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  • Open Access

    ARTICLE

    Research on the Measurement and Countermeasure of Coal Overcapacity in China: Based on Panel Data of 25 Provinces in China

    Rijia Ding1, Xingyao Zhou1,*, Rui Zhang1, Wanqiu Lu2

    Energy Engineering, Vol.117, No.1, pp. 27-39, 2020, DOI:10.32604/EE.2020.010372 - 28 February 2020

    Abstract Coal is the main energy source in China. At present, the coal overcapacity is still serious in China. Accurately measuring the degree of China’s coal overcapacity can scientifically resolve the overcapacity, and is the premise of guiding the healthy development of coal industry and energy system. Using the translog cost function and the panel data of coal industry in all provinces of China from 2002 to 2011 and from 2012 to 2016, the research measures and compares the coal production capacity of “golden decade” and “cold winter” in China. The results show that: (1) The More >

  • Open Access

    ARTICLE

    Urologists’ estimations of the cost of commonly used disposable devices

    Nicholas J. Farber, Nadiya Chuchvara, Parth K. Modi, Joshua Sterling, Sammy E. Elsamra

    Canadian Journal of Urology, Vol.26, No.1, pp. 9660-9663, 2019

    Abstract Introduction: To assess whether urologists are able to accurately estimate the cost of commonly used endourologic disposable devices.
    Materials and methods: An anonymous questionnaire was presented to resident and attending urologists in one academic healthcare system. Respondents estimated the cost of 15 disposable devices commonly used in ureteroscopy. Twenty-five surgeons (9 residents and 16 attending urologists) participated, for a response rate of 96.2%. Respondents’ cost estimates were compared to actual institutional costs and considered accurate if the absolute percentage error was within 20%. Additional information obtained included: years in practice, participation in purchasing activities, practice setting, number… More >

  • Open Access

    ARTICLE

    Cost-effectiveness analysis of metformin with enzalutamide in the metastatic castrate-resistant prostate cancer setting

    Jordan Hill1, Mike Paulden2, Christopher McCabe2, Scott A. North3, Peter Venner3, Nawaid Usmani1

    Canadian Journal of Urology, Vol.26, No.6, pp. 10045-10053, 2019

    Abstract Introduction: Enzalutamide (Enza) is an effective treatmentformetastaticcastrate-resistantprostatecancer (mCPRC). However, Enza is not cost-effective (CE) at willingness to pay (WTP) thresholds from $0-$125 000/quality adjusted life years (QALYs) and is therefore a strain on valuable health care dollars. Metformin (Met) isinexpensive(~$8.00/month)andisthoughttoimprove prostate cancer specifc and overall survival compared to thosenottakingMet.Wehypothesizedthattheremustbe an added effect Met could provide that would make Enza CEtherebyalleviatingthisfnancialstrainongovernment health care budgets.
    Materials and methods: We constructed a Markov model and performed a threshold analysis to narrow in on the added effect needed to make such a combination therapy cost-effective at various WTP thresholds.
    Results:More >

  • Open Access

    ARTICLE

    Health care‐associated infections are associated with increased length of stay and cost but not mortality in children undergoing cardiac surgery

    Sarah Tweddell, Rohit S. Loomba, David S. Cooper, Alexis L. Benscoter

    Congenital Heart Disease, Vol.14, No.5, pp. 785-790, 2019, DOI:10.1111/chd.12779

    Abstract Introduction: Health care‐associated infections (HAIs) increase mortality, length of stay, and cost in hospitalized patients. The incidence of and risk factors for developing HAIs in the pediatric population after cardiac surgery have been studied. This study evaluates the impact of HAIs on length of stay, inpatient mortality, and cost of hospitalization in the pediatric population after cardiac surgery.
    Methods: TheKids’InpatientDatabasewasqueriedforanalysis.Patientsunder18years of age who underwent cardiac surgery from 1997 to 2012 were included. HAIs were defined as central line‐associated blood stream infections, catheter‐associated urinary tract infections, ventilator‐associated pneumonias, and surgical wound infections. Univariate analysis compared admissions with and… More >

  • Open Access

    ARTICLE

    Prenatal heart block screening in mothers with SSA/SSB autoantibodies: Targeted screening protocol is a cost‐effective strategy

    Patrick D. Evers1,*, Tarek Alsaied1,2,*, Jeffrey B. Anderson1, James F. Cnota1, Allison A. Divanovic1

    Congenital Heart Disease, Vol.14, No.2, pp. 221-229, 2019, DOI:10.1111/chd.12713

    Abstract Objective: Maternal anti-Ro/SSA and anti-La/SSB antibodies can lead to fetal complete heart block (CHB). Current guidelines recommend weekly echocardiographic screening between 16 and 28 weeks gestation. Given the cost of screening and the rarity of conduction abnormalities in fetuses of mothers with low anti-Ro levels (<50 U/mL), we sought to identify a strategy that optimizes resource utilization.
    Design: Decision analysis cost-utility modeling was performed for three screening paradigms: “standard screening” (SS) in which mid-gestation mothers are screened weekly, “limited screening” (LS) in which fetal echocardiograms are avoided unless the fetus develops bradycardia, and “targeted screening by maternal… More >

  • Open Access

    ARTICLE

    Defense Strategies Against Network Attacks in Cyber-Physical Systems with Analysis Cost Constraint Based on Honeypot Game Model

    Wen Tian1, Xiaopeng Ji1,*, Weiwei Liu1, Guangjie Liu1, Rong Lin1,2, Jiangtao Zhai3, Yuewei Dai3

    CMC-Computers, Materials & Continua, Vol.60, No.1, pp. 193-211, 2019, DOI:10.32604/cmc.2019.05290

    Abstract Cyber-physical system (CPS) is an advanced system that integrats physical processes, computation and communication resources. The security of cyber-physical systems has become an active research area in recent years. In this paper, we focus on defensive strategies against network attacks in CPS. We introduce both low- and highinteraction honeypots into CPS as a security management tool deliberately designed to be probed, attacked and compromised. In addition, an analysis resource constraint is introduced for the purpose of optimizing defensive strategies against network attacks in CPS. We study the offensive and defensive interactions of CPS and model… More >

  • Open Access

    ARTICLE

    Fragility Assessment of Pre-Northridge Steel Moment Frames Using Finite-Length Plastic Hinge Elements and Concentrated Plasticity Fracture Elements

    Filipe L. A. Ribeiro1,*, Andre R. Barbosa2, Luis C. Neves3

    CMES-Computer Modeling in Engineering & Sciences, Vol.120, No.3, pp. 657-676, 2019, DOI:10.32604/cmes.2019.06296

    Abstract Although pre-Northridge earthquake steel moment resisting frame buildings have been shown to be susceptible to brittle connection failures, they still represent a large fraction of the existing steel buildings in the United States of America. In this study, the performance of the 3- and 9-story Los Angeles pre-Northridge SAC buildings are analyzed considering ductile and brittle beam-column connection failures, and their uncertainty. This paper contributes to understanding the influence of uncertainty associated with connections brittle fracture on building interstory deformation capacity and its impact on bias and variability of fragility functions and loss assessment. The More >

  • Open Access

    ARTICLE

    Distant Supervised Relation Extraction with Cost-Sensitive Loss

    Daojian Zeng1,2, Yao Xiao1,2, Jin Wang2,*, Yuan Dai1,2, Arun Kumar Sangaiah3

    CMC-Computers, Materials & Continua, Vol.60, No.3, pp. 1251-1261, 2019, DOI:10.32604/cmc.2019.06100

    Abstract Recently, many researchers have concentrated on distant supervision relation extraction (DSRE). DSRE has solved the problem of the lack of data for supervised learning, however, the data automatically labeled by DSRE has a serious problem, which is class imbalance. The data from the majority class obviously dominates the dataset, in this case, most neural network classifiers will have a strong bias towards the majority class, so they cannot correctly classify the minority class. Studies have shown that the degree of separability between classes greatly determines the performance of imbalanced data. Therefore, in this paper we More >

  • Open Access

    ARTICLE

    The Moses holmium system – time is money

    Karen L. Stern, Manoj Monga

    Canadian Journal of Urology, Vol.25, No.3, pp. 9313-9316, 2018

    Abstract Introduction: The Moses technology of the holmium laser has been shown to decrease retropulsion in the ureter and procedural time in kidney stones during laser lithotripsy. Theoretically, these improvements could lead to cost savings for the patient.
    Materials and methods: All patients with total laser energy data recorded who underwent ureteroscopy with laser lithotripsy by a single surgeon at a tertiary care center were included. Total lasing time was calculated from the total laser energy. Sub-analyses were done on stone size and stone composition. The procedure time using Moses technology was projected to be approximately 35% less… More >

  • Open Access

    ARTICLE

    Societal costs of localized renal cancer surgery

    Peter Chang1,2,*, Peter Renehan2,*, Kimberly N. Taylor1, Lauren E. Dewey1, Kyle C. McAnally1, Sara Hyde1, Catrina M. Crociani1, Arie Carneiro3,4, Lisa T. Beaule5, Andrew A. Wagner1,2

    Canadian Journal of Urology, Vol.25, No.4, pp. 9401-9406, 2018

    Abstract Introduction: Hospital-related costs of renal cancer surgery have been described, but the societal costs of surgery-related lost productivity are poorly understood. We estimated the societal cost of renal cancer surgery by assessing surgery-related time off work (TOW) taken by patients and their caretakers.
    Materials and methods: A total of 413 subjects who underwent partial or radical nephrectomy enrolled in an IRB-approved prospective study received an occupational survey assessing employment status, work physicality, income, surgery-related TOW, and caretaker assistance. We excluded subjects with incomplete occupational information or metastatic disease. We estimated potential wages lost using individual income and… More >

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