Sign in to use this feature.

Years

Between: -

Subjects

remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline

Journals

remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline

Article Types

Countries / Regions

remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline

Search Results (285)

Search Parameters:
Keywords = Pound

Order results
Result details
Results per page
Select all
Export citation of selected articles as:
15 pages, 332 KB  
Article
Not New Poems but Translations: Ezra Pound’s Image-Centered Cathay from Chinese Tang Poetry
by Iulia Elena Cîndea and Diana Ștefania Jerpel
Humanities 2025, 14(12), 229; https://doi.org/10.3390/h14120229 - 25 Nov 2025
Viewed by 316
Abstract
This article reassesses Ezra Pound’s Cathay as translation from Chinese Tang poetry rather than autonomous modernist verse. Building on Pound’s own poetics and compact coordinates from Chinese lyric theory, we argue that Cathay maintains translational fidelity by preserving and sharpening images while accepting [...] Read more.
This article reassesses Ezra Pound’s Cathay as translation from Chinese Tang poetry rather than autonomous modernist verse. Building on Pound’s own poetics and compact coordinates from Chinese lyric theory, we argue that Cathay maintains translational fidelity by preserving and sharpening images while accepting losses in prosodic form and thinning some culture-specific encyclopaedias. Methodologically, we conduct a qualitative, contrastive microanalysis of two Li Bai poems “送友人” (Taking Leave of a Friend) and “长干行” (The River-Merchant’s Wife: A Letter), aligning the Chinese text, a neutral interlinear gloss, and Pound’s English version. A coding scheme tracks image handling, cultural markers, prosody, and the balance of phanopoeia, melopoeia, and logopoeia alongside domestication/foreignization choices. Findings show a stable hierarchy—image (phanopoeia)–stance (logopoeia)–sound/form (melopoeia)—that aligns with Chinese esthetic dynamics of yi/xiang (idea/form) and qing/jing (emotion/scene). Pound’s practice preserves correlative imagery (mountains/river/sunset; moss/leaves/butterflies) and voice, while paratextual titling, address terms, folklore allusions, toponyms, and a fifth-month calendar line reveal domestications, distortions, or omissions traceable to mediation via Fenollosa’s notes. We propose mechanism-sensitive criteria for evaluating distant-pair lyric translation: not formal replication, but reconstruction of the poem’s image–scene–emotion economy. On that basis, Cathay functions as translation—at justified costs. Rather than resolving the long-standing debate on Cathay, we offer a mechanism-sensitive account of how, in two central Li Bai poems, Pound’s image-centred poetics yields a limited but defensible form of translational fidelity within a relay-translation setting. Full article
32 pages, 3819 KB  
Article
Assessment of Tension-Only Concentrically Braced Steel Frames in Relation to Seismic Pounding
by Panagiota S. Katsimpini, George A. Papagiannopoulos and George D. Hatzigeorgiou
Appl. Sci. 2025, 15(23), 12456; https://doi.org/10.3390/app152312456 - 24 Nov 2025
Viewed by 406
Abstract
This research examined the phenomenon of pounding between neighboring steel structures, both with and without tension-only braces, utilizing an extensive nonlinear time-history analysis. The evaluation of the structural response was conducted using essential engineering demand parameters such as inter-story drift ratio (IDR), residual [...] Read more.
This research examined the phenomenon of pounding between neighboring steel structures, both with and without tension-only braces, utilizing an extensive nonlinear time-history analysis. The evaluation of the structural response was conducted using essential engineering demand parameters such as inter-story drift ratio (IDR), residual inter-story drift ratio (RIDR), peak floor acceleration (PFA), base shear, and base moment. The findings indicated that the addition of tension-only braces plays a crucial role in diminishing the structural response during seismic activities. The tension-only brace effectively alleviates the negative impacts of structural pounding by offering supplementary restraint and energy dissipation mechanisms, which enhances the overall seismic performance of the steel frame structures. These results highlight the potential advantages of adopting tension-only braces as a passive control method to mitigate pounding-related structural damage in closely situated buildings. Full article
(This article belongs to the Special Issue Advances in Energy Dissipation Systems)
Show Figures

Figure 1

17 pages, 1954 KB  
Article
How Do Stock Returns Respond to a Currency Devaluation Announcement?
by Wael Ahmed Elgharib, Mahmoud Elmarzouky and Doaa Shohaieb
J. Risk Financial Manag. 2025, 18(12), 663; https://doi.org/10.3390/jrfm18120663 - 22 Nov 2025
Viewed by 2052
Abstract
This study investigates how the Egyptian stock market responded to the 2024 devaluation of the Egyptian Pound (EGP) and evaluates whether price adjustments reflect semi-strong form market efficiency. Using daily data for EGX30 firms, we estimate abnormal returns around the devaluation announcement and [...] Read more.
This study investigates how the Egyptian stock market responded to the 2024 devaluation of the Egyptian Pound (EGP) and evaluates whether price adjustments reflect semi-strong form market efficiency. Using daily data for EGX30 firms, we estimate abnormal returns around the devaluation announcement and document largely insignificant market-wide reactions, indicating weak evidence of semi-strong efficiency. However, notable cross-firm heterogeneity emerges export-oriented and foreign-revenue-generating firms showed greater resilience, while companies dependent on imported inputs experienced sharper declines. These findings highlight how differences in currency exposure shape firms’ sensitivity to exchange rate shocks in emerging markets with recent dual-rate dynamics. From a practical perspective, the results emphasise the importance of transparent policy communication during major currency adjustments and underline the need for investors to account for firms’ FX risk profiles when constructing portfolios in devaluation-prone environments. The findings also offer insights for regulators seeking to strengthen disclosure practices and improve informational efficiency in the Egyptian capital market. Full article
(This article belongs to the Section Sustainability and Finance)
Show Figures

Figure 1

10 pages, 220 KB  
Article
Digital Yards, Tangible Gains: Evidence of Change in Third-Party Logistics Yard Performance
by Ziang Wang, Jinxuan Ma and Ting Wang
Information 2025, 16(11), 1005; https://doi.org/10.3390/info16111005 - 19 Nov 2025
Viewed by 458
Abstract
This study investigated the impact of a Yard Management System (YMS) implemented at a third-party logistics distribution center in the United States. Five years of operational data (2018–2022), including 72 monthly observations of inbound and outbound freight performance (measured in pounds) and detention [...] Read more.
This study investigated the impact of a Yard Management System (YMS) implemented at a third-party logistics distribution center in the United States. Five years of operational data (2018–2022), including 72 monthly observations of inbound and outbound freight performance (measured in pounds) and detention occurrences (measured in US dollars), were analyzed using one-way ANOVA to assess pre- and post-implementation performance. The results indicated that the YMS significantly improved inbound and outbound freight volume, reduced detention occurrences, and enhanced operational efficiency within the third-party logistics distribution center. These findings suggest that YMS can be an effective tool for enhancing yard-level operational efficiency, reducing delays, and supporting broader supply chain optimization strategies in third-party logistics environments. Full article
10 pages, 928 KB  
Article
Identification of Nitrogen-Deficient Soybeans Facilitates Yield Rescue
by C. Nathan Hancock, Lia R. Hancock, Ben Fogle and Kendall Kirk
Agriculture 2025, 15(22), 2314; https://doi.org/10.3390/agriculture15222314 - 7 Nov 2025
Viewed by 537
Abstract
Production of a healthy crop of protein- and oil-rich soybean seeds requires a significant amount of nitrogen. Under ideal conditions, most of this nitrogen comes from the root nodules, where a symbiotic relationship with Bradyrhizobium japonicum fixes nitrogen from the atmosphere. Thus, growers [...] Read more.
Production of a healthy crop of protein- and oil-rich soybean seeds requires a significant amount of nitrogen. Under ideal conditions, most of this nitrogen comes from the root nodules, where a symbiotic relationship with Bradyrhizobium japonicum fixes nitrogen from the atmosphere. Thus, growers generally think of soybeans as not needing nitrogen fertilization. However, a lack of B. japonicum or other unfavorable field conditions can produce inefficient nodulation, which leads to reduced vigor and yield under conditions of low soil nitrogen availability. Thus, additional resources for identifying nitrogen deficiency in soybean and strategies for the rescue application of nitrogen are needed. To generate a gradient of nitrogen deficiency, we applied different amounts of nitrogen (in the form of urea) to nodulation-deficient soybeans grown in sandy fields in South Carolina. Comparison of the ground truth data and aerial imagery suggest that leaf nitrogen deficiency can be effectively identified in the field based on plant height and color. Side dressing nitrogen fertilizer in the form of urea to nitrogen-deficient plots at the R1 stage was shown to rescue plant growth and increase crop yield. We conclude that identification and fertilization of patches of soybeans with low nitrogen content is a feasible strategy to increase soybean productivity. Although additional studies are needed to expand these results to other soil conditions, we recommend that nitrogen-deficient soybeans be treated with 40–50 pounds per acre (45–56 kg per hectare) of nitrogen at or before flowering to restore yield potential. Full article
(This article belongs to the Special Issue Sustainable Management of Legume Crops)
Show Figures

Figure 1

25 pages, 1185 KB  
Review
The Critical Role of IoT for Enabling the UK’s Built Environment Transition to Net Zero
by Ioannis Paraskevas, Diyar Alan, Anestis Sitmalidis, Grant Henshaw, David Farmer, Richard Fitton, William Swan and Maria Barbarosou
Energies 2025, 18(21), 5779; https://doi.org/10.3390/en18215779 - 2 Nov 2025
Viewed by 611
Abstract
The built environment contributes approximately 25% of the UK’s total greenhouse gas emissions, positioning it as a critical sector in the national net-zero strategy. This review investigates the enabling role of the domestic smart metering infrastructure combined with other IoT systems in accelerating [...] Read more.
The built environment contributes approximately 25% of the UK’s total greenhouse gas emissions, positioning it as a critical sector in the national net-zero strategy. This review investigates the enabling role of the domestic smart metering infrastructure combined with other IoT systems in accelerating the decarbonisation of residential buildings. Drawing from experience gained from governmental and commercially funded R&D projects, the article demonstrates how smart metering data can be leveraged to assess building energy performance, underpin cost-effective carbon reduction solutions, and enable energy flexibility services for maintaining grid stability. Unlike controlled laboratory studies, this review article focuses on real-world applications where data from publicly available infrastructure is accessed and utilised, enhancing scalability and policy relevance. The integration of smart meter data with complementary IoT data—such as indoor temperature, weather conditions, and occupancy—substantially improves built environment digital energy analytics. This capability was previously unattainable due to the absence of a nationwide digital energy infrastructure. The insights presented in this work highlight the untapped potential of the UK’s multibillion-pound investment in smart metering, offering a scalable pathway for low-carbon innovation for the built environment, thus supporting the broader transition to a net-zero future. Full article
(This article belongs to the Section B: Energy and Environment)
Show Figures

Figure 1

11 pages, 2202 KB  
Article
The Effect of Implant Thread’s Pitch on Primary Stability: An In Vitro Polyurethane Study with Under-Preparation and Low-Speed Drilling
by Margherita Tumedei, Natalia Di Pietro, Tea Romasco, Adriano Piattelli and Luca Comuzzi
Appl. Sci. 2025, 15(20), 11245; https://doi.org/10.3390/app152011245 - 20 Oct 2025
Viewed by 614
Abstract
Background: The morphology of implant threads plays a crucial role in achieving primary stability, which is essential for successful osseointegration and immediate loading of dental implants. This study aimed to evaluate how different implant thread pitches and an under-preparation drilling technique impact primary [...] Read more.
Background: The morphology of implant threads plays a crucial role in achieving primary stability, which is essential for successful osseointegration and immediate loading of dental implants. This study aimed to evaluate how different implant thread pitches and an under-preparation drilling technique impact primary stability using an in vitro model. Methods: The study was conducted on low-density polyurethane bone models with and without cortical layers. The following three different implant thread profiles were tested: CYROTH 0.40 (0.40 mm), CYROTH 0.45 (0.45 mm), and CYROTH T (0.35 mm). Two different drilling procedures were utilized, with diameters of 3.4 mm and 3.7 mm, at a low rotational speed of 30 rpm. Primary stability was assessed by measuring insertion torque (IT), removal torque (RT), and resonance frequency analysis (RFA). Results: The low rotational speed of 30 rpm was found to be effective for achieving favorable fixation parameters in all scenarios. The 0.45 mm thread consistently exhibited higher implant stability quotient (ISQ) values (from two to six points higher) compared to the 0.40 mm and standard 0.35 mm threads, while also requiring lower IT. The highest ISQ values were recorded in the 20 pounds per cubic foot (PCF) block with a cortical layer using the 0.45 mm thread and a 3.4 mm drill. The under-preparation using the 3.4 mm drill resulted in higher IT and RT values than the 3.7 mm drill. Conclusions: This study demonstrated that implant thread pitch and drilling technique are critical factors influencing primary stability. Utilizing a wider thread pitch (0.45 mm) along with an under-preparation drilling protocol can significantly improve implant stability, even in low-density bone, without the need for excessive IT. These findings suggest that selecting the appropriate implant macrogeometry and surgical technique can optimize the primary stability of dental implants. Full article
Show Figures

Figure 1

11 pages, 1743 KB  
Article
Probing Cold Supersonic Jets with Optical Frequency Combs
by Romain Dubroeucq, Quentin Le Mignon, Julien Lecomte, Nicolas Suas-David, Robert Georges and Lucile Rutkowski
Molecules 2025, 30(19), 3863; https://doi.org/10.3390/molecules30193863 - 24 Sep 2025
Viewed by 566
Abstract
We report high-resolution, cavity-enhanced direct frequency comb Fourier transform spectroscopy of cold acetylene (C2H2) molecules in a planar supersonic jet expansion. The experiment is based on a near-infrared frequency comb with a 300 MHz effective repetition rate, matched to [...] Read more.
We report high-resolution, cavity-enhanced direct frequency comb Fourier transform spectroscopy of cold acetylene (C2H2) molecules in a planar supersonic jet expansion. The experiment is based on a near-infrared frequency comb with a 300 MHz effective repetition rate, matched to a high-finesse enhancement cavity traversing the jet. The rotational and translational cooling of acetylene was achieved via expansion in argon carrier gas through a slit nozzle. By interleaving successive mode-resolved spectra measured at different comb repetition rates, we retrieved full absorption line profiles. Spectroscopic analysis reveals sharp, Doppler-limited transitions corresponding to a jet core rotational temperature below 7 K. Frequency comb and cavity stabilization were achieved through active Pound–Drever–Hall locking and mechanical vibration damping, enabling a spectral precision better than 2 MHz, limited by the vibrations induced by the pumping system. The demonstrated sensitivity reaches a minimum detectable absorption of 7.8 × 10−7 cm−1 over an 18 m effective path length in the jet core. This work illustrates the potential of cavity-enhanced direct frequency comb spectroscopy for precise spectroscopic characterization of cold supersonic expansions, with implications for studies in molecular dynamics, reaction kinetics, and laboratory astrophysics. Full article
(This article belongs to the Special Issue Molecular Spectroscopy and Molecular Structure in Europe)
Show Figures

Graphical abstract

16 pages, 1009 KB  
Review
Investigating the Metabolic Effects of Ultrasound-Induced Lipolysis
by Jacob Warner-Palacio, Zackery Paxton, Alexis Hassiak, Spencer Willardson, Dustin Edmonds, Luke Sanders, Parker Feltner, Noah Schultz, Christina Nelson, Kyle B. Bills and David W. Sant
Int. J. Mol. Sci. 2025, 26(17), 8689; https://doi.org/10.3390/ijms26178689 - 6 Sep 2025
Viewed by 3655
Abstract
Ultrasound therapy has emerged as a promising non-invasive approach for fat reduction with the potential to improve metabolic health with both high-frequency (1–3 MHz) and low-frequency (35–300 kHz) ultrasound receiving FDA approval for waist circumference reduction between 2010 and 2014. This literature review [...] Read more.
Ultrasound therapy has emerged as a promising non-invasive approach for fat reduction with the potential to improve metabolic health with both high-frequency (1–3 MHz) and low-frequency (35–300 kHz) ultrasound receiving FDA approval for waist circumference reduction between 2010 and 2014. This literature review aims to investigate the current state of research regarding the physiological mechanisms underlying ultrasound-induced lipolysis and lipid mobilization. While many studies focus on the esthetic benefits of lipolytic ultrasound, less attention has been given to the metabolic fate of liberated lipids and whether therapeutic ultrasound can influence systemic health. A literature search was conducted using PubMed to identify clinical trials and mechanistic studies on ultrasound-based fat reduction, with emphasis on peer-reviewed articles published within the past five years. Reported results show average waist circumference reductions of 0.5–3.12 inches and modest weight loss of 0.47–2.5 pounds following three treatment sessions. Existing literature suggests that lipid byproducts may enter systemic circulation, and adjunctive therapies such as lymphatic drainage and aerobic exercise may support their clearance or oxidation. However, studies directly investigating post-lipolytic metabolism are limited. This review synthesizes current findings and proposed mechanisms; and highlights the need for further investigation into the metabolic consequences of ultrasound-induced lipolysis. Full article
(This article belongs to the Section Molecular Endocrinology and Metabolism)
Show Figures

Figure 1

16 pages, 1584 KB  
Article
Assessing the Social and Environmental Impact of a Clothing Reuse Business Model: The Case of Circular Thrift—An Innovative, Community-Based Startup
by Iva Jestratijevic and Ragul Senthil
Sustainability 2025, 17(17), 7868; https://doi.org/10.3390/su17177868 - 1 Sep 2025
Viewed by 3703
Abstract
To contribute to the emerging knowledge on the sustainability impacts of small, circular clothing reuse businesses in the US, we employed a case study research methodology to empirically test the case of Circular Thrift, an innovative, community-based startup business model with potential to [...] Read more.
To contribute to the emerging knowledge on the sustainability impacts of small, circular clothing reuse businesses in the US, we employed a case study research methodology to empirically test the case of Circular Thrift, an innovative, community-based startup business model with potential to create a circular fashion ecosystem on the firm level. Primary data on circular activities were collected on site within the first year of business operation. The Life Cycle Assessment methodology was conducted to assess environmental impact avoidance. The social impact of reused products was assessed to contribute to a more comprehensive understanding of the benefits of born circular business models. Tangible environmental benefits accounted for the collection of 10,772 apparel units and resulted in the diversion of 2311.05 kg (approximately 5095 pounds) of clothing from the local landfill. Social impact accounted for 45.86% of the collected items that were given back to the local community. Empirical testing of the environmental benefits of a Circular Thrift business model makes a strong case for scaling up reusable efforts as a means to address post-consumer textile waste at the local community level within the US, where formal and government-regulated resource collection and recovery systems still do not exist. Full article
(This article belongs to the Special Issue Small Business Strategies for Sustainable and Circular Economy)
Show Figures

Figure 1

23 pages, 3553 KB  
Article
Birth Outcomes in the Hispanic Population in the United States: Trends, Variation, and Determinants (2011–2021)
by Yanchao Yang, Sota Fujii and Thinh Nguyen
Int. J. Environ. Res. Public Health 2025, 22(9), 1325; https://doi.org/10.3390/ijerph22091325 - 26 Aug 2025
Viewed by 1874
Abstract
Infants born to mothers who self-identify as Hispanic account for a substantial and growing share of births in the United States, yet limited research has examined disparities in birth outcomes across Hispanic origin subgroups. This study aims to document trends and identify important [...] Read more.
Infants born to mothers who self-identify as Hispanic account for a substantial and growing share of births in the United States, yet limited research has examined disparities in birth outcomes across Hispanic origin subgroups. This study aims to document trends and identify important factors associated with Cesarean section (C-section), low birthweight, and prematurity within the Hispanic population. We use data from the National Vital Statistics System (2011–2021), covering nearly all U.S. births. We compare outcomes across Hispanic, non-Hispanic White, and non-Hispanic Black mothers and further disaggregate by Hispanic origin (Mexican, Puerto Rican, Cuban, Central/South American, and Other/Unknown). We use logistic regression and classification tree models to assess associations between maternal, infant, and clinical factors and birth outcomes. We find that Hispanic mothers have birth outcomes similar to non-Hispanic Whites and better than non-Hispanic Blacks. However, prematurity rates among Hispanics have slightly increased over time. Mexican mothers exhibit the most favorable outcomes, while Cuban mothers show higher rates of C-section, and Puerto Rican mothers show higher rates of low birthweight and prematurity. Logistic regression results highlight multiple births, breech presentation, and hypertensive conditions as important factors associated with adverse birth outcomes. Our biomedical approach emphasizes physiological and clinical risk factors such as multiple births, breech presentation, hypertensive conditions, and obesity. In parallel, our biosocial analysis incorporates demographic, socioeconomic, and behavioral variables to contextualize how social determinants interact with biology to influence outcomes. Complementing these findings, our classification tree analysis identifies inadequate gestational weight gain (less than 15 pounds) as a prominent risk factor for both low birthweight and prematurity. Additionally, obesity emerges as a significant factor linked to an increased likelihood of C-section. While birth outcomes among Hispanic mothers are generally favorable, subgroup differences and emerging disparities highlight the need for disaggregated research and culturally tailored public health interventions. Full article
Show Figures

Figure 1

24 pages, 4701 KB  
Article
Evidence of Graft Incompatibility and Rootstock Scion Interactions in Cacao
by Ashley E. DuVal, Alexandra Tempeleu, Jennifer E. Schmidt, Alina Puig, Benjamin J. Knollenberg, José X. Chaparro, Micah E. Stevens and Juan Carlos Motamayor
Horticulturae 2025, 11(8), 899; https://doi.org/10.3390/horticulturae11080899 - 3 Aug 2025
Cited by 1 | Viewed by 2298
Abstract
This study sought to quantify and characterize diverse rootstock scion interactions in cacao around graft compatibility, disease resistance, nutrient use efficiency, vigor traits, and translocation of nonstructural carbohydrates. In total, 106 grafts were performed with three scion cultivars (Matina 1/6, Criollo 22, Pound [...] Read more.
This study sought to quantify and characterize diverse rootstock scion interactions in cacao around graft compatibility, disease resistance, nutrient use efficiency, vigor traits, and translocation of nonstructural carbohydrates. In total, 106 grafts were performed with three scion cultivars (Matina 1/6, Criollo 22, Pound 7) and nine diverse open-pollinated seedling populations (BYNC, EQX 3348, GNV 360, IMC 14, PA 107, SCA 6, T 294, T 384, T 484). We found evidence for both local and translocated graft incompatibility. Cross sections and Micro-XCT imaging revealed anatomical anomalies, including necrosis and cavitation at the junction and accumulation of starch in the rootstock directly below the graft junction. Scion genetics were a significant factor in explaining differences in graft take, and graft take varied from 47% (Criollo 22) to 72% (Pound 7). Rootstock and scion identity both accounted for differences in survival over the course of the 30-month greenhouse study, with a low of 28.5% survival of Criollo 22 scions and a high of 72% for Pound 7 scions. Survival by rootstocks varied from 14.3% on GNV 360 to 100% survival on T 294 rootstock. A positive correlation of 0.34 (p = 0.098) was found between the graft success of different rootstock–scion combinations and their kinship coefficient, suggesting that relatedness of stock and scion could be a driver of incompatibility. Significant rootstock–scion effects were also observed for nutrient use efficiency, plant vigor, and resistance to Phytophthora palmivora. These findings, while preliminary in nature, highlight the potential of rootstock breeding to improve plant nutrition, resilience, and disease resistance in cacao. Full article
(This article belongs to the Special Issue Advances in Tree Crop Cultivation and Fruit Quality Assessment)
Show Figures

Figure 1

24 pages, 944 KB  
Article
Health Economics-Informed Social Return on Investment (SROI) Analysis of a Nature-Based Social Prescribing Craft and Horticulture Programme for Mental Health and Well-Being
by Holly Whiteley, Mary Lynch, Ned Hartfiel, Andrew Cuthbert, William Beharrell and Rhiannon Tudor Edwards
Int. J. Environ. Res. Public Health 2025, 22(8), 1184; https://doi.org/10.3390/ijerph22081184 - 29 Jul 2025
Viewed by 2094
Abstract
Demand for mental health support has exerted unprecedented pressure on statutory services. Innovative solutions such as Green or Nature-Based Social Prescribing (NBSP) programmes may help address unmet need, improve access to personalised treatment, and support the sustainable delivery of primary services within a [...] Read more.
Demand for mental health support has exerted unprecedented pressure on statutory services. Innovative solutions such as Green or Nature-Based Social Prescribing (NBSP) programmes may help address unmet need, improve access to personalised treatment, and support the sustainable delivery of primary services within a prevention model of population health. We piloted an innovative health economics-informed Social Return on Investment (SROI) analysis and forecast of a ‘Making Well’ therapeutic craft and horticulture programme for mental health between October 2021 and March 2022. Quantitative and qualitative outcome data were collected from participants with mild-to-moderate mental health conditions at baseline and nine-weeks follow-up using a range of validated measures, including the Short Warwick–Edinburgh Mental Well-being Scale, ICEpop CAPability measure for Adults (ICECAP-A), General Self-Efficacy Scale (GSES), and a bespoke Client Service Receipt Inventory (CSRI). The acceptability and feasibility of these measures were explored. Results indicate that the Making Well programme generated well-being-related social value in the range of British Pound Sterling (GBP) GBP 3.30 to GBP 4.70 for every GBP 1 invested. Our initial pilot forecast suggests that the programme has the potential to generate GBP 5.40 to GBP 7.70 for every GBP 1 invested as the programme is developed and delivered over a 12-month period. Despite the small sample size and lack of a control group, our results contribute to the evidence-base for the effectiveness and social return on investment of NBSP as a therapeutic intervention for improving health and well-being and provides an example of the use of health economic well-being outcome measures such as ICECAP-A and CSRIs in social value analysis. Combining SROI evaluation and forecast methodologies with validated quantitative outcome measures used in the field of health economics can provide valuable social cost–benefit evidence to decision-makers. Full article
Show Figures

Figure 1

24 pages, 2758 KB  
Article
A Techno-Economic Analysis of Integrating an Urban Biorefinery Process Within a Wastewater Treatment Plant to Produce Sustainable Wood Adhesives
by Blake Foret, William M. Chirdon, Rafael Hernandez, Dhan Lord B. Fortela, Emmanuel Revellame, Daniel Gang, Jalel Ben Hmida, William E. Holmes and Mark E. Zappi
Sustainability 2025, 17(15), 6679; https://doi.org/10.3390/su17156679 - 22 Jul 2025
Viewed by 1303
Abstract
Societies are aiming to have a higher ecological consciousness in wastewater treatment operations and achieve a more sustainable future. With this said, global demands for larger quantities of resources and the consequent waste generated will inevitably lead to the exhaustion of current municipal [...] Read more.
Societies are aiming to have a higher ecological consciousness in wastewater treatment operations and achieve a more sustainable future. With this said, global demands for larger quantities of resources and the consequent waste generated will inevitably lead to the exhaustion of current municipal wastewater treatment works. The utilization of biosolids (particularly microbial proteins) from wastewater treatment operations could generate a sustainable bio-adhesive for the wood industry, reduce carbon footprint, mitigate health concerns related to the use of carcinogenic components, and support a more circular economic option for wastewater treatment. A techno-economic analysis for three 10 MGD wastewater treatment operations producing roughly 11,300 dry pounds of biosolids per day, in conjunction with co-feedstock defatted soy flour protein at varying ratios (i.e., 0%, 15%, and 50% wet weight), was conducted. Aspen Capital Cost Estimator V12 was used to design and estimate installed equipment additions for wastewater treatment plant integration into an urban biorefinery process. Due to the mechanical attributes and market competition, the chosen selling prices of each adhesive per pound were set for analysis as USD 0.75 for Plant Option P1, USD 0.85 for Plant Option P2, and USD 1.00 for Plant Option P3. Over a 20-year life, each plant option demonstrated economic viability with high NPVs of USD 107.9M, USD 178.7M, and USD 502.2M and internal rates of return (IRRs) of 24.0%, 29.0%, and 44.2% respectively. The options examined have low production costs of USD 0.14 and USD 0.19 per pound, minimum selling prices of USD 0.42–USD 0.51 per pound, resulting in between 2- and 4-year payback periods. Sensitivity analysis shows the effects biosolid production fluctuations, raw material market price, and adhesive selling price have on economics. The results proved profitable even with large variations in the feedstock and raw material prices, requiring low market selling prices to reach the hurdle rate of examination. This technology is economically enticing, and the positive environmental impact of waste utilization encourages further development and analysis of the bio-adhesive process. Full article
Show Figures

Figure 1

37 pages, 4065 KB  
Article
Cost Utility Modeling of Reducing Waiting Times for Elective Surgical Interventions: Case Study of Egyptian Initiative
by Ahmad Nader Fasseeh, Amany Ahmed Salem, Ahmed Yehia Khalifa, Asmaa Khairy ElBerri, Nada Abaza, Baher Elezbawy, Naeema Al Qasseer, Balázs Nagy, Zoltán Kaló, Bertalan Németh and Rok Hren
Healthcare 2025, 13(13), 1619; https://doi.org/10.3390/healthcare13131619 - 7 Jul 2025
Viewed by 2099
Abstract
Background/Objectives: Reducing waiting times for elective surgeries remains a critical global healthcare challenge that negatively impacts patient outcomes and economic productivity. This study develops an adaptable cost-utility modeling framework for assessing the cost-effectiveness (CE) of reducing waiting time for elective surgeries in data-limited [...] Read more.
Background/Objectives: Reducing waiting times for elective surgeries remains a critical global healthcare challenge that negatively impacts patient outcomes and economic productivity. This study develops an adaptable cost-utility modeling framework for assessing the cost-effectiveness (CE) of reducing waiting time for elective surgeries in data-limited environments. Methods: We evaluated the economic and health impacts of Egypt’s recent initiative aimed at decreasing surgical waiting lists. The study conducts a CE analysis of the initiative by estimating incremental costs (expressed in Egyptian Pounds—EGP) and outcomes (expressed in quality-adjusted life years—QALYs) before and after its implementation, performs a benefit–cost analysis to quantify the initiative’s return on investment, and employs a budget share method to evaluate catastrophic health expenditure (CHE). The analysis included five elective surgical interventions: open-heart surgery, cardiac catheterization, cochlear implantation, ophthalmic surgery, and orthopedic (joint replacement) surgery. Results: The main research outcomes of the study are as follows. The initiative resulted in incremental cost-effectiveness ratios of EGP 46,795 (societal perspective) and EGP 56,094 (payer perspective) per QALY, both within acceptable CE thresholds. Most of the evaluated interventions demonstrated substantial returns on the investment. Without public funding, more than 90% of patients faced CHE, indicating considerable financial barriers to elective surgeries. Conclusions: Egypt’s initiative to reduce waiting times was deemed cost-effective. Our adaptable modeling framework could be practical for similar evaluations in low/middle-income countries, especially where data is limited. Scaling up the initiative to include additional curative and preventive services and integrating it with broader health system reforms in Egypt is strongly recommended. Full article
(This article belongs to the Section Health Assessments)
Show Figures

Figure 1

Back to TopTop