Rewriting the Treatment Paradigm: Ilizarov Method Achieves High Success in Septic Non-Unions Without Local Antibiotics or Biologic Adjuncts by Filippo Vandenbulcke, Andrea Dorotei, Emiliano Malagoli, Alexander Kirienko

“…The clinical relevance of these findings lies in their potential to significantly alter the current treatment paradigm, by questioning the need for biologic adjuncts and local antibiotics, thereby reducing healthcare costs.…”
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Experimental and exergy evaluation of a PCM integrated active indirect solar dryer for Turkey berries with economic and environmental assessment by K. Senthil Kumar, R. Vasanthi, Mahdi Sh. Jaafar, Arunkumar Munimathan, Manoj Kumar Shanmugam, Mamdooh Alwetaishi, Asif Afzal, Parvathy Rajendran, It Ee Lee

“…The study demonstrates that using AMISD with PCM works effectively with improved energy performance while diminishing environmental influence and decreasing operational costs. Based on present circumstances in the region Turkey Berries drying with these specifications appears feasible and sustainable.…”
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GuardianML: Anatomy of Privacy-Preserving Machine Learning Techniques and Frameworks by Nges Brian Njungle, Eric Jahns, Zhenqi Wu, Luigi Mastromauro, Milan Stojkov, Michel A. Kinsy

“…GuardianML filters potential frameworks based on user-defined criteria, such as the number of parties involved in multi-party computation or the need to minimize communication costs in homomorphic encryption scenarios. The system’s recommendations and optimizations are formulated as a maximization problem using linear integer programming to identify the most suitable solution for various use cases. …”
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Protocol Biopsies in Kidney Transplant Recipients: Current Practice After Much Discussion by Christina Lazarou, Eleni Moysidou, Michalis Christodoulou, Stamatia Stai, Georgios Lioulios, Efstratios Kasimatis, Asimina Fylaktou, Maria Stangou

“…Expert opinion and consensus acknowledge the benefits of protocol biopsies for early detection and tailored management but also highlight ongoing debates regarding their routine use in low-risk patients due to risks, costs, and resource considerations. Overall, protocol biopsies represent a valuable tool for personalized graft monitoring and management, aiding in early detection of complications, guiding immunosuppressive therapy, and enhancing graft longevity. …”
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Water for injections: Global trends in pharmacopoeial quality assessment and Russian expert practice by S. M. Sukhanova, A. A. Semenov, N. M. Minaeva

“…This will help optimise the quality control procedures, increase the speed and accuracy of testing, and reduce financial and labour costs, which will improve the quality of the solvent and the associated medicinal products. …”
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Assessment of water handling practices in households and related health impacts: a case study in Deyniile District, Mogadishu, Somalia by Mohamed Hassan Mohamed, Hardeep Rai Sharma, Predrag Ilić, Yahye Elmi, Abdikarim Abdi Adam

“…While 40.6% of households spent $1–5 per month on water, a small but major portion faced higher costs. Conclusions The study reveals that the community is aware of the importance of water safety and sanitation, but faces challenges in consistent water treatment and wastewater disposal. …”
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Study on the horizontal bearing mechanism of stepped variable cross-section piles by ZHANG Jianwei, YANG Sen, YU Lu, HE Shanlin, ZHANG Yan

“…Reasonable optimization of the variable diameter length and ratio can help reduce project costs. The findings provide valuable insights for the application of stepped variable cross-section piles in practical engineering.…”
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Four-Year Follow-Up from a Prospective, Multicenter Study of Percutaneous 60-Day Peripheral Nerve Stimulation for Chronic Low Back Pain by Christopher A. Gilmore, Timothy R. Deer, Mehul J. Desai, Sean Li, Michael J. DePalma, Steven P. Cohen, Brandon D. Swan, Meredith J. McGee, Joseph W. Boggs

“…Furthermore, 70% (n = 16/23) of survey respondents avoided progression to more costly, invasive, and/or destructive LBP pain interventions (i.e., radiofrequency ablation, neurostimulation implant, or lumbar surgery). …”
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Developing Balanced Quality Indicators for Monitoring Virtual Care in Ambulatory Care Environments: Modified Delphi Panel Process by Samuel Petrie, Oluwatoni Makanjuola, Celia Laur, Emeralda Burke, Patricia Rios, Onil Bhattacharyya, Geetha Mukerji

“…Aligned with the Quintuple Aim, there are 13 quality indicators on patient experience, 6 on provider experience, 2 on population health, 2 on health equity, and 2 on health system costs. ConclusionsA balanced set of 25 quality indicators of ambulatory virtual care was developed based on literature and consensus building from knowledge users across the health system. …”
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An analysis of unconventional grid sizes for wind farm layout optimization using a genetic algorithm by Mohandes Mohamed, Khan Salman A., Rehman Shafiqur, Al-Shaikhi Ali, Iqbal Kashif

“…The findings of the study potentially pave the way for wind farm developers to select the best grid size for a given site while considering several practical issues, such as maintenance and operational costs, demographic and topographic structures, among other factors.…”
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Bioenergy estimation of spring barley and oat varieties’ cultivation depending on seed-sowing rates in the Krasnoyarsk forest-steppe by L. K. Butkovskaya, V. Е. Mudrova, А. О. Polyakov

“…The total energy increase (the difference between the total energy and energy costs) was 94.4 and 83.2 GJ/ha for the barley varieties ‘Takmak’ and ‘Oplot’, respectively and 58.9 and 59.0 GJ/ha for the oat varieties ‘Tubinsky’ and ‘Sayan’.…”
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Des bidonvilles aux sites de relogement à Témara : la quête d’une identité urbaine légitime by Aziz Benkorti

“…At the economic level, many families, particularly the most disadvantaged (women heads of household and some ex-slum dwellers working in day jobs), have difficulty in covering new expenses, such as bank bills, water and electricity costs. Finally, the third part analyses the social relations within the neighbourhood. …”
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Development and Certification of Calcium Chloride Casein Reference Standard by S. M. Sukhanova, R. A. Volkova, N. E. Zakharova, O. V. Fadeikina

“…The use of the calcium chloride casein IRS makes it possible to standardise and greatly simplify the procedure for preserving the stability of C. novyi 198, to increase the efficiency and reliability of immunobiologicals quality control in terms of Sterility, and to reduce costs when using a freeze-dried strain.…”
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Potato Cultivation Under Zero Tillage and Straw Mulching: Option for Land and Cropping System Intensification for Indian Sundarbans by Saikat Dey, Sukamal Sarkar, Anannya Dhar, Koushik Brahmachari, Argha Ghosh, Rupak Goswami, Mohammed Mainuddin

“…This potential expansion underscores the benefits of the ZTSM potato cultivation system in improving soil health, conserving water, and reducing labour and costs. As more farmers recognize the advantages of zero tillage potato mulching, this approach is poised to play a pivotal role in sustainable agriculture, enhancing productivity while promoting environmental stewardship.…”
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Long-term efficacy and safety of artificial urinary sphincter AMS 800^ТМ implantations by E. I. Veliev, A. A. Tomilov, E. N. Golubtsova

“…In addition to a significant reduction in the quality of life, the treatment and care of such patients require significant financial costs.Purpose of the study. To study the long-term efficacy and safety of artificial urinary sphincter (AUS) implantation.Materials and methods. …”
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A Novel Hybrid Technique for Detecting and Classifying Hyperspectral Images of Tomato Fungal Diseases Based on Deep Feature Extraction and Manhattan Distance by Guifu Ma, Seyed Mohamad Javidan, Yiannis Ampatzidis, Zhao Zhang

“…However, building large annotated datasets for disease classification is often costly and time-consuming, requiring expert input. …”
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PHRF-RTDETR: a lightweight weed detection method for upland rice based on RT-DETR by Xianjin Jin, Jinheng Zhang, Fei Wang, Mengyan Zhao, Yunshuang Wang, Jianping Yang, Jinfeng Wu, Bing Zhou

“…Compared with the traditional target detection models of Faster R-CNN and SSD, YOLO series models, and RT-DETR series models, the PHRF-RTDETR model effectively balances lightweight and accuracy performance for weed detection in upland rice.DiscussionOverall, the PHRF-RTDETR model demonstrates potential for implementation in the detection modules of intelligent weeding robots for upland rice systems, offering dual benefits of reducing agricultural production costs through labor efficiency and contributing to improved food security in drought-prone regions.…”
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Incidence and predictors of extubation failure among adult intensive care unit patients in Northwest Amhara comprehensive specialized hospitals by Meseret Sitotaw Engidaw, Berhan Tekeba, Hailu Tazebew Amare, Kalkidan Ambachew Belay, Yezbalem Ayana, Bikis Liyew

“…It can cause increased mortality, length of intensive care unit stays, prolonged mechanical ventilation use, increased hospital costs, and increased need for tracheostomy. In Ethiopia, extubation failure is limitedly studied among adult patients admitted to intensive care units. …”
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Antimicrobial resistance in Africa: A retrospective analysis of data from 14 countries, 2016-2019. by Gilbert Osena, Geetanjali Kapoor, Erta Kalanxhi, Timothée Ouassa, Edwin Shumba, Sehr Brar, Yewande Alimi, Manuel Moreira, Martin Matu, Abdourahmane Sow, Eili Klein, Pascale Ondoa, Ramanan Laxminarayan, MAAP Study Group

“…<h4>Background</h4>Antimicrobial resistance (AMR) is a major global health issue that exacerbates the burden of infectious diseases and healthcare costs. However, the scarcity of national-level AMR data in African countries hampers our understanding of its scale and contributing factors in the region. …”
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Applying the theoretical domains framework to identify determinants to mental healthcare use among older African Americans with type 2 diabetes: a qualitative study by Jamie Mitchell, Jaclynn Hawkins, Srijani Sengupta, Katherine A Kloss, Claudia Schwenzer, Fonda N Smith, Lenette M Jones, Robin Nwankwo, Gretchen A Piatt

“…Significant barriers included (1) systemic racism (‘knowledge’), (2) normalisation of depressive symptoms (‘beliefs about consequences’), (3) perceived stigma (‘beliefs about consequences’) and 4) costs of medications and healthcare (‘environmental context and resources’). …”
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