scholarly journals Nest protectors provide a cost-effective means of increasing breeding success in Giant Ibis Thaumatibis gigantea

2009 ◽  
Vol 19 (1) ◽  
pp. 77-82 ◽  
Author(s):  
OMALISS KEO ◽  
NIGEL J. COLLAR ◽  
WILLIAM J. SUTHERLAND
Keyword(s):  
Survival Rate ◽  
Effective Means ◽  
Cost Effective ◽  
The Other ◽  
Nest Protection ◽  
Nestling Period ◽  
Predator Exclusion ◽  
Nestling Survival ◽  
Protection Devices ◽  
The Cost

SummaryA main cause of nestling loss of the ‘Critically Endangered’ Giant Ibis Thaumatibis gigantea appeared to be mammalian predation. Predator-exclusion devices were added to a randomly selected half of 52 nesting trees, with the other half acting as controls. The number of young fledged per nest was 50% higher for protected nests than control nests. Each protected nest produced almost two-thirds (0.63) of an extra chick. During the nestling period, the daily nestling survival rate was (99.9%) (equivalent to 90% survival over the nestling period) for protected nests and 99.3% (61.3% survival over the whole period) for control nests. Nest protection devices cost US$5 per tree. Each extra nestling fledged as a result of this intervention therefore cost $8. If it was also necessary to pay to locate the nests, then the cost of protecting each nest would be $140 and the cost of producing each extra chick $224. Trees with protectors added were significantly more likely to be reused in the next year than unprotected trees.

scholarly journals Cost-Effectiveness Analysis of Biopharmaceuticals for Treating Rheumatoid Arthritis: Infliximab, Adalimumab, and Etanercept

2021 ◽  
Vol 2021 ◽  
pp. 1-12
Author(s):  
Ahmad Gholami ◽  
Jassem Azizpoor ◽  
Elham Aflaki ◽  
Mehdi Rezaee ◽  
Khosro Keshavarz
Keyword(s):  
Rheumatoid Arthritis ◽  
Sensitivity Analysis ◽  
Cost Effectiveness ◽  
Cost Effective ◽  
The Other ◽  
Cost Data ◽  
Fars Province ◽  
Study Results ◽  
The Mean ◽  
The Cost

Introduction. Rheumatoid arthritis (RA) is a chronic progressive inflammatory disease that causes joint destruction. The condition imposes a significant economic burden on patients and societies. The present study is aimed at evaluating the cost-effectiveness of Infliximab, Adalimumab, and Etanercept in treating rheumatoid arthritis in Iran. Methods. This is a cost-effectiveness study of economic evaluation in which the Markov model was used. The study was carried out on 154 patients with rheumatoid arthritis in Fars province taking Infliximab, Adalimumab, and Etanercept. The patients were selected through sampling. In this study, the cost data were collected from a community perspective, and the outcomes were the mean reductions in DAS-28 and QALY. The cost data collection form and the EQ-5D questionnaire were also used to collect the required data. The results were presented in the form of an incremental cost-effectiveness ratio, and the sensitivity analysis was used to measure the robustness of the study results. The TreeAge Pro and Excel softwares were used to analyze the collected data. Results. The results showed that the mean costs and the QALY rates in the Infliximab, Adalimumab, and Etanercept arms were $ 79,518.33 and 12.34, $ 91,695.59 and 13.25, and $ 87,440.92 and 11.79, respectively. The one-way sensitivity analysis confirmed the robustness of the results. In addition, the results of the probabilistic sensitivity analysis (PSA) indicated that on the cost-effectiveness acceptability curve, Infliximab was in the acceptance area and below the threshold in 77% of simulations. The scatter plot was in the mentioned area in 81% and 91% of simulations compared with Adalimumab and Etanercept, respectively, implying lower costs and higher effectiveness than the other two alternatives. Therefore, the strategy was more cost-effective. Conclusion. According to the results of this study, Infliximab was more cost-effective than the other two medications. Therefore, it is recommended that physicians use this medication as the priority in treating rheumatoid arthritis. It is also suggested that health policymakers consider the present study results in preparing treatment guidelines for RA.

scholarly journals Cost-effective Analysis of Proton Pump Inhibitors in Long-term Management of Gastroesophageal Reflux Disease: A Narrative Review

2019 ◽  
Vol 55 (5) ◽  
pp. 292-305
Author(s):  
Shazia Jamshed ◽  
Akshaya Srikanth Bhagavathula ◽  
Sheikh Muhammad Zeeshan Qadar ◽  
Umaira Alauddin ◽  
Sana Shamim ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Gastroesophageal Reflux Disease ◽  
Cost Effective ◽  
The Other ◽  
Cost Effectiveness Ratio ◽  
On Demand ◽  
Step Down ◽  
The Cost ◽  
Term Management

Background: Gastroesophageal reflux disease (GERD) is a common gastrointestinal disorder that results from regurgitation of acid from the stomach into the esophagus. Treatment available for GERD includes lifestyle changes, antacids, histamine-2 receptor antagonists (H2RAs), proton pump inhibitors (PPIs), and anti-reflux surgery. Aim: The aim of this review is to assess the cost-effectiveness of the use of PPIs in the long-term management of patients with GERD. Method: We searched in PubMed to identify related original articles with close consideration based on inclusion and exclusion criteria to choose the best studies for this narrative review. The first section compares the cost-effectiveness of PPIs with H2RAs in long-term heartburn management. The other sections shall only discuss the cost-effectiveness of PPIs in 5 different strategies, namely, continuous (step-up, step-down, and maintenance), on-demand, and intermittent therapies. Results: Of 55 articles published, 10 studies published from 2000 to 2015 were included. Overall, PPIs are more effective in relieving heartburn in comparison with ranitidine. The use of PPIs in managing heartburn in long-term consumption of nonsteroidal anti-inflammatory drug (NSAID) has higher cost compared with H2RA. However, if the decision-maker is willing to pay more than US$174 788.60 per extra quality-adjusted life year (QALY), then the optimal strategy is traditional NSAID (tNSAID) and PPIs. The probability of being cost-effective was also highest for NSAID and PPI co-therapy users. On-demand PPI treatment strategy showed dominant with an incremental cost-effectiveness ratio of US$2197 per QALY gained and was most effective and cost saving compared with all the other treatments. The average cost-effectiveness ratio was lower for rabeprazole therapy than for ranitidine therapy. Conclusion: Our review revealed that long-term treatment with PPIs is effective but costly. To achieve long-term cost-effective approach, we recommend on-demand approach to treat heartburn symptoms, but if the symptoms persist, treatment with continuous step-down therapy should be applied.

scholarly journals Psychosocial intervention for carers of people with dementia: What components are most effective and when? A systematic review of systematic reviews

2016 ◽  
Vol 29 (1) ◽  
pp. 31-43 ◽  
Author(s):  
Claire Dickinson ◽  
Johanne Dow ◽  
Grant Gibson ◽  
Louise Hayes ◽  
Shannon Robalino ◽  
...  
Keyword(s):  
Systematic Reviews ◽  
Psychological Health ◽  
Effective Means ◽  
Cost Effective ◽  
Psychosocial Interventions ◽  
Future Research ◽  
Group Format ◽  
People With Dementia ◽  
Informal Carers ◽  
The Cost

ABSTRACTBackground:Psychosocial interventions for carers of people with dementia are increasingly recognized as playing an important role in dementia care. We aim to systematically review the evidence from existing systematic reviews of psychosocial interventions for informal carers of people with dementia.Methods:Thirty-one systematic reviews were identified; following quality appraisal, data from 13 reviews, rated as high or moderate quality, were extracted.Results:Well-designed, clearly structured multi-component interventions can help maintain the psychological health of carers of people with dementia and delay institutionalization of the latter. To be most effective, such interventions should include both an educational and a therapeutic component; delivery through a support group format may further enhance their effectiveness.Conclusions:Successful translation of evidence into practice in this area remains a challenge. Future research should focus on determining the most cost-effective means of delivering effective multi-component interventions in real-world settings; the cost-effective potential of technology-based interventions is considerable.

scholarly journals The Effectiveness of Semi-Natural Rearing of Coho Salmon (Oncorhynchus kisutch) at the Nitinat River Hatchery, British Columbia

2014 ◽  
Vol 7 (1) ◽  
pp. 23-28
Author(s):  
Robert Brouwer ◽  
Amanda Ross ◽  
Ian Trepanier ◽  
Ronald W. Tanasichuk
Keyword(s):  
British Columbia ◽  
Survival Rate ◽  
Coho Salmon ◽  
Oncorhynchus Kisutch ◽  
The Other ◽  
Adult Fish ◽  
Male And Female ◽  
Rearing Method ◽  
Two Phases ◽  
The Cost

We compared: 1) rearing mortality, 2) size at release (mean length), 3) jack, male and female sizes, and 4) jack, female, and adult returns of coho salmon (Oncorhynchus kisutch) from three consecutive brood years reared at the Nitinat River hatchery using a conventional or a semi-natural rearing method. The semi-natural method included feeding restrictions, shading of the rearing ponds, lower rearing temperature and rearing densities, exposure to a predator and a volitional release. We found no significant effects of brood year or rearing method on rearing mortality; it was significantly lower during the marking to release phase than during the other two phases (eyed-egg to ponding, ponding to marking). Conventionally reared smolts were significantly longer. Conventionally reared males were longer. As a proportion of number of smolts released, semi-natural rearing produced 86% fewer jacks, the same proportion of females and 15% more adults. Adult production trends, described as marine survival rate (returning adults • smolt-1) for Nitinat River Hatchery coho, and as ln recruits • female spawner-1 for a nearby wild coho population, were similar. Jacking rates were lower in Nitinat River hatchery coho than for the nearby wild coho population. We concluded that the semi-natural rearing methodology produces adult fish more efficiently than the conventional rearing method does, and at 73% of the cost.

Light Rail Lite or Cost-Effective Improvements to Bus Service?

2005 ◽  
Vol 1927 (1) ◽  
pp. 22-30 ◽  
Author(s):  
Daniel B. Hess ◽  
Brian D. Taylor ◽  
Allison C. Yoh
Keyword(s):  
High Speed ◽  
Low Cost ◽  
Effective Means ◽  
Cost Effective ◽  
Light Rail ◽  
Rapid Transit ◽  
Service Characteristics ◽  
Wide Range ◽  
Bus Service ◽  
The Cost

Bus rapid transit (BRT) is growing rapidly in popularity because it is viewed widely as an efficient and effective means to improve both transit service and patronage. This paper argues that two distinct views of BRT are emerging: ( a) BRT as a new form of high-speed, rubber-tired, rail-like rapid transit and ( b) BRT as a cost-effective way to upgrade both the quality and image of traditional fixed-route bus service. These two views carry different price tags because the cost of planning, constructing, and operating BRT depends on the complexity of new service features and on rises for BRT that offer service characteristics approaching those of light rail. This study fills a gap in the literature on the costs of BRT by examining in detail component costs–-actual costs for recently implemented services and projected costs for planned new services–-for a sample of BRT systems in North American cities. The study examined BRT costs of 14 planned and recently opened BRT systems to determine how the wide range of BRT service and technology configurations affect costs. The study found that although some of the most successful and popular new BRT systems are high-quality services operating in mixed traffic and implemented at relatively low cost, most BRT projects on the drawing boards are more elaborate, more expensive systems than many currently in service. Most new BRT projects emphasize elaborate LRT-type improvements to lines and stations in one or a few corridors rather than less splashy improvements (such as next-bus monitors, signal preemption, queue-jump lanes, and so forth) affecting more lines and modes in local transit networks. Among the 14 systems examined here, most could be characterized as light rail lite.

San Diego Field Operational Test of Smart Call Boxes: Technical Aspects

1997 ◽  
Vol 1603 (1) ◽  
pp. 27-33 ◽  
Author(s):  
James H. Banks ◽  
Patrick A. Powell
Keyword(s):  
System Integration ◽  
Solar Power ◽  
Effective Means ◽  
Cost Effective ◽  
Test System ◽  
Incident Detection ◽  
Capital Costs ◽  
Operational Test ◽  
Field Operational Test ◽  
The Cost

Smart call boxes are devices similar to those used as emergency call boxes in California. The basic call box consists of a microprocessor, a cellular transceiver, and a solar power source. The smart call box system also includes data-collection devices, call-box maintenance computers, and data recording systems at a central location. The goal of the smart call box field operational test (FOT) was to demonstrate that smart call boxes are feasible and cost-effective means of processing and transmitting data for tasks such as traffic census, incident detection, hazardous weather reporting, changeable message sign control, and video surveillance. The objective of the FOT evaluation was to determine the cost-effectiveness of smart call boxes, but because of schedule slippage the evaluation focused on only functional adequacy and capital costs. The concept for the smart call box system was found to be feasible but not necessarily optimal for the tasks involved. System integration was a major problem. Also, the number of external devices that can be attached to a single call box while maintaining the economic advantages of the system is restricted by wiring costs and limitations of the solar power supply. Test system performance was mixed. One subtest was canceled before the installation of equipment, functional systems were produced for only three of the four remaining subtests, and reliable operation was observed in only one case. In most cases, system costs will be dominated by the expense of installing wiring. Consequently, smart call boxes will be cost-effective compared with hardwire systems at many sites but may not be cost-effective compared with alternative wireless systems.

Studies on Mega-Pixel Cell Phone Lenses Based on Aspheric Optics

2011 ◽  
Vol 109 ◽  
pp. 441-444
Author(s):  
Yong Jian Zhu ◽  
Feng Jun Chen ◽  
Shao Hui Yin
Keyword(s):  
Cell Phone ◽  
Optical Design ◽  
Cost Effective ◽  
The Other ◽  
Manufacturing Method ◽  
Aspheric Glass Lens ◽  
Aspheric Optics ◽  
Glass Lens ◽  
The Cost ◽  
Maximum Field

According to the principle of optical design, two kinds of 2 Mega-pixel cell phone camera lenses are proposed. One is made up of three plastic (3P) lenses; the other is made up of two plastic lenses and one glass (2P1G) lens. The shapes of all lenses are aspheric. By comparison, the overall length of 2P1G lens is much less than that of 3P lens. Furthermore, in FOV the former is 5 degrees larger than the latter. At the same time, in distortion of the maximum field angle, the former is much less. The other aberrations of 2P1G lens are almost same to those of 3P lens. Therefore, in cell phone camera lens design, it’s recommended to adopt one aspheric glass lens to improve the performance and compactness though the cost will become a little higher due to the introduction of aspheric glass lens. However, the cost of aspheric glass lens could be reduced tremendously by a new cost-effective manufacturing method  compression molding technology.

RESTORATION AND NATURAL RESOURCE DAMAGE ASSESSMENT

1993 ◽  
Vol 1993 (1) ◽  
pp. 721-725 ◽  
Author(s):  
Marisa J. Mazzotta ◽  
James J. Opaluch ◽  
Thomas A. Grigalunas
Keyword(s):  
Damage Assessment ◽  
Effective Means ◽  
Economic Valuation ◽  
Cost Effective ◽  
The Public ◽  
Economic Methods ◽  
Natural Resource Damage Assessment ◽  
Definition Of ◽  
Legal Concepts ◽  
The Cost

ABSTRACT To date, the focus of damage assessment has tended to be either on economic valuation of lost services in monetary terms or on scientific studies of resource restoration. This paper suggests an alternative approach that integrates legal concepts based on the public trust doctrine, economic methods of determining compensation, and scientific approaches to restoration. The approach is based on a definition of restoration as a remedy for oil spill damages which identifies alternative restoration actions that provide resource services that are “equally desirable” to society as those lost due to the spill. The least costly of these alternatives is then selected as the cost-effective means of making the public whole.

scholarly journals Clinical feasibility study of an immunotropic drug for treatment of complicated pyodermas

2020 ◽  
Vol 6 (3) ◽  
pp. 51-57
Author(s):  
Roman A. Khmel’nitskij ◽  
Аndrej V. Vislobokov
Keyword(s):  
Cost Effectiveness ◽  
Effective Means ◽  
Clinical Manifestations ◽  
Clinical Effectiveness ◽  
Cost Effective ◽  
Biologically Active ◽  
Cost Effectiveness Ratio ◽  
Transfer Factors ◽  
Wide Range ◽  
The Cost

Introduction: Given a wide range of pathogenesis of the inflammatory process in pyoderma, which involves a variety of links in the immune response, work is underway to find ways to optimize immunocorrection in this pathology. The aim of the study was to evaluate the clinical and economic effectiveness of immunocorrection in severe and chronic forms of pyoderma with drugs from different pharmacological groups. Materials and methods: The data sources were prospective randomized comparative studies of therapy of 107 pyoderma patients aged 18 to 60 years, divided into groups. The patients of the first group additionally used a biologically active additive containing immunoactive molecules and transfer factors (TF) as an immunomodulator; the patients of the second group used glucosaminylmuramildipeptide (GMDP). The clinical effectiveness of regression of inflammatory symptoms on day 10 of treatment was analyzed. Based on the obtained data, the following types of pharmacoeconomical analysis were performed: calculation of the course price, the cost/effectiveness ratio, and the availability coefficient. Results and discussion: The results of the study showed that the number of cured patients was 91.4% in the first group and 97.2% in the second group of patients. The treatment cost when using the drug is by 970 rubles smaller; the cost/effectiveness ratio (CER) per patient was 1.8 higher for a drug containing transfer factors and amounted to 25.9. The calculation of the availability coefficient (AC) revealed a difference in glucosaminylmuramyldipeptide which was 2.1 times smaller. Conclusion: It was found that a drug based on glucosaminylmuramildipeptide is a more effective and cost-effective means of immunocorrection in severe forms of pyoderma. This confirms a faster regression of clinical manifestations of the disease and lower cost/effectiveness ratio and availability coefficient.

Teleconsultation: changes in technology and costs over a 12-year period

2011 ◽  
Vol 17 (8) ◽  
pp. 412-416 ◽  
Author(s):  
Johanna Lamminen ◽  
Heikki Forsvik ◽  
Ville Vopio ◽  
Keijo Ruohonen
Keyword(s):  
Primary Care ◽  
Health Centre ◽  
Cost Savings ◽  
Cost Effective ◽  
The Other ◽  
Attractive Alternative ◽  
Care Centre ◽  
Patient Travel ◽  
Conventional Alternative ◽  
The Cost

In our previous study, in 1997, we evaluated the cost of teleconsultations in a primary care centre compared with the cost of the conventional alternative, travelling to the hospital. The results showed that teleconsultations were cheaper than patient travel when the annual workload was more than 110 patients in ophthalmology and 115 patients in dermatology. Using the same method of analysis for 2009 data showed that cost savings would occur if the annual workload was 20 patients in ophthalmology and 17 patients in dermatology. The main differences between the two studies are the reduced cost of the technology (which was based on PCs in 2009) and the increased cost of staff. Both studies show that teleconsultations can be cost-effective in a relatively small health centre. The cost of technology continues to decrease, although the other costs in our break-even analysis continue to increase. However, the usability of technology continues to improve, and this will make telemedicine a more attractive alternative in the future.

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