studies comparing the outcomes of the laparoendoscopic single site (LESS pyeloplasty with those of conventional laparoscopic pyeloplasty (CLP. A systematic review of the literature was performed according to the PRISMA (preferred reporting items for systematic reviews and meta-analysis criteria. The methodological quality of the studies was rated according validated scales. The level of evidence (LE was reported as described by the Oxford criteria. Preoperative demographic parameters and perioperative outcomes between the two surgical techniques were assessed. A meta-analysis of the included studies was performed. A total of 5 studies were elected for the analysis, including 164 cases, 70 (42.6% of them being LESS and 94 (57.4% being CLP. Four studies were observational retrospective comparative studies (LE: 3a-4; one was a prospective randomized controlled trial (LE: 2b. There was no significant difference in age, body mass index, gender, side and presence of the crossing vessel, between the groups. There was no significant difference regarding the operative time (weight mean difference [WMD]: −7.02; 95% confidence interval [CI]: −71.82-57.79; P = 0.83 and length of hospital stay (WMD: 0.04; 95% CI: −0.11-0.20; P = 0.58, whereas the estimated blood loss was statistically lower for LESS (WMD: −16.83; 95% CI: −31.79-−1.87; P = 0.03. The postoperative use of analgesic favored the LESS group but without reaching statistical significance (WMD: −7.52; 95% CI: −17.56-2.53; P = 0.14. In conclusion, LESS pyeloplasty offers comparable surgical and functional outcomes to CLP while providing the potential advantages of less blood loss and lower analgesic requirement. Thus, despite being more technically challenging, LESS pyeloplasty can be regarded as a minimally invasive approach for patients seeking fewer incisional scars.

  16. Laparoendoscopic single site surgery versus conventional laparoscopy for transperitoneal pyeloplasty: A systematic review and meta-analysis

    Science.gov (United States)

    Brandao, Luis Felipe; Laydner, Humberto; Zargar, Homayoun; Torricelli, Fabio; Andreoni, Cassio; Kaouk, Jihad; Autorino, Riccardo

    2015-01-01

    We aimed to review studies comparing the outcomes of the laparoendoscopic single site (LESS) pyeloplasty with those of conventional laparoscopic pyeloplasty (CLP). A systematic review of the literature was performed according to the PRISMA (preferred reporting items for systematic reviews and meta-analysis) criteria. The methodological quality of the studies was rated according validated scales. The level of evidence (LE) was reported as described by the Oxford criteria. Preoperative demographic parameters and perioperative outcomes between the two surgical techniques were assessed. A meta-analysis of the included studies was performed. A total of 5 studies were elected for the analysis, including 164 cases, 70 (42.6%) of them being LESS and 94 (57.4%) being CLP. Four studies were observational retrospective comparative studies (LE: 3a-4); one was a prospective randomized controlled trial (LE: 2b). There was no significant difference in age, body mass index, gender, side and presence of the crossing vessel, between the groups. There was no significant difference regarding the operative time (weight mean difference [WMD]: −7.02; 95% confidence interval [CI]: −71.82–57.79; P = 0.83) and length of hospital stay (WMD: 0.04; 95% CI: −0.11–0.20; P = 0.58), whereas the estimated blood loss was statistically lower for LESS (WMD: −16.83; 95% CI: −31.79–−1.87; P = 0.03). The postoperative use of analgesic favored the LESS group but without reaching statistical significance (WMD: −7.52; 95% CI: −17.56–2.53; P = 0.14). In conclusion, LESS pyeloplasty offers comparable surgical and functional outcomes to CLP while providing the potential advantages of less blood loss and lower analgesic requirement. Thus, despite being more technically challenging, LESS pyeloplasty can be regarded as a minimally invasive approach for patients seeking fewer incisional scars. PMID:26229312

  17. 工业产品包装降低成本的几种方法%Several Methods for Industrial Product Package Cost Reduction

    Institute of Scientific and Technical Information of China (English)

    高雁

    2012-01-01

    Introduce several methods for industrial product packaging cost reduction based on some real cases. And point out the importance of packing cost in the enterprise cost management.%通过实例,介绍了从包装设计、包装材料、集合方式、包装物流等方面进行工业产品包装降低成本的若干方法,并指出包装成本在企业成本管理中的重要性.

  18. The impact of transport- and transaction-cost reductions on food markets in developing countries: evidence for tempered expectations for Burkina Faso

    NARCIS (Netherlands)

    Ruijs, A.J.W.; Schweigman, C.; Lutz, C.

    2004-01-01

    Reductions in transport and transaction costs are expected to have a major effect on the functioning of food markets in developing countries. For Burkina Faso, this is a relevant issue as it may have important consequences for the food markets in urban and rural deficit areas. A partial equilibrium

  19. Estimation of the cost savings resulting from the use of ursodiol for the prevention of gallstones in obese patients undergoing rapid weight reduction.

    Science.gov (United States)

    Shoheiber, O; Biskupiak, J E; Nash, D B

    1997-11-01

    Morbidly obese patients enrolled in a rapid weight reduction program are at a high risk of developing gallstones. Two multicenter, placebo-controlled, randomized, double-blind trials have demonstrated that the prophylactic use of ursodiol in males and females 18 to 70 years of age is effective for the prevention of gallstone formation in this patient population. This study examines the cost consequences associated with the prophylactic use of ursodiol. A medical decision analysis model for the prophylactic administration of ursodiol in morbidly obese patients undergoing rapid weight reduction by either gastric bypass surgery or very-low-calorie-diet, was developed through the use of data from two clinical trials and review of the related literature. The expert opinion of clinicians from the fields of internal medicine, gastroenterology and surgery were solicited. Financial data for the charges associated with cholecystectomies, physician fees and ursodiol were obtained from current financial databases. The model demonstrates that the prophylactic administration of ursodiol, in morbidly obese patients undergoing rapid weight reduction, results in cost savings. Sensitivity analysis was performed to illustrate that the cost savings achieved by the prophylactic use of ursodiol were valid over a realistic range of charges and assumptions. The decision model may allow health care decision makers to apply their own data to the model to determine the cost savings obtainable through the prophylactic use of ursodiol in patients undergoing rapid weight reduction.

  20. A low-cost cementite (Fe3C) nanocrystal@N-doped graphitic carbon electrocatalyst for efficient oxygen reduction.

    Science.gov (United States)

    Wu, Tianxing; Zhang, Haimin; Zhang, Xian; Zhang, Yunxia; Zhao, Huijun; Wang, Guozhong

    2015-11-01

    In this work, chitosan whiskers (CWs) were first extracted using low-cost and earth-abundant crab shells as materials by a series of chemical processes, and then assembled into chitosan whisker microspheres (CWMs) via a simple photochemical polymerization approach. Subsequently, a cementite (Fe3C) nanocrystal@N-doped graphitic carbon (Fe3C@NGC) nanocomposite was successfully fabricated by high temperature pyrolysis of CWMs adsorbed with ferric acetylacetonate (Fe(acac)3) at 900 °C. It was found that a suitable growth atmosphere generated inside CWMs during high temperature pyrolysis is critically important to form Fe3C nanocrystal cores, concurrently accompanying a structural transformation from chitosan whiskers to mesoporous graphitic carbon shells with natural nitrogen (N) doping properties, resulting in the formation of a core-shell structure Fe3C@NGC nanocomposite. The resulting samples were evaluated as electrocatalysts for oxygen reduction reaction (ORR). In comparison with sole N-doped graphitic carbon without Fe3C nanocrystals obtained by direct pyrolysis of chitosan whisker microspheres at 900 °C (CWMs-900), Fe3C@NGC showed significantly improved ORR catalytic activity. The tolerance to fuel cell molecules (e.g., methanol) and the durability of Fe3C@NGC are obviously superior to commercial Pt/C catalysts in alkaline media. The high ORR performance of Fe3C@NGC could be due to its large surface area (313.7 m(2) g(-1)), a synergistic role of Fe3C nanocrystals, N doping in graphitic carbon creating more catalytic active sites, and a porous structure of the nanocomposite facilitating mass transfer to efficiently improve the utilization of these catalytic active sites.

  1. 48 CFR 1615.407-1 - Rate reduction for defective pricing or defective cost or pricing data.

    Science.gov (United States)

    2010-10-01

    ... defective pricing or defective cost or pricing data. 1615.407-1 Section 1615.407-1 Federal Acquisition... for defective pricing or defective cost or pricing data. The clause set forth in section 1652.215-70... based on a combination of cost and price analysis (community-rated). ...

  2. 48 CFR 52.215-11 - Price Reduction for Defective Certified Cost or Pricing Data-Modifications.

    Science.gov (United States)

    2010-10-01

    ... subcontractor furnished certified cost or pricing data that were not complete, accurate, and current as certified in its Certificate of Current Cost or Pricing Data, (2) a subcontractor or prospective... current as certified in the Contractor's Certificate of Current Cost or Pricing Data, or (3) any of...

  3. 48 CFR 52.214-27 - Price Reduction for Defective Certified Cost or Pricing Data-Modifications-Sealed Bidding.

    Science.gov (United States)

    2010-10-01

    ... were not complete, accurate, and current as certified in its Certificate of Current Cost or Pricing... Current Cost or Pricing Data, or (3) any of these parties furnished data of any description that were not... accurate, complete, and current certified cost or pricing data had been submitted; (ii) The...

  4. 48 CFR 1652.215-70 - Rate Reduction for Defective Pricing or Defective Cost or Pricing Data.

    Science.gov (United States)

    2010-10-01

    ... that were not complete, accurate, or current as certified in the Certificate of Accurate Cost or... accurate, complete, and current cost or pricing data had been submitted or maintained and identified. (ii... submit or keep in its files a Certificate of Current Cost or Pricing Data. (2)(i) Except as prohibited...

  5. Transumbilical laparoendoscopic single-site donor nephrectomy: Without the use of a single port access device

    Directory of Open Access Journals (Sweden)

    Deepak Dubey

    2011-01-01

    Conclusions : Transumbilical LESS-DN can be cost-effectively performed using conventional laparoscopy instruments and without the need for a single port access device. Warm ischemia times with this technique are comparable with that during conventional multiport laparoscopic donor nephrectomy.

  6. Cost-benefit analysis of a preventive intervention for divorced families: reduction in mental health and justice system service use costs 15 years later.

    Science.gov (United States)

    Herman, Patricia M; Mahrer, Nicole E; Wolchik, Sharlene A; Porter, Michele M; Jones, Sarah; Sandler, Irwin N

    2015-05-01

    This cost-benefit analysis compared the costs of implementing the New Beginnings Program (NBP), a preventive intervention for divorced families to monetary benefits saved in mental healthcare service use and criminal justice system costs. NBP was delivered when the offspring were 9-12 years old. Benefits were assessed 15 years later when the offspring were young adults (ages 24-27). This study estimated the costs of delivering two versions of NBP, a single-component parenting-after-divorce program (Mother Program, MP) and a two-component parenting-after-divorce and child-coping program (Mother-Plus-Child Program, MPCP), to costs of a literature control (LC). Long-term monetary benefits were determined from actual expenditures from past-year mental healthcare service use for mothers and their young adult (YA) offspring and criminal justice system involvement for YAs. Data were gathered from 202 YAs and 194 mothers (75.4 % of families randomly assigned to condition). The benefits, as assessed in the 15th year after program completion, were $1630/family (discounted benefits $1077/family). These 1-year benefits, based on conservative assumptions, more than paid for the cost of MP and covered the majority of the cost of MPCP. Because the effects of MP versus MPCP on mental health and substance use problems have not been significantly different at short-term or long-term follow-up assessments, program managers would likely choose the lower-cost option. Given that this evaluation only calculated economic benefit at year 15 and not the previous 14 (nor future years), these findings suggest that, from a societal perspective, NBP more than pays for itself in future benefits.

  7. Cost-of-illness analysis reveals potential healthcare savings with reductions in type 2 diabetes and cardiovascular disease following recommended intakes of dietary fibre in Canada

    Directory of Open Access Journals (Sweden)

    Mohammad eAbdullah

    2015-08-01

    Full Text Available Background: Consumption of fibre-rich diets is associated with favourable impacts on type 2 diabetes (T2D and cardiovascular disease (CVD, two of the most costly ailments worldwide, however the economic value of altered fibre intakes remains poorly understood. Methods: A cost-of-illness analysis was conducted to identify the percentage of adults expected to consume fibre-rich diets in Canada, estimate fibre intakes in relation to T2D and CVD reductions, and assess the potential annual savings in healthcare costs with reductions in rates of these two epidemics. Results: Non-trivial healthcare and related savings of CAD$35.9-$718.8 million in T2D costs and CAD$64.8-$1,295.7 million in CVD costs were calculated under a scenario where cereal fibre was used to increase current intakes of dietary fibre to the recommended levels of 38 g per day for men and 25 g per day for women. Each 1 g per day increase in fibre consumption resulted in annual CAD$2.6-$51.1 and $4.6-$92.1 million savings for T2D and CVD, respectively. Conclusions: Strategies to increase consumers’ knowledge of the recommended dietary fibre intakes, as part of healthy diet, and to facilitate stakeholder synergy are warranted to enable better management of costs associated with T2D and CVD in Canada.

  8. In the field of energy cost reduction, what is the potential?; En matiere de reduction des depenses d`energie: quel est le gisement?

    Energy Technology Data Exchange (ETDEWEB)

    Millet, B. [Departement Industrie, CEREN (France)

    1996-12-31

    Through a segmentation of the fuel and electric power consumptions in the various industrial sectors and energy consumption process types in France in 1990, the energy conservation potential in the French metalworking and mechanical industry is analyzed and its evolution up to 2005 is assessed. It is shown that the reduction potential amounts to 450 kTep or 20 percent of the metalworking and metallic construction industry energy consumption, with an important part for the out-of-process sector (space heating, compressed air production, lighting). In the process sector, important reductions could be realized in thermal treatments and metal heating prior forming

  9. Surgical Care in Jamaica in the Laparoendoscopic Era: Challenges and Future Prospects for Developing Nations

    OpenAIRE

    Plummer, Joseph Martin; Roberts, Patrick Oral; Leake, Pierre Anthony; Mitchell, Derek Ian

    2011-01-01

    In an era of technology-dependent surgery, Jamaica and other developing countries must deal with the wide disparity between their surgical practices and those of developed nations. Although there is still a place for the well-trained surgeon, the current emphasis in developed nations is less on the individual surgeon and more on the surgery team and system, with increasing costs despite diminishing government support. At the University of the West Indies, we are challenged to continue providi...

  10. Documentation for calculating CO{sub 2} reduction costs of using bio diesel; Dokumentation for beregning af CO{sub 2}-reduktionsomkostningen ved anvendelse af biodiesel

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2003-01-01

    In connection to the European Commission's proposal for a directive on the promotion of biofuels for transport and the new climate strategy for Denmark, the Danish Energy Authority has evaluated the potential for and economics of production of biodiesel in Denmark. This note is documentation for the Danish Energy Authority's socio-economic analysis regarding rape-based biodiesel. The analysis consists of two parts: 1. Costs of producing biodiesel, 2. Costs of cultivating rape. The main conclusion is that the socio-economic CO{sub 2} reduction costs of producing biodiesel in Denmark are subject to some uncertainty. The uncertainty is primarily linked to difficulty in determining central parameters, e.g. stating the socio-economic costs of producing rape-seed, including stating prices of production factors and by-products. (ba)

  11. An optimal policy for a single-vendor and a single-buyer integrated system with setup cost reduction and process-quality improvement

    Science.gov (United States)

    Shu, Hui; Zhou, Xideng

    2014-05-01

    The single-vendor single-buyer integrated production inventory system has been an object of study for a long time, but little is known about the effect of investing in reducing setup cost reduction and process-quality improvement for an integrated inventory system in which the products are sold with free minimal repair warranty. The purpose of this article is to minimise the integrated cost by optimising simultaneously the number of shipments and the shipment quantity, the setup cost, and the process quality. An efficient algorithm procedure is proposed for determining the optimal decision variables. A numerical example is presented to illustrate the results of the proposed models graphically. Sensitivity analysis of the model with respect to key parameters of the system is carried out. The paper shows that the proposed integrated model can result in significant savings in the integrated cost.

  12. The ACA’s Cost-Sharing Reduction Plans: A Key to Affordable Health Coverage for Millions of U.S. Workers.

    Science.gov (United States)

    Gabel, Jon; Whitmore, Heidi; Green, Matthew; Call, Adrienne; Stromberg, Sam; Oran, Rebecca

    2016-10-01

    Issue: Without the cost-sharing reductions (CSRs) made available by the Affordable Care Act, health plans sold in the marketplaces may be unaffordable for many low-income people. CSRs are available to households earning between 100 percent and 250 percent of the federal poverty level that choose a silver-level marketplace plan. In 2016, about 7 million people received cost-sharing reductions that substantially lowered their deductibles, copayments, coinsurance, and out-of-pocket limits. Goal: To examine variations in consumer cost-sharing reductions between silver-level plans with CSRs to traditional marketplace plans and to employer-based insurance. Methods: Data analysis of 1,209 CSR-eligible plans sold in individual marketplaces in all 50 states and Washington, D.C. Key findings and conclusions: Cost-sharing amounts in silver plans with CSRs are much less than those in non-CSR base silver plans; silver plans with CSRs generally offer far better financial protection than those without. General annual deductibles range from $246 for CSR silver plans with a platinum-level actuarial value (94%) to as much as $3,063 for non-CSR silver plans. Out-of-pocket limits vary from $6,223 in base silver plans to $1,102 in silver plans with CSRs and a platinum-level actuarial level.

  13. Open and laparo-endoscopic repair of incarcerated abdominal wall hernias by the use of biological and biosynthetic meshes

    Directory of Open Access Journals (Sweden)

    René H Fortelny

    2016-02-01

    Full Text Available Introduction: Although recently published guidelines recommend against the use of synthetic non-absorbable materials in cases of potentially contaminated or contaminated surgical fields due to the increased risk of infection [1, 2], the use of bio-prosthetic meshes for abdominal wall or ventral hernia repair is still controversially discussed in such cases. Bio-prosthetic meshes have been recommended due to less susceptibility for infection and the decreased risk of subsequent mesh explantation. The purpose of this review is to elucidate if there are any indications for the use of biological and biosynthetic meshes in incarcerated abdominal wall hernias based on the recently published literature.Methods: A literature search of the Medline database using the PubMed search engine, using the keywords returned 486 articles up to June 2015. The full text of 486 articles was assessed and 13 relevant papers were identified including 5 retrospective case cohort studies, 2 case controlled studies, 6 case series.Results: The results of Franklin et al [23, 24, 25] included the highest number of biological mesh repairs (Surgisis® by laparoscopic IPOM in infected fields which demonstrated a very low incidence of infection and recurrence (0,7% and 5,2%. Han et al [26] reported in his retrospective study the highest number of treated patients due to incarcerated hernias by open approach using acellular dermal matrix (ADM® with very low rate of infection as well as recurrences (1,6% and 15,9. Both studies achieved acceptable outcome in a follow up of at least 3,5 years compared to the use of synthetic mesh in this high-risk population [3]Conclusion:Currently there is a very limited evidence for the use of biological and biosynthetic meshes in strangulated hernias in either open or laparo-endoscopic repair. Finally, there is an urgent need to start with randomized controlled comparative trials as well as to support registries with data to achieve more

  14. Dramatic inspection cost reduction of spherical storage tanks; Reduction importante des couts d'inspection des reservoires de stockage spheriques

    Energy Technology Data Exchange (ETDEWEB)

    Kiyoyuki, Ohkawa [Osaka Gas Co., Ltd (Japan)

    2000-07-01

    To ensure the safety of spherical gas holders and LPG storage tanks (hereafter called spherical storage tanks), both daily and periodic inspections are performed after the tanks become operational. One such periodic inspection involves opening the tank to check the integrity of weld lines on the inner and outer walls, but this is a costly and time-consuming task. A more suitable and efficient alternative is prescribed by standards like the Guidelines for Spherical Gas Holders published by the Japan Gas Association (hereafter called JGA Guidelines) which stipulate operational tank inspections that are conducted on the weld lines of inner and outer walls from outside the tank (i.e., external defect detection) without actually opening the tank. External defect detection technologies are widely available today, but Osaka Gas, Tokyo Gas and Toho Gas have jointly developed a high-speed TOFD (time of flight diffraction) mode that is quite different from the pulse reflection mode of ultrasonic defect detection testing prescribed by JGA Guidelines. Along these same lines, Osaka Gas also developed an inspection robot that travels along the weld line in an effort to reduce the cost of inspections still further. This paper will show that applying this newly developed inspection mode and robot to operational tank inspections will significantly reduce inspection costs, cut inspection time and improve the work environment. (authors)

  15. Traditional Technology and Cost-reduction As a Major Driver in Business: Can Outsourcing Relations be Redirected by Smart Manufacturing?

    NARCIS (Netherlands)

    Filippov, S.; Enserink, B.; Van Geenhuizen, M.S.; Berben, W.

    2012-01-01

    Traditional technologies can have an extended lifetime if companies use various cost-reducing strategies. One of these strategies employed in Western European countries in the past decades has been low-cost outsourcing in Central and Eastern Europe (CEE), mainly derived from low wages. Specifically,

  16. Implications of the international reduction pledges on long-term energy system changes and costs in China and India

    NARCIS (Netherlands)

    Lucas, P.L.; Shukla, P.R.; Chen, W.; van Ruijven, B.J.; Dhar, S.; den Elzen, M.G.J.; van Vuuren, D.P.

    2013-01-01

    This paper analyses the impact of postponing global mitigation action on abatement costs and energy systems changes in China and India. It compares energy-system changes and mitigation costs from a global and two national energy-system models under two global emission pathways with medium likelihood

  17. Traditional Technology and Cost-reduction As a Major Driver in Business: Can Outsourcing Relations be Redirected by Smart Manufacturing?

    NARCIS (Netherlands)

    Filippov, S.; Enserink, B.; Van Geenhuizen, M.S.; Berben, W.

    2012-01-01

    Traditional technologies can have an extended lifetime if companies use various cost-reducing strategies. One of these strategies employed in Western European countries in the past decades has been low-cost outsourcing in Central and Eastern Europe (CEE), mainly derived from low wages. Specifically,

  18. The role of abatement costs in GHG permit allocations : a global reduction scenario with the World-MARKAL model

    Energy Technology Data Exchange (ETDEWEB)

    Vaillancourt, K.; Kanudia, A. [Montreal Univ., PQ (Canada). Groupe d' etudes et de recherche en analyse des decisions; Loulou, R. [Montreal Univ., PQ (Canada). Groupe d' etudes et de recherche en analyse des decisions]|[McGill Univ., Montreal, PQ (Canada)

    2004-05-01

    The World-MARKAL model was used to examine a permit trading system to stabilize greenhouse gas emissions. The model considered the participation of all countries, including developing countries. Allocation schemes aimed at fair distribution of net abatement costs among world regions were proposed. The net abatement costs for each region are good indicators of where more abatement measures are needed. Equity issues relative to permit allocations and burden sharing were also presented along with the allocation methodology. The gross abatement costs before permit trading were calculated for each region. The main advantages and disadvantages of this approach were listed. It was concluded that permit allocation schemes based on cost distribution make it possible to obtain solutions with equalized net costs per gross domestic product for all regions. 30 refs., 6 tabs., 3 figs.

  19. Health economic impacts and cost-effectiveness of aflatoxin reduction strategies in Africa: Case studies in biocontrol and postharvest interventions

    Science.gov (United States)

    Wu, Felicia; Khlangwiset, Pornsri

    2010-01-01

    Advances in health economics have proven useful in evaluating the cost-effectiveness of interventions, where the benefit usually takes the form of improved health outcomes rather than market outcomes. We perform health-based cost-effectiveness analyses of two potential aflatoxin control strategies in Africa: 1) pre-harvest biocontrol, using atoxigenic strains of Aspergillus flavus to competitively exclude toxigenic strains from colonizing maize in Nigeria, and 2) postharvest interventions in a package to reduce aflatoxin accumulation in groundnuts in Guinea. We describe how health benefits gained from each intervention, in terms of fewer aflatoxin-induced hepatocellular carcinoma (HCC) cases, can be compared with costs of implementing the interventions. We find that both interventions would be extremely cost-effective if applied widely in African agriculture. That is, the monetized value of lives saved and quality of life gained by reducing aflatoxin-induced HCC far exceeds the cost of either biocontrol or the postharvest intervention package to achieve those health benefits. The estimated cost-effectiveness ratio (CER; gross domestic product multiplied by disability-adjusted life years saved per unit cost) for biocontrol in Nigerian maize ranges from 5.10 to 24.8; while the estimated CER for the postharvest intervention package in Guinean groundnuts ranges from 0.21 to 2.08. Any intervention with a CER greater than 1 is considered by the World Health Organization to be “very cost-effective,” while an intervention with a CER greater than 0.33 is considered “cost-effective.” Aside from cost-effectiveness, public health interventions must be readily accepted by the public, and must have financial and infrastructural support to be feasible in the parts of the world where they are most needed. PMID:20234965

  20. Cost-Effectiveness of Mindfulness-Based Stress Reduction vs Cognitive Behavioral Therapy or Usual Care among Adults with Chronic Low-Back Pain.

    Science.gov (United States)

    Herman, Patricia M; Anderson, Melissa L; Sherman, Karen J; Balderson, Benjamin H; Turner, Judith A; Cherkin, Daniel C

    2017-07-24

    Economic evaluation alongside a randomized trial of cognitive-behavioral therapy (CBT) and mindfulness-based stress reduction (MBSR) versus usual care alone (UC) for chronic low-back pain (CLBP). Determine the one-year cost-effectiveness of CBT and MBSR compared to UC. CLBP is expensive in terms of healthcare costs and lost productivity. Mind-body interventions have been found effective for back pain, but their cost-effectiveness is unexplored. 342 adults in an integrated healthcare system with CLBP were randomized to receive MBSR (n = 116), CBT (n = 113), or UC (n = 113). CBT and MBSR were offered in 8 weekly 2-hour group sessions. Cost-effectiveness from the societal perspective was calculated as the incremental sum of healthcare costs and productivity losses over change in quality-adjusted life-years (QALYs). The payer perspective only included healthcare costs. This economic evaluation was limited to the 301 health plan members enrolled >=180 days in the years pre-and post-randomization. Compared to UC, the mean incremental cost per participant to society of CBT was $125 (95% CI: -4103, 4307) and of MBSR was -$724 (CI: -4386, 2778)-i.e., a net saving of $724. Incremental costs per participant to the health plan were $495 for CBT over UC and -$982 for MBSR, and incremental back-related costs per participant were $984 for CBT over UC and -$127 for MBSR. These costs (and cost savings) were associated with statistically significant gains in QALYs over UC: 0.041 (0.015, 0.067) for CBT and 0.034 (0.008, 0.060) for MBSR. In this setting CBT and MBSR have high probabilities of being cost-effective, and MBSR may be cost saving, as compared to UC for adults with CLBP. These findings suggest that MBSR, and to a lesser extent CBT, may provide cost-effective treatment for CLBP for payers and society. 2.

  1. Cost reduction and manufacture of the SunSine{reg_sign} AC module: Phase I Annual Report : 21 April 1998 -- 31 October 1999

    Energy Technology Data Exchange (ETDEWEB)

    Kern, E.; Kern, G.

    2000-03-06

    This report summarizes the progress made by Ascension Technology in Phase 1 of the cost reduction and manufacturing improvements of the SunSine{reg_sign} AC Module. This work, conducted under NREL subcontract, is a two-phase effort consisting of investigations into improving inverter packaging, soft switching, circuit optimization, design for manufacturing, manufacturing processes, and pilot production manufacturing. The objective of this subcontract is to significantly reduce the cost of the SunSine{reg_sign} inverter, enhance its performance, and streamline and expand the manufacturing process. During Phase 1, the soft-switching topology was designed, then refined to meet stringent cost and performance goals. This design resulted in improved performance, smaller overall footprint, and reduced costs. The aluminum inverter housing was redesigned, and the decision was made to conformal coat the circuit boards, which was verified through the HAST (Highly Accelerated Stress Testing) method. Potential international markets were identified, and the inverter is designed to be easily modified to meet the requirements of other countries. Significant cost reduction and performance improvements have been achieved in Phase I, and accomplishments during Phase I include: (1) SunSine{reg_sign} AC Module costs have been reduced enough to be able to reduce the suggested list price; (2) successful implementation of soft-switching; (3) power circuit-board size reduced 53{percent}; (4) power circuit-board component count reduced 34{percent}; (5) total inverter parts count reduced 49{percent}; (6) anticipated inverter manufacturing cost reduced 57{percent} on a $/Wp rating; (7) transformer efficiency improved 1.4{percent}; and (8) inverter efficiency improved 4.7{percent} to 91.0{percent} at 275 Wac.

  2. Ultrathin graphitic carbon nitride nanosheets: a low-cost, green, and highly efficient electrocatalyst toward the reduction of hydrogen peroxide and its glucose biosensing application

    Science.gov (United States)

    Tian, Jingqi; Liu, Qian; Ge, Chenjiao; Xing, Zhicai; Asiri, Abdullah M.; Al-Youbi, Abdulrahman O.; Sun, Xuping

    2013-09-01

    In this communication, we demonstrate for the first time that ultrathin graphitic carbon nitride (g-C3N4) nanosheets can serve as a low-cost, green, and highly efficient electrocatalyst toward the reduction of hydrogen peroxide. We further demonstrate its application for electrochemical glucose biosensing in both buffer solution and human serum medium with a detection limit of 11 μM and 45 μM, respectively.In this communication, we demonstrate for the first time that ultrathin graphitic carbon nitride (g-C3N4) nanosheets can serve as a low-cost, green, and highly efficient electrocatalyst toward the reduction of hydrogen peroxide. We further demonstrate its application for electrochemical glucose biosensing in both buffer solution and human serum medium with a detection limit of 11 μM and 45 μM, respectively. Electronic supplementary information (ESI) available: Experimental section and supplementary figures. See DOI: 10.1039/c3nr02031b

  3. Potential cost saving of Epoetin alfa in elective hip or knee surgery due to reduction in blood transfusions and their side effects: a discrete-event simulation model.

    Directory of Open Access Journals (Sweden)

    Jörg Tomeczkowski

    Full Text Available OBJECTIVES: Transfusion of allogeneic blood is still common in orthopedic surgery. This analysis evaluates from the perspective of a German hospital the potential cost savings of Epoetin alfa (EPO compared to predonated autologous blood transfusions or to a nobloodconservationstrategy (allogeneic blood transfusion strategyduring elective hip and knee replacement surgery. METHODS: Individual patients (N = 50,000 were simulated based on data from controlled trials, the German DRG institute (InEK and various publications and entered into a stochastic model (Monte-Carlo of three treatment arms: EPO, preoperative autologous donation and nobloodconservationstrategy. All three strategies lead to a different risk for an allogeneic blood transfusion. The model focused on the costs and events of the three different procedures. The costs were obtained from clinical trial databases, the German DRG system, patient records and medical publications: transfusion (allogeneic red blood cells: €320/unit and autologous red blood cells: €250/unit, pneumonia treatment (€5,000, and length of stay (€300/day. Probabilistic sensitivity analyses were performed to determine which factors had an influence on the model's clinical and cost outcomes. RESULTS: At acquisition costs of €200/40,000 IU EPO is cost saving compared to autologous blood donation, and cost-effective compared to a nobloodconservationstrategy. The results were most sensitive to the cost of EPO, blood units and hospital days. CONCLUSIONS: EPO might become an attractive blood conservation strategy for anemic patients at reasonable costs due to the reduction in allogeneic blood transfusions, in the modeled incidence of transfusion-associated pneumonia andthe prolongedlength of stay.

  4. The cost of CO{sub 2} reduction. An application of the Global 2100 model to Germany and France

    Energy Technology Data Exchange (ETDEWEB)

    Pfaffenberger, W.

    1992-03-01

    This paper reports on an application of the global 2100 model by Manne und Richels to Germany and France. The model is a five region world model which allows to simulate economic growth scenarios under different restrictions regarding the output of CO{sub 2}. The benefits of restricting carbondioxyd production in the form of better environmental quality or reduced cost of environmental protection or reduced cost of international conflict are not contained in the model. (orig.)

  5. A scoping study on the costs of indoor air quality illnesses:an insurance loss reduction perspective

    Energy Technology Data Exchange (ETDEWEB)

    Chen, Allan; Vine, Edward L.

    1998-08-31

    The incidence of commercial buildings with poor indoor air quality (IAQ), and the frequency of litigation over the effects of poor IAQ is increasing. If so, these increases have ramifications for insurance carriers, which pay for many of the costs of health care and general commercial liability. However, little is known about the actual costs to insurance companies from poor IAQ in buildings. This paper reports on the results of a literature search of buildings-related, business and legal databases, and interviews with insurance and risk management representatives aimed at finding information on the direct costs to the insurance industry of poor building IAQ, as well as the costs of litigation. The literature search and discussions with insurance and risk management professionals reported in this paper turned up little specific information about the costs of IAQ-related problems to insurance companies. However, those discussions and certain articles in the insurance industry press indicate that there is a strong awareness and growing concern over the "silent crisis" of IAQ and its potential to cause large industry losses, and that a few companies are taking steps to address this issue. The source of these losses include both direct costs to insurers from paying health insurance and professional liability claims, as weIl as the cost of litigation. In spite of the lack of data on how IAQ-related health problems affect their business, the insurance industry has taken the anecdotal evidence about their reality seriously enough to alter their policies in ways that have lessened their exposure. We conclude by briefly discussing four activities that need to be addressed in the near future: (1) quantifying IAQ-related insurance costs by sector, (2) educating the insurance industry about the importance of IAQ issues, (3) examining IAQ impacts on the insurance industry in the residential sector, and (4) evaluating the relationship between IAQ improvements and their impact on

  6. Cost-of-illness analysis reveals potential healthcare savings with reductions in type 2 diabetes and cardiovascular disease following recommended intakes of dietary fiber in Canada

    Science.gov (United States)

    Abdullah, Mohammad M. H.; Gyles, Collin L.; Marinangeli, Christopher P. F.; Carlberg, Jared G.; Jones, Peter J. H.

    2015-01-01

    Background: Type 2 diabetes (T2D) and cardiovascular disease (CVD) are leading causes of mortality and two of the most costly diet-related ailments worldwide. Consumption of fiber-rich diets has been repeatedly associated with favorable impacts on these co-epidemics, however, the healthcare cost-related economic value of altered dietary fiber intakes remains poorly understood. In this study, we estimated the annual cost savings accruing to the Canadian healthcare system in association with reductions in T2D and CVD rates, separately, following increased intakes of dietary fiber by adults. Methods: A three-step cost-of-illness analysis was conducted to identify the percentage of individuals expected to consume fiber-rich diets in Canada, estimate increased fiber intakes in relation to T2D and CVD reduction rates, and independently assess the potential annual savings in healthcare costs associated with the reductions in rates of these two epidemics. The economic model employed a sensitivity analysis of four scenarios (universal, optimistic, pessimistic, and very pessimistic) to cover a range of assumptions within each step. Results: Non-trivial healthcare and related savings of CAD$35.9-$718.8 million in T2D costs and CAD$64.8 million–$1.3 billion in CVD costs were calculated under a scenario where cereal fiber was used to increase current intakes of dietary fiber to the recommended levels of 38 g per day for men and 25 g per day for women. Each 1 g per day increase in fiber consumption resulted in annual CAD$2.6 to $51.1 million savings for T2D and $4.6 to $92.1 million savings for CVD. Conclusion: Findings of this analysis shed light on the economic value of optimal dietary fiber intakes. Strategies to increase consumers’ general knowledge of the recommended intakes of dietary fiber, as part of healthy diet, and to facilitate stakeholder synergy are warranted to enable better management of healthcare and related costs associated with T2D and CVD in Canada. PMID

  7. Cost effective energy strategies for the reduction of CO{sub 2} emissions in the United States: Country report for ETSAP Annex IV

    Energy Technology Data Exchange (ETDEWEB)

    Morris, S.C.; Marcuse, J.L.W.; Goldstein, G.

    1993-02-01

    The energy system of the United States of America was analyzed using MARKAL. The time period of the study was 1990--2030. Projected energy demands over this period for a Reference Scenario were largely modeled after the US Energy Information Administration`s 1992 Annual Energy Outlook for 1990--2010 and from the National Energy Strategy for the period 2010--2030. Expectations of maximum growth rates of conservation and renewable energy technologies were based on the same sources. Reductions in CO{sub 2} emissions were achieved by setting absolute constraints on total emissions levels by year and by carbon taxes. A 10% reduction in CO{sub 2} emissions was near the limit of technical feasibility for this scenario. This resulted in an overall cost increase of $1.1 trillion present value, but marginal costs on CO{sub 2} emissions reductions ranged up to $3300/ton. Over 70% of the CO{sub 2} emissions reduction occurred in electrical generation, partly resulting from decreases in demand for electricity. Additional scenarios were run for conditions of low economic growth and with the addition of carbon sequestering technologies.

  8. Cost effective energy strategies for the reduction of CO[sub 2] emissions in the United States: Country report for ETSAP Annex IV

    Energy Technology Data Exchange (ETDEWEB)

    Morris, S.C.; Marcuse, J.L.W.; Goldstein, G.

    1993-02-01

    The energy system of the United States of America was analyzed using MARKAL. The time period of the study was 1990--2030. Projected energy demands over this period for a Reference Scenario were largely modeled after the US Energy Information Administration's 1992 Annual Energy Outlook for 1990--2010 and from the National Energy Strategy for the period 2010--2030. Expectations of maximum growth rates of conservation and renewable energy technologies were based on the same sources. Reductions in CO[sub 2] emissions were achieved by setting absolute constraints on total emissions levels by year and by carbon taxes. A 10% reduction in CO[sub 2] emissions was near the limit of technical feasibility for this scenario. This resulted in an overall cost increase of $1.1 trillion present value, but marginal costs on CO[sub 2] emissions reductions ranged up to $3300/ton. Over 70% of the CO[sub 2] emissions reduction occurred in electrical generation, partly resulting from decreases in demand for electricity. Additional scenarios were run for conditions of low economic growth and with the addition of carbon sequestering technologies.

  9. REVERSE LOGISTICS OF PACKAGING AS A SUSTAINABLE STRATEGY FOR COST REDUCTION: A STUDY IN A BOTTLER BEVERAGES

    Directory of Open Access Journals (Sweden)

    Laryssa Guedes de Oliveira

    2013-09-01

    Full Text Available This paper aims to examine the possibility of reducing production costs with the implementation of a program of reverse logistics packaging. Therefore we conducted a literature review focusing on reverse logistics, sustainability, packaging and glass recycling. The research was conducted through a descriptive case study, conducted from a survey and a semi structured interview. The study was developed in a beverage bottler, the Engarrafamento Coroa, a company that adopts in its bottling system using bottles purchased from recycling cooperatives. The results indicate that by reverse logistics is possible to reduce costs and environmental impact associated with the pollution and waste of materials, and provides revenue generation.

  10. Six Sigma. Quality initiatives for cost reduction and process optimisation; Six Sigma. Qualitaetsinitiative zur Kostenreduzierung und Prozessoptimierung

    Energy Technology Data Exchange (ETDEWEB)

    Boerkircher, Mikko [Rheinkalk GmbH, Flandersbach (Germany). Bereich Brennen und Verdeln

    2010-06-15

    Six Sigma occupies an important position in management practice. An increasing number of companies have recognised that this quality approach is not only an effective lever in order to reduce the costs of errors. In addition Six Sigma imparts important momentum to customer satisfaction and commitment, which is likewise reflected in increasing income and turnover. (orig.)

  11. Improved Safety and Cost Savings from Reductions in Cast-Saw Burns After Simulation-Based Education for Orthopaedic Surgery Residents.

    Science.gov (United States)

    Bae, Donald S; Lynch, Hayley; Jamieson, Katherine; Yu-Moe, C Winnie; Roussin, Christopher

    2017-09-06

    The purpose of this investigation was to characterize the clinical efficacy and cost-effectiveness of simulation training aimed at reducing cast-saw injuries. Third-year orthopaedic residents underwent simulation-based instruction on distal radial fracture reduction, casting, and cast removal using an oscillating saw. The analysis compared incidences of cast-saw injuries and associated costs before and after the implementation of the simulation curriculum. Actual and potential costs associated with cast-saw injuries included wound care, extra clinical visits, and potential total payment (indemnity and expense payments). Curriculum costs were calculated through time-derived, activity-based accounting methods. The researchers compared the costs of cast-saw injuries and the simulation curriculum to determine overall savings and return on investment. In the 2.5 years prior to simulation, cast-saw injuries occurred in approximately 4.3 per 100 casts cut by orthopaedic residents. For the 2.5-year period post-simulation, the injury rate decreased significantly to approximately 0.7 per 100 casts cut (p = 0.002). The total cost to implement the casting simulation was $2,465.31 per 6-month resident rotation. On the basis of historical data related to cast-saw burns (n = 6), total payments ranged from $2,995 to $25,000 per claim. The anticipated savings from averted cast-saw injuries and associated medicolegal payments in the 2.5 years post-simulation was $27,131, representing an 11-to-1 return on investment. Simulation-based training for orthopaedic surgical residents was effective in reducing cast-saw injuries and had a high theoretical return on investment. These results support further investment in simulation-based training as cost-effective means of improving patient safety and clinical outcomes. Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.

  12. Greenhouse Gas Mitigation Options in ISEEM Global Energy Model: 2010-2050 Scenario Analysis for Least-Cost Carbon Reduction in Iron and Steel Sector

    Energy Technology Data Exchange (ETDEWEB)

    Karali, Nihan; Xu, Tengfang; Sathaye, Jayant

    2013-12-01

    represented, in addition to the extensive data compiled from recent studies on bottom-up representation of efficiency measures for the sector. We also defined various mitigation scenarios including long-term production trends to project country-specific production, energy use, trading, carbon emissions, and costs of mitigation. Such analyses can provide useful information to assist policy-makers when considering and shaping future emissions mitigation strategies and policies. The technical objective is to analyze the costs of production and CO2 emission reduction in the U.S, China, and India’s iron and steel sectors under different emission reduction scenarios, using the ISEEM-IS as a cost optimization model. The scenarios included in this project correspond to various CO2 emission reduction targets for the iron and steel sector under different strategies such as simple CO2 emission caps (e.g., specific reduction goals), emission reduction via commodity trading, and emission reduction via carbon trading.

  13. Vermicomposting toilets, an alternative to latrine style microbial composting toilets, prove far superior in mass reduction, pathogen destruction, compost quality, and operational cost.

    Science.gov (United States)

    Hill, Geoffrey B; Baldwin, Susan A

    2012-10-01

    Composting toilets aim to recycle excrement into safe, stable humus. Preceding this, low costs, low risks, and mass reduction should be ensured. Source separating vermicomposting toilets (SSVCs) outperformed mixed latrine microbial composting toilets (MLMCs) in all categories. MLMCs: incurred ten times greater operational costs; created 10x more operator exposure; employed no proven pathogen reduction mechanism since solid end-products averaged 71,000±230,000CFU/g (fecal-origin) Escherichia coli and 24±5% total solids, consistently failed NSF/ANSI Standard 41; failed to reduce volatile solids compared to raw fecal matter; increased total contaminated dry mass by 274%, and produced alkaline end-product (8.0±0.7) high in toxic free ammonia (Solvita® 2.6±1.5). SSVCs have low maintenance costs and risks; adequate worm density for pathogen destruction (0.03±0.04g-worm/g-material); reduced E. coli 200±244CFU/g in neutral (7.4±0.3), stable (60±10% volatile solids), and mature (4±0 Solvita® NH(3)) end-product.

  14. Post2012 climate regime options for global GHG emission reduction. Analysis and evaluation of regime options and reduction potential for achieving the 2 degree target with respect to environmental effectiveness, costs and institutional aspects

    Energy Technology Data Exchange (ETDEWEB)

    Schumacher, Katja; Graichen, Jakob; Healy, Sean [Oeko-Institut, Inst. fuer Angewandte Oekologie e.V., Freiburg im Breisgau (Germany); Schleich, Joachim; Duscha, Vicki [Fraunhofer-Institut fuer Systemtechnik und Innovationsforschung (ISI), Karlsruhe (Germany)

    2011-08-15

    This report explores the environmental and economic effects of the pledges submitted by industrialized and major developing countries for 2020 under the Copenhagen Accord and provides an in-depth comparison with results arrived at in other model analyses. Two scenarios reflect the lower (''weak'') and upper (''ambitious'') bounds of the Copenhagen pledges. In addition, two scenarios in accordance with the IPCC range for reaching a 2 C target are analyzed with industrialized countries in aggregate reducing their CO2 emissions by 30 % in 2020 compared to 1990 levels. For all four policy scenarios the effects of emission paths leading to a global reduction target of 50 % below 1990 levels in 2050 are also simulated for 2030. In addition, a separate scenario is carried out which estimates the costs of an unconditioned EU 30 % emission reduction target, i.e. where the EU adopts a 30 % emission reduction target in 2020 (rather than a 20 % reduction target), while all other countries stick with their ''weak'' pledges. Not included in the calculations is possible financial support for developing countries from industrialized countries as currently discussed in the climate change negotiations and laid out in the Copenhagen Accord. (orig.)

  15. Process improvement and cost reduction utilizing a fully automated CD SEM for thin film head pole 2 resist measurements

    Science.gov (United States)

    Knutrud, Paul C.; Newcomb, Robert M.

    1996-05-01

    Thin film head (TFH) manufacturers are constantly striving to improve process control, eliminate scrap material and reduce the total cost of manufacturing their devices. Successful measurement and control of the Pole 2 Resist structure is a critical component of the TFH process which directly impacts disk drive performance, reliability and final product cost. Until recently, white light optical metrology systems have been the only option for measuring the Pole 2 structures. However, recent advances in TFH process technology have resulted in aspect ratios up to 10:1 which has limited the ability of the white light optical metrology systems. IVS has developed a unique metrology solution to image and measure these high aspect ratio structures utilizing the IVS-200TM CD SEM. This technology provides state of the art measurement performance for repeatability and stability which in turn has provided manufacturers with the ability to monitor the Pole 2 process and reap both technical and financial benefits.

  16. Contracting for communal sports facilities - strategies for climate protection and cost reduction guidelines; Contracting fuer kommunale Sportstaetten - Strategien zu Klimaschutz und Kostensenkung. Leitfaden

    Energy Technology Data Exchange (ETDEWEB)

    Kuhn, V.; Cames, M.; Bruene, F.

    2002-07-01

    The report demonstrates the potentials for energy savings and cost reduction in sports facilities and explains the possibilities of the realisation through contracting process. High investment costs often impede the development of these potentials, which could be a significant contribution to climate protection. The potentials of a win-win situation for both parties could be realized by a contracting agreement between the public authorities respectively the owner of the sports facilities and the contractor. The procedure of the contracting projects is explained in detail. In addition, the report includes practical references and resources for the realisation, as well as 50 realised examples. The report wants to give an incentive for the implementation of the contracting process to the players in sports facilities and provide a source of information. (orig.)

  17. Integrated control of emission reductions, energy-saving, and cost-benefit using a multi-objective optimization technique in the pulp and paper industry.

    Science.gov (United States)

    Wen, Zongguo; Xu, Chang; Zhang, Xueying

    2015-03-17

    Reduction of water pollutant emissions and energy consumption is regarded as a key environmental objective for the pulp and paper industry. The paper develops a bottom-up model called the Industrial Water Pollutant Control and Technology Policy (IWPCTP) based on an industrial technology simulation system and multiconstraint technological optimization. Five policy scenarios covering the business as usual (BAU) scenario, the structural adjustment (SA) scenario, the cleaner technology promotion (CT) scenario, the end-treatment of pollutants (EOP) scenario, and the coupling measures (CM) scenario have been set to describe future policy measures related to the development of the pulp and paper industry from 2010-2020. The outcome of this study indicates that the energy saving amount under the CT scenario is the largest, while that under the SA scenario is the smallest. Under the CT scenario, savings by 2020 include 70 kt/year of chemical oxygen demand (COD) emission reductions and savings of 7443 kt of standard coal, 539.7 ton/year of ammonia nitrogen (NH4-N) emission reductions, and savings of 7444 kt of standard coal. Taking emission reductions, energy savings, and cost-benefit into consideration, cleaner technologies like highly efficient pulp washing, dry and wet feedstock preparation, and horizontal continuous cooking, medium and high consistency pulping and wood dry feedstock preparation are recommended.

  18. Reductions in Sepsis Mortality and Costs After Design and Implementation of a Nurse-Based Early Recognition and Response Program.

    Science.gov (United States)

    Jones, Stephen L; Ashton, Carol M; Kiehne, Lisa; Gigliotti, Elizabeth; Bell-Gordon, Charyl; Disbot, Maureen; Masud, Faisal; Shirkey, Beverly A; Wray, Nelda P

    2015-11-01

    Sepsis is a leading cause of death, but evidence suggests that early recognition and prompt intervention can save lives. In 2005 Houston Methodist Hospital prioritized sepsis detection and management in its ICU. In late 2007, because of marginal effects on sepsis death rates, the focus shifted to designing a program that would be readily used by nurses and ensure early recognition of patients showing signs suspicious for sepsis, as well as the institution of prompt, evidence-based interventions to diagnose and treat it. The intervention had four components: organizational commitment and data-based leadership; development and integration of an early sepsis screening tool into the electronic health record; creation of screening and response protocols; and education and training of nurses. Twice-daily screening of patients on targeted units was conducted by bedside nurses; nurse practitioners initiated definitive treatment as indicated. Evaluation focused on extent of implementation, trends in inpatient mortality, and, for Medicare beneficiaries, a before-after (2008-2011) comparison of outcomes and costs. A federal grant in 2012 enabled expansion of the program. By year 3 (2011) 33% of inpatients were screened (56,190 screens in 9,718 unique patients), up from 10% in year 1 (2009). Inpatient sepsis-associated death rates decreased from 29.7% in the preimplementation period (2006-2008) to 21.1% after implementation (2009-2014). Death rates and hospital costs for Medicare beneficiaries decreased from preimplementation levels without a compensatory increase in discharges to postacute care. This program has been associated with lower inpatient death rates and costs. Further testing of the robustness and exportability of the program is under way.

  19. Optimal Inventory Policy Involving Ordering Cost Reduction, Back-Order Discounts, and Variable Lead Time Demand by Minimax Criterion

    Directory of Open Access Journals (Sweden)

    Jong-Wuu Wu

    2009-01-01

    Full Text Available This paper allows the backorder rate as a control variable to widen applications of a continuous review inventory model. Moreover, we also consider the backorder rate that is proposed by combining Ouyang and Chuang (2001 (or Lee (2005 with Pan and Hsiao (2001 to present a new form. Thus, the backorder rate is dependent on the amount of shortages and backorder price discounts. Besides, we also treat the ordering cost as a decision variable. Hence, we develop an algorithmic procedure to find the optimal inventory policy by minimax criterion. Finally, a numerical example is also given to illustrate the results.

  20. Society of Laparoendoscopic Surgeons

    Science.gov (United States)

    ... Fellowship Summit Join SLS at the Florida Hospital Nicholson Center in Orlando, Florida for a Fellowship Summit. ... the Bohemian Hotel and a course at the Nicholson Center the following day! EuroAmerican MultiSpecialty Summit This ...

  1. Removal efficiency and economic cost comparison of hydrated electron-mediated reductive pathways for treatment of bromate

    DEFF Research Database (Denmark)

    Nawaz, Shah; Shah, Noor S.; Khan, Javed Ali

    2017-01-01

    based pathways. The high second-order rate constant of 5.3×109M−1s−1 determined proved high reactivity of aqueous electron with bromate. The kinetic and removal efficiency of bromate showed linear relationship with the rate of aqueous electron formation. An increase in kinetic and removal efficiency...... of bromate was observed with increasing initial sulfite concentration and decreasing bromate concentration. The impacts of different initial concentrations of the typical ions commonly found in water were studied in detail to extend the UV-254/sulfite-based process for potential practical applications....... The lower molar absorptivity of bromate at 254nm determined proved insignificant removal of bromate under direct photolysis. The impacts of initial sulfite concentration on removal of bromate in UV-254/sulfite-based process also minimized role of direct photolysis. The cost evaluation and rapid...

  2. A low-cost, goal-oriented ‘compact proper orthogonal decomposition’ basis for model reduction of static systems

    KAUST Repository

    Carlberg, Kevin

    2010-12-10

    A novel model reduction technique for static systems is presented. The method is developed using a goal-oriented framework, and it extends the concept of snapshots for proper orthogonal decomposition (POD) to include (sensitivity) derivatives of the state with respect to system input parameters. The resulting reduced-order model generates accurate approximations due to its goal-oriented construction and the explicit \\'training\\' of the model for parameter changes. The model is less computationally expensive to construct than typical POD approaches, since efficient multiple right-hand side solvers can be used to compute the sensitivity derivatives. The effectiveness of the method is demonstrated on a parameterized aerospace structure problem. © 2010 John Wiley & Sons, Ltd.

  3. Application of laparoendoscopic single site surgery in digestive surgery%单孔腹腔镜手术在消化外科的应用

    Institute of Scientific and Technical Information of China (English)

    郭伟; 张忠涛

    2011-01-01

    Although natural orifice transluminal endoscopic surgery provides excellent cosmesis,it is not being widely accepted because of the restriction in aspects of technology,instruments and ethics.As a bridge,laparoendoscopic single site surgery(LESS)has been widely applied in digestive surgery,including bariatric,gastric,hepatobiliary and colorectal surgery.Although LESS provides excellent cosmetic results,and its safety and feasibility seems similar to conventional laparoscopy in most procedures,its effectiveness in the treatment of malignant tumors still needs to be proved. Compared with conventional laparoscopy,LESS has the drawbacks of longer operation time and higher demand in experience.Besides,because digestive tract reconstruction is often needed after resection,more convenient and applicable instruments need to be invented for the development of LESS.%@@ 随着人们对手术微创化的要求越来越高,腹腔镜技术和内镜技术迅速发展.最大限度地减轻术后疼痛和减少体表瘢痕带给患者的生理及心理创伤是患者的要求,也是外科医生不懈追求的目标.

  4. Development of an in vivo visual robot system with a magnetic anchoring mechanism and a lens cleaning mechanism for laparoendoscopic single-site surgery (LESS).

    Science.gov (United States)

    Feng, Haibo; Dong, Dinghui; Ma, Tengfei; Zhuang, Jinlei; Fu, Yili; Lv, Yi; Li, Liyi

    2017-01-16

    Surgical robot systems which can significantly improve surgical procedures have been widely used in laparoendoscopic single-site surgery (LESS). For a relative complex surgical procedure, the development of an in vivo visual robot system for LESS can effectively improve the visualization for surgical robot systems. In this work, an in vivo visual robot system with a new mechanism for LESS was investigated. A finite element method (FEM) analysis was carried out to ensure the safety of the in vivo visual robot during the movement, which was the most important concern for surgical purposes. A master-slave control strategy was adopted, in which the control model was established by off-line experiments. The in vivo visual robot system was verified by using a phantom box. The experiment results show that the robot system can successfully realize the expected functionalities and meet the demands of LESS. The experiment results indicate that the in vivo visual robot with high manipulability has great potential in clinical application. Copyright © 2017 John Wiley & Sons, Ltd.

  5. 经脐单孔机器人肾囊肿去顶术的护理配合%Nursing cooperation of robotic transumbilical laparoendoscopic single-site renal cyst decortication

    Institute of Scientific and Technical Information of China (English)

    王涛; 李丽霞; 崔冬冬; 刘亚男

    2015-01-01

    目的:探讨经脐单孔机器人肾囊肿去顶术的护理配合。方法通过配合7例采用单孔机器人手术专用器械及单孔复合Port行肾囊肿去顶术,对术前培训、物品准备、床旁机械臂系统摆放、手术配合及围术期器械进行护理管理。结果7例手术均顺利完成,医护配合效果满意。结论术前熟悉单孔复合Port结构及使用方法,了解单孔机器人专用器械特点,掌握手术操作步骤,术者在术中良好的沟通是手术成功的关键。%Objective To explore the nursing efficacy of robotic transumbilical laparoendoscopic single-site renal cyst decortication. Methods Based on the nursing cooperation of 7 patients undergoing robotic transumbilical laparoendoscopic single-site renal cyst decortication, we managed preoperative train, items preparation, bedside mechanical arm system arrangement, cooperation of operation and perioperative devices. Results All the operation of 7 cases were successfully performed, and the nursing cooperation was favorable. Conclusions We well know about the structure, characteristic, procedures and application of the equipment of Robotic Laparoendoscopic Single-Site, combine with the intraoperative communication. All of them play critical roles on the success of the procedure.

  6. Study of modified laparoendoscopic singlesite surgery in adnexal diseases on young female patients%改良单孔腹腔镜在青年女性附件手术中的应用总结

    Institute of Scientific and Technical Information of China (English)

    李洋

    2015-01-01

    目的 分析改良单孔腹腔镜在青年女性附件疾病手术中的方法及效果.方法 总结2010年8月至2013年8月郑州大学人民医院收治32例青年女性患者,均行改良经脐单孔腹腔镜手术.结果 32例患者中1例因腹腔炎性粘连重行常规腹腔镜手术,其余均顺利行单孔腹腔镜手术,无中转开腹病例.6例异位妊娠患者中5例行输卵管开窗取胚术,1例行输卵管切除术;卵巢囊肿患者均行囊肿剔除术.结论 改良单孔腹腔镜的微创化及无瘢痕化效果更能体现对青年女性的人文关怀理念,具有极大的临床推广价值.%Objective To analyze the methods and effects of modified laparoendoscopic singlesite surgery in adnexal diseases on young female patients.Methods To summarize the 32 young female patients who were operated by modified laparoendoscopic singlesite surgery from July 2008 to July 2011 in our department.Results Of the 32 patients,1 case was changed to conventional laparoscopic surgery because of the peritoneal inflammatory adhesio,and the others completed modified laparoendoscopic singlesite surgery.Among the 6 ectopic pregnancy patients,5 cases were operated by fenestration of taking embryo and 1 case was operated by salpingectomy.Patients with ovarian cyst were operated by cystectomy.Conclusions The minimal invasion and no scar effect of modified laparoendoscopic singlesite surgery can reflect the concept of humanistic care to young women,and has a great clinical value.

  7. High Performance and Cost-Effective Direct Methanol Fuel Cells: Fe-N-C Methanol-Tolerant Oxygen Reduction Reaction Catalysts.

    Science.gov (United States)

    Sebastián, David; Serov, Alexey; Artyushkova, Kateryna; Gordon, Jonathan; Atanassov, Plamen; Aricò, Antonino S; Baglio, Vincenzo

    2016-08-09

    Direct methanol fuel cells (DMFCs) offer great advantages for the supply of power with high efficiency and large energy density. The search for a cost-effective, active, stable and methanol-tolerant catalyst for the oxygen reduction reaction (ORR) is still a great challenge. In this work, platinum group metal-free (PGM-free) catalysts based on Fe-N-C are investigated in acidic medium. Post-treatment of the catalyst improves the ORR activity compared with previously published PGM-free formulations and shows an excellent tolerance to the presence of methanol. The feasibility for application in DMFC under a wide range of operating conditions is demonstrated, with a maximum power density of approximately 50 mW cm(-2) and a negligible methanol crossover effect on the performance. A review of the most recent PGM-free cathode formulations for DMFC indicates that this formulation leads to the highest performance at a low membrane-electrode assembly (MEA) cost. Moreover, a 100 h durability test in DMFC shows suitable applicability, with a similar performance-time behavior compared to common MEAs based on Pt cathodes.

  8. Low-cost adsorbent derived and in situ nitrogen/iron co-doped carbon as efficient oxygen reduction catalyst in microbial fuel cells.

    Science.gov (United States)

    Cao, Chun; Wei, Liling; Su, Min; Wang, Gang; Shen, Jianquan

    2016-08-01

    A novel low-cost adsorbent derived and in situ nitrogen/iron co-doped carbon (N/Fe-C) with three-dimensional porous structure is employed as efficient oxygen reduction catalyst in microbial fuel cells (MFCs). The electrochemical active area is significantly improved to 617.19m(2)g(-1) in N/Fe-C by Fe-doping. And N/Fe-C (4.21at.% N, 0.11at.% Fe) exhibits excellent electrocatalytic activity with the oxygen reduction potential of -0.07V (vs. Ag/AgCl) which is comparable to commercial Pt/C. In MFCs tests, the maximum power density and output voltage with N/Fe-C are enhanced to 745mWm(-2) and 562mV (external resistance 1kΩ), which are 11% and 0.72% higher than Pt/C (0.5mgPtcm(-2)), respectively. Besides, the long-term stability of N/Fe-C retains better for more than one week. Moreover, the charge transfer resistance (Rct) values are recorded by the impedance measurements, and the low Rct of N/Fe-C is also result in better catalytic activity.

  9. Integrated application of river water quality modelling and cost-benefit analysis to optimize the environmental economical value based on various aquatic waste load reduction strategies

    Science.gov (United States)

    Wu, Chen-Yu; Fan, Chihhao

    2017-04-01

    improvements in BOD, SS and NH3-N were estimated as 36.2%, 27.7% and 29.2%, respectively. The net present value (i.e., economical-based environmental impact) becomes positive in the sixtieth year following the original government planning. We designed two scenarios for further comparison: (i) treatment efficiency improvement of pollution control facilities, and (ii) biogas-based power generation using livestock manure. If government budget is not a limiting factor, improving the efficiency of sewage treatment plants can make the occurrence of balance between payments and revenues (i.e., net present value in this study) three years earlier. For the biogas-based power generation scenario, if all pig farms with livestock number >2000 install the on-site power generation equipment, BOD will further improve by 9% and the time span of payback period will be shortened by 1 year. If all the manure waste from pig-farms is collected for subsequent electricity generation, the BOD river pollution index is estimated to improve to lightly-polluted category for more than half the length of Erhjen Creek. In short, water quality modelling technique not only can assess the contributions of related projects, but establish a practical pollution reduction strategy using cost-benefit analysis, which allows decision-maker to find a suitable pollution reduction plan to exhibit most benefits in river water quality.

  10. A comparative study of trans-umbilicus laparoendoscopic one-trocar surgery and trans-umbilicus and abdominal wall two-trocar surgery in the treatment of pediatric hydrocele%经脐单穿刺孔与经脐及腹侧壁双穿刺孔腹腔镜治疗小儿鞘膜积液比较

    Institute of Scientific and Technical Information of China (English)

    宋晋秋; 郝春生; 叶辉; 李龙; 白东升; 邱颖

    2013-01-01

    treatment cost were compared.Results All procedures were successful.No case converted into open surgery.Visual field of both methods was similar,but twotrocar group had a flexible visual angle.During a follow-up period of 3-6 months,there was no occurrence of postoperative complications.The average operative duration was (20 ± 10) min at one side and (31 ± 11)min at both sides in one-trocar group versus (20 ± 8) min and (29 ± 9) min in two-trocar group.There were no statistical significance(all P >0.05).Cost in one-trocar group was (5199 ± 599)yuan RMB and (5117 ±684) yuan RMB in two-trocar group (P > 0.05).Conclusions Trans-umbilicus laparoendoscopic one-trocar surgery is both feasible and safe in the treatment of pediatric hydrocele.Compared with two-trocar laparoscopic surgery,both approaches are similar in terms of operative duration,post-operative hospital stay and treatment cost.Since there is a single hidden navel scar,the former is labor-saving,may be handled by one operator and offers better cosmetic outcomes.

  11. Reducing an already low dental diagnostic X-ray dose: does it make sense? Comparison of three cost-utility analysis methods used to assess two dental dose-reduction measures.

    Science.gov (United States)

    Hoogeveen, R C; Sanderink, G C H; van der Stelt, P F; Berkhout, W E R

    2015-01-01

    To find a method that is suitable for providing an objective assessment of the cost effectiveness of a dose-reducing measure used for diagnostic dental X-ray exposures. Three cost-utility analysis (CUA) methods were evaluated by comparing their assessments of two dose-reduction measures, a rectangular collimator and the combination of two devices that reduce the radiation dose received during orthodontic lateral cephalography. The following CUA methods were used: (1) the alpha value (AV), a monetary valuation of dose reduction used in the nuclear industry; (2) the value of a statistical life for valuation of the reduction in stochastic adverse effects; and (3) the time-for-time method, based on the postulate that risk reduction is effective when the number of years of life gained is more than the years that an average worker must work to earn the costs of the risk-reducing measure. The CUA methods were used to determine the minimum number of uses that was required for the dose-reducing device to be cost effective. The methods were assessed for coherence (are comparable results achieved for comparable countries?) and adaptability (can the method be adjusted for age and gender of specific patient groups?). The performance of the time-for-time method was superior to the other methods. Both types of dose-reduction devices tested were assessed as cost effective after a realistic number of uses with all three methods except low AVs. CUA for the methods of X-ray dose reduction can be performed to determine if investment in low dose reduction is cost effective. The time-for-time method proved to be a coherent and versatile method for performing CUA.

  12. Concomitant ovarian drilling and oocyte retrieval by laparoendoscopic single-site surgery led to live birth using in vitro maturation of oocyte and transfer of frozen-thawed blastocyst in woman with polycystic ovary syndrome.

    Science.gov (United States)

    Hirata, Tetsuya; Fujimoto, Akihisa; Koga, Kaori; Wada-Hiraike, Osamu; Fujii, Tomoyuki; Osuga, Yutaka

    2014-05-01

    This case report describes a case of concomitant ovarian drilling and retrieval of oocytes using laparoendoscopic single-site surgery and the resultant birth of a healthy infant after transfer of frozen-thawed blastocyst from in vitro matured oocyte in a woman with polycystic ovary syndrome. A 33-year-old woman presented with anovulatory, clomiphene-resistant polycystic ovary syndrome, and 1-year history of infertility. Thirty-seven immature oocytes were retrieved and multiperforation of ovaries was performed at the same time by laparoendoscopic single-site surgery. Twenty-three oocytes reached metaphase II after 24-h culture in in vitro maturation medium, which was followed by intracytoplasmic sperm injection. Eventually, seven embryos were vitrified and spontaneous ovulation was restored after the operation. Although the first single frozen-thawed blastocyst transferred in a natural cycle ended up a biochemical pregnancy, the second frozen-thawed blastocyst transfer resulted in successful pregnancy, followed by live birth of a healthy male infant. © 2014 The Authors. Journal of Obstetrics and Gynaecology Research © 2014 Japan Society of Obstetrics and Gynecology.

  13. Reduction of Total Ownership Cost

    Science.gov (United States)

    2006-05-31

    be expected to be performed as part of other activities, such as postproduction support, DMSMS, and RCM reviews. 84 Holland, Charles J. and Donna...Vendor PPSP Postproduction Support Plan RAM Reliability, Availability, Maintainability RCM Reliability-Centered Maintenance RDT&E Research

  14. Totally Transanal Laparo-Endoscopic Single-Site ProctoColectomy-Ileoanal J-Pouch (TLPC-J: An Experimental Study of a Novel Approach

    Directory of Open Access Journals (Sweden)

    Mohammad Reza Vahdad

    2015-09-01

    Full Text Available Background: The natural orifice transluminal endoscopic surgery (NOTES has become a commonly considered novel approach in the surgical field. The NOTES provide possibility of operation through the natural orifice and decreases the intentional puncture of the systemic organ and subsequent complications. Totally transanal laparo-endoscopic single-site proctoColectomy-Ileoanal J-Pouch (TLPC-J is a novel method in minimally invasive surgery for total colectomy. The main goal of this study is to perform this new method on an animal model, to assess probable complication and to resolve probable issues by using patients that are candidate for total colectomy. Method: Five dogs were prepared in lithotomy position. The TLPC-I procedure consists of endorectal technique with full thickness rectal dissection starting 1 cm orally from the dentate line above the peritoneal reflection and the proximal bowel was replaced into the abdominal cavity. Afterwards, the TriPort system was inserted in the anal canal and mesentrial resection of the total colon, mobilization of a distal ileal segment and intracorporeal suture of an ileal J-loop was accomplished by this system. An incision in the J-loop was conducted transanally. The J-pouch was created with an Endo-GIA® and sutured to the rectal wall. Results: All animals survived and passed stool with clear post operation situation. There was no infection in site of anastomosis. Conclusion: The TLPC-I provides the possibility of surgery without abdominal wall incision and decreases post operation complication such as pain, abdominal wound infection and wound dehiscence. This technique increases the quality of life and surgeons can discharge the patients early.

  15. Feasibility and surgical outcome in obese versus nonobese patients undergoing laparoendoscopic single-site hysterectomy: a multicenter case-control study.

    Science.gov (United States)

    Fanfani, Francesco; Boruta, David M; Fader, Amanda N; Vizza, Enrico; Growdon, Withfiel B; Kushnir, Cristina L; Corrado, Giacomo; Scambia, Giovanni; Turco, Luigi C; Fagotti, Anna

    2015-01-01

    To assess the feasibility and perioperative outcomes of laparoendoscopic single-site (LESS) hysterectomy in obese and nonobese women. A multicentric retrospective case-control study (Canadian Task Force II-2). Catholic University of the Sacred Heart and National Cancer Institute "Regina Elena" (Rome, Italy), Massachusetts General Hospital (Boston, MD), and Johns Hopkins Hospital (Baltimore, MD). From July 2009 to April 2013, 120 women underwent LESS hysterectomy. Five women (8%) were excluded from the analysis. The remaining 115 women were divided into 2 groups: obese (n = 43, body mass index [BMI] ≥30 kg/m(2)) and nonobese (n = 72, BMI laparoscopy occurred in 2 obese (5%) and 2 (5%) nonobese women (p = .62). Conversion to laparotomy occurred in 1 obese (2.3%) and 3 (4.2%) nonobese women (p = .212). The median operative time was 115 minutes (range, 48-300 minutes) in obese and 114 minutes (range, 55-342 minutes) in nonobese women (p = .787). The intraoperative complication rate was 11.6% and 9.6% in obese and nonobese women, respectively (p = .712). The early postoperative complication rate was 6.9% in obese and 4.1% in nonobese women (p = .516). Despite the fact that the present analysis was performed in a relatively small group of patients, this study suggests that obesity (BMI ≥30) does not preclude successful completion of total LESS hysterectomy. Further prospective studies are required to confirm these preliminary data and to clarify potential advantages and disadvantages of LESS in obese women. Copyright © 2015 AAGL. Published by Elsevier Inc. All rights reserved.

  16. Preliminary experience with transperitoneal laparoendoscopic single-site radical nephrectomy using a home-made single-port device in China

    Institute of Scientific and Technical Information of China (English)

    Bi Hai; Ma Lulin; Hou Xiaofei; Zhang Shudong; Wang Guoliang; Zhao Lei

    2014-01-01

    Background Laparoendoscopic single-site (LESS) surgery represents a technique to further reduce morbidity and scarring associated with surgery.We present our preliminary experience with transperitoneal LESS radical nephrectomy (RN) using a home-made single-port device in China.Methods From July 2010 to November 2011,eleven patients with renal tumor not greater than T2 underwent LESS-RN by an experienced laparoscopic surgeon.A home-made single-port device was used through a 5-cm umbilical incision.A combination of standard and articulating laparoscopic instruments was used.The sequence of steps of LESS-RN was similar to transperitoneal laparoscopic RN.Patient characteristics,perioperative variables and postoperative outcomes were recorded and analyzed.Results Except for two transperitoneal laparoscopic conversions and one hand-assisted laparoscopic conversion,the other procedures were completed successfully without conversion to open surgery.The mean operative time was 224.5 (155-297) minutes,estimated blood loss was 270.9 (50-900) ml,and hospital stay was 10.4 (5-15) days.The mean visual analog pain scale (VAPS) on the first postoperative day was 4.0/10.Final pathological analysis revealed renal cell carcinoma in all cases with a stage distribution of three T1a,five T1b,and three T2a tumors.With the mean followup period of 21.4 (12-28) months,all patients were alive without evidence of tumor recurrence or metastasis,and were satisfied with the appearance of the scars.Conclusion Transperitoneal LESS-RN using a home-made single-port device is technically feasible and safe in a selected group of patients (low body mass index and stage tumor) and has excellent cosmetic results.Although preliminary oncologic outcome is not compromised,the long-term evaluation of these patients is awaited.

  17. Laparo-Endoscopic Single-Site Surgery for Radical and Cytoreductive Nephrectomy, Renal Vein Thrombectomy, and Partial Nephrectomy: A Prospective Pilot Evaluation

    Directory of Open Access Journals (Sweden)

    Ithaar H. Derweesh

    2010-01-01

    Full Text Available Introduction. Laparo-endoscopic single-site surgery (LESS may diminish morbidity of laparoscopic surgery. We prospectively evaluated feasibility and outcomes of LESS-Radical Nephrectomy (LESS-RN and Partial Nephrectomy (LESS-PN. Methods. 10 patients underwent LESS-RN (6 and LESS-PN (4 between 2/2009-5/2009. LESS-RN included 2 with renal vein thrombectomy, one of which was also cytoreductive. Transperitoneal LESS access was obtained by periumbilical incision. Patient/tumor characteristics, oncologic, and quality of life (QoL outcomes were analyzed. Results. 3 Men/7 Women (mean age 58.7 years, median follow-up 9.8 months underwent LESS. 9/10 cases were completed successfully. All had negative margins. Mean operative time was 161 minutes, estimated blood loss was 125 mL, and incision size was 4.4 cm. Median tumor size for LESS-RN and -PN was 5.0 and 1.7 cm (=.045. Median LESS-PN ischemia time was 24 minutes; mean preoperative/postoperative creatinine were 0.7/0.8 mg/dL (=.19. Mean pain score at discharge was 1.3. Mean preoperative, 3-, and 6-month postoperative SF-36 QoL Score was 73.8, 74.4 and 77.1 (=.222. All patients are currently alive. Conclusions. LESS-RN, renal vein thrombectomy, and PN are technically feasible and safe while maintaining adherence to oncologic principles, with excellent QoL preservation and low discharge pain scores. Further study is requisite.

  18. Evaluation of costs associated with tolvaptan-mediated hospital length of stay reduction among US patients with the syndrome of inappropriate antidiuretic hormone secretion, based on SALT-1 and SALT-2 trials.

    Science.gov (United States)

    Dasta, Joseph F; Chiong, Jun R; Christian, Rudell; Lin, Jay

    2012-02-01

    Two randomized clinical trials, the Study of Ascending Levels of Tolvaptan in Hyponatremia 1 and 2 (SALT-1 and SALT-2), showed that tolvaptan was an efficacious and safe therapy for the treatment of hyponatremic patients with the syndrome of inappropriate antidiuretic hormone secretion (SIADH). This study evaluated the potential cost savings associated with tolvaptan usage based on the SALT-1 and SALT-2 trials. Hospital length of stay (LOS) reduction associated with tolvaptan versus placebo was evaluated among hyponatremic patients with the SIADH (serum sodium adult (age ≥ 18 years) patients with the SIADH. A cost-offset model was constructed to evaluate the impact of tolvaptan on hospital cost and LOS, with univariate and multivariate Monte Carlo sensitivity analyses. In the SALT-1 and SALT-2 trials, patients with the SIADH receiving tolvaptan had a shorter hospital LOS than patients receiving placebo (4.98 vs 6.19 days, respectively). There were 21 718 hospitalizations for the SIADH identified from the Healthcare Cost and Utilization Project Nationwide 2009 Inpatient Sample database, with a mean LOS of 5.7 days and mean total hospital costs of $8667. Using an inpatient tolvaptan treatment duration of 4 days, with a daily wholesale acquisition cost of $250, the cost-offset model estimated an LOS reduction among SIADH hospitalizations of 1.11 days. The total cost offset, including tolvaptan drug cost, was estimated to be $694 per admission. The cost-neutral break-even duration of tolvaptan therapy is 6.78 days. Univariate and multivariate sensitivity analyses demonstrated consistent cost reduction associated with tolvaptan usage. Ten thousand cycles of Monte Carlo simulation showed the 95% CI for cost offset to be $73 to $1405. Based on the SALT-1 and SALT-2 trials, tolvaptan usage is associated with a shorter hospital LOS than placebo among patients with the SIADH. Including the drug cost for 4 days of inpatient tolvaptan therapy, tolvaptan is associated with an

  19. Development of a national system for prevention and mitigation of earthquake damages to people and properties, and the reduction of costs related to earthquakes for the Italian Government

    Science.gov (United States)

    Console, R.; Greco, M.; Colangelo, A.; Cioè, A.; Trivigno, L.; Chiappini, M.; Ponzo, F.

    2015-12-01

    Recognizing that the Italian territory is prone to disasters in connection with seismic and hydro-geological risk, it has become necessary to define novel regulations and viable solutions aimed at conveying the economical resources of the Italian Government, too often utilized for the management of post-event situations, towards prevention activities. The work synthetically presents the project developed by the CGIAM together with the INGV, and open to collaboration with other Italian and International partners. This project is aimed at the development of a National System for prevention and mitigation of the earthquakes damages, through the definition of a model that achieves the mitigation of the building collapsing risk and the consequent reduction of casualties. Such a model is based on two main issues a) a correct evaluation of risk, defined as a reliable assessment of the hazard expected at a given site and of the vulnerability of civil and industrial buildings, b) setting up of novel strategies for the safety of buildings. The hazard assessment is pursued through the application of innovative multidisciplinary geophysical methodologies and the application of a physically based earthquake simulator. The structural vulnerability of buildings is estimated by means of simplified techniques based on few representative parameters (such as different structural typologies, dynamic soil-structure interaction, etc.) and, for detailed studies, standard protocols for model updating techniques. We analyze, through numerical and experimental approaches, new solutions for the use of innovative materials, and new techniques for the reduction of seismic vulnerability of structural, non-structural and accessorial elements, including low cost type. The project activities are initially implemented on a study area in Southern Italy (Calabria) selected because of its tectonic complexity. The results are expected to be applicable for other hazardous seismic areas of Italy.

  20. CO{sub 2} reduction cost for bio-diesel, Danish produced bio-diesel based on rape seed; CO{sub 2} reduktionsomkostninger ved biodiesel. Dansk produceret biodiesel pae raps

    Energy Technology Data Exchange (ETDEWEB)

    Carlsen, Kirsten; Kjellingbro, M.; Mogensen, Martin Frank; Kohl, M.

    2006-12-15

    Bio-diesel based on rape seed (RME, Rape Methyl Esther), often referred to as first generation bio-diesel, is a renewable fuel with CO{sub 2} reduction potential. Mixed with conventional diesel it can be used directly in existing diesel engines. The EU target for the use of bio-fuels in the transport sector was 2 % by 2005 and is 5.75 % by 2010. In Denmark, the use of bio-fuels in the transport sector is not viewed as a cost-effective CO{sub 2} reduction measure. This conclusion concerning the cost-effectiveness of bio-fuels was partly based on calculations of the CO2 reduction cost for Danish-produced RME made by the Danish Energy Authority in 2003. At that time the cost was estimated at 360 DKK/tonne CO{sub 2}. Since then some of the assumptions behind the calculations have changed. The overall objective of this report is to update the Danish Energy Authority's study from 2003, taking into account revised assumptions. The report also attempts to examine the uncertainties associated with the calculations by including extended sensitivity analyses. The report draws the following conclusions: 1) The CO{sub 2} reduction cost for Danish produced RME is estimated at 860 DKK/tonne CO{sub 2}, which is significantly higher than the result obtained by the Danish Energy Authority in 2003. 2) The difference from the Danish Energy Authority's original calculations is principally due to a higher rape seed price based on the market price on rape seed. 3) The uncertainty in both estimates is substantial, and there is about 15 % probability of the reduction costs being lower than the target of 180 DKK/tonne CO2 set by the government. (au)

  1. Minilaparoscopic radical hysterectomy (mLPS-RH) vs laparoendoscopic single-site radical hysterectomy (LESS-RH) in early stage cervical cancer: a multicenter retrospective study.

    Science.gov (United States)

    Fagotti, Anna; Ghezzi, Fabio; Boruta, David M; Scambia, Giovanni; Escobar, Pedro; Fader, Amanda N; Malzoni, Mario; Fanfani, Francesco

    2014-01-01

    To compare the perioperative outcomes of laparoendoscopic single-site radical hysterectomy (LESS-RH) and minilaparoscopic radical hysterectomy (mLPS-RH). Retrospective study (Canadian Task Force classification II-2). Seven institutions in Italy. Forty-six patents with early cervical cancer (FIGO stage IA2-IB1/IIA1) were included in the study. Nineteen patients (41.3%) underwent LESS-RH, and 27 (58.7%) underwent mLPS-RH. Pelvic lymph node dissection was performed in all patients. In the LESS-RH group, all surgical procedures were performed through a single umbilical multichannel port. In the mLPS-RH group, the procedure was completed using a 5-mm umbilical optical trocar and 3 additional 3-mm ancillary trocars, placed suprapubically and in the left and right lower abdominal regions. There was no difference in clinicopathologic characteristics at the time of diagnosis between the LESS-RH and mLPS-RH groups. Median operative time was 270 minutes (range, 149-380 minutes) for LESS-RH, and was 180 minutes (range, 90-240 minutes) for mLPS-RH (p = .001). No further differences were detected between the 2 groups insofar as type of radical hysterectomy, number of lymph nodes removed, or perioperative outcomes. In the LESS-RH group, conversion to laparotomy was necessary in 1 patient (5.3%) because of external iliac vein injury, and in another patient, conversion to standard laparoscopy was required because of truncal obesity. In the mLPS-RH group, no conversions were observed; however, a repeat operation was performed to repair a ureteral injury. The percentage of patients discharged 1 day after surgery was significantly higher in the LESS-RH group (57.9%) compared with the mLPS-RH group (25.0%) (p = .03). After a median follow-up of 27 months (range, 9-73 months), only 1 patient, who had undergone mLPS-RH, experienced pelvic recurrence and died of the disease. Both LESS-RH and mLPS-RH are feasible ultra-minimally invasive approaches for performance of radical hysterectomy

  2. Operation cost and carbon emission reduction analysis of micro-CHP systems in Guangzhou%广州地区应用微型热电联产系统的运行成本及碳减排分析

    Institute of Scientific and Technical Information of China (English)

    解东来; 骆锦辉; 单杰; 聂廷哲

    2016-01-01

    Operation cost and carbon emission reduction are analyzed when four kinds of micro-CHP prod-ucts are applied in Guangzhou.Moreover,the influence of different electricity and gas prices on operation cost was analyzed.The result shows that Ene-Farm has the minimum operation cost with the cost saving ratio reached 14.8%,Ene-Farm Type S has an excellent carbon emission reduction performance with the CO2 emissions reduction ratio reached 37.3%.The sensitivity analysis shows the operation cost of micro-CHP will decrease with the rise of electricity price and the reduction of gas price.%分别考察了广州典型家庭在使用4种不同技术的微型热电联产产品(Ene-Farm、Ene-Farm Type S、Ecowill、WhisperGen)时的运行成本与碳减排效果,并分析电价、气价变化对运行成本的影响.结果表明,Ene-Farm的运行成本最低,经济节约指数达14.8%,Ene-Farm Type S的碳减排效果最好,二氧化碳减排指数达37.3%.灵敏度分析表明,微型热电联产系统的运行成本随着电价的升高、气价的降低而降低.

  3. Analytical trade study of the STS payload environment. [design analysis and cost estimates for noise reduction devices for space shuttle orbiter payloads

    Science.gov (United States)

    Rader, W. P.; Barrett, S.; Raratono, J.; Payne, K. R.

    1976-01-01

    The current predicted acoustic environment for the shuttle orbiter payload bay will produce random vibration environments for payload components and subsystems which potentially will result in design, weight and cost penalties if means of protecting the payloads are not developed. Results are presented of a study to develop, through design and cost effectiveness trade studies, conceptual noise suppression device designs for space shuttle payloads. The impact of noise suppression on environmental levels and associated test costs, and on test philosophy for the various payload classes is considered with the ultimate goal of reducing payload test costs. Conclusions and recommendations are presented.

  4. 中国“十一五”期间污染减排费用-效益分析%A cost-benefit analysis of the pollution reduction during the eleventh five-year period in China

    Institute of Scientific and Technical Information of China (English)

    李红祥; 王金南; 葛察忠

    2013-01-01

    为了定量评估“十一五”期间COD、SO2两项主要污染物减排的综合绩效,采用费用-效益分析方法对COD、SO2的减排费用和减排效益进行了计算.减排费用的计算主要基于现有的统计数据,包括工业污染源治理投入、城市环境基础设施建设投入、污染治理设施运行费用3部分.减排效益的计算思路则为:由于污染减排的直接效果体现为污染物排放量的减少,而污染排放量的减少将导致环境污染损失的减少,因此,将由于实施污染减排政策减少污染排放而降低的“环境污染损失”来等同“污染减排效益”.经过计算可知,“十一五”期间,COD、SO2的静态削减率分别为12.45%和14.29%,动态削减率分别为59.05%和86.83%.采用费用-效益分析方法计算得到“十一五”期间全国污染减排的总费用为6324.87亿元,总效益为33284.86亿元,净效益为26959.48亿元,费用效益比为5.26.结果表明,“十一五”期间,全国2项污染物减排的环境效益和经济效益显著.%In order to quantify the emission reduction performance of COD and SO2 during the eleventh five-year period,a cost-benefit analysis was conducted.The calculation of reduction cost was based on the existing statistical data including investment in the treatment of industrial pollution,the investment in the construction of urban infrastructure,and the operation cost of pollution treatment facilities.The reduction benefit was considered equal to the reduction of “environmental pollution loss” resulted from the implementation of emission reduction policies.The reason was that the direct effect of emission reduction was the decrease of pollutants discharge,which led to the reduction of environmental pollution loss.During the eleventh five-year period,the static reduction rate of COD and SO2 is 12.45% and 14.29%,respectively,and the dynamic reduction rate is 59.05% and 86.83%,respectively.Cost

  5. The cost reduction on the use of local productive arrangement on competitive supply logistic. Study about the case on APL milk and sun of the productive chain of milk in Ceará State

    Directory of Open Access Journals (Sweden)

    Célia Maria Braga Carneiro

    2008-07-01

    milk in Ceará State. Here called like Milk and Sun. Searched to check if the enterprises that consist the sequence productive analyzed to reach a meaning cost reduction developing its activist inside the productive arrangement. Metodologicament done use, at principal, the deductive method, and, subsidiaryment the inductive method. The search can be classified the point of view about its nature like a search applied and described, looking for describe and to analyze the characteristics of the enterprises the belong Local Productive Arrangement analyzed. Key-words: Local productive arrangement. Cost. Supply logistic.

  6. Benefits of deposition reduction for nature management; a nation-wide assessment of the relation between atmospheric deposition, ecological quality and avoidable management costs

    NARCIS (Netherlands)

    Jong, de J.J.; Wamelink, G.W.W.; Dobben, van H.F.; Wijk, van M.N.

    2004-01-01

    Alterra was commissioned by the Dutch Ministry of Housing, Spatial Planning and the Environment (VROM) to estimate the additional costs made by nature reserve managers to mitigate the effects of atmospheric deposition. The costs of increasing deposition levels - or the benefits of reducing depositio

  7. Containing revenue-cycle costs.

    Science.gov (United States)

    Geer, Robert; Burton, Eric

    2003-04-01

    Healthcare organizations can achieve revenue-cycle improvement while maintaining optimum staffing levels by taking a three-step approach-developing a plan, measuring costs, and using benchmarks to measure performance. Planned cost reductions can be achieved without a negative impact on the organization. Cost-reduction strategies should look at purchased services, staffing, and the cost-to-collect ratio. Healthcare organizations should reach target performance levels before implementing a cost-reduction strategy.

  8. Retroperitoneal laparoendoscopic single-site donor nephrectomy using home-made single-port device:report of 11 cases%自制单孔设备经腹膜后入路腹腔镜活体供肾切取11例体会

    Institute of Scientific and Technical Information of China (English)

    祖强; 孙圣坤; 蔡伟; 杨素霞; 卢锦山; 张旭; 董隽

    2012-01-01

    Objective To investigate the feasibility and safety of retroperitoneal laparoendoscopic single-site (LESS) donor nephrectomy using home-made single-port device.Methods From January 2011 to June 2012,11 consecutive LESS left donor nephrectomies using home-made single-port device with conventional laparoscopic instrument were performed through retroperitoneal access in our center.Results The procedures were completed and no complications occurred in all donors.Mean operative time was 149.5 min.Estimated blood loss was 30-350 ml.Warm ischemia time was 2-4 min.The urine output was prompt in all cases.Recipient graft function was normal within 2 weeks.Donor hospital stay was 5-6 days after operation.Conclusion LESS donor nephrectomy using home-made single-port device in our initial experience is feasible and safe.It is also cost-effective and minimally invasive with conventional laparoscopic donor nephrectomy.This technique is a good option for living donor nephrectomy.%目的 探讨用自制单孔设备行经腹膜后入路腹腔镜亲属活体供肾切取术的安全性和可行性.方法 2011年1月到2012年6月间采用自制单孔多通道设备及常规腹腔镜操作器械,先后完成11例经腹膜后入路腹腔镜亲属活体供肾切取手术.结果 供肾均为左肾,平均手术时间为149.5 min,术中出血量为20~350 ml,供肾热缺血时间为2~4 min.供者术后5~6 d出院,未发生手术并发症.结论 采用自制单孔多通道设备完成经腹膜后入路腹腔镜活体供肾切取术在技术上是可行的 ;与传统腹腔镜供肾切取手术相比,手术创伤小,恢复快.

  9. Cost-effectiveness analysis of brief and expanded evidence-based risk reduction interventions for HIV-infected people who inject drugs in the United States.

    Directory of Open Access Journals (Sweden)

    Dahye L Song

    Full Text Available Two behavioral HIV prevention interventions for people who inject drugs (PWID infected with HIV include the Holistic Health Recovery Program for HIV+ (HHRP+, a comprehensive evidence-based CDC-supported program, and an abbreviated Holistic Health for HIV (3H+ Program, an adapted HHRP+ version in treatment settings. We compared the projected health benefits and cost-effectiveness of both programs, in addition to opioid substitution therapy (OST, to the status quo in the U.S.A dynamic HIV transmission model calibrated to epidemic data of current US populations was created. Projected outcomes include future HIV incidence, HIV prevalence, and quality-adjusted life years (QALYs gained under alternative strategies. Total medical costs were estimated to compare the cost-effectiveness of each strategy.Over 10 years, expanding HHRP+ access to 80% of PWID could avert up to 29,000 HIV infections, or 6% of the projected total, at a cost of $7,777/QALY gained. Alternatively, 3H+ could avert 19,000 infections, but is slightly more cost-effective ($7,707/QALY, and remains so under widely varying effectiveness and cost assumptions. Nearly two-thirds of infections averted with either program are among non-PWIDs, due to reduced sexual transmission from PWID to their partners. Expanding these programs with broader OST coverage could avert up to 74,000 HIV infections over 10 years and reduce HIV prevalence from 16.5% to 14.1%, but is substantially more expensive than HHRP+ or 3H+ alone.Both behavioral interventions were effective and cost-effective at reducing HIV incidence among both PWID and the general adult population; however, 3H+, the economical HHRP+ version, was slightly more cost-effective than HHRP+.

  10. A Spatial-Economic Cost-Reduction Pathway Analysis for U.S. Offshore Wind Energy Development from 2015–2030

    Energy Technology Data Exchange (ETDEWEB)

    Beiter, Philipp [National Renewable Energy Lab. (NREL), Golden, CO (United States); Musial, Walter [National Renewable Energy Lab. (NREL), Golden, CO (United States); Smith, Aaron [National Renewable Energy Lab. (NREL), Golden, CO (United States); Kilcher, Levi [National Renewable Energy Lab. (NREL), Golden, CO (United States); Damiani, Rick [National Renewable Energy Lab. (NREL), Golden, CO (United States); Maness, Michael [National Renewable Energy Lab. (NREL), Golden, CO (United States); Sirnivas, Senu [National Renewable Energy Lab. (NREL), Golden, CO (United States); Stehly, Tyler [National Renewable Energy Lab. (NREL), Golden, CO (United States); Gevorgian, Vahan [National Renewable Energy Lab. (NREL), Golden, CO (United States); Mooney, Meghan [National Renewable Energy Lab. (NREL), Golden, CO (United States); Scott, George [National Renewable Energy Lab. (NREL), Golden, CO (United States)

    2016-09-01

    This report describes a comprehensive effort undertaken by the National Renewable Energy Laboratory (NREL) to understand the cost of offshore wind energy for markets in the United States. The study models the cost impacts of a range of offshore wind locational cost variables for more than 7,000 potential coastal sites in U.S. offshore wind resource areas. It also assesses the impact of more than 50 technology innovations on potential future costs for both fixed-bottom and floating wind systems. Comparing these costs to an initial site-specific assessment of local avoided generating costs, the analysis provides a framework for estimating the economic potential for offshore wind. The analysis is intended to inform a broad set of stakeholders and enable an assessment of offshore wind as part of energy development and energy portfolio planning. It provides information that federal and state agencies and planning commissions could use to inform initial strategic decisions about offshore wind developments in the United States.

  11. Effectiveness and cost effectiveness of expanding harm reduction and antiretroviral therapy in a mixed HIV epidemic: a modeling analysis for Ukraine.

    Directory of Open Access Journals (Sweden)

    Sabina S Alistar

    2011-03-01

    Full Text Available Injection drug use (IDU and heterosexual virus transmission both contribute to the growing mixed HIV epidemics in Eastern Europe and Central Asia. In Ukraine-chosen in this study as a representative country-IDU-related risk behaviors cause half of new infections, but few injection drug users (IDUs receive methadone substitution therapy. Only 10% of eligible individuals receive antiretroviral therapy (ART. The appropriate resource allocation between these programs has not been studied. We estimated the effectiveness and cost-effectiveness of strategies for expanding methadone substitution therapy programs and ART in mixed HIV epidemics, using Ukraine as a case study.We developed a dynamic compartmental model of the HIV epidemic in a population of non-IDUs, IDUs using opiates, and IDUs on methadone substitution therapy, stratified by HIV status, and populated it with data from the Ukraine. We considered interventions expanding methadone substitution therapy, increasing access to ART, or both. We measured health care costs, quality-adjusted life years (QALYs, HIV prevalence, infections averted, and incremental cost-effectiveness. Without incremental interventions, HIV prevalence reached 67.2% (IDUs and 0.88% (non-IDUs after 20 years. Offering methadone substitution therapy to 25% of IDUs reduced prevalence most effectively (to 53.1% IDUs, 0.80% non-IDUs, and was most cost-effective, averting 4,700 infections and adding 76,000 QALYs compared with no intervention at US$530/QALY gained. Expanding both ART (80% coverage of those eligible for ART according to WHO criteria and methadone substitution therapy (25% coverage was the next most cost-effective strategy, adding 105,000 QALYs at US$1,120/QALY gained versus the methadone substitution therapy-only strategy and averting 8,300 infections versus no intervention. Expanding only ART (80% coverage added 38,000 QALYs at US$2,240/QALY gained versus the methadone substitution therapy-only strategy, and

  12. Cost-Effectiveness of Combined Sexual and Injection Risk Reduction Interventions among Female Sex Workers Who Inject Drugs in Two Very Distinct Mexican Border Cities.

    Science.gov (United States)

    Burgos, Jose L; Patterson, Thomas L; Graff-Zivin, Joshua S; Kahn, James G; Rangel, M Gudelia; Lozada, M Remedios; Staines, Hugo; Strathdee, Steffanie A

    2016-01-01

    We evaluated the cost-effectiveness of combined single session brief behavioral intervention, either didactic or interactive (Mujer Mas Segura, MMS) to promote safer-sex and safer-injection practices among female sex workers who inject drugs (FSW-IDUs) in Tijuana (TJ) and Ciudad-Juarez (CJ) Mexico. Data for this analysis was obtained from a factorial RCT in 2008-2010 coinciding with expansion of needle exchange programs (NEP) in TJ, but not in CJ. A Markov model was developed to estimate the incremental cost per quality adjusted life year gained (QALY) over a lifetime time frame among a hypothetical cohort of 1,000 FSW-IDUs comparing a less intensive didactic vs. a more intensive interactive format of the MMS, separately for safer sex and safer injection combined behavioral interventions. The costs for antiretroviral therapy was not included in the model. We applied a societal perspective, a discount rate of 3% per year and currency adjusted to US$2014. A multivariate sensitivity analysis was performed. The combined and individual components of the MMS interactive behavioral intervention were compared with the didactic formats by calculating the incremental cost-effectiveness ratios (ICER), defined as incremental unit of cost per additional health benefit (e.g., HIV/STI cases averted, QALYs) compared to the next least costly strategy. Following guidelines from the World Health Organization, a combined strategy was considered highly cost-effective if the incremental cost per QALY gained fell below the gross domestic product per capita (GDP) in Mexico (equivalent to US$10,300). For CJ, the mixed intervention approach of interactive safer sex/didactic safer injection had an incremental cost-effectiveness ratio (ICER) of US$4,360 ($310-$7,200) per QALY gained compared with a dually didactic strategy. Using the dually interactive strategy had an ICER of US$5,874 ($310-$7,200) compared with the mixed approach. For TJ, the combination of interactive safer sex

  13. Cost-Effectiveness of Combined Sexual and Injection Risk Reduction Interventions among Female Sex Workers Who Inject Drugs in Two Very Distinct Mexican Border Cities.

    Directory of Open Access Journals (Sweden)

    Jose L Burgos

    Full Text Available We evaluated the cost-effectiveness of combined single session brief behavioral intervention, either didactic or interactive (Mujer Mas Segura, MMS to promote safer-sex and safer-injection practices among female sex workers who inject drugs (FSW-IDUs in Tijuana (TJ and Ciudad-Juarez (CJ Mexico. Data for this analysis was obtained from a factorial RCT in 2008-2010 coinciding with expansion of needle exchange programs (NEP in TJ, but not in CJ.A Markov model was developed to estimate the incremental cost per quality adjusted life year gained (QALY over a lifetime time frame among a hypothetical cohort of 1,000 FSW-IDUs comparing a less intensive didactic vs. a more intensive interactive format of the MMS, separately for safer sex and safer injection combined behavioral interventions. The costs for antiretroviral therapy was not included in the model. We applied a societal perspective, a discount rate of 3% per year and currency adjusted to US$2014. A multivariate sensitivity analysis was performed. The combined and individual components of the MMS interactive behavioral intervention were compared with the didactic formats by calculating the incremental cost-effectiveness ratios (ICER, defined as incremental unit of cost per additional health benefit (e.g., HIV/STI cases averted, QALYs compared to the next least costly strategy. Following guidelines from the World Health Organization, a combined strategy was considered highly cost-effective if the incremental cost per QALY gained fell below the gross domestic product per capita (GDP in Mexico (equivalent to US$10,300.For CJ, the mixed intervention approach of interactive safer sex/didactic safer injection had an incremental cost-effectiveness ratio (ICER of US$4,360 ($310-$7,200 per QALY gained compared with a dually didactic strategy. Using the dually interactive strategy had an ICER of US$5,874 ($310-$7,200 compared with the mixed approach. For TJ, the combination of interactive safer sex

  14. Cost-Effectiveness of Combined Sexual and Injection Risk Reduction Interventions among Female Sex Workers Who Inject Drugs in Two Very Distinct Mexican Border Cities.

    Science.gov (United States)

    Burgos, Jose L.; Patterson, Thomas L.; Graff-Zivin, Joshua S.; Kahn, James G.; Rangel, M. Gudelia; Lozada, M. Remedios; Staines, Hugo; Strathdee, Steffanie A.

    2016-01-01

    Background We evaluated the cost-effectiveness of combined single session brief behavioral intervention, either didactic or interactive (Mujer Mas Segura, MMS) to promote safer-sex and safer-injection practices among female sex workers who inject drugs (FSW-IDUs) in Tijuana (TJ) and Ciudad-Juarez (CJ) Mexico. Data for this analysis was obtained from a factorial RCT in 2008–2010 coinciding with expansion of needle exchange programs (NEP) in TJ, but not in CJ. Methods A Markov model was developed to estimate the incremental cost per quality adjusted life year gained (QALY) over a lifetime time frame among a hypothetical cohort of 1,000 FSW-IDUs comparing a less intensive didactic vs. a more intensive interactive format of the MMS, separately for safer sex and safer injection combined behavioral interventions. The costs for antiretroviral therapy was not included in the model. We applied a societal perspective, a discount rate of 3% per year and currency adjusted to US$2014. A multivariate sensitivity analysis was performed. The combined and individual components of the MMS interactive behavioral intervention were compared with the didactic formats by calculating the incremental cost-effectiveness ratios (ICER), defined as incremental unit of cost per additional health benefit (e.g., HIV/STI cases averted, QALYs) compared to the next least costly strategy. Following guidelines from the World Health Organization, a combined strategy was considered highly cost-effective if the incremental cost per QALY gained fell below the gross domestic product per capita (GDP) in Mexico (equivalent to US$10,300). Findings For CJ, the mixed intervention approach of interactive safer sex/didactic safer injection had an incremental cost-effectiveness ratio (ICER) of US$4,360 ($310–$7,200) per QALY gained compared with a dually didactic strategy. Using the dually interactive strategy had an ICER of US$5,874 ($310–$7,200) compared with the mixed approach. For TJ, the combination of

  15. The Efficacy of Written Information Intervention in Reduction of Hospital Re-admission Cost in Patients With Heart Failure; A Systematic Review and Meta-Analysis

    Directory of Open Access Journals (Sweden)

    Zarea Gavgani Vahideh

    2015-03-01

    Full Text Available Objective: To assess the efficacy of written information versus non written information intervention in reducing hospital readmission cost, if prescribed or presented to the patients with HF. Methods: The study was a systematic review and meta-analysis. We searched Medline (Ovidand Cochrane library during the past 20 years from 1993 to 2013. We also conducted a manual search through Google Scholar and a direct search in the group of related journals in Black Welland Science Direct trough their websites. Two reviewers appraised the identified studies, and meta-analysis was done to estimate the mean saving cost of patient readmission. All the included studies must have been done by randomization to be eligible for study. Result: We assessed the full-texts 3 out of 65 studies with 754 patients and average age of 74.33.The mean of estimated saving readmission cost in intervention group versus control group was US $2751 (95% CI: 2708 – 2794 and the mean of total saving cost in intervention group versus control group was US $2047 (base year 2010 with (95% CI: 2004 – 2089. No publication bias was found by testing the heterogeneity of studies. Conclusion: One of the effective factors in minimizing the healthcare cost and preventing from hospital re-admission is providing the patients with information prescription in a written format.It is suggested that hospital management, Medicare organizations, policy makers and individual physicians consider the prescription of appropriate medical information as the indispensable part of patient’s care process.

  16. Consumer Perception of Search Costs Reduction:Antecedents and Consequence%消费者感知搜索成本降低的影响因素及其结果

    Institute of Scientific and Technical Information of China (English)

    曹磊; 张子刚

    2011-01-01

    在双源渠道环境下,消费者对搜索成本的感知明显区别于单渠道环境下消费者对搜索成本的感知,同时,电子渠道和传统渠道并存时,消费者的信息搭便车行为难以避免.通过实证的方法探索和分析消费者感知搜索成本降低的影响因素,并在双源渠道环境下初步探讨消费者的信息搭便车行为与搜索成本之间的关系.研究结果表明,搜索便利性、卖方努力、个人产品知识及渠道多样化会对消费者感知搜索成本降低产生正的影响;同时,搜索便利性、渠道多样化及搜索成本的降低能够促成消费者的信息搭便车行为.最后,基于实证结果对信息搭便车行为提出预防性策略.%The consumer perception of search costs in the dual-channel environment is significantly different from the consumer perception of search costs in the single-channel environment, while the coexistence of electronic channels and traditional channels, consumers' information-based free-riding behavior is difficult to avoid. This paper attempts to explore and analyze the factors of the consumer perception of search costs reduction by an empirical way,and preliminarily discuss the relationship between consumers' information-based free-riding behavior and search costs in the dual-channel environment. The results show that the search convenience, seller efforts,personal product knowledge and channel diversification have positive influences on the consumer perception of search costs reduction; at the same time, the search convenience, channel diversification and search costs reduction can contribute to consumers' information-based free-riding behavior. Finally,we present four preventive strategies of free-riding behavior based on the empirical results.

  17. Life prolongation and cost reduction of steel ladles with improving refractories and their structure; Taikabutsu zaishitsu to kozo kaizen ni yoru shuka taikabutsu no chojumyoka to kosuto teigen

    Energy Technology Data Exchange (ETDEWEB)

    Nakai, Masato; Kasahara, Hajime; Fukutani, Fujio; Imai, Hiroyuki [Nippon Steel Corp., Tokyo (Japan)

    1999-06-01

    Steel Making Plant, Hirohata Iron Works, Nippon Steel Corp. succeeded to reduce the cost of furnace materials by measures described below down to 49% compared to that in 1992. (1) For tuyre bricks, cleanability against oxygen was improved by compacting by vacuum cast forming. (2) For SL bricks, the cost was reduced by applying imported bricks and optimization of the range of use. (3) For alumina-magnesia amorphous refractories for side walls, low expansion and breaking resistance were improved by optimization of magnesia quantity and silica ultra fine powder quantity. (4) For side wall structure, improvement of tie-in between the ground part and the side wall and lining with efficient thickness were carried out. (NEDO)

  18. Outline of possible climate measures. Local Climate Agenda. CO2 reduction, employment, cost for the government and living expenses; Verkenning mogelijke klimaatmaatregelen. Lokale Klimaatagenda. CO2-reductie, werkgelegenheid, kosten voor de overheid en woonlasten

    Energy Technology Data Exchange (ETDEWEB)

    Elzenga, H. [Planbureau voor de Leefomgeving PBL, Den Haag (Netherlands); Tigchelaar, C.; Menkveld, M.; Lensink, S. [ECN Beleidsstudies, Petten (Netherlands)

    2013-03-15

    The Environmental Assessment Agency (PBL) and the Energy research Centre of the Netherlands (ECN) estimated the effects of eight policy measures for the year 2020 on renewable energy, energy saving, CO2 reduction, cost to the government, employment and living expenses. The goal was for the Local Climate Agenda to identify several cost-effective policies The Local Climate Agenda is a joint agenda of representatives of local authorities and of the Dutch government [Dutch] Het Planbureau voor de Leefomgeving en het Energieonderzoek Centrum Nederland (ECN) hebben de effecten in 2020 geraamd van een achttal beleidsmaatregelen op hernieuwbare energie, energiebesparing, CO2-reductie, kosten voor de overheid, werkgelegenheid en woonlasten. Het doel was om ten behoeve van de Lokale Klimaatagenda 'Werk maken van klimaat' een aantal kosteneffectieve beleidsmaatregelen te identificeren. Deze Klimaatagenda is een gezamenlijke agenda van zowel vertegenwoordigers van decentrale overheden als van het Rijk.

  19. Work Truck Idling Reduction

    Energy Technology Data Exchange (ETDEWEB)

    None

    2017-03-01

    Hybrid utility trucks, with auxiliary power sources for on-board equipment, significantly reduce unnecessary idling resulting in fuel costs savings, less engine wear, and reduction in noise and emissions.

  20. Reduction of phosphorus concentration in mineral supplement on fertility rate, maternal ability and costs of beef cows reared in pastures of Urochloa decumbens.

    Science.gov (United States)

    Costa, Rogério Magnoli; Ponsano, Elisa Helena Giglio; de Souza, Vinícius Carneiro; Malafaia, Pedro

    2016-02-01

    Manufacturing and marketing of mineral mixtures with less than 40 g kg(-1) phosphorus (P) is prohibited under Brazilian regulations, although scientific evidence rejects this recommendation. Considering the hypothesis that P levels in commercial mineral supplements can be reduced without affecting animal performance and health, the objective of this experiment was to evaluate the effects of reducing the concentration of P in the mineral supplement (from 40 to 18 g kg(-1)) of a herd of beef cows grazing tropical pastures of signal grass (Urochloa decumbens). The experiment was carried out in the savanna region of Mato Grosso do Sul, Brazil, during the years 2011 to 2013. Variables analyzed included pregnancy rate, calving interval, weight of calves at weaning, and cost of mineral supplementation. There were no changes in the reproductive parameters of the herd and the weight at weaning of the calves. However, the cost of mineral supplementation was significantly lower when the herd was supplemented with the mineral mix containing only 18 g kg(-1) P. Phosphorus concentration of the forage was analyzed monthly during 1 year and averaged 1.9 ± 0.45 g kg(-1) DM. Thus, it appears possible to reduce P content and cost of mineral supplementation without any adverse effects on the health and productivity of beef cattle herds in the State of Mato Grosso do Sul. However, the final decision should be made based on the clinical-nutritional examination and by constant technical assistance to the farm.

  1. Interface and facet control during Czochralski growth of (111) InSb crystals for cost reduction and yield improvement of IR focal plane array substrates

    Science.gov (United States)

    Gray, Nathan W.; Perez-Rubio, Victor; Bolke, Joseph G.; Alexander, W. B.

    2014-10-01

    Focal plane arrays (FPAs) made on InSb wafers are the key cost-driving component in IR imaging systems. The electronic and crystallographic properties of the wafer directly determine the imaging device performance. The "facet effect" describes the non-uniform electronic properties of crystals resulting from anisotropic dopant segregation during bulk growth. When the segregation coefficient of dopant impurities changes notably across the melt/solid interface of a growing crystal the result is non-uniform electronic properties across wafers made from these crystals. The effect is more pronounced in InSb crystals grown on the (111) axis compared with other orientations and crystal systems. FPA devices made on these wafers suffer costly yield hits due to inconsistent device response and performance. Historically, InSb crystal growers have grown approximately 9-19 degree off-axis from the (111) to avoid the facet effect and produced wafers with improved uniformity of electronic properties. It has been shown by researchers in the 1960s that control of the facet effect can produce uniform small diameter crystals. In this paper, we share results employing a process that controls the facet effect when growing large diameter crystals from which 4, 5, and 6" wafers can be manufactured. The process change resulted in an increase in wafers yielded per crystal by several times, all with high crystal quality and uniform electronic properties. Since the crystals are grown on the (111) axis, manufacturing (111) oriented wafers is straightforward with standard semiconductor equipment and processes common to the high-volume silicon wafer industry. These benefits result in significant manufacturing cost savings and increased value to our customers.

  2. Increase of efficiency and cost reduction. Intelligent energy conservation during utilization of electric filters; Wirkungsgrad steigern und Kosten reduzieren. Intelligentes Energiesparen beim Einsatz von Elektrofiltern

    Energy Technology Data Exchange (ETDEWEB)

    Kloeckner, Michael [Siemens AG (Germany)

    2011-07-01

    High separation efficiencies and plant availability at minimum energy consumption - these are the requirements which now have to be met by electric filters. This requires a constant optimization of the filter operation taking into account changing process parameters and variables. In the coal-fired power plant of Voerde OHG (Voerde, Federal Republic of Germany), Evonik STEAG GmbH (Essen, Federal Republic of Germany) and RWE AG (Essen, Federal Republic of Germany) the energy consumption was reduced dramatically due to a modernization of electric filters. The result consists of lower operating costs, high efficiency of the entire system and a lower environmental impact due to the operation of electric filters.

  3. Cost accounting for the radiologist.

    Science.gov (United States)

    Gentili, Amilcare

    2014-05-01

    Cost accounting is the branch of managerial accounting that deals with the analysis of the costs of a product or service. This article reviews methods of classifying and allocating costs and relationships among costs, volume, and revenues. Radiology practices need to know the cost of a procedure or service to determine the selling price of a product, bid on contracts, analyze profitability, and facilitate cost control and cost reduction.

  4. Analysis of Energy, Environmental and Life Cycle Cost Reduction Potential of Ground Source Heat Pump (GSHP) in Hot and Humid Climate

    Energy Technology Data Exchange (ETDEWEB)

    Yong X. Tao; Yimin Zhu

    2012-04-26

    It has been widely recognized that the energy saving benefits of GSHP systems are best realized in the northern and central regions where heating needs are dominant or both heating and cooling loads are comparable. For hot and humid climate such as in the states of FL, LA, TX, southern AL, MS, GA, NC and SC, buildings have much larger cooling needs than heating needs. The Hybrid GSHP (HGSHP) systems therefore have been developed and installed in some locations of those states, which use additional heat sinks (such as cooling tower, domestic water heating systems) to reject excess heat. Despite the development of HGSHP the comprehensive analysis of their benefits and barriers for wide application has been limited and often yields non-conclusive results. In general, GSHP/HGSHP systems often have higher initial costs than conventional systems making short-term economics unattractive. Addressing these technical and financial barriers call for additional evaluation of innovative utility programs, incentives and delivery approaches. From scientific and technical point of view, the potential for wide applications of GSHP especially HGSHP in hot and humid climate is significant, especially towards building zero energy homes where the combined energy efficient GSHP and abundant solar energy production in hot climate can be an optimal solution. To address these challenges, this report presents gathering and analyzing data on the costs and benefits of GSHP/HGSHP systems utilized in southern states using a representative sample of building applications. The report outlines the detailed analysis to conclude that the application of GSHP in Florida (and hot and humid climate in general) shows a good potential.

  5. Perspectives on how operation & maintenance (O&M) innovations contribute to the reduction of Levelized Cost of Energy (LCOE) in offshore wind parks

    DEFF Research Database (Denmark)

    Brink, Tove; Madsen, Svend Ole; Lutz, Salla

    2015-01-01

    with regard to the alignment of economic incentives, agency interests and organizational trust. To some degree, this implies ‘open-book-calculations’ to encourage transparency between partners. In short, governance needs to be strong - not weak as it is now. 3. Strategic innovation plays an essential role...... of regulations across countries, standardization of education, training and support for the alignment of rules and procedures and funding of research and educational activities. In short, the Triple Helix Approach needs to be united – not fragmented as it is now 2. Governance is revealed to be underdeveloped...... in the reduction of LCOE; several joint approaches to the development of the wind park should be introduced. This means focusing on several activities. In short, strategic innovation needs to be open, with a focus on the whole ecosystem of business development - not closed as it is now and with a focus...

  6. Fitness cost

    DEFF Research Database (Denmark)

    Nielsen, Karen L.; Pedersen, Thomas M.; Udekwu, Klas I.

    2012-01-01

    of each isolate was determined in a growth competition assay with a reference isolate. Significant fitness costs of 215 were determined for the MRSA isolates studied. There was a significant negative correlation between number of antibiotic resistances and relative fitness. Multiple regression analysis...... to that seen in Denmark. We propose a significant fitness cost of resistance as the main bacteriological explanation for the disappearance of the multiresistant complex 83A MRSA in Denmark following a reduction in antibiotic usage.......Denmark and several other countries experienced the first epidemic of methicillin-resistant Staphylococcus aureus (MRSA) during the period 196575, which was caused by multiresistant isolates of phage complex 83A. In Denmark these MRSA isolates disappeared almost completely, being replaced by other...

  7. Effect of procurement internal control on cost reduction and efficiency in pharmaceutical company%采购内控在制药企业降本增效中的作用

    Institute of Scientific and Technical Information of China (English)

    唐梅

    2012-01-01

      原辅料采购作为制剂药企业生产经营的第一个环节,对药品成本控制和药品质量控制至关重要,是制药企业降本增效的一个重要环节。怎样把握好原辅料采购预算、计划、价格和采购产品的质量关就显得非常必要和关键。只有做好采购环节的内控,才能在降本方面做到利益最大化。%  As the first aspect of the drug production and operation, procurement of raw materials is particularly crucial to the cost and quality control of drugs and it is an important part for pharmaceutical companies to reduce cost and enhance efficiency. How to grasp the budget, plan and price of raw materials procurement and the quality of purchased products becomes very necessary and critical. Only when a good job has been done in internal control of procurement, the benefits resulting from cost reduction can be maximized.

  8. A pilot randomised trial to assess the methods and procedures for evaluating the clinical effectiveness and cost-effectiveness of Exercise Assisted Reduction then Stop (EARS) among disadvantaged smokers.

    Science.gov (United States)

    Taylor, Adrian H; Thompson, Tom P; Greaves, Colin J; Taylor, Rod S; Green, Colin; Warren, Fiona C; Kandiyali, Rebecca; Aveyard, Paul; Ayres, Richard; Byng, Richard; Campbell, John L; Ussher, Michael H; Michie, Susan; West, Robert

    2014-01-01

    There have been few rigorous studies on the effects of behavioural support for helping smokers to reduce who do not immediately wish to quit. While reduction may not have the health benefits of quitting, it may lead smokers to want to quit. Physical activity (PA) helps to reduce cravings and withdrawal symptoms, and also reduces weight gain after quitting, but smokers may be less inclined to exercise. There is scope to develop and determine the effectiveness of interventions to support smoking reduction and increase physical activity, for those not ready to quit. To conduct a pilot randomised controlled trial (RCT) [Exercise Assisted Reduction then Stop (EARS) smoking study] to (1) design and evaluate the feasibility and acceptability of a PA and smoking-reduction counselling intervention [for disadvantaged smokers who do not wish to quit but do want to reduce their smoking (to increase the likelihood of quitting)], and (2) to inform the design of a large RCT to determine the clinical effectiveness and cost-effectiveness of the intervention. A single-centre, pragmatic, pilot trial with follow-up up to 16 weeks. A mixed methods approach assessed the acceptability and feasibility of the intervention and trial methods. Smokers were individually randomised to intervention or control arms. General practices, NHS buildings, community venues, and the Stop Smoking Service (SSS) within Plymouth, UK. Aged > 18 years, smoking ≥ 10 cigarettes per day (for ≥ 2 years) who wished to cut down. We excluded individuals who were contraindicated for moderate PA, posed a safety risk to the research team, wished to quit immediately or use Nicotine Replacement Therapy, not registered with a general practitioner, or did not converse in English. We designed a client-centred, counselling-based intervention designed to support smoking reduction and increases in PA. Support sessions were delivered by trained counsellors either face to face or by telephone. Both intervention

  9. Application of a dual-resolution voxellation scheme to small ROI reconstruction in iterative CBCT for the reduction of computational cost

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Minsik; Cho, Hyosung; Je, Uikyu; Hong, Daeki; Park, Yeonok; Park, Cheulkyu; Cho, Heemoon; Choi, Sungil; Koo, Yangseo [Yonsei University, Wonju (Korea, Republic of)

    2014-11-15

    In iterative methods for cone-beam computed tomography (CBCT) reconstruction, the use of a huge system matrix is the primary computational bottleneck and is still an obstacle to the more widespread use of these methods in practice. In this paper, to put iterative methods to practical applications, we propose a pragmatic idea, the-so-called dual-resolution voxellation scheme, for a small region-of-interest (ROI) reconstruction in CBCT in which voxels outside the ROI are binned with a double resolution such as 2x2x2, 4x4x4, 8x8x8, 16x16x16, etc., and the voxel size within the ROI remains unchanged. In some situations of medical diagnosis, physicians are interested only in a small ROI containing a target diagnosis from the examined structure. We implemented an efficient compressed-sensing (CS)-based reconstruction algorithm with the proposed voxellation scheme incorporated and performed both simulation and experimental works to investigate the imaging characteristics. Our results indicate that the proposed voxellation scheme seems to be effective in reducing the computational cost considerably for a small ROI reconstruction in iterative CBCT, with the image quality inside the ROI not being noticeably impaired.

  10. Modelling and simulation of blood collection systems: improvement of human resources allocation for better cost-effectiveness and reduction of candidate donor abandonment.

    Science.gov (United States)

    Alfonso, E; Xie, X; Augusto, V; Garraud, O

    2013-04-01

    This study addresses the modelling and simulation of blood collection for fixed blood collection sites in a medium-sized large French city, as well as mobile blood collection in urban and rural environments. Formal Petri net models were used to describe all relevant donor flows of the various blood collection systems; the Petri net models were converted onto discrete-event simulation models, allowing the evaluation of a large number of scenarios and configurations of blood collection systems. Quantitative models were proposed that encompassed all components of the blood collection systems, such as the donor arrival process, resource capacities and performance indicators. Appropriate experimental designs and cost-effectiveness analyses were used to determine the best configurations of human resources and donor appointment strategies. The donor service level depended on both adequate human resources capacity and appropriate appointment strategies. These decisions depend on the distribution during the day of walk-in donors. Models permit to improve management of blood collection; they have now partially entered the real situation, awaiting further implementation. © 2012 The Author(s). Vox Sanguinis © 2012 International Society of Blood Transfusion.

  11. Report of study group 3.1 ''technological and economical developments for cost reduction of LNG facilities''; Rapport du groupe d'etude 3.1 ''developpements economiques et technologiques pour la reduction des couts dans les installations de GNL''

    Energy Technology Data Exchange (ETDEWEB)

    Rapallini, R.

    2000-07-01

    The design, engineering and operation of LNG base load liquefaction and re-gasification facilities is now considered a mature technology. However, process efficiency at these plants is limited by fundamental thermodynamic principles and no radical technology breakthroughs are expected in the near future. Three important aspects affecting the cost of production are the molecular weight of the gas, the amount of nitrogen in the feed and the acid gas composition. Variations in composition will also affect the design of the facilities and production rate. Previous projects have optimised economies of scale, using processes based on large industrial gas turbines, to achieve the minimum unit cost for LNG production. LNG producers have continued to focus on larger train designs to further capitalize on economies of scale as well as continued expansion of existing facilities. The latest plant designs expect the optimum integration with existing facilities to be a major factor in optimising specific capital costs. Whilst design codes and standards have not been discussed in many papers on LNG cost reduction, it is generally accepted that project specifications can significantly impact the project cost. The cost of equipment can be significantly inflated by onerous specifications with non standard requirements that vendors have trouble meeting. The possibility of developing gas projects will mainly be determined by the requirements of power generation and/or the industrial sector. As far as power generation is concerned, expansion will rely greatly on combined cycle plants. The competitiveness of LNG as regards power generation can be further improved by adopting integrated solutions. As in all other industrial projects, one of the first concerns for the investor when he envisages building an LNG liquefaction or re-gasification terminal is the selection of the site where the terminal will be located. (author)

  12. Graphene-NiO nanohybrid prepared by dry plasma reduction as a low-cost counter electrode material for dye-sensitized solar cells.

    Science.gov (United States)

    Dao, Van-Duong; Larina, Liudmila L; Jung, Kwang-Deog; Lee, Joong-Kee; Choi, Ho-Suk

    2014-01-07

    NiO nanoparticles (NPs) were hybridized on the surface of reduced graphene oxide (RGO) by dry plasma reduction (DPR) at atmospheric pressure without any toxic chemicals and at a low temperature. NiO-NPs of 0.5-3 nm size, with a typical size of 1.5 nm, were uniformly hybridized on the surface of RGO. An XPS analysis and the Raman spectra also revealed the repair of some structural damage on the basal plane of the graphene. The material when applied to the counter electrode (CE) of dye-sensitized solar cells (DSCs) exhibited a power conversion efficiency of 7.42% (± 0.10%), which is comparable to a conventional Pt-sputtered CE (8.18% (± 0.08%)). This material outperformed CEs produced using NiO-NPs (1.53% (± 0.15%)), GO (4.48% (± 0.12%)) and RGO (5.18% (± 0.11)) due to its high electrochemical catalytic activity and high conductivity. The charge transfer resistance for NiO-NP-RGO was as low as 1.93 Ω cm(2), while those of a NiO-NP-immobilized electrode and a GO-coated electrode were 44.39 Ω cm(2) and 12.19 Ω cm(2), respectively, due to a synergistic effect.

  13. Legal, ethical, and economic implications of breaking down once-daily fixed-dose antiretroviral combinations into their single components for cost reduction.

    Science.gov (United States)

    Ramiro, Miguel A; Llibre, Josep M

    2014-11-01

    The availability of generic lamivudine in the context of the current economic crisis has raised a new issue in some European countries: breaking up the once-daily fixed-dose antiretroviral combinations (FDAC) of efavirenz/tenofovir/emtricitabine, tenofovir/emtricitabine, or abacavir/lamivudine, in order to administer their components separately, thereby allowing the use of generic lamivudine instead of branded emtricitabine or lamivudine. The legal, ethical, and economic implications of this potential strategy are reviewed, particularly in those patients receiving a once-daily single-tablet regimen. An unfamiliar change in antiretroviral treatment from a successful patient-friendly FDAC into a more complex regimen including separately the components to allow the substitution of one (or some) of them for generic surrogates (in the absence of a generic bioequivalent FDAC) could be discriminatory because it does not guarantee access to equal excellence in healthcare to all citizens. Furthermore, it could violate the principle of non-maleficence by potentially causing harm both at the individual level (hindering adherence and favouring treatment failure and resistance), and at the community level (hampering control of disease transmission and transmission of HIV-1 resistance). Replacing a FDAC with the individual components of that combination should only be permitted when the substituting medication has the same qualitative and quantitative composition of active ingredients, pharmaceutical form, method of administration, dosage and presentation as the medication being replaced, and a randomized study has demonstrated its non-inferiority. Finally, a strict pharma-economic study supporting this change, comparing the effectiveness and the cost of a specific intervention with the best available alternative, should be undertaken before its potential implementation.

  14. Burden differentiation. GHG emissions, undercurrents and mitigation costs. The joint CICERO-ECN project on sharing the burden greenhouse gas reduction among countries

    Energy Technology Data Exchange (ETDEWEB)

    Ybema, J.R.; Battjes, J.J.; Jansen, J.C.; Ormel, F.T. [ECN Policy Studies, Petten (Netherlands)

    2000-02-01

    The primary aim of the present report is to collect, and to perform a preliminary analysis of information on indicators that are likely to have relevance for the design of burden sharing rules. The indicators considered relate to emission figures per country, per gas, per source, data on energy efficiency, allowance factors for differences in emission levels, and information on the cost to reduce emissions of greenhouse gases. This study takes into account the six greenhouse gases mentioned in Annex A of the Kyoto protocol: carbon dioxide (CO2), methane (CH4), nitrous-oxide (N2O), hydrofluorocarbons (HFCs), perfluorocarbons (PFCs) and sulphur-hexafluoride (SF6). At present total CO2 emissions are by far the most important in terms of global warming potential (GWP), while the shares of CH4 and N2O in global GHG emissions are also non-negligible. The IPCC estimates that in 1995 emissions of CO2 account for 84% and the other gases for 16 % of total GWP, among which CH4 for 11% and N2O for 4%. As data on emissions for the latter two gases are available for many countries, these will be included in further project activities to the extent possible. A disadvantage of their inclusion is the low level of reliability of the corresponding emission data as compared to CO2 emission data. This disadvantage holds a fortiori for the remaining three 'Kyoto' gases. As the latter also contribute a very small share to total Global Warming Potential, inclusion of these emissions will be given low priority in subsequent research. From an historical point of view, the industrialised countries are the largest contributors to the global emissions. Particularly, Western Europe showed the highest emissions in the 19th century, while North America played a prominent role during the 20th century. Present-day developing countries are poised to become the main contributors in the 21st century. The increase of the world population is an important driving factor of GHG emissions

  15. Efforts for promotion of environmental conservation and cost reduction in gas pipe construction, rebuild and repair and inspection work; Promotion de la preservation de l'environnement et de la reduction du cout des travaux de construction, de refection, de reparation et d'inspection des canalisations de gaz

    Energy Technology Data Exchange (ETDEWEB)

    Kaneko, K.; Anamizu, T.; Kurashina, M. [Tokyo Gas Co., Ltd. (Japan)

    2000-07-01

    Presently, under the guidelines of the Ministry of Construction, Japan is pursuing the 'build up of a resources conservation and recycling society' that is basically aimed at 'zero disposal of reusable construction by-products'. Tokyo Gas Co., Ltd. is excavating about two million tons of soil in gas pipe construction, rebuild and repair and inspection work. Of this, 70 percent of the excavated soil is disposed of mainly by landfill. Tokyo Gas is serious about improving this situation. At the same time, the cost reduction of gas pipe construction is also necessary. To promote environmental conservation and construction cost reduction together, the following actions will be intensified, aiming at reducing the disposal of construction surplus soil to 5 percent of the total excavated volume by 2010. - Decrease of construction surplus soil (by adopting trench-less (non-open-cut) methods, burying gas pipes at shallow depths and narrowing trench excavation); - Re-utilization of good quality surplus soil; - Utilization of improved soil. (authors)

  16. Utilization of ice regenerative heat system for cooling process in manufacturing bean curd, and realization of productivity enhancement as well as cost reduction; Tofu seizo no reikyaku kotei ni kori chikunetsu system wo katsuyoshi, seisansei kojo to costdown wo jitsugen

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1999-10-01

    There is a process of cooling a product finished at high temperature in the manufacturing of bean curd. The temperature reaches 60-70 degrees C in the center of the bean curd just finished. In the conventional process, bean curd used to be cooled by ground water, by keeping the bean curd for along time in the temperature range of 30-40 degrees C which is liable to growth of miscellaneous bacteria. Instead, a rapid cooling method was employed using an ice regenerative system. This cooling system by an ice regenerative heat pump is such that ice made by night electricity is stored in a heat storage tank and that the ice is used as cooling water at 2 degree C during the daytime. Consequently, it can contribute to the reduction of cooling time and to the suppression of bacteria growth. Naturally, being rapid cooling, the method does not spoil the flavor of bean curd. Moreover, since the operation is fully automatic, there is no need to assign a man specially for the operation, while the cold water is ready to be used immediately from the start. In addition, the cooling temperature is constant, with less amount of water serving the purpose. An industrial regenerative adjustment contract makes it possible to use electricity at the economical night rate and to contrive a large reduction in cost. (NEDO)

  17. 单孔腹腔镜在妇科的发展现状及展望%Current Status and Prospect of Laparoendoscopic Single-site Surgery in Gynaecology

    Institute of Scientific and Technical Information of China (English)

    姚美燕

    2012-01-01

    随着"无瘢痕手术"设想的提出,自然腔道内镜手术的兴起,减少医源性创伤,使手术方式越来越微创是每位外科医师的愿望.经脐单孔腹腔镜技术不仅具有传统腹腔镜手术的优点,而且还可隐藏手术瘢痕,该技术自被引入微创外科领域以来,越来越受到人们的重视.现回顾单孔腹腔镜称谓的由来;国内外,尤其是在妇科的发展过程及应用现状;介绍单孔腹腔镜的特点及在技术上的改进,并对单孔腹腔镜的未来进行展望.%Along with the appearance of " scar-free" idea, and the rise of natural orifice transluminal endoscopic surgery, reduced iatrogenic trauma and minimally-invasive operation has become the hope of every surgeon. Laparoendoscopic single-site surgery does not only have the advantages of traditional laparoendoscopy,but is also featured with hidden surgical scar, which is drawing more and more attention since it was brought into minimally invasive surgery. Here is to make a review on the appellation;the development history and application status at home and abroad, especially in gynecology; its characteristics and improvements in technology; and a prospect into the future is made as well.

  18. Past and Future Cost of Wind Energy: Preprint

    Energy Technology Data Exchange (ETDEWEB)

    Lantz, E.; Hand, M.; Wiser, R.

    2012-08-01

    The future of wind power will depend on the ability of the industry to continue to achieve cost reductions. To better understand the potential for cost reductions, this report provides a review of historical costs, evaluates near-term market trends, and summarizes the range of projected costs. It also notes potential sources of future cost reductions.

  19. Transumbilical scarless surgery with thoracic trocar: easy and low-cost

    Science.gov (United States)

    Okur, Mehmet Hanifi; Aydogdu, Bahattin; Arslan, Mehmet Serif; Cimen, Hasan; Otcu, Selcuk

    2013-01-01

    Purpose Single-site laparoscopic surgery has become increasingly common. We herein report an easy and low-cost thoracic trocar technique (TTT) for these types of procedures and recommend the simpler name "transumbilical scarless surgery" (TUSS) to minimize confusion in nomenclature. Methods We retrospectively reviewed patients who underwent TUSS by TTT using a thoracic trocar and surgical glove in our hospital between November 2011 and November 2012. Operating time, postoperative stay, and complications were detailed. Results A total of 101 TUSS by TTT were successfully performed, comprising appendectomy (n = 63), ovarian cyst excision (n = 7), splenectomy (n = 5), nephroureterectomy (n = 5), orchidopexy (n = 4), pyeloplasty (n = 3), nephrolithotomy (n = 2), orchiectomy (n = 2), varicocelectomy (n = 2), lymphangioma excision (n = 2), ureterectomy (n = 1), Morgagni diaphragmatic hernia repair (n = 1), ovarian detorsion (n = 1), antegrade continence enema (n = 1), intestinal resection anastomosis (n = 1), and intestinal duplication excision (n = 1). Kirschner wires were used for some organ traction. Nine patients required an additional port, but no major complications occurred. The postoperative stay (mean ± standard deviation) was 3.2 ± 1.4 days, and operating time was 58.9 ± 38.3 minutes. Conclusion We recommend the simpler name of TUSS to minimize confusion in nomenclature for all transumbilical single-incision laparoendoscopic surgeries. TTT is an easy and low-cost TUSS technique. PMID:23741694

  20. Applications of Should Cost to Achieve Cost Reductions

    Science.gov (United States)

    2014-04-01

    Defense Acquisition University DDG . . . . . . . . . Guided Missile Destroyer Demo . . . . . . . . . . . . . . . . . Demonstration Dev ...Integrated Fire Control Network IMU . . . . . . . . . . Inertial Measurment Unit IOC . . . . . . .Initial Operational Capability IOT . . . . . . . . . Initial

  1. COST REDUCTION STUDIES OF DECORATIVE LAMINATES

    OpenAIRE

    Dharm Dutt; Jain, R.K.; Anuj Maheshwari; Harjeet Kaur

    2011-01-01

    Barrier paper, which is made of bleached absorbent kraft pulp, is a significant layer of decorative laminates, since it controls the see-through of brown color of saturating kraft paper and its opacifying effect usually is achieved by a heavy loading of TiO2. The TiO2, due to its very small particle size, passes between the cellulosic fibers and drains into the white water. To overcome this problem, papermakers try to use various retention aids for improving overall retention of TiO2, but agg...

  2. Throughput Optimal Scheduling with Feedback Cost Reduction

    CERN Document Server

    Karaca, Mehmet; Ercetin, Ozgur; Alpcan, Tansu; Boche, Holger

    2012-01-01

    It is well known that opportunistic scheduling algorithms are throughput optimal under full knowledge of channel and network conditions. However, these algorithms achieve a hypothetical achievable rate region which does not take into account the overhead associated with channel probing and feedback required to obtain the full channel state information at every slot. We adopt a channel probing model where $\\beta$ fraction of time slot is consumed for acquiring the channel state information (CSI) of a single channel. In this work, we design a joint scheduling and channel probing algorithm named SDF by considering the overhead of obtaining the channel state information. We analytically prove that when the number of users in the network is greater than 3, then SDF algorithm can achieve $1+\\epsilon$ of the full rate region achieved when all users are probed. We also demonstrate numerically in a realistic simulation setting that this rate region can be achieved by probing only less than 50% of all channels in a CDM...

  3. Practice on Cost Reduction and Efficiency Increase of No.1 BF in Hanbao Ironmaking Plant%邯宝炼铁厂1#高炉降本增效实践

    Institute of Scientific and Technical Information of China (English)

    夏万顺; 梁红星

    2013-01-01

      面对形势严峻的钢铁市场,邯宝炼铁厂1#3200 m3高炉调整操作模式,采取严抓原燃料管理、不断提高操作水平、实行低硅冶炼、焦丁全部入炉、优化生矿配比等一系列措施,达到了降本增效的目的,2012年全年平均焦比为315.42 kg/t,煤比为131.69 kg/t,平均燃料比483.93 kg/t,吨铁成本降低356.9元。%  Despite the grim situation of steel market, Hanbao Ironmaking Plant responded positively, adjusted initiatively the operating mode of No.1 3 200 m3 and took a series of measures such as intensifying the management of raw materials and fuels, continuously improving operation level, implementing low silicon smelting and optimizing raw ore proportioning, attaining the objective of cost reduction and efficiency increase. In 2012, the annual average coke rate is 315.42 kg/t, the coal ratio is 131.69 kg/t, the average fuel ratio is low to 483.93 kg/t and the cost of per ton hot metal is reduced by 356.9 Yuan.

  4. Design to Cost and Life Cycle Cost.

    Science.gov (United States)

    1980-07-01

    Structural Corrosion Reductiop Bird Reistant Windshiel ds Standard Elt -ct rnic ’lodulet; N)tI 1NDE Fue I -l’ste Reduct ion .i gh Adhesion Sealants 4-1...Hence, the success of a new weapon system will decisively denend por t. p r,- ict -d n- naal cost for operations and support. The need to meet weapon

  5. Poverty Reduction

    OpenAIRE

    Ortiz, Isabel

    2007-01-01

    The paper reviews poverty trends and measurements, poverty reduction in historical perspective, the poverty-inequality-growth debate, national poverty reduction strategies, criticisms of the agenda and the need for redistribution, international policies for poverty reduction, and ultimately understanding poverty at a global scale. It belongs to a series of backgrounders developed at Joseph Stiglitz's Initiative for Policy Dialogue.

  6. NOx Emission Calculation and Cost-Benefit Analysis of Emission Reduction in Shanghai based on Energy Consumption%基于能源消费的上海NOx排放源与减排费用效果分析

    Institute of Scientific and Technical Information of China (English)

    朱环

    2012-01-01

    基于能源消费计算得到2009年上海市NOx排放总量为571 141 t,其中燃煤电厂、机动车、黑色金属冶炼及压延加工企业排放量共占总排放量的65.1%.燃煤电厂通过采用LNB(低氮燃烧)技术和SCR(选择性氧化还原)技术,可削减总排放量的12.4%;钢铁企业的烧结机采用分步脱硫脱硝法、活性炭/焦法、循环流化床法等技术可削减3.7%/4.4%;高排放机动车改造基本不可行,建议加速和提前淘汰,可削减2.5%.费用效果分析表明,“十二五”期间完成燃煤电厂、烧结烟气脱硝和高污染机动车淘汰的减排费用效果比分别为4.7×104、7.9×104~10.6×104、12.4×104元/t.燃煤电厂脱硝改造费用效果比低、技术成熟,建议作为首要减排措施.%Based on energy consumption,the total NOx emissions of Shanghai in 2009 were estimated to be 571 ,141 tons. The emissions from coal-burning power plants,motor vehicles,ferrous metal smelting and rolling processing enterprises accounted for 65. 1% of the total emissions. About 12. 4% of NO, emissions from coal-burning power plants could be reduced through application of low-nitrogen oxide combustion (LNB) and selective catalytic reduction (SCR) techniques. The integrated iron and steel enterprises could reduce 3.7%-4. 4% of NOx emissions through application of the WFGD + SCR,PAFP-FGD,or CFB-FGD techniques to the sintering machines. Though accelerating the phase-out of high-emission vehicles,the NOx emissions could be reduced by 2. 5% . Cost-benefit analysis of NOx emission reductions shows that the benefits of coal-burning power plant denitration, sintering flue gas denitrification and phase-out of high-pollution vehicles were 4. 7 × 104,7. 9 × 104-10. 6 × 104 and 12.4 × 104 RMB/t, respectively, during the Twelfth Five-Year Plan period. Since the cost of coal-burning power plant denitrification is low, and the technique is already mature, it should be given priority among NOx

  7. Biosimilar Insulin and Costs

    Science.gov (United States)

    Heinemann, Lutz

    2015-01-01

    The costs for insulin treatment are high, and the steady increase in the number of patients with diabetes on insulin presents a true challenge to health care systems. Therefore, all measures to lower these costs are welcomed by patients, physicians, and health care providers. The market introduction of biosimilar insulins presents an option to lower treatment costs as biosimilars are usually offered at a lower price than the originator product. However, the assumption that a drastic reduction in insulin prices will take place, as was observed with many generic drugs, is most probably not realistic. As the first biosimilar insulin has now been approved in the EU, this commentary discusses a number of aspects that are relevant when it comes to the potential cost reduction we will see with the use of biosimilar insulins. PMID:26350722

  8. Reducing Lifecycle Sustainment Costs

    Science.gov (United States)

    2015-05-01

    funding is not allocated for its implementation .  Technology Refresh often requires non-recurring engineering investment, but the Working Capital Funds...Enterprise Resource Planning ( ERP ) systems • Industry • Government • Keys to Achieving O&S Cost Reduction Agenda 6 O&S Cost Estimating...policy and conducts oversight – Military departments are allowed considerable latitude in implementation • Army: OSMIS • Navy: Navy VAMOSC • Air

  9. Cost Behavior

    DEFF Research Database (Denmark)

    Hoffmann, Kira

    The objective of this dissertation is to investigate determinants and consequences of asymmetric cost behavior. Asymmetric cost behavior arises if the change in costs is different for increases in activity compared to equivalent decreases in activity. In this case, costs are termed “sticky......” if the change is less when activity falls than when activity rises, whereas costs are termed “anti-sticky” if the change is more when activity falls than when activity rises. Understanding such cost behavior is especially relevant for decision-makers and financial analysts that rely on accurate cost information...

  10. Cost Behavior

    DEFF Research Database (Denmark)

    Hoffmann, Kira

    The objective of this dissertation is to investigate determinants and consequences of asymmetric cost behavior. Asymmetric cost behavior arises if the change in costs is different for increases in activity compared to equivalent decreases in activity. In this case, costs are termed “sticky......” if the change is less when activity falls than when activity rises, whereas costs are termed “anti-sticky” if the change is more when activity falls than when activity rises. Understanding such cost behavior is especially relevant for decision-makers and financial analysts that rely on accurate cost information...

  11. Lowering costs, maintaining efficiency

    Energy Technology Data Exchange (ETDEWEB)

    Banse, Stephanie; Berner, Joachim

    2012-07-01

    The price of solar thermal must come down if the branch is to hold its own in competition on the heating market. Cost reduction strategies, quality demands and the new ecodesign directive were thus among the topics discussed at SMEThermal 2012. (orig.)

  12. The Distributed Wind Cost Taxonomy

    Energy Technology Data Exchange (ETDEWEB)

    Forsyth, Trudy; Jimenez, Tony [National Renewable Energy Lab. (NREL), Golden, CO (United States); Preus, Robert [National Renewable Energy Lab. (NREL), Golden, CO (United States); Tegan, Suzanne [National Renewable Energy Lab. (NREL), Golden, CO (United States); Baring-Gould, Ian [National Renewable Energy Lab. (NREL), Golden, CO (United States)

    2017-03-28

    To date, there has been no standard method or tool to analyze the installed and operational costs for distributed wind turbine systems. This report describes the development of a classification system, or taxonomy, for distributed wind turbine project costs. The taxonomy establishes a framework to help collect, sort, and compare distributed wind cost data that mirrors how the industry categorizes information. The taxonomy organizes costs so they can be aggregated from installers, developers, vendors, and other sources without losing cost details. Developing a peer-reviewed taxonomy is valuable to industry stakeholders because a common understanding the details of distributed wind turbine costs and balance of station costs is a first step to identifying potential high-value cost reduction opportunities. Addressing cost reduction potential can help increase distributed wind's competitiveness and propel the U.S. distributed wind industry forward. The taxonomy can also be used to perform cost comparisons between technologies and track trends for distributed wind industry costs in the future. As an initial application and piloting of the taxonomy, preliminary cost data were collected for projects of different sizes and from different regions across the contiguous United States. Following the methods described in this report, these data are placed into the established cost categories.

  13. Application and innovation of urological laparoendoscopic single-site surgery in China%泌尿外科单孔多通道腹腔镜技术在中国的应用与创新

    Institute of Scientific and Technical Information of China (English)

    孙颖浩; 吴震杰

    2012-01-01

    Objective To evaluate the status of urological laparoendoscopic single-site surgery (LESS) technique in China. Methods We had conducted a systematic review of literatures of urological laparoendoscopic single-site surgery published from Chinese institutions using WanFang,CNKI,VIP,CBM,GoogleScholar and MEDLINE databases.All relevant articles were selected with consensus and analyzed according to the inclusion and exclusion criteria. Results Overall,205 articles from 66 different centers all over China published between January 2009 and June 2012 were included in the analysis. Of which,there were 26 articles of science citation index papers and 179 articles from Chinese academic journals.The included literature was mainly composed of case series reports ( 133 articles,64.9% ),comparison studies (13 articles,6.3% ),reviews or comments (20 papers,9.8% ),nursing related papers (28 pieces,13.7% ),animal surgery studies (6 articles,2.9% ),and training (5 articles,2.4% ).A total of 1790 clinical cases were reported during the study period,56.9% of these were procedures done in the upper urinary tract,only 5.8% were in the lower urinary tract,and 37.3% were genital or other procedures.Procedures of tumor-related and reconstruction required accounted for 18.8% and 18.7%,respectively.Pure single-port technique was applied on 58.3% of cases.In cases of a single-port platform used,45.6% used the commercially available devices and 54.4% used homemade devices.Transperitoneal accesses were adopted in 59.5% of cases and the other 40.5% were performed through extraperitoneal approaches.The umbilicus was used as the site of access in 58.5% of cases.A total of 25 indications were reported,including adrenalectomy,nephrectomy and ureterolithotomy,etc. in the upper urinary tract,radical cystectomy,radical prostatectomy and transvesical enucleation of the prostate,etc.in the lower urinary tract,and varicocelectomy,orchidopexy and others. The

  14. Cost Behavior

    DEFF Research Database (Denmark)

    Hoffmann, Kira

    The objective of this dissertation is to investigate determinants and consequences of asymmetric cost behavior. Asymmetric cost behavior arises if the change in costs is different for increases in activity compared to equivalent decreases in activity. In this case, costs are termed “sticky......” if the change is less when activity falls than when activity rises, whereas costs are termed “anti-sticky” if the change is more when activity falls than when activity rises. Understanding such cost behavior is especially relevant for decision-makers and financial analysts that rely on accurate cost information...... to facilitate resource planning and earnings forecasting. As such, this dissertation relates to the topic of firm profitability and the interpretation of cost variability. The dissertation consists of three parts that are written in the form of separate academic papers. The following section briefly summarizes...

  15. Reducción del costo de transportación en las Series Nacionales de Béisbol empleando metaheurísticas//Metaheuristics for the reduction of transportation cost in Baseball National Series

    Directory of Open Access Journals (Sweden)

    Alejandro Rosete-Suárez

    2013-09-01

    Full Text Available Este trabajo demuestra cómo se pueden disminuir el costo de transportación en las Series Nacionales de Béisbol de Cuba reduciendo la distancia total recorrida por los equipos. Se planteó el problema de optimización correspondiente para luego enfrentar su solución usando varias metaheurísticas, en el problema de la construcción de los calendarios de las tres Series Nacionales de Béisbol más recientes. Los resultados mejores los obtuvieron las metaheurísticas RRT y Escalador de Colinas. Los calendarios obtenidos ahorran entre un 13 y un 29% de la distancia total recorrida y se obtienen en menos del 1% del tiempo empleado por los expertos humanos que diseñaron los calendarios oficiales de esascompetencias. Estos resultados muestran que el uso más eficiente de los portadores energéticos puede enfocarse desde la perspectiva de la optimización de los kilómetros recorridos usando metaheurísticas.Palabras claves: metaheurísticas, problema de optimización combinatoria, problema de la transportación en un torneo, calendario deportivo.______________________________________________________________________________AbstractThis paper shows that the transportation cost of Baseball National Series may be reduced using metaheuristics. This may be achieved by the reduction of the total distance of the itineraries of the teams. First, the corresponding optimization problem is defined. Then, the solution is faced using metaheuristics. Many metaheuristics were compared in the optimization of the schedules of the last three Baseball National Series. The best results were obtained by RRT and Hill Climbing. The schedules obtained by these metaheuristics allow to save between 13 and 29% of the overall distance travelled by teams, respect to the official schedules designed by human experts. Also, the time to obtain the schedules with metaheuristics is about 1% of the time used by human experts. These results show that a better used of combustible can

  16. Tracking Costs

    Science.gov (United States)

    Erickson, Paul W.

    2010-01-01

    Even though there's been a slight reprieve in energy costs, the reality is that the cost of non-renewable energy is increasing, and state education budgets are shrinking. One way to keep energy and operations costs from overshadowing education budgets is to develop a 10-year energy audit plan to eliminate waste. First, facility managers should…

  17. Transaction Costs, Information Technology and Development

    OpenAIRE

    Singh, Nirvikar

    2004-01-01

    This paper explores potential channels through which information technology (IT) affects economic development. The channel emphasized here is the reduction of transaction costs through the use of information technology. We discuss the nature of transaction costs, their possible impacts on economic outcomes, and the impacts of IT on transaction costs. We provide a theoretical discussion of how a reduction in transaction costs may affect the number of intermediate goods that are produced, and i...

  18. Laparoendoscopic single-site partial nephrectomy using a novel Spider surgical platform in pigs%新型Spider单孔腹腔镜平台下猪肾部分切除术

    Institute of Scientific and Technical Information of China (English)

    杨波; 王辉清; Riccardo Autorino; 肖亮; 王林辉; 许传亮; Jihad H. Kaouk; 孙颖浩

    2011-01-01

    目的 在新型Spider单孔腹腔镜平台下进行猪肾部分切除术,评估新型Spider单孔腹腔镜平台的操作特点及人机工程学特性.方法 猪麻醉固定后切开2 cm长的皮肤切口,按Spider平台置入法建立通道.接气腹并置入5 mm观察镜,调整好角度后,固定在床边悬挂架上.按常规手术方式行肾脏部分切除术,其中肾脏缺损以2-0 V-loc带倒刺的可吸收缝线连续全层缝合.结果 成功完成猪左肾部分切除术2例,手术时间为100、102 min,肾脏温缺血23、28 min,出血20~50ml,开放肾动脉后肾实质无继发性出血.结论 Spider单孔腹腔镜平台下猪肾部分切除术安全可行,较好地解决了单孔腹腔镜“交叉操作”的难题,器械碰撞干扰明显减少.但仍存在诸多缺陷,尤其是依靠内鞘管带动的可弯器械无法提供足够的牵拉力量,使得术中视野显露不够满意.%Objective To use Spider system, a novel laparoendoscopic single-site (LESS) platform, for partial nephrectomy in pigs, so as to evaluate the feasibility and ergonomic features of the Spider system. Methods A 2 cm incision was made on the lateral border of the rectus muscle; the subcutaneous tissues and muscle layer were dissected bluntly by the Kelly clamp. With the outside sheath the Spider system was introduced into the peritoneal cavity. After establishment of pneumoperitoneum, a 5 mm scopy was introduced. The whole Spider platform was fixed using the suspension system on the bedside. The procedures of partial nephrectomy were performed according to the conventional steps. Renal reconstruction was done by the 2-0 V-loc barbed suture using the knotless closure technique. Results The procedure of partial nephrectomy was successfully performed in 2 cases, with the operation time being 100 and 102 min, the docking time being 7 and 11 min, and the time periods of warm ischemia being 23 and 28 min. The V-loc barbed suture was used to close the defect of kidney without

  19. Transperitoneal laparoendoscopic single-site (LESS) live donor nephrectomy: the first clinical case in China%中国首例单孔多通道经腹腹腔镜活体供肾切取术

    Institute of Scientific and Technical Information of China (English)

    王林辉; 罗文彬; 陈伟; 王承; 陈楚; 罗睿; 肖亮; 程欣; 孙颖浩; 杨庆; 刘冰; 吴震杰; 肖成武; 侯炯; 盛夏; 王利丽; 黄燕

    2011-01-01

    目的 全面进行相关术前评估并取得患者知情同意后尝试进行中国首例单孔多通道经腹腹腔镜活体供肾切取术,探讨该手术的可行性和安全性,总结操作经验.方法 2011年11月9日,我科完成1例单孔多核通道( TriPortTM)经腹腹腔镜下活体供肾(左侧)切取术.供者,女,59岁,体质指数(BMI) 21.6 kg/m2,术前血肌酐45 μmol/L.术前核素(99m Tc-DTPA)肾功能检查:左肾50 ml/min,右肾56 ml/min.受者,男,41岁,BMI 19.5 kg/m2,与供者为母子关系,术前血肌酐1 446 μmol/L,因“慢性肾功能不全(肾衰竭期)”拟行肾移植术.取脐水平线上方经腹直肌纵行切口约5 cm,供肾动静脉及肾脏完全游离后,在髂血管水平离断输尿管和生殖静脉,将肾脏装入取物袋(EndoCatchTM Bag),分别离断肾脏动静脉后,迅速将标本经原切口取出.结果 在不增加任何额外切口的情况下顺利完成手术,手术时间210 min,术中出血50ml,热缺血时间3.8 min.供肾动脉长度3.6cm,静脉长度4.5cm,输尿管长度13 cm.皮肤切口关闭时长度为5 cm.供肾移植术中再通血流后,色泽良好,20 s后即有尿液排出.供者术后第1天、第2天、第3天视觉模拟疼痛评分分别为2.5/10、1/10、0/10,术后未使用任何止痛药物,第4天出院,无任何术中或术后并发症.受者术后12h、24 h、2d、3d、4d、5d、6d、7d、出院前、术后1个月血肌酐分别为:475、282、148、145、117、100、103、98、80、84 μmol/L,恢复顺利,术后第10天出院.结论 初步经验表明单孔多通道经腹腹腔镜下活体供肾切取术安全、可行、有效.术后供者疼痛轻,恢复快,切口小,具有良好临床应用前景,但目前完成的病例数较少,仍需进一步临床经验积累.%Objective To summarize out experience in the first case of transperitoneal laparoendoscopic single-site live donor nephrectomy (LESS-DN) in mainland China and to assess its safety and feasibility. Methods The female

  20. Transaction Costs For Innovations Diffusion

    Directory of Open Access Journals (Sweden)

    Ilya A. Romanov

    2012-10-01

    Full Text Available The article deals with the analysis of transaction costs of the innovations distribution. The factors, affecting the innovations diffusion in accordance with the clusters, relations, dynamics of the distribution are disclosed. Transaction costs as a result of bounded rationality of economic entities are detected. The inevitability of transaction costs as an objective phenomenon is shown. Their dependence on the quality of economic information and information uncertainty is indicated. Correlative approach for the analysis of these costs is applied. The article justifies that the reduction of transaction costs increases the efficiency of innovations.

  1. Costing blood products and services.

    Science.gov (United States)

    Wallace, E L

    1991-05-01

    At present, blood centers and transfusion services have limited alternatives for offsetting the ever-rising costs of health care inputs. In the face of current revenue constraints, cost reduction or cost containment through efficiency improvements or service reduction is the principal available means. Such methods ought to be pursued vigorously by blood bankers with the aid of well-designed costing and other physical measurements systems. Experience indicates, however, that blood bankers, in their attempts to reduce or contain costs, are likely to place undue reliance on cost accounting systems as the means of capturing sought-for benefits. Management must learn enough about methods of costing to judge directly the uses and limitations of the information produced. Such understanding begins with recognition that all costs and cost comparisons should be specific to the purpose for which they are developed. No costing procedure is capable of producing measures generally applicable to all management decisions. A measure relevant to a planning decision is unlikely to be appropriate for performance evaluation. Useful comparisons among sets of organizations of costs, or of measures of physical inputs and outputs, require assurance that the methods of measurement employed are the same and that the sets of organizations from which the measures are drawn are reasonably comparable.

  2. Autologous peripheral blood stem cell transplantation in patients with relapsed lymphoma results in accelerated haematopoietic reconstitution, improved quality of life and cost reduction compared with bone marrow transplantation : the Hovon 22 study

    NARCIS (Netherlands)

    Vellenga, E; van Agthoven, M; Croockewit, AJ; Verdonck, LF; Wijermans, PJ; van Oers, MHJ; Volkers, CP; van Imhoff, GW; Kingma, T; Uyl-de Groot, CA; Fibbe, WE

    2001-01-01

    The present study analysed whether autologous peripheral blood stem cell transplantation (PSCT) improves engraftment, quality of life and cost-effectiveness when compared with autologous bone marrow transplantation (ABMT). Relapsing progressive lymphoma patients (n = 204; non-Hodgkin's lymphoma n =

  3. Drilling cost-cutting

    Energy Technology Data Exchange (ETDEWEB)

    Capuano, L.E. Jr.

    1996-12-31

    This presentation by Louis E. Capuano, Jr., President, ThermaSource, Inc., discusses cost-cutting in the drilling phase of geothermal energy exploration and production. All aspects of a geothermal project including the drilling must be streamlined to make it viable and commercial. If production could be maximized from each well, there would be a reduction in drilling costs. This could be achieved in several ways, including big hole and multi-hole completion, directional drilling, better knowledge of the resource and where to penetrate, etc.

  4. Operating cost analysis of anaesthesia: Activity based costing (ABC analysis

    Directory of Open Access Journals (Sweden)

    Majstorović Branislava M.

    2011-01-01

    Full Text Available Introduction. Cost of anaesthesiology represent defined measures to determine a precise profile of expenditure estimation of surgical treatment, which is important regarding planning of healthcare activities, prices and budget. Objective. In order to determine the actual value of anaestesiological services, we started with the analysis of activity based costing (ABC analysis. Methods. Retrospectively, in 2005 and 2006, we estimated the direct costs of anestesiological services (salaries, drugs, supplying materials and other: analyses and equipment. of the Institute of Anaesthesia and Resuscitation of the Clinical Centre of Serbia. The group included all anesthetized patients of both sexes and all ages. We compared direct costs with direct expenditure, “each cost object (service or unit” of the Republican Health-care Insurance. The Summary data of the Departments of Anaesthesia documented in the database of the Clinical Centre of Serbia. Numerical data were utilized and the numerical data were estimated and analyzed by computer programs Microsoft Office Excel 2003 and SPSS for Windows. We compared using the linear model of direct costs and unit costs of anaesthesiological services from the Costs List of the Republican Health-care Insurance. Results. Direct costs showed 40% of costs were spent on salaries, (32% on drugs and supplies, and 28% on other costs, such as analyses and equipment. The correlation of the direct costs of anaestesiological services showed a linear correlation with the unit costs of the Republican Healthcare Insurance. Conclusion. During surgery, costs of anaesthesia would increase by 10% the surgical treatment cost of patients. Regarding the actual costs of drugs and supplies, we do not see any possibility of costs reduction. Fixed elements of direct costs provide the possibility of rationalization of resources in anaesthesia.

  5. Cost comparisons

    CERN Multimedia

    CERN Bulletin

    2010-01-01

    How much does the LHC cost? And how much does this represent in other currencies? Below we present a table showing some comparisons with the cost of other projects. Looking at the figures, you will see that the cost of the LHC can be likened to that of three skyscrapers, or two seasons of Formula 1 racing! One year's budget of a single large F1 team is comparable to the entire materials cost of the ATLAS or CMS experiments.   Please note that all the figures are rounded for ease of reading.    CHF € $   LHC 4.6 billions 3 billions  4 billions   Space Shuttle Endeavour (NASA) 1.9 billion 1.3 billion 1.7 billion   Hubble Space Telescope (cost at launch – NASA/...

  6. A generic framework for cost estimation and cost control in product design

    NARCIS (Netherlands)

    Weustink, I.F.; Brinke, ten E.; Streppel, A.H.; Kals, H.J.J.

    2000-01-01

    Traditionally, cost estimation was performed after the design process, though most opportunities of cost reduction have already passed. Therefore, it is advantageous to be able to estimate the product costs early in the product development cycle. By changing the way cost estimation is dealt with, it

  7. A generic framework for cost estimation and cost control in product design

    NARCIS (Netherlands)

    Lutters-Weustink, Ilanit F.; ten Brinke, E.; Streppel, A.H.; Kals, H.J.J.

    2000-01-01

    Traditionally, cost estimation was performed after the design process, though most opportunities of cost reduction have already passed. Therefore, it is advantageous to be able to estimate the product costs early in the product development cycle. By changing the way cost estimation is dealt with, it

  8. Cost of photovoltaic energy systems as determined by balance-of-system costs

    Science.gov (United States)

    Rosenblum, L.

    1978-01-01

    The effect of the balance-of-system (BOS), i.e., the total system less the modules, on photo-voltaic energy system costs is discussed for multikilowatt, flat-plate systems. Present BOS costs are in the range of 10 to 16 dollars per peak watt (1978 dollars). BOS costs represent approximately 50% of total system cost. The possibility of future BOS cost reduction is examined. It is concluded that, given the nature of BOS costs and the lack of comprehensive national effort focussed on cost reduction, it is unlikely that BOS costs will decline greatly in the next several years. This prognosis is contrasted with the expectations of the Department of Energy National Photovoltaic Program goals and pending legislation in the Congress which require a BOS cost reduction of an order of magnitude or more by the mid-1980s.

  9. Reduction of Invasive Fungal Infections Among Cancer Patients With Chemotherapy-Induced Neutropenia After Protective Environment Implementation May Save Costs in a Developing Country: A Quasi-Experimental Study

    Directory of Open Access Journals (Sweden)

    Stoll

    2015-11-01

    Full Text Available Background Invasive fungal infections (IFI represent a serious threat for severely immunocompromised patients. Infection control interventions, including protective environment (PE implementation, are essential to reduce IFI incidence, mortality and burden of hospitalization, among high-risk patients. Information about the impact of these strategies in cancer patients with chemotherapy-induced neutropenia (CIN, in developing countries, is insufficient. Objectives To assess the impact of PE implementation on IFI incidence, consumption and cost of antifungal treatment, in a general, tertiary teaching hospital, in Southern Brazil. Patients and Methods We conducted a quasi-experimental study to evaluate an institutional intervention, in a hospital ward, for patients with CIN, which consisted in renovation of the ward and measures involving air-quality technologies installation, the main one being high efficiency particulate air (HEPA filters. Simultaneously, infection control routines were implemented. Neutropenic patients, admitted to any other hospital ward, prior to the renovation, were included in the historical control group. The IFI incidence was defined, according to the criteria proposed by the European Organization for Research and Treatment of Cancer. Direct costs of antifungal drugs were recorded, for all neutropenic patients. Results A total of 190 and 181 hospital admissions were included in the intervention and control groups, respectively. Total IFI incidence was reduced in the PE group (7.4% vs. 18.2%; P = 0.002 and the same was observed when considering only proven and probable IFI (1.6% vs. 8.3%; P = 0.003. This benefit persisted even after adjusting for antifungal prophylaxis (OR = 0.17; 95% CI = 0.05 ‒ 0.60. We observed a decreasing trend in molds and yeasts IFI incidence, in the intervention group. Although the final cost of antifungal agents was lower, after intervention (78347.37 USD vs. 154176.60 USD, the median cost per

  10. 经脐单孔腹腔镜手术治疗新生儿先天性肠闭锁和狭窄%Transumbilical laparoendoscopic single-site surgery in the treatment of neonatal intestinal atresia and stenosis

    Institute of Scientific and Technical Information of China (English)

    李炳; 陈卫兵; 王寿青; 夏顺林; 刘树立; 李龙

    2013-01-01

    Objective To summarize the experiences and advantages of laparoendoscopic single-site (LESS) surgery for neonatal intestinal atresia and stenosis.Methods Twenty patients of neonatal intestinal atresia and stenosis were treated with LESS procedure in Huai'an Women and Children's Hospital of Jiangsu Province between October 2010 and April 2012.The clinical data were retrospectively analyzed.Results Among these patients,13 were male,7 were female.Age at admission ranged from 10 min to 1 d.Four cases were premature,and 3 were born with low birth weight (<2500 g).One was diagnosed with duodenal atresia,1 with duodenal stenosis,9 with jejunal atresia,2 with jejunal stenosis,and 7 with ileal atresia.Laparoscopic exploration was performed in all the cases by transumbilical procedure,the proximal and distal ends were exteriorized from the umbilical port site for anastomosis.Twenty neonates with intestinal atresia and stenosis were performed using this new minimally invasive approach,with no cases converted to open operation or standard laparoscopy.The operative time was 35-60 (mean,40) min.The intraoperative bleeding was 3-5 ml.Two cases were given up treatment by their parents on the second postoperative day.For the other 18 patients,oral intake started on postoperative day 5-10 (mean,7),and discharged from hospital on the postoperative day 10-20 (mean,13).The follow up ranged from 1 to 11 months,during which 1 case died,3 cases were managed with conservative treatment for diarrhea or malnutrition.The other 14 cases grew up healthily.Conclusion The technique of LESS in the treatment of neonatal atresia and stenosis is simple and the outcomes are satisfactory.%目的 总结经脐单孔腹腔镜手术治疗新生儿肠闭锁和狭窄的经验.方法 回顾性分析2010年10月至2012年4月间在江苏淮安市妇幼保健院接受经脐单孔L腹腔镜手术治疗的20例新生儿肠闭锁和狭窄的临床资料.结果 20例新生患儿中男13例,女7

  11. 42 CFR 457.228 - Cost allocation.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Cost allocation. 457.228 Section 457.228 Public...; Reduction of Federal Medical Payments § 457.228 Cost allocation. A State plan must provide that the single or appropriate CHIP Agency will have an approved cost allocation plan on file with the Department...

  12. Minimizing Costs Can Be Costly

    Directory of Open Access Journals (Sweden)

    Rasmus Rasmussen

    2010-01-01

    Full Text Available A quite common practice, even in academic literature, is to simplify a decision problem and model it as a cost-minimizing problem. In fact, some type of models has been standardized to minimization problems, like Quadratic Assignment Problems (QAPs, where a maximization formulation would be treated as a “generalized” QAP and not solvable by many of the specially designed softwares for QAP. Ignoring revenues when modeling a decision problem works only if costs can be separated from the decisions influencing revenues. More often than we think this is not the case, and minimizing costs will not lead to maximized profit. This will be demonstrated using spreadsheets to solve a small example. The example is also used to demonstrate other pitfalls in network models: the inability to generally balance the problem or allocate costs in advance, and the tendency to anticipate a specific type of solution and thereby make constraints too limiting when formulating the problem.

  13. Total Cost of Ownership: Key Infrastructure Management Tool.

    Science.gov (United States)

    Bolton, Denny G.

    2001-01-01

    Many school districts have planned only for upfront software and hardware costs (one-quarter of "real" costs). This article examines major cost components of client-server computing, discusses TCO (total cost of ownership) as a tool for managing investment in technology, and considers how to leverage cost-reduction strategies. (MLH)

  14. Application of transumbilical laparoendoscopic single-site multi-channel surgery in urology: retrospects and prospects%经脐单孔多通道腹腔镜技术在泌尿外科手术中的应用回顾及展望

    Institute of Scientific and Technical Information of China (English)

    孙颖浩; 杨波

    2011-01-01

    经脐单孔腹腔镜手术是新近出现的一种微创技术革新,符合经自然腔道内镜手术(natural orifice transluminal endoscopic surgery,NOTES)的理念,近年来在泌尿外科领域得到了很快的发展,促进了泌尿外科手术理念的进步和技术的革新,取得了一些值得回顾总结的初步经验.因此,本文从该技术的动物实验基础、国内外应用现状、技术瓶颈及优势、发展方向等方面对其进行回顾及展望,以进一步指导其临床实践.%As an innovation in minimally invasive surgery, transumbilical laparoendoscopic single-site surgery has emerged recently; it follows the concept of natural orifice transluminal endoscopic surgery (NOTES) and has gained rapid progress in urology, which has promoted the advancement of concept and technique of urological surgery and yielded some valuable experience. This paper discusses the retrospects and prospects of the technique by introducing the related animal experiments, application statuses home and abroad, difficulties and advantages, future trend, and so on, hoping to guide the clinical practice.

  15. Description of different techniques and their potentials of development for the reduction of nitrous oxides in the exhaust gases of waste incinerators and refuse-derived fuel-fired power plants in terms of performance, cost and power consumption; Beschreibung unterschiedlicher Techniken und deren Entwicklungspotentiale zur Minderung von Stickstoffoxiden im Abgas von Abfallverbrennungsanlagen und Ersatzbrennstoff-Kraftwerken hinsichtlich Leistungsfaehigkeit, Kosten und Energieverbrauch

    Energy Technology Data Exchange (ETDEWEB)

    Beckmann, Michael [Technische Univ. Dresden (Germany)

    2011-11-15

    On 22nd July, 2002 the European Parliament passes the sixth Environmental Action Programme of the European Community. According to this Programme, the environmental pollution can be reduced to a level at which adverse effects on human health have to be reduced. Under this aspect, the author of the contribution under consideration describes various techniques and their development potential for the reduction of nitrogen oxides in the exhaust of waste incinerators and refuse-derived fuel-fired power plants in terms of performance, cost and power consumption. Primary measures (air staging, flue gas recirculation) and secondary measures (SNCR, SCR process, combined procedure) were used as techniques.

  16. Exceptional Reductions

    CERN Document Server

    Marrani, Alessio; Riccioni, Fabio

    2011-01-01

    Starting from basic identities of the group E8, we perform progressive reductions, namely decompositions with respect to the maximal and symmetric embeddings of E7xSU(2) and then of E6xU(1). This procedure provides a systematic approach to the basic identities involving invariant primitive tensor structures of various irreprs. of finite-dimensional exceptional Lie groups. We derive novel identities for E7 and E6, highlighting the E8 origin of some well known ones. In order to elucidate the connections of this formalism to four-dimensional Maxwell-Einstein supergravity theories based on symmetric scalar manifolds (and related to irreducible Euclidean Jordan algebras, the unique exception being the triality-symmetric N = 2 stu model), we then derive a fundamental identity involving the unique rank-4 symmetric invariant tensor of the 0-brane charge symplectic irrepr. of U-duality groups, with potential applications in the quantization of the charge orbits of supergravity theories, as well as in the study of mult...

  17. Reduction of construction cost and carbon dioxide emissions by heat contracting. Obstacles and solutions. Final report; Baukostensenkung und CO{sub 2}-Minderung durch Waerme-Contracting. Hemmnisse und Loesungswege. Abschlussbericht

    Energy Technology Data Exchange (ETDEWEB)

    Ebert, V.; Liebernickel, T.; Froemel, T.; Kues, H.

    2000-11-01

    The poor condition of many heating systems is caused by a conflict of interest between investors and users. Landlords tended to opt for low investment cost, while the accompanying higher consumption cost was paid by their tenants. The only thing that has changed here is the fact that the 'secondary cost' has become a criterion for new tenants' decision to rent an apartment. Heat contracting may be a way out of the problem as contractors are interested in high-efficiency heating systems and optimally controlled operation. Heat contracting is a service concept of private and communal organisations that involves payment, construction and operation of a heating system by the contractor depending on the contracting model used. [German] Die relativ schlechte und veraltete heizungstechnische Ausruestung der Wohngebaeude in Deutschland ist auf den lange Jahre bestehenden Interessenkonflikt zwischen Investor und Nutzer im Mietwohnungsbau zurueckzufuehren. Durch die Umlagefaehigkeit der Heizkosten auf die Nutzer (Mieter) war der Gebaeudeeigentuemer i.d.R. bestrebt, eine Anlage zu guenstigen Investitionskosten zu erwerben. Die daraus resultierenden, relativ hoeheren Verbrauchskosten waren als Betriebskosten auf die Mieter umlegbar und belasteten den Vermieter nicht. An dieser Situation hat sich bis heute prinzipiell nichts geaendert; allerdings sind die Nebenkosten mit der Hauptkostenposition 'Heizkosten' zu einem Kriterium der Vermietbarkeit geworden, so dass der Vermieter heute die Kosten moeglichst niedrig halten muss. Ein Ausweg aus dem Interessenkonflikt und der neuen Vermietsituation koennte das Waerme-Contracting sein. Seitens des Contractors ist der Einsatz hocheffizienter Anlagentechnik und optimale, d.h. ueberwachte Betriebsbedingungen fuer einen wirtschaftlichen Erfolg unabdingbar. Waerme-Contracting ist ein Dienstleistungskonzept von privatwirtschaftlichen und kommunalen Unternehmen, die - je nach Contracting

  18. Reduction of construction cost and carbon dioxide emissions by heat contracting. Obstacles and solutions. Final report; Baukostensenkung und CO{sub 2}-Minderung durch Waerme-Contracting. Hemmnisse und Loesungswege. Abschlussbericht

    Energy Technology Data Exchange (ETDEWEB)

    Ebert, V.; Liebernickel, T.; Froemel, T.; Kues, H.

    2000-11-01

    The poor condition of many heating systems is caused by a conflict of interest between investors and users. Landlords tended to opt for low investment cost, while the accompanying higher consumption cost was paid by their tenants. The only thing that has changed here is the fact that the 'secondary cost' has become a criterion for new tenants' decision to rent an apartment. Heat contracting may be a way out of the problem as contractors are interested in high-efficiency heating systems and optimally controlled operation. Heat contracting is a service concept of private and communal organisations that involves payment, construction and operation of a heating system by the contractor depending on the contracting model used. [German] Die relativ schlechte und veraltete heizungstechnische Ausruestung der Wohngebaeude in Deutschland ist auf den lange Jahre bestehenden Interessenkonflikt zwischen Investor und Nutzer im Mietwohnungsbau zurueckzufuehren. Durch die Umlagefaehigkeit der Heizkosten auf die Nutzer (Mieter) war der Gebaeudeeigentuemer i.d.R. bestrebt, eine Anlage zu guenstigen Investitionskosten zu erwerben. Die daraus resultierenden, relativ hoeheren Verbrauchskosten waren als Betriebskosten auf die Mieter umlegbar und belasteten den Vermieter nicht. An dieser Situation hat sich bis heute prinzipiell nichts geaendert; allerdings sind die Nebenkosten mit der Hauptkostenposition 'Heizkosten' zu einem Kriterium der Vermietbarkeit geworden, so dass der Vermieter heute die Kosten moeglichst niedrig halten muss. Ein Ausweg aus dem Interessenkonflikt und der neuen Vermietsituation koennte das Waerme-Contracting sein. Seitens des Contractors ist der Einsatz hocheffizienter Anlagentechnik und optimale, d.h. ueberwachte Betriebsbedingungen fuer einen wirtschaftlichen Erfolg unabdingbar. Waerme-Contracting ist ein Dienstleistungskonzept von privatwirtschaftlichen und kommunalen Unternehmen, die - je nach Contracting

  19. Optimisation of operating cost of fossil-fired power plants through CDM and JI. Option for meeting the emission reduction targets; Optimierung der Betriebskosten fossilbefeuerter Kraftwerke mittels CDM und JI. Optionen zur kosteneffizienten Erreichung der Emissionsminderungsziele

    Energy Technology Data Exchange (ETDEWEB)

    Lambertz, J. [RWE Power AG, Koeln (Germany); RWE Power AG, Essen (Germany); Fuebi, M. [RWE Power AG, Essen (Germany)

    2007-07-01

    The optimisation of the power plant park as well as the development of innovate, efficiency-increasing and thus CO{sub 2}-decreasing technologies will make an important contribution to the harmonisation between secure energy supply and the requirements of climate protection. Investments in climate protection projects within the scope of CDM and JI are an additional option to make-up for cost arising in connection with CO{sub 2} control and such projects will make climate protection economically efficient and sustainable. (orig.)

  20. 连接管在空调器降成本机型中的灵活运用%Flexible application of connecting pipe into the cost reduction machine type of air conditioner

    Institute of Scientific and Technical Information of China (English)

    冼志健; 梁勤奋

    2012-01-01

    在原有空调器配置不变的前提下,空调器连接管的灵活搭配应用,不但可以改善空调器制冷效果,而且能够降低空调器整机成本,提高其市场竞争力.%Under the original air conditioner configuration unchanged, the application of flexible collocation into air conditioner's connecting pipe,not only can improve the refrigeration effect of air conditioner,but also can reduce the cost of air conditioner and improve their market competitiveness.

  1. Reduction of energy costs with mechatronic drive technology. Interbranch drive solution constitutes product innovation of the year; Reduktion von Energiekosten mit mechatronischer Antriebstechnik. Branchenuebergreifende Antriebsloesung wird Produktinnovation des Jahres

    Energy Technology Data Exchange (ETDEWEB)

    Filler, Eiko [SEW-EURODRIVE GmbH und Co.KG, Bruchsal (Germany)

    2009-07-01

    SEW-EURODRIVE is the first company that realized the technical trend of mechatronics with MOVIGEAR. MOVIGEAR had been developed in order to fulfill the complex requirements of horizontal materials handling equipment in various sectors like automotive, food and beverage industry, airport logistics and general intralogistics and to demonstrate new constructive and functional possibilities. Using MOVIGEAR in the transport of palettes, bundles, and bottles, an active contributions can be made to the conservation of resources and environment by energy saving. Generally, it enables the plant operator by means of a clearly laid out installation topology, an easy handling, and a small energy consumption to realize true cost savings. (orig.)

  2. Realistic costs of carbon capture

    Energy Technology Data Exchange (ETDEWEB)

    Al Juaied, Mohammed (Harvard Univ., Cambridge, MA (US). Belfer Center for Science and International Affiaris); Whitmore, Adam (Hydrogen Energy International Ltd., Weybridge (GB))

    2009-07-01

    excluding transport and storage costs appears to be US$100-150/tCO2 for first-of-a-kind plants and perhaps US$30-50/tCO2 for nth-of-a-kind plants.The estimates for FOAK and NOAK costs appear to be broadly consistent in the light of estimates of the potential for cost reductions with increased experience. Cost reductions are expected from increasing scale, learning on individual components, and technological innovation including improved plant integration. Innovation and integration can both lower costs and increase net output with a given cost base. These factors are expected to reduce abatement costs by approximately 65% by 2030. The range of estimated costs for NOAK plants is within the range of plausible future carbon prices, implying that mature technology would be competitive with conventional fossil fuel plants at prevailing carbon prices.

  3. The Costs of a Cleaner baltic Sea

    DEFF Research Database (Denmark)

    Brodersen, Sisse Liv; Konrad, Maria Theresia Hedegaard; Hasler, Berit;

    2009-01-01

    of the results was nutrient reduction targets for each country - the BSAP targets. Because the Baltic Sea is such an international marine area, receiving pollutants from many  countries, an international approach is necessary to make effective solutions. But is the BSAP the most cost-effective solution...... to the regulation of the Baltic Sea? And does the BSAP result in cost-effective reductions in the different countries, which is a requirement of the Water Framework Directive and the Marine Strategy Directive?   These questions are studied and answered using a cost minimisation model for the Baltic sea, initially...... the BSAP targets are set as target reductions for each countries.  The comparison reveals what the additional costs of fulfilling a political target for each country are instead pursuing a cost effective solution for the Baltic Sea.  In addition  we simulate cost minimising solutions for obtaining...

  4. Cost Optimization of Product Families using Analytic Cost Models

    DEFF Research Database (Denmark)

    Brunø, Thomas Ditlev; Nielsen, Peter

    2012-01-01

    This paper presents a new method for analysing the cost structure of a mass customized product family. The method uses linear regression and backwards selection to reduce the complexity of a data set describing a number of historical product configurations and incurred costs. By reducing the data...... set, the configuration variables which best describe the variation in product costs are identified. The method is tested using data from a Danish manufacturing company and the results indicate that the method is able to identify the most critical configuration variables. The method can be applied...... in product family redesign projects focusing on cost reduction to identify which modules contribute the most to cost variation and should thus be optimized....

  5. Cost-shifting under cost reimbursement and prospective payment.

    Science.gov (United States)

    Foster, R W

    1985-09-01

    Cost-shifting is seen as a three-way phenomenon involving hospital interests as well as those of government and private patients. Without economies of scale, private patients are indifferent to government policies unless underpayment leads to hospital bankruptcy. In the presence of economies of scale, private patients benefit from reductions in government payment under either cost reimbursement or prospective payment. Their interest in a shift to prospective payment depends upon the hospital's location on its cost curve. Hospitals benefit from increases in payment rates in all cases, but benefit from a shift to prospective payment only if operating in a region of declining average costs. The conventional view of cost-shifting is inconsistent with profit maximization and may be inappropriate for many voluntary hospitals as well.

  6. Cost Optimization of Product Families using Analytic Cost Models

    DEFF Research Database (Denmark)

    Brunø, Thomas Ditlev; Nielsen, Peter

    2012-01-01

    This paper presents a new method for analysing the cost structure of a mass customized product family. The method uses linear regression and backwards selection to reduce the complexity of a data set describing a number of historical product configurations and incurred costs. By reducing the data...... set, the configuration variables which best describe the variation in product costs are identified. The method is tested using data from a Danish manufacturing company and the results indicate that the method is able to identify the most critical configuration variables. The method can be applied...... in product family redesign projects focusing on cost reduction to identify which modules contribute the most to cost variation and should thus be optimized....

  7. [Laboratory medicine in the neonatal age: quality, excellence and reduction of costs] [Article in Italian] • La medicina di laboratorio in età neonatale tra qualità, eccellenza e riduzione dei costi

    Directory of Open Access Journals (Sweden)

    Michele Mussap

    2012-10-01

    Full Text Available Our times are characterized by the dichotomy between the increasing need for health care and the global decrease in economic resources. Neonatology is at the centre of this scenario for several reasons. Firstly, the availability of molecular and genetic tests has made possible the accurate prenatal diagnosis of a series of diseases caused by transmissible and non-transmissible genetic defects, thus leading to the development of large-scale screening programmes and the consequent proper medical and surgical treatments. Secondly, thanks to improvements in assistance in intensive therapy in the last fifteen years, there has been a substantial increase in low, very low and extremely low weight premature births (LBW, VLBW and ELBW respectively. The survival rate of these premature neonates is good and their quality of life following the neonatal period has also improved. How can we combine the need to count on excellent laboratory diagnoses with the need to reduce the cost of healthcare and, more in particular, the costs of purchasing advanced systems of diagnosis? Three considerations can be formulated: 1 it is essential to eliminate waste, but it is just as essential to ensure the quality of the products (instrumentation and diagnostic kits; 2 we should change the objective of issuing tenders for the supplying of health equipment and services from the present scenario, which provides for supply contracts, often in-service, of diagnostic systems, we should change to contracts that call for a policy of savings through the providing of products of excellence. Although at first sight this may appear paradoxical, in reality it masks a vaster matter that involves different stakeholders: health professionals, suppliers and the public administration; 3 the use of sophisticated techniques and the study of molecular profiles are capable of generating far-reaching prospects for healthcare, investments and savings. An example of this is represented by

  8. Department of Energy Environmental Management cost infrastructure development program: Cost analysis requirements

    Energy Technology Data Exchange (ETDEWEB)

    Custer, W.R. Jr.; Messick, C.D.

    1996-03-31

    This report was prepared to support development of the Department of Energy Environmental Management cost infrastructure -- a new capability to independently estimate and analyze costs. Currently, the cost data are reported according to a structure that blends level of effort tasks with product and process oriented tasks. Also. the budgetary inputs are developed from prior year funding authorizations and from contractor-developed parametric estimates that have been adjusted to planned funding levels or appropriations. Consequently, it is difficult for headquarters and field-level activities to use actual cost data and technical requirements to independently assess the costs generated and identify trends, potential cost savings from process improvements, and cost reduction strategies.

  9. Régimen corto de antibioticoterapia parenteral frente a régimen largo: Análisis de minimización de costes A short-term parenteral antibiotic therapy regime versus a long-term regime: Analysis of cost reduction

    Directory of Open Access Journals (Sweden)

    Martha Medina García

    2006-06-01

    Full Text Available Se realizó un estudio de análisis económico, del tipo de minimización de costes, con el objetivo de evaluar los costes de un régimen de tratamiento antibiótico parenteral de corta duración (3 días utilizado en recién nacidos con infección del tracto urinario alta, de evolución inicial favorable, en comparación con otro de larga duración (≥ 5 días. Se tuvo como base un estudio analítico, observacional, en el que se conformaron dos grupos según el régimen de tratamiento antibiótico parenteral (corto o largo seguido de antibioticoterapia oral, que generó un ciclo de tratamiento parenteral-oral secuencial de 10 días de duración. Se evaluaron los costes por concepto de tratamiento con antibióticos y de hospitalización. Con el tratamiento corto se habrían ahorrado 29 054,58 CU con respecto a los costes derivados del régimen de tratamiento largo, a lo que se suman otros beneficios en la esfera psico-social familiar. Con los resultados obtenidos concluimos que un régimen de tratamiento antibiótico parenteral de corta duración (3 días para el tratamiento de una infección del tracto urinario alta de evolución inicial favorable, tiene mayor eficiencia que un régimen largo (≥ 5 días, pues se logra minimizar los costes relativos al tratamiento antibiótico y a la hospitalización.

  10. Cost Reduction is an Important Means to Improve Market Competitiveness for State-owned Industrial Enterprises%降低成本是国有工业企业提高市场竞争力的重要手段

    Institute of Scientific and Technical Information of China (English)

    何荣

    2013-01-01

      只要商品经济存在,市场竞争就不可避免。市场竞争十分激烈,价格竞争是市场竞争的客观要求,也是企业提高经济效益的要求。价格以成本为基础,没有低廉的成本,价格就没有任何竞争优势。因此,降低成本是国有工业企业提高市场竞争力的重要手段。%Market competition is inevitable as long as there is commodity economy. Market competition is very fierce. Price competition is the objective requirement of market competition, also is the need to enhance the economic performance for en-terprises. Price is based on cost, and it has no competitive advantage if there is no low cost. Therefore, cost reduction is an im-portant means to improve market competitiveness for state-owned industrial enterprises.

  11. 泌尿外科单孔腹腔镜手术 209 例临床应用分析%Analysis of cumulative series of laparoendoscopic single-site surgery in urology : with 209 consecutive cases report

    Institute of Scientific and Technical Information of China (English)

    王林辉; 刘冰; 杨庆; 徐斌; 杨波; 吴震杰; 徐遵礼; 宋尚卿; 孙颖浩

    2012-01-01

    Objective To report a 4-year cumulative series (209 cases) of laparoendoscopic singlesite surgery (LESS) in urology and assess its clinical utilization. Methods Consecutive LESS cases done between December 2008 and July 2012 at our institution were prospectively recorded and retrospective analyzed in this study.Demographic data,main perioperative outcomes,and information related to the surgical technique were collected and analyzed.There were 209 patients ( 121 males and 88 females) with a mean age of (52.8 ±14.5) years,a mean B MIof (23.5 ±3.12) kg/m2 and a mean ASA score of (2.0±0.3).20.1% (42 cases) of patients had previous abdominal or pelvic surgeries.29.2% (61 cases) and 12.9%(27 cases) of patients had diabetes mellitus and hypertension. Indications were renal tumors (70 cases,33.5%),adrenal tumors (42,20.1%),renal cyst (22 cases,10.5%),ureteral calculi (22 cases,10.5%),nonfunctional kidneys (19 cases,9.1%),BPH (10 cases,4.8%),and others (24 cases,11.5% ).Surgical conversions were evaluated,as well as intraoperative and postoperative complications.Two periods were arbitrarily dcfined:the first was from December 2008 to Septcmber 2010 (22 mon) and the second.was from October 2010 to July 2012 (22 mon).A comparative analysis between these two periods was conducted. Results There were 209 LESS surgeries included in this study.Most common procedures ( 92.3% ) were done on the upper urinary tract,with 55.5% of the whole cohort being tumor-related indications and only 16.3% being reconstructive procedures.The transperitoneal approaches were preferentially adopted in 80.9% cases,and transvesical access in 5.3% cases. The transumbilical access was used in 46.9% of cases.The overall conversion rate was 8.1%,with 4.3% of cases converted to reduced - port laparoscopy,1.9% to conventional laparoscopy,and 1.9% to open surgery.The intraoperative complication rate was 4.8% ( 10/209 ) and postoperative complications

  12. Energy contracting, a contribution to air pollution abatement and cost reduction. A guide to energy contracting in public buildings; Energiespar-Contracting als Beitrag zu Klimaschutz und Kostensenkung. Ratgeber fuer Energiespar-Contracting in oeffentlichen Liegenschaften

    Energy Technology Data Exchange (ETDEWEB)

    Acricola, A.C. [Berliner Energieagentur GmbH, Berlin (Germany); Seifried, D. [Buero-OE-quadrat, Freiburg (Germany)

    2000-07-01

    Energy contracting is a contractual partnership between a contractor and a building owner. The contractor carries out investments and energy conservation measures in a building. He is refunded by the success of the energy conservation measures, i.e. on the basis of the reduced energy cost of the building. The building owner makes no investments, takes no risks and still gets part of the savings. Energy contracting refers to measures 'behind the meter', i.e. all measures that reduce the consumption of heat, electricity and, in some cases, also water. In contrast, plant contracting means that the contractor projects, constructs, finances, operates and maintains a supply system (e.g. heating boiler, cogeneration plant, wood chip fuelled heating system etc.) and is reimbursed on a contractual basis for the amount of electricity, heat, and cold supplied. [German] Energiespar-Contracting ist eine vertraglich vereinbarte Dienstleistung zwischen einem Unternehmen (Contractor oder auch Energiesparpartner) und einem Gebaeudeeigner (Auftraggeber). Der Contractor fuehrt in dem Gebaeude Investitionen und Massnahmen zur Energieeinsparung durch. Seine Aufwendungen laesst er sich durch den Erfolg der Einsparmassnahmen, also ueber die reduzierten Energiekosten des Gebaeudes, vergueten. Der Gebaeudeeigner muss nicht investieren, traegt kein Risiko und ist trotzdem an dem Erfolg der Einsparmassnahme beteiligt. Im Unterschied zum Anlagen-Contracting umfasst das Energiespar-Contracting Massnahmen, die hinter dem Zaehler ansetzen, also alle Massnahmen, die den Verbrauch von Waerme oder Strom reduzieren. Haeufig werden auch Massnahmen zur Wassereinsparung in die Konzepte einbezogen. Beim Anlagen-Contracting bietet ein Dienstleister in der Regel die Planung, Errichtung, Finanzierung, den Betrieb und die Wartung einer Versorgungsanlage (z.B. Heizkessel, Blockheizkraftwerk, Holzhackschnitzelanlage) an. Diese Dienstleistung laesst er sich ueber eine vertraglich festgelegte

  13. Fleet Replacement Squadron consolidation : a cost model applied.

    OpenAIRE

    Maholchic, Robert M.

    1991-01-01

    The consolidation of Fleet Replacement Squadrons (FRS) represents one method of achieving planned force reductions. This thesis utilizes the Cost of Base Realignment Actions (COBRA) cost model to develop cost estimates for determination of the cost effective site location. The A-6 FRS consolidation is used as a case study. Data were compiled using completed Functional Wing studies as well as local information sources. A comparison between the cost estimates provided by the COBRA cost model fo...

  14. Circuit, Thermal and Cost Characteristics of Impulse Magnetizing Circuits

    Institute of Scientific and Technical Information of China (English)

    2000-01-01

    This paper describes the development of circuit, thermal and cost model for a capacitor discharge impulse megnetizer and compares simulations to measurements from an actual system. We used a cost structure consisting of five major subsystems for cost modeling. Especially, we estimated the potential for cost reductions impulse magnetizer as a function of time using the learning curve.

  15. Labor Costs in the Technical Operation of Three Research Libraries.

    Science.gov (United States)

    Getz, Malcolm; Phelps, Doug

    1984-01-01

    Investigates costs and operations of back office activities of three middle-sized research libraries focusing on costs of labor and effects of automation. Measuring costs, labor compensation differences, differences in hours per volume, differences in organization, reduction of labor costs due to automation, and the quality dimension are…

  16. 需求侧响应对降低发电成本的效益估计%Estimation of Generating Costs Reduction as a Result of Demand Response

    Institute of Scientific and Technical Information of China (English)

    翟桥柱; 王凌云

    2014-01-01

    实施分时电价的重要目的之一是鼓励用户调整其用电模式,即做出负荷响应。由此希望诱导出更为合理的系统总负荷曲线,即使得电力生产中的总发电成本、煤耗及排放量更小。在实施分时电价前对这种潜在效益做出某种估计,找到最满意的总负荷曲线,对于制定合理的电价至关重要。为此,对负荷响应导致的发电成本降低效益提出了一种估计方法。该方法基于求解一种特殊形式的安全约束机组组合问题而实现,同时也得到了使总发电成本最低的最优系统总负荷曲线。有关数值试验结果验证了方法的有效性。由于电价曲线与负荷曲线之间的密切联系,所以该方法可以为制定合理的电力定价策略提供参考。%One of the most important aims of time-of-use electricity pricing is to encourage the customers to adjust their load profiles. As a result, the aggregate system load profile of a grid may be more preferable, i.e., the corresponding generating costs, fuel consumption and emission in electricity generation will be reduced. Estimating the potential benefits before the implementation of time-of-use pricing and finding the most satisfactory system load profile are very important in determining the suitable level of electricity prices. In this paper, the potential benefits resulted from demand response were estimated by solving a special kind of security constrained unit commitment (SCUC) problem and the optimal system load profile was also obtained. Numerical testing was performed for two example systems and the results were also analyzed. The proposed method may provide reference for finding suitable pricing strategies.

  17. Lean Cost Management Analysis on Food Processing Enterprise

    Directory of Open Access Journals (Sweden)

    Jing Ma

    2014-06-01

    Full Text Available The aim of this study is to introduce Lean Cost Management (LCM that tries to create creating value for customers and performs whole cost management in enterprise’s entire life cycle under structure of target cost, cost sustaining and cost improvement guided by reverse thinking into food processing enterprise to construct LCM system from aspects of external value chain analysis as well as internal cost management. Dynamic pricing game model was used to provide cost improvement on food enterprise value chain so as to minimize whole cost. The target cost was divided into each part in design phase supported by cost programming, cost reduction and cost improving. Case study shows that such cost suppressing method can reduce cost of food processing enterprises and improve long-term competitiveness.

  18. Comparison between cylindrical and prismatic lithium-ion cell costs using a process based cost model

    Science.gov (United States)

    Ciez, Rebecca E.; Whitacre, J. F.

    2017-02-01

    The relative size and age of the US electric vehicle market means that a few vehicles are able to drive market-wide trends in the battery chemistries and cell formats on the road today. Three lithium-ion chemistries account for nearly all of the storage capacity, and half of the cells are cylindrical. However, no specific model exists to examine the costs of manufacturing these cylindrical cells. Here we present a process-based cost model tailored to the cylindrical lithium-ion cells currently used in the EV market. We examine the costs for varied cell dimensions, electrode thicknesses, chemistries, and production volumes. Although cost savings are possible from increasing cell dimensions and electrode thicknesses, economies of scale have already been reached, and future cost reductions from increased production volumes are minimal. Prismatic cells, which are able to further capitalize on the cost reduction from larger formats, can offer further reductions than those possible for cylindrical cells.

  19. Cost-driven design of smart microsystems

    CERN Document Server

    Niedermayer, Michael

    2011-01-01

    Today's professionals are constantly striving to create sensor technology and systems with lower cost and higher efficiency. Miniaturization and standardization have become critical drivers for cost reduction in the design and development process, giving rise to a new era of smart sensors and actuators. These devices contain more components, but normally provide significant cost savings due to wider applicability and mass production. This first-of-its-kind resource presents methods for cost optimization of smart microsystems to help you select highly cost-efficient implementation variants. Wri

  20. Social cost benefit analysis and energy policy

    NARCIS (Netherlands)

    De Nooij, M.

    2012-01-01

    Most research into the reliability of electricity supply focuses on the suppliers. Reductions in the number of power interruptions will often be possible, but also very costly. These costs will eventually be borne by the electricity users. This paper studies the value of supply security in order to

  1. Do hospital mergers reduce costs?

    Science.gov (United States)

    Schmitt, Matt

    2017-03-01

    Proponents of hospital consolidation claim that mergers lead to significant cost savings, but there is little systematic evidence backing these claims. For a large sample of hospital mergers between 2000 and 2010, I estimate difference-in-differences models that compare cost trends at acquired hospitals to cost trends at hospitals whose ownership did not change. I find evidence of economically and statistically significant cost reductions at acquired hospitals. On average, acquired hospitals realize cost savings between 4 and 7 percent in the years following the acquisition. These results are robust to a variety of different control strategies, and do not appear to be easily explained by post-merger changes in service and/or patient mix. I then explore several extensions of the results to examine (a) whether the acquiring hospital/system realizes cost savings post-merger and (b) if cost savings depend on the size of the acquirer and/or the geographic overlap of the merging hospitals. Copyright © 2017 Elsevier B.V. All rights reserved.

  2. Dose Reduction Techniques

    Energy Technology Data Exchange (ETDEWEB)

    WAGGONER, L.O.

    2000-05-16

    As radiation safety specialists, one of the things we are required to do is evaluate tools, equipment, materials and work practices and decide whether the use of these products or work practices will reduce radiation dose or risk to the environment. There is a tendency for many workers that work with radioactive material to accomplish radiological work the same way they have always done it rather than look for new technology or change their work practices. New technology is being developed all the time that can make radiological work easier and result in less radiation dose to the worker or reduce the possibility that contamination will be spread to the environment. As we discuss the various tools and techniques that reduce radiation dose, keep in mind that the radiological controls should be reasonable. We can not always get the dose to zero, so we must try to accomplish the work efficiently and cost-effectively. There are times we may have to accept there is only so much you can do. The goal is to do the smart things that protect the worker but do not hinder him while the task is being accomplished. In addition, we should not demand that large amounts of money be spent for equipment that has marginal value in order to save a few millirem. We have broken the handout into sections that should simplify the presentation. Time, distance, shielding, and source reduction are methods used to reduce dose and are covered in Part I on work execution. We then look at operational considerations, radiological design parameters, and discuss the characteristics of personnel who deal with ALARA. This handout should give you an overview of what it takes to have an effective dose reduction program.

  3. Lymphedema Risk Reduction Practices

    Science.gov (United States)

    ... now! Position Paper: Lymphedema Risk Reduction Practices Category: Position Papers Tags: Risks Archives Treatment risk reduction garments surgery obesity infection blood pressure trauma morbid obesity body weight ...

  4. New pharmaceuticals reduce cost of illness.

    Science.gov (United States)

    Hansen, R W

    1986-06-01

    The cost of illness includes not only the funds required to treat illness, but also the effect on the patient's quality of life. Recent concern about rising health costs have focused on the direct expenditures without noting that the cost of illness in terms of mortality and morbidity has declined significantly. Pharmaceuticals have played a major role in reducing the total cost of illness. Several studies of the cost-effectiveness of past introductions of vaccines and pharmaceuticals reveal large cost savings. Although the focus of most studies has been on major advances, the continuing process of less dramatic therapeutic improvements has significantly trimmed the cost of illness. Cost-benefit studies of new drugs or changes in drug use, while more difficult to perform, make it possible to influence the selection of therapy. Since pharmaceuticals represent less than 10% of total treatment costs, reduction in the cost of pharmaceutical products can only have a minor impact on the total cost of illness. Pharmaceuticals can reduce the cost of illness by providing alternative therapies that reduce direct treatment cost or improve the public health.

  5. Pursuing Photovoltaic Cost-Effectiveness

    DEFF Research Database (Denmark)

    Yang, Yongheng; Koutroulis, Eftichios; Sangwongwanich, Ariya

    2017-01-01

    Countries with considerable PhotoVoltaic (PV) installations are facing a challenge of overloading their power grid during peak-power production hours if the power infrastructure remains the same. To address this, regulations have been imposed on PV systems, where more active power control should...... be flexibly performed. As an advanced control strategy, the Absolute Active Power Control (AAPC) can effectively solve the overloading issues by limiting the maximum possible PV power to a certain level (i.e., the power limitation), and also benefit the inverter reliability due to the reduction in the thermal...... loading of the power devices. However, its feasibility is challenged by the associated energy losses. An increase of the inverter lifetime and a reduction of the energy yield can alter the cost of energy, demanding an optimization of the power limitation. Therefore, aiming at minimizing the Levelized Cost...

  6. Unraveling Higher Education's Costs.

    Science.gov (United States)

    Gordon, Gus; Charles, Maria

    1998-01-01

    The activity-based costing (ABC) method of analyzing institutional costs in higher education involves four procedures: determining the various discrete activities of the organization; calculating the cost of each; determining the cost drivers; tracing cost to the cost objective or consumer of each activity. Few American institutions have used the…

  7. Road crash costs.

    NARCIS (Netherlands)

    2010-01-01

    Road crashes result in all kinds of social costs, such as medical costs, production loss, human losses, property damage, settlement costs and costs due to congestion. Studies into road crash costs and their trends are carried out quite regularly. In 2009, the costs amounted to € 12.5 billion, or 2.2

  8. How cost effective is CHP

    Energy Technology Data Exchange (ETDEWEB)

    Bakker, D.; Huizinga, J.

    1989-04-01

    A critical review of the calculations and conclusions of the CHP (combined heat and power generation) Preconditions Working Group, on which an article was published in the November 1988 issue of this magazine. According to the review a correct assignment of costs avoided in the power generating area is more important than gas price reduction. In a postscript to the review the authors of the November article oppose this view. 2 figs., 1 tab.

  9. Energy cost of measles infection.

    OpenAIRE

    Duggan, M B; Milner, R D

    1986-01-01

    A model predicting the nutritional cost of measles has been based on data from a study of energy balance in Kenyan children during and after measles. The energy shortfall, consequent upon a reduction in energy intake and a sustained level of energy expenditure, is met by tissue catabolism. The magnitude of resulting weight loss will be greater in lean than in plump children. During recovery, the intake of gross dietary energy to regain lost weight must take account of obligatory energy losses...

  10. COST MEASUREMENT AND COST MANAGEMENT IN TARGET COSTING

    Directory of Open Access Journals (Sweden)

    Moisello Anna Maria

    2012-07-01

    Full Text Available Firms are coping with a competitive scenario characterized by quick changes produced by internationalization, concentration, restructuring, technological innovation processes and financial market crisis. On the one hand market enlargement have increased the number and the segmentation of customers and have raised the number of competitors, on the other hand technological innovation has reduced product life cycle. So firms have to adjust their management models to this scenario, pursuing customer satisfaction and respecting cost constraints. In a context where price is a variable fixed by the market, firms have to switch from the cost measurement logic to the cost management one, adopting target costing methodology. The target costing process is a price driven, customer oriented profit planning and cost management system. It works, in a cross functional way, from the design stage throughout all the product life cycle and it involves the entire value chain. The process implementation needs a costing methodology consistent with the cost management logic. The aim of the paper is to focus on Activity Based Costing (ABC application to target costing process. So: -it analyzes target costing logic and phases, basing on a literary review, in order to highlight the costing needs related to this process; -it shows, through a numerical example, how to structure a flexible ABC model – characterized by the separation between variable, fixed in the short and fixed costs - that effectively supports target costing process in the cost measurement phase (drifting cost determination and in the target cost alignment; -it points out the effectiveness of the Activity Based Costing as a model of cost measurement applicable to the supplier choice and as a support for supply cost management which have an important role in target costing process. The activity based information allows a firm to optimize the supplier choice by following the method of minimizing the

  11. Vowel Reduction in Japanese

    Institute of Scientific and Technical Information of China (English)

    Shirai; Setsuko

    2009-01-01

    This paper reports the result that vowel reduction occurs in Japanese and vowel reduction is the part of the language universality.Compared with English,the effect of the vowel reduction in Japanese is relatively weak might because of the absence of stress in Japanese.Since spectral vowel reduction occurs in Japanese,various types of researches would be possible.

  12. Engine Systems Ownership Cost Reduction - Aircraft Propulsion Subsystems Integration (APSI)

    Science.gov (United States)

    1975-08-01

    INCO 792 (Radiographic Film). 97 S--I- Teledyne CAE Report No. 1467 ENVELOPE~~IE OFREWAFLC k1806ýý i-- -IS-RGONO NEFNDDT vigue4.2.93. Poder Meal Dic...34, Volume II, 1 August 1956, by members of the Compressor and Turbine Research Division - Lewis Flight Propulsion Laboratory. 15. Deleted. 1 Deleted. 17

  13. Sustainable cost reduction by lean management in metallurgical processes

    National Research Council Canada - National Science Library

    A. V. Todorut; L. Paliu-Popa; V. S. Tselentis; D. Cirnu

    2016-01-01

    .... The authors outline the main Lean Management instruments based on recent scientific research and include a comparative analysis of other tools, such as Sort, Straighten, Shine, Standardize, Sustain (5S...

  14. Prepare(d) for impact. PV cost reduction and beyond

    Energy Technology Data Exchange (ETDEWEB)

    Sinke, Wim C. [ECN Solar Energy and European Photovoltaic Technology Platform, Petten (Netherlands)

    2012-11-01

    This paper investigates rationale explanations of OPEC's strategies. Accounting for market characteristics in particular the sluggishness of demand and supply allows to explain price jumps as rational OPEC strategies from a narrow economic perspective (up and down) as well as from political objectives (at least up) due to the political payoff from standing up against the 'West'. Although the temptation to accrue this political payoff was and remains high, the narrow economic profit motive coupled with an imperfect cooperation among OPEC members explains past price volatility and high prices much better than the usual reference to political events. A more specific prediction is that OPEC will switch back to setting prices since the current quantity strategy encourages oil importing countries to appropriate rents in particular in connection with the need to mitigate global warming. (orig.)

  15. Heliostat field cost reduction by `slope drive' optimization

    Science.gov (United States)

    Arbes, Florian; Weinrebe, Gerhard; Wöhrbach, Markus

    2016-05-01

    An algorithm to optimize power tower heliostat fields employing heliostats with so-called slope drives is presented. It is shown that a field using heliostats with the slope drive axes configuration has the same performance as a field with conventional azimuth-elevation tracking heliostats. Even though heliostats with the slope drive configuration have a limited tracking range, field groups of heliostats with different axes or different drives are not needed for different positions in the heliostat field. The impacts of selected parameters on a benchmark power plant (PS10 near Seville, Spain) are analyzed.

  16. Cost Reduction in Vertically Related Industries: Integration versus Nonlinear Pricing,

    Science.gov (United States)

    1983-05-01

    span/chord) 1.7-2.6 1.0-2.2 Ample evidence of these effects exists in the Turning angle (degrees) 68-110 70-111 open literature. For example, Hebbel ...posium Transsonicum II, Ed. Oswatitsch, K. and Rues, D., Springer-Verlag New York Inc., 1976. 0 18.5 Hebbel , H. The Influence of the Mach Number and the

  17. Energy Conservation Through Duct Leakage Reduction

    Science.gov (United States)

    2004-02-26

    Energy Conservation Through Duct Leakage Reduction February 26, 2004 Rich Glatt – Lindab Inc. Report Documentation Page Form ApprovedOMB No. 0704...4. TITLE AND SUBTITLE Energy Conservation Through Duct Leakage Reduction 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6...Wall – DW that installs like SW - easiest installing DW system on the market – Eliminates the need for costly flanged connections – SMACNA Leakage

  18. Chapter 17. Engineering cost analysis

    Energy Technology Data Exchange (ETDEWEB)

    Higbee, Charles V.

    1998-01-01

    In the early 1970s, life cycle costing (LCC) was adopted by the federal government. LCC is a method of evaluating all the costs associated with acquisition, construction and operation of a project. LCC was designed to minimize costs of major projects, not only in consideration of acquisition and construction, but especially to emphasize the reduction of operation and maintenance costs during the project life. Authors of engineering economics texts have been very reluctant and painfully slow to explain and deal with LCC. Many authors devote less than one page to the subject. The reason for this is that LCC has several major drawbacks. The first of these is that costs over the life of the project must be estimated based on some forecast, and forecasts have proven to be highly variable and frequently inaccurate. The second problem with LCC is that some life span must be selected over which to evaluate the project, and many projects, especially renewable energy projects, are expected to have an unlimited life (they are expected to live for ever). The longer the life cycle, the more inaccurate annual costs become because of the inability to forecast accurately.

  19. Infinitary Combinatory Reduction Systems: Normalising Reduction Strategies

    NARCIS (Netherlands)

    Ketema, Jeroen; Simonsen, Jakob Grue

    2010-01-01

    We study normalising reduction strategies for infinitary Combinatory Reduction Systems (iCRSs). We prove that all fair, outermost-fair, and needed-fair strategies are normalising for orthogonal, fully-extended iCRSs. These facts properly generalise a number of results on normalising strategies in fi

  20. Cost Modeling for SOC Modules Testing

    OpenAIRE

    Balwinder Singh; Arun Khosla; Sukhleen B. Narang

    2013-01-01

    The complexity of the system design is increasing very rapidly as the number of transistors on Integrated Circuits (IC) doubles as per Moore’s law.There is big challenge of testing this complex VLSI circuit, in which whole system is integrated into a single chip called System on Chip (SOC). Cost of testing the SOC is also increasing with complexity. Cost modeling plays a vital role in reduction of test cost and time to market. This paper includes the cost modeling of the SOC Module testing...

  1. The Quality Costs

    Directory of Open Access Journals (Sweden)

    Arsenie Constantin PAULICĂ

    2005-10-01

    Full Text Available Quality has a cost and this fact cannot be denied. In the same time, it is true that non-quality is more expensive. Quality is considered asbeing expensive because no one tries to calculate non-quality costs. Out of the final cost of a product, non-quality stands for 20% up to 35%.According to this idea all the economic sectors contain error costs caused by the mistakes made during the production process. To have a realconsummation situation, it is necessary to know the cost quantum. The final quality cost is the result of the following costs: prevention costs,necessary to preclude errors; evaluation costs, as results of a final product evaluation, and failure costs, generated by the non – attainment ofproduct’s purpose. The gross of these costs stand for the total quality costs. Nowadays, the problem inheres in how much this quality cost representsout of the final cost.

  2. Commentary on "Laparoendoscopic single-site (LESS) partial nephrectomy short-term outcomes." Rais-Bahrami S, George AK, Montag S, Okhunov Z, Richstone L, The Arthur Smith Institute for Urology, Hofstra North Shore-LIJ School of Medicine, New Hyde Park, NY: BJU Int 2012 (Epub ahead of print).

    Science.gov (United States)

    Meng, Maxwell V

    2013-01-01

    Study type-therapy (case series). Level of evidence 4. What's known on the subject and what does the study add? Laparoendoscopic single-site (LESS) surgery has been used by urologists for a broad-range of operations including LESS partial nephrectomy (LESS-PN). To date, experiences of LESS-PN have been presented as small series or as a subset of larger heterogeneous operative experiences, which have shown the overall feasibility and safety of this novel technique. We report our experience with LESS-PN with complete pathologic resection and excellent short-term oncologic and renal functional outcomes in the select patient-population who underwent this minimally invasive approach. To present our experience of transumbilical LESS-PN with pathologic and short-term oncologic and renal functional outcomes. In all, 15 LESS-PNs were performed for cT1a tumors between July 2008 and August 2011 by 1 surgeon. All patients underwent transumbilical LESS using a 5mm flexible-tip laparoscope and a combination of flexible and conventional laparoscopic instruments. The technique for transperitoneal LESS-PN otherwise replicated conventional laparoscopic PN. Demographic, perioperative, and postoperative variables were recorded and analyzed. Of the 14 patients (8 men), undergoing 15 distinct LESS-PN, the mean (sd) age was 57.9 (8.7) years and the mean (sd, range) tumor size resected was 2.4 (0.8; 1.2-4.0). There were 12 renal cell carcinomas, 2 angiomyolipomas, and 2 metanephric adenomas on final pathology, all with negative margins. The mean (sd) operative duration was 169 (47) minutes with a mean (sd, range) warm ischemia time of 14.7 (13.4; 0-37) minutes; bull-dog clamps were used for hilar-control in 9 cases with the remaining 6 cases done without hilar vascular clamping. The mean (sd) estimated blood loss in this series was 293 (325)ml (median 200ml) and no cases required intraoperative or postoperative blood transfusions. The mean (sd) hospital stay was 2.7 (0.8) days and mean

  3. COSTS CALCULATION OF TARGET COSTING METHOD

    Directory of Open Access Journals (Sweden)

    Sebastian UNGUREANU

    2014-06-01

    Full Text Available Cost information system plays an important role in every organization in the decision making process. An important task of management is ensuring control of the operations, processes, sectors, and not ultimately on costs. Although in achieving the objectives of an organization compete more control systems (production control, quality control, etc., the cost information system is important because monitors results of the other. Detailed analysis of costs, production cost calculation, quantification of losses, estimate the work efficiency provides a solid basis for financial control. Knowledge of the costs is a decisive factor in taking decisions and planning future activities. Managers are concerned about the costs that will appear in the future, their level underpinning the supply and production decisions as well as price policy. An important factor is the efficiency of cost information system in such a way that the information provided by it may be useful for decisions and planning of the work.

  4. COSTS CALCULATION OF TARGET COSTING METHOD

    Directory of Open Access Journals (Sweden)

    Sebastian UNGUREANU

    2014-06-01

    Full Text Available Cost information system plays an important role in every organization in the decision making process. An important task of management is ensuring control of the operations, processes, sectors, and not ultimately on costs. Although in achieving the objectives of an organization compete more control systems (production control, quality control, etc., the cost information system is important because monitors results of the other. Detailed analysis of costs, production cost calculation, quantification of losses, estimate the work efficiency provides a solid basis for financial control. Knowledge of the costs is a decisive factor in taking decisions and planning future activities. Managers are concerned about the costs that will appear in the future, their level underpinning the supply and production decisions as well as price policy. An important factor is the efficiency of cost information system in such a way that the information provided by it may be useful for decisions and planning of the work.

  5. Local reduction in physics

    Science.gov (United States)

    Rosaler, Joshua

    2015-05-01

    A conventional wisdom about the progress of physics holds that successive theories wholly encompass the domains of their predecessors through a process that is often called "reduction." While certain influential accounts of inter-theory reduction in physics take reduction to require a single "global" derivation of one theory's laws from those of another, I show that global reductions are not available in all cases where the conventional wisdom requires reduction to hold. However, I argue that a weaker "local" form of reduction, which defines reduction between theories in terms of a more fundamental notion of reduction between models of a single fixed system, is available in such cases and moreover suffices to uphold the conventional wisdom. To illustrate the sort of fixed-system, inter-model reduction that grounds inter-theoretic reduction on this picture, I specialize to a particular class of cases in which both models are dynamical systems. I show that reduction in these cases is underwritten by a mathematical relationship that follows a certain liberalized construal of Nagel/Schaffner reduction, and support this claim with several examples. Moreover, I show that this broadly Nagelian analysis of inter-model reduction encompasses several cases that are sometimes cited as instances of the "physicist's" limit-based notion of reduction.

  6. Cost of phosphate removal in municipal wastewater treatment plants

    Science.gov (United States)

    Schuessler, H.

    1983-01-01

    Construction and operating costs of advanced wastewater treatment for phosphate removal at municipal wastewater treatment plants have been investigated on orders from the Federal Environmental Bureau in Berlin. Particular attention has been paid to applicable kinds of precipitants for pre-, simultaneous and post-precipitation as well as to different phosphate influent and effluent concentrations. The article offers detailed comments on determination of technical data, investments, capital costs, operating costs and annual costs as well as potential cost reductions resulting from precipitation. Selected results of the cost investigation are shown in graphical form as specific investments, operating and annual costs depending on wastewater flow.

  7. Process-based costing.

    Science.gov (United States)

    Lee, Robert H; Bott, Marjorie J; Forbes, Sarah; Redford, Linda; Swagerty, Daniel L; Taunton, Roma Lee

    2003-01-01

    Understanding how quality improvement affects costs is important. Unfortunately, low-cost, reliable ways of measuring direct costs are scarce. This article builds on the principles of process improvement to develop a costing strategy that meets both criteria. Process-based costing has 4 steps: developing a flowchart, estimating resource use, valuing resources, and calculating direct costs. To illustrate the technique, this article uses it to cost the care planning process in 3 long-term care facilities. We conclude that process-based costing is easy to implement; generates reliable, valid data; and allows nursing managers to assess the costs of new or modified processes.

  8. Reduction in language testing

    DEFF Research Database (Denmark)

    Dimova, Slobodanka; Jensen, Christian

    2013-01-01

    /video recorded speech samples and written reports produced by two experienced raters after testing. Our findings suggest that reduction or reduction-like pronunciation features are found in tested L2 speech, but whenever raters identify and comment on such reductions, they tend to assess reductions negatively......This study represents an initial exploration of raters' comments and actual realisations of form reductions in L2 test speech performances. Performances of three L2 speakers were selected as case studies and illustrations of how reductions are evaluated by the raters. The analysis is based on audio...

  9. Examples of cost reduction and energy saving by thermal storage heat pump system. Part 5. Control of the flowering season of alstroemeria by using 'ice storage ground cooler'. Chikunetsushiki heat pump system katsuyo ni yoru costdown sho energy jirei no shokai. 5. 'Kori chikunetsushiki chichu reikyaku sochi' ni yori arusutoromeria no kaika jiki wo chosetsu

    Energy Technology Data Exchange (ETDEWEB)

    1999-07-01

    Alstroemeria has a habit to flower by sensing temperature through an organ in rhizome. Since its market price is higher in late fall and early winter, a culture method cooling the ground in summer is in wide use. Although the ground is cooled with an equipment composed of a chiller, ground piping for heat exchange and cold water pump during the whole day, cost reduction is a major problem. To study a heat storage ground cooler, its culture test was made by using a prototype ice storage ground cooler. The test result showed that ground temperature of both test zone and reference zone was constantly 18-20 degrees C during the test period, and both the whole yield and that every class were nearly equivalent between the test and reference zones. The estimation result on the profitability of a full-scale ice storage ground cooler based on the above result showed that this ground cooler probably can reduce annual electric charge by nearly 200,000 yen as compared with a cooler without heat storage. (NEDO)

  10. Examples of cost reduction and energy saving by thermal storage heat pump system. Part 5. Control of the flowering season of alstroemeria by using `ice storage ground cooler`; Chikunetsushiki heat pump system katsuyo ni yoru costdown sho energy jirei no shokai. 5. `Kori chikunetsushiki chichu reikyaku sochi` ni yori arusutoromeria no kaika jiki wo chosetsu

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1999-07-01

    Alstroemeria has a habit to flower by sensing temperature through an organ in rhizome. Since its market price is higher in late fall and early winter, a culture method cooling the ground in summer is in wide use. Although the ground is cooled with an equipment composed of a chiller, ground piping for heat exchange and cold water pump during the whole day, cost reduction is a major problem. To study a heat storage ground cooler, its culture test was made by using a prototype ice storage ground cooler. The test result showed that ground temperature of both test zone and reference zone was constantly 18-20 degrees C during the test period, and both the whole yield and that every class were nearly equivalent between the test and reference zones. The estimation result on the profitability of a full-scale ice storage ground cooler based on the above result showed that this ground cooler probably can reduce annual electric charge by nearly 200,000 yen as compared with a cooler without heat storage. (NEDO)

  11. Development of a simple estimation tool for LMFBR construction cost

    Energy Technology Data Exchange (ETDEWEB)

    Yoshida, Kazuo; Kinoshita, Izumi [Central Research Inst. of Electric Power Industry, Komae, Tokyo (Japan). Komae Research Lab

    1999-05-01

    A simple tool for estimating the construction costs of liquid-metal-cooled fast breeder reactors (LMFBRs), 'Simple Cost' was developed in this study. Simple Cost is based on a new estimation formula that can reduce the amount of design data required to estimate construction costs. Consequently, Simple cost can be used to estimate the construction costs of innovative LMFBR concepts for which detailed design has not been carried out. The results of test calculation show that Simple Cost provides cost estimations equivalent to those obtained with conventional methods within the range of plant power from 325 to 1500 MWe. Sensitivity analyses for typical design parameters were conducted using Simple Cost. The effects of four major parameters - reactor vessel diameter, core outlet temperature, sodium handling area and number of secondary loops - on the construction costs of LMFBRs were evaluated quantitatively. The results show that the reduction of sodium handling area is particularly effective in reducing construction costs. (author)

  12. Activity Based Costing in Value Stream Mapping

    Directory of Open Access Journals (Sweden)

    S. S. Abuthakeer

    2010-12-01

    Full Text Available This paper attempts to integrate Value Stream Map (VSM with the cost aspects. A value stream map provides a blueprint for implementing lean manufacturing concepts by illustrating information and materials flow in a value stream. The objective of the present work is to integrate the various cost aspects. The idea is to introduce a cost line, which enhances the clarity in decision making. The redesigned map proves to be effective in highlighting the improvement areas, in terms of quantitative data. TAKT time calculation is carried out to set the pace of production. Target cost is set as a bench mark for product cost. The results of the study indicates that implementing VSM led to reduction in the following areas: processing lead time by 34%, processing cycle time was reduced by 35%, Inventory level by 66% and product cost from Rs 137 to Rs 125. It was found that adopting VSM in a small scale industry can make significant improvements.

  13. Electromagnetic field reduction; Riduzione del campo magnetico

    Energy Technology Data Exchange (ETDEWEB)

    Conti, R. [Cesi SpA, Milan (Italy)

    2001-12-01

    The consistent reduction of electromagnetic fields requested in according to the italian 36/01 law are difficult to obtain a simple and low cost one. [Italian] Le considerevoli riduzioni dei campi magnetici che potrebbero essere richieste dalla legge 36/01 sono difficilmente ottenibili con metodi semplici e poco costosi.

  14. Activity – based costing method

    Directory of Open Access Journals (Sweden)

    Èuchranová Katarína

    2001-06-01

    Full Text Available Activity based costing is a method of identifying and tracking the operating costs directly associated with processing items. It is the practice of focusing on some unit of output, such as a purchase order or an assembled automobile and attempting to determine its total as precisely as poccible based on the fixed and variable costs of the inputs.You use ABC to identify, quantify and analyze the various cost drivers (such as labor, materials, administrative overhead, rework. and to determine which ones are candidates for reduction.A processes any activity that accepts inputs, adds value to these inputs for customers and produces outputs for these customers. The customer may be either internal or external to the organization. Every activity within an organization comprimes one or more processes. Inputs, controls and resources are all supplied to the process.A process owner is the person responsible for performing and or controlling the activity.The direction of cost through their contact to partial activity and processes is a new modern theme today. Beginning of this method is connected with very important changes in the firm processes.ABC method is a instrument , that bring a competitive advantages for the firm.

  15. Minimum cost connection networks

    DEFF Research Database (Denmark)

    Hougaard, Jens Leth; Tvede, Mich

    . We use three axioms to characterize allocation rules that truthfully implement cost minimizing networks satisfying all connection demands in a game where: (1) a central planner announces an allocation rule and a cost estimation rule; (2) every agent reports her own connection demand as well as all...... connection costs; and, (3) the central planner selects a cost minimizing network satisfying reported connection demands based on estimated connection costs and allocates true connection costs of the selected network....

  16. Modern Reduction Methods

    CERN Document Server

    Andersson, Pher G

    2008-01-01

    With its comprehensive overview of modern reduction methods, this book features high quality contributions allowing readers to find reliable solutions quickly and easily. The monograph treats the reduction of carbonyles, alkenes, imines and alkynes, as well as reductive aminations and cross and heck couplings, before finishing off with sections on kinetic resolutions and hydrogenolysis. An indispensable lab companion for every chemist.

  17. Road crash costs.

    OpenAIRE

    2010-01-01

    Road crashes result in all kinds of social costs, such as medical costs, production loss, human losses, property damage, settlement costs and costs due to congestion. Studies into road crash costs and their trends are carried out quite regularly. In 2009, the costs amounted to € 12.5 billion, or 2.2% of the Gross Domestic Product (GDP). Insight into these costs is used for policy preparation and evaluation, and makes it possible to compare them with costs in other areas. Another important app...

  18. Analysis of quality costs - A critical element in CIM

    Science.gov (United States)

    Unal, Resit; Dean, Edwin B.

    1990-01-01

    Computer integrated manufacturing (CIM) is a cohesive database of manufacturing information, providing an opportunity to track quality costs and measure progress toward their reduction. This paper presents the quality cost concept as an approach to identify, measure and reduce quality costs while improving quality within CIM. The effect of advanced failure prevention methodologies, such as continuous process improvement and the quality engineering methods of Taguchi, on quality and cost, is discussed.

  19. Cost Modeling for SOC Modules Testing

    Directory of Open Access Journals (Sweden)

    Balwinder Singh

    2013-08-01

    Full Text Available The complexity of the system design is increasing very rapidly as the number of transistors on Integrated Circuits (IC doubles as per Moore’s law.There is big challenge of testing this complex VLSI circuit, in which whole system is integrated into a single chip called System on Chip (SOC. Cost of testing the SOC is also increasing with complexity. Cost modeling plays a vital role in reduction of test cost and time to market. This paper includes the cost modeling of the SOC Module testing which contains both analog and digital modules. The various test cost parameters and equations are considered from the previous work. The mathematical relations are developed for cost modeling to test the SOC further cost modeling equations are modeled in Graphical User Interface (GUI in MATLAB, which can be used as a cost estimation tool. A case study is done to calculate the cost of the SOC testing due to Logic Built in Self Test (LBIST and Memory Built in Self Test (MBIST. VLSI Test engineers can take the benefits of such cost estimation tools for test planning.

  20. Sources of Operating Costs

    OpenAIRE

    Mackie, Peter; Nellthorp, John; Laird, James

    2005-01-01

    Historically, road vehicle operating costs have tended to dominate highway economic appraisals in developing countries, due to the poor road surfaces that can occur there. The operating costs of railways and ports are also substantial, and form key components of cost benefit analyses of their associated infrastructure. The definition of operating costs for Bank projects is therefore important ...

  1. Cost-efficient emission abatement of energy and transportation technologies: mitigation costs and policy impacts for Belgium

    OpenAIRE

    De Schepper, Ellen; Van Passel, Steven; Lizin, Sebastien; Wouter M. J. Achten; Van Acker, Karel

    2014-01-01

    In the light of global warming, this paper develops a framework to compare energy and transportation technologies in terms of cost-efficient GHG emission reduction. We conduct a simultaneous assessment of economic and environmental performances through life cycle costing and life cycle assessment. To calculate the GHG mitigation cost, we create reference systems within the base scenario. Further, we extend the concept of the mitigation cost, allowing (i) comparision of technologies given a li...

  2. Cost-efficient emission abatement of energy and transportation technologies: Mitigation costs and policy impacts for Belgium

    OpenAIRE

    Ellen De Schepper; Steven Van Passel; Sebastien Lizin; Wouter Achten; Karel Van Acker

    2014-01-01

    In the light of global warming, this paper develops a framework to compare energy and transportation technologies in terms of cost-efficient GHG emission reduction. We conduct a simultaneous assessment of economic and environmental performances through life cycle costing and life cycle assessment. To calculate the GHG mitigation cost, we create reference systems within the base scenario. Further, we extend the concept of the mitigation cost, allowing (i) comparision of technologies given a li...

  3. Identifying cost management strategies in dialysis clinics: sustainable savings with positive outcomes.

    Science.gov (United States)

    West, Timothy D; Gupta, Mahendra; Balas, E Andrew; West, David A

    2002-05-01

    To examine whether cost management strategies are used in a revenue-constrained environment without compromising clinical effectiveness. Cross-sectional analysis of monthly cost and acuity-adjusted hospitalization data. This research included longitudinal regression analyses involving 10 years of data, 1990 through 1999, from each of 6 dialysis centers. Two sets of regression models were used: one set examined cost interactions and cost trends (P management strategies were examined: (1) selective reductions in targeted cost categories, (2) cost reductions through improved efficiencies, (3) cost avoidance by shifting responsibilities to external parties, and (4) uniform reductions across all cost categories. Managers appeared to have limited opportunity to selectively or uniformly reduce costs because of cost "stickiness" and minimal resource substitutability. Improvements in operational efficiencies and cost shifting to external parties occurred. Over time, however, realized efficiencies increased at a decreasing rate, whereas cost shifting actually declined. Contrary to prior hospital studies, these results indicate significant economies of scale. No statistical correlation was found to indicate that the physician/clinic management teams' use of cost reduction strategies affected acuity-adjusted hospitalizations of dialysis patients. Strategic models that include both financial and outcomes data can enable healthcare managers to predict both positive and negative results of cost management proposals. These models can help identify aspects of an organization's cost structure that affect sustainable cost savings: cost stickiness, cost substitutability, institutional experience, realized operational improvements, and economies of scale.

  4. Software Cost Estimation Review

    OpenAIRE

    Ongere, Alphonce

    2013-01-01

    Software cost estimation is the process of predicting the effort, the time and the cost re-quired to complete software project successfully. It involves size measurement of the soft-ware project to be produced, estimating and allocating the effort, drawing the project schedules, and finally, estimating overall cost of the project. Accurate estimation of software project cost is an important factor for business and the welfare of software organization in general. If cost and effort estimat...

  5. OOTW COST TOOLS

    Energy Technology Data Exchange (ETDEWEB)

    HARTLEY, D.S.III; PACKARD, S.L.

    1998-09-01

    This document reports the results of a study of cost tools to support the analysis of Operations Other Than War (OOTW). It recommends the continued development of the Department of Defense (DoD) Contingency Operational Support Tool (COST) as the basic cost analysis tool for 00TWS. It also recommends modifications to be included in future versions of COST and the development of an 00TW mission planning tool to supply valid input for costing.

  6. Stability of alert survivable forces during reductions

    Energy Technology Data Exchange (ETDEWEB)

    Canavan, G.H.

    1998-01-01

    The stability of current and projected strategic forces are discussed within a framework that contains elements of current US and Russian analyses. For current force levels and high alert, stability levels are high, as are the levels of potential strikes, due to the large forces deployed. As force levels drop towards those of current value target sets, the analysis becomes linear, concern shifts from stability to reconstitution, and survivable forces drop out. Adverse marginal costs generally provide disincentives for the reduction of vulnerable weapons, but the exchange of vulnerable for survivable weapons could reduce cost while increasing stability even for aggressive participants. Exchanges between effective vulnerable and survivable missile forces are studied with an aggregated, probabilistic model, which optimizes each sides` first and determines each sides` second strikes and costs by minimizing first strike costs.

  7. ON THE SYMPLECTIC REDUCTIONS

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    A symplectic reduction method for symplectic G-spaces is given in this paper without using the existence of momentum mappings.By a method similar to the above one,the arthors give a symplectic reduction method for the Poisson action of Poisson Lie groups on symplectic manifolds,also without using the existence of momentum mappings.The symplectic reduction method for momentum mappings is thus a special case of the above results.

  8. Finding optimal exact reducts

    KAUST Repository

    AbouEisha, Hassan M.

    2014-01-01

    The problem of attribute reduction is an important problem related to feature selection and knowledge discovery. The problem of finding reducts with minimum cardinality is NP-hard. This paper suggests a new algorithm for finding exact reducts with minimum cardinality. This algorithm transforms the initial table to a decision table of a special kind, apply a set of simplification steps to this table, and use a dynamic programming algorithm to finish the construction of an optimal reduct. I present results of computer experiments for a collection of decision tables from UCIML Repository. For many of the experimented tables, the simplification steps solved the problem.

  9. CARBON DIOXIDE REDUCTION SYSTEM.

    Science.gov (United States)

    CARBON DIOXIDE , *SPACE FLIGHT, RESPIRATION, REDUCTION(CHEMISTRY), RESPIRATION, AEROSPACE MEDICINE, ELECTROLYSIS, INSTRUMENTATION, ELECTROLYTES, VOLTAGE, MANNED, YTTRIUM COMPOUNDS, ZIRCONIUM COMPOUNDS, NICKEL.

  10. Additive versus multiplicative trade costs and the gains from trade

    DEFF Research Database (Denmark)

    Sørensen, Allan

    This paper addresses welfare effects from trade liberalization in a heterogeneous-fi…rms trade model including the empirically important per-unit (i.e. additive) trade costs in addition to the conventional iceberg (i.e. multiplicative) and fi…xed trade costs. The novel contribution of the paper...... is the result that the welfare gain for a given increase in trade openness is higher for reductions in per-unit (additive) trade costs than for reductions in iceberg (multiplicative) trade costs. The ranking derives from differences in intra-industry reallocations and in particular from dissimilar impacts...

  11. Cost function estimation

    DEFF Research Database (Denmark)

    Andersen, C K; Andersen, K; Kragh-Sørensen, P

    2000-01-01

    on these criteria, a two-part model was chosen. In this model, the probability of incurring any costs was estimated using a logistic regression, while the level of the costs was estimated in the second part of the model. The choice of model had a substantial impact on the predicted health care costs, e......Statistical analysis of cost data is often difficult because of highly skewed data resulting from a few patients who incur high costs relative to the majority of patients. When the objective is to predict the cost for an individual patient, the literature suggests that one should choose...... a regression model based on the quality of its predictions. In exploring the econometric issues, the objective of this study was to estimate a cost function in order to estimate the annual health care cost of dementia. Using different models, health care costs were regressed on the degree of dementia, sex, age...

  12. Cost of ownership for future lithography technologies

    Science.gov (United States)

    Hazelton, Andrew J.; Wüest, Andrea; Hughes, Greg; Litt, Lloyd C.; Goodwin, Frank

    2008-11-01

    The cost of ownership (COO) of candidate technologies for 32 nm and 22 nm half-pitch lithography is calculated. To more accurately compare technologies with different numbers of process steps, a model that includes deposition, etching, metrology, and other costs is created. Results show lithography COO for leading edge layers will increase by roughly 50% from the 45 nm to the 32 nm half-pitch nodes. Double patterning and extreme ultraviolet lithography (EUVL) technologies have roughly the same COO under certain conditions. For 22 nm half-pitch nodes, EUVL has a significant cost advantage over other technologies under certain mask cost assumptions. Double patterning, however, may be competitive under worst case EUVL mask cost assumptions. Sensitivity studies of EUVL COO to throughput and uptime show EUVL may be cost-competitive at lower uptime and throughput conditions. In spite of these higher costs, total lithography costs for 32 nm and 22 nm half-pitches remain within reach of the Moore's Law trend. Finally, the COO of 450 mm lithography is calculated and shows the expected cost reduction is between 0% and 15%.

  13. Minimum cost connection networks

    DEFF Research Database (Denmark)

    Hougaard, Jens Leth; Tvede, Mich

    2015-01-01

    demands. We use a few axioms to characterize allocation rules that truthfully implement cost minimizing networks satisfying all connection demands in a game where: (1) a central planner announces an allocation rule and a cost estimation rule; (2) every agent reports her own connection demand as well...... as all connection costs; (3) the central planner selects a cost minimizing network satisfying reported connection demands based on the estimated costs; and, (4) the planner allocates the true costs of the selected network. It turns out that an allocation rule satisfies the axioms if and only if relative...

  14. Strategies for poverty reduction

    OpenAIRE

    Øyen, Else

    2003-01-01

    SIU konferanse Solstrand 6.-7. October 2003 Higher education has a value of its own. When linked to the issue of poverty reduction it is necessary to ask another set of questions, including the crutial one whether higher education in general is the best tool for poverty reduction.

  15. Strategies for poverty reduction

    OpenAIRE

    Øyen, Else

    2003-01-01

    SIU konferanse Solstrand 6.-7. October 2003 Higher education has a value of its own. When linked to the issue of poverty reduction it is necessary to ask another set of questions, including the crutial one whether higher education in general is the best tool for poverty reduction.

  16. Reduct and Attribute Order

    Institute of Scientific and Technical Information of China (English)

    Su-Qing Han; Jue Wang

    2004-01-01

    Based on the principle of discernibility matrix,a kind of reduction algorithm with attribute order has been developed and its solution has been proved to be complete for reduct and unique for a given attribute order.Being called the reduct problem,this algorithm can be regarded as a mapping R = Reduct(S)from the attribute order space θ to the reduct space R for an information system ,where U is the universe and C and D are two sets of condition and decision attributes respectively.This paper focuses on the reverse problem of reduct problem S = Order(R),i.e.,for a given reduct R of an information system,we determine the solution of S = Order(R)in the space θ.First,we need to prove that there is at least one attribute order S such that S = Order(R).Then,some decision rules are proposed,which can be used directly to decide whether the pair of attribute orders has the same reduct.The main method is based on the fact that an attribute order can be transformed into another one by moving the attribute for limited times.Thus,the decision of the pair of attribute orders can be altered to the decision of the sequence of neighboring pairs of attribute orders.Therefore,the basic theorem of neighboring pair of attribute orders is first proved,then,the decision theorem of attribute order is proved accordingly by the second attribute.

  17. PLAINS CO2 REDUCTION PARTNERSHIP

    Energy Technology Data Exchange (ETDEWEB)

    Edward N. Steadman; John A. Harju; Erin M. O' Leary; James A. Sorensen; Daniel J. Daly; Melanie D. Jensen; Thea E. Reikoff

    2004-10-01

    The Plains CO{sub 2} Reduction (PCOR) Partnership continues to make great progress. Task 2 (Technology Deployment) focused on developing information regarding deployment issues to support Task 5 (Modeling and Phase II Action Plans) by providing information to be used to assess CO{sub 2} sequestration opportunities in the PCOR Partnership region. Task 3 (Public Outreach) focused on developing an informational video about CO{sub 2} sequestration. Progress in Task 4 (Sources, Sinks, and Infrastructure) included the continued collection of data regarding CO{sub 2} sources and sinks and data on the performance and costs for CO{sub 2} separation, capture, treatment, and compression for pipeline transportation. Task 5 focused on screening and qualitatively assessing sequestration options. Task 5 activities also continue to be useful in structuring data collection and other activities in Tasks 2, 3, and 5.

  18. The Olympics and harm reduction?

    Directory of Open Access Journals (Sweden)

    Kayser Bengt

    2012-07-01

    Full Text Available Abstract The current anti-doping policy (‘war on doping’ resembles the ‘war on drugs’ in several aspects, including a zero-tolerance approach, ideology encroaching on human rights and public health principles, high cost using public money for repression and control, and attempts to shape internationally harmonized legal frameworks to attain its aim. Furthermore, even if for different reasons, both wars seem not to be able to attain their objectives, and possibly lead to more harm to society than they can prevent. The Olympic buzz is mounting and we can expect multiple headlines in the media on doping and anti-doping stories related to this event. In this article we describe current anti-doping policy, reflect on its multiple unplanned consequences, and end with a discussion, if lessons learned from harm reduction experiences in the illicit drugs field could be applied to anti-doping.

  19. PLAINS CO2 REDUCTION PARTNERSHIP

    Energy Technology Data Exchange (ETDEWEB)

    Edward N. Steadman; John A. Harju; Erin M. O' Leary; James A. Sorensen; Daniel J. Daly; Melanie D. Jensen; Thea E. Reikoff

    2005-01-01

    The Plains CO{sub 2} Reduction (PCOR) Partnership continues to make great progress. Task 2 (Technology Deployment) focused on developing information regarding deployment issues to support Task 5 (Modeling and Phase II Action Plans) by providing information to be used to assess CO{sub 2} sequestration opportunities in the PCOR Partnership region. Task 3 (Public Outreach) focused on developing an informational video about CO{sub 2} sequestration. Progress in Task 4 (Sources, Sinks, and Infrastructure) included the continued collection of data regarding CO{sub 2} sources and sinks and data on the performance and costs for CO{sub 2} separation, capture, treatment, and compression for pipeline transportation. Task 5 focused on screening and qualitatively assessing sequestration options. Task 5 activities also continue to be useful in structuring data collection and other activities in Tasks 2, 3, and 5.

  20. Large Engine Emission Reduction - LEER

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2006-10-15

    The target of the project LEER is to find the most cost-effective means of today to reduce exhaust gas emissions, particularly NO{sub x} and particulates, of power-plant and ship propulsion diesel engines. The methods are controlling of the combustion and exhaust gas after-treatment. As research methods, theoretical and literature studies as well as engine tests are used. Using the state of the art technology in the whole engine process from combustion control to after treatment is vital for keeping the product competitive in today's engine market. The project consists of two main tasks, Performance and Emission. The Performance task deals with controlling the combustion for optimising the trade-off between fuel consumption and pollutant formation, NO{sub x} in particular. The Emission task concentrates on improving the after treatment technology in particulate reduction, and understanding the particulate formation by gaining information of particulate nature and composition. (orig.)

  1. PLAINS CO2 REDUCTION PARTNERSHIP

    Energy Technology Data Exchange (ETDEWEB)

    Edward N. Steadman; John A. Harju; Erin M. O' Leary; James A. Sorensen; Daniel J. Daly; Melanie D. Jensen; Thea E. Reikoff

    2005-01-01

    The Plains CO{sub 2} Reduction (PCOR) Partnership continues to make great progress. Task 2 (Technology Deployment) focused on developing information regarding deployment issues to support Task 5 (Modeling and Phase II Action Plans) by providing information to be used to assess CO{sub 2} sequestration opportunities in the PCOR Partnership region. Task 3 (Public Outreach) focused on developing an informational video about CO{sub 2} sequestration. Progress in Task 4 (Sources, Sinks, and Infrastructure) included the continued collection of data regarding CO{sub 2} sources and sinks and data on the performance and costs for CO{sub 2} separation, capture, treatment, and compression for pipeline transportation. Task 5 focused on screening and qualitatively assessing sequestration options. Task 5 activities also continue to be useful in structuring data collection and other activities in Tasks 2, 3, and 5.

  2. Overview of MC CDMA PAPR Reduction Techniques

    CERN Document Server

    Sarala, B; Bhandari, B N

    2012-01-01

    High Peak to Average Power Ratio (PAPR) of the transmitted signal is a critical problem in multicarrier modulation systems (MCM) such as Orthogonal Frequency Division Multiplexing (OFDM), and Multi-Carrier Code Division Multiple Access (MC CDMA) systems, due to large number of subcarriers. High PAPR leads to reduced resolution, and battery life. It also deteriorates system performance. This paper focuses on review of different PAPR reduction techniques with attendant technical issues as well as criteria for selection of PAPR reduction technique. To reduce PAPR the constraints are low power consumption, and low Bit Error Rate (BER). Spectral bandwidth is improved by better spectral characteristics, and low complexity/cost.

  3. First Cost Calculation Methods for Road Freight Transport Activity

    Directory of Open Access Journals (Sweden)

    Kovács György

    2017-06-01

    Full Text Available The transport activity is one of the most expensive processes in the supply chain. Forwarding and transport companies focuses on the optimization of transportation and the reduction of transport costs.

  4. The business of radiology: cost accounting.

    Science.gov (United States)

    Camponovo, Ernest J

    2004-08-01

    Radiology practices confront questions of resource allocation every day. Unfortunately, practices frequently fail to adequately analyze revenues and expenses, which are at the heart of success or failure in any business endeavor. Cost allocation problems permeate nearly all aspects of cost analysis and accumulation and exist throughout all types of private-sector and public-sector organizations. "Managerial" or "cost" accounting is the discipline concerned with measuring and assigning the costs of delivering services or producing products. In contrast to financial accounting, management accounting produces relevant information for internal decision making and in general is designed to answer a firm's specific operational questions. Because costs play such a critical role in deriving and planning for revenues and profits, managerial accounting is in large part devoted to measuring and accumulating costs with the aims of control and continuous cost reduction. Because radiologists' salaries are at record highs, when accounting for a practice's clinical activities, such as the provision of mammography services, some allocation of radiologist costs themselves must be made, or the practice will not be able to achieve its goal of efficient allocation of resources. Whatever cost-accounting method is used should be specific enough to allow the differentiation of costs to as detailed a level as necessary for the strategic decision at hand. It is imperative that a practice use some rational method to gather and analyze costs and that management then use these data in decision making. Successful practices will be those most aware of their costs and the minimum acceptable reimbursements necessary for their success.

  5. Medicare Cost Reports

    Data.gov (United States)

    U.S. Department of Health & Human Services — Medicare certified institutional providers are required to submit an annual cost report to a Medicare Administrative Contractor. The cost report contains provider...

  6. Unit Cost Compendium Calculations

    Data.gov (United States)

    U.S. Environmental Protection Agency — The Unit Cost Compendium (UCC) Calculations raw data set was designed to provide for greater accuracy and consistency in the use of unit costs across the USEPA...

  7. Managing Information On Costs

    Science.gov (United States)

    Taulbee, Zoe A.

    1990-01-01

    Cost Management Model, CMM, software tool for planning, tracking, and reporting costs and information related to costs. Capable of estimating costs, comparing estimated to actual costs, performing "what-if" analyses on estimates of costs, and providing mechanism to maintain data on costs in format oriented to management. Number of supportive cost methods built in: escalation rates, production-learning curves, activity/event schedules, unit production schedules, set of spread distributions, tables of rates and factors defined by user, and full arithmetic capability. Import/export capability possible with 20/20 Spreadsheet available on Data General equipment. Program requires AOS/VS operating system available on Data General MV series computers. Written mainly in FORTRAN 77 but uses SGU (Screen Generation Utility).

  8. Realized Cost Savings 2016

    Data.gov (United States)

    Department of Veterans Affairs — This dataset is provided as a requirement of OMB’s Integrated Data Collection (IDC) and links to VA’s Realized Cost Savings and Avoidances data in JSON format. Cost...

  9. Cost effectiveness in trauma care.

    Science.gov (United States)

    Elliott, D C; Rodriguez, A

    1996-02-01

    The above discussion brings together a vast body of data that together proclaim with fervent clarity: Traumatic injuries are expensive. The expense is paid in productive lives lost, in permanent disability, in pain and suffering, and in health care resources consumed. As local and regional trauma systems struggle for development and survival, competition for the health care dollar casts in the additional necessity of providing the service of trauma care with maximum efficiency. Despite the variety of cost-efficiency measures described above, a majority of trauma centers continue to operate "in the red." Such cannot continue indefinitely. Fiscal responsibility dictates that health care institutions must balance budgets in order to maintain operations. Four primary strategies for cost containment appear from the above discussion: 1. Improve reimbursement rates from trauma patients. 2. Increase outside funding from government sources. 3. Improve cost efficiency of diagnostic and therapeutic procedures used in trauma patient management. 4. Increase efforts aimed at primary prevention of intentional and unintentional injuries. In the final analysis, most authors agree that the last strategy offers the best hope. As stated in their article, "The Economic Impact of Injuries," Harlan and colleagues conclude that "the most effective medical and cost reduction strategy would be prevention." The same article goes on to detail how greater funding for research into optimal prevention modalities could reap societal and economic benefits far beyond the value of the initial outlay. Yet such research funding continues to be inadequate. For every dollar spent on medical care of cancer patients, nine cents is directed to research. For every dollar spent on trauma care, less than a penny is spent on research. Until the public recognizes the terrible toll trauma extracts in lives, livelihood, and money wasted and until it realizes the pre-eminent importance of prevention, care of the

  10. Cost optimization of biofuel production – The impact of scale, integration, transport and supply chain configurations

    NARCIS (Netherlands)

    de Jong, S.A.|info:eu-repo/dai/nl/41200836X; Hoefnagels, E.T.A.|info:eu-repo/dai/nl/313935998; Wetterlund, Elisabeth; Pettersson, Karin; Faaij, André; Junginger, H.M.|info:eu-repo/dai/nl/202130703

    2017-01-01

    This study uses a geographically-explicit cost optimization model to analyze the impact of and interrelation between four cost reduction strategies for biofuel production: economies of scale, intermodal transport, integration with existing industries, and distributed supply chain configurations

  11. Cost savings associated with improving appropriate and reducing inappropriate preventive care: cost-consequences analysis

    Directory of Open Access Journals (Sweden)

    Baskerville Neill

    2005-03-01

    Full Text Available Abstract Background Outreach facilitation has been proven successful in improving the adoption of clinical preventive care guidelines in primary care practice. The net costs and savings of delivering such an intensive intervention need to be understood. We wanted to estimate the proportion of a facilitation intervention cost that is offset and the potential for savings by reducing inappropriate screening tests and increasing appropriate screening tests in 22 intervention primary care practices affecting a population of 90,283 patients. Methods A cost-consequences analysis of one successful outreach facilitation intervention was done, taking into account the estimated cost savings to the health system of reducing five inappropriate tests and increasing seven appropriate tests. Multiple data sources were used to calculate costs and cost savings to the government. The cost of the intervention and costs of performing appropriate testing were calculated. Costs averted were calculated by multiplying the number of tests not performed as a result of the intervention. Further downstream cost savings were determined by calculating the direct costs associated with the number of false positive test follow-ups avoided. Treatment costs averted as a result of increasing appropriate testing were similarly calculated. Results The total cost of the intervention over 12 months was $238,388 and the cost of increasing the delivery of appropriate care was $192,912 for a total cost of $431,300. The savings from reduction in inappropriate testing were $148,568 and from avoiding treatment costs as a result of appropriate testing were $455,464 for a total savings of $604,032. On a yearly basis the net cost saving to the government is $191,733 per year (2003 $Can equating to $3,687 per physician or $63,911 per facilitator, an estimated return on intervention investment and delivery of appropriate preventive care of 40%. Conclusion Outreach facilitation is more expensive

  12. Minimum cost connection networks

    DEFF Research Database (Denmark)

    Hougaard, Jens Leth; Tvede, Mich

    In the present paper we consider the allocation of cost in connection networks. Agents have connection demands in form of pairs of locations they want to be connected. Connections between locations are costly to build. The problem is to allocate costs of networks satisfying all connection demands...

  13. Opportunity Cost: A Reexamination

    Science.gov (United States)

    Parkin, Michael

    2016-01-01

    Is opportunity cost an ambiguous and arbitrary concept or a simple, straightforward, and fruitful one? This reexamination of opportunity cost addresses this question, and shows that opportunity cost is an ambiguous concept because "two" definitions are in widespread use. One of the definitions is indeed simple, fruitful, and one that…

  14. Power Plant Cycling Costs

    Energy Technology Data Exchange (ETDEWEB)

    Kumar, N.; Besuner, P.; Lefton, S.; Agan, D.; Hilleman, D.

    2012-07-01

    This report provides a detailed review of the most up to date data available on power plant cycling costs. The primary objective of this report is to increase awareness of power plant cycling cost, the use of these costs in renewable integration studies and to stimulate debate between policymakers, system dispatchers, plant personnel and power utilities.

  15. Educational Cost Analysis.

    Science.gov (United States)

    Flynn, Donald L.

    Traditional approaches to the cost analysis of educational programs involve examining annual budgets. Such approaches do not properly consider the cost of either new capital expenditures or the current value of previously purchased items. This paper presents the methodology for a new approach to educational cost analysis that identifies the actual…

  16. Costs and benefits of relaunching nuclear energy in Italy

    OpenAIRE

    2012-01-01

    This paper supplies elements for assessing the costs and benefits of electronuclear energy in order to pursue three objectives: security of supply, cost reduction, and environmental sustainability. The study reached the following conclusions: 1) the use of nuclear energy increases the diversification of the energy mix and of energy suppliers, raising energy security levels, but it does not reduce Italy�s dependence on foreign energy; 2) the use of nuclear energy would not imply a reduction ...

  17. FY 1995 cost savings report

    Energy Technology Data Exchange (ETDEWEB)

    Andrews-Smith, K.L., Westinghouse Hanford

    1996-06-21

    Fiscal Year (FY) 1995 challenged us to dramatically reduce costs at Hanford. We began the year with an 8 percent reduction in our Environmental Management budget but at the same time were tasked with accomplishing additional workscope. This resulted in a Productivity Challenge whereby we took on more work at the beginning of the year than we had funding to complete. During the year, the Productivity Challenge actually grew to 23 percent because of recissions, Congressional budget reductions, and DOE Headquarters actions. We successfully met our FY 1995 Productivity Challenge through an aggressive cost reduction program that identified and eliminated unnecessary workscope and found ways to be more efficient. We reduced the size of the workforce, cut overhead expenses, eliminated paperwork, cancelled construction of new facilities, and reengineered our processes. We are proving we can get the job done better and for less money at Hanford. DOE`s drive to do it ``better, faster, cheaper`` has led us to look for more and larger partnerships with the private sector. The biggest will be privatization of Hanford`s Tank Waste Remediation System, which will turn liquid tank waste into glass logs for eventual disposal. We will also save millions of dollars and avoid the cost of replacing aging steam plants by contracting Hanford`s energy needs to a private company. Other privatization successes include the Hanford Mail Service, a spinoff of advanced technical training, low level mixed waste thermal treatment, and transfer of the Hanford Museums of Science and history to a private non-profit organization. Despite the rough roads and uncertainty we faced in FY 1995, less than 3 percent of our work fell behind schedule, while the work that was performed was completed with an 8.6 percent cost under-run. We not only met the FY 1995 productivity challenge, we also met our FY 1995-1998 savings commitments and accelerated some critical cleanup milestones. The challenges continue

  18. DOD Civilian and Contractor Workforces: Additional Cost Savings Data and Efficiencies Plan are Needed

    Science.gov (United States)

    2016-10-01

    equivalents may not be a reliable measure of the costs of the civilian workforce.12 For example, while FTE’s may go down, costs may go up due to a...reductions reported in average strength bNumber of reductions reported in full- time equivalents Note: DOD costs savings provided for the prior FY are...comparing costs from FY 2012 to FY 2017, and not each year in between. Further, officials stated that DOD did not include full- time equivalents

  19. Rethinking the costs related to global warming

    Energy Technology Data Exchange (ETDEWEB)

    Ekins, P. (Birkbeck Coll., London (United Kingdom))

    1994-03-01

    The economic analysis of global warming seeks to balance the costs of damage from or adaptation to it with the costs of mitigating it. The costs of adaptation and damage have been estimated using techniques of environmental evaluation, but are subject to a wide margin of uncertainty. The costs of mitigation, principally by reducing the emissions of CO[sub 2], have been estimated using different kinds of economic models, some of the results of which have suggested that very little abatement of carbon emissions is justified before the costs of abatement exceed the benefits of it in terms of foregone damage and adaptation costs. The paper analyses the extent to which this conclusion is a function of the modelling assumptions and techniques used, rather than likely practical outcomes. It concludes that, with different and arguably more appropriate treatment of the issues, especially when the secondary benefits of reducing CO[sub 2] emissions are also taken into account, it is not clear that even substantial reductions in the use of fossil fuels will incur net costs, especially if there is the prospect of even moderate costs from global warming. (Author)

  20. Cost incentives for doctors

    DEFF Research Database (Denmark)

    Schottmüller, Christoph

    2013-01-01

    If doctors take the costs of treatment into account when prescribing medication, their objectives differ from their patients' objectives because the patients are insured. This misalignment of interests hampers communication between patient and doctor. Giving cost incentives to doctors increases...... welfare if (i) the doctor's examination technology is sufficiently good or (ii) (marginal) costs of treatment are high enough. If the planner can costlessly choose the extent to which doctors take costs into account, he will opt for less than 100%. Optimal health care systems should implement different...... degrees of cost incentives depending on type of disease and/or doctor....