WorldWideScience

Sample records for total pavement cost

  1. Feasibility of perpetual pavement stage construction in China: A life cycle cost analysis

    Directory of Open Access Journals (Sweden)

    Zhongyin Guo

    2016-12-01

    Full Text Available The main objective of pavement design and management is to build sustainable pavement structure with minimum costs during its whole life. There are many uncertainties in the process of pavement design pertaining many of its variables, such as future traffic estimation, long time behavior of materials, future weights and types of traveling vehicles, availability of funds etc. Therefore, it is important to apply pavement stage construction technique during the process of pavement design and management to minimize the risk associated with these uncertainties. From the beginning of 2000, the research and application of perpetual asphalt pavement (PP technology has been deployed in China. The semi rigid base for asphalt pavement has been normally considered as typical component of high class highways in the design according to the Chinese experience since 1997. The research objective is to apply pavement stage construction for the evaluation of life cycle costs of Chinese perpetual and traditional semi rigid pavements using operational pavement management system in addition to examine its suitability for design and construction of more economical and durable flexible pavements. It has been found that the stage construction of asphalt layers in PP over semi rigid pavement foundation will create more sustainable and trusted pavement structures in spite of 2–5% increase in present total cost.

  2. sensitivity analysis on flexible road pavement life cycle cost model

    African Journals Online (AJOL)

    user

    of sensitivity analysis on a developed flexible pavement life cycle cost model using varying discount rate. The study .... organizations and specific projects needs based. Life-cycle ... developed and completed urban road infrastructure corridor ...

  3. Alternate bidding strategies for asphalt and concrete pavement projects utilizing life cycle cost analysis (LCCA).

    Science.gov (United States)

    2012-07-01

    Recent changes in pavement materials costs have impacted the competitive environment relative to the : determination of the most cost effective pavement structure for a specific highway project. In response, State : highway agencies have renewed thei...

  4. Evaluation of pavement life cycle cost analysis: Review and analysis

    Directory of Open Access Journals (Sweden)

    Peyman Babashamsi

    2016-07-01

    Full Text Available The cost of road construction consists of design expenses, material extraction, construction equipment, maintenance and rehabilitation strategies, and operations over the entire service life. An economic analysis process known as Life-Cycle Cost Analysis (LCCA is used to evaluate the cost-efficiency of alternatives based on the Net Present Value (NPV concept. It is essential to evaluate the above-mentioned cost aspects in order to obtain optimum pavement life-cycle costs. However, pavement managers are often unable to consider each important element that may be required for performing future maintenance tasks. Over the last few decades, several approaches have been developed by agencies and institutions for pavement Life-Cycle Cost Analysis (LCCA. While the transportation community has increasingly been utilising LCCA as an essential practice, several organisations have even designed computer programs for their LCCA approaches in order to assist with the analysis. Current LCCA methods are analysed and LCCA software is introduced in this article. Subsequently, a list of economic indicators is provided along with their substantial components. Collecting previous literature will help highlight and study the weakest aspects so as to mitigate the shortcomings of existing LCCA methods and processes. LCCA research will become more robust if improvements are made, facilitating private industries and government agencies to accomplish their economic aims. Keywords: Life-Cycle Cost Analysis (LCCA, Pavement management, LCCA software, Net Present Value (NPV

  5. Acute pavement burns: a unique subset of burn injuries: a five-year review of resource use and cost impact.

    Science.gov (United States)

    Silver, Andrew G; Dunford, Gerrit M; Zamboni, William A; Baynosa, Richard C

    2015-01-01

    This study focuses on the hospital care of a rare subset of burn injuries caused by contact with environmentally heated pavement, to further understand the required use of resources. This article aims to show that pavement burns are typically more severe than their flame/scald counterparts. A retrospective review of patients admitted to the burn center with injuries suffered from contact with hot pavement was performed. Patients were stratified on the presence or absence of altered mental status (AMS) and additional inciting factors. A representative sample of similarly sized flame and scald wounds treated in the same time period was compiled for comparison. Those with pavement burns had a significantly greater requirement for operative intervention, repetitive debridements, overall cost/percent burned, and lengthier hospital stays than those with flame/scald burns. Pavement burn victims with AMS were significantly more likely to require an operation, a greater cost/percent burned, and longer hospital stays than those without AMS. Pavement burns are significantly worse than similarly sized scald/flame burns with regards to length of stay and total hospital costs, and the necessity of initial and repetitive operative intervention. These discrepancies are even greater in patients with AMS as a concomitant inciting factor. It is apparent that these wounds often continue to deepen during a patient's stay, likely because of continued pressure on the wounds while recumbent. As such, this article highly recommends pressure off-loading beds and more aggressive debridement in the treatment of these unique injuries.

  6. Cost-Effective Pavement Performance Management of Indiana's Enhanced National Highway System through Strategic Modification of the Pavement Rehabilitation Treatment Trigger Values

    OpenAIRE

    Noureldin, Menna; Fricker, Jon D.; Sinha, Kumares C.

    2015-01-01

    Cost-Effective Pavement Performance Management of Indiana's Enhanced National Highway System through Strategic Modification of the Pavement Rehabilitation Treatment Trigger Values Presented during Session 3: Policy and Funding, moderated by Magdy Mikhail, at the 9th International Conference on Managing Pavement Assets (ICMPA9) in Alexandria, VA. Includes conference paper and PowerPoint slides.

  7. Increased costs to US pavement infrastructure from future temperature rise

    Science.gov (United States)

    Underwood, B. Shane; Guido, Zack; Gudipudi, Padmini; Feinberg, Yarden

    2017-10-01

    Roadway design aims to maximize functionality, safety, and longevity. The materials used for construction, however, are often selected on the assumption of a stationary climate. Anthropogenic climate change may therefore result in rapid infrastructure failure and, consequently, increased maintenance costs, particularly for paved roads where temperature is a key determinant for material selection. Here, we examine the economic costs of projected temperature changes on asphalt roads across the contiguous United States using an ensemble of 19 global climate models forced with RCP 4.5 and 8.5 scenarios. Over the past 20 years, stationary assumptions have resulted in incorrect material selection for 35% of 799 observed locations. With warming temperatures, maintaining the standard practice for material selection is estimated to add approximately US$13.6, US$19.0 and US$21.8 billion to pavement costs by 2010, 2040 and 2070 under RCP4.5, respectively, increasing to US$14.5, US$26.3 and US$35.8 for RCP8.5. These costs will disproportionately affect local municipalities that have fewer resources to mitigate impacts. Failing to update engineering standards of practice in light of climate change therefore significantly threatens pavement infrastructure in the United States.

  8. Evaluating life cycle costs of perpetual pavements in China using operational pavement management system

    Directory of Open Access Journals (Sweden)

    Saud A. Sultan

    2016-10-01

    Full Text Available Highway transportation is considered as vital factor in China’s economic growth; many high grade highways have been constructed in China during the last decades. The research and application of perpetual asphalt pavement (PP technology have been deployed in China since 2000. The semi-rigid pavement has been normally considered as typical pavement of high class highways in the design according to the Chinese experience. The objective of this research is to evaluate the performance of different Chinese perpetual pavements using operational pavement management system and to examine its suitability for use in the design and construction of more economical and durable pavements. It has been found that the use of thin asphalt layers over semi-rigid pavement foundation in PP structure will create more sustainable, economical, and durable PP structures in comparison with typical thick asphalt layers PP structures.

  9. Preliminary evaluation of the lifecycle costs and market barriers of reflective pavements; TOPICAL

    International Nuclear Information System (INIS)

    Ting, M.; Koomey, J.G.; Pomerantz, M.

    2001-01-01

    The objective of this study is to evaluate the life cycle costs and market barriers associated with using reflective paving materials in streets and parking lots as a way to reduce the urban heat island effect. We calculated and compared the life cycle costs of conventional asphalt concrete (AC) pavements to those of other existing pavement technologies with higher reflectivity-portland cement concrete (PCC), porous pavements, resin pavements, AC pavements using light-colored chip seals, and AC pavements using light-colored asphalt emulsion additives. We found that for streets and parking lots, PCC can provide a cost-effective alternative to conventional AC when severely damaged pavements must be completely reconstructed. We also found that rehabilitating damaged AC streets and intersections with thin overlays of PCC (ultra-thin white topping) can often provide a cost-effective alternative to standard rehabilitation techniques using conventional AC. Chip sealing is a common maintenance treatment for low-volume streets which, when applied using light-colored chips, could provide a reflective pavement surface. If the incremental cost of using light-colored chips is low, this chip sealing method could also be cost-effective, but the incremental costs of light-colored chips are as of yet uncertain and expected to vary. Porous pavements were found to have higher life cycle costs than conventional AC in parking lots, but several cost-saving features of porous pavements fell outside the boundaries of this study. Resin pavements were found to be only slightly more expensive than conventional AC, but the uncertainties in the cost and performance data were large. The use of light-colored additives in asphalt emulsion seal coats for parking lot pavements was found to be significantly more expensive than conventional AC, reflecting its current niche market of decorative applications. We also proposed two additional approaches to increasing the reflectivity of conventional AC

  10. Benefit cost models to support pavement management decisions.

    Science.gov (United States)

    2012-06-01

    A critical role of pavement management is to provide decision makers with estimates of the required budget level to achieve specific steady-state network conditions, and to recommend the best allocation of available budget among competing needs for m...

  11. Trade off between costs and environmental effects of weed control on pavements

    NARCIS (Netherlands)

    Kempenaar, C.; Lotz, L.A.P.; Horst, van der C.L.M.; Beltman, W.H.J.; Leemans, K.J.M.; Bannink, A.D.

    2007-01-01

    An actor-participative project on sustainable weed control on pavements was started in 2000 in the Netherlands. The aim of the project was to develop a new concept of weed management that provides cost-effective and environmentally sound weed control. Early in 2002, practical guidelines were drawn

  12. Analysis and design optimization of flexible pavement

    Energy Technology Data Exchange (ETDEWEB)

    Mamlouk, M.S.; Zaniewski, J.P.; He, W.

    2000-04-01

    A project-level optimization approach was developed to minimize total pavement cost within an analysis period. Using this approach, the designer is able to select the optimum initial pavement thickness, overlay thickness, and overlay timing. The model in this approach is capable of predicting both pavement performance and condition in terms of roughness, fatigue cracking, and rutting. The developed model combines the American Association of State Highway and Transportation Officials (AASHTO) design procedure and the mechanistic multilayer elastic solution. The Optimization for Pavement Analysis (OPA) computer program was developed using the prescribed approach. The OPA program incorporates the AASHTO equations, the multilayer elastic system ELSYM5 model, and the nonlinear dynamic programming optimization technique. The program is PC-based and can run in either a Windows 3.1 or a Windows 95 environment. Using the OPA program, a typical pavement section was analyzed under different traffic volumes and material properties. The optimum design strategy that produces the minimum total pavement cost in each case was determined. The initial construction cost, overlay cost, highway user cost, and total pavement cost were also calculated. The methodology developed during this research should lead to more cost-effective pavements for agencies adopting the recommended analysis methods.

  13. Technical development of cost-efficient installation of power distribution cables under pavements. Haiden chichuka ni okeru doboku kensetsu gorika gijutsu no kaihatsu

    Energy Technology Data Exchange (ETDEWEB)

    Kokusho, Koji; Kataoka, Tetsuyuki; Tanaka, Yasuyuki; Yoshida, Yasuo; Ikemi, Motoyoshi; Suzuki, Koichi; Kitano, Koichi; Kobayashi, Seiichi; Kanazu, Tsutomu; Komada, Hiroya.

    1987-12-01

    Various latest technical developments were surveyed for the cost-effective installation of power distribution cables under pavements, and their applicabilities were demonstrated with the evaluation of their cost-reduction effects. Cables in conventional vinyl protection tubes could be buried only 30cm under pavements, and in such case, the cost was reduced to 51% of those of conventional methods. As the results of soil tests, excavated soil over 80% was reusable through coarse screening. Underground radar technique to explore buried pipes from the surface was detectable several pipes buried 1.5-2.0m underground, although some problems in precision were found. The improvement of reinforced concrete man-hole structures to minimize the volume of excavated soil indicated the cost reduction of nearly 20%. The application of these techniques to the installation of cables was expected to ultimately halve the total civil engineering cost. 21 refs., 130 figs., 46 tabs.

  14. Development of computer software for pavement life cycle cost analysis.

    Science.gov (United States)

    1988-01-01

    The life cycle cost analysis program (LCCA) is designed to automate and standardize life cycle costing in Virginia. It allows the user to input information necessary for the analysis, and it then completes the calculations and produces a printed copy...

  15. Sustainable Pavement Management System in Urban Areas Considering the Vehicle Operating Costs

    Directory of Open Access Journals (Sweden)

    Giuseppe Loprencipe

    2017-03-01

    Full Text Available Urban roads constitute most of the existing roads and they are directly managed by small administrations. Normally, these small administrations do not have sufficient funds or sufficient qualified personnel to carry out this task. This paper deals with an easy-implementation Pavement Management System (PMS to develop strategies to maintain, preserve and rehabilitate urban roads. The proposed method includes the creation of the road network inventory, the visual surveys of the pavement and the evaluation of its condition by the Pavement Condition Index (PCI. The method intends to give a valid tool to road managers to compare alternative maintenance strategies and perform the priority analysis on the network. With this aim, the procedure assesses the Vehicle Operating Costs (VOC by a written regression between PCI and International Roughness Index (IRI. The proposed method has several advantages because it can be easily adapted to various situations and it does not require a large amount of time and money for its implementation.

  16. Indiana Pavement Preservation Program

    OpenAIRE

    Ong, Ghim Ping (Raymond); Nantung, Tommy E.; Sinha, Kumares C.

    2010-01-01

    State highway agencies are facing immense pressure to maintain roads at acceptable levels amidst the challenging financial and economic situations. In recent years, pavement preservation has been sought as a potential alternative for managing the pavement assets, believing that it would provide a cost-effective solution in maintaining infrastructural conditions and meeting user expectations. This study explores the potential of pavement preservation concepts in managing the agency‘s pavement ...

  17. Total generating costs: coal and nuclear plants

    International Nuclear Information System (INIS)

    1979-02-01

    The study was confined to single and multi-unit coal- and nuclear-fueled electric-generating stations. The stations are composed of 1200-MWe PWRs; 1200-MWe BWRs; 800-and 1200-MWe High-Sulfur Coal units, and 800- and 1200-MWe Low-Sulfur Coal units. The total generating cost estimates were developed for commercial operation dates of 1985 and 1990; for 5 and 8% escalation rates, for 10 and 12% discount rates; and, for capacity factors of 50, 60, 70, and 80%. The report describes the methodology for obtaining annualized capital costs, levelized coal and nuclear fuel costs, levelized operation and maintenance costs, and the resulting total generating costs for each type of station. The costs are applicable to a hypothetical Middletwon site in the Northeastern United States. Plant descriptions with general design parameters are included. The report also reprints for convenience, summaries of capital cost by account type developed in the previous commercial electric-power cost studies. Appropriate references are given for additional detailed information. Sufficient detail is given to allow the reader to develop total generating costs for other cases or conditions

  18. Total Cost of Ownership and Cost-to-Serve

    DEFF Research Database (Denmark)

    Zachariassen, Frederik

    2007-01-01

    Artiklen reviewer den eksisterende litteratur vedrørende økonomistyringsværktøjerne Total Cost of Ownership (TCO) og Cost-to-Serve (CtS). Herefter kortlægges det, hvordan TCO og CtS bidrager til en identificering af direkte omkostninger såvel som indirekte omkostninger henholdsvis up-stream og down...

  19. Procedure for estimating permanent total enclosure costs

    Energy Technology Data Exchange (ETDEWEB)

    Lukey, M E; Prasad, C; Toothman, D A; Kaplan, N

    1999-07-01

    Industries that use add-on control devices must adequately capture emissions before delivering them to the control device. One way to capture emissions is to use permanent total enclosures (PTEs). By definition, an enclosure which meets the US Environmental Protection Agency's five-point criteria is a PTE and has a capture efficiency of 100%. Since costs play an important role in regulatory development, in selection of control equipment, and in control technology evaluations for permitting purposes, EPA has developed a Control Cost Manual for estimating costs of various items of control equipment. EPA's Manual does not contain any methodology for estimating PTE costs. In order to assist environmental regulators and potential users of PTEs, a methodology for estimating PTE costs was developed under contract with EPA, by Pacific Environmental Services, Inc. (PES) and is the subject of this paper. The methodology for estimating PTE costs follows the approach used for other control devices in the Manual. It includes procedures for sizing various components of a PTE and for estimating capital as well as annual costs. It contains verification procedures for demonstrating compliance with EPA's five-point criteria. In addition, procedures are included to determine compliance with Occupational Safety and Health Administration (OSHA) standards. Meeting these standards is an important factor in properly designing PTEs. The methodology is encoded in Microsoft Exel spreadsheets to facilitate cost estimation and PTE verification. Examples are given throughout the methodology development and in the spreadsheets to illustrate the PTE design, verification, and cost estimation procedures.

  20. 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.

  1. Quantifying the total cost of infrastructure to enable environmentally preferable decisions: the case of urban roadway design

    International Nuclear Information System (INIS)

    Gosse, Conrad A; Clarens, Andres F

    2013-01-01

    Efforts to reduce the environmental impacts of transportation infrastructure have generally overlooked many of the efficiencies that can be obtained by considering the relevant engineering and economic aspects as a system. Here, we present a framework for quantifying the burdens of ground transportation in urban settings that incorporates travel time, vehicle fuel and pavement maintenance costs. A Pareto set of bi-directional lane configurations for two-lane roadways yields non-dominated combinations of lane width, bicycle lanes and curb parking. Probabilistic analysis and microsimulation both show dramatic mobility reductions on road segments of insufficient width for heavy vehicles to pass bicycles without encroaching on oncoming traffic. This delay is positively correlated with uphill grades and increasing traffic volumes and inversely proportional to total pavement width. The response is nonlinear with grade and yields mixed uphill/downhill optimal lane configurations. Increasing bicycle mode share is negatively correlated with total costs and emissions for lane configurations allowing motor vehicles to safely pass bicycles, while the opposite is true for configurations that fail to facilitate passing. Spatial impacts on mobility also dictate that curb parking exhibits significant spatial opportunity costs related to the total cost Pareto curve. The proposed framework provides a means to evaluate relatively inexpensive lane reconfiguration options in response to changing modal share and priorities. These results provide quantitative evidence that efforts to reallocate limited pavement space to bicycles, like those being adopted in several US cities, could appreciably reduce costs for all users. (letter)

  2. Quantifying the total cost of infrastructure to enable environmentally preferable decisions: the case of urban roadway design

    Science.gov (United States)

    Gosse, Conrad A.; Clarens, Andres F.

    2013-03-01

    Efforts to reduce the environmental impacts of transportation infrastructure have generally overlooked many of the efficiencies that can be obtained by considering the relevant engineering and economic aspects as a system. Here, we present a framework for quantifying the burdens of ground transportation in urban settings that incorporates travel time, vehicle fuel and pavement maintenance costs. A Pareto set of bi-directional lane configurations for two-lane roadways yields non-dominated combinations of lane width, bicycle lanes and curb parking. Probabilistic analysis and microsimulation both show dramatic mobility reductions on road segments of insufficient width for heavy vehicles to pass bicycles without encroaching on oncoming traffic. This delay is positively correlated with uphill grades and increasing traffic volumes and inversely proportional to total pavement width. The response is nonlinear with grade and yields mixed uphill/downhill optimal lane configurations. Increasing bicycle mode share is negatively correlated with total costs and emissions for lane configurations allowing motor vehicles to safely pass bicycles, while the opposite is true for configurations that fail to facilitate passing. Spatial impacts on mobility also dictate that curb parking exhibits significant spatial opportunity costs related to the total cost Pareto curve. The proposed framework provides a means to evaluate relatively inexpensive lane reconfiguration options in response to changing modal share and priorities. These results provide quantitative evidence that efforts to reallocate limited pavement space to bicycles, like those being adopted in several US cities, could appreciably reduce costs for all users.

  3. Procedure for estimating permanent total enclosure costs

    Energy Technology Data Exchange (ETDEWEB)

    Lukey, M.E.; Prasad, C.; Toothman, D.A.; Kaplan, N.

    1999-07-01

    Industries that use add-on control devices must adequately capture emissions before delivering them to the control device. One way to capture emissions is to use permanent total enclosures (PTEs). By definition, an enclosure which meets the US Environmental Protection Agency's five-point criteria is a PTE and has a capture efficiency of 100%. Since costs play an important role in regulatory development, in selection of control equipment, and in control technology evaluations for permitting purposes, EPA has developed a Control Cost Manual for estimating costs of various items of control equipment. EPA's Manual does not contain any methodology for estimating PTE costs. In order to assist environmental regulators and potential users of PTEs, a methodology for estimating PTE costs was developed under contract with EPA, by Pacific Environmental Services, Inc. (PES) and is the subject of this paper. The methodology for estimating PTE costs follows the approach used for other control devices in the Manual. It includes procedures for sizing various components of a PTE and for estimating capital as well as annual costs. It contains verification procedures for demonstrating compliance with EPA's five-point criteria. In addition, procedures are included to determine compliance with Occupational Safety and Health Administration (OSHA) standards. Meeting these standards is an important factor in properly designing PTEs. The methodology is encoded in Microsoft Exel spreadsheets to facilitate cost estimation and PTE verification. Examples are given throughout the methodology development and in the spreadsheets to illustrate the PTE design, verification, and cost estimation procedures.

  4. Texas flexible pavements overlays : review and analysis of existing databases.

    Science.gov (United States)

    2011-12-01

    Proper calibration of pavement design and rehabilitation performance models to : conditions in Texas is essential for cost-effective flexible pavement design. The degree of : excellence with which TxDOTs pavement design models is calibrated will d...

  5. Pavement maintenance scheduling using genetic algorithms

    OpenAIRE

    Yang, Chao; Remenyte-Prescott, Rasa; Andrews, John D.

    2015-01-01

    This paper presents a new pavement management system (PMS) to achieve the optimal pavement maintenance and rehabilitation (M&R) strategy for a highway network using genetic algorithms (GAs). Optimal M&R strategy is a set of pavement activities that both minimise the maintenance cost of a highway network and maximise the pavement condition of the road sections on the network during a certain planning period. NSGA-II, a multi-objective GA, is employed to perform pavement maintenance optimisatio...

  6. The total lifetime costs of smoking

    DEFF Research Database (Denmark)

    Rasmussen, S.R.; Prescott, E.; Sørensen, T.I.A.

    2004-01-01

    Net costs of smoking in a lifetime perspective and, hence, the economic interests in antismoking policies have been questioned. It has been proposed that the health-related costs of smoking are balanced by smaller expenditure due to shorter life expectancy.......Net costs of smoking in a lifetime perspective and, hence, the economic interests in antismoking policies have been questioned. It has been proposed that the health-related costs of smoking are balanced by smaller expenditure due to shorter life expectancy....

  7. MoDOT pavement preservation research program volume III, development of pavement family and treatment performance models.

    Science.gov (United States)

    2015-10-01

    Pavement performance models describe the deterioration behavior of pavements. They are essential in a pavement management : system if the goal is to make more objective, reliable, and cost-effective decisions regarding the timing and nature of paveme...

  8. Comparison of permeable pavement types : hydrology, design, installation, maintenance and cost.

    Science.gov (United States)

    2012-01-13

    "WisDOTs regional storm water engineer for the Southeast Region is interested in developing a park-and-ride with : porous pavement, possibly with the PaveDrain brand of permeable block. Research was needed to determine how : well permeable pavemen...

  9. COST Action TU1208 - Working Group 2 - GPR surveying of pavements, bridges, tunnels and buildings; underground utility and void sensing

    Science.gov (United States)

    Pajewski, Lara; Benedetto, Andrea; Derobert, Xavier; Fontul, Simona; Govedarica, Miro; Gregoire, Colette; Loizos, Andreas; Perez-Gracia, Vega; Plati, Christina; Ristic, Aleksandar; Tosti, Fabio; Van Geem, Carl

    2017-04-01

    This work aims at presenting the main results achieved by Working Group (WG) 2 "GPR surveying of pavements, bridges, tunnels and buildings; underground utility and void sensing" of the COST (European COoperation in Science and Technology) Action TU1208 "Civil Engineering Applications of Ground Penetrating Radar" (www.GPRadar.eu, www.cost.eu). The principal goal of the Action, started in April 2013 and ending in October 2017, is to exchange and increase scientific-technical knowledge and experience of Ground Penetrating Radar (GPR) techniques in civil engineering, whilst promoting throughout Europe the effective use of this safe non-destructive technique. The Action involves more than 300 Members from 28 COST Countries, a Cooperating State, 6 Near Neighbour Countries and 6 International Partner Countries. The most interesting achievements of WG2 include: 1. The state of the art on the use of GPR in civil engineering was composed and open issues were identified. The few existing international/national guidelines/protocols for GPR inspection in civil engineering were reviewed and discussed. Academic end-users, private companies and stakeholders presented their point of view and needs. 2. Guidelines for investigating flexible pavement by using GPR were prepared, with particular regard to layer-thickness assessment, moisture-content sensing, pavement-damage detection and classification, and other main GPR-based investigations in pavement engineering. 3. Guidelines for GPR sensing and mapping of underground utilities and voids were prepared, with a main focus on urban areas. 4. Guidelines for GPR assessment of concrete structures, with particular regard to inspections in bridges and tunnels, were prepared. 5. A report was composed, including a series of practical suggestions and very useful information to guide GPR users during building inspection. 6. WG2 Members carried out a plethora of case studies where GPR was used to survey roads, highways, airport runways, car

  10. Extending the Service Life of Pavements

    Science.gov (United States)

    Gschwendt, Ivan

    2018-03-01

    The cost of road construction and expenditures on the maintenance of pavements, i.e., their whole life cost, represents a lot of money. The paper describes a procedure for a pavement management system with degradation models and estimates the length of time for the rehabilitation of an asphalt pavement. Using a theory of pavement mechanics, we calculated the stresses and strains on the layers of two pavement models. High modulus asphalt concrete, an asphalt mix with a high binder content, and an asphalt mix with binder modifications are new road building materials. Prolonging the time for the rehabilitation of pavements is possible.

  11. Inverted base pavements: construction and performance

    KAUST Repository

    Papadopoulos, Efthymios; Santamarina, Carlos

    2017-01-01

    quality control. This study reviews the extensive South African experience and case histories in the USA. Accumulating evidence suggests that inverted base pavements are a viable alternative and can outperform conventional pavements at a lower cost

  12. Direct cost comparison of totally endoscopic versus open ear surgery.

    Science.gov (United States)

    Patel, N; Mohammadi, A; Jufas, N

    2018-02-01

    Totally endoscopic ear surgery is a relatively new method for managing chronic ear disease. This study aimed to test the null hypothesis that open and endoscopic approaches have similar direct costs for the management of attic cholesteatoma, from an Australian private hospital setting. A retrospective direct cost comparison of totally endoscopic ear surgery and traditional canal wall up mastoidectomy for the management of attic cholesteatoma in a private tertiary setting was undertaken. Indirect and future costs were excluded. A direct cost comparison of anaesthetic setup and resources, operative setup and resources, and surgical time was performed between the two techniques. Totally endoscopic ear surgery has a mean direct cost reduction of AUD$2978.89 per operation from the hospital perspective, when compared to canal wall up mastoidectomy. Totally endoscopic ear surgery is more cost-effective, from an Australian private hospital perspective, than canal wall up mastoidectomy for attic cholesteatoma.

  13. Total life cycle cost model for electric power stations

    International Nuclear Information System (INIS)

    Cardullo, M.W.

    1995-01-01

    The Total Life Cycle Cost (TLCC) model for electric power stations was developed to provide a technology screening model. The TLCC analysis involves normalizing cost estimates with respect to performance standards and financial assumptions and preparing a profile of all costs over the service life of the power station. These costs when levelized present a value in terms of a utility electricity rate. Comparison of cost and the pricing of the electricity for a utility shows if a valid project exists. Cost components include both internal and external costs. Internal costs are direct costs associated with the purchase, and operation of the power station and include initial capital costs, operating and maintenance costs. External costs result from societal and/or environmental impacts that are external to the marketplace and can include air quality impacts due to emissions, infrastructure costs, and other impacts. The cost stream is summed (current dollars) or discounted (constant dollars) to some base year to yield a overall TLCC of each power station technology on a common basis. While minimizing life cycle cost is an important consideration, it may not always be a preferred method for some utilities who may prefer minimizing capital costs. Such consideration does not always result in technology penetration in a marketplace such as the utility sector. Under various regulatory climates, the utility is likely to heavily weigh initial capital costs while giving limited consideration to other costs such as societal costs. Policy makers considering external costs, such as those resulting from environmental impacts, may reach significantly different conclusions about which technologies are most advantageous to society. The TLCC analysis model for power stations was developed to facilitate consideration of all perspectives

  14. Economics of human performance and systems total ownership cost.

    Science.gov (United States)

    Onkham, Wilawan; Karwowski, Waldemar; Ahram, Tareq Z

    2012-01-01

    Financial costs of investing in people is associated with training, acquisition, recruiting, and resolving human errors have a significant impact on increased total ownership costs. These costs can also affect the exaggerate budgets and delayed schedules. The study of human performance economical assessment in the system acquisition process enhances the visibility of hidden cost drivers which support program management informed decisions. This paper presents the literature review of human total ownership cost (HTOC) and cost impacts on overall system performance. Economic value assessment models such as cost benefit analysis, risk-cost tradeoff analysis, expected value of utility function analysis (EV), growth readiness matrix, multi-attribute utility technique, and multi-regressions model were introduced to reflect the HTOC and human performance-technology tradeoffs in terms of the dollar value. The human total ownership regression model introduces to address the influencing human performance cost component measurement. Results from this study will increase understanding of relevant cost drivers in the system acquisition process over the long term.

  15. evaluation of total annual costs of heat exchanger networks using

    African Journals Online (AJOL)

    user

    after solving the first problem using RPA based heat integration gave a minimum total annual cost (TAC) of $237, ... mathematical programming and non-RPA based Hint software. ... The concept of pinch analysis evolved over the years.

  16. Effect of speed hump characteristics on pavement condition

    Directory of Open Access Journals (Sweden)

    Talaat Ali Abdel-Wahed

    2017-02-01

    Full Text Available Speed humps are the most common type of traffic calming devices due to their low cost and easy installation. However, in many Egyptian roads, considerable number of these humps is randomly placed without proper engineering studies and justifications. Deterioration of pavement condition is observed near these humps. This paper presents a case study applied to collect and analyze visual inspection data for the reason of evaluating the impact of speed humps on pavement condition on intercity rural roads. The paper used 52 speed humps located in an intercity two-lane, two-way road that connects two cities, Tahta and Gerga, in Upper Egypt. The total length of this road is about 34 km. Pavement condition index (PCI, in road sections, near speed humps in the two directions of travel were calculated from the visual inspection measurements. The characteristics of each speed hump (width, height, and distance from preceding hump were measured. Using statistical analyses, the correlations between the pavement conditions and hump characteristics were examined. Regression analysis models were developed to represent the relationships between pavement conditions and hump characteristics. Generally, the results proved that the pavement conditions are greatly influenced by the presence of speed humps and hump characteristics.

  17. A general approach to total repair cost limit replacement policies

    Directory of Open Access Journals (Sweden)

    F. Beichelt

    2014-01-01

    Full Text Available A common replacement policy for technical systems consists in replacing a system by a new one after its economic lifetime, i.e. at that moment when its long-run maintenance cost rate is minimal. However, the strict application of the economic lifetime does not take into account the individual deviations of maintenance cost rates of single systems from the average cost development. Hence, Beichet proposed the total repair cost limit replacement policy: the system is replaced by a new one as soon as its total repair cost reaches or exceeds a given level. He modelled the repair cost development by functions of the Wiener process with drift. Here the same policy is considered under the assumption that the one-dimensional probability distribution of the process describing the repair cost development is given. In the examples analysed, applying the total repair cost limit replacement policy instead of the economic life-time leads to cost savings of between 4% and 30%. Finally, it is illustrated how to include the reliability aspect into the policy.

  18. Total cost of ownership: Getting past the 10% solution

    International Nuclear Information System (INIS)

    Anderson, R.F.

    1996-01-01

    As the refining industry strives to succeed in a more-competitive world, some fresh ideas are needed to counter the headlines of plant closings, layoffs, and corporate restructurings. Other industries facing the same pressures have discovered opportunities to reduce cost in a more human and effective manner by using some tools borrowed from the Total Quality process to enhance the procurement process. Experience suggests that the purchase cost is a small fraction of the actual cost of a commodity and is often dwarfed by hidden costs. Discovering and eliminating the hidden costs of variation, nonoptimal operations, and poorly aligned vendor relations is vital to economic survival. The purpose of this paper is to suggest some fresh approaches to vendor-customer relations that can dramatically reduce undesired costs

  19. [Total knee and hip prosthesis: variables associated with costs].

    Science.gov (United States)

    Herrera-Espiñeira, Carmen; Escobar, Antonio; Navarro-Espigares, José Luis; Castillo, Juan de Dios Lunadel; García-Pérez, Lidia; Godoy-Montijano, Amparo

    2013-01-01

    The elevated prevalence of osteoarthritis in Western countries, the high costs of hip and knee arthroplasty, and the wide variations in the clinical practice have generated considerable interest in comparing the associated costs before and after surgery. To determine the influence of a number of variables on the costs of total knee and hip arthroplasty surgery during the hospital stay and during the one-year post-discharge. A prospective multi-center study was performed in 15 hospitals from three Spanish regions. Relationships between the independent variables and the costs of hospital stay and postdischarge follow-up were analyzed by using multilevel models in which the "hospital" variable was used to group cases. Independent variables were: age, sex, body mass index, preoperative quality of life (SF-12, EQ-5 and Womac questionnaires), surgery (hip/knee), Charlson Index, general and local complications, number of beds and economic-institutional dependency of the hospital, the autonomous region to which it belongs, and the presence of a caregiver. The cost of hospital stay, excluding the cost of the prosthesis, was 4,734 Euros, and the post-discharge cost was 554 Euros. With regard to hospital stay costs, the variance among hospitals explained 44-46% of the total variance among the patients. With regard to the post-discharge costs, the variability among hospitals explained 7-9% of the variance among the patients. There is considerable potential for reducing the hospital stay costs of these patients, given that more than 44% of the observed variability was not determined by the clinical conditions of the patients but rather by the behavior of the hospitals.

  20. Evaluation of selected effects of pavement riding quality on logistics costs in South Africa

    CSIR Research Space (South Africa)

    Steyn, WJvdM

    2011-12-01

    Full Text Available The efficient operation of a country’s economy depends, among other things, on an efficient logistical system to ensure that goods can be transported efficiently between producers and users. The costs of logistics include aspects such as transport...

  1. A pavement management research program for Oregon highways : interim report.

    Science.gov (United States)

    1985-03-01

    This is the first in a series of reports documenting progress on a statewide pavement management research project. The overall project is conducting research into pavement life cycles of different rehabilitation treatment; the cost-effectiveness of e...

  2. evaluation of total annual costs of heat exchanger networks using

    African Journals Online (AJOL)

    This study presents pinch analysis of some heat exchanger networks (HENs) problems using Hint integration (HINT) software. Three examples reported to have been solved using different approaches by various researchers to obtain the least possible total annual cost (TAC) were solved using the Hint software. In this work ...

  3. Cost-identification analysis of total laryngectomy: an itemized approach to hospital costs.

    Science.gov (United States)

    Dedhia, Raj C; Smith, Kenneth J; Weissfeld, Joel L; Saul, Melissa I; Lee, Steve C; Myers, Eugene N; Johnson, Jonas T

    2011-02-01

    To understand the contribution of intraoperative and postoperative hospital costs to total hospital costs, examine the costs associated with specific hospital services in the postoperative period, and recognize the impact of patient factors on hospital costs. Case series with chart review. Large tertiary care teaching hospital system. Using the Pittsburgh Head and Neck Organ-Specific Database, 119 patients were identified as having total laryngectomy with bilateral selective neck dissection and primary closure from 1999 to 2009. Cost data were obtained for 112 patients. Costs include fixed and variable costs, adjusted to 2010 US dollars using the Consumer Price Index. Mean total hospital costs were $29,563 (range, $10,915 to $120,345). Operating room costs averaged 24% of total hospital costs, whereas room charges, respiratory therapy, laboratory, pharmacy, and radiology accounted for 38%, 14%, 8%, 7%, and 3%, respectively. Median length of stay was 9 days (range, 6-43), and median Charlson comorbidity index score was 8 (2-16). Patients with ≥1 day in the intensive care unit had significantly higher hospital costs ($46,831 vs $24,601, P cost differences with stratification based on previous radiation therapy ($27,598 vs $29,915 with no prior radiation, P = .62) or hospital readmission within 30 days ($29,483 vs $29,609 without readmission, P = .97). This is one of few studies in surgery and the first in otolaryngology to analyze hospital costs for a relatively standardized procedure. Further work will include cost analysis from multiple centers with investigation of global cost drivers.

  4. Retail clinic utilization associated with lower total cost of care.

    Science.gov (United States)

    Sussman, Andrew; Dunham, Lisette; Snower, Kristen; Hu, Min; Matlin, Olga S; Shrank, William H; Choudhry, Niteesh K; Brennan, Troyen

    2013-04-01

    To better understand the impact of retail clinic use on a patient's annual total cost of care. A propensity score matched-pair, cohort design was used to analyze healthcare spending patterns among CVS Caremark employees in the year following a visit to a MinuteClinic, the retail clinics inside CVS pharmacies. De-identified medical and pharmacy claims for CVS Caremark employees and their dependents who received care at a retail clinic between June 1, 2009, and May 31, 2010, were matched to those of subjects who received care elsewhere. High-dimensional propensity score and greedy matching techniques were used to create a 1-to-1 matched cohort that was analyzed using generalized linear regression models. Individuals using a retail clinic had a lower total cost of care (-$262; 95% confidence interval, -$510 to -$31; P = .025) in the year following their clinic visit than individuals who received care in other settings. This savings was primarily due to lower medical expenses at physicians' offices ($77 savings, P = .008) and hospital inpatient care ($121 savings, P = .049). The 6022 retail clinic users also had 142 (12%) fewer emergency department visits (P = .01), though this was not related to significant cost savings. This study found that retail clinic use was associated with lower overall total cost of care compared with that at alternative sites. Savings may extend beyond the retail clinic visit itself to other types of medical utilization.

  5. Internal Logistics System Selection with Total Cost of Ownership Analysis

    Science.gov (United States)

    Araújo, Inês; Pimentel, Carina; Godina, Radu; Matias, João C. O.

    2017-06-01

    In this paper a methodology was followed in order to support the decision-making of one industrial unit regarding its internal logistics system. The addressed factory was facing issues with their internal logistics approach. Some alternatives were pointed out and a proper total cost of ownership (TCO) analysis was developed. This analysis was taken in order to demonstrate the more cost-effective solution for the internal logistics system. This tool is more and more valued by the companies, due to their willing to reduce the costs that are associated with the way of doing business. Despite the proposal of the best choice for the internal logistics system of the enterprise, this study also intends to present some conclusions about the match between the nature of the industrial unit and the logistics systems that best fit the requirements of those.

  6. En differentieret tilgang til total cost of ownership (TCO)

    DEFF Research Database (Denmark)

    Zachariassen, Frederik

    2010-01-01

    Økonomistyring er en nødvendig brik i forsøget på at kunne styre dele af eller hele forsyningskæden, og til dette bruges diverse økonomistyringsværktøjer. Denne artikel omhandler økonomistyringsværktøjet 'total cost of ownership', og hvordan dette kan bruges til at forbedre samarbejdet med...

  7. Inverted base pavements: construction and performance

    KAUST Repository

    Papadopoulos, Efthymios

    2017-05-11

    Inverted base pavements involve a well-compacted granular aggregate base built between a thin asphalt concrete layer and a cement-treated base. Inverted base pavements can be constructed using conventional equipment and procedures but require proper quality control. This study reviews the extensive South African experience and case histories in the USA. Accumulating evidence suggests that inverted base pavements are a viable alternative and can outperform conventional pavements at a lower cost. Inverted base pavements rely on the complementary interaction between layers. The cement-treated base provides a stiff foundation for efficient compaction and constrains the deformation of the stress-sensitive granular aggregate base. The thin asphalt surface layer deforms as a membrane and develops low tensile stress. Additional large-scale field tests should be conducted to assess the performance of inverted base pavement designs in a wide range of conditions relevant to the USA.

  8. Primary vs Conversion Total Hip Arthroplasty: A Cost Analysis

    Science.gov (United States)

    Chin, Garwin; Wright, David J.; Snir, Nimrod; Schwarzkopf, Ran

    2018-01-01

    Introduction Increasing hip fracture incidence in the United States is leading to higher occurrences of conversion total hip arthroplasty (THA) for failed surgical treatment of the hip. In spite of studies showing higher complication rates in conversion THA, the Centers for Medicare and Medicaid services currently bundles conversion and primary THA under the same diagnosis-related group. We examined the cost of treatment of conversion THA compared with primary THA. Our hypothesis is that conversion THA will have higher cost and resource use than primary THA. Methods Fifty-one consecutive conversion THA patients (Current Procedure Terminology code 27132) and 105 matched primary THA patients (Current Procedure Terminology code 27130) were included in this study. The natural log-transformed costs for conversion and primary THA were compared using regression analysis. Age, gender, body mass index, American Society of Anesthesiologist, Charlson comorbidity score, and smoker status were controlled in the analysis. Conversion THA subgroups formed based on etiology were compared using analysis of variance analysis. Results Conversion and primary THAs were determined to be significantly different (P conversion THA has significantly greater cost and resource use than primary THA. In order to prevent disincentives for treating these complex surgical patients, reclassification of conversion THA is needed, as they do not fit together with primary THA. PMID:26387923

  9. Total medical costs of treating femoral neck fracture patients with hemi- or total hip arthroplasty: a cost analysis of a multicenter prospective study

    NARCIS (Netherlands)

    P.T.P.W. Burgers (Paul); M. Hoogendoorn (Martine); E.A.C. Van Woensel; R.W. Poolman (Rudolf); M. Bhandari (Mohit); P. Patka (Peter); E.M.M. van Lieshout (Esther)

    2016-01-01

    textabstractSummary: The aim of this study was to determine the total medical costs for treating displaced femoral neck fractures with hemi- or total hip arthroplasty in fit elderly patients. The mean total costs per patient at 2 years of follow-up were €26,399. These results contribute to cost

  10. A Life Cycle Assessment Framework for Pavement Maintenance and Rehabilitation Technologies : or An Integrated Life Cycle Assessment (LCA) – Life Cycle Cost Analysis (LCCA) Framework for Pavement Maintenance and Rehabilitation

    Science.gov (United States)

    2018-02-01

    Qing Lu (ORCID ID 0000-0002-9120-9218) Given a huge amount of annual investment and large inputs of energy and natural resources in pavement maintenance and rehabilitation (M&R) activities, significant environmental improvement and budget saving can ...

  11. Flexible pavement rehabilitation design based on pavement service life time span left

    OpenAIRE

    Gamelyak, I.; Shevchuk, V.

    2005-01-01

    The design of flexible pavement rehabilitation is analysed in terms of durability-cost. A notion of the remaining service life span is described. the model of rehabilitation strategy selection is presented for both design project and operation stages. the results can be used in the pavement management system.

  12. Characterization and Modeling of Recycled Pavement Sections

    Science.gov (United States)

    2017-12-01

    Because of its documented cost and environmental benefits, cold central plant recycling (CCPR) has attracted the interest of local and state departments of transportation. In 2015 two test pavement sections with CCPR as base layers were constructed a...

  13. Alternative pavement designs : Randolph park and ride.

    Science.gov (United States)

    2013-05-01

    Previous research on alternative pavement type bidding has proven that various treatments : are unique in terms of constructability, material characteristics, and associated performance. : While some treatments may have higher initial costs, it is im...

  14. Class C fly ash in pavements.

    Science.gov (United States)

    2010-07-01

    Portland cement is the most dominant material used in concrete pavements in the state of Nebraska. In order to improve performance, reduce cost, and advance sustainability, a percentage of the Portland cement is replaced with a recycled material know...

  15. Cost Savings of Nuclear Power with Total Fuel Reprocessing

    International Nuclear Information System (INIS)

    Solbrig, Charles W.; Benedict, Robert W.

    2006-01-01

    The cost of fast reactor (FR) generated electricity with pyro-processing is estimated in this article. It compares favorably with other forms of energy and is shown to be less than that produced by light water reactors (LWR's). FR's use all the energy in natural uranium whereas LWR's utilize only 0.7% of it. Because of high radioactivity, pyro-processing is not open to weapon material diversion. This technology is ready now. Nuclear power has the same advantage as coal power in that it is not dependent upon a scarce foreign fuel and has the significant additional advantage of not contributing to global warming or air pollution. A jump start on new nuclear plants could rapidly allow electric furnaces to replace home heating oil furnaces and utilize high capacity batteries for hybrid automobiles: both would reduce US reliance on oil. If these were fast reactors fueled by reprocessed fuel, the spent fuel storage problem could also be solved. Costs are derived from assumptions on the LWR's and FR's five cost components: 1) Capital costs: LWR plants cost $106/MWe. FR's cost 25% more. Forty year amortization is used. 2) The annual O and M costs for both plants are 9% of the Capital Costs. 3) LWR fuel costs about 0.0035 $/kWh. Producing FR fuel from spent fuel by pyro-processing must be done in highly shielded hot cells which is costly. However, the five foot thick concrete walls have the advantage of prohibiting diversion. LWR spent fuel must be used as feedstock for the FR initial core load and first two reloads so this FR fuel costs more than LWR fuel. FR fuel costs much less for subsequent core reloads ( 6 /MWe. The annual cost for a 40 year licensed plant would be 2.5 % of this or less if interest is taken into account. All plants will eventually have to replace those components which become radiation damaged. FR's should be designed to replace parts rather than decommission. The LWR costs are estimated to be 2.65 cents/kWh. FR costs are 2.99 cents/kWh for the first

  16. Reverse-total shoulder arthroplasty cost-effectiveness: A quality-adjusted life years comparison with total hip arthroplasty.

    Science.gov (United States)

    Bachman, Daniel; Nyland, John; Krupp, Ryan

    2016-02-18

    To compare reverse-total shoulder arthroplasty (RSA) cost-effectiveness with total hip arthroplasty cost-effectiveness. This study used a stochastic model and decision-making algorithm to compare the cost-effectiveness of RSA and total hip arthroplasty. Fifteen patients underwent pre-operative, and 3, 6, and 12 mo post-operative clinical examinations and Short Form-36 Health Survey completion. Short form-36 Health Survey subscale scores were converted to EuroQual Group Five Dimension Health Outcome scores and compared with historical data from age-matched patients who had undergone total hip arthroplasty. Quality-adjusted life year (QALY) improvements based on life expectancies were calculated. The cost/QALY was $3900 for total hip arthroplasty and $11100 for RSA. After adjusting the model to only include shoulder-specific physical function subscale items, the RSA QALY improved to 2.8 years, and its cost/QALY decreased to $8100. Based on industry accepted standards, cost/QALY estimates supported both RSA and total hip arthroplasty cost-effectiveness. Although total hip arthroplasty remains the quality of life improvement "gold standard" among arthroplasty procedures, cost/QALY estimates identified in this study support the growing use of RSA to improve patient quality of life.

  17. Evaluating the performance of sustainable perpetual pavements using recycled asphalt pavement in China

    Directory of Open Access Journals (Sweden)

    Saud A. Sultan

    2016-10-01

    Full Text Available The vast highways network in China is moving from the phase of construction to the phase of maintenance, and with the introduction of new technique of perpetual pavement in last decade, it is necessary to consider recycling as one of the promising solutions for rehabilitation of old asphalt concrete pavement and ultimately to convert them into perpetual pavements. The aim is to reuse the existing pavement materials for several reasons, mainly to preserve natural resources such as aggregates, and to satisfy economic requirements by reducing the cost of highway construction and rehabilitation. A detailed testing program has been carried out on recycled asphalt pavements materials (RAP to evaluate their mechanical and structural characteristics to be used for the construction and rehabilitation of road pavements. Different types of RAP mixes have been stabilized by Portland cement to find the most suitable one from the point of view of design, construction, economy and environment. The analysis of life cycle costs has been carried out using system analysis and management of pavement program (SAMP5. The analysis of life cycle costs showed that the use of Portland cements with small percentages improves the structural characteristics of recycled asphalt materials to be used as stabilized base pavement layers for new or rehabilitated old road pavements and also for the construction and rehabilitation of perpetual pavements. A large amount of savings in construction and rehabilitation cost has been achieved by the use of stabilized RAP materials in addition to important contributions to the environment and preserving of natural resources.

  18. A methodology to support the development of 4-year pavement management plan.

    Science.gov (United States)

    2014-07-01

    A methodology for forming and prioritizing pavement maintenance and rehabilitation (M&R) projects was developed. : The Texas Department of Transportation (TxDOT) can use this methodology to generate defensible and cost-effective : 4-year pavement man...

  19. Pavement Subgrade Performance Study

    DEFF Research Database (Denmark)

    Zhang, Wei; Ullidtz, Per; Macdonald, Robin

    1998-01-01

    The report describes the second test in the Danish Road Testing Machine (RTM) under the International Pavement Subgrade Performance Study. Pavement response was measured in different layers, and compared to different theroretical values. Performance in terms of plastic strains, rutting...

  20. Concrete pavement joint deterioration.

    Science.gov (United States)

    2015-12-01

    Concrete pavements are an important part of our national infrastructure. In recent years the relatively small number of reported joints deteriorating prematurely in concrete pavements around Indiana has increased. Changes over the past 45 years in IN...

  1. Permeable pavement study (Edison)

    Data.gov (United States)

    U.S. Environmental Protection Agency — While permeable pavement is increasingly being used to control stormwater runoff, field-based, side-by-side investigations on the effects different pavement types...

  2. The Cost of Joint Replacement: Comparing Two Approaches to Evaluating Costs of Total Hip and Knee Arthroplasty.

    Science.gov (United States)

    Palsis, John A; Brehmer, Thomas S; Pellegrini, Vincent D; Drew, Jacob M; Sachs, Barton L

    2018-02-21

    In an era of mandatory bundled payments for total joint replacement, accurate analysis of the cost of procedures is essential for orthopaedic surgeons and their institutions to maintain viable practices. The purpose of this study was to compare traditional accounting and time-driven activity-based costing (TDABC) methods for estimating the total costs of total hip and knee arthroplasty care cycles. We calculated the overall costs of elective primary total hip and total knee replacement care cycles at our academic medical center using traditional and TDABC accounting methods. We compared the methods with respect to the overall costs of hip and knee replacement and the costs for each major cost category. The traditional accounting method resulted in higher cost estimates. The total cost per hip replacement was $22,076 (2014 USD) using traditional accounting and was $12,957 using TDABC. The total cost per knee replacement was $29,488 using traditional accounting and was $16,981 using TDABC. With respect to cost categories, estimates using traditional accounting were greater for hip and knee replacement, respectively, by $3,432 and $5,486 for personnel, by $3,398 and $3,664 for space and equipment, and by $2,289 and $3,357 for indirect costs. Implants and consumables were derived from the actual hospital purchase price; accordingly, both methods produced equivalent results. Substantial cost differences exist between accounting methods. The focus of TDABC only on resources used directly by the patient contrasts with the allocation of all operating costs, including all indirect costs and unused capacity, with traditional accounting. We expect that the true costs of hip and knee replacement care cycles are likely somewhere between estimates derived from traditional accounting methods and TDABC. TDABC offers patient-level granular cost information that better serves in the redesign of care pathways and may lead to more strategic resource-allocation decisions to optimize

  3. Impact Of Total Quality Management (TQM), Activity Based Costing ...

    African Journals Online (AJOL)

    Time (JIT), and Total Quality Management (TQM) as strategic initiatives lead to improved financial performance in the Turkish textile industry. Strong evidence emerged that there is a strong positive association between using ABC, JIT or TQM ...

  4. HIGH ECCENTRICITY EOQ TOTAL COST FUNCTION YIELDS JIT RESULTs

    Directory of Open Access Journals (Sweden)

    Willian Roach

    2010-06-01

    Full Text Available No estoque de bens perecíveis, o custo de armazenamento H é muito maior do que o previsto na fórmula clássica do lote econômico do pedido (EOQ. Para bens perecíveis, a função custo total no EOQ é um pico e não uma reta horizontal. Esta forma pontiaguda leva o modelo EOQ a produzir entregas just in time (JIT - resultados semelhantes. O efeito pontiagudo (excentricidade da curva de custo total do lote econômico EOQ depende apenas do custo de armazenamento (H e não da demanda anual (D ou do custo do pedido (S. D e S determinam o nível (altura da curva de custo total do estoque (TC, mas não a forma.

  5. Assessment of highway pavements using GPR

    Science.gov (United States)

    Plati, Christina; Loizos, Andreas

    2015-04-01

    Highway infrastructure is a prerequisite for a functioning economy and social life. Highways, often prone to congestion and disruption, are one of the aspects of a modern transport network that require maximum efficiency if an integrated transport network, and sustainable mobility, is to be achieved. Assessing the condition of highway structures, to plan subsequent maintenance, is essential to allow the long-term functioning of a road network. Optimizing the methods used for such assessment will lead to better information being obtained about the road and underlying ground conditions. The condition of highway structures will be affected by a number of factors, including the properties of the highway pavement, the supporting sub-base and the subgrade (natural ground), and the ability to obtain good information about the entire road structure, from pavement to subgrade, allows appropriate maintenance programs to be planned. The maintenance of highway pavements causes considerable cost and in many cases obstruction to traffic flow. In this situation, methods that provide information on the present condition of pavement structure non-destructively and economically are of great interest. It has been shown that Ground-Penetrating-Radar (GPR), which is a Non Destructive Technique (NDT), can deliver information that is useful for the planning of pavement maintenance activities. More specifically GPR is used by pavement engineers in order to determine physical properties and characteristics of the pavement structure, information that is valuable for the assessment of pavement condition. This work gives an overview on the practical application of GPR using examples from highway asphalt pavements monitoring. The presented individual applications of GPR pavement diagnostics concern structure homogeneity, thickness of pavement layers, dielectric properties of asphalt materials etc. It is worthwhile mentioning that a number of applications are standard procedures, either

  6. Total cost of performing analog-to-digital upgrades

    International Nuclear Information System (INIS)

    Albrigo, T.

    1993-01-01

    The financial well-being of nuclear power plants in the United States is dependent on reducing costs. Rapid advances in industrial technology have created a conundrum for utility executives and their engineering staffs. Digital technology is being touted as beneficial in many ways; however, a number of significant issues have been raised regarding the adequacy and financial viability of digital systems in nuclear power plants. Actual or perceived problems with digital system design, development, and installation have caused significant financial losses for nuclear utilities. This paper provides a list of problems that must be considered in performing an analog-to-digital conversion or for doing a large digital upgrade. It is desirable that the full financial risks associated with these types of upgrades are considered. Specific problems encountered at Palo Verde nuclear generating station are reviewed to emphasize some of the problem areas

  7. Effects of the Length of Stay on the Cost of Total Knee and Total Hip Arthroplasty from 2002 to 2013.

    Science.gov (United States)

    Molloy, Ilda B; Martin, Brook I; Moschetti, Wayne E; Jevsevar, David S

    2017-03-01

    Utilization of total knee and hip arthroplasty has greatly increased in the past decade in the United States; these are among the most expensive procedures in patients with Medicare. Advances in surgical techniques, anesthesia, and care pathways decrease hospital length of stay. We examined how trends in hospital cost were altered by decreases in length of stay. Procedure, demographic, and economic data were collected on 6.4 million admissions for total knee arthroplasty and 2.8 million admissions for total hip arthroplasty from 2002 to 2013 using the National (Nationwide) Inpatient Sample, a component of the Healthcare Cost and Utilization Project. Trends in mean hospital costs and their association with length of stay were estimated using inflation-adjusted, survey-weighted generalized linear regression models, controlling for patient demographic characteristics and comorbidity. From 2002 to 2013, the length of stay decreased from a mean time of 4.06 to 2.97 days for total knee arthroplasty and from 4.06 to 2.75 days for total hip arthroplasty. During the same time period, the mean hospital cost for total knee arthroplasty increased from $14,988 (95% confidence interval [CI], $14,927 to $15,049) in 2002 to $22,837 (95% CI, $22,765 to $22,910) in 2013 (an overall increase of $7,849 or 52.4%). The mean hospital cost for total hip arthroplasty increased from $15,792 (95% CI, $15,706 to $15,878) in 2002 to $23,650 (95% CI, $23,544 to $23,755) in 2013 (an increase of $7,858 or 49.8%). If length of stay were set at the 2002 mean, the growth in cost for total knee arthroplasty would have been 70.8% instead of 52.4% as observed, and the growth in cost for total hip arthroplasty would have been 67.4% instead of 49.8% as observed. Hospital costs for joint replacement increased from 2002 to 2013, but were attenuated by reducing inpatient length of stay. With demographic characteristics showing an upward trend in the utilization of joint arthroplasty, including a shift

  8. Cost-effectiveness of positive contrast and nuclear arthrography in patients who underwent total hip arthroplasty

    International Nuclear Information System (INIS)

    Swan, J.S.; Braunstein, E.M.; Capello, W.; Wellman, H.

    1989-01-01

    The authors have compared the cost effectiveness of contrast arthrography (CA) and nuclear arthrography (NA), in which In-111 chloride is injected with the contrast material, of total hip arthroplasties. Their series included 48 cases of surgically proved loose femoral components. The cost per true-positive result was obtained by taking the total cost of the examinations in surgically proved cases and dividing by the number of true-position cases. The cost of CA was $297 and the cost of NA was $335. For CA, the cost per true positive was $1,018, and for the NA the cost per true positive was $946. In spite of higher initial cost, NA is more cost effective than CA on a cost per true-positive case basis. NA is cost effective in evaluating hip arthroplasties in which there is suspicion of a loose femoral component

  9. Electrochromic Windows: Process and Fabrication Improvements for Lower Total Costs

    Energy Technology Data Exchange (ETDEWEB)

    Mark Burdis; Neil Sbar

    2007-03-31

    The overall goal with respect to the U.S. Department of Energy (DOE) is to achieve significant national energy savings through maximized penetration of EC windows into existing markets so that the largest cumulative energy reduction can be realized. The speed with which EC windows can be introduced and replace current IGU's (and current glazings) is clearly a strong function of cost. Therefore, the aim of this project was to investigate possible improvements to the SageGlass{reg_sign} EC glazing products to facilitate both process and fabrication improvements resulting in lower overall costs. The project was split into four major areas dealing with improvements to the electrochromic layer, the capping layer, defect elimination and general product improvements. Significant advancements have been made in each of the four areas. These can be summarized as follows: (1) Plasma assisted deposition for the electrochromic layer was pursued, and several improvements made to the technology for producing a plasma beam were made. Functional EC devices were produced using the new technology, but there are still questions to be answered regarding the intrinsic properties of the electrochromic films produced by this method. (2) The capping layer work was successfully implemented into the existing SageGlass{reg_sign} product, thereby providing a higher level of transparency and somewhat lower reflectivity than the 'standard' product. (3) Defect elimination is an ongoing effort, but this project spurred some major defect reduction programs, which led to significant improvements in yield, with all the implicit benefits afforded. In particular, major advances were made in the development of a new bus bar application process aimed at reducing the numbers of 'shorts' developed in the finished product, as well as making dramatic improvements in the methods used for tempering the glass, which had previously been seen to produce a defect which appeared as a

  10. Cost of goods sold and total cost of delivery for oral and parenteral vaccine packaging formats.

    Science.gov (United States)

    Sedita, Jeff; Perrella, Stefanie; Morio, Matt; Berbari, Michael; Hsu, Jui-Shan; Saxon, Eugene; Jarrahian, Courtney; Rein-Weston, Annie; Zehrung, Darin

    2018-03-14

    Despite limitations of glass packaging for vaccines, the industry has been slow to implement alternative formats. Polymer containers may address many of these limitations, such as breakage and delamination. However, the ability of polymer containers to achieve cost of goods sold (COGS) and total cost of delivery (TCOD) competitive with that of glass containers is unclear, especially for cost-sensitive low- and lower-middle-income countries. COGS and TCOD models for oral and parenteral vaccine packaging formats were developed based on information from subject matter experts, published literature, and Kenya's comprehensive multiyear plan for immunization. Rotavirus and inactivated poliovirus vaccines (IPV) were used as representative examples of oral and parenteral vaccines, respectively. Packaging technologies evaluated included glass vials, blow-fill-seal (BFS) containers, preformed polymer containers, and compact prefilled auto-disable (CPAD) devices in both BFS and preformed formats. For oral vaccine packaging, BFS multi-monodose (MMD) ampoules were the least expensive format, with a COGS of $0.12 per dose. In comparison, oral single-dose glass vials had a COGS of $0.40. BFS MMD ampoules had the lowest TCOD of oral vaccine containers at $1.19 per dose delivered, and ten-dose glass vials had a TCOD of $1.61 per dose delivered. For parenteral vaccines, the lowest COGS was achieved with ten-dose glass vials at $0.22 per dose. In contrast, preformed CPAD devices had the highest COGS at $0.60 per dose. Ten-dose glass vials achieved the lowest TCOD of the parenteral vaccine formats at $1.56 per dose delivered. Of the polymer containers for parenteral vaccines, BFS MMD ampoules achieved the lowest TCOD at $1.89 per dose delivered, whereas preformed CPAD devices remained the most expensive format, at $2.25 per dose delivered. Given their potential to address the limitations of glass and reduce COGS and TCOD, polymer containers deserve further consideration as alternative

  11. The total lifetime health cost savings of smoking cessation to society

    DEFF Research Database (Denmark)

    Rasmussen, Gitte Susanne; Prescott, Eva; Sørensen, Thorkild I A

    2005-01-01

    Smoking cessation has major immediate and long-term health benefits. However, ex-smokers' total lifetime health costs and continuing smokers' costs remain uncompared, and hence the economic savings of smoking cessation to society have not been determined.......Smoking cessation has major immediate and long-term health benefits. However, ex-smokers' total lifetime health costs and continuing smokers' costs remain uncompared, and hence the economic savings of smoking cessation to society have not been determined....

  12. Consideration of pavement roughness effects on vehicle-pavement interaction

    CSIR Research Space (South Africa)

    Steyn, WJvdM

    2001-07-01

    Full Text Available . In this paper the focus is on quantification of the pavement roughness effects on the calculated structural pavement life and the effects of surfacing maintenance on the moving dynamic tyre loads generated by vehicles. A simplified method for calculating... the moving dynamic tyre load population is used together with standard pavement response analysis methods to quantify the effects of pavement surfacing maintenance on roughness and structural pavement life. This method can be used as a pavement management...

  13. Pavement, bridge, and safety cost evaluation tool for overweight truck corridors serving coastal port regions and border ports of entry

    Science.gov (United States)

    2017-08-01

    To address the need for a rational but fast method to determine costs and a proposed permit fee, the research team developed the Stage 1 Expedient Analysis Method. The method was used to evaluate potential oversize/overweight (OS/OW) freight corridor...

  14. Intensive care unit drug costs in the context of total hospital drug expenditures with suggestions for targeted cost containment efforts.

    Science.gov (United States)

    Altawalbeh, Shoroq M; Saul, Melissa I; Seybert, Amy L; Thorpe, Joshua M; Kane-Gill, Sandra L

    2018-04-01

    To assess costs of intensive care unit (ICU) related pharmacotherapy relative to hospital drug expenditures, and to identify potential targets for cost-effectiveness investigations. We offer the unique advantage of comparing ICU drug costs with previously published data a decade earlier to describe changes over time. Financial transactions for all ICU patients during fiscal years (FY) 2009-2012 were retrieved from the hospital's data repository. ICU drug costs were evaluated for each FY. ICU departments' charges were also retrieved and calculated as percentages of total ICU charges. Albumin, prismasate (dialysate), voriconazole, factor VII and alteplase denoted the highest percentages of ICU drug costs. ICU drug costs contributed to an average of 31% (SD 1.0%) of the hospital's total drug costs. ICU drug costs per patient day increased by 5.8% yearly versus 7.8% yearly for non-ICU drugs. This rate was higher for ICU drugs costs at 12% a decade previous. Pharmacy charges contributed to 17.7% of the total ICU charges. Growth rates of costs per year have declined but still drug expenditures in the ICU are consistently a significant driver in this resource intensive environment with a high impact on hospital drug expenditures. Copyright © 2017 Elsevier Inc. All rights reserved.

  15. Development of New Bituminous Pavement Design Method

    DEFF Research Database (Denmark)

    Ullidtz, Per

    The report and work of COST Action 333 sets in place the foundation for a coherent, cost-effective and harmonised European pavement design method. In order to do this, the work programme focused on information gathering, identification of requirements and the selection of the necessary design...

  16. How do high cost-sharing policies for physician care affect total care costs among people with chronic disease?

    Science.gov (United States)

    Xin, Haichang; Harman, Jeffrey S; Yang, Zhou

    2014-01-01

    This study examines whether high cost-sharing in physician care is associated with a differential impact on total care costs by health status. Total care includes physician care, emergency room (ER) visits and inpatient care. Since high cost-sharing policies can reduce needed care as well as unneeded care use, it raises the concern whether these policies are a good strategy for controlling costs among chronically ill patients. This study used the 2007 Medical Expenditure Panel Survey data with a cross-sectional study design. Difference in difference (DID), instrumental variable technique, two-part model, and bootstrap technique were employed to analyze cost data. Chronically ill individuals' probability of reducing any overall care costs was significantly less than healthier individuals (beta = 2.18, p = 0.04), while the integrated DID estimator from split results indicated that going from low cost-sharing to high cost-sharing significantly reduced costs by $12,853.23 more for sick people than for healthy people (95% CI: -$17,582.86, -$8,123.60). This greater cost reduction in total care among sick people likely resulted from greater cost reduction in physician care, and may have come at the expense of jeopardizing health outcomes by depriving patients of needed care. Thus, these policies would be inappropriate in the short run, and unlikely in the long run to control health plans costs among chronically ill individuals. A generous benefit design with low cost-sharing policies in physician care or primary care is recommended for both health plans and chronically ill individuals, to save costs and protect these enrollees' health status.

  17. Controlling costs without compromising quality: paying hospitals for total knee replacement.

    Science.gov (United States)

    Pine, Michael; Fry, Donald E; Jones, Barbara L; Meimban, Roger J; Pine, Gregory J

    2010-10-01

    Unit costs of health services are substantially higher in the United States than in any other developed country in the world, without a correspondingly healthier population. An alternative payment structure, especially for high volume, high cost episodes of care (eg, total knee replacement), is needed to reward high quality care and reduce costs. The National Inpatient Sample of administrative claims data was used to measure risk-adjusted mortality, postoperative length-of-stay, costs of routine care, adverse outcome rates, and excess costs of adverse outcomes for total knee replacements performed between 2002 and 2005. Empirically identified inefficient and ineffective hospitals were then removed to create a reference group of high-performance hospitals. Predictive models for outcomes and costs were recalibrated to the reference hospitals and used to compute risk-adjusted outcomes and costs for all hospitals. Per case predicted costs were computed and compared with observed costs. Of the 688 hospitals with acceptable data, 62 failed to meet effectiveness criteria and 210 were identified as inefficient. The remaining 416 high-performance hospitals had 13.4% fewer risk-adjusted adverse outcomes (4.56%-3.95%; P costs ($12,773-$11,512; P costs. A payment system based on the demonstrated performance of effective, efficient hospitals can produce sizable cost savings without jeopardizing quality. In this study, 96% of total excess hospital costs resulted from higher routine costs at inefficient hospitals, whereas only 4% was associated with ineffective care.

  18. Supplier managed inventory in the OEM supply chain : the impact of relationship types on total costs and cost distribution

    NARCIS (Netherlands)

    Nyen, van P.L.M.; Bertrand, J.W.M.; Ooijen, van H.P.G.; Vandaele, N.J.

    2009-01-01

    We investigate the impact of four variants of supplier managed inventory on total costs and cost distribution in a capital goods supply chain consisting of a parts supplier who delivers parts to an original equipment manufacturer’s assembly plant. The four supplier managed inventory variants differ

  19. The adoption of total cost of ownership for sourcing decisions - a structural equations analysis

    NARCIS (Netherlands)

    Wouters, Marc; Anderson, James C.; Wynstra, Finn

    2005-01-01

    This study investigates the adoption of total cost of ownership (TCO) analysis to improve sourcing decisions. TCO can be seen as an application of activity based costing (ABC) that quantifies the costs that are involved in acquiring and using purchased goods or services. TCO supports purchasing

  20. Pavement Testing Facility

    Data.gov (United States)

    Federal Laboratory Consortium — Comprehensive Environmental and Structural AnalysesThe ERDC Pavement Testing Facility, located on the ERDC Vicksburg campus, was originally constructed to provide an...

  1. Association of Hospital Costs With Complications Following Total Gastrectomy for Gastric Adenocarcinoma.

    Science.gov (United States)

    Selby, Luke V; Gennarelli, Renee L; Schnorr, Geoffrey C; Solomon, Stephen B; Schattner, Mark A; Elkin, Elena B; Bach, Peter B; Strong, Vivian E

    2017-10-01

    Postoperative complications are associated with increased hospital costs following major surgery, but the mechanism by which they increase cost and the categories of care that drive this increase are poorly described. To describe the association of postoperative complications with hospital costs following total gastrectomy for gastric adenocarcinoma. This retrospective analysis of a prospectively collected gastric cancer surgery database at a single National Cancer Institute-designated comprehensive cancer center included all patients undergoing curative-intent total gastrectomy for gastric adenocarcinoma between January 2009 and December 2012 and was conducted in 2015 and 2016. Ninety-day normalized postoperative costs. Hospital accounting system costs were normalized to reflect Medicare reimbursement levels using the ratio of hospital costs to Medicare reimbursement and categorized into major cost categories. Differences between costs in Medicare proportional dollars (MP $) can be interpreted as the amount that would be reimbursed to an average hospital by Medicare if it paid differentially based on types and extent of postoperative complications. In total, 120 patients underwent curative-intent total gastrectomy for stage I through III gastric adenocarcinoma between 2009 and 2012. Of these, 79 patients (65.8%) were men, and the median (interquartile range) age was 64 (52-70) years. The 51 patients (42.5%) who underwent an uncomplicated total gastrectomy had a mean (SD) normalized cost of MP $12 330 (MP $2500), predominantly owing to the cost of surgical care (mean [SD] cost, MP $6830 [MP $1600]). The 34 patients (28.3%) who had a major complication had a mean (SD) normalized cost of MP $37 700 (MP $28 090). Surgical care was more expensive in these patients (mean [SD] cost, MP $8970 [MP $2750]) but was a smaller contributor to total cost (24%) owing to increased costs from room and board (mean [SD] cost, MP $11 940 [MP $8820]), consultations (mean [SD

  2. Strategies for reducing implant costs in the revision total knee arthroplasty episode of care.

    Science.gov (United States)

    Elbuluk, Ameer M; Old, Andrew B; Bosco, Joseph A; Schwarzkopf, Ran; Iorio, Richard

    2017-12-01

    Implant price has been identified as a significant contributing factor to high costs associated with revision total knee arthroplasty (rTKA). The goal of this study is to analyze the cost of implants used in rTKAs and to compare this pricing with 2 alternative pricing models. Using our institutional database, we identified 52 patients from January 1, 2014 to December 31, 2014. Average cost of components for each case was calculated and compared to the total hospital cost for that admission. Costs for an all-component revision were then compared to a proposed "direct to hospital" (DTH) standardized pricing model and a fixed price revision option. Potential savings were calculated from these figures. On average, 28% of the total hospital cost was spent on implants for rTKA. The average cost for revision of all components was $13,640 and ranged from $3000 to $28,000. On average, this represented 32.7% of the total hospital cost. Direct to hospital implant pricing could potentially save approximately $7000 per rTKA, and the fixed pricing model could provide a further $1000 reduction per rTKA-potentially saving $8000 per case on implants alone. Alternative implant pricing models could help lower the total cost of rTKA, which would allow hospitals to achieve significant cost containment.

  3. A decision-making framework for total ownership cost management of complex systems: A Delphi study

    Science.gov (United States)

    King, Russel J.

    This qualitative study, using a modified Delphi method, was conducted to develop a decision-making framework for the total ownership cost management of complex systems in the aerospace industry. The primary focus of total ownership cost is to look beyond the purchase price when evaluating complex system life cycle alternatives. A thorough literature review and the opinions of a group of qualified experts resulted in a compilation of total ownership cost best practices, cost drivers, key performance factors, applicable assessment methods, practitioner credentials and potential barriers to effective implementation. The expert panel provided responses to the study questions using a 5-point Likert-type scale. Data were analyzed and provided to the panel members for review and discussion with the intent to achieve group consensus. As a result of the study, the experts agreed that a total ownership cost analysis should (a) be as simple as possible using historical data; (b) establish cost targets, metrics, and penalties early in the program; (c) monitor the targets throughout the product lifecycle and revise them as applicable historical data becomes available; and (d) directly link total ownership cost elements with other success factors during program development. The resultant study framework provides the business leader with incentives and methods to develop and implement strategies for controlling and reducing total ownership cost over the entire product life cycle when balancing cost, schedule, and performance decisions.

  4. Reducing greenhouse gas emissions through strategic management of highway pavement roughness

    International Nuclear Information System (INIS)

    Wang, Ting; Harvey, John; Kendall, Alissa

    2014-01-01

    On-road vehicle use is responsible for about a quarter of US annual greenhouse gas (GHG) emissions. Changes in vehicles, travel behavior and fuel are likely required to meet long-term climate change mitigation goals, but may require a long time horizon to deploy. This research examines a near-term opportunity: management of pavement network roughness. Maintenance and rehabilitation treatments can make pavements smoother and reduce vehicle rolling resistance. However, these treatments require material production and equipment operation, thus requiring a life cycle perspective for benefits analysis. They must also be considered in terms of their cost-effectiveness in comparison with other alternatives for affecting climate change. This letter describes a life cycle approach to assess changes in total GHG (measured in CO 2 -e) emissions from strategic management of highway pavement roughness. Roughness values for triggering treatments are developed to minimize GHG considering both treatment and use phase vehicle emission. With optimal triggering for GHG minimization, annualized reductions on the California state highway network over a 10-year analysis period are calculated to be 0.82, 0.57 and 1.38 million metric tons compared with historical trigger values, recently implemented values and no strategic intervention (reactive maintenance), respectively. Abatement costs calculated using $/metric-ton CO 2 -e are higher than those reported for other transportation sector abatement measures, however, without considering all benefits associated with pavement smoothness, such as vehicle life and maintenance, or the time needed for deployment. (paper)

  5. ANALYSIS OF GROUP MAINTENANCE STRATEGY -ROAD PAVEMENT AND SEWERAGE PIPES-

    Science.gov (United States)

    Tanimoto, Keishi; Sugimoto, Yasuaki; Miyamoto, Shinya; Nada, Hideki; Hosoi, Yoshihiko

    Recently, it is critical to manage deteriorating sewerage and road facilities efficiently and strategically. Since the sewerage pipes are mostly installed under road pavement, the works for the replacement of the sewerage pipes are partially common to the works for the road. This means that the replacement cost can be saved by coordinating the timing of the replacements by sewerage pipe and road pavement. The purpose of the study is to develop the model based on Markov decision process to derive the optimal group maintenance policy so as to minimize lifecycle cost. Then the model is applied to case study area and demonstrated to estimate the lifecycle cost using statistical data such as pipe replacement cost, road pavement rehabilitation cost, and state of deterioration of pipes and road pavement.

  6. Animal board invited review: Dairy cow lameness expenditures, losses and total cost.

    Science.gov (United States)

    Dolecheck, K; Bewley, J

    2018-03-20

    Lameness is one of the most costly dairy cow diseases, yet adoption of lameness prevention strategies remains low. Low lameness prevention adoption might be attributable to a lack of understanding regarding total lameness costs. In this review, we evaluated the contribution of different expenditures and losses to total lameness costs. Evaluated expenditures included labor for treatment, therapeutic supplies, lameness detection and lameness control and prevention. Evaluated losses included non-saleable milk, reduced milk production, reduced reproductive performance, increased animal death, increased animal culling, disease interrelationships, lameness recurrence and reduced animal welfare. The previous literature on total lameness cost estimates was also summarized. The reviewed studies indicated that previous estimates of total lameness costs are variable and inconsistent in the expenditures and losses they include. Many of the identified expenditure and loss categories require further research to accurately include in total lameness cost estimates. Future research should focus on identifying costs associated with specific lameness conditions, differing lameness severity levels, and differing stages of lactation at onset of lameness to provide better total lameness cost estimates that can be useful for decision making at both the herd and individual cow level.

  7. Calibrating mechanistic-empirical pavement performance models with an expert matrix

    Energy Technology Data Exchange (ETDEWEB)

    Tighe, S.; AlAssar, R.; Haas, R. [Waterloo Univ., ON (Canada). Dept. of Civil Engineering; Zhiwei, H. [Stantec Consulting Ltd., Cambridge, ON (Canada)

    2001-07-01

    Proper management of pavement infrastructure requires pavement performance modelling. For the past 20 years, the Ontario Ministry of Transportation has used the Ontario Pavement Analysis of Costs (OPAC) system for pavement design. Pavement needs, however, have changed substantially during that time. To address this need, a new research contract is underway to enhance the model and verify the predictions, particularly at extreme points such as low and high traffic volume pavement design. This initiative included a complete evaluation of the existing OPAC pavement design method, the construction of a new set of pavement performance prediction models, and the development of the flexible pavement design procedure that incorporates reliability analysis. The design was also expanded to include rigid pavement designs and modification of the existing life cycle cost analysis procedure which includes both the agency cost and road user cost. Performance prediction and life-cycle costs were developed based on several factors, including material properties, traffic loads and climate. Construction and maintenance schedules were also considered. The methodology for the calibration and validation of a mechanistic-empirical flexible pavement performance model was described. Mechanistic-empirical design methods combine theory based design such as calculated stresses, strains or deflections with empirical methods, where a measured response is associated with thickness and pavement performance. Elastic layer analysis was used to determine pavement response to determine the most effective design using cumulative Equivalent Single Axle Loads (ESALs), below grade type and layer thickness.The new mechanistic-empirical model separates the environment and traffic effects on performance. This makes it possible to quantify regional differences between Southern and Northern Ontario. In addition, roughness can be calculated in terms of the International Roughness Index or Riding comfort Index

  8. [Preliminary analysis of total cost and life quality for elder patients with femoral neck fracture].

    Science.gov (United States)

    Liu, Haonan; He, Liang; Zhang, Guilin; Gong, Xiaofeng; Li, Ning

    2015-09-01

    To analyze the total cost and life quality of the femoral neck fracture patients who received different surgery and supplement comprehensive data of osteoporotic fracture. One hundred and five patients above 60-year old who were diagnosed femoral neck fracture and received operation in Department of Orthopedics & Traumatology, Beijing Jishuitan Hospital were admitted into our study from August 2013 to December. According to the type of surgery there were 52 and 53 cases in internal fixation (IF) group and hemiarthroplasty (HA) group respectively. At first we collected the medical expense of the patients before and during hospitalization. And then the 1-year medical and non-medical expenses were collected by the cost diary ever 3 months after discharge. At the last follow-up we evaluated the life quality by the EuroQol-5 Dimensions (EQ-5D) and calculated the total cost. Outcome All the patients completed the operation successfully. No nonunion or delayed union cases in IF group, and no cases received revision surgery in both groups. The total average cost was 59 584.9 yuan including 79.1% medical cost and 20.9% non-medical cost. The primary treatment cost accounts for 84.1% of the medical cost. The cost for home care accounts for 90.7% of the non-medical care. The total and medical cost of IF group just account for 40.3% and 38.5% of the HA group and the non-medical showed no significant difference between the 2 groups (P>0.05). In addition the data of life quality and walking capability also showed no significant difference. The main cost for the femoral neck fracture is medical expense in 1-year follow-up. Both surgeries can provide satisfactory outcome, however IF may be more cost-effective compared to the HA because of the less total cost.

  9. Resource use and costs associated with opioid-induced constipation following total hip or total knee replacement surgery

    Directory of Open Access Journals (Sweden)

    Wittbrodt ET

    2018-05-01

    Full Text Available Eric T Wittbrodt,1 Tong J Gan,2 Catherine Datto,1 Charles McLeskey,1 Meenal Sinha3 1US Medical Affairs, AstraZeneca, Wilmington, DE, USA; 2Department of Anesthesiology, Stony Brook Medicine, Stony Brook, NY, USA; 3Premier Applied Sciences, Premier, Inc., Charlotte, NC, USA Purpose: Constipation is a well-known complication of surgery that can be exacerbated by opioid analgesics. This study evaluated resource utilization and costs associated with opioid-induced constipation (OIC. Patients and methods: This retrospective, observational, and propensity-matched cohort study utilized the Premier Healthcare Database. The study included adults ≥18 years of age undergoing total hip or total knee replacement as inpatients who received an opioid analgesic and were discharged between January 1, 2012, and June 30, 2015. Diagnosis codes identified patients with OIC who were then matched 1:1 to patients without OIC. Generalized linear and logistic regression models were used to compare inpatient resource utilization, total hospital costs, inpatient mortality, and 30-day all-cause readmissions and emergency department visits. Results: Of 788,448 eligible patients, 40,891 (5.2% had OIC. Covariates were well balanced between matched patients with and without OIC (n=40,890 each. In adjusted analyses, patients with OIC had longer hospital lengths of stay (3.6 versus 3.3 days; p<0.001, higher total hospital costs (US$17,479 versus US$16,265; p<0.001, greater risk of intensive care unit admission (odds ratio [OR]=1.12, 95% CI: 1.01–1.24, and increased likelihood of 30-day hospital readmissions (OR=1.16, 95% CI: 1.11–1.22 and emergency department visits (OR=1.38, 95% CI: 1.07–1.79 than patients without OIC. No statistically significant difference was found with inpatient mortality (OR=0.89, 95% CI: 0.59–1.35. Conclusion: OIC was associated with greater resource utilization and hospital costs for patients undergoing primarily elective total hip or total knee

  10. Asphalt in Pavement Maintenance.

    Science.gov (United States)

    Asphalt Inst., College Park, MD.

    Maintenance methods that can be used equally well in all regions of the country have been developed for the use of asphalt in pavement maintenance. Specific information covering methods, equipment and terminology that applies to the use of asphalt in the maintenance of all types of pavement structures, including shoulders, is provided. In many…

  11. Using value-based total cost of ownership (TCO) measures to inform subsystem trade-offs

    Science.gov (United States)

    Radziwill, Nicole M.; DuPlain, Ronald F.

    2010-07-01

    Total Cost of Ownership (TCO) is a metric from management accounting that helps expose both the direct and indirect costs of a business decision. However, TCO can sometimes be too simplistic for "make vs. buy" decisions (or even choosing between competing design alternatives) when value and extensibility are more critical than total cost. A three-dimensional value-based TCO, which was developed to clarify product decisions for an observatory prior to Final Design Review (FDR), will be presented in this session. This value-based approach incorporates priority of requirements, satisfiability of requirements, and cost, and can be easily applied in any environment.

  12. Determining the total cost of reverse supply chain operations for original equipment manufacturers

    DEFF Research Database (Denmark)

    Larsen, Samuel Brüning; Jacobsen, Peter

    2014-01-01

    When original equipment manufacturers (OEM) examine whether or not to invest in a reverse supply chain (RSC), managers need insight into not only the cost savings and new revenue streams the RSC enables, but also the total cost of the RSC itself. Using case study research the study examines what...... cost parameters constitute the total cost (TC) of the RSC. The specific RSC that the study seeks the TC for consists of 1) end-product refurbishing, 2) component refurbishing, and 3) sales of used materials back to original suppliers or independent recyclers for materials recycling....

  13. Evaluation of the Total Cost of Ownership of Fuel Cell-Powered Material Handling Equipment

    Energy Technology Data Exchange (ETDEWEB)

    Ramsden, T.

    2013-04-01

    This report discusses an analysis of the total cost of ownership of fuel cell-powered and traditional battery-powered material handling equipment (MHE, or more typically 'forklifts'). A number of fuel cell MHE deployments have received funding support from the federal government. Using data from these government co-funded deployments, DOE's National Renewable Energy Laboratory (NREL) has been evaluating the performance of fuel cells in material handling applications. NREL has assessed the total cost of ownership of fuel cell MHE and compared it to the cost of ownership of traditional battery-powered MHE. As part of its cost of ownership assessment, NREL looked at a range of costs associated with MHE operation, including the capital costs of battery and fuel cell systems, the cost of supporting infrastructure, maintenance costs, warehouse space costs, and labor costs. Considering all these costs, NREL found that fuel cell MHE can have a lower overall cost of ownership than comparable battery-powered MHE.

  14. Variation in the cost of care for primary total knee arthroplasties.

    Science.gov (United States)

    Haas, Derek A; Kaplan, Robert S

    2017-03-01

    The study examined the cost variation across 29 high-volume US hospitals and their affiliated orthopaedic surgeons for delivering a primary total knee arthroplasty without major complicating conditions. The hospitals had similar patient demographics, and more than 80% of them had statistically-similar Medicare risk-adjusted readmission and complication rates. Hospital and physician personnel costs were calculated using time-driven activity-based costing. Consumable supply costs, such as the prosthetic implant, were calculated using purchase prices, and postacute care costs were measured using either internal costs or external claims as reported by each hospital. Despite having similar patient demographics and readmission and complication rates, the average cost of care for total knee arthroplasty across the hospitals varied by a factor of about 2 to 1. Even after adjusting for differences in internal labor cost rates, the hospital at the 90th percentile of cost spent about twice as much as the one at the 10th percentile of cost. The large variation in costs among sites suggests major and multiple opportunities to transfer knowledge about process and productivity improvements that lower costs while simultaneously maintaining or improving outcomes.

  15. Precast concrete pavement - systems and performance review

    Science.gov (United States)

    Novak, Josef; Kohoutková, Alena; Křístek, Vladimír; Vodička, Jan

    2017-09-01

    Long-term traffic restrictions belong to the key disadvantages of conventional cast-in-plane concrete pavements which have been used for technical structures such as roads, parking place and airfield pavements. As a consequence, the pressure is put on the development of such systems which have short construction time, low production costs, long-term durability, low maintenance requirements etc.. The paper presents the first step in the development of an entirely new precast concrete pavement (PCP) system applicable to airfield and highway pavements. The main objective of the review of PCP systems is to acquire a better understanding of the current systems and design methods used for transport infrastructure. There is lack of information on using PCP systems for the construction of entirely new pavements. To most extensive experience is dated back to the 20th century when hexagonal slab panels and system PAG were used in the Soviet Union for the military airfields. Since cast-in-situ pavements became more common, the systems based on precast concrete panels have been mainly utilized for the removal of damaged sections of existing structures including roads, highways etc.. Namely, it concerns Fort Miller Super Slab system, Michigan system, Uretek Stitch system and Kwik system. The presented review indicates several issues associated with the listed PCP systems and their applications to the repair and rehabilitation of existing structures. Among others, the type of manufacturing technology, particularly the position of slots for dowel bars, affects the durability and performance of the systems. Gathered information serve for the development of a new system for airfield and highway pavement construction.

  16. Total life-cycle cost analysis of conventional and alternative fueled vehicles

    International Nuclear Information System (INIS)

    Cardullo, M.W.

    1993-01-01

    Total Life-Cycle Cost (TLCC) Analysis can indicate whether paying higher capital costs for advanced technology with low operating and/or environmental costs is advantageous over paying lower capital costs for conventional technology with higher operating and/or environmental costs. While minimizing total life-cycle cost is an important consideration, the consumer often identifies non-cost-related benefits or drawbacks that make more expensive options appear more attractive. The consumer is also likely to heavily weigh initial capital costs while giving limited consideration to operating and/or societal costs, whereas policy-makers considering external costs, such as those resulting from environmental impacts, may reach significantly different conclusions about which technologies are most advantageous to society. This paper summarizes a TLCC model which was developed to facilitate consideration of the various factors involved in both individual and societal policy decision making. The model was developed as part of a US Department of Energy Contract and has been revised to reflect changes necessary to make the model more realistic. The model considers capital, operating, salvage, and environmental costs for cars, vans, and buses using conventional and alternative fuels. The model has been developed to operate on an IBM or compatible personal computer platform using the commercial spreadsheet program MicroSoft Excell reg-sign Version 4 for Windows reg-sign and can be easily kept current because its modular structure allows straightforward access to embedded data sets for review and update

  17. Reduction of Total Ownership Costs (R-TOC) Best Practices Guide

    National Research Council Canada - National Science Library

    Reed, Danny

    2003-01-01

    The purpose of the Reduction of Total Ownership Costs (R-TOC) program is to achieve readiness improvements in weapon systems by improving the reliability of the systems or the efficiency of the processes used to support...

  18. Do illness rating systems predict discharge location, length of stay, and cost after total hip arthroplasty?

    Directory of Open Access Journals (Sweden)

    Sarah E. Rudasill, BA

    2018-06-01

    Conclusions: These findings suggest that although ASA classifications predict discharge location and SOI scores predict length of stay and total costs, other factors beyond illness rating systems remain stronger predictors of discharge for THA patients.

  19. Minimizing total costs of forest roads with computer-aided design ...

    Indian Academy of Sciences (India)

    imum total road costs, while conforming to design specifications, environmental ..... quality, and enhancing fish and wildlife habitat, an appropriate design ..... Soil, Water and Timber Management: Forest Engineering Solutions in Response to.

  20. Use of predefined biochemical admission profiles does not reduce the number of tests or total cost

    DEFF Research Database (Denmark)

    Pareek, Manan; Haidl, Felix; Folkestad, Lars

    2014-01-01

    The objective of this pilot study was to evaluate whether the use of predefined biochemical profiles as an alternative to individually ordered blood tests by the treating physicians resulted in fewer tests or a lower total cost.......The objective of this pilot study was to evaluate whether the use of predefined biochemical profiles as an alternative to individually ordered blood tests by the treating physicians resulted in fewer tests or a lower total cost....

  1. Comparative cost analyses: total flow vs other power conversion systems for the Salton Sea Geothermal Resource

    Energy Technology Data Exchange (ETDEWEB)

    Wright, G.W.

    1978-09-18

    Cost studies were done for Total Flow, double flash, and multistage flash binary systems for electric Energy production from the Salton Sea Geothermal Resource. The purpose was to provide the Department of energy's Division of Geothermal Energy with information by which to judge whether to continue development of the Total Flow system. Results indicate that the Total Flow and double flash systems have capital costs of $1,135 and $1,026 /kW with energy costs of 40.9 and 39.7 mills/kW h respectively. The Total Flow and double flash systems are not distinguishable on a cost basis alone; the multistage flash binary system, with capital cost of $1,343 /kW and energy cost of 46.9 mills/kW h, is significantly more expensive. If oil savings are considered in the total analysis, the Total Flow system could save 30% more oil than the double flash system, $3.5 billion at 1978 oil prices.

  2. Effectiveness of weed control methods on pavement

    NARCIS (Netherlands)

    Vermeulen, G.D.; Verwijs, B.R.; Kempenaar, C.

    2007-01-01

    The policy in the Netherlands is to signifiantly reduce the use of herbicides, also on pavements. Existing non-chemical methods to control weeds are much less effective than spot spraying, the usual method at this moment. Therefore, the cost of non-chemical weed management is often estimated to be 4

  3. Cost of Radiotherapy Versus NSAID Administration for Prevention of Heterotopic Ossification After Total Hip Arthroplasty

    International Nuclear Information System (INIS)

    Strauss, Jonathan B.; Chen, Sea S.; Shah, Anand P.; Coon, Alan B.; Dickler, Adam

    2008-01-01

    Purpose: Heterotopic ossification (HO), or abnormal bone formation, is a common sequela of total hip arthroplasty. This abnormal bone can impair joint function and must be surgically removed to restore mobility. HO can be prevented by postoperative nonsteroidal anti-inflammatory drug (NSAID) use or radiotherapy (RT). NSAIDs are associated with multiple toxicities, including gastrointestinal bleeding. Although RT has been shown to be more efficacious than NSAIDs at preventing HO, its cost-effectiveness has been questioned. Methods and Materials: We performed an analysis of the cost of postoperative RT to the hip compared with NSAID administration, taking into account the costs of surgery for HO formation, treatment-induced morbidity, and productivity loss from missed work. The costs of RT, surgical revision, and treatment of gastrointestinal bleeding were estimated using the 2007 Medicare Fee Schedule and inpatient diagnosis-related group codes. The cost of lost wages was estimated using the 2006 median salary data from the U.S. Census Bureau. Results: The cost of administering RT was estimated at $899 vs. $20 for NSAID use. After accounting for the additional costs associated with revision total hip arthroplasty and gastrointestinal bleeding, the corresponding estimated costs were $1,208 vs. $930. Conclusion: If the costs associated with treatment failure and treatment-induced morbidity are considered, the cost of NSAIDs approaches that of RT. Other NSAID morbidities and quality-of-life differences that are difficult to quantify add to the cost of NSAIDs. These considerations have led us to recommend RT as the preferred modality for use in prophylaxis against HO after total hip arthroplasty, even when the cost is considered

  4. Time-driven activity based costing of total knee replacement surgery at a London teaching hospital.

    Science.gov (United States)

    Chen, Alvin; Sabharwal, Sanjeeve; Akhtar, Kashif; Makaram, Navnit; Gupte, Chinmay M

    2015-12-01

    The aim of this study was to conduct a time-driven activity based costing (TDABC) analysis of the clinical pathway for total knee replacement (TKR) and to determine where the major cost drivers lay. The in-patient pathway was prospectively mapped utilising a TDABC model, following 20 TKRs. The mean age for these patients was 73.4 years. All patients were ASA grade I or II and their mean BMI was 30.4. The 14 varus knees had a mean deformity of 5.32° and the six valgus knee had a mean deformity of 10.83°. Timings were prospectively collected as each patient was followed through the TKR pathway. Pre-operative costs including pre-assessment and joint school were £ 163. Total staff costs for admission and the operating theatre were £ 658. Consumables cost for the operating theatre were £ 1862. The average length of stay was 5.25 days at a total cost of £ 910. Trust overheads contributed £ 1651. The overall institutional cost of a 'noncomplex' TKR in patients without substantial medical co-morbidities was estimated to be £ 5422, representing a profit of £ 1065 based on a best practice tariff of £ 6487. The major cost drivers in the TKR pathway were determined to be theatre consumables, corporate overheads, overall ward cost and operating theatre staffing costs. Appropriate discounting of implant costs, reduction in length of stay by adopting an enhanced recovery programme and control of corporate overheads through the use of elective orthopaedic treatment centres are proposed approaches for reducing the overall cost of treatment. Copyright © 2015 Elsevier B.V. All rights reserved.

  5. Life cycle cost analysis rehabilitation costs.

    Science.gov (United States)

    2015-07-01

    This study evaluates data from CDOTs Cost Data books and Pavement Management Program. Cost : indices were used to normalize project data to year 2014. Data analyzed in the study was obtained from : the CDOTs Cost Data books and the Pavement Man...

  6. Analysis of the total system life cycle cost for the Civilian Radioactive Waste Management Program

    International Nuclear Information System (INIS)

    1989-05-01

    The total-system life-cycle cost (TSLCC) analysis for the Department of Energy's (DOE) Civilian Radioactive Waste Management Program is an ongoing activity that helps determine whether the revenue-producing mechanism established by the Nuclear Waste Policy Act of 1982 -- a fee levied on electricity generated in commercial nuclear power plants -- is sufficient to cover the cost of the program. This report provides cost estimates for the sixth annual evaluation of the adequacy of the fee and is consistent with the program strategy and plans contained in the DOE's Draft 1988 Mission Plan Amendment. The total-system cost for the system with a repository at Yucca Mountain, Nevada, a facility for monitored retrievable storage (MRS), and a transportation system is estimated at $24 billion (expressed in constant 1988 dollars). In the event that a second repository is required and is authorized by the Congress, the total-system cost is estimated at $31 to $33 billion, depending on the quantity of spent fuel to be disposed of. The $7 billion cost savings for the single-repository system in comparison with the two-repository system is due to the elimination of $3 billion for second-repository development and $7 billion for the second-repository facility. These savings are offset by $2 billion in additional costs at the first repository and $1 billion in combined higher costs for the MRS facility and transportation. 55 refs., 2 figs., 24 tabs

  7. Pre-fracture individual characteristics associated with high total health care costs after hip fracture.

    Science.gov (United States)

    Schousboe, J T; Paudel, M L; Taylor, B C; Kats, A M; Virnig, B A; Dowd, B E; Langsetmo, L; Ensrud, K E

    2017-03-01

    Older women with pre-fracture slow walk speed, high body mass index, and/or a high level of multimorbidity have significantly higher health care costs after hip fracture compared to those without those characteristics. Studies to investigate if targeted health care interventions for these individuals can reduce hip fracture costs are warranted. The aim of this study is to estimate the associations of individual pre-fracture characteristics with total health care costs after hip fracture, using Study of Osteoporotic Fractures (SOF) cohort data linked to Medicare claims. Our study population was 738 women age 70 and older enrolled in Medicare Fee for Service (FFS) who experienced an incident hip fracture between January 1, 1992 and December 31, 2009. We assessed pre-fracture individual characteristics at SOF study visits and estimated costs of hospitalizations, skilled nursing facility and inpatient rehabilitation stays, home health care visits, and outpatient utilization from Medicare FFS claims. We used generalized linear models to estimate the associations of predictor variables with total health care costs (2010 US dollars) after hip fracture. Median total health care costs for 1 year after hip fracture were $35,536 (inter-quartile range $24,830 to $50,903). Multivariable-adjusted total health care costs for 1 year after hip fracture were 14 % higher ($5256, 95 % CI $156 to $10,356) in those with walk speed total health care costs after hip fracture in older women. Studies to investigate if targeted health care interventions for these individuals can reduce the costs of hip fractures are warranted.

  8. The Relationship between Cost Leadership Strategy, Total Quality Management Applications and Financial Performance

    Directory of Open Access Journals (Sweden)

    Ali KURT

    2016-03-01

    Full Text Available Firms need to implement some competition strategies and total quality management applications to overcome the fierce competition among others. The purpose of this study is to show the relationship between cost leadership strategy, total quality management applications and firms’ financial performance with literature review and empirical analysis. 449 questionnaires were conducted to the managers of 142 big firms. The data gathered was assessed with AMOS. As a result, the relationship between cost leadership strategy, total quality management applications and firms’ financial performance has been gathered. In addition, the relationship between TQM applications and financial performance has also been gathered.

  9. Clinical benefit and cost effectiveness of total knee arthroplasty in the older patient

    Directory of Open Access Journals (Sweden)

    Krummenauer F

    2009-02-01

    Full Text Available Abstract Purpose Total knee arthroplasty (TKA is an effective, but also cost-intensive health care procedure for the elderly. Furthermore, bearing demographic changes in Western Europe in mind, TKA-associated financial investment for health care insurers will increase notably and thereby catalyze discussions on ressource allocation to Orthopedic surgery. To derive a quantitative rationale for such discussions within Western Europe's health care systems, a prospective assessment of both the benefit of TKA from a patient's perspective as well as its cost effectiveness from a health care insurer's perspective was implemented. Methods A prospective cost effectiveness trial recruited a total of 65 patients (60% females, who underwent TKA in 2006; median age of patients was 66 years (interquartile range 61 - 74 years. Before and three months after surgery patients were interviewed by means of the EuroQol-5D and the WOMAC questionnaires to assess their individual benefit due to TKA and the subsequent inpatient rehabilitation. Both questionnaires' benefit estimates were transformed into the number of gained quality adjusted life years [QALYs]. Total direct cost estimates for the overall care were based on German DRG and rehabilitation cost rates [€]. The primary clinical endpoint of the investigation was the individual number of QALYs gained by TKA based on the WOMAC interview; the primary health economic endpoint was the marginal cost effectiveness ratio (MCER relating the costs to the associated gain in quality of life [€/QALY]. Results Total direct costs for the overall procedure were estimed 9549 € in median. The WOMAC based interview revealed an overall gain of 4.59 QALYs (interquartile range 2.39 - 6.21 QALYs, resulting in marginal costs of 1795 €/QALY (1488 - 3288 €/QALY. The corresponding EuroQol based estimates were 2.93 QALYs (1.75 - 5.59 QALYs and 3063 €/QALY (1613 - 5291 €/QALY. Logistic regression modelling identified the

  10. Total costs and benefits of biomass in selected regions of the European Union - BioCosts

    Energy Technology Data Exchange (ETDEWEB)

    Almeida, A de; Costa, F B [Coimbra Univ. (Portugal). Inst. de Sistemas e Robotica; Bauen, A [London Univ. (United Kingdom). Div. of Life Sciences; and others

    1998-11-01

    In the BioCosts project, representative biomass-to-electricity and biomass-to-transport-service fuel cycles located at different sites within the European Union have been evaluated concerning their environmental and economic performance. Each case study was compared to a fossil-fuel fired reference case. The case studies examined comprise: utilisation of forestry residues in the Naessjoe circulating fluidized bed combustion plant, Sweden, versus the use of Polish coal in the same plant; utilisation of forestry residues and short-rotation coppice for industrial combined heat and power production in Mangualde, Portugal, versus the use of fuel oil in an engine generating heat and power; production of biogas from manure slurry for municipal combined heat and power generation at Hashoej, Denmark, versus the use of Danish natural gas in the same engine; gasification of woody biomass for combined heat and power generation in Vaernamo, Sweden, and Eggborough, UK, versus the use of coal in the Naessjoe plant mentioned above and a UK power plant; production of cold-pressed rape-seed oil and its use in a cogeneration plant at Weissenburg, Germany, versus the use of diesel fuel in a similar engine; production of rape-seed oil methyl ester and its use for goods transport in Germany, versus the use of diesel fuel in the same fleet of trucks; production of ethyl tertiary butyl ether from sugar beets and sweet sorghum for transport applications in France, versus the use of methyl tertiary butyl ether from fossil sources for the same purpose 130 refs, 25 figs, 42 tabs. Research funded in part by the European Commission in the JOULE III programme

  11. Pavement Condition Assessment Using IRI from Roadroid and Surface Distress Index Method on National Road in Sumenep Regency

    Science.gov (United States)

    Arianto, T.; Suprapto, M.; Syafi’i

    2018-03-01

    The pavement condition will decrease due to the influence of traffic and environment, so that the maintenance effort is needed to maintain the road condition during the service period. In order to carry out road maintenance activities right on target, there needs to be a plan based on accurate pavement condition data. Road roughness is the most commonly used condition parameter in evaluating pavement conditions objectively because road roughness data is relatively easy to obtain, well correlated with vehicle operating costs and the most relevant parameter in road functional performance measurement. The Roadroid is an Android-based application that measures road roughness by using vibration sensors on a smartphone so it is possible to get an International Roughness Index (IRI) value as an indicator of pavement conditions more easily and efficiently. Besides based on road roughness, pavement condition evaluation can also be done visually by using Surface Distress Index (SDI) method that uses the total crack area parameters, average crack width, total number of potholes and the average depth of rutting. This study attempts to assess the condition of Jenderal Sudirman-Kalianget road by combining IRI Roadroid value and SDI value which will be used as the basis to determine the required road maintenance. This road segment is one of the national strategic road connecting the center of Sumenep regency with the Kalianget harbor. Based on IRI measurement and SDI calculation, the pavement condition of Jenderal Sudirman-Kalianget road can be described 4.2 kilometers (37.17%) were good and 2.3 kilometers (20.35%) were fair that need routine maintenance. While 2.1 kilometers (18.58%) were bad and 2.7 kilometers (23.89%) were poor that need periodical maintenance and reconstruction.

  12. Pavement edge treatment.

    Science.gov (United States)

    2013-01-01

    Four projects were built over two construction seasons using special devices attached to the paving machine that produces a 30 slope on the outside pavement edge instead of the near vertical drop-off common with conventional paving equipment. This ...

  13. Pervious Pavement System Evaluation

    Science.gov (United States)

    Porous pavement is a low impact development stormwater control. The Urban Watershed Management Branch is evaluating interlocking concrete pavers as a popular implementation. The pavers themselves are impermeable, but the spaces between the pavers are backfilled with washed, grade...

  14. Desert Pavement Studies

    National Research Council Canada - National Science Library

    Haff, Peter

    2003-01-01

    Combining plan view information from aerial photography showing details of stream channels on desert pavement surfaces with process-based erosion models, a high-resolution, synthetic topography DEM...

  15. Desert Pavement Studies

    National Research Council Canada - National Science Library

    Haff, P

    2003-01-01

    Combining plan view information from aerial photography showing details of stream channels on desert pavement surfaces with process-based erosion models, a high-resolution, "synthetic topography" DEM...

  16. Calibration of controlling input models for pavement management system.

    Science.gov (United States)

    2013-07-01

    The Oklahoma Department of Transportation (ODOT) is currently using the Deighton Total Infrastructure Management System (dTIMS) software for pavement management. This system is based on several input models which are computational backbones to dev...

  17. Lessons learned : pavement marking warranty contract.

    Science.gov (United States)

    2013-12-01

    In 2012, UDOT implemented a performance-based warranty on a portion of an I-15 pavement marking : project. The awarded contract requested a contractor warranty on the implemented markings for a total : duration of six years. This is the first time th...

  18. Bearing Procurement Analysis Method by Total Cost of Ownership Analysis and Reliability Prediction

    Science.gov (United States)

    Trusaji, Wildan; Akbar, Muhammad; Sukoyo; Irianto, Dradjad

    2018-03-01

    In making bearing procurement analysis, price and its reliability must be considered as decision criteria, since price determines the direct cost as acquisition cost and reliability of bearing determine the indirect cost such as maintenance cost. Despite the indirect cost is hard to identify and measured, it has high contribution to overall cost that will be incurred. So, the indirect cost of reliability must be considered when making bearing procurement analysis. This paper tries to explain bearing evaluation method with the total cost of ownership analysis to consider price and maintenance cost as decision criteria. Furthermore, since there is a lack of failure data when bearing evaluation phase is conducted, reliability prediction method is used to predict bearing reliability from its dynamic load rating parameter. With this method, bearing with a higher price but has higher reliability is preferable for long-term planning. But for short-term planning the cheaper one but has lower reliability is preferable. This contextuality can give rise to conflict between stakeholders. Thus, the planning horizon needs to be agreed by all stakeholder before making a procurement decision.

  19. Managing the total cost of risk exposures through risk mapping techniques

    International Nuclear Information System (INIS)

    Unione, A.J.; Rode, D.M.

    1998-01-01

    In a competitive power market, power producers are exposed to an increasingly broad spectrum of financial risks. The cumulative impact of these financial risks is known collectively as the Total of Cost of Risk. The concept of Total of Cost of Risk presents the business reality of a company's exposure to potentially devastating financial consequences in an integrated and useful way. In this way, a strategy of managing Total Cost of Risk in the most cost effective way can become a means of ensuring long term business health and security. This paper will examine the use of risk mapping as a tool for visually understanding Total Cost of Risk, thus creating an enhanced situational awareness and an integrated basis for risk management decision. The evaluation process, available through the use of risk maps allows the power producers to pro-actively implement prudent business decisions concerning the design, operation and maintenance of power plants. Risk mapping is thus a means for harmonizing operational objectives, such as improved plant reliability, with corporate strategies and goals in terms of an effective risk management program

  20. Time-based analysis of total cost of patient episodes: a case study of hip replacement.

    Science.gov (United States)

    Peltokorpi, Antti; Kujala, Jaakko

    2006-01-01

    Healthcare in the public and private sectors is facing increasing pressure to become more cost-effective. Time-based competition and work-in-progress have been used successfully to measure and improve the efficiency of industrial manufacturing. Seeks to address this issue. Presents a framework for time based management of the total cost of a patient episode and apply it to the six sigma DMAIC-process development approach. The framework is used to analyse hip replacement patient episodes in Päijät-Häme Hospital District in Finland, which has a catchment area of 210,000 inhabitants and performs an average of 230 hip replacements per year. The work-in-progress concept is applicable to healthcare--notably that the DMAIC-process development approach can be used to analyse the total cost of patient episodes. Concludes that a framework, which combines the patient-in-process and the DMAIC development approach, can be used not only to analyse the total cost of patient episode but also to improve patient process efficiency. Presents a framework that combines patient-in-process and DMAIC-process development approaches, which can be used to analyse the total cost of a patient episode in order to improve patient process efficiency.

  1. Hybrid Cloud Computing Architecture Optimization by Total Cost of Ownership Criterion

    Directory of Open Access Journals (Sweden)

    Elena Valeryevna Makarenko

    2014-12-01

    Full Text Available Achieving the goals of information security is a key factor in the decision to outsource information technology and, in particular, to decide on the migration of organizational data, applications, and other resources to the infrastructure, based on cloud computing. And the key issue in the selection of optimal architecture and the subsequent migration of business applications and data to the cloud organization information environment is the question of the total cost of ownership of IT infrastructure. This paper focuses on solving the problem of minimizing the total cost of ownership cloud.

  2. Total cost estimates for large-scale wind scenarios in UK

    International Nuclear Information System (INIS)

    Dale, Lewis; Milborrow, David; Slark, Richard; Strbac, Goran

    2004-01-01

    The recent UK Energy White Paper suggested that the Government should aim to secure 20% of electricity from renewable sources by 2020. A number of estimates of the extra cost of such a commitment have been made, but these have not necessarily included all the relevant cost components. This analysis sets out to identify these and to calculate the extra cost to the electricity consumer, assuming all the renewable electricity is sourced from wind energy. This enables one of the more controversial issues--the implications of wind intermittency--to be addressed. The basis of the assumptions associated with generating costs, extra balancing costs and distribution and transmission system reinforcement costs are all clearly identified and the total costs of a '20% wind' scenario are compared with a scenario where a similar amount of energy is generated by gas-fired plant. This enables the extra costs of the renewables scenario to be determined. The central estimate of the extra costs to electricity consumers is just over 0.3 p/kW h in current prices (around 5% extra on average domestic unit prices). Sensitivity analyses examine the implications of differing assumptions. The extra cost would rise if the capital costs of wind generation fall slower than anticipated, but would fall if gas prices rise more rapidly than has been assumed, or if wind plant are more productive. Even if it is assumed that wind has no capacity displacement value, the added cost to the electricity consumer rises by less than 0.1 p/kW h. It is concluded that there does not appear to be any technical reason why a substantial proportion of the country's electricity requirements could not be delivered by wind

  3. Training development for pavement preservation.

    Science.gov (United States)

    2013-05-01

    This research project strives to help the Iowa Department of Transportation (DOT) fully achieve the full benefits of pavement : preservation through training on proper selection, design, and application of pavement preservation treatments. In some ca...

  4. Alternative pavements for snowmobile crossings.

    Science.gov (United States)

    2009-09-01

    Excessive highway pavement wear from snowmobile traffic is a maintenance problem for the New Hampshire Department of : Transportation. The snowmobiles and trail grooming equipment scar and erode the pavement surfaces, eventually creating wide ruts ac...

  5. Status report on pavement management.

    Science.gov (United States)

    1984-01-01

    This report traces the developments in pavement management in the Virginia Department of Highways and Transportation from the initial efforts in the mid-1970s through early 1984. Included are status reports on pavement management for the interstate, ...

  6. Development of reliable pavement models.

    Science.gov (United States)

    2011-05-01

    The current report proposes a framework for estimating the reliability of a given pavement structure as analyzed by : the Mechanistic-Empirical Pavement Design Guide (MEPDG). The methodology proposes using a previously fit : response surface, in plac...

  7. Total inpatient treatment costs in patients with severe burns: towards a more accurate reimbursement model.

    Science.gov (United States)

    Mehra, Tarun; Koljonen, Virve; Seifert, Burkhardt; Volbracht, Jörk; Giovanoli, Pietro; Plock, Jan; Moos, Rudolf Maria

    2015-01-01

    Reimbursement systems have difficulties depicting the actual cost of burn treatment, leaving care providers with a significant financial burden. Our aim was to establish a simple and accurate reimbursement model compatible with prospective payment systems. A total of 370 966 electronic medical records of patients discharged in 2012 to 2013 from Swiss university hospitals were reviewed. A total of 828 cases of burns including 109 cases of severe burns were retained. Costs, revenues and earnings for severe and nonsevere burns were analysed and a linear regression model predicting total inpatient treatment costs was established. The median total costs per case for severe burns was tenfold higher than for nonsevere burns (179 949 CHF [167 353 EUR] vs 11 312 CHF [10 520 EUR], interquartile ranges 96 782-328 618 CHF vs 4 874-27 783 CHF, p <0.001). The median of earnings per case for nonsevere burns was 588 CHF (547 EUR) (interquartile range -6 720 - 5 354 CHF) whereas severe burns incurred a large financial loss to care providers, with median earnings of -33 178 CHF (30 856 EUR) (interquartile range -95 533 - 23 662 CHF). Differences were highly significant (p <0.001). Our linear regression model predicting total costs per case with length of stay (LOS) as independent variable had an adjusted R2 of 0.67 (p <0.001 for LOS). Severe burns are systematically underfunded within the Swiss reimbursement system. Flat-rate DRG-based refunds poorly reflect the actual treatment costs. In conclusion, we suggest a reimbursement model based on a per diem rate for treatment of severe burns.

  8. The Relationship between Cost Leadership Strategy, Total Quality Management Applications and Financial Performance

    OpenAIRE

    Ali KURT; Cemal ZEHİR

    2016-01-01

    Firms need to implement some competition strategies and total quality management applications to overcome the fierce competition among others. The purpose of this study is to show the relationship between cost leadership strategy, total quality management applications and firms’ financial performance with literature review and empirical analysis. 449 questionnaires were conducted to the managers of 142 big firms. The data gathered was assessed with AMOS. As a result, the relationship between ...

  9. Decision of National and Provincial Highway Asphalt Pavement Structure Based on Value Engineering

    Directory of Open Access Journals (Sweden)

    Yingwei Ren

    2014-01-01

    Full Text Available It is important that decision of asphalt pavement structure requires overall considerations of the performance and financial investment. To have asphalt pavement structure fulfilling good reliability, the asphalt pavement structure decision was researched based on value engineering theory. According to the national and provincial highway investigation data in Shandong Province during the last decade, the asphalt pavement performance attenuation rules of traffic levels and asphalt layer thicknesses were developed, and then the road performance evaluation method was presented. In addition, the initial investments, the costs of road maintenance, and middle-scale repair in a period were analyzed. For the light traffic and medium traffic example, using the value engineering method, the pavement performance and costs of which thickness varies from 6 cm to 10 cm were calculated and compared. It was concluded that value engineering was an effective method in deciding the asphalt pavement structure.

  10. Linking the spare parts management with the total costs of ownership: An agenda for future research

    International Nuclear Information System (INIS)

    Duran, O.; Roda, I.; Macchi, M.

    2016-01-01

    Purpose: This manuscript explores the link between Spare Parts Management and Total Costs of Ownership or Life Cycle Costs (LCC). Design/methodology/approach: First, this work enumerates the different managerial decisions instances in spare parts management that are present during the life cycle of a physical asset. Second, we analyse how those decision instances could affect the TCO of a physical asset (from the economic point of view). Finally, we propose a conceptual framework for incorporating the spare parts management into a TCO model. Findings: The recent literature lacks discussions on the integration of spare parts management with the Total Costs of Ownership (TCO). Based in an extensive literature revision we can declare that the computation of costs related to spare parts management has been neglected by TCO models. Originality/value: The contribution of this paper is twofold. First, a literature review and identification of a series of spare parts management decision instances and its relationship with TCOs is presented in this paper. Second, a conceptual framework is suggested for linking those decisions instances to a total cost of ownership perspective. Some research questions and future research challenges are presented at the end of this work.

  11. Linking the spare parts management with the total costs of ownership: An agenda for future research

    Energy Technology Data Exchange (ETDEWEB)

    Duran, O.; Roda, I.; Macchi, M.

    2016-07-01

    Purpose: This manuscript explores the link between Spare Parts Management and Total Costs of Ownership or Life Cycle Costs (LCC). Design/methodology/approach: First, this work enumerates the different managerial decisions instances in spare parts management that are present during the life cycle of a physical asset. Second, we analyse how those decision instances could affect the TCO of a physical asset (from the economic point of view). Finally, we propose a conceptual framework for incorporating the spare parts management into a TCO model. Findings: The recent literature lacks discussions on the integration of spare parts management with the Total Costs of Ownership (TCO). Based in an extensive literature revision we can declare that the computation of costs related to spare parts management has been neglected by TCO models. Originality/value: The contribution of this paper is twofold. First, a literature review and identification of a series of spare parts management decision instances and its relationship with TCOs is presented in this paper. Second, a conceptual framework is suggested for linking those decisions instances to a total cost of ownership perspective. Some research questions and future research challenges are presented at the end of this work.

  12. Linking the spare parts management with the total costs of ownership: An agenda for future research

    Directory of Open Access Journals (Sweden)

    Orlando Duran

    2016-12-01

    Full Text Available Purpose: This manuscript explores the link between Spare Parts Management and Total Costs of Ownership or Life Cycle Costs (LCC. Design/methodology/approach: First, this work enumerates the different managerial decisions instances in spare parts management that are present during the life cycle of a physical asset. Second, we analyse how those decision instances could affect the TCO of a physical asset (from the economic point of view. Finally, we propose a conceptual framework for incorporating the spare parts management into a TCO model. Findings: The recent literature lacks discussions on the integration of spare parts management with the Total Costs of Ownership (TCO. Based in an extensive literature revision we can declare that the computation of costs related to spare parts management has been neglected by TCO models. Originality/value: The contribution of this paper is twofold. First, a literature review and identification of a series of spare parts management decision instances and its relationship with TCOs is presented in this paper. Second, a conceptual framework is suggested for linking those decisions instances to a total cost of ownership perspective. Some research questions and future research challenges are presented at the end of this work.

  13. Total hip arthroplasty revision due to infection: a cost analysis approach.

    Science.gov (United States)

    Klouche, S; Sariali, E; Mamoudy, P

    2010-04-01

    The treatment of total hip arthroplasty (THA) infections is long and costly. However,the number of studies in the literature analysing the real cost of THA revision in relation to their etiology, including infection, is limited. The aim of this retrospective study was to determine the cost of revision of infected THA and to compare these costs to those of primary THA and revision of non-infected THA. We performed a retrospective cost analysis for the year 2006 using an identical analytic accounting system in each hospital department (according to internal criteria) based on allotment of direct costs and receipts for each department. From January to December 2006, 424 primary THA, 57 non-infected THA revisions and 40 THA revisions due to infection were performed. The different cost areas of the patient's treatment were identified.This included preoperative medical work-up, medicosurgical management during hospital stay,a second stay in an orthopedic rehabilitation hospital (ORH) and post-hospitalisation antibiotic therapy after revision due to infection, as well as home-based hospitalisation (HH) costs, if this was the selected alternative option. We used the national health insurance fee schedule found in the "Common classification of medical procedures" and the "General nomenclature of professional procedures" applicable in France since September 1, 2005. Hospital costs included direct costs (hospital overhead costs) and indirect costs, (medical, surgical, technical settings and net general service expenses). The calculation of HH costs and ORH costs were based on the average daily charge of these departments. The cost of primary THA was used as the reference.We then compared our surgical costs with those found for the corresponding comparable hospital stay groups (Groupes homogènes de séjour). The average hospital stay (AHS) was 7.5 +/- 1.8 days for primary THA, 8.9 +/- 2.2 days for non-infected revisions and 30.6 +/- 14.9 days for revisions due to infection

  14. A METHOD OF THE MINIMIZING OF THE TOTAL ACQUISITIONS COST WITH THE INCREASING VARIABLE DEMAND

    Directory of Open Access Journals (Sweden)

    ELEONORA IONELA FOCȘAN

    2015-12-01

    Full Text Available Over time, mankind has tried to find different ways of costs reduction. This subject which we are facing more often nowadays, has been detailed studied, without reaching a general model, and also efficient, regarding the costs reduction. Costs reduction entails a number of benefits over the entity, the most important being: increase revenue and default to the profit, increase productivity, a higher level of services / products offered to clients, and last but not least, the risk mitigation of the economic deficit. Therefore, each entity search different modes to obtain most benefits, for the company to succeed in a competitive market. This article supports the companies, trying to make known a new way of minimizing the total cost of acquisitions, by presenting some hypotheses about the increasing variable demand, proving them, and development of formulas for reducing the costs. The hypotheses presented in the model described below, can be maximally exploited to obtain new models of reducing the total cost, according to the modes of the purchase of entities which approach it.

  15. Total cost of ownership in the services sector: A case study

    NARCIS (Netherlands)

    K. Hurkens (Krisje); W. van der Valk (Wendy); J.Y.F. Wynstra (Finn)

    2006-01-01

    textabstractFew detailed studies exist of the trade-offs to be made when developing a comprehensive, strategically focused total cost of ownership (TCO) model. Moreover, most studies of TCO have been conducted in manufacturing firms, with little or no TCO research directed toward service

  16. Multi-Product Total Cost of Function for Higher Education: A Case of Bible Colleges.

    Science.gov (United States)

    Koshal, Rajindar K.; Koshal, Manjulika; Gupta, Ashok

    2001-01-01

    This study empirically estimates a multiproduct total cost function and output relationship for comprehensive U.S. universities. Statistical results for 184 Bible colleges suggest that there are both economies of scale and of scope in higher education. Additionally, product-specific economies of scope exist for all output levels and activities.…

  17. Permanent magnet design for magnetic heat pumps using total cost minimization

    Science.gov (United States)

    Teyber, R.; Trevizoli, P. V.; Christiaanse, T. V.; Govindappa, P.; Niknia, I.; Rowe, A.

    2017-11-01

    The active magnetic regenerator (AMR) is an attractive technology for efficient heat pumps and cooling systems. The costs associated with a permanent magnet for near room temperature applications are a central issue which must be solved for broad market implementation. To address this problem, we present a permanent magnet topology optimization to minimize the total cost of cooling using a thermoeconomic cost-rate balance coupled with an AMR model. A genetic algorithm identifies cost-minimizing magnet topologies. For a fixed temperature span of 15 K and 4.2 kg of gadolinium, the optimal magnet configuration provides 3.3 kW of cooling power with a second law efficiency (ηII) of 0.33 using 16.3 kg of permanent magnet material.

  18. Time-driven Activity-based Cost of Fast-Track Total Hip and Knee Arthroplasty

    DEFF Research Database (Denmark)

    Andreasen, Signe E; Holm, Henriette B; Jørgensen, Mira

    2017-01-01

    this between 2 departments with different logistical set-ups. METHODS: Prospective data collection was analyzed using the time-driven activity-based costing method (TDABC) on time consumed by different staff members involved in patient treatment in the perioperative period of fast-track THA and TKA in 2 Danish...... orthopedic departments with standardized fast-track settings, but different logistical set-ups. RESULTS: Length of stay was median 2 days in both departments. TDABC revealed minor differences in the perioperative settings between departments, but the total cost excluding the prosthesis was similar at USD......-track methodology, the result could be a more cost-effective pathway altogether. As THA and TKA are potentially costly procedures and the numbers are increasing in an economical limited environment, the aim of this study is to present baseline detailed economical calculations of fast-track THA and TKA and compare...

  19. Cost Analysis of Total Joint Arthroplasty Readmissions in a Bundled Payment Care Improvement Initiative.

    Science.gov (United States)

    Clair, Andrew J; Evangelista, Perry J; Lajam, Claudette M; Slover, James D; Bosco, Joseph A; Iorio, Richard

    2016-09-01

    The Bundled Payment for Care Improvement (BPCI) Initiative is a Centers for Medicare and Medicaid Services program designed to promote coordinated and efficient care. This study seeks to report costs of readmissions within a 90-day episode of care for BPCI Initiative patients receiving total knee arthroplasty (TKA) or total hip arthroplasty (THA). From January 2013 through December 2013, 1 urban, tertiary, academic orthopedic hospital admitted 664 patients undergoing either primary TKA or THA through the BPCI Initiative. All patients readmitted to our hospital or an outside hospital within 90-days from the index episode were identified. The diagnosis and cost for each readmission were analyzed. Eighty readmissions in 69 of 664 patients (10%) were identified within 90-days. There were 53 readmissions (45 patients) after THA and 27 readmissions (24 patients) after TKA. Surgical complications accounted for 54% of THA readmissions and 44% of TKA readmissions. These complications had an average cost of $36,038 (range, $6375-$60,137) for THA and $38,953 (range, $4790-$104,794) for TKA. Eliminating the TKA outlier of greater than $100,000 yields an average cost of $27,979. Medical complications of THA and TKA had an average cost of $22,775 (range, $5678-$82,940) for THA and $24,183 (range, $3306-$186,069) for TKA. Eliminating the TKA outlier of greater than $100,000 yields an average cost of $11,682. Hospital readmissions after THA and TKA are common and costly. Identifying the causes for readmission and assessing the cost will guide quality improvement efforts. Copyright © 2016 Elsevier Inc. All rights reserved.

  20. Impact Of Health Care Delivery System Innovations On Total Cost Of Care.

    Science.gov (United States)

    Smith, Kevin W; Bir, Anupa; Freeman, Nikki L B; Koethe, Benjamin C; Cohen, Julia; Day, Timothy J

    2017-03-01

    Using delivery system innovations to advance health care reform continues to be of widespread interest. However, it is difficult to generalize about the success of specific types of innovations, since they have been examined in only a few studies. To gain a broader perspective, we analyzed the results of forty-three ambulatory care programs funded by the first round of the Center for Medicare and Medicaid Innovation's Health Care Innovations Awards. The innovations' impacts on total cost of care were estimated by independent evaluators using multivariable difference-in-differences models. Through the first two years, most of the innovations did not show a significant effect on total cost of care. Using meta-regression, we assessed the effects on costs of five common components of these innovations. Innovations that used health information technology or community health workers achieved the greatest cost savings. Savings were also relatively large in programs that targeted clinically fragile patients-clinically complex populations at risk for disease progression. While the magnitude of these effects was often substantial, none achieved conventional levels of significance in our analyses. Meta-analyses of a larger number of delivery system innovations are needed to more clearly establish their potential for patient care cost savings. Project HOPE—The People-to-People Health Foundation, Inc.

  1. Pavement Snow Melting

    Energy Technology Data Exchange (ETDEWEB)

    Lund, John W.

    2005-01-01

    The design of pavement snow melting systems is presented based on criteria established by ASHRAE. The heating requirements depends on rate of snow fall, air temperature, relative humidity and wind velocity. Piping materials are either metal or plastic, however, due to corrosion problems, cross-linked polyethylene pipe is now generally used instead of iron. Geothermal energy is supplied to systems through the use of heat pipes, directly from circulating pipes, through a heat exchanger or by allowing water to flow directly over the pavement, by using solar thermal storage. Examples of systems in New Jersey, Wyoming, Virginia, Japan, Argentina, Switzerland and Oregon are presented. Key words: pavement snow melting, geothermal heating, heat pipes, solar storage, Wyoming, Virginia, Japan, Argentina, Klamath Falls.

  2. Using Electromagnetic Algorithm for Total Costs of Sub-contractor Optimization in the Cellular Manufacturing Problem

    Directory of Open Access Journals (Sweden)

    Mohammad Reza Shahriari

    2016-12-01

    Full Text Available In this paper, we present a non-linear binary programing for optimizing a specific cost in cellular manufacturing system in a controlled production condition. The system parameters are determined by the continuous distribution functions. The aim of the presented model is to optimize the total cost of imposed sub-contractors to the manufacturing system by determining how to allocate the machines and parts to each seller. In this system, DM could control the occupation level of each machine in the system. For solving the presented model, we used the electromagnetic meta-heuristic algorithm and Taguchi method for determining the optimal algorithm parameters.

  3. Cost-Effective Mobile-Based Healthcare System for Managing Total Joint Arthroplasty Follow-Up.

    Science.gov (United States)

    Bitsaki, Marina; Koutras, George; Heep, Hansjoerg; Koutras, Christos

    2017-01-01

    Long-term follow-up care after total joint arthroplasty is essential to evaluate hip and knee arthroplasty outcomes, to provide information to physicians and improve arthroplasty performance, and to improve patients' health condition. In this paper, we aim to improve the communication between arthroplasty patients and physicians and to reduce the cost of follow-up controls based on mobile application technologies and cloud computing. We propose a mobile-based healthcare system that provides cost-effective follow-up controls for primary arthroplasty patients through questions about symptoms in the replaced joint, questionnaires (WOMAC and SF-36v2) and the radiological examination of knee or hip joint. We also perform a cost analysis for a set of 423 patients that were treated in the University Clinic for Orthopedics in Essen-Werden. The estimation of healthcare costs shows significant cost savings (a reduction of 63.67% for readmission rate 5%) in both the University Clinic for Orthopedics in Essen-Werden and the state of North Rhine-Westphalia when the mobile-based healthcare system is applied. We propose a mHealth system to reduce the cost of follow-up assessments of arthroplasty patients through evaluation of diagnosis, self-monitoring, and regular review of their health status.

  4. Experimental pavement delineation treatments

    Science.gov (United States)

    Bryden, J. E.; Lorini, R. A.

    1981-06-01

    Visibility and durability of materials used to delineate shoulders and medians adjacent to asphalt pavements were evaluated. Materials evaluated were polysulfide and coal tar epoxies, one and two component polyesters, portland cement, acrylic paints, modified-alkyd traffic paint, preformed plastic tape, and thermoplastic markings. Neat applications, sand mortars, and surface treatments were installed in several geometric patterns including cross hatches, solid median treatments, and various widths of edge lines. Thermoplastic pavement markings generally performed very well, providing good visibility under adverse viewing conditions for at least 4 years. Thermoplastic 4 in. wide edge lines appear to provide adequate visibility for most conditions.

  5. Modified pavement cement concrete

    Science.gov (United States)

    Botsman, L. N.; Ageeva, M. S.; Botsman, A. N.; Shapovalov, S. M.

    2018-03-01

    The paper suggests design principles of pavement cement concrete, which covers optimization of compositions and structures at the stage of mixture components selection due to the use of plasticizing agents and air-retaining substances that increase the viability of a concrete mixture. It also demonstrates advisability of using plasticizing agents together with air-retaining substances when developing pavement concrete compositions, which provides for the improvement of physical and mechanical properties of concrete and the reduction of cement binding agent consumption thus preserving strength indicators. The paper shows dependences of the main physical-mechanical parameters of concrete on cement consumption, a type and amount of additives.

  6. Cost per case or total cost? The potential of prevention of hand injuries in young children – Retrospective and prospective studies

    Directory of Open Access Journals (Sweden)

    Carlsson Katarina

    2008-07-01

    Full Text Available Abstract Background Health-care costs for hand and forearm injuries in young children are poorly documented. We examined costs in 533 children injured years 1996–2003. Methods Health-care costs and costs for lost productivity were retrospectively calculated in children from three catchment areas in Sweden. Seven case categories corresponding to alternative prevention strategies were constructed. Results Over time, diminishing number of ward days reduced the health-care cost per case. Among children, the cost of lost productivity due to parental leave was 14 percent of total cost. Fingertip injuries had low median costs but high total costs due to their frequency. Complex injuries by machine or rifle had high costs per case, and despite a low number of cases, total cost was high. Type of injury, surgery and physiotherapy sessions were associated with variations in health-care cost. Low age and ethnic background had a significant effect on number of ward days. Conclusion The costs per hand injury for children were lower compared to adults due to both lower health-care costs and to the fact that parents had comparatively short periods of absence from work. Frequent simple fingertip injuries and rare complex injuries induce high costs for society. Such costs should be related to costs for prevention of these injuries.

  7. 12 CFR Appendix K to Part 226 - Total Annual Loan Cost Rate Computations for Reverse Mortgage Transactions

    Science.gov (United States)

    2010-01-01

    ... Appendix K to Part 226—Total Annual Loan Cost Rate Computations for Reverse Mortgage Transactions (a... loan cost rate for various transactions, as well as instructions, explanations, and examples for.... (2) Term of the transaction. For purposes of total annual loan cost disclosures, the term of a...

  8. Incorporating a total cost perspective intothe purchasing strategy : A case study of amedium sized retail compan

    OpenAIRE

    EKSTRÖM, MARCUS; FAHNEHJELM, CAROLINA

    2016-01-01

    The retail industry is today characterized by downward price pressure, and the increasedcompetition in the industry has led to pressure on profit margins. Purchasing and supply chainmanagement have become areas of increased strategic importance and play a crucial role inthe business performance. This study aims to extend previous literature in these fields byproviding the existing research with an empirical study on how the purchasing strategy canincorporate a total cost perspective of the su...

  9. Using PAVER 6.5.7 and GIS program for pavement maintenance management for selected roads in Kerbala city

    Directory of Open Access Journals (Sweden)

    Raid R.A. Almuhanna

    2018-06-01

    Full Text Available Pavement Maintenance Management System (PMMS includes systematic actions to get effective management and economic maintenance cost, depending on pavement condition index (PCI. PAVER 6.5.7 software are used to compute PCI values for a selected zone of road network in Kerbala City Center (KCC. Visual inspection survey is conducted to investigate the type, severity level, and extent of failure at sections and sample unites of selected roads. The area under study had 56.8 km length and contain functionally all types of urban roads. The data collection is achieved for a total of 109 road sections in; 20 Major arterials, 28 Minor arterials, 14 Collectors, and 47 Local sections. Further, the collected data for each section are inventoried and evaluated using PAVER 6.5.7. Also, analysis and prediction of the PCI curve for different sections are determined for different design lives. PAVER 6.5.7 is linked with GIS to layout the results and show the priority for maintenance and rehabilitation for the whole network are established using the critical PCI value.The resulted PCI indicated that 63% of the network sections of the study area have good condition, 12% have fair condition and 25% have poor condition. Keywords: Pavement maintenance management system, Pavement condition index (PCI, PAVER 6.5.7 system, GIS, Distress type

  10. Clinical and cost effectiveness-related aspects of retransfusion in total hip and knee arthroplasty.

    Science.gov (United States)

    Dobosz, Bartłomiej; Dutka, Julian; Dutka, Lukasz; Maleta, Paweł

    2012-01-01

    An increasing demand for blood products forces the rationalisation of management and conservation of blood. The aim of the study is to evaluate the possibility of retransfusion of blood conservation and the cost-effectiveness of this procedure when employed in Total Hip Replacement and Total Knee Arthroplasty. This prospective cohort study involved two groups of patients. Group I comprised 50 patients who underwent blood retransfusion and in several cases had supplementary allogeneic transfusion. Group II, a control group, consisted of 50 patients who did not receive retransfusion. The retransfusion in Group I enabled the recovery of a mean amount of 364.5 ml (± 52.7) of blood in THR patients and 403.8 ml (± 110.7) in TKA patients. Demand for allogeneic blood transfusions in Group I versus Group II was 46% lower in THR patients and 42% lower in TKA patients. The blood recovered for retransfusion is biologically valuable with regard to cellular elements and plasma chemistries. In the costs evaluation, the total savings in Group I were 5,000 PLN. Retransfusion of recuperated blood from postoperative drainage tubing is a simple and safe method that provides clinical and cost-effectiveness advantages.

  11. Changes in Energy Cost and Total External Work of Muscles in Elite Race Walkers Walking at Different Speeds

    Directory of Open Access Journals (Sweden)

    Chwała Wiesław

    2014-12-01

    Full Text Available The aim of the study was to assess energy cost and total external work (total energy depending on the speed of race walking. Another objective was to determine the contribution of external work to total energy cost of walking at technical, threshold and racing speed in elite competitive race walkers.

  12. Fatigue cracking in road pavement

    Science.gov (United States)

    Mackiewicz, P.

    2018-05-01

    The article presents the problem of modelling fatigue phenomena occurring in the road pavement. The example of two selected pavements shows the changes occurring under the influence of the load in different places of the pavement layers. Attention is paid to various values of longitudinal and transverse strains generated at the moment of passing the wheel on the pavement. It was found that the key element in the crack propagation analysis is the method of transferring the load to the pavement by the tire and the strain distribution in the pavement. During the passage of the wheel in the lower layers of the pavement, a complex stress state arises. Then vertical, horizontal and tangent stresses with various values appear. The numerical analyses carried out with the use of finite element methods allowed to assess the strain and stress changes occurring in the process of cracking road pavement. It has been shown that low-thickness pavements are susceptible to fatigue cracks arising "bottom to top", while pavements thicker are susceptible to "top to bottom" cracks. The analysis of the type of stress allowed to determine the cracking mechanism.

  13. Pavement Performance : Approaches Using Predictive Analytics

    Science.gov (United States)

    2018-03-23

    Acceptable pavement condition is paramount to road safety. Using predictive analytics techniques, this project attempted to develop models that provide an assessment of pavement condition based on an array of indictors that include pavement distress,...

  14. Optimization and standardization of pavement management processes.

    Science.gov (United States)

    2004-08-01

    This report addresses issues related to optimization and standardization of current pavement management processes in Kentucky. Historical pavement management records were analyzed, which indicates that standardization is necessary in future pavement ...

  15. A guide for local agency pavement managers

    Science.gov (United States)

    1994-12-01

    The purpose of this guide is to provide Washington's local agencies with a practical document that will assist pavement managers in understanding the pavement management process and the steps necessary to implement their own pavement management syste...

  16. Episode of Care Payments in Total Joint Arthroplasty and Cost Minimization Strategies.

    Science.gov (United States)

    Nwachukwu, Benedict U; O'Donnell, Evan; McLawhorn, Alexander S; Cross, Michael B

    2016-02-01

    Total joint arthroplasty (TJA) is receiving significant attention in the US health care system for cost containment strategies. Specifically, payer organizations have embraced and are implementing bundled payment schemes in TJA. Consequently, hospitals and providers involved in the TJA care cycle have sought to adapt to the new financial pressures imposed by episode of care payment models by analyzing what components of the total "event" of a TJA are most essential to achieve a good outcome after TJA. As part of this review, we analyze and discuss a health economic study by Snow et al. As part of their study, the authors aimed to understand the association between preoperative physical therapy (PT) and post-acute care resource utilization, and its effect on the total cost of care during total joint arthroplasty. The purpose of this current review therefore is to (1) describe and analyze the findings presented by Snow et al. and (2) provide a framework for analyzing and critiquing economic analyses in orthopedic surgery. The study under review, while having important strengths, has several notable limitations that are important to keep in mind when making policy and coverage decisions. We support cautious interpretation and application of study results, and we encourage maintained attention to economic analysis in orthopedics as well as continued care path redesign to maximize value for patients and health care providers.

  17. Methodology of Evaluation of the Impact of Picking Area Location on the Total Costs of Warehouse

    Directory of Open Access Journals (Sweden)

    Apsalons Raitis

    2017-12-01

    Full Text Available The picking system and the layout of the picking area are the key drivers for the evaluation of a warehouse picking cost. There are five variants for organizing the picking process of orders in a warehouse. The choice of a specific variant depends on the total cost of picking. The picking cost is evaluated within an uninterrupted picking process. It means that no stock out occurs in the time period of the picking process. The storing area and the picking area are created as two separate zones for picking quantities of the customer’s orders; the principle of division of orders is observed strictly. Referring to the locations of stock keeping units (SKU, two approaches of the layout of SKU in the picking area can be estimated. The first one is the single picking location for each single SKU, where replenishment is realized in the picking process. The second one - various picking locations for each single SKU, and the replenishment here is realized just only prior to a picking process or after it. The main benefits of the economy of the picking cost as far as these two approaches are concerned are the shortest picking route in the first case and one common replenishment option in the second case.

  18. Cost-effectivness analysis of total thyroidectomy vs radioiodine for Graves disease

    Directory of Open Access Journals (Sweden)

    Prokić Anđelka

    2013-01-01

    Full Text Available Among the patients suffering from hyperthyroidism 60-80% have Graves' disease. The initial therapy of Graves's disease are antithyroid drugs. If the remission is not achieved after 12-18 months, the patients should be directed to surgical treatment or to the therapy with radioactive iodine. The aim of this study was to compare cost/effectiveness ratios for radioactive iodine and total thyroidectomy. The analysis was made using Markov model, from the perspective of Republic Fund for Health Insurance in Serbia. Duration of one cycle in the model is six months, and the time horizon is 30 years. Monte Carlo simulation was performed for 1000 virtual patients as well as the analysis of sensitivity with the variation of parameters ± 50%. For total thyroidectomy the insurance should provide 138.389,72 RSD / 57, 83 QALY i.e. 2.393,04 dinars for one quality-adjusted life year, and for radioactive iodine the insurance should provide 110.043,64 RSD / 57,82 QALY i.e. 1.903,37 dinars for one quality-adjusted life year. This economic analysis showed that radioactive iodine has better ratio of costs to clinical effectiveness as opposed to total thyroidectomy.

  19. Efficiency and Cost Analysis of Cell Saver Auto Transfusion System in Total Knee Arthroplasty

    Directory of Open Access Journals (Sweden)

    Mustafa Gökhan Bilgili

    2014-06-01

    Full Text Available Background: Blood loss and replacement is still a controversial issue in major orthopaedic surgery. Allogenic blood transfusion may cause legal problems and concerns regarding the transmission of transfusion-related diseases. Cellsaver Systems (CSS were developed as an alternative to allogenic transfusion but CSS transfusion may cause coagulation, infection and haemodynamic instability. Aims: Our aim was to analyse the efficiency and cost analysis of a cell saver auto-transfusion system in the total knee arthroplasty procedure. Study Design: Retrospective comparative study. Methods: Those patients who were operated on by unilateral, cemented total knee arthroplasty (TKA were retrospectively evaluated. Group 1 included 37 patients who were treated using the cell saver system, and Group 2 involved 39 patients who were treated by allogenic blood transfusion. The groups were compared in terms of preoperative haemoglobin and haematocrit levels, blood loss and transfusion amount, whether allogenic transfusion was made, degree of deformity, body mass index and cost. Results: No significant results could be obtained in the statistical comparisons made in terms of the demographic properties, deformity properties, preoperative laboratory values, transfusion amount and length of hospital stay of the groups. Average blood loss was calculated to be less in Group 1 (p<0.05 and cost was higher in Group 1 (p<0.05. Conclusion: Cell saver systems do not decrease the amount of allogenic blood transfusion and costs more. Therefore, the routine usage of the auto-transfusion systems is a controversial issue. Cell saver system usage does not affect allogenic blood transfusion incidence or allogenic blood transfusion volume. It was found that preoperative haemoglobin and body mass index rates may affect allogenic blood transfusion. Therefore, it is foreseen that auto-transfusion systems could be useful in patients with low haemoglobin level and body mass index.

  20. Patterns of pharmacotherapy and health care utilization and costs prior to total hip or total knee replacement in patients with osteoarthritis.

    Science.gov (United States)

    Berger, Ariel; Bozic, Kevin; Stacey, Brett; Edelsberg, John; Sadosky, Alesia; Oster, Gerry

    2011-08-01

    To examine patterns of pharmacotherapy and health care utilization and costs prior to total knee replacement (TKR) or total hip replacement (THR) in patients with osteoarthritis (OA). Using a large US health insurance claims database, we identified all patients with OA who were ages ≥40 years and had undergone TKR or THR between January 1, 2006 and December 31, 2007. Patients with care utilization and costs over the 2-year period preceding surgery. A total of 16,527 patients met all study entry criteria. Their mean ± SD age was 56.6 ± 6.1 years, and 56% of them were women. In the 2 years preceding surgery, 55% of patients received prescription nonsteroidal antiinflammatory drugs, 58% received opioids, and 50% received injections of corticosteroids. The numbers of patients receiving these drugs increased steadily during the presurgery period. The mean ± SD total health care costs in the 2 years preceding surgery were $19,466 ± 29,869, of which outpatient care, inpatient care, and pharmacotherapy represented 45%, 20%, and 20%, respectively. Costs increased from $2,094 in the eighth calendar quarter prior to surgery to $3,100 in the final quarter. Patients with OA who undergo THR or TKR have relatively high levels of use of pain-related pharmacotherapy and high total health care costs in the 2-year period preceding surgery. Levels of utilization and cost increase as the date of surgery approaches. Copyright © 2011 by the American College of Rheumatology.

  1. Social profile and cost analysis of deep infection following total hip replacement surgery

    Directory of Open Access Journals (Sweden)

    Vera Lucia Frazão

    Full Text Available ABSTRACT OBJECTIVE: To characterize the socio-economic and demographic profile of patients undergoing surgery for revision total hip arthroplasty regarding the diagnosis of deep prosthetic infection. METHODS: Twenty patients were retrospectively studied, admitted in the period between 2009 and 2010 by the Hip Surgery Group with the diagnosis of deep prosthetic infection, whose proposed treatment was surgical. This study was carried out in the presence of the patient by completing two forms applied by the social worker of the Group. RESULTS: In a 20-patient sample, 40% were male, 45% were working age, 50% of patients originated from the capital, 85% depended on benefits, 70% were retired, 60% of patients were from this hospital, and 40% were from other services. The average cost of patients to the public system was R$ 55,821.62 per patient and the total spent on treatment of patients in the study exceeded one million Brazilian reals, totalling R$ 1,116,432.40. CONCLUSION: Infection from total hip arthroplasty generates a major expense to the social security system and to the public healthcare system. Physicians must always be alert to the possible risk factors and perioperative care, striving to minimize this complication.

  2. Blood Transfusion During Total Ankle Arthroplasty Is Associated With Increased In-Hospital Complications and Costs.

    Science.gov (United States)

    Ewing, Michael A; Huntley, Samuel R; Baker, Dustin K; Smith, Kenneth S; Hudson, Parke W; McGwin, Gerald; Ponce, Brent A; Johnson, Michael D

    2018-04-01

    Total ankle arthroplasty (TAA) is an increasingly used, effective treatment for end-stage ankle arthritis. Although numerous studies have associated blood transfusion with complications following hip and knee arthroplasty, its effects following TAA are largely unknown. This study uses data from a large, nationally representative database to estimate the association between blood transfusion and inpatient complications and hospital costs following TAA. Using the Nationwide Inpatient Sample (NIS) database from 2004 to 2014, 25 412 patients who underwent TAA were identified, with 286 (1.1%) receiving a blood transfusion. Univariate analysis assessed patient and hospital factors associated with blood transfusion following TAA. Patients requiring blood transfusion were more likely to be female, African American, Medicare recipients, and treated in nonteaching hospitals. Average length of stay for patients following transfusion was 3.0 days longer, while average inpatient cost was increased by approximately 50%. Patients who received blood transfusion were significantly more likely to suffer from congestive heart failure, peripheral vascular disease, hypothyroidism, coagulation disorder, or anemia. Acute renal failure was significantly more common among patients receiving blood transfusion ( P < .001). Blood transfusions following TAA are infrequent and are associated with multiple medical comorbidities, increased complications, longer hospital stays, and increased overall cost. Level III: Retrospective, comparative study.

  3. Total staff costs to implement a decision support system in nursing

    Directory of Open Access Journals (Sweden)

    Valéria Castilho

    2014-01-01

    Full Text Available OBJECTIVE: to identify the direct labor (DL costs to put in practice a decision support system (DSS in nursing at the University Hospital of the University of São Paulo (HU-USP. METHOD: the development of the DSS was mapped in four sub-processes: Conception, Elaboration, Construction and Transition. To calculate the DL, the baseline salary per professional category was added to the five-year additional remuneration, representation fees and social charges, and then divided by the number of hours contracted, resulting in the hour wage/professional, which was multiplied by the time spend on each activity in the sub-processes. RESULTS: the DL cost corresponded to R$ 752,618.56 (100%, R$ 26,000.00 (3.45% of which were funded by a funding agency, while R$ 726,618.56 (96,55% came from Hospital and University resources. CONCLUSION: considering the total DL cost, 72.1% related to staff wages for the informatics consulting company and 27.9% to the DL of professionals at the HU and the School of Nursing.

  4. Efficiency and cost analysis of cell saver auto transfusion system in total knee arthroplasty.

    Science.gov (United States)

    Bilgili, Mustafa Gökhan; Erçin, Ersin; Peker, Gökhan; Kural, Cemal; Başaran, Serdar Hakan; Duramaz, Altuğ; Avkan, Cevdet

    2014-06-01

    Blood loss and replacement is still a controversial issue in major orthopaedic surgery. Allogenic blood transfusion may cause legal problems and concerns regarding the transmission of transfusion-related diseases. Cellsaver Systems (CSS) were developed as an alternative to allogenic transfusion but CSS transfusion may cause coagulation, infection and haemodynamic instability. Our aim was to analyse the efficiency and cost analysis of a cell saver auto-transfusion system in the total knee arthroplasty procedure. Retrospective comparative study. Those patients who were operated on by unilateral, cemented total knee arthroplasty (TKA) were retrospectively evaluated. Group 1 included 37 patients who were treated using the cell saver system, and Group 2 involved 39 patients who were treated by allogenic blood transfusion. The groups were compared in terms of preoperative haemoglobin and haematocrit levels, blood loss and transfusion amount, whether allogenic transfusion was made, degree of deformity, body mass index and cost. No significant results could be obtained in the statistical comparisons made in terms of the demographic properties, deformity properties, preoperative laboratory values, transfusion amount and length of hospital stay of the groups. Average blood loss was calculated to be less in Group 1 (pblood transfusion and costs more. Therefore, the routine usage of the auto-transfusion systems is a controversial issue. Cell saver system usage does not affect allogenic blood transfusion incidence or allogenic blood transfusion volume. It was found that preoperative haemoglobin and body mass index rates may affect allogenic blood transfusion. Therefore, it is foreseen that auto-transfusion systems could be useful in patients with low haemoglobin level and body mass index.

  5. [A totally implantable venous access device. Implantation in general or local anaesthesia? A retrospective cost analysis].

    Science.gov (United States)

    Schuld, J; Richter, S; Moussavian, M R; Kollmar, O; Schilling, M K

    2009-08-01

    Implantation of venous access port systems can be performed in local or general anesthesia. In spite of the increasing rate of interventionally implanted systems, the surgical cut-down represents a safe alternative. Thus, the question arises whether--in context to the increasing health-economic pressure--open implantation in general anesthesia is still a feasible alternative to implantation in local anesthesia regarding OR efficiency and costs. In a retrospective analysis, 993 patients receiving a totally implantable venous access device between 2001 and 2007 were evaluated regarding OR utilization, turnover times, intraoperative data and costs. Implantations in local (LA) and general anesthesia (GA) were compared. GA was performed in 762 cases (76.6 %), LA was performed in 231 patients (23.3 %). Mean operation time was similar in both groups (LA 47.27 +/- 1.40 min vs. GA 45.41 +/- 0.75 min, p = 0.244). Patients receiving local anesthesia had a significantly shorter stay in the OR unit (LA 95.9 +/- 1.78 min vs. GA 105.92 +/- 0.92 min; p cut (LA 39.57 +/- 0.69 min vs. GA 50.46 +/- 0.52 min; p material costs were significantly lower in the LA group compared with the GA group (LA: 400.72 +/- 8.25 euro vs. GA: 482.86 +/- 6.23 euro; p systems in local anesthesia is superior in comparison to the implantation under general anesthesia regarding procedural times in the OR unit and costs. With the same operation duration, but less personnel and material expenditure, implantation in local anesthesia offers a potential economic advantage by permitting faster changing times. Implantation in GA only should be performed at a special request by the patient or in difficult venous conditions. Georg Thieme Verlag Stuttgart.New York.

  6. Stormwater quality of spring-summer-fall effluent from three partial-infiltration permeable pavement systems and conventional asphalt pavement.

    Science.gov (United States)

    Drake, Jennifer; Bradford, Andrea; Van Seters, Tim

    2014-06-15

    This study examined the spring, summer and fall water quality performance of three partial-infiltration permeable pavement (PP) systems and a conventional asphalt pavement in Ontario. The study, conducted between 2010 and 2012, compared the water quality of effluent from two Interlocking Permeable Concrete Pavements (AquaPave(®) and Eco-Optiloc(®)) and a Hydromedia(®) Pervious Concrete pavement with runoff from an Asphalt control pavement. The usage of permeable pavements can mitigate the impact of urbanization on receiving surface water systems through quantity control and stormwater treatment. The PP systems provided excellent stormwater treatment for petroleum hydrocarbons, total suspended solids, metals (copper, iron, manganese and zinc) and nutrients (total-nitrogen and total-phosphorus) by reducing event mean concentrations (EMC) as well as total pollutant loadings. The PPs significantly reduced the concentration and loading of ammonia (NH4(+)+NH3), nitrite (NO2(-)) and organic-nitrogen (Org-N) but increased the concentration and loading of nitrate (NO3(-)). The PP systems had mixed performances for the treatment of phosphate (PO4(3-)). The PP systems increased the concentration of sodium (Na) and chloride (Cl) but EMCs remained well below recommended levels for drinking water quality. Relative to the observed runoff, winter road salt was released more slowly from the PP systems resulting in elevated spring and early-summer Cl and Na concentrations in effluent. PP materials were found to introduce dissolved solids into the infiltrating stormwater. The release of these pollutants was verified by additional laboratory scale testing of the individual pavement and aggregate materials at the University of Guelph. Pollutant concentrations were greatest during the first few months after construction and declined rapidly over the course of the study. Copyright © 2014 Elsevier Ltd. All rights reserved.

  7. Analysis of the total system life cycle cost for the Civilian Radioactive Waste Management Program: executive summary

    International Nuclear Information System (INIS)

    1985-04-01

    The total-system life-cycle cost (TSLCC) analysis for the Department of Energy's Civilian Radioactive Waste Management Progrram is an ongoing activity that helps determine whether the revenue-producing mechanism established by the Nuclear Waste Policy Act of 1982 is sufficient to cover the cost of the program. This report is an input into the third evaluation of the adequacy of the fee. The total-system cost for the reference waste-management program in this analysis is estimated to be 24 to 30 billion (1984) dollars. For the sensitivity cases studied in this report, the costs could be as high as 35 billion dollars and as low as 21 billion dollars. Because factors like repository location, the quantity of waste generated, transportation-cask technology, and repository startup dates exert substantial impacts on total-system costs, there are several tradeoffs between these factors, and these tradeoffs can greatly influence the total cost of the program. The total-system cost for the reference program described in this report is higher by 3 to 5 billion dollars, or 15 to 20%, than the cost for the reference program of the TSLCC analysis of April 1984. More than two-thirds of this increase is in the cost of repository construction and operation. These repository costs have increased because of changing design concepts, different assumptions about the effort required to perform the necessary activities, and a change in the source data on which the earlier analysis was based. Development and evaluation costs have similarly increased because of a net addition to the work content. Transportation costs have increased because of different assumptions about repository locations and several characteristics of the transportation system. It is expected that the estimates of total-system costs will continue to change in response to both an evolving program strategy and better definition of the work required to achieve the program objectives

  8. Analysis of the total system life cycle cost for the Civilian Radioactive Waste Management Program: Volume 2, Supporting information

    International Nuclear Information System (INIS)

    1987-06-01

    This report provides cost estimates for the fifth evaluation of the adequacy of the fee and is consistent with the program strategy and plans. The total-system cost for the reference cases in the improved-performance system is estimated at $32.1 to $38.2 billion (expressed in constant 1986 collars) over the entire life of the system, or $1.5 to $1.6 billion more than that of the authorized system (i.e., the system without an MRS facility). The current estimate of the total-system cost for the reference cases in the improved-performance system is $3.8 to $5.4 billion higher than the estimate for the same system in the 1986 TSLCC analysis. In the case with the maximum increase, nearly all of the higher cost is due to a $5.2-billion increase in the costs of development and evaluation (D and E); all other system costs are essentially unchanged. The cost difference between the improved-performance system and the authorized system is smaller than the difference estimated in last year's TSLCC analysis. Volume 2 presents the detailed results for the 1987 analysis of the total-system life cycle cost (TSLCC). It consists of four sections: Section A presents the yearly flows of waste between waste-management facilities for the 12 aggregate logistics cases that were studied; Section B presents the annual total-system costs for each of the 30 TSLCC cases by major cost category; Section C presents the annual costs for the disposal of 16,000 canisters of defense high-level waste (DHLW) by major cost category for each of the 30 TSLCC cases; and Section D presents a summary of the cost-allocation factors that were calculated to determine the defense waste share of the total-system costs

  9. Geotextiles in Flexible Pavement Construction

    Science.gov (United States)

    Alungbe, Gabriel D.

    2004-01-01

    People everywhere in the developed world regularly drive on paved roads. Learning about the construction techniques and materials used in paving benefits technology and construction students. This article discusses the use of geosynthetic textiles in pavement construction. It presents background on pavements and describes geotextiles and drainage…

  10. GPR used in combination with other NDT methods for assessing pavements in PPP projects

    Science.gov (United States)

    Loizos, Andreas; Plati, Christina

    2014-05-01

    In the recent decades, Public-Private Partnerships (PPP) has been adopted for highway infrastructure procurement in many countries. PPP projects typically take the form of a section of highway and connecting roadways which are to be construction and managed for a given concession period. Over the course of the highway concession period, the private agency takes over the pavement maintenance and rehabilitation duties. On this purpose, it is critical to find the most cost effective way to maintain the infrastructure in compliance with the agreed upon performance measures and a Pavement Management Systems (PMS) is critical to the success of this process. For the prosperous operation of a PMS it is necessary to have appropriate procedures for pavement monitoring and evaluation, which is important in many areas of pavement engineering. Non Destructive Testing (NDT) has played a major role in pavement condition monitoring, assessments and evaluation accomplishing continuous and quick collection of pavement data. The analysis of this data can lead to indicators related to trigger values (criteria) that define the pavement condition based on which the pavement "health" is perceived helping decide whether there is the need or not to intervene in the pavement. The accomplished perception appoints required management activities for preserving pavements in favor not only of the involved highway/road agencies but also of users' service. Amongst NDT methods Ground Penetrating Radar (GPR) seems to be a very powerful toll, as it provides a range of condition and construction pavement information. It can support effectively the implementation of PMS activities in the framework of pavement monitoring and evaluation. Given that, the present work aims to the development and adaptation of a protocol for the use of GPR in combination with other NDT methods, such as Falling Weight Deflectometer (FWD), for assessing pavements in PPP projects. It is based on the experience of Laboratory of

  11. Evaluation of airfield pavement evenness

    Science.gov (United States)

    Pietruszewski, Paweł; Poświata, Adam; Wesołowski, Mariusz

    2018-05-01

    The evenness of airfield pavements is one of the basic operating parameters, which characterize them. The evenness determines not only comfort of traffic along an airfield pavement, but also influences the size of dynamic effect on the pavement, hence, the safety of air operations. In addition, the evenness condition changing as a result of dynamic loads, adverse weather conditions or inappropriate airfield pavement construction technology, lead to deviations from the desired condition in the form of longitudinal and transverse unevenness. As a result, systematic and correct performance of tests is a very significant and required factor impacting the improvement of traffic safety on airfield pavements. If the data obtained through the measurements are not sufficiently reliable, they may consequently lead to making incorrect decisions, which can ultimately impact the safety of air operations.

  12. Distributed Flexibility Management Targeting Energy Cost and Total Power Limitations in Electricity Distribution Grids

    DEFF Research Database (Denmark)

    Bessler, Sanford; Kemal, Mohammed Seifu; Silva, Nuno

    2018-01-01

    Demand Management uses the interaction and information exchange between multiple control functions in order to achieve goals that can vary in different application contexts. Since there are several stakeholders involved, these may have diverse objectives and even use different architectures...... to actively manage power demand. This paper utilizes an existing distributed demand management architecture in order to provide the following contributions: (1) It develops and evaluates a set of algorithms that combine the optimization of energy costs in scenarios of variable day-ahead prices with the goal...... to improve distribution grid operation reliability, here implemented by a total Power limit. (2) It evaluates the proposed scheme as a distributed system where flexibility information is exchanged with the existing industry standard OpenADR. A Hardware-in-the-Loop testbed realization demonstrates...

  13. Noninvasive Hemoglobin Monitoring: A Rapid, Reliable, and Cost-Effective Method Following Total Joint Replacement.

    Science.gov (United States)

    Martin, J Ryan; Camp, Christopher L; Stitz, Amber; Young, Ernest Y; Abdel, Matthew P; Taunton, Michael J; Trousdale, Robert T

    2016-03-02

    Noninvasive hemoglobin (nHgb) monitoring was initially introduced in the intensive care setting as a means of rapidly assessing Hgb values without performing a blood draw. We conducted a prospective analysis to compare reliability, cost, and patient preference between nHgb monitoring and invasive Hgb (iHgb) monitoring performed via a traditional blood draw. We enrolled 100 consecutive patients undergoing primary or revision total hip or total knee arthroplasty. On postoperative day 1, nHgb and iHgb values were obtained within thirty minutes of one another. iHgb and nHgb values, cost, patient satisfaction, and the duration of time required to obtain each reading were recorded. The concordance correlation coefficient (CCC) was utilized to evaluate the agreement of the two Hgb measurement methods. Paired t tests and Wilcoxon signed-rank tests were utilized to compare mean Hgb values, time, and pain for all readings. The mean Hgb values did not differ significantly between the two measurement methods: the mean iHgb value (and standard deviation) was 11.3 ± 1.4 g/dL (range, 8.2 to 14.3 g/dL), and the mean nHgb value was 11.5 ± 1.8 g/dL (range, 7.0 to 16.0 g/dL) (p = 0.11). The CCC between the two Hgb methods was 0.69. One hundred percent of the patients with an nHgb value of ≥ 10.5 g/dL had an iHgb value of >8.0 g/dL. The mean time to obtain an Hgb value was 0.9 minute for the nHgb method and 51.1 minutes for the iHgb method (p measurement, resulting in a savings of $26 per Hgb assessment when the noninvasive method is used. Noninvasive Hgb monitoring was found to be more efficient, less expensive, and preferred by patients compared with iHgb monitoring. Providers could consider screening total joint arthroplasty patients with nHgb monitoring and only order iHgb measurement if the nHgb value is protocol had been applied to the first blood draw in our 100 patients, approximately $2000 would have been saved. Extrapolated to the U.S. total joint arthroplasty practice

  14. Clinical Outcomes and 90-Day Costs Following Hemiarthroplasty or Total Hip Arthroplasty for Hip Fracture.

    Science.gov (United States)

    Nichols, Christine I; Vose, Joshua G; Nunley, Ryan M

    2017-09-01

    In the era of bundled payments, many hospitals are responsible for costs from admission through 90 days postdischarge. Although bundled episodes for hip fracture will have a separate target price for the bundle, little is known about the 90-day resource use burden for this patient population. Using Medicare 100% Standard Analytic Files (2010-2014), we identified patients undergoing hemiarthroplasty or total hip arthroplasty (THA). Patients were aged 65 and older with admitting diagnosis of closed hip fracture, no concurrent fractures of the lower limb, and no history of hip surgery in the prior 12 months baseline. Continuous Medicare-only enrollment was required. Complications, resource use, and mortality from admission through 90 days following discharge (follow-up) were summarized. Four cohorts met selection criteria for analysis: (1) hemiarthroplasty diagnosis-related group (DRG) 469 (N = 19,634), (2) hemiarthroplasty DRG 470 (N = 77,744), (3) THA DRG 469 (N = 1686), and (4) THA DRG 470 (N = 9314). All-cause mortality during the study period was 51.6%, 29.5%, 48.1%, and 24.9% with mean 90-day costs of $28,952, $19,243, $29,763, and $18,561, respectively. Most of the patients waited 1 day from admission to surgery (41%-51%). Incidence of an all-cause complication was approximately 70% in each DRG 469 cohort and 14%-16% in each DRG 470 cohort. This study confirms patients with hip fracture are a costly subpopulation. Tailored care pathways to minimize post-acute care resource use are warranted for these patients. Copyright © 2017 The Author(s). Published by Elsevier Inc. All rights reserved.

  15. Factors Influencing the Total Inpatient Pharmacy Cost at a Tertiary Hospital in Malaysia: A Retrospective Study

    Science.gov (United States)

    Ali Jadoo, Saad Ahmed

    2018-01-01

    The steady growth of pharmaceutical expenditures is a major concern for health policy makers and health care managers in Malaysia. Our study examined the factors affecting the total inpatient pharmacy cost (TINPC) at the Universiti Kebangsaan Malaysia Medical Centre (UKMMC). In this retrospective study, we used 2011 administration electronic prescriptions records and casemix databases at UKMMC to examine the impact of sociodemographic, diagnostic, and drug variables on the TINPC. Bivariate and multivariate analyses of the factors associated with TINPC were conducted. The mean inpatient pharmacy cost per patient was USD 102.07 (SD = 24.76). In the multivariate analysis, length of stay (LOS; B = 0.349, P < .0005) and severity level III (B = 0.253, P < .0005) were the primary factors affecting the TINPC. For each day increase in the LOS and each increase of a case of severity level III, there was an increase of approximately USD 11.97 and USD 171.53 in the TINPC per year, respectively. Moreover, the number of prescribed items of drugs and supplies was positively associated with the TINPC (B = 0.081, P < .0005). Gender appears to have affected the TINPC; male patients seem to be associated with a higher TINPC than females (mean = 139.55, 95% confidence interval [CI]: 112.97-166.13, P < .001). Surgical procedures were associated with higher cost than medical cases (mean = 87.93, 95% CI: 61.00-114.85, P < .001). Malay (MYR 242.02, SD = 65.37) and Chinese (MYR 214.66, SD = 27.99) ethnicities contributed to a lower TINPC compared with Indian (MYR 613.93, SD = 98.41) and other ethnicities (MYR 578.47, SD = 144.51). A longer hospitalization period accompanied by major complications and comorbidities had the greatest influence on the TINPC. PMID:29436248

  16. Cold in-place recycled bituminous pavement Dorset-Danby, VT.

    Science.gov (United States)

    2015-01-01

    The report documents the long-term performance and cost effectiveness of four rehabilitation : treatments in a mostly homogenous environment. The underlying subbase and subgrade soils, traffic : volume, existing pavement structure and ambient conditi...

  17. Characterizing Pavement Surface Distress Conditions with Hyper-Spatial Resolution Natural Color Aerial Photography

    Directory of Open Access Journals (Sweden)

    Su Zhang

    2016-05-01

    Full Text Available Roadway pavement surface distress information is critical for effective pavement asset management, and subsequently, transportation management agencies at all levels (i.e., federal, state, and local dedicate a large amount of time and money to routinely evaluate pavement surface distress conditions as the core of their asset management programs. However, currently adopted ground-based evaluation methods for pavement surface conditions have many disadvantages, like being time-consuming and expensive. Aircraft-based evaluation methods, although getting more attention, have not been used for any operational evaluation programs yet because the acquired images lack the spatial resolution to resolve finer scale pavement surface distresses. Hyper-spatial resolution natural color aerial photography (HSR-AP provides a potential method for collecting pavement surface distress information that can supplement or substitute for currently adopted evaluation methods. Using roadway pavement sections located in the State of New Mexico as an example, this research explored the utility of aerial triangulation (AT technique and HSR-AP acquired from a low-altitude and low-cost small-unmanned aircraft system (S-UAS, in this case a tethered helium weather balloon, to permit characterization of detailed pavement surface distress conditions. The Wilcoxon Signed Rank test, Mann-Whitney U test, and visual comparison were used to compare detailed pavement surface distress rates measured from HSR-AP derived products (orthophotos and digital surface models generated from AT with reference distress rates manually collected on the ground using standard protocols. The results reveal that S-UAS based hyper-spatial resolution imaging and AT techniques can provide detailed and reliable primary observations suitable for characterizing detailed pavement surface distress conditions comparable to the ground-based manual measurement, which lays the foundation for the future application

  18. Accelerated pavement testing of thin RCC over soil cement pavements

    Directory of Open Access Journals (Sweden)

    Zhong Wu

    2016-05-01

    Full Text Available Three full-scale roller compacted concrete (RCC pavement sections built over a soil cement base were tested under accelerated pavement testing (APT. The RCC thicknesses varied from 102 mm (4 in. to 152 mm (6 in. and to 203 mm (8 in., respectively. A bi-directional loading device with a dual-tire load assembly was used for this experiment. Each test section was instrumented with multiple pressure cells and strain gages. The objective was to evaluate the structural performance and load carrying capacity of thin RCC-surfaced pavements under accelerated loading. The APT results generally indicated that all three RCC pavement sections tested in this study possessed very high load carrying capacity; an estimated pavement life in terms of equivalent single axle load (ESAL for the thinnest RCC section (i.e., RCC thickness of 102 mm evaluated was approximately 19.2 million. It was observed that a fatigue failure would be the primary pavement distress type for a thin RCC pavement under trafficking. Specifically, the development of fatigue cracking was found to originate from a longitudinal crack at the edge or in the center of a tire print, then extended and propagated, and eventually merged with cracks of other directions. Instrumentation results were used to characterize the fatigue damage under different load magnitudes. Finally, based on the APT performance of this experiment, two fatigue models for predicting the fatigue life of thin RCC pavements were developed. Keywords: Roller compacted concrete, APT, Pavement performance, Non-destructive testing, Fatigue analysis

  19. Nondestructive testing of pavements and pavement bases (a bibliography with abstracts). Report for 1964--Dec 1975

    International Nuclear Information System (INIS)

    Habercom, G.E. Jr.

    1976-02-01

    Eighty references on nondestructive methods for quality assurance of pavements and pavement bases are presented. Vibration, nuclear activation, radiometry, and acoustic detection are among the various techniques employed

  20. Evaluation of double drop beads pavement edge lines.

    Science.gov (United States)

    2009-08-01

    This report presents an evaluation of Double Drop Bead (DDB) edge lines used on ALDOT-maintained highways. It compares DDB to three other pavement marking types in terms of service lives, life-cycle costs, and both dry-night retroreflectivity and wet...

  1. The Cost-Effectiveness of Dual Mobility Implants for Primary Total Hip Arthroplasty: A Computer-Based Cost-Utility Model.

    Science.gov (United States)

    Barlow, Brian T; McLawhorn, Alexander S; Westrich, Geoffrey H

    2017-05-03

    Dislocation remains a clinically important problem following primary total hip arthroplasty, and it is a common reason for revision total hip arthroplasty. Dual mobility (DM) implants decrease the risk of dislocation but can be more expensive than conventional implants and have idiosyncratic failure mechanisms. The purpose of this study was to investigate the cost-effectiveness of DM implants compared with conventional bearings for primary total hip arthroplasty. Markov model analysis was conducted from the societal perspective with use of direct and indirect costs. Costs, expressed in 2013 U.S. dollars, were derived from the literature, the National Inpatient Sample, and the Centers for Medicare & Medicaid Services. Effectiveness was expressed in quality-adjusted life years (QALYs). The model was populated with health state utilities and state transition probabilities derived from previously published literature. The analysis was performed for a patient's lifetime, and costs and effectiveness were discounted at 3% annually. The principal outcome was the incremental cost-effectiveness ratio (ICER), with a willingness-to-pay threshold of $100,000/QALY. Sensitivity analyses were performed to explore relevant uncertainty. In the base case, DM total hip arthroplasty showed absolute dominance over conventional total hip arthroplasty, with lower accrued costs ($39,008 versus $40,031 U.S. dollars) and higher accrued utility (13.18 versus 13.13 QALYs) indicating cost-savings. DM total hip arthroplasty ceased being cost-saving when its implant costs exceeded those of conventional total hip arthroplasty by $1,023, and the cost-effectiveness threshold for DM implants was $5,287 greater than that for conventional implants. DM was not cost-effective when the annualized incremental probability of revision from any unforeseen failure mechanism or mechanisms exceeded 0.29%. The probability of intraprosthetic dislocation exerted the most influence on model results. This model

  2. Force Structure: Restructuring and Rebuilding the Army Will Cost Billions of Dollars for Equipment but the Total Cost Is Uncertain

    National Research Council Canada - National Science Library

    St. Laurent, Janet A

    2008-01-01

    .... Several factors are contributing to the uncertainties about future costs. First, the Army's $43.6 funding plan for equipping modular units was based on preliminary modular unit designs and did not fully consider the needs of National Guard units...

  3. A User Friendly Software for Rigid Pavement Design

    Directory of Open Access Journals (Sweden)

    Aydın Kıcı

    2017-12-01

    Full Text Available Concrete pavements as concrete road slab, appear as a strong alternative for flexible superstructures especially because of their low cost for maintenance and repair and the high performance they show under heavy axle loads. The design of these concrete road slabs is quite different from the traditional concrete and reinforced concrete structures’ design. In the design for this kind of pavements, traffic conditions should be defined properly and considered an addition to the concrete and platform properties. There have been designing methods developed based on both experimental and mechanic foundations for concrete pavements. The most important ones of these methods are AASHTO (1993 and PCA (1984. In both design methods, it’s significant to know the maximum deflections and maximum strains the vehicles’ loads cause on the pavement. The calculation of this maximum deflections and maximum strains can be done via the finite element method or the closed formulas which have been developed by Westergaard. In this study, a user-friendly software has been developed based on AASHTO 1993, PCA 1984 design methods and Westergaard formulas. Thanks to this software, the user who wants to design the concrete pavement as concrete road slab can obtain the essential parameters automatically by entering the required data for the design.

  4. Analysing uncertainty around costs of innovative medical technologies: the case of fibrin sealant (QUIXIL) for total knee replacement.

    NARCIS (Netherlands)

    Steuten, Lotte Maria Gertruda; Vallejo-Torres, Laura; Bastide, Philippe; Buxton, Martin J.

    2009-01-01

    This paper presents a relatively simple cost model comparing the costs of using a commercial fibrin sealant (QUIXIL®) in addition to conventional haemostatic treatment vs. conventional treatment alone in total knee replacement (TKR) surgery, and demonstrates and discusses how one- and two-way

  5. Pavement maintenance optimization model using Markov Decision Processes

    Science.gov (United States)

    Mandiartha, P.; Duffield, C. F.; Razelan, I. S. b. M.; Ismail, A. b. H.

    2017-09-01

    This paper presents an optimization model for selection of pavement maintenance intervention using a theory of Markov Decision Processes (MDP). There are some particular characteristics of the MDP developed in this paper which distinguish it from other similar studies or optimization models intended for pavement maintenance policy development. These unique characteristics include a direct inclusion of constraints into the formulation of MDP, the use of an average cost method of MDP, and the policy development process based on the dual linear programming solution. The limited information or discussions that are available on these matters in terms of stochastic based optimization model in road network management motivates this study. This paper uses a data set acquired from road authorities of state of Victoria, Australia, to test the model and recommends steps in the computation of MDP based stochastic optimization model, leading to the development of optimum pavement maintenance policy.

  6. Variation in the cost of care for primary total knee arthroplasties

    Directory of Open Access Journals (Sweden)

    Derek A. Haas, MBA

    2017-03-01

    Conclusions: The large variation in costs among sites suggests major and multiple opportunities to transfer knowledge about process and productivity improvements that lower costs while simultaneously maintaining or improving outcomes.

  7. Tire-Pavement Friction Characteristics with Elastic Properties of Asphalt Pavements

    Directory of Open Access Journals (Sweden)

    Miao Yu

    2017-11-01

    Full Text Available The skid-resisting performance of pavement is a critical factor in traffic safety. Recent studies primarily analyze this behavior by examining the macro or micro texture of the pavement. It is inevitable that skid-resistance declines with time because the texture of pavement deteriorates throughout its service life. The primary objective of this paper is to evaluate the use of different asphalt pavements, varying in resilience, to optimize braking performance on pavement. Based on the systematic dynamics of tire-pavement contact, and analysis of the tire-road coupled friction mechanism and the effect of enlarging the tire-pavement contact area, road skid resistance was investigated by altering the elastic modulus of asphalt pavement. First, this research constructed the kinetic contact model to simulate tire-pavement friction. Next, the following aspects of contact behaviors were studied when braking: tread deformation in the tangential pavement interface, actual tire-pavement contact in the course, and the frictional braking force transmitted from the pavement to the tires. It was observed that with improvements in pavement elasticity, the actual tire-pavement contact area increased, which gives us the ability to effectively strengthen the frictional adhesion of the tire to the pavement. It should not be overlooked that the improvement in skid resistance was caused by an increase in pavement elasticity. This research approach provides a theoretical basis and design reference for the anti-skid research of asphalt pavements.

  8. Efforts to Support Consumer Enrollment Decisions Using Total Cost Estimators: Lessons from the Affordable Care Act’s Marketplaces.

    Science.gov (United States)

    Giovannelli, Justin; Curran, Emily

    2017-02-01

    Issue: Policymakers have sought to improve the shopping experience on the Affordable Care Act’s marketplaces by offering decision support tools that help consumers better understand and compare their health plan options. Cost estimators are one such tool. They are designed to provide consumers a personalized estimate of the total cost--premium, minus subsidy, plus cost-sharing--of their coverage options. Cost estimators were available in most states by the start of the fourth open enrollment period. Goal: To understand the experiences of marketplaces that offer a total cost estimator and the interests and concerns of policymakers from states that are not using them. Methods: Structured interviews with marketplace officials, consumer enrollment assisters, technology vendors, and subject matter experts; analysis of the total cost estimators available on the marketplaces as of October 2016. Key findings and conclusions: Informants strongly supported marketplace adoption of a total cost estimator. Marketplaces that offer an estimator faced a range of design choices and varied significantly in their approaches to resolving them. Interviews suggested a clear need for additional consumer testing and data analysis of tool usage and for sustained outreach to enrollment assisters to encourage greater use of the estimators.

  9. Infrastructure expenditures and costs. Practical guidelines to calculate total infrastructure costs for five modes of transport. Final report

    International Nuclear Information System (INIS)

    2005-11-01

    Transport infrastructures in general, and the Trans European Transport Network (TEN-T) in particular, play an important role in achieving the medium and long-term objectives of the European Union. In view of this, the Commission has recently adopted a revision of the guidelines for the TEN-T. The main consequences of this revision are the need for a better understanding of the investments made by the member states in the TEN-T and the need for ensuring optimal consistency in the reporting by the Members States of such investments. With Regulation number 1108/70 the Council of the European Communities introduced an accounting system for expenditure on infrastructure in respect of transport by rail, road and inland waterways. The purpose of this regulation is to introduce a standard and permanent accounting system for infrastructure expenditures. However maritime and aviation infrastructure were not included. Further, the need for an effective and easy to apply classification for infrastructure investments concerning all five transport modes was still pending. Therefore, DG TREN has commissioned ECORYS Transport and CE Delft to study the expenditures and costs of infrastructure, to propose an adequate classification of expenditures, and to propose a method for translating data on expenditures into data on costs. The objectives of the present study are threefold: To set out a classification of infrastructure expenditures, in order to increase knowledge of expenditures related to transport infrastructures. This classification should support a better understanding of fixed and variable infrastructure costs; To detail the various components of such expenditures for five modes of transportation, which would enable the monitoring of infrastructure expenditures and costs; and to set up a methodology to move from annual series of expenditures to costs, including fixed and variable elements.

  10. Coal-tar based pavement sealant toxicity to freshwater macroinvertebrates

    International Nuclear Information System (INIS)

    Bryer, Pamela J.; Scoggins, Mateo; McClintock, Nancy L.

    2010-01-01

    Non-point-source pollution is a major source of ecological impairment in urban stream systems. Recent work suggests that coal-tar pavement sealants, used extensively to protect parking areas, may be contributing a large portion of the polycyclic aromatic hydrocarbon (PAH) loading seen in urban stream sediments. The hypothesis that dried coal-tar pavement sealant flake could alter the macroinvertebrate communities native to streams in Austin, TX was tested using a controlled outdoor laboratory type approach. The treatment groups were: control, low, medium, and high with total PAH concentrations (TPAH = sum of 16 EPA priority pollutant PAHs) of 0.1, 7.5, 18.4, and 300 mg/kg respectively. The low, medium, and high treatments were created via the addition of dried coal-tar pavement sealant to a sterile soil. At the start of the 24-day exposure, sediment from a minimally impacted local reference site containing a community of live sediment-dwelling benthic macroinvertebrates was added to each replicate. An exposure-dependent response was found for several stream health measures and for several individual taxa. There were community differences in abundance (P = 0.0004) and richness (P < 0.0001) between treatments in addition to specific taxa responses, displaying a clear negative relationship with the amount of coal-tar sealant flake. These results support the hypothesis that coal-tar pavement sealants contain bioavailable PAHs that may harm aquatic environments. - Coal-tar pavement sealants degrade stream invertebrate communities.

  11. Update to Permeable Pavement Research at the Edison ...

    Science.gov (United States)

    The EPA’s Urban Watershed Management Branch (UWMB) has been monitoring the permeable pavement demonstration site at the Edison Environmental Center, NJ since 2010. This site has three different types of permeable pavements including interlocking concrete permeable pavers, pervious concrete, and porous asphalt. The permeable pavements are limited to parking spaces while adjacent driving lanes are impermeable and drain to the permeable surfaces. The parking lot is instrumented for continuous monitoring with thermistors and water content reflectometers that measure moisture as infiltrate passes through the storage gallery beneath the permeable pavements into the underlying native soil. Each permeable surface of the parking lot has four lined sections that capture infiltrate in tanks for water quality analyses; these tanks are capable of holding volumes up to 4.1 m3, which represents up to 38 mm (1.5 in.) for direct rainfall on the porous pavement and runoff from adjacent driving lanes that drain into the permeable surface.Previous technical releases concerning the demonstration site focused on monitoring techniques, observed chloride and nutrient concentrations, surface hydrology, and infiltration and evaporation rates. This presentation summarizes these past findings and addresses current water quality efforts including pH, solids analysis, total organic carbon, and chemical oxygen demand. Stormwater runoff continues to be a major cause of water pollution in

  12. Pervious Pavement System Evaluation- Abstract

    Science.gov (United States)

    Porous pavement is a low impact development stormwater control. The Urban Watershed Management Branch is evaluating interlocking concrete pavers as a popular implementation. The pavers themselves are impermeable, but the spaces between the pavers are backfilled with washed, gra...

  13. Sustainable Development Factors in Pavement Life-Cycle: Highway/Airport Review

    Directory of Open Access Journals (Sweden)

    Peyman Babashamsi

    2016-03-01

    Full Text Available Sustainability has gained as much importance as management in business. Sustainable pavement development as a business practice should involve making evaluations according to the triple bottom line in the pavement life-cycle. Despite the current approaches to evaluating the social as well as economic and environmental feasibility of pavement projects (involving highway and airport infrastructure, there has recently been a lack of consensus on a methodology to guarantee sustainability upon assessment and analysis during the pavement life-cycle. As sustainability is a complex issue, this study intends to further explore sustainability and elaborate on its meaning. The second step involves a general depiction of the major sustainability appraisal tools, namely cost-benefit analysis, life-cycle cost analysis, life-cycle assessment, multi-criteria decision-making, environmental impact assessment and social life-cycle assessment, and an explanation of their cons and pros. Subsequently, the article addresses the application of an organized methodology to highlight the main factors or concepts that should be applied in sustainable pavement development and, more specifically, in sustainable pavement management. In the final step, research recommendations toward sustainability are given. This study is aimed to assist decision-makers in pavement management to plan sustainability frameworks in accordance with probable boundaries and restrictions.

  14. Risk and Cost of 90-Day Complications in Morbidly and Superobese Patients After Total Knee Arthroplasty.

    Science.gov (United States)

    Meller, Menachem M; Toossi, Nader; Johanson, Norman A; Gonzalez, Mark H; Son, Min-Sun; Lau, Edmund C

    2016-10-01

    This study investigated the risk and cost of postoperative complications associated with morbid and super obesity after total knee arthroplasty (TKA). A retrospective cohort study was conducted of patients who underwent TKA using Medicare hospital claims data. The International Classification of Diseases, Ninth Revision, Clinical Modification diagnosis code V85.4x was used to identify morbidly obese patients (body mass index [BMI] ≥40 kg/m(2)) and superobese patients (BMI ≥50 kg/m(2)) in 2011-2013. Patients without any BMI-related diagnosis codes were used as controls. Twelve complications occurred in the 90-day period after TKA were analyzed using multivariate Cox models, adjusting for patient demographic, morbidity, and institutional factors. In addition, hospital charges and payments were compared from primary surgery through subsequent 90 days. Morbidly obese patients showed a significantly elevated risk in most complications examined, with a 2-fold or higher risk in dislocation and wound dehiscence. In addition, death, periprosthetic joint infection, acute renal failure, and knee revision had significant hazard ratios between 1.5 and 2.0. However, risk of deep vein thrombosis and acute myocardial infarction did not increase for the morbidly obese patients. Superobese patients had significant increase in risk of infection, wound dehiscence, acute renal failures, revisions, death, and readmission compared with patients with BMI 40-49 kg/m(2). Significant dose-response trend was found between the level of BMI and risk for death, dislocation, implant failure, infection, readmission, revision, wound dehiscence, and acute renal failure. Controlling for patient and institutional factors, each TKA had an average total hospital charges of $75,884 among superobese patients, compared to $65,118 for the control group, a difference of $10,767. Medicare payment for the superobese patients was also higher, but only by $2703. Morbidly obese patients pose a significantly

  15. Assessing the Total cost of ownership of ERP systems : Case study analysis on the factors behind customer costs in recent minor implementations

    OpenAIRE

    Rydgård, Göran; Palmberg, Nils

    2010-01-01

    This master’s thesis presents a model for calculating the total cost of ownership (TCO) of relatively small ERP implementations, including two years of running the system. The main factors affecting the cost items in the model are also analyzed, based in part on four case projects that the consultancy company Acando has carried out recently and in part on literature. The case projects were investigated through interviews with key actors in the projects from Acando and the customer, and throug...

  16. Performance of Kaolin Clay on the Concrete Pavement

    Science.gov (United States)

    Abdullah, M. E.; Jaya, R. P.; Shahafuddin, M. N. A.; Yaacob, H.; Ibrahim, M. H. Wan; Nazri, F. M.; Ramli, N. I.; Mohammed, A. A.

    2018-05-01

    This paper investigates the performance of concrete pavement containing kaolin clay with their engineering properties and to determine the optimum kaolin clay content. The concrete used throughout the study was designed as grade 30 MPa strength with constant water to cement ratio of 0.49. The compressive strength, flexural strength and water absorption test was conducted in this research. The concrete mix designed with kaolin clay as cement replacement comprises at 0%, 5%, 10% and 15% by the total weight of cement. The results indicate that the strength of pavement concrete decreases as the percentage of kaolin clay increases. It also shows that the water absorption increases with the percentage of cement replacement. However, 5% kaolin clay is found to be the optimum level to replace cement in a pavement concrete.

  17. Effect of Body Mass Index and Psychosocial Traits on Total Knee Replacement Costs in Patients with Osteoarthritis.

    Science.gov (United States)

    Waimann, Christian A; Fernandez-Mazarambroz, Rodrigo J; Cantor, Scott B; Lopez-Olivo, Maria A; Barbo, Andrea G; Landon, Glenn C; Siff, Sherwin J; Lin, Heather; Suarez-Almazor, Maria E

    2016-08-01

    Clinical and psychosocial attributes are associated with clinical outcomes after total knee replacement (TKR) surgery in patients with osteoarthritis (OA), but their relationship with TKR-related costs is less clear. Our objective was to evaluate the effect of clinical and psychosocial attributes on TKR costs. We conducted a 6-month prospective cohort study of patients with knee OA who underwent TKR. We examined baseline demographic, clinical [body mass index (BMI) and comorbidities], and psychosocial attributes (social support, locus of control, coping, depression, anxiety, stress, and self-efficacy); baseline and 6-month OA clinical outcomes [Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain and function]; and 6-month direct and indirect TKR-related costs. Multiple regression was performed to identify determinants of TKR-related costs. We included 212 patients; 66% were women, 71% were white, and the mean age was 65.2 years. The mean baseline WOMAC pain score was 55 (SD 19) and WOMAC function score was 54 (SD 20). Mean total TKR-related costs were US$30,831 (SD $9893). Multivariate regression analyses showed that increasing BMI and anxiety levels and decreasing levels of positive social interactions were associated with increased costs. A lower cost scenario with a lower range of normal BMI (19.5), highest positive social interaction, and no anxiety predicted TKR costs to be $22,247. Predicted costs in obese patients (BMI 36) with lowest positive social interaction and highest anxiety were $58,447. Increased baseline BMI, anxiety, and poor social support lead to higher TKR-related costs in patients with knee OA. Preoperative interventions targeting these factors may reduce TKR-related costs, and therefore be cost-effective.

  18. Investigation of the rolling wheel deflectometer as a network-level pavement structural evaluation tool.

    Science.gov (United States)

    2010-01-01

    The Virginia Department of Transportation (VDOT) currently uses the results of automated surface distress surveys to assist in developing pavement maintenance strategies for its interstate and primary roadways. Totaling nearly 27,000 lane-miles, thes...

  19. Design of semi-rigid type of flexible pavements

    Directory of Open Access Journals (Sweden)

    Pranshoo Solanki

    2017-03-01

    Full Text Available The primary objective of the study presented in this paper is to develop design curves for performance prediction of stabilized layers and to compare semi-rigid flexible pavement designs between the empirical AASHTO 1993 and the mechanistic-empirical pavement design methodologies. Specifically, comparisons were made for a range of different sections consisting of cementitious layers stabilized with different types and percentages of additives. It is found that the design thickness is influenced by the type of soil, additive, selection of material property and design method. Cost comparisons of sections stabilized with different percentage and type of additives showed that CKD-stabilization provides economically low cost sections as compared to lime- and CFA-stabilized sections. Knowledge gained from the parametric analysis of different sections using AASHTO 1993 and MEPDG is expected to be useful to pavement designers and others in implementation of the new MEPDG for future pavement design. Keywords: Semi-rigid, Mechanistic, Resilient modulus, Fatigue life, Reliability, Traffic

  20. The true costs of participatory sanitation: Evidence from community-led total sanitation studies in Ghana and Ethiopia.

    Science.gov (United States)

    Crocker, Jonny; Saywell, Darren; Shields, Katherine F; Kolsky, Pete; Bartram, Jamie

    2017-12-01

    Evidence on sanitation and hygiene program costs is used for many purposes. The few studies that report costs use top-down costing methods that are inaccurate and inappropriate. Community-led total sanitation (CLTS) is a participatory behavior-change approach that presents difficulties for cost analysis. We used implementation tracking and bottom-up, activity-based costing to assess the process, program costs, and local investments for four CLTS interventions in Ghana and Ethiopia. Data collection included implementation checklists, surveys, and financial records review. Financial costs and value-of-time spent on CLTS by different actors were assessed. Results are disaggregated by intervention, cost category, actor, geographic area, and project month. The average household size was 4.0 people in Ghana, and 5.8 people in Ethiopia. The program cost of CLTS was $30.34-$81.56 per household targeted in Ghana, and $14.15-$19.21 in Ethiopia. Most program costs were from training for three of four interventions. Local investments ranged from $7.93-$22.36 per household targeted in Ghana, and $2.35-$3.41 in Ethiopia. This is the first study to present comprehensive, disaggregated costs of a sanitation and hygiene behavior-change intervention. The findings can be used to inform policy and finance decisions, plan program scale-up, perform cost-effectiveness and benefit studies, and compare different interventions. The costing method is applicable to other public health behavior-change programs. Copyright © 2017 The Authors. Published by Elsevier B.V. All rights reserved.

  1. Quantifying Evaporation in a Permeable Pavement System

    Science.gov (United States)

    Studies quantifying evaporation from permeable pavement systems are limited to a few laboratory studies and one field application. This research quantifies evaporation for a larger-scale field application by measuring the water balance from lined permeable pavement sections. Th...

  2. Dynamic contracting mechanism for pavement maintenance management

    NARCIS (Netherlands)

    Demirel, H.C.; De Ridder, H.A.J.

    2013-01-01

    Technological advances, financial possibilities and changes of demands have increasingly affected the pavement maintenance environment for outsourcing in recent years. This induces complexity in the contracting methods of pavement maintenance activities. Despite the fact that current contracting

  3. Equivalent damage of loads on pavements

    CSIR Research Space (South Africa)

    Prozzi, JA

    2009-05-26

    Full Text Available This report describes a new methodology for the determination of Equivalent Damage Factors (EDFs) of vehicles with multiple axle and wheel configurations on pavements. The basic premise of this new procedure is that "equivalent pavement response...

  4. Pavement performance evaluation, phase II : data collection.

    Science.gov (United States)

    2008-12-01

    Phase I and II of this study tested approximately 1500 rehabilitated pavements (asphalt and PCC) : throughout the State. These pavements ranged from 5 to 15 years old and were intended to develop a : snapshot of how various rehabilitations were perfo...

  5. Sustainable concrete pavements : a manual of practice.

    Science.gov (United States)

    2011-08-01

    Developed as a more detailed follow-up to a 2009 briefing document, Building Sustainable Pavement with Concrete, this guide provides a clear, concise, and cohesive discussion of pavement sustainability concepts and of recommended practices for maximi...

  6. An approach to pavement management in Virginia.

    Science.gov (United States)

    1981-01-01

    The report summarizes the objectives and benefits of formal pavement management systems and outlines an approach believed by the author to be practical for Virginia. The management of Virginia interstate pavements and a proposed random-sampling plan ...

  7. Calibration of PMIS pavement performance prediction models.

    Science.gov (United States)

    2012-02-01

    Improve the accuracy of TxDOTs existing pavement performance prediction models through calibrating these models using actual field data obtained from the Pavement Management Information System (PMIS). : Ensure logical performance superiority patte...

  8. Appraisal of the Causes of Pavement

    African Journals Online (AJOL)

    pavement failure) or structural (deep-seated pavement failure). ... is primarily due to shallow groundwater level. Adewole et al. ... processing and interpretation of Landsat-7 ETM+ images covering the study area and it's environ for lineaments.

  9. Serviceable pavement marking retroreflectivity levels : technical report.

    Science.gov (United States)

    2009-03-01

    This research addressed an array of issues related to measuring pavement markings retroreflectivity, factors : related to pavement marking performance, subjective evaluation process, best practices for using mobile : retroreflectometers, sampling pav...

  10. Deterioration of jointed Portland cement concrete pavements.

    Science.gov (United States)

    1975-01-01

    Information has been gathered regarding the performance of more than 400 lane-miles of jointed PCC interstate pavements located in five construction districts in Virginia. The factors causing pavement deterioration have been identified, the processes...

  11. Preliminary estimates of the total-system cost for the restructured program: An addendum to the May 1989 analysis of the total-system life cycle cost for the Civilian Radioactive Waste Management Program

    International Nuclear Information System (INIS)

    1990-12-01

    The total-system life-cycle cost (TSLCC) analysis for the Department of Energy's (DOE) Civilian Radioactive Waste Management Program is an ongoing activity that helps determine whether the revenue-producing mechanism established by the Nuclear Waste Policy Act of 1982 - a fee levied on electricity generated and sold by commercial nuclear power plants - is sufficient to cover the cost of the program. This report provides cost estimates for the sixth annual evaluation of the adequacy of the fee. The costs contained in this report represent a preliminary analysis of the cost impacts associated with the Secretary of Energy's Report to Congress on Reassessment of the Civilian Radioactive Waste Management Program issued in November 1989. The major elements of the restructured program announced in this report which pertain to the program's life-cycle costs are: a prioritization of the scientific investigations program at the Yucca Mountain candidate site to focus on identification of potentially adverse conditions, a delay in the start of repository operations until 2010, the start of limited waste acceptance at the monitored retrievable storage (MRS) facility in 1998, and the start of waste acceptance at the full-capability MRS facility in 2,000. Based on the restructured program, the total-system cost for the system with a repository at the candidate site at Yucca Mountain in Nevada, a facility for monitored retrievable storage (MRS), and a transportation system is estimated at $26 billion (expressed in constant 1988 dollars). In the event that a second repository is required and is authorized by the Congress, the total-system cost is estimated at $34 to $35 billion, depending on the quantity of spent fuel and high-level waste (HLW) requiring disposal. 17 figs., 17 tabs

  12. Configurations Of Tire Pressure On The Pavement For Commercial Vehicles: Calculation Of The ‘N’ Number And The Consequences On Pavement Performance

    Directory of Open Access Journals (Sweden)

    Paulo Boulos Filho

    2016-07-01

    Full Text Available Road traffic has a high variety of types of vehicles and cargo transported. One of the main difficulties in pavement design is forecasting the changes in traffic over time and evaluating the comparative deterioration power of the various loads with axle and tire settings and different levels of repetition. The road environment in Brazil, as we know, is the main means of the country's cargo transportation. Throughout the 1990s and 2000s the road modal accounted for over 60% of the total cargo transported in the country leaving the unbalanced Brazilian transport matrix with almost exclusive investments in such means of transportation. According to CNT 2012, which conducted a survey in approximately 45% of the paved network, evaluating the pavement functional conditions, traffic signs and geometry, 46% of the country’s road network has some type of deficiency in the pavement. The goal of this work is to contribute to a better understanding of the complex influence of traffic in the design and service life of the pavement. The load pressure of commercial vehicle tires over the pavement has increased in recent decades. A more apparent effect of this increase in tire pressure would be the change in the pavement- tire contact area which in turn may result in an increase in the contact load between tire and pavement and other harmful effects on the structure. This study aims to determine the effect on the calculation of the N number, or the number of solicitations of the standard axle on the road pavement, measuring the overload as a percentage of the legal load indicated by a scale. In short, we calculate how an increase in the overload percentage in comparison with the allowable load will influence the decrease of the calculated durability of the pavement designed for the highway.

  13. Tire-Pavement Friction Characteristics with Elastic Properties of Asphalt Pavements

    OpenAIRE

    Miao Yu; Guoxiong Wu; Lingyun Kong; Yu Tang

    2017-01-01

    The skid-resisting performance of pavement is a critical factor in traffic safety. Recent studies primarily analyze this behavior by examining the macro or micro texture of the pavement. It is inevitable that skid-resistance declines with time because the texture of pavement deteriorates throughout its service life. The primary objective of this paper is to evaluate the use of different asphalt pavements, varying in resilience, to optimize braking performance on pavement. Based on the systema...

  14. Is total pancreatectomy as feasible, safe, efficacious, and cost-effective as pancreaticoduodenectomy? A single center, prospective, observational study.

    Science.gov (United States)

    Casadei, Riccardo; Ricci, Claudio; Taffurelli, Giovanni; Guariniello, Anna; Di Gioia, Anthony; Di Marco, Mariacristina; Pagano, Nico; Serra, Carla; Calculli, Lucia; Santini, Donatella; Minni, Francesco

    2016-09-01

    Total pancreatectomy is actually considered a viable option in selected patients even if large comparative studies between partial versus total pancreatectomy are not currently available. Our aim was to evaluate whether total pancreatectomy can be considered as feasible, safe, efficacious, and cost-effective as pancreaticoduodenectomy. A single center, prospective, observational trial, regarding postoperative outcomes, long-term results, and cost-effectiveness, in a tertiary referral center was conducted, comparing consecutive patients who underwent elective total pancreatectomy and/or pancreaticoduodenectomy. Seventy-three consecutive elective total pancreatectomies and 184 pancreaticoduodenectomies were compared. There were no significant differences regarding postoperative outcomes and overall survival. The quality of life, evaluated in 119 patients according to the EQ-5D-5L questionnaire, showed that there were no significant differences regarding the five items considered. The mean EQ-5D-5L score was similar in the two procedures (total pancreatectomy = 0.872, range 0.345-1.000; pancreaticoduodenectomy = 0.832, range 0.393-1.000; P = 0.320). The impact of diabetes according to the Problem Areas in Diabetes (PAID) questionnaire did not show any significant differences except for question 13 (total pancreatectomy = 0.60; pancreaticoduodenectomy = 0.19; P = 0.022). The cost-effectiveness analysis suggested that the quality-adjusted life year was not significantly different between the two procedures (total pancreatectomy = 0.910, range 0.345-1.000; pancreaticoduodenectomy = 0.910, range -0.393-1.000; P = 0.320). From this study, it seems reasonable to suggest that total pancreatectomy can be considered as safe, feasible, and efficacious as PD and acceptable in terms of cost-effectiveness.

  15. Cooler reflective pavements give benefits beyond energy savings: durability and illumination

    International Nuclear Information System (INIS)

    Pomerantz, Melvin; Akbari, Hashem; Harvey, John T.

    2000-01-01

    City streets are usually paved with asphalt concrete because this material gives good service and is relatively inexpensive to construct and maintain. We show that making asphalt pavements cooler, by increasing their reflection of sunlight, may lead to longer lifetime of the pavement, lower initial costs of the asphalt binder, and savings on street lighting and signs. Excessive glare due to the whiter surface is not likely to be a problem

  16. Federal Regulations: Efforts to Estimate Total Costs and Benefits of Rules

    Science.gov (United States)

    2004-04-07

    the Chamber of Commerce , academicians, the media, and others, and is sometimes cited with a high degree of certainty ." For example, some articles...House of Representatives, Feb . 25,2004; and testimony of William P . Kovacs, Vice President, U .S. Chamber of Commerce , before the Subcommittee on Energy...estimated the annual cost to employers of the Family and Medical Leave Act at $825 million, but that the Chamber of Commerce estimated the cost at between $3

  17. Determining the Cost-Savings Threshold and Alignment Accuracy of Patient-Specific Instrumentation in Total Ankle Replacements.

    Science.gov (United States)

    Hamid, Kamran S; Matson, Andrew P; Nwachukwu, Benedict U; Scott, Daniel J; Mather, Richard C; DeOrio, James K

    2017-01-01

    Traditional intraoperative referencing for total ankle replacements (TARs) involves multiple steps and fluoroscopic guidance to determine mechanical alignment. Recent adoption of patient-specific instrumentation (PSI) allows for referencing to be determined preoperatively, resulting in less steps and potentially decreased operative time. We hypothesized that usage of PSI would result in decreased operating room time that would offset the additional cost of PSI compared with standard referencing (SR). In addition, we aimed to compare postoperative radiographic alignment between PSI and SR. Between August 2014 and September 2015, 87 patients undergoing TAR were enrolled in a prospectively collected TAR database. Patients were divided into cohorts based on PSI vs SR, and operative times were reviewed. Radiographic alignment parameters were retrospectively measured at 6 weeks postoperatively. Time-driven activity-based costing (TDABC) was used to derive direct costs. Cost vs operative time-savings were examined via 2-way sensitivity analysis to determine cost-saving thresholds for PSI applicable to a range of institution types. Cost-saving thresholds defined the price of PSI below which PSI would be cost-saving. A total of 35 PSI and 52 SR cases were evaluated with no significant differences identified in patient characteristics. Operative time from incision to completion of casting in cases without adjunct procedures was 127 minutes with PSI and 161 minutes with SR ( P cost-savings threshold range at our institution of $863 below which PSI pricing would provide net cost-savings. Two-way sensitivity analysis generated a globally applicable cost-savings threshold model based on institution-specific costs and surgeon-specific time-savings. This study demonstrated equivalent postoperative TAR alignment with PSI and SR referencing systems but with a significant decrease in operative time with PSI. Based on TDABC and associated sensitivity analysis, a cost-savings threshold

  18. Impact of pavement conditions on crash severity.

    Science.gov (United States)

    Li, Yingfeng; Liu, Chunxiao; Ding, Liang

    2013-10-01

    Pavement condition has been known as a key factor related to ride quality, but it is less clear how exactly pavement conditions are related to traffic crashes. The researchers used Geographic Information System (GIS) to link Texas Department of Transportation (TxDOT) Crash Record Information System (CRIS) data and Pavement Management Information System (PMIS) data, which provided an opportunity to examine the impact of pavement conditions on traffic crashes in depth. The study analyzed the correlation between several key pavement condition ratings or scores and crash severity based on a large number of crashes in Texas between 2008 and 2009. The results in general suggested that poor pavement condition scores and ratings were associated with proportionally more severe crashes, but very poor pavement conditions were actually associated with less severe crashes. Very good pavement conditions might induce speeding behaviors and therefore could have caused more severe crashes, especially on non-freeway arterials and during favorable driving conditions. In addition, the results showed that the effects of pavement conditions on crash severity were more evident for passenger vehicles than for commercial vehicles. These results provide insights on how pavement conditions may have contributed to crashes, which may be valuable for safety improvement during pavement design and maintenance. Readers should notice that, although the study found statistically significant effects of pavement variables on crash severity, the effects were rather minor in reality as suggested by frequency analyses. Copyright © 2013 Elsevier Ltd. All rights reserved.

  19. Moisture Content Numerical Simulation on Structural Damage of Hot Mix Asphaltic Pavement

    Science.gov (United States)

    Abejide, O. S.; Mostafa, M. M. H.

    2017-06-01

    Considering the merits of road transportation in the economy and communication activities of the modern societies, it is imperative to design a safe, stable, efficient and cost effective road that will lead to increased economic development and growth of the South African nation. Although, the overarching effect of failed roads has in many ways led to increased travel time, loss of life and property; leading to reduced driver control on failed road sections (riding quality). Thus, time rate delamination of flexible pavement is a major focus of this study. Since structural collapse in a flexible pavement structure is caused by the evolution of different types of damage mechanisms; fatigue cracking, advanced crushing, temperature variation, and delamination. The effect of moisture content on HMA was analysed. The analysis from the multi-layered elastic model indicates that increase in moisture content in the underlying layer of HMA pavement results to increase in the strain of the individual layers and culminates to a decrease in the structural carrying capacity of the pavement with respect to number of load cycles that can be carried on the HMA pavement. This study shows a clear relationship between the moisture/saturation coefficient and the Elastic Modulus of the underlying geometric material layer properties of the pavement during the service life of the pavement.

  20. Self-reported Function, Health Resource Use, and Total Health Care Costs Among Medicare Beneficiaries With Glaucoma.

    Science.gov (United States)

    Prager, Alisa J; Liebmann, Jeffrey M; Cioffi, George A; Blumberg, Dana M

    2016-04-01

    The effect of glaucoma on nonglaucomatous medical conditions and resultant secondary health care costs is not well understood. To assess self-reported medical conditions, the use of medical services, and total health care costs among Medicare beneficiaries with glaucoma. Longitudinal observational study of 72,587 Medicare beneficiaries in the general community using the Medicare Current Beneficiary Survey (2004-2009). Coding to extract data started in January 2015, and analyses were performed between May and July 2015. Self-reported health, the use of health care services, adjusted mean annual total health care costs per person, and adjusted mean annual nonoutpatient costs per person. Participants were 72,587 Medicare beneficiaries 65 years or older with (n = 4441) and without (n = 68,146) a glaucoma diagnosis in the year before collection of survey data. Their mean age was 76.9 years, and 43.2% were male. Patients with glaucoma who responded to survey questions on visual disability were stratified into those with (n = 1748) and without (n = 2639) self-reported visual disability. Medicare beneficiaries with glaucoma had higher adjusted odds of inpatient hospitalizations (odds ratio [OR], 1.27; 95% CI, 1.17-1.39; P total health care costs and $2599 (95% CI, $1985-$3212; P total and nonoutpatient medical costs. Perception of vision loss among patients with glaucoma may be associated with depression, falls, and difficulty walking. Reducing the prevalence and severity of glaucoma may result in improvements in associated nonglaucomatous medical conditions and resultant reduction in health care costs.

  1. Economically and environmentally informed policy for road resurfacing: tradeoffs between costs and greenhouse gas emissions

    International Nuclear Information System (INIS)

    Reger, Darren; Madanat, Samer; Horvath, Arpad

    2014-01-01

    As road conditions worsen, users experience an increase in fuel consumption and vehicle wear and tear. This increases the costs incurred by the drivers, and also increases the amount of greenhouse gases (GHGs) that vehicles emit. Pavement condition can be improved through rehabilitation activities (resurfacing) to reduce the effects on users, but these activities also have significant cost and GHG emission impacts. The objective of pavement management is to minimize total societal (user and agency) costs. However, the environmental impacts associated with the cost-minimizing policy are not currently accounted for. We show that there exists a range of potentially optimal decisions, known as the Pareto frontier, in which it is not possible to decrease total emissions without increasing total costs and vice versa. This research explores these tradeoffs for a system of pavement segments. For a case study, a network was created from a subset of California’s highways using available traffic data. It was shown that the current resurfacing strategy used by the state’s transportation agency, Caltrans, does not fall on the Pareto frontier, meaning that significant savings in both total costs and total emissions can be achieved by switching to one of the optimal policies. The methods presented in this paper also allow the decision maker to evaluate the impact of other policies, such as reduced vehicle kilometers traveled or better construction standards. (letter)

  2. Economically and environmentally informed policy for road resurfacing: tradeoffs between costs and greenhouse gas emissions

    Science.gov (United States)

    Reger, Darren; Madanat, Samer; Horvath, Arpad

    2014-10-01

    As road conditions worsen, users experience an increase in fuel consumption and vehicle wear and tear. This increases the costs incurred by the drivers, and also increases the amount of greenhouse gases (GHGs) that vehicles emit. Pavement condition can be improved through rehabilitation activities (resurfacing) to reduce the effects on users, but these activities also have significant cost and GHG emission impacts. The objective of pavement management is to minimize total societal (user and agency) costs. However, the environmental impacts associated with the cost-minimizing policy are not currently accounted for. We show that there exists a range of potentially optimal decisions, known as the Pareto frontier, in which it is not possible to decrease total emissions without increasing total costs and vice versa. This research explores these tradeoffs for a system of pavement segments. For a case study, a network was created from a subset of California’s highways using available traffic data. It was shown that the current resurfacing strategy used by the state’s transportation agency, Caltrans, does not fall on the Pareto frontier, meaning that significant savings in both total costs and total emissions can be achieved by switching to one of the optimal policies. The methods presented in this paper also allow the decision maker to evaluate the impact of other policies, such as reduced vehicle kilometers traveled or better construction standards.

  3. Pavement noise measurements in Poland

    Science.gov (United States)

    Zofka, Ewa; Zofka, Adam; Mechowski, Tomasz

    2017-09-01

    The objective of this study is to investigate the feasibility of the On-Board Sound Intensity (OBSI) system to measure tire-pavement noise in Poland. In general, sources of noise emitted by the modern vehicles are the propulsion noise, aerodynamic resistance and noise generated at the tire-pavement interface. In order to capture tire-pavement noise, the OBSI system uses a noise intensity probe installed in the close proximity of that interface. In this study, OBSI measurements were performed at different types of pavement surfaces such as stone mastic asphalt (SMA), regular asphalt concrete (HMA) as well as Portland cement concrete (PCC). The influence of several necessary OBSI measurement conditions were recognized as: testing speed, air temperature, tire pressure and tire type. The results of this study demonstrate that the OBSI system is a viable and robust tool that can be used for the quality evaluation of newly built asphalt pavements in Poland. It can be also applied to generate reliable input parameters for the noise propagation models that are used to assess the environmental impact of new and existing highway corridors.

  4. Incidence, risk factors and the healthcare cost of falls postdischarge after elective total hip and total knee replacement surgery: protocol for a prospective observational cohort study

    Science.gov (United States)

    Hill, Anne-Marie; Ross-Adjie, Gail; McPhail, Steven M; Monterosso, Leanne; Bulsara, Max; Etherton-Beer, Christopher; Powell, Sarah-Jayne; Hardisty, Gerard

    2016-01-01

    Introduction The number of major joint replacement procedures continues to increase in Australia. The primary aim of this study is to determine the incidence of falls in the first 12 months after discharge from hospital in a cohort of older patients who undergo elective total hip or total knee replacement. Methods and analyses A prospective longitudinal observational cohort study starting in July 2015, enrolling patients aged ≥60 years who are admitted for elective major joint replacement (n=267 total hip replacement, n=267 total knee replacement) and are to be discharged to the community. Participants are followed up for 12 months after hospital discharge. The primary outcome measure is the rate of falls per thousand patient-days. Falls data will be collected by 2 methods: issuing a falls diary to each participant and telephoning participants monthly after discharge. Secondary outcomes include the rate of injurious falls and health-related quality of life. Patient-rated outcomes will be measured using the Oxford Hip or Oxford Knee score. Generalised linear mixed modelling will be used to examine the falls outcomes in the 12 months after discharge and to examine patient and clinical characteristics predictive of falls. An economic evaluation will be conducted to describe the nature of healthcare costs in the first 12 months after elective joint replacement and estimate costs directly attributable to fall events. Ethics and dissemination The results will be disseminated through local site networks and will inform future services to support older people undergoing hip or knee joint replacement and also through peer-reviewed publications and medical conferences. This study has been approved by The University of Notre Dame Australia and local hospital human research ethics committees. Trial registration number ACTRN12615000653561; Pre-results. PMID:27412102

  5. Evaluation of the Influence of the Logistic Operations Reliability on the Total Costs of a Supply Chain

    Directory of Open Access Journals (Sweden)

    Lukinskiy Valery

    2016-12-01

    Full Text Available Nowadays in logistics integral processes between the material and related flows in supply chains are getting developed more and more. However, in spite of increasing volume of statistical data which reflect the integral processes, the influence evaluation issues of the logistic operations reliability indexes on the total logistics costs remain open and require the corresponding researches implementation.

  6. Reducing Customers’ Total Cost of Ownership Within a Software Supply Network

    NARCIS (Netherlands)

    Slinger, S.R.L.; Rijsemus, W.

    2006-01-01

    This paper describes how the company Cordys avoids the ERP problems from the last 15 years by improving the software release, delivery, deployment, and maintenance processes. These ERP problems, such as costly ERP migrations and highly complex maintenance procedures, are circumvented by the

  7. RANKED SET SAMPLING FOR ECOLOGICAL RESEARCH: ACCOUNTING FOR THE TOTAL COSTS OF SAMPLING

    Science.gov (United States)

    Researchers aim to design environmental studies that optimize precision and allow for generalization of results, while keeping the costs of associated field and laboratory work at a reasonable level. Ranked set sampling is one method to potentially increase precision and reduce ...

  8. Total and Marginal Cost Analysis for a High School Based Bystander Intervention

    Science.gov (United States)

    Bush, Joshua L.; Bush, Heather M.; Coker, Ann L.; Brancato, Candace J.; Clear, Emily R.; Recktenwald, Eileen A.

    2018-01-01

    Costs of providing the Green Dot bystander-based intervention, shown to be effective in the reduction of sexual violence among Kentucky high school students, were estimated based on data from a large cluster-randomized clinical trial. Rape Crisis Center Educators were trained to provide Green Dot curriculum to students. Implementing Green Dot in…

  9. Functional and oncologic outcomes after excision of the total femur in primary bone tumors: Results with a low cost total femur prosthesis

    Directory of Open Access Journals (Sweden)

    Ajay Puri

    2012-01-01

    Full Text Available Background: The extent of tumor may necessitate resection of the complete femur rarely to achieve adequate oncologic clearance in bone sarcomas. We present our experience with reconstruction in such cases using an indigenously manufactured, low-cost, total femoral prosthesis (TFP. We assessed the complications of the procedure, the oncologic and functional outcomes, and implant survival. Materials and Methods: Eight patients (four males and four females with a mean age of 32 years, operated between December 2003 and June 2009, had a TFP implanted. The diagnosis included osteogenic sarcoma (5, Ewing′s sarcoma (1, and chondrosarcoma (2. Mean followup was 33 months (9-72 months for all and 40 months (24-72 months in survivors. They were evaluated by Musculoskeletal Tumor Society score, implant survival as well as patient survival. Results: There was one local recurrence and five of seven patients are currently alive at the time of last followup. The Musculoskeletal Tumor Society score for patients ranged from 21 to 25 with a mean of 24 (80%. The implant survival was 88% at 5 years with only one TFP needing removal because of infection. Conclusions: A TFP in appropriately indicated patients with malignant bone tumors is oncologically safe. A locally manufactured, cost-effective implant provided consistent and predictable results after excision of the total femur with good functional outcomes.

  10. Total direct cost, length of hospital stay, institutional discharges and their determinants from rehabilitation settings in stroke patients.

    Science.gov (United States)

    Saxena, S K; Ng, T P; Yong, D; Fong, N P; Gerald, K

    2006-11-01

    Length of hospital stay (LOHS) is the largest determinant of direct cost for stroke care. Institutional discharges (acute care and nursing homes) from rehabilitation settings add to the direct cost. It is important to identify potentially preventable medical and non-medical reasons determining LOHS and institutional discharges to reduce the direct cost of stroke care. The aim of the study was to ascertain the total direct cost, LOHS, frequency of institutional discharges and their determinants from rehabilitation settings. Observational study was conducted on 200 stroke patients in two rehabilitation settings. The patients were examined for various socio-demographic, neurological and clinical variables upon admission to the rehabilitation hospitals. Information on total direct cost and medical complications during hospitalization were also recorded. The outcome variables measured were total direct cost, LOHS and discharges to institutions (acute care and nursing home facility) and their determinants. The mean and median LOHS in our study were 34 days (SD = 18) and 32 days respectively. LOHS and the cost of hospital stay were significantly correlated. The significant variables associated with LOHS on multiple linear regression analysis were: (i) severe functional impairment/functional dependence Barthel Index institutional discharges (22 to acute care and 17 to nursing homes). On multivariate analysis the significant predictors of discharges to institutions from rehabilitation hospitals were medical complications (OR = 4.37; 95% CI 1.01-12.53) and severe functional impairment/functional dependence. (OR = 5.90, 95% CI 2.32-14.98). Length of hospital stay and discharges to institutions from rehabilitation settings are significantly determined by medical complications. Importance of adhering to clinical pathway/protocol for stroke care is further discussed.

  11. Cost of post-operative intravenous iron therapy in total lower limb arthroplasty: a retrospective, matched cohort study

    Science.gov (United States)

    Muñoz, Manuel; Gómez-Ramírez, Susana; Martín-Montañez, Elisa; Naveira, Enrique; Seara, Javier; Pavía, José

    2014-01-01

    Background Requirements for allogeneic red cell transfusion after total lower limb arthroplasty are still high (20–50%), and post-operative intravenous iron has been shown to reduce transfusion requirements for this surgery. We performed a cost analysis to ascertain whether this alternative is also likely to be cost-effective. Materials and methods Data from 182 matched-pairs of total lower limb arthroplasty patients, managed with a restrictive transfusion protocol and without (control group) or with post-operative intravenous iron (iron group), were retrospectively reviewed. Acquisition and administration costs of iron (iron sucrose or ferric carboxymaltose) and allogeneic red cell concentrates, haemoglobin measurements, and prolonged stay in hospital were used for blood management cost analysis. Results Patients in the iron group received 600 mg intravenous iron, without clinically relevant incidents, and had a lower allogeneic transfusion rate (11.5% vs 26.4% for the iron and control groups, respectively; p=0.001). The reduction in transfusion rate was more pronounced in anaemic patients (17% vs 40%; p=0.015) than in non-anaemic ones (9.6% vs 21.2%; p=0.011). There were no differences with respect to post-operative infection rate. Patients receiving allogeneic transfusion stayed in hospital longer (+1.9 days [95% CI: 1.2–2.6]). As intravenous iron reduces the allogeneic transfusion rate, both iron formulations were cost-neutral in the different cost scenarios (−25.5 to 62.1 €/patient for iron sucrose, and −51.1 to 64.4 €/patient for ferric carboxymaltose). Discussion In patients presenting with or without pre-operative anaemia, post-operative intravenous iron after total lower limb arthroplasty seems to be safe and is associated with reduced transfusion rates, without incremental costs. For anaemic patients, its efficacy could be increased by associating some other blood-saving method. PMID:24120595

  12. Geo synthetic-reinforced Pavement systems

    International Nuclear Information System (INIS)

    Zornberg, J. G.

    2014-01-01

    Geo synthetics have been used as reinforcement inclusions to improve pavement performance. while there are clear field evidence of the benefit of using geo synthetic reinforcements, the specific conditions or mechanisms that govern the reinforcement of pavements are, at best, unclear and have remained largely unmeasured. Significant research has been recently conducted with the objectives of: (i) determining the relevant properties of geo synthetics that contribute to the enhanced performance of pavement systems, (ii) developing appropriate analytical, laboratory and field methods capable of quantifying the pavement performance, and (iii) enabling the prediction of pavement performance as a function of the properties of the various types of geo synthetics. (Author)

  13. Deep water tie-back economics capex vs opex and the total costs

    Energy Technology Data Exchange (ETDEWEB)

    Tarlton, Oran D. [Oil States Industries Inc., Arlington, TX (United States)

    2005-07-01

    This paper explores the real cost and time benefits associated with the current, past, and future contracting strategies associated with subsea developments. It looks at the real cost associated with out sourcing engineering development and the impact of engineering, procurement, installation, and construction (EPIC) contracts. Development costs are first and foremost in the minds of operators as a field is analyzed for development potential. The cycle starts with an analysis of the geological information to estimate the potential value in the field. It proceeds to conceptual design where the first development methodology and cost estimates are prepared. If the project is initially viable it will proceed from conceptual design to Front End Engineering and Design (FEED) where a complete development plan is prepared with possible options and recommendations. Engineering companies may as a part of the FEED prepare a Request for Quotation (RFQ) which is sent to potential suppliers. As part of a FEED contract, an engineering company may also review responses to the RFQ and provide recommendations for selected suppliers. Typically large subsea projects are divided into several major categories such as: topsides; subsea production systems; wells; subsea umbilical risers and glow lines (SURF), and commissioning in order to simplify management and procurement. Many times these contracts are awarded as EPIC contracts to further simplify management and internal procurement efforts. A case study is presented which challenges current contracting strategies and presents an option for a lower cost and a better way forward with respect to the short term and a focus on the long term. (author)

  14. Total cost of ownership of CHP SOFC systems: Effect of installation context

    International Nuclear Information System (INIS)

    Arduino, Francesco; Santarelli, Massimo

    2016-01-01

    Solid oxide fuel cells (SOFC) are one of the most interesting between the emerging technologies for energy production. Although some information about the production cost of these devices are already known, their operational cost has not been studied yet with sufficient accuracy. This paper presents a life cycle cost (LCC) analysis of CHP (combined heat and power) SOFC systems performed in hospitals located in various cities of the US and one in Italy. In this study the strong effects of the installation context will be analyzed using a customized use phase model for each location. The cost effectiveness of these devices has been proved without credits in Mondovi (IT), New York (NY) and Minneapolis (MN) where the payback time goes from 10 to 7 years. Considering the credits, it is possible to obtain economic feasibility also in Chicago (IL) and reduce the payback for other cities to values from 4 to 6 years. In other cities like Phoenix (AZ) and Houston (TX) the payback can’t be reached in any case. The life cycle impact assessment analysis has shown how, even in the cities with cleaner electricity grid, there is a reduction in the emissions of both greenhouse gases and pollutants. - Highlights: •Life cycle cost analysis has been performed for CHP SOFC systems. •The strong effects of the installation context have been analyzed. •Economic feasibility has been proven in new york, Minneapolis and Mondovi. •Economic feasibility can’t be reached in phoenix and Houston. •SOFC always provide a reduction in the emissions of greenhouse gases and pollutant.

  15. EVALUATION MODEL FOR PAVEMENT SURFACE DISTRESS ON 3D POINT CLOUDS FROM MOBILE MAPPING SYSTEM

    Directory of Open Access Journals (Sweden)

    K. Aoki

    2012-07-01

    Full Text Available This paper proposes a methodology to evaluate the pavement surface distress for maintenance planning of road pavement using 3D point clouds from Mobile Mapping System (MMS. The issue on maintenance planning of road pavement requires scheduled rehabilitation activities for damaged pavement sections to keep high level of services. The importance of this performance-based infrastructure asset management on actual inspection data is globally recognized. Inspection methodology of road pavement surface, a semi-automatic measurement system utilizing inspection vehicles for measuring surface deterioration indexes, such as cracking, rutting and IRI, have already been introduced and capable of continuously archiving the pavement performance data. However, any scheduled inspection using automatic measurement vehicle needs much cost according to the instruments’ specification or inspection interval. Therefore, implementation of road maintenance work, especially for the local government, is difficult considering costeffectiveness. Based on this background, in this research, the methodologies for a simplified evaluation for pavement surface and assessment of damaged pavement section are proposed using 3D point clouds data to build urban 3D modelling. The simplified evaluation results of road surface were able to provide useful information for road administrator to find out the pavement section for a detailed examination and for an immediate repair work. In particular, the regularity of enumeration of 3D point clouds was evaluated using Chow-test and F-test model by extracting the section where the structural change of a coordinate value was remarkably achieved. Finally, the validity of the current methodology was investigated by conducting a case study dealing with the actual inspection data of the local roads.

  16. Total cost of ownership of electric vehicles compared to conventional vehicles: A probabilistic analysis and projection across market segments

    International Nuclear Information System (INIS)

    Wu, Geng; Inderbitzin, Alessandro; Bening, Catharina

    2015-01-01

    While electric vehicles (EV) can perform better than conventional vehicles from an environmental standpoint, consumers perceive them to be more expensive due to their higher capital cost. Recent studies calculated the total cost of ownership (TCO) to evaluate the complete cost for the consumer, focusing on individual vehicle classes, powertrain technologies, or use cases. To provide a comprehensive overview, we built a probabilistic simulation model broad enough to capture most of a national market. Our findings indicate that the comparative cost efficiency of EV increases with the consumer's driving distance and is higher for small than for large vehicles. However, our sensitivity analysis shows that the exact TCO is subject to the development of vehicle and operating costs and thus uncertain. Although the TCO of electric vehicles may become close to or even lower than that of conventional vehicles by 2025, our findings add evidence to past studies showing that the TCO does not reflect how consumers make their purchase decision today. Based on these findings, we discuss policy measures that educate consumers about the TCO of different vehicle types based on their individual preferences. In addition, measures improving the charging infrastructure and further decreasing battery cost are discussed. - Highlights: • Calculates the total cost of ownership across competing vehicle technologies. • Uses Monte Carlo simulation to analyse distributions and probabilities of outcomes. • Contains a comprehensive assessment across the main vehicle classes and use cases. • Indicates that cost efficiency of technology depends on vehicle class and use case. • Derives specific policy measures to facilitate electric vehicle diffusion

  17. Effects of Interlocking and Supporting Conditions on Concrete Block Pavements

    Science.gov (United States)

    Mahapatra, Geetimukta; Kalita, Kuldeep

    2018-02-01

    Concrete Block Paving (CBP) is widely used as wearing course in flexible pavements, preferably under light and medium vehicular loadings. Construction of CBP at site is quick and easy in quality control. Usually, flexible pavement design philosophy is followed in CBP construction, though it is structurally different in terms of small block elements with high strength concrete and their interlocking aspects, frequent joints and discontinuity, restrained edge etc. Analytical solution for such group action of concrete blocks under loading in a three dimensional multilayer structure is complex and thus, the need of conducting experimental studies is necessitated for extensive understanding of the load—deformation characteristics and behavior of concrete blocks in pavement. The present paper focuses on the experimental studies for load transfer characteristics of CBP under different interlocking and supporting conditions. It is observed that both interlocking and supporting conditions affect significantly on the load transfer behavior in CBP structures. Coro-lock block exhibits better performance in terms of load carrying capacity and distortion behavior under static loads. Plate load tests are performed over subgrade, granular sub-base (GSB), CBP with and without GSB using different block shapes. For an example case, the comparison of CBP with conventional flexible pavement section is also presented and it is found that CBP provides considerable benefit in terms of construction cost of the road structure.

  18. Determination of the appropriate use of pavement surface history in the KDOT life-cycle analysis process.

    Science.gov (United States)

    2008-09-01

    The primary objective of this study was to evaluate KDOTs pavement surfacing history and recommend : whether or not the departments life-cycle cost analysis (LCCA) procedure should include a surfacing history : component, and, if so, how the LC...

  19. Greenhouse Gas Emissions from Asphalt Pavement Construction: A Case Study in China.

    Science.gov (United States)

    Ma, Feng; Sha, Aimin; Lin, Ruiyu; Huang, Yue; Wang, Chao

    2016-03-22

    In China, the construction of asphalt pavement has a significant impact on the environment, and energy use and greenhouse gas (GHG) emissions from asphalt pavement construction have been receiving increasing attention in recent years. At present, there is no universal criterion for the evaluation of GHG emissions in asphalt pavement construction. This paper proposes to define the system boundaries for GHG emissions from asphalt pavement by using a process-based life cycle assessment method. A method for evaluating GHG emissions from asphalt pavement construction is suggested. The paper reports a case study of GHG emissions from a typical asphalt pavement construction project in China. The results show that the greenhouse gas emissions from the mixture mixing phase are the highest, and account for about 54% of the total amount. The second highest GHG emission phase is the production of raw materials. For GHG emissions of cement stabilized base/subbase, the production of raw materials emits the most, about 98%. The GHG emission for cement production alone is about 92%. The results indicate that any measures to reduce GHG emissions from asphalt pavement construction should be focused on the raw materials manufacturing stage. If the raw materials production phase is excluded, the measures to reduce GHG emissions should be aimed at the mixture mixing phase.

  20. Ranking periodic ordering models on the basis of minimizing total inventory cost

    Directory of Open Access Journals (Sweden)

    Mohammadali Keramati

    2015-06-01

    Full Text Available This paper aims to provide proper policies for inventory under uncertain conditions by comparing different inventory policies. To review the efficiency of these algorithms it is necessary to specify the area in which each of them is applied. Therefore, each of the models has been reviewed under different forms of retailing and they are ranked in terms of their expenses. According to the high values of inventories and their impacts on the costs of the companies, the ranking of various models using the simulation annealing algorithm are presented, which indicates that the proposed model of this paper could perform better than other alternative ones. The results also indicate that the suggested algorithm could save from 4 to 29 percent on costs of inventories.

  1. Implementation of Distance Support (DS) to Reduce Total Ownership Cost (R-TOC)

    Science.gov (United States)

    2012-02-01

    Policy of 22 Mar 2007, states that DS combines people, processes and technology into a collaborative infrastructure regardless of geographic location...Tech Assist Data for Submarine Enterprise 120 FTA Events Performed 164 MH Via On-Si te Support Average Cost Per Event (Based on $60.00 Per Hour...CFFC/Command Policy) 16% Success Rate Overa l l On Al l FTA Events 37% Success Rate On Out-Of-Area Events Average MHs Per Event 19 MH Via DS

  2. Efficiency and Cost Analysis of Cell Saver Auto Transfusion System in Total Knee Arthroplasty

    OpenAIRE

    Mustafa Gökhan Bilgili; Ersin Erçin; Cemal Kural; Altuğ Duramaz; Cevdet Avkan; Gökhan Peker; Serdar Hakan Başaran

    2014-01-01

    Background: Blood loss and replacement is still a controversial issue in major orthopaedic surgery. Allogenic blood transfusion may cause legal problems and concerns regarding the transmission of transfusion-related diseases. Cellsaver Systems (CSS) were developed as an alternative to allogenic transfusion but CSS transfusion may cause coagulation, infection and haemodynamic instability. Aims: Our aim was to analyse the efficiency and cost analysis of a cell saver auto-transfusion system ...

  3. Reliability-based performance simulation for optimized pavement maintenance

    International Nuclear Information System (INIS)

    Chou, Jui-Sheng; Le, Thanh-Son

    2011-01-01

    Roadway pavement maintenance is essential for driver safety and highway infrastructure efficiency. However, regular preventive maintenance and rehabilitation (M and R) activities are extremely costly. Unfortunately, the funds available for the M and R of highway pavement are often given lower priority compared to other national development policies, therefore, available funds must be allocated wisely. Maintenance strategies are typically implemented by optimizing only the cost whilst the reliability of facility performance is neglected. This study proposes a novel algorithm using multi-objective particle swarm optimization (MOPSO) technique to evaluate the cost-reliability tradeoff in a flexible maintenance strategy based on non-dominant solutions. Moreover, a probabilistic model for regression parameters is employed to assess reliability-based performance. A numerical example of a highway pavement project is illustrated to demonstrate the efficacy of the proposed MOPSO algorithms. The analytical results show that the proposed approach can help decision makers to optimize roadway maintenance plans. - Highlights: →A novel algorithm using multi-objective particle swarm optimization technique. → Evaluation of the cost-reliability tradeoff in a flexible maintenance strategy. → A probabilistic model for regression parameters is employed to assess reliability-based performance. → The proposed approach can help decision makers to optimize roadway maintenance plans.

  4. Reliability-based performance simulation for optimized pavement maintenance

    Energy Technology Data Exchange (ETDEWEB)

    Chou, Jui-Sheng, E-mail: jschou@mail.ntust.edu.tw [Department of Construction Engineering, National Taiwan University of Science and Technology (Taiwan Tech), 43 Sec. 4, Keelung Rd., Taipei 106, Taiwan (China); Le, Thanh-Son [Department of Construction Engineering, National Taiwan University of Science and Technology (Taiwan Tech), 43 Sec. 4, Keelung Rd., Taipei 106, Taiwan (China)

    2011-10-15

    Roadway pavement maintenance is essential for driver safety and highway infrastructure efficiency. However, regular preventive maintenance and rehabilitation (M and R) activities are extremely costly. Unfortunately, the funds available for the M and R of highway pavement are often given lower priority compared to other national development policies, therefore, available funds must be allocated wisely. Maintenance strategies are typically implemented by optimizing only the cost whilst the reliability of facility performance is neglected. This study proposes a novel algorithm using multi-objective particle swarm optimization (MOPSO) technique to evaluate the cost-reliability tradeoff in a flexible maintenance strategy based on non-dominant solutions. Moreover, a probabilistic model for regression parameters is employed to assess reliability-based performance. A numerical example of a highway pavement project is illustrated to demonstrate the efficacy of the proposed MOPSO algorithms. The analytical results show that the proposed approach can help decision makers to optimize roadway maintenance plans. - Highlights: > A novel algorithm using multi-objective particle swarm optimization technique. > Evaluation of the cost-reliability tradeoff in a flexible maintenance strategy. > A probabilistic model for regression parameters is employed to assess reliability-based performance. > The proposed approach can help decision makers to optimize roadway maintenance plans.

  5. ICP experiments more durable pavements

    International Nuclear Information System (INIS)

    Carta Petrolera

    1994-01-01

    A new asphalts technology that will make more durable the pavement in the highways and roads of the cities of Colombia investigates the Colombian Institute of the Petroleum ICP. The project that will have important incidence in the solution of one of the main problems in the roads of cities like Bogota, is only one of the 35 investigation programs and application of new technologies that with relationship to the sector of the hydrocarbons and its influence branches the ICP advances. The investigation looks for to elevate the current average of useful life of the pavements, with that it would be reached a standard that has the developed countries in this field

  6. 3-D cohesive finite element model for application in structural analysis of heavy duty composite pavements

    DEFF Research Database (Denmark)

    Skar, Asmus; Poulsen, Peter Noe

    2015-01-01

    The problem of stiffness degradation in composite pavement systems from localised fracture damage in the quasibrittle cement bound granular mixture are today taken into account only by empirical formulas. These formulas deals with a limited number of materials in a restricted range of design...... this paper presents a numerical analysis of the fracture behaviour of cement bound granular mixtures in composite concrete block pavement systems applying a cohesive model. The functionality of the proposed model is compared to experimental investigations of beam bending tests. The pavement is modelled......, it can be shown that adequately good prediction of the structural response of composite pavements is obtained for monotonic loading without significant computational cost, making the model applicable for engineering design purpose. It is envisaged that the methodology implemented in this study can...

  7. Residual Fatigue Properties of Asphalt Pavement after Long-Term Field Service

    Directory of Open Access Journals (Sweden)

    Peide Cui

    2018-05-01

    Full Text Available Asphalt pavement is widely used for expressways due to its advantages of flexibility, low cost, and easy maintenance. However, pavement failures, including cracking, raveling, and potholes, will appear after long-term service. This research evaluated the residual fatigue properties of asphalt pavement after long-term field service. Fatigue behavior of specimens with different pavement failure types, traffic load, service time, and layers were collected and characterized. Results indicate that after long-term field service, surface layer has a longer fatigue life under small stress levels, but shorter fatigue life under large stress levels. Longer service time results in greater sensitivity to loading stress, while heavier traffic results in shorter fatigue life. Surface and underneath layers present very close fatigue trend lines in some areas, indicating that the fatigue behavior of asphalt mixture in surface and underneath layers are aged to the same extent after eight to ten years of field service.

  8. Effect of mineral additives on structure and properties of concrete for pavements

    Directory of Open Access Journals (Sweden)

    Sobol Khrystyna

    2017-12-01

    Full Text Available Concrete pavements is an attractive alternative to asphalt pavements because of its lower cost and higher durability. Major contribution to sustainable development can be made by partial replacement of cement in concrete pavement with supplementary cementitious materials of different nature and origin. In this paper, the effect of natural zeolite and perlite additives in complex with chemical admixtures on the structure and properties of concrete for pavement was studied. Compressive and flexural strength test was used to study the mechanical behavior of designed concrete under load. Generally, the compressive strength of both control concrete and concrete containing mineral additives levels at the later ages of hardening. The microstructure analysis of concrete with mineral additives of different nature activity showed the formation of additional amount of hydration products such as tobermorite type calcium hydrosilicate which provide self-reinforcement of hardening concrete system.

  9. Effect of mineral additives on structure and properties of concrete for pavements

    Science.gov (United States)

    Sobol, Khrystyna; Markiv, Taras; Hunyak, Oleksii

    2017-12-01

    Concrete pavements is an attractive alternative to asphalt pavements because of its lower cost and higher durability. Major contribution to sustainable development can be made by partial replacement of cement in concrete pavement with supplementary cementitious materials of different nature and origin. In this paper, the effect of natural zeolite and perlite additives in complex with chemical admixtures on the structure and properties of concrete for pavement was studied. Compressive and flexural strength test was used to study the mechanical behavior of designed concrete under load. Generally, the compressive strength of both control concrete and concrete containing mineral additives levels at the later ages of hardening. The microstructure analysis of concrete with mineral additives of different nature activity showed the formation of additional amount of hydration products such as tobermorite type calcium hydrosilicate which provide self-reinforcement of hardening concrete system.

  10. Cost-utility analysis comparing radioactive iodine, anti-thyroid drugs and total thyroidectomy for primary treatment of Graves' disease.

    Science.gov (United States)

    Donovan, Peter J; McLeod, Donald S A; Little, Richard; Gordon, Louisa

    2016-12-01

    Little data is in existence about the most cost-effective primary treatment for Graves' disease. We performed a cost-utility analysis comparing radioactive iodine (RAI), anti-thyroid drugs (ATD) and total thyroidectomy (TT) as first-line therapy for Graves' disease in England and Australia. We used a Markov model to compare lifetime costs and benefits (quality-adjusted life-years (QALYs)). The model included efficacy, rates of relapse and major complications associated with each treatment, and alternative second-line therapies. Model parameters were obtained from published literature. One-way sensitivity analyses were conducted. Costs were presented in 2015£ or Australian Dollars (AUD). RAI was the least expensive therapy in both England (£5425; QALYs 34.73) and Australia (AUD5601; 30.97 QALYs). In base case results, in both countries, ATD was a cost-effective alternative to RAI (£16 866; 35.17 QALYs; incremental cost-effectiveness ratio (ICER) £26 279 per QALY gained England; AUD8924; 31.37 QALYs; ICER AUD9687 per QALY gained Australia), while RAI dominated TT (£7115; QALYs 33.93 England; AUD15 668; 30.25 QALYs Australia). In sensitivity analysis, base case results were stable to changes in most cost, transition probabilities and health-relative quality-of-life (HRQoL) weights; however, in England, the results were sensitive to changes in the HRQoL weights of hypothyroidism and euthyroidism on ATD. In this analysis, RAI is the least expensive choice for first-line treatment strategy for Graves' disease. In England and Australia, ATD is likely to be a cost-effective alternative, while TT is unlikely to be cost-effective. Further research into HRQoL in Graves' disease could improve the quality of future studies. © 2016 European Society of Endocrinology.

  11. Statistical classification of road pavements using near field vehicle rolling noise measurements.

    Science.gov (United States)

    Paulo, Joel Preto; Coelho, J L Bento; Figueiredo, Mário A T

    2010-10-01

    Low noise surfaces have been increasingly considered as a viable and cost-effective alternative to acoustical barriers. However, road planners and administrators frequently lack information on the correlation between the type of road surface and the resulting noise emission profile. To address this problem, a method to identify and classify different types of road pavements was developed, whereby near field road noise is analyzed using statistical learning methods. The vehicle rolling sound signal near the tires and close to the road surface was acquired by two microphones in a special arrangement which implements the Close-Proximity method. A set of features, characterizing the properties of the road pavement, was extracted from the corresponding sound profiles. A feature selection method was used to automatically select those that are most relevant in predicting the type of pavement, while reducing the computational cost. A set of different types of road pavement segments were tested and the performance of the classifier was evaluated. Results of pavement classification performed during a road journey are presented on a map, together with geographical data. This procedure leads to a considerable improvement in the quality of road pavement noise data, thereby increasing the accuracy of road traffic noise prediction models.

  12. Teaching Methodology of Flexible Pavement Materials and Pavement Systems

    Science.gov (United States)

    Mehta, Yusuf; Najafi, Fazil

    2004-01-01

    Flexible pavement materials exhibit complex mechanical behavior, in the sense, that they not only show stress and temperature dependency but also are sensitive to moisture conditions. This complex behavior presents a great challenge to the faculty in bringing across the level of complexity and providing the concepts needed to understand them. The…

  13. Cost-Effectiveness Analysis of Total Hip Arthroplasty Performed by a Canadian Short-Stay Surgical Team in Ecuador.

    Science.gov (United States)

    Schlegelmilch, Michael; Rashiq, Saifee; Moreau, Barbara; Jarrín, Patricia; Tran, Bach; Chuck, Anderson

    2017-01-01

    Few charitable overseas surgical missions produce cost-effectiveness analyses of their work. We compared the pre- and postoperative health status for 157 total hip arthroplasty (THA) patients operated on from 2007 to 2011 attended by an annual Canadian orthopedic mission to Ecuador to determine the quality-adjusted life years (QALYs) gained. The costs of each mission are known. The cost per surgery was divided by the average lifetime QALYs gained to estimate an incremental cost-effectiveness ratio (ICER) in Canadian dollars per QALY. The average lifetime QALYs (95% CI) gained were 1.46 (1.4-1.5), 2.5 (2.4-2.6), and 2.9 (2.7-3.1) for unilateral, bilateral, and staged (two THAs in different years) operations, respectively. The ICERs were $4,442 for unilateral, $2,939 for bilateral, and $4392 for staged procedures. Seventy percent of the mission budget was spent on the transport and accommodation of volunteers. THA by a Canadian short-stay surgical team was highly cost-effective, according to criteria from the National Institute for Health and Care Excellence and the World Health Organization. We encourage other international missions to provide similar cost-effectiveness data to enable better comparison between mission types and between mission and nonmission care.

  14. Feasibility studies to improve plant availability and reduce total installed cost in IGCC plants

    Energy Technology Data Exchange (ETDEWEB)

    Sullivan, Kevin [General Electric Company, Houston, TX (United States); Anasti, William [General Electric Company, Houston, TX (United States); Fang, Yichuan [General Electric Company, Houston, TX (United States); Subramanyan, Karthik [General Electric Company, Houston, TX (United States); Leininger, Tom [General Electric Company, Houston, TX (United States); Zemsky, Christine [General Electric Company, Houston, TX (United States)

    2015-03-30

    The main purpose of this project is to look at technologies and philosophies that would help reduce the costs of an Integrated Gasification Combined Cycle (IGCC) plant, increase its availability or do both. GE’s approach to this problem is to consider options in three different areas: 1) technology evaluations and development; 2) constructability approaches; and 3) design and operation methodologies. Five separate tasks were identified that fall under the three areas: Task 2 – Integrated Operations Philosophy; Task 3 – Slip Forming of IGCC Components; Task 4 – Modularization of IGCC Components; Task 5 – Fouling Removal; and Task 6 – Improved Slag Handling. Overall, this project produced results on many fronts. Some of the ideas could be utilized immediately by those seeking to build an IGCC plant in the near future. These include the considerations from the Integrated Operations Philosophy task and the different construction techniques of Slip Forming and Modularization (especially if the proposed site is in a remote location or has a lack of a skilled workforce). Other results include ideas for promising technologies that require further development and testing to realize their full potential and be available for commercial operation. In both areas GE considers this project to be a success in identifying areas outside the core IGCC plant systems that are ripe for cost reduction and ity improvement opportunities.

  15. Leveraging Real-World Evidence in Disease-Management Decision-Making with a Total Cost of Care Estimator.

    Science.gov (United States)

    Nguyen, Thanh-Nghia; Trocio, Jeffrey; Kowal, Stacey; Ferrufino, Cheryl P; Munakata, Julie; South, Dell

    2016-12-01

    Health management is becoming increasingly complex, given a range of care options and the need to balance costs and quality. The ability to measure and understand drivers of costs is critical for healthcare organizations to effectively manage their patient populations. Healthcare decision makers can leverage real-world evidence to explore the value of disease-management interventions in shifting total cost trends. To develop a real-world, evidence-based estimator that examines the impact of disease-management interventions on the total cost of care (TCoC) for a patient population with nonvalvular atrial fibrillation (NVAF). Data were collected from a patient-level real-world evidence data set that uses the IMS PharMetrics Health Plan Claims Database. Pharmacy and medical claims for patients meeting the inclusion or exclusion criteria were combined in longitudinal cohorts with a 180-day preindex and 360-day follow-up period. Descriptive statistics, such as mean and median patient costs and event rates, were derived from a real-world evidence analysis and were used to populate the base-case estimates within the TCoC estimator, an exploratory economic model that was designed to estimate the potential impact of several disease-management activities on the TCoC for a patient population with NVAF. Using Microsoft Excel, the estimator is designed to compare current direct costs of medical care to projected costs by varying assumptions on the impact of disease-management activities and applying the associated changes in cost trends to the affected populations. Disease-management levers are derived from literature-based concepts affecting costs along the NVAF disease continuum. The use of the estimator supports analyses across 4 US geographic regions, age, cost types, and care settings during 1 year. All patients included in the study were continuously enrolled in their health plan (within the IMS PharMetrics Health Plan Claims Database) between July 1, 2010, and June 30

  16. Coal-tar based pavement sealant toxicity to freshwater macroinvertebrates.

    Science.gov (United States)

    Bryer, Pamela J; Scoggins, Mateo; McClintock, Nancy L

    2010-05-01

    Non-point-source pollution is a major source of ecological impairment in urban stream systems. Recent work suggests that coal-tar pavement sealants, used extensively to protect parking areas, may be contributing a large portion of the polycyclic aromatic hydrocarbon (PAH) loading seen in urban stream sediments. The hypothesis that dried coal-tar pavement sealant flake could alter the macroinvertebrate communities native to streams in Austin, TX was tested using a controlled outdoor laboratory type approach. The treatment groups were: control, low, medium, and high with total PAH concentrations (TPAH = sum of 16 EPA priority pollutant PAHs) of 0.1, 7.5, 18.4, & 300 mg/kg respectively. The low, medium, and high treatments were created via the addition of dried coal-tar pavement sealant to a sterile soil. At the start of the 24-day exposure, sediment from a minimally impacted local reference site containing a community of live sediment-dwelling benthic macroinvertebrates was added to each replicate. An exposure-dependent response was found for several stream health measures and for several individual taxa. There were community differences in abundance (P = 0.0004) and richness (P pavement sealants contain bioavailable PAHs that may harm aquatic environments. Copyright 2009 Elsevier Ltd. All rights reserved.

  17. Coal-tar based pavement sealant toxicity to freshwater macroinvertebrates

    Energy Technology Data Exchange (ETDEWEB)

    Bryer, P.J.; Scoggins, M.; McClintock, N.L. [Lamar University, Beaumont, TX (United States). Dept. of Biology

    2010-05-15

    Non-point-source pollution is a major source of ecological impairment in urban stream systems. Recent work suggests that coal-tar pavement sealants, used extensively to protect parking areas, may be contributing a large portion of the polycyclic aromatic hydrocarbon (PAH) loading seen in urban stream sediments. The hypothesis that dried coal-tar pavement sealant flake could alter the macroinvertebrate communities native to streams in Austin, TX was tested using a controlled outdoor laboratory type approach. The treatment groups were: control, low, medium, and high with total PAH concentrations (TPAH = sum of 16 EPA priority pollutant PAHs) of 0.1, 7.5, 18.4, & 300 mg/kg respectively. The low, medium, and high treatments were created via the addition of dried coal-tar pavement sealant to a sterile soil. At the start of the 24-day exposure, sediment from a minimally impacted local reference site containing a community of live sediment-dwelling benthic macroinvertebrates was added to each replicate. An exposure-dependent response was found for several stream health measures and for several individual taxa. There were community differences in abundance (P = 0.0004) and richness (P < 0.0001) between treatments in addition to specific taxa responses, displaying a clear negative relationship with the amount of coal-tar sealant flake. These results support the hypothesis that coal-tar pavement sealants contain bioavailable PAHs that may harm aquatic environments.

  18. Measuring Carbon Footprint of Flexible Pavement Construction Project in Indonesia

    Science.gov (United States)

    Hatmoko, Jati Utomo Dwi; Hidayat, Arif; Setiawati, Apsari; Prasetyo, Stefanus Catur Adi

    2018-02-01

    Road infrastructure in Indonesia is mainly dominated by flexible pavement type. Its construction process, however, has raised concerns in terms of its environment impacts. This study aims to track and measure the carbon footprint of flexible pavement. The objectives are to map the construction process in relation to greenhouse gas (GHG) emissions, to quantify them in terms of carbon dioxide equivalents (CO2e) as generated by the process of production and transportation of raw materials, and the operation of plant off-site and on-site project. Data collection was done by having site observations and interviews with project stakeholders. The results show a total emissions of 70.888 tonnes CO2e, consisting of 34.248 tonnes CO2e (48.31%) off-site activities and 36.640 tonnes CO2e (51.687%) on-site activities. The two highest CO2e emissions were generated by the use of plant for asphalt concrete laying activities accounted 34.827 tonnes CO2e (49.130%), and material transportation accounted 24.921 (35.155%). These findings provide a new perspective of the carbon footprint in flexible pavement and suggest the urgent need for the use of more efficient and environmentally friendly plant in construction process as it shows the most significant contribution on the CO2e. This study provides valuable understanding on the environmental impact of typical flexible pavement projects in Indonesia, and further can be used for developing green road framework.

  19. Tuning in to pavement radio

    NARCIS (Netherlands)

    Ellis, S.

    1989-01-01

    This article describes a phenomenon known all over Africa, for which there is no really satisfactory term in English but which is summed up in the French term 'radio trottoir', literally 'pavement radio'. It may be defined as the popular and unofficial discussion of current affairs in Africa,

  20. The Concrete and Pavement Challenge

    Science.gov (United States)

    Roman, Harry T.

    2012-01-01

    The modern world is characterized by the extensive use of concrete and asphalt pavement. Periodically, these materials are replaced and the old materials disposed of. In this challenge, students will be asked to develop ways to reuse the old materials. It is important for students to understand how concrete and asphalt are made and applied, as…

  1. Fracture mechanics in pavement design

    CSIR Research Space (South Africa)

    Denneman, E

    2009-07-01

    Full Text Available . The paper also seeks to promote the use of size independent material properties to characterize pavement materials. Some material properties used in current methods, such as the concepts of strain at break and flexural strength are known to exhibit size...

  2. Minnesota Local Agency Pavement Marking : Mining Existing Data

    Science.gov (United States)

    2017-11-01

    Pavement marking is important for safety. Maximizing pavement marking performance in terms of increased retroreflectivity, within limited budget constraints, allows agencies to make better decisions toward providing more effective pavement marking pe...

  3. Comparison of winter temperature profiles in asphalt and concrete pavements.

    Science.gov (United States)

    2014-06-01

    The objectives of this research were to 1) determine which pavement type, asphalt or concrete, has : higher surface temperatures in winter and 2) compare the subsurface temperatures under asphalt and : concrete pavements to determine the pavement typ...

  4. Process Improvement Project Using Tranexamic Acid Is Cost-Effective in Reducing Blood Loss and Transfusions After Total Hip and Total Knee Arthroplasty.

    Science.gov (United States)

    Demos, Harry A; Lin, Zilan X; Barfield, William R; Wilson, Sylvia H; Robertson, Dawn C; Pellegrini, Vincent D

    2017-08-01

    Tranexamic acid (TXA) has been associated with decreased blood loss and transfusion after total hip arthroplasty (THA) and total knee arthroplasty (TKA). The purpose of this study was to examine both transfusion utilization and the economic impact of a Process Improvement Project implementing TXA for THA and TKA. After standardization of TXA administration in THA and TKA patients, retrospective data were compared from 12 consecutive months before (group A, n = 336 procedures) and after (group B, n = 436 procedures) project initiation. TXA administration increased with project implementation (group A = 3.57%, group B = 86.01%) and was associated with reductions in perioperative hemoglobin decrement (20.2%), patients transfused (45%), and number of units transfused per patient (61.9%). Cost savings were notable per patient ($128) and annually program wide ($55,884) with the primary THA subgroup contributing the most to the savings. No increase in adverse effects was observed. Standardized administration of TXA is an effective and economically favorable blood-reduction strategy for patients undergoing elective THA or TKA. Although reduction in transfusions with TXA may be greater after TKA, the economic and clinical impact of transfusion reduction is more substantial in THA patients. Copyright © 2017 Elsevier Inc. All rights reserved.

  5. Comparison of accelerated pavement test results with long term pavement behaviour and performance

    CSIR Research Space (South Africa)

    Jooste, FJ

    1997-08-01

    Full Text Available The aim of this study was to investigate the following:how accelerated pavement testing predictions compare with actual road behaviour and performance the relative influences of load and environmental factors on pavement deterioration and how well...

  6. Calibration of full-scale accelerated pavement testing data using long-term pavement performance data

    CSIR Research Space (South Africa)

    VdM Steyn, WJ

    2012-09-01

    Full Text Available Accelerated Pavement Testing (APT) has always been conducted with the objective of improving the understanding of real pavements under real traffic and environmental conditions. While APT provides an accelerated view of some of the major structural...

  7. MoDOT pavement preservation research program volume IV, pavement evaluation tools-data collection methods.

    Science.gov (United States)

    2015-10-01

    The overarching goal of the MoDOT Pavement Preservation Research Program, Task 3: Pavement Evaluation Tools Data : Collection Methods was to identify and evaluate methods to rapidly obtain network-level and project-level information relevant to :...

  8. Verification of mechanistic-empirical design models for flexible pavements through accelerated pavement testing : technical summary.

    Science.gov (United States)

    2014-08-01

    Midwest States Accelerated Pavement Testing Pooled-Fund Program, financed by the : highway departments of Kansas, Iowa, and Missouri, has supported an accelerated : pavement testing (APT) project to validate several models incorporated in the NCHRP :...

  9. Verification of mechanistic-empirical design models for flexible pavements through accelerated pavement testing.

    Science.gov (United States)

    2014-08-01

    The Midwest States Accelerated Pavement Testing Pooled Fund Program, financed by the highway : departments of Kansas, Iowa, and Missouri, has supported an accelerated pavement testing (APT) project to : validate several models incorporated in the NCH...

  10. Feasibility of reclaimed asphalt pavement as aggregate in portland cement concrete pavement, phase II : field demonstration.

    Science.gov (United States)

    2015-10-01

    This research was focused on evaluating the feasibility of using minimally processed reclaimed asphalt pavement (RAP) as : aggregate replacement in concrete pavements. An initial phase of research demonstrated that concretes with up to 50 percent : o...

  11. Feasibility of reclaimed asphalt pavement as aggregate in portland cement concrete pavements.

    Science.gov (United States)

    2013-11-01

    This research effort was focused on evaluating the feasibility of using minimally processed reclaimed : asphalt pavement (RAP) as aggregate replacement in concrete pavements. This research demonstrated : that concretes with up to 50 percent of the fi...

  12. Advanced Pavement Design: Finite Element Modeling for Rigid Pavement Joints, Report II: Model Development

    National Research Council Canada - National Science Library

    Hammons, Michael

    1998-01-01

    .... The objective of this research was to obtain data on the response of the ng'id pavement slab-joint-foundation system by conducting laboratory-scale experiments on jointed rigid pavement models...

  13. An integrated pavement data management and feedback system (PAMS) : evaluation of pavement condition rating procedure.

    Science.gov (United States)

    1984-08-01

    This report describes an evaluation of a method for use in the Highway Needs Study pavement condition rating. The methods by which the Department generates and manages pavement condition data in the overall process of providing a network of highways ...

  14. Existing pavement input information for the mechanistic-empirical pavement design guide.

    Science.gov (United States)

    2009-02-01

    The objective of this study is to systematically evaluate the Iowa Department of Transportations (DOTs) existing Pavement Management Information System (PMIS) with respect to the input information required for Mechanistic-Empirical Pavement Des...

  15. Integration and Evaluation of Automated Pavement Distress Data in INDOT’s Pavement Management System

    Science.gov (United States)

    2017-05-01

    This study was in two parts. The first part established and demonstrated a framework for pavement data integration. This is critical for fulfilling QC/QA needs of INDOTs pavement management system, because the precision of the physical location re...

  16. What is the Best Strategy to Minimize After-Care Costs for Total Joint Arthroplasty in a Bundled Payment Environment?

    Science.gov (United States)

    Slover, James D; Mullaly, Kathleen A; Payne, Ashley; Iorio, Richard; Bosco, Joseph

    2016-12-01

    The post-acute care strategies after lower extremity total joint arthroplasty including the use of post-acute rehabilitation centers and home therapy services are associated with different costs. Providers in bundled payment programs are incentivized to use the most cost-effective strategies. We used decision analysis to examine the impact of extending the inpatient hospital stay to avoid discharge of patients to a post-acute rehabilitation facility. The results of this decision analysis show that extended acute hospital care for up to 5.2 extra days to allow for home discharge, rather than discharge to a post-acute inpatient facility can be financially preferable, provided quality is not negatively impacted. The data demonstrate that because the cost of additional acute care hospital days is relatively small and because the cost of an extended post-acute inpatient rehabilitation facility is high, keeping patients in the acute facility for a few extra days and then discharging them directly to home may result in an overall lower cost than discharge after a shorter hospital stay to an expensive post-acute facility. However, this approach will have challenges, and future studies are needed to evaluate this change in strategy. Copyright © 2016 Elsevier Inc. All rights reserved.

  17. Factors Affecting Pavement Surface and Evaluation Rating Accuracy and Variability

    OpenAIRE

    Montgomery, Sharlan R; Haddock, John E

    2018-01-01

    The collection of sufficient, accurate, and consistent pavement condition data is essential to an effective pavement management system. Condition data drive a variety of pavement management tasks such as: • Predicting future pavement performance• Identifying current and future maintenance and rehabilitation needs • Estimating budget needs and requirements • Reporting to decision makers • Selecting appropriate pavement management tools Pavement condition data are represented at either th...

  18. Enhancing pavement performance prediction models for the Illinois Tollway System

    OpenAIRE

    Laxmikanth Premkumar; William R. Vavrik

    2016-01-01

    Accurate pavement performance prediction represents an important role in prioritizing future maintenance and rehabilitation needs, and predicting future pavement condition in a pavement management system. The Illinois State Toll Highway Authority (Tollway) with over 2000 lane miles of pavement utilizes the condition rating survey (CRS) methodology to rate pavement performance. Pavement performance models developed in the past for the Illinois Department of Transportation (IDOT) are used by th...

  19. Power plant allocation in East Kalimantan considering total cost and emissions

    Science.gov (United States)

    Muslimin; Utomo, D. S.

    2018-04-01

    The fulfillment of electricity need in East Kalimantan is the responsibility of State Electricity Company/Perusahaan Listrik Negara (PLN). But PLN faces constraints in the lack of generating capacity it has. So the allocation of power loads in East Kalimantan has its own challenges. Additional power supplies from other parties are required. In this study, there are four scenarios tested to meet the electricity needs in East Kalimantan with the goal of minimizing costs and emissions. The first scenario is only by using PLN power plant. The second scenario is by combining PLN + Independent Power Producer (IPP) power plants. The third scenario is by using PLN + Rented power plants. The fourth scenario is by using PLN + Excess capacity generation. Numerical experiment using nonlinear programming is conducted with the help of the solver. The result shows that in the peak load condition, the best combination is scenario 2 (PLN + IPP). While at the lowest load condition, the cheapest scenario is PLN + IPP while the lowest emission is PLN + Rent.

  20. Using Tire/Pavement Interface Noise Results to Define Statistically Similar Bituminous Pavements in Massachusetts

    OpenAIRE

    Hencken, John; Haas, Edwin; Bennert, Thomas

    2012-01-01

    In October 2010, the Center for Advanced Infrastructure and Transportation (CAIT) utilized the On-Board Sound Intensity Method in Massachusetts to evaluate seven Open-Graded Friction Courses (OGFC) and eight Asphalt Rubber Gap Graded (ARGG) pavements for MassDOT. Since major concerns regarding pavement selection in the northeast revolve around winter conditions and winter maintenance, if noise level similarities could be found between ARGG and OGFC pavements, pavement engineers would be able ...

  1. Kinect, a Novel Cutting Edge Tool in Pavement Data Collection

    Science.gov (United States)

    Mahmoudzadeh, A.; Firoozi Yeganeh, S.; Golroo, A.

    2015-12-01

    Pavement roughness and surface distress detection is of interest of decision makers due to vehicle safety, user satisfaction, and cost saving. Data collection, as a core of pavement management systems, is required for these detections. There are two major types of data collection: traditional/manual data collection and automated/semi-automated data collection. This paper study different non-destructive tools in detecting cracks and potholes. For this purpose, automated data collection tools, which have been utilized recently are discussed and their applications are criticized. The main issue is the significant amount of money as a capital investment needed to buy the vehicle. The main scope of this paper is to study the approach and related tools that not only are cost-effective but also precise and accurate. The new sensor called Kinect has all of these specifications. It can capture both RGB images and depth which are of significant use in measuring cracks and potholes. This sensor is able to take image of surfaces with adequate resolution to detect cracks along with measurement of distance between sensor and obstacles in front of it which results in depth of defects. This technology has been very recently studied by few researchers in different fields of studies such as project management, biomedical engineering, etc. Pavement management has not paid enough attention to use of Kinect in monitoring and detecting distresses. This paper is aimed at providing a thorough literature review on usage of Kinect in pavement management and finally proposing the best approach which is cost-effective and precise.

  2. KINECT, A NOVEL CUTTING EDGE TOOL IN PAVEMENT DATA COLLECTION

    Directory of Open Access Journals (Sweden)

    A. Mahmoudzadeh

    2015-12-01

    Full Text Available Pavement roughness and surface distress detection is of interest of decision makers due to vehicle safety, user satisfaction, and cost saving. Data collection, as a core of pavement management systems, is required for these detections. There are two major types of data collection: traditional/manual data collection and automated/semi-automated data collection. This paper study different non-destructive tools in detecting cracks and potholes. For this purpose, automated data collection tools, which have been utilized recently are discussed and their applications are criticized. The main issue is the significant amount of money as a capital investment needed to buy the vehicle. The main scope of this paper is to study the approach and related tools that not only are cost-effective but also precise and accurate. The new sensor called Kinect has all of these specifications. It can capture both RGB images and depth which are of significant use in measuring cracks and potholes. This sensor is able to take image of surfaces with adequate resolution to detect cracks along with measurement of distance between sensor and obstacles in front of it which results in depth of defects. This technology has been very recently studied by few researchers in different fields of studies such as project management, biomedical engineering, etc. Pavement management has not paid enough attention to use of Kinect in monitoring and detecting distresses. This paper is aimed at providing a thorough literature review on usage of Kinect in pavement management and finally proposing the best approach which is cost-effective and precise.

  3. A total cost perspective on use of polymeric materials in solar collectors – Importance of environmental performance on suitability

    International Nuclear Information System (INIS)

    Carlsson, Bo; Persson, Helena; Meir, Michaela; Rekstad, John

    2014-01-01

    Highlights: • A polymeric solar collector system was compared with two traditional ones. • It was found the best in terms of climatic performance per solar heat collected. • The differences in climatic cost between the systems compared however are small. • The low climatic cost makes solar heating better compared to natural gas heating. • Use of Ecoindicator 99 for environmental cost makes solar heating even better. - Abstract: To assess the suitability of solar collector systems in which polymeric materials are used versus those in which more traditional materials are used, a case study was undertaken. In this case study a solar heating system with polymeric solar collectors was compared with two equivalent but more traditional solar heating systems: one with flat plate solar collectors and one with evacuated tube solar collectors. To make the comparison, a total cost accounting approach was adopted. The life cycle assessment (LCA) results clearly indicated that the polymeric solar collector system is the best as regards climatic and environmental performance when they are expressed in terms of the IPPC 100 a indicator and the Ecoindicator 99, H/A indicator, respectively. In terms of climatic and environmental costs per amount of solar heat collected, the differences between the three kinds of collector systems were small when compared with existing energy prices. With the present tax rates, it seems unlikely that the differences in environmental and climatic costs will have any significant influence on which system is the most favoured, from a total cost point of view. In the choice between a renewable heat source and a heat source based on the use of a fossil fuel, the conclusion was that for climatic performance to be an important economic factor, the tax or trade rate of carbon dioxide emissions must be increased significantly, given the initial EU carbon dioxide emission trade rate. The rate would need to be at least of the same order of magnitude

  4. Pavement Preservation for Elected Officials: The Inside Story of Pavement Deterioration

    OpenAIRE

    Olson, Jim

    2012-01-01

    This session is intended to provide elected officials and practitioners with an introduction to the concept of pavement preservation and its applicability within public agencies. Topics include definitions, budget planning, pavement life, road networks, alternative strategies, pavement distresses, guidelines and preservation treatments.

  5. Direct hospital costs of total laparoscopic hysterectomy compared with fast-track open hysterectomy at a tertiary hospital: a retrospective case-controlled study.

    Science.gov (United States)

    Rhou, Yoon J J; Pather, Selvan; Loadsman, John A; Campbell, Neil; Philp, Shannon; Carter, Jonathan

    2015-12-01

    To assess the direct intraoperative and postoperative costs in women undergoing total laparoscopic hysterectomy and fast-track open hysterectomy. A retrospective review of the direct hospital-related costs in a matched cohort of women undergoing total laparoscopic hysterectomy (TLH) and fast-track open hysterectomy (FTOH) at a tertiary hospital. All costs were calculated, including the cost of advanced high-energy laparoscopic devices. The effect of the learning curve on cost in laparoscopic hysterectomy was also assessed, as was the hospital case-weighted cost, which was compared with the actual cost. Fifty women were included in each arm of the study. TLH had a higher intraoperative cost, but a lower postoperative cost than FTOH (AUD$3877 vs AUD$2776 P funding model in our hospital is inaccurate when compared to directly calculated hospital costs. © 2013 The Authors ANZJOG © 2013 The Royal Australian and New Zealand College of Obstetricians and Gynaecologists.

  6. Benefits of using customized instrumentation in total knee arthroplasty: results from an activity-based costing model.

    Science.gov (United States)

    Tibesku, Carsten O; Hofer, Pamela; Portegies, Wesley; Ruys, C J M; Fennema, Peter

    2013-03-01

    The growing demand for total knee arthroplasty (TKA) associated with the efforts to contain healthcare expenditure by advanced economies necessitates the use of economically effective technologies in TKA. The present analysis based on activity-based costing (ABC) model was carried out to estimate the economic value of patient-matched instrumentation (PMI) compared to standard surgical instrumentation in TKA. The costs of the two approaches, PMI and standard instrumentation in TKA, were determined by the use of ABC which measures the cost of a particular procedure by determining the activities involved and adding the cost of each activity. Improvement in productivity due to increased operating room (OR) turn-around times was determined and potential additional revenue to the hospital by the efficient utilization of gained OR time was estimated. Increased efficiency in the usage of OR and utilization of surgical trays were noted with patient-specific approach. Potential revenues to the hospital were estimated with the use of PMI by efficient utilization of time saved in OR. Additional revenues of 78,240 per year were estimated considering utilization of gained OR time to perform surgeries other than TKA. The analysis suggests that use of PMI in TKA is economically effective when compared to standard instrumentation.

  7. Long Life Pavements; Firmes de larga duracion

    Energy Technology Data Exchange (ETDEWEB)

    Mateos Moreno, A.; Marron Fernandez, J. O.; Perez Ayuso, J.

    2009-07-01

    The existence of long-life pavements is not new; they have been built in Europe and the United States for decades. In fact, the concept arises from the observation of in-service roads; it was verified how particular pavements, initially designed for a 20-year service life, did not seem to have reduced the bearing capacity along the time, and its maintenance necessities had been exclusively focused on the wearing course. The base idea of long-life pavements is the existence of a fatigue threshold below which the damage produced by each load application is, in practice, zero or below the healing potential of the asphalt mix. The use practice of long-life pavements design considers a pavements constituted by three asphalt layers, each one with a very specific role: a wearing course that provides with the surface characteristics, an intermediate course that provides with most of the structural capacity and a base course that provides with the fatigue resistance. Furthermore, one of the particularities is the design against specific distress mechanisms. Maintenance strategy also presents specific particularities for long-life pavements. It is essentially focused on the detection of surface deterioration, and the appropriate and timely repair, before the damage extends beyond the wearing course, putting into risk the structural integrity of the pavement. Nowadays, this new way to conceive the design, the construction and the maintenance of road pavements, constitutes one of the main challenges for pavement engineering worldwide. (Author) 5 refs.

  8. Optimum analysis of pavement maintenance using multi-objective genetic algorithms

    Directory of Open Access Journals (Sweden)

    Amr A. Elhadidy

    2015-04-01

    Full Text Available Road network expansion in Egypt is considered as a vital issue for the development of the country. This is done while upgrading current road networks to increase the safety and efficiency. A pavement management system (PMS is a set of tools or methods that assist decision makers in finding optimum strategies for providing and maintaining pavements in a serviceable condition over a given period of time. A multi-objective optimization problem for pavement maintenance and rehabilitation strategies on network level is discussed in this paper. A two-objective optimization model considers minimum action costs and maximum condition for used road network. In the proposed approach, Markov-chain models are used for predicting the performance of road pavement and to calculate the expected decline at different periods of time. A genetic-algorithm-based procedure is developed for solving the multi-objective optimization problem. The model searched for the optimum maintenance actions at adequate time to be implemented on an appropriate pavement. Based on the computing results, the Pareto optimal solutions of the two-objective optimization functions are obtained. From the optimal solutions represented by cost and condition, a decision maker can easily obtain the information of the maintenance and rehabilitation planning with minimum action costs and maximum condition. The developed model has been implemented on a network of roads and showed its ability to derive the optimal solution.

  9. Environmental aspects of the implementation of geogrids for pavement optimisation

    Science.gov (United States)

    Kawalec, Jacek; Gołos, Michał; Mazurowski, Piotr

    2018-05-01

    Technological developments in highway construction should not only result in durable, safe and cost-effective solutions for roads and pavements but also, and perhaps above all, lead to solutions that minimise the negative impact of construction on the environment. One of the ways to ensure these requirements are met is to apply technology using geosynthetics. This paper discusses the stabilisation of aggregate with hexagonal geogrids and the benefits - from the point of view of reducing the emission of harmful gases to the atmosphere - which can be realised from this approach, compared with traditional approaches. Solutions for the improvement of weak subgrades and optimisation of the entire pavement structure are discussed, along with the presentation of sample calculations of greenhouse gas emissions, carried out with the use of specialized software related to the construction of the structures in various technologies.

  10. AN OPTIMAL MAINTENANCE MANAGEMENT MODEL FOR AIRPORT CONCRETE PAVEMENT

    Science.gov (United States)

    Shimomura, Taizo; Fujimori, Yuji; Kaito, Kiyoyuki; Obama, Kengo; Kobayashi, Kiyoshi

    In this paper, an optimal management model is formulated for the performance-based rehabilitation/maintenance contract for airport concrete pavement, whereby two types of life cycle cost risks, i.e., ground consolidation risk and concrete depreciation risk, are explicitly considered. The non-homogenous Markov chain model is formulated to represent the deterioration processes of concrete pavement which are conditional upon the ground consolidation processes. The optimal non-homogenous Markov decision model with multiple types of risk is presented to design the optimal rehabilitation/maintenance plans. And the methodology to revise the optimal rehabilitation/maintenance plans based upon the monitoring data by the Bayesian up-to-dating rules. The validity of the methodology presented in this paper is examined based upon the case studies carried out for the H airport.

  11. Template-Directed Instrumentation Reduces Cost and Improves Efficiency for Total Knee Arthroplasty: An Economic Decision Analysis and Pilot Study.

    Science.gov (United States)

    McLawhorn, Alexander S; Carroll, Kaitlin M; Blevins, Jason L; DeNegre, Scott T; Mayman, David J; Jerabek, Seth A

    2015-10-01

    Template-directed instrumentation (TDI) for total knee arthroplasty (TKA) may streamline operating room (OR) workflow and reduce costs by preselecting implants and minimizing instrument tray burden. A decision model simulated the economics of TDI. Sensitivity analyses determined thresholds for model variables to ensure TDI success. A clinical pilot was reviewed. The accuracy of preoperative templates was validated, and 20 consecutive primary TKAs were performed using TDI. The model determined that preoperative component size estimation should be accurate to ±1 implant size for 50% of TKAs to implement TDI. The pilot showed that preoperative template accuracy exceeded 97%. There were statistically significant improvements in OR turnover time and in-room time for TDI compared to an historical cohort of TKAs. TDI reduces costs and improves OR efficiency. Copyright © 2015 Elsevier Inc. All rights reserved.

  12. Integrated batch production and maintenance scheduling for multiple items processed on a deteriorating machine to minimize total production and maintenance costs with due date constraint

    Directory of Open Access Journals (Sweden)

    Zahedi Zahedi

    2016-04-01

    Full Text Available This paper discusses an integrated model of batch production and maintenance scheduling on a deteriorating machine producing multiple items to be delivered at a common due date. The model describes the trade-off between total inventory cost and maintenance cost as the increase of production run length. The production run length is a time bucket between two consecutive preventive maintenance activities. The objective function of the model is to minimize total cost consisting of in process and completed part inventory costs, setup cost, preventive and corrective maintenance costs and rework cost. The problem is to determine the optimal production run length and to schedule the batches obtained from determining the production run length in order to minimize total cost.

  13. Pavement management segment consolidation

    Science.gov (United States)

    1998-01-01

    Dividing roads into "homogeneous" segments has been a major problem for all areas of highway engineering. SDDOT uses Deighton Associates Limited software, dTIMS, to analyze life-cycle costs for various rehabilitation strategies on each segment of roa...

  14. Associations between preoperative physical therapy and post-acute care utilization patterns and cost in total joint replacement.

    Science.gov (United States)

    Snow, Richard; Granata, Jaymes; Ruhil, Anirudh V S; Vogel, Karen; McShane, Michael; Wasielewski, Ray

    2014-10-01

    Health-care costs following acute hospital care have been identified as a major contributor to regional variation in Medicare spending. This study investigated the associations of preoperative physical therapy and post-acute care resource use and its effect on the total cost of care during primary hip or knee arthroplasty. Historical claims data were analyzed using the Centers for Medicare & Medicaid Services Limited Data Set files for Diagnosis Related Group 470. Analysis included descriptive statistics of patient demographic characteristics, comorbidities, procedures, and post-acute care utilization patterns, which included skilled nursing facility, home health agency, or inpatient rehabilitation facility, during the ninety-day period after a surgical hospitalization. To evaluate the associations, we used bivariate and multivariate techniques focused on post-acute care use and total episode-of-care costs. The Limited Data Set provided 4733 index hip or knee replacement cases for analysis within the thirty-nine-county Medicare hospital referral cluster. Post-acute care utilization was a significant variable in the total cost of care for the ninety-day episode. Overall, 77.0% of patients used post-acute care services after surgery. Post-acute care utilization decreased if preoperative physical therapy was used, with only 54.2% of the preoperative physical therapy cohort using post-acute care services. However, 79.7% of the non-preoperative physical therapy cohort used post-acute care services. After adjusting for demographic characteristics and comorbidities, the use of preoperative physical therapy was associated with a significant 29% reduction in post-acute care use, including an $871 reduction of episode payment driven largely by a reduction in payments for skilled nursing facility ($1093), home health agency ($527), and inpatient rehabilitation ($172). The use of preoperative physical therapy was associated with a 29% decrease in the use of any post-acute care

  15. Cost-effectiveness of cervical total disc replacement vs fusion for the treatment of 2-level symptomatic degenerative disc disease.

    Science.gov (United States)

    Ament, Jared D; Yang, Zhuo; Nunley, Pierce; Stone, Marcus B; Kim, Kee D

    2014-12-01

    Cervical total disc replacement (CTDR) was developed to treat cervical spondylosis, while preserving motion. While anterior cervical discectomy and fusion (ACDF) has been the standard of care for 2-level disease, a randomized clinical trial (RCT) suggested similar outcomes. Cost-effectiveness of this intervention has never been elucidated. To determine the cost-effectiveness of CTDR compared with ACDF. Data were derived from an RCT that followed up 330 patients over 24 months. The original RCT consisted of multi-institutional data including private and academic institutions. Using linear regression for the current study, health states were constructed based on the stratification of the Neck Disability Index and a visual analog scale. Data from the 12-item Short-Form Health Survey questionnaires were transformed into utilities values using the SF-6D mapping algorithm. Costs were calculated by extracting Diagnosis-Related Group codes from institutional billing data and then applying 2012 Medicare reimbursement rates. The costs of complications and return-to-work data were also calculated. A Markov model was built to evaluate quality-adjusted life-years (QALYs) for both treatment groups. The model adopted a third-party payer perspective and applied a 3% annual discount rate. Patients included in the original RCT had to be diagnosed as having radiculopathy or myeloradiculopathy at 2 contiguous levels from C3-C7 that was unresponsive to conservative treatment for at least 6 weeks or demonstrated progressive symptoms. Incremental cost-effectiveness ratio of CTDR compared with ACDF. A strong correlation (R2 = 0.6864; P sensitivity analysis, the incremental cost-effectiveness ratio value stays below the threshold of $50,000 per QALY in most scenarios (range, -$58,194 to $147,862 per QALY). The incremental cost-effectiveness ratio of CTDR compared with traditional ACDF is lower than the commonly accepted threshold of $50,000 per QALY. This remains true with varying input

  16. Using Value-Focused Thinking to Evaluate the Practicality of Porous Pavement Parking Areas on Air Force Installations

    Science.gov (United States)

    2006-03-01

    data for conventional systems was obtained mainly through the RS Means Assemblies Cost Data book (Balboni, 2005) while Bruce Ferguson’s Porous...Pavements book provided much of the information for porous systems (Ferguson, 2005). Additional information regarding pavement maintenance, inspection...Jacobs, M. M. J., Stet, M. J. A., & Molenaar , A. A. A. (2002). Decision model for the use of polymer modified binders in asphalt concrete for airfields

  17. 3D-FEM Analysis on Geogrid Reinforced Flexible Pavement Roads

    Science.gov (United States)

    Calvarano, Lidia Sarah; Palamara, Rocco; Leonardi, Giovanni; Moraci, Nicola

    2017-12-01

    Nowadays, the need to increase pavement service life, guarantee high performance, reduce service and maintenance costs has been turned a greater attention on the use of reinforcements. This paper presents findings of a numerical investigation on geogrid reinforced flexible pavement roads, under wheel traffic loads, using a three-dimensional Finite Element Method (FEM). The results obtained show the effectiveness of glass fibre grids as reinforcement which, with appropriate design and correct installation, by improving interface shear resistance, can be used to expand the performance of flexible pavements in different ways: by increasing the road service life providing a relevant contribution against superficial rutting or by decreasing the construction costs due to the reduction in the reinforced HMA layer thickness and thus of mineral aggregate required for its construction.

  18. A Flexible Job Shop Scheduling Problem with Controllable Processing Times to Optimize Total Cost of Delay and Processing

    Directory of Open Access Journals (Sweden)

    Hadi Mokhtari

    2015-11-01

    Full Text Available In this paper, the flexible job shop scheduling problem with machine flexibility and controllable process times is studied. The main idea is that the processing times of operations may be controlled by consumptions of additional resources. The purpose of this paper to find the best trade-off between processing cost and delay cost in order to minimize the total costs. The proposed model, flexible job shop scheduling with controllable processing times (FJCPT, is formulated as an integer non-linear programming (INLP model and then it is converted into an integer linear programming (ILP model. Due to NP-hardness of FJCPT, conventional analytic optimization methods are not efficient. Hence, in order to solve the problem, a Scatter Search (SS, as an efficient metaheuristic method, is developed. To show the effectiveness of the proposed method, numerical experiments are conducted. The efficiency of the proposed algorithm is compared with that of a genetic algorithm (GA available in the literature for solving FJSP problem. The results showed that the proposed SS provide better solutions than the existing GA.

  19. Sensitivity quantification of airport concrete pavement stress responses associated with top-down and bottom-up cracking

    Directory of Open Access Journals (Sweden)

    Adel Rezaei-Tarahomi

    2017-09-01

    Full Text Available The Federal Aviation Administration’s (FAA’s rigid pavement design standard employs the NIKE3D-FAA software to compute critical pavement responses of concrete airport pavement structures. NIKE3D-FAA is a modification of the original NIKE3D three-dimensional finite element analysis program developed by the Lawrence Livermore National Laboratory (LLNL of the U.S. Department of Energy, and is currently used in the FAA’s FAARFIELD program. This study evaluated the sensitivity of NIKE3D-FAA rigid pavement responses with respect to top-down and bottom-up cracking. The analysis was conducted by positioning a Boeing 777-300ER (B777-300ERaircraft at different locations (interior, corner, and edge of slab as baseline while varying other NIKE3D-FAA inputs, including rigid pavement geometric features, mechanical properties of paving and foundation materials, equivalent temperature gradient and thermal coefficient of Portland Cement Concrete (PCC layers. Several sensitivity charts were developed by examining the sensitivity of critical pavement responses to each input variation. Sensitivity evaluations were performed using a normalized sensitivity index (NSI as the quantitative metric. Using such sensitivity evaluation, the most significant NIKE3D-FAA input parameters for generating an effective synthetic database that will lower computational cost for future modeling developments were identified. Keywords: Sensitivity analysis, Airfield concrete pavement, Finite element analysis, Top down cracking

  20. A protocol for sustained reduction of Total Parenteral Nutrition and cost savings by improvement of nutritional care in hospitals.

    Science.gov (United States)

    van Schaik, Rian; Van den Abeele, Kurt; Melsens, Glenn; Schepens, Peter; Lanssens, Truus; Vlaemynck, Bernadette; Devisch, Maria; Niewold, Theo A

    2016-10-01

    Malnutrition and the use of Total Parenteral Nutrition (TPN) contribute considerably to hospital costs. Recently, we reported on the introduction of malnutrition screening and monitoring of TPN use in our hospital, which resulted in a large (40%) reduction in TPN and improved quality of nutritional care in two years (2011/12). Here, we aimed to assure continuation of improved care by developing a detailed malnutrition screening and TPN use protocol involving instruction tools for hospital staff, while monitoring the results in the following two years (2013/14). A TPN decision tree for follow up of TPN in patients and a TP-EN instruction card for caregivers was introduced, showing TPN/EN introduction schedules based on the energy needs of patients according to EB guidelines, also addressing the risk of refeeding syndrome. TPN patients were monitored by dietitians and TPN usage and costs were presented to the (medical) staff. Screening and treatment of malnourished patients by dietitians is simultaneously ongoing. In 2014 48% of patients, hospitalized for at least 48 h, were screened on malnutrition, 17% of them were diagnosed at risk, 7.9% malnourished and treated by dietitians. TPN usage dropped by 53% and cost savings of 51% were obtained due to 50% decrease of TPN users in 2014 versus 2010. TPN over EN ratio dropped from 2.4 in 2010 to 1.2 in 2014. Sustained improvement of nutritional care and reduction of TPN usage and costs is possible by introduction of procedures embedded in the existing structures. Copyright © 2016 European Society for Clinical Nutrition and Metabolism. Published by Elsevier Ltd. All rights reserved.

  1. Modelling Flexible Pavement Response and Performance

    DEFF Research Database (Denmark)

    Ullidtz, Per

    This textbook is primarily concerned with models for predicting the future condition of flexible pavements, as a function of traffic loading, climate, materials, etc., using analytical-empirical methods.......This textbook is primarily concerned with models for predicting the future condition of flexible pavements, as a function of traffic loading, climate, materials, etc., using analytical-empirical methods....

  2. Numerical Simulation of Tire-Pavement Interaction

    NARCIS (Netherlands)

    Srirangam, S.K.

    2015-01-01

    Good skid resistance of a pavement surface is essential for road safety. Loss of skid resistance can lead to property damage and loss of lives. Ever increasing need of driver safety poses challenges to the highway authorities to evaluate pavement conditions even more precisely under different

  3. Load Response Analysis of Asphalt Pavement

    Directory of Open Access Journals (Sweden)

    Xiao Zhijun

    2016-01-01

    Full Text Available Based on the filed data of Fuzhou test road, load response regulation of nonlinear pavement structure was analyzed in this paper; Mechanics software was adopted to analyze linear elastic and nonlinear of the pavement structure, analyzed results and road filed data were compared, and determine the correlation between them and the field data.

  4. Pervious Pavement System Evaluation-Paper

    Science.gov (United States)

    The use of a pervious pavement can be effective as a low impact development stormwater control. The Urban Watershed Management Branch is evaluating interlocking concrete paver systems as a type of porous pavement. Although the pavers are impermeable, the spaces between the pave...

  5. Improving rutting resistance of pavement structures using geosynthetics: an overview.

    Science.gov (United States)

    Mirzapour Mounes, Sina; Karim, Mohamed Rehan; Khodaii, Ali; Almasi, Mohammad Hadi

    2014-01-01

    A pavement structure consists of several layers for the primary purpose of transmitting and distributing traffic loads to the subgrade. Rutting is one form of pavement distresses that may influence the performance of road pavements. Geosynthetics is one type of synthetic materials utilized for improving the performance of pavements against rutting. Various studies have been conducted on using different geosynthetic materials in pavement structures by different researchers. One of the practices is a reinforcing material in asphalt pavements. This paper intends to present and discuss the discoveries from some of the studies on utilizing geosynthetics in flexible pavements as reinforcement against permanent deformation (rutting).

  6. Improving Rutting Resistance of Pavement Structures Using Geosynthetics: An Overview

    Directory of Open Access Journals (Sweden)

    Sina Mirzapour Mounes

    2014-01-01

    Full Text Available A pavement structure consists of several layers for the primary purpose of transmitting and distributing traffic loads to the subgrade. Rutting is one form of pavement distresses that may influence the performance of road pavements. Geosynthetics is one type of synthetic materials utilized for improving the performance of pavements against rutting. Various studies have been conducted on using different geosynthetic materials in pavement structures by different researchers. One of the practices is a reinforcing material in asphalt pavements. This paper intends to present and discuss the discoveries from some of the studies on utilizing geosynthetics in flexible pavements as reinforcement against permanent deformation (rutting.

  7. Fatigue and rutting lives in flexible pavement

    Directory of Open Access Journals (Sweden)

    Ahmed Ebrahim Abu El-Maaty Behiry

    2012-12-01

    Full Text Available Flexible pavement is designed based on axle load limits and climatic conditions. The Egyptian code has specified certain load limits that should not be exceeded. The overweight trucks cause severe deterioration to the pavement and thus reduce its life. The study aims at studying the effect of axle load increase, and the variation in pavement modulus, on the overall pavement life. The research uses the BISAR software and the Egyptian environmental and pavement materials conditions to estimate the tensile strains occurring under the asphalt concrete (AC layer and the compressive strains above the subgrade surface. The results revealed that tensile and compressive strain increased with increasing axle loads and decreased with increasing asphalt layer modulus thus the violating trucks should be unloaded when their weights exceed certain limits. Base thickness and subgrade resilient modulus were the key elements which control the equilibrium between fatigue and rutting lives.

  8. Comparisons of Faulting-Based Pavement Performance Prediction Models

    Directory of Open Access Journals (Sweden)

    Weina Wang

    2017-01-01

    Full Text Available Faulting prediction is the core of concrete pavement maintenance and design. Highway agencies are always faced with the problem of lower accuracy for the prediction which causes costly maintenance. Although many researchers have developed some performance prediction models, the accuracy of prediction has remained a challenge. This paper reviews performance prediction models and JPCP faulting models that have been used in past research. Then three models including multivariate nonlinear regression (MNLR model, artificial neural network (ANN model, and Markov Chain (MC model are tested and compared using a set of actual pavement survey data taken on interstate highway with varying design features, traffic, and climate data. It is found that MNLR model needs further recalibration, while the ANN model needs more data for training the network. MC model seems a good tool for pavement performance prediction when the data is limited, but it is based on visual inspections and not explicitly related to quantitative physical parameters. This paper then suggests that the further direction for developing the performance prediction model is incorporating the advantages and disadvantages of different models to obtain better accuracy.

  9. Analysis of the total system life cycle cost for the Civilian Radioactive Waste Management Program: Volume 1, The analysis and its results

    International Nuclear Information System (INIS)

    1987-06-01

    This report provides cost estimates for the fifth evaluation of the adequacy of the fee and is consistent with the program strategy and plans. The total-system cost for the reference cases in the improved-performance system is estimated at $32.1 to $38.2 billion (expressed in constant 1986 dollars) over the entire life of the system...or $1.5 to $1.6 billion more than that of the authorized system (i.e., the system without an MRS facility). The current estimate of the total-system cost for the reference cases in the improved-performance system is $3.8 to $5.4 billion higher than the estimate for the same system in the 1986 TSLCC analysis. In the case with the maximum increase, nearly all of the higher cost is due to a $5.2-billion increase in the costs of development and evaluation (D and E); all other system costs are essentially unchanged. The cost difference between the improved-performance system and the authorized system is smaller than the difference estimated in last year's TSLCC analysis. Volume 2 presents the detailed results for the 1987 analysis of the total-system life cycle cost (TSLCC). It consists of four sections: Section A presents the yearly flows of waste between waste-management facilities for the 12 aggregate logistics cases that were studied; Section B presents the annual total-system costs for each of the 30 TSLCC cases by major cost category; Section C presents the annual costs for the disposal of 16,000 canisters of defense high-level waste (DHLW) by major cost category for each of the 30 TSLCC cases; and Section D presents a summary of the cost-allocation factors that were calculated to determine the defense waste share of the total-system costs

  10. Surface Distresses Detection of Pavement Based on Digital Image Processing

    OpenAIRE

    Ouyang , Aiguo; Luo , Chagen; Zhou , Chao

    2010-01-01

    International audience; Pavement crack is the main form of early diseases of pavement. The use of digital photography to record pavement images and subsequent crack detection and classification has undergone continuous improvements over the past decade. Digital image processing has been applied to detect the pavement crack for its advantages of large amount of information and automatic detection. The applications of digital image processing in pavement crack detection, distresses classificati...

  11. Integrated fuzzy analytic hierarchy process and VIKOR method in the prioritization of pavement maintenance activities

    Directory of Open Access Journals (Sweden)

    Peyman Babashamsi

    2016-03-01

    Full Text Available Maintenance activities and pavement rehabilitation require the allocation of massive finances. Yet due to budget shortfalls, stakeholders and decision-makers must prioritize projects in maintenance and rehabilitation. This article addresses the prioritization of pavement maintenance alternatives by integrating the fuzzy analytic hierarchy process (AHP with the VIKOR method (which stands for ‘VlseKriterijumska Optimizacija I Kompromisno Resenje,’ meaning multi-criteria optimization and compromise solution for the process of multi-criteria decision analysis (MCDA by considering various pavement network indices. The indices selected include the pavement condition index (PCI, traffic congestion, pavement width, improvement and maintenance costs, and the time required to operate. In order to determine the weights of the indices, the fuzzy AHP is used. Subsequently, the alternatives’ priorities are ranked according to the indices weighted with the VIKOR model. The choice of these two independent methods was motivated by the fact that integrating fuzzy AHP with the VIKOR model can assist decision makers with solving MCDA problems. The case study was conducted on a pavement network within the same particular region in Tehran; three main streets were chosen that have an empirically higher maintenance demand. The most significant factors were evaluated and the project with the highest priority was selected for urgent maintenance. By comparing the index values of the alternative priorities, Delavaran Blvd. was revealed to have higher priority over the other streets in terms of maintenance and rehabilitation activities. Keywords: Maintenance and rehabilitation prioritization, Fuzzy analysis hierarchy process, VIKOR model, Pavement condition index, Multi-criteria decision analysis

  12. Computed tomography for preoperative planning in minimal-invasive total hip arthroplasty: Radiation exposure and cost analysis

    Energy Technology Data Exchange (ETDEWEB)

    Huppertz, Alexander, E-mail: Alexander.Huppertz@charite.de [Imaging Science Institute Charite Berlin, Robert-Koch-Platz 7, D-10115 Berlin (Germany); Department of Radiology, Medical Physics, Charite-University Hospitals of Berlin, Chariteplatz 1, D-10117 Berlin (Germany); Radmer, Sebastian, E-mail: s.radmer@immanuel.de [Department of Orthopedic Surgery and Rheumatology, Immanuel-Krankenhaus, Koenigstr. 63, D-14109, Berlin (Germany); Asbach, Patrick, E-mail: Patrick.Asbach@charite.de [Department of Radiology, Medical Physics, Charite-University Hospitals of Berlin, Chariteplatz 1, D-10117 Berlin (Germany); Juran, Ralf, E-mail: ralf.juran@charite.de [Department of Radiology, Medical Physics, Charite-University Hospitals of Berlin, Chariteplatz 1, D-10117 Berlin (Germany); Schwenke, Carsten, E-mail: carsten.schwenke@scossis.de [Biostatistician, Scossis Statistical Consulting, Zeltinger Str. 58G, D-13465 Berlin (Germany); Diederichs, Gerd, E-mail: gerd.diederichs@charite.de [Department of Radiology, Medical Physics, Charite-University Hospitals of Berlin, Chariteplatz 1, D-10117 Berlin (Germany); Hamm, Bernd, E-mail: Bernd.Hamm@charite.de [Department of Radiology, Medical Physics, Charite-University Hospitals of Berlin, Chariteplatz 1, D-10117 Berlin (Germany); Sparmann, Martin, E-mail: m.sparmann@immanuel.de [Department of Orthopedic Surgery and Rheumatology, Immanuel-Krankenhaus, Koenigstr. 63, D-14109, Berlin (Germany)

    2011-06-15

    Computed tomography (CT) was used for preoperative planning of minimal-invasive total hip arthroplasty (THA). 92 patients (50 males, 42 females, mean age 59.5 years) with a mean body-mass-index (BMI) of 26.5 kg/m{sup 2} underwent 64-slice CT to depict the pelvis, the knee and the ankle in three independent acquisitions using combined x-, y-, and z-axis tube current modulation. Arthroplasty planning was performed using 3D-Hip Plan (Symbios, Switzerland) and patient radiation dose exposure was determined. The effects of BMI, gender, and contralateral THA on the effective dose were evaluated by an analysis-of-variance. A process-cost-analysis from the hospital perspective was done. All CT examinations were of sufficient image quality for 3D-THA planning. A mean effective dose of 4.0 mSv (SD 0.9 mSv) modeled by the BMI (p < 0.0001) was calculated. The presence of a contralateral THA (9/92 patients; p = 0.15) and the difference between males and females were not significant (p = 0.08). Personnel involved were the radiologist (4 min), the surgeon (16 min), the radiographer (12 min), and administrative personnel (4 min). A CT operation time of 11 min and direct per-patient costs of 52.80 Euro were recorded. Preoperative CT for THA was associated with a slight and justifiable increase of radiation exposure in comparison to conventional radiographs and low per-patient costs.

  13. Extending total parenteral nutrition hang time in the neonatal intensive care unit: is it safe and cost effective?

    Science.gov (United States)

    Balegar V, Kiran Kumar; Azeem, Mohammad Irfan; Spence, Kaye; Badawi, Nadia

    2013-01-01

    To investigate the effects of prolonging hang time of total parenteral nutrition (TPN) fluid on central line-associated blood stream infection (CLABSI), TPN-related cost and nursing workload. A before-after observational study comparing the practice of hanging TPN bags for 48 h (6 February 2009-5 February 2010) versus 24 h (6 February 2008-5 February 2009) in a tertiary neonatal intensive care unit was conducted. The main outcome measures were CLABSI, TPN-related expenses and nursing workload. One hundred thirty-six infants received 24-h TPN bags and 124 received 48-h TPN bags. Median (inter-quartile range) gestation (37 weeks (33,39) vs. 36 weeks (33,39)), mean (±standard deviation) admission weight of 2442 g (±101) versus 2476 g (±104) and TPN duration (9.7 days (±12.7) vs. 9.9 days (±13.4)) were similar (P > 0.05) between the 24- and 48-h TPN groups. There was no increase in CLABSI with longer hang time (0.8 vs. 0.4 per 1000 line days in the 24-h vs. 48-h group; P < 0.05). Annual cost saving using 48-h TPN was AUD 97,603.00. By using 48-h TPN, 68.3% of nurses indicated that their workload decreased and 80.5% indicated that time spent changing TPN reduced. Extending TPN hang time from 24 to 48 h did not alter CLABSI rate and was associated with a reduced TPN-related cost and perceived nursing workload. Larger randomised controlled trials are needed to more clearly delineate these effects. © 2012 The Authors. Journal of Paediatrics and Child Health © 2012 Paediatrics and Child Health Division (Royal Australasian College of Physicians).

  14. Cost-analysis of robotic-assisted laparoscopic hysterectomy versus total abdominal hysterectomy for women with endometrial cancer and atypical complex hyperplasia

    DEFF Research Database (Denmark)

    Herling, Suzanne Forsyth; Palle, Connie; Møller, Ann M.

    2016-01-01

    INTRODUCTION: The aim of this study was to analyse the hospital cost of treatment with robotic-assisted laparoscopic hysterectomy and total abdominal hysterectomy for women with endometrial cancer or atypical complex hyperplasia and to identify differences in resource use and cost. MATERIAL...... AND METHODS: This cost analysis was based on two cohorts: women treated with robotic-assisted laparoscopic hysterectomy (n = 202) or with total abdominal hysterectomy (n = 158) at Copenhagen University Hospital, Herlev, Denmark. We conducted an activity-based cost analysis including consumables and healthcare...... professionals' salaries. As cost-drivers we included severe complications, duration of surgery, anesthesia and stay at the post-anesthetic care unit, as well as number of hospital bed-days. Ordinary least-squares regression was used to explore the cost variation. The primary outcome was cost difference...

  15. Enhancing pavement performance prediction models for the Illinois Tollway System

    Directory of Open Access Journals (Sweden)

    Laxmikanth Premkumar

    2016-01-01

    Full Text Available Accurate pavement performance prediction represents an important role in prioritizing future maintenance and rehabilitation needs, and predicting future pavement condition in a pavement management system. The Illinois State Toll Highway Authority (Tollway with over 2000 lane miles of pavement utilizes the condition rating survey (CRS methodology to rate pavement performance. Pavement performance models developed in the past for the Illinois Department of Transportation (IDOT are used by the Tollway to predict the future condition of its network. The model projects future CRS ratings based on pavement type, thickness, traffic, pavement age and current CRS rating. However, with time and inclusion of newer pavement types there was a need to calibrate the existing pavement performance models, as well as, develop models for newer pavement types.This study presents the results of calibrating the existing models, and developing new models for the various pavement types in the Illinois Tollway network. The predicted future condition of the pavements is used in estimating its remaining service life to failure, which is of immediate use in recommending future maintenance and rehabilitation requirements for the network. Keywords: Pavement performance models, Remaining life, Pavement management

  16. Measuring Carbon Emissions of Pavement Construction in China

    Directory of Open Access Journals (Sweden)

    Youliang Huang

    2016-07-01

    Full Text Available While various methodologies for quantifying carbon emissions of pavement construction are developed worldwide, adopting and promoting the existing tools to China’s market is found fairly challenging due to institutional constraints. Therefore, the objectives of this study are to propose a methodology for measuring carbon emissions of pavement construction compatible with the fixed pricing systems prevalent in China; and develop an automatic tool for carbon estimations. The total carbon emissions are measured by aggregating emissions of energy consumption and materials used along with four stages, namely material manufacture, transportation, construction, and disposal. A set of composite carbon emission factors for energy and materials was calculated based on existing emission factors with the consideration of the boundaries concerned. The quantity of energy and materials used in pavement construction are obtained through bills of quantity and the fixed price system. The database of the emission factors for energy and materials was embedded into a C# based tool, and validated in a real case.

  17. Measuring Carbon Footprint of Flexible Pavement Construction Project in Indonesia

    Directory of Open Access Journals (Sweden)

    Utomo Dwi Hatmoko Jati

    2018-01-01

    Full Text Available Road infrastructure in Indonesia is mainly dominated by flexible pavement type. Its construction process, however, has raised concerns in terms of its environment impacts. This study aims to track and measure the carbon footprint of flexible pavement. The objectives are to map the construction process in relation to greenhouse gas (GHG emissions, to quantify them in terms of carbon dioxide equivalents (CO2e as generated by the process of production and transportation of raw materials, and the operation of plant off-site and on-site project. Data collection was done by having site observations and interviews with project stakeholders. The results show a total emissions of 70.888 tonnes CO2e, consisting of 34.248 tonnes CO2e (48.31% off-site activities and 36.640 tonnes CO2e (51.687% on-site activities. The two highest CO2e emissions were generated by the use of plant for asphalt concrete laying activities accounted 34.827 tonnes CO2e (49.130%, and material transportation accounted 24.921 (35.155%. These findings provide a new perspective of the carbon footprint in flexible pavement and suggest the urgent need for the use of more efficient and environmentally friendly plant in construction process as it shows the most significant contribution on the CO2e. This study provides valuable understanding on the environmental impact of typical flexible pavement projects in Indonesia, and further can be used for developing green road framework.

  18. [Fuel Rod Consolidation Project]: The estimated total life cycle cost for the 30-year operation of prototypical consolidation demonstration equipment: Volume 4, Phase 2

    International Nuclear Information System (INIS)

    1987-01-01

    The Total Life Cycle Costs have been developed for the construction, operation and decommissioning of a single line of hot-cell-enclosed production consolidation equipment operating on spent fuel at the rate of 750 MTU/year for 30 years. The cost estimate is for a single production line that is part of an overall facility at either a Monitored Retrievable Storage or a Repository facility. This overall facility would include other capabilities and possibly other consolidation lines. However, no costs were included in the cost estimate for other portions of the plant, except that staff costs include an overhead charge that reflects the overhead support services in an overall facility

  19. A real-time 3D scanning system for pavement distortion inspection

    International Nuclear Information System (INIS)

    Li, Qingguang; Yao, Ming; Yao, Xun; Xu, Bugao

    2010-01-01

    Pavement distortions, such as rutting and shoving, are the common pavement distress problems that need to be inspected and repaired in a timely manner to ensure ride quality and traffic safety. This paper introduces a real-time, low-cost inspection system devoted to detecting these distress features using high-speed 3D transverse scanning techniques. The detection principle is the dynamic generation and characterization of the 3D pavement profile based on structured light triangulation. To improve the accuracy of the system, a multi-view coplanar scheme is employed in the calibration procedure so that more feature points can be used and distributed across the field of view of the camera. A sub-pixel line extraction method is applied for the laser stripe location, which includes filtering, edge detection and spline interpolation. The pavement transverse profile is then generated from the laser stripe curve and approximated by line segments. The second-order derivatives of the segment endpoints are used to identify the feature points of possible distortions. The system can output the real-time measurements and 3D visualization of rutting and shoving distress in a scanned pavement

  20. Global warming potential of pavements

    Energy Technology Data Exchange (ETDEWEB)

    Santero, Nicholas J [Department of Civil and Environmental Engineering, 407 McLaughlin Hall, University of California, Berkeley, CA 94720-1712 (United States); Horvath, Arpad, E-mail: njsantero@cal.berkeley.ed, E-mail: horvath@ce.berkeley.ed [Department of Civil and Environmental Engineering, 215B McLaughlin Hall, University of California, Berkeley, CA 94720-1712 (United States)

    2009-09-15

    Pavements comprise an essential and vast infrastructure system supporting our transportation network, yet their impact on the environment is largely unquantified. Previous life-cycle assessments have only included a limited number of the applicable life-cycle components in their analysis. This research expands the current view to include eight different components: materials extraction and production, transportation, onsite equipment, traffic delay, carbonation, lighting, albedo, and rolling resistance. Using global warming potential as the environmental indicator, ranges of potential impact for each component are calculated and compared based on the information uncovered in the existing research. The relative impacts between components are found to be orders of magnitude different in some cases. Context-related factors, such as traffic level and location, are also important elements affecting the impacts of a given component. A strategic method for lowering the global warming potential of a pavement is developed based on the concept that environmental performance is improved most effectively by focusing on components with high impact potentials. This system takes advantage of the fact that small changes in high-impact components will have more effect than large changes in low-impact components.

  1. Global warming potential of pavements

    International Nuclear Information System (INIS)

    Santero, Nicholas J; Horvath, Arpad

    2009-01-01

    Pavements comprise an essential and vast infrastructure system supporting our transportation network, yet their impact on the environment is largely unquantified. Previous life-cycle assessments have only included a limited number of the applicable life-cycle components in their analysis. This research expands the current view to include eight different components: materials extraction and production, transportation, onsite equipment, traffic delay, carbonation, lighting, albedo, and rolling resistance. Using global warming potential as the environmental indicator, ranges of potential impact for each component are calculated and compared based on the information uncovered in the existing research. The relative impacts between components are found to be orders of magnitude different in some cases. Context-related factors, such as traffic level and location, are also important elements affecting the impacts of a given component. A strategic method for lowering the global warming potential of a pavement is developed based on the concept that environmental performance is improved most effectively by focusing on components with high impact potentials. This system takes advantage of the fact that small changes in high-impact components will have more effect than large changes in low-impact components.

  2. Analysis of the total system life cycle cost for the Civilian Radioactive Waste Management Program. Volume 1. The analysis and its results

    International Nuclear Information System (INIS)

    1986-04-01

    The total-system life-cycle cost (TSLCC) analysis for the Department of Energy's (DOE) Civilian Radioactive Waste Management Program is an ongoing activity that helps determine whether the revenue-producing mechanism established by the Nuclear Waste Policy Act of 1982 is sufficient to cover the cost of the program. This report provides cost estimates for the fourth evaluation of the adequacy of the fee. The total-system cost for the reference authorized-system program is estimated to be 24 to 32 billion (1985) dollars. The total-system cost for the reference improved-performance system is estimated to be 26 to 34 billion dollars. A number of sensitivity cases were analyzed. For the authorized system, the costs for the sensitivity cases studied range from 21 to 39 billion dollars. For the improved-performance system, which includes a facility for monitored retrievable storage, the total-system cost in the sensitivity cases is estimated to be as high as 41 billion dollars. The factors that affect costs more than any other single factor for both the authorized and the improved-performance systems are delays in repository startup. A preliminary analysis of the impact of extending the burnup of nuclear fuel in the reactor was also performed; its results indicate that the impact is insignificant: the total-system cost is essentially unchanged from the comparable constant-burnup cases. The current estimate of the the total-system cost for the reference authorized system is zero to 3 billion dollars (9%) higher than the estimate for the reference system in the January 1985 TSLCC analysis

  3. Autologous Stem Cell Transplantation in Patients With Multiple Myeloma: An Activity-based Costing Analysis, Comparing a Total Inpatient Model Versus an Early Discharge Model.

    Science.gov (United States)

    Martino, Massimo; Console, Giuseppe; Russo, Letteria; Meliado', Antonella; Meliambro, Nicola; Moscato, Tiziana; Irrera, Giuseppe; Messina, Giuseppe; Pontari, Antonella; Morabito, Fortunato

    2017-08-01

    Activity-based costing (ABC) was developed and advocated as a means of overcoming the systematic distortions of traditional cost accounting. We calculated the cost of high-dose chemotherapy and autologous stem cell transplantation (ASCT) in patients with multiple myeloma using the ABC method, through 2 different care models: the total inpatient model (TIM) and the early-discharge outpatient model (EDOM) and compared this with the approved diagnosis related-groups (DRG) Italian tariffs. The TIM and EDOM models involved a total cost of €28,615.15 and €16,499.43, respectively. In the TIM model, the phase with the greatest economic impact was the posttransplant (recovery and hematologic engraftment) with 36.4% of the total cost, whereas in the EDOM model, the phase with the greatest economic impact was the pretransplant (chemo-mobilization, apheresis procedure, cryopreservation, and storage) phase, with 60.4% of total expenses. In an analysis of each episode, the TIM model comprised a higher absorption than the EDOM. In particular, the posttransplant represented 36.4% of the total costs in the TIM and 17.7% in EDOM model, respectively. The estimated reduction in cost per patient using an EDOM model was over €12,115.72. The repayment of the DRG in Calabrian Region for the ASCT procedure is €59,806. Given the real cost of the transplant, the estimated cost saving per patient is €31,190.85 in the TIM model and €43,306.57 in the EDOM model. In conclusion, the actual repayment of the DRG does not correspond to the real cost of the ASCT procedure in Italy. Moreover, using the EDOM, the cost of ASCT is approximately the half of the TIM model. Copyright © 2017 Elsevier Inc. All rights reserved.

  4. The effect of fiscal incentives on market penetration of electric vehicles: A pairwise comparison of total cost of ownership

    International Nuclear Information System (INIS)

    Lévay, Petra Zsuzsa; Drossinos, Yannis; Thiel, Christian

    2017-01-01

    An important barrier to electric vehicle (EV) sales is their high purchase price compared to internal combustion engine (ICE) vehicles. We conducted total cost of ownership (TCO) calculations to study how costs and sales of EVs relate to each other and to examine the role of fiscal incentives in reducing TCO and increasing EV sales. We composed EV-ICE vehicle pairs that allowed cross-segment and cross-country comparison in eight European countries. Actual car prices were used to calculate the incentives for each model in each country. We found a negative TCO-sales relationship that differs across car segments. Compared to their ICE vehicle pair, big EVs have lower TCO, higher sales, and seem to be less price responsive than small EVs. Three country groups can be distinguished according to the level of fiscal incentives and their impact on TCO and EV sales. In Norway, incentives led to the lowest TCO for the EVs. In the Netherlands, France, and UK the TCO of EVs is close to the TCO of the ICE pairs. In the other countries the TCO of EVs exceeds that of the ICE vehicles. We found that exemptions from flat taxes favour big EVs, while lump-sum subsidies favour small EVs. - Highlights: • Pairwise comparison of EV and ICE vehicle TCO and sales in eight European countries. • In NO, EV TCO is lower than ICE TCO; in NL, FR, and UK, EV TCO is slightly higher. • Compared to ICE vehicles, big EVs have lower TCO and higher sales than small EVs. • Exemptions from flat taxes favour big EVs, lump-sum subsidies favour small EVs. • Most popular EV models: Tesla Model S, Nissan Leaf, Mitsubishi Outlander PHEV.

  5. Joint estimation of vertical total electron content (VTEC) and satellite differential code biases (SDCBs) using low-cost receivers

    Science.gov (United States)

    Zhang, Baocheng; Teunissen, Peter J. G.; Yuan, Yunbin; Zhang, Hongxing; Li, Min

    2018-04-01

    Vertical total electron content (VTEC) parameters estimated using global navigation satellite system (GNSS) data are of great interest for ionosphere sensing. Satellite differential code biases (SDCBs) account for one source of error which, if left uncorrected, can deteriorate performance of positioning, timing and other applications. The customary approach to estimate VTEC along with SDCBs from dual-frequency GNSS data, hereinafter referred to as DF approach, consists of two sequential steps. The first step seeks to retrieve ionospheric observables through the carrier-to-code leveling technique. This observable, related to the slant total electron content (STEC) along the satellite-receiver line-of-sight, is biased also by the SDCBs and the receiver differential code biases (RDCBs). By means of thin-layer ionospheric model, in the second step one is able to isolate the VTEC, the SDCBs and the RDCBs from the ionospheric observables. In this work, we present a single-frequency (SF) approach, enabling the joint estimation of VTEC and SDCBs using low-cost receivers; this approach is also based on two steps and it differs from the DF approach only in the first step, where we turn to the precise point positioning technique to retrieve from the single-frequency GNSS data the ionospheric observables, interpreted as the combination of the STEC, the SDCBs and the biased receiver clocks at the pivot epoch. Our numerical analyses clarify how SF approach performs when being applied to GPS L1 data collected by a single receiver under both calm and disturbed ionospheric conditions. The daily time series of zenith VTEC estimates has an accuracy ranging from a few tenths of a TEC unit (TECU) to approximately 2 TECU. For 73-96% of GPS satellites in view, the daily estimates of SDCBs do not deviate, in absolute value, more than 1 ns from their ground truth values published by the Centre for Orbit Determination in Europe.

  6. Asphalt Pavement Pothole Detection and Segmentation Based on Wavelet Energy Field

    Directory of Open Access Journals (Sweden)

    Penghui Wang

    2017-01-01

    Full Text Available Potholes are one type of pavement surface distresses whose assessment is essential for developing road network maintenance strategies. Existing methods for automatic pothole detection either rely on expensive and high-maintenance equipment or could not segment the pothole accurately. In this paper, an asphalt pavement pothole detection and segmentation method based on energy field is put forward. The proposed method mainly includes two processes. Firstly, the wavelet energy field of the pavement image is constructed to detect the pothole by morphological processing and geometric criterions. Secondly, the detected pothole is segmented by Markov random field model and the pothole edge is extracted accurately. This methodology has been implemented in a MATLAB prototype, trained, and tested on 120 pavement images. The results show that it can effectively distinguish potholes from cracks, patches, greasy dirt, shadows, and manhole covers and accurately segment the pothole. For pothole detection, the method reaches an overall accuracy of 86.7%, with 83.3% precision and 87.5% recall. For pothole segmentation, the overlap degree between the extracted pothole region and the original pothole region is mostly more than 85%, which accounts for 88.6% of the total detected pavement pothole images.

  7. Economic analysis of two-stage septic revision after total hip arthroplasty: What are the relevant costs for the hospital's orthopedic department?

    Science.gov (United States)

    Kasch, R; Assmann, G; Merk, S; Barz, T; Melloh, M; Hofer, A; Merk, H; Flessa, S

    2016-03-01

    The number of septic total hip arthroplasty (THA) revisions is increasing continuously, placing a growing financial burden on hospitals. Orthopedic departments performing septic THA revisions have no basis for decision making regarding resource allocation as the costs of this procedure for the departments are unknown. It is widely assumed that septic THA procedures can only be performed at a loss for the department. Therefore, the purpose of this study was to investigate whether this assumption is true by performing a detailed analysis of the costs and revenues for two-stage septic THA revision. Patients who underwent revision THA for septic loosening in two sessions from January 2009 through March 2012 were included in this retrospective, consecutive cost study from the orthopedic department's point of view. We analyzed variable and case-fixed costs for septic revision THA with special regard to implantation and explantation stay. By using marginal costing approach we neglected hospital-fixed costs. Outcome measures include reimbursement and daily contribution margins. The average direct costs (reimbursement) incurred for septic two-stage revision THA was €10,828 (€24,201). The difference in cost and contribution margins per day was significant (p cost for septic revision THA performed in two sessions. Disregarding hospital-fixed costs the included variable and case fixed-costs were covered by revenues. This study provides cost data, which will be guidance for health care decision makers.

  8. A pilot study to evaluate the cost-effectiveness of ondansetron and granisetron in fractionated total body irradiation

    Energy Technology Data Exchange (ETDEWEB)

    Gibbs, S.J.; Cassoni, A.M. [Middlesex Hospital, London (United Kingdom)

    1996-11-01

    The duration of the antiemetic effect of granisetron was examined in a pilot study of patients (n = 26) undergoing a standard emetogenic stimulus in the form of total body irradiation fractionated over 3-4 days, in a randomized comparison with twice-daily ondansetron. A single intravenous dose of granisetron at the onset of therapy was effective over the entire follow-up period in 50% (6/12) of patients, compared with 77% (10/13) prescribed twice-daily oral ondansetron for 3 or 4 days. The response rate within the first 24 hours from the start of irradiation was 67% (8/12) for granisetron and 77% (10/13) for ondansetron. Granisetron and ondansetron was therefore of similar efficacy within the first 24-hour period, but granisetron was less efficaceous more than 24 hours after the onset of therapy. Patients who required a second dose of granisetron did so at intervals of 12, 42, 47 and 48 hours following the first fraction of radiotherapy. The cost per patient in this study was 48 for granisetron and {sub 1}54 for ondanestron, but the dose scheduling we used cannot be recommended in view of the lower effectiveness of granisetron. (author).

  9. A pilot study to evaluate the cost-effectiveness of ondansetron and granisetron in fractionated total body irradiation

    International Nuclear Information System (INIS)

    Gibbs, S.J.; Cassoni, A.M.

    1996-01-01

    The duration of the antiemetic effect of granisetron was examined in a pilot study of patients (n = 26) undergoing a standard emetogenic stimulus in the form of total body irradiation fractionated over 3-4 days, in a randomized comparison with twice-daily ondansetron. A single intravenous dose of granisetron at the onset of therapy was effective over the entire follow-up period in 50% (6/12) of patients, compared with 77% (10/13) prescribed twice-daily oral ondansetron for 3 or 4 days. The response rate within the first 24 hours from the start of irradiation was 67% (8/12) for granisetron and 77% (10/13) for ondansetron. Granisetron and ondansetron was therefore of similar efficacy within the first 24-hour period, but granisetron was less efficaceous more than 24 hours after the onset of therapy. Patients who required a second dose of granisetron did so at intervals of 12, 42, 47 and 48 hours following the first fraction of radiotherapy. The cost per patient in this study was 48 for granisetron and 1 54 for ondanestron, but the dose scheduling we used cannot be recommended in view of the lower effectiveness of granisetron. (author)

  10. Rising Use Of Observation Care Among The Commercially Insured May Lead to Total And Out-Of-Pocket Cost Savings.

    Science.gov (United States)

    Adrion, Emily R; Kocher, Keith E; Nallamothu, Brahmajee K; Ryan, Andrew M

    2017-12-01

    Proponents of hospital-based observation care argue that it has the potential to reduce health care spending and lengths-of-stay, compared to short-stay inpatient hospitalizations. However, critics have raised concerns about the out-of-pocket spending associated with observation care. Recent reports of high out-of-pocket spending among Medicare beneficiaries have received considerable media attention and have prompted direct policy changes. Despite the potential for changed policies to indirectly affect non-Medicare patients, little is known about the use of, and spending associated with, observation care among commercially insured populations. Using multipayer commercial claims for the period 2009-13, we evaluated utilization and spending among patients admitted for six conditions that are commonly managed with either observation care or short-stay hospitalizations. In our study period, the use of observation care increased relative to that of short-stay hospitalizations. Total and out-of-pocket spending were substantially lower for observation care, though both grew rapidly-and at rates much higher than spending in the inpatient setting-over the study period. Despite this growth, spending on observation care is unlikely to exceed spending for short-stay hospitalizations. As observation care attracts greater attention, policy makers should be aware that Medicare policies that disincentivize observation may have unintended financial impacts on non-Medicare populations, where observation care may be cost saving.

  11. Total cost of care lower among Medicare fee-for-service beneficiaries receiving care from patient-centered medical homes.

    Science.gov (United States)

    van Hasselt, Martijn; McCall, Nancy; Keyes, Vince; Wensky, Suzanne G; Smith, Kevin W

    2015-02-01

    To compare health care utilization and payments between NCQA-recognized patient-centered medical home (PCMH) practices and practices without such recognition. Medicare Part A and B claims files from July 1, 2007 to June 30, 2010, 2009 Census, 2007 Health Resources and Services Administration and CMS Utilization file, Medicare's Enrollment Data Base, and the 2005 American Medical Association Physician Workforce file. This study used a longitudinal, nonexperimental design. Three annual observations (July 1, 2008-June 30, 2010) were available for each practice. We compared selected outcomes between practices with and those without NCQA PCMH recognition. Individual Medicare fee-for-service (FFS) beneficiaries and their claims and utilization data were assigned to PCMH or comparison practices based on where they received the plurality of evaluation and management services between July 1, 2007 and June 30, 2008. Relative to the comparison group, total Medicare payments, acute care payments, and the number of emergency room visits declined after practices received NCQA PCMH recognition. The decline was larger for practices with sicker than average patients, primary care practices, and solo practices. This study provides additional evidence about the potential of the PCMH model for reducing health care utilization and the cost of care. © Health Research and Educational Trust.

  12. Multi-objective ACO algorithms to minimise the makespan and the total rejection cost on BPMs with arbitrary job weights

    Science.gov (United States)

    Jia, Zhao-hong; Pei, Ming-li; Leung, Joseph Y.-T.

    2017-12-01

    In this paper, we investigate the batch-scheduling problem with rejection on parallel machines with non-identical job sizes and arbitrary job-rejected weights. If a job is rejected, the corresponding penalty has to be paid. Our objective is to minimise the makespan of the processed jobs and the total rejection cost of the rejected jobs. Based on the selected multi-objective optimisation approaches, two problems, P1 and P2, are considered. In P1, the two objectives are linearly combined into one single objective. In P2, the two objectives are simultaneously minimised and the Pareto non-dominated solution set is to be found. Based on the ant colony optimisation (ACO), two algorithms, called LACO and PACO, are proposed to address the two problems, respectively. Two different objective-oriented pheromone matrices and heuristic information are designed. Additionally, a local optimisation algorithm is adopted to improve the solution quality. Finally, simulated experiments are conducted, and the comparative results verify the effectiveness and efficiency of the proposed algorithms, especially on large-scale instances.

  13. Permeable Pavement Research - Edison, New Jersey

    Science.gov (United States)

    This presentation provides the background and summary of results collected at the permeable pavement parking lot monitored at the EPA facility in Edison, NJ. This parking lot is surfaced with permeable interlocking concrete pavers (PICP), pervious concrete, and porous asphalt. ...

  14. PAVEMENT AS CONTINUITY - THE CASE FROM LISBON

    Directory of Open Access Journals (Sweden)

    Joana Pimenta

    2009-04-01

    To conclude this practical part of the study a small proposal is presented defining guide lines for an intervention regarding the pavement of the study case, in which its different characteristics are and potential analysed.

  15. User's guide : pavement marking management system database.

    Science.gov (United States)

    2011-12-01

    Pavement markings play a critical role in maintaining a safe and efficient driving environment for road users, especially during nighttime conditions. The Texas Department of Transportation (TxDOT) spends millions of dollars each year for installatio...

  16. Noise measurements of highway pavements in Texas.

    Science.gov (United States)

    2009-10-01

    This report presents the results of noise testing performed on Texas pavements between May of 2006 and the : summer of 2008. Two field test methodologies were used: roadside noise measurement with SPL meters and onvehicle : sound intensity measuremen...

  17. Performance of I-57 recycled concrete pavements.

    Science.gov (United States)

    2009-01-01

    In 1986-1987 the Illinois Department of Transportation (IDOT) constructed a demonstration project on I-57 near Effingham, Illinois to evaluate the viability : of recycling an existing jointed reinforced concrete pavement for use as its primary aggreg...

  18. Optimization of safety on pavement preservation projects.

    Science.gov (United States)

    2011-01-01

    To achieve a goal of reducing highway crash fatalities by 4% each year to improve roadway safety, the Georgia Department of Transportation (GDOT) is actively seeking opportunities to incorporate safety improvements into its current pavement preservat...

  19. MoDOT pavement preservation research program.

    Science.gov (United States)

    2014-08-01

    The following report documents a research project on pavement preservation performed by the Missouri University of Science and : Technology (Missouri S&T) and the University of Missouri-Columbia (UMC) on behalf of the Missouri Department of Transport...

  20. Life cycle assessment of asphalt pavement maintenance.

    Science.gov (United States)

    2014-01-01

    This study aims at developing a life cycle assessment (LCA) model to quantify the impact of pavement preservation on energy consumption and greenhouse gas (GHG) emissions. The construction stage contains material, manufacture, transportation and plac...

  1. Pervious Pavement System Evaluation- Abstract 1

    Science.gov (United States)

    Porous pavement is a low impact development stormwater control. The Urban Watershed Management Branch is evaluating interlocking concrete pavers as a popular implementation. The pavers themselves are impermeable, but the spaces between the pavers are backfilled with washed, gra...

  2. On-road Bicycle Pavement Markings

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — A mile by mile breakdown of the on-street bicycle pavement markings installed within the City of Pittsburgh. These include bike lanes, shared lane markings...

  3. Evaluation of concrete pavement patching techniques.

    Science.gov (United States)

    1989-01-01

    This final report presents the results of a study undertaken to improve in concrete pavement patching techniques. Activities included an evaluation of the suitability of the impact hammer and maturity calculations for determining when a patch is read...

  4. Performance evaluation of precast prestressed concrete pavement.

    Science.gov (United States)

    2007-11-01

    This report describes in detail an experimental investigation of an innovative precast prestressed concrete pavement (PPCP) system used to rehabilitate a 1,000 ft. section of interstate highway located on the northbound lanes of I-57 near Charleston,...

  5. Surface sedimentation at permeable pavement systems

    DEFF Research Database (Denmark)

    Støvring, Jan; Dam, Torben; Jensen, Marina Bergen

    2018-01-01

    Newly installed permeable pavement (PP) systems provide high surface infiltration capacity, but the accumulation of sediments causes a decrease in capacity over time, eventually leading to surface clogging. With the aim of investigating local sedimentation processes and the importance of restorat......Newly installed permeable pavement (PP) systems provide high surface infiltration capacity, but the accumulation of sediments causes a decrease in capacity over time, eventually leading to surface clogging. With the aim of investigating local sedimentation processes and the importance...

  6. Preliminary In-Situ Evaluation of an Innovative, Semi-Flexible Pavement Wearing Course Mixture Using Fast Falling Weight Deflectometer.

    Science.gov (United States)

    Pratelli, Chiara; Betti, Giacomo; Giuffrè, Tullio; Marradi, Alessandro

    2018-04-16

    In the last forty, years semi-flexible pavements have been successfully employed, especially in those areas subjected to heavy and slow-moving loads. They usually comprise a wearing course of Grouted Macadam, a composite pavement material that provides significant advantages in comparison to both concrete and asphalt pavements. On the other hand, the laying process of this material is a two-stage operation, and the realization complexity leads to long realization times and high initial costs. Therefore, the use of semi-flexible pavements has been limited to some fields of application and areas. Recently, an innovative material has been developed to be used as an alternative to Grouted Macadam for semi-flexible pavement wearing course realization. This material should provide similar or even superior characteristics compared to traditional Grouted Macadam. This will reduce semi-flexible pavement construction time and avoid the need for dividing the laying process. This paper presents an experimental program involving the use of FastFWD, as an APT device, to evaluate in-situ properties and performance of this material. The achieved results regarding the validation of this new material by means of FastFWD appear promising both in terms of the material's properties and resistance to dynamic load repetitions.

  7. Preliminary In-Situ Evaluation of an Innovative, Semi-Flexible Pavement Wearing Course Mixture Using Fast Falling Weight Deflectometer

    Directory of Open Access Journals (Sweden)

    Chiara Pratelli

    2018-04-01

    Full Text Available In the last forty, years semi-flexible pavements have been successfully employed, especially in those areas subjected to heavy and slow-moving loads. They usually comprise a wearing course of Grouted Macadam, a composite pavement material that provides significant advantages in comparison to both concrete and asphalt pavements. On the other hand, the laying process of this material is a two-stage operation, and the realization complexity leads to long realization times and high initial costs. Therefore, the use of semi-flexible pavements has been limited to some fields of application and areas. Recently, an innovative material has been developed to be used as an alternative to Grouted Macadam for semi-flexible pavement wearing course realization. This material should provide similar or even superior characteristics compared to traditional Grouted Macadam. This will reduce semi-flexible pavement construction time and avoid the need for dividing the laying process. This paper presents an experimental program involving the use of FastFWD, as an APT device, to evaluate in-situ properties and performance of this material. The achieved results regarding the validation of this new material by means of FastFWD appear promising both in terms of the material’s properties and resistance to dynamic load repetitions.

  8. Determining the True Cost to Deliver Total Hip and Knee Arthroplasty Over the Full Cycle of Care: Preparing for Bundling and Reference-Based Pricing.

    Science.gov (United States)

    DiGioia, Anthony M; Greenhouse, Pamela K; Giarrusso, Michelle L; Kress, Justina M

    2016-01-01

    The Affordable Care Act accelerates health care providers' need to prepare for new care delivery platforms and payment models such as bundling and reference-based pricing (RBP). Thriving in this environment will be difficult without knowing the true cost of care delivery at the level of the clinical condition over the full cycle of care. We describe a project in which we identified true costs for both total hip and total knee arthroplasty. With the same tool, we identified cost drivers in each segment of care delivery and collected patient experience information. Combining cost and experience information with outcomes data we already collect allows us to drive costs down while protecting outcomes and experiences, and compete successfully in bundling and RBP programs. Copyright © 2016 Elsevier Inc. All rights reserved.

  9. Fusing complementary images for pavement cracking measurements

    International Nuclear Information System (INIS)

    Yao, Ming; Zhao, Zuyun; Xu, Bugao; Yao, Xun

    2015-01-01

    Cracking is a major pavement distress that jeopardizes road serviceability and traffic safety. Automated pavement distress survey (APDS) systems have been developed using digital imaging technology to replace human surveys for more timely and accurate inspections. Most APDS systems require special lighting devices to illuminate pavements and prevent shadows of roadside objects that distort cracks in the image. Most artificial lighting devices are laser based, and are either hazardous to unprotected people or require dedicated power supplies on the vehicle. This study was aimed to develop a new imaging system that can scan pavement surface at highway speed and determine the level of severity of pavement cracking without using any artificial lighting. The new system consists of dual line-scan cameras that are installed side by side to scan the same pavement area as the vehicle moves. Cameras are controlled with different exposure settings so that both sunlit and shadowed areas can be visible in two separate images. The paired images contain complementary details useful for reconstructing an image in which the shadows are eliminated. This paper intends to present (1) the design of the dual line-scan camera system, (2) a new calibration method for line-scan cameras to rectify and register paired images, (3) a customized image-fusion algorithm that merges the multi-exposure images into one shadow-free image for crack detection, and (4) the results of the field tests on a selected road over a long period. (paper)

  10. Costs and revenues associated with overweight trucks in Indiana.

    Science.gov (United States)

    2012-11-01

    This study estimated highway pavement and bridge damage costs, and analyzed the adequacy of permit revenues to cover these : costs. The study began with an extensive review of the literature on the subject, thus facilitating identification of the gap...

  11. The advanced launch system: Application of total quality management principles to low-cost space transportation system development

    Science.gov (United States)

    Wolfe, M. G.; Rothwell, T. G.; Rosenberg, D. A.; Oliver, M. B.

    Recognizing that a major inhibitor of man's rapid expansion of the use of space is the high cost (direct and induced) of space transportation, the U.S. has embarked on a major national program to radically reduce the cost of placing payloads into orbit while, at the same time, making equally radical improvements inlaunch system operability. The program is entitled "The Advanced Launch System" (ALS) and is a joint Department of Defense/National Aeronautics and Space Administration (DoD/NASA) program which will provide launch capability in the post 2000 timeframe. It is currently in Phase II (System Definition), which began in January 1989, and will serve as a major source of U.S. launch system technology over the next several years. The ALS is characterized by a new approach to space system design, development, and operation. The practices that are being implemented by the ALS are expected to affect the management and technical operation of all future launch systems. In this regard, the two most significant initiatives being implemented on the ALS program are the practices of Total Quality Management (TQM) and the Unified Information System (Unis). TQM is a DoD initiative to improve the quality of the DoD acquisition system, contractor management systems, and the technical disciplines associated with the design, development, and operation of major systems. TQM has been mandated for all new programs and affects the way every group within the system currently does business. In order to implement the practices of TQM, new methods are needed. A program on the scale of the ALS generates vast amounts of information which must be used effectively to make sound decisions. Unis is an information network that will connect all ALS participants throughout all phases of the ALS development. Unis is providing support for project management and system design, and in following phases will provide decision support for launch operations, computer integrated manufacturing, automated

  12. Nondestructive testing of pavements and pavement bases. (a bibliography with abstracts). Report for 1964-Jan 78

    International Nuclear Information System (INIS)

    Habercom, G.E. Jr.

    1978-01-01

    Nondestructive methods for quality assurance of pavements and pavement bases are investigated in these Government-sponsored research reports. Vibration, nuclear activation, radiometry, and acoustic detection are among the various techniques employed. The updated bibliography contains 114 abstracts, 17 of which are new entries to the previous edition

  13. Thermal stability analysis under embankment with asphalt pavement and cement pavement in permafrost regions.

    Science.gov (United States)

    Junwei, Zhang; Jinping, Li; Xiaojuan, Quan

    2013-01-01

    The permafrost degradation is the fundamental cause generating embankment diseases and pavement diseases in permafrost region while the permafrost degradation is related with temperature. Based on the field monitoring results of ground temperature along G214 Highway in high temperature permafrost regions, both the ground temperatures in superficial layer and the annual average temperatures under the embankment were discussed, respectively, for concrete pavements and asphalt pavements. The maximum depth of temperature field under the embankment for concrete pavements and asphalt pavements was also studied by using the finite element method. The results of numerical analysis indicate that there were remarkable seasonal differences of the ground temperatures in superficial layer between asphalt pavement and concrete pavement. The maximum influencing depth of temperature field under the permafrost embankment for every pavement was under the depth of 8 m. The thawed cores under both embankments have close relation with the maximum thawed depth, the embankment height, and the service time. The effective measurements will be proposed to keep the thermal stabilities of highway embankment by the results.

  14. Evaluation of various hot mix asphalt pavement thicknesses over rubblized concrete pavement.

    Science.gov (United States)

    2011-07-01

    In 1999, the Wisconsin DOT constructed two test sections as part of a rubblized PCC pavement project on I-39 to evaluate whether : increased HMA thickness could extend the pavement system's service life. Design thicknesses of the control and test sec...

  15. Reconsideration of tyre-pavement input parameters for the structural design of flexible pavements

    CSIR Research Space (South Africa)

    De Beer, Morris

    2006-08-01

    Full Text Available of modern truck tyres. Tyre-pavement contact stress measurements were carried out on a busy national road (N3) in South Africa from the port of Durban to the inland province of Gauteng. The three-dimensional tyre-pavement contact stress regimes of 45 227...

  16. Total Joint Arthroplasty Patients' Education on Financial Issues and Its Connection to Reported Out-of-Pocket Costs-A European Study.

    Science.gov (United States)

    Copanitsanou, Panagiota; Valkeapää, Kirsi; Cabrera, Esther; Katajisto, Jouko; Leino-Kilpi, Helena; Sigurdardottir, Arun K; Unosson, Mitra; Zabalegui, Adelaida; Lemonidou, Chryssoula

    2017-04-01

    Total joint arthroplasty is accompanied by significant costs. In nursing, patient education on financial issues is considered important. Our purpose was to examine the possible association between the arthroplasty patients' financial knowledge and their out-of-pocket costs. Descriptive correlational study in five European countries. Patient data were collected preoperatively and at 6 months postoperatively, with structured, self-administered instruments, regarding their expected and received financial knowledge and out-of-pocket costs. There were 1,288 patients preoperatively, and 352 at 6 months. Patients' financial knowledge expectations were higher than knowledge received. Patients with high financial knowledge expectations and lack of fulfillment of these expectations had lowest costs. There is need to establish programs for improving the financial knowledge of patients. Patients with fulfilled expectations reported higher costs and may have followed and reported their costs in a more precise way. In the future, this association needs multimethod research. © 2016 Wiley Periodicals, Inc.

  17. Energy management for cost reduction in the production. TEEM - Total Energy Efficiency Management; Energiemanagement zur Kostensenkung in der Produktion. TEEM - Total Energy Efficiency Management

    Energy Technology Data Exchange (ETDEWEB)

    Westkaemper, Engelbert; Verl, Alexander (eds.)

    2009-07-01

    Within the workshop of the Fraunhofer Institute for Manufacturing Engineering and Automation IPA (Stuttgart, Federal Republic of Germany) at 6th October, 2009, in Stuttgart the following lectures were held: (1) Presentation of Fraunhofer Institute for Manufacturing Engineering and Automation IPA (Engelbert Westkaemper); (2) TEEM - Total Energy Efficiency Management - ''With energy management to an energy efficient production'' (Alexander Schloske); (3) DIN EN 16001 Introduction of an energy management system - utilization and advantages for companies (Sylvia Wahren); (4) Analysis of the energy efficiency with power flow - Support and implementation at factory planning and optimization of production (Klaus Erlach); (5) Total Energy Efficiency Management - Approaches at the company Kaercher in injection moulding for example (Axel Leschtar); (6) Modelling the embodied product energy (Shahin Rahimifard); (7) Acquisition of energy data in the production - Technologies and possibilities (Joachim Neher); (8) Active energy management by means of an ''energy control centre'' - Analysis of the real situation and upgrading measures in the production using coating plants as an example (Wolfgang Klein); (9) Visualisation and simulation of energy values in the digital factory (Carmen Constantinescu, Axel Bruns).

  18. Long term pavement performance computed parameter : frost penetration

    Science.gov (United States)

    2008-11-01

    As the pavement design process moves toward mechanistic-empirical techniques, knowledge of seasonal changes in pavement structural characteristics becomes critical. Specifically, frost penetration information is necessary for determining the effect o...

  19. Investigation clogging dynamic of permeable pavement systems using embedded sensors

    Science.gov (United States)

    Permeable pavement is a stormwater control measure commonly selected in both new and retrofit applications. However, there is limited information about the clogging mechanism of these systems that effects the infiltration. A permeable pavement site located at the Seitz Elementary...

  20. Designing Base and Subbase to Resist Environmental Effects on Pavements

    Science.gov (United States)

    2018-02-02

    MnDOTs current pavement thickness design procedures do not characterize the effects of subgrade soil frost susceptibility. Previous research indicates frost action is the most severe environmental factor on pavement performance. The most accepted ...

  1. Density measurement verification for hot mix asphalt concrete pavement construction.

    Science.gov (United States)

    2010-06-01

    Oregon Department of Transportation (ODOT) requires a minimum density for the construction of dense-graded hot mix asphalt concrete (HMAC) pavements to ensure the likelihood that the pavement will not experience distresses that reduce the expected se...

  2. Density measurement verification for hot mixed asphalt concrete pavement construction.

    Science.gov (United States)

    2010-06-01

    Oregon Department of Transportation (ODOT) requires a minimum density for the construction of dense-graded hot mix asphalt concrete (HMAC) pavements to ensure the likelihood that the pavement will not experience distresses that reduce the expected se...

  3. Mobile geographic information system solution for pavement condition surveys [summary].

    Science.gov (United States)

    2012-01-01

    The State Materials Office (SMO) of the Florida : Department of Transportation (FDOT) performs : annual Pavement Condition Surveys (PCS) of : the Departments extensive pavement network. : This work is performed by single-person crews in : inertial...

  4. Evaluation of recycled concrete as aggregate in new concrete pavements.

    Science.gov (United States)

    2014-04-01

    This study evaluated the use of recycled concrete as coarse aggregate in new concrete pavements. : Recycled concrete aggregate (RCA) produced from demolished pavements in three geographically dispersed locations in Washington state were used to perfo...

  5. Overview of the South African mechanistic pavement design analysis method

    CSIR Research Space (South Africa)

    Theyse, HL

    1996-01-01

    Full Text Available A historical overview of the South African mechanistic pavement design method, from its development in the early 1970s to the present, is presented. Material characterization, structural analysis, and pavement life prediction are discussed...

  6. Software offers transparent, straightforward assessment of pavement additives : research spotlight.

    Science.gov (United States)

    2015-04-01

    Adding new materials to pavement layers is a proven technique to : improve performance. Many types of additivesfrom engineered : polymers and acids to recycled pavement, crumb rubber, shingles : and glasshave been used to help construct better ...

  7. Evaluation of microcracking and chemical deterioration in concrete pavements.

    Science.gov (United States)

    1995-10-31

    The major objective of this research project was to investigate the : chemistry and morphology of portland cement concrete pavements in : Iowa. The integrity of the various pavements was evaluated qualitatively, : based on the presence or absence of ...

  8. Exploration of Machine Learning Approaches to Predict Pavement Performance

    Science.gov (United States)

    2018-03-23

    Machine learning (ML) techniques were used to model and predict pavement condition index (PCI) for various pavement types using a variety of input variables. The primary objective of this research was to develop and assess PCI predictive models for t...

  9. A pavement management research program for Oregon highways : final report.

    Science.gov (United States)

    1989-12-01

    An extensive program was developed to measure pavement deflection skid resistance, and rideability throughout Oregon. The data from those "objective" measures were then evaluated for correlations with observed pavement distress and traffic factors. :...

  10. Advanced Automated Detection Analysis and Classification of Cracks in Pavement

    OpenAIRE

    Scott, Dennis

    2014-01-01

    Functional Session 5: Pavement Management Moderated by Akyiaa Hosten This presentation was held at the Pavement Evaluation 2014 Conference, which took place from September 15-18, 2014 in Blacksburg, Virginia. Presentation only

  11. Implementation of a pavement management system in Virginia.

    Science.gov (United States)

    1987-01-01

    The report summarizes the developments in pavement management in the Virginia Department of Transportation through late 1986. Included are discussions of the pavement management process with examples of priority programming, long-range projection of ...

  12. Variability of Pavement Distress Data From Manual Surveys

    OpenAIRE

    Daleiden, Jerome

    2014-01-01

    Functional Session 5: Pavement Management Moderated by Akyiaa Hosten This presentation was held at the Pavement Evaluation 2014 Conference, which took place from September 15-18, 2014 in Blacksburg, Virginia. Presentation only

  13. Use of Quantile Regression to Determine the Impact on Total Health Care Costs of Surgical Site Infections Following Common Ambulatory Procedures.

    Science.gov (United States)

    Olsen, Margaret A; Tian, Fang; Wallace, Anna E; Nickel, Katelin B; Warren, David K; Fraser, Victoria J; Selvam, Nandini; Hamilton, Barton H

    2017-02-01

    To determine the impact of surgical site infections (SSIs) on health care costs following common ambulatory surgical procedures throughout the cost distribution. Data on costs of SSIs following ambulatory surgery are sparse, particularly variation beyond just mean costs. We performed a retrospective cohort study of persons undergoing cholecystectomy, breast-conserving surgery, anterior cruciate ligament reconstruction, and hernia repair from December 31, 2004 to December 31, 2010 using commercial insurer claims data. SSIs within 90 days post-procedure were identified; infections during a hospitalization or requiring surgery were considered serious. We used quantile regression, controlling for patient, operative, and postoperative factors to examine the impact of SSIs on 180-day health care costs throughout the cost distribution. The incidence of serious and nonserious SSIs was 0.8% and 0.2%, respectively, after 21,062 anterior cruciate ligament reconstruction, 0.5% and 0.3% after 57,750 cholecystectomy, 0.6% and 0.5% after 60,681 hernia, and 0.8% and 0.8% after 42,489 breast-conserving surgery procedures. Serious SSIs were associated with significantly higher costs than nonserious SSIs for all 4 procedures throughout the cost distribution. The attributable cost of serious SSIs increased for both cholecystectomy and hernia repair as the quantile of total costs increased ($38,410 for cholecystectomy with serious SSI vs no SSI at the 70th percentile of costs, up to $89,371 at the 90th percentile). SSIs, particularly serious infections resulting in hospitalization or surgical treatment, were associated with significantly increased health care costs after 4 common surgical procedures. Quantile regression illustrated the differential effect of serious SSIs on health care costs at the upper end of the cost distribution.

  14. Estimating Total Program Cost of a Long-Term, High-Technology, High-Risk Project with Task Durations and Costs That May Increase Over Time

    National Research Council Canada - National Science Library

    Brown, Gerald G; Grose, Roger T; Koyak, Robert A

    2006-01-01

    .... Each task suffers some risk of delay and changed cost. Ignoring budget constraints, we use Monte Carlo simulation of the duration of each task in the project to infer the probability distribution of the project completion time...

  15. Cost-effectiveness of heat and moisture exchangers compared to usual care for pulmonary rehabilitation after total laryngectomy in Poland

    NARCIS (Netherlands)

    Retèl, Valesca P.; van den Boer, Cindy; Steuten, Lotte M. G.; Okła, Sławomir; Hilgers, Frans J.; van den Brekel, Michiel W.

    2015-01-01

    The beneficial physical and psychosocial effects of heat and moisture exchangers (HMEs) for pulmonary rehabilitation of laryngectomy patients are well evidenced. However, cost-effectiveness in terms of costs per additional quality-adjusted life years (QALYs) has not yet been investigated. Therefore,

  16. Predictors for total hospital and cardiology cost claims among patients with atrial fibrillation initiating dabigatran or acenocoumarol in the Netherlands

    NARCIS (Netherlands)

    Jacobs, M S; van Leent, M W J; Tieleman, R G; Jansman, F G A; Cao, Q; Postma, M J; van Hulst, M

    2017-01-01

    Aims: The prevalence of atrial fibrillation (AF) has increased over the past years due to aging of the population, and healthcare costs associated with AF reflect a significant financial burden. The aim of this study was to explore predictors for the real-world AF-related in-hospital costs in

  17. Cost-Effectiveness of Reverse Total Shoulder Arthroplasty Versus Arthroscopic Rotator Cuff Repair for Symptomatic Large and Massive Rotator Cuff Tears.

    Science.gov (United States)

    Makhni, Eric C; Swart, Eric; Steinhaus, Michael E; Mather, Richard C; Levine, William N; Bach, Bernard R; Romeo, Anthony A; Verma, Nikhil N

    2016-09-01

    To compare the cost-effectiveness within the United States health care system of arthroscopic rotator cuff repair versus reverse total shoulder arthroplasty in patients with symptomatic large and massive rotator cuff tears without cuff-tear arthropathy. An expected-value decision analysis was constructed comparing the costs and outcomes of patients undergoing arthroscopic rotator cuff repair and reverse total shoulder arthroplasty for large and massive rotator cuff tears (and excluding cases of cuff-tear arthropathy). Comprehensive literature search provided input data to extrapolate costs and health utility states for these outcomes. The primary outcome assessed was that of incremental cost-effectiveness ratio (ICER) of reverse total shoulder arthroplasty versus rotator cuff repair. For the base case, both arthroscopic rotator cuff repair and reverse total shoulder were superior to nonoperative care, with an ICER of $15,500/quality-adjusted life year (QALY) and $37,400/QALY, respectively. Arthroscopic rotator cuff repair was dominant over primary reverse total shoulder arthroplasty, with lower costs and slightly improved clinical outcomes. Arthroscopic rotator cuff repair was the preferred strategy as long as the lifetime progression rate from retear to end-stage cuff-tear arthropathy was less than 89%. However, when the model was modified to account for worse outcomes when reverse shoulder arthroplasty was performed after a failed attempted rotator cuff repair, primary reverse total shoulder had superior outcomes with an ICER of $90,000/QALY. Arthroscopic rotator cuff repair-despite high rates of tendon retearing-for patients with large and massive rotator cuff tears may be a more cost-effective initial treatment strategy when compared with primary reverse total shoulder arthroplasty and when assuming no detrimental impact of previous surgery on outcomes after arthroplasty. Clinical judgment should still be prioritized when formulating treatment plans for these

  18. Evaluation of Procedures for Backcalculation of Airfield Pavement Moduli

    Science.gov (United States)

    2015-08-01

    ER D C/ G SL T R -1 5 -3 1 Evaluation of Procedures for Backcalculation of Airfield Pavement Moduli G eo te ch n ic al a n d S tr u...August 2015 Evaluation of Procedures for Backcalculation of Airfield Pavement Moduli Lucy P. Priddy and Carlos R. Gonzalez Geotechnical and...USAF’s) airfield pavement structural evaluation procedures. Determining the structural integrity of airfield pavement relies on the analysis of

  19. New Jersey Micro-Surface Pavement Noise Evaluation

    OpenAIRE

    Hencken, John; Haas, Edwin; Tulanowski, Michael; Bennert, Thomas

    2015-01-01

    New Jersey DOT is evaluating pavement preservation types for interstate resurfacing as a method to increase network pavement life cycles within depressed budgetary limits. Despite the economic benefits for micro-surface there is concern for the noise quality and pavement noise levels, which will become a significant issue to a greater population as the application increases over an increased area of lane miles throughout the state. Pavement noise research has been conducted on in-service pave...

  20. Utilize Cementitious High Carbon Fly Ash (CHCFA) to Stabilize Cold In-Place Recycled (CIR) Asphalt Pavement as Base Coarse

    Energy Technology Data Exchange (ETDEWEB)

    Wen, Haifang; Li, Xiaojun; Edil, Tuncer; O' Donnell, Jonathan; Danda, Swapna

    2011-02-05

    The purpose of this study was to evaluate the performance of cementitious high carbon fly ash (CHCFA) stabilized recycled asphalt pavement as a base course material in a real world setting. Three test road cells were built at MnROAD facility in Minnesota. These cells have the same asphalt surface layers, subbases, and subgrades, but three different base courses: conventional crushed aggregates, untreated recycled pavement materials (RPM), and CHCFA stabilized RPM materials. During and after the construction of the three cells, laboratory and field tests were carried out to characterize the material properties. The test results were used in the mechanistic-empirical pavement design guide (MEPDG) to predict the pavement performance. Based on the performance prediction, the life cycle analyses of cost, energy consumption, and greenhouse gasses were performed. The leaching impacts of these three types of base materials were compared. The laboratory and field tests showed that fly ash stabilized RPM had higher modulus than crushed aggregate and RPM did. Based on the MEPDG performance prediction, the service life of the Cell 79 containing fly ash stabilized RPM, is 23.5 years, which is about twice the service life (11 years) of the Cell 77 with RPM base, and about three times the service life (7.5 years) of the Cell 78 with crushed aggregate base. The life cycle analysis indicated that the usage of the fly ash stabilized RPM as the base of the flexible pavement can significantly reduce the life cycle cost, the energy consumption, the greenhouse gases emission. Concentrations of many trace elements, particularly those with relatively low water quality standards, diminish over time as water flows through the pavement profile. For many elements, concentrations below US water drinking water quality standards are attained at the bottom of the pavement profile within 2-4 pore volumes of flow.

  1. 0-6673 : improvement in pavement ride, distress, and condition based on different pavement types : [project summary].

    Science.gov (United States)

    2013-08-01

    Each district is required to develop a 4-year : pavement management plan assigning project : treatment categories for the Pavement : Management Information System (PMIS). : However, there are different interpretations in : the districts about what tr...

  2. Evaluation of current Louisiana flexible pavement structures using PMS data and new M-E pavement design guide.

    Science.gov (United States)

    2010-10-01

    The proposed study uses the new MEPDG together with data available from LADOTDs Pavement Management System (PMS) and other data sources from LADOTDs main frame to evaluate typical flexible pavement structures currently used and to make changes ...

  3. Effect of age of permeable pavements on their infiltration function

    NARCIS (Netherlands)

    Boogaard, Floris; Lucke, Terry; Beecham, Simon

    This study describes field investigations designed to compare the infiltration capacities of 55 permeable pavement systems installed in the Netherlands and in Australia. The ages of the pavements varied from 1 to 12 years. Using infiltrometer testing, the performance of the pavements has been

  4. Pavement sound absorption measurements in the U.S.

    Science.gov (United States)

    2012-08-19

    In the U.S., the topic of pavement sound absorption in regard to tire-pavement noise has shown increased interest and research over the last several years. Four types of pavement sound absorption measurements with various applications are discussed: ...

  5. Knowledge Discovery and Pavement Performance : Intelligent Data Mining

    NARCIS (Netherlands)

    Miradi, M.

    2009-01-01

    The main goal of the study was to discover knowledge from data about asphalt road pavement problems to achieve a better understanding of the behavior of them and via this understanding improve pavement quality and enhance its lifespan. Four pavement problems were chosen to be investigated; raveling

  6. Effect of age of permeable pavements on their infiltration function

    NARCIS (Netherlands)

    Terry Lucke; ir. Floris Boogaard; Simon Beecham

    2013-01-01

    This study describes field investigations designed to compare the infiltration capacities of 55 permeable pavement systems installed in the Netherlands and in Australia. The ages of the pavements varied from 1 to 12 years. Using infiltrometer testing, the performance of the pavements has been

  7. Skilled Nursing Facility Partnerships May Decrease 90-Day Costs in a Total Joint Arthroplasty Episode Under the Bundled Payments for Care Improvement Initiative.

    Science.gov (United States)

    Behery, Omar A; Kouk, Shalen; Chen, Kevin K; Mullaly, Kathleen A; Bosco, Joseph A; Slover, James D; Iorio, Richard; Schwarzkopf, Ran

    2018-03-01

    The Bundled Payments for Care Improvement initiative was developed to reduce costs associated with total joint arthroplasty through a single payment for all patient care from index admission through a 90-day post-discharge period, including care at skilled nursing facilities (SNFs). The aim of this study is to investigate whether forming partnerships between hospitals and SNFs could lower the post-discharge costs. We hypothesize that institutionally aligned SNFs have lower post-discharge costs than non-aligned SNFs. A cohort of 615 elective, primary total hip and knee arthroplasty subjects discharged to an SNF under the Bundled Payments for Care Improvement from 2014 to 2016 were included in our analysis. Patients were grouped into one of the 3 categories of SNF alignment: group 1: non-partners; group 2: agreement-based partners; group 3: institution-owned partners. Demographics, comorbidities, length of stay (LOS) at SNF, and associated costs during the 90-day post-operative period were compared between the 3 groups. Mean index hospital LOS was statistically shortest in group 3 (mean 2.7 days vs 3.5 for groups 1 and 2, P = .001). SNF LOS was also shortest in group 3 (mean 11 days vs 19 and 21 days in groups 2 and 1 respectively, P Total SNF costs and total 90-day costs were both significantly lower in group 3 compared with groups 1 and 2 (P total 90-day costs, without increased risk of readmissions, compared with other SNFs. Copyright © 2017 Elsevier Inc. All rights reserved.

  8. Effectiveness of various public private partnership pavement rehabilitation treatments: A big data informatics survival analysis of pavement service life : final report.

    Science.gov (United States)

    2017-09-29

    Past research efforts have used a wide variety of methodological approaches to analyze pavement performance indicators, pavement rehabilitation treatments, and pavement service life. Using big data informatics methods, the intent of this study is to ...

  9. Cost-effectiveness of total hip and knee replacements for the Australian population with osteoarthritis: discrete-event simulation model.

    Directory of Open Access Journals (Sweden)

    Hideki Higashi

    Full Text Available BACKGROUND: Osteoarthritis constitutes a major musculoskeletal burden for the aged Australians. Hip and knee replacement surgeries are effective interventions once all conservative therapies to manage the symptoms have been exhausted. This study aims to evaluate the cost-effectiveness of hip and knee replacements in Australia. To our best knowledge, the study is the first attempt to account for the dual nature of hip and knee osteoarthritis in modelling the severities of right and left joints separately. METHODOLOGY/PRINCIPAL FINDINGS: We developed a discrete-event simulation model that follows up the individuals with osteoarthritis over their lifetimes. The model defines separate attributes for right and left joints and accounts for several repeat replacements. The Australian population with osteoarthritis who were 40 years of age or older in 2003 were followed up until extinct. Intervention effects were modelled by means of disability-adjusted life-years (DALYs averted. Both hip and knee replacements are highly cost effective (AUD 5,000 per DALY and AUD 12,000 per DALY respectively under an AUD 50,000/DALY threshold level. The exclusion of cost offsets, and inclusion of future unrelated health care costs in extended years of life, did not change the findings that the interventions are cost-effective (AUD 17,000 per DALY and AUD 26,000 per DALY respectively. However, there was a substantial difference between hip and knee replacements where surgeries administered for hips were more cost-effective than for knees. CONCLUSIONS/SIGNIFICANCE: Both hip and knee replacements are cost-effective interventions to improve the quality of life of people with osteoarthritis. It was also shown that the dual nature of hip and knee OA should be taken into account to provide more accurate estimation on the cost-effectiveness of hip and knee replacements.

  10. VALIDITY OF GARBER MODEL IN PREDICTING PAVEMENT CONDITION INDEX OF FLEXIBLE PAVEMENT IN KERBALA CITY

    Directory of Open Access Journals (Sweden)

    Hussein A. Ewadh

    2018-05-01

    Full Text Available Pavement Condition Index (PCI is one of the important basics in pavement maintenance management system (PMMS, and it is used to evaluate the current and future pavement condition. This importantance in decision making to limit the maintenance needs, types of treatment, and maintenance priority. The aim of this research is to estimate the PCI value for flexible pavement urban roads in the study area (kerbala city by using Garber et al. developed model. Based on previous researches, data are collected for variables that have a significant impact on pavement condition. Data for pavement age (AGE, average daily traffic (ADT, and structural number (SN were collected for 44 sections in the network roads. A field survey (destructive test (core test and laboratory test (Marshall Test were used to determine the capacity of structure layer of pavement (SN. The condition index (CI output from a developed model was compared with the PCI output of PAVER 6.5.7 by using statistical analysis test. The developed model overestimates value of CI rather than PCI estimated from PAVER 6.5.7 due to statistical test to a 95% degree of confidence, (R = 0.771 for 44 sections (arterial and collector.

  11. Predictors for total medical costs for acute hemorrhagic stroke patients transferred to the rehabilitation ward at a regional hospital in Taiwan.

    Science.gov (United States)

    Chen, Chien-Min; Ke, Yen-Liang

    2016-02-01

    One-third of the acute stroke patients in Taiwan receive rehabilitation. It is imperative for clinicians who care for acute stroke patients undergoing inpatient rehabilitation to identify which medical factors could be the predictors of the total medical costs. The aim of this study was to identify the most important predictors of the total medical costs for first-time hemorrhagic stroke patients transferred to inpatient rehabilitation using a retrospective design. All data were retrospectively collected from July 2002 to June 2012 from a regional hospital in Taiwan. A stepwise multivariate linear regression analysis was used to identify the most important predictors for the total medical costs. The medical records of 237 patients (137 males and 100 females) were reviewed. The mean total medical cost per patient was United States dollar (USD) 5939.5 ± 3578.5.The following were the significant predictors for the total medical costs: impaired consciousness [coefficient (B), 1075.7; 95% confidence interval (CI) = 138.5-2012.9], dysphagia [coefficient (B), 1025.8; 95% CI = 193.9-1857.8], number of surgeries [coefficient (B), 796.4; 95% CI = 316.0-1276.7], pneumonia in the neurosurgery ward [coefficient (B), 2330.1; 95% CI = 1339.5-3320.7], symptomatic urinary tract infection (UTI) in the rehabilitation ward [coefficient (B), 1138.7; 95% CI = 221.6-2055.7], and rehabilitation ward stay [coefficient (B), 64.9; 95% CI = 31.2-98.7] (R(2) = 0.387). Our findings could help clinicians to understand that cost reduction may be achieved by minimizing complications (pneumonia and UTI) in these patients.

  12. Study on road surface source pollution controlled by permeable pavement

    Science.gov (United States)

    Zheng, Chaocheng

    2018-06-01

    The increase of impermeable pavement in urban construction not only increases the runoff of the pavement, but also produces a large number of Non-Point Source Pollution. In the process of controlling road surface runoff by permeable pavement, a large number of particulate matter will be withheld when rainwater is being infiltrated, so as to control the source pollution at the source. In this experiment, we determined the effect of permeable road surface to remove heavy pollutants in the laboratory and discussed the related factors that affect the non-point pollution of permeable pavement, so as to provide a theoretical basis for the application of permeable pavement.

  13. A Case Report: Cornerstone Health Care Reduced the Total Cost of Care Through Population Segmentation and Care Model Redesign.

    Science.gov (United States)

    Green, Dale E; Hamory, Bruce H; Terrell, Grace E; O'Connell, Jasmine

    2017-08-01

    Over the course of a single year, Cornerstone Health Care, a multispecialty group practice in North Carolina, redesigned the underlying care models for 5 of its highest-risk populations-late-stage congestive heart failure, oncology, Medicare-Medicaid dual eligibles, those with 5 or more chronic conditions, and the most complex patients with multiple late-stage chronic conditions. At the 1-year mark, the results of the program were analyzed. Overall costs for the patients studied were reduced by 12.7% compared to the year before enrollment. All fully implemented programs delivered between 10% and 16% cost savings. The key area for savings factor was hospitalization, which was reduced by 30% across all programs. The greatest area of cost increase was "other," a category that consisted in large part of hospice services. Full implementation was key; 2 primary care sites that reverted to more traditional models failed to show the same pattern of savings.

  14. Optical microtopographic inspection of asphalt pavement surfaces

    Science.gov (United States)

    Costa, Manuel F. M.; Freitas, E. F.; Torres, H.; Cerezo, V.

    2017-08-01

    Microtopographic and rugometric characterization of surfaces is routinely and effectively performed non-invasively by a number of different optical methods. Rough surfaces are also inspected using optical profilometers and microtopographer. The characterization of road asphalt pavement surfaces produced in different ways and compositions is fundamental for economical and safety reasons. Having complex structures, including topographically with different ranges of form error and roughness, the inspection of asphalt pavement surfaces is difficult to perform non-invasively. In this communication we will report on the optical non-contact rugometric characterization of the surface of different types of road pavements performed at the Microtopography Laboratory of the Physics Department of the University of Minho.

  15. A preliminary study of mechanistic approach in pavement design to accommodate climate change effects

    Science.gov (United States)

    Harnaeni, S. R.; Pramesti, F. P.; Budiarto, A.; Setyawan, A.

    2018-03-01

    Road damage is caused by some factors, including climate changes, overload, and inappropriate procedure for material and development process. Meanwhile, climate change is a phenomenon which cannot be avoided. The effects observed include air temperature rise, sea level rise, rainfall changes, and the intensity of extreme weather phenomena. Previous studies had shown the impacts of climate changes on road damage. Therefore, several measures to anticipate the damage should be considered during the planning and construction in order to reduce the cost of road maintenance. There are three approaches generally applied in the design of flexible pavement thickness, namely mechanistic approach, mechanistic-empirical (ME) approach and empirical approach. The advantages of applying mechanistic approach or mechanistic-empirical (ME) approaches are its efficiency and reliability in the design of flexible pavement thickness as well as its capacity to accommodate climate changes in compared to empirical approach. However, generally, the design of flexible pavement thickness in Indonesia still applies empirical approach. This preliminary study aimed to emphasize the importance of the shifting towards a mechanistic approach in the design of flexible pavement thickness.

  16. Quantitative analysis of microtubule orientation in interdigitated leaf pavement cells.

    Science.gov (United States)

    Akita, Kae; Higaki, Takumi; Kutsuna, Natsumaro; Hasezawa, Seiichiro

    2015-01-01

    Leaf pavement cells are shaped like a jigsaw puzzle in most dicotyledon species. Molecular genetic studies have identified several genes required for pavement cells morphogenesis and proposed that microtubules play crucial roles in the interdigitation of pavement cells. In this study, we performed quantitative analysis of cortical microtubule orientation in leaf pavement cells in Arabidopsis thaliana. We captured confocal images of cortical microtubules in cotyledon leaf epidermis expressing GFP-tubulinβ and quantitatively evaluated the microtubule orientations relative to the pavement cell growth axis using original image processing techniques. Our results showed that microtubules kept parallel orientations to the growth axis during pavement cell growth. In addition, we showed that immersion treatment of seed cotyledons in solutions containing tubulin polymerization and depolymerization inhibitors decreased pavement cell complexity. Treatment with oryzalin and colchicine inhibited the symmetric division of guard mother cells.

  17. "Full-Scale Testing of Pavement Response"

    DEFF Research Database (Denmark)

    Ullidtz, Per; Ekdahl, Peter

    1998-01-01

    Three pavement sections in southern Sweden were instrumented in late 1991. Each section have instruments for measuring the strain at the bottom of the asphalt layer, vertical stress and strains in the subgrade and temperatures at different depths. The purpose was to evaluate different theoretical...... methods for determining stresses, strains and deflections in pavement structurers.Falling Weight Deflectometer (FWD) test were done on the test sections, and stresses and strains were measured both under FWD loading and under a rolling wheel load. Different back-analysis procedures were used to derive...

  18. The Inhabitants of the Historical Pavement

    DEFF Research Database (Denmark)

    2016-01-01

    and boulevards to kiosks and cigarette packs.This particular excerpt presents a framed view of a quasi-historical pavement in downtown Chicago and the coming and going of people. Some are passing by without paying much attention, for others it is their daily workplace and for some an exotic starting point...... for yet unknown adventures. The pavement and collective history will outlast all of them – but while they are here, they set each other in motion and even the most trivial elements of the street become part of this choreography.Throughout the film, the reciprocal relationship between the individual...

  19. It Is a Brave New World: Alternative Payment Models and Value Creation in Total Joint Arthroplasty: Creating Value for TJR, Quality and Cost-Effectiveness Programs.

    Science.gov (United States)

    Chen, Kevin K; Harty, Jonathan H; Bosco, Joseph A

    2017-06-01

    The increasing cost of our country's healthcare is not sustainable. To address this crisis, the federal government is transiting healthcare reimbursement from the traditional volume-based system to a value-based system. As such, increasing healthcare value has become an essential point of discussion for all healthcare stakeholders. The purpose of this study is to discuss the importance of healthcare value as a means to achieve this goal of value-based medicine and 3 methods to create value in total joint arthroplasty. These methods are to: (1) improve outcomes greater than the increased costs to achieve this improvement, (2) decrease costs without affecting outcomes, and (3) decrease costs while simultaneously improving outcomes. Following these guidelines will help practitioners thrive in a bundled care environment. Copyright © 2017 Elsevier Inc. All rights reserved.

  20. Prevention of low back pain in the military cluster randomized trial: effects of brief psychosocial education on total and low back pain-related health care costs.

    Science.gov (United States)

    Childs, John D; Wu, Samuel S; Teyhen, Deydre S; Robinson, Michael E; George, Steven Z

    2014-04-01

    Effective strategies for preventing low back pain (LBP) have remained elusive, despite annual direct health care costs exceeding $85 billion dollars annually. In our recently completed Prevention of Low Back Pain in the Military (POLM) trial, a brief psychosocial education program (PSEP) that reduced fear and threat of LBP reduced the incidence of health care-seeking for LBP. The purpose of this cost analysis was to determine if soldiers who received psychosocial education experienced lower health care costs compared with soldiers who did not receive psychosocial education. The POLM trial was a cluster randomized trial with four intervention arms and a 2-year follow-up. Consecutive subjects (n=4,295) entering a 16-week training program at Fort Sam Houston, TX, to become a combat medic in the U.S. Army were considered for participation. In addition to an assigned exercise program, soldiers were cluster randomized to receive or not receive a brief psychosocial education program delivered in a group setting. The Military Health System Management Analysis and Reporting Tool was used to extract total and LBP-related health care costs associated with LBP incidence over a 2-year follow-up period. After adjusting for postrandomization differences between the groups, the median total LBP-related health care costs for soldiers who received PSEP and incurred LBP-related costs during the 2-year follow-up period were $26 per soldier lower than for those who did not receive PSEP ($60 vs. $86, respectively, p=.034). The adjusted median total health care costs for soldiers who received PSEP and incurred at least some health care costs during the 2-year follow-up period were estimated at $2 per soldier lower than for those who did not receive PSEP ($2,439 vs. $2,441, respectively, p=.242). The results from this analysis demonstrate that a brief psychosocial education program was only marginally effective in reducing LBP-related health care costs and was not effective in reducing

  1. Interim revision of the South African Mechanistic-Empirical pavement design method for flexible pavements

    CSIR Research Space (South Africa)

    Theyse, HL

    2011-09-01

    Full Text Available Pavement design methods, in combination with network level management systems must enable road authorities to develop reliable long-term financial plans based on the estimated structural capacity of the road network. Inaccurate design models...

  2. Tyre-pavement interface contact stresses on flexible pavements - quo vadis?

    CSIR Research Space (South Africa)

    De Beer, Morris

    2004-09-01

    Full Text Available on tyre inflation pressure on this route is also given. The paper also discusses an improved definition of the actual tyre/pavement interaction of modern heavy vehicles and their loads on the current flexible road infrastructure....

  3. Performance studies of continuously reinforced concrete pavement : pavements without transverse steel.

    Science.gov (United States)

    1972-01-01

    The status of studies of the three continuously reinforced pavement projects near Charlottesville is reported. Of particular interest in these studies are the effects of the elimination of transverse reinforcing steel, the changing characteristics of...

  4. Development of index based pavement performance models for pavement management system (PMS) of LADOTD : tech summary.

    Science.gov (United States)

    2009-03-01

    A research study was initiated by the Louisiana Department of Transportation and Development (LADOTD) in conjunction with the : Federal Highway Administration (FHWA) to evaluate the overall performance and eff ectiveness of LADOTDs Pavement Manage...

  5. Development of index based pavement performance models for pavement management system (PMS) of LADOTD.

    Science.gov (United States)

    2009-03-01

    This report focuses on pavement performance and treatment models for Louisiana Department of : Transportation and Development (LADOTD) and is in continuation of Louisiana Transportation : Research Center (LTRC) Report No. 430 Development of Unifor...

  6. A Cost-Effectiveness Analysis of Reverse Total Shoulder Arthroplasty versus Hemiarthroplasty for the Management of Complex Proximal Humeral Fractures in the Elderly.

    Science.gov (United States)

    Osterhoff, Georg; O'Hara, Nathan N; D'Cruz, Jennifer; Sprague, Sheila A; Bansback, Nick; Evaniew, Nathan; Slobogean, Gerard P

    2017-03-01

    There is ongoing debate regarding the optimal surgical treatment of complex proximal humeral fractures in elderly patients. To evaluate the cost-effectiveness of reverse total shoulder arthroplasty (RTSA) compared with hemiarthroplasty (HA) in the management of complex proximal humeral fractures, using a cost-utility analysis. On the basis of data from published literature, a cost-utility analysis was conducted using decision tree and Markov modeling. A single-payer perspective, with a willingness-to-pay (WTP) threshold of Can$50,000 (Canadian dollars), and a lifetime time horizon were used. The incremental cost-effectiveness ratio (ICER) was used as the study's primary outcome measure. In comparison with HA, the incremental cost per quality-adjusted life-year gained for RTSA was Can$13,679. One-way sensitivity analysis revealed the model to be sensitive to the RTSA implant cost and the RTSA procedural cost. The ICER of Can$13,679 is well below the WTP threshold of Can$50,000, and probabilistic sensitivity analysis demonstrated that 92.6% of model simulations favored RTSA. Our economic analysis found that RTSA for the treatment of complex proximal humeral fractures in the elderly is the preferred economic strategy when compared with HA. The ICER of RTSA is well below standard WTP thresholds, and its estimate of cost-effectiveness is similar to other highly successful orthopedic strategies such as total hip arthroplasty for the treatment of hip arthritis. Copyright © 2017 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc. All rights reserved.

  7. Reducing Length of Stay, Direct Cost, and Readmissions in Total Joint Arthroplasty Patients With an Outcomes Manager-Led Interprofessional Team.

    Science.gov (United States)

    Arana, Melissa; Harper, Licia; Qin, Huanying; Mabrey, Jay

    The purpose of this quality improvement project was to determine whether an outcomes manager-led interprofessional team could reduce length of stay and direct cost without increasing 30-day readmission rates in the total joint arthroplasty patient population. The goal was to promote interprofessional relationships combined with collaborative practice to promote coordinated care with improved outcomes. Results from this project showed that length of stay (total hip arthroplasty [THA] reduced by 0.4 days and total knee arthroplasty [TKA] reduced by 0.6 days) and direct cost (THA reduced by $1,020 per case and TKA reduced by $539 per case) were significantly decreased whereas 30-day readmission rates of both populations were not significantly increased.

  8. Development of Pavement Condition Index Model Using PAVER 6.5.7 for Flexible Pavement Urban Roads in Kerbala City

    Directory of Open Access Journals (Sweden)

    Hussein Ali Ewadh

    2017-08-01

    Full Text Available The pavement condition index (PCI is an important factor indicating pavement condition of roads. The pavement is one of the basic parts of the road infrastructure. Accordingly the aim of this paper is to develop a pavement condition index model using PAVER 6.5.7 for a flexible pavement urban roads in the Kerbala city center. The development model is depending on the PCI value of 109 sample sections having 57.8 km length, Data collected for pavement distress (type, dimension, and severity were used to find PCI. The filtering and outlier analysis was done by using a polynomial (fourth-degree constrained least squared for statistical process. These processes were done by (PAVER 6.5.7 software. The result of the prediction model of PCI shows that it is valid to be used in the prediction of the condition of pavement for the same family type

  9. Coal-tar-based pavement sealcoat and PAHs: implications for the environment, human health, and stormwater management.

    Science.gov (United States)

    Mahler, Barbara J; Metre, Peter C Van; Crane, Judy L; Watts, Alison W; Scoggins, Mateo; Williams, E Spencer

    2012-03-20

    Coal-tar-based sealcoat products, widely used in the central and eastern U.S. on parking lots, driveways, and even playgrounds, are typically 20-35% coal-tar pitch, a known human carcinogen that contains about 200 polycyclic aromatic hydrocarbon (PAH) compounds. Research continues to identify environmental compartments-including stormwater runoff, lake sediment, soil, house dust, and most recently, air-contaminated by PAHs from coal-tar-based sealcoat and to demonstrate potential risks to biological communities and human health. In many cases, the levels of contamination associated with sealed pavement are striking relative to levels near unsealed pavement: PAH concentrations in air over pavement with freshly applied coal-tar-based sealcoat, for example, were hundreds to thousands of times higher than those in air over unsealed pavement. Even a small amount of sealcoated pavement can be the dominant source of PAHs to sediment in stormwater-retention ponds; proper disposal of such PAH-contaminated sediment can be extremely costly. Several local governments, the District of Columbia, and the State of Washington have banned use of these products, and several national and regional hardware and home-improvement retailers have voluntarily ceased selling them.

  10. Coal-tar-based pavement sealcoat and PAHs: implications for the environment, human health, and stormwater management

    Science.gov (United States)

    Mahler, Barbara J.; Van Metre, Peter C.; Crane, Judy L.; Watts, Alison W.; Scoggins, Mateo; Williams, E. Spencer

    2012-01-01

    Coal-tar-based sealcoat products, widely used in the central and eastern U.S. on parking lots, driveways, and even playgrounds, are typically 20-35% coal-tar pitch, a known human carcinogen that contains about 200 polycyclic aromatic hydrocarbon (PAH) compounds. Research continues to identify environmental compartments—including stormwater runoff, lake sediment, soil, house dust, and most recently, air—contaminated by PAHs from coal-tar-based sealcoat and to demonstrate potential risks to biological communities and human health. In many cases, the levels of contamination associated with sealed pavement are striking relative to levels near unsealed pavement: PAH concentrations in air over pavement with freshly applied coal-tar-based sealcoat, for example, were hundreds to thousands of times higher than those in air over unsealed pavement. Even a small amount of sealcoated pavement can be the dominant source of PAHs to sediment in stormwater-retention ponds; proper disposal of such PAH-contaminated sediment can be extremely costly. Several local governments, the District of Columbia, and the State of Washington have banned use of these products, and several national and regional hardware and home-improvement retailers have voluntarily ceased selling them.

  11. Knee Joint Distraction Compared to Total Knee Arthroplasty for Treatment of End Stage Osteoarthritis: Simulating Long-Term Outcomes and Cost-Effectiveness.

    Science.gov (United States)

    van der Woude, J A D; Nair, S C; Custers, R J H; van Laar, J M; Kuchuck, N O; Lafeber, F P J G; Welsing, P M J

    2016-01-01

    In end-stage knee osteoarthritis the treatment of choice is total knee arthroplasty (TKA). An alternative treatment is knee joint distraction (KJD), suggested to postpone TKA. Several studies reported significant and prolonged clinical improvement of KJD. To make an appropriate decision regarding the position of this treatment, a cost-effectiveness and cost-utility analysis from healthcare perspective for different age and gender categories was performed. A treatment strategy starting with TKA and a strategy starting with KJD for patients of different age and gender was simulated. To extrapolate outcomes to long-term health and economic outcomes a Markov (Health state) model was used. The number of surgeries, QALYs, and treatment costs per strategy were calculated. Costs-effectiveness is expressed using the cost-effectiveness plane and cost-effectiveness acceptability curves. Starting with KJD the number of knee replacing procedures could be reduced, most clearly in the younger age categories; especially revision surgery. This resulted in the KJD strategy being dominant (more effective with cost-savings) in about 80% of simulations (with only inferiority in about 1%) in these age categories when compared to TKA. At a willingness to pay of 20.000 Euro per QALY gained, the probability of starting with KJD to be cost-effective compared to starting with a TKA was already found to be over 75% for all age categories and over 90-95% for the younger age categories. A treatment strategy starting with knee joint distraction for knee osteoarthritis has a large potential for being a cost-effective intervention, especially for the relatively young patient.

  12. Early assessment of the likely cost-effectiveness of a new technology: A Markov model with probabilistic sensitivity analysis of computer-assisted total knee replacement.

    Science.gov (United States)

    Dong, Hengjin; Buxton, Martin

    2006-01-01

    The objective of this study is to apply a Markov model to compare cost-effectiveness of total knee replacement (TKR) using computer-assisted surgery (CAS) with that of TKR using a conventional manual method in the absence of formal clinical trial evidence. A structured search was carried out to identify evidence relating to the clinical outcome, cost, and effectiveness of TKR. Nine Markov states were identified based on the progress of the disease after TKR. Effectiveness was expressed by quality-adjusted life years (QALYs). The simulation was carried out initially for 120 cycles of a month each, starting with 1,000 TKRs. A discount rate of 3.5 percent was used for both cost and effectiveness in the incremental cost-effectiveness analysis. Then, a probabilistic sensitivity analysis was carried out using a Monte Carlo approach with 10,000 iterations. Computer-assisted TKR was a long-term cost-effective technology, but the QALYs gained were small. After the first 2 years, the incremental cost per QALY of computer-assisted TKR was dominant because of cheaper and more QALYs. The incremental cost-effectiveness ratio (ICER) was sensitive to the "effect of CAS," to the CAS extra cost, and to the utility of the state "Normal health after primary TKR," but it was not sensitive to utilities of other Markov states. Both probabilistic and deterministic analyses produced similar cumulative serious or minor complication rates and complex or simple revision rates. They also produced similar ICERs. Compared with conventional TKR, computer-assisted TKR is a cost-saving technology in the long-term and may offer small additional QALYs. The "effect of CAS" is to reduce revision rates and complications through more accurate and precise alignment, and although the conclusions from the model, even when allowing for a full probabilistic analysis of uncertainty, are clear, the "effect of CAS" on the rate of revisions awaits long-term clinical evidence.

  13. Use of Terrestrial Laser Scanner for Rigid Airport Pavement Management.

    Science.gov (United States)

    Barbarella, Maurizio; D'Amico, Fabrizio; De Blasiis, Maria Rosaria; Di Benedetto, Alessandro; Fiani, Margherita

    2017-12-26

    The evaluation of the structural efficiency of airport infrastructures is a complex task. Faulting is one of the most important indicators of rigid pavement performance. The aim of our study is to provide a new method for faulting detection and computation on jointed concrete pavements. Nowadays, the assessment of faulting is performed with the use of laborious and time-consuming measurements that strongly hinder aircraft traffic. We proposed a field procedure for Terrestrial Laser Scanner data acquisition and a computation flow chart in order to identify and quantify the fault size at each joint of apron slabs. The total point cloud has been used to compute the least square plane fitting those points. The best-fit plane for each slab has been computed too. The attitude of each slab plane with respect to both the adjacent ones and the apron reference plane has been determined by the normal vectors to the surfaces. Faulting has been evaluated as the difference in elevation between the slab planes along chosen sections. For a more accurate evaluation of the faulting value, we have then considered a few strips of data covering rectangular areas of different sizes across the joints. The accuracy of the estimated quantities has been computed too.

  14. Use of Terrestrial Laser Scanner for Rigid Airport Pavement Management

    Directory of Open Access Journals (Sweden)

    Maurizio Barbarella

    2017-12-01

    Full Text Available The evaluation of the structural efficiency of airport infrastructures is a complex task. Faulting is one of the most important indicators of rigid pavement performance. The aim of our study is to provide a new method for faulting detection and computation on jointed concrete pavements. Nowadays, the assessment of faulting is performed with the use of laborious and time-consuming measurements that strongly hinder aircraft traffic. We proposed a field procedure for Terrestrial Laser Scanner data acquisition and a computation flow chart in order to identify and quantify the fault size at each joint of apron slabs. The total point cloud has been used to compute the least square plane fitting those points. The best-fit plane for each slab has been computed too. The attitude of each slab plane with respect to both the adjacent ones and the apron reference plane has been determined by the normal vectors to the surfaces. Faulting has been evaluated as the difference in elevation between the slab planes along chosen sections. For a more accurate evaluation of the faulting value, we have then considered a few strips of data covering rectangular areas of different sizes across the joints. The accuracy of the estimated quantities has been computed too.

  15. Viscoelastic Pavement Modeling with a Spreadsheet

    DEFF Research Database (Denmark)

    Levenberg, Eyal

    2016-01-01

    The aim herein was to equip civil engineers and students with an advanced pavement modeling tool that is both easy to use and highly adaptive. To achieve this, a mathematical solution for a layered viscoelastic half-space subjected to a moving load was developed and subsequently implemented...

  16. The Reflective Cracking in Flexible Pavements

    Directory of Open Access Journals (Sweden)

    Pais Jorge

    2013-07-01

    Full Text Available Reflective cracking is a major concern for engineers facing the problem of road maintenance and rehabilitation. The problem appears due to the presence of cracks in the old pavement layers that propagate into the pavement overlay layer when traffic load passes over the cracks and due to the temperature variation. The stress concentration in the overlay just above the existing cracks is responsible for the appearance and crack propagation throughout the overlay. The analysis of the reflective cracking phenomenon is usually made by numerical modeling simulating the presence of cracks in the existing pavement and the stress concentration in the crack tip is assessed to predict either the cracking propagation rate or the expected fatigue life of the overlay. Numerical modeling to study reflective cracking is made by simulating one crack in the existing pavement and the loading is usually applied considering the shear mode of crack opening. Sometimes the simulation considers the mode I of crack opening, mainly when temperature effects are predominant.

  17. Relationship between road pavement failures, engineering indices ...

    African Journals Online (AJOL)

    This article presents the results of a study carried out to relate the frequency of pavement failures, the engineering indices of the subgrade materials and the underlying geology. The results show a high variability in the indices such as the liquid limit, LL, the plasticity index, PI, the maximum dry density, MDD, the optimum ...

  18. Pavement evaluation using a portable lightweight deflectometer.

    Science.gov (United States)

    2012-12-01

    The use of Zorn ZFG-3000 portable Lightweight Deflectometer (LWD) in the in-situ : assessment of pavement quality was investigated in this research. A lower load and a : shorter load pulse duration are used in a LWD as compared to a Falling Weight : ...

  19. Texas perpetual pavements : new design guidelines.

    Science.gov (United States)

    2010-06-01

    Since 2001, the State of Texas has been designing and constructing perpetual pavements : on some of its heavily trafficked highways where the expected 20-year truck-traffic estimate of : 18 kip ESALs is in excess of 30 million (TxDOT, 2001). To date,...

  20. Cracking of open traffic rigid pavement

    Directory of Open Access Journals (Sweden)

    Niken Chatarina

    2017-01-01

    Full Text Available The research is done by observing the growth of real structure cracking in Natar, Lampung, Indonesia compared to C. Niken’s et al research and literature study. The rigid pavement was done with open traffic system. There are two main crack types on Natar rigid pavement: cracks cross the road, and cracks spreads on rigid pavement surface. The observation of cracks was analyzed by analyzing material, casting, curing, loading and shrinkage mechanism. The relationship between these analysis and shrinkage mechanism was studied in concrete micro structure. Open traffic make hydration process occur under vibration; therefore, fresh concrete was compressed and tensioned alternately since beginning. High temperature together with compression, cement dissociation, the growth of Ca2+ at very early age leads abnormal swelling. No prevention from outside water movement leads hydration process occur with limited water which caused spreads fine cracks. Limited water improves shrinkage and plastic phase becomes shorter; therefore, rigid pavement can’t accommodate the abnormal swelling and shrinking alternately and creates the spread of cracks. Discontinuing casting the concrete makes both mix under different condition, the first is shrink and the second is swell and creates weak line on the border; so, the cracks appear as cracks across the road.

  1. Pavement management system for City of Madison.

    Science.gov (United States)

    2016-11-01

    This project aims to implement a pavement management system (PMS) for the City of Madison using : four specific objectives: 1) build a city-wide GIS database for PMS compatible and incorporable with the : citys GIS system; 2) identify feasible pav...

  2. Permanent deformation and deflection relationship from pavement condition assessment

    Directory of Open Access Journals (Sweden)

    Fabricio Leiva-Villacorta

    2017-07-01

    Full Text Available The development of permanent deformation in flexible pavements has been a research topic for several decades. Currently there are models included in the structural design of pavements that can predict this type of failure. However, the variables required for the prediction of this distress are complex or difficult to obtain in the field, making its application in pavement evaluation also difficult. Measurement of the deflection of pavement structures by means of non-destructive testing is a technique used to assess the condition of the pavement. This research study seeks to correlate data from deflections of the pavement surface with probable permanent deformation in time. In addition, prediction of the remaining life of the pavement structure using a specified criterion is also analyzed. In order to accomplish these objectives, data acquired from 4 different full scale accelerated pavement test tracks was used to develop a permanent deformation model as a function of deflection, load repetitions and pavement layer thickness. The developed model considered a time series model that incorporates an Auto-regressive parameter of order 1. The proposed model presents an advantage over currently available models because it reduces the required parameters to predict the permanent deformation and/or remaining life in the structure and because these variables can be easily found and updated in a pavement management system. Keywords: HVS, Permanent deformation, Deflections, APT, Time series, Instrumentation

  3. Design, development, and application of precast and prestressed concrete system for rigid pavement in Indonesia

    Science.gov (United States)

    Nurjaman, Hari; Faizal, Lutfi; Suaryana, Nyoman; Hariandja, Binsar; Gambiro, Purnomo, Wicaksono, Siswo

    2017-11-01

    The performance of highways in Indonesia until today is yet to be optimum. Flexible or rigid pavement construction generally do not reach designed service lives, either due to the fact that the construction do not meet specifications or unavoidable excessive load. Precast and prestressed concrete system has been applied since 2007, but unfortunately the application has not been optimum due to the fact that the construction method is not integrally carried out. This paper deals with a construction concept that developed in 2015-2017. The concept applies green construction based on integrated manufacture industry, starting from design, construction, function, maintenance and demolition. The concept is applied on the three highway sub-layers, i.e., sub grade, sub base, and surface, and drainage system. Sub grade improvement may use soil dislocation, chemical improvement or concrete matress. Sub base material uses foam mortar, which is material easy in quality control compared to conventional materials. Pavement material uses precast and prestressed concrete components with controlled quality, quickly function as flexible pavement, and moreover, may anticipate excessive loadings. Cost estimation is carried out integrated by life cycle cost: initial investment, obstruction while construction, and maintenance cost during operation. This innovation has passed tests in technical construction method aspects as well as construction work in 2015-2017, so it is available to support infrastructure construction acceleration which achieves quality demanded to date.

  4. Developing a network-level structural capacity index for structural evaluation of pavements.

    Science.gov (United States)

    2013-03-01

    The objective of this project was to develop a structural index for use in network-level pavement evaluation to facilitate : the inclusion of the pavements structural condition in pavement management applications. The primary goal of network-level...

  5. On-board sound intensity tire-pavement noise study in North Carolina.

    Science.gov (United States)

    2011-12-01

    "This research investigated tire-pavement noise on various types of pavements across North Carolina by using On- : Board Sound Intensity (OBSI) method. To mitigate traffic noise, quieter pavement may provide advantages that : noise barriers cannot. T...

  6. Determination of coefficient of thermal expansion effects on Louisiana's PCC pavement design.

    Science.gov (United States)

    2011-12-01

    With the development of the Mechanistic Empirical Pavement Design Guide (MEPDG) as a new pavement design tool, the : coefficient of thermal expansion (CTE) is now considered a more important design parameter in estimating pavement : performance inclu...

  7. Determination of coefficient of thermal expansion for Portland Cement Concrete pavements for MEPDG Implementation

    Science.gov (United States)

    2012-10-01

    The Coefficient of Thermal Expansion (CTE) is an important parameter in Portland Cement Concrete (PCC) pavement analysis and design as it is directly proportional to the magnitude of temperature-related pavement deformations throughout the pavement s...

  8. Integration of pavement cracking prediction model with asset management and vehicle-infrastructure interaction models.

    Science.gov (United States)

    2015-01-01

    Not long after the construction of a pavement or a new pavement surface, various : forms of deterioration begin to accumulate due to the harsh effects of traffic loading : combined with weathering action. In a recent NEXTRANS project, a pavement crac...

  9. Predicting pavement condition index using international roughness index in Washington DC.

    Science.gov (United States)

    2014-09-01

    A number of pavement condition indices are used to conduct pavement management assessments, two of which are the : International Roughness Index (IRI) and Pavement Condition Index (PCI). The IRI is typically measured using specialized : equipment tha...

  10. Seven-year cost-effectiveness of ProDisc-C total disc replacement: results from investigational device exemption and post-approval studies.

    Science.gov (United States)

    Radcliff, Kris; Lerner, Jason; Yang, Chao; Bernard, Thierry; Zigler, Jack E

    2016-05-01

    OBJECTIVE The purpose of this study was to evaluate the 7-year cost-effectiveness of cervical total disc replacement (CTDR) versus anterior cervical discectomy and fusion (ACDF) for the treatment of patients with single-level symptomatic degenerative disc disease. A change in the spending trajectory for spine care is to be achieved, in part, through the selection of interventions that have been proven effective yet cost less than other options. This analysis complements and builds upon findings from other cost-effectiveness evaluations of CTDR through the use of long-term, patient-level data from a randomized study. METHODS This was a 7-year health economic evaluation comparing CTDR versus ACDF from the US commercial payer perspective. Prospectively collected health care resource utilization and treatment effects (quality-adjusted life years [QALYs]) were obtained from individual patient-level adverse event reports and SF-36 data, respectively, from the randomized, multicenter ProDisc-C total disc replacement investigational device exemption (IDE) study and post-approval study. Statistical distributions for unit costs were derived from a commercial claims database and applied using Monte Carlo simulation. Patient-level costs and effects were modeled via multivariate probabilistic analysis. Confidence intervals for 7-year costs, effects, and net monetary benefit (NMB) were obtained using the nonparametric percentile method from results of 10,000 bootstrap simulations. The robustness of results was assessed through scenario analysis and within a parametric regression model controlling for baseline variables. RESULTS Seven-year follow-up data were available for more than 70% of the 209 randomized patients. In the base-case analysis, CTDR resulted in mean per-patient cost savings of $12,789 (95% CI $5362-$20,856) and per-patient QALY gains of 0.16 (95% CI -0.073 to 0.39) compared with ACDF over 7 years. CTDR was more effective and less costly in 90.8% of probabilistic

  11. Cost-Effectiveness of Five Commonly Used Prosthesis Brands for Total Knee Replacement in the UK: A Study Using the NJR Dataset.

    Directory of Open Access Journals (Sweden)

    Mark Pennington

    Full Text Available There is a lack of evidence on the effectiveness or cost-effectiveness of alternative brands of prosthesis for total knee replacement (TKR. We compared patient-reported outcomes, revision rates, and costs, and estimated the relative cost-effectiveness of five frequently used cemented brands of unconstrained prostheses with fixed bearings (PFC Sigma, AGC Biomet, Nexgen, Genesis 2, and Triathlon.We used data from three national databases for patients who had a TKR between 2003 and 2012, to estimate the effect of prosthesis brand on post-operative quality of life (QOL (EQ-5D-3L in 53 126 patients at six months. We compared TKR revision rates by brand over 10 years for 239 945 patients. We used a fully probabilistic Markov model to estimate lifetime costs and quality-adjusted life years (QALYs, incremental cost effectiveness ratios (ICERs, and the probability that each prosthesis brand is the most cost effective at alternative thresholds of willingness-to-pay for a QALY gain.Revision rates were lowest with the Nexgen and PFC Sigma (2.5% after 10 years in 70-year-old women. Average lifetime costs were lowest with the AGC Biomet (£9 538; mean post-operative QOL was highest with the Nexgen, which was the most cost-effective brand across all patient subgroups. For example, for 70-year-old men and women, the ICERs for the Nexgen compared to the AGC Biomet were £2 300 per QALY. At realistic cost per QALY thresholds (£10 000 to £30 000, the probabilities that the Nexgen is the most cost-effective brand are about 98%. These results were robust to alternative modelling assumptions.AGC Biomet prostheses are the least costly cemented unconstrained fixed brand for TKR but Nexgen prostheses lead to improved patient outcomes, at low additional cost. These results suggest that Nexgen should be considered as a first choice prosthesis for patients with osteoarthritis who require a TKR.

  12. A Total Cost of Ownership Model for Low Temperature PEM Fuel Cells in Combined Heat and Power and Backup Power Applications

    Energy Technology Data Exchange (ETDEWEB)

    University of California, Berkeley; Wei, Max; Lipman, Timothy; Mayyas, Ahmad; Chien, Joshua; Chan, Shuk Han; Gosselin, David; Breunig, Hanna; Stadler, Michael; McKone, Thomas; Beattie, Paul; Chong, Patricia; Colella, Whitney; James, Brian

    2014-06-23

    A total cost of ownership model is described for low temperature proton exchange membrane stationary fuel cell systems for combined heat and power (CHP) applications from 1-250kW and backup power applications from 1-50kW. System designs and functional specifications for these two applications were developed across the range of system power levels. Bottom-up cost estimates were made for balance of plant costs, and detailed direct cost estimates for key fuel cell stack components were derived using design-for-manufacturing-and-assembly techniques. The development of high throughput, automated processes achieving high yield are projected to reduce the cost for fuel cell stacks to the $300/kW level at an annual production volume of 100 MW. Several promising combinations of building types and geographical location in the U.S. were identified for installation of fuel cell CHP systems based on the LBNL modelling tool DER CAM. Life-cycle modelling and externality assessment were done for hotels and hospitals. Reduced electricity demand charges, heating credits and carbon credits can reduce the effective cost of electricity ($/kWhe) by 26-44percent in locations such as Minneapolis, where high carbon intensity electricity from the grid is displaces by a fuel cell system operating on reformate fuel. This project extends the scope of existing cost studies to include externalities and ancillary financial benefits and thus provides a more comprehensive picture of fuel cell system benefits, consistent with a policy and incentive environment that increasingly values these ancillary benefits. The project provides a critical, new modelling capacity and should aid a broad range of policy makers in assessing the integrated costs and benefits of fuel cell systems versus other distributed generation technologies.

  13. Control Analysis Of Tobacco Raw Material Supplies Using Eoq Method Economic Order Quantity To Reach Efficiency Total Costs Of Raw Material In Pr. Sukun

    Directory of Open Access Journals (Sweden)

    Wiwik Sudarwati

    2017-07-01

    Full Text Available The raw material inventory control system determines and guarantees the availability of raw material stock in the right quantity quality and timing. The problem in this research is the procurement of raw materials of tobacco. PR. Sukun still often experiences the excess. This is related to the frequency of raw material purchases and the quantity of raw material purchases which can lead to waste of working capital embedded in raw material inventory raw material ordering costs and raw material storage costs. The purpose of this research is to know how to make an efficiency level in procurement of raw material inventory between EOQ method compared with policy of PR. Sukun. The type of research used is analytic descriptive type. Data analysis begins by analyzing raw material quantity comparison total raw material inventory cost and raw material cost between PR Sukun policy with EOQ method. Based on the results of research known that by using EOQ method can be much more efficient compared to policy of PR. Sukun. The quantity and frequency of purchasing raw materials is less but still take into account the safety stock and reorder point so the production process is not disturbed. In addition the cost of purchasing ordering costs and raw materials storage costs less so as to create efficiencies on the cost of raw materials inventory. PR. Sukun in the procurement of raw material inventory should use EOQ method to be more efficient and take into account the safety stock and reorder point to avoid the inventory excess of raw materials.

  14. Associations between preoperative Oxford hip and knee scores and costs and quality of life of patients undergoing primary total joint replacement in the NHS England: an observational study.

    Science.gov (United States)

    Eibich, Peter; Dakin, Helen A; Price, Andrew James; Beard, David; Arden, Nigel K; Gray, Alastair M

    2018-04-10

    To assess how costs and quality of life (measured by EuroQoL-5 Dimensions (EQ-5D)) before and after total hip replacement (THR) and total knee replacement (TKR) vary with age, gender and preoperative Oxford hip score (OHS) and Oxford knee score (OKS). Regression analyses using prospectively collected data from clinical trials, cohort studies and administrative data bases. UK secondary care. Men and women undergoing primary THR or TKR. The Hospital Episode Statistics data linked to patient-reported outcome measures included 602 176 patients undergoing hip or knee replacement who were followed up for up to 6 years. The Knee Arthroplasty Trial included 2217 patients undergoing TKR who were followed up for 12 years. The Clinical Outcomes in Arthroplasty Study cohort included 806 patients undergoing THR and 484 patients undergoing TKR who were observed for 1 year. EQ-5D-3L quality of life before and after surgery, costs of primary arthroplasty, costs of revision arthroplasty and the costs of hospital readmissions and ambulatory costs in the year before and up to 12 years after joint replacement. Average postoperative utility for patients at the 5th percentile of the OHS/OKS distribution was 0.61/0.5 for THR/TKR and 0.89/0.85 for patients at the 95th percentile. The difference between postoperative and preoperative EQ-5D utility was highest for patients with preoperative OHS/OKS lower than 10. However, postoperative EQ-5D utility was higher than preoperative utility for all patients with OHS≤46 and those with OKS≤44. In contrast, costs were generally higher for patients with low preoperative OHS/OKS than those with high OHS/OKS. For example, costs of hospital readmissions within 12 months after primary THR/TKR were £740/£888 for patients at the 5th percentile compared with £314/£404 at the 95th percentile of the OHS/OKS distribution. Our findings suggest that costs and quality of life associated with total joint replacement vary systematically with

  15. The cost of post-operative shed blood salvage after total knee arthroplasty: an analysis of 1,093 consecutive procedures

    Science.gov (United States)

    Muñoz, Manuel; Ariza, Daniel; Campos, Arturo; Martín-Montañez, Elisa; Pavía, José

    2013-01-01

    Background Requirements for allogeneic red cell transfusion after total knee arthroplasty are still high (20–50%), and salvage and reinfusion of unwashed, filtered post-operative shed blood is an established method for reducing transfusion requirements following this operation. We performed a cost analysis to ascertain whether this alternative is likely to be cost-effective. Materials and methods Data from 1,093 consecutive primary total knee arthroplasties, managed with (reinfusion group, n=763) or without reinfusion of unwashed salvaged blood (control group, n=330), were retrospectively reviewed. The costs of low-vacuum drains, shed blood collection canisters (Bellovac ABT®, Wellspect HealthCare and ConstaVac CBC II®, Stryker), shed blood reinfusion, acquisition and transfusion of allogeneic red cell concentrate, haemoglobin measurements, and prolonged length of hospital stay were used for the blood management cost analysis. Results Patients in the reinfusion group received 152±64 mL of red blood cells from postoperatively salvaged blood, without clinically relevant incidents, and showed a lower allogeneic transfusion rate (24.5% vs 8.5%, for the control and reinfusion groups, respectively; p =0.001). There were no differences in post-operative infection rates. Patients receiving allogeneic transfusions stayed in hospital longer (+1.9 days [95% CI: 1.2 to 2.6]). As reinfusion of unwashed salvaged blood reduced the allogeneic transfusion rate, both reinfusion systems may provide net savings in different cost scenarios (€ 4.6 to € 106/patient for Bellovac ABT, and € −51.9 to € 49.9/patient for ConstaVac CBCII). Discussion Return of unwashed salvaged blood after total knee arthroplasty seems to save costs in patients with pre-operative haemoglobin between 12 and 15 g/dL. It is not cost-saving in patients with a pre-operative haemoglobin >15 g/dL, whereas in those with a pre-operative haemoglobin cost-saving, its efficacy could be increased by

  16. A link of full-scale accelerated pavement testing to long-term pavement performance study in the Western Cape Province of South Africa

    CSIR Research Space (South Africa)

    Anochie-Boateng, Joseph K

    2016-09-01

    Full Text Available of Accelerated Pavement Testing in Pavement Sustainability A Link of Full-Scale Accelerated Pavement Testing to Long-Term Pavement Performance Study in the Western Cape Province of South Africa J. K. Anochie-Boateng W. JvdM Steyn C. Fisher L. Truter...

  17. Increased Severe Trauma Patient Volume is Associated With Survival Benefit and Reduced Total Health Care Costs: A Retrospective Observational Study Using a Japanese Nationwide Administrative Database.

    Science.gov (United States)

    Endo, Akira; Shiraishi, Atsushi; Fushimi, Kiyohide; Murata, Kiyoshi; Otomo, Yasuhiro

    2017-06-07

    The aim of this study was to evaluate the associations of severe trauma patient volume with survival benefit and health care costs. The effect of trauma patient volume on survival benefit is inconclusive, and reports on its effects on health care costs are scarce. We conducted a retrospective observational study, including trauma patients who were transferred to government-approved tertiary emergency hospitals, or hospitals with an intensive care unit that provided an equivalent quality of care, using a Japanese nationwide administrative database. We categorized hospitals according to their annual severe trauma patient volumes [1 to 50 (reference), 51 to 100, 101 to 150, 151 to 200, and ≥201]. We evaluated the associations of volume categories with in-hospital survival and total cost per admission using a mixed-effects model adjusting for patient severity and hospital characteristics. A total of 116,329 patients from 559 hospitals were analyzed. Significantly increased in-hospital survival rates were observed in the second, third, fourth, and highest volume categories compared with the reference category [94.2% in the highest volume category vs 88.8% in the reference category, adjusted odds ratio (95% confidence interval, 95% CI) = 1.75 (1.49-2.07)]. Furthermore, significantly lower costs (in US dollars) were observed in the second and fourth categories [mean (standard deviation) for fourth vs reference = $17,800 ($17,378) vs $20,540 ($32,412), adjusted difference (95% CI) = -$2559 (-$3896 to -$1221)]. Hospitals with high volumes of severe trauma patients were significantly associated with a survival benefit and lower total cost per admission.

  18. The total cost of logistics in supplier selection, under conditions of multiple sourcing, multiple criteria and capacity constraint

    Directory of Open Access Journals (Sweden)

    Elnaz Bani

    2016-06-01

    Full Text Available This paper presents a mathematical model to solve a multi-objective decision making supplier selection problem. The proposed problem considers three objective functions: the first objective function minimizes the cost of purchasing the products while the second objective function minimizes the due dates and finally the third objective function maximizes the customer satisfaction. The resulted problem is formulated as mixed integer programming and, therefore, we use invasive weed optimization technique to solve the resulted problem. The performance of the proposed model is compared with NSGA II based on different criteria such as mean ideal distance and quality matrix. The preliminary results indicate that the proposed model performs relatively well compared with alternative method.

  19. A multi-perspective cost-effectiveness analysis comparing rivaroxaban with enoxaparin sodium for thromboprophylaxis after total hip and knee replacement in the German healthcare setting

    Directory of Open Access Journals (Sweden)

    Zindel Sonja

    2012-07-01

    Full Text Available Abstract Background Patients undergoing major orthopaedic surgery (MOS, such as total hip (THR or total knee replacement (TKR, are at high risk of developing venous thromboembolism (VTE. For thromboembolism prophylaxis, the oral anticoagulant rivaroxaban has recently been included in the German diagnosis related group (DRG system. However, the cost-effectiveness of rivaroxaban is still unclear from both the German statutory health insurance (SHI and the German hospital perspective. Objectives To assess the cost-effectiveness of rivaroxaban from the German statutory health insurance (SHI perspective and to analyse financial incentives from the German hospital perspective. Methods Based on data from the RECORD trials and German cost data, a decision tree was built. The model was run for two settings (THR and TKR and two perspectives (SHI and hospital per setting. Results Prophylaxis with rivaroxaban reduces VTE events (0.02 events per person treated after TKR; 0.007 after THR compared with enoxaparin. From the SHI perspective, prophylaxis with rivaroxaban after TKR is cost saving (€27.3 saving per patient treated. However, the cost-effectiveness after THR (€17.8 cost per person remains unclear because of stochastic uncertainty. From the hospital perspective, for given DRGs, the hospital profit will decrease through the use of rivaroxaban by €20.6 (TKR and €31.8 (THR per case respectively. Conclusions Based on our findings, including rivaroxaban for reimbursement in the German DRG system seems reasonable. Yet, adequate incentives for German hospitals to use rivaroxaban are still lacking.

  20. Effect of Uphill Flexible Pavements on The Damaging Effect Of Full-Trailer Trucks With Tandem Front Axles

    Directory of Open Access Journals (Sweden)

    Sabah Said Razouki

    2017-08-01

    Full Text Available The effect of traffic on flexible pavements can be expressed in terms of truck equivalence factors. This paper presents a study on the effect of uphill pavements on the damaging effect (truck equivalence factors of two types of full-trailer trucks with tandem front axles. Axle load and geometrical characteristics survey on the two types of full-trailer trucks were carried out for determining the data needed in this study. In addition, uphill slope survey in Kerbala city was done and the data of uphill slope of other Iraqi cities were obtained from previous surveys. The paper reveals that the uphill pavement gradient causes significant increase in truck equivalence factors. In addition, the research reveals that there are many factors affecting the truck equivalence factors on uphill flexible pavements, including the total weight of full-trailer, H/B ratio (height of center of gravity to the wheel base of the truck, magnitude of uphill slope, and the structural number (SN.This work shows the importance of considering the effect of uphill slope in the design of flexible pavements on steep uphill slopes.

  1. Lift-up construction method of apron pavement in the airport. Kuko epuron hoso no lift up koho

    Energy Technology Data Exchange (ETDEWEB)

    Yamamoto, H. (Ministry of Transport, Tokyo (Japan))

    1994-03-25

    Frequently used airports do not allow the period during which facilities are shutdown for cultivation in the repair work of sunk concrete pavement. The present report describes the outline of the lift-up construction method by means of prestressed concrete pavement which allows repair work only in the night. The method has been developed and demonstrated this time in the construction of off-shore development of Tokyo International Airport. The fundamental procedures are as follows: A [phi] 16cm hole is drilled with a core boring machine into the pavement slab in the sunk area; the roadbed is excavated around the hole in the volume of ca. 45cm in diameter and ca. 30cm in thickness; a reaction bed of concrete and a metal fixture of the hydraulic jack are installed; the reaction bed is exerted with a force by the jack to lift up the pavement slab; and finally the gap made between the pavement slab and the road bed is grouted with cement milk. In a demonstration test construction, lift-up of 3.5cm over ca. 3500m[sup 2] was performed during a total of four days of one day in the daytime and three days in the night. 7 figs.

  2. Use of Tranexamic acid is a cost effective method in preventing blood loss during and after total knee replacement

    Directory of Open Access Journals (Sweden)

    Umer Chaudhry Muhammad

    2011-05-01

    Full Text Available Abstract Background & Purpose Allogenic blood transfusion in elective orthopaedic surgery is best avoided owing to its associated risks. Total knee replacement often requires blood transfusion, more so when bilateral surgery is performed. Many strategies are currently being employed to reduce the amount of peri-operative allogenic transfusions. Anti-fibrinolytic compounds such as aminocaproic acid and tranexamic acid have been used systemically in perioperative settings with promising results. This study aimed to evaluate the effectiveness of tranexamic acid in reducing allogenic blood transfusion in total knee replacement surgery. Methodology This was a retrospective cohort study conducted on patients undergoing total knee replacement during the time period November 2005 to November 2008. Study population was 99 patients, of which 70 underwent unilateral and 29 bilateral knee replacement. Forty-seven patients with 62 (49.5% knees (group-I had received tranexamic acid (by surgeon preference while the remaining fifty-two patients with 66 (51.5% knees (group-II had did not received any tranexamic acid either pre- or post-operatively. Results The mean drop in the post-operative haemoglobin concentration in Group-II for unilateral and bilateral cases was 1.79 gm/dl and 2.21 gm/dl, with a mean post-operative drainage of 1828 ml (unilateral and 2695 ml (bilateral. In comparison, the mean drop in the post-op haemoglobin in Group-I was 1.49 gm/dl (unilateral and 1.94 gm/dl (bilateral, with a mean drainage of 826 ml (unilateral and 1288 ml (bilateral (p-value Interpretation Tranexamic acid is effective in reducing post-operative drainage and requirement of blood transfusion after knee replacement.

  3. Molecular mechanisms controlling pavement cell shape in Arabidopsis leaves.

    Science.gov (United States)

    Qian, Pingping; Hou, Suiwen; Guo, Guangqin

    2009-08-01

    Pavement cells have an interlocking jigsaw puzzle-shaped leaf surface pattern. Twenty-three genes involved in the pavement cell morphogenesis were discovered until now. The mutations of these genes through various means lead to pavement cell shape defects, such as loss or lack of interdigitation, the reduction of lobing, gaps between lobe and neck regions in pavement cells, and distorted trichomes. These phenotypes are affected by the organization of microtubules and microfilaments. Microtubule bands are considered corresponding with the neck regions of the cell, while lobe formation depends on patches of microfilaments. The pathway of Rho of plant (ROP) GTPase signaling cascades regulates overall activity of the cytoskeleton in pavement cells. Some other proteins, in addition to the ROPs, SCAR/WAVE, and ARP2/3 complexes, are also involved in the pavement cell morphogenesis.

  4. Assessing Asphalt and Concrete Pavement Surface Texture in the Field

    OpenAIRE

    Saad I. Sarsam; Huda N. Al Shareef

    2016-01-01

    The incorporation of safety characteristics into the traditional pavement structural design or in the functional evaluation of pavement condition has not been established yet. The design has focused on the structural capacity of the roadway so that the pavement can withstand specific level of repetitive loading over the design life. On the other hand, the surface texture condition was neither included in the AASHTO design procedure nor in the present serviceability index measurements. The ...

  5. Crushing damage estimation for pavement with lightly cementitious bases

    CSIR Research Space (South Africa)

    De Beer, Morris

    2014-07-01

    Full Text Available . Department of Transport. Pretoria, South Africa. Litwinowicz and De Beer., 2013. Long term crushing performance of lightly cementitious pavement materials – update to the South African procedures. Road Materials and Pavement Design. Maina, J.W., De... Beer, M. and van Rensburg, Y., 2013. Modelling Tyre-Road Contact Stresses in Pavement Design and Analysis. Proceedings of 32nd Southern Africa transport conference, Pretoria, July 2013. pp 336-345: SAPDM, (2014). http://www.sapdm.co.za/, last...

  6. Cost-effectiveness of antibiotic prophylaxis for dental patients with prosthetic joints: Comparisons of antibiotic regimens for patients with total hip arthroplasty.

    Science.gov (United States)

    Skaar, Daniel D; Park, Taehwan; Swiontkowski, Marc F; Kuntz, Karen M

    2015-11-01

    Clinician uncertainty concerning the need for antibiotic prophylaxis to prevent prosthetic joint infection (PJI) after undergoing dental procedures persists. Improved understanding of the potential clinical and economic risks and benefits of antibiotic prophylaxis will help inform the debate and facilitate the continuing evolution of clinical management guidelines for dental patients with prosthetic joints. The authors developed a Markov decision model to compare the lifetime cost-effectiveness of alternative antibiotic prophylaxis strategies for dental patients aged 65 years who had undergone total hip arthroplasty (THA). On the basis of the authors' interpretation of previous recommendations from the American Dental Association and American Academy of Orthopaedic Surgeons, they compared the following strategies: no prophylaxis, prophylaxis for the first 2 years after arthroplasty, and lifetime prophylaxis. A strategy of foregoing antibiotic prophylaxis before dental visits was cost-effective and resulted in lower lifetime accumulated costs ($11,909) and higher accumulated quality-adjusted life years (QALYs) (12.375) when compared with alternative prophylaxis strategies. The results of Markov decision modeling indicated that a no-antibiotic prophylaxis strategy was cost-effective for dental patients who had undergone THA. These results support the findings of case-control studies and the conclusions of an American Dental Association Council on Scientific Affairs report that questioned general recommendations for antibiotic prophylaxis before dental procedures. The results of cost-effectiveness decision modeling support the contention that routine antibiotic prophylaxis for dental patients with total joint arthroplasty should be reconsidered. Copyright © 2015 American Dental Association. Published by Elsevier Inc. All rights reserved.

  7. Dynamic Modeling of Pavements with Application to Deflection Measurements

    DEFF Research Database (Denmark)

    Madsen, Stine Skov

    Pavement surface deflection measurements are the primary means of evaluating the bearing capacity of a pavement. The most common type of device used for measuring pavement surface deflections is the Falling Weight Deflectometer (FWD). However, increasing attention has been given to the Rolling Wheel...... Deflectometer (RWD) type of device due to its ability to measure deflections continuously while driving at traffic speed. To be able to properly interpret deflection measurements from an RWD device, more knowledge about the structural behavior of a pavement when subjected to transient dynamic loads moving...

  8. Hybrid green permeable pave with hexagonal modular pavement systems

    International Nuclear Information System (INIS)

    Rashid, M A; Abustan, I; Hamzah, M O

    2013-01-01

    Modular permeable pavements are alternatives to the traditional impervious asphalt and concrete pavements. Pervious pore spaces in the surface allow for water to infiltrate into the pavement during rainfall events. As of their ability to allow water to quickly infiltrate through the surface, modular permeable pavements allow for reductions in runoff quantity and peak runoff rates. Even in areas where the underlying soil is not ideal for modular permeable pavements, the installation of under drains has still been shown to reflect these reductions. Modular permeable pavements have been regarded as an effective tool in helping with stormwater control. It also affects the water quality of stormwater runoff. Places using modular permeable pavement has been shown to cause a significant decrease in several heavy metal concentrations as well as suspended solids. Removal rates are dependent upon the material used for the pavers and sub-base material, as well as the surface void space. Most heavy metals are captured in the top layers of the void space fill media. Permeable pavements are now considered an effective BMP for reducing stormwater runoff volume and peak flow. This study examines the extent to which such combined pavement systems are capable of handling load from the vehicles. Experimental investigation were undertaken to quantify the compressive characteristics of the modular. Results shows impressive results of achieving high safety factor for daily life vehicles.

  9. Study on Flexible Pavement Failures in Soft Soil Tropical Regions

    Science.gov (United States)

    Jayakumar, M.; Chee Soon, Lee

    2015-04-01

    Road network system experienced rapid upgrowth since ages ago and it started developing in Malaysia during the colonization of British due to its significant impacts in transportation field. Flexible pavement, the major road network in Malaysia, has been deteriorating by various types of distresses which cause descending serviceability of the pavement structure. This paper discusses the pavement condition assessment carried out in Sarawak and Sabah, Malaysia to have design solutions for flexible pavement failures. Field tests were conducted to examine the subgrade strength of existing roads in Sarawak at various failure locations, to assess the impact of subgrade strength on pavement failures. Research outcomes from field condition assessment and subgrade testing showed that the critical causes of pavement failures are inadequate design and maintenance of drainage system and shoulder cross fall, along with inadequate pavement thickness provided by may be assuming the conservative value of soil strength at optimum moisture content, whereas the exiting and expected subgrade strengths at equilibrium moisture content are far below. Our further research shows that stabilized existing recycled asphalt and base materials to use as a sub-base along with bitumen stabilized open graded base in the pavement composition may be a viable solution for pavement failures.

  10. Crack identification for rigid pavements using unmanned aerial vehicles

    Science.gov (United States)

    Bahaddin Ersoz, Ahmet; Pekcan, Onur; Teke, Turker

    2017-09-01

    Pavement condition assessment is an essential piece of modern pavement management systems as rehabilitation strategies are planned based upon its outcomes. For proper evaluation of existing pavements, they must be continuously and effectively monitored using practical means. Conventionally, truck-based pavement monitoring systems have been in-use in assessing the remaining life of in-service pavements. Although such systems produce accurate results, their use can be expensive and data processing can be time consuming, which make them infeasible considering the demand for quick pavement evaluation. To overcome such problems, Unmanned Aerial Vehicles (UAVs) can be used as an alternative as they are relatively cheaper and easier-to-use. In this study, we propose a UAV based pavement crack identification system for monitoring rigid pavements’ existing conditions. The system consists of recently introduced image processing algorithms used together with conventional machine learning techniques, both of which are used to perform detection of cracks on rigid pavements’ surface and their classification. Through image processing, the distinct features of labelled crack bodies are first obtained from the UAV based images and then used for training of a Support Vector Machine (SVM) model. The performance of the developed SVM model was assessed with a field study performed along a rigid pavement exposed to low traffic and serious temperature changes. Available cracks were classified using the UAV based system and obtained results indicate it ensures a good alternative solution for pavement monitoring applications.

  11. Incorporating moving dynamic tyre loads in pavement design and analysis

    CSIR Research Space (South Africa)

    Steyn, WJvdM

    2000-07-01

    Full Text Available at the University of Pretoria. 4 REAL LIFE TYRE LOADS Characterisation Pavement loading has been shown by various authors to be a dynamic (time-dependent) phenomenon (Divine, 1997; Cebon, 1999). A pavement experiences a vehicle as a moving, time-varying set... frequencies. Body bounce generally dominates the dynamic loading, and is mainly caused by the response of the sprung mass of the vehicle to the pavement roughness. Axle hop becomes more significant at higher vehicle speeds and higher pavement roughnesses...

  12. Proactive pavement asset management with climate change aspects

    Science.gov (United States)

    Zofka, Adam

    2018-05-01

    Pavement Asset Management System is a systematic and objective tool to manage pavement network based on the rational, engineering and economic principles. Once implemented and mature Pavement Asset Management System serves the entire range of users starting with the maintenance engineers and ending with the decision-makers. Such a system is necessary to coordinate agency management strategy including proactive maintenance. Basic inputs in the majority of existing Pavement Asset Management System approaches comprise the actual pavement inventory with associated construction history and condition, traffic information as well as various economical parameters. Some Pavement Management System approaches include also weather aspects which is of particular importance considering ongoing climate changes. This paper presents challenges in implementing the Pavement Asset Management System for those National Road Administrations that manage their pavement assets using more traditional strategies, e.g. worse-first approach. Special considerations are given to weather-related inputs and associated analysis to demonstrate the effects of climate change in a short- and long-term range. Based on the presented examples this paper concludes that National Road Administrations should account for the weather-related factors in their Pavement Management Systems as this has a significant impact on the system outcomes from the safety and economical perspective.

  13. A source mixing model to apportion PAHs from coal tar and asphalt binders in street pavements and urban aquatic sediments

    Energy Technology Data Exchange (ETDEWEB)

    Ahrens, M.J.; Depree, C.V. [National Institute of Water & Atmospheric Research, Hamilton (New Zealand)

    2010-12-15

    Present-day and more than 30 years old road and footpath pavements from Auckland, New Zealand were analysed for PAHs to test the hypothesis that coal tar based pavement binders contribute to unusually high PAH concentrations in adjacent stream and estuarine sediments Total PAH ({Sigma}{sub 28}PAH) concentrations in the dichloromethane-soluble fraction ('binder'), comprising 5-10% of pavement mass, were as high as 200 000 mg kg{sup -1}(10 000 mg kg{sup -1} in binder + aggregate) Older and deeper pavement layers were strongly pyrogenic, whereas pavement layers from recently sealed roads had a more petrogenic composition and more than 1000 times lower Sigma(28)PAH concentrations. Source identification analysis using three PAH isomer ratio pairs (benz(a)anthracene/(benz(a)anthracene + chrysene), benzo(a)pyrene/(benzo(a)pyrene + benzo(e)pyrene)), and indeno(1,2,3-cd)pyrene/(indeno(1,2,3-cd)pyrene + benzo(g,h,i)perylene) revealed low PAH (bitumen) pavements to have consistently lower isomer ratios than high PAH (coal tar) samples. A concentration-weighted mixing model, with coal tar and bitumen as source materials, explained more than 80% of the variance in isomer ratios and enveloped the entire PAH compositional and concentration range encountered PAH composition and concentrations in adjacent stream sediments ({gt} 15 mg kg{sup -1} dry weight) were consistent with diluted coal tar material as a principal PAH source. Due to the very high PAH concentrations of coal tar, a coal tar content of as little as 0.01% of total sediment mass can account for more than 90% of PAH concentrations in adjacent stream sediments.

  14. Evaluation of Rutting Performance of Asphalt Mixture with Driving Wheel Pavement Analyzer

    Directory of Open Access Journals (Sweden)

    Xu Cai

    2017-01-01

    Full Text Available Rutting is common pavement distress, which leads to lower riding comfort for road users and high maintenance costs. One of the commonly used tests is the simulation test with wheel tracking devices. Here, a new rutting test system has been developed based on the “Driving Wheel Pavement Analyzer” (DWPA to evaluate the rutting performance of asphalt mixtures. This study conducted three types of rutting tests to validate feasibility, reliability, and accuracy of DWPA test. The results indicated that the DWPA test provided more information on ruts and enabled us to distinguish the performance of materials. The CDWPA index is better suited to reflect the rutting resistance of the material, which is highly correlated to the APA rutting index and the rutting test index of China according to the grey relational analysis results.

  15. Potential Impact of Rainfall on the Air-Surface Exchange of Total Gaseous Mercury from Two Common Urban Ground Surfaces

    Science.gov (United States)

    The impact of rainfall on total gaseous mercury (TGM) flux from pavement and street dirt surfaces was investigated in an effort to determine the influence of wet weather events on mercury transport in urban watersheds. Street dirt and pavement are common urban ground surfaces tha...

  16. Assessment of Al-Amarah street within the Al-kut city using pavement condition index (PCI and GIS technique

    Directory of Open Access Journals (Sweden)

    Al-Neami Mohammed

    2018-01-01

    Full Text Available The capabilities of geographical system and their spatial analysis is considered the most appropriate tools to enhance pavement management operations, with features such as graphical display of pavement condition. In Iraq, most of transportation agencies do not have a tool that is used as a database for road deteriorations, so there is a need for road surveying and storing the collected information in GIS to know the condition of every road with details. Furthermore, these data can be used for maintenance process and estimation of prior cost. This research has been carried out to estimate of flexible pavement condition through visual surveys using the Pavement Condition Index (PCI method; so it can provide an easy way to calculate the PCI based on GIS data with Micro PAVER software 5.2. Al-Amarah Street, which is internal road in Al-Kut city in the eastern part of Iraq, is used as a case study. The average pavement condition index of the selected case study is found to be “64” using Micro PAVER 5.2 software which mean “Fair” pavement condition. Arc Map 9.3 has been applied in this study to make an integrated maintenance system for each road in the region demonstrating the annual road deteriorations and the resulting change in the PCI values which occurs every year. The study provides an easy and simplified way of presentation the details of deteriorations on the satellite or the geographical map of the road in which each type of distress has been symbolized with specific sign and each PCI value has been represented with specific color.

  17. Balancing selected medication costs with total number of daily injections: a preference analysis of GnRH-agonist and antagonist protocols by IVF patients.

    Science.gov (United States)

    Sills, E Scott; Collins, Gary S; Salem, Shala A; Jones, Christopher A; Peck, Alison C; Salem, Rifaat D

    2012-08-30

    During in vitro fertilization (IVF), fertility patients are expected to self-administer many injections as part of this treatment. While newer medications have been developed to substantially reduce the number of these injections, such agents are typically much more expensive. Considering these differences in both cost and number of injections, this study compared patient preferences between GnRH-agonist and GnRH-antagonist based protocols in IVF. Data were collected by voluntary, anonymous questionnaire at first consultation appointment. Patient opinion concerning total number of s.c. injections as a function of non-reimbursed patient cost associated with GnRH-agonist [A] and GnRH-antagonist [B] protocols in IVF was studied. Completed questionnaires (n = 71) revealed a mean +/- SD patient age of 34 +/- 4.1 yrs. Most (83.1%) had no prior IVF experience; 2.8% reported another medical condition requiring self-administration of subcutaneous medication(s). When out-of-pocket cost for [A] and [B] were identical, preference for [B] was registered by 50.7% patients. The tendency to favor protocol [B] was weaker among patients with a health occupation. Estimated patient costs for [A] and [B] were $259.82 +/- 11.75 and $654.55 +/- 106.34, respectively (p cost difference increased. This investigation found consistently higher non-reimbursed direct medication costs for GnRH-antagonist IVF vs. GnRH-agonist IVF protocols. A conditional preference to minimize downregulation (using GnRH-antagonist) was noted among some, but not all, IVF patient sub-groups. Compared to IVF patients with a health occupation, the preference for GnRH-antagonist was weaker than for other patients. While reducing total number of injections by using GnRH-antagonist is a desirable goal, it appears this advantage is not perceived equally by all IVF patients and its utility is likely discounted heavily by patients when nonreimbursed medication costs reach a critical level.

  18. Microorganism Removal in Permeable Pavement Parking Lots ...

    Science.gov (United States)

    Three types of permeable pavements (pervious concrete, permeable interlocking concrete pavers, and porous asphalt) were monitored at the Edison Environmental Center in Edison, New Jersey for indicator organisms such as fecal coliform, enterococci, and E. coli. Results showed that porous asphalt had much lower concentration in monitored infiltrate compared to pervious concrete and permeable interlocking concrete pavers. Concentrations of monitored organisms in infiltrate from porous asphalt were consistently below the bathing water quality standard. Fecal coliform and enterococci exceeded bathing water quality standards more than 72% and 34% of the time for permeable interlocking concrete pavers and pervious concrete, respectively. Purpose is to evaluate the performance of permeable pavement in removing indicator organisms from infiltrating stormwater runoff.

  19. Pavement Management Systems on a Local Level

    OpenAIRE

    Vasquez, Cristian A.

    2011-01-01

    Roads are one of the most valuable infrastructure assets within a community. Proper maintenance of the roadway network can promote the prosperity of a community. In recent times maintenance has become much more difficult with the price of asphalt increasing drastically and city budgets contracting due to the economic downturn. With these conditions, the proper management of an agency’s street network is necessary. The use of pavement management systems provides the help needed in the preserva...

  20. Adaptive Road Crack Detection System by Pavement Classification

    Directory of Open Access Journals (Sweden)

    Alejandro Amírola

    2011-10-01

    Full Text Available This paper presents a road distress detection system involving the phases needed to properly deal with fully automatic road distress assessment. A vehicle equipped with line scan cameras, laser illumination and acquisition HW-SW is used to storage the digital images that will be further processed to identify road cracks. Pre-processing is firstly carried out to both smooth the texture and enhance the linear features. Non-crack features detection is then applied to mask areas of the images with joints, sealed cracks and white painting, that usually generate false positive cracking. A seed-based approach is proposed to deal with road crack detection, combining Multiple Directional Non-Minimum Suppression (MDNMS with a symmetry check. Seeds are linked by computing the paths with the lowest cost that meet the symmetry restrictions. The whole detection process involves the use of several parameters. A correct setting becomes essential to get optimal results without manual intervention. A fully automatic approach by means of a linear SVM-based classifier ensemble able to distinguish between up to 10 different types of pavement that appear in the Spanish roads is proposed. The optimal feature vector includes different texture-based features. The parameters are then tuned depending on the output provided by the classifier. Regarding non-crack features detection, results show that the introduction of such module reduces the impact of false positives due to non-crack features up to a factor of 2. In addition, the observed performance of the crack detection system is significantly boosted by adapting the parameters to the type of pavement.

  1. Pavement cells and the topology puzzle.

    Science.gov (United States)

    Carter, Ross; Sánchez-Corrales, Yara E; Hartley, Matthew; Grieneisen, Verônica A; Marée, Athanasius F M

    2017-12-01

    D'Arcy Thompson emphasised the importance of surface tension as a potential driving force in establishing cell shape and topology within tissues. Leaf epidermal pavement cells grow into jigsaw-piece shapes, highly deviating from such classical forms. We investigate the topology of developing Arabidopsis leaves composed solely of pavement cells. Image analysis of around 50,000 cells reveals a clear and unique topological signature, deviating from previously studied epidermal tissues. This topological distribution is established early during leaf development, already before the typical pavement cell shapes emerge, with topological homeostasis maintained throughout growth and unaltered between division and maturation zones. Simulating graph models, we identify a heuristic cellular division rule that reproduces the observed topology. Our parsimonious model predicts how and when cells effectively place their division plane with respect to their neighbours. We verify the predicted dynamics through in vivo tracking of 800 mitotic events, and conclude that the distinct topology is not a direct consequence of the jigsaw piece-like shape of the cells, but rather owes itself to a strongly life history-driven process, with limited impact from cell-surface mechanics. © 2017. Published by The Company of Biologists Ltd.

  2. Association between muscle atrophy/weakness and health care costs and utilization among patients receiving total knee replacement surgery: a retrospective cohort study

    Directory of Open Access Journals (Sweden)

    Chen SY

    2013-08-01

    Full Text Available Shih-Yin Chen,1 Ning Wu,1 Yuan-Chi Lee,1 Yang Zhao21Health Economics and Epidemiology, Evidera, Lexington, Massachusetts, 2Health Economics and Outcomes Research, Novartis Pharmaceuticals Corporation, East Hanover, New Jersey, USAPurpose: The aim of the study reported here was to examine health care resource utilization, costs, and risk of rehospitalization for total knee replacement (TKR patients with and without muscle atrophy/weakness (MAW.Patients and methods: Individuals aged 50–64 years with commercial insurance or 65+ years with Medicare Supplemental Insurance (Medicare who had a hospitalization for TKR between January 1, 2006 and September 30, 2009 were identified from a large US claims database. First hospitalization for TKR was defined as the index stay. All patients were classified into three cohorts according to when MAW was diagnosed relative to TKR: pre-MAW, post-MAW, and no MAW. The association between MAW and health care costs over the 12-month post-index period and the probability of rehospitalization were assessed via multivariate regressions.Results: The study sample included 53,696 Medicare and 46,058 commercial insurance TKR patients. Controlling for cross-cohort differences, both the pre- and post-MAW cohorts had significantly higher total health care costs (Medicare US$4,201 and US$9,404 higher, commercial insurance US$2,737 and US$6,640 higher, respectively than the no MAW cohort (all P < 0.05. The post-MAW cohort in both populations was also more likely to have any all-cause or replacement-related rehospitalization compared with the no MAW cohort.Conclusion: Among US patients undergoing TKR, those with MAW had higher health care utilization and costs than patients without MAW.Keywords: rehospitalization, resource utilization, Medicare, health insurance, USA

  3. Balancing selected medication costs with total number of daily injections: a preference analysis of GnRH-agonist and antagonist protocols by IVF patients

    Directory of Open Access Journals (Sweden)

    Sills E

    2012-08-01

    Full Text Available Abstract Background During in vitro fertilization (IVF, fertility patients are expected to self-administer many injections as part of this treatment. While newer medications have been developed to substantially reduce the number of these injections, such agents are typically much more expensive. Considering these differences in both cost and number of injections, this study compared patient preferences between GnRH-agonist and GnRH-antagonist based protocols in IVF. Methods Data were collected by voluntary, anonymous questionnaire at first consultation appointment. Patient opinion concerning total number of s.c. injections as a function of non-reimbursed patient cost associated with GnRH-agonist [A] and GnRH-antagonist [B] protocols in IVF was studied. Results Completed questionnaires (n = 71 revealed a mean +/− SD patient age of 34 +/− 4.1 yrs. Most (83.1% had no prior IVF experience; 2.8% reported another medical condition requiring self-administration of subcutaneous medication(s. When out-of-pocket cost for [A] and [B] were identical, preference for [B] was registered by 50.7% patients. The tendency to favor protocol [B] was weaker among patients with a health occupation. Estimated patient costs for [A] and [B] were $259.82 +/− 11.75 and $654.55 +/− 106.34, respectively (p  Conclusions This investigation found consistently higher non-reimbursed direct medication costs for GnRH-antagonist IVF vs. GnRH-agonist IVF protocols. A conditional preference to minimize downregulation (using GnRH-antagonist was noted among some, but not all, IVF patient sub-groups. Compared to IVF patients with a health occupation, the preference for GnRH-antagonist was weaker than for other patients. While reducing total number of injections by using GnRH-antagonist is a desirable goal, it appears this advantage is not perceived equally by all IVF patients and its utility is likely discounted heavily by patients when nonreimbursed medication costs

  4. a Circleless "2D/3D Total STATION": a Low Cost Instrument for Surveying, Recording Point Clouds, Documentation, Image Acquisition and Visualisation

    Science.gov (United States)

    Scherer, M.

    2013-07-01

    Hardware and software of the universally applicable instrument - referred to as a 2D/3D total station - are described here, as well as its practical use. At its core it consists of a 3D camera - often also called a ToF camera, a pmd camera or a RIM-camera - combined with a common industrial 2D camera. The cameras are rigidly coupled with their optical axes in parallel. A new type of instrument was created mounting this 2D/3D system on a tripod in a specific way. Because of it sharing certain characteristics with a total station and a tacheometer, respectively, the new device was called a 2D/3D total station. It may effectively replace a common total station or a laser scanner in some respects. After a brief overview of the prototype's features this paper then focuses on the methodological characteristics for practical application. Its usability as a universally applicable stand-alone instrument is demonstrated for surveying, recording RGB-coloured point clouds as well as delivering images for documentation and visualisation. Because of its limited range (10m without reflector and 150 m to reflector prisms) and low range accuracy (ca. 2 cm to 3 cm) compared to present-day total stations and laser scanners, the practical usage of the 2D/3D total station is currently limited to acquisition of accidents, forensic purpuses, speleology or facility management, as well as architectural recordings with low requirements regarding accuracy. However, the author is convinced that in the near future advancements in 3D camera technology will allow this type of comparatively low cost instrument to replace the total station as well as the laser scanner in an increasing number of areas.

  5. Plerixafor mobilization leads to a lower ratio of CD34+ cells to total nucleated cells which results in greater storage costs.

    Science.gov (United States)

    Tanhehco, Yvette C; Adamski, Jill; Sell, Mary; Cunningham, Kathleen; Eisenmann, Christa; Magee, Deborah; Stadtmauer, Edward A; O'Doherty, Una

    2010-01-01

    Plerixafor (Mozobil, AMD3100) with granulocyte-colony stimulating factor (G-CSF) mobilizes more CD34+ cells/kg compared to G-CSF alone. Given that plerixafor enhances mobilization of multiple white blood cell lineages, we determined if more storage space is required for products collected from patients mobilized with plerixafor. A review of the medical records of 15 patients mobilized with chemotherapy and G-CSF (control) and 14 patients mobilized with plerixafor plus G-CSF (plerixafor) was performed. Data on demographics, baseline characteristics, CD34+ cells/kg, total nucleated cells, total mononuclear cells, total apheresis sessions, and total bags for storage were collected. Mean values were determined and compared using Student's t-test. We found that the proportion of CD34+ cells among total nucleated cells was less in the plerixafor group compared to the control group (P = 0.0427). More nucleated cells (10.7 x 10(10) vs. 7.1 x 10(10), P =0.0452) and mononuclear cells (9.7 x 10(10) vs. 5.9 x 10(10), P = 0.0059) were mobilized with plerixafor plus G-CSF. However, there was no significant difference in CD34+ cells/kg, total CD34+ cells or the proportion of mononuclear cells among total nucleated cells between the two groups. More storage bags were required for the plerixafor group compared to the control group (15 vs. 9, P = 0.0299). Mobilization with plerixafor plus G-CSF resulted in a smaller proportion of CD34+ cells collected and a greater number of storage bags. An increase in the number of bags required for stem cell storage may be logistically problematic and will also lead to increased costs for storage of stem cells.

  6. Effectiveness of low impact development practices in two urbanized watersheds: retrofitting with rain barrel/cistern and porous pavement.

    Science.gov (United States)

    Ahiablame, Laurent M; Engel, Bernard A; Chaubey, Indrajeet

    2013-04-15

    The impacts of urbanization on hydrology and water quality can be minimized with the use of low impact development (LID) practices in urban areas. This study assessed the performance of rain barrel/cistern and porous pavement as retrofitting technologies in two urbanized watersheds of 70 and 40 km(2) near Indianapolis, Indiana. Six scenarios consisting of the watershed existing condition, 25% and 50% implementation of rain barrel/cistern and porous pavement, and 25% rain barrel/cistern combined with 25% porous pavement were evaluated using a proposed LID modeling framework and the Long-Term Hydrologic Impact Assessment (L-THIA)-LID model. The model was calibrated for annual runoff from 1991 to 2000, and validated from 2001 to 2010 for the two watersheds. For the calibration period, R(2) and NSE values were greater than 0.60 and 0.50 for annual runoff and streamflow. Baseflow was not calibrated in this study. During the validation period, R(2) and NSE values were greater than 0.50 for runoff and streamflow, and 0.30 for baseflow in the two watersheds. The various application levels of barrel/cistern and porous pavement resulted in 2-12% reduction in runoff and pollutant loads for the two watersheds. Baseflow loads slightly increased with increase in baseflow by more than 1%. However, reduction in runoff led to reduction in total streamflow and associated pollutant loads by 1-9% in the watersheds. The results also indicate that the application of 50% rain barrel/cistern, 50% porous pavement and 25% rain barrel/cistern combined with 25% porous pavement are good retrofitting options in these watersheds. The L-THIA-LID model can be used to inform management and decision-making for implementation of LID practices at the watershed scale. Copyright © 2013. Published by Elsevier Ltd.

  7. Influence of Hydrated Lime on the Properties and Permanent Deformation of the Asphalt Concrete Layers in Pavement

    Directory of Open Access Journals (Sweden)

    Al-Tameemi Ahmed F.

    2015-07-01

    Full Text Available Flexible or asphalt concrete pavement is the paving system most widely adopted all over the world. It has been recognized that there are many different types of the factors affecting the performance and durability of asphalt concrete pavement, including the service conditions, such as: the variation of temperature from mild to extremes and the repeated excessive axle loading as well as the inadequate quality of the raw materials. All of these when combined together are going to accelerate the occurrence of distresses in flexible pavement such as permanent deformation and fatigue cracking. As the result, there has an urgent need to enhance the ability of asphalt concrete mixture to resist distresses happened in pavement. Use of additives is one of the techniques adopted to improve pavement properties. It has been found that hydrated lime might be one of the effective additives because it is widely available and relatively cheap compared to other modifiers like polymers. This paper presents an experimental study of the hydrated-lime modified asphalt concrete mixtures. Five different percentages of the hydrated lime additive were investigated, namely (1, 1.5, 2, 2.5 and 3 percent. The hydrated lime additive was used as partial replacement of limestone filler by total weight of the aggregate. The designed Hot Mix Asphalt (HMA concretes are for the application of three pavement courses, i.e. Surface, Leveling and Base. These mixtures are designed and tested following Marshall procedure and uniaxial repeated loading to evaluate permanent deformation at different temperatures of 20°C, 40°C and 60°C. The experimental results show that the addition of hydrated lime as a partial replacement of ordinary limestone mineral filler results a significant improvement on mechanical properties and the resistant to permanent deformation of the designed asphalt concrete mixtures.

  8. Assessing energy projects from the viewpoint of individual economic branches and total economy. The role of economic efficiency analysis, cost-benefit analysis and multicriteria methods

    International Nuclear Information System (INIS)

    Sell, A.

    1992-01-01

    Energy is an extremely important good and means of production not only for the individual branches of economy but, due to its essential meaning to the development of a region or a national economy and its external effects connected with production and consumption, also of great interest to all economic branches. This article deals with the relation of analyses in individual economical branches and those in total economy and with the question of what the importance of cost-benefit analyses and other methods is in the analysis in total economy. The author also mentions the planning as in the special literature the planning and evaluation phases are not analytically separated which is seen especially in the discussion about the multi-criteria methods. (orig.) [de

  9. An analysis of pavement heat flux to optimize the water efficiency of a pavement-watering method

    International Nuclear Information System (INIS)

    Hendel, Martin; Colombert, Morgane; Diab, Youssef; Royon, Laurent

    2015-01-01

    Pavement-watering as a technique of cooling dense urban areas and reducing the urban heat island effect has been studied since the 1990's. The method is currently considered as a potential tool for and climate change adaptation against increasing heat wave intensity and frequency. However, although water consumption necessary to implement this technique is an important aspect for decision makers, optimization of possible watering methods has only rarely been conducted. An analysis of pavement heat flux at a depth of 5 cm and solar irradiance measurements is proposed to attempt to optimize the watering period, cycle frequency and water consumption rate of a pavement-watering method applied in Paris over the summer of 2013. While fine-tuning of the frequency can be conducted on the basis of pavement heat flux observations, the watering rate requires a heat transfer analysis based on a relation established between pavement heat flux and solar irradiance during pavement insolation. From this, it was found that watering conducted during pavement insolation could be optimized to 30-min cycles and water consumption could be reduced by more than 80% while reducing the cooling effect by less than 13%. - Highlights: • The thermal effects of pavement-watering were investigated in Paris, France. • Pavement-watering was found to significantly affect pavement heat flux 5 cm deep. • When insolated, a linear relation was found between heat flux and solar radiation. • Pavement-watering did not alter its slope, but introduced a negative intercept. • Subsequent improvements of the watering period, frequency and rate are proposed

  10. Modeling the Hydrologic Processes of a Permeable Pavement System

    Science.gov (United States)

    A permeable pavement system can capture stormwater to reduce runoff volume and flow rate, improve onsite groundwater recharge, and enhance pollutant controls within the site. A new unit process model for evaluating the hydrologic performance of a permeable pavement system has be...

  11. Permeable Pavement Research at the Edison Environmental Center

    Science.gov (United States)

    There are few detailed studies of full-scale, replicated, actively-used permeable pavement systems. Practitioners need additional studies of permeable pavement systems in its intended application (parking lot, roadway, etc.) across a range of climatic events, daily usage conditio...

  12. Nutrient Infiltrate Concentrations from Three Permeable Pavement Types

    Science.gov (United States)

    While permeable pavement is increasingly being used to control stormwater runoff, field-based, side-by-side investigations on the effects different pavement types have on nutrient concentrations present in stormwater runoff are limited. In 2009, the U.S. EPA constructed a 0.4-ha...

  13. Full scale demonstration of air-purifying pavement

    NARCIS (Netherlands)

    Ballari, M.; Brouwers, H.J.H.

    2013-01-01

    Experiments concerning a full-scale demonstration of air purifying pavement in Hengelo, The Netherlands, are reported. The full width of the street was provided with concrete pavement containing TiO2 over a length of 150 m ("DeNOx street"). Another part of the street, about 100 m, was paved with

  14. Effects of street tree shade on asphalt concrete pavement performance

    Science.gov (United States)

    E.G. McPherson; J. Muchnick

    2005-01-01

    Forty-eight street segments were paired into 24 high-and low-shade pairs in Modesto, California, U.S. Field data were collected to calculate a Pavement Condition Index (PCI) and Tree Shade Index (TSI) for each segment. Statistical analyses found that greater PCI was associated with greater TSI, indicating that tree shade was partially responsible for reduced pavement...

  15. 3D Tyre/Road pavement contact stress measurements

    CSIR Research Space (South Africa)

    De Beer, Morris

    2010-10-01

    Full Text Available The CSIR’s proprietary Stress-in-Motion (SIM) measurements provide rational descriptions of 1D, 2D and 3D tyre/road pavement stresses for: Road pavement design testing and evaluation, as well as tyre design, testing and evaluation....

  16. Wet Weather Crater Repair Technologies for Grooved and Smooth Pavements

    Science.gov (United States)

    2018-04-30

    Dean Geotechnical and Structures Laboratory U.S. Army Engineer Research and Development Center 3909 Halls Ferry Road Vicksburg, MS 39180-6199...ORGANIZATION REPORT NUMBER U.S. Army Engineer Research and Development Center Geotechnical and Structures Laboratory 3909 Halls Ferry Road ...SUBJECT TERMS Crater Concrete Rain and rainfall ADR Grooved pavement Smooth pavement Runoff Runways (Aeronautics) – Maintenance and repair

  17. Soil Properties And Pavement Performance In The Nigerian ...

    African Journals Online (AJOL)

    The geotechnical properties of the sub-structure of the Shagamu-Ore-Benin pavement were studied in an attempt to identifying the quality of construction materials and the pavement performance. The sub-structure soil materials were collected from the field and were taken to the laboratory for particle size analysis, Atterberg ...

  18. Accelerated load testing of geosynthetic base reinforced pavement test sections.

    Science.gov (United States)

    2011-02-01

    The main objective of this research is to evaluate the benefits of geosynthetic stabilization and reinforcement of subgrade/base aggregate layers in flexible pavements built on weak subgrades and the effect of pre-rut pavement sections, prior to the ...

  19. Effect of training algorithms on neural networks aided pavement ...

    African Journals Online (AJOL)

    Especially, the use of Finite Element (FE) based pavement modeling results for training the NN aided inverse analysis is considered to be accurate in realistically characterizing the non-linear stress-sensitive response of underlying pavement layers in real-time. Efficient NN learning algorithms have been developed and ...

  20. Long-term Metal Performance of Three Permeable Pavements

    Science.gov (United States)

    EPA constructed a 4,000-m2 parking lot surfaced with three permeable pavements (permeable interlocking concrete pavers, pervious concrete, and porous asphalt) on the Edison Environmental Center in Edison, NJ in 2009. Samples from each permeable pavement infiltrate were collected...

  1. Assessing Asphalt and Concrete Pavement Surface Texture in the Field

    Directory of Open Access Journals (Sweden)

    Saad I. Sarsam

    2016-06-01

    Full Text Available The incorporation of safety characteristics into the traditional pavement structural design or in the functional evaluation of pavement condition has not been established yet. The design has focused on the structural capacity of the roadway so that the pavement can withstand specific level of repetitive loading over the design life. On the other hand, the surface texture condition was neither included in the AASHTO design procedure nor in the present serviceability index measurements. The pavement surface course should provide adequate levels of friction and ride quality and maintain low levels of noise and roughness. Many transportation departments perform routine skid resistant testing, the type of equipment used for testing varies depending on the preference of each transportation department. It was felt that modeling of the surface texture condition using different methods of testing may assist in solving such problem. In this work, Macro texture and Micro texture of asphalt and cement concrete pavement surface have been investigated in the field using four different methods (The Sand Patch Method, Outflow Time Method, British Pendulum Tester and Photogrammetry Technique. Two different grain sizes of sand have been utilized in conducting the Sand Patch while the Micro texture was investigated using the British Pendulum tester method at wet pavement surface conditions. The test results of the four methods were correlated to the skid number. It was concluded that such modeling could provide instant data in the field for pavement condition which may help in pavement maintenance management.

  2. Highway pavement failure induced by poor soil geotechnical ...

    African Journals Online (AJOL)

    X-ray diffraction studies showed the presence of abundant kaolinite peaks and a subdued goethite peak without any trace of montmorrilonite. The presence of excess fines in the pavement construction materials (soils) contributed to the failure of the highway pavement at this locality. The low CBR value is also a noted cause ...

  3. 23 CFR 973.208 - Indian lands pavement management system (PMS).

    Science.gov (United States)

    2010-04-01

    ... 23 Highways 1 2010-04-01 2010-04-01 false Indian lands pavement management system (PMS). 973.208... PROGRAM Bureau of Indian Affairs Management Systems § 973.208 Indian lands pavement management system (PMS... concepts described in the AASHTO's “Pavement Management Guide.” 1 1 “Pavement Management Guide,” AASHTO...

  4. Influence of Pavement on Fatigue Performance of Urban Steel Box Girder Deck

    Directory of Open Access Journals (Sweden)

    Zheng Zhongyue

    2016-01-01

    Full Text Available Based on spatial finite element analysis method, the Influence of pavement on fatigue performance of orthotropic steel deck was analyzed in terms of pavement system, asphalt pavement stiffness. The result shows that compared with asphalt pavement system, RPC pavement system can not only obviously improve the stress condition of steel bridge deck, but also significantly extend the fatigue life of steel bridge panel; Increasing the stiffness of pavement layer can obviously reduce the stress amplitude of fatigue details, especially for direct contact with the pavement.

  5. The Simulation Realization of Pavement Roughness in the Time Domain

    Science.gov (United States)

    XU, H. L.; He, L.; An, D.

    2017-10-01

    As the needs for the dynamic study on the vehicle-pavement system and the simulated vibration table test, how to simulate the pavement roughness actually is important guarantee for whether calculation and test can reflect the actual situation or not. Using the power spectral density function, the simulation of pavement roughness can be realized by Fourier inverse transform. The main idea of this method was that the spectrum amplitude and random phase were obtained separately according to the power spectrum, and then the simulation of pavement roughness was obtained in the time domain through the Fourier inverse transform (IFFT). In the process, the sampling interval (Δl) was 0.1m, and the sampling points(N) was 4096, which satisfied the accuracy requirements. Using this method, the simulate results of pavement roughness (A~H grades) were obtain in the time domain.

  6. Importance of dowels in transversal joints in concrete pavements

    Science.gov (United States)

    Grosek, Jiri; Chupik, Vladimir; Stryk, Josef; Brezina, Ilja

    2017-09-01

    Concrete pavements are designed for heavy loaded road structures. Their usage brings a number of specific issues. It is necessary to solve them all to ensure that concrete pavements will fulfil their function along the whole design period. One of these issues concerns dowels, which are located in transversal joints. Modelling of load, caused by heavy vehicles, with the use of the finite element method, provides valuable information about the stress condition of concrete pavement. The results of modelling can be verified by measurements or experiments in practice. Dowels and tie bars in jointed unreinforced concrete pavements and the importance of their correct placement, dimensions and material quality on pavement behaviour and lifespan were studied as a part of R&D projects of Technology Agency of the Czech Republic Nos. TA02031195 and TE01020168. The paper presents the experience from the modelling and performed experiments and makes conclusions which are important for the use in practice.

  7. Trends in primary total hip arthroplasty in Spain from 2001 to 2008: Evaluating changes in demographics, comorbidity, incidence rates, length of stay, costs and mortality

    Directory of Open Access Journals (Sweden)

    Jimenez-Trujillo Isabel

    2011-02-01

    Full Text Available Abstract Background Hip arthroplasties is one of the most frequent surgical procedures in Spain and are conducted mainly in elderly subjects. We aim to analyze changes in incidence, co-morbidity profile, length of hospital stay (LOHS, costs and in-hospital mortality (IHM of patients undergoing primary total hip arthroplasty (THA over an 8-year study period in Spain. Methods We selected all surgical admissions in individuals aged ≥40 years who had received a primary THA (ICD-9-CM procedure code 81.51 between 2001 and 2008 from the National Hospital Discharge Database. Age- and sex-specific incidence rates, LOHS, costs and IHM were estimated for each year. Co-morbidity was assessed using the Charlson comorbidity index. Multivariate analysis of time trends was conducted using Poisson regression. Logistic regression models were conducted to analyze IHM. Results We identified a total of 161,791 discharges of patients having undergone THA from 2001 to 2008. Overall crude incidence had increased from 99 to 105 THA per 100.000 inhabitants from 2001 to 2008 (p 2 and in 2008, the prevalence of 1-2 or >2 had increased to 20.4% and 1.1% respectively (p Conclusions The current study provides clear and valid data indicating increased incidence of primary THA in Spain from 2001 to 2008 with concomitant reductions in LOHS, slight reduction IHM, but a significant increase in cost per patient. The health profile of the patient undergoing a THA seems to be worsening in Spain.

  8. Utilization of Advanced Diagnostic Methods for Texture and Rut Depth Analysis on a Testing Pavement Section

    Directory of Open Access Journals (Sweden)

    Slabej Martin

    2015-05-01

    Full Text Available Qualitative characteristics of pavement in wide range reflects the pavement serviceability, which is a summary of the characteristics of the pavement, providing a fast, smooth, economical and especially safe driving of motor-vehicles. The target factor of pavement serviceability and safety of roads represents the quality of their surface properties. In the framework of research activities performed in the Research Centre founded under the auspices of University of Žilina, individual parameters of pavement serviceability were monitored by pavement surface scanning. This paper describes the creation of a 3D - road surface model and its analysis and evaluation from the viewpoint of two pavement serviceability parameters - the rut depth and texture. Measurements were performed on an experimental pavement section used contemporary in an Accelerated Pavement Testing experiment. The long-term goal is to ascertain functions predicting degradation of these two pavement serviceability parameters.

  9. Comparison study on flexible pavement design using FAA (Federal Aviation Administration) and LCN (Load Classification Number) code in Ahmad Yani international airport’s runway

    Science.gov (United States)

    Santoso, S. E.; Sulistiono, D.; Mawardi, A. F.

    2017-11-01

    FAA code for airport design has been broadly used by Indonesian Ministry of Aviation since decades ago. However, there is not much comprehensive study about its relevance and efficiency towards current situation in Indonesia. Therefore, a further comparison study on flexible pavement design for airport runway using comparable method has become essential. The main focus of this study is to compare which method between FAA and LCN that offer the most efficient and effective way in runway pavement planning. The comparative methods in this study mainly use the variety of variable approach. FAA code for instance, will use the approach on the aircraft’s maximum take-off weight and annual departure. Whilst LCN code use the variable of equivalent single wheel load and tire pressure. Based on the variables mentioned above, a further classification and rated method will be used to determine which code is best implemented. According to the analysis, it is clear that FAA method is the most effective way to plan runway design in Indonesia with consecutively total pavement thickness of 127cm and LCN method total pavement thickness of 70cm. Although, FAA total pavement is thicker that LCN its relevance towards sustainable and pristine condition in the future has become an essential aspect to consider in design and planning.

  10. Evaluating the effect of crumb rubber and nano silica on the properties of high volume fly ash roller compacted concrete pavement using non-destructive techniques

    Directory of Open Access Journals (Sweden)

    Bashar S. Mohammed

    2018-06-01

    Full Text Available The major problems related to roller compacted concrete (RCC pavement are high rigidity, lower tensile strength which causes a tendency of cracking due to thermal or plastic shrinkage, flexural and fatigue loads. Furthermore, RCC pavement does not support the use of dowel bars or reinforcement due to the way it is placed and compacted, these also aided in cracking and consequently increased maintenance cost. To address these issues, high volume fly ash (HVFA RCC pavement was developed by partially replacing 50% cement by volume with fly ash. Crumb rubber was used as a partial replacement to fine aggregate in HVFA RCC pavement at 0%, 10%, 20%, and 30% replacement by volume. Nano silica was added at 0%, 1%, 2% and 3% by weight of cementitious materials to improve early strength development in HVFA RCC pavement and mitigate the loss of strength due to the incorporation of crumb rubber. The nondestructive technique using the rebound hammer test (RHT and ultrasonic pulse velocity (UPV were used to evaluate the effect of crumb rubber and nano silica on the performance of HVFA RCC pavement. The results showed that the use of HVFA as cement replacement decreases both the unit weight, compressive strength, rebound number (RN. Furthermore, the unit weight, compressive strength, RN, UPV and dynamic modulus of elasticity of HVFA RCC pavement all decreases with increase in crumb rubber content and increases with the addition of nano-silica. Combined UPV-RN (SonReb models for predicting the 28 days strength of HVFA RCC pavement based on combining UPV and RN were developed using multivariable regression (double power, bilinear, and double exponential models. The exponential combined SonReb model is the most suitable for predicting the compressive strength of HVFA RCC pavement using UPV and RN as the independent variable with better predicting ability, higher correlation compared to the single variable models. Keywords: Crumb rubber, High volume fly ash, Nano

  11. Photocatalytic pavement blocks. Air purification by pavement blocks. Final results of the research at BRRC

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2009-07-01

    The use of materials can influence to a large extent the environmental impact of traffic and of road infrastructure. Especially in urban areas, where the risk on smog formation during hot summer days is high, the use of photocatalytic pavement blocks can reduce the air pollution significantly. A project on environmental friendly concrete pavement blocks is conducted at the Belgian Road Research Centre. The use of photocatalytic material in the surface of pavement blocks to obtain air purifying materials is investigated. In contact with light, TiO2 as photocatalyst, is able to reduce the NO and NO2 content in the air, caused by the exhaust of traffic. The efficiency is tested on pavement blocks, but the technique can as well be applied on other road elements (e.g. noise reducing walls, linear elements) or as a coating on new materials or existing structures. At the previous TRA conference in Gotenborgh, Sweden, the principle of photocatalysis was presented. In this paper, emphasis will be put on the final results of the 4-year project obtained in laboratory as well as on site at the Leien of Antwerp (10,000 m{sup 2}). The results indicate a durable efficiency towards NOx reduction, which is in favour for the diminishing of the risk on ozone formation. However, the precise translation from the laboratory towards the site is still in question. The results obtained during the project are discussed in this paper.

  12. Photocatalytic pavement blocks. Air purification by pavement blocks. Final results of the research at BRRC

    International Nuclear Information System (INIS)

    2009-01-01

    The use of materials can influence to a large extent the environmental impact of traffic and of road infrastructure. Especially in urban areas, where the risk on smog formation during hot summer days is high, the use of photocatalytic pavement blocks can reduce the air pollution significantly. A project on environmental friendly concrete pavement blocks is conducted at the Belgian Road Research Centre. The use of photocatalytic material in the surface of pavement blocks to obtain air purifying materials is investigated. In contact with light, TiO2 as photocatalyst, is able to reduce the NO and NO2 content in the air, caused by the exhaust of traffic. The efficiency is tested on pavement blocks, but the technique can as well be applied on other road elements (e.g. noise reducing walls, linear elements) or as a coating on new materials or existing structures. At the previous TRA conference in Gotenborgh, Sweden, the principle of photocatalysis was presented. In this paper, emphasis will be put on the final results of the 4-year project obtained in laboratory as well as on site at the Leien of Antwerp (10,000 m 2 ). The results indicate a durable efficiency towards NOx reduction, which is in favour for the diminishing of the risk on ozone formation. However, the precise translation from the laboratory towards the site is still in question. The results obtained during the project are discussed in this paper

  13. Performance of continuously reinforced concrete pavements volume 5 : maintenance and repair of CRC pavements.

    Science.gov (United States)

    1998-10-01

    This report is one of a series of reports prepared as part of a recent study sponsored by the Federal Highway Administration (FHWA) aimed at updating the state-of-the-art of the design, construction, maintenance, and rehabiilitation of CRC pavements....

  14. Towards Understanding Tyre-Pavement Contact in APT Research on Flexible Pavements

    CSIR Research Space (South Africa)

    De Beer, Morris

    2016-09-01

    Full Text Available An important element of Accelerated Pavement Testing (APT) is the selection of appropriate test tyre(s) to be used for APT testing. By far the majority of full scale (or scaled) APT devices uses pneumatic rubber tyres. Tyres differ not only in size...

  15. Pavement noise research : modeling of quieter pavements in Florida, final report, October 19, 2009.

    Science.gov (United States)

    2009-10-01

    The research on noise created by the tire/pavement interface, while relatively new, has seen considerable interest over the past few years because of the potential benefits and a general desire by the public for quieter highways. The Florida Departme...

  16. Pavement Pre- and Post-Treatment Performance Models Using LTPP Data

    OpenAIRE

    Lu, Pan; Tolliver, Denver

    2012-01-01

    This paper determines that pavement performance in International Roughness Index (IRI) is affected by exogenous interventions such as pavement age, precipitation level, freeze-thaw level, and lower level preservation maintenance strategies. An exponential function of pavement age was used to represent pavement IRI performance curves. Moreover, this paper demonstrates a method which calculates short-term post-pavement performance models from maintenance effect models and pre-treatment performa...

  17. Pavement structure mechanics response of flexible on semi-flexible overlay that based on the old cement concrete pavement damage

    Directory of Open Access Journals (Sweden)

    Jiang Ruinan

    2015-01-01

    Full Text Available The old cement pavement damage status directly affect the design of the paving renovation. Based on the state of the old road investigation, combined with the research data at home and abroad, use the control index that average deflection, deflection value and CBR value to determine the reasonable time to overlay. Draw up the typical pavement structure according to the principle of combination of old cement pavement overlay structure design, and calculated that the tensile stress and shear stress in asphalt layer ,semi-flexible layer and the tensile in the old cement pavement adopting BISA3.0 statics finite element analysis model when modulus in the old road was diminishing. Use the computed result to analyses the influence of old road damage condition the influence of pavement structure.

  18. Comparison of turnaround time and total cost of HIV testing before and after implementation of the 2014 CDC/APHL Laboratory Testing Algorithm for diagnosis of HIV infection.

    Science.gov (United States)

    Chen, Derrick J; Yao, Joseph D

    2017-06-01

    Updated recommendations for HIV diagnostic laboratory testing published by the Centers for Disease Control and Prevention and the Association of Public Health Laboratories incorporate 4th generation HIV immunoassays, which are capable of identifying HIV infection prior to seroconversion. The purpose of this study was to compare turnaround time and cost between 3rd and 4th generation HIV immunoassay-based testing algorithms for initially reactive results. The clinical microbiology laboratory database at Mayo Clinic, Rochester, MN was queried for 3rd generation (from November 2012 to May 2014) and 4th generation (from May 2014 to November 2015) HIV immunoassay results. All results from downstream supplemental testing were recorded. Turnaround time (defined as the time of initial sample receipt in the laboratory to the time the final supplemental test in the algorithm was resulted) and cost (based on 2016 Medicare reimbursement rates) were assessed. A total of 76,454 and 78,998 initial tests were performed during the study period using the 3rd generation and 4th generation HIV immunoassays, respectively. There were 516 (0.7%) and 581 (0.7%) total initially reactive results, respectively. Of these, 304 (58.9%) and 457 (78.7%) were positive by supplemental testing. There were 10 (0.01%) cases of acute HIV infection identified with the 4th generation algorithm. The most frequent tests performed to confirm an HIV-positive case using the 3rd generation algorithm, which were reactive initial immunoassay and positive HIV-1 Western blot, took a median time of 1.1 days to complete at a cost of $45.00. In contrast, the most frequent tests performed to confirm an HIV-positive case using the 4th generation algorithm, which included a reactive initial immunoassay and positive HIV-1/-2 antibody differentiation immunoassay for HIV-1, took a median time of 0.4 days and cost $63.25. Overall median turnaround time was 2.2 and 1.5 days, and overall median cost was $63.90 and $72.50 for

  19. Pavement Management Systems Application with Geographic Information System Method

    Directory of Open Access Journals (Sweden)

    Nihat MOROVA

    2016-04-01

    Full Text Available In this study, performance models were developed. Software in Visual Basic programming language was used for the developed model. Using the software, both the present condition of the pavement can be examined and future performance based on expected traffic values can be predicted. So, the software can be used at both network and project level. Cost and benefit values taken from the literature were used in determining the cost-benefit ratio. Using the genetic algorithm approach, a computer program in Visual Basic programming language was written. Using the model developed, a five-year maintenance and rehabilitation program can be planned for a given database considering budget restraints. The developed models were merged by writing Geographic Information System (GIS software in order to show the effectiveness of models and adopt the models into a GIS. For this purpose, a case study of GIS was exposed. The control of the overall system can be applied in addition to the application of the model at network level. The developed software allows data to be transferred to the database, analyses and different scenario applications for showing GIS results.

  20. Identification of Pavement Distress Types and Pavement Condition Evaluation Based on Network Level Inspection for Jazan City Road Network

    Directory of Open Access Journals (Sweden)

    M Mubaraki

    2014-06-01

    Full Text Available The first step in establishing a pavement management system (PMS is road network identification. An important feature of a PMS is the ability to determine the current condition of a road network and predict its future condition. Pavement condition evaluation may involve structure, roughness, surface distress, and safety evaluation. In this study, a pavement distress condition rating procedure was used to achieve the objectives of this study. The main objectives of this study were to identify the common types of distress that exist on the Jazan road network (JRN, either on main roads or secondary roads, and to evaluate the pavement condition based on network level inspection. The study was conducted by collecting pavement distress types from 227 sample units on main roads and 500 sample units from secondary roads. Data were examined through analysis of common types of distress identified in both main and secondary roads. Through these data, pavement condition index (PCI for each sample unit was then calculated. Through these calculations, average PCIs for the main and secondary roads were determined. Results indicated that the most common pavement distress types on main roads were patching and utility cut patching, longitudinal and transverse cracking, polished aggregate, weathering and raveling, and alligator cracking. The most common pavement distress types on secondary roads were weathering and raveling, patching and utility cut patching, longitudinal and transverse cracking, potholes, and alligator cracking. The results also indicated that 65% of Jazan's main road network has an average pavement condition rating of very good while only 30% of Jazan's secondary roads network has an average pavement condition.