Paying Equitably for Urban Congestion through National Road Pricing System

Author(s):  
Fazil T. Najafi ◽  
Fadi Emil Nassar ◽  
Paul Kaczorowski

Automated toll collection (ATC) systems have been implemented successfully in the United States to collect tolls on bridges and at tunnels and turnpikes. A conceptual national automated road pricing system (NARPS) is described. NARPS consists of a nationwide application of an integrated and coordinated ATC system. Its primary purpose is to collect variable tolls on congested urban roads to improve traffic distribution and the overall efficiency of the highway system. The components of the proposed system are transponders, detectors, and processors used to automatically identify approaching vehicles at normal speed, calculate applicable tolls, and maintain local data bases of all tolls and vehicles to be processed remotely in a control center. A nationwide application of an integrated ATC system offers numerous significant advantages: cost savings, efficiency, traffic management, and a host of secondary applications that are not feasible with localized ATC systems. The management of the system is simplified by billing only drivers who exceed a threshold toll amount, thereby exempting the majority of drivers in rural and other areas.

Sensors ◽  
2021 ◽  
Vol 21 (11) ◽  
pp. 3658
Author(s):  
Qingfeng Zhu ◽  
Sai Ji ◽  
Jian Shen ◽  
Yongjun Ren

With the advanced development of the intelligent transportation system, vehicular ad hoc networks have been observed as an excellent technology for the development of intelligent traffic management in smart cities. Recently, researchers and industries have paid great attention to the smart road-tolling system. However, it is still a challenging task to ensure geographical location privacy of vehicles and prevent improper behavior of drivers at the same time. In this paper, a reliable road-tolling system with trustworthiness evaluation is proposed, which guarantees that vehicle location privacy is secure and prevents malicious vehicles from tolling violations at the same time. Vehicle route privacy information is encrypted and uploaded to nearby roadside units, which then forward it to the traffic control center for tolling. The traffic control center can compare data collected by roadside units and video surveillance cameras to analyze whether malicious vehicles have behaved incorrectly. Moreover, a trustworthiness evaluation is applied to comprehensively evaluate the multiple attributes of the vehicle to prevent improper behavior. Finally, security analysis and experimental simulation results show that the proposed scheme has better robustness compared with existing approaches.


Author(s):  
Hatem Abou-Senna ◽  
Mohamed El-Agroudy ◽  
Mustapha Mouloua ◽  
Essam Radwan

The use of express lanes (ELs) in freeway traffic management has seen increasing popularity throughout the United States, particularly in Florida. These lanes aim at making the most efficient transportation system management and operations tool to provide a more reliable trip. An important component of ELs is the channelizing devices used to delineate the separation between the ELs and the general-purpose lane. With the upcoming changes to the FHWA Manual on Uniform Traffic Control Devices, this study provided an opportunity to recommend changes affecting safety and efficiency on a nationwide level. It was important to understand the impacts on driver perception and performance in response to the color of the EL delineators. It was also valuable to understand the differences between demographics in responding to delineator colors under different driving conditions. The driving simulator was used to test the responses of several demographic groups to changes in marker color and driving conditions. Furthermore, participants were tested for several factors relevant to driving performance including visual and subjective responses to the changes in colors and driving conditions. Impacts on driver perception were observed via eye-tracking technology with changes to time of day, visibility, traffic density, roadway surface type, and, crucially, color of the delineating devices. The analyses concluded that white was the optimal and most significant color for notice of delineators across the majority of subjective and performance measures, followed by yellow, with black being the least desirable.


Pneumonia ◽  
2020 ◽  
Vol 12 (1) ◽  
Author(s):  
Bisma Ali Sayed ◽  
Drew L. Posey ◽  
Brian Maskery ◽  
La’Marcus T. Wingate ◽  
Martin S. Cetron

Abstract Background While persons who receive immigrant and refugee visas are screened for active tuberculosis before admission into the United States, nonimmigrant visa applicants (NIVs) are not routinely screened and may enter the United States with infectious tuberculosis. Objectives We evaluated the costs and benefits of expanding pre-departure tuberculosis screening requirements to a subset of NIVs who arrive from a moderate (Mexico) or high (India) incidence tuberculosis country with temporary work visas. Methods We developed a decision tree model to evaluate the program costs and estimate the numbers of active tuberculosis cases that may be diagnosed in the United States in two scenarios: 1) “Screening”: screening and treatment for tuberculosis among NIVs in their home country with recommended U.S. follow-up for NIVs at elevated risk of active tuberculosis; and, 2) “No Screening” in their home country so that cases would be diagnosed passively and treatment occurs after entry into the United States. Costs were assessed from multiple perspectives, including multinational and U.S.-only perspectives. Results Under “Screening” versus “No Screening”, an estimated 179 active tuberculosis cases and 119 hospitalizations would be averted in the United States annually via predeparture treatment. From the U.S.-only perspective, this program would result in annual net cost savings of about $3.75 million. However, rom the multinational perspective, the screening program would cost $151,388 per U.S. case averted for Indian NIVs and $221,088 per U.S. case averted for Mexican NIVs. Conclusion From the U.S.-only perspective, the screening program would result in substantial cost savings in the form of reduced treatment and hospitalization costs. NIVs would incur increased pre-departure screening and treatment costs.


Author(s):  
Robert I. Roth ◽  
Nicholas M. Fleischer

Recent years have seen the approvals, more so in the EU than the United States, of follow-on biological drugs. These products have been new formulations of recombinant therapeutic proteins, developed to compete with the marketed originator products. Intended to closely mimic the originator products in terms of chemistry and therapeutic properties, these so-called ‘biosimilar’ products were initially conceived to be developed according to abbreviated development programmes, presumably at a substantial cost savings to both the drug developer and the consumer. With several such products now recently approved, however, it has become clear that their development programmes have been quite extensive and not particularly abbreviated. Accordingly, cost savings to consumers appear to be relatively modest.


2021 ◽  
pp. 002073142110189
Author(s):  
Germán M. Izón ◽  
Nathaniel Islip

Health care-based negative production externalities, such as greenhouse gas emissions, underscore the need for hospitals to implement sustainable practices. Eco-certification has been adopted by a number of providers in an attempt, for instance, to curb energy consumption. While these strategies have been evaluated with respect to cost savings, their implications pertaining to hospitals’ financial viability remain unknown. We specify a fixed-effects model to estimate the correlation between Energy Star certification and 3 different hospitals’ financial performance measures (net patient revenue, operating expenses, and operating margin) in the United States between 2000 and 2016. The Energy Star participation indicators’ parameters imply that this type of eco-certification is associated with lower net patient revenue and lower operating expenses. However, the estimated negative relationship between eco-certification and operating margin suggests that the savings in operating expenses are not enough for a hospital to achieve higher margins. These findings may indicate that undertaking sustainable practices is partially related to intangible benefits such as community reputation and highlight the importance of government policies to financially support hospitals’ investments in green practices.


2015 ◽  
Vol 4 (6) ◽  
pp. 82 ◽  
Author(s):  
Julie M. Mhlaba ◽  
Emily W. Stockert ◽  
Martin Coronel ◽  
Alexander J. Langerman

Objective: Operating rooms (OR) generate a large portion of hospital revenue and waste. Consequently, improving efficiency and reducing waste is a high priority. Our objective was to quantify waste associated with opened but unused instruments from trays and to compare this with the cost of individually wrapping instruments.Methods: Data was collected from June to November of 2013 in a 550-bed hospital in the United States. We recorded the instrument usage of two commonly-used trays for ten cases each. The time to decontaminate and reassemble instrument trays and peel packs was measured, and the cost to reprocess one instrument was calculated.Results: Average utilization was 14% for the Plastic Soft Tissue Tray and 29% for the Major Laparotomy Tray. Of 98 instruments in the Plastics tray (n = 10), 0% was used in all cases observed and 59% were used in no observed cases. Of 110 instruments in the Major Tray (n = 10), 0% was used in all cases observed and 25% were used in no observed cases. Average cost to reprocess one instrument was $0.34-$0.47 in a tray and $0.81-$0.84 in a peel pack, or individually-wrapped instrument.Conclusions: We estimate that the cost of peel packing an instrument is roughly two times the cost of tray packing. Therefore, it becomes more cost effective from a processing standpoint to package an instrument in a peel pack when there is less than a 42%-56% probability of use depending on instrument type. This study demonstrates an opportunity for reorganization of instrument delivery that could result in a significant cost-savings and waste reduction.


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