Internal and external fixation techniques have been described for realignment and arthrodesis of Charcot midfoot deformity. There currently is no consensus on the optimal method of surgical reconstruction. This systematic review compared the clinical results of surgical realignment with internal and external fixation, specifically in regard to return to functional ambulation, ulcer occurrence, ...

This paper assesses the profitability of battery storage systems (BSS) by focusing on internal rate return (IRR) as a measure which offers advantages over other frequently used measures, most notably net present value (NPV). Furthermore, this study proposes multi-objective optimisation (MOO) approach to IRR estimation instead relying simple linear and compares results popular with cycle-cost pe...

A process economic analysis of co-producing bioethanol and electricity (value prior to combustion) from mixed southern hardwood and southern yellow pine is presented. Bioethanol is produced by extracting carbohydrates from wood via autohydrolysis, membrane separation of byproducts, enzymatic hydrolysis of extracted oligomers and fermentation to ethanol. The residual solids after autohydrolysis ...

Objective: Septic shock is a response to infection and tissue hypoperfusion which does not respond to fluid therapy and eventually leads to organ dysfunction. Aggressive treatment of a broad-spectrum antimicrobial and supportive measures are the cornerstones of successful treatment. In addition to the main treatment, there are adjunctive therapies. Steroids are one of the treat...

Abstract Ethiopia's government proposes paving existing roads or building modern intersections in cities to reduce maintenance costs. An unimproved signalized intersection at 6° 51′ 47.9″ N and 37° 45′ 50.1″ E is selected for this research. Cost-benefit analysis used evaluate the proposed innovative approach designing implementing an compare whether new road projects will have adequate return. ...

In this paper we identify a number of objectionable features of the German retirement benefit formula. We show that groups of insureds with higher than average life expectancy, in particular high-income groups, are subsidized by the rest of the membership because the formula neglects differences in group-specific life expectancy. Furthermore, the current formula leads to undesirable long-run ef...

evidence from iranian households’ expenditures and income survay(iheis) in urban area shows that, average of real hourly wage against the schooling years is declining in the right tail of wage distribution between 1384 and 1390 (2005 and 2011). a tentative justification for this observation is that the private rate of return to education at upper quantiles and higher years of schooling have red...