Gout is an arthritis characterized by the deposition of sodium monoacid crystals in the synovial membrane, articular cartilage, and periarticular tissues that leads to an inflamatory process. In most cases, the diagnosis is established by clinical criteria and analysis of the synovial fluid for MSU crystals. However, gout may manifest in atypical ways and make diagnosis difficult. In these situations, imaging studies play a fundamental role in helping to confirm the diagnosis or even exclude other differential diagnoses. Conventional radiography is still the most commonly used method in the follow-up of these patients, but it is a very insensitive test, because it only detects late changes. In recent years, advances in imaging methods have emerged in relation to gout. Ultrasound has proven to be a highly accurate test in the diagnosis of gout, identifying MSU deposits in articular cartilage and periarticular tissues, and detecting and characterizing tophi, tendinopathies, and tophi enthesopathies. Computed tomography is an excellent exam for the detection of bone erosions and evaluation of spinal involvement. Dual-energy computed tomography, a new method that provides information on the chemical composition of tissues, allows identification of MSU deposits with high accuracy. MRI can be useful in the evaluation of deep tissues not accessible by ultrasound. In addition to diagnosis, with the emergence of drugs that aim to reduce the tophaceous burden, imaging examinations become a useful tool in the follow-up treatment of gout patients.
To achieve the energy transition and carbon neutrality targets, governments have implemented multiple policies to incentivize electricity suppliers to invest in renewable energy. Considering different government policies, we construct a renewable energy supply chain consisting of electricity suppliers and electricity retailers. We then explore the impact of four policies on electricity suppliers’ renewable energy investments, environmental impacts, and social welfare. We validated the results based on data from Wuxi, Jiangsu Province, China. The results show that government subsidy policies are more effective in promoting electricity suppliers to invest in renewable energy as consumer preferences increase, while no-government policies are the least effective. We also show that electricity suppliers are most profitable under the government subsidy policy and least profitable under the carbon cap-and-trade policy. Besides, our results indicate that social welfare is the worst under the carbon cap-and-trade policy. With the increase in carbon intensity and renewable energy quota, social welfare is the highest under the subsidy policy. However, the social welfare under the renewable energy portfolio standard is optimal when the renewable energy quota is low.
From the perspective of the corporate life cycle, this study investigates the transmission mechanism of ‘technological innovation-financing constraints-carbon emission reduction’ in energy companies using panel data and mediating models, focusing on listed energy companies from 2014 to 2020. It explores the stage characteristics of this mechanism during different life cycle phases and conducts heterogeneity tests across industries and regions. The results reveal that technological innovation positively influences carbon emission reduction in energy enterprises, demonstrating significant life cycle stage characteristics, specifically more pronounced in mature companies than in growing or declining companies. Financing constraints play a mediating role between technological innovation and carbon reduction, but this is only effective during the growth and maturity stages. Further research shows that the impact of technological innovation on carbon emission reduction and the mediating role of financing constraints exhibit heterogeneity across different stages of the life cycle, industries, and regions. The conclusions of this paper provide references for energy companies in planning rational emission reduction strategies and for government departments in policy-making.
This study evaluates the sustainability and ethical practices of Kerry Logistics Network Limited (KLN), a prominent logistics service provider headquartered in Hong Kong. Using normative ethical theories, stakeholder analysis, and the Circle of Sustainability framework, this research examines KLN’s alignment with global sustainability standards, particularly the United Nations Sustainable Development Goals (SDGs). The findings reveal that KLN has achieved significant milestones in environmental management, such as reducing greenhouse gas emissions by 11% from 2021 to 2022 through the deployment of electric trucks and incorporating renewable energy in warehouse operations. KLN has also enhanced social responsibility and governance practices by implementing fair labor policies and establishing a rigorous code of conduct, ensuring compliance with ethical guidelines across its supply chain. However, the study identifies areas for improvement, including biodiversity actions, battery recycling processes, and transparency in stakeholder engagement. Emphasizing the importance of third-party validation, this paper underscores KLN’s leadership in the logistics industry and provides insights for other companies aiming to improve sustainability performance through comprehensive, verifiable practices.
A salinity gradient solar pond (SGSP) is a large and deep artificial basin of layered brine, that collects and stores simultaneous solar energy for use in various applications. Experimental and theoretical studies have been launched to understand the thermal behavior of SGSPs, under different operating conditions. This article then traces the history of SGSPs, from their natural discovery to their current artificial applications and the progress of studies and research, according to their chronological sequence, in terms of determining their physical and dynamic aspects, their operation, management, and maintenance. It has extensively covered the theoretical and experimental studies, as well as the direct and laboratory applications of this technology, especially the most famous and influential in this field, classified according to the aspect covered by the study, with a comparison between the different results obtained. In addition, it highlighted the latest methods to improve the performance of an SGSP and facilitate its operation, such as the use of a magnetic field and the adoption of remote data acquisition, with the aim of expanding research and enhancing the benefit of this technology.
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