Search Results (11,056)

Laminated Veneer Lumber (LVL) presents an alternative material for offshore wind turbine towers and blades for an energy sector whose greenhouse gas emissions are substantial. In compliance with AS/NZS 4536, this case study facilitates a specifications’ selection framework that embraces a validated, cost–benefit determination via life cycle cost analyses (LCCA) specification comparisons. A structured consultation with three key Western Australian offshore industry experts, compliant with a standard phenomenological qualitative approach, further facilitates offshore wind turbine (OWT), LCCA cost comparisons between traditional steel and fibreglass components and LVL wooden components. LVL is found to have a higher capital cost but can generate long-term savings of AUD 30,400 per comparable unit less than Traditional OWT specifications, noting a 5% lower LVL operation and maintenance cost. Where decommissioning recycling facilities exist, OWT LVL specification components are encouraged. This work argues that LVL options uptake in Western Australia (WA) is both practicable and whole-cost effective. Full article

With the expansion of the scale of high-proportion wind and solar power grid connections, the problems of abandoned wind and solar power and insufficient peak shaving have become increasingly prominent. The electric–hydrogen coupling system has greater potential in flexible regulation, providing a new technological approach for the consumption of new energy. This paper proposes a two-layer optimization model for an electricity–hydrogen coupled distributed power generation system. The model is based on the collaborative regulation of flexible loads by electrolytic cells and fuel cells. Through the collaborative optimization of capacity configuration and operation scheduling, it breaks through the strong dependence of traditional systems on the distribution network and enhances the autonomous consumption capacity of new energy. The upper-level optimization model aims to minimize the total life-cycle cost of the system, and the lower-level optimization model aims to minimize the system’s operating cost. The capacity configuration of each module before and after the integration of flexible loads is compared. The simulation results show that the integration of flexible loads can not only effectively reduce the level of wind and solar power consumption in distributed power generation systems, but also play a role in load peak shaving and valley filling. At the same time, it can effectively reduce the system’s peak electricity purchase and sale cost and reduce the system’s dependence on the distribution network. Based on this, with the premise of meeting the load demand, the capacity configuration results of each module were compared when connecting electrolytic cells of different capacities. The results show that the simulated area has the best economic benefits when connected to a 4 MW electrolytic cell. This optimization model can increase the high wind and solar power consumption rate by 23%, reduce the peak purchase and sale cost of electricity by 40%, and achieve an economic benefit coefficient of up to 0.097. Full article

Background: Deep vein thrombosis (DVT) management remains challenging despite standard anticoagulation therapy. This study evaluated the comprehensive benefits of combining rivaroxaban with Aescuven (CAV) compared to rivaroxaban monotherapy (SAT) in DVT treatment. Methods: A retrospective analysis was conducted on DVT patients (2018–2023) using multi-method propensity score matching and ensemble weighting. Outcomes included improvement rate (IPR), daily improvement rate (DIR), cost-effectiveness ratio (CER), daily improvement cost (DIC), cost–LOS efficiency (CLE), and length of stay (LOS). Counterfactual analysis was implemented to estimate causal effects. Results: The CAV group demonstrated superior outcomes compared to SAT: IPR increased by 6.39 percentage points (95% CI: 5.61–7.39), DIC substantially reduced by 3323.38 CNY (95% CI: 2887.95–3758.81), and CLE improved by 136.97 CNY per day (95% CI: 122.31–151.64), with minimal LOS increase (0.15 days, 95% CI: 0.12–0.18). Network analysis revealed significant correlations between baseline coagulation parameters and treatment outcomes, particularly between APTT and economic benefits. Conclusions: The CAV regimen achieved significant clinical and economic advantages over standard monotherapy without substantially increasing resource utilization. These findings support integrating venoprotective agents into conventional anticoagulation strategies for optimized DVT management. Full article

The adoption of healthcare technologies has grown significantly, with real-time location systems (RTLSs) gaining particular attention. Despite decades of research, gaps persist in understanding the current state of the field and its future directions. This scoping review, conducted by PRISMA guidelines, identified 1718 articles retrieved from six databases, from which 83 were included. The findings reveal a dominance of U.S.-based case studies and a lack of systematic literature reviews. While RFID is the most commonly used technology, alternative solutions are emerging, though few studies explore their combined use. The emergency department is the most studied setting, focusing on patient flow. However, case study quality varies, which affects replicability, and literature reviews often fail to justify technological choices adequately. RTLS benefits include improved efficiency, enhanced patient safety, and cost reduction, but challenges such as precision issues and signal interference persist. RTLS also serves as a foundation for digital twins, integrating AI and Industry 4.0 technologies for more sustainable healthcare operations. Technological advancements may shift perceptions of RTLS challenges and benefits, highlighting the need for analysis by technology type and release date. Additionally, current MeSH terms fail to adequately cover healthcare technologies, resulting in the exclusion of relevant studies. Full article

Progressive advancements in the global economy and technology have propelled human civilization forward; however, they have also inflicted significant harm on the global ecological environment. In the present era, electric vehicle (EV) technology is playing a vital role due to its environmentally friendly technological advances. However, widespread adoption of EVs has been hindered by their limited travel range, inadequate charging infrastructure, and high costs. This can be closely observed when we assess the adoption of electric vehicles (EVs) among motorcycle taxi drivers, commonly called ‘pilots,’ in Goa, India. Motorcycle taxis are crucial in Goa’s transportation network, providing affordable, efficient, and door-to-door services, especially in regions with limited public transport options. However, the rising costs of petrol and vehicle maintenance have adversely affected the income of these pilots, prompting concerns about their willingness to adopt EVs. This study aims to analyze the factors prompting the behavioral intention to adopt EVs by motorcycle taxi pilots in Goa, India, focusing on six key determinants: charging infrastructure, effort expectancy, performance expectancy, price value, social influence, and satisfaction with incentive policies. A quantitative approach was employed, utilizing stratified proportionate random sampling techniques to collect data from 242 motorcycle taxi pilots registered with the Goa State Government Transport Department. It was analyzed using partial least squares-structural equation modeling (PLS-SEM) through Smart-PLS 4.0 software. The research highlights that performance expectancy and price value are the potential motivators for the adoption of electric vehicles. These findings suggest that pilots are more likely to embrace EVs when they perceive tangible benefits in performance and find the cost reasonable in relation to the value offered. The results offer actionable insights for policymakers, manufacturers, and other stakeholders. These insights can guide strategic decisions and policy frameworks aimed at fostering a sustainable and user-centric transportation ecosystem. Full article

Background/Objectives: Early-onset scoliosis (EOS) frequently requires growth-friendly interventions, such as magnetically controlled growing rods (MCGRs), followed by definitive spinal fusion upon skeletal maturity. The optimal implant density (ID) for final posterior spinal fusion in these patients remains controversial. This study aimed to compare the radiographic, surgical, and economic outcomes associated with high-density (HD) versus low-density (LD) screw constructs in EOS patients previously treated with MCGRs undergoing definitive fusion. Methods: This retrospective study included 27 EOS patients who underwent definitive posterior spinal fusion between January 2017 and September 2022. Participants were categorized into two groups: HD (n = 13) and LD (n = 14). Primary outcomes included coronal and sagittal radiographic parameters assessed at early postoperative and final follow-up visits (minimum of 2 years). The secondary outcomes analyzed were major postoperative complications (grade ≥ IIIB according to Clavien–Dindo–Sink Classification [CDSC]), operative time, blood loss, hospital stay length, and total implant costs. Results: Baseline characteristics between the HD and LD groups were comparable. Early postoperative radiographic assessment demonstrated significantly greater thoracic kyphosis (16.3 ± 7.6° vs. 10.9 ± 14.4°, p = 0.021) and T1-S1 spinal height (43.3 ± 6.7 mm vs. 39.1 ± 4.3 mm, p = 0.039) in the HD group. At final follow-up, only T1-S1 spinal height remained significantly higher in the HD group (45.4 ± 7 mm vs. 39.7 ± 5.1 mm, p = 0.021). Implant costs were significantly higher in the HD group (EUR 6046.5 ± 1146.9 vs. EUR 4376.4 ± 999.4, p < 0.001), while operative time, blood loss, and hospital stay length showed no significant differences. HD constructs had three major complications requiring surgical revision, whereas LD constructs reported no perioperative complications but experienced three late-onset complications also necessitating revision surgery. Conclusions: LD constructs provided comparable long-term radiographic and clinical outcomes to HD constructs, with significantly lower implant-related costs. Despite initial superior kyphosis correction in HD constructs, this benefit diminished by the final follow-up. These findings support a selective, lower-density screw placement strategy to minimize costs and surgical complexity without compromising patient outcomes in EOS undergoing definitive spinal fusion. Full article

Forest shelterbelts and windbreaks play a vital role in protecting ecosystems, mitigating climate change effects, and enhancing agricultural productivity. These vegetative barriers serve as effective tools for soil conservation, reducing wind and water erosion while improving soil fertility. Additionally, they contribute to biodiversity preservation by providing habitat corridors for various plant and animal species. Their role in microclimate regulation, such as temperature moderation and increased humidity retention, further enhances agricultural yields and ecosystem stability. This study examines the historical evolution, design principles, and contemporary applications of forest shelterbelts and windbreaks, drawing insights from scientific research and case studies worldwide. It highlights the economic and environmental benefits, including improved air quality, carbon sequestration, and water management, making them crucial components of sustainable land use strategies. However, challenges such as land use competition, maintenance costs, and policy constraints are also analyzed, underscoring the need for integrated approaches to their management. Through a comprehensive bibliometric analysis of the existing literature and field studies, this paper emphasizes the necessity of strategic planning, community involvement, and adaptive policies to ensure the long-term sustainability of forest shelterbelts and windbreaks. The findings contribute to a broader understanding of their role in combating environmental degradation and promoting ecological resilience in the face of ongoing climate challenges. Full article

Prostate cancer is the most common cancer in men in 112 countries, accounting for 1 in 14 diagnosed cancer cases worldwide. For this reason, the diagnosis and treatment of prostate cancer changed significantly, becoming a multidisciplinary process. Since 2015 in Poland, measures have been taken to accelerate the diagnosis and treatment of cancers, including shortening patients’ diagnosis and treatment waiting times. Background/Objectives: The aim of this study was to characterize the current clinical pathway of patients with prostate cancer and to establish standard times for various steps of treatment, as well as to develop a visualization of the steps involved in diagnosis and treatment. Methods: The research covers 2018 to 2022 in a large oncological hospital in Poland (EU area). The source data, in the form of 10 fully anonymized CSV files generated from the hospital’s medical statistics, have been converted to the target data model. Results: The time limits for diagnosing and commencing the treatment of patients with diagnosed prostate cancer specified by legal regulations and by guidelines of scientific associations are not met in 42% of cases. The greatest delays concern the initiation of the steps of treatment (53%) and comprehensive diagnostics (37%). The diagnostic pathways should be modified to facilitate early and rapid detection of prostate cancer and to allow further therapy within the time limit strictly defined by regulations and guidelines of scientific associations. Full article

Background: Despite the significant global disease burden associated with HPV infection, the vaccination coverage among female college students in China remains suboptimal. This study aimed to examine HPV vaccination coverage, knowledge levels, and determinants influencing vaccination behavior among female college students in northern China, utilizing the Health Belief Model (HBM) as a theoretical framework. Methods: A cross-sectional online survey was conducted from December 2024 to January 2025, involving 4076 female students from six universities in Jinan, China. The participants were categorized into three groups: vaccinated (VG), willing-to-vaccinate (WTG), and unwilling-to-vaccinate (UTG). Data on sociodemographic characteristics, HPV knowledge, health beliefs, and vaccination behavior were analyzed using ANOVA, chi-square tests, correlation analysis, and multivariate logistic regression. Results: The vaccination rate was 18.11%, with 40.19% expressing willingness to vaccinate and 41.71% expressing unwillingness. Vaccinated students demonstrated higher levels of HPV knowledge (6.66 ± 2.67 compared to 4.76 ± 3.10 in the UTG, p < 0.001) and were predominantly from urban areas (OR = 0.64, p < 0.001). The key determinants of vaccination uptake included perceived benefits (OR = 1.54, p < 0.001), perceived barriers (OR = 3.34, p < 0.001), self-decision-making ability (OR = 1.80, p < 0.001), and social motivation (OR = 0.21, p < 0.001). Notably, increased knowledge was associated with vaccine hesitancy in the WTG group (OR = 0.45, p < 0.001), indicating that information overload may adversely affect decision-making processes. Structural barriers, such as cost (42.63%), safety concerns (46.59%), and misconceptions (e.g., 57.76% cited “no sexual activity” as a reason for refusal), significantly impeded vaccine uptake. Conclusions: The low coverage of HPV vaccination is indicative of deficiencies in knowledge, socioeconomic disparities, and cultural perceptions. Tailored interventions should focus on educational efforts to correct misconceptions, provide subsidized access to vaccines, and implement empowerment strategies that enhance self-efficacy and informed decision-making. Policymakers should incorporate these findings into national cervical cancer prevention programs to address the gap between vaccination intention and behavior among young women in China. Full article

To address greenhouse gas (GHG) emissions from the maritime sector, the European Union (EU) has introduced the FuelEU Maritime regulation to incentivize ships to adopt diversified compliance pathways and energy solutions. This study aims to determine the optimal alternative fuel configurations for dual-fuel ships of different types under environmental, economic, and regulatory constraints. An integrated environmental and cost assessment model from a well-to-wake (WtW) perspective to systematically evaluate the environmental benefits and economic feasibility of fossil-based, bio-based, and renewable electricity-based alternative fuels applied in dual-fuel ships. By incorporating the PROMETHEE II method within a multi-criteria decision analysis (MCDA) framework, together with the CRITIC objective weighting method, the study enables a robust ranking of alternative fuel configurations across three key dimensions: environmental performance, cost feasibility, and regulatory compliance. The results indicate that, regardless of ship type, the very low sulfur fuel oil (VLSFO) + marine gas oil (MGO) and VLSFO + methanol (MEOH) combinations fail to meet the GHG intensity targets for 2025–2050. Only the VLSFO + electrolytic liquid hydrogen (E-LH₂) and VLSFO + electrolytic ammonia (E-NH₃) configurations are compliant. Although e-fuels incur the highest annual costs, the EU compliance penalty associated with fossil fuels increases exponentially. In contrast, e-fuels retain long-term cost advantages, ultimately driving a sector-wide transition toward e-fuel-dominated energy structures by 2050. Their superior environmental performance and regulatory compatibility emerge as the core drivers of the maritime energy transition. Full article

Magnetic levitation (maglev) technology offers significant advantages for rail transport, including frictionless propulsion, reduced noise, and lower maintenance costs. However, its widespread adoption has been limited due to the need for a dedicated infrastructure incompatible with conventional rail networks. The MaDe4Rail project, funded by Europe’s Rail Joint Undertaking (ERJU), explores Maglev-Derived Systems (MDSs) as means to integrate maglev-inspired solutions into existing railway corridors with minimal modifications. This paper focuses on the so-called “hybrid MDS” configuration, which refers to levitating systems that can operate on existing rail infrastructure. Unlike current maglev systems, which require dedicated tracks, the proposed MDS system is designed to operate on conventional rail tracks, allowing for its compatibility with traditional trains and ensuring the interoperability of lines. In order to identify the most viable solution, two different configurations have been analysed. The evaluated scenario could benefit from the introduction of hybrid MDSs based on magnetic levitation, where a group of single vehicles, also called pods, is used in a virtual coupling configuration. The objective of this case study is to increase the capacity of traffic on the existing railway line by significantly reducing travel time, while maintaining a similar energy consumption to that of the current conventional trains operating on this line. Simulation results indicate that the hybrid MDS can optimise railway operations by taking advantage of virtual coupling to improve traffic flow, reducing travel times and energy consumption with the optimisation of the aerodynamic drag. The system achieves a balance between increased speed and energy efficiency, making it a viable alternative for future rail transport. An initial cost–benefit analysis suggests that the hybrid MDS could deliver substantial economic advantages, positioning it as a promising solution for enhancing European railway networks with minimal infrastructure investment. Full article

This study examined the socioeconomic and veterinary cost factors influencing dog abandonment and adoption outcomes across 162 regions in the Republic of Korea from 2021 to 2023. Unlike prior research, this study distinguished between intentionally abandoned dogs and those lost and subsequently returned to their owners, normalizing abandonment data by population. Using publicly available regional data and spatial regression models, we found that the number of people receiving unemployment benefits was consistently and negatively associated with the number of dog abandonments per 100,000 residents, which was normalized by total population to avoid potential errors. Rabies vaccination costs were also negatively associated with abandonment. In contrast, comprehensive income tax amounts—a proxy for regional wealth—were positively correlated with the percentage of dog abandonments reported in 2021 and 2023. Spatial Lag Models accounted for over 50% of the variance in the number of dog abandonments, confirming spatial dependence and highlighting the importance of geographically targeted animal welfare interventions. However, spatial patterns in adoption were less consistent. These findings highlight the importance of incorporating economic and spatial considerations into the design of public policies and shelter strategies to mitigate dog abandonment and enhance adoption outcomes. Full article

Applying circular economy principles to the renovation of existing buildings is increasingly recognized as essential to achieving Europe’s climate and energy goals. However, current decision-making frameworks rarely integrate life cycle carbon assessment with multi-criteria evaluation to support circular renovation strategies. This paper introduces an innovative framework that combines life cycle carbon assessment with multi-criteria decision analysis to identify and sequence circular renovation measures. The framework was applied to a residential case study in the Netherlands, using IES VE for operational carbon assessment and One Click LCA for embodied carbon assessment, with results evaluated using PROMETHEE multi-criteria analysis. Renovation measures were assessed based on operational and embodied carbon (including Module D), energy use intensity, cost, payback period, and disruption. The evaluation also introduced the embodied-to-operational carbon ratio (EOCR), a novel metric representing the proportion of embodied carbon, including Module D, relative to operational carbon savings over the building’s lifecycle. The homeowner’s preferences regarding these criteria were considered in determining the final ranking. The findings show that circular insulation options involving reused materials and designed for disassembly achieved the lowest embodied carbon emissions and lowest EOCR scores, with reused PIR achieving a 94% reduction compared to new PIR boards. The impact of including Module D on the ranking of renovation options varies based on the end-of-life scenario. The framework demonstrates how circular renovation benefits can be made more visible to decision-makers, promoting broader adoption. Full article

In the context of carbon trading policy, carbon emissions in the supply chain of new energy vehicles have received much attention in academic research and practice. Consumer preference for environmental friendliness is also growing in new energy vehicle supply chain operations, which has prompted new energy vehicle manufacturers to invest in carbon abatement technologies to improve the environmental friendliness of new energy vehicles. At the same time, the increased demand for new energy vehicles will also increase the green promotion of third-party power battery recycling companies to facilitate the recycling of power batteries. Considering these special features in the new energy vehicle supply chain, we applied a differential game model to examine the carbon emission reduction behaviors and green promotion technologies of the new energy vehicle supply chain members from a long-term and dynamic perspective. Supply chain equilibrium strategies under four different scenarios were analyzed and compared, numerical experiments were conducted to validate the theoretical results, and sensitivity analyses were performed to identify further insights. The results of the study show that a unit carbon trading price reaching a critical threshold is a prerequisite for technical cooperation between the new energy vehicle manufacturer and the third-party power battery recycling company. It provides a theoretical basis for the government to set the carbon price, and it effectively stimulates the cooperation and emission reduction drive of new energy vehicle companies. The study breaks through the traditional cost–benefit framework, internalizes the carbon price as a supply chain cooperation drive, and opens up a new paradigm for new energy vehicle industry research. Full article

Common beans (Phaseolus vulgaris) are an important source of protein for the Brazilian population. They are cultivated all over the country, in three cropping seasons/year, totaling 2.7 million tons, mostly for domestic consumption. Pest management is a big challenge and is mostly carried out with the intensive use of pesticides. Integrated pest management (IPM) is essential for sustainability. This technology is based on applying insecticides only when the pest population reaches the Economic Threshold. For that, it is necessary to monitor the crop for the occurrence of pests and beneficial arthropods. Although the concept of IPM and its benefits have long been known and widespread, it is not clear whether bean producers adopt the technology, since informal reports suggest that preventive insecticide applications are still highly used in the crop. The objective of this study was to survey the level of IPM adoption among bean producers in different regions of Brazil, using a questionnaire, applied to 103 producers/consultants. The results show that the estimated rate of IPM adoption by common bean producers in Brazil is 46.6%. The main causes of the low adoption are a lack of understanding of IPM concepts, high confidence in the efficiency of pesticides, and high costs of crop monitoring. Full article