694 research outputs found

    A critical review and comparative analysis of cost management on prefabricated construction research (2000–2022)

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    Prefabrication construction has gained attention in the construction industry. The cost of prefabrication has got mixed reviews. Cost management in prefabricated construction (CMPC) includes many cost considerations such as initial design costs, supply chain cost considerations, maintenance costs and assembly costs. These costs are inter-linked and thorough understanding on cost management is essential. It is important to develop a holistic cost management system to capture all the economic, social and environmental aspects of prefabricated construction. The aim of this research is to conduct as a critical review and analysis of cost management in prefabricated construction holistically. The literature review selected 63 articles for this research study from 2000 to 2022. The research showed that there is an uptake in research on this research area since 2005. The study identified four main research categories in CMPC namely 1) cost estimating, 2) cost optimization, 3) economic performance and 4) cost management models. Previous studies mostly focused on estimating costs and comparison studies with conventional construction. Recently studies focused more on developing cost model to integrate supply chains and other considerations into cost evaluation. Based on the literature review, there are several future directions in CMPC. Cost estimating should now focus on identifying the effect of each cost determinant in project scenarios to provide more accurate results. Future studies are also expected to focus on BIM and big-data based optimization models. © 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group

    Effect of Hydrothermal Treatment Temperature on the Properties of Sewage Sludge Derived Solid Fuel

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    High moisture content along with poor dewaterability are the main challenges for sewage sludge treatment and utilization. In this study, the effect of hydrothermal treatment at various temperature (120-200 ˚C) on the properties of sewage sludge derived solid fuel was investigated in the terms of mechanical dewatering character, drying character, calorific value and heavy metal distribution. Hydrothermal treatment (HT) followed by dewatering process significantly reduced moisture content and improved calorific value of sewage sludge with the optimum condition obtained at 140˚C. No significant alteration of drying characteristic was produced by HT. Heavy metal enrichment in solid particle was found after HT that highlighted the importance of further study regarding heavy metal behavior during combustion. However, it also implied the potential application of HT on sewage sludge for heavy metal removal from wastewater

    Rainfall variations in central Indo-Pacific over the past 2,700 y

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    Tropical rainfall variability is closely linked to meridional shifts of the Intertropical Convergence Zone (ITCZ) and zonal movements of the Walker circulation. The characteristics and mechanisms of tropical rainfall variations on centennial to decadal scales are, however, still unclear. Here, we reconstruct a replicated stalagmite-based 2,700-y-long, continuous record of rainfall for the deeply convective northern central Indo-Pacific (NCIP) region. Our record reveals decreasing rainfall in the NCIP over the past 2,700 y, similar to other records from the northern tropics. Notable centennial- to decadal-scale dry climate episodes occurred in both the NCIP and the southern central Indo-Pacific (SCIP) during the 20th century [Current Warm Period (CWP)] and the Medieval Warm Period (MWP), resembling enhanced El Niño-like conditions. Further, we developed a 2,000-y-long ITCZ shift index record that supports an overall southward ITCZ shift in the central Indo-Pacific and indicates southward mean ITCZ positions during the early MWP and the CWP. As a result, the drying trend since the 20th century in the northern tropics is similar to that observed during the past warm period, suggesting that a possible anthropogenic forcing of rainfall remains indistinguishable from natural variability

    Stress State Evaluation by an Improved Support Vector Machine

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    Effective methods of evaluation of the psychological pressure can detect and assess realtime stress states, warning people to pay necessary attention to their health. This study is focused on the stress assessment issue using an improved support vector machine (SVM) algorithm on the base of surface electromyographic signals. After the samples were clustered, the cluster results were given to the loss function of the SVM to screen training samples. With the imbalance amongst the training samples after screening, a weight was given to the loss function to reduce the prediction tendentiousness of the classifier and, therefore, to decrease the error of the training sample and make up for the influence of the unbalanced samples. This improved the algorithm, increased the classification accuracy from 73.79% to 81.38%, and reduced the running time from 1973.1 to 540.2 sec. Experimental results show that this algorithm can help to effectively avoid the influence of individual differences on a stress appraisal effect and to reduce the computational complexity during the training phase of the classifierЕфективні методи визначення ступеня психологічного тиску можуть забезпечувати виявлення та оцінку стресових станів у реальному часі, примушуючи людей приділяти необхідну увагу їх здоров’ю. Метою нашого дослідження було оцінити стан стресу з використанням покращеного методу опорних векторів (SVM), базуючись на відведенні поверхневих електроміограм. Після того, як зразки даних були кластеризовані, результати передавалися до функції розділення SVM для того, щоб представити тренувальні зразки. Після встановлення дисбалансу між тренувальними зразками після скринінга для функції розділення надавався параметр ваги для зменшення тенденційності прогнозування класифікатора і, таким чином, зменшення похибки тренувального зразка і впливу незбалансованих зразків. Це покращувало алгоритм, підвищувало точність класифікації від 73.79 до 81.38 % та зменшувало час обробки від 1973.1 до 540.2 с. Результати експериментів показали, що даний алгоритм може допомогти ефективно уникнути впливу індивідуальних відмінностей на оцінювання стресу та зменшити складність комп’ютерних розрахунків у перебігу тренувальної фази діяльності класифікатора

    Loss-of-function mutations in Lysyl-tRNA synthetase cause various leukoencephalopathy phenotypes

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    Objective: To expand the clinical spectrum of lysyl-tRNA synthetase (KARS) gene–related diseases, which so far includes Charcot-Marie-Tooth disease, congenital visual impairment and microcephaly, and nonsyndromic hearing impairment. Methods: Whole-exome sequencing was performed on index patients from 4 unrelated families with leukoencephalopathy. Candidate pathogenic variants and their cosegregation were confirmed by Sanger sequencing. Effects of mutations on KARS protein function were examined by aminoacylation assays and yeast complementation assays. Results: Common clinical features of the patients in this study included impaired cognitive ability, seizure, hypotonia, ataxia, and abnormal brain imaging, suggesting that the CNS involvement is the main clinical presentation. Six previously unreported and 1 known KARS mutations were identified and cosegregated in these families. Two patients are compound heterozygous for missense mutations, 1 patient is homozygous for a missense mutation, and 1 patient harbored an insertion mutation and a missense mutation. Functional and structural analyses revealed that these mutations impair aminoacylation activity of lysyl-tRNA synthetase, indicating that de- fective KARS function is responsible for the phenotypes in these individuals. Conclusions: Our results demonstrate that patients with loss-of-function KARS mutations can manifest CNS disorders, thus broadening the phenotypic spectrum associated with KARS-related disease

    The Research of Sequential Images: Rebuilding of Gray (Position) ~ Time Function on Direction Lines and Their Applications

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    Contrasted with other information carriers, such as speech and text, images contains larger amount of information, especially in sequential images, that is waiting to be exploited, in particular the dynamic information of correlation, difference, and temporal relationship between different frames. This dynamic information contributes a great deal in analysis of 4D images. This paper proposes a method for detecting dynamic information from sequential images, based on the rebuilding of their gray (position)~time function on direction lines, an approach that has been analyzed and studied extensively on the setting of various direction lines. This method is based on motion that is presented on sequential images. In particular, the method, Omni directional M-mode Echocardiography system, which we have studied extensively, will be described leading to a robust way of diagnosing heart diseases

    A retrospective study on the impact of comorbid depression or anxiety on healthcare resource use and costs among diabetic neuropathy patients

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    <p>Abstract</p> <p>Background</p> <p>Diabetic neuropathy (DN) is a common complication of diabetes that has significant economic burden, especially for patients with comorbid depression or anxiety. This study examines and quantifies factors associated with healthcare costs among patients diagnosed with diabetic neuropathy (DN) with or without a comorbid diagnosis of depression or anxiety (DA) using retrospective administrative claims data. No study has examined the differences in economic outcomes depending on the presence of comorbid DA disorders.</p> <p>Methods</p> <p>Over-age-18 individuals with 1+ diagnosis of DN in 2005 were selected. The first observed DN claim was considered the "index date." All individuals had a 12-month pre-index and follow-up period. For both under-age-65 commercially insured and over-age-65 individuals with employer-sponsored Medicare supplemental insurance, we constructed 2 subgroups for individuals with DA (DN-DA) or without (DN-only). Patients' clinical characteristics over pre-index period were compared. Multivariate regressions were performed to assess whether DN-DA patients had higher utilization of healthcare resources and costs than DN-only patients, controlling for demographic and clinical characteristics.</p> <p>Results</p> <p>We identified 16,831 DN-only and 1,699 DN-DA patients in the Medicare supplemental cohort, as well as 17,205 and 3,105 in the commercially insured. DN-DA patients had higher prevalence of diabetes-related comorbidities for cardiovascular disease, cerebrovascular/peripheral vascular disease, nephropathy, obesity, and hypoglycemic events than DN-only patients (all p < 0.05). Controlling for differences in demographic and clinical characteristics, DN-DA patients had 9,235(p<0.05)highertotalhealthcarecoststhanpatientswithDNonlyamongthosewithMedicaresupplementalcoverage(9,235 (p < 0.05) higher total healthcare costs than patients with DN-only among those with Medicare supplemental coverage (26,718 vs. 17,483),and17,483), and 10,389 (p < 0.05) more total costs among commercially insured (29,775vs.29,775 vs. 19,386). Factors associated with increased costs included insurance type, geographical region, diabetes-related comorbidities, and insulin therapy.</p> <p>Conclusion</p> <p>These findings indicate that the healthcare costs were significantly higher for DN patients with depression or anxiety relative to those without such comorbid disorders.</p
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