WorldWideScience

Sample records for evaluation combining cost-benefit

  1. Multi-dimensional project evaluation: Combining cost-benefit analysis and multi-criteria analysis with the COSIMA software system

    DEFF Research Database (Denmark)

    This paper proposes a methodology that integrates quantitative and qualitative assessment. The methodology proposed combines conventional cost-benefit analysis (CBA) with multi-criteria analysis (MCA). The CBA methodology, based on welfare theory, assures that the project with the highest welfare...... different methods for combining cost-benefit analysis and multi-criteria analysis are examined and compared and a software system is presented. The software system gives the decision makers some possibilities regarding preference analysis, sensitivity and risk analysis. The aim of the software...... for society is ranked uppermost. To compare the different impacts, it is necessary to have a common monetary unit. Theoretically, all benefits and all costs should be accounted for in socio-economic cost-benefit analysis. However, this is far from in practical the general case due to difficulties...

  2. Combined multi-criteria and cost-benefit analysis

    DEFF Research Database (Denmark)

    Moshøj, Claus Rehfeld

    1996-01-01

    The paper is an introduction to both theory and application of combined Cost-Benefit and Multi-Criteria Analysis. The first section is devoted to basic utility theory and its practical application in Cost-Benefit Analysis. Based on some of the problems encountered, arguments in favour...... of the application of utility-based Multi-Criteria Analyses methods as an extension and refinement of the traditional Cost-Benefit Analysis are provided. The theory presented in this paper is closely related the methods used in the WARP software (Leleur & Jensen, 1989). The presentation is however wider in scope.......The second section introduces the stated preference methodology used in WARP to create weight profiles for project pool sensitivity analysis. This section includes a simple example. The third section discusses how decision makers can get a priori aid to make their pair-wise comparisons based on project pool...

  3. Cost-benefit analysis and health care evaluations

    National Research Council Canada - National Science Library

    Brent, Robert J

    2003-01-01

    ... Cataloguing in Publication Data Brent, Robert J., 1946- Cost-benefit analysis and health care evaluations / Robert J. Brent. p. cm. Includes index. 1. Medical care - Cost effectiveness - Researc...

  4. Composite decision support by combining cost-benefit and multi-criteria decision

    DEFF Research Database (Denmark)

    Barfod, Michael Bruhn; Salling, Kim Bang; Leleur, Steen

    2011-01-01

    This paper concerns composite decision support based on combining cost-benefit analysis (CBA) with multi-criteria decision analysis (MCDA) for the assessment of economic as well as strategic impacts within transport projects. Specifically a composite model for assessment (COSIMA) is presented...

  5. Using the Kaldor-Hicks Tableau Format for Cost-Benefit Analysis and Policy Evaluation

    Science.gov (United States)

    Krutilla, Kerry

    2005-01-01

    This note describes the Kaldor-Hicks (KH) tableau format as a framework for distributional accounting in cost-benefit analysis and policy evaluation. The KH tableau format can serve as a heuristic aid for teaching microeconomics-based policy analysis, and offer insight to policy analysts and decisionmakers beyond conventional efficiency analysis.

  6. Effectiveness and Cost-benefit Evaluation of a Comprehensive Workers' Health Surveillance Program for Sustainable Employability of Meat Processing Workers

    NARCIS (Netherlands)

    van Holland, Berry J; Reneman, Michiel F; Soer, Remko; Brouwer, Sandra; de Boer, Michiel R

    2017-01-01

    Objective To evaluate the effectiveness of a comprehensive workers' health surveillance (WHS) program on aspects of sustainable employability and cost-benefit. Methods A cluster randomized stepped wedge trial was performed in a Dutch meat processing company from february 2012 until march 2015. In

  7. Combining uncertainty-estimation techniques and cost-benefit analysis to obtain consistent design-flood estimators

    Science.gov (United States)

    Botto, A.; Ganora, D.; Laio, F.; Claps, P.

    2012-04-01

    Traditionally, flood frequency analysis has been used to assess the design discharge for hydraulic infrastructures. Unfortunately, this method involves uncertainties, be they of random or epistemic nature. Despite some success in measuring uncertainty, e.g. by means of numerical simulations, exhaustive methods for their evaluation are still an open challenge to the scientific community. The proposed method aims to improve the standard models for design flood estimation, considering the hydrological uncertainties inherent with the classic flood frequency analysis, in combination with cost-benefit analysis. Within this framework, two of the main issues related to flood risk are taken into account: on the one hand statistical flood frequency analysis is complemented with suitable uncertainty estimates; on the other hand the economic value of the flood-prone land is considered, as well as the economic losses in case of overflow. Consider a case where discharge data are available at the design site: the proposed procedure involves the following steps: (i) for a given return period T the design discharge is obtained using standard statistical inference (for example, using the GEV distribution and the method of L- moments to estimate the parameters); (ii) Monte Carlo simulations are performed to quantify the parametric uncertainty related to the design-flood estimator: 10000 triplets of L-moment values are randomly sampled from their relevant multivariate distribution, and 10000 values of the T-year discharge are obtained ; (iii) a procedure called the least total expected cost (LTEC) design approach is applied as described hereafter: linear cost and damage functions are proposed so that the ratio between the slope of the damage function and the slope of the cost function is equal to T. The expected total cost (sum of the cost plus the expected damage) is obtained for each of the 10000 design value estimators, and the estimator corresponding to the minimum total cost is

  8. Effectiveness and Cost-benefit Evaluation of a Comprehensive Workers' Health Surveillance Program for Sustainable Employability of Meat Processing Workers.

    Science.gov (United States)

    van Holland, Berry J; Reneman, Michiel F; Soer, Remko; Brouwer, Sandra; de Boer, Michiel R

    2017-03-24

    Objective To evaluate the effectiveness of a comprehensive workers' health surveillance (WHS) program on aspects of sustainable employability and cost-benefit. Methods A cluster randomized stepped wedge trial was performed in a Dutch meat processing company from february 2012 until march 2015. In total 305 workers participated in the trial. Outcomes were retrieved during a WHS program, by multiple questionnaires, and from company registries. Primary outcomes were sickness absence, work ability, and productivity. Secondary outcomes were health, vitality, and psychosocial workload. Data were analyzed with linear and logistic multilevel models. Cost-benefit analyses from the employer's perspective were performed as well. Results Primary outcomes sickness absence (OR = 1.40), work ability (B = -0.63) and productivity (OR = 0.71) were better in the control condition. Secondary outcomes did not or minimally differ between conditions. Of the 12 secondary outcomes, the only outcome that scored better in the experimental condition was meaning of work (B = 0.18). Controlling for confounders did not or minimally change the results. However, our stepped wedge design did not enable adjustment for confounding in the last two periods of the trial. The WHS program resulted in higher costs for the employer on the short and middle term. Conclusions Primary outcomes did not improve after program implementation and secondary outcomes remained equal after implementation. The program was not cost-beneficial after 1-3 year follow-up. Main limitation that may have contributed to absence of positive effects may be program failure, because interventions were not deployed as intended.

  9. Combining Ecosystem Services with Cost-Benefit Analysis for Selection of Green and Grey Infrastructure for Flood Protection in a Cultural Setting

    Directory of Open Access Journals (Sweden)

    Zoran Vojinovic

    2016-12-01

    Full Text Available The present paper describes a methodological framework that combines ecosystem services (flood protection, education, art/culture, recreation and tourism with economic analysis for selection of multifunctional measures for flood resilience. The framework includes active stakeholder participation and it consists of the four main components: (1 identification and valuation of ecosystem services pertinent to the project site under various mitigation scenarios, including baseline (pre-mitigation conditions; (2 evaluation of most effective flood mitigation measures through hydrodynamic simulations, and evaluation of economic viability using cost-benefit analysis; (3 selection of measures through consideration of ecosystem services, and solicitation of stakeholders’ inputs; (4 development of the conceptual landscape design. Application of the framework was demonstrated in a case study of Ayutthaya Island, Thailand. Results of our research suggest that taking a holistic perspective of ecosystem services and economic assessments, marshalled through active stakeholder participation, has the potential to achieve more ecologically sustainable and socially acceptable solutions for flood protection in areas with cultural heritage. However, there is still a considerable challenge in taking this framework to a full-scale practical implementation, and this mainly relates to the selection of indicators that can enable proper application of ecosystem services.

  10. Risk-based cost-benefit analysis for evaluating microbial risk mitigation in a drinking water system.

    Science.gov (United States)

    Bergion, Viktor; Lindhe, Andreas; Sokolova, Ekaterina; Rosén, Lars

    2018-04-01

    Waterborne outbreaks of gastrointestinal diseases can cause large costs to society. Risk management needs to be holistic and transparent in order to reduce these risks in an effective manner. Microbial risk mitigation measures in a drinking water system were investigated using a novel approach combining probabilistic risk assessment and cost-benefit analysis. Lake Vomb in Sweden was used to exemplify and illustrate the risk-based decision model. Four mitigation alternatives were compared, where the first three alternatives, A1-A3, represented connecting 25, 50 and 75%, respectively, of on-site wastewater treatment systems in the catchment to the municipal wastewater treatment plant. The fourth alternative, A4, represented installing a UV-disinfection unit in the drinking water treatment plant. Quantitative microbial risk assessment was used to estimate the positive health effects in terms of quality adjusted life years (QALYs), resulting from the four mitigation alternatives. The health benefits were monetised using a unit cost per QALY. For each mitigation alternative, the net present value of health and environmental benefits and investment, maintenance and running costs was calculated. The results showed that only A4 can reduce the risk (probability of infection) below the World Health Organization guidelines of 10 -4 infections per person per year (looking at the 95th percentile). Furthermore, all alternatives resulted in a negative net present value. However, the net present value would be positive (looking at the 50 th percentile using a 1% discount rate) if non-monetised benefits (e.g. increased property value divided evenly over the studied time horizon and reduced microbial risks posed to animals), estimated at 800-1200 SEK (€100-150) per connected on-site wastewater treatment system per year, were included. This risk-based decision model creates a robust and transparent decision support tool. It is flexible enough to be tailored and applied to local

  11. Combining probabilistic hazard assessment with cost-benefit analysis to support decision making in a volcanic crisis from the Auckland Volcanic Field, New Zealand

    Science.gov (United States)

    Sandri, Laura; Jolly, Gill; Lindsay, Jan; Howe, Tracy; Marzocchi, Warner

    2010-05-01

    and benefits of mitigation actions have to be evaluated and compared, weighting them with the probability of occurrence of a specific threatening volcanic event. An action should be taken when the benefit of that action outweighs the costs. It is worth remarking that this strategy does not guarantee to recommend a decision that we would have taken with the benefit of hindsight. However, this strategy will be successful over the long-tem. Furthermore, it has the overwhelming advantage of providing a quantitative decision rule that is set before any emergency, and thus it will be justifiable at any stage of the process. In our present application, we are trying to set up a cost-benefit scheme for the call of an evacuation to protect people in the Auckland Volcanic Field against base surge invasion. Considering the heterogeneity of the urban environment and the size of the region at risk, we propose a cost-benefit scheme that is space dependent, to take into account higher costs when an eruption threatens sensible sites for the city and/or the nation, such as the international airport or the harbour. Finally, we compare our findings with the present Contingency Plan for Auckland.

  12. Evaluation of AirPollution Control fromViewpoints of Cost- Benefit Analysis in a Tile Industry

    Directory of Open Access Journals (Sweden)

    SJ Shahtaheri

    2006-04-01

    Full Text Available Background and Aims:Methyl Methacrylate (MMA which is known as a long, skin and eyeirritant is the most common form of acrylic plastic used in dental laboratories. The aims of thisstudy were to evaluate dental technicians, exposure to MMAand to assess their health with a focuson respiratory and dermal symptoms.Method: Exposure to MMA, total dust and health symptoms were investigated in 20 dentallaboratories located in Tehran, Iran. Time weighted average (TWA of MMA and peakconcentrations were determined , using XAD-2 tubes followed by GC-ID analysis. Total dustwere evaluated gravimetrically. Health symptoms were asked using a questionnaire.Results :The TWAfor technicians with direct and indirect exposure to MMAwere 327.28 + 79.42and 282.9 + 41.84 mg/m3, respectively. Peak concentration of MMA for those technicians were337.0 + 36.81 and 328.88 + 45.40 mg/m3, respectively. There were no significant differencesbetween TWAof MMAand peak concentration in different weakly workdays; low ever, within -day variations were observed (P<0.05. TWAof MMA and peak concentration correlation withthe laboratory volume were 0.61- 0.65, Dust exposure of technicians was 2.35 + 2.70 mg/m3.Cough and Skin dryness were the common health symptoms. Smoking and asbestos exposurehistory were factors influencing cough prevalence (P<0.005.Conclusion:It is concluded that the current short - Term Exposure Limit (STEL is not low enoughto protect technicians against the adverse effects caused by MMA.

  13. Using cost-benefit analysis and social return on investment to evaluate the impact of social enterprise: Promises, implementation, and limitations.

    Science.gov (United States)

    Cordes, Joseph J

    2017-10-01

    Since the early 2000's there has been growing interest in using the Social Return on Investment (SROI) as a measure for assessing the performance of social enterprises. By analogy with its business counterpart, the Return on Investment (ROI), the SROI is a metric that compares the monetized social costs of a program with the monetized social benefits of achieving an outcome (or set of outcomes). For example, calculating the SROI of a nonprofit half-way house for drug addicts might involve estimating the reduced social costs attributable to successful rehabilitation of addicts, and comparing this to the social costs of operating the half-way house. Alternatively, the total return of a for-profit social enterprise providing affordable housing might consist both of the traditional private return on investment along with the economic value of meeting the housing needs of lower income households. Early descriptions of the methodology for calculating the SROI suggest that the approach initially evolved from standard methodologies found in the business finance literature for evaluating investments, with the important twist that nonprofit sector returns/payoffs are defined in broader social terms (Thornley, Anderson, & Dixon, 2016). Yet, someone who is familiar with the economic literature on cost benefit analysis (CBA) as it is applied to the evaluation of public programs cannot help but be struck by the similarity between the outcomes that CBA is intended to measure, and those that are the object of efforts to calculate the SROI. One implication is that the literature on the theory and practice of cost benefit analysis offers useful lessons about how to measure the social return on investment, as well as about potential caveats and limitations that need to be confronted when attempting to undertake an analysis of the SROI. The paper discusses the potential uses and limitations of CBA and SROI as tools that governments, private donor/investors, and foundations can use to

  14. Sustained employability of workers in a production environment: design of a stepped wedge trial to evaluate effectiveness and cost-benefit of the POSE program

    Directory of Open Access Journals (Sweden)

    van Holland Berry J

    2012-11-01

    Full Text Available Abstract Background Sustained employability and health are generating awareness of employers in an aging and more complex work force. To meet these needs, employers may offer their employees health surveillance programs, to increase opportunities to work on health and sustained employability. However, evidence for these health surveillance programs is lacking. The FLESH study (Functional Labour Evaluation for Sustained Health and employment was developed to evaluate a comprehensive workers’ health promotion program on its effectiveness, cost-benefit, and process of the intervention. Methods The study is designed as a cluster randomised stepped wedge trial with randomisation at company plant level and is carried out in a large meat processing company. Every contracted employee is offered the opportunity to participate in the POSE program (Promotion Of Sustained Employability. The main goals of the POSE program are 1 providing employee’s insight into their current employability and health status, 2 offering opportunities to improve employability and decrease health risks and 3 improving employability and health sustainably in order to keep them healthy at work. The program consists of a broad assessment followed by a counselling session and, if needed, a tailored intervention. Measurements will be performed at baseline and will be followed up at 20, 40, 60, 80, 106 and 132 weeks. The primary outcome measures are work ability, productivity and absenteeism. Secondary outcomes include health status, vitality, and psychosocial workload. A cost-benefit study will be conducted from the employers’ perspective. A process evaluation will be conducted and the satisfaction of employer and employees with the program will be assessed. Discussion This study provides information on the effectiveness of the POSE program on sustained employment. When the program proves to be effective, employees benefit by improved work ability, and health. Employers benefit

  15. Sustained employability of workers in a production environment: design of a stepped wedge trial to evaluate effectiveness and cost-benefit of the POSE program.

    Science.gov (United States)

    van Holland, Berry J; de Boer, Michiel R; Brouwer, Sandra; Soer, Remko; Reneman, Michiel F

    2012-11-20

    Sustained employability and health are generating awareness of employers in an aging and more complex work force. To meet these needs, employers may offer their employees health surveillance programs, to increase opportunities to work on health and sustained employability. However, evidence for these health surveillance programs is lacking. The FLESH study (Functional Labour Evaluation for Sustained Health and employment) was developed to evaluate a comprehensive workers' health promotion program on its effectiveness, cost-benefit, and process of the intervention. The study is designed as a cluster randomised stepped wedge trial with randomisation at company plant level and is carried out in a large meat processing company. Every contracted employee is offered the opportunity to participate in the POSE program (Promotion Of Sustained Employability). The main goals of the POSE program are 1) providing employee's insight into their current employability and health status, 2) offering opportunities to improve employability and decrease health risks and 3) improving employability and health sustainably in order to keep them healthy at work. The program consists of a broad assessment followed by a counselling session and, if needed, a tailored intervention. Measurements will be performed at baseline and will be followed up at 20, 40, 60, 80, 106 and 132 weeks. The primary outcome measures are work ability, productivity and absenteeism. Secondary outcomes include health status, vitality, and psychosocial workload. A cost-benefit study will be conducted from the employers' perspective. A process evaluation will be conducted and the satisfaction of employer and employees with the program will be assessed. This study provides information on the effectiveness of the POSE program on sustained employment. When the program proves to be effective, employees benefit by improved work ability, and health. Employers benefit from healthier employees, reduced sick leave (costs) and

  16. Evaluation of caregiver-friendly workplace policy (CFWPs) interventions on the health of full-time caregiver employees (CEs): implementation and cost-benefit analysis.

    Science.gov (United States)

    Williams, Allison M; Tompa, Emile; Lero, Donna S; Fast, Janet; Yazdani, Amin; Zeytinoglu, Isik U

    2017-09-20

    Current Canadian evidence illustrating the health benefits and cost-effectiveness of caregiver-friendly workplace policies is needed if Canadian employers are to adopt and integrate caregiver-friendly workplace policies into their employment practices. The goal of this three-year, three study research project is to provide such evidence for the auto manufacturing and educational services sectors. The research questions being addressed are: What are the impacts for employers (economic) and workers (health) of caregiver-friendly workplace policy intervention(s) for full-time caregiver-employees? What are the impacts for employers, workers and society of the caregiver-friendly workplace policy intervention(s) in each participating workplace? What contextual factors impact the successful implementation of caregiver-friendly workplace policy intervention(s)? Using a pre-post-test comparative case study design, Study A will determine the effectiveness of newly implemented caregiver-friendly workplace policy intervention(s) across two workplaces to determine impacts on caregiver-employee health. A quasi-experimental pre-post design will allow the caregiver-friendly workplace policy intervention(s) to be tested with respect to potential impacts on health, and specifically on caregiver employee mental, psychosocial, and physical health. Framed within a comparative case study design, Study B will utilize cost-benefit and cost-effectiveness analysis approaches to evaluate the economic impacts of the caregiver-friendly workplace policy intervention(s) for each of the two participating workplaces. Framed within a comparative case study design, Study C will undertake an implementation analysis of the caregiver-friendly workplace policy intervention(s) in each participating workplace in order to determine: the degree of support for the intervention(s) (reflected in the workplace culture); how sex and gender are implicated; co-workers' responses to the chosen intervention(s), and

  17. Evaluation of caregiver-friendly workplace policy (CFWPs interventions on the health of full-time caregiver employees (CEs: implementation and cost-benefit analysis

    Directory of Open Access Journals (Sweden)

    Allison M. Williams

    2017-09-01

    Full Text Available Abstract Background Current Canadian evidence illustrating the health benefits and cost-effectiveness of caregiver-friendly workplace policies is needed if Canadian employers are to adopt and integrate caregiver-friendly workplace policies into their employment practices. The goal of this three-year, three study research project is to provide such evidence for the auto manufacturing and educational services sectors. The research questions being addressed are: What are the impacts for employers (economic and workers (health of caregiver-friendly workplace policy intervention(s for full-time caregiver-employees? What are the impacts for employers, workers and society of the caregiver-friendly workplace policy intervention(s in each participating workplace? What contextual factors impact the successful implementation of caregiver-friendly workplace policy intervention(s? Methods Using a pre-post-test comparative case study design, Study A will determine the effectiveness of newly implemented caregiver-friendly workplace policy intervention(s across two workplaces to determine impacts on caregiver-employee health. A quasi-experimental pre-post design will allow the caregiver-friendly workplace policy intervention(s to be tested with respect to potential impacts on health, and specifically on caregiver employee mental, psychosocial, and physical health. Framed within a comparative case study design, Study B will utilize cost-benefit and cost-effectiveness analysis approaches to evaluate the economic impacts of the caregiver-friendly workplace policy intervention(s for each of the two participating workplaces. Framed within a comparative case study design, Study C will undertake an implementation analysis of the caregiver-friendly workplace policy intervention(s in each participating workplace in order to determine: the degree of support for the intervention(s (reflected in the workplace culture; how sex and gender are implicated; co

  18. Cost Benefit Analysis of Consumer Product Safety Standards

    Science.gov (United States)

    Smith, Betty F.; Dardis, Rachel

    1977-01-01

    This paper investigates the role of cost-benefit analysis in evaluating consumer product safety standards and applys such analysis to an evaluation of flammability standards for children's sleepwear. (Editor)

  19. High efficiency lighting: Cost benefit analysis

    Energy Technology Data Exchange (ETDEWEB)

    Di Franco, N. (ENEA, Rome (Italy))

    1992-12-01

    Analysis of the incandescent and fluorescent lamp market in Italy reveals that, by the substitution of conventional equipment with high efficiency lamps, energy savings of up to 3.5 billion kWh could be realized. However, the proper selection of these highly efficient lamps, e.g., compact fluorescent, fluorescent systems using electronic reactors, outdoor systems using sodium or metal iodides, etc., requires a thorough and accurate cost benefit analysis. This article suggests a calculation model for a cost evaluation beginning from the technical and economic aspects of alternative appliances.

  20. Cost-Benefit Analysis for Investment Decisions: Chapter 19 (An Integrated Appraisal of Combined Cycle Versus Single Cycle Electricity Generations Technologies)

    OpenAIRE

    Glenn Jenkins; Chun-Yan Kuo; Arnold C. Harberger

    2011-01-01

    This study undertakes an integrated financial, economic and distributive appraisal of an Independent Power Producer (IPP) project to generate electricity. The critical issue is that the private sponsors of the IPP have proposed to build a single cycle electricity generation plant that is expected to start operating with an 80 percent load factor. A comparative analysis is undertaken a single cycle oil fuel plant to compared to a combined cycle oil fuel plant that would produce the same amount...

  1. Ethics and Cost-Benefit Analysis

    DEFF Research Database (Denmark)

    Arler, Finn

    The purpose of this research report is threefold. Firstly, the author traces the origins and justification of cost-benefit analysis in moral and political philosophy. Secondly, he explain some of the basic features of cost-benefit analysis as a planning tool in a step-bystep presentation. Thirdly......, he presents and discusses some of the main ethical difficulties related to the use of cost-benefit analysis as a planning tool....

  2. Cost Benefit Analysis: Bypass of Prešov city

    Directory of Open Access Journals (Sweden)

    Margorínová Martina

    2017-01-01

    Full Text Available The paper describes decision making process based on economic evaluation, i.e. Cost Benefit Analysis for motorway bypass of the Prešov city. Three variants were evaluated by means of the Highway Development and Management Tool (HDM-4. HDM-4 is a software system for evaluating options for investing in road transport infrastructure. Vehicle operating costs and travel time costs were monetized with the use of the software. The investment opportunities were evaluated in terms of Cost Benefit Analysis results, i.e. economic indicators.

  3. Project evaluation, sustainability and accountability : combining cost-benefit analysis (CBA) and multi-criteria analysis (MCA)

    NARCIS (Netherlands)

    Sijtsma, F.J.

    2006-01-01

    General abstract Decision-makers in governments and businesses must choose among different project alternatives which, in varying degrees, contribute to sustainability. Decision-makers also have to account for their choices to a large audience or a broad range of stakeholders. This thesis is about

  4. Cost-Benefit Analyses of Transportation Investments

    DEFF Research Database (Denmark)

    Næss, Petter

    2006-01-01

    This paper discusses the practice of cost-benefit analyses of transportation infrastructure investment projects from the meta-theoretical perspective of critical realism. Such analyses are based on a number of untenable ontological assumptions about social value, human nature and the natural...... environment. In addition, main input data are based on transport modelling analyses based on a misleading `local ontology' among the model makers. The ontological misconceptions translate into erroneous epistemological assumptions about the possibility of precise predictions and the validity of willingness......-to-pay investigations. Accepting the ontological and epistemological assumptions of cost-benefit analysis involves an implicit acceptance of the ethical and political values favoured by these assumptions. Cost-benefit analyses of transportation investment projects tend to neglect long-term environmental consequences...

  5. Sustained employability of workers in a production environment: design of a stepped wedge trial to evaluate effectiveness and cost-benefit of the POSE program

    OpenAIRE

    van Holland Berry J; de Boer Michiel R; Brouwer Sandra; Soer Remko; Reneman Michiel F

    2012-01-01

    Abstract Background Sustained employability and health are generating awareness of employers in an aging and more complex work force. To meet these needs, employers may offer their employees health surveillance programs, to increase opportunities to work on health and sustained employability. However, evidence for these health surveillance programs is lacking. The FLESH study (Functional Labour Evaluation for Sustained Health and employment) was developed to evaluate a comprehensive workers’ ...

  6. Life-Cycle Cost-Benefit Analysis

    DEFF Research Database (Denmark)

    Thoft-Christensen, Palle

    2010-01-01

    The future use of Life-Cycle Cost-Benefit (LCCB) analysis is discussed in this paper. A more complete analysis including not only the traditional factors and user costs, but also factors which are difficult to include in the analysis is needed in the future.......The future use of Life-Cycle Cost-Benefit (LCCB) analysis is discussed in this paper. A more complete analysis including not only the traditional factors and user costs, but also factors which are difficult to include in the analysis is needed in the future....

  7. Cost-benefit evaluation of on-farm milk progesterone testing to monitor return to cyclicity and to classify ovarian cysts.

    Science.gov (United States)

    Ruiz, F J; Oltenacu, P A; Smith, R D

    1992-04-01

    The effect of using on-farm milk progesterone testing to monitor return to cyclicity after parturition and to classify correctly and to treat cystic cows was evaluated using modeling and simulation. The test was evaluated assuming low and high accuracies of progesterone measurement, first breeding policy of 40 d, average estrus detection rate of 55%, and an average fertility rate of 55%. Three testing schemes (starting milk progesterone testing on d 30, 40, or 50 after parturition) were compared against a control to evaluate the effect of monitoring return to cyclicity on cows' reproductive and economic performance. For this purpose, the use of the test was an economically justifiable management intervention. Starting to test on d 30 after parturition was the most effective scheme, reducing days open by 18 d, replacement rate by 2.4%, and increasing net return per cow per year by $11. Starting to test on d 50 postpartum was not economically justifiable. Accuracy of the test, within the range used in this study, was unimportant. Testing was most profitable in herds with low fertility and low efficiency of estrus detection. The use of the test to classify follicular and luteal cysts and to select the appropriate therapy was not economically justifiable because of the low proportion of cystic cows and the high variation in response to therapy.

  8. Integrating Life-cycle Assessment into Transport Cost-benefit Analysis

    DEFF Research Database (Denmark)

    Manzo, Stefano; Salling, Kim Bang

    2016-01-01

    Traditional transport Cost-Benefit Analysis (CBA) commonly ignores the indirect environmental impacts of an infrastructure project deriving from the overall life-cycle of the different project components. Such indirect impacts are instead of key importance in order to assess the long......-term sustainability of a transport infrastructure project. In the present study we suggest to overcome this limit by combining a conventional life-cycle assessment approach with standard transport cost-benefit analysis. The suggested methodology is tested upon a case study project related to the construction of a new...... fixed link across the Roskilde fjord in Frederikssund (Denmark). The results are then compared with those from a standard CBA framework. The analysis shows that indirect environmental impacts represent a relevant share of the estimated costs of the project, clearly affecting the final project evaluation...

  9. Cost-benefit analysis of the ATM automatic deposit service

    Directory of Open Access Journals (Sweden)

    Ivica Županović

    2015-03-01

    Full Text Available Bankers and other financial experts have analyzed the value of automated teller machines (ATM in terms of growing consumer demand, rising costs of technology development, decreasing profitability and market share. This paper presents a step-by-step cost-benefit analysis of the ATM automatic deposit service. The first step is to determine user attitudes towards using ATM automatic deposit service by using the Technology Acceptance Model (TAM. The second step is to determine location priorities for ATMs that provide automatic deposit services using the Analytic Hierarchy Process (AHP model. The results of the previous steps enable a highly efficient application of cost-benefit analysis for evaluating costs and benefits of automatic deposit services. To understand fully the proposed procedure outside of theoretical terms, a real-world application of a case study is conducted.

  10. School-based health centers: cost-benefit analysis and impact on health care disparities

    National Research Council Canada - National Science Library

    Guo, Jeff J; Wade, Terrance J; Pan, Wei; Keller, Kathryn N

    2010-01-01

    We evaluated the impact of school-based health centers-which provide essential health care for students by aiming to eliminate many access barriers-on health care access disparities and conducted a cost-benefit analysis...

  11. Is it worth the effort? Novel insights into obesity-associated alterations in cost-benefit decision-making

    OpenAIRE

    David eMathar; Annette eHorstmann; Burkhard ePleger; Arno eVillringer; Jane eNeumann

    2016-01-01

    Cost-benefit decision-making entails the process of evaluating potential actions according to the trade-off between the expected benefit (reward) and the anticipated costs (effort). Recent research revealed that dopaminergic transmission within the fronto-striatal circuitry strongly modulates cost-benefit decision-making. Alterations within the dopaminergic fronto-striatal system have been associated with obesity, but little is known about cost-benefit decision-making differences in obese com...

  12. Does single-source create an added value? Evaluating the impact of introducing x4T into the clinical routine on workflow modifications, data quality and cost-benefit.

    Science.gov (United States)

    Bruland, Philipp; Forster, Christian; Breil, Bernhard; Ständer, Sonja; Dugas, Martin; Fritz, Fleur

    2014-12-01

    The first objective of this study is to evaluate the impact of integrating a single-source system into the routine patient care documentation workflow with respect to process modifications, data quality and execution times in patient care as well as research documentation. The second one is to evaluate whether it is cost-efficient using a single-source system in terms of achieved savings in documentation expenditures. We analyzed the documentation workflow of routine patient care and research documentation in the medical field of pruritus to identify redundant and error-prone process steps. Based on this, we established a novel documentation workflow including the x4T (exchange for Trials) system to connect hospital information systems with electronic data capture systems for the exchange of study data. To evaluate the workflow modifications, we performed a before/after analysis as well as a time-motion study. Data quality was assessed by measuring completeness, correctness and concordance of previously and newly collected data. A cost-benefit analysis was conducted to estimate the savings using x4T per collected data element and the additional costs for introducing x4T. The documentation workflow of patient care as well as clinical research was modified due to the introduction of the x4T system. After x4T implementation and workflow modifications, half of the redundant and error-prone process steps were eliminated. The generic x4T system allows direct transfer of routinely collected health care data into the x4T research database and avoids manual transcription steps. Since x4T has been introduced in March 2012, the number of included patients has increased by about 1000 per year. The average entire documentation time per patient visit has been significantly decreased by 70.1% (from 1116±185 to 334±83 s). After the introduction of the x4T system and associated workflow changes, the completeness of mandatory data elements raised from 82.2% to 100%. In case of the

  13. A Cost-Benefit Analysis of Prenatal Screening for Toxoplasmosis

    Directory of Open Access Journals (Sweden)

    Vic S Sahai

    1996-01-01

    Full Text Available The objective of this study was to examine critically the validity of a toxoplasma prenatal screening program, in the context of a cost-benefit analysis, as it relates to the Canadian experience. Recently, studies have suggested that early treatment of infected infants with a combination of pyrimethamine and sulfadiazine is effective in reducing the sequelae of toxoplasmosis. It was concluded that a carefully planned screening program for detecting and treating infants infected with Toxoplasma gondii during pregnancy is cost beneficial. The cost of delivering a screening and treatment program is less than half of what it would cost to provide comprehensive long term medical, educational and other social services for the estimated 1000 children born each year with congenital toxoplasmosis. Even if an incidence as low as two infected infants per 1000 pregnancies is assumed and only 400 children were affected, the screening and preventive therapy program would be justified.

  14. Cost-Benefit Analysis of Employee Training: A Literature Review.

    Science.gov (United States)

    Blomberg, Robert

    1989-01-01

    The author reviews current literature related to cost-benefit analysis of employee training programs. After the necessary concepts are defined, methodologies for measuring costs and benefits, and problems related to this process are discussed. Concluding comments focus on the need for practical applications of cost-benefit research. (Author/CH)

  15. Health Monitoring System Technology Assessments: Cost Benefits Analysis

    Science.gov (United States)

    Kent, Renee M.; Murphy, Dennis A.

    2000-01-01

    The subject of sensor-based structural health monitoring is very diverse and encompasses a wide range of activities including initiatives and innovations involving the development of advanced sensor, signal processing, data analysis, and actuation and control technologies. In addition, it embraces the consideration of the availability of low-cost, high-quality contributing technologies, computational utilities, and hardware and software resources that enable the operational realization of robust health monitoring technologies. This report presents a detailed analysis of the cost benefit and other logistics and operational considerations associated with the implementation and utilization of sensor-based technologies for use in aerospace structure health monitoring. The scope of this volume is to assess the economic impact, from an end-user perspective, implementation health monitoring technologies on three structures. It specifically focuses on evaluating the impact on maintaining and supporting these structures with and without health monitoring capability.

  16. Cost-benefit analysis of stricter emission ceilings for air pollutants. National evaluation for the revision of the Gothenburg Protocol; Kosten en baten van strengere emissieplafonds voor luchtverontreinigende stoffen. Nationale evaluatie voor de herziening van het Gothenburg Protocol

    Energy Technology Data Exchange (ETDEWEB)

    Smeets, W.

    2012-06-15

    The Netherlands experiences high benefits of strict European emission targets for air pollutants. The Dutch live longer and are healthier because of extra emission reductions. In addition, damage to nature decreases. This emerges from a cost-benefit analysis of a number of possible variants for tightening emission targets by 2020 in the context of the revision of the Gothenburg Protocol [Dutch] Nederland ondervindt hoge baten van strenge Europese emissiedoelen voor luchtverontreinigende stoffen. Nederlanders leven langer en gezonder door extra emissiereducties. Daarnaast neemt de schade aan de natuur af. Dit blijkt uit een kosten-batenanalyse van een aantal mogelijke varianten voor aanscherping van emissiedoelen per 2020 in het kader van de herziening van het Gothenburg protocol.

  17. Cost-Benefit Analysis of the LHC to 2025 and beyond: Was it Worth it ?

    CERN Multimedia

    CERN. Geneva

    2015-01-01

    Social cost-benefit analysis (CBA) of projects has been successfully applied in different fields such as transport, energy, health, education, and environment, climate change policy, but often considered impossible for research infrastructures because of the impredictable benefits of scientific discovery. We have designed a CBA model for large scale research infrastructures and applied it to the LHC. After estimating investment and operation costs spread over 30 years (to 2025), combining data from the CERN and the experiments, we evaluate the benefits of knowledge output (publications), human capital development, technological spillovers, and cultural effects. Additionally, willingness-to-pay for the pure value of discovery at the LHC by the general public is estimated through a survey of around 1,ooo respondendents in four countries. Setting to zero any until now unpredictable economic value of discovery of the Higgs boson (or of any new physics), we compute a probability distribution for the net present va...

  18. 48 CFR 3046.792 - Cost benefit analysis (USCG).

    Science.gov (United States)

    2010-10-01

    ..., HOMELAND SECURITY ACQUISITION REGULATION (HSAR) CONTRACT MANAGEMENT QUALITY ASSURANCE Warranties 3046.792 Cost benefit analysis (USCG). If a specific warranty is considered not to be cost beneficial by the...

  19. COST BENEFIT ANALYSIS AND ITS ROLE IN INVESTMENT PROJECTS IN AGRICULTURE

    Directory of Open Access Journals (Sweden)

    Sorina Simona BUMBESCU

    2014-12-01

    Full Text Available The investment projects have of particular importance for the development and progress of an organization. The development of investment projects involves making a decision and the existence of financial resources. The agriculture has specific features and contributes significantly to the gross domestic product, which is why channeling the investments to agriculture must be a priority. In this context, the cost-benefit analysis is a useful tool for evaluation and analysis of the investment projects, contributing significantly to the decision making regarding the choice of the optimal project. The objective of this article is to highlight the importance of cost-benefit analysis for the projects investment financed by the European Union through the Rural National Development Program 2007-2013, under axis IV LEADER. The article is structured in two parts which contains theoretical aspects and a case study. Thus it is made an overview of the investment, funding sources of the investment projects, the investment decision, the relevance of cost-benefit analysis for the investment projects. The case study aims to analyze the relationship between the results of the investment projects which include cost-benefit analysis and those that do not inlcude cost-benefit analysis.

  20. METHODOLOGICAL APPROACHES IN REALIZING AND APPLYING COST-BENEFIT ANALYSIS FOR THE INVESTMENT PROJECTS

    Directory of Open Access Journals (Sweden)

    Pelin Andrei

    2009-05-01

    Full Text Available Cost-benefit analysis represents the most frequent technique used for a rational allocation of resources. This modality of evaluating the expenditure programs is an attempt to measure the costs and gains of a community as a result of running the evaluated

  1. Nurse manager succession planning: A cost-benefit analysis.

    Science.gov (United States)

    Phillips, Tracy; Evans, Jennifer L; Tooley, Stephanie; Shirey, Maria R

    2017-12-12

    This commentary presents a cost-benefit analysis to advocate for the use of succession planning to mitigate the problems ensuing from nurse manager turnover. An estimated 75% of nurse managers will leave the workforce by 2020. Many benefits are associated with proactively identifying and developing internal candidates. Fewer than 7% of health care organisations have implemented formal leadership succession planning programmes. A cost-benefit analysis of a formal succession-planning programme from one hospital illustrates the benefits of the programme in their organisation and can be replicated easily. Assumptions of nursing manager succession planning cost-benefit analysis are identified and discussed. The succession planning exemplar demonstrates the integration of cost-benefit analysis principles. Comparing the costs of a formal nurse manager succession planning strategy with the status quo results in a positive cost-benefit ratio. The implementation of a formal nurse manager succession planning programme effectively reduces replacement costs and time to transition into the new role. This programme provides an internal pipeline of future leaders who will be more successful than external candidates. Using an actual cost-benefit analysis equips nurse managers with valuable evidence depicting succession planning as a viable business strategy. © 2017 John Wiley & Sons Ltd.

  2. Achieving Cost Benefits in Sustainable Cooperative Housing

    Directory of Open Access Journals (Sweden)

    José Coimbra

    2013-01-01

    Full Text Available The cooperative housing sector is directed at low and medium income residents who cannot afford to buy their homes in the regular private market. Due to social housing legislation, it is possible to build cooperative housing below regular market costs and use tax benefits, therefore providing affordable dwellings to their owners. Traditional cooperative housing used to provide less comfort and higher running costs in indoor and domestic hot water heating than in standard construction. However, cooperative housing has started to change its method of traditional construction towards sustainable construction, in order to benefit from the savings on energy consumption and domestic water as well as to provide an improvement as far as the comfort of its residents is concerned. Therefore, in this article, the savings in electricity and natural gas in different building settlements, calculated for Madalena building—sustainable construction—and for Azenha de Cima building—traditional construction—will be presented, according to two different criteria of calculation: efficiency of dwellings at a pre-determined standard level of indoor comfort opposed to real consumptions made by residents. For each building under analysis, an energy audit and further monitoring were brought in, in order to issue an energy evaluation according to the Portuguese energy agency rules. Results showed an expected decrease of the operational costs of natural gas and electricity, obtained by the use of efficient building systems and equipment, as well as a decrease of the payback period for each situation.

  3. Beyond cost-benefit: developing a complete toolkit for adaptation decisions

    Energy Technology Data Exchange (ETDEWEB)

    Berger, Rachel; Chambwera, Muyeye

    2010-06-15

    Cost-benefit analysis has important uses – and crucial blind spots. It represents only one of several economic tools that can be used to assess options for adapting to climate change in developing countries. The Nairobi Work Programme would best serve governments by considering not just cost-benefit approaches, but the entire range of tools. By developing a 'toolkit' that helps users choose from a variety of evaluation methods, we can support adaptation decisions that promote equity, put local people in control and allow for dynamic responses to climate change as it unfolds.

  4. An assessment of interventions for improving communication and trust in cost benefit analysis processes

    NARCIS (Netherlands)

    Beukers, E.; Bertolini, L.; te Brömmelstroet, M.

    2014-01-01

    Evaluation literature suggests that assessments of integrated transport plans should be an inclusive dialogue, for which it is crucial that participants communicate with and trust each other. However, cost benefit analysis (CBA) of integrated transport plans is often characterized by communication

  5. Costs, benefits and effectiveness of worksite physical activity counseling from the employer's perspective

    NARCIS (Netherlands)

    Proper, K.I.; Bruyne, M.C. de; Hildebrandt, V.H.; Beek, A.J. van der; Meerding, W.J.; Mechelen, W. van

    2004-01-01

    Objectives. This study evaluated the impact of worksite physical activity counseling using cost-benefit and cost-effectiveness analyses. Methods. Civil servants (N=299) were randomly assigned to an intervention (N=131) or control (N=168) group for 9 months. The intervention costs were compared with

  6. Cost-benefit analysis of hybrid wind-solar power generation by ...

    African Journals Online (AJOL)

    HOMER power optimization software for evaluation of design and performance of both off-grid and gridconnected power systems has been applied for cost-benefit analysis of a wind-solar hybrid power generation system. Comparison was also made with the cost per kilowatt of grid power supply. The hybrid system had a ...

  7. Terrorism risks and cost-benefit analysis of aviation security.

    Science.gov (United States)

    Stewart, Mark G; Mueller, John

    2013-05-01

    We evaluate, for the U.S. case, the costs and benefits of three security measures designed to reduce the likelihood of a direct replication of the 9/11 terrorist attacks. To do so, we assess risk reduction, losses, and security costs in the context of the full set of security layers. The three measures evaluated are installed physical secondary barriers (IPSB) to restrict access to the hardened cockpit door during door transitions, the Federal Air Marshal Service (FAMS), and the Federal Flight Deck Officer (FFDO) Program. In the process, we examine an alternate policy measure: doubling the budget of the FFDO program to $44 million per year, installing IPSBs in all U.S. aircraft at a cost of $13.5 million per year, and reducing funding for FAMS by 75% to $300 million per year. A break-even cost-benefit analysis then finds the minimum probability of an otherwise successful attack required for the benefit of each security measures to equal its cost. We find that the IPSB is costeffective if the annual attack probability of an otherwise successful attack exceeds 0.5% or one attack every 200 years. The FFDO program is costeffective if the annual attack probability exceeds 2%. On the other hand, more than two otherwise successful attacks per year are required for FAMS to be costeffective. A policy that includes IPSBs, an increased budget for FFDOs, and a reduced budget for FAMS may be a viable policy alternative, potentially saving hundreds of millions of dollars per year with consequences for security that are, at most, negligible. © 2012 Society for Risk Analysis.

  8. Consortium Purchases: Case Study for a Cost-Benefit Analysis.

    Science.gov (United States)

    Scigliano, Marisa

    2002-01-01

    Discusses library cooperation and academic library consortia and presents a case study of a Canadian consortia that conducted a cost-benefit analysis for purchasing an electronic resource. Reports on member library subscription costs, external economic factors, value of patron time saved, costs and benefits for patrons, and net savings. (LRW)

  9. Justifying Database Normalization: A Cost/Benefit Model.

    Science.gov (United States)

    Lee, Heeseok

    1995-01-01

    Proposes a cost/benefit model coupled with a decision tree for determining normal forms, which are used in information systems development processes to group data into well-refined structures. The three primary variables that impact the benefits and costs of normalization (reduced anomalies, storage requirements, and transaction response times)…

  10. Comparative utilization and cost benefit of feeding three novel ...

    African Journals Online (AJOL)

    Bulletin of Animal Health and Production in Africa ... Results showed birds on P3 had higher crude protein, ether extract and Nitrogen free extract digestibilities than birds fed P1 and P2 at the starter phase. ... Keywords: Nutrient digestibility, cost benefits, novel ingredients, discarded vegetable, bovine blood, rumen content ...

  11. Growth Performance, Haematological Indices and Cost Benefits of ...

    African Journals Online (AJOL)

    Growth Performance, Haematological Indices and Cost Benefits of Growing Pigs Fed Cassava Peel Meal Diets Supplemented With Allzyme® SSF. ... Data were collected on daily feed intake (DFI), daily weight gain (DWG) and feed conversion ratio (FCR); feed cost/weight gain and feed cost/day were calculated.

  12. Predicting travel time variability for cost-benefit analysis

    NARCIS (Netherlands)

    Peer, S.; Koopmans, C.; Verhoef, E.T.

    2010-01-01

    Unreliable travel times cause substantial costs to travelers. Nevertheless, they are not taken into account in many cost-benefit-analyses (CBA), or only in very rough ways. This paper aims at providing simple rules on how variability can be predicted, based on travel time data from Dutch highways.

  13. [Effects, safety and cost-benefit analysis of Down syndrome screening in first trimester].

    Science.gov (United States)

    Shengmou, Lin; Min, Chen; Chenhong, Wang; Shengli, Li; Jiansheng, Xie; Hui, Yuan; Dinghao, Lin; Xiaoxia, Wu; Wei, Wang; Hongyun, Zhang; Haiyan, Tang

    2014-05-01

    To investigate the effects, safety and cost-benefit analysis of Down syndrome screening in first trimester. From January 2009 to December 2012, 43 729 pregnant women undergoing 3 methods of Down syndrome traditional screening strategies in Shenzhen Maternity and Child Healthcare Hospital were studied retrospectively, including in 17 502 cases in pregnancy associated plasma protein A (PAPP-A) and free β-hCG measured biochemistry screening, 14 080 cases in nuchal translucency (NT) screening and 12 147 cases in combined screening, meanwhile, 7 389 cases on non-invasive fetal trisomy test (NIFTY) were performed in Huada Gene Research Institute(BGI). The effects and safety of four screening strategies were assessed throughout a decision tree. The economical characters of each screening strategy were compared by cost-effectiveness analysis as well as cost-benefit analysis. (1) The effects of four strategies are: NIFTY > combined screening > NT screening > biochemistry screening. (2) The safety of four strategies are: NIFTY > combined screening > NT screening > biochemistry screening. (3) Cost-effectiveness analysis and cost-benefit analysis:the biochemistry screening has lowest cost-effectiveness ratio (CER) and highest cost-benefit ratio (CBR), which performed a better economical efficiency. The incremental CER of three traditional screening strategies are all less than the economical burden of Down syndrome.NIFTY has highest CER and negative net present value (NPV), NPV would be positive and CBR would be more than 1 if the price of NIFTY reduce to 1 434 Yuan. Combined screening possess best screening efficiency, while biochemistry screening was demonstrated more economical in traditional screening.NIFTY is the future of Down syndrome screening.

  14. Cost benefit risk - a concept for management of integrated urban wastewater systems?

    DEFF Research Database (Denmark)

    Hauger, Mikkel B.; Rauch, W.; Linde, Jens Jørgen

    2002-01-01

    in the evaluation and design of urban wastewater systems. In this paper we present and discuss a probabilistic approach for evaluation of the performance of urban wastewater systems. Risk analysis together with the traditional cost-benefit analysis is a special variant of multi-criteria analysis that seeks to find......Urban wastewater systems should be evaluated and analysed from an integrated point of view, taking all parts of the system, that is sewer system, wastewater treatment plant and receiving waters into consideration. Risk and parameter uncertainties are aspects that hardly ever have been addressed...... the most feasible improvement alternative for an urban wastewater system. The most feasible alternative in this context is the alternative that has the best performance, meaning that the alternative has the lowest sum of costs, benefits and risks. The sum is expressed as the Net Present Cost (NPC). To use...

  15. Cost-benefit analysis of the african risk capacity facility:

    OpenAIRE

    Clarke, Daniel J; Hill, Ruth Vargas

    2013-01-01

    The African Risk Capacity (ARC), has been proposed as a pan-Africa drought risk pool to insure against drought risk in Africa south of the Sahara. If fully operationalized, the ARC will mark a major change in how donors fund emergency support to countries in Africa during times of need. In this paper, we undertake a cost-benefit analysis of the ARC pool and discuss how lessons can inform the design of the ARC.

  16. Planning influenza vaccination programs: a cost benefit model

    OpenAIRE

    Duncan Ian G; Taitel Michael S; Zhang Junjie; Kirkham Heather S

    2012-01-01

    Abstract Background Although annual influenza vaccination could decrease the significant economic and humanistic burden of influenza in the United States, immunization rates are below recommended levels, and concerns remain whether immunization programs can be cost beneficial. The research objective was to compare cost benefit of various immunization strategies from employer, employee, and societal perspectives. Methods An actuarial model was developed based on the published literature to est...

  17. A Core Circuit Module for Cost/Benefit Decision

    Directory of Open Access Journals (Sweden)

    Keiko eHirayama

    2012-08-01

    Full Text Available A simple circuit for cost-benefit decision derived from behavioral and neural studies of the predatory sea-slug Pleurobranchaea may closely resemble that upon which the more complex valuation and decision processes of the social vertebrates are built. The neuronal natures of the pathways in the connectionist model comprise classic central pattern generators, bipolar switch mechanisms, and neuromodulatory state regulation. Marked potential exists for exploring more complex neuroeconomic behavior by appending appropriate circuitry in simulo.

  18. Cost-benefit evaluation of a preventive intervention on the biological risk in health: the accidental puncture during the administration of insulin in the University Hospital "Federico II" of Naples.

    Science.gov (United States)

    Montella, E; Schiavone, D; Apicella, L; Di Silverio, P; Gaudiosi, M; Ambrosone, E; Moscaritolo, E; Triassi, M

    2014-01-01

    The occupational exposure to biological risk is a frequent event that affects millions of workers in the health sector. Operators are exposed to accidental contact with blood and other potentially infectious biological materials with a frequency higher than that observed in the population (occupational exposure). The pathogens most frequently implicated are the human immunodeficiency virus (HIV), hepatitis C (HCV) and hepatitis B (HBV) viruses. The World Health Organization estimates that each year more than 3 million health workers hurt themselves with an object/edge definitely contaminated with at least one HIV (about 170,000 exposures), hepatitis B (approximately 2,000,000 exposures) and hepatitis C (approximately 900,000 exposures). In Italy approximately 100,000 percutaneous exposures/year are estimated to take place. The needlestick injuries in health care workers are, in large part, preventable by adopting measures such as the use of instrumental needlesticks Prevention Devices - NPDs. The adoption of the NPDs is extremely effective in reducing occupational exposure to biological risk (from 63 % to 100 % reduction). The aim of this study was to evaluate whether the adoption of NPDs for insulin therapy is costeffective in terms of prevention of accidents by Biohazard, compared to administration of insulin with traditional methods (syringe + vial). The estimation is carried out both in the light of current legislation (European Directive 2010/32 and 81/08 Italian Law) and epidemiological data and cost of accidents (according to frequency) and alternative interventions. The evaluation of cost-effectiveness included the construction of an economic model that would allow the weighting of the costs of accidents that can occur following the administration of insulin therapy with traditional methods. The economic model was developed taking into account the international literature on the phenomenon of "accidental puncture" and allowed the financial quantification of

  19. Infrastructures and Life-Cycle Cost-Benefit Analysis

    DEFF Research Database (Denmark)

    Thoft-Christensen, Palle

    2012-01-01

    Design and maintenance of infrastructures using Life-Cycle Cost-Benefit analysis is discussed in this paper with special emphasis on users costs. This is for several infrastructures such as bridges, highways etc. of great importance. Repair or/and failure of infrastructures will usually result...... in user costs greater than the repair or replacement costs of the infrastructure. For the society (and the users) it is therefore of great importance that maintenance or replacement of an infrastructure is performed in such a way that all costs are minimized - not only the owners cost....

  20. Cost benefit analysis of waste compaction alternatives at Lawrence Livermore National Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    1990-11-01

    This report presents a cost benefit analysis of the potential procurement and operation of various solid waste compactors, or, of the use of commercial compaction services, for compaction of solid transuranic (TRU), low-level radioactive, hazardous, and mixed wastes at Lawrence Livermore National Laboratory (LLNL) Hazardous Waste Management (HWM) facilities. The cost benefit analysis was conducted to determine if increased compaction capacity at HWM might afford the potential for significant waste volume reduction and annual savings in material, shipping, labor, and disposal costs. In the following cost benefit analysis, capital costs and recurring costs of increased HWM compaction capabilities are considered. Recurring costs such as operating and maintenance costs are estimated based upon detailed knowledge of system parameters. When analyzing the economic benefits of enhancing compaction capabilities, continued use of the existing HWM compaction units is included for comparative purposes. In addition, the benefits of using commercial compaction services instead of procuring a new compactor system are evaluated. 31 refs., 1 fig., 6 tabs.

  1. Cost benefit theory and optimal design of gene regulation functions

    Science.gov (United States)

    Kalisky, Tomer; Dekel, Erez; Alon, Uri

    2007-12-01

    Cells respond to the environment by regulating the expression of genes according to environmental signals. The relation between the input signal level and the expression of the gene is called the gene regulation function. It is of interest to understand the shape of a gene regulation function in terms of the environment in which it has evolved and the basic constraints of biological systems. Here we address this by presenting a cost-benefit theory for gene regulation functions that takes into account temporally varying inputs in the environment and stochastic noise in the biological components. We apply this theory to the well-studied lac operon of E. coli. The present theory explains the shape of this regulation function in terms of temporal variation of the input signals, and of minimizing the deleterious effect of cell-cell variability in regulatory protein levels. We also apply the theory to understand the evolutionary tradeoffs in setting the number of regulatory proteins and for selection of feed-forward loops in genetic circuits. The present cost-benefit theory can be used to understand the shape of other gene regulatory functions in terms of environment and noise constraints.

  2. Application and importance of cost-benefit analysis in energy efficiency projects implemented in public buildings: The case of Serbia

    Directory of Open Access Journals (Sweden)

    Đurovic Dejan M.

    2012-01-01

    Full Text Available The main objective of this paper is to present the advantages of using Cost-Benefit analysis in energy efficiency projects implemented in public buildings, and to prove the hypothesis that Cost-Benefit analysis boosts the effectiveness and efficiency of the said type of projects. The paper offers theoretical and practical explanation of the implementation of Cost-Benefit analysis in the relevant area. Since energy efficiency projects in public buildings usually represent a part of a broader portfolio of similar projects and their implementation demands allocation of substantial financial resources, communities are often be interested in achieving maximal economic and non-economic benefits. This paper aims to demonstrate that Cost-Benefit analysis can represent an excellent contribution when attempting to select the projects for implementation within a broader portfolio of energy efficiency projects in public buildings. This hypothesis was demonstrated by putting a greater emphasis on non-economic benefits and the costs arising from implementation of the aforementioned types of projects. In addition, a practical test of this hypothesis was performed through the implementation of an energy efficiency portfolio in public buildings, worth several tens of millions of dollars - the Serbian Energy Efficiency Project. The paper concludes that the use of Cost-Benefit analysis can help us to effectively evaluate and manage projects of this type aimed at achieving maximum benefits for the community in question.

  3. Is it Worth the Effort? Novel Insights into Obesity-Associated Alterations in Cost-Benefit Decision-Making.

    Science.gov (United States)

    Mathar, David; Horstmann, Annette; Pleger, Burkhard; Villringer, Arno; Neumann, Jane

    2015-01-01

    Cost-benefit decision-making entails the process of evaluating potential actions according to the trade-off between the expected reward (benefit) and the anticipated effort (costs). Recent research revealed that dopaminergic transmission within the fronto-striatal circuitry strongly modulates cost-benefit decision-making. Alterations within the dopaminergic fronto-striatal system have been associated with obesity, but little is known about cost-benefit decision-making differences in obese compared with lean individuals. With a newly developed experimental task we investigate obesity-associated alterations in cost-benefit decision-making, utilizing physical effort by handgrip-force exertion and both food and non-food rewards. We relate our behavioral findings to alterations in local gray matter volume assessed by structural MRI. Obese compared with lean subjects were less willing to engage in physical effort in particular for high-caloric sweet snack food. Further, self-reported body dissatisfaction negatively correlated with the willingness to invest effort for sweet snacks in obese men. On a structural level, obesity was associated with reductions in gray matter volume in bilateral prefrontal cortex. Nucleus accumbens volume positively correlated with task induced implicit food craving. Our results challenge the common notion that obese individuals are willing to work harder to obtain high-caloric food and emphasize the need for further exploration of the underlying neural mechanisms regarding cost-benefit decision-making differences in obesity.

  4. Accessibility is gold, mobility is not: a proposal for the improvement of Dutch transport-related cost-benefit analysis

    NARCIS (Netherlands)

    Ferreira, A.; Beukers, E.; te Brömmelstroet, M.C.G.

    2012-01-01

    Cost-benefit analysis (CBA) has become a key instrument for the evaluation of transport planning policies and projects in the Netherlands. Currently, this instrument is also used to evaluate integrated land-use and transport strategies. In Dutch transport-related CBA the conceptualisation of

  5. A Conceptual Cost Benefit Analysis of Tailings Matrices Use in Construction Applications

    Directory of Open Access Journals (Sweden)

    Mahmood Ali A.

    2016-01-01

    Full Text Available As part of a comprehensive research program, new tailings matrices are formulated of combinations of tailings and binder materials. The research program encompasses experimental and numerical analysis of the tailings matrices to investigate the feasibility of using them as construction materials in cold climates. This paper discusses a conceptual cost benefit analysis for the use of these new materials. It is shown here that the financial benefits of using the proposed new tailings matrices in terms of environmental sustainability are much higher when compared to normal sand matrices.

  6. COST BENEFIT ANALYSIS OF A DG INTEGRATED SYSTEM: CASE STUDY

    Directory of Open Access Journals (Sweden)

    Ch. V. S. S. SAILAJA

    2017-09-01

    Full Text Available Distributed Generation is capable of meeting the load of the consumers partially or completely. Depending on the type of DG involved it can be operated in interconnected mode and islanded mode. The availability of numerous alternatives present for the DG technologies and large initial investments necessitates a detailed cost benefit analysis for the implementation of DG technologies. In this work an attempt has been made to study the costs involved in implementing the DG technologies. A practical system having two kinds of distributed generation i.e., Diesel Generator and solar photovoltaic system for its back up purpose is considered. A detailed cost analysis of the two DG technologies is carried out.

  7. Cost-benefit analysis of a regional poison center.

    Science.gov (United States)

    Blizzard, Joseph Charles; Michels, Jill E; Richardson, William H; Reeder, Clairborne E; Schulz, Richard M; Holstege, Christopher P

    2008-06-01

    Funding poison center (PC) operations has become a major challenge nationwide. Increasingly, state and federal budget cuts have resulted in diminished funding to PCs. In an effort to demonstrate the value of current PC phone services, a cost-benefit analysis of a regional center was completed. A telephone survey was used to collect data from PC callers during an 8-week period in 2004. Callers with human exposure poisonings determined by the PC to be of minimal or no risk were asked to complete the phone survey. Callers were asked their alternative plan if the PC staff had not been available to assist them. Benefits were measured as healthcare charges potentially avoided. A total of 652 caller surveys were completed. The benefit-to-cost ratio was 7.67 (95% C.I. 6.83, 8.50). In addition to non-monetary benefits, the operation of a regional poison center provides significant positive return on investment.

  8. Planning influenza vaccination programs: a cost benefit model

    Directory of Open Access Journals (Sweden)

    Duncan Ian G

    2012-07-01

    Full Text Available Abstract Background Although annual influenza vaccination could decrease the significant economic and humanistic burden of influenza in the United States, immunization rates are below recommended levels, and concerns remain whether immunization programs can be cost beneficial. The research objective was to compare cost benefit of various immunization strategies from employer, employee, and societal perspectives. Methods An actuarial model was developed based on the published literature to estimate the costs and benefits of influenza immunization programs. Useful features of the model included customization by population age and risk-level, potential pandemic risk, and projection year. Various immunization strategies were modelled for an average U.S. population of 15,000 persons vaccinated in pharmacies or doctor’s office during the 2011/12 season. The primary outcome measure reported net cost savings per vaccinated (PV from the perspective of various stakeholders. Results Given a typical U.S. population, an influenza immunization program will be cost beneficial for employers when more than 37% of individuals receive vaccine in non-traditional settings such as pharmacies. The baseline scenario, where 50% of persons would be vaccinated in non-traditional settings, estimated net savings of $6 PV. Programs that limited to pharmacy setting ($31 PV or targeted persons with high-risk comorbidities ($83 PV or seniors ($107 PV were found to increase cost benefit. Sensitivity analysis confirmed the scenario-based findings. Conclusions Both universal and targeted vaccination programs can be cost beneficial. Proper planning with cost models can help employers and policy makers develop strategies to improve the impact of immunization programs.

  9. A cost-benefit analysis of landfill mining and material recycling in China.

    Science.gov (United States)

    Zhou, Chuanbin; Gong, Zhe; Hu, Junsong; Cao, Aixin; Liang, Hanwen

    2015-01-01

    Landfill mining is an environmentally-friendly technology that combines the concepts of material recycling and sustainable waste management, and it has received a great deal of worldwide attention because of its significant environmental and economic potential in material recycling, energy recovery, land reclamation and pollution prevention. This work applied a cost-benefit analysis model for assessing the economic feasibility, which is important for promoting landfill mining. The model includes eight indicators of costs and nine indicators of benefits. Four landfill mining scenarios were designed and analyzed based on field data. The economic feasibility of landfill mining was then evaluated by the indicator of net present value (NPV). According to our case study of a typical old landfill mining project in China (Yingchun landfill), rental of excavation and hauling equipment, waste processing and material transportation were the top three costs of landfill mining, accounting for 88.2% of the total cost, and the average cost per unit of stored waste was 12.7USDton(-1). The top three benefits of landfill mining were electricity generation by incineration, land reclamation and recycling soil-like materials. The NPV analysis of the four different scenarios indicated that the Yingchun landfill mining project could obtain a net positive benefit varying from 1.92 million USD to 16.63 million USD. However, the NPV was sensitive to the mode of land reuse, the availability of energy recovery facilities and the possibility of obtaining financial support by avoiding post-closure care. Copyright © 2014 Elsevier Ltd. All rights reserved.

  10. Cost benefit analysis of a transport improvement in the case of search unemployment

    DEFF Research Database (Denmark)

    Pilegaard, Ninette; Fosgerau, Mogens

    2008-01-01

    We examine the implications of search unemployment for the evaluation of a transport investment in a conventional cost benefit analysis (CBA) assuming perfect competition. Lower transport costs induce search over a larger area and longer commuting distances. The expected duration of vacancies...... is reduced with ensuing benefits outweighing the loss to increased transport. The search imperfection drives a wedge between the marginal product of labour and the wage, such that the final benefits of a transport improvement exceed those of a conventional CBA. Using a simulation model we find...

  11. A Prospective Analysis of the Costs, Benefits, and Impacts of U.S. Renewable Portfolio Standards

    Energy Technology Data Exchange (ETDEWEB)

    Mai, Trieu [National Renewable Energy Lab. (NREL), Golden, CO (United States); Wiser, Ryan [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Barbose, Galen [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Bird, Lori [National Renewable Energy Lab. (NREL), Golden, CO (United States); Heeter, Jenny [National Renewable Energy Lab. (NREL), Golden, CO (United States); Keyser, David [National Renewable Energy Lab. (NREL), Golden, CO (United States); Krishnan, Venkat [National Renewable Energy Lab. (NREL), Golden, CO (United States); Macknick, Jordan [National Renewable Energy Lab. (NREL), Golden, CO (United States); Millstein, Dev [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)

    2016-12-31

    As states have gained experience with renewable portfolio standards (RPS) policies, many have made significant revisions to existing programs. In 2015 and 2016, seven states raised and extended their final RPS targets, while another state enacted a new RPS policy (Barbose 2016b). Interest in expanding and strengthening state RPS programs may continue, while efforts like recent proposals in many states to repeal or freeze existing RPS policies may also persist. In either context, questions about the potential costs, benefits, and other impacts of RPS programs are usually central to the decision-making process. This report follows on previous analyses that have focused on the historical costs, benefits, and other impacts of existing state RPS programs (Heeter et al. 2014; Wiser et al. 2016a). This report examines RPS outcomes prospectively, considering both current RPS policies as well as a potential expansion of those policies. The goal of this work is to provide a consistent and independent analytical methodology for that examination. This analysis relies on National Renewable Energy Laboratory’s (NREL’s) Regional Energy Deployment System (ReEDS) model to estimate changes to the U.S. electric power sector across a number of scenarios and sensitivity cases, focusing on the 2015–2050 timeframe. Based on those modeled results, we evaluate the costs, benefits, and other impacts of renewable energy contributing to RPS compliance using the suite of methods employed in a number of recent studies sponsored by the U.S. Department of Energy (DOE): a report examining retrospective benefits and impacts of RPS programs (Wiser et al. 2016a), the Wind Vision report (DOE 2015), the On the Path to SunShot report focusing on environmental benefits (Wiser et al. 2016b), and the Hydropower Vision report (DOE 2016).

  12. Future Costs, Benefits, and Impacts of Renewables Used to Meet U.S. Renewable Portfolio Standards

    Energy Technology Data Exchange (ETDEWEB)

    2016-12-01

    This brochure provides a brief overview of the report titled 'A Prospective Analysis of the Costs, Benefits, and Impacts of U.S. Renewable Portfolio Standards.' The report evaluates the future costs, benefits, and other impacts of renewable energy used to meet current state renewable portfolio standards (RPSs). It also examines a future scenario where RPSs are expanded. The analysis examines changes in electric system costs and retail electricity prices, which include all fixed and operating costs, including capital costs for all renewable, non-renewable, and supporting (e.g., transmission and storage) electric sector infrastructure; fossil fuel, uranium, and biomass fuel costs; and plant operations and maintenance expenditures. The analysis evaluates three specific benefits: air pollution, greenhouse gas emissions, and water use. It also analyzes two other impacts, renewable energy workforce and economic development, and natural gas price suppression. The analysis finds that the benefits or renewable energy used to meet RPS polices exceed the costs, even when considering the highest cost and lowest benefit outcomes.

  13. The role of risk and cost benefit in program budgeting

    Energy Technology Data Exchange (ETDEWEB)

    Henry, C.J.; Alchowiak, J. [Dept. of Energy, Washington, DC (United States)

    1995-12-31

    The primary Environmental Management (EM) program mission is protecting human health and the environment. EM is currently facing a decreasing budget while still having to deal with competing requirements and risks to workers, public, and environment. There has been no consistent framework for considering in an integrated fashion the multiple types of risks and hazards present in the nuclear weapons complex. Therefore, to allocate resources during the budget process, EM is using risk, long term costs, mortgage reduction, compliance issues, and stakeholders concerns to prioritize the funding of activities. Risk and cost-benefit analysis are valuable tools to help make decisions to reduce risks to health, safety, and the environment in a sensible and cost-effective manner. Principles for priority setting using risk analysis are to seek to compare risks by grouping them into broad categories of concern (e.g., high, medium, and low); to set priorities in managing risks to account for relevant management and social considerations; to inform priorities by as broad a range of views as possible, ideally with consensus; and, to try to coordinate risk reduction efforts among programs. The Draft Risk Report to Congress, Risks and the Risk Debate: Searching for Common Ground {open_quote}The First Step,{close_quote} provides the first link between budget, compliance requirements, and risk reduction/pollution prevention activities. The process used for the report provides an initial framework to capture the spectrum of risks associated with environmental management activities and to link these risks in a qualitative fashion to compliance and the budget.

  14. How can a cost/benefit ratio be optimized for an output measurement program of external photon radiotherapy beams?

    Science.gov (United States)

    Kapanen, Mika; Bly, Ritva; Sipilä, Petri; Järvinen, Hannu; Tenhunen, Mikko

    2011-04-07

    We estimated cost/benefit ratios for different quality control programs of radiation output measurements of medical linear accelerators. The cost/benefit ratios of quality control (QC) programs (a combination of output measurement time interval and measurement action levels) were defined as workload divided by achievable dose accuracy. Dose accuracy was assumed to be inversely proportional to the 99% confidence limit of shifts of total treatment doses and workload as inversely proportional to the output measurement time interval. Our previously reported method was used to estimate the distribution of shifts of total treatment doses due to changes in accelerator radiation output (Gy/MU). The confidence limits of dose shifts were estimated for different QC programs and for different levels of output measurement reproducibility. Output shifts used in the estimations had previously been observed for four linear accelerators over 5 years. We observed that the cost/benefit ratio increases remarkably when the output measurement time interval is less than 1 month. The ratio depends strongly on the action levels and reproducibility of the QC measurements. Improvement of these factors optimizes the cost/benefit ratio by a factor of several times. The most cost-effective output measurement time interval to achieve 99% confidence limits of ±2, ±2.5 or ±3% for dose shifts ranged from 0.25 month to as much as 6 months depending on the factors given above and the intended accuracy level. It is several times more cost effective to increase dose accuracy by lowering the action levels of the QC measurements and by attempting to improve their reproducibility than by simply shortening the time interval of the output measurements. Methods improving utilization and interpretation of the results of the QC measurements play a key role in further optimization of cost/benefit ratios in dosimetric QC.

  15. Communicating Value in Simulation: Cost-Benefit Analysis and Return on Investment.

    Science.gov (United States)

    Asche, Carl V; Kim, Minchul; Brown, Alisha; Golden, Antoinette; Laack, Torrey A; Rosario, Javier; Strother, Christopher; Totten, Vicken Y; Okuda, Yasuharu

    2017-10-01

    Value-based health care requires a balancing of medical outcomes with economic value. Administrators need to understand both the clinical and the economic effects of potentially expensive simulation programs to rationalize the costs. Given the often-disparate priorities of clinical educators relative to health care administrators, justifying the value of simulation requires the use of economic analyses few physicians have been trained to conduct. Clinical educators need to be able to present thorough economic analyses demonstrating returns on investment and cost-effectiveness to effectively communicate with administrators. At the 2017 Academic Emergency Medicine Consensus Conference "Catalyzing System Change through Health Care Simulation: Systems, Competency, and Outcomes," our breakout session critically evaluated the cost-benefit and return on investment of simulation. In this paper we provide an overview of some of the economic tools that a clinician may use to present the value of simulation training to financial officers and other administrators in the economic terms they understand. We also define three themes as a call to action for research related to cost-benefit analysis in simulation as well as four specific research questions that will help guide educators and hospital leadership to make decisions on the value of simulation for their system or program. © 2017 by the Society for Academic Emergency Medicine.

  16. Communicating Value in Simulation: Cost Benefit Analysis and Return on Investment.

    Science.gov (United States)

    Asche, Carl V; Kim, Minchul; Brown, Alisha; Golden, Antoinette; Laack, Torrey A; Rosario, Javier; Strother, Christopher; Totten, Vicken Y; Okuda, Yasuharu

    2017-10-26

    Value-based health care requires a balancing of medical outcomes with economic value. Administrators need to understand both the clinical and economic effects of potentially expensive simulation programs to rationalize the costs. Given the often-disparate priorities of clinical educators relative to health care administrators, justifying the value of simulation requires the use of economic analyses few physicians have been trained to conduct. Clinical educators need to be able to present thorough economic analyses demonstrating returns on investment and cost effectiveness to effectively communicate with administrators. At the 2017 Academic Emergency Medicine Consensus Conference "Catalyzing System Change through Health Care Simulation: Systems, Competency, and Outcomes", our breakout session critically evaluated the cost benefit and return on investment of simulation. In this paper we provide an overview of some of the economic tools that a clinician may use to present the value of simulation training to financial officers and other administrators in the economic terms they understand. We also define three themes as a call to action for research related to cost benefit analysis in simulation as well as four specific research questions that will help guide educators and hospital leadership to make decisions on the value of simulation for their system or program. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

  17. Is it worth the effort? Novel insights into obesity-associated alterations in cost-benefit decision-making

    Directory of Open Access Journals (Sweden)

    David eMathar

    2016-01-01

    Full Text Available Cost-benefit decision-making entails the process of evaluating potential actions according to the trade-off between the expected benefit (reward and the anticipated costs (effort. Recent research revealed that dopaminergic transmission within the fronto-striatal circuitry strongly modulates cost-benefit decision-making. Alterations within the dopaminergic fronto-striatal system have been associated with obesity, but little is known about cost-benefit decision-making differences in obese compared with lean individuals. With a newly developed experimental task we investigate obesity-associated alterations in cost-benefit decision-making, utilizing physical effort by handgrip-force exertion and both food and non-food rewards. We relate our behavioral findings to alterations in local grey matter volume assessed by structural MRI. Obese compared with lean subjects were less willing to engage in physical effort in particular for high-caloric sweet snack food. The amount of effort exertion was thereby negatively associated with subjects’ individual levels of chronic stress and punishment sensitivity. Further, self-reported body dissatisfaction negatively correlated with the willingness to invest effort for sweet snacks in obese men. On a structural level, obesity was associated with reductions in grey matter volume in bilateral prefrontal cortex. Nucleus accumbens volume positively correlated with task-induced implicit food craving. Our results challenge the common notion that obese individuals are willing to work harder to obtain high-caloric food and emphasize the need for further exploration of the underlying neural mechanisms regarding cost-benefit decision-making differences in obesity.

  18. Cost-Benefit Analysis of the Large Hadron Collider to 2025 and beyond

    CERN Document Server

    Florio, Massimo; Sirtori, Emanuela

    2015-01-01

    Social cost-benefit analysis (CBA) of projects has been successfully applied in different fields such as transport, energy, health, education, and environment, including climate change. It is often argued that it is impossible to extend the CBA approach to the evaluation of the social impact of research infrastructures, because the final benefit to society of scientific discovery is generally unpredictable. Here, we propose a quantitative approach to this problem, we use it to design an empirically testable CBA model, and we apply it to the the Large Hadron Collider (LHC), the highest-energy accelerator in the world, currently operating at CERN. We show that the evaluation of benefits can be made quantitative by determining their value to users (scientists, early-stage researchers, firms, visitors) and non-users (the general public). Four classes of contributions to users are identified: knowledge output, human capital development, technological spillovers, and cultural effects. Benefits for non-users can be ...

  19. A Prospective Analysis of the Costs, Benefits, and Impacts of U.S. Renewable Portfolio Standards

    Energy Technology Data Exchange (ETDEWEB)

    Mai, Trieu [National Renewable Energy Lab. (NREL), Golden, CO (United States); Wiser, Ryan [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Barbose, Galen [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Bird, Lori [National Renewable Energy Lab. (NREL), Golden, CO (United States); Heeter, Jenny [National Renewable Energy Lab. (NREL), Golden, CO (United States); Keyser, David [National Renewable Energy Lab. (NREL), Golden, CO (United States); Krishnan, Venkat [National Renewable Energy Lab. (NREL), Golden, CO (United States); Macknick, Jordan [National Renewable Energy Lab. (NREL), Golden, CO (United States); Millstein, Dev [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)

    2016-12-01

    This report evaluates the future costs, benefits, and other impacts of renewable energy used to meet current state renewable portfolio standards (RPSs). It also examines a future scenario where RPSs are expanded. The analysis examines changes in electric system costs and retail electricity prices, which include all fixed and operating costs, including capital costs for all renewable, non-renewable, and supporting (e.g., transmission and storage) electric sector infrastructure; fossil fuel, uranium, and biomass fuel costs; and plant operations and maintenance expenditures. The analysis evaluates three specific benefits: air pollution, greenhouse gas emissions, and water use. It also analyzes two other impacts, renewable energy workforce and economic development, and natural gas price suppression. This analysis finds that the benefits or renewable energy used to meet RPS polices exceed the costs, even when considering the highest cost and lowest benefit outcomes.

  20. [Assessment of cost-benefit analysis in integration projects on drug addiction].

    Science.gov (United States)

    Ates, T; Langer, B; Erbas, B; Tretter, F; Wehner, B

    2005-02-01

    The purpose of this study is to make a cost-benefit-analysis for integration projects helping drug addicts and substitutes to reintegrate into society. The study is intended to contribute to a better allocation of resources under the trade-off-situation that only a limited number of integration projects can be realized due to budget limitations. This pilot study represents an economic evaluation of health activities on integration based on the example of study projects offered by Mudra e. V. As a result the study showed that the evaluated projects are economically advantageous during the investigated research period. Furthermore, the study contains a non-monetary analysis of intangible effects which shows significant improvements in quality of life. Although the results are substantial, further research is mandatory focussing on the economic benefits of integration projects.

  1. Cost benefit analysis of the night-time ventilative cooling in office building

    Energy Technology Data Exchange (ETDEWEB)

    Seppanen, Olli; Fisk, William J.; Faulkner, David

    2003-06-01

    The indoor temperature can be controlled with different levels of accuracy depending on the building and its HVAC system. The purpose of this study was to evaluate the potential productivity benefits of improved temperature control, and to apply the information for a cost-benefit analyses of night-time ventilative cooling, which is a very energy efficient method of reducing indoor daytime temperatures. We analyzed the literature relating work performance with temperature, and found a general decrement in work performance when temperatures exceeded those associated with thermal neutrality. These studies included physiological modelling, performance of various tasks in laboratory experiments and measured productivity at work in real buildings. The studies indicate an average 2% decrement in work performance per degree C temperature rise, when the temperature is above 25 C. When we use this relationship to evaluate night-time ventilative cooling, the resulting benefit to cost ratio varies from 32 to 120.

  2. Cost-Benefit of E-Learning under ODL of Developing Economies ...

    African Journals Online (AJOL)

    Does it cost less to apply e-learning in open and distance learning (ODL) of developing economies? This paper assessed the cost-benefit of e-learning compared to different approaches to ODL. Cost-benefit analysis is a formal way of adding up the advantages and disadvantages of doing one thing as opposed to doing ...

  3. A Prospective Analysis of the Costs, Benefits, and Impacts of U.S. Renewable Portfolio Standards

    Energy Technology Data Exchange (ETDEWEB)

    Mai, Trieu [National Renewable Energy Lab. (NREL), Golden, CO (United States); Wiser, Ryan [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Barbose, Galen [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Bird, Lori [National Renewable Energy Lab. (NREL), Golden, CO (United States); Heeter, Jenny [National Renewable Energy Lab. (NREL), Golden, CO (United States); Keyser, David [National Renewable Energy Lab. (NREL), Golden, CO (United States); Krishnan, Venkat [National Renewable Energy Lab. (NREL), Golden, CO (United States); Macknick, Jordan [National Renewable Energy Lab. (NREL), Golden, CO (United States); Millstein, Dev [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)

    2016-12-01

    This is the third in a series of reports exploring the costs, benefits, and other impacts of state renewable portfolio standards (RPS). This report evaluates the effects of renewable electricity used to meet aggregate RPS demand growth prospectively, over the period 2015-2050, under both current RPS policies as well as a potential expansion of those policies. Relying on a well-vetted suite of methods, the report quantifies: the costs to the electric system and retail electricity price impacts; the potential societal benefits associated with reduced greenhouse gas emissions, air pollution emissions, and water use; workforce requirements and economic development effects; and consumer savings associated with reduced natural gas prices. The study quantifies these effects in both physical and monetary terms, where possible, at both national and regional levels, and characterizes key uncertainties. The two prior studies in the series have focused, instead, on the historical costs and on the historical benefits and impacts of state RPS policies.

  4. Improved cost-benefit techniques in the US Nuclear Regulatory Commission

    Energy Technology Data Exchange (ETDEWEB)

    Cronin, F.J.; Nesse, R.J.; Vaeth, M.; Wusterbarth, A.R.; Currie, J.W.

    1983-06-01

    The major objective of this report is to help the US Nuclear Regulatory Commission (NRC) in its regulatory mission, particularly with respect to improving the use of cost-benefit analysis and the economic evaluation of resources within the NRC. The objectives of this effort are: (1) to identify current and future NRC requirements (e.g., licensing) for valuing nonmarket goods; (2) to identify, highlight, and present the relevant efforts of selected federal agencies, some with over two decades of experience in valuing nonmarket goods, in this area; and (3) to review methods for valuing nonmarket impacts and to provide estimats of their magnitudes. Recently proposed legislation may result in a requirement for not only more sophisticated valuation analyses, but more extensive applications of these techniques to issues of concern to the NRC. This paper is intended to provide the NRC with information to more efficiently meet such requirements.

  5. Reliability and cost-benefits of adding alternate power sources to an independent micro-grid community

    Science.gov (United States)

    Tanrioven, M.

    Interest in alternative energy resources such as wind, solar energy and fuel cell (FC) has been on the increase due to improved public awareness of the high energy cost and adverse environmental impacts of conventional energy sources. Therefore, the rapid growth and potential future demand for these energy sources suggest a need to consider both reliability and cost-benefits of the supply for each case. This paper presents a simulation methodology for reliability and cost assessment of these energy sources in an independent micro-grid (IMG) system, which is a distribution system with distributed energy sources such as micro-turbine, photovoltaic and fuel cells. A systematic technique and a computer program for reliability and cost assessment of the IMG system containing FC, photovoltaic (PV) and wind energy (WE) have been developed. The adequacy of the IMG is evaluated in three steps: (i) atmospheric data is generated for PV and WE in addition to the development of a 50 kW PEM FC generation and energy conversion model, (ii) the power delivered by these energy sources is calculated, and (iii) system adequacy and energy indices are calculated based on the system load balance equation, which is the combination of generated power and system load demand. The suggested technique can then be used to help system planners to provide objective indicators for suitable installation locations, operating policies, and energy type and size selection for IMG system containing alternative energy sources.

  6. Shaking up the Cost Benefit Analysis process: Issues and directions for improvement when assessing integrated spatial transport plans through a cost benefit analysis

    NARCIS (Netherlands)

    Beukers, E.

    2015-01-01

    This dissertation focusses on the Cost Benefit Analysis (CBA) processes when assessing integrated spatial transport plans, using the Netherlands as a case in point. It answers the following research question: What process issues occur when assessing integrated spatial transport plans through a CBA

  7. Substance precedes methodology: on cost-benefit analysis and equity

    NARCIS (Netherlands)

    Martens, C.J.C.M.

    2011-01-01

    While distributive aspects have been a topic of discussion in relation to cost–benefit analysis (CBA), little systematic thought has been given in the CBA literature to the focus of such an equity analysis in evaluating transport projects. The goal of the paper is to provide an overview of the

  8. The Aviation System Analysis Capability Air Carrier Cost-Benefit Model

    Science.gov (United States)

    Gaier, Eric M.; Edlich, Alexander; Santmire, Tara S.; Wingrove, Earl R.., III

    1999-01-01

    wide-ranging suite of economic and technical models that comprise ASAC. This report describes an Air Carrier Cost-Benefit Model (CBM) that meets these requirements. The ASAC CBM is distinguished from many of the aviation cost-benefit models by its exclusive focus on commercial air carriers. The model considers such benefit categories as time and fuel savings, utilization opportunities, reliability and capacity enhancements, and safety and security improvements. The model distinguishes between benefits that are predictable and those that occur randomly. By making such a distinction, the model captures the ability of air carriers to reoptimize scheduling and crew assignments for predictable benefits. In addition, the model incorporates a life-cycle cost module for new technology, which applies the costs of nonrecurring acquisitions, recurring maintenance and operation, and training to each aircraft equipment type independently.

  9. Cost benefit analysis on different configurations of berthing structure

    Science.gov (United States)

    Rajesh, G.; Saravanan, R.; Ravichandran, Vijaya; Parameswara Pandian, S.; Ramani Sujatha, Evangelin

    2017-07-01

    Port and harbors are essential for handling of the imports/exports of good transported through shipping. This paper discusses the different configuration of berthing structure, their design with respect to the site conditions and suitability. The analysis includes detailed load calculations conforming to the various codal provisions and design of the structure. The configuration of berthing structure considered are analyzed and designed using STAAD Pro for different combination of loads as per IS 4651. Bill of Quantities are prepared and final cost of construction is calculated. Factors affecting the construction and maintenance such as land availability, soil conditions, hydrodynamics of the site, dredging requirements, design ship size etc. are considered to finalize the configuration of the berthing structure. Result of the study shows that Diaphragm wall type of berthing structure is economic for Ennore port.

  10. Potential demand and cost-benefit analysis of electric cars

    OpenAIRE

    Zito, Pietro; Salerno, Silvia

    2004-01-01

    In this study an analysis of electric family car performances is carried out. In particular, the aim of this research is to appraise the possibility of introducing electric cars in urban mobility and the evaluation of its economic feasibility. First of all, we determined the potential electric car demand, which was forecasted using a stated preference (SP) analysis. The survey was carried out at the University of Palermo considering a particular target of consumer: ‘the hybrid household’. A l...

  11. Cost benefit analysis of policy measures in the transport sector

    Energy Technology Data Exchange (ETDEWEB)

    Buus Kristensen, N. [COWI (Denmark)

    1996-12-01

    The Government has introduced a national target for the reduction of CO{sub 2} emissions from the transport sector, which aims to stabilize emissions at the 1988 level, by the year 2005. This target was first formalized in the Government`s 1990 transport action plan, and later repeated in `Traffic 2005`, published in December 1993. The latter document also makes reference to six strategies, which the Government proposed in order to attain the national target. The majority of the transport policy measures will impact on CO{sub 2} emissions from the sector, even if they are targeted at different objectives, e.g. road safety, air pollution, time savings, etc. A long-list of potential measures, which might be adopted with the primary purpose is to reduce CO{sub 2} emissions, has been identified from the six overall strategies. The measures identified have been subjected to detailed analyses, to ascertain all the potential impacts. The main emphasis has been on clarifying the potential efficacy of each of the measures in reducing CO{sub 2} emissions, and the social costs in a wide sense. The analysis assumes that each policy measure is implemented separately. A methodology is developed that presents the respective consequences in commensurate terms. Similar calculations are undertaken for two different combinations of policy measures. (EG)

  12. Energy conservation and cost benefits in the dairy processing industry

    Energy Technology Data Exchange (ETDEWEB)

    None

    1982-01-01

    Guidance is given on measuring energy consumption in the plant and pinpointing areas where energy-conservation activities can return the most favorable economics. General energy-conservation techniques applicable to most or all segments of the dairy processing industry, including the fluid milk segment, are emphasized. These general techniques include waste heat recovery, improvements in electric motor efficiency, added insulation, refrigeration improvements, upgrading of evaporators, and increases in boiler efficiency. Specific examples are given in which these techniques are applied to dairy processing plants. The potential for energy savings by cogeneration of process steam and electricity in the dairy industry is also discussed. Process changes primarily applicable to specific milk products which have resulted in significant energy cost savings at some facilities or which promise significant contributions in the future are examined. A summary checklist of plant housekeeping measures for energy conservation and guidelines for economic evaluation of conservation alternatives are provided. (MHR)

  13. Strategic cost-benefit analysis of energy policies: detailed projections

    Energy Technology Data Exchange (ETDEWEB)

    Davitian, H.; Groncki, P.J.; Kleeman, P.; Lukachinski, J.

    1979-10-01

    Current US energy policy includes many programs directed toward restructuring the energy system in order to decrease US dependence on foreign supplies and to increase our reliance on plentiful and environmentally benign energy forms. However, recent events have led to renewed concern over the direction of current energy policy. This study describes three possible energy strategies and analyzes each in terms of its economic, environmental, and national security benefits and costs. Each strategy is represented by a specific policy. In the first, no additional programs or policies are initiated beyond those currently in effect or announced. The second is directed toward reducing the growth in energy demand, i.e., energy conservation. The third promotes increased domestic supply through accelerated development of synthetic and unconventional fuels. The analysis focuses on the evaluation and comparison of these strategy alternatives with respect to their energy, economic, and environmental consequences. Results indicate that conservation can substantially reduce import dependence and slow the growth of energy demand, with only a small macroeconomic cost and with substantial environmental benefits; the synfuels policy reduces imports by a smaller amount, does not reduce the growth in energy demand, involves substantial environmental costs and slows the rate of economic growth. These relationships could be different if the energy savings per unit cost for conservation are less than anticipated, or if the costs of synthetic fuels can be significantly lowered. Given these uncertainties, both conservation and RD and D support for synfuels should be included in future energy policy. However, between these policy alternatives, conservation appears to be the preferred strategy. The results of this study are presented in three reports (see also BNL--51105 and BNL--51128). 11 references, 3 figures, 61 tables.

  14. Simple meters get smart? Cost benefit analysis of smart metering infrastructure; Domme meters worden slim? Kosten-batenanalyse slimme meetinfrastructuur

    Energy Technology Data Exchange (ETDEWEB)

    Van Gerwen, R.J.F.; Jaarsma, S.A.; Koenis, F.T.C. [KEMA T and D Consulting, Arnhem (Netherlands)

    2005-08-15

    The Dutch Ministry of Economic Affairs requested a cost-benefit analysis of the large scale introduction of a smart meter infrastructure for gas and electricity consumption by small consumers. The questions asked in the study need to be answered in order to enable a well-founded evaluation of the implementation of smart meters. [mk]. [Dutch] Het Ministerie van Economische Zaken heeft een kosten-batenanalyse laten uitvoeren naar de grootschalige introductie van een slimme meetinfrastructuur voor gas- en elektriciteitsverbruik door kleinverbruikers. De in het onderzoek gestelde vragen moeten beantwoord worden om een goed gefundeerd oordeel te kunnen geven over de invoering van slimme meters.

  15. Financial cost-benefit analysis of investment possibilities in district heating system on wood residues

    Directory of Open Access Journals (Sweden)

    Stošić Ivan

    2017-01-01

    Full Text Available The purpose of this research is to provide feasibility analysis of a long-term sustainable development concept for district heating based on wood residues. In this paper, the experimental study has been conducted starting from the data collected by field researches in municipality of Trstenik (town in Serbia with district heating system currently based on heavy fuel oil and lignite. Using the method of Financial Cost-Benefit Analysis, this study evaluates financial efficiency of investment in district heating plant based on wood residues and energy savings in district heating system. Findings show that such investment could be profitable from the financial point of view: Net Present Value of investment is positive, Financial Rate of Return is high (30.69%, and the pay-back period is relatively favourable (7 years. Moreover, the presented SWOT indicates that there are realistic prospects of implementation of district heating based on wood residues. However, this does not mean everything will go smoothly and easily, keeping in mind a number of challenges that each new concept of district heating contains immanently. Nevertheless, the results of this research could provide useful inputs for the decision makers when selecting appropriate models for improving performance of municipal district heating systems.

  16. Cost-benefit analysis of central softening for production of drinking water.

    Science.gov (United States)

    Van der Bruggen, B; Goossens, H; Everard, P A; Stemgée, K; Rogge, W

    2009-01-01

    Softening drinking water before distribution yields advantages with environmental impact, such as lower household products consumption, less scaling in piping and machines, and the avoidance of decentralized, domestic softeners. Central softening is under consideration in Flanders by the largest water supplier, VMW (Dutch acronym for "Flemish Company for Water Supply"), to deliver soft (15 degrees F) water to their customers. A case study is presented for a region with hard water (47 degrees F). The chosen technique is the pellet reactor, based on precipitation of CaCO(3) by NaOH addition. This softening operation has possibly large impact on the environment and the water consumption pattern. A cost-benefit analysis has been made to estimate the added value of central softening, by investigating the impact on the drinking water company, on their customers, on employment, on environment, on health, etc. The analysis for the region of study revealed benefits for customers which were higher than the costs for the drinking water company. However, pricing of drinking water remains an important problem. A sensitivity analysis of these results has also been made, to evaluate the impact of important hypothesis, and to be able to expand this study to other regions. The conclusions for this part show that softening is beneficial if water hardness is to be decreased by at least 5 degrees F.

  17. A non-stationary cost-benefit based bivariate extreme flood estimation approach

    Science.gov (United States)

    Qi, Wei; Liu, Junguo

    2018-02-01

    Cost-benefit analysis and flood frequency analysis have been integrated into a comprehensive framework to estimate cost effective design values. However, previous cost-benefit based extreme flood estimation is based on stationary assumptions and analyze dependent flood variables separately. A Non-Stationary Cost-Benefit based bivariate design flood estimation (NSCOBE) approach is developed in this study to investigate influence of non-stationarities in both the dependence of flood variables and the marginal distributions on extreme flood estimation. The dependence is modeled utilizing copula functions. Previous design flood selection criteria are not suitable for NSCOBE since they ignore time changing dependence of flood variables. Therefore, a risk calculation approach is proposed based on non-stationarities in both marginal probability distributions and copula functions. A case study with 54-year observed data is utilized to illustrate the application of NSCOBE. Results show NSCOBE can effectively integrate non-stationarities in both copula functions and marginal distributions into cost-benefit based design flood estimation. It is also found that there is a trade-off between maximum probability of exceedance calculated from copula functions and marginal distributions. This study for the first time provides a new approach towards a better understanding of influence of non-stationarities in both copula functions and marginal distributions on extreme flood estimation, and could be beneficial to cost-benefit based non-stationary bivariate design flood estimation across the world.

  18. Incorporating indirect costs into a cost-benefit analysis of laparoscopic adjustable gastric banding.

    Science.gov (United States)

    Finkelstein, Eric A; Allaire, Benjamin T; Dibonaventura, Marco Dacosta; Burgess, Somali M

    2012-01-01

    The objective of this study was to estimate the time to breakeven and 5-year net costs of laparoscopic adjustable gastric banding (LAGB) taking both direct and indirect costs and cost savings into account. Estimates of direct cost savings from LAGB were available from the literature. Although longitudinal data on indirect cost savings were not available, these estimates were generated by quantifying the relationship between medical expenditures and absenteeism and between medical expenditures and presenteeism (reduced on-the-job productivity) and combining these elasticity estimates with estimates of the direct cost savings to generate total savings. These savings were then combined with the direct and indirect costs of the procedure to quantify net savings. By including indirect costs, the time to breakeven was reduced by half a year, from 16 to 14 quarters. After 5 years, net savings in medical expenditures from a gastric banding procedure were estimated to be $4970 (±$3090). Including absenteeism increased savings to $6180 (±$3550). Savings were further increased to $10,960 (±$5864) when both absenteeism and presenteeism estimates were included. This study presented a novel approach for including absenteeism and presenteeism estimates in cost-benefit analyses. Application of the approach to gastric banding among surgery-eligible obese employees revealed that the inclusion of indirect costs and cost savings improves the business case for the procedure. This approach can easily be extended to other populations and treatments. Copyright © 2012 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc. All rights reserved.

  19. COST-BENEFIT ANALYSIS FOR MAKING DECISIONS ON INCENTIVES FOR INVESTMENTS IN PLUM TREES PLANTING

    Directory of Open Access Journals (Sweden)

    Marijan Karić

    2004-12-01

    Full Text Available In this paper we consider the application of Cost/Benefit Analysis procedure in the decision process on socialeconomic profitability of subsidy implementation for investments in agricultural production, based on newly planted plum trees. Cost/Benefit Analysis has many advantages over the other common methods. It proved to be especially useful in the agricultural production, because it is possible to estimate the profitability of investments in the special conditions of agricultural production, taking into account many factors of its economic efficiency, as well as main effects that individual producers and the whole social community can expect. The application of Cost/Benefit Analysis, based on the data gathered for Bosnia and Herzegovina, enabled insight into the profitability of the existing subsidy programs for investments in plum trees planting, that take place in the conditon of the whole economy transition and high degree of rural population unemployment.

  20. Is it really possible to build a bridge between cost-benefit analysis and cost-effectiveness analysis?

    Science.gov (United States)

    Dolan, Paul; Edlin, Richard

    2002-09-01

    Cost-benefit analysis (CBA) is a recognised as the economic evaluation technique that accords most with the underlying principles of standard welfare economic theory. However, due to problems associated with the technique, economists evaluating resources allocation decisions in health care have most often used cost-effective analysis (CEA), in which health benefits are expressed in non-monetary units. As a result, attempts have been made to build a welfare economic bridge between cost-benefit analysis (CBA) and cost-effectiveness analysis (CEA). In this paper, we develops these attempts and finds that, while assumptions can be made to facilitate a constant willingness-to-pay per unit of health outcome, these restrictions are highly unrealistic. We develop an impossibility theorem that shows it is not possible to link CBA and CEA if: (i) the axioms of expected utility theory hold; (ii) the quality-adjusted life-year (QALY) model is valid in a welfare economic sense; and (iii) illness affects the ability to enjoy consumption. We conclude that, within a welfare economic framework, it would be unwise to rely on a link between CBA and CEA in economic evaluations.

  1. Real Cost-Benefit Analysis Is Needed in American Public Education

    Directory of Open Access Journals (Sweden)

    Bert D. Stoneberg

    2015-07-01

    Full Text Available Public school critics often point to rising expenditures and relatively flat test scores to justify their school reform agendas. The claims are flawed because their analyses fail to account for the difference in data types between dollars (ratio and test scores (interval. A cost-benefit analysis using dollars as a common metric for both costs and benefits can provide a good estimate of their relationship. It also acknowledges that costs and benefits are both subject to inflation. The National Center for Education Research administers a methods training program for researchers who want to know more about cost-benefit analyses on education policies and programs.

  2. Cost Benefit and Alternatives Analysis of Distribution Systems with Energy Storage Systems: Preprint

    Energy Technology Data Exchange (ETDEWEB)

    Harris, Tom; Nagarajan, Adarsh; Baggu, Murali; Bialek, Tom

    2017-06-27

    This paper explores monetized and non-monetized benefits from storage interconnected to distribution system through use cases illustrating potential applications for energy storage in California's electric utility system. This work supports SDG&E in its efforts to quantify, summarize, and compare the cost and benefit streams related to implementation and operation of energy storage on its distribution feeders. This effort develops the cost benefit and alternatives analysis platform, integrated with QSTS feeder simulation capability, and analyzed use cases to explore the cost-benefit of implementation and operation of energy storage for feeder support and market participation.

  3. Cost-Benefit Analysis For Alternative Low-Emission Surface Preparation/ Depainting Technologies for Structural Steel

    Science.gov (United States)

    Lewis, Pattie

    2007-01-01

    Stennis Space Center (SSC), Kennedy Space Center (KSC) and Air Force Space Command (AFSPC) identified particulate emissions and waste generated from the depainting process of steel structures as hazardous materials to be eliminated or reduced. A Potential Alternatives Report, Potential Alternatives Report for Validation of Alternative Low Emission Surface Preparation/Depainting Technologies for Structural Steel, provided a technical analyses of identified alternatives to the current coating removal processes, criteria used to select alternatives for further analysis, and a list of those alternatives recommended for testing. The initial coating removal alternatives list was compiled using literature searches and stakeholder recommendations. The involved project participants initially considered approximately 13 alternatives. In late 2003, core project members selected the following depainting processes to be further evaluated: (1) Plastic Blast Media-Quickstrip(R)-A. (2) Hard Abrasive-Steel-Magic(R). (3) Sponge Blasting-Sponge-Jet(R). (4) Liquid Nitrogen-NItroJet(R). (5) Mechanical Removal with Vacuum Attachment-DESCO and OCM Clean-Air (6) Laser Coating Removal Alternatives were tested in accordance with the Joint Test Protocol for Validation of Alternative Low-Emission Surface Preparation/Depainting Technologies for Structural Steel, and the Field Evaluation Test Plan for Validation of Alternative Low-Emission Surface Preparation/Depainting Technologies for Structural Steel. Results of the testing are documented in the Joint Test Report. This Cost-Benefit Analysis (CBA) focuses on the three alternatives (Quickstrip(R)-A, SteelMagic (R), and Sponge-Jet(R)) that were considered viable alternatives for large area operations based on the results of the field demonstration and lab testing. This CBA was created to help participants determine if implementation of the candidate alternatives is economically justified. Each of the alternatives examined reduced Environmental

  4. Contextual Compliance: Situational and Subjective Cost-Benefit Decisions about Pesticides by Chinese Farmers

    NARCIS (Netherlands)

    Yan, H.; van Rooij, B.; van der Heijden, J.

    2015-01-01

    This article analyzes how cost-benefit calculation influences compliance with pesticide regulation by Chinese farmers. Building on a study including 150 farmers and experts, it studies how operational costs and benefits and deterrence affect compliance. Moreover, it studies what variation in

  5. A cost-benefit analysis of the EU 20/20/2020 Package

    NARCIS (Netherlands)

    Tol, R.S.J.

    2012-01-01

    The European Commission did not publish a cost-benefit analysis for its 2020 climate package. This paper fills that gap, comparing the marginal costs and benefits of greenhouse gas emission reduction. The uncertainty about the marginal costs of climate change is large and skewed, and estimates

  6. A Cost-Benefit Study of a Breaking the Cycle Program for Juveniles

    Science.gov (United States)

    Cowell, Alexander J.; Lattimore, Pamela K.; Krebs, Christopher P.

    2010-01-01

    The authors present a cost-benefit analysis of a Juvenile Breaking the Cycle (JBTC) program in Oregon designed to provide juvenile justice system monitoring and coordinated treatment and services to youth who are assessed as at high risk for recidivism and substance use. Detailed cost analyses are presented for youth in the JBTC program and a…

  7. Effects of various protein sources on performance and cost-benefit ...

    African Journals Online (AJOL)

    Effects of various protein sources on performance and cost-benefit analysis of broilers finisher chickens. ... Sahel Journal of Veterinary Sciences ... A total of 120 Marshal strain of broiler chickens, aged four weeks were used to investigate the efficacy of different protein sources in enhancing productive and carcass indices of ...

  8. Elementary School Classroom Teacher Delivered Physical Education: Costs, Benefits and Barriers

    Science.gov (United States)

    Sherman, Clay P.; Tran, Cynthia; Alves, Yara

    2010-01-01

    Given academic priorities and budgetary constraints in the current elementary school milieu, the classroom teacher will likely remain a primary physical education provider. Understanding classroom teachers' perspectives related to costs, benefits, and barriers to teaching physical education is essential to understanding physical education…

  9. A Cost-Benefit Analysis of Universal Preschool Education: Evidence from a Spanish Reform

    NARCIS (Netherlands)

    van Huizen, T.M.; Dumhs, E.; Plantenga, J.

    2016-01-01

    This study provides a cost-benefit analysis of expanding access to universal preschool education. We focus on a Spanish reform that lowered the age of eligibility for publicly provided universal preschool from age 4 to age 3. We extrapolate the benefits in terms of maternal employment and child

  10. Environmental tipping points significantly affect the cost-benefit assessment of climate policies.

    Science.gov (United States)

    Cai, Yongyang; Judd, Kenneth L; Lenton, Timothy M; Lontzek, Thomas S; Narita, Daiju

    2015-04-14

    Most current cost-benefit analyses of climate change policies suggest an optimal global climate policy that is significantly less stringent than the level required to meet the internationally agreed 2 °C target. This is partly because the sum of estimated economic damage of climate change across various sectors, such as energy use and changes in agricultural production, results in only a small economic loss or even a small economic gain in the gross world product under predicted levels of climate change. However, those cost-benefit analyses rarely take account of environmental tipping points leading to abrupt and irreversible impacts on market and nonmarket goods and services, including those provided by the climate and by ecosystems. Here we show that including environmental tipping point impacts in a stochastic dynamic integrated assessment model profoundly alters cost-benefit assessment of global climate policy. The risk of a tipping point, even if it only has nonmarket impacts, could substantially increase the present optimal carbon tax. For example, a risk of only 5% loss in nonmarket goods that occurs with a 5% annual probability at 4 °C increase of the global surface temperature causes an immediate two-thirds increase in optimal carbon tax. If the tipping point also has a 5% impact on market goods, the optimal carbon tax increases by more than a factor of 3. Hence existing cost-benefit assessments of global climate policy may be significantly underestimating the needs for controlling climate change.

  11. A study on cost-benefit analysis and development of numerical guideline for the radiation exposure

    Energy Technology Data Exchange (ETDEWEB)

    Kang, Chang Sun; Song, Jae Hyuk; Son, Ki Yoon; Park, Moon Soo; Kim, Chong Uk [Seoul National Univ., Seoul (Korea, Republic of)

    1998-06-15

    By ALARA, radiation protection should be achieved so that radiation exposure should be kept in reasonably low level considering the economical and social factors of the society. But it is difficult to apply this principle practically due to the qualitative properties of the factors and the ambiguity of the principle itself. To resolve the problems, the decision aiding techniques are needed which can quantify the factors used in decision making. These factors include the effects of radiation on body and economical and social factors. The cost-benefit analysis is the most representative decision aiding technique. The scopes and contents of the first period of this study are as follows: the merits and demerits of several methods of cost-benefit analysis are investigated and the improvement is provided, the cost data of the radioactive waste systems are derived which can be used in practical cost-benefit analysis, the decision making method is established on the basis of ALARA procedures, safety regulatory guides for cost-benefit analysis are provided.

  12. Communicating uncertainty in cost-benefit analysis : A cognitive psychological perspective

    NARCIS (Netherlands)

    Mouter, N.; Holleman, M.; Calvert, S.C.; Annema, J.A.

    2013-01-01

    Based on a cognitive psychological theory, this paper aims to improve the communication of uncertainty in Cost-Benefit Analysis. The theory is based on different cognitive-personality and cognitive-social psychological constructs that may help explain individual differences in the processing of

  13. Dancing on the Bottom Line: An Unruly Cost-Benefit Analysis of Three Academic Development Initiatives

    Science.gov (United States)

    Sword, Helen

    2014-01-01

    This article offers an unconventional cost-benefit analysis of three academic development initiatives at a large Australasian university: a three-day foundation course for new academics, a series of one-on-one teaching consultations and a two-year postgraduate certificate program. Weaving together qualitative, quantitative and arts-based…

  14. Cost-benefit of bench terraces, a case study in Peru

    NARCIS (Netherlands)

    Posthumus, H.; Graaff, de J.

    2005-01-01

    Soil and water conservation measures like bench terraces can reduce erosion in highland crop production. A cost-benefit analysis for 11 cases of bench terraces was undertaken on the basis of both measured data and data obtained from farmers. It showed that the profitability of bench terraces was

  15. Costs, Benefits and Value Distribution - Ingredients for Successful Cross-Organizational ES Business Cases

    NARCIS (Netherlands)

    Eckartz, S.M.

    This paper introduces my PhD research project on developing guidelines for creating successful business cases for Enterprise System implementations in network settings. Three important aspects that were found to be important in such business cases are: the costs, benefits and the value distribution

  16. Real Cost-Benefit Analysis Is Needed in American Public Education

    Science.gov (United States)

    Stoneberg, Bert D.

    2015-01-01

    Public school critics often point to rising expenditures and relatively flat test scores to justify their school reform agendas. The claims are flawed because their analyses fail to account for the difference in data types between dollars (ratio) and test scores (interval). A cost-benefit analysis using dollars as a common metric for both costs…

  17. Age 26 Cost-Benefit Analysis of the Child-Parent Center Early Education Program

    Science.gov (United States)

    Reynolds, Arthur J.; Temple, Judy A.; White, Barry A. B.; Ou, Suh-Ruu; Robertson, Dylan L.

    2011-01-01

    Using data collected up to age 26 in the Chicago Longitudinal Study, this cost-benefit analysis of the Child-Parent Centers (CPC) is the first for a sustained publicly funded early intervention. The program provides services for low-income families beginning at age 3 in 20 school sites. Kindergarten and school-age services are provided up to age 9…

  18. West Coast tree improvement programs: a break-even, cost-benefit analysis

    Science.gov (United States)

    F. Thomas Ledig; Richard L Porterfield

    1981-01-01

    Three tree improvement programs were analyzed by break-even, cost-benefit technique: one for ponderosa pine in the Pacific Northwest, and two for Douglas-fir in the Pacific Northwest-one of low intensity and the other of high intensity. A return of 8 percent on investment appears feasible by using short rotations or by accompanying tree improvement with thinning....

  19. Maintenance Decision Support System : Pilot Study and Cost-Benefit Analysis (Phase 2)

    Science.gov (United States)

    2014-07-01

    This project focused on several tasks: development of in-vehicle hardware that permits implementation of an MDSS, development of software to collect and process road and weather data, a cost-benefit study, and pilot-scale implementation. Two Automati...

  20. A cost-benefit analysis of alternative device configurations for aviation-checked baggage security screening.

    Science.gov (United States)

    Jacobson, Sheldon H; Karnani, Tamana; Kobza, John E; Ritchie, Lynsey

    2006-04-01

    The terrorist attacks of September 11, 2001 have resulted in dramatic changes in aviation security. As of early 2003, an estimated 1,100 explosive detection systems (EDS) and 6,000 explosive trace detection machines (ETD) have been deployed to ensure 100% checked baggage screening at all commercial airports throughout the United States. The prohibitive costs associated with deploying and operating such devices is a serious issue for the Transportation Security Administration. This article evaluates the cost effectiveness of the explosive detection technologies currently deployed to screen checked baggage as well as new technologies that could be used in the future. Both single-device and two-device systems are considered. In particular, the expected annual direct cost of using these devices for 100% checked baggage screening under various scenarios is obtained and the tradeoffs between using single- and two-device strategies are studied. The expected number of successful threats under the different checked baggage screening scenarios with 100% checked baggage screening is also obtained. Lastly, a risk-based screening strategy proposed in the literature is analyzed. The results reported suggest that for the existing security setup, with current device costs and probability parameters, single-device systems are less costly and have fewer expected number of successful threats than two-device systems due to the way the second device affects the alarm or clear decision. The risk-based approach is found to have the potential to significantly improve security. The cost model introduced provides an effective tool for the execution of cost-benefit analyses of alternative device configurations for aviation-checked baggage security screening.

  1. Strategies for diagnosis and treatment of suspected leptospirosis: a cost-benefit analysis.

    Directory of Open Access Journals (Sweden)

    Yupin Suputtamongkol

    Full Text Available BACKGROUND: Symptoms and signs of leptospirosis are non-specific. Several diagnostic tests for leptospirosis are available and in some instances are being used prior to treatment of leptospirosis-suspected patients. There is therefore a need to evaluate the cost-effectiveness of the different treatment strategies in order to avoid misuse of scarce resources and ensure best possible health outcomes for patients. METHODS: The study population was adult patients, presented with uncomplicated acute febrile illness, without an obvious focus of infection or malaria or typical dengue infection. We compared the cost and effectiveness of 5 management strategies: 1 no patients tested or given antibiotic treatment; 2 all patients given empirical doxycycline treatment; patients given doxycycline when a patient is tested positive for leptospirosis using: 3 lateral flow; 4 MCAT; 5 latex test. The framework used is a cost-benefit analysis, accounting for all direct medical costs in diagnosing and treating patients suspected of leptospirosis. Outcomes are measured in length of fever after treatment which is then converted to productivity losses to capture the full economic costs. FINDINGS: Empirical doxycycline treatment was the most efficient strategy, being both the least costly alternative and the one that resulted in the shortest duration of fever. The limited sensitivity of all three diagnostic tests implied that their use to guide treatment was not cost-effective. The most influential parameter driving these results was the cost of treating patients with complications for patients who did not receive adequate treatment as a result of incorrect diagnosis or a strategy of no-antibiotic-treatment. CONCLUSIONS: Clinicians should continue treating suspected cases of leptospirosis on an empirical basis. This conclusion holds true as long as policy makers are not prioritizing the reduction of use of antibiotics, in which case the use of the latex test would be

  2. Cost-benefit analysis of telehealth in pre-hospital care.

    Science.gov (United States)

    Langabeer, James R; Champagne-Langabeer, Tiffany; Alqusairi, Diaa; Kim, Junghyun; Jackson, Adria; Persse, David; Gonzalez, Michael

    2017-09-01

    Objective There has been very little use of telehealth in pre-hospital emergency medical services (EMS), yet the potential exists for this technology to transform the current delivery model. In this study, we explore the costs and benefits of one large telehealth EMS initiative. Methods Using a case-control study design and both micro- and gross-costing data from the Houston Fire Department EMS electronic patient care record system, we conducted a cost-benefit analysis (CBA) comparing costs with potential savings associated with patients treated through a telehealth-enabled intervention. The intervention consisted of telehealth-based consultation between the 911 patient and an EMS physician, to evaluate and triage the necessity for patient transport to a hospital emergency department (ED). Patients with non-urgent, primary care-related conditions were then scheduled and transported by alternative means to an affiliated primary care clinic. We measured CBA as both total cost savings and cost per ED visit averted, in US Dollars ($USD). Results In total, 5570 patients were treated over the first full 12 months with a telehealth-enabled care model. We found a 6.7% absolute reduction in potentially medically unnecessary ED visits, and a 44-minute reduction in total ambulance back-in-service times. The average cost for a telehealth patient was $167, which was a statistically significantly $103 less than the control group ( p cost savings from the societal perspective, or $2468 cost savings per ED visit averted (benefit). Conclusion Patient care enabled by telehealth in a pre-hospital environment, is a more cost effective alternative compared to the traditional EMS 'treat and transport to ED' model.

  3. Morbidity, outcomes and cost-benefit analysis of wildlife rehabilitation in Catalonia (Spain.

    Directory of Open Access Journals (Sweden)

    Rafael Angel Molina-López

    Full Text Available There are few studies of careful examination of wildlife casualties in Wildlife Rehabilitation Centers. These studies are essential for detecting menaces to wild species and providing objective criteria about cost-benefit of treatments in those centers. The release rate is considered the main outcome indicator, but other parameters such as length of stay at the center and a cost-benefit index expressed as number of released animals per euro and day, could be used as reliable estimators of the rehabilitation costs.A retrospective study based on 54772 admissions recorded from 1995-2013 in the database of the Wildlife Rehabilitation Center of Torreferrussa (Catalonia, NW Spain assessed the morbidity, outcomes and cost-benefits of the rehabilitation practices.Three hundred and two species were included: 232 birds (n = 48633, 37 mammals (n = 3293, 20 reptiles (n = 2705 and 13 amphibians (n = 141. The most frequent causes of admission were: 39.8% confiscation of protected species (89.4% passerines, 31.8% orphaned young animals (35.3% swifts, 21.7% diurnal raptors and owls and 17.4% trauma casualties (46.7% raptors and owls. The highest proportion of releases was found in the captivity confiscation category [87.4% passerines (median time of stay: 12 days], followed by the orphaned category [78% owls (66 days, 76.5% diurnal birds of prey (43 days, 75.6% hedgehogs (49 days, 52.7% swifts (19 days and 52% bats (55 days]. For the trauma group, 46.8% of releases were hedgehogs (44 days and 25.6% owls (103 days. As regards the cost-benefit index, the trauma casualties and infectious diseases had the worse values with 1.3 and 1.4 released animals/euro/day respectively, and were particularly low in raptors, waders, marine birds and chiroptera. On the contrary, captivity (4.6 and misplacement (4.1 had the best index, particulary in amphibian, reptiles and passerines.Cost-benefit studies including the release rate, the time of stay at the center and the cost-benefit

  4. Morbidity, outcomes and cost-benefit analysis of wildlife rehabilitation in Catalonia (Spain).

    Science.gov (United States)

    Molina-López, Rafael Angel; Mañosa, Santi; Torres-Riera, Alex; Pomarol, Manel; Darwich, Laila

    2017-01-01

    There are few studies of careful examination of wildlife casualties in Wildlife Rehabilitation Centers. These studies are essential for detecting menaces to wild species and providing objective criteria about cost-benefit of treatments in those centers. The release rate is considered the main outcome indicator, but other parameters such as length of stay at the center and a cost-benefit index expressed as number of released animals per euro and day, could be used as reliable estimators of the rehabilitation costs. A retrospective study based on 54772 admissions recorded from 1995-2013 in the database of the Wildlife Rehabilitation Center of Torreferrussa (Catalonia, NW Spain) assessed the morbidity, outcomes and cost-benefits of the rehabilitation practices. Three hundred and two species were included: 232 birds (n = 48633), 37 mammals (n = 3293), 20 reptiles (n = 2705) and 13 amphibians (n = 141). The most frequent causes of admission were: 39.8% confiscation of protected species (89.4% passerines), 31.8% orphaned young animals (35.3% swifts, 21.7% diurnal raptors and owls) and 17.4% trauma casualties (46.7% raptors and owls). The highest proportion of releases was found in the captivity confiscation category [87.4% passerines (median time of stay: 12 days)], followed by the orphaned category [78% owls (66 days), 76.5% diurnal birds of prey (43 days), 75.6% hedgehogs (49 days), 52.7% swifts (19 days) and 52% bats (55 days)]. For the trauma group, 46.8% of releases were hedgehogs (44 days) and 25.6% owls (103 days). As regards the cost-benefit index, the trauma casualties and infectious diseases had the worse values with 1.3 and 1.4 released animals/euro/day respectively, and were particularly low in raptors, waders, marine birds and chiroptera. On the contrary, captivity (4.6) and misplacement (4.1) had the best index, particulary in amphibian, reptiles and passerines. Cost-benefit studies including the release rate, the time of stay at the center and the cost-benefit

  5. Morbidity, outcomes and cost-benefit analysis of wildlife rehabilitation in Catalonia (Spain)

    Science.gov (United States)

    Molina-López, Rafael Angel; Mañosa, Santi; Torres-Riera, Alex; Pomarol, Manel

    2017-01-01

    Background There are few studies of careful examination of wildlife casualties in Wildlife Rehabilitation Centers. These studies are essential for detecting menaces to wild species and providing objective criteria about cost-benefit of treatments in those centers. The release rate is considered the main outcome indicator, but other parameters such as length of stay at the center and a cost-benefit index expressed as number of released animals per euro and day, could be used as reliable estimators of the rehabilitation costs. Methodology A retrospective study based on 54772 admissions recorded from 1995–2013 in the database of the Wildlife Rehabilitation Center of Torreferrussa (Catalonia, NW Spain) assessed the morbidity, outcomes and cost-benefits of the rehabilitation practices. Results Three hundred and two species were included: 232 birds (n = 48633), 37 mammals (n = 3293), 20 reptiles (n = 2705) and 13 amphibians (n = 141). The most frequent causes of admission were: 39.8% confiscation of protected species (89.4% passerines), 31.8% orphaned young animals (35.3% swifts, 21.7% diurnal raptors and owls) and 17.4% trauma casualties (46.7% raptors and owls). The highest proportion of releases was found in the captivity confiscation category [87.4% passerines (median time of stay: 12 days)], followed by the orphaned category [78% owls (66 days), 76.5% diurnal birds of prey (43 days), 75.6% hedgehogs (49 days), 52.7% swifts (19 days) and 52% bats (55 days)]. For the trauma group, 46.8% of releases were hedgehogs (44 days) and 25.6% owls (103 days). As regards the cost-benefit index, the trauma casualties and infectious diseases had the worse values with 1.3 and 1.4 released animals/euro/day respectively, and were particularly low in raptors, waders, marine birds and chiroptera. On the contrary, captivity (4.6) and misplacement (4.1) had the best index, particulary in amphibian, reptiles and passerines. Conclusions/significance Cost-benefit studies including the

  6. A cost-benefit analysis using contingent valuation techniques: a feasibility study in spinal surgery.

    Science.gov (United States)

    Haefeli, Mathias; Elfering, Achim; McIntosh, Emma; Gray, Alastair; Sukthankar, Atul; Boos, Norbert

    2008-01-01

    To carry out a pilot study to demonstrate the feasibility of the contingent valuation (CV) approach to identify net benefits gained from spinal interventions; and to conduct a formal cost-benefit analysis (CBA) using a retrospective study design. The study design is a CBA feasibility study using a CV survey with ex post willingness-to-pay/willingness-to-accept (WTP/WTA) questions. The CBA study was carried out in the specialty of spinal surgery. Although increasing data are gathered on the societal costs of low back pain, little information is available on how patients "value" the benefits of surgery or whether interventions in this area are indeed cost-beneficial. CV surveys are used in CBA to elicit the consumer's monetary valuations for program benefits. A total of 115 patients after lumbar fusion, discectomy, or decompression were asked to respond to an ex post questionnaire on their WTP/WTA for their respective intervention. Additional questions addressed socio-demographics, household income, and clinical outcome. WTP/WTA was related to the actual intervention costs and clinical outcome. The WTP and cost data were then combined within a formal CBA framework with associated 95% confidence intervals generated using bootstrapping methods. The response rate was 91.3% (n = 105). 89.5% were satisfied/very satisfied with the treatment. 76.2% found the result of the operation was good/excellent and 75.7% would choose the operation for a given hypothetical intervention cost. Mean stated WTP was 20% lower than the actual operation costs (not known to respondents) for spinal fusion, although it was 37% higher for discectomy and 10% higher for decompression. The individuals' financial situation was the strongest predictor for WTP. Pain improvement, present pain, duration of hospitalization, and estimated intervention costs were significant independent predictors in the expected direction for the WTP, having controlled for socio-demographic and financial confounding

  7. Employer Benefits From an Early Intervention Program for Depression: A Cost-Benefit Analysis.

    Science.gov (United States)

    Callander, Emily J; Lindsay, Daniel B; Scuffham, Paul A

    2017-03-01

    The Work Outcomes Research Cost-benefit (WORC) project aimed to determine if early intervention for depression influenced workforce productivity in full-time employees. The current study aims to examine whether this intervention is cost-effective. A cost-benefit analysis of the WORC project from the employer's perspective was undertaken, taking into account intervention costs and associated gains due to increased workforce productivity from baseline to 12-month follow-up. Both the single intervention and case management groups were found to have a decrease in time lost at work due to presenteeism. This contributed to net gains resulting from increased workforce productivity in both intervention groups. The results suggest that the WORC intervention was cost-effective. A similar intervention to that described here may be beneficial to employers who are seeking to increase workforce productivity.

  8. Public versus Private Incentives to Invest in Green Roofs: A Cost Benefit Analysis for Flanders

    OpenAIRE

    Claus, Karla; Rousseau, Sandra

    2010-01-01

    By means of a cost benefit analysis, we compare public and private incentives to invest in extensive green roofs in urban areas. From the comparison of these public and private incentives we find that subsidies for green roofs are socially desirable and that subsidies are actually needed to convince potential private investors to construct green roofs. Specifically, we estimate the costs and benefits associated with an investment project in Groot-Bijgaarden (Belgium) where a real estate inves...

  9. Social Cost-Benefit Analysis of Scientific Versus Traditional Shrimp Farming: A Case Study from India

    OpenAIRE

    Bhattacharya, Poulomi; Ninan, K.N.

    2009-01-01

    This paper attempts a social cost-benefit analysis of scientific versus traditional shrimp farming in West Bengal, India. Using primary data, the paper shows that although intensive or scientific shrimp farming yields high returns as compared to traditional shrimp farming, when the opportunity costs and environmental costs of shrimp farming including disease risk are accounted for, scientific shrimp farming loses its advantage. In fact sensitivity analysis shows that if expected benefits were...

  10. Cost-Benefit Analysis Using GIS: an Application to the Forest Bioenergy sector

    OpenAIRE

    Grilli, Gianluca

    2017-01-01

    This doctoral thesis introduces a novel methodology to optimize the use of forest biomass for energy purposes at regional scale, by means of GIS applications and economic tools. The procedure calculates, at first, the energy potential of a given forested area, as well as a reasonable location and dimension of a district heating power plant, based on local energy availability and energy demand. In a second step, it runs a cost-benefit analysis (CBA) to assess the economic feasibility of the pl...

  11. Costs and benefits of railway urban logistics: a prospective social cost benefit analysis

    OpenAIRE

    Gonzalez-Feliu, Jesus

    2014-01-01

    This paper presents a general framework to assess urban rail logistics suitability via a socio-economic cost benefit analysis. Firstly, we propose an overview on the basic notions of CBA and SCBA. Secondly, we identify and present the main types of costs and benefits or railway urban logistics services and the related final delivery services using low emission road vehicles to serve customers where the rail systems cannot. Thirdly, as an example of application, we propose to assess a scenario...

  12. Incorporating enhanced service reliability of public transport in cost-benefit analyses

    OpenAIRE

    Van Oort, N.

    2016-01-01

    In this paper, we demonstrate how to calculate the passenger impacts of service unreliability. We show that passengers are affected by longer waiting times and the distribution of travel times. We present a framework to calculate these effects and to express them in monetary values. In the Netherlands and many other countries, service reliability is not explicitly incorporated in cost benefit analyses, although improved service reliability is often one of the main contributions of public tran...

  13. Cost/benefit analysis of advanced materials technologies for future aircraft turbine engines

    Science.gov (United States)

    Bisset, J. W.

    1976-01-01

    The cost/benefits of advance commercial gas turbine materials are described. Development costs, estimated payoffs and probabilities of success are discussed. The materials technologies investigated are: (1) single crystal turbine blades, (2) high strength hot isostatic pressed turbine disk, (3) advanced oxide dispersion strengthened burner liner, (4) bore entry cooled hot isostatic pressed turbine disk, (5) turbine blade tip - outer airseal system, and (6) advance turbine blade alloys.

  14. Cost benefit considerations of preventing elderly falls through environmental modifications to homes in Hana, Maui.

    Science.gov (United States)

    Ling, Christian; Henderson, Stephen; Henderson, Ray; Henderson, Malia; Pedro, Tina; Pang, Lorrin

    2008-03-01

    The community of Hana, Hawai'i began a program of home modifications to help their elderly prevent falls. We estimated the cost benefit of these modifications from construction costs and published reports of effectiveness and cost of treating falls. We interviewed clients to determine risk of falling. The average cost of home modifications was $800. The average annual averted medical cost of falling was $1728.

  15. Estimating the effectiveness of ergonomics interventions through case studies: implications for predictive cost-benefit analysis.

    Science.gov (United States)

    Goggins, Richard W; Spielholz, Peregrin; Nothstein, Greg L

    2008-01-01

    Cost-benefit analysis (CBA) can help to justify an investment in ergonomics interventions. A predictive CBA model would allow practitioners to present a cost justification to management during the planning stages, but such a model requires reliable estimates of the benefits of ergonomics interventions. Through literature reviews and Internet searches, 250 case studies that reported the benefits of ergonomics programs and control measures were collected and summarized. Commonly reported benefits included reductions in the number of work-related musculoskeletal disorders (WMSDs) or their incidence rate, as well as related lost workdays, restricted workdays, and workers' compensation costs. Additional benefits reported were related to productivity, quality, turnover and absenteeism. Benefits reported were largely positive, and payback periods for ergonomics interventions were typically less than one year. The results of this review could be used to develop predictive CBA models for ergonomics programs and individual control measures. Cost-justifying ergonomics interventions prior to implementation may help to secure management support for proposed changes. Numbers used for the benefits side of a cost-benefit analysis (CBA) need to be based on "real world" data in order to be credible. The data presented in this paper may help in the development of simple cost-benefit models for ergonomics programs and control measures.

  16. [Cost-benefit of medical advice for quitting smoking in the Region of Murcia].

    Science.gov (United States)

    López-Nicolás, Angel; Trapero-Bertran, Marta; Muñoz, Celia

    To perform a cost-benefit analysis of brief medical advice to quit smoking in the Region of Murcia. A cost-benefit analysis is performed on brief medical advice to quit smoking versus non-intervention. A Markov model is used to estimate the costs (€ in 2014), under the perspective of the National Health System, and health outcomes. These are measured in quality-adjusted life years (QALY). The time horizon of the analysis is 20years, and costs and health outcomes were discounted at 3%. A univariate and multivariate deterministic sensitivity analysis is performed. Region of Murcia. Smokers in the Region of Murcia. Brief advice to quit smoking. Quality Adjusted Life Years (QALYs). With a time horizon of 5years (2018), the incremental cost-effectiveness ratio (ICER) would be €172,400 per QALY gained; at 10years (2023) the ICER was €30,300 per QALY gained; and, for the maximum horizon considered by the model, the ICER was €7,260 per QALY gained. Brief advice intervention is more efficient in the long-term than in the short-term and, depending on the Spanish cost-benefit threshold, public funding for this intervention would be recommended. Copyright © 2016 Elsevier España, S.L.U. All rights reserved.

  17. Cost-benefit analysis of screening for esophageal and gastric cardiac cancer.

    Science.gov (United States)

    Wei, Wen-Qiang; Yang, Chun-Xia; Lu, Si-Han; Yang, Juan; Li, Bian-Yun; Lian, Shi-Yong; Qiao, You-Lin

    2011-03-01

    In 2005, a program named "Early Detection and Early Treatment of Esophageal and Cardiac Cancer" (EDETEC) was initiated in China. A total of 8279 residents aged 40-69 years old were recruited into the EDETEC program in Linzhou of Henan Province between 2005 and 2008. Howerer, the cost-benefit of the EDETEC program is not very clear yet. We conducted herein a cost-benefit analysis of screening for esophageal and cardiac cancer. The assessed costs of the EDETEC program included screening costs for each subject, as well as direct and indirect treatment costs for esophageal and cardiac severe dysplasia and cancer detected by screening. The assessed benefits of this program included the saved treatment costs, both direct and indirect, on esophageal and cardiac cancer, as well as the value of prolonged life due to screening, as determined by the human capital approach. The results showed the screening cost of finding esophageal and cardiac severe dysplasia or cancer ranged from RMB 2707 to RMB 4512, and the total cost on screening and treatment was RMB 13 115-14 920. The cost benefit was RMB 58 944-155 110 (the saved treatment cost, RMB 17 730, plus the value of prolonged life, RMB 41 214-137 380). The ratio of benefit-to-cost (BCR) was 3.95-11.83. Our results suggest that EDETEC has a high benefit-to-cost ratio in China and could be instituted into high risk areas of China.

  18. [Vaccines against Herpes zoster: Effectiveness, safety, and cost/benefit ratio].

    Science.gov (United States)

    Ferahta, Nabila; Achek, Imene; Dubourg, Julie; Lang, Pierre-Olivier

    2016-02-01

    A vaccination against herpes zoster and its complication is available in France since June 2015. Its exact benefit for public health is still controversial and its level of protection is not optimal. All those reasons seem to suggest a low acceptation rate from general practitioners. To evaluate the effectiveness, the safety, and the cost/benefit ratio of the vaccination against herpes zoster in people aged 50 year or over. Systematic review in Medline and PubMed with research by key words: "herpes zoster vaccine", "zoster vaccine" and "post herpetic neuralgia vaccine". Randomized and observational studies published in English and French language have been selected by two readers. On 1886 articles identified, 62 studies were included in this systematic review of which 21 randomized trials, 21 observational studies, and 17 medico-economic studies concerned the unadjuvanted vaccine. Considered studies showed an effectiveness of 50% against herpes zoster and 60% on post-herpetic neuralgia incidence of the unadjuvanted vaccine. Five randomized controlled studies were identified for the adjuvanted vaccine. The overall effectiveness of this vaccine was > 90% whatever the age of subjects including those over age 70 and 80. The medico-economic studies conducted in many countries have shown that vaccine policies were beneficial in individuals aged 60 years or over. Most of data of effectiveness, and tolerance result from 2 large controlled studies only (SPS and ZEST) for the unadjuvanted vaccine and only one for the adjuvanted vaccine. Despite controversy and few uncertainties, the vaccine significantly reduces herpes zoster and its complication incidence. In terms of public health objectives, it reduces the burden of the disease and has a positive medico-economic impact. Preliminary data concerning the adjuvanted vaccine, whilst very promising, are still too limited. Up to now, no group of people with particularly high risk of herpes zoster-related complication who will

  19. The role of muscarinic cholinergic signaling in cost-benefit decision making

    Science.gov (United States)

    Fobbs, Wambura

    Animals regularly face decisions that affect both their immediate success and long term survival. Such decisions typically involve some form of cost-benefit analysis and engage a number of high level cognitive processes, including learning, memory and motivational influences. While decision making has been a focus of study for over a century, it's only in the last 20 years that researchers have begun to identify functional neural circuits that subserve different forms of cost-benefit decision making. Even though the cholinergic system is both functionally and anatomically positioned to modulate cost-benefit decision circuits, the contribution of the cholinergic system to decision making has been little studied. In this thesis, I investigated the cognitive and neural contribution of muscarinic cholinergic signaling to cost-benefit decision making. I, first, re-examined the effects of systemic administration of 0.3 mg/kg atropine on delay and probability discounting tasks and found that blockade of muscarinic acetylcholine receptors by atropine induced suboptimal choices (impulsive and risky) in both tasks. Since the effect on delay discounting was restricted to the No Cue version of the delay discounting task, I concluded that muscarinic cholinergic signaling mediates both forms of cost-benefit decision making and is selectively engaged when decisions require valuation of reward options whose costs are not externally signified. Second, I assessed the impact of inactivating the nucleus basalis (NBM) on both forms decision making and the effect of injecting atropine locally into the orbitofrontal cortex (OFC), basolateral amygdala (BLA), or nucleus accumbens (NAc) core during the No Cue version of the delay discounting task. I discovered that although NBM inactivation failed to affect delay discounting, it induced risk aversion in the probability discounting task; and blockade of intra- NAc core, but not intra-OFC or intra-BLA, muscarinic cholinergic signaling lead to

  20. [Screening for colorectal cancer: a cost benefit analysis on a health prevention programme at the Boehringer Ingelheim Company].

    Science.gov (United States)

    Schneider, M; Häck, H-J

    2011-05-01

    In Germany, approximately 70.000 people are diagnosed with colorectal cancer every year. With early diagnosis the recovery rates are over 90 % and early intervention can significantly reduce the costs of medical treatment as well as the economic losses from worker productivity. We here present the organisational procedure for bowel cancer screening and have weighed the costs against benefits to employees, the company and the healthcare system. The screening costs are compared with economic benefits. The target group for the study consisted of all 11.536 employees at the company's site in Germany. Volunteers were given a standardized questionnaire about the risk factors for colorectal cancers and an immunological fecal occult blood test (IFOBT). If risk factors for development of colorectal cancer were present or if the test result was positive, a colonoscopy was recommended in accordance with DGVS guidelines (German Society of Digestive and Metabolic diseases). A total of 4.287 employees (37.2 %) indicated an interest in undergoing screening; at the end of the period 3.958 complete datasets (2.296 men and 1.662 women, mean age 51.2 years) were available for evaluation. A colonoscopy was performed on 114 persons. Six cases of overt cancer were detected with three in the 36 - 50 age group and three in the 51 - 65 age group. Five of the six cases were stage T1 or T2. Adenomatous polyps were found and removed in 29 persons. The calculated cost benefit ratio was 1:2 for the company and 1:35 for the public health system. Using the example of colorectal screening, this study represents a cost benefit analysis of this preventative health measure in a company environment. The results show that even while taking into account the financial and personal commitment required, the cost benefit ratio is positive both for the company and for the healthcare system. © Georg Thieme Verlag KG Stuttgart · New York.

  1. 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.

  2. Evaluation of combined photovoltaic/thermal collectors

    Energy Technology Data Exchange (ETDEWEB)

    Hendrie, S.D.

    1979-01-01

    The thermal and electric performance of an air and a liquid type combined photovoltaic/thermal solar collector has been evaluated, yielding close correlation with theoretical results. Maximum thermal efficiencies of 42.5% and 40% for the liquid and air collectors without electric power production decreased to 40.4% and 32.9% when electrical power was produced. Maximum electrical efficiencies of 6.8% were measured.

  3. Cost-Benefit Analysis of an Otolaryngology Emergency Room Using a Contingent Valuation Approach.

    Science.gov (United States)

    Naunheim, Matthew R; Kozin, Elliot D; Sethi, Rosh K; Ota, H Gregory; Gray, Stacey T; Shrime, Mark G

    2015-10-01

    Dedicated otolaryngology emergency rooms (ERs) provide a unique mechanism of health care delivery. Relative costs and willingness to pay (WTP) for these services have not been studied. This study aims to provide a cost-benefit analysis of otolaryngology-specific ER care. Cost-benefit analysis based on contingent valuation surveys. An otolaryngology-specific ER in a tertiary care academic medical center. Adult English-speaking patients presenting to an otolaryngology ER were included. WTP questions were used to assess patient valuations of specialty emergency care. Sociodemographic data, income, and self-reported levels of distress were assessed. State-level and institution-specific historical cost data were merged with WTP data within a cost-benefit analysis framework. The response rate was 75.6%, and 199 patients were included in the final analysis. Average WTP for otolaryngology ER services was $319 greater than for a general ER (95% CI: $261 to $377), with a median value of $200. The historical mean cost per visit at a general ER was $575, and mean cost at the specialty ER was $551 (95% CI: $529 to $574). Subtracting incremental cost from incremental WTP yielded a net benefit of $343. Dedicated otolaryngology ER services are valued by patients for acute otolaryngologic problems and have a net benefit of $343 per patient visit. They appear to be a cost-beneficial method for addressing acute otolaryngologic conditions. This study has implications for ER-based otolaryngologic care and direct-to-specialist services. © American Academy of Otolaryngology-Head and Neck Surgery Foundation 2015.

  4. A novel insight into the cost-benefit model for the evolution of botanical carnivory.

    Science.gov (United States)

    Pavlovič, Andrej; Saganová, Michaela

    2015-06-01

    The cost-benefit model for the evolution of botanical carnivory provides a conceptual framework for interpreting a wide range of comparative and experimental studies on carnivorous plants. This model assumes that the modified leaves called traps represent a significant cost for the plant, and this cost is outweighed by the benefits from increased nutrient uptake from prey, in terms of enhancing the rate of photosynthesis per unit leaf mass or area (AN) in the microsites inhabited by carnivorous plants. This review summarizes results from the classical interpretation of the cost-benefit model for evolution of botanical carnivory and highlights the costs and benefits of active trapping mechanisms, including water pumping, electrical signalling and accumulation of jasmonates. Novel alternative sequestration strategies (utilization of leaf litter and faeces) in carnivorous plants are also discussed in the context of the cost-benefit model. Traps of carnivorous plants have lower AN than leaves, and the leaves have higher AN after feeding. Prey digestion, water pumping and electrical signalling represent a significant carbon cost (as an increased rate of respiration, RD) for carnivorous plants. On the other hand, jasmonate accumulation during the digestive period and reprogramming of gene expression from growth and photosynthesis to prey digestion optimizes enzyme production in comparison with constitutive secretion. This inducibility may have evolved as a cost-saving strategy beneficial for carnivorous plants. The similarities between plant defence mechanisms and botanical carnivory are highlighted. © The Author 2015. Published by Oxford University Press on behalf of the Annals of Botany Company. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  5. Exploring the Use of Cost-Benefit Analysis to Compare Pharmaceutical Treatments for Menorrhagia.

    Science.gov (United States)

    Sanghera, Sabina; Frew, Emma; Gupta, Janesh Kumar; Kai, Joe; Roberts, Tracy Elizabeth

    2015-09-01

    The extra-welfarist theoretical framework tends to focus on health-related quality of life, whilst the welfarist framework captures a wider notion of well-being. EQ-5D and SF-6D are commonly used to value outcomes in chronic conditions with episodic symptoms, such as heavy menstrual bleeding (clinically termed menorrhagia). Because of their narrow-health focus and the condition's periodic nature these measures may be unsuitable. A viable alternative measure is willingness to pay (WTP) from the welfarist framework. We explore the use of WTP in a preliminary cost-benefit analysis comparing pharmaceutical treatments for menorrhagia. A cost-benefit analysis was carried out based on an outcome of WTP. The analysis is based in the UK primary care setting over a 24-month time period, with a partial societal perspective. Ninety-nine women completed a WTP exercise from the ex-ante (pre-treatment/condition) perspective. Maximum average WTP values were elicited for two pharmaceutical treatments, levonorgestrel-releasing intrauterine system (LNG-IUS) and oral treatment. Cost data were offset against WTP and the net present value derived for treatment. Qualitative information explaining the WTP values was also collected. Oral treatment was indicated to be the most cost-beneficial intervention costing £107 less than LNG-IUS and generating £7 more benefits. The mean incremental net present value for oral treatment compared with LNG-IUS was £113. The use of the WTP approach was acceptable as very few protests and non-responses were observed. The preliminary cost-benefit analysis results recommend oral treatment as the first-line treatment for menorrhagia. The WTP approach is a feasible alternative to the conventional EQ-5D/SF-6D approaches and offers advantages by capturing benefits beyond health, which is particularly relevant in menorrhagia.

  6. Cost-Benefit Analysis of Confidentiality Policies for Advanced Knowledge Management Systems

    Energy Technology Data Exchange (ETDEWEB)

    May, D

    2003-03-01

    Knowledge Discovery (KD) processes can create new information within a Knowledge Management (KM) system. In many domains, including government, this new information must be secured against unauthorized disclosure. Applying an appropriate confidentiality policy achieves this. However, it is not evident which confidentiality policy to apply, especially when the goals of sharing and disseminating knowledge have to be balanced with the requirements to secure knowledge. This work proposes to solve this problem by developing a cost-benefit analysis technique for examining the tradeoffs between securing and sharing discovered knowledge.

  7. Guidebook in using Cost Benefit Analysis and strategic environmental assessment for environmental planning in China

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2011-07-01

    Environmental planning in China may benefit from greater use of Cost Benefit Analysis (CBA) and Strategic Environmental Assessment (SEA) methodologies. We provide guidance on using these methodologies. Part I and II show the principles behind the methodologies as well as their theoretical structure. Part III demonstrates the methodologies in action in a range of different good practice examples. The case studies and theoretical expositions are intended to teach by way of example as well as by understanding the principles, and to help planners use the methodologies as correctly as possible.(auth)

  8. Nursing sabbatical in the acute care hospital setting: a cost-benefit analysis.

    Science.gov (United States)

    Schaar, Gina L; Swenty, Constance F; Phillips, Lori A; Embree, Jennifer L; McCool, Isabella A; Shirey, Maria R

    2012-06-01

    Practice-based acute care nurses experience a high incidence of burnout and dissatisfaction impacting retention and innovation and ultimately burdening the financial infrastructure of a hospital. Business, industry, and academia have successfully implemented professional sabbaticals to retain and revitalize valuable employees; however, the use is infrequent among acute care hospitals. This article expands upon the synthesis of evidence supporting nursing sabbaticals and suggests this option as a fiscally sound approach for nurses practicing in the acute care hospital setting. A cost-benefit analysis and human capital management strategies supporting nursing sabbaticals are identified.

  9. Cost-benefit analysis of improved air quality in an office building

    DEFF Research Database (Denmark)

    Djukanovic, R.; Wargocki, Pawel; Fanger, Povl Ole

    2002-01-01

    A cost-benefit analysis of measures to improve air quality in an existing air-conditoned office building (11581 m2, 864 employees) was carried out for hot, temperate and cold climates and for two operating modes: Variable Air Volume (VAV) with economizer; and Constant Air Volume (CAV) with heat...... productivity for every 10% reduction in the proportion of occupants entering a space who are dissatisfied with the air quality. With this assumption, the annual benefit due to improved air quality was always at least 10 times higher than the increase in annual energy and maintenance costs. The payback time...

  10. Modelling User-Costs in Life Cycle Cost-Benefit (LCCB) analysis

    DEFF Research Database (Denmark)

    Thoft-Christensen, Palle

    2008-01-01

    The importance of including user's costs in Life-Cycle Cost-Benefit analysis of structures is discussed in this paper. This is especially for bridges of great importance. Repair or/and failure of a bridge will usually result in user costs greater than the repair or replacement costs of the bridge....... For the society (and the user's) it is therefore of great importance that maintenance or replacement of a bridge is performed in such a way that all costs are minimized - not only the owners cost....

  11. Favourable cost-benefit in an early defibrillation programme using dual dispatch of ambulance and fire services in out-of-hospital cardiac arrest.

    Science.gov (United States)

    Sund, Björn; Svensson, Leif; Rosenqvist, Mårten; Hollenberg, Jacob

    2012-12-01

    Out-of-hospital cardiac arrest is fatal without treatment, and time to defibrillation is an extremely important factor in relation to survival. We performed a cost-benefit analysis of dual dispatch defibrillation by ambulance and fire services in the County of Stockholm, Sweden. A cost-benefit analysis was performed to evaluate the effects of dual dispatch defibrillation. The increased survival rates were estimated from a real-world implemented intervention, and the monetary value of a life ( 2.2 million) was applied to this benefit by using results from a recent stated-preference study. The estimated costs include defibrillators (including expendables/maintenance), training, hospitalisation/health care, fire service call-outs, overhead resources and the dispatch centre. The estimated number of additional saved lives was 16 per year, yielding a benefit-cost ratio of 36. The cost per quality-adjusted life years (QALY) was estimated to be 13,000, and the cost per saved life was 60,000. The intervention of dual dispatch defibrillation by ambulance and fire services in the County of Stockholm had positive economic effects. For the cost-benefit analysis, the return on investment was high and the cost-effectiveness showed levels below the threshold value for economic efficiency used in Sweden. The cost-utility analysis categorises the cost per QALY as medium.

  12. Cost-benefit analysis of a micronutrient supplementation and early childhood stimulation program in Nicaragua.

    Science.gov (United States)

    Lopez Boo, Florencia; Palloni, Giordano; Urzua, Sergio

    2014-01-01

    This paper estimates the cost-benefit ratio for an integrated early childhood development program in Nicaragua (PAININ). Using longitudinal data, we estimate the average treatment effects of PAININ including micronutrient sprinkles on the prevalence of anemia and hemoglobin levels among disadvantaged children aged 6-36 months. We also estimate the effects of PAININ excluding sprinkles on cognitive outcomes among children aged 2.5-5 years. In the younger age group the program reduced anemia by 4 percentage points after 8 months and nearly 6 percentage points after 1 year; the latter is a 26% decrease in anemia. In the older age group, the program improved verbal and numeric memory after a year and a half, but the effects were modest (0.13 SD). When analyzing its potential impact on earnings, we conclude that the discounted annual costs of the program per child are less than the discounted annual increase in beneficiary earnings. Specifically, we estimate a cost-benefit ratio of 1.50 from the PAININ plus sprinkles package. Our sensitivity analysis suggests a range for this ratio between 1.30 and 2.30. © 2014 New York Academy of Sciences.

  13. The Economic Implications of a Reusable Flexible Digital Ureteroscope: A Cost-Benefit Analysis.

    Science.gov (United States)

    Martin, Christopher J; McAdams, Sean B; Abdul-Muhsin, Haidar; Lim, Victoria M; Nunez-Nateras, Rafael; Tyson, Mark D; Humphreys, Mitchell R

    2017-03-01

    Questions remain regarding the durability and longevity of flexible ureteroscopes. The objective of this study was to estimate the potential economic benefits of single use, flexible digital ureteroscopes compared to our recent experience with reusable flexible digital ureteroscopes using cost-benefit analysis. Ureteroscopic procedures were prospectively recorded over the 12-month period of February 2014 to February 2015. All flexible ureteroscopies were performed using Flex X(C) digital ureteroscopes (Karl Storz Endoscopy-America, El Segundo, California). Cost assessment was based on the original purchasing cost and repair-exchange fees divided by the number of cases. An algorithm was created to include per case reprocessing costs and calculate the benefit-to-cost ratio. This cost was compared to potential costs of the LithoVue™, a single use digital ureteroscope. In 160 cases a flexible reusable ureteroscope was used. There was damage to 11 ureteroscopes during this time with an average of 12.5 cases to failure. Excluding original purchasing costs, the cost analysis revealed an amortized cost of $848.10 per use. After 99 ureteroscope cases the cost-benefit analysis favored reusable ureteroscopes compared to disposable ureteroscopes. Digital ureteroscopes are the latest trend in the evolution of endourology. It appears that a disposable ureteroscope may be cost beneficial at centers with a lower case volume per year. However, institutions with a high volume of cases may find reusable ureteroscopes cost beneficial. Copyright © 2017 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

  14. A cost-benefit analysis of Salmonella-control strategies in Danish pork production.

    Science.gov (United States)

    Goldbach, Stine Gissel; Alban, Lis

    2006-11-17

    In Denmark, it was agreed to lower the Salmonella prevalence in pork to 1.2% before the end of 2006. The current control did not seem to be sufficient to attain this goal. Therefore, four alternatives to the existing Danish control strategy for Salmonella in pork were compared in a cost-benefit analysis: (1) hot-water decontamination of all pigs at slaughter, (2) sanitary slaughter of pigs from herds with high levels of Salmonella, (3) use of home-mixed feed in herds with slaughter pigs and (4) use of acidified feed for slaughter pigs. The data originated from official statistics, published papers as well as expert opinion. The partial cost-benefit analysis was restricted to slaughterhouses affiliated with the Danish Meat Association and Danish human cases ascribable to pork from these slaughterhouses. Only hot-water decontamination was socio-economically profitable. Hot-water decontamination had a net present value over 15 years of 3.5 million euros. For sanitary slaughter the net present value was - 43.6 million euros, for home-mixed feed it was - 262.3 million euros and for acidified feed it was - 79.9 million euros. For all alternatives the costs were born solely by the pig sector, whereas primarily the consumers and public authorities received the benefits. The conclusions were robust in sensitivity analyses.

  15. Life-Cycle Cost/Benefit Assessment of Expedite Departure Path (EDP)

    Science.gov (United States)

    Wang, Jianzhong Jay; Chang, Paul; Datta, Koushik

    2005-01-01

    This report presents a life-cycle cost/benefit assessment (LCCBA) of Expedite Departure Path (EDP), an air traffic control Decision Support Tool (DST) currently under development at NASA. This assessment is an update of a previous study performed by bd Systems, Inc. (bd) during FY01, with the following revisions: The life-cycle cost assessment methodology developed by bd for the previous study was refined and calibrated using Free Flight Phase 1 (FFP1) cost information for Traffic Management Advisor (TMA, or TMA-SC in the FAA's terminology). Adjustments were also made to the site selection and deployment scheduling methodology to include airspace complexity as a factor. This technique was also applied to the benefit extrapolation methodology to better estimate potential benefits for other years, and at other sites. This study employed a new benefit estimating methodology because bd s previous single year potential benefit assessment of EDP used unrealistic assumptions that resulted in optimistic estimates. This methodology uses an air traffic simulation approach to reasonably predict the impacts from the implementation of EDP. The results of the costs and benefits analyses were then integrated into a life-cycle cost/benefit assessment.

  16. Cost-Benefit Analysis for a Quinquennial Census: The 2016 Population Census of South Africa

    Directory of Open Access Journals (Sweden)

    Spencer Bruce D.

    2017-03-01

    Full Text Available The question of whether to carry out a quinquennial Census is faced by national statistical offices in increasingly many countries, including Canada, Nigeria, Ireland, Australia, and South Africa. We describe uses and limitations of cost-benefit analysis in this decision problem in the case of the 2016 Census of South Africa. The government of South Africa needed to decide whether to conduct a 2016 Census or to rely on increasingly inaccurate postcensal estimates accounting for births, deaths, and migration since the previous (2011 Census. The cost-benefit analysis compared predicted costs of the 2016 Census to the benefits of improved allocation of intergovernmental revenue, which was considered by the government to be a critical use of the 2016 Census, although not the only important benefit. Without the 2016 Census, allocations would be based on population estimates. Accuracy of the postcensal estimates was estimated from the performance of past estimates, and the hypothetical expected reduction in errors in allocation due to the 2016 Census was estimated. A loss function was introduced to quantify the improvement in allocation. With this evidence, the government was able to decide not to conduct the 2016 Census, but instead to improve data and capacity for producing post-censal estimates.

  17. Cost Benefit Analysis of Performing a Pilot Project for Hydrogen-Powered Ground Support Equipment at Lemoore Naval Air Station

    Science.gov (United States)

    2006-12-01

    Benefits of Fuel Cells." Bullnet eCommerce Solutions, Bull Group. http://www.bullnet.co.uk/ (accessed November 25, 2006). "Hydrogen Production and...NAVAL POSTGRADUATE SCHOOL MONTEREY, CALIFORNIA MBA PROFESSIONAL REPORT Cost Benefit Analysis of Performing a Pilot Project for...blank) 2. REPORT DATE December 2006 3. REPORT TYPE AND DATES COVERED MBA Professional Report 4. TITLE AND SUBTITLE: Cost Benefit Analysis of

  18. [Cost-benefit analysis of primary prevention programs for mental health at the workplace in Japan].

    Science.gov (United States)

    Yoshimura, Kensuke; Kawakami, Norito; Tsusumi, Akizumi; Inoue, Akiomi; Kobayashi, Yuka; Takeuchi, Ayano; Fukuda, Takashi

    2013-01-01

    To determine the cost-benefits of primary prevention programs for mental health at the workplace, we conducted a meta-analysis of published studies in Japan. We searched the literature, published as of 16 November 2011, using the Pubmed database and relevant key words. The inclusion criteria were: conducted in the workplace in Japan; primary prevention focus; quasi-experimental studies or controlled trials; and outcomes including absenteeism or presenteeism. Four studies were identified: one participatory work environment improvement, one individual-oriented stress management, and two supervisor education programs. Costs and benefits in yen were estimated for each program, based on the description of the programs in the literature, and additional information from the authors. The benefits were estimated based on each program's effect on work performance (measured using the WHO Health and Work Performance Questionnaire in all studies), as well as sick leave days, if available. The estimated relative increase in work performance (%) in the intervention group compared to the control group was converted into labor cost using the average bonus (18% of the total annual salary) awarded to employees in Japan as a base. Sensitive analyses were conducted using different models of time-trend of intervention effects and 95% confidence limits of the relative increase in work performance. For the participatory work environment improvement program, the cost was estimated as 7,660 yen per employee, and the benefit was 15,200-22,800 yen per employee. For the individual-oriented stress management program, the cost was 9,708 yen per employee, and the benefit was 15,200-22,920 yen per employee. For supervisor education programs, the costs and benefits were respectively 5,209 and 4,400-6,600 yen per employee, in one study, 2,949 and zero yen per employee in the other study. The 95% confidence intervals were wide for all these studies. For the point estimates based on these cases, the

  19. Impact of Transport Zone Number in Simulation Models on Cost-Benefit Analysis Results in Transport Investments

    Science.gov (United States)

    Chmielewski, Jacek

    2017-10-01

    Nowadays, feasibility studies need to be prepared for all planned transport investments, mainly those co-financed with UE grants. One of the fundamental aspect of feasibility study is the economic justification of an investment, evaluated in an area of so called cost-benefit analysis (CBA). The main goal of CBA calculation is to prove that a transport investment is really important for the society and should be implemented as economically efficient one. It can be said that the number of hours (PH – passengers hours) in trips and travelled kilometres (PK – passengers kilometres) are the most important for CBA results. The differences between PH and PK calculated for particular investment scenarios are the base for benefits calculation. Typically, transport simulation models are the best source for such data. Transport simulation models are one of the most powerful tools for transport network planning. They make it possible to evaluate forecast traffic volume and passenger flows in a public transport system for defined scenarios of transport and area development. There are many different transport models. Their construction is often similar, and they mainly differ in the level of their accuracy. Even models for the same area may differ in this matter. Typically, such differences come from the accuracy of supply side representation: road and public transport network representation. In many cases only main roads and a public transport network are represented, while local and service roads are eliminated as a way of reality simplification. This also enables a faster and more effective calculation process. On the other hand, the description of demand part of these models based on transport zones is often stable. Difficulties with data collection, mainly data on land use, resulted in the lack of changes in the analysed land division into so called transport zones. In this paper the author presents an influence of land division on the results of traffic analyses, and

  20. Cost-Benefit Analysis of Conservation Agriculture Implementation in Syrdarya Province of Uzbekistan

    Directory of Open Access Journals (Sweden)

    Daujanov Azizbek

    2016-11-01

    Full Text Available Most irrigated lands of Central Asia suffer from land degradation, and unsustainable agricultural practices are one of the factors contributing to land degradation. Conservation agriculture (CA is seen as a way to mitigate land degradation and rationalize resource use. The aim of this article is to investigate the efficiency of CA implementation in the Syrdarya province of Uzbekistan, Central Asia by carrying out a cost-benefit analysis (CBA. The CBA was conducted for a hypothetical situation where the farm decides to switch from conventional agriculture to CA. Unlike the previous studies, this study investigates complete crop rotation cycle in the long-term period. The study outcomes suggest that investment in CA implementation results in positive incremental benefit if the advantages of CA are monetized.

  1. A Cost-Benefit Analysis of Early Childhood Hygiene Interventions in Uzbekistan

    Directory of Open Access Journals (Sweden)

    Raushan ATANIYAZOVA

    2014-11-01

    Full Text Available This paper applies cost-benefit analysis (CBA technique to estimate the effectiveness of hand hygiene and oral health interventions in Uzbekistan for children of kindergarten age (3-6 years old. Our primary objective in this study is to apply CBA framework to investigate economic viability of hand hygiene and oral health interventions on respiratory diseases (influenza, bronchitis, pneumonia, intestinal diseases (diarrhea, hepatitis A, and helminthiasis, and dental caries and stomatitis. Though it is often difficult to attribute a specific hygiene intervention to a reduction in specific illness, our study shows that prevention of disease through hygiene promotion is cost-effective. To be the most effective, however, hygiene interventions should be accompanied by education and awareness-raising of teachers, parents and children.

  2. Cost Benefit Waste for Possible Energy Use in the Beer Factory

    Directory of Open Access Journals (Sweden)

    Ángel Amado Recio-Recio

    2016-06-01

    Full Text Available Existing problems resulting from the shortage of fossil fuels and the environmental degradation caused by their use has become vital to the use of renewable energies to replace these fuels. This need is reflected in the objective 87 of the Guidelines for Economic and Social Policy of the Party and the Revolution adopted at the Sixth Congress of the PCC. This paper aims at a theoretical experimental study aimed for the future utilization of waste (biomass for energy purposes, residue derived from the brewing, in Cuban industries. The cost-benefit analysis to select the best variant of three possible is used. The result showed choose the variant: use biogas for saving fuel oil in boilers, with a term of payback of three years.

  3. Increased disease calls for a cost-benefits review of marine reserves.

    Directory of Open Access Journals (Sweden)

    Emma C Wootton

    Full Text Available Marine reserves (or No-Take Zones are implemented to protect species and habitats, with the aim of restoring a balanced ecosystem. Although the benefits of marine reserves are commonly monitored, there is a lack of insight into the potential detriments of such highly protected waters. High population densities attained within reserves may induce negative impacts such as unfavourable trophic cascades and disease outbreaks. Hence, we investigated the health of lobster populations in the UK's Marine Conservation Zone (MCZ at Lundy Island. Comparisons were made between the fished, Refuge Zone (RZ and the un-fished, No-Take Zone (NTZ; marine reserve. We show ostensibly positive effects such as increased lobster abundance and size within the NTZ; however, we also demonstrate apparent negative effects such as increased injury and shell disease. Our findings suggest that robust cost-benefit analyses of marine reserves could improve marine reserve efficacy and subsequent management strategies.

  4. Integrated Cost-Benefit Assessment of Customer-Driven Distributed Generatio

    Directory of Open Access Journals (Sweden)

    Čedomir Zeljković

    2014-06-01

    Full Text Available Distributed generation (DG has the potential to bring respectable benefits to electricity customers, distribution utilities and community in general. Among the customer benefits, the most important are the electricity bill reduction, reliability improvement, use of recovered heat, and qualifying for financial incentives. In this paper, an integrated cost-benefit methodology for assessment of customer-driven DG is presented. Target customers are the industrial and commercial end-users that are critically dependent on electricity supply, due to high consumption, high power peak demand or high electricity supply reliability requirements. Stochastic inputs are represented by the appropriate probability models and then the Monte Carlo simulation is employed for each investment alternative. The obtained probability distributions for the prospective profit are used to assess the risk, compare the alternatives and make decisions.

  5. Cost-benefit analysis of the introduction and implementation of a Terminology Management System

    DEFF Research Database (Denmark)

    Grinsted, Annelise; Erdman Thomsen, Hanne

    2008-01-01

    In the course of time many arguments for the introduction and implementation of a Terminology Management System have been presented: information about concepts, terms and their equivalents are readily accessible terminology makes a subject field accessible and understandable terminology can...... if language is not an obvious distinctive competence, i.e. a strategic element to be incorporated into products so as to increase the penetration into the desired markets. For communicators it is clear that terminology work is useful and necessary - in this relation both quality and price would be clear...... distinctive competences. However, management in private and public organizations (most often) requires concrete figures and numbers to document the arguments before allocating resources. Cost/benefit-analysis supports the arguments through a comparison between benefits and costs of a given new initiative...

  6. Cost-benefit analysis of installing dust control devices in the agate industry, Khambhat (Gujarat).

    Science.gov (United States)

    Bhagia, Lakho J; Sadhu, H G

    2008-12-01

    It is well known that an exposure to crystalline silica gives rise to silicosis and silico-tuberculosis (TB). In the agate industry of Khambhat (Gujarat) not only workers but also people staying in the vicinity of the agate-grinding facilities are exposed to crystalline silica. To reduce their dust exposure, dust control devices were developed. There are approximately 500 grinding machines located in Khambhat. A cost-benefit analysis of installing dust control devices on all agate-grinding machines was carried out by adding all positive factors and benefits and subtracting the negatives and costs. It was concluded that by installing dust control devices not only could the prevalence of silicosis and TB be reduced but also, in the long run, there could be financial benefits.

  7. Army ants dynamically adjust living bridges in response to a cost-benefit trade-off.

    Science.gov (United States)

    Reid, Chris R; Lutz, Matthew J; Powell, Scott; Kao, Albert B; Couzin, Iain D; Garnier, Simon

    2015-12-08

    The ability of individual animals to create functional structures by joining together is rare and confined to the social insects. Army ants (Eciton) form collective assemblages out of their own bodies to perform a variety of functions that benefit the entire colony. Here we examine ‟bridges" of linked individuals that are constructed to span gaps in the colony's foraging trail. How these living structures adjust themselves to varied and changing conditions remains poorly understood. Our field experiments show that the ants continuously modify their bridges, such that these structures lengthen, widen, and change position in response to traffic levels and environmental geometry. Ants initiate bridges where their path deviates from their incoming direction and move the bridges over time to create shortcuts over large gaps. The final position of the structure depended on the intensity of the traffic and the extent of path deviation and was influenced by a cost-benefit trade-off at the colony level, where the benefit of increased foraging trail efficiency was balanced by the cost of removing workers from the foraging pool to form the structure. To examine this trade-off, we quantified the geometric relationship between costs and benefits revealed by our experiments. We then constructed a model to determine the bridge location that maximized foraging rate, which qualitatively matched the observed movement of bridges. Our results highlight how animal self-assemblages can be dynamically modified in response to a group-level cost-benefit trade-off, without any individual unit's having information on global benefits or costs.

  8. Cost-benefit analysis of preventing sudden cardiac deaths with an implantable cardioverter defibrillator versus amiodarone.

    Science.gov (United States)

    Caro, J Jaime; Ward, Alexandra; Deniz, H Baris; O'Brien, Judith A; Ehreth, Jenifer L

    2007-01-01

    To conduct a cost-benefit assessment of prevention of sudden cardiac deaths with an implantable cardioverter defibrillator (ICD) versus amiodarone from the perspective of the health-care systems in the UK and France. Course after implantation with an ICD or taking amiodarone was modeled using discrete event simulation; 1000 pairs of identical patients were simulated 100 times for each analysis. Rates of life-threatening arrhythmia and death from other causes were assumed identical, but the case fatality of arrhythmia and hospitalization differ between treatments. Rates were based on published data, primarily from the Sudden Cardiac Death in Heart Failure Trial (SCD-HeFT). Direct medical costs (in 2004 Euros) and lives saved were estimated over 5 years. The monetary value of a life (UK euro2.1 million, France euro2.0 million) was applied to this benefit and examined relative to the net investment required. ICDs decreased deaths during the 5 years from 37.0% to 29.7% at a net cost of euro26,222 to euro20,008 per patient, yielding cost-benefit ratios of 0.17 (UK) and 0.14 (France)-more than a 5 to 1 return on investment. Sensitivity analyses showed ICDs represent value for money whenever a life is valued at least at euro274,000. In these European countries where society values a life at more than euro2 million, ICDs are a worthwhile investment compared with amiodarone for primary prevention of sudden cardiac deaths in patients with heart failure.

  9. Exploring cost-benefit analysis of research, development and innovation infrastructures: an evaluation framework

    CERN Document Server

    Florio, Massimo; Pancotti, Chiara; Sirtori, Emanuela; Vignetti, Silvia

    2016-01-01

    This paper presents the results and the lessons learned on how to apply ex-ante CBQ for major RDI infrastructures by a team of economists and scientists at the University of Milan and CSIL during a three-year research project supported by a EIBURS grant of the European Investment Bank Institute. Albeit the comprehensive conceptual framework presented in the paper builds on principles firmly rooted in CBA tradition, their application to the RDI sector is still in its infancy. So far, the model has been applied on two cases in physics involving particle accelerators (the Large Hadron Collider, LHC, at CERN and the National Centre for Oncological Treatment, CNAO, in Italy).

  10. The Model of Evaluation of Active Financial for Cost Benefit Analysis Required in Investments

    Directory of Open Access Journals (Sweden)

    Manuel Estévez−Martir

    2016-12-01

    Full Text Available Considering the importance for both foreign investors and Cuban companies that operate tourism hotels, the Financial Assets Assessment Model (MEDAF has been adapted to the specific conditions of the Cuban economy to determine the profitability required in tourism facilities. Within the service companies, tourist companies have certain complexities that must be considered in order to adapt to the conditions of the Cuban economy the aforementioned model and elements such as market segmentation have been introduced, since they do not correspond to one of the variables of the model that is the existence of a universal market for the whole economy. The results obtained allow the calculation of the coefficient that adjusts the risk rate to the specific characteristics of the different hotel facilities.

  11. Investment Evaluation of Higher Education through Cost-Benefit Analysis: Evidence from Adrar University-Algeria

    Science.gov (United States)

    Hocine, Benlaria; Sofiane, Mostéfaoui

    2017-01-01

    This study aims to measure the social and individual rates of return for investment in higher education at Adrar University. The approach adopted looks for investigating the costs and benefits of the human capital. The study found that the economic feasibility of investment in higher education exists at both the individual and social levels, where…

  12. Child Support Enforcement: A Framework for Evaluating Costs, Benefits, and Effects.

    Science.gov (United States)

    1991-03-01

    Locator Services Domain Indicator Measure Program and Operating costs of providing SPLS service per case Operating and other overhead costs publicO ...cost of pretrial hearings and court hearings (may include a trial by jury) and expert testimony costs, and (4) transportation costs for witnesses

  13. Preventing deaths and injuries from house fires: a cost-benefit analysis of a community-based smoke alarm installation programme.

    Science.gov (United States)

    Yellman, Merissa A; Peterson, Cora; McCoy, Mary A; Stephens-Stidham, Shelli; Caton, Emily; Barnard, Jeffrey J; Padgett, Ted O; Florence, Curtis; Istre, Gregory R

    2018-02-01

    Operation Installation (OI), a community-based smoke alarm installation programme in Dallas, Texas, targets houses in high-risk urban census tracts. Residents of houses that received OI installation (or programme houses) had 68% fewer medically treated house fire injuries (non-fatal and fatal) compared with residents of non-programme houses over an average of 5.2 years of follow-up during an effectiveness evaluation conducted from 2001 to 2011. To estimate the cost-benefit of OI. A mathematical model incorporated programme cost and effectiveness data as directly observed in OI. The estimated cost per smoke alarm installed was based on a retrospective analysis of OI expenditures from administrative records, 2006-2011. Injury incidence assumptions for a population that had the OI programme compared with the same population without the OI programme was based on the previous OI effectiveness study, 2001-2011. Unit costs for medical care and lost productivity associated with fire injuries were from a national public database. From a combined payers' perspective limited to direct programme and medical costs, the estimated incremental cost per fire injury averted through the OI installation programme was $128,800 (2013 US$). When a conservative estimate of lost productivity among victims was included, the incremental cost per fire injury averted was negative, suggesting long-term cost savings from the programme. The OI programme from 2001 to 2011 resulted in an estimated net savings of $3.8 million, or a $3.21 return on investment for every dollar spent on the programme using a societal cost perspective. Community smoke alarm installation programmes could be cost-beneficial in high-fire-risk neighbourhoods. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  14. Cost-Benefit Analysis of Nanoparticle Albumin-Bound Paclitaxel versus Solvent-Based Paclitaxel for the Treatment of Metastatic Breast Cancer in the United States

    Science.gov (United States)

    Vichansavakul, Kittaya

    Breast cancer is the second leading cause of death among women in the US. Although early detection and treatment help to increase survival rates, some unfortunate patients develop metastatic breast cancer that has no cure. Palliative treatment is the main objective in this group of patients in order to prolong life and reduce toxicities from interventions. In the advancement of treatment for metastatic breast cancer, solvent-based paclitaxel has been widely used. However, solvent-based paclitaxel often causes adverse reactions. Therefore, researchers have developed a new chemotherapy based on nanotechnology. One of these drugs is the Nanoparticle albumin-bound Paclitaxel. This nanodrug aims to increase therapeutic index by reducing adverse reactions from solvents and to improve efficacy of conventional cytotoxic chemotherapy. Breast cancer is a disease with high epidemiological and economic burden. The treatment of metastatic breast cancer has not only high direct costs but also high indirect costs. Breast cancer affects mass populations, especially women younger than 50 years of age. It relates to high indirect costs due to lost productivity and premature death because the majority of these patients are in the workforce. Because of the high cost of breast cancer therapies and short survival rates, the question is raised whether the costs and benefits are worth paying or not. Due to the rising costs in healthcare and new financing policies that have been developed to address this issue, economic evaluation is an important aspect of the development and use of any new interventions. To guide policy makers on how to allocate limited healthcare resources in the most efficient and effective manner, many economic evaluation methods can be used to measure the costs, benefits, and impacts of healthcare innovations. Currently, economic evaluation and health outcomes studies have focused greatly on cost-effectiveness and cost-utility analysis. However, the previous studies

  15. Forecasting the Socio-Economic Impact of the Large Hadron Collider: a Cost-Benefit Analysis to 2025 and Beyond

    CERN Document Server

    Florio, Massimo; Sirtori, Emanuela

    2016-01-01

    In this paper we develop a cost-benefit analysis of a major research infrastructure, the Large Hadron Collider (LHC), the highest-energy accelerator in the world, currently operating at CERN. We show that the evaluation of benefits can be made quantitative by estimating their welfare effects on different types of agents. Four classes of direct benefits are identified, according to the main social groups involved: (a) scientists; (b) students and young researchers; (c) firms in the procurement chain and other organizations; (d) the general public, including onsite and website visitors and other media users. These benefits are respectively related to the knowledge output of scientists; human capital formation; technological spillovers; and direct cultural effects for the general public. Welfare effects for taxpayers can also be estimated by the contingent valuation of the willingness to pay for a pure public good for which there is no specific direct use (i.e., as non-use value). Using a Monte Carlo approach, w...

  16. Interconnection Assessment Methodology and Cost Benefit Analysis for High-Penetration PV Deployment in the Arizona Public Service System

    Energy Technology Data Exchange (ETDEWEB)

    Baggu, Murali; Giraldez, Julieta; Harris, Tom; Brunhart-Lupo, Nicholas; Lisell, Lars; Narang, David

    2015-06-14

    In an effort to better understand the impacts of high penetrations of photovoltaic (PV) generators on distribution systems, Arizona Public Service and its partners completed a multi-year project to develop the tools and knowledge base needed to safely and reliably integrate high penetrations of utility- and residential-scale PV. Building upon the APS Community Power Project-Flagstaff Pilot, this project investigates the impact of PV on a representative feeder in northeast Flagstaff. To quantify and catalog the effects of the estimated 1.3 MW of PV that will be installed on the feeder (both smaller units at homes and large, centrally located systems), high-speed weather and electrical data acquisition systems and digital 'smart' meters were designed and installed to facilitate monitoring and to build and validate comprehensive, high-resolution models of the distribution system. These models are being developed to analyze the impacts of PV on distribution circuit protection systems (including coordination and anti-islanding), predict voltage regulation and phase balance issues, and develop volt/VAr control schemes. This paper continues from a paper presented at the 2014 IEEE PVSC conference that described feeder model evaluation and high penetration advanced scenario analysis, specifically feeder reconfiguration. This paper presents results from Phase 5 of the project. Specifically, the paper discusses tool automation; interconnection assessment methodology and cost benefit analysis.

  17. 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

  18. Lean VOC-Air Mixtures Catalytic Treatment: Cost-Benefit Analysis of Competing Technologies

    Directory of Open Access Journals (Sweden)

    Gabriele Baldissone

    2017-06-01

    Full Text Available Various processing routes are available for the treatment of lean VOC-air mixtures, and a cost-benefit analysis is the tool we propose to identify the most suitable technology. Two systems have been compared in this paper, namely a “traditional” plant, with a catalytic fixed-bed reactor with a heat exchanger for heat recovery purposes, and a “non-traditional” plant, with a catalytic reverse-flow reactor, where regenerative heat recovery may be achieved thanks to the periodical reversal of the flow direction. To be useful for decisions-making, the cost-benefit analysis must be coupled to the reliability, or availability, analysis of the plant. Integrated Dynamic Decision Analysis is used for this purpose as it allows obtaining the full set of possible sequences of events that could result in plant unavailability, and, for each of them, the probability of occurrence is calculated. Benefits are thus expressed in terms of out-of-services times, that have to be minimized, while the costs are expressed in terms of extra-cost for maintenance activities and recovery actions. These variable costs must be considered together with the capital (fixed cost required for building the plant. Results evidenced the pros and cons of the two plants. The “traditional” plant ensures a higher continuity of services, but also higher operational costs. The reverse-flow reactor-based plant exhibits lower operational costs, but a higher number of protection levels are needed to obtain a similar level of out-of-service. The quantification of risks and benefits allows the stakeholders to deal with a complete picture of the behavior of the plants, fostering a more effective decision-making process. With reference to the case under study and the relevant operational conditions, the regenerative system was demonstrated to be more suitable to treat lean mixtures: in terms of time losses following potential failures the two technologies are comparable (Fixed bed

  19. PREVENTION OF Β THALASSEMIA IN NORTHERN ISRAEL - A COST-BENEFIT ANALYSIS.

    Directory of Open Access Journals (Sweden)

    Ariel Koren

    2014-02-01

    Full Text Available Background:β Thalassemia major is characterized by hemolytic anemia, ineffectiveerythropoiesis and hemosiderosis. About 4 % of the world population carries a Thalassemiagene. Management includes blood transfusions and iron chelation, this treatmentis costly and population screening may be significantly more cost benefit. Purpose: Thepurpose of the current study is to analyze the cost of running a preventionprogram for β Thalassemia in Israel and compare it to the actual expensesincurred by treating Thalassemia patients. Methods: Threecost parameters were analyzed and compared: The prevention program, routinetreatment of patients and treatment of complications. An estimation of theexpenses needed to treat patients that present with complications werecalculated based on our ongoing experience in treatment of deterioratingpatients. Results andConclusions: The cost of preventing one affected newborn was $63,660 comparedto $1,971,380 for treatment of a patient during 50 years (mean annual cost:  $39,427. Thus, the prevention of 45 affectednewborns over a ten years period represents a net saving of $88.5 million tothe health budget. Even after deducting the cost of the prevention program ($413.795/yr., the program still represents abenefit of $ 76 million over ten years. Each prevented case could pay thescreening and prevention program for 4.6 ys.

  20. [Practical and theoretical aspects of cost-benefit relations in viscerosynthesis].

    Science.gov (United States)

    Fuchs, K H; Heimbucher, J; Geiger, D; Thiede, A

    1997-01-01

    The necessity of limiting health care costs requires adequate service recording and quality control even in visceral surgery. In this field, the safety of the anastomoses is of greatest importance. Anastomoses at risk are esophageal connections to jejunum or colon and deep rectal anastomoses. At these locations expensive suture devices, such as stapling instruments, can be used in a cost saving aspect, if they help to increase anastomotic safety, time saving and expansion of surgical indication. Manual sutures thus represent the cheapest anastomotic technique as continuous sutures would cost between DM 10.- to 20.- and single stitch sutures between DM 60.- and 100.-. A surgical school should prevalently aim at training manual anastomoses, while special anastomotic techniques should only complete the skill for selected indications. The overall staff expenditure for extended operations amounts around DM 600.- per hour respectively DM 10.- per minute. Time for surgery might be shortened by auxiliary tools as much as to perform an additional operation. However, a circular stapler anastomosis that costs between DM 650.- to 850.- is twice as expensive as manual sutures notwithstanding the double time needed. In the past years, the necessity for a rational use of different anastomotic techniques has shown to be mandatory since, increasingly, financial aspects of health economy require cost benefit calculations in visceral surgery.

  1. Some remarks concerning the Cost/Benefit Analysis applied to LHC at CERN

    CERN Document Server

    Schopper, Herwig

    2016-01-01

    The cost/benefit analysis originally developed for infrastructures in the economic sector has recently been extended by Florio et al to infrastructures of basic research. As a case study the large accelerator LHC at CERN and its experiments have been selected since as a paradigmatic example of frontier research they offer an excellent case to test the CBA model. It will be shown that in spite of this improved method the LHC poses serious difficulties for such an analysis. Some principle difficulties are due to the special character of scientific projects. Their main result is the production of new basic scientific knowledge whose net social value cannot be easily expressed in monetary terms. Other problems are related to the very strong integration of LHC into the general activities of CERN providing however, interesting observations concerning a new management style for global projects. Finally the mission of CERN (including LHC) is unique since it was founded with two tasks - promote science and bring natio...

  2. Does the Planetree patient-centered approach to care pay off?: a cost-benefit analysis.

    Science.gov (United States)

    Coulmont, Michel; Roy, Chantale; Dumas, Lucie

    2013-01-01

    Although the Planetree patient-centered approach to care is being implemented in many institutions around the world, its impact is still the subject of some debate. On the one hand, it is viewed as the most cost-effective way to provide care and create a positive work environment that reduces staff burnout. On the other hand, it is argued that it requires higher staffing ratios and a substantial infusion of financial resources and is time consuming, which in turn results in more work. The present study addresses the economic agenda of the Planetree patient-centered approach to care and has been designed to answer the following question: do the advantages of the Planetree patient-centered approach outweigh its costs? This question is of considerable interest for health care administrators and managers because the relevant authorities the world over have limited resources to allocate to health care organizations. Using a trend analysis approach to cost-benefit in a rehabilitation center, this study shows that the revenues the model generates are greater than the costs of implementing it. Fewer grievances and vacant positions, an improved employee retention rate, a better working atmosphere, and a high level of employee satisfaction (higher than in similar establishments) were also noted.

  3. Cost-benefit analyses of supplementary measles immunisation in the highly immunized population of New Zealand.

    Science.gov (United States)

    Hayman, D T S; Marshall, J C; French, N P; Carpenter, T E; Roberts, M G; Kiedrzynski, T

    2017-09-05

    As endemic measles is eliminated from countries through increased immunisation, the economic benefits of enhanced immunisation programs may come into question. New Zealand has suffered from outbreaks after measles introductions from abroad and we use it as a model system to understand the benefits of catch up immunisation in highly immunised populations. We provide cost-benefit analyses for measles supplementary immunisation in New Zealand. We model outbreaks based on estimates of the basic reproduction number in the vaccinated population (Rv, the number of secondary infections in a partially immunised population), based on the number of immunologically-naïve people at district and national levels, considering both pre- and post-catch up vaccination scenarios. Our analyses suggest that measles Rv often includes or exceeds one (0.18-3.92) despite high levels of population immunity. We calculate the cost of the first 187 confirmed and probable measles cases in 2014 to be over NZ$1 million (∼US$864,200) due to earnings lost, case management and hospitalization costs. The benefit-cost ratio analyses suggest additional vaccination beyond routine childhood immunisation is economically efficient. Supplemental vaccination-related costs are required to exceed approximately US$66 to US$1877 per person, depending on different scenarios, before supplemental vaccination is economically inefficient. Thus, our analysis suggests additional immunisation beyond childhood programs to target naïve individuals is economically beneficial even when childhood immunisation rates are high. Copyright © 2017 Elsevier Ltd. All rights reserved.

  4. Unification and Secession: How do Votes in International Organizations influence Cost-benefit Analysis?

    Directory of Open Access Journals (Sweden)

    Alban Lauka

    2016-06-01

    Full Text Available Unification or secession efforts, especially those based on nationalistic principles, have been made continuously since at least the 19th century, but the way states exert their influence on the international arena has undergone major transformations. Could these transformations change the motivation of certain states to unify or that of different regions to secede? What is the benefit of having one or more additional state representatives in international organizations? To answer these questions, this paper examines the importance that voting processes in international organizations can have for the cost/benefit calculations of states or particular regions in their national unification or secession efforts. After conceptually isolating the impact of state votes in international organizations as an instrument of foreign policy, the votes are calculated for the four case studies in their current state as well in case of potential unification or secession. The results suggest that, while votes in international organizations do award additional international influence to internationally recognized statehood, today this added value does not constitute an unaffordable cost for unification agendas.

  5. Cost/benefit analysis comparing ex situ treatment technologies for removing carbon tetrachloride from Hanford groundwater

    Energy Technology Data Exchange (ETDEWEB)

    Truex, M.J.; Brown, D.R.; Elliott, D.B.

    1993-05-01

    Pacific Northwest Laboratory conducted a cost/benefit and performance analysis to compare ex situ technologies that can be used to destroy the carbon tetrachloride (CCl[sub 4]) in the ground water of Hanford's 200 West Area. The objective of this work was to provide a direct quantitative and qualitative comparison of competing technologies. The technologies examined included a biological system, the Thermochemical Environmental Energy System II (TEES II), and a UV/oxidation system. The factors examined included key system operation parameters, impact on inorganic contaminants in the ground water, and secondary waste production. The cost effectiveness of these destruction technologies was also compared to the cost for an air stripping/granular activated carbon (AS/GAC) system. While the AS/GAC system appeared to be more cost effective at many levels than the CCl[sub 4] destruction technologies, the secondary waste produced by this system may lead to significant cost and/or regulatory problems. The factors with the greatest influence on cost for each destruction technology are as follows: nutrient requirements for both of the biological systems, electricity requirements and the type of unit operations for the TEES II process, and electricity requirements for UV/oxidation.

  6. Cost/benefit analysis comparing ex situ treatment technologies for removing carbon tetrachloride from Hanford groundwater

    Energy Technology Data Exchange (ETDEWEB)

    Truex, M.J.; Brown, D.R.; Elliott, D.B.

    1993-05-01

    Pacific Northwest Laboratory conducted a cost/benefit and performance analysis to compare ex situ technologies that can be used to destroy the carbon tetrachloride (CCl{sub 4}) in the ground water of Hanford`s 200 West Area. The objective of this work was to provide a direct quantitative and qualitative comparison of competing technologies. The technologies examined included a biological system, the Thermochemical Environmental Energy System II (TEES II), and a UV/oxidation system. The factors examined included key system operation parameters, impact on inorganic contaminants in the ground water, and secondary waste production. The cost effectiveness of these destruction technologies was also compared to the cost for an air stripping/granular activated carbon (AS/GAC) system. While the AS/GAC system appeared to be more cost effective at many levels than the CCl{sub 4} destruction technologies, the secondary waste produced by this system may lead to significant cost and/or regulatory problems. The factors with the greatest influence on cost for each destruction technology are as follows: nutrient requirements for both of the biological systems, electricity requirements and the type of unit operations for the TEES II process, and electricity requirements for UV/oxidation.

  7. Cost-benefit analysis of management practices for ewes lame with footrot.

    Science.gov (United States)

    Winter, Joanne R; Green, Laura E

    2017-02-01

    The aim of this study was to investigate the cost-benefit of different strategies to treat and control ovine footrot. In November 2006, 162 sheep farmers in England responded to a survey on prevalence and management of lameness. The costs of lameness per ewe per year (PEPY) were calculated for 116 flocks. Linear regression was used to model the overall cost of lameness PEPY by management method. Associations between farmer satisfaction and time and money spent managing lameness were investigated. The median prevalence of lameness was 5% (inter-quartile range, IQR, 4-10%). The overall cost of lameness PEPY in flocks with ≥10% lameness was UK £6.35 versus £3.90 for flocks with managing lameness spent significantly less time (1.46 h PEPY) than unsatisfied farmers (1.90 h PEPY). Farmers satisfied with money spent managing lameness had significantly lower treatment (£2.94 PEPY) and overall (£5.00 PEPY) costs than dissatisfied farmers (£5.50 and £7.60 PEPY, respectively). If the farmers in this study adopted best practice of parenteral antibiotic treatment with no routine foot trimming, and minimised foot bathing to treatment/prevention of interdigital dermatitis, the financial benefits would be approximately £4.65 PEPY. If these costs are similar on other farms the management changes would lead to significant economic benefits for the sheep industry. Copyright © 2016 Elsevier Ltd. All rights reserved.

  8. Cost-benefit analysis of childhood asthma management through school-based clinic programs.

    Science.gov (United States)

    Tai, Teresa; Bame, Sherry I

    2011-04-01

    Asthma is a leading chronic illness among American children. School-based health clinics (SBHCs) reduced expensive ER visits and hospitalizations through better healthcare access and monitoring in select case studies. The purpose of this study was to examine the cost-benefit of SBHC programs in managing childhood asthma nationwide for reduction in medical costs of ER, hospital and outpatient physician care and savings in opportunity social costs of lowing absenteeism and work loss and of future earnings due to premature deaths. Eight public data sources were used to compare costs of delivering primary and preventive care for childhood asthma in the US via SBHC programs, including direct medical and indirect opportunity costs for children and their parents. The costs of nurse staffing for a nationwide SBHC program were estimated at $4.55 billion compared to the estimated medical savings of $1.69 billion, including ER, hospital, and outpatient care. In contrast, estimated total savings for opportunity costs of work loss and premature death were $23.13 billion. Medical savings alone would not offset the expense of implementing a SBHC program for prevention and monitoring childhood asthma. However, even modest estimates of reducing opportunity costs of parents' work loss would be far greater than the expense of this program. Although SBHC programs would not be expected to affect the increasing prevalence of childhood asthma, these programs would be designed to reduce the severity of asthma condition with ongoing monitoring, disease prevention and patient compliance.

  9. Cost-benefit of three different methods for studying Mediterranean rocky benthic assemblages

    Directory of Open Access Journals (Sweden)

    Natàlia Sant

    2017-03-01

    Full Text Available Here we compare the applicability, the information provided and the cost-benefit of three sampling methods usually used in the study of rocky benthic assemblages. For comparative purposes, sampling was performed seasonally and along a depth gradient (0-50 m in the Cabrera Archipelago (western Mediterranean. The destructive scraping (collection method was the least cost-effective but provided the best qualitative and quantitative information. The in situ visual method was the most time-effective but provided low levels of taxonomic resolution and its accuracy decreased with depth due to the increasing difficulty of recognizing species in situ due to nitrogen narcosis, reduced light and cold. The photoquadrat method showed intermediate values of cost-effectiveness and information but was not suitable for multilayered assemblages, as it only accounted for the overstory. A canonical correspondence analysis showed that depth was highlighted as the main environmental gradient (16.0% of variance by the three methods. However, differences due to the sampling method (7.9% of variance were greater than differences due to temporal variability (5.8% of variance, suggesting that the three methods are valid but their selection has to be carefully assessed in relation to the targeted assemblages and the specific goals of each study.

  10. Cost-Benefit Analysis of High-Speed Rail Link between Hong Kong and Mainland China

    Directory of Open Access Journals (Sweden)

    R. Tao

    2011-07-01

    Full Text Available The Legislative Council in Hong Kong has approved a funding of USD$8.60 billion to build the high-speed rail (HSR line linking mainland China. HSR is a break-through technology that allows trains running at a speed over 250 km per hour. The most controversial part of the HSR investment is whether its cost could be compensated by the social benefits. In this study, a cost-benefit analysis of the Hong Kong to mainland HSR (HKM-HSR line is carried out. First, all the direct and indirect costs, and social benefits are defined; then, monetary equivalents are assigned to these elements; third, all the future values are discounted into present values and aggregated. The results show that the project has a positive net present value (NPV up to USD$2,068.49 million, which proves that the investment is worth. In addition, other transport alternatives, i.e. the existing roadway and conventional railway, are examined and compared with HKM-HSR, which unveils that HSR has the largest positive NPV among these three passenger transportation modes because of its excellent performance in ticket revenue, travel time savings and safety improvement.

  11. Utilization of recycled asphalt concrete with warm mix asphalt and cost-benefit analysis.

    Directory of Open Access Journals (Sweden)

    Julide Oner

    Full Text Available The asphalt paving industries are faced with two major problems. These two important challenges are generated with an increase in demand for environmentally friendly paving mixtures and the problem of rapidly rising raw materials. Recycling of reclaimed asphalt pavement (RAP is a critical necessity to save precious aggregates and reduce the use of costly bitumen. Warm Mix Asphalt (WMA technology provides not only the option of recycling asphalt pavement at a lower temperature than the temperature maintained in hot mixtures but also encourages the utilization of RAP and therefore saves energy and money. This paper describes the feasibility of utilizing three different WMA additives (organic, chemical and water containing at recommended contents with different percentages of RAP. The mechanical properties and cost-benefit analysis of WMA containing RAP have been performed and compared with WMA without RAP. The results indicated that, 30%, 10% and 20% can be accepted as an optimum RAP addition related to organic, chemical and water containing additives respectively and organic additive with 30% RAP content has an appreciable increase in tensile strength over the control mix. It was also concluded that the RAP with WMA technology is the ability to reduce final cost compared to HMA and WMA mixtures.

  12. [Cost-benefit analysis in setting up limitation standards of aflatoxins in foods].

    Science.gov (United States)

    Wang, Jun; Liu, Xiumei

    2011-03-01

    To explore a reasonable limitation standard for aflatoxins in foods to protect the health of people in China with a cost-benefit analysis. A traditional mathematical model and MOE (margin of exposure) method was used to assess the effect of different limiting standards on health for total aflatoxins and aflatoxin B1 in peanut, corn and rice, and the loss of foods under different limiting standard levels was also calculated. The change of limiting standards for total aflatoxins and aflatoxin B1 in peanut and corn might have no significant influence on reducing the prevalence of liver cancer in China, but the loss of foods was significantly different. The change of limiting standards for total aflatoxins and aflatoxin B1 in ice might have significant influence both on reducing liver cancer and losing foods. The following limiting standards is advisable: 20 microg/kg for total aflatoxins and 15 microg/kg for Aflatoxin B1 in peanut and its products, 20 microg/kg for total aflatoxins and 15 microg/kg for aflatoxin B1 in corn, 10 microg/kg for total aflatoxins and 5 microg/kg or 10 microg/kg for aflatoxin B1 in rice.

  13. Utilization of recycled asphalt concrete with warm mix asphalt and cost-benefit analysis.

    Science.gov (United States)

    Oner, Julide; Sengoz, Burak

    2015-01-01

    The asphalt paving industries are faced with two major problems. These two important challenges are generated with an increase in demand for environmentally friendly paving mixtures and the problem of rapidly rising raw materials. Recycling of reclaimed asphalt pavement (RAP) is a critical necessity to save precious aggregates and reduce the use of costly bitumen. Warm Mix Asphalt (WMA) technology provides not only the option of recycling asphalt pavement at a lower temperature than the temperature maintained in hot mixtures but also encourages the utilization of RAP and therefore saves energy and money. This paper describes the feasibility of utilizing three different WMA additives (organic, chemical and water containing) at recommended contents with different percentages of RAP. The mechanical properties and cost-benefit analysis of WMA containing RAP have been performed and compared with WMA without RAP. The results indicated that, 30%, 10% and 20% can be accepted as an optimum RAP addition related to organic, chemical and water containing additives respectively and organic additive with 30% RAP content has an appreciable increase in tensile strength over the control mix. It was also concluded that the RAP with WMA technology is the ability to reduce final cost compared to HMA and WMA mixtures.

  14. Motivating Citizens to Participate in Public Policymaking: Identification, Trust and Cost-Benefit Analyses

    Directory of Open Access Journals (Sweden)

    Matteo Antonini

    2015-10-01

    Full Text Available Under what conditions do citizens of nations and states comply with governmental requests to participate in public policymaking? Drawing on the dual pathway model of collective action (Stürmer & Simon, 2004 but with a focus on compliance with the status quo, rather than participation in collective protest, two studies examined citizens’ motivation to participate in public policymaking. Study 1 (N = 169 was an MTurk hosted survey that recruited participants from California, while Study 2 (N = 198 was a field experiment that recruited participants in Sardinia, Italy. Study 1 measured cost-benefit analyses, societal identification, and willingness to participate in public policymaking. Study 2 repeated the same procedures, with the exception that we manipulated costs of participation, and also measured participants’ trust in government. Study 1 confirmed our initial hypotheses – fewer costs predicted more willingness to participate, as did stronger state identification. However, Study 2 found an interactive effect of costs, identification, and trust on willingness to participate in public policymaking. Results confirm our hypotheses by showing that both costs and identification independently influence willingness to participate in public policymaking. Results also add to the literature by showing that these additive pathways can be influenced by trust in the source of governance.

  15. Impact of logging on a mangrove swamp in South Mexico: cost / benefit analysis

    Directory of Open Access Journals (Sweden)

    Cristian Tovilla Hernández

    2001-06-01

    Full Text Available Environmental changes caused by logging in a mangrove swamp were studied in Barra de Tecoanapa, Guerrero, Mexico. Original forest included Rhizophora mangle, Laguncularia racemosa, Avicennia germinans and halophytic vegetation, and produced wood (164.03 m3/ha and organic matter (3.9 g/m2/day. A total of 3.5 tons of wood per year were harvested from this area. Later, an average of 2 555 kg of maize per planting cycle were obtained (market value of 88 USD. Succession when the area was abandoned included strictly facultative and glycophyte halophytes (16 families, Cyperaceae and Poaceae were the best represented. After logging, temperatures increased 13 °C in the soil and 11°C in the air, whereas salinity reached 52 psu in the dry season. These modified soil color and sand content increased from 42.6 to 63.4%. Logging was deleterious to species, habitat, biogeochemical and biological cycles, organic matter production, seeds, young plants, genetic exchange conservation of soil and its fertility, coastal protection, and aesthetic value; 3 000 m2 had eroded as the river advanced towards the deforested area (the cost/benefit analysis showed a ratio of 246: 1. There was long-term economic loss for the community and only 30% of the site has recovered after five years.

  16. A U.K. cost-benefit analysis of circles of support and accountability interventions.

    Science.gov (United States)

    Elliott, Ian A; Beech, Anthony R

    2013-06-01

    Circles of Support and Accountability (CoSA) aim to augment sex offender risk management at the point of community reentry by facilitating "Circles" of volunteers who provide support, guidance, and advice, while ensuring that the offender remains accountable for their actions. In this study, the authors provide (a) a rapid evidence assessment of the effectiveness of CoSA in reducing reoffending, and (b) a U.K. cost-benefit analysis for CoSA when compared to the criminal justice costs of reoffending. From the study analysis, the average cost of a "Circle" was estimated to be £11,303 per annum and appears to produce a 50% reduction in reoffending (sexual and nonsexual), as the estimated cost of reoffending was estimated to be £147,161 per offender, per annum. Based on a hypothetical cohort of 100 offenders--50 of whom receive CoSA and 50 of whom do not--investment in CoSA appears to provide a cost saving of £23,494 and a benefit-cost ratio of 1.04. Accounting for estimates that the full extent of the cost to society may be 5 to 10 times the tangible costs substantially increases estimated cost savings related to CoSA.

  17. DSM-5 proposals for mood disorders: a cost-benefit analysis.

    Science.gov (United States)

    First, Michael B

    2011-01-01

    The Diagnostic and Statistical Manual of Mental Disorders (DSM)-5 revision is underway. The review examines draft proposals for changes in mood disorders (posted February 2010 on DSM-5 web site), explains their rationale, and considers relative costs vs. benefits. Proposals covered include recommendation for a comorbid anxiety dimension; addition of a new disorder, mixed anxiety depression; replacement of mixed manic episodes with a 'mixed features' specifier applicable to manic, hypomanic, and major depressive episodes; addition of severity dimensions for manic and major depressive episodes; and removal of the bereavement exclusion in major depressive episode. Although some proposals (particularly the anxiety dimension and the use of Patient Health Questionnaire-9 (PHQ-9) as depression severity dimension) may improve clinical and research utility, others have a high potential for false positives (e.g., addition of mixed anxiety depression, removal of bereavement exclusion), unclear clinical utility (e.g., mixed features specifier for depressive episodes), or problematic implementation (e.g., use of Clinical Global Impression (CGI), which requires prior experience of treating bipolar patients, for rating manic episode severity). A cost-benefit analysis of mood proposals yields mixed results, with some having significant benefits and others carrying the risk of significant problems. Only proposals in which benefits outweigh costs should be included in the final DSM-5.

  18. Cost-Benefit Analysis of a Biomass Power Plant in Morocco and a Photovoltaic Installation in Algeria

    Energy Technology Data Exchange (ETDEWEB)

    Galan, A.; Gonzalez Leal, J.; Varela, M.

    1999-07-01

    This report presents an overview of cost-benefit analysis general methodology, describing its principles and basic characteristics. This methodology was applied to two case studies analyzed in the project INTERSUDMED, one biomass power plant fed by energy crops in El Hajeb (Morocco) and the other a photovoltaic installation in Djanet (Algeria). Both cases have been selected among the ones analyzed in the INTERSUDMED Project because of their interesting social implications and possible alternatives, that make them most suitable for cost-benefit analysis application. Finally, this report addresses the conclusions of both studies and summarizes the most relevant obtained results. (Author) 13 refs.

  19. The feasibility of a nuclear renaissance: A cost-benefit analysis of nuclear energy as a source of electricity

    Directory of Open Access Journals (Sweden)

    Andries Lodewikus Lombaard

    2016-03-01

    Full Text Available Purpose: This article evaluates a possible global nuclear renaissance in the provision of electrical energy.Problem investigated: Several countries, such as South Africa, are experiencing problems in the provision of electricity and the maintenance of the infrastructure to answer growing demand. This article investigates an alternative, which was popular in the 1970s and provides clean energy.Methodology: The study firstly evaluates the main arguments set by anti-nuclear activists critically. It concerns negative public sentiment, human life and environmental endangerment, alternative energy, cost effectiveness and waste disposal concerns. The study focuses on the cost of nuclear power, as the benefits of electricity are assumed homogeneous. The second part of the article reports on an empirical cost-benefit analysis conducted by the authors to estimate the value and likeliness of a nuclear renaissance.Findings and implications: The empirical analysis indicated that nuclear energy is mostly cost-efficient. The research shows that there might be a slight increase in the use of nuclear power-producing technologies in future.Originality and value of the research: This study makes a positive contribution to the electrical power and nuclear energy debate. It assesses the possibility of a nuclear renaissance objectively. The environment, global energy shortage and different cost structures of various modes of energy production were considered.Conclusion: The study concluded that a nuclear renaissance is possible, but that despite the advantages to costs and the environment, this would not yet be statistically significant enough to cause a nuclear renaissance.

  20. [Multidisciplinary outpatient care program vs. usual care : Cost-benefit analysis in patients with chronic low back pain].

    Science.gov (United States)

    Brömme, J; Mohokum, M; Disch, A C; Marnitz, U

    2015-04-01

    Chronic low back pain (CLBP) is a major health problem in industrialized nations and is associated with very high total costs. These costs are split between direct costs brought about by the utilization of health care services and indirect costs due to back pain-related loss of productivity. Despite the existence of some evidence about the effectiveness of a multidisciplinary outpatient care programmes in Germany, the economic benefit of these programmes has not yet been studied in detail. To provide an economic evaluation of the cost benefits of a multidisciplinary outpatient care programme for patients with chronic low back pain (CLBP) compared to those undergoing conventional care. An economic evaluation was performed in 514 patients who have been diagnosed with LBP. Two interventions will be compared: (1) a multidisciplinary outpatient care programme consisting of education, activity programmes, cognitive behavioural therapy, work hardening and functional restoration and (2) the usual noninvasive care provided by medical specialists and health care professionals. In all, 257 patients were involved in a 4 week multidisciplinary outpatient care programme, while the other 257 were subject to conventional care. The total costs per patient were estimated to be 10,584.14 (± 9,730.87) after 1 year in the group with the multidisciplinary care programme. The results show a significant reduction in the total amount of costs 3,161.63 (range 2,845.30-3,477.96) compared to the usual care group. However, the direct costs are minor (6-12%) compared to the indirect costs (80-93%). This study provides important information which is of value for decision-making and making an adequate allocation of medical resources for patients with CLBP. A multidisciplinary outpatient care programme can facilitate rapid return to work.

  1. Comparison of Australian and US Cost-Benefit Approaches to MEPS

    Energy Technology Data Exchange (ETDEWEB)

    McMahon, James E.

    2004-03-12

    The Australian Greenhouse Office contracted with the Collaborative Labeling and Appliance Standards Program (CLASP) for LBNL to compare US and Australian approaches to analyzing costs and benefits of minimum energy performance standards (MEPS). This report compares the approaches for three types of products: household refrigerators and freezers, small electric storage water heaters, and commercial/industrial air conditioners. This report presents the findings of similarities and differences between the approaches of the two countries and suggests changes to consider in the approach taken in Australia. The purpose of the Australian program is to reduce greenhouse gas emissions, while the US program is intended to increase energy efficiency; each program is thus subject to specific constraints. The market and policy contexts are different, with the USA producing most of its own products and conducting pioneering engineering-economic studies to identify maximum energy efficiency levels that are technologically feasible and economically justified. In contrast, Australia imports a large share of its products and adopts MEPS already in place elsewhere. With these differences in circumstances, Australia's analysis approach could be expected to have less analytical detail and still result in MEPS levels that are appropriate for their policy and market context. In practice, the analysis required to meet these different objectives is quite similar. To date, Australia's cost-benefit analysis has served the goals and philosophies of the program well and been highly effective in successfully identifying MEPS that are significantly reducing greenhouse gas emissions while providing economic benefits to consumers. In some cases, however, the experience of the USA--using more extensive data sets and more detailed analysis--suggests possible improvements to Australia's cost-benefit analysis. The principal findings of the comparison are: (1) The Technology and Market

  2. Cost-benefit analysis for the installation of cogeneration CSP technology in Cyprus

    Directory of Open Access Journals (Sweden)

    Andreas Poullikkas

    2013-12-01

    Full Text Available The purpose of this work is to investigate whether the installation of an innovative cogeneration of electricity and desalinated water (DSW with concentrated solar power (CSP technology in Cyprus is economically feasible. The study takes into account the following generating technologies, (a CSP-DSW technology 4 MWe, (b CSP-DSW technology 10 MWe, (c CSP-DSW technology 25 MWe and (d CSP-DSW technology 50 MWe with or without CO2 trading for two different cases of electricity purchasing tariff. For all above cases the electricity unit cost or benefit before tax, as well as internal rate of return (IRR and payback period (PBP are calculated. The results indicate that the electricity unit cost or benefit for both cases of electricity purchasing tariff are decreased or increased with the increase of the capacity factor and the capacity size of the plant. Also, the additional benefit due to the CO2 ETS price of 10 €/tCO2 for all scenarios is 0.8 €c/kWh. Specifically, for the electricity purchasing tariff of 26 €c/kWh case, the investment in CSP-DSW technology for every capacity size is very attractive, since, the CSP-DSW scenarios have high after tax IRR and low PBP. Despite the lower electricity unit cost benefit in the case of electricity purchasing tariff of 12.83 €c/kWh compared to that of the 26 €c/kWh case, which in some cases there is cost and not benefit, for CSP-DSW plants of 25 MWe and 50 MWe, the investment in this technology is still attractive.

  3. The development of a public optometry system in Mozambique: a Cost Benefit Analysis.

    Science.gov (United States)

    Thompson, Stephen; Naidoo, Kovin; Harris, Geoff; Bilotto, Luigi; Ferrão, Jorge; Loughman, James

    2014-09-23

    The economic burden of uncorrected refractive error (URE) is thought to be high in Mozambique, largely as a consequence of the lack of resources and systems to tackle this largely avoidable problem. The Mozambique Eyecare Project (MEP) has established the first optometry training and human resource deployment initiative to address the burden of URE in Lusophone Africa. The nature of the MEP programme provides the opportunity to determine, using Cost Benefit Analysis (CBA), whether investing in the establishment and delivery of a comprehensive system for optometry human resource development and public sector deployment is economically justifiable for Lusophone Africa. A CBA methodology was applied across the period 2009-2049. Costs associated with establishing and operating a school of optometry, and a programme to address uncorrected refractive error, were included. Benefits were calculated using a human capital approach to valuing sight. Disability weightings from the Global Burden of Disease study were applied. Costs were subtracted from benefits to provide the net societal benefit, which was discounted to provide the net present value using a 3% discount rate. Using the most recently published disability weightings, the potential exists, through the correction of URE in 24.3 million potentially economically productive persons, to achieve a net present value societal benefit of up to $1.1 billion by 2049, at a Benefit-Cost ratio of 14:1. When CBA assumptions are varied as part of the sensitivity analysis, the results suggest the societal benefit could lie in the range of $649 million to $9.6 billion by 2049. This study demonstrates that a programme designed to address the burden of refractive error in Mozambique is economically justifiable in terms of the increased productivity that would result due to its implementation.

  4. Clonal integration of Fragaria orientalis in reciprocal and coincident patchiness resources: cost-benefit analysis.

    Directory of Open Access Journals (Sweden)

    Yunchun Zhang

    Full Text Available Clonal growth allows plants to spread horizontally and to experience different levels of resources. If ramets remain physiologically integrated, clonal plants can reciprocally translocate resources between ramets in heterogeneous environments. But little is known about the interaction between benefits of clonal integration and patterns of resource heterogeneity in different patches, i.e., coincident patchiness or reciprocal patchiness. We hypothesized that clonal integration will show different effects on ramets in different patches and more benefit to ramets under reciprocal patchiness than to those under coincident patchiness, as well as that the benefit from clonal integration is affected by the position of proximal and distal ramets under reciprocal or coincident patchiness. A pot experiment was conducted with clonal fragments consisting of two interconnected ramets (proximal and distal ramet of Fragaria orientalis. In the experiment, proximal and distal ramets were grown in high or low availability of resources, i.e., light and water. Resource limitation was applied either simultaneously to both ramets of a clonal fragment (coincident resource limitation or separately to different ramets of the same clonal fragment (reciprocal resource limitation. Half of the clonal fragments were connected while the other half were severed. From the experiment, clonal fragments growing under coincident resource limitation accumulated more biomass than those under reciprocal resource limitation. Based on a cost-benefit analysis, the support from proximal ramets to distal ramets was stronger than that from distal ramets to proximal ramets. Through division of labour, clonal fragments of F. orientalis benefited more in reciprocal patchiness than in coincident patchiness. While considering biomass accumulation and ramets production, coincident patchiness were more favourable to clonal plant F. orientalis.

  5. Improving air pollution control policy in China--A perspective based on cost-benefit analysis.

    Science.gov (United States)

    Gao, Jinglei; Yuan, Zengwei; Liu, Xuewei; Xia, Xiaoming; Huang, Xianjin; Dong, Zhanfeng

    2016-02-01

    To mitigate serious air pollution, the State Council of China promulgated the Air Pollution Prevention and Control Action Plan in 2013. To verify the feasibility and validity of industrial energy-saving and emission-reduction policies in the action plan, we conducted a cost-benefit analysis of implementing these policies in 31 provinces for the period of 2013 to 2017. We also completed a scenario analysis in this study to assess the cost-effectiveness of different measures within the energy-saving and the emission-reduction policies individually. The data were derived from field surveys, statistical yearbooks, government documents, and published literatures. The results show that total cost and total benefit are 118.39 and 748.15 billion Yuan, respectively, and the estimated benefit-cost ratio is 6.32 in the S3 scenario. For all the scenarios, these policies are cost-effective and the eastern region has higher satisfactory values. Furthermore, the end-of-pipe scenario has greater emission reduction potential than energy-saving scenario. We also found that gross domestic product and population are significantly correlated with the benefit-cost ratio value through the regression analysis of selected possible influencing factors. The sensitivity analysis demonstrates that benefit-cost ratio value is more sensitive to unit emission-reduction cost, unit subsidy, growth rate of gross domestic product, and discount rate among all the parameters. Compared with other provinces, the benefit-cost ratios of Beijing and Tianjin are more sensitive to changes of unit subsidy than unit emission-reduction cost. These findings may have significant implications for improving China's air pollution prevention policy. Copyright © 2015 Elsevier B.V. All rights reserved.

  6. Age-26 Cost-Benefit Analysis of the Child-Parent Center Early Education Program

    Science.gov (United States)

    Reynolds, Arthur J.; Temple, Judy A.; White, Barry A.; Ou, Suh-Ruu; Robertson, Dylan L.

    2013-01-01

    We conducted a cost-benefit analysis of the Child-Parent Center (CPC) early childhood intervention. Using data collected up to age 26 on health and well-being, the study is the first adult economic analysis of a sustained large-scale and publicly-funded intervention. As part of the Chicago Longitudinal Study, a complete cohort of 900 low-income children who enrolled in 20 CPCs beginning at age 3 were compared to 500 well-matched low-income children who participated in the usual educational interventions for the economically disadvantaged in Chicago schools. School-age services were provided up to age 9 (third grade). Findings indicated that the three components of CPC had economic benefits in 2007 dollars that exceeded costs. The preschool program provided a total return to society of $10.83 per dollar invested (net benefits per participant of $83,708). Benefits to the public (other than program participants and families) were $7.20 per dollar invested. The primary sources of benefits were increased earnings and tax revenues, averted criminal justice system and victim costs, and savings for child welfare, special education, and grade retention. The school-age program had a societal return of $3.97 per dollar invested and a $2.11 public return. The extended intervention program (4 to 6 years of participation) had a societal return of $8.24 and public return of $5.21. Estimates were robust across a wide range of discount rates and alternative assumptions, and were consistent with the results of Monte Carlo simulations. Males, 1-year preschool participants, and children from higher risk families had greater economic benefits. Findings provide strong evidence that sustained early childhood programs can contribute to well-being for individuals and society. PMID:21291448

  7. Cost-benefit analysis of establishing and operating radiation oncology services in Fiji.

    Science.gov (United States)

    Kim, Eunkyoung; Cho, Yoon-Min; Kwon, Soonman; Park, Kunhee

    2017-10-01

    Rising demand for services of cancer patients has been recognised by the Government of Fiji as a national health priority. Increasing attention has been paid to the lack of service of radiation therapy or radiotherapy in Fiji. This study aims to estimate and compare the costs and benefits of introducing radiation oncology services in Fiji from the societal perspective. Time horizon for cost-benefit analysis (CBA) was 15 years from 2021 to 2035. The benefits and costs were converted to the present values of 2016. Estimates for the CBA model were taken from previous studies and expert opinions and data obtained from field visits to Fiji in January 2016. Sensitivity analyses with changing assumptions were undertaken. The estimated net benefit, applying the national minimum wage (NMW) to measure monetary value for life-year gained, was -31,624,421 FJD with 0.69 of benefit-cost (B/C) ratio. If gross national income (GNI) per capita was used for the value of life years, net benefit was 3,975,684 FJD (B/C ratio: 1.04). With a pessimistic scenario, establishing the center appeared to be not cost-beneficial, and the net benefit was -53,634,682 FJD (B/C ratio: 0.46); net benefit with an optimistic scenario was estimated 23,178,189 FJD (B/C ratio: 1.20). Based on the CBA results from using GNI per capita instead of the NMW, this project would be cost-beneficial. Introducing a radiation oncology center in Fiji would have potential impacts on financial sustainability, financial protection, and accessibility and equity of the health system. Copyright © 2017 World Health Organization. Published by Elsevier Ltd.. All rights reserved.

  8. Cost-benefit analysis of Xpert MTB/RIF for tuberculosis suspects in German hospitals.

    Science.gov (United States)

    Diel, Roland; Nienhaus, Albert; Hillemann, Doris; Richter, Elvira

    2016-02-01

    Our objective was to assess the cost-benefit of enhancing or replacing the conventional sputum smear with the real-time PCR Xpert MTB/RIF method in the inpatient diagnostic schema for tuberculosis (TB).Recent data from published per-case cost studies for TB/multidrug-resistant (MDR)-TB and from comparative analyses of sputum microscopy, mycobacterial culture, Xpert MTB/RIF and drug susceptibility testing, performed at the German National Reference Center for Mycobacteria, were used. Potential cost savings of Xpert MTB/RIF, based on test accuracy and multiple cost drivers, were calculated for diagnosing TB/MDR-TB suspects from the hospital perspective.Implementing Xpert MTB/RIF as an add-on in smear-positive and smear-negative TB suspects saves on average €48.72 and €503, respectively, per admitted patient as compared with the conventional approach. In smear-positive and smear-negative MDR-TB suspects, cost savings amount to €189.56 and €515.25 per person, respectively. Full replacement of microscopy by Xpert MTB/RIF saves €449.98. In probabilistic Monte-Carlo simulation, adding Xpert MTB/RIF is less costly in 46.4% and 76.2% of smear-positive TB and MDR-TB suspects, respectively, but 100% less expensive in all smear-negative suspects. Full replacement by Xpert MTB/RIF is also consistently cost-saving.Using Xpert MTB/RIF as an add-on to and even as a replacement for sputum smear examination may significantly reduce expenditures in TB suspects. Copyright ©ERS 2016.

  9. Opportunity cost, willingness to pay and cost benefit analysis of a community forest of Nepal

    Directory of Open Access Journals (Sweden)

    Anup KC

    2014-05-01

    Full Text Available One of the major policies in response to global climate change is reduction of green house gases emission. Community forests of Nepal are acting as major sources and sink of green house gases, in spite of providing socio-economic benefits to the user groups. There is a lack of information on whether community forests address the socio-economic disparity of user groups, and how it affects opportunity cost and willingness to pay to the forest users groups. Focusing on how the socio-economic conditions of forest users affect forest management, opportunity cost and willingness to pay; and effect of carbon trading mechanism and discounting on the cost benefit ratio, this study was carried out in one CF in western Nepal. The data collection methods included carbon stock measurement, household survey, focus group discussion and key informant interview. Study has shown that most of the forest users are in medium and poor economic classes and female involvement in forest conservation and management was remarkable. Poor people had high dependency on forest product and are most likely affected in terms of opportunity cost. Rich people were willing to pay more to sustain forest ecosystem services. Benefit cost ratio measured directly with and without discounting was 3.91 and 2.97, respectively. The findings of the present study indicate that the community forests users groups are benefitted from the current state of management. DOI: http://dx.doi.org/10.3126/ije.v3i2.10522 International Journal of the Environment Vol.3(2 2014: 108-124

  10. Accounting for risk aversion, income distribution, and social welfare in cost-benefit analysis for flood risk management

    NARCIS (Netherlands)

    Kind, Jarl; Botzen, W.J.W.|info:eu-repo/dai/nl/297620584; Aerts, Jeroen

    2017-01-01

    Most cost-benefit analysis (CBA) textbooks and guidelines recognize the objective of CBAs to improve social welfare—a function of well-being of all individuals, conceptualized by utility. However, today's common practice to value flood risk management benefits as the reduction of the expected annual

  11. Grid connected integrated community energy system. Phase II: final state 2 report. Cost benefit analysis, operating costs and computer simulation

    Energy Technology Data Exchange (ETDEWEB)

    1978-03-22

    A grid-connected Integrated Community Energy System (ICES) with a coal-burning power plant located on the University of Minnesota campus is planned. The cost benefit analysis performed for this ICES, the cost accounting methods used, and a computer simulation of the operation of the power plant are described. (LCL)

  12. 78 FR 64029 - Cost-Benefit Analysis for Radwaste Systems for Light-Water-Cooled Nuclear Power Reactors

    Science.gov (United States)

    2013-10-25

    ... COMMISSION Cost-Benefit Analysis for Radwaste Systems for Light-Water-Cooled Nuclear Power Reactors AGENCY... Systems for Light-Water-Cooled Nuclear Power Reactors,'' in which the NRC made editorial corrections and... analysis for liquid and gaseous radwaste system components for light water nuclear power reactors...

  13. Cost-Benefit Analysis and Assessment of Ergonomic Interventions Effects: Case Study Boiler and Equipment Engineering and Manufacturing Company

    Directory of Open Access Journals (Sweden)

    Iraj Mohammad faam

    2015-12-01

    Full Text Available Background & Objectives: In Economic and competitive world today,cost-benefit analysis is one of the most important parameters for any intervention.The purpose of thisstudy was cost-benefit analysis of ergonomic interventions effects in Boiler and Equipment Engineering and Manufacturing Company. Methods:At first all workstations of the company assessed using QEC. Thenthose earned more than 70% in QEC assessed by OWAS. By analyzing the results of these two methods, the “Haarp welding” workstation selected as the critical one. After presentation of possible solutions in specialized committee, the final solution selected and cost-benefit analysis done by CyberManS tool. Finally after implementing the intervention workstation reassessed. Findings:The results of the survey showed that the final score of assessment using QEC, OWAS and NASA-TLX before the intervention was 84.7%, 3 and 75.4, respectively and after the intervention was 47.5%, 1 and 42.7 that witnesses a significant reduction in all three methods of assessment. Also the result of cost-benefit analysis by CyberManS showed that by spending 110 million rials after 1.5 years the investment returned and profitability initiated. Conclusion:In addition to reducing the risk of musculoskeletal disorders, ergonomic interventions have financial benefits by increasing the productivity and production, reducing the compensation and the lost work days can also cause financial benefits.

  14. Why don’t cost-benefit results count for more? The case of Norwegian road investment priorities

    Directory of Open Access Journals (Sweden)

    Tore Øivin Sager

    2016-01-01

    Full Text Available The starting point is that the benefit/cost ratio is virtually uncorrelated to the likelihood of a Norwegian classified road project entering the list of investments selected for the National Transport Plan. The purpose of the article is to explain what pushes cost-benefit results into the background in the prioritization process. The reasons for their downgrading point to mechanisms that are at work not only in Norway. Explanatory factors are searched for in incentives for cost-ineffective action among planners, bureaucrats and national politicians, respectively, as well as in features of the planning process and the political system. New data are used to show that the road experts’ list of prioritized projects changes little after submission to the national politicians, suggesting that the Norwegian Public Roads Administration puts little emphasis on its own cost-benefit calculations. Besides, it is shown that the petroleum revenues of the state do not provide a strong reason for neglecting cost-benefit accounts. The overall contribution of the article is to offer a comprehensive explanation why professional and political authorities in Norway set road-building priorities diverging massively from those suggested by cost-benefit analysis.

  15. The High/Scope Perry Preschool Program: Cost-Benefit Analysis Using Data from the Age-40 Followup

    Science.gov (United States)

    Belfield, Clive R.; Nores, Milagros; Barnett, Steve; Schweinhart, Lawrence

    2006-01-01

    This paper presents an updated cost-benefit analysis of the High/Scope Perry preschool Program, using data on individuals aged 40. Children were randomly assigned to a treatment or control group. Program costs are compared against treatment impacts on educational resources, earnings, criminal activity, and welfare receipt. Net present values are…

  16. Cost-benefit analysis of an area-wide pest management program to control Asian tiger mosquito in New Jersey

    Science.gov (United States)

    Area-wide pest management (AWPM) is recommended to control urban mosquitoes, such as Aedes albopictus (Asian tiger mosquito), which limit outdoor activities. We conducted a cost-benefit analysis for an AWPM in Mercer and Monmouth counties, New Jersey, as part of a controlled design with matched area...

  17. Preliminary evaluation of the combined anticonvulsant activities of ...

    African Journals Online (AJOL)

    In the present study, local Nigerian plants (Newbouldia laevis, Melissa officinalis, Musa paradisiaca) used folklorically against epilepsy, were evaluated for combined anticonvulsant activity in combination. Their anticonvulsant activity, individually and in combination was evaluated in mice using the pentylene tetrazole model ...

  18. Sustainability Assessment of Large Irrigation Dams in Senegal: A Cost-Benefit Analysis for the Senegal River Valley

    Directory of Open Access Journals (Sweden)

    Stanislaw eManikowski

    2016-03-01

    Full Text Available Starting in the 1970s, the Senegalese Government invested in the development of irrigated schemes in the Senegalese part of the Senegal River Valley (S-SRV. From that time to 2012, the irrigated schemes increased from 10,000 ha to more than 110,000 ha. In the meantime, the economic viability of these schemes started to be questioned. It also appeared that the environmental health and social costs might outweigh the benefits of irrigation. Using a life cycle assessment approach and project cost-benefits modelling, this study (i quantified the costs and benefits of the S-SRV irrigated rice production, (ii evaluated the costs and benefits of its externalities and (iii discussed the irrigated rice support policy. The net financial revenues from the irrigated schemes were positive, but their economic equivalences. The economic return rate (EER was below the expected 12% and the net present value (NPV over 20 years of the project represented a loss of about US$-19.6 million. However, if we also include the project’s negative externalities, such as the reduced productivity of the valley ecosystems, protection cost of human health, environmental degradation and social impacts, then the NPV would be much worse, approximately US$-572.1 million. Therefore, the results show that to stop the economic loss and alleviate the human suffering, the S-SRV development policy should be revised using an integrated approach and the exploitation technology should aim at environmental sustainability. This paper may offer useful insights for reviewing the current Senegalese policies for the valley, as well as for assessing other similar cases or future projects worldwide, particularly in critical zones of developing countries.

  19. Cost-Benefit Comparison of Two Proposed Overseas Programs for Reducing Chronic Hepatitis B Infection among Refugees: Is Screening Essential?

    Science.gov (United States)

    Jazwa, Amelia; Coleman, Margaret S.; Gazmararian, Julie; Wingate, La’Marcus T.; Maskery, Brian; Mitchell, Tarissa; Weinberg, Michelle

    2015-01-01

    Background Refugees are at an increased risk of chronic Hepatitis B Virus (HBV) infection because many of their countries of origin, as well as host countries, have intermediate-to-high prevalence rates. Refugees arriving to the US are also at risk of serious sequelae from chronic HBV infection because they are not routinely screened for the virus overseas or in domestic post-arrival exams, and may live in the US for years without awareness of their infection status. Methods A cohort of 26,548 refugees who arrived in Minnesota and Georgia during 2005–2010 was evaluated to determine the prevalence of chronic HBV infection. This prevalence information was then used in a cost-benefit analysis comparing two variations of a proposed overseas program to prevent or ameliorate the effects of HBV infection, titled ‘Screen, then vaccinate or initiate management’ (SVIM) and ‘Vaccinate only’ (VO). The analyses were performed in 2013. All values were converted to US 2012 dollars. Results The estimated six year period-prevalence of chronic HBV infection was 6.8% in the overall refugee population arriving to Minnesota and Georgia and 7.1% in those ≥ 6 years of age. The SVIM program variation was more cost beneficial than VO. While the up-front costs of SVIM were higher than VO ($154,084 vs. $73,758; n=58,538 refugees), the SVIM proposal displayed a positive net benefit, ranging from $24 million to $130 million after only 5 years since program initiation, depending on domestic post-arrival screening rates in the VO proposal. Conclusions Chronic HBV infection remains an important health problem in refugees resettling to the United States. An overseas screening policy for chronic HBV infection is more cost-beneficial than a ‘Vaccination only’ policy. The major benefit drivers for the screening policy are earlier medical management of chronic HBV infection and averted lost societal contributions from premature death. PMID:25595868

  20. The social benefits of WEEE re-use schemes. A cost benefit analysis for PCs in Spain.

    Science.gov (United States)

    González, Xose Manuel; Rodríguez, Miguel; Pena-Boquete, Yolanda

    2017-06-01

    One goal of the new European legislation set out in WEEE Directive 2012/19/UE is the promotion of WEEE re-use schemes. However, some authors are rather sceptical about the contribution of WEEE re-use schemes to improve resource efficiency. In order to evaluate and to design adequate policy instruments, some authors recommend the cost-benefit analysis (CBA) as a compulsory first step. In this context, the main contribution of this paper is to enlarge the empirical literature by providing a CBA of re-use schemes versus recycling processes of PCs. The analysis is made for Spain by quantifying in monetary terms the social damages of environmental impacts such as climate change, human toxicity, particulate matter formation, metal depletion, etc. Our results suggest that promoting re-use against recycling (and consequently the need for manufacturing a new PC from raw materials) may reduce environmental costs by 45.20€ per PC. Those social benefits are mainly generated in the re-use preparation process and distribution activities, whereas the re-use scenario displays a worse performance in energy consumption. The difference in the distribution stage during the second life cycle originates from the fact that the ready to re-use product is produced locally, while the brand new product is manufactured and distributed from abroad, mainly Asia. These results provide valuable information to policymakers and think tanks willing to design support schemes for re-use over recycling operations. Copyright © 2017 Elsevier Ltd. All rights reserved.

  1. [Cost-effectiveness and cost-benefit analysis on strategy for preventing mother-to-child transmission of hepatitis B virus].

    Science.gov (United States)

    Cai, Y L; Zhang, S X; Yang, P C; Lin, Y

    2016-06-01

    Through cost-benefit analysis (CBA), cost-effectiveness analysis (CEA) and quantitative optimization analysis to understand the economic benefit and outcomes of strategy regarding preventing mother-to-child transmission (PMTCT) on hepatitis B virus. Based on the principle of Hepatitis B immunization decision analytic-Markov model, strategies on PMTCT and universal vaccination were compared. Related parameters of Shenzhen were introduced to the model, a birth cohort was set up as the study population in 2013. The net present value (NPV), benefit-cost ratio (BCR), incremental cost-effectiveness ratio (ICER) were calculated and the differences between CBA and CEA were compared. A decision tree was built as the decision analysis model for hepatitis B immunization. Three kinds of Markov models were used to simulate the outcomes after the implementation of vaccination program. The PMTCT strategy of Shenzhen showed a net-gain as 38 097.51 Yuan/per person in 2013, with BCR as 14.37. The universal vaccination strategy showed a net-gain as 37 083.03 Yuan/per person, with BCR as 12.07. Data showed that the PMTCT strategy was better than the universal vaccination one and would end with gaining more economic benefit. When comparing with the universal vaccination program, the PMTCT strategy would save 85 100.00 Yuan more on QALY gains for every person. The PMTCT strategy seemed more cost-effective compared with the one under universal vaccination program. In the CBA and CEA hepatitis B immunization programs, the immunization coverage rate and costs of hepatitis B related diseases were the most important influencing factors. Outcomes of joint-changes of all the parameters in CEA showed that PMTCT strategy was a more cost-effective. The PMTCT strategy gained more economic benefit and effects on health. However, the cost of PMTCT strategy was more than the universal vaccination program, thus it is important to pay attention to the process of PMTCT strategy and the universal

  2. Unmet need for specialised rehabilitation following neurosurgery: can we maximise the potential cost-benefits?

    Science.gov (United States)

    Singh, Rajiv; Sinha, Saurabh; Bill, Alan; Turner-Stokes, Lynne

    2017-04-01

    To identify the needs for specialised rehabilitation provision in a cohort of neurosurgical patients; to determine if these were met, and to estimate the potential cost implications and cost-benefits of meeting any unmet rehabilitation needs. A prospective study of in-patient admissions to a regional neurosurgical ward. Assessment of needs for specialised rehabilitation (Category A or B needs) was made with the Patient Categorisation Tool. The number of patients who were referred and admitted for specialised rehabilitation was calculated. Data from the unit's submission to the UK Rehabilitation Outcomes Collaborative (UKROC) national clinical database 2012-2015 were used to estimate the potential mean lifetime savings generated through reduction in the costs of on-going care in the community. Of 223 neurosurgical in-patients over 3 months, 156 (70%) had Category A or B needs. Out of the 105 patients who were eligible for admission to the local specialised rehabilitation service, only 20 (19%) were referred and just 11 (10%) were actually admitted. The mean transfer time was 70.2 (range 28-127) days, compared with the national standard of 42 days. In the 3-year sample, mean savings in the cost of on-going care were £568 per week. Assuming a 10-year reduction in life expectancy, the approximate net lifetime saving for post-neurosurgical patients was estimated as at least £600K per patient. We calculated that provision of additional bed capacity in the specialist rehabilitation unit could generate net savings of £3.6M/bed-year. This preliminary single-centre study identified a considerable gap in provision of specialised rehabilitation for neurosurgical patients, which must be addressed if patients are to fulfil their potential for recovery. A 5-fold increase in bed capacity would cost £9.3m/year, but could lead to potential net savings of £24m/year. Our findings now require confirmation on a wider scale through prospective multi-centre studies.

  3. Using cost-benefit concepts in design floods improves communication of uncertainty

    Science.gov (United States)

    Ganora, Daniele; Botto, Anna; Laio, Francesco; Claps, Pierluigi

    2017-04-01

    Flood frequency analysis, i.e. the study of the relationships between the magnitude and the rarity of high flows in a river, is the usual procedure adopted to assess flood hazard, preliminary to the plan/design of flood protection measures. It grounds on the fit of a probability distribution to the peak discharge values recorded in gauging stations and the final estimates over a region are thus affected by uncertainty, due to the limited sample availability and of the possible alternatives in terms of the probabilistic model and the parameter estimation methods used. In the last decade, the scientific community dealt with this issue by developing a number of methods to quantify such uncertainty components. Usually, uncertainty is visually represented through confidence bands, which are easy to understand, but are not yet demonstrated to be useful for design purposes: they usually disorient decision makers, as the design flood is no longer univocally defined, making the decision process undetermined. These considerations motivated the development of the uncertainty-compliant design flood estimator (UNCODE) procedure (Botto et al., 2014) that allows one to select meaningful flood design values accounting for the associated uncertainty by considering additional constraints based on cost-benefit criteria. This method suggests an explicit multiplication factor that corrects the traditional (without uncertainty) design flood estimates to incorporate the effects of uncertainty in the estimate at the same safety level. Even though the UNCODE method was developed for design purposes, it can represent a powerful and robust tool to help clarifying the effects of the uncertainty in statistical estimation. As the process produces increased design flood estimates, this outcome demonstrates how uncertainty leads to more expensive flood protection measures, or insufficiency of current defenses. Moreover, the UNCODE approach can be used to assess the "value" of data, as the costs

  4. [Decision tree and cost-benefit analysis on strategies related to preventing maternal-infantile transmission of hepatitis B virus infection].

    Science.gov (United States)

    Shi, Guo; Zhang, Shun-xiang

    2013-03-01

    To synthesize relevant data and to analyze the benefit-cost ratio on strategies related to preventing the maternal-infantile transmission of hepatitis B virus infection and to explore the optimal strategy. A decision tree model was constructed according to the strategies of hepatitis B immunization and a Markov model was conducted to simulate the complex disease progress after HBV infection. Parameters in the models were drawn from meta-analysis and information was collected from field study and review of literature. Economic evaluation was performed to calculate costs, benefit, and the benefit-cost ratio. Sensitivity analysis was also conducted and a tornado graph was drawn. In view of the current six possible strategies in preventing maternal-infantile transmission of hepatitis B virus infection, a multi-stage decision tree model was constructed to screen hepatitis B surface antigen (HBsAg) or screen for HBsAg then hepatitis B e antigen (HBeAg). Dose and the number of injections of HBIG and hepatitis B vaccine were taken into consideration in the model. All the strategies were considered to be cost-saving, while the strategy of screening for HBsAg and then offering hepatitis B vaccine of 10 µg×3 for all neonates with hepatitis B immunoglobulin (HBIG) of 100 IU×1 for the neonates born to mothers who tested positive for HBsAg appeared with most cost-saving. In the strategies, the benefit-cost ratio of using 100 IU HBIG was similar to 200 IU HBIG, and one shot of HBIG was superior to two shots. from sensitivity analysis suggested that the rates of immunization and the efficacy of the strategy in preventing maternal-infantile transmission were the main sensitive variables in the model. The passive-active immune-prophylaxis strategy that using 10 µg hepatitis B vaccine combined with 100 IU HBIG seemed to be the optimal strategy in preventing maternal-infantile transmission, while the rates of immunization and the efficacy of the strategy played the key roles in

  5. Cost-benefit of energy saving in bioclimatic designs; Costo-beneficio del ahorro de energia en los disenos bioclimatios

    Energy Technology Data Exchange (ETDEWEB)

    Lopez P, J. Manuel A. [Doble dos soluciones de Negocios (Mexico); Morillon G, David; Rdriguez V, Luis [Universidad Autonoma de Mexico (Mexico)

    2001-06-01

    Tools and criteria for Cost-Benefit Analysis (ACB) of energy saving in bioclimatic designs (DB) are presented, for which a reference project is established. Based on the traditional design of air conditioning of a building and with the support of this one, the estimation of costs and benefits of the same building is made; but with passive systems. The tools used consider related resources such as time and money. Criteria are used such as: Present value (VP), Equivalent Annual Cost (EAC) and the Cost of the conserved Energy (CEC). The costs related to the construction, maintenance and operation of the design are taken into consideration. The differences between the design of reference and the Bioclimatic Design, established from the application of these criteria, allow evaluating the economic margin as far as operation and maintenance. Finally, the cost of the conserved energy of the bioclimatic measures is evaluated as an initiative for energy saving and calculates the present value from them in all of the period of useful life of the bioclimatic design. [Spanish] Se presentan herramientas y criterios para el analisis Costo-Beneficio (ACB) del ahorro de energia en los disenos bioclimaticos (DB), para lo cual se establece un proyecto de referencia. Basado en el diseno tradicional de la climatizacion de un edificio y con apoyo en este, se realiza la estimacion de costos y beneficios del mismo edificio; pero con sistema pasivos. Las herramientas usadas consideran recursos relacionados como son tiempo y dinero. Se usan criterios tales como: Valor Presente (VP), Costo Anual Equivalente (CAE) y el Costo de la Energia conservada (CEC). Se toman en consideracion los costos relacionados con la construccion, mantenimiento y operacion del diseno. Las diferencias entre el diseno de referencia y el Diseno Bioclimatico, establecidas a partir de la aplicacion de estos criterios, permiten evaluar el margen economico en cuanto a la operacion y el mantenimiento. Finalmente, se

  6. Water reuse and cost-benefit of pumping at different spatial levels in a rice irrigation system in UPRIIS, Philippines

    Science.gov (United States)

    Hafeez, M. M.; Bouman, B. A. M.; Van de Giesen, N.; Mushtaq, S.; Vlek, P.; Khan, S.

    As agricultural water resources in Asia become increasingly scarce, the irrigation efficiency of rice must be improved. However, in this region there is very limited information available about water use efficiency across spatial levels in irrigation systems. This study quantifies the volume of water reuse and its related cost-benefits at five different spatial levels, ranging from 1500 ha to 18,000 ha, under gravity-fed irrigation system in Upper Pumpanga River Integrated Irrigation System (UPRIIS), Philippines. The major sources of water reuse are considered, namely groundwater pumping, pumping from creeks, combined use and irrigation supplies from check dams. The volume of water available from all four sources of water reuse was quantified through extensive measurements. Production functions were developed to quantify water-yield relationships and to measure the economic value of water reuse. This study was conducted during the dry season of 2001, which existed from 19 November 2000 until 18 May 2001. The water reuse by pumping and check dams was 7% and 22% of the applied surface water at District 1 level. The reuse of surface water through check dams increased linearly with 4.6 Mm 3 per added 1000 ha. Similarly, the total amount of reused water from pumping is equivalent to 30% of the water lost through rice evapotranspiration during the dry season 2001. The results showed that water reuse plays a dominant role in growing a rice crop during the dry season. The result showed no difference in pumping costs between the creek (US0.011/m 3) and shallow pumps (US0.012/m 3). The marginal value of productivity (MVP) of water reuse from creek (US0.044/m 3) was slightly higher than the water reuse through the pumping ground water (US0.039/m 3). Results also indicated that the total volume pumped per ha (m 3/ha) was ranging from 0.39 to 6.93 m 3/ha during the dry season. The results clearly indicate that the quantification of amount of water reuse is very crucial for

  7. Wind energy at the North Sea. A societal cost benefit analysis; Windenergie op de Noordzee. Een maatschappelijke kosten-batenanalyse

    Energy Technology Data Exchange (ETDEWEB)

    Verrips, A.; Lijesen, M. [Centraal Planbureau CPB, Den Haag (Netherlands); De Vries, H.; Seebregts, A. [ECN Beleidsstudies, Petten (Netherlands)

    2005-09-01

    A social cost-benefit analysis (cba) of an investment in wind turbines at the North Sea has been conducted. The analysis reveals that such an investment will only increase welfare if it is done gradually and combined with strict climate policy measures. Building 6000 MW of wind parks at the North Sea by 2020 is economically unviable in all scenarios, variants and sensitivity analyses performed in this study. In a version with more gradual investments in the Strong Europe scenario (with strict climate policy), the balance will be slightly negative. If more favourable assumptions are used on cost decreases over time, higher fuel prices, higher emission prices or a lower discount factor, this would turn the balance to slightly positive. World oil-price developments in the coming decades are not expected to render wind energy economically viable in the absence of climate policy. [Dutch] Een maatschappelijke kosten-batenanalyse (KBA) van het plaatsen en in gebruik nemen van windparken op de Noordzee is uitgevoerd. Uit de analyse blijkt dat maatschappelijk rendabel investeren in windenergie op zee een zeer geleidelijke capaciteitsopbouw en een stringent internationaal klimaatbeleid vereist. Het voor 2020 aanleggen van windparken in zee met een totale omvang tot 6000 MW blijkt in alle geanalyseerde scenario's, varianten en hierop toegepaste gevoeligheidsanalyses maatschappelijk onrendabel te zijn. In een variant met een meer gefaseerde aanleg van windparken wordt in het zogenaamde Strong Europe-scenario (stringent klimaatbeleid) het negatieve saldo van kosten en baten beperkt. Bij wat gunstiger veronderstellingen rondom kostendalingen in de tijd, hogere brandstofprijzen, hogere CO2-emissiehandelprijzen of een wat lagere disconteringsvoet kan deze variant in de plus komen. Bij het ontbreken van een stringent internationaal klimaatbeleid bieden de te verwachten wereldmarktprijzen van olie de komende decennia onvoldoende perspectief om windenergie op zee rendabel te

  8. Wind energy at the North Sea. A societal cost benefit analysis; Windenergie op de Noordzee. Een maatschappelijke kosten-batenanalyse

    Energy Technology Data Exchange (ETDEWEB)

    Verrips, A.; Lijesen, M. [Centraal Planbureau CPB, Den Haag (Netherlands); De Vries, H.; Seebregts, A. [ECN Beleidsstudies, Petten (Netherlands)

    2005-09-15

    A social cost-benefit analysis (cba) of an investment in wind turbines at the North Sea has been conducted. The analysis reveals that such an investment will only increase welfare if it is done gradually and combined with strict climate policy measures. Building 6000 MW of wind parks at the North Sea by 2020 is economically unviable in all scenarios, variants and sensitivity analyses performed in this study. In a version with more gradual investments in the Strong Europe scenario (with strict climate policy), the balance will be slightly negative. If more favourable assumptions are used on cost decreases over time, higher fuel prices, higher emission prices or a lower discount factor, this would turn the balance to slightly positive. World oil-price developments in the coming decades are not expected to render wind energy economically viable in the absence of climate policy. [Dutch] Een maatschappelijke kosten-batenanalyse (KBA) van het plaatsen en in gebruik nemen van windparken op de Noordzee is uitgevoerd. Uit de analyse blijkt dat maatschappelijk rendabel investeren in windenergie op zee een zeer geleidelijke capaciteitsopbouw en een stringent internationaal klimaatbeleid vereist. Het voor 2020 aanleggen van windparken in zee met een totale omvang tot 6000 MW blijkt in alle geanalyseerde scenario's, varianten en hierop toegepaste gevoeligheidsanalyses maatschappelijk onrendabel te zijn. In een variant met een meer gefaseerde aanleg van windparken wordt in het zogenaamde Strong Europe-scenario (stringent klimaatbeleid) het negatieve saldo van kosten en baten beperkt. Bij wat gunstiger veronderstellingen rondom kostendalingen in de tijd, hogere brandstofprijzen, hogere CO2-emissiehandelprijzen of een wat lagere disconteringsvoet kan deze variant in de plus komen. Bij het ontbreken van een stringent internationaal klimaatbeleid bieden de te verwachten wereldmarktprijzen van olie de komende decennia onvoldoende perspectief om windenergie op zee rendabel te

  9. The Effect of Social perception of environmental problems and goods on the practice of cost-benefit analysis

    Energy Technology Data Exchange (ETDEWEB)

    Bunuel, M.; Delgado, M. L.

    2002-07-01

    When revealed, willingness to pay (WTP) is considerably lesser than willingness to accept (WTA), as economists explain. Sociological studies in Spain reveal that citizens assign a high value to the environment (high WTA), but are not ready to pay to preserve it (low WTP)because they think that it is industrial sector and the government's responsibility. This is a new factor, not studied before, that may result in underestimating environmental goods when WTP is used. The gap between WTP and WTA makes cost-benefits analysis difficult, creating the risk of environmental political judgments being replaced by pseudo scientific noise instead of by objective economic analysis.hence, it is sometimes convenient to use alternative methods to cost-benefit analysis: cost-effectiveness analysis trade-off analysis, economic-impact valuation, and risk-benefit analysis. (Author)

  10. An Excel Spreadsheet Model for States and Districts to Assess the Cost-Benefit of School Nursing Services.

    Science.gov (United States)

    Wang, Li Yan; O'Brien, Mary Jane; Maughan, Erin D

    2016-11-01

    This paper describes a user-friendly, Excel spreadsheet model and two data collection instruments constructed by the authors to help states and districts perform cost-benefit analyses of school nursing services delivered by full-time school nurses. Prior to applying the model, states or districts need to collect data using two forms: "Daily Nurse Data Collection Form" and the "Teacher Survey." The former is used to record daily nursing activities, including number of student health encounters, number of medications administered, number of student early dismissals, and number of medical procedures performed. The latter is used to obtain estimates for the time teachers spend addressing student health issues. Once inputs are entered in the model, outputs are automatically calculated, including program costs, total benefits, net benefits, and benefit-cost ratio. The spreadsheet model, data collection tools, and instructions are available at the NASN website ( http://www.nasn.org/The/CostBenefitAnalysis ).

  11. Life-Cycle Cost-Benefit (LCCB) Analysis of Bridges from a User and Social Point of View

    DEFF Research Database (Denmark)

    Thoft-Christensen, Palle

    2009-01-01

    During the last two decades, important progress has been made in the life-cycle cost-benefit (LCCB) analysis of structures, especially offshore platforms, bridges and nuclear installations. Due to the large uncertainties related to the deterioration, maintenance, and benefits of such structures...... is to present and discuss some of these problems from a user and social point of view. A brief presentation of a preliminary study of the importance of including benefits in life-cycle cost-benefit analysis in management systems for bridges is shown. Benefits may be positive as well as negative from the user...... point of view. In the paper, negative benefits (user costs) are discussed in relation to the maintenance of concrete bridges. A limited number of excerpts from published reports that are related to the importance of estimating user costs when repairs of bridges are planned, and when optimized strategies...

  12. Compensation of CO2 Emissions from Petrol Stations with Photovoltaic Parks: Cost-Benefit and Risk Analysis

    Directory of Open Access Journals (Sweden)

    Beloev Ivan

    2017-12-01

    Full Text Available This paper presents a new approach for reducing the CO2 emissions in the transport sector based on emission compensation. A cost-benefit analysis method of investments in photovoltaic parks at petrol stations is used, which accounts for all the initial investments and maintenance costs in terms of expenses. The benefits are divided into financial and ecological. The method has been implemented in the specialised cost-benefit analysis tool, and an analysis has been performed for the city of Ruse, Bulgaria. Risk analysis on the influence of the main risk factors - the price of conventional energy and the buying price of energy from renewable energy sources is also performed. The results showed that investments in photovoltaic parks at petrol stations could pay off within 6 to 9 years in the more likely scenarios. The investment could reduce the CO2 emissions, related to the petrol station, by 10% to 37% depending on the scenario and the criterion used.

  13. Activation of cannabinoid system in anterior cingulate cortex and orbitofrontal cortex modulates cost-benefit decision making.

    Science.gov (United States)

    Khani, Abbas; Kermani, Mojtaba; Hesam, Soghra; Haghparast, Abbas; Argandoña, Enrike G; Rainer, Gregor

    2015-06-01

    Despite the evidence for altered decision making in cannabis abusers, the role of the cannabinoid system in decision-making circuits has not been studied. Here, we examined the effects of cannabinoid modulation during cost-benefit decision making in the anterior cingulate cortex (ACC) and orbitofrontal cortex (OFC), key brain areas involved in decision making. We trained different groups of rats in a delay-based and an effort-based form of cost-benefit T-maze decision-making task. During test days, the rats received local injections of either vehicle or ACEA, a cannabinoid type-1 receptor (CB1R) agonist in the ACC or OFC. We measured spontaneous locomotor activity following the same treatments and characterized CB1Rs localization on different neuronal populations within these regions using immunohistochemistry. We showed that CB1R activation in the ACC impaired decision making such that rats were less willing to invest physical effort to gain high reward. Similarly, CB1R activation in the OFC induced impulsive pattern of choice such that rats preferred small immediate rewards to large delayed rewards. Control tasks ensured that the effects were specific for differential cost-benefit tasks. Furthermore, we characterized widespread colocalizations of CB1Rs on GABAergic axonal ends but few colocalizations on glutamatergic, dopaminergic, and serotonergic neuronal ends. These results provide first direct evidence that the cannabinoid system plays a critical role in regulating cost-benefit decision making in the ACC and OFC and implicate cannabinoid modulation of synaptic ends of predominantly interneurons and to a lesser degree other neuronal populations in these two frontal regions.

  14. A note on CostBenefit Analysis, the Marginal Cost of Public Funds, and the Marginal Excess Burden of Taxes

    OpenAIRE

    Johansson, Per-Olov; Kriström, Bengt

    2010-01-01

    In this note we discuss how to treat taxes in a cost-benefit analysis (CBA). In particular we relate the shadow price of taxes in CBA to the concepts the marginal cost of public funds MCPF) and the marginal excess burden (MEB) of taxes. In particular we demonstrate that the MCPF is equal to one plus the MEB for a marginal increase in a distortionary tax.

  15. Household cost-benefit equations and sustainable universal childhood immunisation: a randomised cluster controlled trial in south Pakistan [ISRCTN12421731

    Directory of Open Access Journals (Sweden)

    Ledogar Robert J

    2005-06-01

    Full Text Available Abstract Background Household decision-makers decide about service use based largely on the costs and perceived benefits of health interventions. Very often this leads to different decisions than those imagined by health planners, resulting in under-utilisation of public services like immunisation. In the case of Lasbela district in the south of Pakistan, only one in every ten children is immunised despite free immunisation offers by government health services. Methods/design In 32 communities representative of Lasbela district, 3344 households participated in a baseline survey on early child health. In the 18 randomly selected intervention communities, we will stimulate discussions on the household cost-benefit equation, as measured in the baseline. The reference (control communities will also participate in the three annual follow-up surveys, feedback of the general survey results and the usual health promotion activities relating to immunisation, but without focussed discussion on the household cost-benefit equations. Discussion This project proposes knowledge translation as a two-way communication that can be augmented by local and international evidence. We will document cultural and contextual barriers to immunisation in the context of household cost-benefit equations. The project makes this information accessible to health managers, and reciprocally, makes information on immunisation effects and side effects available to communities. We will measure the impact of this two-way knowledge translation on immunisation uptake.

  16. A cost-benefit analysis of Wisconsin's screening, brief intervention, and referral to treatment program: adding the employer's perspective.

    Science.gov (United States)

    Quanbeck, Andrew; Lang, Katharine; Enami, Kohei; Brown, Richard L

    2010-02-01

    A previous cost-benefit analysis found Screening, Brief Intervention, and Referral to Treatment (SBIRT) to be cost-beneficial from a societal perspective. This paper develops a cost-benefit model that includes the employer's perspective by considering the costs of absenteeism and impaired presenteeism due to problem drinking. We developed a Monte Carlo simulation model to estimate the costs and benefits of SBIRT implementation to an employer. We first presented the likely costs of problem drinking to a theoretical Wisconsin firm that does not currently provide SBIRT services. We then constructed a cost-benefit model in which the firm funds SBIRT for its employees. The net present value of SBIRT adoption was computed by comparing costs due to problem drinking both with and without the program. When absenteeism and impaired presenteeism costs were considered from the employer's perspective, the net present value of SBIRT adoption was $771 per employee. We concluded that implementing SBIRT is cost-beneficial from the employer's perspective and recommend that Wisconsin employers consider covering SBIRT services for their employees.

  17. Nuclear enterprises at the Institute for Energy Technology - IFE. A socio-economic cost/benefit analysis; Nukleaere virksomheter ved Institutt for energiteknikk - IFE. En samfunnsoekonomisk kost/nytte-analyse

    Energy Technology Data Exchange (ETDEWEB)

    2008-03-15

    A cost-benefit analysis concerning the research reactors JEEP II at Kjeller and the Halden Reactor in Halden, operated by the Institute for Energy Technology. It is concluded for both of the reactors that the benefits of continued operations are outweigh the cost. Financing, accident risk, waste management and nuclear competence are some of the aspects treated. The Norwegian Ministry of Trade and Industry initiated the evaluation on behalf of the Norwegian Government

  18. Free-roaming dog populations: a cost-benefit model for different management options, applied to Abruzzo, Italy.

    Science.gov (United States)

    Høgåsen, H R; Er, C; Di Nardo, A; Dalla Villa, P

    2013-11-01

    Since 1991, Italian free-roaming dogs have been under government protection and euthanasia is restricted by law. Management measures are regulated at the regional level and include: kennelling, adoptions, conversion of stray dogs into block dogs, and population control of owned dogs. "Block dogs" are free-roaming dogs that have been collected by the veterinary services, microchipped, sterilised, vaccinated, and released under the responsibility of the local municipalities. The present paper describes a cost-benefit model for different management options and applies it to two provinces in Abruzzo, central Italy. The model considers welfare, nuisance and direct costs to the municipality. Welfare is quantified based on the expert opinions of 60 local veterinarians, who were asked to assign a score for each dog category according to the five freedoms: freedom from pain, physical discomfort, disease, fear, and freedom to express normal behaviour. Nuisance was assessed only for comparisons between management options, using the number of free-roaming dogs per inhabitant as a proxy indicator. A community dog population model was constructed to predict the effect of management on the different subpopulations of dogs during a ten-year period. It is a user-friendly deterministic model in Excel, easily adaptable to different communities to assess the impact of their dog management policy on welfare, nuisance and direct monetary cost. We present results for Teramo and Pescara provinces. Today's management system is compared to alternative models, which evaluate the effect of specific interventions. These include either a 10% yearly increase in kennel capacity, an increase in adoptions from kennels, a doubling of the capture of stray dogs, or a stabilisation of the owned dog population. Results indicate that optimal management decisions are complex because welfare, nuisance and monetary costs may imply conflicting interventions. Nevertheless, they clearly indicate that

  19. Cost-benefit analysis on the use of telemedicine program of Kosova for continuous medical education: a sustainable and efficient model to rebuild medical systems in developing countries.

    Science.gov (United States)

    Latifi, Kalterina; Lecaj, Ismet; Bekteshi, Flamur; Dasho, Erion; Doarn, Charles R; Merrell, Ronald C; Latifi, Rifat

    2011-12-01

    The Ministry of Health of Kosova has recently announced the Telemedicine Program of Kosova (TMPK) as the official institution responsible for managing and coordinating the nation's Long-Distance Continuous Medical Education (CME) program. There are a lack of studies on cost-benefit analysis (CBA) and other economic evaluations of telemedicine programs (TMP), in particular the financial value of CME offered through such a service. In addition, there is lack of prospective studies on Monitoring & Evaluation (M&E) of TMP. The goal of this study was to conduct a retrospective CBA of prospective data collected at TMPK over a 5-year period (2005-2010) in order to determine the cost benefit as opposed to the alternative method of delivery of this model for developing countries whose healthcare systems are in disarray. We reviewed data on the number of participants in virtual lectures both at the Telemedicine Center of Kosova (TCK) as well as the number of participants at six Regional Telemedicine Centers throughout Kosova, the number of lectures broadcasted, the clinical cases reviewed and transmitted for international consultation, and other quantitative data. Only in 2009, approximately 2,000 CME certificates were awarded to physicians and nurses of Kosova, 18 international teleconsultations were conducted, 138 videoconferences, lectures, and seminars were held, and there were over 9,000 visitors at the TCK e-library. Data analysis shows that the TMPK has been an efficient mechanism for CME and sustainable model for rebuilding the medical system. TMPK has been successful in offering physicians, nurses, and other medical professions access to electronic information. TMP is an efficient mechanism to ensure CME and rebuilding medical systems in developing countries. There is a need for prospective CBA of any TMP and the establishment of M&E programs in any future telemedicine initiatives in developing countries.

  20. The route of HIV escape from immune response targeting multiple sites is determined by the cost-benefit tradeoff of escape mutations.

    Science.gov (United States)

    Batorsky, Rebecca; Sergeev, Rinat A; Rouzine, Igor M

    2014-10-01

    Cytotoxic T lymphocytes (CTL) are a major factor in the control of HIV replication. CTL arise in acute infection, causing escape mutations to spread rapidly through the population of infected cells. As a result, the virus develops partial resistance to the immune response. The factors controlling the order of mutating epitope sites are currently unknown and would provide a valuable tool for predicting conserved epitopes. In this work, we adapt a well-established mathematical model of HIV evolution under dynamical selection pressure from multiple CTL clones to include partial impairment of CTL recognition, [Formula: see text], as well as cost to viral replication, [Formula: see text]. The process of escape is described in terms of the cost-benefit tradeoff of escape mutations and predicts a trajectory in the cost-benefit plane connecting sequentially escaped sites, which moves from high recognition loss/low fitness cost to low recognition loss/high fitness cost and has a larger slope for early escapes than for late escapes. The slope of the trajectory offers an interpretation of positive correlation between fitness costs and HLA binding impairment to HLA-A molecules and a protective subset of HLA-B molecules that was observed for clinically relevant escape mutations in the Pol gene. We estimate the value of [Formula: see text] from published experimental studies to be in the range (0.01-0.86) and show that the assumption of complete recognition loss ([Formula: see text]) leads to an overestimate of mutation cost. Our analysis offers a consistent interpretation of the commonly observed pattern of escape, in which several escape mutations are observed transiently in an epitope. This non-nested pattern is a combined effect of temporal changes in selection pressure and partial recognition loss. We conclude that partial recognition loss is as important as fitness loss for predicting the order of escapes and, ultimately, for predicting conserved epitopes that can be

  1. Cost benefit of investment on quality in pharmaceutical manufacturing: WHO GMP pre- and post-certification of a Nigerian pharmaceutical manufacturer.

    Science.gov (United States)

    Anyakora, Chimezie; Ekwunife, Obinna; Alozie, Faith; Esuga, Mopa; Ukwuru, Jonathan; Onya, Steve; Nwokike, Jude

    2017-09-18

    Pharmaceutical companies in Africa need to invest in both facilities and quality management systems to achieve good manufacturing practice (GMP) compliance. Compliance to international GMP standards is important to the attainment of World Health Organization (WHO) prequalification. However, most of the local pharmaceutical manufacturing companies may be deterred from investing in quality because of many reasons, ranging from financial constraints to technical capacity. This paper primarily evaluates benefits against the cost of investing in GMP, using a Nigerian pharmaceutical company, Chi Pharmaceuticals Limited, as a case study. This paper also discusses how to drive more local manufacturers to invest in quality to attain GMP compliance; and proffers practical recommendations for local manufacturers who would want to invest in quality to meet ethical and regulatory obligations. The cost benefit of improving the quality of Chi Pharmaceuticals Limited's facilities and system to attain WHO GMP certification for the production of zinc sulfate 20-mg dispersible tablets was calculated by dividing the annual benefits derived from quality improvement interventions by the annual costs of implementing quality improvement interventions, referred to as a benefit-cost ratio (BCR). Cost benefit of obtaining WHO GMP certification for the production of zinc sulfate 20-mg dispersible tablets was 5.3 (95% confidence interval of 5.0-5.5). Investment in quality improvement intervention is cost-beneficial for local manufacturing companies. Governments and regulators in African countries should support pharmaceutical companies striving to invest in quality. Collaboration of local manufacturing companies with global companies will further improve quality. Local pharmaceutical companies should be encouraged to key into development opportunities available for pharmaceutical companies in Africa.

  2. 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

    To assure the river water quality, the Taiwan government establishes many pollution control strategies and expends huge monetary investment. Despite all these efforts, many rivers still suffer from severe pollution because of massive discharges of domestic and industrial wastewater without proper treatment. A comprehensive evaluation tool seems required to assess the suitability of water pollution control strategies. Therefore, the purpose of this study is to quantify the potential strategic benefits by applying the water quality modelling integrated with cost-benefit analysis to simulating scenarios based on regional development planning. The Erhjen Creek is selected as the study example because it is a major river in southern Taiwan, and its riverine environment impacts a great deal to the neighboring people. For strategy assessment, we established QUAL2k model of Erhjen Creek and conducted the cost-benefit analyses according the proposed strategies. In the water quality simulation, HEC-RAS was employed to calculate the hydraulic parameters and dilution impact of tidal effect in the downstream section. Daily pollution loadings were obtained from the Water Pollution Control Information System maintained by Taiwan EPA, and the wastewater delivery ratios were calculated by comparing the occurrence of pollution loadings with the monitoring data. In the cost-benefit analysis, we adopted the market valuation method, setting a period of 65 years for analysis and discount rate at 2.59%. Capital investments were the costs of design, construction, operation and maintenance for each project in Erhjen Creek catchment. In model calibration and model verification, the mean absolute percentage errors (MAPEs) were calculated to be 21.4% and 25.5%, respectively, which met the prescribed acceptable criteria of 50%. This model was applied to simulating water quality based on implementing various pollution control policies and engineering projects in the Erhjen Creek. The overall

  3. Why does Existential Threat Promote Intergroup Violence? Examining the Role of Retributive Justice and Cost-Benefit Utility Motivations

    Science.gov (United States)

    Hirschberger, Gilad; Pyszczynski, Tom; Ein-Dor, Tsachi

    2015-01-01

    The current research examined the role of retributive justice and cost-benefit utility motivations in the process through which mortality salience increases support for violent responses to intergroup conflict. Specifically, previous research has shown that mortality salience often encourages political violence, especially when perceptions of retributive justice are activated. The current research examined whether mortality salience directly activates a justice mindset over a cost-benefit utility mindset, and whether this justice mindset is associated with support for political violence. In Study 1 (N = 209), mortality salience was manipulated among Israeli participants who then read about a Hamas attack on Israel with either no casualties or many casualties, after which justice and utility motivations for retribution were assessed. Study 2 (N = 112), examined whether the link between death primes and support for an Israeli preemptive strike on Iran’s nuclear facilities is mediated by justice or cost-benefit utility considerations. Results of both studies revealed that primes of death increased justice-related motivations, and these motives, rather than utility motives, were associated with support for violence. Findings suggest that existential concerns often fuel violent intergroup conflict because they increase desire for retributive justice, rather than increase belief that violence is an effective strategy. These findings expand our knowledge on the motivations for intergroup violence, and shed experimental light on real-life eruptions of violent conflict indicating that when existential concerns are salient, as they often are during violent conflict, the decision to engage in violence often disregards the utility of violence, and leads to the preference for violent solutions to political problems – even when these solutions make little practical sense. PMID:26635671

  4. Why Does Existential Threat Promote Intergroup Violence? Examining the Role of Retributive Justice and Cost-Benefit Utility Motivations

    Directory of Open Access Journals (Sweden)

    Gilad eHirschberger

    2015-11-01

    Full Text Available The current research examined the role of retributive justice and cost-benefit utility motivations in the process through which mortality salience increases support for violent responses to intergroup conflict. Specifically, previous research has shown that mortality salience often encourages political violence, especially when perceptions of retributive justice are activated. The current research examined whether mortality salience directly activates a justice mindset over a cost-benefit utility mindset, and whether this justice mindset is associated with support for political violence. In Study 1 (N=209, mortality salience was manipulated among Israeli participants who then read about a Hamas attack on Israel with either no casualties or many casualties, after which justice and utility motivations for retribution were assessed. Study 2 (N=112, examined whether the link between death primes and support for an Israeli preemptive strike on Iran’s nuclear facilities is mediated by justice or cost-benefit utility considerations. Results of both studies revealed that primes of death increased justice-related motivations, and these motives, rather than utility motives, were associated with support for violence. Findings suggest that existential concerns often fuel violent intergroup conflict because they increase desire for retributive justice, rather than increase belief that violence is an effective strategy. These findings expand our knowledge on the motivations for intergroup violence, and shed experimental light on real-life eruptions of violent conflict indicating that when existential concerns are salient, as they often are during violent conflict, the decision to engage in violence often disregards the utility of violence, and leads to the preference for violent solutions to political problems – even when these solutions make little practical sense.

  5. A Proposed Methodology for Prioritizing Project Effects to Include in Cost-Benefit Analysis Using Resilience, Vulnerability and Risk Perception

    Directory of Open Access Journals (Sweden)

    Saúl Torres Ortega

    2014-11-01

    Full Text Available Cost-benefit analysis (CBA has emerged as one of the most widely used methodologies in environmental policy analysis, with many governments applying it in their decision-making procedures and laws. However, undertaking a full CBA is expensive, and conclusions must be drawn on which project or policy impacts to include in the analysis. Based on the ideas of resilience, vulnerability and risk, we suggest a method for prioritizing project impacts for inclusion in a CBA, which includes both expert assessment and citizen preferences. We then illustrate how the method can be applied in the context of land use change decisions, using a real application.

  6. An Analysis of the Costs, Benefits, and Implications of Different Approaches to Capturing the Value of Renewable Energy Tax Incentives

    Energy Technology Data Exchange (ETDEWEB)

    Bolinger, Mark

    2014-04-09

    This report compares the relative costs, benefits, and implications of capturing the value of renewable energy tax benefits in these three different ways – applying them against outside income , carrying them forward in time until they can be fully absorbed internally, or monetizing them through third-party tax equity investors – to see which method is most competitive under various scenarios. It finds that under current law and late-2013 market conditions, monetization makes sense for all but the most tax-efficient project sponsors. In other words, for most project sponsors, bringing in third-party tax equity currently provides net benefits to a project.

  7. Who gains? allocation of freight transport user benefits from international infrastructure projects in multicountry cost-benefit analysis

    DEFF Research Database (Denmark)

    Fosgerau, Mogens; Kristensen, Niels Buus

    2005-01-01

    A public decision by several countries on whether to cofinance an international infrastructure project is the subject of a cost-benefit analysis (CBA). The CBA elements are broken out and analyzed for each country. The issue of freight user benefits is discussed, and results are derived from...... a partial equilibrium model and point toward practical applicability. A recent analysis of the Fehmarn Belt Bridge, which will connect Denmark and Germany in a link in the Trans-European Network for Transport, is used for illustrative purposes....

  8. A study of combined evaluation of suppliers based on correlation

    Directory of Open Access Journals (Sweden)

    Heting Qiu

    2013-03-01

    Full Text Available Purpose: The Selection of logistics service providers is an important issue in supply chain management. But different evaluation methods may lead to different results, which could cause inconsistent conclusions. This paper makes use of a new perspective to combine with a variety of methods to eliminate the deviation of different single evaluation methods. Design/methodology/approach: This paper expounds the application of the combined evaluation method based on correlation. Entropy method, factor analysis, grey colligation evaluation and AHP have been used for research. Findings: According to the evaluate result, the ranking of suppliers obtained by each method have obvious differences. The result shows that combined evaluation method can eliminate the deviation of different single evaluation methods. Originality/value: The combined evaluation method makes up for the defects of single evaluation methods and obtains a result that is more stable and creditable with smaller deviation. This study can provide the enterprise leaders with more scientific method to select their cooperative companies. 

  9. Collision avoidance system cost-benefit analysis : volume I - technical manual

    Science.gov (United States)

    1981-09-01

    Collision-avoidance systems under development in the U.S.A., Japan and Germany were evaluated. The performance evaluation showed that the signal processing and the control law of a system were the key parameters that decided the system's capability, ...

  10. Cost Benefit Analysis of Enterprise Resource Planning System for the Naval Postgraduate School

    National Research Council Canada - National Science Library

    Rosa, Liza

    2002-01-01

    This thesis reviewed and evaluated the ERP Solution System currently in the Integration Testing Phase at NAVAIR and examined the benefits and cost that NPS could leverage by purchasing the system for approximately...

  11. Dynamic cost-benefit analysis of large projects : The role of capital cost

    OpenAIRE

    Li, Chuan-Zhong; Löfgren, Karl-Gustaf

    2010-01-01

    This paper derives a dynamic cost-bene.t rule for evaluating large projects. We show that, in addition to the conventional income and consumer surplus measures, the rule also entails an extra term involving capital cost changes.

  12. Economic Evaluation of Combined Diet and Physical Activity Promotion Programs to Prevent Type 2 Diabetes Among Persons at Increased Risk: A Systematic Review for the Community Preventive Services Task Force

    Science.gov (United States)

    Li, Rui; Qu, Shuli; Zhang, Ping; Chattopadhyay, Sajal; Gregg, Edward W.; Albright, Ann; Hopkins, David; Pronk, Nicolaas P.

    2016-01-01

    Background Diabetes is a highly prevalent and costly disease. Studies indicate that combined diet and physical activity promotion programs can prevent type 2 diabetes among persons at increased risk. Purpose To systematically evaluate the evidence on cost, cost-effectiveness, and cost-benefit estimates of diet and physical activity promotion programs. Data Sources Cochrane Library, EMBASE, MEDLINE, PsycINFO, Sociological Abstracts, Web of Science, EconLit, and CINAHL through 7 April 2015. Study Selection English-language studies from high-income countries that provided data on cost, cost-effectiveness, or cost-benefit ratios of diet and physical activity promotion programs with at least 2 sessions over at least 3 months delivered to persons at increased risk for type 2 diabetes. Data Extraction Dual abstraction and assessment of relevant study details. Data Synthesis Twenty-eight studies were included. Costs were expressed in 2013 U.S. dollars. The median program cost per participant was $653. Costs were lower for group-based programs (median, $417) and programs implemented in community or primary care settings (median, $424) than for the U.S. DPP (Diabetes Prevention Program) trial and the DPP Outcomes Study ($5881). Twenty-two studies assessed the incremental cost-effectiveness ratios (ICERs) of the programs. From a health system perspective, 16 studies reported a median ICER of $13 761 per quality-adjusted life-year (QALY) saved. Group-based programs were more cost-effective (median, $1819 per QALY) than those that used individual sessions (median, $15 846 per QALY). No cost-benefit studies were identified. Limitation Information on recruitment costs and cost-effectiveness of translational programs implemented in community and primary care settings was limited. Conclusion Diet and physical activity promotion programs to prevent type 2 diabetes are cost-effective among persons at increased risk. Costs are lower when programs are delivered to groups in community

  13. Approach to cost-benefit analysis between supported employment and special employment centers through comparative simulation with 24 workers

    Directory of Open Access Journals (Sweden)

    Francisco de Borja Jordán de Urríes Vega

    2014-06-01

    Full Text Available This work presents a cost-benefit analysis comparing supported employment (SE with special employment center (EEC, from an individual, corporate and society perspective. A simulation was carried out with a sample of 24 workers in regular employment by SE and hypothetical data were obtained for the same workers as if they were in a similar job in EEC. The results show that SE workers, working the same amount of hours, have higher hourly earnings than in EEC (9.22 € compared to 4.59 €. The SE also generates less social burden from the company (22.21 % than EEC (85.54 %. The Supported Employment’s payoff for society is much higher (315.03% than that of the EEC (83.14%. Therefore, the conclusions of the study are directed towards the consideration that supported employment is more beneficial in terms of cost benefit for the individual, business and society when compared to the special employment centers.

  14. End-User Cost-Benefit Prioritization for Selecting Rainwater Harvesting and Greywater Reuse in Social Housing

    Directory of Open Access Journals (Sweden)

    Isabel Domínguez

    2017-07-01

    Full Text Available Rainwater harvesting (RWH and greywater reuse (GWR are increasingly being considered at the building-level to achieve multiple goals. Cost-benefit assessments facilitate decision-making; however, most are focused on large-scale systems with limited information available for households from developing countries. To better understand the prioritization of costs and benefits by potential end-users in this context, this paper presents an assessment of an RWH/GWR system in low income, low consumption households in a social housing development in Colombia. From an initial household consultation, preferences related to the use of RWH/GWR were identified and three alternatives were proposed and designed. In a follow-up consultation, potential end-users were engaged with the cost-benefit of the proposed alternatives. Potential end-users prioritized the selection of the system with potable water savings of 25%, a payback period of 30 years, an internal return rate of 4.7%, and a Benefit/Cost ratio of 1.3. Of the three alternatives, this system had the median payback period, highest investment, and highest maintenance cost, but also the highest volumetric water saving and highest water and sewerage bill savings. In contrast to findings from developed countries, this indicates that minimising the cost may not be the primary decision making criteria in some developing country contexts, where perhaps a greater value is placed on conserving water resources.

  15. Cost Benefit Analysis of Utilising Mobile Nodes in Wireless Sensor Networks

    DEFF Research Database (Denmark)

    Mathur, Prateek; Nielsen, Rasmus Hjorth; Prasad, Neeli R.

    2015-01-01

    . As they are expensive compared to static nodes in terms of manufactur- ing and mobility cost. This paper evaluates the utility of mobile nodes for use in WSNs in comparison with static nodes. Novel geometric models to rep- resent the various functionalities for which mobile could be used have been proposed, they have...... been utilised for the techno-economic evaluation based on cost benet analysis. The models have been designed such that they give a generic representation of the functionalities, and enable a fair comparison between them. On the basis of the analysis it is concluded that apart from the functional...... utility, mobile nodes are economically benecial for use in WSNs....

  16. The United Nations and the Nordic Four: Cautious Sceptics, Committed Believers, Cost-benefit Calculators

    DEFF Research Database (Denmark)

    Jakobsen, Peter Viggo

    2017-01-01

    . The Nordics became UN believers playing leading roles within the fields of development assistance and peacekeeping, and maintaining this position became a foreign policy objective in its own right, which was internalized as part of their national and Nordic identities. Being Nordic meant making greater....... The Nordics increased their aid and troop contributions to the EU and NATO for a combination of interest-based and altruistic reasons and this gradually gave the UN a less prominent position in their foreign policy identities. The Nordics has not abandoned the UN, however. While the troops contributions to UN...

  17. Adaption to Extreme Rainfall with Open Urban Drainage System: An Integrated Hydrological Cost-Benefit Analysis

    DEFF Research Database (Denmark)

    Zhou, Qianqian; Panduro, Toke Emil; Thorsen, Bo Jellesmark

    2013-01-01

    with extreme rainfalls is evaluated using a quantitative flood risk approach based on urban inundation modeling and socio-economic analysis of corresponding costs and benefits. A hedonic valuation model is applied to capture the local economic gains or losses from more water bodies in green areas...

  18. Cost-Benefit of the energy saving in the bioclimatic designs; Costo-Beneficio del ahorro de energia en los disenos bioclimaticos

    Energy Technology Data Exchange (ETDEWEB)

    Lopez P, J. Manuel A. [Doble Dos Soluciones de Negocios, S.A. de C.V., Mexico, D.F. (Mexico); Morillon G, David; Rodriguez V, Luis [Instituto de Ingenieria de la UNAM, Mexico, D.F. (Mexico)

    1999-07-01

    Tools and criteria for the Cost-Benefit analysis from the energy saving in bioclimatic designs (BD) are presented, for which, a reference project is established and the costs and benefits of energy saving in BD with base in that project are evaluated. A case study is presented taking as reference the traditional design of the air conditioning of a building and with this base the estimation of cost-benefit of the same building is made, but with passive systems. The tools used are those that allow to consider related resources such as time and money; in that sense, are used criteria such as: Present value (PV), Equivalent Annual Cost (EAC) and the Cost of the Conserved Energy (CCE). The costs related to the construction, maintenance and operation of the design are taken into account. The differences between the reference design and the BD, established from the application of these criteria, allow to evaluate the economic margin of the BD as far as operation and maintenance is concerned. Finally the CCE of the bioclimatic measures is evaluated as an initiative of energy saving and the present value is calculated of the energy saving in the entire useful life of a bioclimatic design. [Spanish] Se presentan herramientas y criterios para el analisis Costo-Beneficio del ahorro de energia en disenos bioclimaticos (DB), para lo cual, se establece un proyecto de referencia y se evaluan los costos y beneficios del ahorro de energia en DB con base en ese proyecto. Se presenta el estudio de un caso tomando como referencia el dise tradicional de la climatizacion de un edificio y con base en este, se realiza la estimacion de costos y beneficios del mismo edificio, pero con sistemas pasivos. Las herramientas usadas, son aquellas que permiten considerar recursos relacionados como son tiempo y dinero; en ese sentido, se usan criterios como: Valor Presente (VP), Costo Anual Equivalente (CAE) y el Costo de la Energia Conservada (CEC). Se toman en consideracion los costos relacionados

  19. A Cost-Benefit Analysis of Frestry in the British Isles: The Case of Nothern Ireland

    OpenAIRE

    Kula, Erhun

    1987-01-01

    The British Isles are one of the most favourable locations for afforestation in Europe. Their mild and moist climate and soil types are ideal for tree growth. Despite their comparitive advantage, however, the islands are the second baldest spot in Europe, with tree coverage only about 7 percent of the total land surface. The main reason for the neglect of forestry in the islands is that the ground rules laid down to evaluate public sector investments in the UK proved to be unsuitable for affo...

  20. Aqueous nitrate waste treatment: Technology comparison, cost/benefit, and market analysis

    Energy Technology Data Exchange (ETDEWEB)

    1994-01-01

    The purpose of this analysis is to provide information necessary for the Department of Energy (DOE) to evaluate the practical utility of the Nitrate to Ammonia and Ceramic or Glass (NAC/NAG/NAX) process, which is under development in the Oak Ridge National Laboratory. The NAC/NACx/NAX process can convert aqueous radioactive nitrate-laden waste to a glass, ceramic, or grout solid waste form. The tasks include, but are not limited to, the following: Identify current commercial technologies to meet hazardous and radiological waste disposal requirements. The technologies may be thermal or non-thermal but must be all inclusive (i.e., must convert a radionuclide-containing nitrate waste with a pH around 12 to a stable form that can be disposed at permitted facilities); evaluate and compare DOE-sponsored vitrification, grouting, and minimum additive waste stabilization projects for life-cycle costs; compare the technologies above with respect to material costs, capital equipment costs, operating costs, and operating efficiencies. For the NAC/NAG/NAX process, assume aluminum reactant is government furnished and ammonia gas may be marketed; compare the identified technologies with respect to frequency of use within DOE for environmental management applications with appropriate rationale for use; Assess the potential size of the DOE market for the NAC/NAG/NAX process; assess and off-gas issues; and compare with international technologies, including life-cycle estimates.

  1. Cost-Benefit Analysis and Emission Reduction of Energy Efficient Lighting at the Universiti Tenaga Nasional

    Directory of Open Access Journals (Sweden)

    G. S. B. Ganandran

    2014-01-01

    Full Text Available This paper reports the result of an investigation on the potential energy saving of the lighting systems at selected buildings of the Universiti Tenaga Nasional. The scope of this project includes evaluation of the lighting system in the Library, Admin Building, College of Engineering, College of Information Technology, Apartments, and COE Food court of the university. The main objectives of this project are to design the proper retrofit scenario and to calculate the potential electricity saving, the payback period, and the potential environmental benefits. In this survey the policy for retrofitting the old lighting system with the new energy saving LEDs starts with 10% for the first year and continues constantly for 10 years until all the lighting systems have been replaced. The result of the life cycle analysis reveals that after four years, the selected buildings will bring profit for the investment.

  2. Cost/Benefit Analysis of Case Management Policies in a DUI Lab.

    Science.gov (United States)

    Tiscione, Nicholas B; Miller, Russell; Shan, Xiaoqin; Tate Yeatman, Dustin

    2017-07-01

    A study was previously conducted and published describing the magnitude of the under-reporting of drugs in driving under the influence (DUI) cases by using a blood drug screen (BDS) case management protocol and to determine whether not reporting those drugs would have a meaningful impact on the DUI cases. A follow-up study presented herein was conducted to generate a larger dataset for evaluation and to compare the results to the original study. For this follow-up study of 576 cases, the laboratory BDS protocol was modified so that a BDS was performed for all felony cases and all misdemeanor cases with a BAC DUI case. For the vast majority of cases with a BAC > 0.08 g/dL, the drugs detected are not significant for supporting a DUI and do not warrant the substantial increase in analysis cost and time required. © The Author 2017. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  3. Costs without benefits? Methodological issues in assessing costs, benefits and effectiveness of water protection policies. Paper

    Energy Technology Data Exchange (ETDEWEB)

    Walz, R.; Schleich, J.

    2000-07-01

    In the last few years, the conditions for extending environmental policy in general and policy dealing with the prevention of water pollution in particular have undergone extensive changes. On the one hand, there has been indisputable considerable success in preventing water pollution which has led to less direct pressure for policy action. On the other hand, the rising sewage levies and the lower political priority assigned in general to environmental policy documented in, e. g. public opinion surveys, has led to water pollution control policy facing very different pressures of justification: more efficient use of funds, improved planning processes, proof of the achievable benefit, but also stopping the increase in levies or not hindering economic development, these or similar slogans are the objections brought against water pollution control. Regardless of how unambiguous these terms appear when used as slogans in this way, they become diffuse and unclear if regarded more closely. This paper therefore attempts to reveal the reasons for possible misunderstandings and misinterpretations on the one hand and, on the other, to reveal the basic problems and uncertainties which are necessarily linked with an assessment of costs and benefits. In order to do this, three areas are examined: level of actors and analysis, evaluation methods and assessment of costs and benefits. (orig.)

  4. PET-CT in oncological patients: analysis of informal care costs in cost-benefit assessment.

    Science.gov (United States)

    Orlacchio, Antonio; Ciarrapico, Anna Micaela; Schillaci, Orazio; Chegai, Fabrizio; Tosti, Daniela; D'Alba, Fabrizio; Guazzaroni, Manlio; Simonetti, Giovanni

    2014-04-01

    The authors analysed the impact of nonmedical costs (travel, loss of productivity) in an economic analysis of PET-CT (positron-emission tomography-computed tomography) performed with standard contrast-enhanced CT protocols (CECT). From October to November 2009, a total of 100 patients referred to our institute were administered a questionnaire to evaluate the nonmedical costs of PET-CT. In addition, the medical costs (equipment maintenance and depreciation, consumables and staff) related to PET-CT performed with CECT and PET-CT with low-dose nonenhanced CT and separate CECT were also estimated. The medical costs were 919.3 euro for PET-CT with separate CECT, and 801.3 euro for PET-CT with CECT. Therefore, savings of approximately 13% are possible. Moreover, savings in nonmedical costs can be achieved by reducing the number of hospital visits required by patients undergoing diagnostic imaging. Nonmedical costs heavily affect patients' finances as well as having an indirect impact on national health expenditure. Our results show that PET-CT performed with standard dose CECT in a single session provides benefits in terms of both medical and nonmedical costs.

  5. COST-BENEFIT ANALYSIS OF BIOCONVERSION NEUFCHATEL WHEY INTO RECTIFIED ETHANOL AND ORGANIC LIQUID FERTILIZER IN SEMI PILOT SCALE

    Directory of Open Access Journals (Sweden)

    Gemilang Lara UTAMA

    2015-10-01

    Full Text Available Aims of the study was to determine the cost-benefit analysis in neufchatel whey bioconversion into rectified ethanol and organic liquid fertilizer. Bioconversion whey into rectified ethanol and organic liquid fertilizer has shown great potential as a way to reduce the pollution resulting from cheese-making process. Semi pilot scale experiment was done to ferment 5 L neufchatel whey using 5% K. lactis at 33°C for 24 h in semi anaerobic plastic container without agitation and then distilled into 96.2% purity. Data collected and analyzed descriptively related to benefit cost ratio/BCR, net present value/NPV and internal rate returns/IRR. The result showed that semi pilot scale bioconversion of neufchatel whey resulting in 106.42 ml rectified ethanol and 4404.22 ml distillery residue. Economic benefit could achieved by the support of distillery residue sales as organic liquid fertilizer.

  6. Smart Aquifer Characterisation validated using Information Theory and Cost benefit analysis

    Science.gov (United States)

    Moore, Catherine

    2016-04-01

    -Monteith methods in combined satellite and ground-based evapotranspiration estimates. Remote Sensing of Environment 169, 102-112

  7. Beyond Cost-Benefit Analysis in the Governance of Synthetic Biology.

    Science.gov (United States)

    Wallach, Wendell; Saner, Marc; Marchant, Gary

    2018-01-01

    For many innovations, oversight fits nicely within existing governance mechanisms; nevertheless, others pose unique public health, environmental, and ethical challenges. Synthetic artemisinin, for example, has many precursors in laboratory-developed drugs that emulate natural forms of the same drug. The policy challenges posed by synthetic artemisinin do not differ significantly in kind from other laboratory-formulated drugs. Synthetic biofuels and gene drives, however, fit less clearly into existing governance structures. How many of the new categories of products require new forms of regulatory oversight, or at least extensive forms of testing, remains unclear. Any effort to improve the governance of synthetic biology should start with a rich understanding of the different possible science-policy interfaces that could help to inform governance. CBA falls into a subset of the overall range of possibilities, and which interface is appropriate may turn out to depend on context, on the demands of the decision at hand. In what follows, we lay out a typology of interfaces. After that, we turn to the question of how to draw upon the range of possible interfaces and effectively address the factual and moral complexities of emerging technologies. We propose a governance model built around structures that we call "governance coordinating committees." GCCs are intended to be mechanisms for accommodating the complexities of innovations that have far-ranging societal impacts. The production of biofuels, for example, could contaminate water supplies and have a destructive environmental impact if not managed correctly. The introduction of a gene drive could have economic and environmental impacts that are not restricted to one nation. Forging appropriate means for determining and evaluating those societal impacts, to the best of a corporation's, industry's, or government's ability, is central to responsible research and innovation. Public policy must be shaped in a manner that

  8. Cost-benefit analysis of preconception care for women with established diabetes mellitus.

    Science.gov (United States)

    Elixhauser, A; Weschler, J M; Kitzmiller, J L; Marks, J S; Bennert, H W; Coustan, D R; Gabbe, S G; Herman, W H; Kaufmann, R C; Ogata, E S

    1993-08-01

    To determine whether the additional costs of preconception care are balanced by the savings from averted complications. Several studies have demonstrated the efficacy of preconception care in reducing congenital anomalies in infants born of mothers with pre-existing diabetes mellitus. This study used literature review, consensus development among an expert panel of physicians, and surveys of medical care personnel to obtain information about the costs and consequences of preconception plus prenatal care compared with prenatal care only for women with established diabetes. Preconception care involves close interaction between the patient and an interdisciplinary health-care team as well as intensified evaluation, follow-up, testing, and monitoring. The outcome measures assessed in this study are the medical costs of preconception care versus prenatal care only and the benefit-cost ratio. The costs of preconception plus prenatal care are $17,519/delivery, whereas the costs of prenatal care only are $13,843/delivery. Taking into account maternal and neonatal adverse outcomes, the net savings of preconception care are $1720/enrollee over prenatal care only and the benefit-cost ratio is 1.86. The preconception care program remained cost saving across a wide range of assumptions regarding incidence of adverse outcomes and program cost components. Despite significantly higher per delivery costs for participants in a hypothetical preconception care program, intensive medical care before conception resulted in cost savings compared with prenatal care only. Third-party payers can expect to realize cost savings by reimbursing preconception care in this high-risk population.

  9. Lightweight Data Systems in the Cloud: Costs, Benefits and Best Practices

    Science.gov (United States)

    Fatland, R.; Arendt, A. A.; Howe, B.; Hess, N. J.; Futrelle, J.

    2015-12-01

    We present here a simple analysis of both the cost and the benefit of using the cloud in environmental science circa 2016. We present this set of ideas to enable the potential 'cloud adopter' research scientist to explore and understand the tradeoffs in moving some aspect of their compute work to the cloud. We present examples, design patterns and best practices as an evolving body of knowledge that help optimize benefit to the research team. Thematically this generally means not starting from a blank page but rather learning how to find 90% of the solution to a problem pre-built. We will touch on four topics of interest. (1) Existing cloud data resources (NASA, WHOI BCO DMO, etc) and how they can be discovered, used and improved. (2) How to explore, compare and evaluate cost and compute power from many cloud options, particularly in relation to data scale (size/complexity). (3) What are simple / fast 'Lightweight Data System' procedures that take from 20 minutes to one day to implement and that have a clear immediate payoff in environmental data-driven research. Examples include publishing a SQL Share URL at (EarthCube's) CINERGI as a registered data resource and creating executable papers on a cloud-hosted Jupyter instance, particularly iPython notebooks. (4) Translating the computational terminology landscape ('cloud', 'HPC cluster', 'hadoop', 'spark', 'machine learning') into examples from the community of practice to help the geoscientist build or expand their mental map. In the course of this discussion -- which is about resource discovery, adoption and mastery -- we provide direction to online resources in support of these themes.

  10. Detailed and large-scale cost/benefit analyses of landslide prevention vs. post-event actions

    Science.gov (United States)

    Salbego, G.; Floris, M.; Busnardo, E.; Toaldo, M.; Genevois, R.

    2015-11-01

    The main aim of this paper is to test economic benefits of landslide prevention measures vs. post-event emergency actions. To this end, detailed- and large-scale analyses were performed in a training area located in the northeastern Italian pre-Alps that was hit by an exceptional rainfall event occurred in November 2010. On the detailed scale, a landslide reactivated after 2010 event was investigated. Numerical modeling demonstrated that remedial works carried out after the landslide - water-removal intervention such as a drainage trench - could have improved slope stability if applied before its occurrence. Then, a cost/benefit analysis was employed. It defined that prevention would have been economically convenient compared to a non-preventive and passive attitude, allowing a 30 % saving relative to total costs. On the large scale, one of the most affected areas after 2010 event was considered. A susceptibility analysis was performed using a simple probabilistic model, which allowed to highlight the main landslide conditioning factors and the most hazardous and vulnerable sectors. In particular, such low-cost analysis demonstrated that almost 50 % of landslides occurred after 2010 event could be foreseen and allowed to roughly quantify benefits from regional landslide prevention. However, a large-scale approach is insufficient to carry out a quantitative cost/benefit analysis, for which a detailed case-by-case risk assessment is needed. The here proposed approaches could be used as a means of preventive soil protection in not only the investigated case study but also all those hazardous areas where preventive measures are needed.

  11. Cost-benefit analysis of home blood pressure monitoring in hypertension diagnosis and treatment: an insurer perspective.

    Science.gov (United States)

    Arrieta, Alejandro; Woods, John R; Qiao, Nan; Jay, Stephen J

    2014-10-01

    Home blood pressure (BP) monitoring has been shown to be more effective than clinic BP monitoring for diagnosing and treating hypertension. However, reimbursement of home BP monitoring is uncommon in the United States because of a lack of evidence that it is cost beneficial for insurers. We develop a decision-analytic model, which we use to conduct a cost-benefit analysis from the perspective of the insurer. Model inputs are derived from the 2008 to 2011 claims data of a private health insurer in the United States, from 2009 to 2010 National Health and the Nutrition Examination Survey data, and from published meta-analyses. The model simulates the transitions among health states from initial physician visit to hypertension diagnosis, to treatment, to hypertension-related cardiovascular diseases, and patient death or resignation from the plan. We use the model to estimate cost-benefit ratios and both short- and long-run return on investment for home BP monitoring compared with clinic BP monitoring. Our results suggest that reimbursement of home BP monitoring is cost beneficial from an insurer's perspective for diagnosing and treating hypertension. Depending on the insurance plan and age group categories considered, estimated net savings associated with the use of home BP monitoring range from $33 to $166 per member in the first year and from $415 to $1364 in the long run (10 years). Return on investment ranges from $0.85 to $3.75 per dollar invested in the first year and from $7.50 to $19.34 per dollar invested in the long run. © 2014 American Heart Association, Inc.

  12. Target-controlled inhalation anaesthesia: A cost-benefit analysis based on the cost per minute of anaesthesia by inhalation.

    Science.gov (United States)

    Ponsonnard, Sébastien; Galy, Antoine; Cros, Jérôme; Daragon, Armelle Marie; Nathan, Nathalie

    2017-02-01

    End-tidal target-controlled inhalational anaesthesia (TCIA) with halogenated agents (HA) provides a faster and more accurately titrated anaesthesia as compared to manually-controlled anaesthesia. This study aimed to measure the macro-economic cost-benefit ratio of TCIA as compared to manually-controlled anaesthesia. This retrospective and descriptive study compared direct drug spending between two hospitals before 2011 and then after the replacement of three of six anaesthesia machines with TCIA mode machines in 2012 (Aisys carestation®, GE). The direct costs were obtained from the pharmacy department and the number and duration of the anaesthesia procedures from the computerized files of the hospital. The cost of halogenated agents was reduced in the hospital equipped with an Aisys carestation® by 13% as was the cost of one minute of anaesthesia by inhalation (€0.138 and €0.121/min between 2011 and 2012). The extra cost of the implementation of the 3 anaesthesia machines could be paid off with the resulting savings over 6 years. TCIA appears to have a favourable cost-benefit ratio. Despite a number of factors, which would tend to minimise the saving and increase costs, we still managed to observe a 13% savings. Shorter duration of surgery, type of induction as well as the way HA concentration is targeted may influence the savings results obtained. Copyright © 2016 Société française d’anesthésie et de réanimation (Sfar). Published by Elsevier Masson SAS. All rights reserved.

  13. A cost-benefit analysis of document management strategies used at a financial institution in Zimbabwe: A case study

    Directory of Open Access Journals (Sweden)

    Rodreck David

    2013-07-01

    Full Text Available Background: Choosing a cost-effective document management approach has become a priority to many organisations, especially in view of the rapidly changing technological environment in which information is being created and managed. A literature survey indicated that document management strategies have the potential to provide some substantial cost-saving benefits if they are used judiciously.Objectives: This study investigated a commercial bank’s document management approaches in a bid to ascertain the costs and benefits of each strategy and related issues.Method: A quantitative research approach was employed through a case study which was used to gather data from a sampled population in the bank.Results: The document management approaches used were not coordinated to improve operational efficiency. There were regulations governing documents management. The skills and competences of staff on both document management and cost analysis are limited. That is partly due to limited training opportunities availed to them. That means that economies are not achieved in the management of records. That has a negative impact on the overall efficiency, effectiveness and legal compliance of the banking institution.Conclusion: The financial institutions should create regulations enabling periodical cost-benefit analysis of document management regimes used by the bank at least at quarterly intervals as recommended by the National Archives of Australia. A hybrid approach in managing records is recommended for adoption by the financial institution. There should be on-the-job staff training complimented by attendance at relevant workshops and seminars to improve the staff’s understanding of both the cost-benefit analysis concept and document management.

  14. Cost-benefit of WC/rBS oral cholera vaccine for vaccination against ETEC-caused travelers' diarrhea.

    Science.gov (United States)

    Lundkvist, Jonas; Steffen, Robert; Jönsson, Bengt

    2009-01-01

    The most common infectious health problem encountered by travelers to countries in the developing region is travelers' diarrhea (TD), with enterotoxigenic Escherichia coli (ETEC) being the most common pathogen isolated. Although mild in most cases, the disease still leads to the loss of a significant part of a vacation or business trip. There is currently a lack of knowledge about the costs in relation to the benefits of vaccination against TD caused by ETEC, and the purposes of this study were to estimate and develop a cost-benefit analysis of vaccination using whole-cell/recombinant-B-subunit oral cholera vaccine. The consequences of the vaccination were identified and quantified in monetary terms. The cost-benefits for leisure and business travelers were assessed separately. The value of the travel was separated into the cost of the trip and of lost leisure time/business opportunities. A person with TD was in base case estimated to lose on average 3.5 days of a 7-day leisure trip and 2.5 days of a 4-day business trip. Results are presented for a Canadian traveler to endemic areas in year 2007 in US$. The average cost of a TD event was estimated at $1,460 and $1,996 for leisure and business travelers, respectively. The net value of the vaccination, however, varied with the risk of the disease. Through extensive literature searches, an updated ETEC map illustrating the proportion of ETEC-caused TD was created. The analysis indicated that vaccination would be considered cost-effective at incidence rates of ETEC-caused TD above about 13 and 9% for leisure and business travelers, respectively. It is, however, important to keep in mind that it is the value of the travel for the individual traveler that will decide if the vaccination provides good value for money.

  15. Evaluation of the Quality of Fixed Dose Combination Anti ...

    African Journals Online (AJOL)

    Evaluation of the Quality of Fixed Dose Combination Anti Tuberculosis Drugs in Public and Private Health Institutions in Lusaka District. ... Almost all areas of the world are affected by the availability of substandard and counterfeit medicines, but mounting evidence shows that the problem is disproportionately severe in ...

  16. Evaluation of different combinations of Trichoderma species for ...

    African Journals Online (AJOL)

    In this study, biocontrol effects of Trichoderma isolates alone and in combination were evaluated against F. oxysporum pathogen. This study shows ... Volatile metabolites of all isolates reduced the mycelial growth of fusarium pathogen. T1 and T2 ... All treatments showed significant differences with control plants. Keywords: ...

  17. 4. Evaluation of the quality of fixed dose combination anti ...

    African Journals Online (AJOL)

    Esem

    (1/7) of the 2FDC samples were none compliant to the BP 2008 specification for percentage content. One sample of 4FDC had a percentage content of. Evaluation of the Quality of Fixed Dose Combination. Anti Tuberculosis Drugs in Public and Private Health. Institutions in Lusaka District. W Mweemba. University of Zambia ...

  18. Evaluating optical spectral matching of phosphor-photodetector combinations

    Energy Technology Data Exchange (ETDEWEB)

    Kalyvas, N [Greek Atomic Energy Commission, 153 10, Ag. Paraskevi, P.O BOX 60092 (Greece); Valais, I; Costaridou, L; Panayiotakis, G [Department of Medical Physics, Medical School, University of Patras, 265 00 Patras (Greece); Kandarakis, I; Cavouras, D [Department of Medical Instruments Technology, Technological Educational Institution of Athens, Aigaleo, 122 10 Athens (Greece); Nomicos, C D [Department of Electronics, Technological Educational Institution of Athens, Aigaleo, 122 10 Athens (Greece)], E-mail: kandarakis@teiath.gr

    2009-07-15

    Phosphor materials are used in medical X-ray imaging combined with various photodetectors suitable for conventional and digital radiography and fluoroscopy. A prerequisite for these combinations is good optical spectral matching, which results in patient dose minimization. In the present work, a recently introduced factor, named OGTE, which accounts for optical gain signal-to-noise ratio transfer efficiency, is utilized for the evaluation of various phosphor-photodetector combinations. The optical photon spectrum of the phosphor materials studied was either determined experimentally, or obtained from literature. These phosphors were examined in conjunction with various photodetectors, which may be suitable for digital imaging. The corresponding optical response functions of the photodetectors were obtained from literature. It was found that there are numerous combinations exhibiting OGTE values above 0.80, which contribute to patient dose minimization.

  19. Evaluating optical spectral matching of phosphor-photodetector combinations

    Science.gov (United States)

    Kalyvas, N.; Valais, I.; Costaridou, L.; Kandarakis, I.; Cavouras, D.; Nomicos, C. D.; Panayiotakis, G.

    2009-07-01

    Phosphor materials are used in medical X-ray imaging combined with various photodetectors suitable for conventional and digital radiography and fluoroscopy. A prerequisite for these combinations is good optical spectral matching, which results in patient dose minimization. In the present work, a recently introduced factor, named OGTE, which accounts for optical gain signal-to-noise ratio transfer efficiency, is utilized for the evaluation of various phosphor-photodetector combinations. The optical photon spectrum of the phosphor materials studied was either determined experimentally, or obtained from literature. These phosphors were examined in conjunction with various photodetectors, which may be suitable for digital imaging. The corresponding optical response functions of the photodetectors were obtained from literature. It was found that there are numerous combinations exhibiting OGTE values above 0.80, which contribute to patient dose minimization.

  20. Cost/Benefit considerations for recent saltcedar control, Middle Pecos River, New Mexico.

    Science.gov (United States)

    Barz, Dave; Watson, Richard P; Kanney, Joseph F; Roberts, Jesse D; Groeneveld, David P

    2009-02-01

    Major benefits were weighed against major costs associated with recent saltcedar control efforts along the Middle Pecos River, New Mexico. The area of study was restricted to both sides of the channel and excluded tributaries along the 370 km between Sumner and Brantley dams. Direct costs (helicopter spraying, dead tree removal, and revegetation) within the study area were estimated to be $2.2 million but possibly rising to $6.4 million with the adoption of an aggressive revegetation program. Indirect costs associated with increased potential for erosion and reservoir sedimentation would raise the costs due to increased evaporation from more extensive shallows in the Pecos River as it enters Brantley Reservoir. Actions such as dredging are unlikely given the conservative amount of sediment calculated (about 1% of the reservoir pool). The potential for water salvage was identified as the only tangible benefit likely to be realized under the current control strategy. Estimates of evapotranspiration (ET) using Landsat TM data allowed estimation of potential water salvage as the difference in ET before and after treatment, an amount totaling 7.41 million m(3) (6010 acre-ft) per year. Previous saltcedar control efforts of roughly the same magnitude found that salvaged ET recharged groundwater and no additional flows were realized within the river. Thus, the value of this recharge is probably less than the lowest value quoted for actual in-channel flow, and estimated to be <$63,000 per year. Though couched in terms of costs and benefits, this paper is focused on what can be considered the key trade-off under a complete eradication strategy: water salvage vs. erosion and sedimentation. It differs from previous efforts by focusing on evaluating the impacts of actual control efforts within a specific system. Total costs (direct plus potential indirect) far outweighed benefits in this simple comparison and are expected to be ongoing. Problems induced by saltcedar control may

  1. Model-based efficiency evaluation of combine harvester traction drives

    Directory of Open Access Journals (Sweden)

    Steffen Häberle

    2015-08-01

    Full Text Available As part of the research the drive train of the combine harvesters is investigated in detail. The focus on load and power distribution, energy consumption and usage distribution are explicitly explored on two test machines. Based on the lessons learned during field operations, model-based studies of energy saving potential in the traction train of combine harvesters can now be quantified. Beyond that the virtual machine trial provides an opportunity to compare innovative drivetrain architectures and control solutions under reproducible conditions. As a result, an evaluation method is presented and generically used to draw comparisons under local representative operating conditions.

  2. Economic evaluation of climate risk adaptation strategies: Cost-benefit analysis of flood protection in Tabasco, Mexico

    NARCIS (Netherlands)

    Haer, T.; Botzen, W.J.W.; Zavala-Hidalgo, Jorge; Cusell, Carline; Ward, P.J.

    2017-01-01

    Economic losses as a result of natural hazards have been rising over the past few decades due to socio-economic development and perhaps climate change. This upwards trend is projected to continue, highlighting the need for adequate adaptation strategies. This raises the question of how to determine

  3. It's all about Balance: Using a watershed model to evaluate costs, benefits and tradeoffs for Monponsett Ponds watershed

    Science.gov (United States)

    As part of an EPA Region 1 RARE project, EPA Region 1 reached out to towns in the Taunton River watershed to identify those interested in testing new version of EPA watershed management tool (WMOST version 2)and found Halifax, MA in need of assistance in dealing with a suite of w...

  4. Cost-benefit analysis of primary prevention of sudden cardiac death with an implantable cardioverter defibrillator versus amiodarone in Canada.

    Science.gov (United States)

    Deniz, H Baris; Ward, Alexandra; Jaime Caro, J; Alvarez, Piedad; Sadri, Hamid

    2009-03-01

    Clinical trials have shown that implantable cardioverter defibrillators are effective in primary prevention of sudden cardiac death (SCD) in patients with high risk profiles. To conduct a cost-benefit assessment of prevention of sudden cardiac death with an implantable cardioverter defibrillator (ICD) vs. amiodarone from the Canadian health-care system perspective. A simulation model that estimates the patient's course following an implantation with an ICD or initiation of amiodarone treatment was created. A thousand pairs of patients with identical characteristics in each treatment group, with similar demographic profiles as observed in the Sudden Cardiac Death in Heart Failure Trial (SCD-HeFT) were simulated. Based on the simulated individual patient characteristics, the model estimated the timing of severe arrhythmic events and deaths due to other causes and implemented the consequences at the time of the events. Patients might die at the time of severe arrhythmia (sudden cardiac death) or survive and become secondary prevention cases and be exposed to a higher risk of severe arrhythmia for the following 6 months. The rates of arrhythmia and death due to other causes were assumed to be the same, whereas the cases of fatality from severe arrhythmia differed between treatments. During the course of the simulation, the clinical (i.e., deaths) and economic outcomes were tallied for both treatment groups. All model parameters were obtained from the literature. The primary data source for clinical inputs was the published results of the SCD-HeFT trial which investigated the impact of ICDs on patients' survival in primary prevention of sudden cardiac deaths compared to amiodarone and conventional therapy. The value of a statistical life (CND$ 5.8 million) was obtained from an analysis previously performed by Health Canada. The direct medical costs and monetary value of lives saved were estimated over 5 years. Sensitivity analyses on key parameters were carried out. The

  5. Worker replacement and cost-benefit analysis of life-saving health care programs, a precautionary note.

    Science.gov (United States)

    Tessier, Philippe; Sultan-Taïeb, Hélène; Barnay, Thomas

    2014-04-01

    The assumption according to which ill individuals can be replaced at work that underpins the 'friction cost method' (FCM) to value productivity costs has been primarily discussed within the framework of cost-utility analysis. This paper investigates the consequences of this assumption for cost-benefit analysis (CBA). It makes three contributions. First, it provides the first analytical account of the overall consequences of ill worker replacement on social welfare and it analyzes the associated compensation effects within a CBA framework. Second, it highlights a double counting problem that arises when ill worker replacement is assumed in the CBA of life-saving health care programs. To the best of our knowledge, no satisfactory solution to this problem has yet been provided in the literature. Third, this paper suggests and discusses two original ways to address this double counting issue. One consists in adjusting value of a statistical life estimations for the well-being provided by future incomes. Another possibility lies in the estimation of marginal rates of substitution between health and wealth so as to directly monetize the value of life over and above consumption. We show that both solutions raise unresolved questions that should be addressed in future research to enable appropriate use of the FCM in CBA.

  6. A multi-scale approach to cost/benefit analyses of landslide prevention vs. post-event actions

    Science.gov (United States)

    Salbego, G.; Floris, M.; Busnardo, E.; Toaldo, M.

    2015-02-01

    The main aim of this paper is to test economic benefits of landslide prevention measures vs. post-event emergency actions. To this end, small and large scale analyses were performed in a training area located in the North-Eastern Italian pre-Alps that was hit by an exceptional rainfall event occurred in November 2010. At the small-scale, landslide susceptibility was initially assessed using a simple probabilistic analysis, which allowed to highlight the main landslide conditioning factors and the most hazardous areas. However, this approach revealed to be quite insufficient to reach planned goals, so a large-scale case-by-case analysis was performed: a study case was defined, according to landslide occurrence frequency and assessment of elements at risk. Numerical modeling demonstrated that remedial works carried out after the landslide - water-removal intervention such as a drainage trench - could have improved slope stability if applied before its occurrence. Then, a cost-benefit analysis was finally employed. It defined that prevention would have been economically convenient compared to a non-preventive and passive attitude, allowing a 30% saving relative to total costs. Therefore, this kind of approach could be actually used as a mean toward preventive soil protection not only within the investigated case study, but also in all those hazardous areas where preventive measures are needed.

  7. Usability Tests in Medicine: A Cost-Benefit Analysis for Hospitals Before Acquiring Medical Devices for Theatre.

    Science.gov (United States)

    Gonser, Phillipp; Fuchsberger, Thomas; Matern, Ulrich

    2017-08-01

    The use of active medical devices in clinical routine should be as safe and efficient as possible. Usability tests (UTs) help improve these aspects of medical devices during their development, but UTs can be of use for hospitals even after a product has been launched. The present pilot study examines the costs and possible benefits of UT for hospitals before buying new medical devices for theatre. Two active medical devices with different complexity were tested in a standardized UT and a cost-benefit analysis was carried out assuming a different device bought at the same price with a higher usability could increase the efficiency of task solving and due to that save valuable theatre time. The cost of the UT amounted up to €19.400. Hospitals could benefit from UTs before buying new devices for theatre by reducing time-consuming operator errors and thereby increase productivity and patient safety. The possible benefits amounted from €23.300 to €1.570.000 (median = €797.000). Not only hospitals could benefit economically from investing in a UT before deciding to buy a medical device, but especially patients would profit from a higher usability by reducing possible operator errors and increase safety and performance of use.

  8. Method for Cost-Benefit Analysis of Improved Indoor Climate Conditions and Reduced Energy Consumption in Office Buildings

    Directory of Open Access Journals (Sweden)

    Viktoras Dorosevas

    2013-09-01

    Full Text Available Indoor climate affects health and productivity of the occupants in office buildings, yet in many buildings of this type indoor climate conditions are not well-controlled due to insufficient heating or cooling capacity, high swings of external or internal heat loads, improper control or operation of heating, ventilation and air conditioning (HVAC equipment, etc. However, maintenance of good indoor environmental conditions in buildings requires increased investments and possible higher energy consumption. This paper focuses on the relation between investment costs for retrofitting HVAC equipment as well as decreased energy use and improved performance of occupants in office buildings. The cost-benefit analysis implementation algorithm is presented in this paper, including energy survey of the building, estimation of occupants dissatisfied by key indoor climate indicators using questionnaire survey and measurements. Technique for Order Preference by Similarity to Ideal Solution (TOPSIS analysis is used in the proposed method for data processing. A case study of an office building is presented in order to introduce an application example of the proposed method. Results of the study verify the applicability of the proposed algorithm and TOPSIS analysis as a practical tool for office building surveys in order to maximize productivity by means of cost efficient technical building retrofitting solutions.

  9. A study on cost-benefit analysis and development of numerical guideline for the radiation exposure(II)

    Energy Technology Data Exchange (ETDEWEB)

    Kang, Chang Sun; Song, Jae Hyuk; Son, Ki Yoon; Park, Moon Soo; Kim, Chong Uk [Seoul National Univ., Seoul (Korea, Republic of)

    1999-02-15

    The radiation detrimental cost is a representative factor which is used in the cost-benefit analysis. It can be divided into the objective detrimental cost and the subjective detrimental cost. The objective detrimental cost can be quantified through converting human economic value into monetary unit and the subjective detrimental cost can be quantified by estimation of perceived risk of public. The objective of this study is the quantification of the radiation detrimental cost so that the objective detrimental cost and the subjective detrimental cost are estimated, respectively. The main emphasis is laid upon the conversion of human economic value into monetary unit in quantifying the objective detrimental cost. In case of the subjective detrimental cost, perceived risk of public for radiation exposure is measured according to dose levels by questionnaire. And the subjective detrimental costs are derived from the perceived risk for lay public and for occupational workers, respectively. In addition, is also investigated the cost of public acceptance for nuclear power generation.

  10. Arithmetic-Like Reasoning in Wild Vervet Monkeys: A Demonstration of Cost-Benefit Calculation in Foraging

    Directory of Open Access Journals (Sweden)

    Sayaka Tsutsumi

    2011-01-01

    Full Text Available Arithmetic-like reasoning has been demonstrated in various animals in captive and seminatural environments, but it is unclear whether such competence is practiced in the wild. Using a hypothetical foraging paradigm, we demonstrate that wild vervet monkeys spontaneously adjust their “foraging behavior” deploying arithmetic-like reasoning. Presented with arithmetic-like problems in artificially controlled feeding conditions, all the monkeys tested attempted to retrieve “artificial prey” according to the quantity of the remainder when the task involved one subtraction only (i.e., “2−1”, while one monkey out of four did so when it was sequentially subtracted twice (i.e., “2−1−1”. This monkey also adjusted his “foraging behavior” according to the quantity of the reminder for a task requiring stepwise mental manipulation (i.e., “(2−1−1”, though the results became less evident. This suggests that vervet monkeys are capable of spontaneously deploying mental manipulations of numerosity for cost-benefit calculation of foraging but that the extent of such capacity varies among individuals. Different foraging strategies might be deployed according to different levels of mental manipulation capacity in each individual in a given population. In addition to providing empirical data, the current study provides an easily adaptable field technique that would allow comparison across taxa and habitat using a uniform method.

  11. Modeling of GE Appliances: Cost Benefit Study of Smart Appliances in Wholesale Energy, Frequency Regulation, and Spinning Reserve Markets

    Energy Technology Data Exchange (ETDEWEB)

    Fuller, Jason C.; Parker, Graham B.

    2012-12-31

    This report is the second in a series of three reports describing the potential of GE’s DR-enabled appliances to provide benefits to the utility grid. The first report described the modeling methodology used to represent the GE appliances in the GridLAB-D simulation environment and the estimated potential for peak demand reduction at various deployment levels. The third report will explore the technical capability of aggregated group actions to positively impact grid stability, including frequency and voltage regulation and spinning reserves, and the impacts on distribution feeder voltage regulation, including mitigation of fluctuations caused by high penetration of photovoltaic distributed generation. In this report, a series of analytical methods were presented to estimate the potential cost benefit of smart appliances while utilizing demand response. Previous work estimated the potential technical benefit (i.e., peak reduction) of smart appliances, while this report focuses on the monetary value of that participation. The effects on wholesale energy cost and possible additional revenue available by participating in frequency regulation and spinning reserve markets were explored.

  12. Cost-benefit analysis of the construction of different flexible pavement structures considering the axle load and type of binder

    Directory of Open Access Journals (Sweden)

    Lucas Dotto Bueno

    2016-08-01

    Full Text Available The status of Brazilian highways reflects a deficient pavement performance when they are subjected to loadings imposed by heavy traffic. Current legislation, as enacted by Contran (National Traffic Council, has increased the axle weight limit for cargo vehicles by up to 10%. Therefore, the aim of this study was to determine a cost-benefit ratio by using different types of structures, asphalt binders and load intensities. Typical pavements were determined and then analyzed by the software AEMC (SisPav to obtain the horizontal tensile strain (εt values at the bottom of the asphalt concrete layer and, later, the NFATIGUE value. It was found that the increase in weight, within values covered by legislation, might result in a reduction of approximately 50% in the NFATIGUE value for the pavement structures analyzed. As for economic impact, the same weight increase caused a mean increase of 120% in the cost of repeated loading on pavement structures (R$ NFATIGUE-1. It was also observed that structures with more robust asphalt concrete layers can provide the best R$ NFATIGUE-1 ratios. The best results for granular materials were found with thinner layers, associated with a thicker coating. The benefits of modified binders were shown by the analyses of the best structural options: both the polymer-modified binder and the rubber asphalt binder offer significant structural and economic improvements to the structure.

  13. A Cost Benefit Analysis Approach to Identify Improvements in Merchant Navy Deck Officers’ HELM (Human Element Leadership and Management Training

    Directory of Open Access Journals (Sweden)

    Farhan Saeed

    2016-12-01

    Full Text Available A review of maritime accidents conducted over the last decade confirms that human error is the main contributing factor in these incidents. Well-developed Non-Technical Skills (NTS can reduce the effects of human error. NTS include both interpersonal and cognitive skills such as situation awareness, teamwork, decision-making, leadership, managerial skills, communication and language skills. In a crisis situation good NTS allow a deck officer to recognise the problem quickly, take action to manage the situation, and utilise the available team members safely and effectively. This paper identifies the importance of NTS training for merchant navy deck officers. It also highlights room for improvement in the existing HELM training. Research has shown that at present the structure of HELM training is not very effective. The other safety critical domains’ efforts into NTS developments are investigated and examples of best practice are adapted into the maritime domain’s NTS training. Suggestions are given for improvements to the HELM course based on proven successful methods in other safety critical domains (aviation and anaesthesia. A subsequent Cost Benefit Analysis for improving deck officers’ NTS is also carried out through the use of Bayesian Networks and Decision Tree Modelling.

  14. Application of an Original Wildfire Smoke Health Cost Benefits Transfer Protocol to the Western US, 2005-2015

    Science.gov (United States)

    Jones, Benjamin A.; Berrens, Robert P.

    2017-11-01

    Recent growth in the frequency and severity of US wildfires has led to more wildfire smoke and increased public exposure to harmful air pollutants. Populations exposed to wildfire smoke experience a variety of negative health impacts, imposing economic costs on society. However, few estimates of smoke health costs exist and none for the entire Western US, in particular, which experiences some of the largest and most intense wildfires in the US. The lack of cost estimates is troublesome because smoke health impacts are an important consideration of the overall costs of wildfire. To address this gap, this study provides the first time series estimates of PM2.5 smoke costs across mortality and several morbidity measures for the Western US over 2005-2015. This time period includes smoke from several megafires and includes years of record-breaking acres burned. Smoke costs are estimated using a benefits transfer protocol developed for contexts when original health data are not available. The novelty of our protocol is that it synthesizes the literature on choices faced by researchers when conducting a smoke cost benefit transfer. On average, wildfire smoke in the Western US creates 165 million in annual morbidity and mortality health costs.

  15. Combining Results From Multiple Evaluations of the Same Measurand.

    Science.gov (United States)

    Kessel, Rüdiger; Kacker, Raghu N; Sommer, Klaus-Dieter

    2011-01-01

    According to the Guide to the Expression of Uncertainty in Measurement (GUM), a result of measurement consists of a measured value together with its associated standard uncertainty. The measured value and the standard uncertainty are interpreted as the expected value and the standard deviation of a state-of-knowledge probability distribution attributed to the measurand. We discuss the term metrological compatibility introduced by the International Vocabulary of Metrology, third edition (VIM3) for lack of significant differences between two or more results of measurement for the same measurand. Sometimes a combined result of measurement from multiple evaluations of the same measurand is needed. We propose an approach for determining a combined result which is metrologically compatible with the contributing results.

  16. Is law enforcement of drug-impaired driving cost-efficient? An explorative study of a methodology for cost-benefit analysis.

    Science.gov (United States)

    Veisten, Knut; Houwing, Sjoerd; Mathijssen, M P M René; Akhtar, Juned

    2013-03-01

    Road users driving under the influence of psychoactive substances may be at much higher relative risk (RR) in road traffic than the average driver. Legislation banning blood alcohol concentrations above certain threshold levels combined with roadside breath-testing of alcohol have been in lieu for decades in many countries, but new legislation and testing of drivers for drug use have recently been implemented in some countries. In this article we present a methodology for cost-benefit analysis (CBA) of increased law enforcement of roadside drug screening. This is an analysis of the profitability for society, where costs of control are weighed against the reduction in injuries expected from fewer drugged drivers on the roads. We specify assumptions regarding costs and the effect of the specificity of the drug screening device, and quantify a deterrence effect related to sensitivity of the device yielding the benefit estimates. Three European countries with different current enforcement levels were studied, yielding benefit-cost ratios in the approximate range of 0.5-5 for a tripling of current levels of enforcement, with costs of about 4000 EUR per convicted and in the range of 1.5 and 13 million EUR per prevented fatality. The applied methodology for CBA has involved a simplistic behavioural response to enforcement increase and control efficiency. Although this methodology should be developed further, it is clearly indicated that the cost-efficiency of increased law enforcement of drug driving offences is dependent on the baseline situation of drug-use in traffic and on the current level of enforcement, as well as the RR and prevalence of drugs in road traffic. Copyright © 2012 Elsevier B.V. All rights reserved.

  17. The Impact of Company-Level ART Provision to a Mining Workforce in South Africa: A Cost-Benefit Analysis.

    Science.gov (United States)

    Meyer-Rath, Gesine; Pienaar, Jan; Brink, Brian; van Zyl, Andrew; Muirhead, Debbie; Grant, Alison; Churchyard, Gavin; Watts, Charlotte; Vickerman, Peter

    2015-09-01

    HIV impacts heavily on the operating costs of companies in sub-Saharan Africa, with many companies now providing antiretroviral therapy (ART) programmes in the workplace. A full cost-benefit analysis of workplace ART provision has not been conducted using primary data. We developed a dynamic health-state transition model to estimate the economic impact of HIV and the cost-benefit of ART provision in a mining company in South Africa between 2003 and 2022. A dynamic health-state transition model, called the Workplace Impact Model (WIM), was parameterised with workplace data on workforce size, composition, turnover, HIV incidence, and CD4 cell count development. Bottom-up cost analyses from the employer perspective supplied data on inpatient and outpatient resource utilisation and the costs of absenteeism and replacement of sick workers. The model was fitted to workforce HIV prevalence and separation data while incorporating parameter uncertainty; univariate sensitivity analyses were used to assess the robustness of the model findings. As ART coverage increases from 10% to 97% of eligible employees, increases in survival and retention of HIV-positive employees and associated reductions in absenteeism and benefit payments lead to cost savings compared to a scenario of no treatment provision, with the annual cost of HIV to the company decreasing by 5% (90% credibility interval [CrI] 2%-8%) and the mean cost per HIV-positive employee decreasing by 14% (90% CrI 7%-19%) by 2022. This translates into an average saving of US$950,215 (90% CrI US$220,879-US$1.6 million) per year; 80% of these cost savings are due to reductions in benefit payments and inpatient care costs. Although findings are sensitive to assumptions regarding incidence and absenteeism, ART is cost-saving under considerable parameter uncertainty and in all tested scenarios, including when prevalence is reduced to 1%-except when no benefits were paid out to employees leaving the workforce and when absenteeism

  18. The Impact of Company-Level ART Provision to a Mining Workforce in South Africa: A Cost-Benefit Analysis.

    Directory of Open Access Journals (Sweden)

    Gesine Meyer-Rath

    2015-09-01

    Full Text Available HIV impacts heavily on the operating costs of companies in sub-Saharan Africa, with many companies now providing antiretroviral therapy (ART programmes in the workplace. A full cost-benefit analysis of workplace ART provision has not been conducted using primary data. We developed a dynamic health-state transition model to estimate the economic impact of HIV and the cost-benefit of ART provision in a mining company in South Africa between 2003 and 2022.A dynamic health-state transition model, called the Workplace Impact Model (WIM, was parameterised with workplace data on workforce size, composition, turnover, HIV incidence, and CD4 cell count development. Bottom-up cost analyses from the employer perspective supplied data on inpatient and outpatient resource utilisation and the costs of absenteeism and replacement of sick workers. The model was fitted to workforce HIV prevalence and separation data while incorporating parameter uncertainty; univariate sensitivity analyses were used to assess the robustness of the model findings. As ART coverage increases from 10% to 97% of eligible employees, increases in survival and retention of HIV-positive employees and associated reductions in absenteeism and benefit payments lead to cost savings compared to a scenario of no treatment provision, with the annual cost of HIV to the company decreasing by 5% (90% credibility interval [CrI] 2%-8% and the mean cost per HIV-positive employee decreasing by 14% (90% CrI 7%-19% by 2022. This translates into an average saving of US$950,215 (90% CrI US$220,879-US$1.6 million per year; 80% of these cost savings are due to reductions in benefit payments and inpatient care costs. Although findings are sensitive to assumptions regarding incidence and absenteeism, ART is cost-saving under considerable parameter uncertainty and in all tested scenarios, including when prevalence is reduced to 1%-except when no benefits were paid out to employees leaving the workforce and

  19. Abdominoplasty combined with Cesarean delivery: evaluation of the practice.

    Science.gov (United States)

    Ali, Ahmed; Essam, Amr

    2011-02-01

    Abdominoplasty is an aesthetic surgical procedure that restores abdominal contouring. Repeated pregnancy usually leads to lower abdominal skin redundancy and excess fat accumulation. Delivery via Cesarean section adds weakness to the lower abdominal wall muscles and yields a lower transverse Cesarean scar. Recently and in some cultures, abdominoplasty is requested at the same time of Cesarean delivery. Those women usually want to get the benefit of undergoing the abdominoplasty combined with Cesarean delivery in the same setting, thus avoiding a future surgery. This study was designed to evaluate the aesthetic outcome of combined abdominoplasty with Cesarean delivery. The study included 50 pregnant women from February 2008 to December 2009 with an average follow up period of 6 months. Nine patients (18%) developed wound infection; three of them (9%) developed wound dehiscence. Six patients (12%) developed lower abdominal skin necrosis; three of them (6%) were treated conservatively and healed by secondary intention, while surgical debridement and secondary sutures were needed in the other three patients (6%). Residual abdominal skin redundancy in 9 patients (18%), outward bulging of the abdomen and lack of waist definition in 16 patients (32%), and outward bulging of the umbilicus in 12 patients (24%) were the reported unaesthetic results. The results were compared with results of 80 abdominoplasties in nonpregnant women. The study concluded that abdominoplasty combined with Cesarean delivery carries a higher incidence of complications and does not give the desired aesthetic outcome. The authors do not recommend this practice.

  20. Mangrove and Freshwater Wetland Conservation Through Carbon Offsets: A Cost-Benefit Analysis for Establishing Environmental Policies.

    Science.gov (United States)

    Vázquez-González, César; Moreno-Casasola, Patricia; Hernández, María Elizabeth; Campos, Adolfo; Espejel, Ileana; Fermán-Almada, José Luis

    2017-02-01

    Mexico has extensive coastal wetlands (4,243,137 ha), and one of its most important sites is the Alvarado Lagoon System, located in the Papaloapan River Basin on the Gulf of Mexico. The land cover dedicated to livestock and sugarcane has increased: by 25 % in 2005 and 50 % in 2010, with a loss of wetland vegetation and the carbon that it stores. We found that the Net Present Value of mangrove carbon offsets profit is equal to $5822.71, that of broad-leaved marshes is $7958.86, cattail marshes $5250.33, and forested wetlands $8369.41 per hectare, during a 30-year-carbonoffset contract. However, the opportunity cost from conserving wetland instead of growing sugarcane is positive according to REDD+ methodology, e.g., broad-leaved marsh conservation ranged from $6.73 to $20 USD/t CO2e, that of cattail marshes from $12.20 to $32.65 USD/t CO2e, and forested wetlands from $7.15 to $20.60 USD/t CO2e, whereas the opportunity cost between conservation and livestock was negative, it means that conservation is more profitable. The cost-benefit analysis for assessing investment projects from a governmental perspective is useful to determine the viability of conserving coastal wetlands through carbon offset credits. It also shows why in some areas it is not possible to conserve ecosystems due to the opportunity cost of changing from one economic activity (livestock and sugarcane) to carbon offsets for protecting wetlands. Furthermore, it allows for a comparison of carbon markets and assessment in terms of REDD+ and its methods for determining the social cost per ton of carbon avoided.

  1. Cost-benefit analysis of prophylactic granulocyte colony-stimulating factor during CHOP antineoplastic therapy for non-Hodgkin's lymphoma.

    Science.gov (United States)

    Dranitsaris, G; Altmayer, C; Quirt, I

    1997-06-01

    Several randomised comparative trials have shown that granulocyte colony-stimulating factor (G-CSF) reduces the duration of neutropenia, hospitalisation and intravenous antibacterial use in patients with cancer who are receiving high-dosage antineoplastic therapy. However, one area that has received less attention is the role of G-CSF in standard-dosage antineoplastic regimens. One such treatment that is considered to have a low potential for inducing fever and neutropenia is the CHOP regimen (cyclophosphamide, doxorubicin, vincristine and prednisone) for non-Hodgkin's lymphoma. We conducted a cost-benefit analysis from a societal perspective in order to estimate the net cost or benefit of prophylactic G-CSF in this patient population. This included direct costs for hospitalisation with antibacterial support, as well as indirect societal costs, such as time off work and antineoplastic therapy delays secondary to neutropenia. The findings were then tested by a comprehensive sensitivity analysis. The administration of G-CSF at a dosage of 5 micrograms/kg/day for 11 doses following CHOP resulted in an overall net cost of $Can1257. In the sensitivity analysis, lowering the G-CSF dosage to 2 micrograms/kg/day generated a net benefit of $Can6564, indicating a situation that was cost saving to society. The results of the current study suggest that the use of G-CSF in patients receiving CHOP antineoplastic therapy produces a situation that is close to achieving cost neutrality. However, low-dosage (2 micrograms/kg/day) G-CSF is an economically attractive treatment strategy because it may result in overall savings to society.

  2. Mangrove and Freshwater Wetland Conservation Through Carbon Offsets: A Cost-Benefit Analysis for Establishing Environmental Policies

    Science.gov (United States)

    Vázquez-González, César; Moreno-Casasola, Patricia; Hernández, María Elizabeth; Campos, Adolfo; Espejel, Ileana; Fermán-Almada, José Luis

    2017-02-01

    Mexico has extensive coastal wetlands (4,243,137 ha), and one of its most important sites is the Alvarado Lagoon System, located in the Papaloapan River Basin on the Gulf of Mexico. The land cover dedicated to livestock and sugarcane has increased: by 25 % in 2005 and 50 % in 2010, with a loss of wetland vegetation and the carbon that it stores. We found that the Net Present Value of mangrove carbon offsets profit is equal to 5822.71, that of broad-leaved marshes is 7958.86, cattail marshes 5250.33, and forested wetlands 8369.41 per hectare, during a 30-year-carbonoffset contract. However, the opportunity cost from conserving wetland instead of growing sugarcane is positive according to REDD+ methodology, e.g., broad-leaved marsh conservation ranged from 6.73 to 20 USD/t CO2e, that of cattail marshes from 12.20 to 32.65 USD/t CO2e, and forested wetlands from 7.15 to 20.60 USD/t CO2e, whereas the opportunity cost between conservation and livestock was negative, it means that conservation is more profitable. The cost-benefit analysis for assessing investment projects from a governmental perspective is useful to determine the viability of conserving coastal wetlands through carbon offset credits. It also shows why in some areas it is not possible to conserve ecosystems due to the opportunity cost of changing from one economic activity (livestock and sugarcane) to carbon offsets for protecting wetlands. Furthermore, it allows for a comparison of carbon markets and assessment in terms of REDD+ and its methods for determining the social cost per ton of carbon avoided.

  3. Towards improved handling of uncertainty in cost-benefit analysis : Addressing the ‘price-quality’ and ‘communication’ dilemmas

    NARCIS (Netherlands)

    Mouter, N.; Holleman, M.; Calvert, S.C.; Annema, J.A.

    2015-01-01

    An important limitation of Cost-Benefit Analysis (CBA) is the inherent uncertainty in estimations of future welfare effects. In this paper, we argue that consideration of the ‘price-quality’ dilemma and the ‘communication’ dilemma is useful to explain and improve the handling of uncertainty in CBA.

  4. Combined SPECT and Multidetector CT for Prostate Cancer Evaluations.

    Science.gov (United States)

    Aparici, Carina Mari; Carlson, David; Nguyen, Nhan; Hawkins, Randall A; Seo, Youngho

    2012-01-01

    (111)In-capromab pendetide is an imaging probe for noninvasive detection of prostate cancer dissemination, and can be difficult to interpret because of low photon statistics resulting in noisy images with limited anatomical precision. We examined if a 16-slice multidetector computed tomography (MDCT) combined with single photon emission computed tomography (SPECT) could increase the impact on the clinical management and improve confidence in SPECT image interpretations in comparison to a relatively low-mA (limited resolution) CT. 17 scans were reviewed from a SPECT combined with low-mA CT scanner; 21 scans were reviewed from a SPECT combined with 16-slice MDCT scanner. Reports of the clinical interpretations from the imaging studies, additional examinations performed by referring physicians as a follow-up to the imaging results, and long-term clinical and laboratory follow-ups were used to define confidence of the SPECT/CT readings and impact of the readings on the patient management. The impact was defined as: the occurrence of the (111)In-capromab pendetide interpretation resulted in additional imaging studies or biopsies. MDCT improved the quality and confidence in the characterization of small lymph nodes with or without uptake of (111)In-capromab pendetide. The increased confidence with MDCT in SPECT/CT readings was evident in all cases reviewed in this study, and the impact on the clinical management was higher (8 out of 21) using SPECT/MDCT than the impact using SPECT combined with low-mA CT (2 out of 17). The dual-modality SPECT/CT provides a quantifiable benefit when MDCT is used instead of low-mA CT, particularly for prostate cancer evaluations using (111)In-capromab pendetide.

  5. 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.

  6. Surveying drainage culvert use by carnivores: sampling design and cost-benefit analyzes of track-pads vs. video-surveillance methods.

    Science.gov (United States)

    Mateus, Ana Rita A; Grilo, Clara; Santos-Reis, Margarida

    2011-10-01

    Environmental assessment studies often evaluate the effectiveness of drainage culverts as habitat linkages for species, however, the efficiency of the sampling designs and the survey methods are not known. Our main goal was to estimate the most cost-effective monitoring method for sampling carnivore culvert using track-pads and video-surveillance. We estimated the most efficient (lower costs and high detection success) interval between visits (days) when using track-pads and also determined the advantages of using each method. In 2006, we selected two highways in southern Portugal and sampled 15 culverts over two 10-day sampling periods (spring and summer). Using the track-pad method, 90% of the animal tracks were detected using a 2-day interval between visits. We recorded a higher number of crossings for most species using video-surveillance (n = 129) when compared with the track-pad technique (n = 102); however, the detection ability using the video-surveillance method varied with type of structure and species. More crossings were detected in circular culverts (1 m and 1.5 m diameter) than in box culverts (2 m to 4 m width), likely because video cameras had a reduced vision coverage area. On the other hand, carnivore species with small feet such as the common genet Genetta genetta were detected less often using the track-pad surveying method. The cost-benefit analyzes shows that the track-pad technique is the most appropriate technique, but video-surveillance allows year-round surveys as well as the behavior response analyzes of species using crossing structures.

  7. A non-stationary cost-benefit analysis approach for extreme flood estimation to explore the nexus of 'Risk, Cost and Non-stationarity'

    Science.gov (United States)

    Qi, Wei

    2017-11-01

    Cost-benefit analysis is commonly used for engineering planning and design problems in practice. However, previous cost-benefit based design flood estimation is based on stationary assumption. This study develops a non-stationary cost-benefit based design flood estimation approach. This approach integrates a non-stationary probability distribution function into cost-benefit analysis, and influence of non-stationarity on expected total cost (including flood damage and construction costs) and design flood estimation can be quantified. To facilitate design flood selections, a 'Risk-Cost' analysis approach is developed, which reveals the nexus of extreme flood risk, expected total cost and design life periods. Two basins, with 54-year and 104-year flood data respectively, are utilized to illustrate the application. It is found that the developed approach can effectively reveal changes of expected total cost and extreme floods in different design life periods. In addition, trade-offs are found between extreme flood risk and expected total cost, which reflect increases in cost to mitigate risk. Comparing with stationary approaches which generate only one expected total cost curve and therefore only one design flood estimation, the proposed new approach generate design flood estimation intervals and the 'Risk-Cost' approach selects a design flood value from the intervals based on the trade-offs between extreme flood risk and expected total cost. This study provides a new approach towards a better understanding of the influence of non-stationarity on expected total cost and design floods, and could be beneficial to cost-benefit based non-stationary design flood estimation across the world.

  8. Human and animal rabies prevention and control cost in Bhutan, 2001-2008: the cost-benefit of dog rabies elimination.

    Science.gov (United States)

    Tenzin; Wangdi, Kinley; Ward, Michael P

    2012-12-17

    The objective of this study was to estimate the cost of various interventions and to quantify the economic impacts of rabies in Bhutan. Cost-benefit of dog rabies elimination versus human post exposure treatment cost was also assessed. The average direct medical cost of human post-exposure treatment (using rabies vaccine only) was estimated to be Nu. 1615 (US$ 35.65) per 5-dose Essen regimen per patient. The cost would increase to Nu. 2497 (US$ 55.13) and Nu. 19,633 (US$ 433.41) per patient when one dose of either equine rabies immunoglobulin (ERIG) or human rabies immunoglobulin (HRIG) is administered, respectively. The societal cost (direct medical and indirect patient expenses) per patient was estimated to be Nu. 2019 (US$ 45), Nu. 2901 (US$ 64) and Nu. 20,037 (US$ 442) using vaccine only, vaccine with ERIG and vaccine with HRIG, respectively. The average cost per dog vaccination and sterilization were estimated to be Nu. 75 (US$ 1.66) and Nu. 288 (US$ 6.36), respectively. The total direct cost of rabies and various interventions between 2001 and 2008 was estimated to be Nu. 46.95 million (US$ 1.03 million). The direct cost for intensified human PET was estimated to be Nu. 5.85 million (US$ 0.11 million) per year with a cumulated estimated costs of Nu. 35.10 million (US$ 0.70 million) while the cost of mass dog vaccination with at least 70% coverage is estimated to be approximately Nu. 10.31 million (US$ 0.21 million) at the end of 6 years. The combined cost of mass dog vaccination and human PET was estimated to be greater than the cost of human PET alone during the first 2 years of the campaign, and then would be lower than human PET cost alone after the 5th year of the campaign. The total cumulated cost of the combined strategy was estimated to be Nu. 34.14 million (US$ 0.73 million) and would be lower than the cumulated cost of human PET alone (Nu. 35.10 million, US$ 0.77 million) at the end of 6 years. Rabies represents a substantial economic impact to the

  9. Childhood lead exposure in France: benefit estimation and partial cost-benefit analysis of lead hazard control

    Science.gov (United States)

    2011-01-01

    Background Lead exposure remains a public health concern due to its serious adverse effects, such as cognitive and behavioral impairment: children younger than six years of age being the most vulnerable population. In Europe, the lead-related economic impacts have not been examined in detail. We estimate the annual costs in France due to childhood exposure and, through a cost benefit analysis (CBA), aim to assess the expected social and economic benefits of exposure abatement. Methods Monetary benefits were assessed in terms of avoided national costs. We used results from a 2008 survey on blood-lead (B-Pb) concentrations in French children aged one to six years old. Given the absence of a threshold concentration being established, we performed a sensitivity analysis assuming different hypothetical threshold values for toxicity above 15 μg/L, 24 μg/L and 100 μg/L. Adverse health outcomes of lead exposure were translated into social burden and economic costs based on literature data from literature. Direct health benefits, social benefits and intangible avoided costs were included. Costs of pollutant exposure control were partially estimated in regard to homes lead-based paint decontamination, investments aiming at reducing industrial lead emissions and removal of all lead drinking water pipes. Results The following overall annual benefits for the three hypothetical thresholds values in 2008 are: €22.72 billion, €10.72 billion and €0.44 billion, respectively. Costs from abatement ranged from €0.9 billion to 2.95 billion/year. Finally, from a partial CBA of lead control in soils and dust the estimates of total net benefits were € 3.78 billion, € 1.88 billion and €0.25 billion respectively for the three hypothesized B-Pb effect values. Conclusions Prevention of childhood lead exposure has a high social benefit, due to reduction of B-Pb concentrations to levels below 15 μg/L or 24 μg/L, respectively. Reducing only exposures above 100 μg/L B-Pb has

  10. Childhood lead exposure in France: benefit estimation and partial cost-benefit analysis of lead hazard control

    Directory of Open Access Journals (Sweden)

    Zmirou-Navier Denis

    2011-05-01

    Full Text Available Abstract Background Lead exposure remains a public health concern due to its serious adverse effects, such as cognitive and behavioral impairment: children younger than six years of age being the most vulnerable population. In Europe, the lead-related economic impacts have not been examined in detail. We estimate the annual costs in France due to childhood exposure and, through a cost benefit analysis (CBA, aim to assess the expected social and economic benefits of exposure abatement. Methods Monetary benefits were assessed in terms of avoided national costs. We used results from a 2008 survey on blood-lead (B-Pb concentrations in French children aged one to six years old. Given the absence of a threshold concentration being established, we performed a sensitivity analysis assuming different hypothetical threshold values for toxicity above 15 μg/L, 24 μg/L and 100 μg/L. Adverse health outcomes of lead exposure were translated into social burden and economic costs based on literature data from literature. Direct health benefits, social benefits and intangible avoided costs were included. Costs of pollutant exposure control were partially estimated in regard to homes lead-based paint decontamination, investments aiming at reducing industrial lead emissions and removal of all lead drinking water pipes. Results The following overall annual benefits for the three hypothetical thresholds values in 2008 are: €22.72 billion, €10.72 billion and €0.44 billion, respectively. Costs from abatement ranged from €0.9 billion to 2.95 billion/year. Finally, from a partial CBA of lead control in soils and dust the estimates of total net benefits were € 3.78 billion, € 1.88 billion and €0.25 billion respectively for the three hypothesized B-Pb effect values. Conclusions Prevention of childhood lead exposure has a high social benefit, due to reduction of B-Pb concentrations to levels below 15 μg/L or 24 μg/L, respectively. Reducing only exposures

  11. The combined method for uncertainty evaluation in electromagnetic radiation measurement

    Directory of Open Access Journals (Sweden)

    Kovačević Aleksandar M.

    2014-01-01

    Full Text Available Electromagnetic radiation of all frequencies represents one of the most common and fastest growing environmental influence. All populations are now exposed to varying degrees of electromagnetic radiation and the levels will continue to increase as technology advances. An electronic or electrical product should not generate electromagnetic radiation which may impact the environment. In addition, electromagnetic radiation measurement results need to be accompanied by quantitative statements about their accuracy. This is particularly important when decisions about product specifications are taken. This paper presents an uncertainty budget for disturbance power measurements of the equipment as part of electromagnetic radiation. We propose a model which uses a mixed distribution for uncertainty evaluation. The evaluation of the probability density function for the measurand has been done using the Monte Carlo method and a modified least-squares method (combined method. For illustration, this paper presents mixed distributions of two normal distributions, normal and rectangular, respectively. [Projekat Ministarstva nauke Republike Srbije, br. III 43009 i br. 171007

  12. Incorporating the value of changes in price volatility into cost-benefit analysis-an application to oil prices in the transport sector

    DEFF Research Database (Denmark)

    Jensen, Thomas Christian; Møller, Flemming

    2010-01-01

    -related examples. They indicate that including the value of changes in price volatility often makes very little difference to the results of cost-benefit analyses, but more work has to be done on quantifying, among other things, consumers’ risk aversion and the background standard deviation in total consumption......This paper contains a tentative suggestion of how to take into account the value of changes in price volatility in real world cost-benefit analyses. Price volatility is an important aspect of security of supply which first of all concerns physical availability, but assuming that consumers are risk...... averse, security of supply can also be viewed as a matter of avoiding oscillations in consumption originating from volatile prices of for instance oil. When the government makes transport-related choices on behalf of the consumers, the effect on oscillations in general consumption should be included...

  13. Cost-benefit of hospitalization compared with outpatient care for pregnant women with pregestational and gestational diabetes or with mild hyperglycemia, in Brazil

    Directory of Open Access Journals (Sweden)

    Ana Claudia Molina Cavassini

    Full Text Available CONTEXT AND OBJECTIVE: Pregnancies complicated by diabetes are associated with increased numbers of maternal and neonatal complications. Hospital costs increase according to the type of care provided. This study aimed to estimate the cost-benefit relationship and social profitability ratio of hospitalization, compared with outpatient care, for pregnant women with diabetes or mild hyperglycemia. STUDY DESIGN: This was a prospective observational quantitative study conducted at a university hospital. It included all pregnant women with pregestational or gestational diabetes, or mild hyperglycemia, who did not develop clinical intercurrences during pregnancy and who delivered at the Botucatu Medical School Hospital (Hospital das Clínicas, Faculdade de Medicina de Botucatu, HC-FMB of Universidade Estadual de São Paulo (Unesp. METHODS: Thirty pregnant women treated with diet were followed as outpatients, and twenty treated with diet plus insulin were managed through frequent short hospitalizations. Direct costs (personnel, materials and tests and indirect costs (general expenses were ascertained from data in the patients' records and the hospital's absorption costing system. The cost-benefit was then calculated. RESULTS: Successful treatment of pregnant women with diabetes avoided expenditure of US$ 1,517.97 and US$ 1,127.43 for patients treated with inpatient and outpatient care, respectively. The cost-benefit of inpatient care was US$ 143,719.16, and outpatient care, US$ 253,267.22, with social profitability of 1.87 and 5.35, respectively. CONCLUSION: Decision-tree analysis confirmed that successful treatment avoided costs at the hospital. Cost-benefit analysis showed that outpatient management was economically more advantageous than hospitalization. The social profitability of both treatments was greater than one, thus demonstrating that both types of care for diabetic pregnant women had positive benefits.

  14. Dopamine Antagonism Decreases Willingness to Expend Physical, But Not Cognitive, Effort: A Comparison of Two Rodent Cost/Benefit Decision-Making Tasks

    OpenAIRE

    Hosking, Jay G.; Floresco, Stan B.; Winstanley, Catharine A

    2014-01-01

    Successful decision making often requires weighing a given option's costs against its associated benefits, an ability that appears perturbed in virtually every severe mental illness. Animal models of such cost/benefit decision making overwhelmingly implicate mesolimbic dopamine in our willingness to exert effort for a larger reward. Until recently, however, animal models have invariably manipulated the degree of physical effort, whereas human studies of effort have primarily relied on cogniti...

  15. Cost-Benefit Analysis of the Department of the Navy’s Transition from C-9 Aircraft to C-40 Aircraft for Logistic Support Aircraft

    Science.gov (United States)

    2009-12-01

    reliability. It provides airlines with greater route-scheduling flexibility by including longer over-water flights . Without an ETOPS rating, an aircraft...with only two engines must be able to get to an airport where it can safely land within 60 minutes if an engine fails in- flight . ETOPS extends this...data collection of operational costs per flight hour, and total costs over the life of the program. Our cost-benefit analysis is intended to

  16. Efficient evaluation of atom tunneling combined with electronic structure calculations

    Science.gov (United States)

    Ásgeirsson, Vilhjálmur; Arnaldsson, Andri; Jónsson, Hannes

    2018-03-01

    Methodology for finding optimal tunneling paths and evaluating tunneling rates for atomic rearrangements is described. First, an optimal JWKB tunneling path for a system with fixed energy is obtained using a line integral extension of the nudged elastic band method. Then, a calculation of the dynamics along the path is used to determine the temperature at which it corresponds to an optimal Feynman path for thermally activated tunneling (instanton) and a harmonic approximation is used to estimate the transition rate. The method is illustrated with calculations for a modified two-dimensional Müller-Brown surface but is efficient enough to be used in combination with electronic structure calculations of the energy and atomic forces in systems containing many atoms. An example is presented where tunneling is the dominant mechanism well above room temperature as an H3BNH3 molecule dissociates to form H2. Also, a solid-state example is presented where density functional theory calculations of H atom tunneling in a Ta crystal give close agreement with experimental measurements on hydrogen diffusion over a wide range in temperature.

  17. A method for the inclusion of physical activity-related health benefits in cost-benefit analysis of built environment initiatives.

    Science.gov (United States)

    Zapata-Diomedi, Belen; Gunn, Lucy; Giles-Corti, Billie; Shiell, Alan; Lennert Veerman, J

    2018-01-01

    The built environment has a significant influence on population levels of physical activity (PA) and therefore health. However, PA-related health benefits are seldom considered in transport and urban planning (i.e. built environment interventions) cost-benefit analysis. Cost-benefit analysis implies that the benefits of any initiative are valued in monetary terms to make them commensurable with costs. This leads to the need for monetised values of the health benefits of PA. The aim of this study was to explore a method for the incorporation of monetised PA-related health benefits in cost-benefit analysis of built environment interventions. Firstly, we estimated the change in population level of PA attributable to a change in the built environment due to the intervention. Then, changes in population levels of PA were translated into monetary values. For the first step we used estimates from the literature for the association of built environment features with physical activity outcomes. For the second step we used the multi-cohort proportional multi-state life table model to predict changes in health-adjusted life years and health care costs as a function of changes in PA. Finally, we monetised health-adjusted life years using the value of a statistical life year. Future research could adapt these methods to assess the health and economic impacts of specific urban development scenarios by working in collaboration with urban planners. Copyright © 2017 Elsevier Inc. All rights reserved.

  18. Is There Evidence of Cost Benefits of Electronic Medical Records, Standards, or Interoperability in Hospital Information Systems? Overview of Systematic Reviews.

    Science.gov (United States)

    Reis, Zilma Silveira Nogueira; Maia, Thais Abreu; Marcolino, Milena Soriano; Becerra-Posada, Francisco; Novillo-Ortiz, David; Ribeiro, Antonio Luiz Pinho

    2017-08-29

    , monitoring infections more effectively, and enhancing the continuity of care during physician handoffs. This review identified some benefits in the quality of care but did not provide evidence that the implementation of eHealth interventions had a measurable impact on cost-effectiveness in hospital settings. However, further evidence is needed to infer the impact of standards adoption or interoperability in cost benefits of health care; this in turn requires further research.

  19. Custo/benefício de aeronaves: uma abordagem pela Análise Envoltória de Dados Cost-benefit of aircrafts: an approach through Data Envelopment Analysis

    Directory of Open Access Journals (Sweden)

    Rafael Iglesias Reinas

    2011-01-01

    Full Text Available O objetivo deste artigo é a aplicação da técnica de Pesquisa Operacional Análise Envoltória de Dados - DEA, por meio do índice composto das fronteiras clássica e invertida, para avaliar o custo/beneficio de aeronaves de transporte civil. Para tal, foram adotados como inputs: a preço de mercado, e b custos operacionais; e como outputs: a peso de carga paga, b velocidade de cruzeiro, e c razão máxima de subida com um único motor. Para garantir a homogeneidade das DMUs, os aviões foram divididos segundo o sistema de propulsão e segundo as categorias: regional, narrow-body e wide-body. Foram também agrupados em diferentes alcances, para que se pudessem identificar os aviões com melhor custo/beneficio em cada um. Os resultados encontrados permitem afirmar que os aviões com o melhor custo/beneficio são os que já tiveram sua produção descontinuada, mas que ainda não estão muito defasados tecnologicamente.The objective of this paper was to apply the operational research technique of Data Envelopment Analysis (DEA, through the composite index of classic and inverted borders, to evaluate the cost-benefit of civil transport aircrafts. To this end, a market price, and b operating costs were used as inputs; and, a payload, b cruise speed, and c maximum reason climb with one engine were used as outputs. To ensure homogeneity of DMUs, the planes were divided according to the propulsion system and in the following categories: regional, narrow-body and wide-body; they were also grouped into different ranges, so that the best cost-benefit for each aircraft could be identified. Results allowed for the following conclusion: the best cost-benefits were found in planes where the production had already been discontinued, but they were not very technologically outdated yet.

  20. Evaluation Of Selenium Supplementation Alone, A Combination Of ...

    African Journals Online (AJOL)

    The effect of selenium supplementation alone and a combination of selenium and Vitamin E or low dose diminazene aceturate (berenil) was investigated in Trypanosoma brucei brucei infected rats. The effect of the selenium supplementation and its combinations were assessed using the parasitaemia, changes in body ...

  1. Application of Fuzzy Borda Combination Evaluation in Subjective and Objective Evaluation Methods in Comprehensive Evaluation of Population Development

    Directory of Open Access Journals (Sweden)

    Yu Jiajia

    2017-01-01

    Full Text Available This paper constructs the comprehensive index evaluation of population development from the three aspects of human development, population and economic society and population, resources and environment, according to the movement course and changing trend of population development at home and abroad, and the guiding ideology of national population development strategy system. The index system consists of 3 first level indexes, 8 Secondary indexes, 22 tertiary level indexes and 42 fourth level indexes. And on the basis of commonly used comprehensive evaluation methods. The comprehensive evaluation of the population development in China in 2013 was made by using the combined evaluation method, which effectively overcomes the shortcomings of the objective evaluation method and the subjective evaluation method, and obtains a more credible comprehensive evaluation value.

  2. Going for increased recycling. A social cost-benefit analysis; Inzetten op meer recycling. Een maatschappelijke kosten-batenanalyse

    Energy Technology Data Exchange (ETDEWEB)

    Warringa, G.E.A.; De Bruyn, M.; Bijleveld, M.M.

    2013-05-15

    While the environmental benefits of scenarios geared to increased recycling have been convincingly demonstrated by previous studies, the question arises whether such scenarios bring economic benefits, too. This study therefore assesses the main economic effects of increased recycling in the Netherlands, providing data that can be used to advance policy development in this area. To address the main issue we performed a social cost-benefit analysis (SCBA), a welfare-theory-based tool that can be used to chart the full range of economic impacts ('welfare impacts') of a project or policy intervention. In doing so, a broad definition of welfare is adopted, encompassing not only financial and economic consequences, but also environmental and employment impacts and so on. Using SimaPro, all the environmental interventions inventoried (including energy consumption, transport and recycling process emissions) were assessed for each individual material flow, with impacts being expressed as far as possible in monetary terms to enable comparison. The main social costs of increased recycling are the higher costs for local authorities associated with separate waste collection. There is also reduced revenue for waste incinerators, because more waste will need to be imported from abroad. Finally, there are the policy costs of incentives for increased recycling and extra efforts to induce citizens to separate their waste. The latter costs were not quantified. Over and against these costs are positive welfare impacts. The main benefits are environmental, expressed monetarily in the present study in terms of avoided damage costs for society as a whole and avoided measures for securing government reduction targets. In addition, the separated waste has a value, reflected in lower processing costs. Increased recycling also creates new jobs, while recycling firms generate more profit than waste incinerators. Finally, there are the benefits accruing from greater innovation and

  3. Relación costo_beneficio en la termorregulación de Chinchilla lanigera Cost-benefit relationship in thermoregulation of Chinchilla lanigera

    Directory of Open Access Journals (Sweden)

    ARTURO CORTES

    2000-06-01

    Full Text Available Chinchilla lanigera, es un roedor endémico de Chile que habita áreas desérticas del norte de Chile. Postulamos que C. lanigera (silvestre por habitar en ambientes con escasa disponibilidad de alimento y agua, debiera poseer atributos fisiológicos que minimicen los requerimientos (costos de energía y agua. Se evaluó el metabolismo energético en atmósferas de aire y He-O2, la pérdida de agua por evaporación (EWL y temperatura corporal (Tb a diferentes temperaturas ambientales (Ta. Los resultados más relevantes muestran que la tasa metabólica basal (BMR fue 0,66 mlO2/g h y la conductancia térmica (C de 0,0376 mlO2/g h°C; valores que corresponden al 80,4% y 72,5% de la magnitud predicha para un mamífero euterio de similar tamaño corporal, respectivamente. La conductancia térmica en atmósfera He-O2 fue 0,089 mlO2/g h°C, siendo la razón C He-O2 /C = 0,089/0,038 = 2,34, el valor más alto descrito para roedores. Esto indicaría que C. lanigera, poseería la aislación térmica más alta documentada a la fecha. Además, la evaporación pulmocutánea (EWL equivale al 95% del valor esperado para heterómidos. Chinchilla lanigera presenta una clara relación de costo-beneficio y/o compromisos en su capacidad de termorregulación. En efecto, los bajos valores de C y EWL implican costos de termorregulación a altas temperaturas (riesgo de hipertermia, particularmente cuando su hábitat desértico alcanza temperaturas ž 30°C. A la vez, estos bajos valores de C, EWL y BMR constituyen beneficios fisiológicos que favorecen la economía de energía y agua en un hábitat que es xérico y poco productivoChinchilla lanigera, is an endemic rodent inhabiting desert areas of northern Chile. We postulated that wild chinchilla should has a cost-benefit relationship in thermoregulation to cope with desert habitats. We evaluated the energy metabolism in air and He-O2, evaporative water loss (EWL and body temperature (Tb at different ambient

  4. Disability Policy Evaluation: Combining Logic Models and Systems Thinking

    Science.gov (United States)

    Claes, Claudia; Ferket, Neelke; Vandevelde, Stijn; Verlet, Dries; De Maeyer, Jessica

    2017-01-01

    Policy evaluation focuses on the assessment of policy-related personal, family, and societal changes or benefits that follow as a result of the interventions, services, and supports provided to those persons to whom the policy is directed. This article describes a systematic approach to policy evaluation based on an evaluation framework and an…

  5. A Cost-Benefit Analysis on the Feasibility of Implementing A Same-Day Surgery Program at the 121ST General Hospital, Seoul, Korea

    Science.gov (United States)

    2000-04-27

    of child care when surgery is performed under an inpatient status) Some of the disadvantages of same-day surgery that Pollock report include...56.00 105.00 111.00 BEZ Chiropractic 25.00 47.00 50.00 Psychiatric and/or Mental Health Care BFA Psychiatry 124.00 230.00 243.00 BFB Psychology 93.00...U.S. Army-Baylor University Graduate Program in Health Care Administration A Cost-Benefit Analysis on the Feasibility of Implementing A Same-Day

  6. Fundamentals for remote structural health monitoring of wind turbine blades - a preproject. Annex A. Cost-benefit for embedded sensors in large wind turbine blades

    DEFF Research Database (Denmark)

    Hansen, L.G.; Lading, Lars

    2002-01-01

    -bladed 2MW turbine placed offshore either without sensors or with sensors are compared. The price of a structural health monitoring system of a price of 100 000 DKK (per tur-bine) results in a break-eventime of about 3 years. For a price of 300 000 DKK the break-even time is about 8 years. However......This report contains the results of a cost-benefit analysis for the use of embed-ded sensors for damage detection in large wind turbine blades - structural health monitoring - (in connection with remote surveillance) of large wind turbine placedoff-shore. The total operating costs of a three...

  7. RDF (Refuse-Derived Fuel) Co-Firing Cost/Benefit Analysis Using the NCEL RDF Cost Model. Volume 2. Appendixes.

    Science.gov (United States)

    1986-08-01

    RD-AI?3 981 RODF ( REFUSE -DERIVED FUEL) CO-FIRING COST/BENEFIT 1/3 ANALYSIS USING THE NCEL R..(U) SYSTECH CORP XENIA OH BELENCAN ET AL. AUG 86 NCEL-CR...I 0,AS 5J lou , S’ A ?(%.(N 1 1- ’h0**,Cl0,,0, h 20. 1 da.I-0 goS MbAP-) refuse derived fuel, RDF, co-fired waste fuels, refuse fired boilers, cost...34’-_. FOR THE FOLLOWING, SUPPLY TEST REPORTS ON PARTICULATE EMISSIONS COMPLIANCE OR BOILER EFFICIENCY TESTS IF AVAILABLE APPLICABLE PARTICULATE

  8. Cost-benefit and cost-efficiency analysis of the water footprint in Spain; Analisis coste-beneficio y coste-eficiencia de la Huella Hidrica en Espana

    Energy Technology Data Exchange (ETDEWEB)

    Sotelo Navalpotro, J. A.; Sotelo Perez, M.; Garcia Quiroca, F.

    2011-07-01

    We are increasingly needing ways to secure patterns of development that be sustainable, that is, environmentally, socially and economically appropriate for us and for future generations. Sustainability indicators are a promising tool that would allow us to land the concept, supporting the way in which decisions are made. In Spain there are few experiences on the subject. This paper presents the work carried out to develop sustainability indicators. Throughout the present study shows the importance of analysis of cost-benefit and cost efficiency in the assessment of the water footprint of Spain. (Author)

  9. The Combination and Evaluation of Query Performance Prediction Methods

    NARCIS (Netherlands)

    Hauff, C.; Azzopardi, L.; Hiemstra, Djoerd

    2009-01-01

    In this paper, we examine a number of newly applied methods for combining pre-retrieval query performance predictors in order to obtain a better prediction of the query's performance. However, in order to adequately and appropriately compare such techniques, we critically examine the current

  10. Evaluation of concentrate, grass and legume combinations on ...

    African Journals Online (AJOL)

    Thirty-five (35) grower crossbred rabbits were randomly allocated to seven combinations of concentrate, grass and legume in proportions of 50 g:60 g:40 g in a completely randomized design. The treatments were: (1) rabbit meal, Rhodes grass and groundnut haulms (RRG), (2) rabbit meal, Rhodes grass and sweet potato ...

  11. 1.Evaluation of the quality of fixed dose combination anti ...

    African Journals Online (AJOL)

    46987.2

    countries, essential and life-saving drugs used to treat infectious diseases such as tuberculosis and malaria are often the drugs under threat. Methodology: This was a cross sectional study whose objective was to determine the quality of 3 types of fixed dose combination (FDC) anti TB drugs namely 4FDC, 3FDC and 2FDC ...

  12. A comparison of cost-benefit analysis of biomass and natural gas CHP projects in Denmark and the Netherlands

    NARCIS (Netherlands)

    Groth, Tanja; Scholtens, Bert

    2016-01-01

    We investigate what drives differences in the project appraisal of biomass and natural gas combined heat and power (CHP) projects in two countries with very similar energy profiles. This is of importance as the European Commission is assessing the potential scope of harmonizing renewable electricity

  13. Economic evaluation of CISM : a pilot study

    DEFF Research Database (Denmark)

    Vogt, Joachim

    2004-01-01

    air traffic controllers, critical incident stress management, CISM, critical incidents, critical incident stress, cost-benefit-analysis, economic evaluation, efficiency, return on investment......air traffic controllers, critical incident stress management, CISM, critical incidents, critical incident stress, cost-benefit-analysis, economic evaluation, efficiency, return on investment...

  14. Cost Benefit Analysis (CBA) of Collocating and Combining the Commmunications School (MCB Quantico) with the Marine Corps Communications-Electronics School (MCCES) at 29 Palms, CA

    Science.gov (United States)

    2011-05-06

    0800-1130 3.5 Wire Staging Gears for FEX I Prep/ Recovery 14 16-Aug 0800-1130 3.5 Data UOC setup Prep/ Recovery 6 16-Aug 0800-1130 3.5 Maint...Prep/ Recovery 15 16-Aug 1130-1300 1.5 Platoon Chow Chow 70 16-Aug 1300-1500 2.0 Wire SL-3 TSM Plt Ops 14 16-Aug 1300-1600 3.0 Data UOC setup...Aug 0600-0800 2.0 Platoon PT Leadership 70 17-Aug 0800-1130 3.5 Data UOC setup Prep/ Recovery 6 17-Aug 0800-1130 3.5 Maint Maintenance DPR

  15. Performance and degradation evaluation of a combined cycle power plant

    OpenAIRE

    Başaran, Tuğrul; Basaran, Tugrul

    2010-01-01

    The performance of the power plants became an important consideration for energy industry in recent years. Many factors such as the deregulation of the energy market, latest strict environmental rules, depletion of the fossil fuels, continuously increasing high fuel prices and growing energy demand increase pressure on authorities to further consider the power plant performance. Although there are many studies concerning thermodynamic cycles and theoretical performance of various combined cyc...

  16. Combined Digital Holography and Speckle Correlation for Rapid Shape Evaluation

    OpenAIRE

    Khodadad, Davood

    2014-01-01

    In manufacturing industry there is a high demand for on line quality control to minimize the risk of incorrectly produced objects. Conventional contact measurement methods are usually slow and invasive, meaning that they cannot be used for soft materials and for complex shapes without influencing thecontrolled parts. In contrast, interferometry and digital holography in combination with computers become faster, more reliable and highly accurate as an alternative non-contact technique for indu...

  17. Two-year apprenticeships for young people with learning difficulties: a cost-benefit analysis for training firms

    OpenAIRE

    Fuhrer, Marc; Schweri, Jürg

    2010-01-01

    Education policymakers are currently faced with the challenge of enabling young people with learning difficulties to achieve an upper-secondary level qualification. Switzerland has introduced a new type of combined school/work-based VET programme that lasts two years. One of the key pre-requisites for success of two-year VET programmes is the willingness of host companies to create an adequate number of apprenticeship positions. We therefore examine the costs and benefits of two-year VET prog...

  18. A cost-benefit analysis of the immunisation of children against respiratory syncytial virus (RSV) using the English Hospital Episode Statistics (HES) data set.

    Science.gov (United States)

    Thomas, Gareth

    2015-01-04

    Respiratory syncytial virus (RSV) is a common cause of respiratory infection that is highly prevalent in infants, particularly those with underlying medical conditions. Severe cases of RSV require hospitalisation as well as admission to intensive care and may even result in death. The objective of the study was to measure the net benefits that could arise from an immunisation programme of infants that may well eradicate RSV to a high degree and save the direct and indirect medical care costs from hospitalisation, morbidity and the gain from potential life-time earnings by reducing the probability of mortality. In this context, the majority of existing empirical investigations are based on data from clinical trials, and where relevant facts are not available, a series of strong assumptions is derived from the published literature, whereas in this study, for the first time, the hospital episode statistics database is used to calculate the cost-benefit ratios. The methodology of the analysis adopts a cost-benefit approach to assess the impact of the immunisation and whether it is beneficial to society. The underlying assumptions of the basic model are assessed by adopting a sensitivity analysis. The results show that a number of categories are cost-effective with the use of the passive drug, which means benefits by raising the life expectancy and quality as well as reducing the resource burden on society.

  19. [Exploration and demonstration study on drug combination from clinical real world].

    Science.gov (United States)

    Xie, Yan-ming; Wang, Lian-xin; Wang, Yong-yan

    2014-09-01

    Drug combination is extensive in the clinical real world,which is an important part and the inherent requirements of the post-marketing evaluation of traditional Chinese medicine (TCM). The key issues and technology include multi-domain and multi-disciplinary such as the rationality, efficacy and safety evaluation of combination drug starting from clinical real world, study on component in vivo and mechanism of combination drug, the risk/benefit assessment and cost-benefit evaluation of combination drug and so on. The topic has been studied as clinical demonstration on combination therapy of variety of diseases such as coronary heart disease, stroke, insomnia, depression, hepatitis, herpes zoster, psoriasis and ectopic pregnancy. Meanwhile, multi-disciplinary dynamic innovation alliance of clinical drug combination has been presented, which can promote the academic development and improving service ability and level of TCM.

  20. An in vitro evaluation of the combined antimicrobial activity of ...

    African Journals Online (AJOL)

    The Checker Board Technique (CBT) was used to evaluate the in vitro antimicrobial activities of two penicillins; ampicillin and cloxacillin, against ampicillin resistant Staphylococcus aureus. Tubes of liquid medium were arranged in columns and rows, with the concentration of one antibiotic decreasing from left to right in ...

  1. Efficiently Computing Latency Distributions by combined Performance Evaluation Techniques

    NARCIS (Netherlands)

    van den Berg, Freek; Haverkort, Boudewijn R.H.M.; Hooman, Jozef; Knottenbelt, William; Wolter, Katinka; Busic, Ana; Gribaudo, Marco; Reinecke, Philipp

    2015-01-01

    Service-oriented systems are designed for interconnecting with other systems. The provided services face timing con- straints, the so-called latencies. We present a high-level per- formance evaluation technique that can be used by a system designer to obtain distributions of these latencies. This

  2. Female preference for nests with many eggs : A cost-benefit analysis of female choice in fish with paternal care

    NARCIS (Netherlands)

    Kraak, SBM; Weissing, Franz

    1996-01-01

    In several fish species with paternal care, females prefer males guarding many eggs in their nest. This preference might be advantageous because the presence of many other eggs dilutes the risk of newly laid eggs being eaten by the father. To evaluate this hypothesis quantitatively, we constructed a

  3. Combination of Three Methods of Photo Voltaic Panels Damage Evaluation

    Directory of Open Access Journals (Sweden)

    Olšan T.

    2017-06-01

    Full Text Available In broken photovoltaic (PV cells the flow of electric current can be reduced in some places, which results in a lowered efficiency. In the present study, the damage of PV cells and panels was evaluated using three methods - electroluminescence, infrared camera imaging, and visual examination. The damage is detectable by all these methods which were presented and compared from the viewpoint of resolution, difficulty, and accuracy of monitoring the PV panels damage.

  4. 3D radiobiological evaluation of combined radiotherapy and hyperthermia treatments.

    Science.gov (United States)

    van Leeuwen, C M; Crezee, J; Oei, A L; Franken, N A P; Stalpers, L J A; Bel, A; Kok, H P

    2016-10-17

    Currently, clinical decisions regarding thermoradiotherapy treatments are based on clinical experience. Quantification of the radiosensitising effect of hyperthermia allows comparison of different treatment strategies, and can support clinical decision-making regarding the optimal treatment. The software presented here enables biological evaluation of thermoradiotherapy plans through calculation of equivalent 3D dose distributions. Our in-house developed software (X-Term) uses an extended version of the linear-quadratic model to calculate equivalent radiation dose, i.e. the radiation dose yielding the same effect as the thermoradiotherapy treatment. Separate sets of model parameters can be assigned to each delineated structure, allowing tissue specific modelling of hyperthermic radiosensitisation. After calculation, the equivalent radiation dose can be evaluated according to conventional radiotherapy planning criteria. The procedure is illustrated using two realistic examples. First, for a previously irradiated patient, normal tissue dose for a radiotherapy and thermoradiotherapy plan (with equal predicted tumour control) is compared. Second, tumour control probability (TCP) is assessed for two (otherwise identical) thermoradiotherapy schedules with different time intervals between radiotherapy and hyperthermia. The examples demonstrate that our software can be used for individualised treatment decisions (first example) and treatment optimisation (second example) in thermoradiotherapy. In the first example, clinically acceptable doses to the bowel were exceeded for the conventional plan, and a substantial reduction of this excess was predicted for the thermoradiotherapy plan. In the second example, the thermoradiotherapy schedule with long time interval was shown to result in a substantially lower TCP. Using biological modelling, our software can facilitate the evaluation of thermoradiotherapy plans and support individualised treatment decisions.

  5. Temporal Dynamics of Sensorimotor Networks in Effort-Based Cost-Benefit Valuation: Early Emergence and Late Net Value Integration.

    Science.gov (United States)

    Harris, Alison; Lim, Seung-Lark

    2016-07-06

    Although physical effort can impose significant costs on decision-making, when and how effort cost information is incorporated into choice remains contested, reflecting a larger debate over the role of sensorimotor networks in specifying behavior. Serial information processing models, in which motor circuits simply implement the output of cognitive systems, hypothesize that effort cost factors into decisions relatively late, via integration with stimulus values into net (combined) value signals in dorsomedial frontal cortex (dmFC). In contrast, ethology-inspired approaches suggest a more active role for the dorsal sensorimotor stream, with effort cost signals emerging rapidly after stimulus onset. Here we investigated the time course of effort cost integration using event-related potentials in hungry human subjects while they made decisions about expending physical effort for appetitive foods. Consistent with the ethological perspective, we found that effort cost was represented from as early as 100-250 ms after stimulus onset, localized to dorsal sensorimotor regions including middle cingulate, somatosensory, and motor/premotor cortices. However, examining the same data time-locked to motor output revealed net value signals combining stimulus value and effort cost approximately -400 ms before response, originating from sensorimotor areas including dmFC, precuneus, and posterior parietal cortex. Granger causal connectivity analysis of the motor effector signal in the time leading to response showed interactions between these sensorimotor regions and ventrolateral prefrontal cortex, a structure associated with adjusting behavior-response mappings. These results suggest that rapid activation of sensorimotor regions interacts with cognitive valuation systems, producing a net value signal reflecting both physical effort and reward contingencies. Although physical effort imposes a cost on choice, when and how effort cost influences neural correlates of decision

  6. A combined ANP-delphi approach to evaluate sustainable tourism

    Energy Technology Data Exchange (ETDEWEB)

    Garcia-Melon, Monica, E-mail: mgarciam@dpi.upv.es [INGENIO (CSIC-UPV), Universitat Politecnica de Valencia, Camino de Vera s/n, 46022 Valencia (Spain); Gomez-Navarro, Tomas, E-mail: tgomez@dpi.upv.es [Depto. Proyectos Ingenieria, Universitat Politecnica de Valencia, Camino de Vera s/n 46022 Valencia (Spain); Acuna-Dutra, Silvia, E-mail: sacuna@unime.edu.ve [Universidad Metropolitana de Caracas, Caracas (Venezuela, Bolivarian Republic of)

    2012-04-15

    The evaluation of sustainable tourism strategies promoted by National Parks (NP) related stakeholders is a key concern for NP managers. To help them in their strategic evaluation procedures, in this paper we propose a methodology based on the Analytic Network Process and a Delphi-type judgment-ensuring procedure. The approach aims at involving stakeholders in a participatory and consensus-building process. The methodology was applied to Los Roques NP in Venezuela. The problem included three sustainable tourism strategies defined by the stakeholders: eco-efficient resorts, eco-friendly leisure activities and ecological transportation systems. Representatives of eight stakeholders participated in the methodology. 13 sustainability criteria were selected. Results provide some important insights into the overall philosophy and underlying participants' conception of what sustainable development of Los Roques NP means. This conception is broadly shared by stakeholders as they coincided in the weights of most of the criteria, which were assigned individually through the questionnaire. It is particularly noteworthy that tourists and environmentalists almost fully match in their assessments of criteria but not of the alternatives. Moreover, there is a great agreement in the final assessment. This suggests that the regular contact among the different stakeholders, i.e. tourists with inhabitants, authorities with environmentalists, tour operators with representatives of the ministry, etc. has led to a common understanding of the opportunities and threats for the NP. They all agreed that the procedure enhances participation and transparency and it is a necessary source of information and support for their decisions.

  7. Thermoeconomic Evaluation of Integrated Solar Combined Cycle Systems (ISCCS

    Directory of Open Access Journals (Sweden)

    Javier Rodríguez Martín

    2014-07-01

    Full Text Available Three alternatives for integrating a solar field with the bottoming cycle of a combined cycle plant are modeled: parabolic troughs with oil at intermediate and low cycle pressures and Fresnel linear collectors at low cycle pressure. It is assumed that the plant will always operate at nominal conditions, using post-combustion during the hours of no solar resource. A thermoeconomic study of the operation of the plant throughout a year has been carried out. The energy and exergy efficiencies of the plant working in fuel only and hybrid modes are compared. The energy efficiencies obtained are very similar; slightly better for the fuel only mode. The exergy efficiencies are slightly better for hybrid operation than for fuel-only mode, due to the high exergy destruction associated with post-combustion. The values for solar electric efficiency are in line with those of similar studies. The economic study shows that the Fresnel hybridization alternative offers similar performance to the others at a significantly lower cost.

  8. Nasality evaluation of Turkish phonemes in vowel-consonant combinations.

    Science.gov (United States)

    Sarac, Elif Tugba; Kayikci, Mavis Emel Kulak; Ozkan, Soner

    2011-07-01

    The purpose of this study is to find average nasalance values of Turkish syllables with the nasometer. This study is done at Hacettepe University Department of Otolaryngology Audiology and Speech Pathology Unit with 50 participating children. The normative nasalance values of Turkish phonemes are determined. It is found that nasalance scores of syllables that is combined with/i/phoneme is statistically have higher nasalance scores than/a/and/e/phonemes (p0.05). Statistical difference between age and nasalance score is found in "iki, şe, eşe, işi, aç, eç, çi, içi, iç, al, yi, iy, iyi, yiy, ana, ne" syllables (p<0.05). These phonemes have positive relation with the age. There is no statistical difference between sex and nasalance scores (p<0.05). Statistical difference is only found in "tat- te- li- lil- aya" syllables (p<0.05). On these phonemes it is found that girls have higher nasalance score than boys. As a result, it is thought that gathered nasalance values of Turkish phonemes will be useful for resonance disorder diagnosis and follow ups on treatment. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

  9. Performance evaluation of ejector expansion combined cooling and power cycles

    Science.gov (United States)

    Ghaebi, Hadi; Rostamzadeh, Hadi; Matin, Pouria Seyed

    2017-09-01

    This paper studies performance characteristics of a basic ejector expansion combined cooling and power cycle (EECCPC) as well as three modified ones. These modified cycles are EECCPC incorporating turbine bleeding, regenerative EECCP cycle, and EECCP cycle incorporating with both turbine bleeding and regeneration. The expansion valve has been replaced by a two-phase ejector-expander in the traditional CCP cycle to improve the first and second-law efficiencies. Furthermore, the exergy destruction for components of the systems as well as the whole systems has been calculated, leading to determination of the main source of irreversibility in different cycles. The results of the exergy analysis reveals that the generator has the major contribution role in the overall losses of the systems. The results also show that the EECCP cycle surpasses the TCCP cycle in terms of thermal and exergy efficiencies. As a matter of fact, the thermal and exergy efficiencies are improved by 6.02, and 5.44%, respectively, throughout this successive modification. At last, sensitivity analysis of different key parameters on performance of the cycles has been investigated. It is shown that one can obtain higher thermal efficiency by increasing of the generator and evaporator temperatures or decreasing of the condenser temperature.

  10. Modeling the cost-benefit of nerve conduction studies in pre-employment screening for carpal tunnel syndrome.

    Science.gov (United States)

    Evanoff, Bradley; Kymes, Steve

    2010-06-01

    The aim of this study was to evaluate the costs associated with pre-employment nerve conduction testing as a screening tool for carpal tunnel syndrome (CTS) in the workplace. We used a Markov decision analysis model to compare the costs associated with a strategy of screening all prospective employees for CTS and not hiring those with abnormal nerve conduction, versus a strategy of not screening for CTS. The variables included in our model included employee turnover rate, the incidence of CTS, the prevalence of median nerve conduction abnormalities, the relative risk of developing CTS conferred by abnormal nerve conduction screening, the costs of pre-employment screening, and the worker's compensation costs to the employer for each case of CTS. In our base case, total employer costs for CTS from the perspective of the employer (cost of screening plus costs for workers' compensation associated with CTS) were higher when screening was used. Median costs per employee position over five years were US$503 for the screening strategy versus US$200 for a no-screening strategy. A sensitivity analysis showed that a strategy of screening was cost-beneficial from the perspective of the employer only under a few circumstances. Using Monte Carlo simulation varying all parameters, we found a 30% probability that screening would be cost-beneficial. A strategy of pre-employment screening for CTS should be carefully evaluated for yield and social consequences before being implemented. Our model suggests such screening is not appropriate for most employers.

  11. Pesticide application practices, pest knowledge, and cost-benefits of plantain production in the Bribri-Cabécar Indigenous Territories, Costa Rica.

    Science.gov (United States)

    Polidoro, Beth A; Dahlquist, Ruth M; Castillo, Luisa E; Morra, Matthew J; Somarriba, Eduardo; Bosque-Pérez, Nilsa A

    2008-09-01

    The use of pesticides in the cultivation of cash crops such as banana and plantain is increasing, in Costa Rica and worldwide. Agrochemical use and occupational and environmental exposures in export banana production have been documented in some parts of Central America. However, the extent of agrochemical use, agricultural pest knowledge, and economic components in plantain production are largely unknown in Costa Rica, especially in remote, high-poverty areas such as the Bribri-Cabécar Indigenous Territories. Our objective was to integrate a rapid rural appraisal of indigenous farmer pesticide application practices and pest knowledge with a cost-benefit analysis of plantain production in the Bribri-Cabécar Indigenous Territories, for the development of better agricultural management practices and improved regulatory infrastructure. Interviews conducted with 75 households in 5 indigenous communities showed that over 60% of participants grew plantain with agrochemicals. Of these plantain farmers, over 97% used the insecticide chlorpyrifos, and 84% applied nematicides, 64% herbicides, and 22% fungicides, with only 31% of participants reporting the use of some type of protective clothing during application. The banana weevil (Cosmopolites sordidus Germar) was ranked as the most important agricultural pest by 85% of participants, yet only 28% could associate the adult and larval form. A cost-benefit analysis conducted with a separate group of 26 plantain farmers identified several national markets and one export market for plantain production in the Indigenous Territories. Yearly income averaged US$6200/ha and yearly expenses averaged US$1872/ha, with an average cost-benefit ratio of 3.67 for plantain farmers. Farmers applied an average of 9.7 kg a.i./ha/yr of pesticide products and 375 kg/ha/yr of fertilizer, but those who sold their fruit to the national markets applied more nematicides, herbicides, and fertilizers than those who sold primarily to export markets

  12. Cost-benefit analysis of water-reuse projects for environmental purposes: a case study for Spanish wastewater treatment plants.

    Science.gov (United States)

    Molinos-Senante, M; Hernández-Sancho, F; Sala-Garrido, R

    2011-12-01

    Water reuse is an emerging and promising non-conventional water resource. Feasibility studies are essential tools in the decision making process for the implementation of water-reuse projects. However, the methods used to assess economic feasibility tend to focus on internal costs, while external impacts are relegated to unsubstantiated statements about the advantages of water reuse. Using the concept of shadow prices for undesirable outputs of water reclamation, the current study developed a theoretical methodology to assess internal and external economic impacts. The proposed methodological approach is applied to 13 wastewater treatment plants in the Valencia region of Spain that reuse effluent for environmental purposes. Internal benefit analyses indicated that only a proportion of projects were economically viable, while when external benefits are incorporated all projects were economically viable. In conclusion, the economic feasibility assessments of water-reuse projects should quantitatively evaluate economic, environmental and resource availability. Copyright © 2011 Elsevier Ltd. All rights reserved.

  13. A Cost-Benefit Analysis of Low-Dose Aspirin Prophylaxis for the Prevention of Preeclampsia in the United States.

    Science.gov (United States)

    Werner, Erika F; Hauspurg, Alisse K; Rouse, Dwight J

    2015-12-01

    To develop a decision model to evaluate the risks, benefits, and costs of different approaches to aspirin prophylaxis for the approximately 4 million pregnant women in the United States annually. We created a decision model to evaluate four approaches to aspirin prophylaxis in the United States: no prophylaxis, prophylaxis per American College of Obstetricians and Gynecologists (the College) recommendations, prophylaxis per U.S. Preventive Services Task Force recommendations, and universal prophylaxis. We included the costs associated with aspirin, preeclampsia, preterm birth, and potential aspirin-associated adverse effects. TreeAge Pro 2011 was used to perform the analysis. The estimated rate of preeclampsia would be 4.18% without prophylaxis compared with 4.17% with the College approach in which 0.35% (n=14,000) of women receive aspirin, 3.83% with the U.S. Preventive Services Task Force approach in which 23.5% (n=940,800) receive aspirin, and 3.81% with universal prophylaxis. Compared with no prophylaxis, the U.S. Preventive Services Task Force approach would save $377.4 million in direct medical care costs annually, and universal prophylaxis would save $365 million assuming 4 million births each year. The U.S. Preventive Services Task Force approach is the most cost-beneficial in 79% of probabilistic simulations. Assuming a willingness to pay of $100,000 per neonatal quality-adjusted life-year gained, the universal approach is the most cost-effective in more than 99% of simulations. Both the U.S. Preventive Services Task Force approach and universal prophylaxis would reduce morbidity, save lives, and lower health care costs in the United States to a much greater degree than the approach currently recommended by the College.

  14. A critical cost benefit analysis of oilseed biodiesel in Canada : a BIOCAP research integration program synthesis paper

    Energy Technology Data Exchange (ETDEWEB)

    Reaney, M.J.T.; Hartley Furtan, W. [Saskatchewan Univ., Regina, SK (Canada); Loutas, P. [Northstar Engineering, Chico, CA (United States)

    2006-03-15

    This paper investigated resources in Canada with the potential for conversion to biodiesel and analyzed strategies for the development of a biodiesel economy in Saskatchewan. Costs and benefits of biodiesel production were investigated. Producer margins for growing biodiesel crops were examined. Grain transportation and storage methods for various feed materials were discussed, as well as oil extraction and refining strategies that influence non-oil co-products. Biodiesel production technologies were also evaluated, and various distribution methods were discussed. The study determined that the costs and benefits of a biodiesel economy would accrue to many different sectors and sub-sectors, including seed production; farming; agricultural chemicals; fertilizers; grain storage and transportation; biodiesel manufacture and distribution; and petroleum manufacture and distribution. Outlines of impacts on each sector were examined under various scenarios. Results of the study demonstrated that the quantity of low-priced canola that is available in a given year has a significant impact on the profitability of a biodiesel industry in Saskatchewan. 16 refs., 13 tabs., 2 figs.

  15. Cost-Benefit of Improving the Efficiency of Room Air Conditioners (Inverter and Fixed Speed) in India

    Energy Technology Data Exchange (ETDEWEB)

    Phadke, Amol [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Shah, Nihar [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Abhyankar, Nikit [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Park, Won Young [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Diddi, Saurabh [Bureau of Energy Efficiency, Government of India (India); Ahuja, Deepanshu [Collaborative Labeling and Appliance Standards Program (CLASP), Washington, DC (United States); Mukherjee, P. K. [Collaborative Labeling and Appliance Standards Program (CLASP), Washington, DC (United States); Walia, Archana [Collaborative Labeling and Appliance Standards Program (CLASP), Washington, DC (United States)

    2016-06-01

    Improving efficiency of air conditioners (ACs) typically involves improving the efficiency of various components such as compressors, heat exchangers, expansion valves, refrigerant,and fans. We estimate the incremental cost of improving the efficiency of room ACs based on the cost of improving the efficiency of its key components. Further, we estimate the retail price increase required to cover the cost of efficiency improvement, compare it with electricity bill savings, and calculate the payback period for consumers to recover the additional price of a more efficient AC. The finding that significant efficiency improvement is cost effective from a consumer perspective is robust over a wide range of assumptions. If we assume a 50% higher incremental price compared to our baseline estimate, the payback period for the efficiency level of 3.5 ISEER is 1.1 years. Given the findings of this study, establishing more stringent minimum efficiency performance criteria (one-star level) should be evaluated rigorously considering significant benefits to consumers, energy security, and environment

  16. Cost-Benefit of Improving the Efficiency of Room Air Conditioners (Inverter and Fixed Speed) in India

    Energy Technology Data Exchange (ETDEWEB)

    Shah, Nihar [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States). Energy Analysis and Environmental Impacts Division; Abhyankar, Nikit [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States). Energy Analysis and Environmental Impacts Division; Park, Won Young [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States). Energy Analysis and Environmental Impacts Division; Phadke, Amol [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States). Energy Analysis and Environmental Impacts Division; Diddi, Saurabh [Government of India, New Delhi (India). Bureau of Energy Efficiency; Ahuja, Deepanshu [Collaborative Labeling and Appliance Standards Program (CLASP), Washington, DC (United States); Mukherjee, P. K. [Collaborative Labeling and Appliance Standards Program (CLASP), Washington, DC (United States); Walia, Archana [Collaborative Labeling and Appliance Standards Program (CLASP), Washington, DC (United States)

    2016-06-30

    Improving efficiency of air conditioners (ACs) typically involves improving the efficiency of various components such as compressors, heat exchangers, expansion valves, refrigerant and fans. We estimate the incremental cost of improving the efficiency of room ACs based on the cost of improving the efficiency of its key components. Further, we estimate the retail price increase required to cover the cost of efficiency improvement, compare it with electricity bill savings, and calculate the payback period for consumers to recover the additional price of a more efficient AC. We assess several efficiency levels, two of which are summarized below in the report. The finding that significant efficiency improvement is cost effective from a consumer perspective is robust over a wide range of assumptions. If we assume a 50% higher incremental price compared to our baseline estimate, the payback period for the efficiency level of 3.5 ISEER is 1.1 years. Given the findings of this study, establishing more stringent minimum efficiency performance criteria (one star level) should be evaluated rigorously considering significant benefits to consumers, energy security and environment.

  17. Comparison of the co-gasification of sewage sludge and food wastes and cost-benefit analysis of gasification- and incineration-based waste treatment schemes.

    Science.gov (United States)

    You, Siming; Wang, Wei; Dai, Yanjun; Tong, Yen Wah; Wang, Chi-Hwa

    2016-10-01

    The compositions of food wastes and their co-gasification producer gas were compared with the existing data of sewage sludge. Results showed that food wastes are more favorable than sewage sludge for co-gasification based on residue generation and energy output. Two decentralized gasification-based schemes were proposed to dispose of the sewage sludge and food wastes in Singapore. Monte Carlo simulation-based cost-benefit analysis was conducted to compare the proposed schemes with the existing incineration-based scheme. It was found that the gasification-based schemes are financially superior to the incineration-based scheme based on the data of net present value (NPV), benefit-cost ratio (BCR), and internal rate of return (IRR). Sensitivity analysis was conducted to suggest effective measures to improve the economics of the schemes. Copyright © 2016 Elsevier Ltd. All rights reserved.

  18. Evaluating a Combined Bias Correction and Stochastic Downscaling Method

    Science.gov (United States)

    Volosciuk, Claudia; Maraun, Douglas; Vrac, Mathieu; Widmann, Martin

    2016-04-01

    Much of our knowledge about future changes in precipitation relies on global (GCM) and/or regional climate models (RCM) that have resolutions which are much coarser than typical spatial scales of extreme precipitation. The major problems with these projections are both climate model biases and the scale gap between grid box and point scale. Wong et al. presented a first attempt to jointly bias correct and downscale precipitation at daily scales. This approach however relied on spectrally nudged RCM simulations and was not able to post-process GCM biases. Previously, we have presented an extension of this approach that separates the downscaling from the bias correction and in principle is applicable to free running RCMs, such as those available from ENSEMBLES or CORDEX. In a first step, we bias correct the RCMs (EURO-CORDEX) against gridded observational datasets (e.g., E-OBS) at the same scale using a quantile mapping approach that relies on distribution transformation. To correct the whole precipitation distribution including extreme tails we apply a mixture distribution of a gamma distribution for the precipitation mass and a generalized Pareto distribution for the extreme tail. In a second step, we bridge the scale gap: we add small scale variability to the bias corrected precipitation time series using a vector generalized linear gamma model (VGLM gamma). To calibrate the VGLM gamma model we determine the statistical relationship between precipitation observations on different scales, i.e. between gridded (e.g., E-OBS) and station (ECA&D) observations. Here we present a comprehensive evaluation of this approach against 86 weather stations in Europe based on the VALUE perfect predictor experiment, including a comparison with standard bias correction techniques.

  19. [Comparative genomic hybridisation as a first option in genetic diagnosis: 1,000 cases and a cost-benefit analysis].

    Science.gov (United States)

    Castells-Sarret, Neus; Cueto-González, Anna M; Borregan, Mar; López-Grondona, Fermina; Miró, Rosa; Tizzano, Eduardo; Plaja, Alberto

    2017-09-25

    Conventional cytogenetics diagnoses 3-5% of patients with unexplained developmental delay/intellectual disability and/or multiple congenital anomalies. The Multiplex Ligation-dependent Probe Amplification increases diagnostic rates from between 2.4 to 5.8%. Currently the comparative genomic hybridisation array or aCGH is the highest performing diagnostic tool in patients with developmental delay/intellectual disability, congenital anomalies and autism spectrum disorders. Our aim is to evaluate the efficiency of the use of aCGH as first-line test in these and other indications (epilepsy, short stature). A total of 1000 patients referred due to one or more of the abovementioned disorders were analysed by aCGH. Pathogenic genomic imbalances were detected in 14% of the cases, with a variable distribution of diagnosis according to the phenotypes: 18.9% of patients with developmental delay/intellectual disability; 13.7% of multiple congenital anomalies, 9.76% of psychiatric pathologies, 7.02% of patients with epilepsy, and 13.3% of patients with short stature. Within the multiple congenital anomalies, central nervous system abnormalities and congenital heart diseases accounted for 14.9% and 10.6% of diagnoses, respectively. Among the psychiatric disorders, patients with autism spectrum disorders accounted for 8.9% of the diagnoses. Our results demonstrate the effectiveness and efficiency of the use of aCGH as the first line test in genetic diagnosis of patients suspected of genomic imbalances, supporting its inclusion within the National Health System. Copyright © 2017. Publicado por Elsevier España, S.L.U.

  20. A cost-benefit analysis and the potential trade effects of the bovine viral diarrhoea eradication programme in Styria, Austria.

    Science.gov (United States)

    Marschik, T; Obritzhauser, W; Wagner, P; Richter, V; Mayerhofer, M; Egger-Danner, C; Käsbohrer, A; Pinior, B

    2018-01-01

    This study evaluated the voluntary and compulsory implementation of a bovine viral diarrhoea virus (BVDV) eradication programme in the Austrian Federal State of Styria, Austria, from an economic point of view using ex-post assessment of costs and benefits (disease losses avoided). An economic net benefit (benefit:cost ratio, BCR=1.18) of the programme was demonstrated during the voluntary programme phase (January 1998-July 2004). The break-even point was reached in 2003. If investments in the compulsory programme (August 2004-December 2016) were taken into account, a net economic loss (BCR=0.16) was demonstrated. In contrast to on-going annual testing of all cattle herds, annual testing in accordance with a revised sampling scheme could reduce total surveillance costs by more than 77%. A Bayesian structural time series model was applied to analyse a hypothesised positive impact of the compulsory BVDV programme on the Styrian cattle export market. The average number of exported cows and bulls increased significantly by 42% (P=0.03) and 47% (P=0.01), respectively, and the producer price increased by 14% (P=0.00) and 5% (P=0.16), respectively, during the compulsory programme period compared with the period prior to intervention. This equates to an average revenue increase of €29,754 for cows and €137,563 for bulls per month. These results justify the implementation of eradication programmes, which initially may not appear to be economically viable, particularly if trade effects are not included in the calculations. Copyright © 2017 The Author(s). Published by Elsevier Ltd.. All rights reserved.

  1. Elimination of public funding of prenatal care for undocumented immigrants in California: a cost/benefit analysis.

    Science.gov (United States)

    Lu, M C; Lin, Y G; Prietto, N M; Garite, T J

    2000-01-01

    We compared the perinatal outcomes and costs of undocumented women with and without prenatal care and inferred the impact of denial of prenatal benefits to undocumented immigrants in California. We retrospectively reviewed the delivery records of a cohort of 970 undocumented immigrants. The effects of prenatal care on low birth weight and prematurity were evaluated by means of logistic regression. The difference in the costs of postnatal care between neonates with and without prenatal care was compared with the cost of prenatal care. This ratio was extrapolated to calculate the net cost to the state. Long-term morbidity costs were also considered. Nearly 10% of undocumented women had no prenatal care. These women were nearly 4 times as likely to be delivered of low birth weight infants (relative risk, 3.8; 95% confidence interval, 2.03-7.05) and >7 times as likely to be delivered of premature infants (relative risk, 7.4; 95% confidence interval, 4.35-12.59) as were undocumented women who had prenatal care. The cost of postnatal care for a neonate without prenatal care was $2341 more initially and $3247 more when incremental long-term morbidity cost was added than that for a neonate with prenatal care. For every dollar cut from prenatal care we expect an increase of $3. 33 in the cost of postnatal care and $4.63 in incremental long-term cost. Elimination of publicly funded prenatal care for undocumented women could save the state $58 million in direct prenatal care costs but could cost taxpayers as much as $194 million more in postnatal care, resulting in a net cost of $136 million initially and $211 million in long-term costs. Elimination of public funding of prenatal care for undocumented immigrants in California could substantially increase low birth weight, prematurity, and postnatal costs.

  2. Self-expanding metallic stent as a bridge to surgery in the treatment of left colon cancer obstruction: Cost-benefit analysis and oncologic results.

    Science.gov (United States)

    Flor-Lorente, Blas; Báguena, Gloria; Frasson, Matteo; García-Granero, Alvaro; Cervantes, Andrés; Sanchiz, Vicente; Peña, Andres; Espí, Alejandro; Esclapez, Pedro; García-Granero, Eduardo

    2017-03-01

    The use of a self-expanding metallic stent as a bridge to surgery in acute malignant left colonic obstruction has been suggested as an alternative treatment to emergency surgery. The aim of the present study was to compare the morbi-mortality, cost-benefit and long-term oncological outcomes of both therapeutic options. This is a prospective, comparative, controlled, non-randomized study (2005-2010) performed in a specialized unit. The study included 82 patients with left colon cancer obstruction treated by stent as a bridge to surgery (n=27) or emergency surgery (n=55) operated with local curative intention. The main outcome measures (postoperative morbi-mortaliy, cost-benefit, stoma rate and long-term oncological outcomes) were compared based on an "intention-to-treat" analysis. There were no significant statistical differences between the two groups in terms of preoperative data and tumor characteristics. The technically successful stenting rate was 88.9% (11.1% perforation during stent placement) and clinical success was 81.4%. No difference was observed in postoperative morbi-mortality rates. The primary anastomosis rate was higher in the bridge to surgery group compared to the emergency surgery group (77.8% vs. 56.4%; P=.05). The mean costs in the emergency surgery group resulted to be €1,391.9 more expensive per patient than in the bridge to surgery group. There was no significant statistical difference in oncological long-term outcomes. The use of self-expanding metalllic stents as a bridge to surgery is a safe option in the urgent treatment of obstructive left colon cancer, with similar short and long-term results compared to direct surgery, inferior mean costs and a higher rate of primary anastomosis. Copyright © 2017 AEC. Publicado por Elsevier España, S.L.U. All rights reserved.

  3. Effectiveness, cost-effectiveness and cost-benefit of a single annual professional intervention for the prevention of childhood dental caries in a remote rural Indigenous community.

    Science.gov (United States)

    Lalloo, Ratilal; Kroon, Jeroen; Tut, Ohnmar; Kularatna, Sanjeewa; Jamieson, Lisa M; Wallace, Valda; Boase, Robyn; Fernando, Surani; Cadet-James, Yvonne; Scuffham, Paul A; Johnson, Newell W

    2015-08-29

    The aim of the study is to reduce the high prevalence of tooth decay in children in a remote, rural Indigenous community in Australia, by application of a single annual dental preventive intervention. The study seeks to (1) assess the effectiveness of an annual oral health preventive intervention in slowing the incidence of dental caries in children in this community, (2) identify the mediating role of known risk factors for dental caries and (3) assess the cost-effectiveness and cost-benefit of the intervention. The intervention is novel in that most dental preventive interventions require regular re-application, which is not possible in resource constrained communities. While tooth decay is preventable, self-care and healthy habits are lacking in these communities, placing more emphasis on health services to deliver an effective dental preventive intervention. Importantly, the study will assess cost-benefit and cost-effectiveness for broader implementation across similar communities in Australia and internationally. There is an urgent need to reduce the burden of dental decay in these communities, by implementing effective, cost-effective, feasible and sustainable dental prevention programs. Expected outcomes of this study include improved oral and general health of children within the community; an understanding of the costs associated with the intervention provided, and its comparison with the costs of allowing new lesions to develop, with associated treatment costs. Findings should be generalisable to similar communities around the world. The research is registered with the Australian New Zealand Clinical Trials Registry (ANZCTR), registration number ACTRN12615000693527; date of registration: 3rd July 2015.

  4. Field Evaluation of Cereal Combine Harvesters Processing Losses on JD-955 and JD-1165 Combines Equipped with Grain Loss Monitor

    Directory of Open Access Journals (Sweden)

    M.R Mostofi Sarkari

    2014-09-01

    Full Text Available Grain loss monitors are installed on combine harvester and make it possible to measure grain loss on different parts of the combine. The instrument permits the operator to adjust a proper ground speed to keep grain loss within an acceptable range. In this study a loss monitoring system was implemented to measure grain losses continuously on straw walker and sieves. Two grain loss monitors (KEE and TeeJet were installed behind the straw walker and the sieves of JD-955 and JD-1165 combine harvesters. Harvesting performance parameters such as combine total and processing losses were then measured. To evaluate the precision and accuracy of the instruments, the measured and monitored losses were compared and investigated. The results of a two-year research showed that the average processing loss of the combine harvesters with 10-12% grain moisture content and 750 rpm drum speed was 0.82% which is whitin the acceptable range recommended by ASAE Standard No. S343.3. Furthermore, there was no significant difference between the measured and monitored values of processing loss.

  5. A cost-benefit analysis of preventative management for zebra and quagga mussels in the Colorado-Big Thompson System

    Science.gov (United States)

    Thomas, Catherine M.

    2010-01-01

    net benefits of preventative management strategies. This study builds a bioeconomic simulation model to predict and compare the expected economic costs of the CDOW boat inspection program ot the benefits of reduced expected control costs to water conveyance systems, hydropower generation stations, and minicipal water treatment facilities. The model is based on a case study water delivery and storage system, the Colorado-Big Thompson system. The Colorado-Big Thomspon system is an excellent example of water systems in the Rocky Mountain West. The system is nearly entirely man-made, with all of its reservoirs and delivery points connected via pipelines, tunnels, and canals. The structures and hydropower systems of the Colorado-Big Thompson system are common to other western storage and delivery systems, making the methods and insight developed from this case study transferal to other western systems. The model developed in this study contributes to the bioeconomic literature in several ways. Foremost, the model predicts the spread of dreissena mussels and associated damage costs for a connected water system in the Rocky Mountain West. Very few zebra mussel studies have focused on western water systems. Another distinguishing factor is the simultaneous consideration of spread from propagules introduced by boats and by flows. Most zebra mussel dispersal models consider boater movement patterns combined with limnological characteristics as predictors of spread. A separate set of studies have addressed mussel spread via downstream flows. To the author's knowledge, this is the first study that builds a zebra mussel spread model that specifically accounts for propagule pressure from boat introductions and from downstream flow introductions. By modeling an entire connected system, the study highlights how the spatial layout of a system, and the risk of invasion within a system affect the benefits of preventative management. This report is presented in five chapters. The first

  6. Further development of the cleanable steel HEPA filter, cost/benefit analysis, and comparison with competing technologies

    Energy Technology Data Exchange (ETDEWEB)

    Bergman, W.; Larsen, G.; Lopez, R.; Wilson, K.; Witherell, C.; McGregor, M.

    1997-01-01

    We have made further progress in developing a cleanable steel fiber HEPA filter. We fabricated a pleated cylindrical cartridge using commercially available steel fiber media that is made with 1 {mu}m stainless steel fibers and sintered into a sheet form. Test results at the Department of Energy (DOE) Filter Test Station at Oak Ridge show the prototype filter cartridge has 99.99% efficiency for 0.3 {mu}m dioctyl phthalate (DOP) aerosols and a pressure drop of 1.5 inches. Filter loading and cleaning tests using AC Fine dust showed the filter could be repeatedly cleaned using reverse air pulses. Our analysis of commercially optimized filters suggest that cleanable steel HEPA filters need to be made from steel fibers less than 1 {mu}m, and preferably 0.5 {mu}m, to meet the standard HEPA filter requirements in production units. We have demonstrated that 0.5 {mu}m steel fibers can be produced using the fiber bundling and drawing process. The 0.5 {mu}m steel fibers are then sintered into small filter samples and tested for efficiency and pressure drop. Test results on the sample showed a penetration of 0.0015% at 0.3 {mu}m and a pressure drop of 1.15 inches at 6.9 ft/min (3.5 cm/s) velocity. Based on these results, steel fiber media can easily meet the requirements of 0.03% penetration and 1.0 inch of pressure drop by using less fibers in the media. A cost analysis of the cleanable steel HEPA filter shows that, although the steel HEPA filter costs much more than the standard glass fiber HEPA filter, it has the potential to be very cost effective because of the high disposal costs of contaminated HEPA filters. We estimate that the steel HEPA filter will save an average of $16,000 over its 30 year life. The additional savings from the clean-up costs resulting from ruptured glass HEPA filters during accidents was not included but makes the steel HEPA filter even more cost effective. We also present the results of our evaluation of competing technologies with metallic and

  7. Regional economic impact analysis and project evaluation

    National Research Council Canada - National Science Library

    Davis, H. Craig

    1990-01-01

    ...: PROJECT EVALUATION ANALYSIS 6 Cost-Benefit Analysis: The Evaluation of Social Costs and Benefits 95 Case Study 1: The Evaluation of Recreation Benefits at Graf ham Water 114 Case Study 2: Cost...

  8. Accuracy Evaluation of the Unified P-Value from Combining Correlated P-Values

    Science.gov (United States)

    Alves, Gelio; Yu, Yi-Kuo

    2014-01-01

    Meta-analysis methods that combine -values into a single unified -value are frequently employed to improve confidence in hypothesis testing. An assumption made by most meta-analysis methods is that the -values to be combined are independent, which may not always be true. To investigate the accuracy of the unified -value from combining correlated -values, we have evaluated a family of statistical methods that combine: independent, weighted independent, correlated, and weighted correlated -values. Statistical accuracy evaluation by combining simulated correlated -values showed that correlation among -values can have a significant effect on the accuracy of the combined -value obtained. Among the statistical methods evaluated those that weight -values compute more accurate combined -values than those that do not. Also, statistical methods that utilize the correlation information have the best performance, producing significantly more accurate combined -values. In our study we have demonstrated that statistical methods that combine -values based on the assumption of independence can produce inaccurate -values when combining correlated -values, even when the -values are only weakly correlated. Therefore, to prevent from drawing false conclusions during hypothesis testing, our study advises caution be used when interpreting the -value obtained from combining -values of unknown correlation. However, when the correlation information is available, the weighting-capable statistical method, first introduced by Brown and recently modified by Hou, seems to perform the best amongst the methods investigated. PMID:24663491

  9. Evaluating the Separate and Combined Effects of Positive and Negative Reinforcement on Task Compliance

    Science.gov (United States)

    Bouxsein, Kelly J.; Roane, Henry S.; Harper, Tara

    2011-01-01

    Positive and negative reinforcement are effective for treating escape-maintained destructive behavior. The current study evaluated the separate and combined effects of these contingencies to increase task compliance. Results showed that a combination of positive and negative reinforcement was most effective for increasing compliance. (Contains 1…

  10. Evaluation of Synergistic Antibacterial and Antioxidant Efficacy of Essential Oils of Spices and Herbs in Combination

    OpenAIRE

    Anwesa Bag; Rabi Ranjan Chattopadhyay

    2015-01-01

    The present study was carried out to evaluate the possible synergistic interactions on antibacterial and antioxidant efficacy of essential oils of some selected spices and herbs [bay leaf, black pepper, coriander (seed and leaf), cumin, garlic, ginger, mustard, onion and turmeric] in combination. Antibacterial combination effect was evaluated against six important food-borne bacteria (Bacillus cereus, Listeria monocytogenes, Micrococcus luteus, Staphylococcus aureus, Escherichia coli and Salm...

  11. Cost-effectiveness and cost-benefit analysis of BMPs in controlling agricultural nonpoint source pollution in China based on the SWAT model.

    Science.gov (United States)

    Liu, Ruimin; Zhang, Peipei; Wang, Xiujuan; Wang, Jiawei; Yu, Wenwen; Shen, Zhenyao

    2014-12-01

    Best management practices (BMPs) have been widely used in managing agricultural nonpoint source pollution (ANSP) at the watershed level. Most BMPs are related to land use, tillage management, and fertilizer levels. In total, seven BMP scenarios (Reforest1, Reforest2, No Tillage, Contour tillage, and fertilizer level 1-4) that are related to these three factors were estimated in this study. The objectives were to investigate the effectiveness and cost-benefit of these BMPs on ANSP reduction in a large tributary of the Three Gorges Reservoir (TGR) in China, which are based on the simulation results of the Soil and Water Assessment Tool (SWAT) model. The results indicated that reforestation was the most economically efficient of all BMPs, and its net benefits were up to CNY 4.36×10(7) years(-1) (about USD 7.08×10(6) years(-1)). Regarding tillage practices, no tillage practice was more environmentally friendly than other tillage practices, and contour tillage was more economically efficient. Reducing the local fertilizer level to 0.8-fold less than that of 2010 can yield a satisfactory environmental and economic efficiency. Reforestation and fertilizer management were more effective in reducing total phosphorus (TP), whereas tillage management was more effective in reducing total nitrogen (TN). When CNY 10,000 (about USD 162) was applied to reforestation, no tillage, contour tillage, and an 0.8-fold reduction in the fertilizer level, then annual TN load can be reduced by 0.08, 0.16, 0.11, and 0.04 t and annual TP load can be reduced by 0.04, 0.02, 0.01 and 0.03 t, respectively. The cost-benefit (CB) ratios of the BMPs were as follows: reforestation (207 %) > contour tillage (129 %) > no tillage (114 %) > fertilizer management (96 and 89 %). The most economical and effective BMPs can be designated as follows: BMP1 (returning arable land with slopes greater than 25° to forests and those lands with slopes of 15-25° to orchards), BMP2 (implementing no tillage

  12. Post-aeration of anaerobically digested sewage sludge for advanced COD and nitrogen removal: results and cost-benefit analysis at large-scale.

    Science.gov (United States)

    Parravicini, V; Svardal, K; Kroiss, H

    2008-01-01

    At a large Austrian municipal wastewater treatment plant enhanced stabilisation of anaerobically digested sewage sludge was required in order to get a permit for landfill disposal of the dewatered stabilized sludge. By implementing a post-aeration treatment after anaerobic digestion the organic content of the anaerobically well digested sludge can be decreased by 16%. Investigations at this plant showed that during digested sludge post-aeration anoxic phases are needed to provide stable process conditions. In this way the pH value can be kept in a more favourable range for micro-organisms and concrete structures. Additionally, under the process conditions applied nitrite accumulation would inhibit the stabilisation process if denitrification is not adequately applied. By optimising the aeration/pause ratio approximately 45% of total nitrogen in digested sludge can be removed. NH4-removal occurs through nitrification and denitrification with an efficiency of 98%. This significantly improves nitrogen removal efficiency at the wastewater treatment plant. The costs/benefit analysis shows that post-aeration of digested sludge results in an increase of total annual costs for wastewater treatment of only 0.84%, corresponding to 0.19 Euro/pe/a. Specific costs for nitrogen removal (0.32 Euro/kgN) are comparable with other biological processes for N-removal in reject water. Copyright IWA Publishing 2008.

  13. A Case Study of Preliminary Cost-Benefit Analysis of Building Levees to Mitigate the Joint Effects of Sea Level Rise and Storm Surge

    Directory of Open Access Journals (Sweden)

    Binbin Peng

    2018-02-01

    Full Text Available Sea-level rise (SLR will magnify the impacts of storm surge; the resulting severe flooding and inundation can cause huge damage to coastal communities. Community leaders are considering implementing adaptation strategies, typically hard engineering projects, to protect coastal assets and resources. It is important to understand the costs and benefits of the proposed project before any decision is made. To mitigate the flooding impact of joint effects of storm surge and SLR, building levee segments is chosen to be a corresponding adaptation strategy to protect the real estate assets in the study area—the City of Miami, FL, USA. This paper uses the classic Cost-Benefit Analysis (CBA to assess the cost efficiency and proposes corresponding improvements in the benefit estimation, by estimating the avoided damages of implementing levee projects. Results show that the city will benefit from implementing levee projects along the Miami River in both a one-time 10 year storm event with SLR and cumulative long-term damage scenarios. This study also suggests that conducting CBA is a critical process before making coastal adaptation planning investment. A more meaningful result of cost effectiveness is estimated by accounting for the appreciation and time value. In addition, a sensitivity analysis is conducted to verify how the choice of discount rate influences the result. Uncertain factors including the rate of SLR, storm intensification, land use changes, and real estate appreciation are further analyzed.

  14. 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.

  15. Cost/benefit analysis of biomass energy supply options for rural smallholders in the semi-arid eastern part of Shinyanga Region in Tanzania

    Energy Technology Data Exchange (ETDEWEB)

    Wiskerke, W.T.; Dornburg, V.; Faaij, A.P.C. [Department of Science, Technology and Society, Utrecht University, Heidelberglaan 2, 3584 CS, Utrecht (Netherlands); Rubanza, C.D.K. [Tanzania Forestry Research Institute (TAFORI)/National Forest Resource Management and Agroforestry Centre (NACRAF), P.O. Box 1257, Shinyanga (Tanzania); Malimbwi, R.E. [Faculty of Forestry and Natural Resources, Sokoine University, P.O. Box 3010, Morogoro (Tanzania)

    2010-01-15

    This study analyzes the economic feasibility of sustainable smallholder bio-energy production under semi-arid conditions. The eastern part of Shinyanga region in Tanzania was chosen as a case study area. Three different sustainable biomass energy supply systems were compared by means of cost/benefit analysis: a small-scale forestation project for carbon sequestration, a short rotation woodlot and a Jatropha plantation, thereby using the produced Jatropha oil as a substitute for fuelwood or diesel. Rotational woodlots are most profitable with a Net Present Value of up to US${sub 2007} 1165/ha, a return on labour of up to US${sub 2007} 6.69/man-day and a fuelwood production cost of US${sub 2007} 0.53/GJ, compared to a local market price of US${sub 2007} 1.95/GJ. With a production cost of US${sub 2007} 19.60/GJ, Jatropha oil is too expensive to be used as an alternative for fuelwood. Instead it can be utilized economically as a diesel substitute, at an observed diesel cost of US${sub 2007} 1.49/l. The mean annual biomass increment (MAI) in semi-arid East Shinyanga is too low to collect sufficient benefits from trading forestation carbon credits under the Clean Development Mechanism (CDM) to cover the costs of forestation and forest management. (author)

  16. The neuroeconomics of alcohol demand: an initial investigation of the neural correlates of alcohol cost-benefit decision making in heavy drinking men.

    Science.gov (United States)

    MacKillop, James; Amlung, Michael T; Acker, John; Gray, Joshua C; Brown, Courtney L; Murphy, James G; Ray, Lara A; Sweet, Lawrence H

    2014-07-01

    Neuroeconomics integrates concepts and methods from psychology, economics, and cognitive neuroscience to understand how the brain makes decisions. In economics, demand refers to the relationship between a commodity's consumption and its cost, and, in behavioral studies, high alcohol demand has been consistently associated with greater alcohol misuse. Relatively little is known about how the brain processes demand decision making, and the current study is an initial investigation of the neural correlates of alcohol demand among heavy drinkers. Using an event-related functional magnetic resonance imaging (fMRI) paradigm, participants (N=24) selected how much they would drink under varying levels of price. These choices determined access to alcohol during a subsequent bar laboratory self-administration period. During decisions to drink in general, greater activity was present in multiple distinct subunits of the prefrontal and parietal cortices. In contrast, during decisions to drink that were demonstrably affected by the cost of alcohol, significantly greater activation was evident in frontostriatal regions, suggesting an active interplay between cognitive deliberation and subjective reward value. These choices were also characterized by significant deactivation in default mode network regions, suggesting suppression resulting from greater cognitive load. Across choice types, the anterior insula was notably recruited in diverse roles, further implicating the importance of interoceptive processing in decision-making behavior. These findings reveal the neural signatures subserving alcohol cost-benefit decision making, providing a foundation for future clinical applications of this paradigm and extending this approach to understanding the neural correlates of demand for other addictive commodities.

  17. Comparative cost-benefit analysis of tele-homecare for community-dwelling elderly in Japan: Non-Government versus Government Supported Funding Models.

    Science.gov (United States)

    Akiyama, Miki; Abraham, Chon

    2017-08-01

    Tele-homecare is gaining prominence as a viable care alternative, as evidenced by the increase in financial support from international governments to fund initiatives in their respective countries. The primary reason for the funding is to support efforts to reduce lags and increase capacity in access to care as well as to promote preventive measures that can avert costly emergent issues from arising. These efforts are especially important to super-aged and aging societies such as in Japan, many European countries, and the United States (US). However, to date and to our knowledge, a direct comparison of non-government vs. government-supported funding models for tele-homecare is particularly lacking in Japan. The aim of this study is to compare these operational models (i.e., non-government vs. government-supported funding) from a cost-benefit perspective. This simulation study applies to a Japanese hypothetical cohort with implications for other super-aged and aging societies abroad. We performed a cost-benefit analysis (CBA) on two operational models for enabling tele-homecare for elderly community-dwelling cohorts based on a decision tree model, which we created with parameters from published literature. The two models examined are (a) Model 1-non-government-supported funding that includes monthly fixed charges paid by users for a portion of the operating costs, and (b) Model 2-government-supported funding that includes startup and installation costs only (i.e., no operating costs) and no monthly user charges. We performed base case cost-benefit analysis and probabilistic cost-benefit analysis with a Monte Carlo simulation. We calculated net benefit and benefit-to-cost ratios (BCRs) from the societal perspective with a five-year time horizon applying a 3% discount rate for both cost and benefit values. The cost of tele-homecare included (a) the startup system expense, averaged over a five-year depreciation period, and (b) operation expenses (i.e., labor and non

  18. Evaluation of the combination effect of different antiviral compounds against HIV in vitro

    DEFF Research Database (Denmark)

    Sørensen, A M; Nielsen, C; Mathiesen, Lars Reinhardt

    1993-01-01

    3'-azido-3'deoxythymidine (AZT), a clinically used anti-HIV compound, was evaluated for antiviral effect on HIV infection in combination with other antiviral compounds in vitro. Interactions were evaluated by the median-effect principle and the isobologram technique. Synergistic effect was obtained...... emphasis on nucleoside analogues and compounds influencing the infectivity of the virus....

  19. COMPARISON OF EXPERIMENTAL-DESIGNS COMBINING PROCESS AND MIXTURE VARIABLES .2. DESIGN EVALUATION ON MEASURED DATA

    NARCIS (Netherlands)

    DUINEVELD, CAA; SMILDE, AK; DOORNBOS, DA

    The construction of a small experimental design for a combination of process and mixture variables is a problem which has not been solved completely by now. In a previous paper we evaluated some designs with theoretical measures. This second paper evaluates the capabilities of the best of these

  20. COMPARISON OF EXPERIMENTAL-DESIGNS COMBINING PROCESS AND MIXTURE VARIABLES .2. DESIGN EVALUATION ON MEASURED DATA

    NARCIS (Netherlands)

    DUINEVELD, C. A. A.; Smilde, A. K.; Doornbos, D. A.

    1993-01-01

    The construction of a small experimental design for a combination of process and mixture variables is a problem which has not been solved completely by now. In a previous paper we evaluated some designs with theoretical measures. This second paper evaluates the capabilities of the best of these

  1. Combined Waste Form Cost Trade Study

    Energy Technology Data Exchange (ETDEWEB)

    Dirk Gombert; Steve Piet; Timothy Trickel; Joe Carter; John Vienna; Bill Ebert; Gretchen Matthern

    2008-11-01

    A new generation of aqueous nuclear fuel reprocessing, now in development under the auspices of the DOE Office of Nuclear Energy (NE), separates fuel into several fractions, thereby partitioning the wastes into groups of common chemistry. This technology advance enables development of waste management strategies that were not conceivable with simple PUREX reprocessing. Conventional wisdom suggests minimizing high level waste (HLW) volume is desirable, but logical extrapolation of this concept suggests that at some point the cost of reducing volume further will reach a point of diminishing return and may cease to be cost-effective. This report summarizes an evaluation considering three groupings of wastes in terms of cost-benefit for the reprocessing system. Internationally, the typical waste form for HLW from the PUREX process is borosilicate glass containing waste elements as oxides. Unfortunately several fission products (primarily Mo and the noble metals Ru, Rh, Pd) have limited solubility in glass, yielding relatively low waste loading, producing more glass, and greater disposal costs. Advanced separations allow matching the waste form to waste stream chemistry, allowing the disposal system to achieve more optimum waste loading with improved performance. Metals can be segregated from oxides and each can be stabilized in forms to minimize the HLW volume for repository disposal. Thus, a more efficient waste management system making the most effective use of advanced waste forms and disposal design for each waste is enabled by advanced separations and how the waste streams are combined. This trade-study was designed to juxtapose a combined waste form baseline waste treatment scheme with two options and to evaluate the cost-benefit using available data from the conceptual design studies supported by DOE-NE.

  2. Sustained employability of workers in a production environment : design of a stepped wedge trial to evaluate effectiveness and cost-benefit of the POSE program

    NARCIS (Netherlands)

    van Holland, Berry J.; de Boer, Michiel R.; Brouwer, Sandra; Soer, Remko; Reneman, Michiel F.

    2012-01-01

    Background: Sustained employability and health are generating awareness of employers in an aging and more complex work force. To meet these needs, employers may offer their employees health surveillance programs, to increase opportunities to work on health and sustained employability. However,

  3. Sustained employability of workers in a production environment: design of a stepped wedge trial to evaluate effectiveness and cost-benefit of the POSE program

    NARCIS (Netherlands)

    van Holland, B.J.; de Boer, M.R.; Brouwer, S.; Soer, R.; Reneman, M.F.

    2012-01-01

    Background: Sustained employability and health are generating awareness of employers in an aging and more complex work force. To meet these needs, employers may offer their employees health surveillance programs, to increase opportunities to work on health and sustained employability. However,

  4. Prevention of recurrent sickness absence among employees with common mental disorders : design of a cluster-randomised controlled trial with cost-benefit and effectiveness evaluation

    NARCIS (Netherlands)

    Arends, Iris; van der Klink, Jac J. L.; Bultmann, Ute

    2010-01-01

    Background: Common mental disorders, such as depression, anxiety disorder, and adjustment disorder, have emerged as a major public and occupational health problem in many countries. These disorders can have severe consequences such as absenteeism and work disability. Different interventions have

  5. Detailed cost-benefit analysis of potential impairment countermeasures. Research in the framework of the European research programme IMMORTAL (Impaired Motorists, Methods of Roadside Testing and Assessment for Licensing) Deliverable P2.

    NARCIS (Netherlands)

    Vlakveld, W. Wesemann, P. Devillers, E. Elvik, R. & Veisten, K.

    2005-01-01

    Almost all kinds of driver impairments increase accident risks. This study forms part of the European IMMORTAL (Impaired Motorists, Methods Of Roadside Testing and Assessment for Licensing) project. The study provides a cost-benefit analysis (CBA) of several possible policies of impairment

  6. Computer-Aided Color Aesthetic Evaluation Method Based on the Combination of Form and Color

    OpenAIRE

    Kang, Wenke; Qin, Sheng-feng; Zhang, Quan

    2015-01-01

    This paper presents a new method of color aesthetic evaluation based on the combination of form and color. According to the human visual physiological and psychological characteristics, this paper first proposes a new form-color field theory for the coupled form-color aesthetic evaluation based on the psychophysical field theory and the Moon and Spencer model. Second, it builds a coupled form-color topological graph for describing their interaction and develops a strength calculation algorith...

  7. Evaluation of Sida acuta subspecie acuta leaf/flower combination for ...

    African Journals Online (AJOL)

    Sida acuta subspecie acuta Ieaf/flower combination was evaluated for antimicrobial activity and phytochemical constituents using methanol, hexane, chloroform and aqueous method of extractions. The antibacterial activities were exhibited by the four extracts on E. coli, S pyogenes, P.multocida and S. typhumrium as there ...

  8. In vitro evaluation of photon and carbon ion radiotherapy in combination with chemotherapy in glioblastoma cells

    Directory of Open Access Journals (Sweden)

    Combs Stephanie E

    2012-01-01

    Full Text Available Abstract Background To evaluate the cytotoxic effect of carbon ion radiotherapy and chemotherapy in glioblastoma cells in vitro. Methods and Materials The human glioblastoma (GBM cell line U87 was irradiated with photon radiotherapy (RT doses of 2 Gy, 4 Gy and 6 Gy. Likewise, irradiation with carbon ions was performed with single carbon doses of 0.125, 0.5, 2 and 3 Gy. Four chemotherapeutic substances, camptothecin, gemcitabine, paclitaxel and cisplatinum, were used for single and combination experiments. The assessment of the effect of single and double treatment on cell viability was performed using the clonogenic growth assay representing the radiobiological gold standard. Results The RBE of carbon ions ranges between 3.3 and 3.9 depending on survival level and dose. All chemotherapeutic substances showed a clear does-response relationhips. in their characteristic concentrations. For subsequent combination experiments, two dose levels leading to low and medium reduction of cell survival were chosen. Combination experiments showed additive effects independently of the drugs' mechanisms of action. Paclitaxel and campthothecin demonstrated the most prominent cytotoxic effect in combination with carbon ion radiotherapy. Conclusion In conclusion, combination of carbon ion radiotherapy with chemotherapies of different mechanisms of action demonstrates additive effects. The most dominant effect was produced by paclitaxel, followed by camptothecin, as espected from previously published work. The present data serve as an important radiobiological basis for further combination experiments, as well as clinical studies on combination treatments.

  9. Prospective cost-benefit analysis of a two-dimensional barcode for vaccine production, clinical documentation, and public health reporting and tracking.

    Science.gov (United States)

    O'Connor, Alan C; Kennedy, Erin D; Loomis, Ross J; Haque, Saira N; Layton, Christine M; Williams, Warren W; Amoozegar, Jacqueline B; Braun, Fern M; Honeycutt, Amanda A; Weinbaum, Cindy

    2013-06-28

    In the United States recording accurate vaccine lot numbers in immunization records is required by the National Childhood Vaccine Injury Act and is necessary for public health surveillance and implementation of vaccine product recalls. However, this information is often missing or inaccurate in records. The Food and Drug Administration (FDA) requires a linear barcode of the National Drug Code (NDC) on vaccine product labels as a medication verification measure, but lot number and expiration date must still be recorded by hand. Beginning in 2011, FDA permitted manufacturers to replace linear barcodes with two-dimensional (2D) barcodes on unit-of-use product labels. A 2D barcode can contain the NDC, expiration date, and lot number in a symbol small enough to fit on a unit-of-use label. All three data elements could be scanned into a patient record. To assess 2D barcodes' potential impacts, a mixed-methods approach of time-motion data analysis, interview and survey data collection, and cost-benefit analysis was employed. Analysis of a time-motion study conducted at 33 practices suggests scanning 2D-barcoded vaccines could reduce immunization documentation time by 36-39 s per dose. Data from an internet survey of primary care providers and local health officials indicate that 60% of pediatric practices, 54% of family medicine practices, and 39% of health departments would use the 2D barcode, with more indicating they would do so if they used electronic health records. Inclusive of manufacturer and immunization provider costs and benefits, we forecast lower-bound net benefits to be $310-334 million between 2011 and 2023 with a benefit-to-cost ratio of 3.1:1-3.2:1. Although we were unable to monetize benefits for expected improved immunization coverage, surveillance, or reduced medication errors, based on our findings, we expect that using 2D barcodes will lower vaccine documentation costs, facilitate data capture, and enhance immunization data quality. Copyright © 2013

  10. Accelerating Improvements in the Energy Efficiency of Room Air Conditioners (RACs) in India: Potential, Cost-Benefit, and Policies (Interim Assessment)

    Energy Technology Data Exchange (ETDEWEB)

    Abhyankar, Nikit [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Shah, Nihar [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Park, Won Young [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Phadke, Amol [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)

    2016-06-01

    Falling AC prices, increasing incomes, increasing urbanization, and high cooling requirements due to hot climate are all driving increasing uptake of Room Air Conditioners (RACs) in the Indian market. Air conditioning already comprises 40-60% of summer peak load in large metropolitan Indian cities such as Delhi and is likely to contribute 150 GW to the peak demand in 2030. Standards and labeling policies have contributed to improving the efficiency of RACs in India by about 2.5% in the last 10 years (2.5% per year) while inflation adjusted RAC prices have continued to decline. In this paper, we assess the technical feasibility, cost-benefit, and required policy enhancements by further accelerating the efficiency improvement of RACs in India. We find that there are examples of significantly more accelerated improvements such as those in Japan and Korea where AC efficiency improved by more than 7% per year resulting in almost a doubling of energy efficiency in 7 to 10 years while inflation adjusted AC prices continued to decline. We find that the most efficient RAC sold on the Indian market is almost twice as efficient as the typical AC sold on the market and hence see no technology constraints in a similar acceleration of improvement of efficiency. If starting 2018, AC efficiency improves at a rate of 6% instead of 3%, 40-60 GW of peak load (equivalent to connected load of 5-6 billion LED bulbs), and over 75 TWh/yr (equivalent to 60 million consumers consuming 100 kWh/month) will be saved by 2030; total peak load reduction would be as high as 50 GW. The net present value (NPV) of the consumer benefit between 2018-2030 will range from Rs 18,000 Cr in the most conservative case (in which prices don’t continue to decline and increase based estimates of today’s cost of efficiency improvement) to 140,000 Cr in a more realistic case (in which prices are not affected by accelerated efficiency improvement as shown by historical experience). This benefit is achievable by

  11. Combinations of Methods for Collaborative Evaluation of the Usability of Interactive Software Systems

    Directory of Open Access Journals (Sweden)

    Andrés Solano

    2016-01-01

    Full Text Available Usability is a fundamental quality characteristic for the success of an interactive system. It is a concept that includes a set of metrics and methods in order to obtain easy-to-learn and easy-to-use systems. Usability Evaluation Methods, UEM, are quite diverse; their application depends on variables such as costs, time availability, and human resources. A large number of UEM can be employed to assess interactive software systems, but questions arise when deciding which method and/or combination of methods gives more (relevant information. We propose Collaborative Usability Evaluation Methods, CUEM, following the principles defined by the Collaboration Engineering. This paper analyzes a set of CUEM conducted on different interactive software systems. It proposes combinations of CUEM that provide more complete and comprehensive information about the usability of interactive software systems than those evaluation methods conducted independently.

  12. Custo-benefício do serviço de telecardiologia no Estado de Minas Gerais: projeto Minas Telecardio Cost-benefit of the telecardiology service in the state of Minas Gerais: Minas Telecardio Project

    Directory of Open Access Journals (Sweden)

    Mônica Viegas Andrade

    2011-10-01

    : To evaluate the cost-benefit of implementing a Telecardiology service in remote, small towns in the state of Minas Gerais, Brazil. METHODS: The study used the database from the Minas Telecardio (MTC Project, developed from June 2006 to November 2008, in 82 towns in the countryside of the state. Each municipality received a microcomputer with a digital electrocardiograph, with the possibility of transmitting ECG tracings and communicating with the on-duty cardiologist at the University hospital. The cost-benefit analysis was carried out by comparing the cost of performing an ECG in the project versus the cost of performing it by patient referral to another city. RESULTS: The average cost of an ECG in the MTC project was R$ 28.92, decomposed into R$ 8.08 for the cost of implementation and R$ 20.84 for maintenance. The cost simulation of the ECG with referral ranged from R$ 30.91 to R$ 54.58, with the cost-benefit ratio being always favorable to the MTC program, regardless of the type of calculation used for referral distance. The simulations considered the financial sponsor's and society's points-of-view. The sensitivity analysis with variation of calibration parameters confirmed these results. CONCLUSION: The implementation of a Telecardiology system as support to primary care in small Brazilian towns is feasible and economically beneficial, and can be used as a regular program within the Brazilian public health system.

  13. Combining cognitive screening tests for the evaluation of mild cognitive impairment in the elderly

    Directory of Open Access Journals (Sweden)

    Rodolfo B. Ladeira

    2009-01-01

    Full Text Available OBJECTIVE: To determine the accuracy of the Mini-Mental State Examination combined with the Verbal Fluency Test and Clock Drawing Test for the identification of patients with mild cognitive impairment and Alzheimer's disease (AD. METHOD: These tests were used to evaluate cognitive function in 247 older adults. Subjects were divided into three groups according to their cognitive state: mild cognitive impairment (n=83, AD (n=81, cognitively unimpaired controls (n=83, based on clinical and neuropsychological data. The diagnostic accuracy of each test for discriminating between these diagnostic groups (mild cognitive impairment or AD vs. controls was examined with the aid of Receiver Operating Characteristic (ROC curves. Additionally, we evaluated the benefit of the combination of tests on diagnostic accuracy. RESULTS: Although they were accurate enough for the identification of Alzheimer's disease, neither test alone proved adequate for the correct separation of patients with mild cognitive impairment from healthy subjects. Combining these tests did not improve diagnostic accuracy, as compared to the Mini-Mental State Examination alone, in the identification of patients with mild cognitive impairment or Alzheimer's disease. CONCLUSIONS: The present data do not warrant the combined use of the Mini-Mental State Examination, the Verbal Fluency Test and the Clock Drawing Test as a sufficient diagnostic schedule in screening for mild cognitive impairment. The present data do not support the notion that the combination of test scores is better that the use of Mini-Mental State Examination scores alone in the screening for Alzheimer's disease.

  14. Evaluation of gastric tolerability, antinociceptive and antiinflammatory activity of combination NSAIDs in rats

    Directory of Open Access Journals (Sweden)

    Kalra Bhupinder

    2009-01-01

    Full Text Available Background : Non-steroidal antiinflammatory drugs (NSAIDs are one of the most commonly prescribed drugs in clinical practice. Presently, several varieties of fixed dose combinations (FDCs of NSAIDs are available over the counter and are being prescribed too. There is paucity of literature regarding comparative efficacy of these combinations against their individual component. Various clinical studies have documented increased incidence of gastric ulcerations with usage of more than one NSAID simultaneously. Objectives : To study gastric tolerability, antinociceptive and antiinflammatory activity of combination NSAIDs in rats. Materials and Methods : Gastric tolerability of different NSAIDs was observed after administration of drugs for 7 days orally. On 7 th day, 4 h after drug administration, rats were sacrificed and stomach mucosa was examined for ulcerations. Analgesic or antinociceptive activity of single and combination NSAIDs was evaluated using Writhing test model. For induction of writhing, 4% normal saline (hypertonic saline was injected (0.1 ml/10 gm intraperitoneally. Evaluation of antiinflammatory activity for FDCs of NSAIDs was done by using rat paw edema model with the aid of plethysmometer. Paw edema was induced by injecting 0.1 ml of 1% formalin in sub-planter region of hind paw. Results : Analgesic activity was found to be enhanced or significant only in the group pretreated with combination of nimesulide with ibuprofen as compared to ibuprofen-alone group (P = 0.01. Decrease in mean paw edema (antiinflammatory activity was not significant in rats pretreated with combination NSAIDs as compared to NSAID-alone group. Mean gastric ulcer index was significant in groups pretreated with diclofenac alone (P = 0.03 and in combination groups of nimesulide with diclofenac and ibuprofen with paracetamol as compared to control (P = 0.03, P = 0.007. Conclusion : Addition of ibuprofen to paracetamol and combining diclofenac to nimesulide

  15. Combining MLC and SVM Classifiers for Learning Based Decision Making: Analysis and Evaluations

    Directory of Open Access Journals (Sweden)

    Yi Zhang

    2015-01-01

    Full Text Available Maximum likelihood classifier (MLC and support vector machines (SVM are two commonly used approaches in machine learning. MLC is based on Bayesian theory in estimating parameters of a probabilistic model, whilst SVM is an optimization based nonparametric method in this context. Recently, it is found that SVM in some cases is equivalent to MLC in probabilistically modeling the learning process. In this paper, MLC and SVM are combined in learning and classification, which helps to yield probabilistic output for SVM and facilitate soft decision making. In total four groups of data are used for evaluations, covering sonar, vehicle, breast cancer, and DNA sequences. The data samples are characterized in terms of Gaussian/non-Gaussian distributed and balanced/unbalanced samples which are then further used for performance assessment in comparing the SVM and the combined SVM-MLC classifier. Interesting results are reported to indicate how the combined classifier may work under various conditions.

  16. Evaluation of Synergistic Antibacterial and Antioxidant Efficacy of Essential Oils of Spices and Herbs in Combination.

    Directory of Open Access Journals (Sweden)

    Anwesa Bag

    Full Text Available The present study was carried out to evaluate the possible synergistic interactions on antibacterial and antioxidant efficacy of essential oils of some selected spices and herbs [bay leaf, black pepper, coriander (seed and leaf, cumin, garlic, ginger, mustard, onion and turmeric] in combination. Antibacterial combination effect was evaluated against six important food-borne bacteria (Bacillus cereus, Listeria monocytogenes, Micrococcus luteus, Staphylococcus aureus, Escherichia coli and Salmonella typhimurium using microbroth dilution, checkerboard titration and time-kill methods. Antioxidant combination effect was assessed by DPPH free radical scavenging method. Total phenolic content was measured by Folin-Ciocalteu method. Bioactivity -guided fractionation of active essential oils for isolation of bioactive compounds was done using TLC-bioautography assay and chemical characterization (qualitative and quantitative of bioactive compounds was performed using DART-MS and HPLC analyses. Cytotoxic potential was evaluated by brine shrimp lethality assay as well as MTT assay using human normal colon cell line. Results showed that among the possible combinations tested only coriander/cumin seed oil combination showed synergistic interactions both in antibacterial (FICI : 0.25-0.50 and antioxidant (CI : 0.79 activities. A high positive correlation between total phenolic content and antibacterial activity against most of the studied bacteria (R2 = 0.688 - 0.917 as well as antioxidant capacity (R2 = 0.828 was also observed. TLC-bioautography-guided screening and subsequent combination studies revealed that two compounds corresponding to Rf values 0.35 from coriander seed oil and 0.53 from cumin seed oil exhibited both synergistic antibacterial and antioxidant activities. The bioactive compound corresponding to Rf 0.35 from coriander seed oil was identified as linalool (68.69% and the bioactive compound corresponding to Rf 0.53 from cumin seed oil was

  17. Evaluation of Synergistic Antibacterial and Antioxidant Efficacy of Essential Oils of Spices and Herbs in Combination.

    Science.gov (United States)

    Bag, Anwesa; Chattopadhyay, Rabi Ranjan

    2015-01-01

    The present study was carried out to evaluate the possible synergistic interactions on antibacterial and antioxidant efficacy of essential oils of some selected spices and herbs [bay leaf, black pepper, coriander (seed and leaf), cumin, garlic, ginger, mustard, onion and turmeric] in combination. Antibacterial combination effect was evaluated against six important food-borne bacteria (Bacillus cereus, Listeria monocytogenes, Micrococcus luteus, Staphylococcus aureus, Escherichia coli and Salmonella typhimurium) using microbroth dilution, checkerboard titration and time-kill methods. Antioxidant combination effect was assessed by DPPH free radical scavenging method. Total phenolic content was measured by Folin-Ciocalteu method. Bioactivity -guided fractionation of active essential oils for isolation of bioactive compounds was done using TLC-bioautography assay and chemical characterization (qualitative and quantitative) of bioactive compounds was performed using DART-MS and HPLC analyses. Cytotoxic potential was evaluated by brine shrimp lethality assay as well as MTT assay using human normal colon cell line. Results showed that among the possible combinations tested only coriander/cumin seed oil combination showed synergistic interactions both in antibacterial (FICI : 0.25-0.50) and antioxidant (CI : 0.79) activities. A high positive correlation between total phenolic content and antibacterial activity against most of the studied bacteria (R2 = 0.688 - 0.917) as well as antioxidant capacity (R2 = 0.828) was also observed. TLC-bioautography-guided screening and subsequent combination studies revealed that two compounds corresponding to Rf values 0.35 from coriander seed oil and 0.53 from cumin seed oil exhibited both synergistic antibacterial and antioxidant activities. The bioactive compound corresponding to Rf 0.35 from coriander seed oil was identified as linalool (68.69%) and the bioactive compound corresponding to Rf 0.53 from cumin seed oil was identified as p

  18. Evaluation of the combination effect of different antiviral compounds against HIV in vitro

    DEFF Research Database (Denmark)

    Sørensen, A M; Nielsen, C; Mathiesen, Lars Reinhardt

    1993-01-01

    by combining many evaluated antiviral agents with AZT. We observed a difference in the degree of synergism depending on the evaluated compound; the results indicate that compounds with the same target in the viral replicative cycle (ddI: 2',3'-dideoxyinosine, didanosine; d4T: 2',3'-dideoxy-2......',3'-didehydrothymidine stavodine; TIBO: tetrahydro-imidazole-benzodiazepin) had a synergistic effect at all concentrations, agents that disturb the infectivity of virus (CAS: Castanospermine; AME: Amphotericin B Methyl Ester) exerted a strong synergistic effect at low concentrations, and finally compounds interfering...

  19. The effect of combined avoidance and control training on implicit food evaluation and choice.

    Science.gov (United States)

    Kakoschke, Naomi; Kemps, Eva; Tiggemann, Marika

    2017-06-01

    Continual exposure to food cues in the environment contributes to unhealthy eating behaviour. According to dual-process models, such behaviour is partly determined by automatic processing of unhealthy food cues (e.g., approach bias), which fails to be regulated by controlled processing (e.g., inhibitory control). The current study aimed to investigate the effect of combined avoidance and control training on implicit evaluation (liking), choice, and consumption of unhealthy snack food. Participants were 240 undergraduate women who were randomly allocated to one of four experimental conditions of a 2 (avoidance training: training versus control) x 2 (control training: training versus control) between-subjects design. The combined training group had a more negative implicit evaluation of unhealthy food than either of the two training conditions alone or the control condition. In addition, participants trained to avoid unhealthy food cues subsequently made fewer unhealthy snack food choices. No significant group differences were found for food intake. Participants were women generally of a healthy weight. Overweight or obese individuals may derive greater benefit from combined training. Results lend support to the theoretical predictions of dual-process models, as the combined training reduced implicit liking of unhealthy food. At a practical level, the findings have implications for the effectiveness of interventions targeting unhealthy eating behaviour. Copyright © 2017 Elsevier Ltd. All rights reserved.

  20. Combined Versus Detailed Evaluation Components in Medical Student Global Rating Indexes

    Directory of Open Access Journals (Sweden)

    Kim L. Askew

    2015-11-01

    Full Text Available Introduction: To determine if there is any correlation between any of the 10 individual components of a global rating index on an emergency medicine (EM student clerkship evaluation form. If there is correlation, to determine if a weighted average of highly correlated components loses predictive value for the final clerkship grade. Methods: This study reviewed medical student evaluations collected over two years of a required fourth-year rotation in EM. Evaluation cards, comprised of a detailed 10-part evaluation, were completed after each shift. We used a correlation matrix between evaluation category average scores, using Spearman’s rho, to determine if there was any correlation of the grades between any of the 10 items on the evaluation form. Results: A total of 233 students completed the rotation over the two-year period of the study. There were strong correlations (>0.80 between assessment components of medical knowledge, history taking, physical exam, and differential diagnosis. There were also strong correlations between assessment components of team rapport, patient rapport, and motivation. When these highly correlated were combined to produce a four-component model, linear regression demonstrated similar predictive power in terms of final clerkship grade (R2 =0.71, CI95=0.65–0.77 and R2 =0.69, CI95=0.63–0.76 for the full and reduced models respectively. Conclusion: This study revealed that several components of the evaluation card had a high degree of correlation. Combining the correlated items, a reduced model containing four items (clinical skills, interpersonal skills, procedural skills, and documentation was as predictive of the student’s clinical grade as the full 10-item evaluation. Clerkship directors should be aware of the performance of their individual global rating scales when assessing medical student performance, especially if attempting to measure greater than four components.

  1. A Combined Method for Segmentation and Registration for an Advanced and Progressive Evaluation of Thermal Images

    OpenAIRE

    Barcelos, Emilio Z.; Walmir M. Caminhas; Eraldo Ribeiro; Pimenta, Eduardo M.; Palhares,Reinaldo M.

    2014-01-01

    In this paper, a method that combines image analysis techniques, such as segmentation and registration, is proposed for an advanced and progressive evaluation of thermograms. The method is applied for the prevention of muscle injury in high-performance athletes, in collaboration with a Brazilian professional soccer club. The goal is to produce information on spatio-temporal variations of thermograms favoring the investigation of the athletes’ conditions along the competition. The proposed met...

  2. Atorvastatin effect evaluation based on feature combination of three-dimension ultrasound images

    Science.gov (United States)

    Luo, Yongkang; Ding, Mingyue

    2016-03-01

    In the past decades, stroke has become the worldwide common cause of death and disability. It is well known that ischemic stroke is mainly caused by carotid atherosclerosis. As an inexpensive, convenient and fast means of detection, ultrasound technology is applied widely in the prevention and treatment of carotid atherosclerosis. Recently, many studies have focused on how to quantitatively evaluate local arterial effects of medicine treatment for carotid diseases. So the evaluation method based on feature combination was proposed to detect potential changes in the carotid arteries after atorvastatin treatment. And the support vector machine (SVM) and 10-fold cross-validation protocol were utilized on a database of 5533 carotid ultrasound images of 38 patients (17 atorvastatin groups and 21 placebo groups) at baseline and after 3 months of the treatment. With combination optimization of many features (including morphological and texture features), the evaluation results of single feature and different combined features were compared. The experimental results showed that the performance of single feature is poor and the best feature combination have good recognition ability, with the accuracy 92.81%, sensitivity 80.95%, specificity 95.52%, positive predictive value 80.47%, negative predictive value 95.65%, Matthew's correlation coefficient 76.27%, and Youden's index 76.48%. And the receiver operating characteristic (ROC) curve was also performed well with 0.9663 of the area under the ROC curve (AUC), which is better than all the features with 0.9423 of the AUC. Thus, it is proved that this novel method can reliably and accurately evaluate the effect of atorvastatin treatment.

  3. Análisis costo beneficio del Programa de Detección Oportuna del Cáncer Cervicouterino Cost benefit analysis of the Cervical Cancer Screening Program

    Directory of Open Access Journals (Sweden)

    PATRICIA HERNÁNDEZ-PEÑA

    1997-07-01

    Full Text Available Objetivo. Determinar el costo beneficio de la reorganización del Programa de Detección Oportuna del Cáncer Cervicouterino (PDOC mediante intervenciones de garantía de calidad. Material y métodos. Se siguieron tres etapas: a identificación y cuantificación de costos; b identificación y cuantificación de beneficios, y c evaluación económica del costo beneficio. Resultados. El costo unitario de operación por citología -obtención, fijación, el traslado al centro de lectura, su tinción e interpretación y la notificación de resultados- se estimó en USD$ 11.6. En conjunto, las intervenciones en calidad al PDOC elevarían el costo de cada citología en 32.7%. Sin embargo, la nueva organización generaría una razón beneficio/costo de 2 y un beneficio neto de 88 millones de dólares para los próximos cinco años. Conclusiones. La operación del programa propuesto resulta socialmente deseable, siempre y cuando las modificaciones se lleven a cabo, particularmente la capacitación, la notificación personalizada de los casos positivos, el incremento de cobertura, la introducción de mecanismos de control de calidad, el monitoreo contínuo y el tratamiento en mujeres con anormalidades detectadas.Objective. Previous researches pointed out the critical changes needed to increase the efficiency of the National Screening Programme of Cervical Cancer in Mexico. These changes were assessed through a cost-benefit analysis. This paper presents the results of that appraisal. Figures are presented as USDollars of 1996 valued as 7.5 pesos for each dollar. Results. The operational unitary cost of the integral process of the cytology –the obtention of the Pap smear, its transportation to the interpretation centre, its analysis, and the notification of results to users– was estimated in US$ 11.6. If the proposed changes are operated, the cost of each citology would increase by 32.7%. The benefit/cost ratio would be 2 and the net benefit of 88

  4. Novel model of direct and indirect cost-benefit analysis of mechanical embolectomy over IV tPA for large vessel occlusions: a real-world dollar analysis based on improvements in mRS.

    Science.gov (United States)

    Mangla, Sundeep; O'Connell, Keara; Kumari, Divya; Shahrzad, Maryam

    2016-01-20

    Ischemic strokes result in significant healthcare expenditures (direct costs) and loss of quality-adjusted life years (QALYs) (indirect costs). Interventional therapy has demonstrated improved functional outcomes in patients with large vessel occlusions (LVOs), which are likely to reduce the economic burden of strokes. To develop a novel real-world dollar model to assess the direct and indirect cost-benefit of mechanical embolectomy compared with medical treatment with intravenous tissue plasminogen activator (IV tPA) based on shifts in modified Rankin scores (mRS). A cost model was developed including multiple parameters to account for both direct and indirect stroke costs. These were adjusted based upon functional outcome (mRS). The model compared IV tPA with mechanical embolectomy to assess the costs and benefits of both therapies. Direct stroke-related costs included hospitalization, inpatient and outpatient rehabilitation, home care, skilled nursing facilities, and long-term care facility costs. Indirect costs included years of life expectancy lost and lost QALYs. Values for the model cost parameters were derived from numerous resources and functional outcomes were derived from the MR CLEAN study as a reflective sample of LVOs. Direct and indirect costs and benefits for the two treatments were assessed using Microsoft Excel 2013. This cost-benefit model found a cost-benefit of mechanical embolectomy over IV tPA of $163 624.27 per patient and the cost benefit for 50 000 patients on an annual basis is $8 181 213 653.77. If applied widely within the USA, mechanical embolectomy will significantly reduce the direct and indirect financial burden of stroke ($8 billion/50 000 patients). Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  5. Análisis "coste-beneficio" y "coste-eficiencia" de la Huella Hídrica en España/Cost-benefit and cost-efficiency analysis of the water footprint in Spain

    National Research Council Canada - National Science Library

    José Antonio Sotelo Navalpotro; María Sotelo Pérez; Fernando García Quiroga

    2011-01-01

    ..." en la valoración de la Huella Hídrica de e spaña. Palabras clave: Indicadores, desarrollo sustentable, desarrollo económico regional, Huella Hídrica, españa, Coste-Beneficio. Cost-benefit and cost-efficiency analysis of the water footprint in Spain ABSTRACT We are increasingly needing ways to secure patterns of development that be sustainable, t...

  6. Economic Evaluation of Complementary and Alternative Medicine in Oncology: Is There a Difference Compared to Conventional Medicine?

    Science.gov (United States)

    Huebner, Jutta; Prott, Franz J; Muecke, Ralph; Stoll, Christoph; Buentzel, Jens; Muenstedt, Karsten; Micke, Oliver

    2017-01-01

    To analyze the financial burden of complementary and alternative medicine (CAM) in cancer treatment. Based on a systematic search of the literature (Medline and the Cochrane Library, combining the MeSH terms 'complementary therapies', 'neoplasms', 'costs', 'cost analysis', and 'cost-benefit analysis'), an expert panel discussed different types of analyses and their significance for CAM in oncology. Of 755 publications, 43 met our criteria. The types of economic analyses and their parameters discussed for CAM in oncology were cost, cost-benefit, cost-effectiveness, and cost-utility analyses. Only a few articles included arguments in favor of or against these different methods, and only a few arguments were specific for CAM because most CAM methods address a broad range of treatment aim parameters to assess effectiveness and are hard to define. Additionally, the choice of comparative treatments is difficult. To evaluate utility, healthy subjects may not be adequate as patients with a life-threatening disease and may be judged differently, especially with respect to a holistic treatment approach. We did not find any arguments in the literature that were directed at the economic analysis of CAM in oncology. Therefore, a comprehensive approach assessment based on criteria from evidence-based medicine evaluating direct and indirect costs is recommended. The usual approaches to conventional medicine to assess costs, benefits, and effectiveness seem adequate in the field of CAM in oncology. Additionally, a thorough deliberation on the comparator, endpoints, and instruments is mandatory for designing studies. © 2016 S. Karger AG, Basel.

  7. Application of Boston matrix combined with SWOT analysis on operational development and evaluations of hospital development.

    Science.gov (United States)

    Tao, Z-Q; Shi, A-M

    2016-05-01

    The aim of this study is to explore the application of Boston matrix combined with SWOT analysis on operational development and evaluations of hospital departments. We selected 73 clinical and medical technology departments of our hospital from 2011 to 2013, and evaluated our hospital by Boston matrix combined with SWOT analysis according to the volume of services, medical quality, work efficiency, patients' evaluations, development capacity, operational capability, economic benefits, comprehensive evaluation of hospital achievement, innovation ability of hospital, influence of hospital, human resources of hospital, health insurance costs, etc. It was found that among clinical departments, there were 11 in Stars (22.4%), 17 in cash cow (34.7%), 15 in question marks (31.2%), 6 Dogs (12.2%), 16 in the youth stage of life cycle assessment (27.6%), 14 in the prime stage (24.1%), 12 in the stationary stage (20.7%), 9 in the aristocracy stage (15.5%) and 7 in the recession stage (12.1%). Among medical technology departments, there were 5 in Stars (20.8%), 1 in Cash cow (4.2%), 10 in question marks (41.6%), 8 Dogs (29.1%), 9 in the youth stage of life cycle assessment (37.5%), 4 in the prime stage (16.7%), 4 in the stable stage (16.7%), 1 in the aristocracy stage (4.2%) and 6 in the recession stage (25%). In conclusion, Boston matrix combined with SWOT analysis is suitable for operational development and comprehensive evaluations of hospital development, and it plays an important role in providing hospitals with development strategies.

  8. System Reliability Evaluation Based on Convex Combination Considering Operation and Maintenance Strategy

    Directory of Open Access Journals (Sweden)

    Lijie Li

    2015-01-01

    Full Text Available The approaches to the system reliability evaluation with respect to the cases, where the components are independent or the components have interactive relationships within the system, were proposed in this paper. Starting from the higher requirements on system operational safety and economy, the reliability focused optimal models of multiobjective maintenance strategies were built. For safety-critical systems, the pessimistic maintenance strategies are usually taken, and, in these cases, the system reliability evaluation has also to be tackled pessimistically. For safety-uncritical systems, the optimistic maintenance strategies were usually taken, and, in these circumstances, the system reliability evaluation had also to be tackled optimistically, respectively. Besides, the reasonable maintenance strategies and their corresponding reliability evaluation can be obtained through the convex combination of the above two cases. With a high-speed train system as the example background, the proposed method is verified by combining the actual failure data with the maintenance data. Results demonstrate that the proposed study can provide a new system reliability calculation method and solution to select and optimize the multiobjective operational strategies with the considerations of system safety and economical requirements. The theoretical basis is also provided for scientifically estimating the reliability of a high-speed train system and formulating reasonable maintenance strategies.

  9. Combining ability of maize inbred lines evaluated in three environments in Brazil

    Directory of Open Access Journals (Sweden)

    Nass Luciano Lourenço

    2000-01-01

    Full Text Available For tropical areas like Brazil, genotype x environment interaction is an important source of variation. Our objectives were to examine the combining abilities and their interaction with environments in ten selected maize (Zea mays L. inbred lines in diallel crosses and to identify candidates for promising hybrid combinations. Crosses and checks were evaluated through a 7 x 7 triple lattice design at three locations during the 1984/85 season. Several agronomic traits were evaluated, but here only data on ear yield are discussed. Yield data were adjusted for stand variation (correction to 50 plants per plot and grain moisture (15.5%. Data for ear yield were analysed using an adaptation of Griffing?s method IV for complete diallel crosses, and experiments were repeated in several environments. The means of the crosses over all environments ranged from 6.6 t/ha to 10.3 t/ha. The combining ability analysis of diallel data across environments showed highly significant (P<0.01 effects for environment, general combining ability (GCA, specific combining ability (SCA, and GCA x environment interaction. The SCA x environment interaction was not significant. Results showed that both GCA and SCA were important for this diallel cross. Considering the 13 hybrids that showed higher yields than the commercial hybrid controls, contributions by GCA and SCA effects were 56% and 44%, respectively. On the other hand, selecting only the best five hybrids, SCA effects were always more important than GCA effects for each environment and over all environments.

  10. Cytotoxic and genotoxic potential of liquid synthetic food flavorings evaluated alone and in combination

    Directory of Open Access Journals (Sweden)

    Gleuvânia Santana Marques

    2015-03-01

    Full Text Available This study aimed to evaluate the cytotoxic and genotoxic potential of food flavorings (Strawberry, Condensed Milk and Chocolate on Allium cepa meristematic root cells, with exposure times of 24 and 48 hours. Cytotoxic and mutagenic potential were evaluated separately at doses of 0.2, 0.4 and 0.6 ml and in combination, in which for each dose, the same dose of one other flavoring was combined. The results were analyzed by the Chi-square test (p <0.05. The Strawberry flavor in both exposure times and the three studied doses, the Condensed Milk at 0.6 ml in the 48 hour exposure time, the Chocolate flavor at 0.4 ml, exposure time of 48 hours, and at 0.6 ml, in both exposure times and all treatments with combined doses, significantly reduced the cell division rate, proving to be cytotoxic. No treatment resulted in a significant number of cellular aberrations in A. cepa cells, therefore, the flavorings, under the conditions studied, were non- mutagenic.

  11. Evaluation on Conventional Antihypertension Use a nd Natural-Conventional Combination on Patient with Hypertension

    Directory of Open Access Journals (Sweden)

    Sefni Gusmira

    2012-12-01

    Full Text Available The proportion of hypertensive disease in Depok city was 57.4% in 2002. Primary health centers had given antihypertensive medication. In addition to the drugs commonly given by a doctor (conventional, many patients took medicinal plants (natural medicine. This study aimed to evaluate the effects of combination therapy of convensional-herbal on blood pressure in hypertensive patients in five primary health centers in Depok. This retrospective cohort study used samples of hypertension patients who came to primary health centers. Patients who were willing to join the study were 123 patients and grouped in to conventional therapy group (74 people and combination of conventional-herbal therapy group (49 people. The majority of hypertensive patients who came to the health centers area of Depok were women, aged 50-59 years old, married, came from ethnic Betawi, less educated, unemployed/housewives, low income and suffering from hypertension stage II. Combination therapy of convensional-herbal hadbetter effect on diastolic and convensional therapy had better effect on systolic. However, no significant difference between them (p>0.05. The continuity of treatment affected systolic blood pressure (p<0.05. This study showed that had not seen clearly influence of herbal that is used combination with conventional drugs in lowering blood pressure.

  12. Evaluating use of higher dose oxybutynin in combination with desmopressin for refractory nocturnal enuresis.

    Science.gov (United States)

    Berkenwald, Aaron; Pires, Jacqueline; Ellsworth, Pamela

    2016-08-01

    Nocturnal enuresis is a common pediatric condition with limited treatment options. In older children, pharmacologic therapy is often the preferred treatment. Pharmacologic therapies including desmopressin (DDAVP) or imipramine are effective in 40-50% of children. However, imipramine has serious safety concerns. Desmopressin in combination with a fixed dose anticholinergic has been shown to be useful in individuals who fail desmopressin monotherapy, but still fails to achieve success rates greater than 60%. The goal was to explore the efficacy and safety of using combination therapy desmopressin plus oxybutynin with increasing dose of oxybutynin in patients refractory to standard combination therapy. This was a single institution, IRB-approved, retrospective chart review of 61 patients (ages 7-18 years) including those with monosymptomatic primary nocturnal enuresis and non-monosymptomatic enuresis with controlled daytime voiding symptoms (CDVS) treated initially with desmopressin. All patients who failed initial therapy with desmopressin were started on combination therapy desmopressin (0.6 mg) plus standard dose (5 mg) oxybutynin. In patients who failed standard combination therapy, the dose of oxybutynin was titrated upwards until a response or the maximum dose of 10 mg was achieved. Demographic and medical history data were evaluated to determine predictive factors associated with response/failure to different therapy groups. The use of escalating doses of oxybutynin in combination with desmopressin achieved an overall response rate of 96.7% defined as a 2-week period without any enuretic events following initiation of treatment. Low-dose combination therapy (LDCT) (0.6 mg of desmopressin+5 mg of oxybutynin) had a response rate of 68% (Table). Advanced dose combination therapy (ADCT) (0.6 mg of desmopressin+7.5-10 mg of oxybutynin) had a response rate of 75.0%. A statistically significant relationship was found correlating both attention deficit disorder

  13. [Evaluation of labial surface root filling combined with porcelain dental restoration].

    Science.gov (United States)

    Liu, Yuan-qiao; Huang, Zhi-hua; Hu, Huan-yu

    2015-04-01

    To analyze the effect of porcelain dental restoration combined with labial surface root filling for the anterior teeth. One hundred cases with anterior teeth protrusion treated in our department from January 2010 to January 2014 underwent porcelain dental restoration combined with labial surface root filling. The measurements in cephalometric X-ray films before and after treatment were compared, and porcelain dental appearance and function were evaluated. The data was statistically analyzed with SPSS18.0 software package. After treatment, U1-SN, U1-X, U1-Y were significantly lower than before treatment (Pporcelain teeth after treatment, correction of protruding anterior teeth, fitting with adjacent teeth and alleviation of deep overbite and deep cover was 96.00%, 95.00%, 98.00% and 91.00%, respectively. Porcelain dental restoration after root canal treatment can effectively improve anterior teeth protrusion and increase the aesthetic appearance, which is worthy of clinical application.

  14. Evaluation of combining ability in white corn for special use as corn grits

    Directory of Open Access Journals (Sweden)

    Lucas Souto Bignotto

    2015-12-01

    Full Text Available To assess the genetic potential of white corn for corn grits, 28 hybrids resulting from diallel crosses of eight parents, including parents and S1 generations, were evaluated. The combining abilities and levels of heterosis and inbreeding depression were estimated. The parents used were the main white maize hybrids of the Brazilian germplasm. The combinations HT 9332 x HT 392, IAC Nelore x HT 9332, IAC Nelore x HT 932, and IPR 119 x IAC Nelore are promising for reciprocal recurrent selection programs targeting higher grain yield. Hybrid IPR 127 was indicated as a source of industrial lines with favorable traits for dry-rolled corn production. Hybrid IAC Nelore had the lowest estimate of inbreeding depression and was recommended for the breeding of lines and participation in higher-yielding hybrids and composites.

  15. Evaluation of herbicide combinations for livid amaranth (Amaranthus blitum) control in tuberous begonia (Begonia x tuberhybrida).

    Science.gov (United States)

    Vissers, M; van Labeke, M C

    2004-01-01

    In the past years livid amaranth (Amaranthus blitum) is observed increasingly in begonia production fields. Control of weeds in begonia is generally done by a combined application of the soil herbicides isoxaben + simazin followed 10 days later by application of the contact herbicide bentazone. This treatment usually controls the weed population sufficiently with exception of amaranth. In 2003 a field trial was conducted to evaluate control of livid amaranth in tuberous begonia with isoxaben, simazin. S-metolachloor, phenmedipham + desmedipham and bentazone. These herbicides were used as combinations of soil treatment and contact herbicides. The results suggest that a soil treatment of isoxaben + S-metolachloor significantly reduces livid amaranth compared to isoxaben + simazin, without a pronounced negative effect on tuber yield. Application of phenmedipham + desmedipham however did not improve control of livid amaranth compared to bentazone.

  16. Techno-economic evaluation of a combined bioprocess for fermentative hydrogen production from food waste.

    Science.gov (United States)

    Han, Wei; Fang, Jun; Liu, Zhixiang; Tang, Junhong

    2016-02-01

    In this study, the techno-economic evaluation of a combined bioprocess based on solid state fermentation for fermentative hydrogen production from food waste was carried out. The hydrogen production plant was assumed to be built in Hangzhou and designed for converting 3 ton food waste per day into hydrogen. The total capital cost (TCC) and the annual production cost (APC) were US$583092 and US$88298.1/year, respectively. The overall revenue after the tax was US$146473.6/year. The return on investment (ROI), payback period (PBP) and internal rate of return (IRR) of the plant were 26.75%, 5 years and 24.07%, respectively. The results exhibited that the combined bioprocess for hydrogen production from food waste was feasible. This is an important study for attracting investment and industrialization interest for hydrogen production from food waste in the industrial scale. Copyright © 2015 Elsevier Ltd. All rights reserved.

  17. Minimum number and best combinations of harvests to evaluate accessions of tomato plants from germplasm banks

    Directory of Open Access Journals (Sweden)

    Flávia Barbosa Abreu

    2006-01-01

    Full Text Available This study presents the minimum number and the best combination of tomato harvests needed to compare tomato accessions from germplasm banks. Number and weight of fruit in tomato plants are important as auxiliary traits in the evaluation of germplasm banks and should be studied simultaneously with other desirable characteristics such as pest and disease resistance, improved flavor and early production. Brazilian tomato breeding programs should consider not only the number of fruit but also fruit size because Brazilian consumers value fruit that are homogeneous, large and heavy. Our experiment was a randomized block design with three replicates of 32 tomato accessions from the Vegetable Germplasm Bank (Banco de Germoplasma de Hortaliças at the Federal University of Viçosa, Minas Gerais, Brazil plus two control cultivars (Debora Plus and Santa Clara. Nine harvests were evaluated for four production-related traits. The results indicate that six successive harvests are sufficient to compare tomato genotypes and germplasm bank accessions. Evaluation of genotypes according to the number of fruit requires analysis from the second to the seventh harvest. Evaluation of fruit weight by genotype requires analysis from the fourth to the ninth harvest. Evaluation of both number and weight of fruit require analysis from the second to the ninth harvest.

  18. An approach using multi-factor combination to evaluate high rocky slope safety

    Science.gov (United States)

    Su, Huaizhi; Yang, Meng; Wen, Zhiping

    2016-06-01

    A high rocky slope is an open complex giant system for which there is contradiction among different influencing factors and coexistence of qualitative and quantitative information. This study presents a comprehensive intelligent evaluation method of high rocky slope safety through an integrated analytic hierarchy process, extension matter element model and entropy weight to assess the safety behavior of the high rocky slope. The proposed intelligent evaluation integrates subjective judgments derived from the analytic hierarchy process with the extension matter model and entropy weight into a multiple indexes dynamic safety evaluation approach. A combined subjective and objective comprehensive evaluation process, a more objective study, through avoiding subjective effects on the weights, and a qualitative safety assessment and quantitative safety amount are presented in the proposed method. The detailed computational procedures were also provided to illustrate the integration process of the above methods. Safety analysis of one high rocky slope is conducted to illustrate that this approach can adequately handle the inherent imprecision and contradiction of the human decision-making process and provide the flexibility and robustness needed for the decision maker to better monitor the safety status of a high rocky slope. This study was the first application of the proposed integrated evaluation method in the safety assessment of a high rocky slope. The study also indicated that it can also be applied to other similar problems.

  19. Safety evaluation in the development of medical devices and combination products

    CERN Document Server

    Gad, Shayne C

    2008-01-01

    Capturing the growth of the global medical device market in recent years, this practical new guide is essential for all who are responsible for ensuring safety in the use and manufacture of medical devices. It has been extensively updated to reflect significant advances, incorporating combination products and helpful case examples of current real-life problems in the field.The Third Edition explores these key current trends:global device marketscontinually advancing technologythe increasing harmonization of device safety regulation worldwideEach aspect of safety evaluation is considered in ter

  20. Subjective evaluation of different ventilation concepts combined with radiant heating and cooling

    DEFF Research Database (Denmark)

    Krajcik, Michal; Tomasi, Roberta; Simone, Angela

    2012-01-01

    Sixteen subjects evaluated the indoor environment in four experiments with different combinations of ventilation and radiant heating/cooling systems. Two test setups simulated a room in a low energy building with a single occupant during winter. The room was equipped either by a ventilation system...... with displacement ventilation. Vertical air temperature distribution was more uniform for floor heating than for warm air heating, but there was no significant difference in thermal perception between the two mixing ventilation systems. For the summer conditions the subjects voted warmer than predicted by the PMV...

  1. A Combined Method for Segmentation and Registration for an Advanced and Progressive Evaluation of Thermal Images

    Directory of Open Access Journals (Sweden)

    Emilio Z. Barcelos

    2014-11-01

    Full Text Available In this paper, a method that combines image analysis techniques, such as segmentation and registration, is proposed for an advanced and progressive evaluation of thermograms. The method is applied for the prevention of muscle injury in high-performance athletes, in collaboration with a Brazilian professional soccer club. The goal is to produce information on spatio-temporal variations of thermograms favoring the investigation of the athletes’ conditions along the competition. The proposed method improves on current practice by providing a means for automatically detecting adaptive body-shaped regions of interest, instead of the manual selection of simple shapes. Specifically, our approach combines the optimization features in Otsu’s method with a correction factor and post-processing techniques, enhancing thermal-image segmentation when compared to other methods. Additional contributions resulting from the combination of the segmentation and registration steps of our approach are the progressive analyses of thermograms in a unique spatial coordinate system and the accurate extraction of measurements and isotherms.

  2. Bioelectro-Fenton: evaluation of a combined biological-advanced oxidation treatment for pharmaceutical wastewater.

    Science.gov (United States)

    Ganzenko, Oleksandra; Trellu, Clement; Papirio, Stefano; Oturan, Nihal; Huguenot, David; van Hullebusch, Eric D; Esposito, Giovanni; Oturan, Mehmet A

    2017-01-31

    Electro-Fenton (EF), an advanced oxidation process, can be combined with a biological process for efficient treatment of wastewater containing refractory pollutants such as pharmaceuticals. In this study, a biological process was implemented in a sequencing batch reactor (SBR), which was either preceded or followed by EF treatment. The main goal was to evaluate the potential of two sequences of a combined electrochemical-biological process: EF/SBR and SBR/EF for the treatment of real wastewater spiked with 0.1 mM of caffeine and 5-fluorouracil. The biological removal of COD and pharmaceuticals was improved by extending the acclimation time and increasing concentration of biomass in the SBR. Hardly biodegradable caffeine and COD were completely removed during the EF post-treatment (SBR/EF). During the EF/SBR sequence, complete removal of pharmaceuticals was achieved by EF within 30 min at applied current 800 mA. With a current of 500 and 800 mA, the initially very low BOD5/COD ratio increased up to 0.38 and 0.58, respectively, after 30 min. The efficiency of the biological post-treatment was influenced by the biodegradability enhancement after EF pre-treatment. The choice of an adequate sequence of such a combined process is significantly related to the wastewater characteristics as well as the treatment objectives.

  3. Evaluation of combined dynamic compression and single channel noise reduction for hearing aid applications.

    Science.gov (United States)

    Kortlang, Steffen; Chen, Zhangli; Gerkmann, Timo; Kollmeier, Birger; Hohmann, Volker; Ewert, Stephan D

    2017-03-30

    Single-channel noise reduction (SCNR) and dynamic range compression (DRC) are important elements in hearing aids. Only relatively few studies have addressed interaction effects and typically used real hearing aids with limited knowledge about the integrated algorithms. Here the potential benefit of different combinations and integration of SCNR and DRC was systematically assessed. Ten different systems combining SCNR and DRC were implemented, including five serial arrangements, a parallel and two multiplicative approaches. In an instrumental evaluation, signal-to-noise ratio (SNR) improvement and spectral contrast enhancement (SCE) were assessed. Quality ratings at 0 and +6 dB SNR, and speech reception thresholds (SRTs) in noise were measured using stationary and babble noise. Thirteen young normal-hearing (NH) listeners and 12 hearing-impaired (HI) listeners participated. In line with an increased segmental SNR and spectral contrast compared to a serial concatenation, the parallel approach significantly reduced the perceived noise annoyance for both subject groups. The proposed multiplicative approaches could partly counteract increased speech distortions introduced by DRC and achieved the best overall quality for the HI listeners. For high SNRs well above the individual SRT, the specific combination of SCNR and DRC is perceptually relevant and the integrative approaches were preferred.

  4. Aggregate emissions and evaluation of process combinations; Aggregierte Emissionen und Bewertung der Verfahrenskombinationen

    Energy Technology Data Exchange (ETDEWEB)

    Schwing, E.; Jager, J. [Institut WAR, Darmstadt (Germany). Fachgruppe Abfalltechnik

    1998-12-31

    Within the framework of the R and D project ``Mechanical-biological waste conditoning in combination with thermal processing of partial waste fractions``, numerous measurements to determine gaseous and liquid emissions were carried out. These measurements reveal the environmental impact of different treatments and different inputs. They further permit to verify the quality of a treatment. Particularly interesting for the purpose of the project were the total emissions of the considered process combinations. The paper reports the outcome of emission measurements and indicates the variants of process combinations for which the emissions were aggregated. First results of the evaluation of gaseous and liquid emissions are given for these variants. (orig.) [Deutsch] Im Zuge des Forschungs- und Entwicklungsvorhabens `Mechanisch-biologische Restmuellbehandlung unter Einbindung thermischer Verfahren fuer Teilfraktionen` sind zahlreiche Emissionsmessungen bezueglich der luft- und wasserseitigen Emissionen durchgefuehrt worden. Die Ergebnisse dieser Messungen geben Aufschluss ueber die Umweltauswirkungen der verschiedenen Behandlungsverfahren bei unterschiedlichem Input. Des weiteren kann durch sie die Guete des Prozesses ueberprueft werden. Im Projekt interessant sind aber insbesondere die Gesamtemissionen der betrachteten Verfahrenskombinationen. Im folgenden werden die durchgefuehrten Emissionsmessungen und die Varianten der Verfahrenskombinationen, fuer die die Emissionen aggregiert wurden, dargestellt. Dnach werden erste Ergebnisse der Bewertung der luft- und wasserseitigen Emissionen fuer diese Varianten praesentiert. (orig.)

  5. A combined method for segmentation and registration for an advanced and progressive evaluation of thermal images.

    Science.gov (United States)

    Barcelos, Emilio Z; Caminhas, Walmir M; Ribeiro, Eraldo; Pimenta, Eduardo M; Palhares, Reinaldo M

    2014-11-19

    In this paper, a method that combines image analysis techniques, such as segmentation and registration, is proposed for an advanced and progressive evaluation of thermograms. The method is applied for the prevention of muscle injury in high-performance athletes, in collaboration with a Brazilian professional soccer club. The goal is to produce information on spatio-temporal variations of thermograms favoring the investigation of the athletes' conditions along the competition. The proposed method improves on current practice by providing a means for automatically detecting adaptive body-shaped regions of interest, instead of the manual selection of simple shapes. Specifically, our approach combines the optimization features in Otsu's method with a correction factor and post-processing techniques, enhancing thermal-image segmentation when compared to other methods. Additional contributions resulting from the combination of the segmentation and registration steps of our approach are the progressive analyses of thermograms in a unique spatial coordinate system and the accurate extraction of measurements and isotherms.

  6. A randomized clinical trial evaluating a combined alcohol intervention for high-risk college students.

    Science.gov (United States)

    Turrisi, Rob; Larimer, Mary E; Mallett, Kimberly A; Kilmer, Jason R; Ray, Anne E; Mastroleo, Nadine R; Geisner, Irene Markman; Grossbard, Joel; Tollison, Sean; Lostutter, Ty W; Montoya, Heidi

    2009-07-01

    The current study is a multisite randomized alcohol prevention trial to evaluate the efficacy of both a parenting handbook intervention and the Brief Alcohol Screening and Intervention for College Students (BASICS) intervention, alone and in combination, in reducing alcohol use and consequences among a high-risk population of matriculating college students (i.e., former high school athletes). Students (n = 1,275) completed a series of Web-administered measures at baseline (in the summer before starting college) and follow-up (after 10 months). Students were randomized to one of four conditions: parent intervention only, BASICS only, combined (parent and BASICS), and assessment-only control. Intervention efficacy was tested on a number of outcome measures, including peak blood alcohol concentration, weekly and weekend drinking, and negative consequences. Hypothesized mediators and moderators of intervention effect were tested. The overall results revealed that the combined-intervention group had significantly lower alcohol consumption, high-risk drinking, and consequences at 10-month follow-up, compared with the control group, with changes in descriptive and injunctive peer norms mediating intervention effects. The findings of the present study suggest that the parent intervention delivered to students before they begin college serves to enhance the efficacy of the BASICS intervention, potentially priming students to respond to the subsequent BASICS session.

  7. Design and Evaluation of Composite Fuselage Panels Subjected to Combined Loading Conditions

    Science.gov (United States)

    Ambur, Damodar R.; Rouse, Marshall

    1998-01-01

    Methodologies used in industry for designing transport aircraft composite fuselage structures are discussed. Several aspects of the design methodologies are based on assumptions from metallic fuselage technology which requires that full-scale structures be tested with the actual loading conditions to validate the designs. Composite panels which represent crown and side regions of a fuselage structure are designed using this approach and tested in biaxial tension. Descriptions of the state-of-the-art test facilities used for this structural evaluation are presented. These facilities include a pressure-box test machine and a D-box test fixture in a combined loads test machine which are part of a Combined Loads Test System (COLTS). Nonlinear analysis results for a reference shell and a stiffened composite panel tested in the pressure-box test machine with and without damage are presented. The analytical and test results are compared to assess the ability of the pressure-box test machine to simulate a shell stress state with and without damage. A combined loads test machine for testing aircraft primary structures is described. This test machine includes a D-box test fixture to accommodate curved stiffened panels and the design features of this test fixture are presented. Finite element analysis results for a curved panel to be tested in the D-box test fixture are also discussed.

  8. Using Economic Methods Evaluatively

    Science.gov (United States)

    King, Julian

    2017-01-01

    As evaluators, we are often asked to determine whether policies and programs provide value for the resources invested. Addressing that question can be a quandary, and, in some cases, evaluators question whether cost-benefit analysis is fit for this purpose. With increased interest globally in social enterprise, impact investing, and social impact…

  9. Stochastic Multicriteria Acceptability Analysis for Evaluation of Combined Heat and Power Units

    Directory of Open Access Journals (Sweden)

    Haichao Wang

    2014-12-01

    Full Text Available Combined heat and power (CHP is a promising technology that can contribute to energy efficiency and environmental protection. More CHP-based energy systems are planned for the future. This makes the evaluation and selection of CHP systems very important. In this paper, 16 CHP units representing different technologies are taken into account for multicriteria evaluation with respect to the end users’ requirements. These CHP technologies cover a wide range of power outputs and fuel types. They are evaluated from the energy, economy and environment (3E points of view, specifically including the criteria of efficiency, investment cost, electricity cost, heat cost, CO2 production and footprint. Uncertainties and imprecision are common both in criteria measurements and weights, therefore the stochastic multicriteria acceptability analysis (SMAA model is used in aiding this decision making problem. These uncertainties are treated better using a probability distribution function and Monte Carlo simulation in the model. Moreover, the idea of “feasible weight space (FWS” which represents the union of all preference information from decision makers (DMs is proposed. A complementary judgment matrix (CJM is introduced to determine the FWS. It can be found that the idea of FWS plus CJM is well compatible with SMAA and thus make the evaluation reliable.

  10. Evaluation of cytotoxic effect of photodynamic therapy in combination with electroporation in vitro

    DEFF Research Database (Denmark)

    Labanauskiene, J; Gehl, J; Didziapetriene, J

    2007-01-01

    . Thus, the aim of study was to evaluate the cytotoxic effect of PDT in combination with EP. A Chinese hamster lung fibroblast cell line (DC-3F) was used. The cells were affected by photosensitizers chlorin e(6) (C e(6)) at the dose of 10 mug/ml and aluminium phthalocyanine tetrasulfonate (AlPcS4...... tumor therapy (PDT)--the cancer treatment method based on the use of photosensitizers that localize selectively in malignant tumors and become cytotoxic when exposed to light, and EP, with the aim to enhance the delivery of photosensitizers into the tumor and therefore to increase the efficacy of PDT...... 14, emitted light from 660 nm). The fluence rate at the level of the cells was 3 mW/m(2). Cytotoxic effect on cells viability was evaluated using MTT assay. Our in vitro data showed that the cytotoxicity of PDT in combination with EP increases fourfold on the average. Based on the results we suggest...

  11. Reliability Evaluation of a Distribution Network with Microgrid Based on a Combined Power Generation System

    Directory of Open Access Journals (Sweden)

    Hao Bai

    2015-02-01

    Full Text Available Distributed generation (DG, battery storage (BS and electric vehicles (EVs in a microgrid constitute the combined power generation system (CPGS. A CPGS can be applied to achieve a reliable evaluation of a distribution network with microgrids. To model charging load and discharging capacity, respectively, the EVs in a CPGS can be divided into regular EVs and ruleless EVs, according to their driving behavior. Based on statistical data of gasoline-fueled vehicles and the probability distribution of charging start instant and charging time, a statistical model can be built to describe the charging load and discharging capacity of ruleless EVs. The charge and discharge curves of regular EVs can also be drawn on the basis of a daily dispatch table. The CPGS takes the charge and discharge curves of EVs, daily load and DG power generation into consideration to calculate its power supply time during islanding. Combined with fault duration, the power supply time during islanding will be used to analyze and determine the interruption times and interruption duration of loads in islands. Then the Sequential Monte Carlo method is applied to complete the reliability evaluation of the distribution system. The RBTS Bus 4 test system is utilized to illustrate the proposed technique. The effects on the system reliability of BS capacity and V2G technology, driving behavior, recharging mode and penetration of EVs are all investigated.

  12. A comprehensive method for the fracability evaluation of shale combined with brittleness and stress sensitivity

    Science.gov (United States)

    Wang, Xiaoqiong; Ge, Hongkui; Wang, Daobing; Wang, Jianbo; Chen, Hao

    2017-12-01

    An effective fracability evaluation on the fracture network is key to the whole process of shale gas exploitation. At present, neither a standard criteria nor a generally accepted evaluation method exist. Well log and laboratory results have shown that the commonly used brittleness index calculated from the mineralogy composition is not entirely consistent with that obtained from the elastic modulus of the rock, and is sometimes even contradictory. The brittle mineral reflects the brittleness of the rock matrix, and the stress sensitivity of the wave velocity reflects the development degree of the natural fracture system. They are both key factors in controlling the propagating fracture morphology. Thus, in this study, a novel fracability evaluation method of shale was developed combining brittleness and stress sensitivity. Based on this method, the fracability of three shale gas plays were evaluated. The cored cylindrical samples were loaded under uniaxial stress up to 30 MPa and the compressional wave velocities were obtained along the axis stress direction at each MPa stress. From the stress velocity evolution, the stress sensitivity coefficients could be obtained. Our results showed that the fracability of Niutitang shale is better than that of Lujiaping shale, and the fracability of Lujiaping shale is better than Longmaxi shale. This result is in good agreement with acoustic emission activity measurements. The new fracability evaluation method enables a comprehensive reflection of the characteristics of rock matrix brittleness and the natural fracture system. This work is valuable for the evaluation of hydraulic fracturing effects in unconventional oil and gas reservoirs in the future.

  13. Evaluation of forensic DNA mixture evidence: protocol for evaluation, interpretation, and statistical calculations using the combined probability of inclusion.

    Science.gov (United States)

    Bieber, Frederick R; Buckleton, John S; Budowle, Bruce; Butler, John M; Coble, Michael D

    2016-08-31

    The evaluation and interpretation of forensic DNA mixture evidence faces greater interpretational challenges due to increasingly complex mixture evidence. Such challenges include: casework involving low quantity or degraded evidence leading to allele and locus dropout; allele sharing of contributors leading to allele stacking; and differentiation of PCR stutter artifacts from true alleles. There is variation in statistical approaches used to evaluate the strength of the evidence when inclusion of a specific known individual(s) is determined, and the approaches used must be supportable. There are concerns that methods utilized for interpretation of complex forensic DNA mixtures may not be implemented properly in some casework. Similar questions are being raised in a number of U.S. jurisdictions, leading to some confusion about mixture interpretation for current and previous casework. Key elements necessary for the interpretation and statistical evaluation of forensic DNA mixtures are described. Given the most common method for statistical evaluation of DNA mixtures in many parts of the world, including the USA, is the Combined Probability of Inclusion/Exclusion (CPI/CPE). Exposition and elucidation of this method and a protocol for use is the focus of this article. Formulae and other supporting materials are provided. Guidance and details of a DNA mixture interpretation protocol is provided for application of the CPI/CPE method in the analysis of more complex forensic DNA mixtures. This description, in turn, should help reduce the variability of interpretation with application of this methodology and thereby improve the quality of DNA mixture interpretation throughout the forensic community.

  14. ECONOMIC EVALUATION OF COMBINED THERAPY OF ARTERIAL HYPERTENSION BY MARKOV’S MODELING

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    N. S. Maksimchuk-Kolobova

    2015-09-01

    Full Text Available Aim. To evaluate the economic effectiveness of the combined two-drug antihypertensive therapy in patients with arterial hypertension (HT and high cardiovascular risk by Markov’s modeling.Material and methods. Patients (n= 65; 19 males and 46 females with essential HT accompanied by metabolic disorders, history of previous ineffective antihypertensive therapy were included into the study. Patients were randomized into 2 groups. Group V/A was treated with valsartan and amlodipine in fixed-dose combinations of 160/5 and 160/10 mg depending on blood pressure (BP level. Patients of group L/A were treated with losartan 100 mg and amlodipine 5 or 10 mg daily. Treatment duration was 24 weeks. Changes in BP level, and left ventricular hypertrophy (LVH regression were assessed. Economic evaluation was performed on the basis of modeling with specialized software Decision Tree 4.xla.Results. Effect of the two variants of combination therapy on LVH was used to estimate treatment effectiveness and to build the model. Patients were distributed according to the left ventricular mass (LVM at baseline and after 24 weeks of therapy. Significant decrease in LVM was observed in V/A group: from 225.1±71.7 to 186.3±44.5 g (p<0.05. There was no LVM dynamics in L/A group. The model took into account economic and frequency factors for 10 years forecast. V/A therapy is able to prevent 94 deaths, 22 strokes, and 64 myocardial infarction per 1000 patients. Absence of need in treatment of these prevented events can save about 5.5 million RUR for every 1000 patients. It would reduce the total costs per patient during 10 years. V/A therapy is able to save maximal number of quality adjusted life years (QALY due to LVM regression (5.016 years. L/A combination is the most economical variant of pharmacotherapy due to low cost of treatment (16.491.25 RUR per 1 QALY. It would take 286.698.7 RUR additionally for one additional QALY in the treatment with V/A, and it is

  15. Evaluation of role of telmisartan in combination with 5-fluorouracil in gastric cancer cachexia.

    Science.gov (United States)

    Sukumaran, Shreesha; Patel, Hetal J; Patel, Bhoomika M

    2016-06-01

    The objective of the present study was to evaluate the effect of combination of telmisartan with 5-flourouracil (5-FU) in gastric cancer cachexia induced by administering N-methyl-N'-methyl-N-nitrosoguanidine (MNNG). MNND was administered once daily by oral gavage for two weeks, and saturated NaCl (1ml per rat) was then given once every 3days for 4weeks. 5-FU (75mg/kg, i.v.) was administered once three weeks from 7th to 22nd week. From 7th to 22nd week, telmisartan (5mg/kg, p.o.) was also administered along with 5-FU. MNNG produced significant decrease in food intake, body weight, caused hyperglycemia, dyslipidemia, hypertension worsened hemodyanamics, increased cachexia markers and increased tumor markers like lactate dehydrogenase and γ-glutamyltransferase. MNNG also produced oxidative stress in the stomach tissue. Treatment with combination of telmisartan with 5-FU produced significant increase in food intake and body weight, controlled hyperglycemia and dyslipidemia, preserved hemodynamic function, and decreased the cachexia markers while 5-FU alone did not produce any such effects. Further, the combination of telmisartan with 5-FU significantly reduced tumor marker levels, oxidative stress and also significantly decreased the cell proliferation, apoptosis, hyperkeratosis, keratohyaline granules and invasive carcinoma of forestomach and reduced muscle atrophy in tibilias anterior skeletal muscle. Our data suggests that combination of telmisartan with 5-FU treatment is beneficial in controlling cancer cachexia. Telmisartan can be used as an add-on therapy with 5-FU or other traditional chemotherapeutic agents. Copyright © 2016 Elsevier Inc. All rights reserved.

  16. An In-Port Feeding System for Shipboard Personnel. Volume 2. A Cost Benefit Analysis of the Use of Convenience Foods in a Military Foodservice Operation.

    Science.gov (United States)

    1981-10-01

    and two desserts . In designing the menu, consideration was given to the basic menu planning principles of color, shape, flavor, acceptability...cost using available raw ingredient price lists. The convenience foodservice system combined both convenience and selected conventional food costs...prepared by using ingredients in convenience form. For example, cole slaw could be prepared from precut cabbage, onions end other fresh vegetables

  17. [Evaluation of the efficacy of colistin/sulbactam combination on carbapenem-resistant Acinetobacter baumannii strains].

    Science.gov (United States)

    Çetinkol, Yeliz; Telli, Murat; Altunçekiç Yıldırım, Arzu; Çalgın, Mustafa Kerem

    2016-07-01

    (6%) were positive for OXA-24. Among MBLs, OXA-58, OXA-48, IPM, SPM, SIM, GIM, VIM and NDM-1 genes were not detected. In the evaluation of PFGE results it was found that the clonal distribution of the strains, except one, were all pulsotype A. In the assessment of in vitro efficacy of the colistin-sulbactam combination against A.baumannii strains with multidrug resistance, antagonistic effect was observed in all strains. In the resistance and clonal analysis it was determined that the strains belonged to the same clone, and they had the same resistance genes and therefore the result of the in vitro activity was considered to have similar effect among all strains. It was decided that especially in units where critical patients are monitored and where resistant strains that are difficult to treat are isolated, performing synergy studies may be beneficial for the selection of combination treatment and the determination of the treatment combination to be chosen specifically for the hospital or even the unit.

  18. Evaluating the combined effects of pretilachlor and UV-B on two Azolla species.

    Science.gov (United States)

    Prasad, Sheo Mohan; Kumar, Sushil; Parihar, Parul; Singh, Anita; Singh, Rachana

    2016-03-01

    The present study assessed the comparative responses of two agronomic species of Azolla (A.microphylla and A. pinnata) exposed to man-made and natural stressors by evaluating biomass accumulation, pigments (chlorophyll a and b and carotenoid contents), photosynthetic activity and nitrogen metabolism. The study was carried out in field where two species of Azolla were cultured and treated with various concentrations (5, 10 and 20 μg ml(-1)) of herbicide; pretilachlor [2-chloro-2,6-diethyl-N-(2-propoxyethyl) acetanilide] and enhanced levels (UV-B1: ambient +2.2 kJ m(-2) day(-1) and UV-B2: ambient +4.4 kJ m(-2) day(-1)) of UV-B, alone as well as in combination. Biomass accumulation, photosynthetic pigments; chlorophyll a, b and carotenoids, photosynthetic oxygen yield and photosynthetic electron transport activities i.e. photosystem II (PS II) and photosystem I (PS I) in both the species declined with the increasing doses of pretilachlor and UV-B radiation, which further declined when applied in combination. The lower doses (5 and 10 μg ml(-1)) of pretilachlor and UV-B (UV-B1 and UV-B2) alone, damaged mainly the oxidation side of PS II, whereas higher dose (20 μg ml(-1)) of pretilachlor alone and in combination with UV-B1 and UV-B2 caused damage to PS II reaction centre and beyond this towards the reduction side. A significant enhancement in respiration was also noticed in fronds of both the Azolla species following pretilachlor and UV-B treatment, hence indicating strong damaging effect. The nitrate assimilating enzymes - nitrate reductase and nitrite reductase and ammonium assimilating enzymes - glutamine synthetase and glutamate synthase were also severely affected when treated either with pretilachlor and/or UV-B while glutamate dehydrogenase exhibited a stimulatory response. The study suggests that both the species of Azolla showed considerable damage under pretilachlor and UV-B treatments alone, however, in combination the effect was more intense. Further, in

  19. Evaluation of the Doxycycline Release from AH26 Sealer-Doxycycline Combination: An ex vivo Study.

    Science.gov (United States)

    Ashofteh Yazdi, Kazem; Shokouhinejad, Noushin; Moazeni, Esmaeil; Mirzayi Rad, Sina

    2011-01-01

    The purpose of this ex vivo study was to determine the releasing characteristics and doxycycline dentinal diffusion of AH26 sealer-doxycycline combination from apical 3mm of tooth root and apical foramen. One-hundred and two recently extracted single-rooted human teeth were decoronated and prepared with #3 and #4 Gates-Glidden drills and rotary Mtwo files. Smear layer was removed; all surfaces except for apical 3mm of each root were sealed with two coats of nail polish. To quantify the release and diffusion of the doxycycline at different time intervals (30 min, 48 and 72 h) after root canal obturation, the samples were randomly divided into three groups (n=30; 0.5 h, 48 h, 72 h). To evaluate the release of doxycycline from AH26 sealer-doxycycline combination at six concentrations of antibiotic including 0.5%, 1%, 2%, 5%, 10% and 20%; each experimental group was divided into six equal subgroups (n=5). Root canals were filled with gutta-percha and AH26-doxycycline combinations and then were placed in vials containing 1.25mL of phosphate buffer saline solution (PBS). After 30 min, 48 and 72 h, the amount of doxycycline released from specimens into PBS were determined by measuring the absorbance values using UV spectrophotometry at λ(max)=350 nm. Data were analyzed using two-way ANOVA. The findings of this study revealed that AH26 sealer-doxycycline combination released variable measures of antibiotic at each time interval and in the various concentrations. At 30 min, no statistically significant differences were obtained between the results of subgroups, but at 48 and 72 h these differences were significant (P<0.001). The results also showed that differences between 0.5 h, 48 h and 72 h were significant within subgroups (P<0.01). Under the conditions of this ex vivo study, doxycycline can be released from AH26 sealer-antibiotic combination through 3mm of apical root and apical foramen at 30 min, 48 and 72 h after mixing the sealer with doxycycline at concentrations

  20. LOW-CALORIES RAISINS OBTAINED BY COMBINED DEHYDRATION: PROCESS OPTIMIZATION AND EVALUATION OF THE ANTIOXIDANT EFFICIENCY

    Directory of Open Access Journals (Sweden)

    Mariana B. Laborde

    2015-03-01

    Full Text Available A healthy dehydrated food of high nutritional-quality and added-value was developed: low-calories raisin obtained by an ultrasonic assisted combined-dehydration with two-stage osmotic treatment (D3S complemented by drying. Pink Red Globe grape produced at Mendoza (Argentina, experienced a substitution of sugar by natural sweetener Stevia in two osmotic stages under different conditions (treatment with/without ultrasound; sweetener concentration 18, 20, 22% w/w; time 35, 75, 115 minutes, evaluating soluble solids (SS, moisture (M, total polyphenols (PF, antioxidant efficiency (AE and sugar profile. The multiple optimization of the process by response surface methodology and desirability analysis, allowed to minimize M, maximize SS (Stevia incorporation, and preserve the maximum amount of PF. After the first stage, the optimal treatment reduced the majority sugars of the grape in 32% (sucrose, glucose, and the 57% at the end of the dehydration process.

  1. Multi-criteria approach with linear combination technique and analytical hierarchy process in land evaluation studies

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    Orhan Dengiz

    2018-01-01

    Full Text Available Land evaluation analysis is a prerequisite to achieving optimum utilization of the available land resources. Lack of knowledge on best combination of factors that suit production of yields has contributed to the low production. The aim of this study was to determine the most suitable areas for agricultural uses. For that reasons, in order to determine land suitability classes of the study area, multi-criteria approach was used with linear combination technique and analytical hierarchy process by taking into consideration of some land and soil physico-chemical characteristic such as slope, texture, depth, derange, stoniness, erosion, pH, EC, CaCO3 and organic matter. These data and land mapping unites were taken from digital detailed soil map scaled as 1:5.000. In addition, in order to was produce land suitability map GIS was program used for the study area. This study was carried out at Mahmudiye, Karaamca, Yazılı, Çiçeközü, Orhaniye and Akbıyık villages in Yenişehir district of Bursa province. Total study area is 7059 ha. 6890 ha of total study area has been used as irrigated agriculture, dry farming agriculture, pasture while, 169 ha has been used for non-agricultural activities such as settlement, road water body etc. Average annual temperature and precipitation of the study area are 16.1oC and 1039.5 mm, respectively. Finally after determination of land suitability distribution classes for the study area, it was found that 15.0% of the study area has highly (S1 and moderately (S2 while, 85% of the study area has marginally suitable and unsuitable coded as S3 and N. It was also determined some relation as compared results of linear combination technique with other hierarchy approaches such as Land Use Capability Classification and Suitability Class for Agricultural Use methods.

  2. Evaluation of intranasal oxygen supplementation in mules anesthetized with the combination of ketamine, butorphanol, and guaifenesin

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    T.J.C. Módolo

    Full Text Available ABSTRACT Hypoxemia is a major complication of field anesthesia and no studies regarding this occurrence in mules has been done. Thus, the aim of this study was to evaluate intranasal oxygen supplementation (IOS in mules (Equus caballus x Equus asinus anesthetized with ketamine/butorphanol/guaifenesin combination. For this, we used six male, adult mules (322±29kg which underwent premedication (MPA with 0.2mg/kg of midazolam intramuscularly after 15 minutes, 0.02mg/kg detomidine IV 5 minutes after, induction IV with combination of ketamine (2mg/mL, butorphanol (22.5mg/mL, and guaifenesin (50mg/mL (K/B/G until lateral decumbency. Maintenance was done with the same anesthetic combination. The animals were submitted twice to the protocol described above, 20 days apart, forming two groups. CG: MPA, induction (0.92±0.24mL/kg (mean±SD, and maintenance (2.2±0.2mL/kg/h without SIO; TG: MPA, induction (0.98±0.17mL/kg, and maintenance (2.3±0.4mL/kg/h with IOS flow 40mL/kg/h. During anesthesia arterial blood was collected every 20 minutes (T0, T20, T40, and T60 for blood gas analysis. Data analyzed by ANOVA followed by the Bonferroni test. P<0.05 was considered significant. Hypoxemia of the animals in the CG in periods (59±5; 55±5; 53±7; 49±8 with lower averages than the TG (160±4, 115±34, 92±25, 81±19 was observed, demonstrating that IOS increases PaO2 avoiding the occurrence of hypoxemia.

  3. Evaluation of the efficacy of paclitaxel with curcumin combination in ovarian cancer cells.

    Science.gov (United States)

    Liu, Zeng; Zhu, Yuan-Yuan; Li, Zhao-Yuan; Ning, Si-Qing

    2016-11-01

    The aim of the present study was to evaluate the efficacy of paclitaxel combined with curcumin (CUR) against drug resistance in ovarian cancer cells. PLGA-phospholipid-PEG nanoparticles were prepared using the nano precipitation method. The size and morphology of the nanoparticles were determined using a transmission electron microscope and particle size analyzer. The encapsulation efficiency of nanoparticles was determined using the ultrafiltration centrifugation method. The dialysis method was used to study the release of PLGA-phospholipid-PEG nanoparticles. ADM was used to induce the A2780 cell line (human ovarian cancer cell line) to establish the model of the multidrug-resistant (MDR) cell line, and the protein activity of P-glycoprotein (P-gp) in the A2780 cell line and A2780/ADM resistant cell line was determined using western blot analysis. The results showed that, the prepared nanoparticles were uniform in size, with a size of approximately 100 nm, and round in shape. Additionally, the nanoparticles had a more gentle and slow release than the free drug release. The results of the protein trace printing experiment showed that the P-gp content of the drug-resistant cell line was significantly reduced by the CUR nanoparticles. In conclusion, PLGA-phospholipid nanoparticles containing taxol and CUR have improved solubility and stability together with a slow release effect. In addition, CUR was able to overcome the MDR of tumor cells by elevating the paclitaxel concentration in the tumor cells to improve the antitumor activity of this combination.

  4. Energy and environmental evaluation of combined cooling heating and power system

    Science.gov (United States)

    Bugaj, Andrzej

    2017-11-01

    The paper addresses issues involving problems of implementing combined cooling, heating and power (CCHP) system to industrial facility with well-defined demand profiles of cooling, heating and electricity. The application of CCHP system in this particular industrial facility is being evaluated by comparison with the reference system that consists of three conventional methods of energy supply: (a) electricity from external grid, (b) heat from gas-fired boilers and (c) cooling from vapour compression chillers run by electricity from the grid. The CCHP system scenario is based on the combined heat and power (CHP) plant with gas turbine-compressor arrangement and water/lithium bromide absorption chiller of a single-effect type. Those two scenarios are analysed in terms of annual primary energy usage as well as emissions of CO2. The results of the analysis show an extent of primary energy savings of the CCHP system in comparison with the reference system. Furthermore, the environmental impact of the CCHP usage, in the form of greenhouse gases emission reductions, compares quite favourably with the reference conventional option.

  5. Energy and environmental evaluation of combined cooling heating and power system

    Directory of Open Access Journals (Sweden)

    Bugaj Andrzej

    2017-01-01

    Full Text Available The paper addresses issues involving problems of implementing combined cooling, heating and power (CCHP system to industrial facility with well-defined demand profiles of cooling, heating and electricity. The application of CCHP system in this particular industrial facility is being evaluated by comparison with the reference system that consists of three conventional methods of energy supply: (a electricity from external grid, (b heat from gas-fired boilers and (c cooling from vapour compression chillers run by electricity from the grid. The CCHP system scenario is based on the combined heat and power (CHP plant with gas turbine-compressor arrangement and water/lithium bromide absorption chiller of a single-effect type. Those two scenarios are analysed in terms of annual primary energy usage as well as emissions of CO2. The results of the analysis show an extent of primary energy savings of the CCHP system in comparison with the reference system. Furthermore, the environmental impact of the CCHP usage, in the form of greenhouse gases emission reductions, compares quite favourably with the reference conventional option.

  6. Integrative Evaluation of Automated Massage Combined with Thermotherapy: Physical, Physiological, and Psychological Viewpoints.

    Science.gov (United States)

    Kim, Do-Won; Lee, Dae Woon; Schreiber, Joergen; Im, Chang-Hwan; Kim, Hansung

    2016-01-01

    Various types of massages are reported to relieve stress, pain, and anxiety which are beneficial for rehabilitation; however, more comprehensive studies are needed to understand the mechanism of massage therapy. In this study, we investigated the effect of massage therapy, alone or in combination with infrared heating, on 3 different aspects: physical, physiological, and psychological. Twenty-eight healthy university students were subjected to 3 different treatment conditions on separate days, one condition per day: control, massage only, or massage with infrared heating. Physical (trunk extension [TE]; maximum power of erector spinae), physiological (heart-rate variability [HRV]; electroencephalogram [EEG]), and psychological (state-trait anxiety inventory [STAI]; visual analogue scale [VAS]) measurements were evaluated and recorded before and after each treatment condition. The results showed that massage therapy, especially when combined with infrared heating, significantly improved physical functioning, increased parasympathetic response, and decreased psychological stress and anxiety. In the current study, we observed that massage therapy contributes to various physical, physiological, and psychological changes, where the effect increases with thermotherapy.

  7. Evaluation of potential anti-toxoplasmosis efficiency of combined traditional herbs in a mouse model.

    Science.gov (United States)

    Zhuo, Xun-Hui; Sun, Hong-Chao; Huang, Bin; Yu, Hai-Jie; Shan, Ying; Du, Ai-Fang

    2017-06-01

    Toxoplasma gondii is a worldwide spread protozoan and is able to infect almost all warm-blood animals. No effective drugs are available clinically on toxoplasmosis. Chinese traditional herbal medicines have provided remedies for many health problems. There exists a possibility that Chinese herbs may provide protection against T. gondii. This work aims to assess the protective efficacy of combined Chinese herbs against T. gondii. We screened five herbal medicines that have different pharmacological effects and combined them into a prescription according to the traditional Chinese medicine compatibility principle. The drug potential and protective efficacy were evaluated through a mouse model by determining the survival time, the parasite load in blood and tissues, the change of cell proportions in blood and histological detection. The results showed that the survival time of mice in the 500 mg Chinese herbs group and sulfadiazine group was significantly longer than that of the PBS control group. Also the parasite load in blood and tissues of 500 mg Chinese herbs and sulfadiazine groups was significantly lower than that of PBS group at 7 days post infection (dpi), which was in accordance with the result of histological detection. Monocyte and neutrophil of infected mice were remarkably increased while lymphocyte was dramatically decreased compared to that of blank group at 7 dpi. The results demonstrated that the 500 mg dosage of our Chinese herbs could slow down the replication of T. gondii and prolong the survival time of mice and could be considered as possible candidate drug against toxoplasmosis.

  8. Performance evaluation of combined ejector LiBr/H2O absorption cooling cycle

    Directory of Open Access Journals (Sweden)

    Hasan Sh. Majdi

    2016-03-01

    Full Text Available The objective of this work is to develop a computer simulation program to evaluate the performance of solar-assited combined ejector absorption (single-effect cooling system using LiBr/H2O as a working fluid and operating under steady-state conditions. The ejector possess no moving parts and is simple and reliable, which makes it attractive for combination with single-stage absorption cycle for further improvement to the system's performance. In this research, improvement to the system is achieved by utilizing the potential kinetic energy of the ejector to enhance refrigeration efficiency. The effects of the entrainment ratio of the ejector, operating temperature, on the thermal loads, and system performance have been investigated. The results showed that the evaporator and condenser loads, post-addition of the ejector, is found to be permanently higher than that in the basic cycle, which indicates a significant enhancement of the proposed cycle and the cooling capacity of the system increasing with the increase in evaporator temperature and entrainment ratio. The COP of the modified cycle is improved by up to 60 % compared with that of the basic cycle at the given condition. This process stabilizes the refrigeration system, enhanced its function, and enabled the system to work under higher condenser temperatures.

  9. Combining stakeholder analysis and spatial multicriteria evaluation to select and rank inert landfill sites.

    Science.gov (United States)

    Geneletti, Davide

    2010-02-01

    This paper presents a method based on the combination of stakeholder analysis and spatial multicriteria evaluation (SMCE) to first design possible sites for an inert landfill, and then rank them according to their suitability. The method was tested for the siting of an inert landfill in the Sarca's Plain, located in south-western Trentino, an alpine region in northern Italy. Firstly, stakeholder analysis was conducted to identify a set of criteria to be satisfied by new inert landfill sites. SMCE techniques were then applied to combine the criteria, and obtain a suitability map of the study region. Subsequently, the most suitable sites were extracted by taking into account also thresholds based on size and shape. These sites were then compared and ranked according to their visibility, accessibility and dust pollution. All these criteria were assessed through GIS modelling. Sensitivity analyses were performed on the results to assess the stability of the ranking with respect to variations in the input (criterion scores and weights). The study concluded that the three top-ranking sites are located close to each other, in the northernmost sector of the study area. A more general finding was that the use of different criteria in the different stages of the analysis allowed to better differentiate the suitability of the potential landfill sites.

  10. Integrative Evaluation of Automated Massage Combined with Thermotherapy: Physical, Physiological, and Psychological Viewpoints

    Directory of Open Access Journals (Sweden)

    Do-Won Kim

    2016-01-01

    Full Text Available Various types of massages are reported to relieve stress, pain, and anxiety which are beneficial for rehabilitation; however, more comprehensive studies are needed to understand the mechanism of massage therapy. In this study, we investigated the effect of massage therapy, alone or in combination with infrared heating, on 3 different aspects: physical, physiological, and psychological. Twenty-eight healthy university students were subjected to 3 different treatment conditions on separate days, one condition per day: control, massage only, or massage with infrared heating. Physical (trunk extension [TE]; maximum power of erector spinae, physiological (heart-rate variability [HRV]; electroencephalogram [EEG], and psychological (state-trait anxiety inventory [STAI]; visual analogue scale [VAS] measurements were evaluated and recorded before and after each treatment condition. The results showed that massage therapy, especially when combined with infrared heating, significantly improved physical functioning, increased parasympathetic response, and decreased psychological stress and anxiety. In the current study, we observed that massage therapy contributes to various physical, physiological, and psychological changes, where the effect increases with thermotherapy.

  11. Dynamic modeling and evaluation of solid oxide fuel cell - combined heat and power system operating strategies

    Science.gov (United States)

    Nanaeda, Kimihiro; Mueller, Fabian; Brouwer, Jacob; Samuelsen, Scott

    Operating strategies of solid oxide fuel cell (SOFC) combined heat and power (CHP) systems are developed and evaluated from a utility, and end-user perspective using a fully integrated SOFC-CHP system dynamic model that resolves the physical states, thermal integration and overall efficiency of the system. The model can be modified for any SOFC-CHP system, but the present analysis is applied to a hotel in southern California based on measured electric and heating loads. Analysis indicates that combined heat and power systems can be operated to benefit both the end-users and the utility, providing more efficient electric generation as well as grid ancillary services, namely dispatchable urban power. Design and operating strategies considered in the paper include optimal sizing of the fuel cell, thermal energy storage to dispatch heat, and operating the fuel cell to provide flexible grid power. Analysis results indicate that with a 13.1% average increase in price-of-electricity (POE), the system can provide the grid with a 50% operating range of dispatchable urban power at an overall thermal efficiency of 80%. This grid-support operating mode increases the operational flexibility of the SOFC-CHP system, which may make the technology an important utility asset for accommodating the increased penetration of intermittent renewable power.

  12. Evaluation of biochemical alterations produced by combined exposure of fenvalerate and nitrate in Bubalus bubalis

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    Kamalpreet Kaur Gill

    2014-03-01

    Full Text Available Aim: Evaluation of combined effect of fenvalerate and nitrate on biochemical parameters in buffalo calves. Materials and Methods: Sixteen male buffalo calves were divided into four groups of four calves each. Group I receiving no treatment served as the control. Group II and III animals were orally administered with fenvalerate (1.0 mg/kg/day and sodium nitrate (20 mg/kg/day, respectively, for 21 consecutive days and were kept as positive control. Group IV animals were co-administered with fenvalerate and sodium nitrate at the above dose rates for 21 consecutive days. Biochemical parameters including Aspartate aminotransferase (AST, Alkaline phosphatase (ALP, Gamma-glutamyl transpeptidase (GGT, Lactate dehydrogenase (LDH, Glucose, Total protein, Albumin, Cholesterol, Blood urea nitrogen (BUN and Creatinine were determined on 0, 3, 7, 10, 14, 17 and 21 day of treatment. Estimation of these parameters was also done on 7th day of post-treatment period. Results: Co-administration of fenvalerate and sodium nitrate produced significant increase in the plasma levels of AST, ALP, GGT, LDH, glucose, BUN, cholesterol and creatinine while significant decrease in the plasma levels of total proteins was observed. No significant alteration was observed in albumin levels. Extent of organ damage as evidenced by biochemical alterations was more pronounced in calves exposed to combination of fenvalerate and sodium nitrate as compared to their individual exposures. Conclusion: Fenvalerate and sodium nitrate co-administration potentiates the toxicological injury produced, in comparison to their individual exposure.

  13. Evaluating Complementary Therapies for Canine Osteoarthritis—Part II: A Homeopathic Combination Preparation (Zeel®

    Directory of Open Access Journals (Sweden)

    Anna Hielm-Björkman

    2009-01-01

    Full Text Available A homeopathic combination preparation (HCP for canine osteoarthritic pain was evaluated in a randomized, double-controlled and double-blinded clinical trial. Forty-four dogs with osteoarthritis (OA that were randomly allocated into one of three groups completed the study. All dogs were fed test products or placebo for 8 weeks. The dogs were evaluated at the clinic four times, with 4-week intervals. Six different variables were assessed: veterinary-assessed mobility, two force plate variables, an owner-evaluated chronic pain index and pain and locomotion visual analogue scales (VASs. Intake of extra non-steroidal anti-inflammatory drugs was also evaluated. A Chi-squared test and a Mann–Whitney test were used to determine significant improvement between groups. When changed into dichotomous responses of ‘improved’ or ‘not improved’ three out of the six variables showed a significant difference (P = 0.016, P = 0.008, P = 0.039 in improved dogs per group, between the HCP group and the placebo group. The odds ratios were over one for the same variables. As extent of improvement in the variables from start to end of treatment, the HCP product was significantly more improved in four (P = 0.015, P = 0.028, P = 0.049, P = 0.020 of the six variables, compared with the placebo. Our results indicated that the HCP Zeel® was beneficial in alleviating chronic orthopedic pain in dogs although it was not as effective as carprofen.

  14. Use of simulated patients to evaluate combined oral contraceptive dispensing practices of community pharmacists.

    Directory of Open Access Journals (Sweden)

    Paulo Roque Obreli-Neto

    Full Text Available BACKGROUND: Combined oral contraceptive (COC use is the most commonly used reversible method of birth control. The incorrect use of COCs is frequent and one of the most common causes of unintended pregnancies. Community pharmacists (CPs are in a strategic position to improve COC use because they are the last health professional to interact with patients before drug use. OBJECTIVE: To evaluate the COC dispensing practices of CPs in a developing country. METHOD: A cross-sectional study was conducted in community pharmacies of Assis and Ourinhos microregions, Brazil, between June 1, 2012, and October 30, 2012. Four simulated patients (SPs (with counseled audio recording visited community pharmacies with a prescription for Ciclo 21(® (a COC containing ethinyl estradiol 30 mcg + levonorgestrel 15 mcg. The audio recording of every SP visit was listened to independently by 3 researchers to evaluate the COC dispensing practice. The percentage of CPs who performed a screening for safe use of COCs (i.e., taking of patients' medical and family history, and measuring of blood pressure and provided counseling, as well as the quality of the screening and counseling, were evaluated. RESULTS: Of the 185 CPs contacted, 41 (22.2% agreed to participate in the study and finished the study protocol. Only 3 CPs asked the SP a question (1 question asked by each professional, and all of the questions were closed-ended, viz., "do you smoke?" (n = 2 and "what is your age?" (n = 1. None of the CPs measured the patient's blood pressure. Six CPs provided counseling when dispensing COCs (drug dosing, 5 CPs; possible adverse effects, 2 CPs, and one CP provided counseling regarding both aspects. CONCLUSION: The CPs evaluated did not dispense COC appropriately and could influence in the occurrence of negatives therapeutic outcomes such as adverse effects and treatment failure.

  15. Evaluation of drug-drug interaction screening software combined with pharmacist intervention.

    Science.gov (United States)

    Moura, Cristiano S; Prado, Nília M; Belo, Najara O; Acurcio, Francisco A

    2012-08-01

    Drug-drug interactions (DDI) in hospitalized patients are highly prevalent and an important source of adverse drug reactions. DI computerized screening system can prevent the occurrence of some of these events. To evaluate the impact of drug-drug interaction (DDI) screening software combined with active intervention in preventing drug interactions. The study was conducted at General Hospital of Vitória da Conquista (HGVC), Brazil. A quasi-experimental study was used to evaluate the impact of IM-Pharma, a locally developed drug-drug interaction screening system, coupled with pharmacist intervention on adverse drug events in the hospital setting. The proportion of patients co-prescribed two interacting drugs were measured in two phases, prior the implementation of IM-Pharma and during the intervention period. DDI rates per 100 patient days were calculated before and after implementation. Risk ratios were estimated by Poisson regression models. A total of 6,834 instances of drug-drug interactions were identified; there was an average of 3.3 DDIs per patient in phase one and 2.5 in phase two, a reduction of 24 % (P = 0.03). There was a 71 % reduction in high-severity drug-drug interaction (P < 0.01). The risk for all DDIs decreased 50 % after the implementation of IM-Pharma (P < 0.01), and for those with high-severity, the reduction was 81 % (P < 0.01). The performance of IM-Pharma combined with pharmacist intervention was positive with an expressive reduction in the risk of DDIs.

  16. A predictive model for residual disease after (chemo radiotherapy in oropharyngeal carcinoma: Combined radiological and clinical evaluation of tumor response

    Directory of Open Access Journals (Sweden)

    Zeno A.R. Gouw

    2017-10-01

    Conclusion: For response evaluation in OPC, the combination of CS and Ojiri-score improved the predictive accuracy by reducing false positives compared to them individually. FDG-PET/CT is promising to further reduce false positives.

  17. Comparative Evaluation between Sulfasalazine Alone and in Combination with Herbal Medicine on DSS-Induced Ulcerative Colitis Mice

    National Research Council Canada - National Science Library

    Mi-Rae Shin; Kyeong Jo Kim; Soo Hyun Kim; Su Ji Kim; Bu-Il Seo; Hyo-Jin An; Seong-Soo Roh

    2017-01-01

    The present study aimed to investigate the comparative evaluation of pharmacological efficacy between sulfasalazine alone and sulfasalazine in combination with herbal medicine on dextran sodium sulfate- (DSS-) induced UC in mice...

  18. Risk Assessment of Physical Hazards in Greek Hospitals Combining Staff’s Perception, Experts’ Evaluation and Objective Measurements

    Directory of Open Access Journals (Sweden)

    Styliani Gewrgios Tziaferi

    2011-09-01

    Conclusion: This study confirmed the usefulness of staff participation in the risk assessment process, despite the tendency for staff to overestimate the risk level of physical hazards. The combination of combining staff perception, experts’ evaluation and objective measures in the risk assessment process increases the efficiency of risk management in the hospital environment and the enforcement of relevant legislation.

  19. A split-face comparative study to evaluate efficacy of combined subcision and dermaroller against combined subcision and cryoroller in treatment of acne scars.

    Science.gov (United States)

    Gadkari, Reshma; Nayak, Chitra

    2014-03-01

    Acne scars occur consequent to abnormal wound healing following sebaceous follicular inflammation in acne. Various types of acne scars are icepick, rolling, boxcar, hypertrophic, and keloidal. Different modalities of treatment include subcision, dermaroller, cryoroller, punch excision, chemical peeling, and lasers. To compare the efficacy of combined subcision and dermaroller vs. combined subcision and cryoroller in acne scar treatment. Thirty patients (19 males and 11 females) with grade 2, 3, and 4 postacne scarring (Goodman and Baron qualitative grading system) were enrolled in the study. Three sittings each at 1-month interval were carried out of subcision under nerve block on the entire face followed by derma roller (2.5 mm) and cryoroller on one half of the face. Standardized digital photography was performed preprocedure and at 6 months. Grading of acne scar photographs using the Goodman and Baron qualitative and quantitative grading scale was carried out by a blinded observer pre- and postprocedure at 6 months. Patients' own evaluation based on patient scar severity perception scale of 1-10 was also taken into account. Assessment using the quantitative grading scale showed a 57% improvement using combined subcision and cryoroller against 40% improvement with combined subcision and dermaroller. Average improvement perceived by the subjects was 61% with combined subcision and cryoroller against 45% with combined subcision and dermaroller. The data were analyzed using Wilcoxon signed rank test and found statistically significant. Postinflammatory hyperpigmentation on the cryoroller side and erythema, edema, and hematoma formation due to subcision was transient. Combined subcision and cryoroller is more effective than combined subcision and dermaroller for treatment of acne scars. © 2014 Wiley Periodicals, Inc.

  20. Evaluation of nephroprotective and immunomodulatory activities of antioxidants in combination with cisplatin against murine visceral leishmaniasis.

    Directory of Open Access Journals (Sweden)

    Meenakshi Sharma

    Full Text Available BACKGROUND: Most available drugs against visceral leishmaniasis are toxic, and growing limitations in available chemotherapeutic strategies due to emerging resistant strains and lack of an effective vaccine against visceral leishmaniasis deepens the crisis. Antineoplastic drugs like miltefosine have in the past been effective against the parasitic infections. An antineoplastic drug, cisplatin (cis-diamminedichloroplatinum II; CDDP, is recognized as a DNA-damaging drug which also induces alteration of cell-cycle in both promastigotes and amastigotes leading to cell death. First in vivo reports from our laboratory revealed the leishmanicidal potential of cisplatin. However, high doses of cisplatin produce impairment of kidney, which can be reduced by the administration of antioxidants. METHODOLOGY/PRINCIPAL FINDINGS: The present study was designed to evaluate the antileishmanial effect of cisplatin at higher doses (5 mg and 2.5 mg/kg body weight and its combination with different antioxidants (vitamin C, vitamin E and silibinin so as to eliminate the parasite completely and reduce the toxicity. In addition, various immunological, hematological and biochemical changes induced by it in uninfected and Leishmania donovani infected BALB/c mice were investigated. CONCLUSION/SIGNIFICANCE: A significant reduction in parasite load, higher IgG2a and lower IgG1 levels, enhanced DTH responses, and greater concentration of Th1 cytokines (IFN-γ, IL-2 with a concomitant down regulation of IL-10 and IL-4 pointed towards the generation of the protective Th1 type of immune response. A combination of cisplatin with antioxidants resulted in successful reduction of nephrotoxicity by normalizing the enzymatic levels of various liver and kidney function tests. Reduction in parasite load, increase in Th1 type of immune responses, and normalization of various biochemical parameters occurred in animals treated with cisplatin in combination with various antioxidants as

  1. Laboratory evaluation of pyriproxyfen and spinosad, alone and in combination, against Aedes aegypti larvae.

    Science.gov (United States)

    Darriet, Frederic; Corbel, Vincent

    2006-11-01

    In this study, the efficacy of pyriproxyfen and spinosad, alone and in combination, was evaluated against the dengue vector Aedes aegypti (L.). Larval bioassays were carried out on susceptible mosquito larvae to determine the concentration-mortality responses of mosquitoes exposed to each insecticide alone and in mixture. Synergism between pyriproxyfen and spinosad was determined by the calculation of a combination index (CI) by using the isobologram method. For pyriproxyfen, LC50 and LC95 were 1.1 x 10(-4) (1.0 x 10(-4)-1.1 x 10(-4)) and 3.2 x 10(-4) (2.9 x 10(-4)-3.6 x 10(-4)) mg/liter, respectively. Pyriproxyfen acted at very low concentrations by inhibiting the adult emergence of Ae. aegypti (97% inhibition rates at 3.3 x 10(-4) mg/liter). Spinosad activity was -500 times lower than that of pyriproxyfen against the Bora strain, with LC50 and LC95 values estimated at 0.055 (0.047-0.064) and 0.20 (0.15-0.27) mg/liter, respectively. A binary mixture of pyriproxyfen and spinosad was realized at the ratio 1:500 by considering the values of the LC50 obtained for each product. The LC50 and LC95 of the mixture were 0.019 (0.016 - 0.022) and 0.050 (0.040 - 0.065) mg/liter, respectively. The mixture combined both the larvicidal activity of spinosad and the juvenoid action of pyriproxyfen. From the LC70 to LC99 a significant synergism effect was observed between the two insecticides (CI ranged from 0.74 to 0.31). This strong synergism observed at high concentrations allows a reduction by five and nine-fold of pyriproxyfen and spinosad amounts to kill almost 100% mosquitoes. Combination of pyriproxyfen and spinosad may then represent a promising strategy to improve mosquito control in situations with insecticide-resistant Aedes dengue vectors.

  2. In vitro combinations of red blood cell, plasma and platelet components evaluated by thromboelastography.

    Science.gov (United States)

    Agren, Anna; Edgren, Gustaf; Kardell, Malin; Ostlund, Anders; Wikman, Agneta Taune

    2014-10-01

    Thromboelastography is increasingly used to evaluate coagulation in massively bleeding patients. The aim of this study was to investigate how different combinations of blood components affect in vitro whole blood clotting measured by thromboelastography. Packed red blood cells, plasma and platelets from fresh and old blood components were mixed in vitro, in proportions of 4:4:1, 5:5:2, 8:4:1 and 2:1:0, and analysed with thromboelastography. For the ratio 4:4:1 the experiment was done at both 37 °C and 32 °C. Thromboelastography curves were within normal reference values for the blood component proportions of 4:4:1 and 5:5:2. For 8:4:1, the angle and maximal amplitude were reduced below normal values, indicating low levels of fibrinogen and/or platelets. For the 2:1:0 proportion, all parameters were affected resulting in severely impaired in vitro clot formation. The reaction-time, reflecting the coagulation factor-dependent, initial clot formation, was slightly increased at a low temperature. Prolonged storage of the components did not affect the curve. With the introduction of guidelines on the management of massive bleeding it is important to have tools for the assessment of the new protocols. In vitro evaluation of mixtures of packed red blood cells, plasma and platelets by thromboelastography may be relevant in the prediction of in vivo clot formation and haemostasis.

  3. Response Time Evaluation for the Plant Protection System Using a Combined Technique of Analysis and Test

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Chang Jae; Han, Seung; Yun, Jae Hee; Baek, Seung Min [KECO EnC, Inc., Daejeon (Korea, Republic of)

    2015-10-15

    This paper proposes the response time evaluation methodology for the plant protection system (PPS) trip channel for the advance power reactor 1400 (APR1400) nuclear power plant. To demonstrate that the PPS tip channel is functioning within its allowable response time limit, the proposed methodology uses the combined technique of both the response time analysis and test. The main purpose of determining the trip setpoint for safety systems is to meet the requirement of an analytical limit assumed in performing safety analyses. In addition, the response time assumed during safety analyses shall also be satisfied by the safety-related instrumentation. The response time is another critical factor required to ensure that the safety-related instrumentation channels accept the crucial assumptions of safety analyses. The response time evaluation methodology proposed herein is applied to the low steam generator level (LSGL) reactor trip parameter for the APR1400. The response time analysis for the LSGL trip parameter demonstrated that the analyzed response time would not exceed the allocated response time. The results of the response time also showed that all of the measured response times would be less than the analyzed response time.

  4. Supporting academic publication: evaluation of a writing course combined with writers' support group.

    Science.gov (United States)

    Rickard, Claire M; McGrail, Matthew R; Jones, Rebecca; O'Meara, Peter; Robinson, Anske; Burley, Mollie; Ray-Barruel, Gillian

    2009-07-01

    Publication rates are a vital measure of individual and institutional performance, yet many nurse academics publish rarely or not at all. Despite widespread acceptance of the need to increase academic publication rates and the pressure university faculty may experience to fulfil this obligation, little is known about the effectiveness of practical strategies to support academic writing. In this small cohort study (n=8) comprising nurses and other professionals involved in university education, a questionnaire survey was used to evaluate the effectiveness of a one-week "Writing for Publication" course combined with a monthly writers support group to increase publication rates. Two year pre and post submissions increased from 9 to 33 articles in peer-reviewed journals. Publications (in print) per person increased from a baseline of 0.5-1.2 per year. Participants reported increased writing confidence and greater satisfaction with the publishing process. Peer support and receiving recognition and encouragement from line managers were also cited as incentives to publish. Writing for publication is a skill that can be learned. The evaluated model of a formal writing course, followed by informal monthly group support meetings, can effectively increase publication rates.

  5. Automated Detection and Evaluation of Swallowing Using a Combined EMG/Bioimpedance Measurement System

    Directory of Open Access Journals (Sweden)

    Corinna Schultheiss

    2014-01-01

    Full Text Available Introduction. Developing an automated diagnostic and therapeutic instrument for treating swallowing disorders requires procedures able to reliably detect and evaluate a swallow. We tested a two-stage detection procedure based on a combined electromyography/bioimpedance (EMBI measurement system. EMBI is able to detect swallows and distinguish them from similar movements in healthy test subjects. Study Design. The study was planned and conducted as a case-control study (EA 1/019/10, and EA1/160/09, EA1/161/09. Method. The study looked at differences in swallowing parameters in general and in the event of penetration during swallows in healthy subjects and in patients with an oropharyngeal swallowing disorder. A two-stage automated swallow detection procedure which used electromyography (EMG and bioimpedance (BI to reliably detect swallows was developed. Results. Statistically significant differences between healthy subjects and patients with a swallowing disorder were found in swallowing parameters previously used to distinguish between swallowing and head movements. Our two-stage algorithm was able to reliably detect swallows (sensitivity = 96.1%, specificity = 97.1% on the basis of these differences. Discussion. Using a two-stage detection procedure, the EMBI measurement procedure is able to detect and evaluate swallows automatically and reliably. The two procedures (EMBI + swallow detection could in future form the basis for automated diagnosis and treatment (stimulation of swallowing disorders.

  6. Automated detection and evaluation of swallowing using a combined EMG/bioimpedance measurement system.

    Science.gov (United States)

    Schultheiss, Corinna; Schauer, Thomas; Nahrstaedt, Holger; Seidl, Rainer O

    2014-01-01

    Developing an automated diagnostic and therapeutic instrument for treating swallowing disorders requires procedures able to reliably detect and evaluate a swallow. We tested a two-stage detection procedure based on a combined electromyography/bioimpedance (EMBI) measurement system. EMBI is able to detect swallows and distinguish them from similar movements in healthy test subjects. The study was planned and conducted as a case-control study (EA 1/019/10, and EA1/160/09, EA1/161/09). The study looked at differences in swallowing parameters in general and in the event of penetration during swallows in healthy subjects and in patients with an oropharyngeal swallowing disorder. A two-stage automated swallow detection procedure which used electromyography (EMG) and bioimpedance (BI) to reliably detect swallows was developed. Statistically significant differences between healthy subjects and patients with a swallowing disorder were found in swallowing parameters previously used to distinguish between swallowing and head movements. Our two-stage algorithm was able to reliably detect swallows (sensitivity = 96.1%, specificity = 97.1%) on the basis of these differences. Using a two-stage detection procedure, the EMBI measurement procedure is able to detect and evaluate swallows automatically and reliably. The two procedures (EMBI + swallow detection) could in future form the basis for automated diagnosis and treatment (stimulation) of swallowing disorders.

  7. Air quality modelling over Bogota, Colombia: Combined techniques to estimate and evaluate emission inventories

    Science.gov (United States)

    Zárate, Erika; Carlos Belalcázar, Luis; Clappier, Alain; Manzi, Veronica; Van den Bergh, Hubert

    Two versions of the Emission Inventory (EI) are generated for the city of Bogota, Colombia. In the first version (EI-1), CORINAIR traffic emission factors (EFs) are used. In the second (EI-2), bulk traffic EFs calculated for the city, using in situ measurements and inverse modelling techniques at street level, are used. EI-2 traffic emissions are 5, 4 and 3 times bigger than the corresponding values in EI-1, for CO, PM10 and NMVOCs, respectively. The main goal of this study consists in evaluating the two versions of the EI when introduced into a mesoscale air quality model. The AOT (accumulated exposure over a threshold) index is calculated for comparison between observed and simulated concentrations of primary pollutants. Simulated concentrations using EI-2 are closer to the observed values. This comparison allows us to extract some conclusions of the methodology used to calculate the EFs. Local factors like the driving behavior, the altitude, vehicle technology and an aged fleet cannot be totally included and corrected in the standard methodologies, and seem to be more important than obtaining very detailed and precise information on the classification of the fleet or driving speeds. Under financially limited and fast changing situations, as in the case of many developing countries, a simple methodology to estimate bulk traffic EFs and to evaluate the EI, is of utmost importance. The use of combined techniques such as in situ measurements to estimate bulk traffic EFs, and further evaluation of the inventories with numerical models, proved to be a useful tool for this purpose.

  8. Evaluation of a combined polymer system for use in relieving the symptoms of xerostomia.

    Science.gov (United States)

    Corcoran, Ruth A; Stovell, Alex G; Urquhart, David; Chui, Ted; Richardson, Marie

    2006-01-01

    The aim of this series of studies on rheological, sensory, and mucoadhesive properties was to evaluate the potential of using a combined polymer system to more closely represent the adaptive nature of saliva, while providing long lasting relief from the symptoms of xerostomia. The rheological investigations were conducted on 1% polymer solutions 24 hours after preparation, during which time they were stored in sealed glass containers at room temperature. The rheometer was controlled via peltier to 35 degrees C +/- 0.1 degrees C, and a shear rate range of 0.1 to 300 s(-1) was applied; thirty measurements were taken during each run. Eight panelists were recruited from the in-house sensory panel at GlaxoSmithKline (GSK) Weybridge to take part in the sensory evaluation. A brief training session was conducted at the start of the study in order to standardize the panelists' responses to the sensory term "tacky." For each test, panelists were given 10 ml of the respective polymer solution and instructed to swirl this solution around their mouths for 20 seconds before expectorating. The panelists were then asked to evaluate the solution in terms of "tack," measured by tapping the tongue on the roof of the mouth. A new formulation, based upon the rheology and sensory testing, was evaluated versus other commercially available sprays for the relief of xerostomia. The new formulation, named OASIS, contains a combination of Xanthan gum, carboxymethyl cellulose and a polyvinyl pyrollidone backboned polymer. To evaluate mucoadhesion of this final product, a 16 mm diameter cylindrical aluminium probe was selected. The probe and the base platform were both coated with a thin layer of artificial polyurethane membrane to more closely mimic the oral mucosal surface. The probe was set to travel downward at 2.0 mm/sec until it made contact with the base platform with a force of 1000 g. The two surfaces were then left in contact for 30 seconds before the probe receded from the base

  9. Color and power Doppler combined with Fetal Intelligent Navigation Echocardiography (FINE) to evaluate the fetal heart.

    Science.gov (United States)

    Yeo, L; Romero, R

    2017-10-01

    To evaluate the performance of color and bidirectional power Doppler ultrasound combined with Fetal Intelligent Navigation Echocardiography (FINE) in examining the fetal heart. A prospective cohort study was conducted of fetuses in the second and third trimesters with a normal heart or with congenital heart disease (CHD). One or more spatiotemporal image correlation (STIC) volume datasets, combined with color or bidirectional power Doppler (S-flow) imaging, were acquired in the apical four-chamber view. Each successfully obtained STIC volume was evaluated by STICLoop™ to determine its appropriateness before applying the FINE method. Visualization rates for standard fetal echocardiography views using diagnostic planes and/or Virtual Intelligent Sonographer Assistance (VIS-Assistance®) were calculated for grayscale (removal of Doppler signal), color Doppler and S-flow Doppler. In four cases with CHD (one case each of tetralogy of Fallot, hypoplastic left heart and coarctation of the aorta, interrupted inferior vena cava with azygos vein continuation and asplenia, and coarctation of the aorta with tricuspid regurgitation and hydrops), the diagnostic potential of this new technology was presented. A total of 169 STIC volume datasets of the normal fetal heart (color Doppler, n = 78; S-flow Doppler, n = 91) were obtained from 37 patients. Only a single STIC volume of color Doppler and/or a single volume of S-flow Doppler per patient were analyzed using FINE. Therefore, 60 STIC volumes (color Doppler, n = 27; S-flow Doppler, n = 33) comprised the final study group. Median gestational age at sonographic examination was 23 (interquartile range, 21-27.5) weeks. Color Doppler FINE generated nine fetal echocardiography views (grayscale) using (1) diagnostic planes in 73-100% of cases, (2) VIS-Assistance in 100% of cases, and (3) a combination of diagnostic planes and/or VIS-Assistance in 100% of cases. The rate of generating successfully eight fetal echocardiography views

  10. Multidimensional cost-benefit analysis to guide evidence-based environmental enrichment: providing bedding and foraging substrate to pen-housed monkeys.

    Science.gov (United States)

    Bennett, Allyson J; Corcoran, Christopher A; Hardy, Vickie A; Miller, Leslie R; Pierre, Peter J

    2010-09-01

    Refinement of animal care and housing is an important shared goal-and challenge-of the team of research, veterinary, and animal care personnel charged with ensuring the wellbeing of laboratory animals. This study addresses 2 issues central to decision-making and implementation of environmental enhancement: methods for useful and comprehensive cost analysis and evaluation of engineering, husbandry, and facilities considerations. The study was undertaken to analyze the feasibility and cost of providing wood shavings as a floor cover for pen-housed monkeys. The beneficial effects of bedding for the welfare of laboratory-housed animals have long been validated. Our study illustrates a workable team-based procedure for comprehensive cost analysis of an important environmental enhancement and demonstrates that the animal welfare benefit is accompanied by decreased husbandry costs. An engineering solution to the potential challenge that wood shavings pose in terms of clogging water pipes was successful. Another successful outcome was the reduction in water (estimated at 192,000 gal annually) and chemicals used to clean housing areas. Emphasis on rigorous evaluation and objective measures of cost and benefit, as well as inclusion of the many factors and teams involved in animal research, holds strong potential for building a better foundation from which to contribute effective changes and improvements in laboratory animal welfare. Taken together, the findings of this study demonstrate that team-based, integrative, and scientific evaluation of environmental enhancement is an effective approach to guide selection of strategies with maximal potential for improving animal welfare.

  11. Evaluation of the Performance of an Ophthalmic Thermosensitive Hydrogel Containing Combination of Suramin and Bevacizumab.

    Science.gov (United States)

    Quinteros, Daniela Alejandra; Lopez, Emiliano Sebastian; Couto, Juan Lucio Silva; Maletto, Belkys Angelica; Allemandi, Daniel Alberto; Palma, Santiago Daniel; Gallo, Juan Eduardo

    2016-01-01

    Suramab (SUM) is a new pharmaceutical combination made up of suramine (SUR) and bevacizumab (BVM), which showed a high synergistic effect when administered jointly. As the pharmaceutical vehicle, poloxamer aqueous dispersions were used since this system is able to maintain their fluidity at low temperatures (corporal environment (>35ºC). In the present study we aimed at evaluating the effect of Poloxamer to prolong the effect of SUM. These formulations were characterized using rheological, biopharmaceutical (drug release) and morphological (SEM) technique. Corneal NV was induced in Sprague Dawley rats Corneal. At 15 days of follow up animals were sacrificed and perfused with black drawing ink. Digital photographs were taken and the area of neovascularisation (ANV) was calculated using the image programmed. The rheological behavior was influenced by the addition of drugs, resulting in a decrease in the gelation temperature (Tsol/gel). Both drugs were released from poloxamer gels by means of an anomalous mechanism. However, BVM was released faster than SUR, with their combination (SUM) to appearing to reduce delivery, probably due to interactions between the drugs or with the polymeric matrix. The in vivo studies showed that SUM-poloxamer gel was able to increase the corneal antiangiogenic effect compared to the SUM solution and BVM alone at 15 days of follow-up. Furthermore no injurious effects were observed in the histological tissue examination after drug administration. The presence of Poloxamer, known to modulate control release of biological agents, seems to have a favorable effect on SUM subconjunctival administered. Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.org.

  12. An evaluation of knowledge, attitude and practices about prescribing fixed dose combinations among resident doctors

    Directory of Open Access Journals (Sweden)

    Nimit Goswami

    2013-01-01

    Full Text Available Background: Fixed Dose Combinations (FDCs improve patient compliance and decrease pill burden. However, irrational prescribing of FDCs is a major health concern. As resident doctors are primarily involved in patient management at tertiary care hospitals, knowledge about prescribing FDCs is of paramount importance. Objective: To evaluate knowledge, attitude and practice, regarding use of FDCs by resident doctors at a tertiary care teaching hospital. Materials and Methods: The study was carried out among resident doctors working at Civil Hospital, Ahmedabad, a tertiary care teaching hospital. One hundred resident doctors from the departments of medicine, obstetrics and gynaecology, surgery, paediatrics, skin and psychiatry, who gave their informed consent, were enrolled. A prevalidated questionnaire regarding knowledge, attitude and prescribing practice of fixed dose combinations was filled up. Data was analyzed with suitable statistical tests. Results: Out of the 100 residents recruited for the study, 34, 33 and 33 residents were selected from the 1 st , 2 nd and 3 rd year respectively. The resident doctors were not aware about all of the advantages and disadvantages of FDCs. On an average, only 31% of the residents (lowest 16% among 1 st year residents had knowledge about the Essential Medicine List (EML. Knowledge about rationality of given FDCs was lacking in 81% of the residents. Only 47% could name a single banned FDC in India. Common sources of information about FDCs were medical representatives, colleagues/peers, the Monthly Index of Medical Specialities (MIMS and Continuous Medical Education (CMEs. A majority of residents (96% agreed that FDCs should be allowed to be marketed. The residents opined that most commonly prescribed FDCs were of antimicrobial drugs, amongst which amoxicillin + clavulanic acid was the most frequent. Conclusion: There is need to improve knowledge about rationality, EML, usage and banned FDCs in post graduate

  13. Evaluation of the local dose enhancement in the combination of proton therapy and nanoparticles

    Energy Technology Data Exchange (ETDEWEB)

    Martínez-Rovira, I., E-mail: immamartinez@gmail.com; Prezado, Y. [Laboratoire d’Imagerie et Modélisation en Neurobiologie et Cancérologie (IMNC), Centre National de la Recherche Scientifique (CNRS), Université Paris 7 and 11, Campus Universitaire, Bât. 440, 1er étage, 15 rue Georges Clemenceau, Orsay Cedex 91406 (France)

    2015-11-15

    Purpose: The outcome of radiotherapy can be further improved by combining irradiation with dose enhancers such as high-Z nanoparticles. Since 2004, spectacular results have been obtained when low-energy x-ray irradiations have been combined with nanoparticles. Recently, the same combination has been explored in hadron therapy. In vitro studies have shown a significant amplification of the biological damage in tumor cells charged with nanoparticles and irradiated with fast ions. This has been attributed to the increase in the ionizations and electron emissions induced by the incident ions or the electrons in the secondary tracks on the high-Z atoms, resulting in a local energy deposition enhancement. However, this subject is still a matter of controversy. Within this context, the main goal of the authors’ work was to provide new insights into the dose enhancement effects of nanoparticles in proton therapy. Methods: For this purpose, Monte Carlo calculations (GATE/GEANT4 code) were performed. In particular, the GEANT4-DNA toolkit, which allows the modeling of early biological damages induced by ionizing radiation at the DNA scale, was used. The nanometric radial energy distributions around the nanoparticle were studied, and the processes (such as Auger deexcitation or dissociative electron attachment) participating in the dose deposition of proton therapy treatments in the presence of nanoparticles were evaluated. It has been reported that the architecture of Monte Carlo calculations plays a crucial role in the assessment of nanoparticle dose enhancement and that it may introduce a bias in the results or amplify the possible final dose enhancement. Thus, a dosimetric study of different cases was performed, considering Au and Gd nanoparticles, several nanoparticle sizes (from 4 to 50 nm), and several beam configurations (source-nanoparticle distances and source sizes). Results: This Monte Carlo study shows the influence of the simulations’ parameters on the local

  14. Evaluation of the antidepressant activity of Moringa oleifera alone and in combination with fluoxetine

    Directory of Open Access Journals (Sweden)

    Ginpreet Kaur

    2015-01-01

    Full Text Available Background: The prevalence of mental depression has increased in recent years, and has become a serious health problem in most countries of the world, including India. Due to the high cost of antidepressant synthetic drugs and their accompanying side effects, the discovery of safer antidepressant herbal remedies is on the rise. Moringa oleifera (MO (drumstick has been used in traditional folk medicine, and in Ayurveda, it is considered as a valuable remedy for treating nervous system disorders as well as memory enhancing agent. Objective: The present study was designed to evaluate the acute and chronic behavioral and antidepressant effects of alcoholic extracts of MO leaves in standardized mouse models of depression. Materials and Methods: Alcoholic extracts of MO (MOE leaves were prepared, and phytoconstituents were determined using appropriate chemical analytical methods. Following preliminary dose-finding toxicity studies, the biological activity of MOE was tested in Swiss albino mice. Animals were divided into six groups: Groups 1 and 2 served as vehicle control and fluoxetine (20 mg/kg standard control, respectively. Groups 3 and 4 served as treatment groups and were orally administered ethanolic MOE at doses of 100 mg/kg and 200 mg/kg, respectively. Groups 5 and 6, respectively, received combination doses of MOE 100 mg/kg + 10 mg fluoxetine, and MOE 200 mg/kg + 10 mg/kg fluoxetine. Following acute and 14 days chronic treatments, all animals were tested using behavioral models of depression, such as forced swim test (FST, tail suspension test (TST, and locomotor activity test (LAT. Results: Significant changes in all tested activities (FST, TST, LAT of chronically dosed mice were observed, especially in animals given simultaneously combined doses of 200 mg/kg/day MOE + 10 mg/kg/day fluoxetine for 14 days. The antidepressant effect of MOE may have been invoked through the noradrenergic-serotonergic neurotransmission pathway, which is the

  15. How to Combine Objectives and Methods of Evaluation in Iterative ILE Design: Lessons Learned from Designing Ambre-Add

    Science.gov (United States)

    Nogry, S.; Jean-Daubias, S.; Guin, N.

    2012-01-01

    This article deals with evaluating an interactive learning environment (ILE) during the iterative-design process. Various aspects of the system must be assessed and a number of evaluation methods are available. In designing the ILE Ambre-add, several techniques were combined to test and refine the system. In particular, we point out the merits of…

  16. Evaluating the incidence of leukopenia and neutropenia with valproate, quetiapine, or the combination in children and adolescents.

    Science.gov (United States)

    Rahman, Aminur; Mican, Lisa M; Fischer, Charles; Campbell, Angela H

    2009-05-01

    At the Austin State Hospital, Austin, TX, a number of cases of neutropenia and leukopenia have been observed in children and adolescents who were treated with the combination of valproate and quetiapine. Use of this combination has raised concerns regarding an increased risk of hematologic toxicity. To evaluate the incidence of leukopenia and neutropenia associated with the use of valproate, quetiapine, or the combination in the child and adolescent population. This study was a retrospective evaluation of patients from the child and adolescent psychiatric service of the Austin State Hospital who were treated with valproate, quetiapine, or the combination. Subjects were selected from patients discharged between August 1, 2004, and August 31, 2007. Laboratory data were evaluated to determine the incidence and severity of leukopenia and neutropenia associated with valproate, quetiapine, and a combination of the 2. A total of 131 patients were included in the study. Analysis of the laboratory data revealed a combined incidence of neutropenia and/or leukopenia of 44%, 26%, and 6% in the combination group, valproate monotherapy group, and quetiapine monotherapy group, respectively. Differences in the incidence of neutropenia and/or leukopenia between the quetiapine monotherapy group and valproate monotherapy group, as well as the quetiapine monotherapy group and the combination group reached statistical significance. A significant difference was found among groups based on absolute neutrophil count Common Toxicity Criteria severity (p neutropenia (14 cases) from both the valproate (5 cases) and quetiapine (0 cases) monotherapy groups. A significantly greater number (44%) of African American patients experienced neutropenia and/or leukopenia than white (not Hispanic or Latino; 29%) or Hispanic or Latino (11%) patients. Patients treated with valproate or the combination of valproate and quetiapine should be monitored for the occurrence of leukopenia and neutropenia

  17. Relación costo_beneficio en la termorregulación de Chinchilla lanigera Cost-benefit relationship in thermoregulation of Chinchilla lanigera

    OpenAIRE

    ARTURO CORTES; MARIO ROSENMANN; FRANCISCO BOZINOVIC

    2000-01-01

    Chinchilla lanigera, es un roedor endémico de Chile que habita áreas desérticas del norte de Chile. Postulamos que C. lanigera (silvestre) por habitar en ambientes con escasa disponibilidad de alimento y agua, debiera poseer atributos fisiológicos que minimicen los requerimientos (costos) de energía y agua. Se evaluó el metabolismo energético en atmósferas de aire y He-O2, la pérdida de agua por evaporación (EWL) y temperatura corporal (Tb) a diferentes temperaturas ambientales (Ta). Los resu...

  18. Combining urbanization and hydrodynamics data to evaluate sea level rise impacts on coastal water resources

    Science.gov (United States)

    Young, C. R.; Martin, J. B.

    2016-02-01

    Assessments of the potential for salt water intrusion due to sea level rise require consideration of both coastal hydrodynamic and human activity thresholds. In siliciclastic systems, sea level rise may cause salt intrusion to coastal aquifers at annual or decadal scales, whereas in karst systems salt intrudes at the tidal scalse. In both cases, human activity impacts the freshwater portion of the system by altering the water demand on the aquifer. We combine physicochemical and human activity data to evaluate impact of sea level rise on salt intrusion to siliclastic (Indian River Lagoon, Fl, USA) and karst (Puerto Morelos, Yucatan, Mexico) systems under different sea level rise rate scenarios. Two hydrodynamic modeling scenarios are considered; flux controlled and head controlled. Under a flux controlled system hydraulic head gradients remain constant during sea level rise while under a head controlled system hydraulic graidents diminish, allowing saltwater intrusion. Our model contains three key terms; aquifer recharge, groundwater discharge and hydraulic conductivity. Groundwater discharge and hydraulic conductivity were calculated based on high frequency (karst system) and decadal (siliciclastic system) field measurements. Aquifer recharge is defined as precipitation less evapotranspiration and water demand was evaluated based on urban planning data that provided the regional water demand. Water demand includes agricultural area, toursim, traffic patterns, garbage collection and total population. Water demand was initially estimated using a partial leaset squares regression based on these variables. Our model indicates that water demand depends most on agricultural area, which has changed significantly over the last 30 years. In both systems, additional water demand creates a head controlled scenario, thus increaseing the protential fo salt intrusion with projected sea level rise.

  19. Safety evaluation of chemical mixtures and combinations of chemical and non-chemical stressors.

    Science.gov (United States)

    Jonker, D; Freidig, A P; Groten, J P; de Hollander, A E M; Stierum, R H; Woutersen, R A; Feron, V J

    2004-01-01

    Recent developments in hazard identification and risk assessment of chemical mixtures are reviewed. Empirical, descriptive approaches to study and characterize the toxicity of mixtures have dominated during the past two decades, but an increasing number of mechanistic approaches have made their entry into mixture toxicology. A series of empirical studies with simple chemical mixtures in rats is described in some detail because of the important lessons from this work. The development of regulatory guidelines for the toxicological evaluation of chemical mixtures is discussed briefly. Current issues in mixture toxicology include the adverse health effects of ambient air pollution; the application of such modern, sophisticated methodologies as genomics, bioinformatics, and physiologically based pharmacokinetic modeling; and databases for mixture toxicity. Finally, the state of the art of our knowledge on the potential adverse health effects of combined exposures to chemicals and non-chemical stressors (noise, heat/cold, microorganisms, immobilization, restraint, or transportation), research initiatives in these fields, and the development of an indicator for the cumulative health impact of multiple environmental exposures are discussed.

  20. Reporting Quality of Randomized, Controlled Trials Evaluating Combined Chemoradiotherapy in Nasopharyngeal Carcinoma

    Energy Technology Data Exchange (ETDEWEB)

    Chen, Yu-Pei; Chen, Lei; Li, Wen-Fei [Department of Radiation Oncology, Sun Yat-sen University Cancer Centre, State Key Laboratory of Oncology in South China, Collaborative Innovation Centre of Cancer Medicine, Guangzhou (China); Lee, Anne W.M. [Department of Clinical Oncology, The University of Hong Kong-Shenzhen Hospital, Shenzhen (China); Vermorken, Jan B. [Department of Medical Oncology, Antwerp University Hospital, Edegem (Belgium); Wee, Joseph [Department of Radiation Oncology, National Cancer Centre Singapore (Singapore); O' Sullivan, Brian [Department of Radiation Oncology, University of Toronto, Ontario Cancer Institute, University Health Network, Toronto, Ontario (Canada); Eisbruch, Avraham [Department of Radiation Oncology, University of Michigan, Ann Arbor, Michigan (United States); Lin, Jin-Ching [Department of Radiation Oncology, Taichung Veterans General Hospital, Taichung, Taiwan (China); Mai, Hai-Qiang [Department of Nasopharyngeal Carcinoma, Sun Yat-sen University Cancer Centre, State Key Laboratory of Oncology in South China, Collaborative Innovation Centre of Cancer Medicine, Guangzhou (China); Zhang, Li [Department of Medical Oncology, Sun Yat-sen University Cancer Centre, State Key Laboratory of Oncology in South China, Collaborative Innovation Centre of Cancer Medicine, Guangzhou (China); Guo, Ying [Clinical Trials Centre, Sun Yat-sen University Cancer Centre, State Key Laboratory of Oncology in South China, Collaborative Innovation Centre of Cancer Medicine, Guangzhou (China); Lin, Ai-Hua [Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou (China); Sun, Ying [Department of Radiation Oncology, Sun Yat-sen University Cancer Centre, State Key Laboratory of Oncology in South China, Collaborative Innovation Centre of Cancer Medicine, Guangzhou (China); and others

    2017-05-01

    Purpose: To comprehensively assess the reporting quality of randomized, controlled trials (RCTs) in nasopharyngeal carcinoma (NPC), and to identify significant predictors of quality. Methods and Materials: Two investigators searched MEDLINE and EMBASE for RCTs published between January 1988 and December 2015 that assessed the effect of combined chemoradiotherapy for NPC. The overall quality of each report was assessed using a 28-point overall quality score (OQS) based on the 2010 Consolidated Standards of Reporting Trials (CONSORT) statement. To provide baseline data for further evaluation, we also investigated the reporting quality of certain important issues in detail, including key methodologic items (allocation concealment, blinding, intention-to-treat principle), endpoints, follow-up, subgroup analyses, and adverse events. Results: We retrieved 24 relevant RCTs including 6591 patients. Median 2010 OQS was 15.5 (range, 10-24). Half of the items in the 2010 OQS were poorly reported in at least 40% of trials. Multivariable regression models revealed that publication after 2010 and high impact factor were significant predictors of improved 2010 OQS. Additionally, many issues that we consider significant were not reported adequately. Conclusions: Despite publication of the CONSORT statement more than a decade ago, overall reporting quality for RCTs in NPC was unsatisfactory. Additionally, substantial selectivity and heterogeneity exists in reporting of certain crucial issues. This survey provides the first prompt for NPC trial investigators to improve reporting quality according to the CONSORT statement; increased scrutiny and diligence by editors and peer reviewers is also required.

  1. Application and evaluation of a combination of socratice and learning through discussion techniques

    Directory of Open Access Journals (Sweden)

    EJ van Aswegen

    2001-09-01

    Full Text Available This article has its genesis in the inquirer’s interest in the need for internalizing critical thinking, creative thinking and reflective skills in adult learners. As part of a broader study the inquirer used a combination of two techniques over a period of nine months, namely: Socratic discussion/questioning and Learning Through Discussion Technique. The inquirer within this inquiry elected mainly qualitative methods, because they were seen as more adaptable to dealing with multiple realities and more sensitive and adaptable to the many shaping influences and value patterns that may be encountered (Lincoln & Guba, 1989. Purposive sampling was used and sample size (n =10 was determined by the willingness of potential participants to enlist in the chosen techniques. Feedback from participants was obtained: (1 verbally after each discussion session, and (2 in written format after completion of the course content. The final/ summative evaluation was obtained through a semi-structured questionnaire. This was deemed necessary, in that the participants were already studying for the end of the year examination. For the purpose of this condensed report the inquirer reflected only on the feedback obtained with the help of the questionnaire. The empirical study showed that in spite of various adaptation problems experienced, eight (8 of the ten (10 participants felt positive toward the applied techniques.

  2. Selective hydrolysis of wastewater sludge. Part 1. Model calculations and cost benefit analysis for Esbjerg West waste water treatment plant, Denmark

    Energy Technology Data Exchange (ETDEWEB)

    OEstergaard, N. (Eurotec West A/S (DK)); Thomsen, Anne Belinda; Thygesen, Anders; Bangsoe Nielsen, H. (Risoe National Laboratory, DTU (DK)); Rasmussen, Soeren (SamRas (DK))

    2007-09-15

    The project 'Selective hydrolysis of wastewater sludge' investigates the possibilities of utilizing selective hydrolysis of sludge at waste water treatment plants to increase the production of biogas based power and heat, and at the same time reduce power consumption for handling and treatment of nitrogen and sludge as well as for disposal of the sludge. The selective hydrolysis system is based on the fact that an anaerobic digestion before a hydrolysis treatment increases the hydrolysis efficiency, as the production of volatile organic components, which might inhibit the hydrolysis efficiency, are not produced to the same extent as may be the case for a hydrolysis made on un-digested material. Furthermore it is possible to separate ammonia from the sludge without using chemicals; it has, however, proven difficult to treat wastewater sludge, as the sludge seems to be difficult to treat in the laboratory using simple equipment. Esbjerg Wastewater Treatment Plant West, Denmark, is used as model plant for the calculations of the benefits using selective hydrolysis of sludge as if established at the existing sludge digester system. The plant is a traditional build plant based on the activated sludge concept in addition to traditional digester technology. The plant treats combined household and factory wastewater with a considerable amount of the wastewater received from the industries. During the project period Esbjerg Treatment Plant West went through considerable process changes, thus the results presented in this report are based on historical plant characteristics and may be viewed as conservative relative to what actually may be obtainable. (BA)

  3. A cost-benefit analysis of a pellet boiler with electrostatic precipitator versus conventional biomass technology: A case study of an institutional boiler in Syracuse, New York.

    Science.gov (United States)

    Levy, Jonathan I; Biton, Leiran; Hopke, Philip K; Zhang, K Max; Rector, Lisa

    2017-07-01

    Biomass facilities have received increasing attention as a strategy to increase the use of renewable fuels and decrease greenhouse gas emissions from the electric generation and heating sectors, but these facilities can potentially increase local air pollution and associated health effects. Comparing the economic costs and public health benefits of alternative biomass fuel, heating technology, and pollution control technology options provides decision-makers with the necessary information to make optimal choices in a given location. For a case study of a combined heat and power biomass facility in Syracuse, New York, we used stack testing to estimate emissions of fine particulate matter (PM2.5) for both the deployed technology (staged combustion pellet boiler with an electrostatic precipitator) and a conventional alternative (wood chip stoker boiler with a multicyclone). We used the atmospheric dispersion model AERMOD to calculate the contribution of either fuel-technology configuration to ambient primary PM2.5 in a 10km×10km region surrounding the facility, and we quantified the incremental contribution to population mortality and morbidity. We assigned economic values to health outcomes and compared the health benefits of the lower-emitting technology with the incremental costs. In total, the incremental annualized cost of the lower-emitting pellet boiler was $190,000 greater, driven by a greater cost of the pellet fuel and pollution control technology, offset in part by reduced fuel storage costs. PM2.5 emissions were a factor of 23 lower with the pellet boiler with electrostatic precipitator, with corresponding differences in contributions to ambient primary PM2.5 concentrations. The monetary value of the public health benefits of selecting the pellet-fired boiler technology with electrostatic precipitator was $1.7 million annually, greatly exceeding the differential costs even when accounting for uncertainties. Our analyses also showed complex spatial

  4. Evaluation of gabapentin and dexamethasone alone or in combination for pain control after adenotonsillectomy in children

    Directory of Open Access Journals (Sweden)

    Sabry Mohammad Amin

    2014-01-01

    Full Text Available Background: Different methods and many drugs have been used to control the post-operative pain. In this study, we evaluate the role of gabapentin premedication and/or dexamethasone in management of post-operative pain following adenotonsillectomy in children. Materials and Methods: In a double-blind randomized study, 120 children were subjected for adenotonsillectomy classified into three equal groups. Group G: Gabapentin 10 mg/kg was given orally 2 h before induction of anesthesia (Gabapentin syrup 250 mg/5 ml. Group D: Children in this group received placebo pre-operatively and received dexamethasone 0.15 mg/kg intravenously after induction of anesthesia, but before surgery. Group C: Children in this group received combination of oral gabapentin 10 mg/kg 2 h before induction of anesthesia and intra-operative 0.15 mg/kg dexamethasone intravenously. All children underwent general anesthesia. Pain score was assisted post-operatively 2 h, 4 h, 6 h, 8 h, 12 h and 18 h after recovery using face, legs, activity, cry, consolability scale. Results: Pain score in Group C and Group G was significantly less at 4 h, 6 h and 8 h post-operatively than in Group D (P 0.05. The time to first analgesia was longer in the Group C than in Group G and Group D and the time to first analgesia was significantly longer in Group G than in Group D (P < 0.05. The total amount of pethidine was less in Group C and Group G than in Group D (P < 0.05. The incidence of post-operative nausea and vomiting was statically insignificant among all groups and no reported post-operative bleeding. Conclusion: Gabapentin 10 mg/kg premedication combined with intra-operative dexamethasone 0.15 mg/kg prolongs the post-operative analgesia following adenotonsillectomy in children and decreases the amount of pethidine used post-operatively with no reported adverse effects or increase in the incidence of post-operative bleeding.

  5. Challenges in the Clinical Application of the American Society of Clinical Oncology Value Framework: A Medicare Cost-Benefit Analysis in Chronic Lymphocytic Leukemia.

    Science.gov (United States)

    Seymour, Erlene K; Schiffer, Charles A; de Souza, Jonas A

    2017-11-16

    The ASCO Value Framework calculates the value of cancer therapies. Given costly novel therapeutics for chronic lymphocytic leukemia, we used the framework to compare net health benefit (NHB) and cost within Medicare of all regimens listed in the National Comprehensive Cancer Network (NCCN) guidelines. The current NCCN guidelines for chronic lymphocytic leukemia were reviewed. All referenced studies were screened, and only randomized controlled prospective trials were included. The revised ASCO Value Framework was used to calculate NHB. Medicare drug pricing was used to calculate the cost of therapies. Forty-nine studies were screened. The following observations were made: only 10 studies (20%) could be evaluated; when comparing regimens studied against the same control arm, ranking NHB scores were comparable to their preference in guidelines; NHB scores varied depending on which variables were used, and there were no clinically validated thresholds for low or high values; treatment-related deaths were not weighted in the toxicity scores; and six of the 10 studies used less potent control arms, ranked as the least-preferred NCCN-recommended regimens. The ASCO Value Framework is an important initial step to quantify value of therapies. Essential limitations include the lack of clinically relevant validated thresholds for NHB scores and lack of incorporation of grade 5 toxicities/treatment-related mortality into its methodology. To optimize its application for clinical practice, we urge investigators/sponsors to incorporate and report the required variables to calculate the NHB of regimens and encourage trials with stronger comparator arms to properly quantify the relative value of therapies.

  6. Estimation of incidence and social cost of colon cancer due to nitrate in drinking water in the EU: a tentative cost-benefit assessment

    Directory of Open Access Journals (Sweden)

    Rabl Ari

    2010-10-01

    Full Text Available Abstract Background Presently, health costs associated with nitrate in drinking water are uncertain and not quantified. This limits proper evaluation of current policies and measures for solving or preventing nitrate pollution of drinking water resources. The cost for society associated with nitrate is also relevant for integrated assessment of EU nitrogen policies taking a perspective of welfare optimization. The overarching question is at which nitrogen mitigation level the social cost of measures, including their consequence for availability of food and energy, matches the social benefit of these measures for human health and biodiversity. Methods Epidemiological studies suggest colon cancer to be possibly associated with nitrate in drinking water. In this study risk increase for colon cancer is based on a case-control study for Iowa, which is extrapolated to assess the social cost for 11 EU member states by using data on cancer incidence, nitrogen leaching and drinking water supply in the EU. Health costs are provisionally compared with nitrate mitigation costs and social benefits of fertilizer use. Results For above median meat consumption the risk of colon cancer doubles when exposed to drinking water exceeding 25 mg/L of nitrate (NO3 for more than ten years. We estimate the associated increase of incidence of colon cancer from nitrate contamination of groundwater based drinking water in EU11 at 3%. This corresponds to a population-averaged health loss of 2.9 euro per capita or 0.7 euro per kg of nitrate-N leaching from fertilizer. Conclusions Our cost estimates indicate that current measures to prevent exceedance of 50 mg/L NO3 are probably beneficial for society and that a stricter nitrate limit and additional measures may be justified. The present assessment of social cost is uncertain because it considers only one type of cancer, it is based on one epidemiological study in Iowa, and involves various assumptions regarding exposure. Our

  7. Estimation of incidence and social cost of colon cancer due to nitrate in drinking water in the EU: a tentative cost-benefit assessment.

    Science.gov (United States)

    van Grinsven, Hans J M; Rabl, Ari; de Kok, Theo M

    2010-10-06

    Presently, health costs associated with nitrate in drinking water are uncertain and not quantified. This limits proper evaluation of current policies and measures for solving or preventing nitrate pollution of drinking water resources. The cost for society associated with nitrate is also relevant for integrated assessment of EU nitrogen policies taking a perspective of welfare optimization. The overarching question is at which nitrogen mitigation level the social cost of measures, including their consequence for availability of food and energy, matches the social benefit of these measures for human health and biodiversity. Epidemiological studies suggest colon cancer to be possibly associated with nitrate in drinking water. In this study risk increase for colon cancer is based on a case-control study for Iowa, which is extrapolated to assess the social cost for 11 EU member states by using data on cancer incidence, nitrogen leaching and drinking water supply in the EU. Health costs are provisionally compared with nitrate mitigation costs and social benefits of fertilizer use. For above median meat consumption the risk of colon cancer doubles when exposed to drinking water exceeding 25 mg/L of nitrate (NO3) for more than ten years. We estimate the associated increase of incidence of colon cancer from nitrate contamination of groundwater based drinking water in EU11 at 3%. This corresponds to a population-averaged health loss of 2.9 euro per capita or 0.7 euro per kg of nitrate-N leaching from fertilizer. Our cost estimates indicate that current measures to prevent exceedance of 50 mg/L NO3 are probably beneficial for society and that a stricter nitrate limit and additional measures may be justified. The present assessment of social cost is uncertain because it considers only one type of cancer, it is based on one epidemiological study in Iowa, and involves various assumptions regarding exposure. Our results highlight the need for improved epidemiological studies.

  8. In vitro Evaluation of Sheep Rumen Fermentation Pattern After Adding Different Levels of Eugenol – Fumaric acid Combinations

    OpenAIRE

    T A M Baraka; Abdl-Rahman, M. A.

    2012-01-01

    In vitro gas production technique was used to evaluate the effect of three different levels of eugenol + fumaric acid combinations on rumen fermentation. Rumen contents were collected from five rams immediately after slaughtering and used for preparation of inoculums of mixed rumen microbes that were used in generation of five treatment systems, negative control with no additives (T1), fumaric acid 0.5 mg L–1 (T2) and fumaric acid 0.5 mg L–1 in combination with three differe...

  9. Evaluation of co-benefits from combined climate change and air pollution reduction strategies

    Science.gov (United States)

    Leitao, Joana; Van Dingenen, Rita; Dentener, Frank; Rao, Shilpa

    2014-05-01

    The connection of climate change and air pollution is becoming more relevant in the process of policy making and implementation of emission control strategies because of resulting co-benefits and trade-offs. Some sectors, such as fossil fuel combustion, are sources of both pollutants (NOx and PM) as well as greenhouse gas (CO2). Additionally, the use of wood burning as biofuel to reduce climate impact may in fact deteriorate air quality. Furthermore, several air pollutants are important radiative forcers and regulating their emissions impacts on climate. It is evident that both problems need to be undertaken with a common strategy and the existence of cross-policy with co-benefits may encourage their implementation. The LIMITS FP7 project (http://www.feem-project.net/limits/index.html) was designed with the main goal of assessing strategies for reduction of GHG emissions so that the 2°C target can be achieved. The work developed focus on the evaluation of the implementation of strategies analysing several aspects of different scenarios, namely: the feasibility of low carbon scenarios in terms of available technologies and infrastructure, the required financial mechanisms, and also the co-benefits regarding energy security, economic development and air pollution. For the latter, five integrated assessment models (IAMs) provided greenhouse gases and pollutant emission values for several scenarios. These were based on air pollution scenarios defined according to stringency and implementation of future global legislation. They which were also combined with 2 climate policy scenarios (no climate policy and 2.8 W/m2 target). The former are mostly focused on non-climate policies and technical control measures for emissions of air pollutants, such as PM2.5, NOx and SO2, with their emission factors harmonized between the IAMs. With the global air quality source-receptor model TM5-FASST the impact of the resulting emissions was analysed and the co-benefits of combined

  10. Effectiveness, usability, and cost-benefit of a virtual reality-based telerehabilitation program for balance recovery after stroke: a randomized controlled trial.

    Science.gov (United States)

    Lloréns, Roberto; Noé, Enrique; Colomer, Carolina; Alcañiz, Mariano

    2015-03-01

    First, to evaluate the clinical effectiveness of a virtual reality (VR)-based telerehabilitation program in the balance recovery of individuals with hemiparesis after stroke in comparison with an in-clinic program; second, to compare the subjective experiences; and third, to contrast the costs of both programs. Single-blind, randomized, controlled trial. Neurorehabilitation unit. Chronic outpatients with stroke (N=30) with residual hemiparesis. Twenty 45-minute training sessions with the telerehabilitation system, conducted 3 times a week, in the clinic or in the home. First, Berg Balance Scale for balance assessment. The Performance-Oriented Mobility Assessment balance and gait subscales, and the Brunel Balance Assessment were secondary outcome measures. Clinical assessments were conducted at baseline, 8 weeks (posttreatment), and 12 weeks (follow-up). Second, the System Usability Scale and the Intrinsic Motivation Inventory for subjective experiences. Third, cost (in dollars). Significant improvement in both groups (in-clinic group [control] and a home-based telerehabilitation group) from the initial to the final assessment in the Berg Balance Scale (ηp(2)=.68; P=.001), in the balance (ηp(2)=.24; P=.006) and gait (ηp(2)=.57, P=.001) subscales of the Tinetti Performance-Oriented Mobility Assessment, and in the Brunel Balance Assessment (control: χ(2)=15.0; P=.002; experimental: χ(2)=21.9; P=.001). No significant differences were found between the groups in any balance scale or in the feedback questionnaires. With regard to subjective experiences, both groups considered the VR system similarly usable and motivating. The in-clinic intervention resulted in more expenses than did the telerehabilitation intervention ($654.72 per person). First, VR-based telerehabilitation interventions can promote the reacquisition of locomotor skills associated with balance in the same way as do in-clinic interventions, both complemented with a conventional therapy program

  11. The Use of Integra Dermal Regeneration Template Versus Flaps for Reconstruction of Full-Thickness Scalp Defects Involving the Calvaria: A Cost-Benefit Analysis.

    Science.gov (United States)

    Schiavon, M; Francescon, M; Drigo, D; Salloum, G; Baraziol, R; Tesei, J; Fraccalanza, E; Barbone, F

    2016-12-01

    INTEGRA® Dermal Regeneration Template is a well-known and widely used acellular dermal matrix. Although it helps to solve many challenging problems in reconstructive surgery, the product cost may make it an expensive alternative compared to other reconstruction procedures. This retrospective study aims at comparing INTEGRA-based treatment to flap surgery in terms of cost and benefit. We considered only patients treated for scalp defects with bone exposure in order to obtain two groups as homogeneous as possible. We identified two groups of patients: 17 patients treated with INTEGRA and 18 patients treated with flaps. All patients were admitted in our institution between 2004 and 2010, and presented a defect of the scalp following trauma or surgery for cancer, causing a loss of the soft tissues of the scalp with bone exposure without pericranium. To calculate the cost in constant euros of each treatment, three parameters were evaluated for each patient: cost of the surgical procedure (number of doctors and nurses involved, surgery duration, anesthesia, material used for surgery), hospitalization cost (hospitalization duration, dressings, drugs, topical agents), and outpatient cost (number of dressing changes, personnel cost, dressings type, anti-infective agents). The statistical test used in this study was the Wilcoxon Mann-Whitney (α = 0.05). No significant difference was characterized between the two groups for gender, age, presence of diabetes, mean defect size, and number of surgical procedures. All patients healed with good quality and durable closure. The median total cost per patient was €11,121 (interquartile range (IQR) 8327-15,571) for the INTEGRA group and €7259 (IQR 1852-24,443) for the flap group (p = 0.34). A subgroup of patients (six patients in the INTEGRA group and five patients in the flap group) showing defects larger than 100 cm2 were considered in a second analysis. Median total cost was €11,825 (IQR 10,695-15,751) for the INTEGRA

  12. Combining Campbell Standards and the Realist Evaluation Approach: The Best of Two Worlds?

    Science.gov (United States)

    van der Knaap, Leontien M.; Leeuw, Frans L.; Bogaerts, Stefan; Nijssen, Laura T. J.

    2008-01-01

    This article presents an approach to systematic reviews that combines the Campbell Collaboration Crime and Justice standards and the realist notion of contexts-mechanisms-outcomes (CMO) configurations. Both approaches have their advantages and drawbacks, and the authors will make a case for combining both approaches to profit from their advantages…

  13. Pharmacokinetics and clinical evaluation of the alogliptin plus pioglitazone combination for type 2 diabetes.

    Science.gov (United States)

    Scheen, André J

    2015-06-01

    Type 2 diabetes is a complex disease with multiple defects, which generally requires a combination of several pharmacological approaches to reach glucose control targets. A unique fixed-dose combination combines a thiazolidinedione (pioglitazone) and a dipeptidyl peptidase-4 inhibitor (alogliptin). An extensive literature search was performed to analyze the pharmacokinetics of pioglitazone and alogliptin when used separately and in combination as well as to summarize clinical and toxicological considerations about the combined therapy. Pioglitazone, a potent insulin sensitizer, and alogliptin, an incretin-based agent that potentiates post-meal insulin secretion and reduces glucagon secretion, have complementary mechanisms of action. The clinical efficacy of a combined therapy is superior to any single therapy in patients treated with diet or with metformin (with or without sulphonylurea). These two drugs can be administered once daily, with or without a meal. No clinically relevant pharmacokinetic interactions between the two agents have been described and the fixed-dose combination has shown bioequivalence with alogliptin and pioglitazone given separately. Combining alogliptin with pioglitazone does not alter the safety profile of each compound. Weight gain observed with pioglitazone may be limited with the addition of alogliptin. The concern of an increased risk of heart failure remains to be better investigated.

  14. Evaluation of a Combined Cyclone and Gas Filtration System for Particulate Removal in the Gasification Process

    Energy Technology Data Exchange (ETDEWEB)

    Rizzo, Jeffrey J. [Phillips66 Company, West Terre Haute, IN (United States)

    2010-04-30

    cyclonefiltration hybrid unit in the E-Gas (TM) gasification process. These reductions would help to keep the E-Gas (TM) technology competitive among other coal-fired power generation technologies. The Wabash combined cyclone and gas filtration slipstream test program was developed to provide design information, equipment specification and process control parameters of a hybrid cyclone and candle filter particulate removal system in the E-Gas (TM) gasification process that would provide the optimum performance and reliability for future commercial use. The test program objectives were as follows: 1. Evaluate the use of various cyclone materials of construction; 2. Establish the optimal cyclone efficiency that provides stable long term gas filter operation; 3. Determine the particle size distribution of the char separated by both the cyclone and candle filters. This will provide insight into cyclone efficiency and potential future plant design; 4. Determine the optimum filter media size requirements for the cyclone-filtration hybrid unit; 5. Determine the appropriate char transfer rates for both the cyclone and filtration portions of the hybrid unit; 6. Develop operating procedures for the cyclone-filtration hybrid unit; and, 7. Compare the installed capital cost of a scaled-up commercial cyclone-filtration hybrid unit to the current gas filtration design without a cyclone unit, such as currently exists at the Wabash facility.

  15. How to evaluate combination therapy using interferon and nucleos(tide analogues

    Directory of Open Access Journals (Sweden)

    CHEN Lu

    2016-11-01

    Full Text Available Chronic hepatitis B is still one of the most important chronic diseases in China because of its high relevance to liver cirrhosis and hepatic cell cancer (HCC. Currently, interferon and nucleos(tide analogues are two main treatments for chronic hepatitis B, but they have advantages and disadvantages. More investigations are needed to explore better ways for treating this disease, and combination therapy might be one of the options. This article analyzes the advances in various combination therapies and points out views about the selection of combination therapies and patients.

  16. Evaluation of Puvasol and Puvasol Combined with Topical Medication For the Treatment of Psoriasis

    Directory of Open Access Journals (Sweden)

    Abdul Kalam

    1986-01-01

    Full Text Available Fifty patients having psoriasis were studied with a view to assess and comparc the efficacy of PUVASOL (oral psoralin with ultraviolet/sun-ray exposure therapy with that of the, combined regime of PUVASOL and a topical. cream containing, urea coal- trar, dithranol salicylic acid and Th. two forms of therapy were m-25 patients each, and observations were made over a period of 90 days. PUVASOL combined with topical medicat on was found to be more effective, than PUVASOL alone. The side effects were also more′ marked in the combined therapy group, but were manageable by regulating the doses.

  17. Evaluating Loans Using a Combination of Data Envelopment and Neuro-Fuzzy Systems

    Directory of Open Access Journals (Sweden)

    Rashmi Malhotra

    2015-02-01

    Full Text Available A business organization's objective is to make better decisions at all levels of the firm to improve performance. Typically organizations are multi-faceted and complex systems that use uncertain information. Therefore, making quality decisions to improve organizational performance is a daunting task. Organizations use decision support systems that apply different business intelligence techniques such as statistical models, scoring models, neural networks, expert systems, neuro-fuzzy systems, case-based systems, or simply rules that have been developed through experience. Managers need a decision-making approach that is robust, competent, effective, efficient, and integrative to handle the multi-dimensional organizational entities. The decision maker deals with multiple players in an organization such as products, customers, competitors, location, geographic structure, scope, internal organization, and cultural dimension [46]. Sound decisions include two important concepts: efficiency (return on invested resources and effectiveness (reaching predetermined goals. However, quite frequently, the decision maker cannot simultaneously handle data from different sources. Hence, we recommend that managers analyze different aspects of data from multiple sources separately and integrate the results of the analysis. This study proposes the design of a multi-attribute-decision-support-system that combines the analytical power of two different tools: data envelopment analysis (DEA and fuzzy logic. DEA evaluates and measures the relative efficiency of decision making units that use multiple inputs and outputs to provide non-objective measures without making any specific assumptions about data. On the other hand fuzzy logic's main strength lies in handling imprecise data. This study proposes a modeling technique that jointly uses the two techniques to benefit from the two methodologies. A major advantage of the DEA approach is that it clearly identifies the

  18. Methodological considerations in the evaluation of analgesic combinations: Acetaminophen (paracetamol) and hydrocodone in postpartum pain

    OpenAIRE

    Beaver, William T.; McMillan, Diane

    1980-01-01

    1 In a double-blind study, 108 postpartum patients received single oral doses of either placebo, acetaminophen (paracetamol) 1000 mg, hydrocodone 10 mg, the combination of acetaminophen plus hydrocodone, or codeine 60 mg.

  19. Cost Benefit Analysis of Boat Lifts

    Science.gov (United States)

    2014-09-01

    and recovery of the craft were considered and a total of three were tested. These models included: Hydro Hoist , SunStream, and Jet Dock. The study...of hoisting the specified CG boats. The team compared lift price against lifting capacity (Figure 1) using the Naval Sea Systems Command report to...stability in the lift, the RB-S was anchored at three locations to the Jet Dock: one point at the eye hook on the boat’s bow and two ratchet straps

  20. Crowdsourcing. Classification, costs, benefits, and usage

    NARCIS (Netherlands)

    Michiel Rovers; Dcik Swart; Drs Erik Hekman; Rogier Brussee; Dr. H.M.M. van Vliet

    2013-01-01

    The term crowdsourcing was introduced by Jeff Howe (2006). It is the act of a company or organisation to take a function once performed by employees and outsourcing it to an undefined, and usually large, network of people in the form of an open call. As communication tools to organize work have