Incentive Programs Research Articles

Rudi Kundini, Pamoja Kundini (RKPK): study protocol for a hybrid type 1 randomized effectiveness-implementation trial using data science and economic incentive strategies to strengthen the continuity of care among people living with HIV in Tanzania

BackgroundEconomic incentives can improve clinical outcomes among in-care people living with HIV (PLHIV), but evidence is limited for their effectiveness among out-of-care PLHIV or those at risk of disengagement. We propose a type 1 hybrid effectiveness-implementation study to advance global knowledge about the use of economic incentives to strengthen the continuity of HIV care and accelerate global goals for HIV epidemic control.MethodsThe Rudi Kundini, Pamoja Kundini study will evaluate two implementation models of an economic incentive strategy for supporting two groups of PLHIV in Tanzania. Phase 1 of the study consists of a two-arm, cluster randomized trial across 32 health facilities to assess the effectiveness of a home visit plus one-time economic incentive on the proportion of out-of-care PLHIV with viral load suppression (< 1000 copies/ml) 6 months after enrollment (n = 640). Phase 2 is an individual 1:1 randomized controlled trial designed to determine the effectiveness of a short-term counseling and economic incentive program offered to in-care PLHIV who are predicted through machine learning to be at risk of disengaging from care on the outcome of viral load suppression at 12 months (n = 692). The program includes up to three incentives conditional upon visit attendance coupled with adapted counselling sessions for this population of PLHIV. Consistent with a hybrid effectiveness-implementation study design, phase 3 is a mixed methods evaluation to explore barriers and facilitators to strategy implementation in phases 1 and 2. Results will be used to guide optimization and scale-up of the incentive strategies, if effective, to the larger population of Tanzanian PLHIV who struggle with continuity of HIV care.DiscussionInnovative strategies that recognize the dynamic process of lifelong retention in HIV care are urgently needed. Strategies such as conditional economic incentives are a simple and effective method for improving many health outcomes, including those on the HIV continuum. If coupled with other supportive services such as home visits (phase 1) or with tailored counselling (phase 2), economic incentives have the potential to strengthen engagement among the subpopulation of PLHIV who struggle with retention in care and could help to close the gap towards reaching global “95–95-95” goals for ending the AIDS epidemic.Trial registrationPhase 1: ClinicalTrials.gov, NCT05248100, registered 2/21/2022.Phase 2: ClinicalTrials.gov, NCT05373095, registered 5/13/2022.

Mental health integrated care models in primary care and factors that contribute to their effective implementation: a scoping review

BackgroundIn the state of Victoria, Australia, the 111-day lockdown due to the COVID-19 pandemic exacerbated the population’s prevailing state of poor mental health. Of the 87% of Australians who visit their GP annually, 71% of health problems they discussed related to psychological issues. This review had two objectives: (1) To describe models of mental health integrated care within primary care settings that demonstrated improved mental health outcomes that were transferable to Australian settings, and (2) To outline the factors that contributed to the effective implementation of these models into routine practice.MethodsA scoping review was undertaken to synthesise the evidence in order to inform practice, policymaking, and research. Data were obtained from PubMed, CINAHL and APA PsycINFO.ResultsKey elements of effective mental health integrated care models in primary care are: Co-location of mental health and substance abuse services in the primary care setting, presence of licensed mental health clinicians, a case management approach to patient care, ongoing depression monitoring for up to 24 months and other miscellaneous elements. Key factors that contributed to the effective implementation of mental health integrated care in routine practice are the willingness to accept and promote system change, integrated physical and mental clinical records, the presence of a care manager, adequate staff training, a healthy organisational culture, regular supervision and support, a standardised workflow plan and care pathways that included clear role boundaries and the use of outcome measures. The need to develop sustainable funding mechanisms has also been emphasized.ConclusionIntegrated mental health care models typically have a co-located mental health clinician who works closely with the GP and the rest of the primary care team. Implementing mental health integrated care models in Australia requires a ‘whole of system’ change. Lessons learned from the Mental Health Nurse Incentive Program could form the foundation on which this model is implemented in Australia.

Association of Economic Policies With Hypertension Management and Control

Economic policies have the potential to impact management and control of hypertension. To review the evidence on the association between economic policies and hypertension management and control among adults with hypertension in the US. A search was carried out of PubMed/MEDLINE, Cochrane Library, Embase, PsycINFO, CINAHL, EconLit, Sociological Abstracts, and Scopus from January 1, 2000, through November 1, 2023. Included were randomized clinical trials, difference-in-differences, and interrupted time series studies that evaluated the association of economic policies with hypertension management. Economic policies were grouped into 3 categories: insurance coverage expansion such as Medicaid expansion, cost sharing in health care such as increased drug copayments, and financial incentives for quality such as pay-for-performance. Antihypertensive treatment was measured as taking antihypertensive medications or medication adherence among those who have a hypertension diagnosis; and hypertension control, measured as blood pressure (BP) lower than 140/90 mm Hg or a reduction in BP. Evidence was extracted and synthesized through dual review of titles, abstracts, full-text articles, study quality, and policy effects. In total, 31 articles were included. None of the studies examined economic policies outside of the health care system. Of these, 16 (52%) assessed policies for insurance coverage expansion, 8 (26%) evaluated policies related to patient cost sharing for prescription drugs, and 7 (22%) evaluated financial incentive programs for improving health care quality. Of the 16 studies that evaluated coverage expansion policies, all but 1 found that policies such as Medicare Part D and Medicaid expansion were associated with significant improvement in antihypertensive treatment and BP control. Among the 8 studies that examined patient cost sharing, 4 found that measures such as prior authorization and increased copayments were associated with decreased adherence to antihypertensive medication. Finally, all 7 studies evaluating financial incentives aimed at improving quality found that they were associated with improved antihypertensive treatment and BP control. Overall, most studies had a moderate or low risk of bias in their policy evaluation. The findings of this systematic review suggest that economic policies aimed at expanding insurance coverage or improving health care quality successfully improved medication use and BP control among US adults with hypertension. Future research is needed to investigate the potential effects of non-health care economic policies on hypertension control.

Review of tax incentive programs on ISSQN revenue

The Municipal programs of Tax Incentive seek in their implementations to increase the collection of the Tax on Services of Any Nature (ISSQN), promote tax citizenship and reduce tax evasion. The program Nota Londrina was established in 2015 by Municipal Law nº 12.348, in order to encourage the population of Londrina to request the Service's Tax Note (NFS). The program Nota Curitibana was created by Municipal Law nº 102/2017, with the main objective of increasing the collection of ISSQN.Through Law nº 13.953/2021, the ISS Awarded Program was instituted in the city of Ponta Grossa, with the objective of increasing the collection of ISSQN, without increasing rates. The objective of the research is describing how these tax incentive programs were implemented, how their developments were and to verify if there was an increase in the emission os Service's Tax notes was. In this way, we verified the factors that led the other cities not to implement them. The methodology applied characterizes as descriptive, bibliographical and documental research, of qualitative nature. The period analyzed was from 2014 to 2020.For data analysis, two structured interviews were used and data collected from the programs' websites. The analysis indicated that 1% of the state of Parana has active tax incentive programs. In the city of Curitiba, there was an increase in the emission of NFS, as for the program's results, they have been positive so far. About the motivation of the other cities, most showed disinterest in the implementation in their city halls.

Current State of Food Prescriptions Used to Treat Cardiometabolic Risk Factors in the US Adult Population.

Cardiometabolic syndrome is unfortunately widely prevalent in medically underserved areas with one possible non-pharmacological solution being food prescriptions from food pharmacies. Food prescriptions are defined as when a physician prescribes certain foods as a treatment for health conditions. There seems to be a promising future for food prescriptions; however, there is a huge literature gap. Given this lack of knowledge regarding this burgeoning practice, we decided to review the current state of food prescriptions used to treat cardiometabolic conditions in the US adult clinical setting. A thorough search of PubMed and Google Scholar databases for articles written about food prescriptions' impact on cardiometabolic risk factors was done. The keywords used included "food prescriptions, vegetables prescription, produce prescription, fruit prescriptions, food pharmacy, food as medicine, cardiometabolic, blood pressure, glucose, insulin, cholesterol, obesity, BMI, body mass index, triglycerides, and microalbuminuria." Of the 637 articles found with the associated keywords, 115 were kept after being screened by title and abstract. Finally, after a full-text record screening, 30 articles were deemed eligible based on our inclusion criteria. We analyzed the health markers, patient populations, methods of food procurement, and financial incentives in food prescription programs. On average, the implementation of food prescription programs decreased participants' BMI, waist circumference, blood pressure,and HbA1c. Participants in the programs were primarily comprised of African American, Hispanic, underinsured, low-income, older, and women groups. Programs with subsidies and vouchers had a higher compliance rate, and food sourced from farmers' markets, grocers, and mobile vendors had the best program compliance rates. According to the literature, adherence to food prescription programs on average decreases the BMI, blood pressure, waist circumference, and Hb1Ac of participants. However, those are the only biomarkers being studied currently, and future studies should incorporate other markers of chronic conditions. For example, a reliable indicator of cardiometabolic health is total cholesterol/HDL cholesterol, which should be measured in future experiments. Additionally, insulin, glucose, triglycerides, and LDL cholesterol are all great markers of cardiometabolic health that can be measured in the future. The current implementation of many food prescription programs is in medically underserved areas. The patient populations are typically low-income, under- or uninsured, food insecure, and originating from diverse ethnic backgrounds. In the future, food prescription studies should be done on other ethnic populations including but not limited to Native Americanswho also carry a large burden of preventable and chronic illnesses.

Diffusion of Solar PV Energy in Italy: Can Large-Scale PV Installations Trigger the Next Growth Phase?

The National Energy and Climate Plans (NECPs) of the EU Member States have established comprehensive goals for 2030 to speed up the process of energy transition. Though Italy was an innovator in the area of photovoltaics (PV) up until 2014, the subsequent collapse and stagnation of its PV market have revealed an intrinsic fragility, which makes reaching international targets in the future unclear. This study used the Generalized Bass Model in a multi-phase extension to offer insights into and perspectives on the Italian PV market with the use of new data at finer temporal and market-size scales. Our model-based evidence suggests the possibility of a remarkable structural change corresponding to the “reboot” period after the pandemic crisis. In this period, small- and large-scale PV adoption, after years of parallel pathways, have taken largely different routes. On the one hand, small-scale adoption exhibited a fast decline with the end of the post-COVID-19 incentive programs, thus confirming the traditional “addiction to incentive” issue. On the other hand, during the “reboot” period, large-scale installations showed, for the first time, symptoms of exponential growth. This is consistent with the possibility that, finally, this sector is on an autonomous growth path. The latter evidence might represent a critically important novelty in the Italian PV landscape, where firms—rather than households—take the lead in the process. Nonetheless, future public monitoring and guidance are both urgent requirements to avoid a further catastrophic fall in the residential PV market and to make the sustained growth of the large-scale PV industry a robust phenomenon.

Surveillance methods and interventions implemented in American Indian and Alaska Native communities to increase child restraint device and seat belt use in motor vehicles: a systematic review

BackgroundAmerican Indian/Alaska Native (AI/AN) children are disproportionately affected by injuries and deaths related to motor vehicle crashes. We aimed to synthesise published evidence on surveillance methods and interventions implemented in...

A systematic review of the childbearing needs of single-child couples

BackgroundNowadays, the challenge of having single child is spreading in many countries. Only- child family is prevalent in 26% of families in Canada, 21% in the United States, 47.5% in Europe and 20% in Iran, which can lead to fertility below replacement level. Therefore, the current review was conducted to identify the needs of single-child couples.MethodsThe PRISMA checklist was used to prepare this systematic review report. English and Persian articles published between 2000 and April 2023 were searched in the English databases of ISI, PubMed, Cochrane library and Google Scholar search engine as well as Persian databases of SID and Magiran using keywords of only child, needs assessment and Reproductive behavior. All cross-sectional and correlational studies that addressed the needs of single-child couples were included in the study. The quality assessment of the articles was done by the STROBE checklist. Data extraction was done by two independent researchers using a self-structured checklist. To analyze the data, following tabulating the extracted data, the process of qualitative synthesis was done for systematic review taking into account ethical considerations.ResultsOut of 1,581 articles found, 17 articles were included in the systematic review. The needs of single-child couples were divided into four general areas included 1) Financial needs, 2) Cultural needs, 3) Educational needs, and 4) Supportive needs. The support needs included two kinds of social and family support.ConclusionSolving financial needs, creating a culture of positive values of childbearing and men's participation in household affairs, considering women's preferences in order to increase education and employment, childbearing training and counseling and creating social and family support in line with work and family harmony and quality care of children, as the most important needs of single-child couples, should be incorporated in the formulation of childbearing incentive programs.

The impact of county-level factors on meaningful use of electronic health records (EHRs) among primary care providers.

This study examines the impact of county-level factors on "meaningful use" (MU) of electronic health records (EHRs) for 8415 primary care providers (PCPs) that enrolled in the Florida Medicaid EHR Incentive Program through adopting, improving, or upgrading (AIU) a certified EHR technology. PCPs received incentive payments at enrollment and if they used their EHRs in meaningful ways; ways that benefit patients and providers alike they received additional payments. We conducted a retrospective cohort study of these providers over the 2011-2018 period while linking their records to other state data. We used the core constructs of the resource dependence theory (RDT), a well-established organization theory in business management, to operationalize the county-level variables. These variables were rurality, poverty, educational attainment, managed care penetration, changes in population, and number of PCPs per capita. The unit of analysis was provider-years. For practical and computational purposes, all the county variables were dichotomized. We used analysis of variance (ANOVA) to test for differences in MU attestation rates across each county variable. Odds ratios and corresponding 95% confidence intervals were derived from pooled logistic regressions using generalized estimated equations (GEE) with the binomial family and logit link functions. Clustered standard errors were used. Approximately 42% of these providers attested to MU after receiving first-year incentives. Rurality and poverty were significantly associated with MU. To some degree, managed care penetration, change in population size, and number of PCPs per capita were also associated with MU. Policy makers and healthcare managers should not ignore the contribution of county-level factors in the diffusion of EHRs among physician practices. These county-level findings provide important insights about EHR diffusion in places where traditionally underserved populations live. This county-perspective is particularly important because of the potential for health IT to enable public health monitoring and population health management that might benefit individuals beyond the patients treated by the Medicaid providers.

Community-centric distributed energy resources for energy justice and decarbonization in dense urban regions

Low-to-moderate income (LMI) households suffer from higher energy cost burden as they spend a larger portion of their income on electricity bills than higher-income households due to factors including limited access to renewable energy. Although distributed energy resources (DERs) can be owned by individuals, supposedly enabling energy justice, reality shows otherwise since it requires capital investment and property ownership. To mitigate these barriers, the paper proposes “Community Energy Cells” (CECs) which consists of a group of DERs and controllable loads in proximity, represented by a Cell Aggregator (CA) as a single controllable entity. CECs can operate independently during disruptions, deploy renewable energy to LMI households, and provide multiple value streams for their DERs, including the option to aggregate and sell in the wholesale energy market. A financial case study using National Renewable Energy Laboratory’s (NREL) System Advisory Model (SAM) was performed focusing on select buildings in West Harlem, New York City, with approximate 2.5 MW solar and 15 MW storage potentials. Considering that their CA benefits from investment tax credits, and the costs including installation and electricity purchase, it has a net present value of over $2 M, an internal rate of return of 35 % after 25 years, and sufficient cash flow to cover debt service. These returns are sensitive to key values: battery price and committed capacity for incentive programs for DERs and loads. The realization of CEC has interdisciplinary challenges that the paper elaborates on. Nevertheless, CEC is indispensable for tackling climate change and resiliency while attaining energy justice.

On the analysis of collaboration networks between industry and academia: the Mexican case of the innovation incentive program

On the analysis of collaboration networks between industry and academia: the Mexican case of the innovation incentive program

Determinants of Smallholder Farmers’ About Choices of Sustainable Land Management Practices in West Wollega Zone, Oromia Region, Ethiopia

Background: Due attention has recently been given to the choices of sustainable land management practices (SLMPs) to reduce land degradation and improve the livelihood of smallholder farmers in developing countries. A rising number of people believe that Sustainable Land Management is an essential strategy for enhancing food security. For generations, Ethiopia has been regarded as a hotspot of land degradation, posing a severe threat to agricultural productivity leading to widespread rural poverty. Hence, this study aimed at identifying the determinants of smallholder farmers&amp;rsquo; choice of SLMPs in the West Wollega zone, Oromia region of Ethiopia using the Multivariate Probit (MVP) model. &#x0D; &#x0D; Results: Results of the MVP model show that the predicted probabilities of adopting organic fertilizer, area closure, soil and water conservation, crop rotation, and compost were 37.2, 35.3, 40.5, 38.3, and 38.5% respectively. The MVP model results also show that the five SLMPs are complementary and the probability that households choose all five SLMPs was 23% which is low. Further, results of the MVP model show that cooperative membership, model farmer contact, farm size, non-farm income, credit, farm experience, perceived soil erosion, social capital, livestock owned, farmland slope, NGO intervention, information access, and training have a significant positive influence while age, family size, and perceived input cost significantly and negatively impacted the choice of SLMPs by households in the study area. &#x0D; &#x0D; Conclusions: The findings of the study confirm that socioeconomic, household, farm and institutional characteristics of the households have a significant impact on the choices of SLMPs and hence the need to focus on the above-mentioned factors to enhance the choices of SLMPs and reduce land degradation problem in the study area. The results also highlight the significance of environmentally-friendly policies, which include sustainable development, SLMPS plan determination, environmental permits, and incentive programs for managing the sustainability of land management performance in land-use policy within the local context.

A Drug Discovery Perspective on FDA Expedited Development and Incentive Programs.

Expedited development and approval pathways at the Food and Drug Administration (FDA) such as Priority review, Fast Track Designation, Breakthrough Designation, and Accelerated Approval are programs available to drug sponsors that aim to incentivize and expedite the delivery of drugs to patients in need. In addition, other incentive programs such as Orphan Drug Designation (ODD), Qualified Infectious Disease Product Designation (QIDP), and Rare Pediatric Disease Designation (RPDD) are available to drug sponsors to help motivate development of drugs that may have lower economic incentive for commercialization. These programs have been largely effective, and many new innovative drugs since 2010 have accessed these programs. This Perspective highlights how these programs have been used in recent FDA drug approvals and discusses future ways sponsors and regulatory agencies may further enable development of these innovative drugs in the most expeditious fashion.

Reliability Analysis of Residential Photovoltaic Systems

Due to various incentive programs and local market conditions of several European and worldwide countries, photovoltaic systems are rapidly becoming the most diffused solution for residential installations. This wide adoption raises new and important issues related to the efficiency, efficacy and safety of these highly distributed and heterogeneous power systems. In particular, as these systems are often connected to the general power grid so that a system failure may affect the operation of other interconnected systems, in their design an accurate dependability analysis should be performed. Moreover, a dependability analysis allows establishing a maintenance plan acceptable to the user for keeping the system operating effectively. However, despite these reasons, this kind of analysis is often missing manly due to the lack of specific methodological approaches and related ready-to-use tools. To overcome this lack, the paper presents a methodological approach to the reliability analysis of residential photovoltaic systems which exploits analysis techniques and models coming from the R.AM.S. (Reliability, Availability, Maintainability, and Safety) engineering discipline.

Construction Safety Management Systems Using Promethee Method

Construction safety management is at the construction site safe working environment security to ensure to control activities a method that can be used. Planning and design taken during the process results of the construction project when the protection is largely affected. Construction and demolition sites, labor protection, and health hazard the result is unique hazards and risks causing professional safety and health management protection of systems organizations and health hazards continue to detect and remove help, incident possibilities reduce, to regulations compliance and risk-reduction implement interventions. Construction industry sites employee health and safety very dangerous to work with one of the workplace environments. Manufacturing processes, labor intensive characteristics, and occupational accidents due to the construction industry the greater the risk, the greater it is scale of financial losses, and the worst the company results from reputation. Construction in the construction industry site security is very important this is an important requirement mostly on project sites is ignored. Correct without safety regulations, hazards of the construction industry and because of the dynamic environment, staff small and large are prone to accidents. Security management systematic risk management in detection, and with it related risks can also help control, at the same time this control activities of the construction site useful in aiding protection it promises to be. Safety management process roughly the following steps outlines: planning related to the workplace at the stage identity hazards and accident or to avoid property damage ensure construction safety appropriate restrictions for making and advance the determination of the step. Accidents possible actions early detection, safe practices followed and safe conditions whether maintained monitoring of verification work. Neighbors are public and private protection of assets at all levels of the organization effective communication implementation and promotion. Safe operating modes attractive to use regularly with incentive programs safety education and training providing. Constant professionalism health and safety compliance with regulations. PROMETHEEE is a priority for assessment enrichment Ranking system and its interactive help Descriptive complementary geometric analysis known as PROMETHEEE methods. In this, The PROMETHEEE method is the best solution from the analysis The shorter the distance and the longer the negative-ideal solution Determines the solution with the distance, but of these distances, The comparison was not considered significant. Alternative is Safety Commitment by Senior Management, Competency Profiles, Safety Climate, Project Management, Safety Requirements and Incentives, Safe Working Environment/ Conditions. Evaluation preference is Government building, Private building, Civil engineering, Industrial building. From the result it is seen that Government building is got the first rank where as is the Industrial building is having the lowest rank. Government building is ranked first and industrial building is ranked lowest.

A Review of SNAP Nutritional Incentive Programs

There are over 40 million Americans in the Supplemental Nutrition Assistance Program (SNAP), formerly known as the Food Stamps Program. Despite this program attempting to eliminate food insecurity for people 130% below the poverty line, it does little to prevent nutrition related health disparities between SNAP participants and people who are more financially stable. Nearly every state has nutrition incentive programs attempting to address these nutritional health disparities that SNAP does not address. To synthesize a literature review of several of these programs, a search was conducted in PubMed, PubAg, and Google Scholar databases using terms such as “SNAP” and “nutritional incentive program,” along with date restrictions for 2013 or later. This search resulted in a total of 54 articles, however only 35 were used following screening. Included articles were screened first by abstract and then article content to determine relevancy. The literature suggests that programs address nutritional health disparities by providing financial interventions for SNAP participants to make nutritionally conscious decisions about the food they purchase and consume. There were three categories of interventions that were suggested by the literature: incentives, discounts, and restrictions. Regardless of the intervention, each of these categories of intervention were praised by SNAP participants. Participants were able to purchase and consume more fruits and vegetables, focus on nutrition, and financially support local farmers markets and supermarkets. This review discusses these different interventions to allow for new or existing programs to be developed to best address nutritional health disparities using scholarly evidence.

Do received remittances cause Dutch disease in developed and developing countries?

PurposeThe present study aimed to examine the effect of received remittance inflows on the price level ratio of the purchasing power parity conversion factor to the market exchange rate in 36 developed and developing countries from 2004 to 2020.Design/methodology/approachThe panel data conducted a comparative analysis and used panel least squares, regression with Driscoll-Kraay standard errors of fixed effect, random effect, feasible generalised least squares and maximum likelihood robust least squares to overcome the heterogeneity issue. Furthermore, the two-step difference generalised method of moments to overcome the endogeneity issue. Diagnostic tests were used to increase robustness.FindingsIn the studied countries, there was a statistically significant negative relationship between received remittance inflows and the price-level ratio of the purchasing power parity conversion factor to the market exchange rate. This relationship explains why remittance flows depreciate the real exchange rate. The study’s results also indicated that attracting investments can improve the quality of institutions despite high tax rates, leading to low tax revenue.Originality/valueThe current study findings enrich the understanding of policies of how governments should minimise tariff rates on capital imports and introduce export-oriented incentive programmes. The study also revealed that Dutch disease can occur due to differences in the demand structure and manufacturing development policy.

Factors influencing forestland enrollment in Georgia's preferential property tax programs

More than two-thirds of Georgia's private forestland (or 14.6 million acres) are enrolled in one of the state's preferential property tax programs. Besides alleviating property tax burdens for rural landowners, the purposes of these incentive programs have gradually evolved from ensuring a sustainable supply of agricultural and timber products to promoting the conservation of rural open space and provision of ecosystem services. This study examined the factors associated with forestland enrollment in Georgia's major current-use tax programs using a combination of parcel-level spatial data, property tax roll, and county-level economic data for all private forestland in the study counties. A multilevel logistic regression model was used to control the effects of hierarchical data structure. A forest parcel's size, tax savings, neighboring parcel enrollment, land value, land productivity, landowner's residence status in relation to the property, development potential (e.g., distance to cities, county population density) as well as distance to lakes and identified conservation areas are important predictors of its likelihood of being enrolled in the property tax incentive programs. Larger forest parcels, located close to identified potential conservation areas, characterized by high soil productivity, held by non-absentee owners, and adjacent to enrolled parcels were more likely to be enrolled in the current-use tax programs.

Renewable-based load shifting system for demand response to enhance energy-economic-environmental performance of industrial enterprises

A market characterized by economic uncertainty and increased competition has led industrial enterprises to find ways to improve operational efficiency and reduce energy costs. In this context, the Demand Response (DR) has drawn ever greater attention from industries, allowing the shift of the electricity usage from their normal consumption patterns in response to changes in the price of electricity over time. This study proposes an innovative control strategy for renewable-based Load Shifting (LS) system designed on, at the same time, energy, economic, and environmental performance to realize an effective DR for industrial enterprises. The proposed techno-economic model is based on power flow management, economic indicators, such as NPV, IRR, and DPP, and associated CO2 emissions, adopting both deterministic and stochastic approaches. A realistic government incentive program framed in a potential carbon-based market is also assessed and validated. The resulting solution is obtained through a sensitivity analysis of several parameters, including the operating conditions of 15%, 20%, 30%, 35%, and 45% LS. MATLAB-Simulink simulations provide the following sizes for both storage and photovoltaic systems of 38, 68, 87, 115, 153 kWh and 18, 18, 32, 43, 61 kWp, respectively. Results show the profitability of the proposed DR, with a payback period that ranges from 6 to 10 years and within 3 years when incentives are considered. NPV and IRR range from 34,261 to 101,428 € and from 7% to 15.9%, respectively. The amount of CO2 emissions is reduced up to 47.7% for the highest LS percentage. Finally, the investigated incentive program led to CO2 prices between 18.2 and 551.9 €/tonCO2. Finally, results from the stochastic analysis show a good consistence with deterministic results.

Global, regional, and national lifetime risks of developing and dying from gastrointestinal cancers in 185 countries: a population-based systematic analysis of GLOBOCAN

Gastrointestinal cancers account for a quarter of the global cancer incidence and a third of cancer-related deaths. We sought to estimate the lifetime risks of developing and dying from gastrointestinal cancers at the country, world region, and global levels in 2020. For this population-based systematic analysis, we obtained estimates of gastrointestinal cancer incidence and mortality rates from GLOBOCAN for 185 countries, alongside all-cause mortality and population data from the UN. Countries were categorised into quartiles of the Human Development Index (HDI). The lifetime risk of gastrointestinal cancers was estimated with a standard method that adjusts for multiple primaries, taking into account competing risks of death from causes other than cancer and life expectancy. The global lifetime risks of developing and dying from gastrointestinal cancers from birth to death was 8·20% (95% CI 8·18-8·21) and 6·17% (6·16-6·18) in 2020. For men, the risk of developing gastrointestinal cancers was 9·53% (95% CI 9·51-9·55) and of dying from them 7·23% (7·22-7·25); for women, the risk of developing gastrointestinal cancers was 6·84% (6·82-6·85) and of dying from them 5·09% (5·08-5·10). Colorectal cancer presented the highest risk, accounting for 38·5% of the total lifetime risk of developing, and 28·2% of dying from, gastrointestinal cancers, followed by cancers of the stomach, liver, oesophagus, pancreas, and gallbladder. Eastern Asia has the highest lifetime risks for cancers of the stomach, liver, oesophagus, and gallbladder, Australia and New Zealand for colorectal cancer, and Western Europe for pancreatic cancer. The lifetime risk of gastrointestinal cancers increased consistently with increasing level of HDI; however, high HDI countries (the third HDI quartile) had the highest death risk. The global lifetime risk of gastrointestinal cancers translates to one in 12 people developing, and one in 16 people dying from, gastrointestinal cancers. The identified high risk and observed disparities across countries warrants context-specific targeted gastrointestinal cancer control and health systems planning. Beijing Nova Program, CAMS Innovation Fund for Medical Sciences, and Talent Incentive Program of Cancer Hospital, CAMS (Hope Star).