Search Results (1,558)

Background and aim: Advanced Therapy Medicinal Products (ATMPs) are innovative drugs based on genes, tissues, or cells that target rare and severe diseases. ATMPs have shown promising clinical outcomes but are associated with high costs, raising questions about cost-effectiveness. Hence, this systematic review aims to analyze the cost-effectiveness and cost-utility profiles of the European Medicines Agency-authorized ATMPs for treating rare diseases. Methods: A systematic review was conducted following PRISMA guidelines. Studies were identified by searching PubMed, Embase, Web of Science, and ProQuest scientific databases. Economic evaluations reporting incremental cost-effectiveness/utility ratios (ICERs/ICURs) for ATMPs were included. Costs were standardized to 2023 Euros, and a cost-effectiveness plane was constructed to evaluate the results against willingness-to-pay (WTP) thresholds of EUR 50,000, EUR 100,000, and EUR 150,000 per QALY, as part of a sensitivity analysis. Results: A total of 61 studies met the inclusion criteria. ATMPs for rare blood diseases, such as tisagenlecleucel and axicabtagene ciloleucel, were found to be cost-effective in a majority of studies, with incremental QALYs ranging from 1.5 to 10 per patient over lifetime horizon. Tisagenlecleucel demonstrated a positive cost-effectiveness profile in the treatment of acute lymphoblastic leukemia (58%), while axicabtagene ciloleucel showed a positive profile in the treatment of diffuse large B-cell lymphoma (85%). Onasemnogene abeparvovec for spinal muscular atrophy (SMA) showed uncertain cost-effectiveness results, and voretigene neparvovec for retinal diseases was not cost-effective in 40% of studies, with incremental QALYs around 1.3 and high costs exceeding the WTP threshold set. Conclusions: ATMPs in treating rare diseases show promising economic potential, but cost-effectiveness varies across indications. Policymakers must balance innovation with system sustainability, using refined models and the long-term impact on patient outcomes. Full article

The adoption of digital technologies, such as the Internet of Things (IoT), has emerged as a key strategy to improve efficiency, sustainability, and productivity in the agricultural sector, especially in contexts of modernization and digital transformation in developing regions. This study analyzes the key factors influencing the adoption of IoT technologies by farmers in the province of Guayas, Ecuador, and their impact on agricultural yields. The research is grounded in innovation diffusion theory and technology acceptance models, which emphasize the role of perception, usability, training, and economic viability in digital adoption. A total of 250 surveys were administered, with 232 valid responses (92.8% response rate), reflecting strong interest from the agricultural sector in digital transformation and precision agriculture. Using structural equation modeling (SEM), the results confirm that general perception of IoT (β = 0.514), practical functionality (β = 0.488), and technical training (β = 0.523) positively influence adoption, while high implementation costs negatively affect it (β = −0.651), all of which are statistically significant (p < 0.001). Furthermore, adoption has a strong positive effect on agricultural yield (β = 0.795). The model explained a high percentage of variance in both adoption (R² = 0.771) and performance (R² = 0.706), supporting its predictive capacity. These findings underscore the need for public and private institutions to implement targeted training and financing strategies to overcome economic barriers and foster the sustainable integration of IoT technologies in Ecuadorian agriculture. Full article

This study investigates the use of waste glass powder derived from fluorescent lamps as a partial replacement for cement in mortar production, aiming to valorize this Waste from Electrical and Electronic Equipment (WEEE) and enhance sustainability in the construction sector. Mortars were formulated by substituting 25% of cement by volume with glass powders from fluorescent lamp glass and green bottle glass. The experimental program evaluated mechanical strength, durability parameters and ecotoxicological performance. Results revealed that clean fluorescent lamp mortars showed the most promising mechanical behavior, exceeding the reference in long-term compressive (54.8 MPa) and flexural strength (10.0 MPa). All glass mortars exhibited significantly reduced chloride diffusion coefficients (85–89%) and increased electrical resistivity (almost 4 times higher), indicating improved durability. Leaching tests confirmed that the incorporation of fluorescent lamp waste did not lead to hazardous levels of heavy metals in the cured mortars, suggesting effective encapsulation. By addressing both technical (mechanical and durability) and ecotoxic performance, this research contributes in an original and relevant way to the development of more sustainable building materials. Full article

Urban parks play an essential role in mitigating the urban heat island (UHI) effect driven by urbanization. A rigorous understanding of the cooling effects of urban parks can support urban planning efforts aimed at mitigating the UHI effect and enhancing urban sustainability. However, previous research has primarily focused on the maximum cooling impact, often overlooking the accumulative effects arising from spatial continuity. The present study fills this gap by investigating 74 urban parks located in the central area of Jinan and constructing a comprehensive cooling evaluation framework through two dimensions: maximum impact (Park Cooling Area, PCA; Park Cooling Efficiency, PCE) and cumulative impact (Park Cooling Intensity, PCI; Park Cooling Gradient, PCG). We further systematically examined the influence of park attributes and the surrounding urban structures on these metrics. The findings indicate that urban parks, as a whole, significantly contribute to lowering the ambient temperatures in their vicinity: 62.3% are located in surface temperature cold spots, reducing ambient temperatures by up to 7.77 °C. However, cooling intensity, range, and efficiency vary significantly across parks, with an average PCI of 0.0280, PCG of 0.99 °C, PCA of 46.00 ha, and PCE of 5.34. For maximum impact, PCA is jointly determined by park area, boundary length, and shape complexity, while smaller parks generally exhibit higher PCE—reflecting diminished cooling efficiency at excessive scales. For cumulative impact, building density and spatial enclosure degree surrounding parks critically regulate PCI and PCG by influencing cool-air aggregation and diffusion. Based on these findings, this study classified urban parks according to their cooling characteristics, clarified the functional differences among different park types, and proposed targeted recommendations. Full article

Background: A precise drug delivery system enables the optimization of treatments with minimal side effects if it can deliver medication only when activated by a specific light source. This study presents a controlled drug delivery system based on poly(lactic-co-glycolic acid) (PLGA) microparticles (MPs) designed for the sustained release of vancomycin hydrochloride. Methods: The MPs were co-loaded with indocyanine green (ICG), a near-infrared (NIR) responsive agent, and fabricated via the double emulsion method.They were characterized for stability, surface modification, biocompatibility, and antibacterial efficacy. Results: Dynamic light scattering and zeta potential analyses confirmed significant increases in particle size and surface charge reversal following chitosan coating. Scanning electron microscopy revealed uniform morphology in uncoated MPs (1–10 $\mathsf{\mu }$m) and irregular surfaces post-coating. Stability tests demonstrated drug retention for up to 180 days. Among formulations, PVI1 exhibited the highest yield (76.67 ± 1.3%) and encapsulation efficiency (56.2 ± 1.95%). NIR irradiation (808 nm) enhanced drug release kinetics, with formulation PVI4 achieving over 48.9% release, resulting in improved antibacterial activity. Chitosan-coated MPs (e.g., PVI4-C) effectively suppressed drug release without NIR light for up to 8 h, with cumulative release reaching only 10.89%. Without NIR light, bacterial colonies exceeded 1000 CFU; NIR-triggered release reduced them below 120 CFU. Drug release data fitted best with the zero-order and Korsmeyer–Peppas models, suggesting a combination of diffusion-controlled and constant-rate release behavior. Conclusions: These results demonstrate the promise of chitosan-coated NIR-responsive PLGA MPs for precise, on-demand antibiotic delivery and improved antibacterial performance. Full article

Improving the green innovation quality (GIQ) of center cities is crucial to achieve sustainable urban agglomeration development. Utilizing data on green patent citations and economic indicators across cities in the Yangtze River Delta urban agglomeration (YRD) from 2003 to 2022, this research examines the influence of center cities’ GIQ on the economic performance of peripheral municipalities. The results show the following: (1) Center cities’ GIQ exerts a significant suppressive effect on peripheral cities’ economic growth overall. Heterogeneity analysis uncovers a distance-dependent duality. GIQ stimulates growth in proximate cities (within 300 km) but suppresses it beyond this threshold. This spatial siphoning effect is notably amplified in national-level center cities. (2) Mechanisms suggest that GIQ accelerates the outflow of skilled labor in peripheral cities through factor agglomeration and industry transfer mechanisms. Concurrently, it impedes the gradient diffusion of urban services, collectively hindering peripheral development. (3) Increased government green attention (GGA) and industry–university–research cooperation (IURC) in centers can mitigate these negative impacts. This paper contributes to the theoretical discourse on center cities’ spatial externalities within agglomerations and offers empirical support and policy insights for the exertion of spillover effects of high-quality green innovation from center cities and the sustainable development of urban agglomeration. Full article

This research paper employed novel sustainable alternative materials to reduce the environmental impact of thermoset/synthetic fibre composites. The effect of seawater hydrothermal ageing at 45 °C for 45 and 90 days on the physical and interlaminar fracture toughness (mode I and mode II) of a semi-unidirectional non-crimp basalt fibre (BF)-reinforced acrylic matrix and epoxy matrix composites was investigated. Optical and scanning electron microscopes were used to describe the fracture and interfacial failure mechanisms. The results show that the BF/Elium composite exhibited higher fracture toughness properties compared to the BF/Epoxy composite. The results of the mode I and mode II interlaminar fracture toughness values for the BF/Elium composite were 1280 J/m² and 2100 J/m², which are 14% and 56% higher, respectively, than those of the BF/Epoxy composite. The result values for both composites were normalised with respect to the density of each composite laminate. The saturated moisture content and diffusion coefficient values of seawater-aged samples at 45 °C and room temperature for the BF/Elium and BF/Epoxy composites were analysed. Both composites exhibited signs of polymer matrix decomposition and fibre surface degradation under the influence of seawater hydrothermal ageing, resulting in a reduction in the mode II interlaminar fracture toughness values. Enhancement was observed in mode I fracture toughness under hydrothermal ageing, particularly for the BF/Epoxy composite, due to matrix plasticisation and fibre bridging. Full article

Accurate assessment of green productivity is essential for advancing sustainable agriculture in ecologically fragile regions. This study examined the evolution of agricultural green total factor productivity (AGTFP) in Tibet over the period 2002–2021 by applying a super-efficiency SBM-GML model that accounts for undesirable outputs. We decompose AGTFP into technical change and efficiency change, conduct redundancy analysis to identify sources of inefficiency and explore its spatiotemporal dynamics through kernel density estimation and convergence analysis. Results show that (1) AGTFP in Tibet grew at an average annual rate of 0.78%, slower than the national average of 1.6%; (2) labor input, livestock scale, and agricultural carbon emissions are major sources of redundancy, especially in pastoral regions; (3) technological progress is the main driver of AGTFP growth, while efficiency gains have a limited impact, reflecting a technology-led growth pattern; (4) AGTFP follows a “convergence-divergence-reconvergence” trend, with signs of conditional β convergence after controlling for regional heterogeneity. These findings highlight the need for region-specific green agricultural policies. Priority should be given to improving green technology diffusion and input allocation in high-altitude pastoral areas, alongside strengthening ecological compensation and interregional coordination to enhance green efficiency and promote high-quality development across Tibet. Full article

Innovation is a strategic driver of sustainable competitive advantage and long-term economic growth. This study proposes an empirical framework to support the sustained development of national innovation capacity by examining key enabling factors. Drawing on an extensive review of the literature, the research investigates the interrelationships among governmental support (GS), innovation agents (IA), university–industry R&D collaborations (UIRD), and innovation cluster development (ICD), and their influence on two critical innovation outcomes, knowledge creation (KC) and knowledge diffusion (KD). Using panel data from G7 countries spanning 2008 to 2018, sourced from international organizations such as the World Bank, the World Intellectual Property Organization, and the World Economic Forum, the study applies regression analysis to test the proposed conceptual model. Results highlight the foundational role of GS in providing a balanced framework to foster collaborative networks among IA and enhancing the effectiveness of UIRD. Furthermore, IA emerges as a pivotal actor in advancing innovation efforts, while the development of innovation clusters is shown to selectively enhance specific innovation outcomes. These findings offer theoretical and practical contributions for policymakers, researchers, and stakeholders aiming to design supportive ecosystems that strengthen sustainable national innovation capacity. Full article

To address critical technical challenges in coalbed methane fracturing, including the uncontrollable release rate of conventional breaker agents and incomplete gel breaking, this study designs and fabricates an intelligent controlled-release breaker system based on paraffin-coated mesoporous silica nanoparticle carriers. Three types of mesoporous silica (MSN) carriers with distinct pore sizes are synthesized via the sol-gel method using CTAB, P123, and F127 as structure-directing agents, respectively. Following hydrophobic modification with octyltriethoxysilane, n-butanol breaker agents are loaded into the carriers, and a temperature-responsive controlled-release system is constructed via paraffin coating technology. The pore size distribution was analyzed by the BJH model, confirming that the average pore diameters of CTAB-MSNs, P123-MSNs, and F127-MSNs were 5.18 nm, 6.36 nm, and 6.40 nm, respectively. The BET specific surface areas were 686.08, 853.17, and 946.89 m²/g, exhibiting an increasing trend with the increase in pore size. Drug-loading performance studies reveal that at the optimal loading concentration of 30 mg/mL, the loading efficiencies of n-butanol on the three carriers reach 28.6%, 35.2%, and 38.9%, respectively. The release behavior study under simulated reservoir temperature conditions (85 °C) reveals that the paraffin-coated system exhibits a distinct three-stage release pattern: a lag phase (0–1 h) caused by paraffin encapsulation, a rapid release phase (1–8 h) induced by high-temperature concentration diffusion, and a sustained release phase (8–30 h) attributed to nano-mesoporous characteristics. This intelligent controlled-release breaker demonstrates excellent temporal compatibility with coalbed methane fracturing processes, providing a novel technical solution for the efficient and clean development of coalbed methane. Full article

Antimicrobial food packaging with natural antimicrobials and biodegradable polymers presents an innovative solution to mitigate microbial contamination, prolong freshness, reduce food waste, and alleviate environmental burden. This study developed antimicrobial hemicellulose-based films by incorporating carvacrol (1% and 2%) as a natural antimicrobial agent through micro-emulsification produced by high-pressure homogenization (M-films). For comparison, films with the same formula were constructed using coarse emulsions (C-films) without high-pressure homogenization. These films were investigated for their antimicrobial efficacy, mechanical and barrier properties, and physicochemical attributes to explore their potential as sustainable antimicrobial packaging solutions. The M-films demonstrated superior antimicrobial activity, achieving reductions exceeding 4 Log CFU/mL against Listeria monocytogenes, Escherichia coli, and Salmonella enterica, compared to the C-films. High-pressure homogenization significantly reduced the emulsion’s particle size, from 11.59 to 2.55 μm, and considerably enhanced the M-film’s uniformity, hydrophobicity, and structural quality. Most importantly, the M-films exhibited lower oxygen transmission (35.14 cc/m²/day) and water vapor transmission rates (52.12 g/m²/day) than the C-films at 45.1 and 65.5 cc/m²/day, respectively, indicating superior protection against gas and moisture diffusion. Markedly improved mechanical properties, including foldability, toughness, and bubble-free surfaces, were also observed, making the M-films suitable for practical applications. This study highlights the potential of high-pressure homogenization as a method for enhancing the functional properties of hemicellulose-based films (i.e., M-films). The fabricated films offer a viable alternative to conventional plastic packaging, paving the way for safer and greener solutions tailored to modern industry needs. Full article

This study examines the use of a mass-abatement scalable system with managed aquifer recharge (MAR-MASS) as a sustainable solution for restoring salinized aquifers and improving water quality by removing dissolved salts. It offers a practical remediation approach for aquifers affected by salinization in coastal regions, agricultural areas, and contaminated sites, where variable-density flow poses a challenge. Numerical simulations assessed hydrogeological properties such as hydraulic conductivity, anisotropy, specific yield, mechanical dispersion, and molecular diffusion. A conceptual model integrated hydraulic conditions with spatial and temporal discretization using the FLOPY API for MODFLOW 6 and the IFM API for FEFLOW 10. Python algorithms were run within the high-performance computing (HPC) server, executing simulations in parallel to efficiently process a large number of scenarios, including both preprocessing input data and post-processing results. The study simulated 6950 scenarios, each modeling flow and transport processes over 3000 days of method implementation and focusing on mass extraction efficiency under different initial salinity conditions (3.5 to 35 kg/m³). The results show that the MAR-MASS effectively removed salts from aquifers, with higher hydraulic conductivity prolonging mass removal efficiency. Of the scenarios, 88% achieved potability (0.5 kg/m³) in under five years; among these, 79% achieved potability within two years, and 92% of cases with initial concentrations of 3.5–17.5 kg/m³ reached potability within 480 days. This study advances scientific knowledge by providing a robust model for optimizing managed aquifer recharge, with practical applications in rehabilitating salinized aquifers and improving water quality. Future research may explore MAR-MASS adaptation for diverse hydrogeological contexts and its long-term performance. Full article

A mass abatement scalable system through managed aquifer recharge (MAR-MASS) improves mass extraction from groundwater with a variable-density flow. This method is superior to conventional injection systems because it promotes uniform mass displacement, reduces density gradients, and increases mass extraction efficiency over time. Simulations of various scenarios involving hydrogeologic variables, including hydraulic conductivity, vertical anisotropy, specific yield, mechanical dispersion, molecular diffusion, and mass concentration in aquifers, have identified critical variables and parameters influencing mass transport interactions to optimize the system. MAR-MASS is adaptable across hydrogeologic conditions in aquifers that are 25–75 m thick, comprising unconsolidated materials with hydraulic conductivities between 5 and 100 m/d. It is effective in scenarios near coastal areas or in aquifers with variable-density flows within the continent, with mass concentrations of salts or solutes ranging from 3.5 to 35 kg/m³. This system employs a modular approach that offers scalable and adaptable solutions for mass extraction at specific locations. The integration of programming tools, such as Python 3.13.2, along with technological strategies utilizing parallelization techniques and high-performance computing, has facilitated the development and validation of MAR-MASS in mass extraction with remarkable efficiency. This study confirmed the utility of these tools for performing calculations, analyzing information, and managing databases in hydrogeologic models. Combining these technologies is critical for achieving precise and efficient results that would not be achievable without them, emphasizing the importance of an advanced technological approach in high-level hydrogeologic research. By enhancing groundwater quality within a comparatively short time frame, expanding freshwater availability, and supporting sustainable aquifer recharge practices, MAR-MASS is essential for improving water resource management. Full article

The rapid development of the digital economy and the pursuit of green transformation are reshaping the innovation landscape of Chinese firms. However, limited attention has been paid to how digital industry agglomeration (DIA) influences corporate green innovation (CGI) at the firm level. Drawing on panel data from China’s A-share listed firms between 2017 and 2021, this study examines the differential effects of specialized agglomeration and diversified agglomeration of digital industry on CGI. The results indicate that DIA can promote CGI, with a 1% increase in DIA associated with a 1.503% increase in green innovation output. Further analysis reveals that specialized agglomeration exerts a significant positive effect, while diversified agglomeration has no evident impact. Our mechanism analysis indicates that knowledge spillovers serve as the key channel through which DIA fosters CGI. Moreover, heterogeneous effects analysis indicates that DIA exerts a stronger influence on non-high-tech enterprises and in regions where environmental regulation is less stringent. Drawing on these insights, fostering specialized digital clusters and strengthening knowledge-sharing mechanisms can help alleviate existing constraints on innovation diffusion, accelerating green innovation and supporting long-term sustainability. Full article

Efficient and sustainable extraction of bioactive benzopyrans from Hypericum polyanthemum Klotzsch ex Reichardt (Hypericaceae) remains underexplored, despite their potential applications. The current study aimed to optimize this process by integrating computational simulation and experimental extraction with suitable solvents. The COSMO-RS model was employed to screen deep eutectic solvents (DESs), indicating lactic acid/glycine/water 3:1:3 (DES 1) as a highly promising candidate based on activity coefficients at infinite dilution for target benzopyrans (HP1, HP2, HP3). Ultrasound-assisted extraction (UAE) was then conducted using the proposed DES as well as hexane, and the extracts were analyzed via high-performance liquid chromatography (HPLC) and spectrophotometry for total phenolic content (TPC). The results for DES 1 showed yields for benzopyrans HP1 (1.43 ± 0.09 mg/g plant) and HP2 (0.55 ± 0.04 mg/g plant) close to those obtained in the hexane extract (1.65 and 0.78 mg/g plant, respectively), corroborating the use of COSMO-RS for solvent screening. Kinetic analysis using an adapted Crank diffusion model successfully described the mass transfer process for DES 1 (R² > 0.98, mean average percent error < 9%), indicating diffusion control and allowing estimation of effective diffusion coefficients. This work confirms COSMO-RS as a valuable tool for solvent selection and demonstrates that UAE with the identified DES provides an efficient, greener approach for extracting valuable benzopyrans, offering a foundation for further process optimization. Full article