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This study introduces a cost-effective and eco-efficient method for fabricating an advanced microwave absorber using a layer-by-layer rGO and SiO 2 structure. The rGO/SiO 2 composite, synthesized via modified Hummer's and Stöber methods, demonstrates remarkable microwave absorption properties. The resultant porous structure, characterized by an S BET of 294.89 m2/g, enables multiple reflections and scatterings of electromagnetic waves. At a sample thickness of 3.8 mm, the material achieves a reflection loss (RL) of −47.43 dB at 12.56 GHz and an effective absorption bandwidth (EAB) of 11.04 GHz. For a 6 mm thick sample, an exceptionally high EAB of 12.72 GHz is observed, maintaining a high RL of −42.32 dB. These results demonstrate that the rGO/SiO 2 material is a promising candidate for applications in electromagnetic wave absorption, offering a simple, scalable solution for mitigating electromagnetic pollution and enhancing military stealth technologies. [ABSTRACT FROM AUTHOR]

Developing efficient and stable oxygen evolution reaction (OER) electrocatalysts under various alkaline conditions is crucial for commercial hydrogen (H₂) production. This study synthesized superhydrophilic NiFe LDH/NF with a nanosheet structure. The strong electronic interactions between the metals modify the electronic structures of Ni and Fe. In-situ Raman spectroscopy reveals numerous high-valent nickel intermediates with high OER activity during the reaction, significantly improving the catalyst's overall performance. At room temperature, the NiFe LDH/NF catalyst exhibits a current density of 50/100 mA cm−2 with only 217/233 mV required in 1 M KOH. Moreover, the catalyst requires only 180 mV under industrial conditions (60 °C, 6 M KOH), 243 mV in alkaline artificial seawater, and 280 mV in alkaline natural seawater to achieve 100 mA cm−2. The catalyst also exhibits long-term operational durability under these conditions, indicating a wide range of potential applications. [Display omitted] • NiFe LDH was directly grown in situ on a nickel foam surface by a hydrothermal method. • The catalyst's nanosheet structure and superhydrophilicity enhance the exposure of active sites to the electrolyte. • The two metalssynergistically alter the electronic structure,generating numerous high-valent active metals. • The catalysts demonstrate high activity and stability in alkaline media, even under harsh industrial conditions and seawater. [ABSTRACT FROM AUTHOR]

Poly-gamma-glutamic acid (γ-PGA) is one of the most expensive biological macromolecules with multifarious applications in biomedical, environmental, and other sectors. One of the major challenges encountered during microbial fermentation process is the batch contamination which leads to economic losses, poor yield, and compromised quality of the desired product. Depending on the volume of the product being generated in an industrial setting, these loses maybe enormous. One strategy to tackle this issue is the fermentation under non-sterile conditions using osmophilic microbial strains. In this study, osmophilic Bacillus paralicheniformis (NCIM 5769) strain isolated from honey served as the chassis for the production of high amount of γ-PGA (dry weight of 284 g/L and productivity of 3.94 g/L/h) in batch fermentation using sucrose via non-sterile fermentation. The fermentation process design discussed in this study offers dual advantages such as hyper-osmotic stress–induced non-sterile fermentation and hyper-production of γ-PGA. Furthermore, a predictive pathway for the γ-PGA hyper-production was constructed based on the genome mining analysis which revealed the presence of sucrose utilization genes, osmotic stress–related genes, and γ-PGA biosynthesis genes. In summary, this novel non-sterilization approach will potentially reduce the cost associated with sterilization (an energy-efficient process), eventually leading to the cost-effective production of γ-PGA. Thus, our work serves as an energy-efficient platform, thereby solving the serious challenge of microbial contamination through indigenously developed non-sterile fermentation. [ABSTRACT FROM AUTHOR]

C−H activation represents an interesting alternative to conventional cross‐coupling methods, avoiding the requirement of additional steps to introduce activating groups. Generally, Pd‐catalyzed reactions have been extensively employed for C−H activation. The high cost and limited availability of resources of Pd have prompted us to explore alternative transition metals. In this context, researchers are turning to Earth Abundant Metals (EAMs) like manganese and iron for their potential in C−H activation. Significant progress has been made in manganese‐catalysed C−H activation in recent years, showcasing excellent specificity, environmental compatibility, and versatility across different substrates. This review summarises approximately 50 recent publications highlighting significant advancements in this field from 2020 to 2023. [ABSTRACT FROM AUTHOR]

Background Menstrual Hygiene Management (MHM) is fundamental to women's health, well-being, and gender equality. The study aimed to assess the cost-effectiveness and acceptability of reusable sanitary pads among rural women in Pakistan, proposing a scalable model for improving MHM practices in low-income countries. Methods A cross-sectional study was conducted using Multi-Stage Cluster sampling to accomplish a sample size of 340 childbearing-age women from the rural areas of Sindh, Pakistan. The data was collected using a standard questionnaire regarding the affordability and accessibility of reusable versus disposable sanitary pads; further information was also gathered from Market surveys for MHM products. The biodegradability of the pads was assessed using a soil burial test. The data was analyzed using SPSS version 27. Results Our research found a significant preference for reusable sanitary pads. The biodegradability tests demonstrated that reusable pads had a superior degradation rate (1.88%) to disposable pads (1.59%) over four months. Economic assessments showed a low utilization of commercial pads (12.5%) due to affordability issues, with 87.5% using reusable cloths. Despite 70% awareness of menstrual hygiene, 48% of women showed interest in creating sanitary solutions, underscoring the feasibility of implementing locally sourced, cost-effective products across similar socio-economic landscapes. Conclusion The present study underscores the universal applicability of affordable, sustainable MHM solutions in rural communities of low-income countries, advocating for broader implementation of such models to address global menstrual hygiene challenges. [ABSTRACT FROM AUTHOR]

The inception of microfluidic devices marks a confluence of diverse scientific domains, including physics, biology, chemistry, and fluid mechanics. These multidisciplinary roots have catalyzed the evolution of microfluidic devices, which serve as versatile platforms for various chemical and biological processes. Notably, microfluidic devices have garnered attention as efficient reactors, offering distinct benefits such as minimized spatial requirements for reactions, reduced equipment costs, and accelerated residence times. These advantages, among others, have ignited a compelling interest in harnessing microfluidic technology for the conception, refinement, and production of various nanomaterials and nanocomposites, pivotal within both industrial and medicinal sectors. This comprehensive exposition delves into multifaceted aspects of nanomaterial synthesis, underscoring the transformative role of microfluidic methodologies as a departure from conventional techniques. The discourse navigates through intricate considerations surrounding the preparation of nanomaterials, elucidating how the microfluidic paradigm has emerged as a promising alternative. This paper serves as an illuminating exploration of the juncture between microfluidic innovation and nanomaterial synthesis. It traverses the transformative potential of microfluidics in revolutionizing traditional approaches, heralding a new era of precision engineering for advanced materials with applications spanning industrial to medicinal domains. [ABSTRACT FROM AUTHOR]

In cloud control systems, generating an efficient and economical workflow scheduling strategy for deadline-constrained workflow applications, especially in uncertain multi-workflow dynamic scheduling processes, is a crucial challenge. To optimize the total cost of workflow scheduling, the authors propose a cost-driven heuristic scheduling algorithm F-MWSA which consists of two phases: Fuzzy deadline distribution and fuzzy task scheduling. In the fuzzy deadline distribution phase, a new workflow deadline distribution strategy with fuzziness is designed to obtain the sub-deadline constraint of each task. The fuzzy task scheduling phase focuses on a cost-effective strategy to assign tasks to cloud resources, reducing multi-workflow scheduling costs. Performance evaluations on five real-world workflows demonstrate that the proposed F-MWSA outperforms the baseline policy in terms of total cost, success ratio, resource utilization, and makespan. [ABSTRACT FROM AUTHOR]

Background: Antipsychotic medications are the primary treatment for schizophrenia, with olanzapine being an effective medication for schizophrenia. The economic cost for each individual with schizophrenia is high, with antipsychotic medication being a major expense. This study aims to develop an economic decision model that compares different treatment options for schizophrenia patients, including olanzapine Orally Dispersible Tablets (ODT), olanzapine [ODT + Standard Oral Tablet (SOT)], risperidone (ODT + SOT), and aripiprazole (ODT + SOT), to determine their cost-effectiveness with an objective to optimize healthcare resource allocation in Morocco. Methods: The study used published medical literature and a clinical expert panel to develop a decision analytic model. This model was designed to capture parameters such as adherence levels, treatment discontinuation, relapse with and without hospitalization, quality-adjusted life years (QALYs), treatment-related adverse events, healthcare resource utilization, and associated costs. The main outcomes of interest included the total annual direct cost per treatment, QALYs, and incremental cost-effectiveness ratio (ICER) per 1 QALY gained. One-way and probabilistic sensitivity analyses were employed to account for parameter uncertainty. Results: According to the simulation model, the ODT and ODT + SOT as a group form of olanzapine was the most effective treatment option in terms of the lowest percentages of inpatient relapse, and patients who remained stable (11% and 79% respectively) than risperidone (19% and 62% respectively) and aripiprazole ODT (26% and 50% respectively) and ODT + SOT formulation groups. Olanzapine (ODT + SOT) therapy group was cost-effective when compared to the combined group of ODT + SOT forms of risperidone [ICER: Moroccan Dirham (MAD) 103,907], and aripiprazole (ICER: MAD 65,047). Additionally, olanzapine ODT was found to be cost-effective compared to olanzapine SOT with an ICER of MAD 3921, risperidone ODT with an ICER of MAD 1,02,298, risperidone SOT with an ICER of MAD 31,088, and aripiprazole ODT or SOT formulations. All the above ICERs fall under the willingness-to-pay threshold in Morocco of MAD 250,832.40. Sensitivity analyses confirmed the reliability of the findings. Conclusions: The model concluded that olanzapine ODT is the most cost-effective first-line treatment option for schizophrenia in Morocco when compared to other atypical antipsychotic medications in ODT and SOT formulations. [ABSTRACT FROM AUTHOR]

Background: Today, laparoscopy is frequently used in abdominal emergencies such as acute appendicitis. There are several techniques used to close the appendiceal stump during laparoscopic appendectomy. We aimed to compare the use of handmade loop and Hem-o-lok used to close the appendiceal stump in public hospitals where resources are limited, in terms of surgical outcomes and cost. Methods: Between January 2020 and December 2022, patients for whom handmade loops and Hem-o-loks were used to close the appendiceal stump during laparoscopic appendectomy in our clinic were included in the study. There were a total of 638 patients (mean age: 33 ± 13.5 years, 325 females and 313 males) in the patient cohort. Demographic and clinical data, duration of surgery, complications, hospital stay, pathology reports, mortality, and cost of supplies were compared between the two groups. Results: There were 308 patients in the handmade loop group (160 females, 148 males, mean age: 33.7 years, range: 18–85 years) and 330 patients in the Hem-o-lok group (166 females, 164 males, mean age: 32.5 years, range: 18–89 years). There was no significant difference between the two groups for American Society of Anesthesiologists score, duration of symptom, hospital stay, intensive care unit stay, preoperative laboratory values, histopathological results, mortality, and morbidity (P >.05). The mean operation time was 48.76 ± 16.16 minutes in the handmade loop group and 40.53 ± 11.63 minutes in the Hem-o-lok group (p = 0.001). In terms of cost, the cost per case of Hem-o-lok group was about 25.8 times as much as the group that used sutures ($31 versus $1.2). Conclusions: Both methods can be used safely in laparoscopic appendectomy. The use of Hem-o-lok has no advantage other than shortening the operation time. However, it is costlier. Especially in peripheral hospitals where resources are limited, closing the appendiceal stump using a handmade loop is an easy, safe, and cost-effective method. [ABSTRACT FROM AUTHOR]

Recent advances in material science have led to impressive microwave absorbing materials, yet their practical applications are hindered by complex synthesis processes. This study explores a cost-effective alternative, emphasizing modifying material morphology using ball size heterogeneity. Unlike using same-sized balls, employing different-sized balls maximizes collision energy, yielding finer particles. In this study, the effect of ball size heterogeneity on microwave absorption performance has been investigated for the first time. An attempt has been made to explore how using ball size heterogeneity changes structural, magnetic, and dielectric properties of cobalt (Co) and how these modifications affect material's absorption properties. Results show that by using ball size heterogeneity, the particle size distribution in 0.1–1 μm range has been increased, yielding much finer particles. The relative permittivity value also increases due to changes in average particle size and surface area. Microwave absorption characteristics of Co milled with different-sized balls showed a significant change. A 15 h milled Co sample using different-sized balls achieved an effective bandwidth of 9.65 GHz (4.75–14.4), contrasting with no absorption bandwidth when using same-sized balls, with a 2 mm coating thickness. This work provides new insights into preparing materials for microwave absorption applications using ball milling method. [ABSTRACT FROM AUTHOR]

Purpose: Environment-friendly pest management techniques are safer, sustainable over the years, better for ecosystem services, and more convenient with lower risks. Netting and or bagging is one of the most suitable tools for pest management. To develop environmentally friendly management techniques against the common cutworm (Spodoptera litura Fab.), we compared the cost-effectiveness of netting and bagging for the production of bell peppers in Bangladesh. Research Method: The study was undertaken in the field of Entomology, at Sylhet Agricultural University, Bangladesh, from October 2018 to April 2019. Netting and bagging significantly improved plant morphology, fruit quality, and yield and managed the insect pests. Findings: In this paper, we tried to bring forth different prospects of netting and bagging in bell peppers to manage the common cutworm. Superior-quality fruits were harvested from the netting/bagging treatment compared to the control. Netting and bagging treatment increased yield by more than 10-fold over control and decreased fruit infestation to 10.67%. The maximum marginal benefit-cost ratio (MBCR = 18.06) was achieved from the netting/bagging treatment, while the lowest MBCR (7.29) was obtained from bagging only. Superior-quality fruits were obtained using white paper bags compared to brown paper bags. The common cutworm first appeared in February and gradually increased with the progress of the season, indicating that netting and bagging need to be applied at the early fruiting stage of bell pepper. Research Limitations: The study focused on the environment-friendly management of common cutworms in bell peppers, revealing impressive results, but these need to be validated across the locations. Originality/Value: Albeit labor-intensive, combining nylon netting with fruit bagging is a cost-effective, eco-friendly management technique against the common cutworm of bell pepper. [ABSTRACT FROM AUTHOR]

The integration of robots into social environments necessitates their ability to interpret human intentions and anticipate potential outcomes accurately. This capability is particularly crucial for social robots designed for human care, as they may encounter situations that pose significant risks to individuals, such as undetected obstacles in their path. These hazards must be identified and mitigated promptly to ensure human safety. This paper delves into the artificial theory of mind (ATM) approach to inferring and interpreting human intentions within human–robot interaction. We propose a novel algorithm that detects potentially hazardous situations for humans and selects appropriate robotic actions to eliminate these dangers in real time. Our methodology employs a simulation-based approach to ATM, incorporating a "like-me" policy to assign intentions and actions to human subjects. This strategy enables the robot to detect risks and act with a high success rate, even under time-constrained circumstances. The algorithm was seamlessly integrated into an existing robotics cognitive architecture, enhancing its social interaction and risk mitigation capabilities. To evaluate the robustness, precision, and real-time responsiveness of our implementation, we conducted a series of three experiments: (i) A fully simulated scenario to assess the algorithm's performance in a controlled environment; (ii) A human-in-the-loop hybrid configuration to test the system's adaptability to real-time human input; and (iii) A real-world scenario to validate the algorithm's effectiveness in practical applications. These experiments provided comprehensive insights into the algorithm's performance across various conditions, demonstrating its potential for improving the safety and efficacy of social robots in human care settings. Our findings contribute to the growing research on social robotics and artificial intelligence, offering a promising approach to enhancing human–robot interaction in potentially hazardous environments. Future work may explore the scalability of this algorithm to more complex scenarios and its integration with other advanced robotic systems. [ABSTRACT FROM AUTHOR]

The mixing of N3 and N719 metal-complex dyes was investigated in this work to determine the effects of the combination of dyes on TiO2film for application in dye-sensitized solar cells (DSSCs). The dyes were mixed in a ratio of 1:1, and their performance in the DSSCs was measured using current–voltage curves and electrochemical impedance spectroscopy (EIS). The results indicated that the efficiency of the DSSCs increased to 7% with the addition of the N719 dye to the N3 dye. The surface morphology revealed a smooth and homogeneous distribution of TiO2 nanoparticles, and the mixed dyes showed broad absorption spectra in the visible region. The EIS results indicated a low electron recombination rate and long electron lifetime for the mixed dye-sensitized solar cells. Overall, the study demonstrated the potential for using a combination of N3 and N719 dyes to improve the efficiency of DSSCs. The employment of mixed dye as a photosensitizer in DSSCs may offer a promising approach for achieving high-performance and cost-effective DSSCs. [ABSTRACT FROM AUTHOR]

This study presents a novel approach to determining the soil's elastic modulus (E'), a critical parameter in geotechnical engineering, by employing derivative-based methodologies and one-dimensional consolidation test results. The main challenges of traditional methods, such as triaxial CD testing, include high costs, long duration, and complexity in data collection and analysis. This new approach addresses these challenges by applying derivative calculations at a specific reference stress point (Pref), resulting in a tangent equation that accurately represents the soil's compressive behavior. Utilizing the results from one-dimensional consolidation tests not only reduces dependence on costly triaxial CD tests but also ensures high accuracy in evaluating soil mechanical properties. The findings indicate that the E' value obtained from this new method is equivalent to that from triaxial CD tests, confirming the method's feasibility and effectiveness. The unique achievement of this research is the development of a fast, cost-effective, and efficient method for determining the soil's elastic modulus, opening new research directions in the field of geotechnical engineering. [ABSTRACT FROM AUTHOR]

Bacterial cellulose is a versatile material with applications in many industries. However, the widespread uptake of bacterial cellulose faces challenges including high production costs and lack of scalability. One approach to address these obstacles is the use of alternative substrates and media, compared to the Hestrin–Schramm (HS) media. By evaluating and selecting appropriate media and substrates, the production of bacterial cellulose can be more efficient: enabling sustainable systems and supply chains where less energy and materials are lost, and the output production is increased. The purpose of this paper is to analyze the current landscape of bacterial cellulose alternative media and substrates (ingredients). Through a systematic review of 198 papers, this review identifies 299 alternative substrates from 12 industries and 101 bacterial cellulose-producing strains, which were systematically compared. This review also finds that there are methodological gaps in this field such as data variability, papers mislabelling the HS media or not using a comparison media, and a lack of strain names. This alternative substrate analysis for bacterial cellulose production demonstrates that overall, for some applications alternative substrates can be taken into consideration that are not only cheaper, but also produce higher yields than HS media.

Abstract Background Antipsychotic medications are the primary treatment for schizophrenia, with olanzapine being an effective medication for schizophrenia. The economic cost for each individual with schizophrenia is high, with antipsychotic medication being a major expense. This study aims to develop an economic decision model that compares different treatment options for schizophrenia patients, including olanzapine Orally Dispersible Tablets (ODT), olanzapine [ODT + Standard Oral Tablet (SOT)], risperidone (ODT + SOT), and aripiprazole (ODT + SOT), to determine their cost-effectiveness with an objective to optimize healthcare resource allocation in Morocco. Methods The study used published medical literature and a clinical expert panel to develop a decision analytic model. This model was designed to capture parameters such as adherence levels, treatment discontinuation, relapse with and without hospitalization, quality-adjusted life years (QALYs), treatment-related adverse events, healthcare resource utilization, and associated costs. The main outcomes of interest included the total annual direct cost per treatment, QALYs, and incremental cost-effectiveness ratio (ICER) per 1 QALY gained. One-way and probabilistic sensitivity analyses were employed to account for parameter uncertainty. Results According to the simulation model, the ODT and ODT + SOT as a group form of olanzapine was the most effective treatment option in terms of the lowest percentages of inpatient relapse, and patients who remained stable (11% and 79% respectively) than risperidone (19% and 62% respectively) and aripiprazole ODT (26% and 50% respectively) and ODT + SOT formulation groups. Olanzapine (ODT + SOT) therapy group was cost-effective when compared to the combined group of ODT + SOT forms of risperidone [ICER: Moroccan Dirham (MAD) 103,907], and aripiprazole (ICER: MAD 65,047). Additionally, olanzapine ODT was found to be cost-effective compared to olanzapine SOT with an ICER of MAD 3921, risperidone ODT with an ICER of MAD 1,02,298, risperidone SOT with an ICER of MAD 31,088, and aripiprazole ODT or SOT formulations. All the above ICERs fall under the willingness-to-pay threshold in Morocco of MAD 250,832.40. Sensitivity analyses confirmed the reliability of the findings. Conclusions The model concluded that olanzapine ODT is the most cost-effective first-line treatment option for schizophrenia in Morocco when compared to other atypical antipsychotic medications in ODT and SOT formulations.

In industry and research areas, the importance of reliable and optimally designed BGA components has remarkably grown. To tackle this challenge, we elaborated an innovative approach that optimizes of the BGA's structure. By adopting the RBDO method, we assess the geometric design variables of the BGA component and determine the optimal variables that promote the structure's efficiency level. Our approach considers technical and economic feasibility, ensuring an optimal design of the BGA solder joints. This work rests upon coupling Ansys and MATLAB software. The current paper reports our investigation's results, highlighting our approach's benefits and potential for practical applications. [ABSTRACT FROM AUTHOR]

Summary: In this paper, a design of a substrate‐integrated waveguide (SIW) triplexer with improved low‐loss performance, passband ratio, and compactness based on the complementary split ring resonator (CSRR) structure is presented. The proposed triplexer operates at three passbands of 6, 8, and 10 GHz that correspond to the passband ratios of 1.33 and 1.67. By appropriately designing square CSRRs on the surface of the SIW structure, the low‐loss and compact resonator filters below the cut‐off frequency of the SIW at each operation frequency can be realized. The wide passband ratio is obtainable by adjusting the dimensions of the T‐junction. The measured results show the minimum insertion losses of 1.5, 1.4, and 1.9 dB at 6, 8, and 10 GHz, respectively. In addition, the minimum measured return losses are −9.33, −11.3, and −12.4 dB at the corresponding three passbands. The measured isolation between output ports is better than −17 dB in the frequency range from 5 to 11 GHz. The measured results agree well with simulations which are conducted by the CST Microwave Studio simulator. The proposed triplexer is designed on a cost‐effective RO4003C substrate with a compact size of 35 × 25 mm2 [ABSTRACT FROM AUTHOR]

Designing inexpensive and efficient absorbent materials derived from waste is still challenging but of great significance to environmental safety and resource protection. Herein, the modified Hummers' waste liquid was used as a precursor reactant to synthesize the three types of manganese oxides via a chemical precipitation method. The components, microstructure, and adsorption capacities of the manganese oxides for heavy metal ions were investigated in detail. The results show the manganese oxides have porous structures and different crystal phases as manganese dioxide (I-MO), manganese oxide hydroxide (II-MO), and trimanganese tetraoxide (III-MO), respectively. Compared with II-MO and III-MO, I-MO has a specific surface area and pore volume of 142.27 m2·g−1 and 0.622 cm3·g−1, respectively. The experiments reveal that Ι-MO exhibits better adsorption performance of heavy metal ions than II-MO and III-MO. At 298 K, the maximum adsorption amounts of Pb2+, Cd2+, and Cu2+ on the Ι-MO are 304.15, 175.37, and 74.48 mg·g−1, respectively. The experimental findings closely match both the pseudo-second-order model and the Langmuir model. Moreover, I-MO exhibits a satisfactory adsorption capacity for heavy metal ions even after six repetitive cycles. All of these show that I-MO is a cost-effective adsorbent for heavy metal ions elimination in water. [ABSTRACT FROM AUTHOR]

Abstract Objective This study aimed to evaluate the long-term cost-effectiveness of conventional care (CC) and seven first-line targeted therapies marketed in China for the treatment of patients with ankylosing spondylitis (AS)–namely secukinumab, ixekizumab, infliximab, etanercept, adalimumab and golimumab and tofacitinib–from the perspective of the Chinese health care system. Methods The York model was structured as a 12-week decision tree leading into two Markov models. This study set 1 year as a recurring cycle and a lifetime timeframe for the model. Primary model outcomes included the costs in Chinese yuan (CNY), health outcomes in quality-adjusted life-years (QALYs) and the incremental cost-effectiveness ratio (ICER) under a willingness-to-pay threshold of ¥89,358 (equal to the per capita gross domestic product in China in 2023) per QALY. Parameters in the York model were captured from network meta-analyses and literature including treatment response, short-term disease progression, patient functioning and long-term structural disease progression. Utilities are dependent on indicators such as the BASDAI score, the BASFI score, gender and age. Drug prices were analysed using the median price of the Chinese market from YAOZH net in the basic analysis. Costs and outcomes were discounted at 5.0%. We performed deterministic and probabilistic sensitivity analyses to investigate the robustness of the results. The prices of original drugs and generic drugs were used in the scenario analysis. Results Compared with CC, the ICER of golimumab was ¥104,217.4/QALY, which is between 1 and 3 times the GDP per capita, while the ICERs of the other six targeted therapies were less than ¥89,358/QALY. The specific economic rank of the targeted therapy was as follows: secukinumab > ixekizumab > tofacitinib > infliximab > etanercept > adalimumab > golimumab. Treatment response rates such as the BASDAI50, changes in the BASDAI/BASFI scores and the discounting rate were key model drivers. According to the scenario analysis, IL-17 inhibitors were still the most economical intervention when original drugs and generic drugs were used. Conclusion Targeted therapies are cost-effective treatments for AS. Overall, IL-17 inhibitors were the dominant treatment. The choice of the brand-new prices or generic drug prices can greatly affect economics.

Abstract Background Improving the rate of genetic gain of cereal crop will rely on the accelerated crop breeding pipelines to allow rapid delivery of improved crop varieties. The laborious, time-consuming traditional breeding cycle, and the seasonal variations are the key factor restricting the breeder to develop new varieties. To address these issues, a revolutionized cost-effective speed breeding protocol for large-scale rice germplasm advancement is presented in the present study. The protocol emphasises on optimizing potting material, balancing the double-edged sword of limited nutritional dose, mode and stage of application, plant density, temperature, humidity, light spectrum, intensity, photoperiod, and hormonal regulation to accelerate rice growth and development. Results The plant density of 700 plants/m2, cost-effective halogen tubes (B:G:R:FR-7.0:27.6:65.4:89.2) with an intensity of ∼ 750–800 µmol/m2/s and photoperiod of 13 h light and 11 h dark during seedling and vegetative stage and 8 h light and 16 h dark during reproductive stage had a significant effect (P

Abstract Peste des petits ruminants (PPRV), a highly contagious viral disease, causes significant economic losses concerning sheep and goats. Recently, PPR viruses (PPRVs), have adopted new hosts and lineage IV of PPRVs represents genetic diversity within the same lineage. 350 samples, including blood, swabs, and tissues from sheep/goats, were collected during the 2020–2021 disease outbreaks in Pakistan. These samples were analysed through RT-PCR and three isolates of PPRV with accession numbers, MW600920, MW600921, and MW600922, were submitted to GenBank, based on the partial N-gene sequencing. This analysis provides a better understanding of genetic characterizations and a targeted RT-PCR approach for rapid PPRV diagnosis. An IELISA test was developed using the semi-purified antigen MW600922 isolate grown in Vero cells. The PPRV isolates currently present high divergence with the Turkish strain; conversely, similarities equivalent to 99.73% were observed for isolates collected from Pakistan. The developed indirect ELISA (IELISA) test demonstrated antibody detection rates at dilutions of 1:200 for antibodies (serum) and 1:32 for antigens. In comparison to cELISA, high specificity (85.23%) and sensitivity (90.60%) rates were observed. In contrast to the virus neutralization test (VNT), IELISA was observed to be 100% specific and 82.14% sensitive in its results. Based on these results, serological surveys conducted for PPR antibodies using IELISA can be a more effective strategy on a larger scale. Furthermore, our results demonstrate a significant breakthrough in the research in terms of cost-effectiveness and storage efficiency, and the developed IELISA test is highly recommended for use in developing countries.

Objective: This study aimed to evaluate the long-term cost-effectiveness of conventional care (CC) and seven first-line targeted therapies marketed in China for the treatment of patients with ankylosing spondylitis (AS)–namely secukinumab, ixekizumab, infliximab, etanercept, adalimumab and golimumab and tofacitinib–from the perspective of the Chinese health care system. Methods: The York model was structured as a 12-week decision tree leading into two Markov models. This study set 1 year as a recurring cycle and a lifetime timeframe for the model. Primary model outcomes included the costs in Chinese yuan (CNY), health outcomes in quality-adjusted life-years (QALYs) and the incremental cost-effectiveness ratio (ICER) under a willingness-to-pay threshold of ¥89,358 (equal to the per capita gross domestic product in China in 2023) per QALY. Parameters in the York model were captured from network meta-analyses and literature including treatment response, short-term disease progression, patient functioning and long-term structural disease progression. Utilities are dependent on indicators such as the BASDAI score, the BASFI score, gender and age. Drug prices were analysed using the median price of the Chinese market from YAOZH net in the basic analysis. Costs and outcomes were discounted at 5.0%. We performed deterministic and probabilistic sensitivity analyses to investigate the robustness of the results. The prices of original drugs and generic drugs were used in the scenario analysis. Results: Compared with CC, the ICER of golimumab was ¥104,217.4/QALY, which is between 1 and 3 times the GDP per capita, while the ICERs of the other six targeted therapies were less than ¥89,358/QALY. The specific economic rank of the targeted therapy was as follows: secukinumab > ixekizumab > tofacitinib > infliximab > etanercept > adalimumab > golimumab. Treatment response rates such as the BASDAI50, changes in the BASDAI/BASFI scores and the discounting rate were key model drivers. According to the scenario analysis, IL-17 inhibitors were still the most economical intervention when original drugs and generic drugs were used. Conclusion: Targeted therapies are cost-effective treatments for AS. Overall, IL-17 inhibitors were the dominant treatment. The choice of the brand-new prices or generic drug prices can greatly affect economics. [ABSTRACT FROM AUTHOR]

The collaborative care model (CCM) was created to improve the delivery of mental health care and is reported to improve access, enhance treatment outcomes, and reduce healthcare costs. To understand the impacts of the CCM on symptom management, diverse populations, and sustainability in healthcare systems, a systematic review was conducted. Several databases were searched for articles assessing the CCM. The inclusion criteria limited the studies to those (1) published between January 2008 and January 2024; (2) written in the English language; (3) analyzing adult patients; (4) analyzing symptom improvement in major depressive disorder, generalized anxiety disorder, or post-traumatic stress disorder; and (5) fitting the given definition of a CCM. We identified 9743 articles. Due to missing information or duplication, 4702 were excluded. The remaining articles were screened, yielding 468 articles for full-text analysis, of which 16 articles met the inclusion criteria. Of these articles, five primarily focused on individual patient outcomes, five focused on specific populations, and six reviewed system impacts; eleven articles studied US populations and five studied international populations. An analysis revealed that in 12 of the final articles, the CCM led to a statistically significant improvement in anxiety and depression symptoms with viable implementation and sustainability strategies. The CCM is an effective method for improving patient symptoms and can be potentially affordable in healthcare systems. [ABSTRACT FROM AUTHOR]

This study investigates the influence of various parameters on the efficiency of cultivating and preserving Lemna aequinoctialis duckweed samples in vitro, with the aim of minimizing time, labor, and storage expenses. The method addresses the issue of limited space and the risk of sample loss by storing multiple duplicates (more than one tube or flask per sample) in a space-efficient and cost-effective container. Due to the practical implications and capacity to decrease operating expenses, our results are helpful for large-scale implementation. Using a single frond resulted in a longer preservation effect compared to sample densities of three and five fronds. Initial samples can be cultured in nutrient solution with or without sugar, stored in tap water or nutrient solution, kept at a stable temperature of 25 ± 2°C or room temperature. The test tubes with duckweed were not covered, or covered by black paper up to the solution surface or higher. The outcomes demonstrated that all three duckweed samples (HNP_005, HNP_026, and HNP_031), whether grown in SSM or SFM media, were best preserved if the tubes were covered by black paper higher than the solution surface (CH) and can be kept at room temperature for at least 9 mo. [ABSTRACT FROM AUTHOR]

Adeno-associated viruses (AAVs) have emerged as promising tools for gene therapy due to their safety and efficacy in delivering therapeutic genes or gene editing sequences to various tissues and organs. AAV serotype 9 (AAV9), among AAV serotypes, stands out for its ability to efficiently target multiple tissues, thus holding significant potential for clinical applications. However, existing methods for purifying AAVs are cumbersome, expensive, and often yield inconsistent results. In this study, we explore a novel purification strategy utilizing Dynabeads™ CaptureSelect™ magnetic beads. The AAV9 magnetic beads capture AAV9 with high specificity and recovery between 70 and 90%, whereas the AAVX magnetic beads did not bind to the AAV9. Through continuous interaction with AAVs in solution, these beads offer enhanced clearance of genomic DNA and plasmids even in the absence of endonuclease. The beads could be regenerated at least eight times, and the used beads could be stored for up to six months and reused without a significant reduction in recovery. The potency of the AAV9-purified vectors in vivo was comparable to that of iodixanol purified vectors. [ABSTRACT FROM AUTHOR]

Introduction: There has been a rapid proliferation of the robotic approach to inguinal hernia, mainly in the United States, as it has shown similar outcomes to the laparoscopic approach but with a significant increase in associated costs. Our objective is to conduct a cost analysis in our setting (Spanish National Health System). Materials and methods: A retrospective single-center comparative study on inguinal hernia repair using a robotic approach versus laparoscopic approach. Results: A total of 98 patients who underwent either robotic or laparoscopic TAPP inguinal hernia repair between October 2021 and July 2023 were analyzed. Out of these 98 patients, 20 (20.4%) were treated with the robotic approach, while 78 (79.6%) underwent the laparoscopic approach. When comparing both approaches, no significant differences were found in terms of complications, recurrences, or readmissions. However, the robotic group exhibited a longer surgical time (86 ± 33.07 min vs. 40 ± 14.46 min, p < 0.001), an extended hospital stays (1.6 ± 0.503 days vs. 1.13 ± 0.727 days, p < 0.007), as well as higher procedural costs (2318.63 ± 205.15 € vs. 356.81 ± 110.14 €, p < 0.001) and total hospitalization costs (3272.48 ± 408.49 € vs. 1048.61 ± 460.06 €, p < 0.001). These results were consistent when performing subgroup analysis for unilateral and bilateral hernias. Conclusions: The benefits observed in terms of recurrence rates and post-surgical complications do not justify the additional costs incurred by the robotic approach to inguinal hernia within the national public healthcare system. Nevertheless, it represents a simpler way to initiate the robotic learning curve, justifying its use in a training context. [ABSTRACT FROM AUTHOR]

Arsenic is a metalloid that is naturally present in the environment. Exposure to arsenic can cause health issues like cancer, cardiovascular, neurological, and respiratory complications. With more than a million people affected due to arsenic contamination in groundwater, Bihar is one of the worst arsenic-affected states in India. Groundwater is one of the primary sources for cooking, farming, and other household chores. People are exposed to arsenic through food as well as contaminated drinking water. As a result, arsenic has made its way into the food chain. Several cases of cancer, arsenical dermatosis, and keratosis have been reported in Bihar. The source of arsenic contamination in Bihar has yet to be identified, although the Himalayan sediments have been suspected as one of the prime reasons. The government has taken steps to prevent and control arsenic contamination in the state; however, reports in recent years indicate the number of blocks affected by arsenic contamination has been rapidly increasing. This necessitates a more comprehensive arsenic mitigation tool. Various technologies can be employed to mitigate levels of arsenic in groundwater, of which bioremediation is one of the more cost-effective and sustainable methods. The current article is an attempt to give an overview of the sources and areas of Bihar with arsenic contamination, and the concentration in different regions. It also provides a piece of detailed information on arsenic contamination on health, and the current state of arsenic bioremediation. [ABSTRACT FROM AUTHOR]

Background: Clostridioides difficile infection (CDI) represents a prevalent and potentially severe health concern linked to the usage of broad-spectrum antibiotics. The aim of this study was to evaluate a new lyophilized product based on human fecal microbiota for transplant, including cost–benefit analysis in the treatment of recurrent or refractory CDI. Methods: The product for fecal microbiota transplant was obtained from two donors. Microbiological, viability, and genomic analysis were evaluated. After validation, a clinical pilot study including recurrent or refractory CDI with 24 patients was performed. Clinical response and 4-week recurrence were the outcome. Cost–benefit analysis compared the fecal microbiota transplant with conventional retreatment with vancomycin or metronidazole. Results: The microbiota for transplant presented significant bacterial viability, with and adequate balance of Firmicutes and Bacteroidetes. The clinical response with the microbiota transplant was 92%. In financial terms, estimated expenditure for CDI solely related to recurrence, based on stochastic modeling, totals USD 222.8 million per year in Brazil. Conclusions: The lyophilized human fecal microbiota for transplant is safe and can be an important step for a new product with low cost, even with genomic sequencing. Fecal microbiota transplantation emerges as a more cost-effective alternative compared to antimicrobials in the retreatment of CDI. [ABSTRACT FROM AUTHOR]

We propose a Bayesian model selection approach that allows medical practitioners to select among predictor variables while taking their respective costs into account. Medical procedures almost always incur costs in time and/or money. These costs might exceed their usefulness for modeling the outcome of interest. We develop Bayesian model selection that uses flexible model priors to penalize costly predictors a priori and select a subset of predictors useful relative to their costs. Our approach (i) gives the practitioner control over the magnitude of cost penalization, (ii) enables the prior to scale well with sample size, and (iii) enables the creation of our proposed inclusion path visualization, which can be used to make decisions about individual candidate predictors using both probabilistic and visual tools. We demonstrate the effectiveness of our inclusion path approach and the importance of being able to adjust the magnitude of the prior's cost penalization through a dataset pertaining to heart disease diagnosis in patients at the Cleveland Clinic Foundation, where several candidate predictors with various costs were recorded for patients, and through simulated data. [ABSTRACT FROM AUTHOR]

Background: Improving the rate of genetic gain of cereal crop will rely on the accelerated crop breeding pipelines to allow rapid delivery of improved crop varieties. The laborious, time-consuming traditional breeding cycle, and the seasonal variations are the key factor restricting the breeder to develop new varieties. To address these issues, a revolutionized cost-effective speed breeding protocol for large-scale rice germplasm advancement is presented in the present study. The protocol emphasises on optimizing potting material, balancing the double-edged sword of limited nutritional dose, mode and stage of application, plant density, temperature, humidity, light spectrum, intensity, photoperiod, and hormonal regulation to accelerate rice growth and development. Results: The plant density of 700 plants/m2, cost-effective halogen tubes (B:G:R:FR-7.0:27.6:65.4:89.2) with an intensity of ∼ 750–800 µmol/m2/s and photoperiod of 13 h light and 11 h dark during seedling and vegetative stage and 8 h light and 16 h dark during reproductive stage had a significant effect (P < 0.05) on reducing the mean plant height, tillering, and inducing early flowering. Our results confirmed that one generation can be achieved within 68–75 days using the cost-effective SpeedyPaddy protocol resulting in 4–5 generations per year across different duration of rice varieties. The other applications include hybridization, trait-based phenotyping, and mapping of QTL/genes. The estimated cost to run one breeding cycle with plant capacity of 15,680 plants in SpeedyPaddy was $2941 including one-time miscellaneous cost which is much lower than the advanced controlled environment speed breeding facilities. Conclusion: The protocol offers a promising cost-effective solution with average saving of 2.0 to 2.6 months per breeding cycle with an integration of genomics-assisted selection, trait-based phenotyping, mapping of QTL/genes, marker development may accelerate the varietal development and release. This outstanding cost-effective break-through marks a significant leap in rice breeding addressing climate change and food security. [ABSTRACT FROM AUTHOR]

Peste des petits ruminants (PPRV), a highly contagious viral disease, causes significant economic losses concerning sheep and goats. Recently, PPR viruses (PPRVs), have adopted new hosts and lineage IV of PPRVs represents genetic diversity within the same lineage. 350 samples, including blood, swabs, and tissues from sheep/goats, were collected during the 2020–2021 disease outbreaks in Pakistan. These samples were analysed through RT-PCR and three isolates of PPRV with accession numbers, MW600920, MW600921, and MW600922, were submitted to GenBank, based on the partial N-gene sequencing. This analysis provides a better understanding of genetic characterizations and a targeted RT-PCR approach for rapid PPRV diagnosis. An IELISA test was developed using the semi-purified antigen MW600922 isolate grown in Vero cells. The PPRV isolates currently present high divergence with the Turkish strain; conversely, similarities equivalent to 99.73% were observed for isolates collected from Pakistan. The developed indirect ELISA (IELISA) test demonstrated antibody detection rates at dilutions of 1:200 for antibodies (serum) and 1:32 for antigens. In comparison to cELISA, high specificity (85.23%) and sensitivity (90.60%) rates were observed. In contrast to the virus neutralization test (VNT), IELISA was observed to be 100% specific and 82.14% sensitive in its results. Based on these results, serological surveys conducted for PPR antibodies using IELISA can be a more effective strategy on a larger scale. Furthermore, our results demonstrate a significant breakthrough in the research in terms of cost-effectiveness and storage efficiency, and the developed IELISA test is highly recommended for use in developing countries. Summary: Peste des petits ruminants (PPRV) is a transboundary, highly contagious, and economically significant viral disease affecting small ruminants and wildlife. PPRV, a disease that only targets animals, is the focus of the Global Eradication Programme (PPRV GEP), which aims to eradicate the disease by 2030. Following the completion of the first phase of the GEP (2017–2021), Pakistan has initiated the second phase: PPRV presence and the implementation of a control strategy. Rapid and accurate laboratory diagnosis is vital to the disease's effective control and eradication. In the present study, we have improved diagnosis by reverse transcriptase polymerase chain reaction (RT-PCR), which not only can detect low viral concentrations but also contributes to the genetic analysis of lineage-IV viruses. However, the development of cost-effective indirect ELISA (iELISA) may allow for the analysis of serum samples obtained from larger populations of small ruminants. [ABSTRACT FROM AUTHOR]

The management of wasting in Ethiopia is heavily reliant on the Community‐based Management of Acute Malnutrition (CMAM) programme that has been implemented in more than 18,000 service delivery points scattered across the country. Despite the full‐scale implementation of the CMAM, the number of child death averted, and the cost per child death averted remains unknown. This study aimed to estimate the cost and the number of child death averted by the CMAM programme between 2008 and 2020. Using data from routine monitoring of the CMAM programme, we estimated the excess mortality averted by the programme and estimated the cost per averted child death based on supply and labour. Over the past 13 years between 2008 and 2020, 3.6 million children under 5 years were admitted to the Ethiopian CMAM programme. The yearly average admission of 317,228 was achieved since 2011. On average, ~34,000 child deaths were averted yearly. The CMAM programme was estimated to have saved 437,654 (95% confidence interval [CI]: 320,161; 469,932) child deaths between 2008 and 2020, approximately 12% of the admitted cases. The average cost of the programme per adverted death was estimated at US$762/child death averted (95% CI = 639; 1001). The CMAM programme in Ethiopia is cost‐effective and has continued to avert a significant number of child death. Given the high short‐ and long‐term economic and health consequences of child wasting, concerted multi‐sectoral efforts are needed to accelerate progress not only in its treatment but also in its prevention. Key messages: A total of 3.6 million children were admitted between 2008 and 2020, increasing annually from 92,000 in 2008 to 390,000 in 2020 due to improvement in case findings and referral.Death rate in Community‐based Management of Acute Malnutrition (CMAM) programmes has decreased by sixfold between 2008 and 2020 from 1.23% to 0.22%During 13 years of implementation, the Ethiopian CMAM programme averted the death of >400 thousand children under five. [ABSTRACT FROM AUTHOR]

Summary: Osteoporosis treatment following arthroplasty for femoral neck fracture (FNF) is associated with lower rates of periprosthetic fracture (PPF). Our study evaluated the economic viability of treatment in patients following arthroplasty and demonstrates that treatment with oral bisphosphonates can be cost-effective in preventing PPF. Introduction: Osteoporosis treatment following arthroplasty for femoral neck fracture (FNF) is associated with lower rates of periprosthetic fracture (PPF). Although cost-effective in reducing the rate of secondary fragility fracture, the economic viability of osteoporosis treatment in preventing PPF has not been evaluated. Therefore, the purpose of this study is to use a break-even analysis to determine whether and which current osteoporosis medications are cost-effective in preventing PPF following arthroplasty for FNFs. Methods: Three-year average cost of osteoporosis medication (oral bisphosphonates, estrogen hormonal therapy, intravenous (IV) bisphosphonates, denosumab, teriparatide, and abaloparatide), costs of PPF care, and PPF rates in patients who underwent hip arthroplasty for FNFs without osteoporosis treatment were used to perform a break-even analysis. The absolute risk reduction (ARR) related to osteoporosis treatment and sensitivity analyses were used to evaluate the cost-effectiveness of this intervention and break-even PPF rates. Results: Oral bisphosphonate therapy following arthroplasty for hip fractures would be economically justified if it prevents one out of 56 PPFs (ARR, 1.8%). Given the current cost and incidence of PPF, overall treatment can only be economically viable for PPF prophylaxis if the 3-year costs of these agents are less than $1500. Conclusion: The utilization of lower cost osteoporosis medications such as oral bisphosphonates and estrogen hormonal therapy as PPF prophylaxis in this patient population would be economically viable if they reduce the PPF rate by 1.8% and 1.5%, respectively. For IV bisphosphonates and newer agents to be economically viable as PPF prophylaxis in the USA, their costs need to be significantly reduced. [ABSTRACT FROM AUTHOR]

The development of efficient and sustainable wastewater treatment technologies is vital to resolve environmental concerns. Finding an effective catalyst for the degradation of organic pollutants in wastewater is challenging. In this study, boron-doped diamond (BDD) particles were synthesized using a high-pressure high-temperature (HPHT) industrial diamond synthesis technology. BDD was investigated as an efficient electrode catalyst to convert organic pollutants into biodegradable substances. BDD self-supporting electrodes exhibited excellent properties with a relative density of 93.07%, an electrical resistivity of 2.71 × 10−4 Ω·m. Furthermore, BDD particles showed superior electrochemical characteristics such as a rapid electron transfer coefficient of about 0.5, good reversibility and redox properties. The BDD self-supporting electrode achieved a methylene blue degradation rate of 98.72% within 60 min. Our research provides valuable insights into using BDD as an effective electrochemical catalyst for wastewater treatment, which can help promote the development of environmentally friendly and economically viable technologies. [ABSTRACT FROM AUTHOR]

The use of Global Navigation Satellite System (GNSS) in combination with real-time kinematic technique, known as differential GNSS (dGNSS), has increased in recent years for monitoring landslide displacements and detecting early signs of potential failure, enabling an earlier response for risk mitigation than traditional monitoring techniques. GNSS offers several advantages, including high accuracy and high-frequency data collection. Although more cost-effective, their affordability may still present challenges for public organizations managing multiple landslides in their territory. The SparkFun is a suite of components for GNSS assembly designed for topographic surveying, that integrates u-blox ZED-F9P or ZED-F9R modules. The system offers the benefits of dGNSS technology while being more affordable than other market options. It also avoids relying on phone signals for data storage on a cloud server. This paper presents the SparkFun system, its components, and how it can be assembled to create a dGNSS system for landslide monitoring. The deployment and testing at the Chin Coulee landslide in Alberta are discussed. Over the 6-month testing period, the system achieved millimeter accuracy (up to 14 mm), aligning with the manufacturer's specifications. Estimated system errors were found to be comparable to a commercially available dGNSS system (Ophelia Geocube). Additionally, the system exhibits displacement trends similar to the 2018 Geocube monitoring campaign; however, for future deployments, the robustness of the power supply system and the insulation of the equipment need to be enhanced. Overall, the SparkFun system appears to be a promising and cost-effective alternative for monitoring landslide displacements. [ABSTRACT FROM AUTHOR]

Advancements in robotics and mapping technology have spotlighted the development of Simultaneous Localization and Mapping (SLAM) systems as a key research area. However, the high cost of advanced SLAM systems poses a significant barrier to research and development in the field, while many low-cost SLAM systems, operating under resource constraints, fail to achieve high-precision real-time mapping and localization, rendering them unsuitable for practical applications. This paper introduces a cost-effective SLAM system design that maintains high performance while significantly reducing costs. Our approach utilizes economical components and efficient algorithms, addressing the high-cost barrier in the field. First, we developed a robust robotic platform based on a traditional four-wheeled vehicle structure, enhancing flexibility and load capacity. Then, we adapted the SLAM algorithm using the LiDAR-inertial Odometry framework coupled with the Fast Iterative Closest Point (ICP) algorithm to balance accuracy and real-time performance. Finally, we integrated the 3D multi-goal Rapidly exploring Random Tree (RRT) algorithm with Nonlinear Model Predictive Control (NMPC) for autonomous exploration in complex environments. Comprehensive experimental results confirm the system's capability for real-time, autonomous navigation and mapping in intricate indoor settings, rivaling more expensive SLAM systems in accuracy and efficiency at a lower cost. Our research results are published as open access, facilitating greater accessibility and collaboration. [ABSTRACT FROM AUTHOR]

Simple Summary: Simple Summary: Hormonal treatment seems less effective than expected, and it is not a cost-efficient option for solving an anestrous problem in dairy cows under field conditions in tropical countries. To assess whether this evidence is correct, this retrospective study retrieved the clinical records of anestrous cows that received hormonal treatment before artificial insemination (AI) from the Veterinary Teaching Hospital. The results showed that pregnancy success was influenced by hormone treatment protocol, body condition score (BCS) upon hormone treatment, housing conditions, and season. The fixed-time AI (TAI) is the effective method for treating both cyclic and noncyclic anestrous dairy cows due to the high pregnancy risk (PR). However, the cost-efficiency analysis showed that the hormone treatment protocols with estrus detection before AI (EAI) were the most cost-efficient option for cyclic cows. In contrast, the TAI protocols were only appropriate for noncyclic cows. This study emphasized that hormonal treatment is still an effective technique for improving reproductive efficiency in anestrous cattle. However, farmers and veterinarians in tropical countries should be aware of the animal's health, environmental conditions, farm and management conditions, and the cost-efficiency of treatment protocols before making the treatment decision. This retrospective study aimed to evaluate the performance of hormone treatment protocols, determine the factors associated with pregnancy success after hormone treatment, and compare the cost-efficiencies of two types of hormone treatment among cyclic and noncyclic anestrous dairy cows. The clinical records of 279 anestrous cows that received hormone treatment for artificial insemination (AI) from 64 herds in the western region of Thailand were obtained from Kasetsart University Veterinary Teaching Hospital from January to August 2017. The performance of the hormone treatment protocols, fixed-time AI (TAI) and estrus detection before AI (EAI), showed that the pregnancy risk for the TAI protocol was higher than that for the EAI protocol, but pregnancy per AI did not differ significantly between the two protocols in cyclic and noncyclic cows. Multivariate logistic regression analysis showed that cows receiving the TAI protocol were more likely to be pregnant compared to those treated with the EAI protocol. Cows with a 3.00 body condition score (BCS) < 3.75 after treatment and loose-housed cows were more likely to become pregnant. Treatment during winter showed higher pregnancy success than that in the summer and rainy seasons. The cost-efficiency analysis showed that the TAI protocol was the most cost-efficient option for noncyclic cows, whereas the EAI protocol was the most cost-efficient option for cyclic cows. [ABSTRACT FROM AUTHOR]

To develop a cost-effective, high-viscosity asphalt for porous asphalt pavement, we utilized SBS, tackifier, and solubilizer as the main raw materials, identified the optimal composition through an orthogonal experiment of three factors and three levels, and prepared a low-cost high-viscosity asphalt. We compared its conventional and rheological properties against those of rubber asphalt, SBS modified asphalt, and matrix asphalt, employing fluorescence microscopy and Fourier transform infrared spectroscopy for microstructural analysis. The results indicate that the optimal formula composition for high-viscosity asphalt was 4–5% styrene-butadiene-styrene (SBS) + 1–2% tackifier +0–3% solubilizer +0.15% stabilizer. The components evenly dispersed and the performances were enhanced with chemical and physical modification. Compared with SBS modified asphalt, rubber asphalt, and matrix asphalt, the softening point, 5 °C ductility, and 60 °C dynamic viscosity of high-viscosity asphalt were significantly improved, while the 175 °C Brookfield viscosity was equivalent to SBS modified asphalt. In particular, the 60 °C dynamic viscosity reaches 383,180 Pa·s. Rheological tests indicate that the high- and low-temperature grade of high-viscosity asphalt reaches 88–18 °C, and that high-viscosity asphalt has the best high-temperature resistance to permanent deformation and low-temperature resistance to cracking. It can save about 30% cost compared to commercially available high-viscosity asphalt, which is conducive to the promotion and application of porous asphalt pavement. [ABSTRACT FROM AUTHOR]

Cardiovascular diseases remain a major health challenge, leading to high rates of death and hospitalization globally. In the battle against these ailments, echocardiography stands as the frontline tool for diagnosis. Pioneering the charge in innovation, real-time remote tele-mentored ultrasound echocardiography (RTMUS echo) has emerged. This cutting-edge technique facilitates the instant transmission of cardiac imaging from the patient's side to experts in far-off locations, enabling prompt diagnosis and expert consultation. To bridge this gap, a systematic review was conducted to understand RTMUS echo's current applications in diagnosing heart diseases. Searches across six databases, guided by strict inclusion and exclusion criteria, yielded nine relevant articles. These studies assessed the feasibility of RTMUS echo and the technology behind it, confirming its potential for high-quality cardiac imaging. The findings reveal that RTMUS echo could notably improve care for cardiac patients, especially those in resource-constrained settings or in isolation because of infection risks. This technology enables quick access to diagnostic expertise, which is otherwise unavailable in such areas. Future research should aim to optimize the cost-effectiveness and application of RTMUS echo to enhance its benefits for global healthcare. [ABSTRACT FROM AUTHOR]

In recent years, numerous efforts have been made to synthesize new hole-transporting materials (HTMs) for perovskite solar cells (PSC) with the aim of replacing spiro-OMeTAD. However, to improve the conductivity and mobility of these materials, chemical additives are mostly used, which not only increase the cost but also reduce the stability and efficiency of perovskite solar cells in the long term due to the moisture sensitivity of perovskite crystals. Therefore, small organic molecules 2 and 6 were synthesized using cost-effective raw materials to improve the synthesis route, solubility, and morphology on the perovskite surface compared to spiro-OMeTAD for additive-free hole transport materials. The chemical properties, purity, and identification of these molecules were confirmed using electrochemical methods, UV-Vis spectroscopy, and NMR spectroscopy. In addition, thermal stability and robustness of new HTMs were measured and investigated by differential scanning calorimetric (DSC) and thermogravimetric analysis (TGA). Due to the donor-acceptor type π-system, the molecules used to increase the charge transfer mobility and thus reduce the use of chemical additives. The photovoltaic parameters of the solar cell made from HTMs 2 and 6 were determined by photovoltaic analysis, and the results showed that the performance of the device containing hole-transporting layer 6 was almost the same as of spiro-OMeTAD in additive-free conditions, with a current density of 14.68 mA/cm², an open-circuit voltage of 0.82 V, a fill factor of 0.65, and a power conversion efficiency of 7.88%. [ABSTRACT FROM AUTHOR]

With rapid urbanization sweeping through emerging nations, such as India, there has been a substantial increase in wastewater production, which poses a significant challenge in terms of its treatment and sustainable use. Conventional wastewater treatment methods, including the moving bed biofilm reactor (MBBR), up-flow anaerobic sludge blanket (UASB), membrane bioreactor (MBR), activated sludge process (ASP), sequencing batch reactors (SBR), and others, have demonstrated their effectiveness but come at a considerable cost. As these systems age, their operational and maintenance expenses escalate, rendering them less practical and sustainable. Despite the establishment of numerous wastewater treatment plants aimed at adhering to the regulations set forth by the Central Pollution Control Board of India (CPCB), high operating and maintenance costs have resulted in the abandonment of many of these facilities. There is a persistent need for sustainable, cost-effective, and environmentally friendly wastewater management technology to address this pressing issue. A solid immobilised biofilter (SIBF) system is currently under research as a potential solution because of its natural, cost-efficient, and sustainable characteristics. This study engages in a compelling comparative case study of two hospitals in Maharashtra, India. This contrasts the conventional wastewater treatment method (MBBR) with the natural treatment approach (SIBF). This study utilizes a 30-year life cycle cost analysis approach, which distinctly reveals that the MBBR system carries a higher life cycle cost. In contrast, the SIBF system has significantly lower costs because of its reduced energy consumption and operational costs. Four laboratory tests, namely biological oxygen demand, chemical oxygen demand, total suspended solids, and pH, were used to evaluate the quality of the treated wastewater. This research makes a significant contribution to the field of cost-effective wastewater management solutions by evaluating the feasibility of system implementation. [ABSTRACT FROM AUTHOR]

Summary: Background: The high price of HPV vaccines remains a significant barrier to vaccine accessibility in China, hindering the country’s efforts toward cervical cancer elimination and exacerbating health inequity. We aimed to inform HPV vaccine price negotiations by identifying threshold prices that ensure that a government-funded HPV vaccination programme is cost-effective or cost-saving. Methods: We used a previously validated transmission model to estimate the health and economic impact of HPV vaccination over a 100-year time horizon from a healthcare payer perspective. Threshold analysis was conducted considering different settings (national, rural, and urban), cervical cancer screening scenarios (cytology-based or HPV DNA-based, with different paces of scale-up), vaccine types (four types available in China), vaccine schedules (two-dose or one-dose), mode of vaccination (routine vaccination with or without later switching to high-valency vaccines), willingness-to-pay thresholds, and decision-making criteria (cost-effective or cost-saving). Furthermore, we examined the budget impact of introducing nationwide vaccination at the identified threshold prices. Findings: Using the current market price, national routine HPV vaccination with any currently available vaccine is unlikely cost-effective. Under a two-dose schedule, the prices of the four available HPV vaccine types cannot exceed $26–$36 per dose (44.1%–80.2% reduction from current market prices) depending on vaccine type to ensure the cost-effectiveness of the national programme. Adopting vaccination at threshold prices would require an annual increase of 72.18%–96.95% of the total annual National Immunization Programme (NIP) budget in China. A cost-saving routine vaccination programme requires vaccine prices of $5–$10 per dose (depending on vaccine type), producing a 21.38%–34.23% increase in the annual NIP budget. Adding the second dose is unlikely to be cost-effective compared to a one-dose schedule, with the threshold price approaching or even falling below zero. Rural pilot vaccination programmes require lower threshold prices compared with a national programme. Interpretation: Our study could inform vaccine price negotiation and thus facilitate nationwide scale-up of current HPV vaccination pilot programmes in China. The evidence may potentially be valuable to other countries facing HPV introduction barriers due to high costs. This approach may also be adapted for other contexts that involve the introduction of a pricy vaccine. Funding: CAMS Innovation Fund for Medical Sciences (CIFMS); Bill & Melinda Gates Foundation.

The designer nuclease, CRISPR-Cas9 system has advanced the field of genome engineering owing to its programmability and ease of use. The application of these molecular scissors for genome engineering earned the developing researchers the Nobel prize in Chemistry in the year 2020. At present, the potential of this technology to improve global challenges continues to grow exponentially. CRISPR-Cas9 shows promise in the recent advances made in the Global North such as the FDA-approved gene therapy for the treatment of sickle cell anaemia and β-thalassemia and the gene editing of porcine kidney for xenotransplantation into humans affected by end-stage kidney failure. Limited resources, low government investment with an allocation of 1% of gross domestic production to research and development including a shortage of skilled professionals and lack of knowledge may preclude the use of this revolutionary technology in the Global South where the countries involved have reduced science and technology budgets. Focusing on the practical application of genome engineering, successful genetic manipulation is not easily accomplishable and is influenced by the chromatin landscape of the target locus, guide RNA selection, the experimental design including the profiling of the gene edited cells, which impacts the overall outcome achieved. Our assessment primarily delves into economical approaches of performing efficient genome engineering to support the first-time user restricted by limited resources with the aim of democratizing the use of the technology across low- and middle-income countries. Here we provide a comprehensive overview on existing experimental techniques, the significance for target locus analysis and current pitfalls such as the underrepresentation of global genetic diversity. Several perspectives of genome engineering approaches are outlined, which can be adopted in a resource limited setting to enable a higher success rate of genome editing-based innovations in low- and middle-income countries.