Objective:To evaluate the cost-effectiveness of annual trivalent inactivated influenza vaccine(IIV3)under the context of Zhejiang province.Methods:A state transition simulation model was constructed to estimate the he...Objective:To evaluate the cost-effectiveness of annual trivalent inactivated influenza vaccine(IIV3)under the context of Zhejiang province.Methods:A state transition simulation model was constructed to estimate the health and economic outcomes of IIV3 vaccination program compared to no vaccination for hypothetical cohorts of Zhejiang province stratified by age and risk status.Model input parameters were chosen based on published literatures and expert advices.The analysis used societal perspectives and a one-year time horizon,and permanent outcomes were also included.The primary outcome was the incremental cost-effectiveness ratio(ICER),with expression of US dollars per quality adjusted life years(QALYs)gained.Results:In subgroups not at high risk for influenza-related complications(non-high risk subgroup),ICER ranged from $6268/QALY(for adults aged 50-64 years)to $11260/QALY(for children aged from 6 months to 4 years).In subgroups at high risk for influenza-related complications(high risk subgroup),ICER ranged from cost-saving(adults aged≥65 years)to $5260/QALY(for children aged from 6 months to 4 years).ICER were most sensitive to changes in probability of influenza illness,cost of hospitalization,and probability of death for adults aged 18-49 years with non-high risk status.Conclusions:ICERs of annual influenza vaccination varied by age and risk status but were less than the Gross Domestic Product(GDP)per capita of Zhejiang province($17745 in 2023),which remained cost-effective for all-age and different risk status groups from a societal perspective.展开更多
BACKGROUND Robotic assistance is increasingly used for donor and recipient hepatectomy in liver transplantation,yet existing evidence is fragmented and variably indirect.AIM To evaluate clinical outcomes,surgical perf...BACKGROUND Robotic assistance is increasingly used for donor and recipient hepatectomy in liver transplantation,yet existing evidence is fragmented and variably indirect.AIM To evaluate clinical outcomes,surgical performance,and economic effects of robotic-assisted donor and recipient hepatectomy in the transplant pathway.METHODS Following Preferred Reporting Items for Systematic reviews and Meta-Analyses 2020 and a priori registration,systematic reviews were included with or without meta-analysis.Four databases were searched through July 2025.Methodological quality was appraised with a measurement tool to assess systematic reviews(AMSTAR 2),and certainty was graded with grading of recommendations assessment,development and evaluation(GRADE).Evidence overlap was calculated via a citation-matrix-based corrected covered area(CCA).Effect sizes were prespecified as risk ratios(RR)for dichotomous outcomes and mean differences for continuous outcomes.RESULTS Five reviews met the inclusion criteria,four with meta-analyses and one consensus review used only for context.Donor(direct)findings were more favorable for robotics in terms of estimated blood loss(≈-117 mL)and length of stay(≈-0.6 days),although with longer operative time(≈+105 minutes).Absolute risks for donor complications were not estimable from ratio-only data.Recipient(indirect)meta-analysis indicated robotics to be favorable in terms of conversion(RR≈0.41)and severe morbidity(RR≈0.81),with a trend toward lower overall morbidity(RR≈0.92)and no difference in 30-day mortality.Differences in length of stay and operative time were small and heterogeneous.Economic evidence(indirect,network meta-analysis)suggested higher procedural costs for robotic vs laparoscopic intervention,but lower hospitalization costs vs open intervention,with laparoscopy the least expensive overall.AMSTAR 2 ratings were moderate-to-high across the reviews,GRADE certainty was low for key donor continuous outcomes,and low-to-moderate for recipient and economic outcomes.Overlap was slight(graded-corpus CCA=0.0%;including a contextual non-transplant review increased CCA to≈1.25%).CONCLUSION Robotic donor hepatectomy confers perioperative advantages at the cost of longer operative time.Recipient and economic findings are indirect and considered hypothesis-generating.Transplant-specific,prospective comparisons using a minimum standardized dataset and uniform outcome definitions are needed to resolve remaining uncertainties and to clarify the cost-utility correlation.展开更多
Guangdong’s carbon emissions have surpassed the world’s 11th largest emitter.It is indispensable for this province to find a robust cost-effective strategy for reducing carbon emissions.This study employed the Low E...Guangdong’s carbon emissions have surpassed the world’s 11th largest emitter.It is indispensable for this province to find a robust cost-effective strategy for reducing carbon emissions.This study employed the Low Emissions Analysis Platform model,marginal cost curves,and Monte Carlo methods to simulate the energy consumption,carbon emissions,and economic benefits of emission reduction in Guangdong Province from 2020 to 2030 under the application of various structural optimization policies and energy-saving technologies.The main findings are as follows:In 2030,Guangdong Province is projected to achieve a carbon emission reduction of 273.6 to 304.6million t CO_(2eq),with a total reduction cost ranging from 1030.9 to 1452.2 billion yuan.Increasing the share of renewable energy,which still has significant growth potential,can lead to a 1.4 times greater reduction in carbon emissions compared to the application of energy-saving technologies,despite the latter yielding 2.3 times more energy savings.The emission reduction measures with net-cost can contribute 71.4%to the total carbon reduction of the province,being much larger than those with net benefits.The power sector plays a critical role in carbon emission reduction within Guangdong Province,with its various measures exerting the most substantial impact on emission reduction quantity and cost,contributing cumulative variance contributions of 90.1%and 84.3%,respectively.It has relatively large potential for emission reduction and relatively low cost of structural adjustment.展开更多
One of the detection objectives of the Chinese Asteroid Exploration mission is to investigate the space environment near the Main-belt Comet(MBC,Active Asteroid)311P/PANSTARRS.This paper outlines the scientific object...One of the detection objectives of the Chinese Asteroid Exploration mission is to investigate the space environment near the Main-belt Comet(MBC,Active Asteroid)311P/PANSTARRS.This paper outlines the scientific objectives,measurement targets,and measurement requirements for the proposed Gas and Ion Analyzer(GIA).The GIA is designed for in-situ mass spectrometry of neutral gases and low-energy ions,such as hydrogen,carbon,and oxygen,in the vicinity of 311P.Ion sampling techniques are essential for the GIA's Time-of-Flight(TOF)mass analysis capabilities.In this paper,we present an enhanced ion sampling technique through the development of an ion attraction model and an ion source model.The ion attraction model demonstrates that adjusting attraction grid voltage can enhance the detection efficiency of low-energy ions and mitigate the repulsive force of ions during sampling,which is influenced by the satellite's surface positive charging.The ion source model simulates the processes of gas ionization and ion multiplication.Simulation results indicate that the GIA can achieve a lower pressure limit below 10-13Pa and possess a dynamic range exceeding 10~9.These performances ensure the generation of ions with stable and consistent current,which is crucial for high-resolution and broad dynamic range mass spectrometer analysis.Preliminary testing experiments have verified GIA's capability to detect gas compositions such as H2O and N2.In-situ measurements near 311P using GIA are expected to significantly contribute to our understanding of asteroid activity mechanisms,the evolution of the atmospheric and ionized environments of main-belt comets,the interactions with solar wind,and the origin of Earth's water.展开更多
Electro-Optic Sampling(EOS)detection technique has been widely used in terahertz science and tech⁃nology,and it also can measure the field time waveform of the few-cycle laser pulse.Its frequency response and band lim...Electro-Optic Sampling(EOS)detection technique has been widely used in terahertz science and tech⁃nology,and it also can measure the field time waveform of the few-cycle laser pulse.Its frequency response and band limitation are determined directly by the electro-optic crystal and duration of the probe laser pulse.Here,we investigate the performance of the EOS with thin GaSe crystal in the measurement of the mid-infrared few-cycle la⁃ser pulse.The shift of the central frequency and change of the bandwidth induced by the EOS detection are calcu⁃lated,and then the pulse distortions induced in this detection process are discussed.It is found that this technique produces a red-shift of the central frequency and narrowing of the bandwidth.These changings decrease when the laser wavelength increases from 2μm to 10μm.This work can help to estimate the performance of the EOS de⁃tection technique in the mid-infrared band and offer a reference for the related experiment as well.展开更多
BACKGROUND Obesity impacts 42%of United States adults and results in an estimated economic burden of nearly 1.4 trillion dollars annually.Endoscopic sleeve gastroplasty(ESG)is a United States Food and Drug Administrat...BACKGROUND Obesity impacts 42%of United States adults and results in an estimated economic burden of nearly 1.4 trillion dollars annually.Endoscopic sleeve gastroplasty(ESG)is a United States Food and Drug Administration authorized procedure with an excellent safety,efficacy,and durability profile.The cost-effectiveness of ESG compared to lifestyle modification(LM)in real-world patients with class I-III obesity represents a critical knowledge gap.AIM To approximate the cost-effectiveness of ESG vs LM using a real-world dataset of 860 United States adults with class I-III obesity undergoing ESG.METHODS A 6-state Markov model was employed,including healthy weight,overweight,class I-III obesity,and death.The LM control group was built using transition states previously described in the literature,supplemented by expert opinion.Cycles lasted six-months in the model’s first year and twelve-months thereafter.Existing literature informed approximations of each health state utility,adverse event disutility,and incidence of obesity-associated comorbidities.One-way sensitivity and probabilistic sensitivity analyses were performed.RESULTS The base-case incremental cost-effectiveness ratio(ICER)for ESG vs LM was 5904 dollars per quality-adjusted life year(QALY).In a one-way sensitivity analysis,the utilities assigned to the three obesity classes most greatly influenced the ICER.Probabilistic sensitivity analysis estimated an increase in upper-bound ICER of 8038 dollars per QALY,well under the generally cited United States willingness to pay ratio of 100000 dollars per QALY.CONCLUSION The results of this model support that ESG is overwhelmingly cost-effective compared to LM across all obesity classes.Payors should consider expanding coverage for their members.展开更多
Critical Height Sampling(CHS)estimates stand volume free from any model and tree form assumptions.Despite its introduction more than four decades ago,CHS has not been widely applied in the field due to perceived chall...Critical Height Sampling(CHS)estimates stand volume free from any model and tree form assumptions.Despite its introduction more than four decades ago,CHS has not been widely applied in the field due to perceived challenges in measurement.The objectives of this study were to compare estimated stand volume between CHS and sampling methods that used volume or taper models,the equivalence of the sampling methods,and their relative efficiency.We established 65 field plots in planted forests of two coniferous tree species.We estimated stand volume for a range of Basal Area Factors(BAFs).Results showed that CHS produced the most similar mean stand volume across BAFs and tree species with maximum differences between BAFs of 5-18m^(3)·ha^(−1).Horizontal Point Sampling(HPS)using volume models produced very large variability in mean stand volume across BAFs with the differences up to 126m^(3)·ha^(−1).However,CHS was less precise and less efficient than HPS.Furthermore,none of the sampling methods were statistically interchangeable with CHS at an allowable tolerance of≤55m^(3)·ha^(−1).About 72%of critical height measurements were below crown base indicating that critical height was more accessible to measurement than expected.Our study suggests that the consistency in the mean estimates of CHS is a major advantage when planning a forest inventory.When checking against CHS,results hint that HPS estimates might contain potential model bias.These strengths of CHS could outweigh its lower precision.Our study also implies serious implications in financial terms when choosing a sampling method.Lastly,CHS could potentially benefit forest management as an alternate option of estimating stand volume when volume or taper models are lacking or are not reliable.展开更多
With the continuous application of new technologies in reconnaissance and attack, false camouflage plays a more important role in improving the survivability of targets, and the number of decoys plays a crucial role i...With the continuous application of new technologies in reconnaissance and attack, false camouflage plays a more important role in improving the survivability of targets, and the number of decoys plays a crucial role in the camouflaging effect. Based on the concept of cost-effectiveness ratio, according to the newly formulated Johnson criterion and the view of discovery and destruction, this paper proposes to take the identification probability as the probability of being destroyed and uses mathematical formulas to calculate the cost of a single use decoy. On this basis, a cost-effectiveness ratio model is established, with the product of the increase in the survival probability of the target and the cost of the target as the benefit, and the sum of the product of the probability of being destroyed and the cost of the decoy and the cost of a single use as the consumption cost. The model is calculated and analyzed, and the number of decoys that conform to the actual situation is obtained.展开更多
Objective This systematic review examines recent pharmacoeconomic literature on denosumab'cost-effectiveness for bone metastasis treatment,providing evidence-based insights to guide healthcare policy decisions.Met...Objective This systematic review examines recent pharmacoeconomic literature on denosumab'cost-effectiveness for bone metastasis treatment,providing evidence-based insights to guide healthcare policy decisions.Methods A comprehensive literature search was performed across Cochrane,PubMed,EMBASE(Ovid),CNKI,and Wanfang databases to identify original articles published between 2017 and 2023.Key words consisted of bone metastases,denosumab,and cost-effectiveness in the search strategy.The methodological quality of the included studies was assessed utilizing the revised Consolidated Health Economic Evaluation Reporting Standards(CHEERS 2022).Data was extracted regarding methodological characteristics and cost-effectiveness analyses.Results A total of 111 studies were retrieved,of which 6 met the inclusion criteria.All included studies were based on clinical trials and published literature data and exhibited high methodological quality.Up to 83%(5 out of 6)of comparisons demonstrated that denosumab was more cost-effective or dominant compared to zoledronic acid.The adjusted incremental cost-effectiveness ratios varied substantially by tumor type,ranging from CZK 436,339.09 to USD 136,234 per skeletal-related event avoided and from CZK 61,580.95 to USD 118,392.11 per quality-adjusted life year gained.Conclusions The majority of the included studies support denosumab as a more cost-effective treatment option for bone metastases in solid tumors compared to zoledronic acid.The application of CHEER(2022)enhances the reliability of pharmacoeconomic evaluations.展开更多
Objective To evaluate the cost-effectiveness of gadopentetate dimeglumine(Gd-DTPA)and gadobenate dimeglumine(Gd-BOPTA)magnetic resonance imaging(MRI)contrast agents for the early diagnosis of hepatocellular carcinoma(...Objective To evaluate the cost-effectiveness of gadopentetate dimeglumine(Gd-DTPA)and gadobenate dimeglumine(Gd-BOPTA)magnetic resonance imaging(MRI)contrast agents for the early diagnosis of hepatocellular carcinoma(HCC)from the perspective of China’s healthcare system.Methods A decision tree+partitioned survival model was constructed for early diagnosis of HCC based on literature data.Taking quality-adjusted life year(QALY)as the main health outcome measure for incremental cost-effectiveness ratio(ICER)analysis,the sensitivity analysis by Monte Carlo simulation was constructed to generate corresponding tornado diagram,incremental cost-effectiveness scatter plot,and cost-effectiveness acceptability curve.Results and Conclusion The basic analysis results showed that the ICER value of Gd-BOPTA diagnostic scheme compared with Gd-DTPA diagnostic scheme was 17302.46 yuan/QALY,which is less than 1 times of China’s gross domestic product(GDP)per capita.The sensitivity analysis results showed that the cost of delayed treatment and timely treatment had a significant impact on the results.When the willingness to pay(WTP)was 1 time of GDP per capita,the probability of cost-effectiveness advantage of Gd-BOPTA diagnostic scheme was 65.30%.When the WTP value is set at 1 times of GDP per capita,Gd-BOPTA MRI has cost-effectiveness advantages for the early diagnosis of HCC.展开更多
Weighted exponential distribution W ED(α,λ)with shape parameterαand scale parameterλpossesses some good properties and can be used as a good fit to survival time data compared to other distributions such as gamma,...Weighted exponential distribution W ED(α,λ)with shape parameterαand scale parameterλpossesses some good properties and can be used as a good fit to survival time data compared to other distributions such as gamma,Weibull,or generalized exponential distribution.In this article,we proved the existence and uniqueness of the maximum likelihood estimator(MLE)of the parameters of W ED(α,λ)in simple random sampling(SRS)and provided explicit expressions for the Fisher information number in SRS.Moreover,we also proved the existence and uniqueness of the MLE of the parameters of W ED(α,λ)in ranked set sampling(RSS)and provided explicit expressions for the Fisher information number in RSS.Simulation studies show that these MLEs in RSS can be real competitors for those in SRS.展开更多
Selection of negative samples significantly influences landslide susceptibility assessment,especially when establishing the relationship between landslides and environmental factors in regions with complex geological ...Selection of negative samples significantly influences landslide susceptibility assessment,especially when establishing the relationship between landslides and environmental factors in regions with complex geological conditions.Traditional sampling strategies commonly used in landslide susceptibility models can lead to a misrepresentation of the distribution of negative samples,causing a deviation from actual geological conditions.This,in turn,negatively affects the discriminative ability and generalization performance of the models.To address this issue,we propose a novel approach for selecting negative samples to enhance the quality of machine learning models.We choose the Liangshan Yi Autonomous Prefecture,located in southwestern Sichuan,China,as the case study.This area,characterized by complex terrain,frequent tectonic activities,and steep slope erosion,experiences recurrent landslides,making it an ideal setting for validating our proposed method.We calculate the contribution values of environmental factors using the relief algorithm to construct the feature space,apply the Target Space Exteriorization Sampling(TSES)method to select negative samples,calculate landslide probability values by Random Forest(RF)modeling,and then create regional landslide susceptibility maps.We evaluate the performance of the RF model optimized by the Environmental Factor Selection-based TSES(EFSTSES)method using standard performance metrics.The results indicated that the model achieved an accuracy(ACC)of 0.962,precision(PRE)of 0.961,and an area under the curve(AUC)of 0.962.These findings demonstrate that the EFSTSES-based model effectively mitigates the negative sample imbalance issue,enhances the differentiation between landslide and non-landslide samples,and reduces misclassification,particularly in geologically complex areas.These improvements offer valuable insights for disaster prevention,land use planning,and risk mitigation strategies.展开更多
While silicon/carbon(Si/C)is considered one of the most promising anode materials for the next generation of high-energy lithium-ion batteries(LIBs),the industrialization of Si/C anodes is hampered by high-cost and lo...While silicon/carbon(Si/C)is considered one of the most promising anode materials for the next generation of high-energy lithium-ion batteries(LIBs),the industrialization of Si/C anodes is hampered by high-cost and low product yield.Herein,a high-yield strategy is developed in which photovoltaic waste silicon is converted to cost-effective graphitic Si/C composites(G-Si@C)for LIBs.The introduction of a binder improves the dispersion and compatibility of silicon and graphite,enhances particle sphericity,and significantly reduces the loss rate of the spray prilling process(from about 25%to 5%).As an LIB anode,the fabricated G-Si@C composites exhibit a capacity of 605 mAh g^(-1) after 1200 cycles.The cost of manufacturing Si/C anode materials has been reduced to approximately$7.47 kg^(-1),which is close to that of commercial graphite anode materials($5.0 kg^(-1)),and significantly lower than commercial Si/C materials(ca.$20.74 kg^(-1)).Moreover,the G-Si@C material provides approximately 81.0 Ah/$of capacity,which exceeds the current best commercial graphite anodes(70.0 Ah/$)and Si/C anodes(48.2 Ah/$).The successful implementation of this pathway will significantly promote the industrialization of high-energydensity Si/C anode materials.展开更多
BACKGROUND: Targeted temperature management(TTM) is a common therapeutic intervention, yet its cost-effectiveness remains uncertain. This study aimed to evaluate the real-world cost-effectiveness of TTM compared with ...BACKGROUND: Targeted temperature management(TTM) is a common therapeutic intervention, yet its cost-effectiveness remains uncertain. This study aimed to evaluate the real-world cost-effectiveness of TTM compared with that of conventional care in adult out-of-hospital cardiac arrest(OHCA) survivors using clinical patient-level data.METHODS: We conducted a retrospective cohort study at an academic medical center in the USA to assess the cost-effectiveness of TTM in adult non-traumatic OHCA survivors between 1 January, 2019 and 30 June, 2023. The primary outcome was survival to hospital discharge. Incremental cost-effectiveness ratios(ICERs) were calculated and compared with various decision makers' willingness to pay. Cost-effectiveness acceptability curves were utilized to evaluate the economic attractiveness of TTM. Uncertainty about the incremental cost and effect was explored with a 95% confidence ellipse.RESULTS: Among 925 non-traumatic OHCA survivors, only 30(3%) received TTM. After adjusting for potential confounders, the TTM group did not demonstrate a significantly lower cost(delta cost-$5,141, 95% confidence interval [95% CI]: $-35,347 to $25,065, P=0.79) and higher survival to hospital discharge(delta effect 6%, 95% CI:-11% to 23%, P=0.41). Additionally, a 95% confidence ellipse indicated uncertainty reflected by evidence that the true value of the ICER could be in any of the quadrants of the cost-effectiveness plane.CONCLUSION: Although TTM did not demonstrate a clear survival benefit in this study, its potential cost-effectiveness warrants further investigation with larger sample sizes. These findings highlight the need for additional research to optimize TTM use in OHCA care and inform resource allocation decisions.展开更多
Different dosage forms can significantly impact pharmacokinetics in vivo,leading to varied effects and potential adverse reactions.This study aimed to evaluate the efficacy,safety,and cost-effectiveness of isosorbide ...Different dosage forms can significantly impact pharmacokinetics in vivo,leading to varied effects and potential adverse reactions.This study aimed to evaluate the efficacy,safety,and cost-effectiveness of isosorbide mononitrate sustained-release capsules(IMSRC)combined with conventional treatments,compared to isosorbide mononitrate tablets(IMT)combined with conventional treatments,for managing angina pectoris in patients with coronary heart diseases.A network meta-analysis(NMA)was conducted to assess the efficacy and safety of IMSRC and IMT.Relevant literature was sourced from databases,including PubMed,Embase,Cochrane Library,ScienceDirect,Web of Science,CNKI,Wanfang,and VIP,covering publications up to July 2023.The cost-effectiveness analysis(CEA)was performed from the perspective of China’s healthcare system,utilizing inputs derived from the NMA.The analysis included 15 studies.The NMA results revealed no significant difference in efficacy and safety between IMSRC plus conventional treatments and IMT plus conventional treatments.However,both combinations were more effective than conventional treatments without isosorbide mononitrate.No differences in safety were observed among the three groups.The surface under the cumulative ranking(SUCRA)of the NMA indicated that IMT had a slight edge over IMSRC in the total effective rate of angina pectoris,whereas IMSRC showed higher probabilities for markedly effective rate and ECG effective rate compared to IMT.The incidence of adverse events was ranked as IMT>conventional preparation>IMSRC.The CEA results highlighted that the incremental cost-effectiveness ratios(ICERs)for the markedly effective and total effective rates of angina pectoris were-133.41 and-260.20,respectively.The ICERs for ECG effective rates were-83.34 and-234.24,respectively.In conclusion,while IMSRC combined with conventional treatments and IMT combined with conventional treatments were similar in efficacy and safety,IMSRC proved to be more economical.展开更多
BACKGROUND There has been a growing interest in noninvasive ventilation(NIV)in comparison to invasive mechanical ventilation(IMV)as a standard of care for acute respiratory failure(ARF),especially in the post-covid er...BACKGROUND There has been a growing interest in noninvasive ventilation(NIV)in comparison to invasive mechanical ventilation(IMV)as a standard of care for acute respiratory failure(ARF),especially in the post-covid era,but direct head-to-head cost comparisons between the two modalities are not available in literature.AIM To compare the cost along with the clinical effectiveness of NIV in comparison to IMV in ARF.METHODS A prospective observational single-center case control study including adult patients with ARF(PaO2/FiO2 ratio<300)admitted from January 1,2024 to December 31,2024 in medical intensive care unit(ICU)of a tertiary care hospital requiring either NIV or invasive ventilation.NIV and IMV groups were compared based on average length of ICU and hospital stay,mortality,net cost of ICU treatment,need for intubation and tracheostomy.RESULTS A total of 319 patients were included in the study(197 in NIV,122 in IMV group).Statistically significant difference in length of ICU stay(NIV group:5±3.25 days,IMV group:9±2.6 days;P<0.05)and mortality rate was seen(11%NIV vs 34%IMV;P<0.01).On multivariate analyses,mortality showed a stronger association with IMV[odds ratio(OR)=7.73;95%CI:3.12-19.18]as compared to ICU stay(OR=2.73;95%CI:2.15-3.48).A total of 33 patients(17%)in NIV group required intubation of which 3 were tracheostomized,while 14 patients(11%)in IMV group needed tracheostomy.The net average cost of ICU stay was₹83902 in NIV group while in IMV group,the net ICU cost was₹476216.The average cost of ICU stay was five times higher with IMV.CONCLUSION NIV has potential economic and clinical benefits as compared to invasive ventilation in ARF.展开更多
Task-oriented point cloud sampling aims to select a representative subset from the input,tailored to specific application scenarios and task requirements.However,existing approaches rarely tackle the problem of redund...Task-oriented point cloud sampling aims to select a representative subset from the input,tailored to specific application scenarios and task requirements.However,existing approaches rarely tackle the problem of redundancy caused by local structural similarities in 3D objects,which limits the performance of sampling.To address this issue,this paper introduces a novel task-oriented point cloud masked autoencoder-based sampling network(Point-MASNet),inspired by the masked autoencoder mechanism.Point-MASNet employs a voxel-based random non-overlapping masking strategy,which allows the model to selectively learn and capture distinctive local structural features from the input data.This approach effectively mitigates redundancy and enhances the representativeness of the sampled subset.In addition,we propose a lightweight,symmetrically structured keypoint reconstruction network,designed as an autoencoder.This network is optimized to efficiently extract latent features while enabling refined reconstructions.Extensive experiments demonstrate that Point-MASNet achieves competitive sampling performance across classification,registration,and reconstruction tasks.展开更多
A comprehensive fishery-independent survey generally incorporates various specialized surveys and integrates different survey objectives to maximize benefits while accounting for cost limitations.It is important to ev...A comprehensive fishery-independent survey generally incorporates various specialized surveys and integrates different survey objectives to maximize benefits while accounting for cost limitations.It is important to evaluate the adaptability of the comprehensive survey for different taxon to get the optimal design.However,the validity and adaptability of ichthyoplankton sampling incorporated in a comprehensive fishery-independent survey program in estimating abundance of ichthyoplankton species is little known.This study included ichthyoplankton sampling in an integrated survey and assessed the appropriateness of survey design.The Kriging interpolation based on Gaussian models was used to estimate the values at unsurveyed locations based on the original ichthyoplankton survey data in the Haizhou Bay as the“true”values.The sampling performances of the ongoing stratified random sampling(StRS),simple random sampling(SRS),cluster sampling(CS),hexagonal systematic sampling(SYS h),and regular systematic sampling(SYS r)with different sample sizes in estimating ichthyoplankton abundance were compared in relative estimation error(REE),relative bias(RB),and coefficient of variation(CV)by computer simulation.The ongoing StRS performed better than CS and SRS,but not as good as the two systematic sampling methods,and the current sample size in StRS design was insufficient to estimate ichthyoplankton abundance.The average REE values(meanREE)were significantly smaller in two systematic sampling designs than those in other three sampling designs,and the two systematic sampling designs could maintain good inter-annual stability of sampling performances.It is suggested that incorporating ichthyoplankton survey directly into stratified random fishery-independent surveys could not achieve the desired level of accuracy for survey objectives,but the accuracy can be improved by setting additional stations.The assessment framework presented in this study serves as a reference for evaluating the adaptability of integrated surveys to different objectives in other waters.展开更多
When dealing with imbalanced datasets,the traditional support vectormachine(SVM)tends to produce a classification hyperplane that is biased towards the majority class,which exhibits poor robustness.This paper proposes...When dealing with imbalanced datasets,the traditional support vectormachine(SVM)tends to produce a classification hyperplane that is biased towards the majority class,which exhibits poor robustness.This paper proposes a high-performance classification algorithm specifically designed for imbalanced datasets.The proposed method first uses a biased second-order cone programming support vectormachine(B-SOCP-SVM)to identify the support vectors(SVs)and non-support vectors(NSVs)in the imbalanced data.Then,it applies the synthetic minority over-sampling technique(SV-SMOTE)to oversample the support vectors of the minority class and uses the random under-sampling technique(NSV-RUS)multiple times to undersample the non-support vectors of the majority class.Combining the above-obtained minority class data set withmultiple majority class datasets can obtainmultiple new balanced data sets.Finally,SOCP-SVM is used to classify each data set,and the final result is obtained through the integrated algorithm.Experimental results demonstrate that the proposed method performs excellently on imbalanced datasets.展开更多
The sap flow method is widely used to estimate forest transpiration.However,at the individual tree level it has spatiotemporal variations due to the impacts of environmental conditions and spatial relationships among ...The sap flow method is widely used to estimate forest transpiration.However,at the individual tree level it has spatiotemporal variations due to the impacts of environmental conditions and spatial relationships among trees.Therefore,an in-depth understanding of the coupling effects of these factors is important for designing sap flow measurement methods and performing accurate assessments of stand scale transpiration.This study is based on observations of sap flux density(SF_(d))of nine sample trees with different Hegyi’s competition indices(HCIs),soil moisture,and meteorological conditions in a pure plantation of Larix gmelinii var.principis-rupprechtii during the 2021 growing season(May to September).A multifactorial model of sap flow was developed and possible errors in the stand scale sap flow estimates associated with sample sizes were determined using model-based predictions of sap flow.Temporal variations are controlled by vapour pressure deficit(VPD),solar radiation(R),and soil moisture,and these relationships can be described by polynomial or saturated exponential functions.Spatial(individual)differences were influenced by the HCI,as shown by the decaying power function.A simple SF_(d)model at the individual tree level was developed to describe the synergistic influences of VPD,R,soil moisture,and HCI.The coefficient of variations(CV)of the sap flow estimates gradually stabilized when the sample size was>10;at least six sample trees were needed if the CV was within 10%.This study improves understanding of the mechanisms of spatiotemporal variations in sap flow at the individual tree level and provides a new methodology for determining the optimal sample size for sap flow measurements.展开更多
基金funded by Medical and Health Science and Technology Project of Zhejiang province(Grant number:2023KY633).
文摘Objective:To evaluate the cost-effectiveness of annual trivalent inactivated influenza vaccine(IIV3)under the context of Zhejiang province.Methods:A state transition simulation model was constructed to estimate the health and economic outcomes of IIV3 vaccination program compared to no vaccination for hypothetical cohorts of Zhejiang province stratified by age and risk status.Model input parameters were chosen based on published literatures and expert advices.The analysis used societal perspectives and a one-year time horizon,and permanent outcomes were also included.The primary outcome was the incremental cost-effectiveness ratio(ICER),with expression of US dollars per quality adjusted life years(QALYs)gained.Results:In subgroups not at high risk for influenza-related complications(non-high risk subgroup),ICER ranged from $6268/QALY(for adults aged 50-64 years)to $11260/QALY(for children aged from 6 months to 4 years).In subgroups at high risk for influenza-related complications(high risk subgroup),ICER ranged from cost-saving(adults aged≥65 years)to $5260/QALY(for children aged from 6 months to 4 years).ICER were most sensitive to changes in probability of influenza illness,cost of hospitalization,and probability of death for adults aged 18-49 years with non-high risk status.Conclusions:ICERs of annual influenza vaccination varied by age and risk status but were less than the Gross Domestic Product(GDP)per capita of Zhejiang province($17745 in 2023),which remained cost-effective for all-age and different risk status groups from a societal perspective.
文摘BACKGROUND Robotic assistance is increasingly used for donor and recipient hepatectomy in liver transplantation,yet existing evidence is fragmented and variably indirect.AIM To evaluate clinical outcomes,surgical performance,and economic effects of robotic-assisted donor and recipient hepatectomy in the transplant pathway.METHODS Following Preferred Reporting Items for Systematic reviews and Meta-Analyses 2020 and a priori registration,systematic reviews were included with or without meta-analysis.Four databases were searched through July 2025.Methodological quality was appraised with a measurement tool to assess systematic reviews(AMSTAR 2),and certainty was graded with grading of recommendations assessment,development and evaluation(GRADE).Evidence overlap was calculated via a citation-matrix-based corrected covered area(CCA).Effect sizes were prespecified as risk ratios(RR)for dichotomous outcomes and mean differences for continuous outcomes.RESULTS Five reviews met the inclusion criteria,four with meta-analyses and one consensus review used only for context.Donor(direct)findings were more favorable for robotics in terms of estimated blood loss(≈-117 mL)and length of stay(≈-0.6 days),although with longer operative time(≈+105 minutes).Absolute risks for donor complications were not estimable from ratio-only data.Recipient(indirect)meta-analysis indicated robotics to be favorable in terms of conversion(RR≈0.41)and severe morbidity(RR≈0.81),with a trend toward lower overall morbidity(RR≈0.92)and no difference in 30-day mortality.Differences in length of stay and operative time were small and heterogeneous.Economic evidence(indirect,network meta-analysis)suggested higher procedural costs for robotic vs laparoscopic intervention,but lower hospitalization costs vs open intervention,with laparoscopy the least expensive overall.AMSTAR 2 ratings were moderate-to-high across the reviews,GRADE certainty was low for key donor continuous outcomes,and low-to-moderate for recipient and economic outcomes.Overlap was slight(graded-corpus CCA=0.0%;including a contextual non-transplant review increased CCA to≈1.25%).CONCLUSION Robotic donor hepatectomy confers perioperative advantages at the cost of longer operative time.Recipient and economic findings are indirect and considered hypothesis-generating.Transplant-specific,prospective comparisons using a minimum standardized dataset and uniform outcome definitions are needed to resolve remaining uncertainties and to clarify the cost-utility correlation.
基金supported by Hainan Provincial Natural Science Foundation of China(No.721RC525).
文摘Guangdong’s carbon emissions have surpassed the world’s 11th largest emitter.It is indispensable for this province to find a robust cost-effective strategy for reducing carbon emissions.This study employed the Low Emissions Analysis Platform model,marginal cost curves,and Monte Carlo methods to simulate the energy consumption,carbon emissions,and economic benefits of emission reduction in Guangdong Province from 2020 to 2030 under the application of various structural optimization policies and energy-saving technologies.The main findings are as follows:In 2030,Guangdong Province is projected to achieve a carbon emission reduction of 273.6 to 304.6million t CO_(2eq),with a total reduction cost ranging from 1030.9 to 1452.2 billion yuan.Increasing the share of renewable energy,which still has significant growth potential,can lead to a 1.4 times greater reduction in carbon emissions compared to the application of energy-saving technologies,despite the latter yielding 2.3 times more energy savings.The emission reduction measures with net-cost can contribute 71.4%to the total carbon reduction of the province,being much larger than those with net benefits.The power sector plays a critical role in carbon emission reduction within Guangdong Province,with its various measures exerting the most substantial impact on emission reduction quantity and cost,contributing cumulative variance contributions of 90.1%and 84.3%,respectively.It has relatively large potential for emission reduction and relatively low cost of structural adjustment.
基金Supported by the National Natural Science Foundation of China(42474239,41204128)China National Space Administration(Pre-research project on Civil Aerospace Technologies No.D010301)Strategic Priority Research Program of the Chinese Academy of Sciences(XDA17010303)。
文摘One of the detection objectives of the Chinese Asteroid Exploration mission is to investigate the space environment near the Main-belt Comet(MBC,Active Asteroid)311P/PANSTARRS.This paper outlines the scientific objectives,measurement targets,and measurement requirements for the proposed Gas and Ion Analyzer(GIA).The GIA is designed for in-situ mass spectrometry of neutral gases and low-energy ions,such as hydrogen,carbon,and oxygen,in the vicinity of 311P.Ion sampling techniques are essential for the GIA's Time-of-Flight(TOF)mass analysis capabilities.In this paper,we present an enhanced ion sampling technique through the development of an ion attraction model and an ion source model.The ion attraction model demonstrates that adjusting attraction grid voltage can enhance the detection efficiency of low-energy ions and mitigate the repulsive force of ions during sampling,which is influenced by the satellite's surface positive charging.The ion source model simulates the processes of gas ionization and ion multiplication.Simulation results indicate that the GIA can achieve a lower pressure limit below 10-13Pa and possess a dynamic range exceeding 10~9.These performances ensure the generation of ions with stable and consistent current,which is crucial for high-resolution and broad dynamic range mass spectrometer analysis.Preliminary testing experiments have verified GIA's capability to detect gas compositions such as H2O and N2.In-situ measurements near 311P using GIA are expected to significantly contribute to our understanding of asteroid activity mechanisms,the evolution of the atmospheric and ionized environments of main-belt comets,the interactions with solar wind,and the origin of Earth's water.
基金Supported by the National Natural Science Foundation of China(12064028)Jiangxi Provincial Natural Science Foundation(20232BAB201045).
文摘Electro-Optic Sampling(EOS)detection technique has been widely used in terahertz science and tech⁃nology,and it also can measure the field time waveform of the few-cycle laser pulse.Its frequency response and band limitation are determined directly by the electro-optic crystal and duration of the probe laser pulse.Here,we investigate the performance of the EOS with thin GaSe crystal in the measurement of the mid-infrared few-cycle la⁃ser pulse.The shift of the central frequency and change of the bandwidth induced by the EOS detection are calcu⁃lated,and then the pulse distortions induced in this detection process are discussed.It is found that this technique produces a red-shift of the central frequency and narrowing of the bandwidth.These changings decrease when the laser wavelength increases from 2μm to 10μm.This work can help to estimate the performance of the EOS de⁃tection technique in the mid-infrared band and offer a reference for the related experiment as well.
文摘BACKGROUND Obesity impacts 42%of United States adults and results in an estimated economic burden of nearly 1.4 trillion dollars annually.Endoscopic sleeve gastroplasty(ESG)is a United States Food and Drug Administration authorized procedure with an excellent safety,efficacy,and durability profile.The cost-effectiveness of ESG compared to lifestyle modification(LM)in real-world patients with class I-III obesity represents a critical knowledge gap.AIM To approximate the cost-effectiveness of ESG vs LM using a real-world dataset of 860 United States adults with class I-III obesity undergoing ESG.METHODS A 6-state Markov model was employed,including healthy weight,overweight,class I-III obesity,and death.The LM control group was built using transition states previously described in the literature,supplemented by expert opinion.Cycles lasted six-months in the model’s first year and twelve-months thereafter.Existing literature informed approximations of each health state utility,adverse event disutility,and incidence of obesity-associated comorbidities.One-way sensitivity and probabilistic sensitivity analyses were performed.RESULTS The base-case incremental cost-effectiveness ratio(ICER)for ESG vs LM was 5904 dollars per quality-adjusted life year(QALY).In a one-way sensitivity analysis,the utilities assigned to the three obesity classes most greatly influenced the ICER.Probabilistic sensitivity analysis estimated an increase in upper-bound ICER of 8038 dollars per QALY,well under the generally cited United States willingness to pay ratio of 100000 dollars per QALY.CONCLUSION The results of this model support that ESG is overwhelmingly cost-effective compared to LM across all obesity classes.Payors should consider expanding coverage for their members.
文摘Critical Height Sampling(CHS)estimates stand volume free from any model and tree form assumptions.Despite its introduction more than four decades ago,CHS has not been widely applied in the field due to perceived challenges in measurement.The objectives of this study were to compare estimated stand volume between CHS and sampling methods that used volume or taper models,the equivalence of the sampling methods,and their relative efficiency.We established 65 field plots in planted forests of two coniferous tree species.We estimated stand volume for a range of Basal Area Factors(BAFs).Results showed that CHS produced the most similar mean stand volume across BAFs and tree species with maximum differences between BAFs of 5-18m^(3)·ha^(−1).Horizontal Point Sampling(HPS)using volume models produced very large variability in mean stand volume across BAFs with the differences up to 126m^(3)·ha^(−1).However,CHS was less precise and less efficient than HPS.Furthermore,none of the sampling methods were statistically interchangeable with CHS at an allowable tolerance of≤55m^(3)·ha^(−1).About 72%of critical height measurements were below crown base indicating that critical height was more accessible to measurement than expected.Our study suggests that the consistency in the mean estimates of CHS is a major advantage when planning a forest inventory.When checking against CHS,results hint that HPS estimates might contain potential model bias.These strengths of CHS could outweigh its lower precision.Our study also implies serious implications in financial terms when choosing a sampling method.Lastly,CHS could potentially benefit forest management as an alternate option of estimating stand volume when volume or taper models are lacking or are not reliable.
文摘With the continuous application of new technologies in reconnaissance and attack, false camouflage plays a more important role in improving the survivability of targets, and the number of decoys plays a crucial role in the camouflaging effect. Based on the concept of cost-effectiveness ratio, according to the newly formulated Johnson criterion and the view of discovery and destruction, this paper proposes to take the identification probability as the probability of being destroyed and uses mathematical formulas to calculate the cost of a single use decoy. On this basis, a cost-effectiveness ratio model is established, with the product of the increase in the survival probability of the target and the cost of the target as the benefit, and the sum of the product of the probability of being destroyed and the cost of the decoy and the cost of a single use as the consumption cost. The model is calculated and analyzed, and the number of decoys that conform to the actual situation is obtained.
文摘Objective This systematic review examines recent pharmacoeconomic literature on denosumab'cost-effectiveness for bone metastasis treatment,providing evidence-based insights to guide healthcare policy decisions.Methods A comprehensive literature search was performed across Cochrane,PubMed,EMBASE(Ovid),CNKI,and Wanfang databases to identify original articles published between 2017 and 2023.Key words consisted of bone metastases,denosumab,and cost-effectiveness in the search strategy.The methodological quality of the included studies was assessed utilizing the revised Consolidated Health Economic Evaluation Reporting Standards(CHEERS 2022).Data was extracted regarding methodological characteristics and cost-effectiveness analyses.Results A total of 111 studies were retrieved,of which 6 met the inclusion criteria.All included studies were based on clinical trials and published literature data and exhibited high methodological quality.Up to 83%(5 out of 6)of comparisons demonstrated that denosumab was more cost-effective or dominant compared to zoledronic acid.The adjusted incremental cost-effectiveness ratios varied substantially by tumor type,ranging from CZK 436,339.09 to USD 136,234 per skeletal-related event avoided and from CZK 61,580.95 to USD 118,392.11 per quality-adjusted life year gained.Conclusions The majority of the included studies support denosumab as a more cost-effective treatment option for bone metastases in solid tumors compared to zoledronic acid.The application of CHEER(2022)enhances the reliability of pharmacoeconomic evaluations.
文摘Objective To evaluate the cost-effectiveness of gadopentetate dimeglumine(Gd-DTPA)and gadobenate dimeglumine(Gd-BOPTA)magnetic resonance imaging(MRI)contrast agents for the early diagnosis of hepatocellular carcinoma(HCC)from the perspective of China’s healthcare system.Methods A decision tree+partitioned survival model was constructed for early diagnosis of HCC based on literature data.Taking quality-adjusted life year(QALY)as the main health outcome measure for incremental cost-effectiveness ratio(ICER)analysis,the sensitivity analysis by Monte Carlo simulation was constructed to generate corresponding tornado diagram,incremental cost-effectiveness scatter plot,and cost-effectiveness acceptability curve.Results and Conclusion The basic analysis results showed that the ICER value of Gd-BOPTA diagnostic scheme compared with Gd-DTPA diagnostic scheme was 17302.46 yuan/QALY,which is less than 1 times of China’s gross domestic product(GDP)per capita.The sensitivity analysis results showed that the cost of delayed treatment and timely treatment had a significant impact on the results.When the willingness to pay(WTP)was 1 time of GDP per capita,the probability of cost-effectiveness advantage of Gd-BOPTA diagnostic scheme was 65.30%.When the WTP value is set at 1 times of GDP per capita,Gd-BOPTA MRI has cost-effectiveness advantages for the early diagnosis of HCC.
基金Supported by the National Science Foundation of China(11901236,12261036)Scientific Research Fund of Hunan Provincial Education Department(21A0328)+2 种基金Provincial Natural Science Foundation of Hunan(2022JJ30469)Young Core Teacher Foundation of Hunan Province([2020]43)Provincial Postgraduate Innovation Foundation of Hunan(CX20221113)。
文摘Weighted exponential distribution W ED(α,λ)with shape parameterαand scale parameterλpossesses some good properties and can be used as a good fit to survival time data compared to other distributions such as gamma,Weibull,or generalized exponential distribution.In this article,we proved the existence and uniqueness of the maximum likelihood estimator(MLE)of the parameters of W ED(α,λ)in simple random sampling(SRS)and provided explicit expressions for the Fisher information number in SRS.Moreover,we also proved the existence and uniqueness of the MLE of the parameters of W ED(α,λ)in ranked set sampling(RSS)and provided explicit expressions for the Fisher information number in RSS.Simulation studies show that these MLEs in RSS can be real competitors for those in SRS.
基金supported by Natural Science Research Project of Anhui Educational Committee(2023AH030041)National Natural Science Foundation of China(42277136)Anhui Province Young and Middle-aged Teacher Training Action Project(DTR2023018).
文摘Selection of negative samples significantly influences landslide susceptibility assessment,especially when establishing the relationship between landslides and environmental factors in regions with complex geological conditions.Traditional sampling strategies commonly used in landslide susceptibility models can lead to a misrepresentation of the distribution of negative samples,causing a deviation from actual geological conditions.This,in turn,negatively affects the discriminative ability and generalization performance of the models.To address this issue,we propose a novel approach for selecting negative samples to enhance the quality of machine learning models.We choose the Liangshan Yi Autonomous Prefecture,located in southwestern Sichuan,China,as the case study.This area,characterized by complex terrain,frequent tectonic activities,and steep slope erosion,experiences recurrent landslides,making it an ideal setting for validating our proposed method.We calculate the contribution values of environmental factors using the relief algorithm to construct the feature space,apply the Target Space Exteriorization Sampling(TSES)method to select negative samples,calculate landslide probability values by Random Forest(RF)modeling,and then create regional landslide susceptibility maps.We evaluate the performance of the RF model optimized by the Environmental Factor Selection-based TSES(EFSTSES)method using standard performance metrics.The results indicated that the model achieved an accuracy(ACC)of 0.962,precision(PRE)of 0.961,and an area under the curve(AUC)of 0.962.These findings demonstrate that the EFSTSES-based model effectively mitigates the negative sample imbalance issue,enhances the differentiation between landslide and non-landslide samples,and reduces misclassification,particularly in geologically complex areas.These improvements offer valuable insights for disaster prevention,land use planning,and risk mitigation strategies.
基金supported by the Major Science and Technology Projects in Yunnan Province(Grant No.202402AF080005)National Natural Science Foundation of China(Grant Nos.52274408,22468029,52274412)+2 种基金Yunnan Fundamental Research Projects(Grant No.202201AW070014)the Program for Innovative Research Team in University of Ministry of Education of China(Grant No.IRT 17R48)the German Research Foundation(DFG,Project number 501766751).
文摘While silicon/carbon(Si/C)is considered one of the most promising anode materials for the next generation of high-energy lithium-ion batteries(LIBs),the industrialization of Si/C anodes is hampered by high-cost and low product yield.Herein,a high-yield strategy is developed in which photovoltaic waste silicon is converted to cost-effective graphitic Si/C composites(G-Si@C)for LIBs.The introduction of a binder improves the dispersion and compatibility of silicon and graphite,enhances particle sphericity,and significantly reduces the loss rate of the spray prilling process(from about 25%to 5%).As an LIB anode,the fabricated G-Si@C composites exhibit a capacity of 605 mAh g^(-1) after 1200 cycles.The cost of manufacturing Si/C anode materials has been reduced to approximately$7.47 kg^(-1),which is close to that of commercial graphite anode materials($5.0 kg^(-1)),and significantly lower than commercial Si/C materials(ca.$20.74 kg^(-1)).Moreover,the G-Si@C material provides approximately 81.0 Ah/$of capacity,which exceeds the current best commercial graphite anodes(70.0 Ah/$)and Si/C anodes(48.2 Ah/$).The successful implementation of this pathway will significantly promote the industrialization of high-energydensity Si/C anode materials.
基金supported by Faculty of MedicineChiang Mai University+2 种基金supported by the National Center for Advancing Translational SciencesNational Institutes of Healththrough grant number UL1 TR001860. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH。
文摘BACKGROUND: Targeted temperature management(TTM) is a common therapeutic intervention, yet its cost-effectiveness remains uncertain. This study aimed to evaluate the real-world cost-effectiveness of TTM compared with that of conventional care in adult out-of-hospital cardiac arrest(OHCA) survivors using clinical patient-level data.METHODS: We conducted a retrospective cohort study at an academic medical center in the USA to assess the cost-effectiveness of TTM in adult non-traumatic OHCA survivors between 1 January, 2019 and 30 June, 2023. The primary outcome was survival to hospital discharge. Incremental cost-effectiveness ratios(ICERs) were calculated and compared with various decision makers' willingness to pay. Cost-effectiveness acceptability curves were utilized to evaluate the economic attractiveness of TTM. Uncertainty about the incremental cost and effect was explored with a 95% confidence ellipse.RESULTS: Among 925 non-traumatic OHCA survivors, only 30(3%) received TTM. After adjusting for potential confounders, the TTM group did not demonstrate a significantly lower cost(delta cost-$5,141, 95% confidence interval [95% CI]: $-35,347 to $25,065, P=0.79) and higher survival to hospital discharge(delta effect 6%, 95% CI:-11% to 23%, P=0.41). Additionally, a 95% confidence ellipse indicated uncertainty reflected by evidence that the true value of the ICER could be in any of the quadrants of the cost-effectiveness plane.CONCLUSION: Although TTM did not demonstrate a clear survival benefit in this study, its potential cost-effectiveness warrants further investigation with larger sample sizes. These findings highlight the need for additional research to optimize TTM use in OHCA care and inform resource allocation decisions.
基金The 2022 Ministry of Education General Project for Humanities and Social Sciences Research(Grant No.22YJAZH147)the General Subject of Guangzhou Philosophy and Social Science Development“14th Five-Year Plan”in 2023(Grant No.2023GZYB68)+2 种基金China University Industry-Academia-Research Innovation Fund-Huatong Guokang Medical Research Special Project(Grant No.2023HT017)2024 Guangdong Province General Project for the Planning of Philosophy and Social Sciences(Grant No.GD24CGL29)the Innovation Team Project of Colleges and Universities in Guangdong Province(Grant No.2022WCXTD011).
文摘Different dosage forms can significantly impact pharmacokinetics in vivo,leading to varied effects and potential adverse reactions.This study aimed to evaluate the efficacy,safety,and cost-effectiveness of isosorbide mononitrate sustained-release capsules(IMSRC)combined with conventional treatments,compared to isosorbide mononitrate tablets(IMT)combined with conventional treatments,for managing angina pectoris in patients with coronary heart diseases.A network meta-analysis(NMA)was conducted to assess the efficacy and safety of IMSRC and IMT.Relevant literature was sourced from databases,including PubMed,Embase,Cochrane Library,ScienceDirect,Web of Science,CNKI,Wanfang,and VIP,covering publications up to July 2023.The cost-effectiveness analysis(CEA)was performed from the perspective of China’s healthcare system,utilizing inputs derived from the NMA.The analysis included 15 studies.The NMA results revealed no significant difference in efficacy and safety between IMSRC plus conventional treatments and IMT plus conventional treatments.However,both combinations were more effective than conventional treatments without isosorbide mononitrate.No differences in safety were observed among the three groups.The surface under the cumulative ranking(SUCRA)of the NMA indicated that IMT had a slight edge over IMSRC in the total effective rate of angina pectoris,whereas IMSRC showed higher probabilities for markedly effective rate and ECG effective rate compared to IMT.The incidence of adverse events was ranked as IMT>conventional preparation>IMSRC.The CEA results highlighted that the incremental cost-effectiveness ratios(ICERs)for the markedly effective and total effective rates of angina pectoris were-133.41 and-260.20,respectively.The ICERs for ECG effective rates were-83.34 and-234.24,respectively.In conclusion,while IMSRC combined with conventional treatments and IMT combined with conventional treatments were similar in efficacy and safety,IMSRC proved to be more economical.
文摘BACKGROUND There has been a growing interest in noninvasive ventilation(NIV)in comparison to invasive mechanical ventilation(IMV)as a standard of care for acute respiratory failure(ARF),especially in the post-covid era,but direct head-to-head cost comparisons between the two modalities are not available in literature.AIM To compare the cost along with the clinical effectiveness of NIV in comparison to IMV in ARF.METHODS A prospective observational single-center case control study including adult patients with ARF(PaO2/FiO2 ratio<300)admitted from January 1,2024 to December 31,2024 in medical intensive care unit(ICU)of a tertiary care hospital requiring either NIV or invasive ventilation.NIV and IMV groups were compared based on average length of ICU and hospital stay,mortality,net cost of ICU treatment,need for intubation and tracheostomy.RESULTS A total of 319 patients were included in the study(197 in NIV,122 in IMV group).Statistically significant difference in length of ICU stay(NIV group:5±3.25 days,IMV group:9±2.6 days;P<0.05)and mortality rate was seen(11%NIV vs 34%IMV;P<0.01).On multivariate analyses,mortality showed a stronger association with IMV[odds ratio(OR)=7.73;95%CI:3.12-19.18]as compared to ICU stay(OR=2.73;95%CI:2.15-3.48).A total of 33 patients(17%)in NIV group required intubation of which 3 were tracheostomized,while 14 patients(11%)in IMV group needed tracheostomy.The net average cost of ICU stay was₹83902 in NIV group while in IMV group,the net ICU cost was₹476216.The average cost of ICU stay was five times higher with IMV.CONCLUSION NIV has potential economic and clinical benefits as compared to invasive ventilation in ARF.
基金supported by the National Key Research and Development Program of China(2022YFB3103500)the National Natural Science Foundation of China(62473033,62571027)+1 种基金in part by the Beijing Natural Science Foundation(L231012)the State Scholarship Fund from the China Scholarship Council.
文摘Task-oriented point cloud sampling aims to select a representative subset from the input,tailored to specific application scenarios and task requirements.However,existing approaches rarely tackle the problem of redundancy caused by local structural similarities in 3D objects,which limits the performance of sampling.To address this issue,this paper introduces a novel task-oriented point cloud masked autoencoder-based sampling network(Point-MASNet),inspired by the masked autoencoder mechanism.Point-MASNet employs a voxel-based random non-overlapping masking strategy,which allows the model to selectively learn and capture distinctive local structural features from the input data.This approach effectively mitigates redundancy and enhances the representativeness of the sampled subset.In addition,we propose a lightweight,symmetrically structured keypoint reconstruction network,designed as an autoencoder.This network is optimized to efficiently extract latent features while enabling refined reconstructions.Extensive experiments demonstrate that Point-MASNet achieves competitive sampling performance across classification,registration,and reconstruction tasks.
基金Supported by the National Key R&D Program of China(No.2022YFD2401301)the Special Financial Fund of Spawning Ground Survey in the Bohai Sea and the Yellow Sea from the Ministry of Agriculture and Rural Affairs,China(No.125C0505)。
文摘A comprehensive fishery-independent survey generally incorporates various specialized surveys and integrates different survey objectives to maximize benefits while accounting for cost limitations.It is important to evaluate the adaptability of the comprehensive survey for different taxon to get the optimal design.However,the validity and adaptability of ichthyoplankton sampling incorporated in a comprehensive fishery-independent survey program in estimating abundance of ichthyoplankton species is little known.This study included ichthyoplankton sampling in an integrated survey and assessed the appropriateness of survey design.The Kriging interpolation based on Gaussian models was used to estimate the values at unsurveyed locations based on the original ichthyoplankton survey data in the Haizhou Bay as the“true”values.The sampling performances of the ongoing stratified random sampling(StRS),simple random sampling(SRS),cluster sampling(CS),hexagonal systematic sampling(SYS h),and regular systematic sampling(SYS r)with different sample sizes in estimating ichthyoplankton abundance were compared in relative estimation error(REE),relative bias(RB),and coefficient of variation(CV)by computer simulation.The ongoing StRS performed better than CS and SRS,but not as good as the two systematic sampling methods,and the current sample size in StRS design was insufficient to estimate ichthyoplankton abundance.The average REE values(meanREE)were significantly smaller in two systematic sampling designs than those in other three sampling designs,and the two systematic sampling designs could maintain good inter-annual stability of sampling performances.It is suggested that incorporating ichthyoplankton survey directly into stratified random fishery-independent surveys could not achieve the desired level of accuracy for survey objectives,but the accuracy can be improved by setting additional stations.The assessment framework presented in this study serves as a reference for evaluating the adaptability of integrated surveys to different objectives in other waters.
基金supported by the Natural Science Basic Research Program of Shaanxi(Program No.2024JC-YBMS-026).
文摘When dealing with imbalanced datasets,the traditional support vectormachine(SVM)tends to produce a classification hyperplane that is biased towards the majority class,which exhibits poor robustness.This paper proposes a high-performance classification algorithm specifically designed for imbalanced datasets.The proposed method first uses a biased second-order cone programming support vectormachine(B-SOCP-SVM)to identify the support vectors(SVs)and non-support vectors(NSVs)in the imbalanced data.Then,it applies the synthetic minority over-sampling technique(SV-SMOTE)to oversample the support vectors of the minority class and uses the random under-sampling technique(NSV-RUS)multiple times to undersample the non-support vectors of the majority class.Combining the above-obtained minority class data set withmultiple majority class datasets can obtainmultiple new balanced data sets.Finally,SOCP-SVM is used to classify each data set,and the final result is obtained through the integrated algorithm.Experimental results demonstrate that the proposed method performs excellently on imbalanced datasets.
基金supported by the Fundamental Research Funds of the Chinese Academy of Forestry(CAFYBB2020QB004)the National Natural Science Foundation of China(41971038,32171559,U20A2085,and U21A2005).
文摘The sap flow method is widely used to estimate forest transpiration.However,at the individual tree level it has spatiotemporal variations due to the impacts of environmental conditions and spatial relationships among trees.Therefore,an in-depth understanding of the coupling effects of these factors is important for designing sap flow measurement methods and performing accurate assessments of stand scale transpiration.This study is based on observations of sap flux density(SF_(d))of nine sample trees with different Hegyi’s competition indices(HCIs),soil moisture,and meteorological conditions in a pure plantation of Larix gmelinii var.principis-rupprechtii during the 2021 growing season(May to September).A multifactorial model of sap flow was developed and possible errors in the stand scale sap flow estimates associated with sample sizes were determined using model-based predictions of sap flow.Temporal variations are controlled by vapour pressure deficit(VPD),solar radiation(R),and soil moisture,and these relationships can be described by polynomial or saturated exponential functions.Spatial(individual)differences were influenced by the HCI,as shown by the decaying power function.A simple SF_(d)model at the individual tree level was developed to describe the synergistic influences of VPD,R,soil moisture,and HCI.The coefficient of variations(CV)of the sap flow estimates gradually stabilized when the sample size was>10;at least six sample trees were needed if the CV was within 10%.This study improves understanding of the mechanisms of spatiotemporal variations in sap flow at the individual tree level and provides a new methodology for determining the optimal sample size for sap flow measurements.
