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Purpose: Chest tomosynthesis (CTS) has a relatively longer acquisition time compared with chest X-ray, which may increase the risk of motion artifacts in the reconstructed images. Motion artifacts induced by breathing motion adversely impact the image quality. This study aims to reduce these artifacts by excluding projection images identified with breathing motion prior to the reconstruction of section images and to assess if motion compensation improves overall image quality. Approach: In this study, 2969 CTS examinations were analyzed to identify examinations where breathing motion has occurred using a method based on localizing the diaphragm border in each of the projection images. A trajectory over diaphragm positions was estimated from a second-order polynomial curve fit, and projection images where the diaphragm border deviated from the trajectory were removed before reconstruction. The image quality between motion-compensated and uncompensated examinations was evaluated using the image quality criteria for anatomical structures and image artifacts in a visual grading characteristic (VGC) study. The resulting rating data were statistically analyzed using the software VGC analyzer. Results: A total of 58 examinations were included in this study with breathing motion occurring either at the beginning or end ( n = 17 ) or throughout the entire acquisition ( n = 41 ). In general, no significant difference in image quality or presence of motion artifacts was shown between the motion-compensated and uncompensated examinations. However, motion compensation significantly improved the image quality and reduced the motion artifacts in cases where motion occurred at the beginning or end. In examinations where motion occurred throughout the acquisition, motion compensation led to a significant increase in ripple artifacts and noise. Conclusions: Compensation for respiratory motion in CTS by excluding projection images may improve the image quality if the motion occurs mainly at the beginning or end of the examination. However, the disadvantages of excluding projections may outweigh the benefits of motion compensation.

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Compensation is a key component of career satisfaction and professional growth. A new compensation model was developed to provide a framework for career growth and a compensation ladder for medical physicists with clinical responsibilities in an academic radiation oncology department. The goals for the new model were: (1) create a market competitive plan to support recruitment and retention of top physics talent, (2) incentivize clinical effort, innovation, citizenship/professional service, and academic achievement, (3) provide compensation growth opportunities separate from medical school promotions, and (4) create consistent, transparent, and fair metrics applicable to all clinical physicists in the department. The model includes a base salary, and credits for board certification, clinical tier, leadership, and academic level. Further, metrics were developed to inform the clinical tier. Years of experience is not explicitly included in the model. The model was successfully implemented for clinical physicists in a relatively large academic radiation oncology department.

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Novel composite 180° pulses are designed for use in nuclear magnetic resonance (NMR) and verified experimentally using solution-state 1H NMR spectroscopy. Rather than being constructed from 180° pulses (as in much recent work), the new composite pulses are constructed from 90° pulses, with the aim of finding sequences that are shorter overall than existing equivalents. The primary (but not exclusive) focus is on composite pulses that are dual compensated - simultaneously broadband with respect to both inhomogeneity of the radiofrequency field and resonance offset - and have antisymmetric phase schemes, such that they can be used to form spin echoes without the introduction of a phase error. In particular, a new antisymmetric dual-compensated refocusing pulse is presented that is constructed from ten 90° pulses, equivalent to just five 180° pulses.

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Vestibular compensation is the natural process of recovery that occurs with acute peripheral vestibular lesion. Here, we summarize the current understanding of the mechanisms underlying vestibular compensation, focusing on the role of the medial vestibular nucleus (MVN), the central hub of the vestibular system, and its associated neural networks. The disruption of neural activity balance between the bilateral MVNs underlies the vestibular symptoms after unilateral vestibular damage, and this balance disruption can be partially reversed by the mutual inhibitory projections between the bilateral MVNs, and their top-down regulation by other brain regions via different neurotransmitters. However, the detailed mechanism of how MVN is involved in vestibular compensation and regulated remains largely unknown. A deeper understanding of the vestibular neural network and the neurotransmitter systems involved in vestibular compensation holds promise for improving treatment outcomes and developing more effective interventions for vestibular disorders.

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How does the brain achieve a seemingly veridical and 'in-focus' perception of the world, knowing how severely corrupted visual information is by the eye's optics? Optical blur degrades retinal image quality by reducing the contrast and disrupting the phase of transmitted signals. Neural adaptation can attenuate the impact of blur on image contrast, yet vision rather relies on perceptually-relevant information contained within the phase structure of natural images. Here we show that neural adaptation can compensate for the impact of optical aberrations on phase congruency. We used adaptive optics to fully control optical factors and test the impact of specific optical aberrations on the perceived phase of compound gratings. We assessed blur-induced changes in perceived phase over three distinct exposure spans. Under brief blur exposure, perceived phase shifts matched optical theory predictions. During short-term (~1h) exposure, we found a reduction in blur-induced phase shifts over time, followed by after-effects in the opposite direction-a hallmark of adaptation. Finally, patients with chronic exposure to poor optical quality showed altered phase perception when tested under fully-corrected optical quality, suggesting long-term neural compensatory adjustments to phase spectra. These findings reveal that neural adaptation to optical aberrations compensates for alterations in phase congruency, helping restore perceptual quality over time.

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Objectives: This study explores how vascular stenosis and absence affect the regulation of cerebral blood flow in the Circle of Willis (CoW) and the hemodynamic changes downstream of the stenosis. Materials and Methods: Forty idealized CoW models were simulated to analyze the impact of vascular absence and internal carotid artery (ICA) stenosis on hemodynamics. Inlet conditions were set using a physiological pressure waveform, and outflow boundaries were modeled using three-element Windkessel models. Results: The absence of vessels such as RP1, LP1, RA1, or LA1 had a comparable effect on total blood flow to a 40% stenosis of the left internal carotid artery (LICA) across the entire CoW. Specifically, when LP1 and RA1 were absent with a 50% LICA stenosis, the total blood flow closely resembled that of a complete CoW with 75% LICA stenosis. In cases of proximal ICA stenosis, downstream regions showed elevated oscillatory shear index (OSI >0.2) and reduced time-averaged wall shear stress (TAWSS <1 Pa). With increasing stenosis severity, areas of high OSI shifted, and regions of low TAWSS expanded notably. At 75% stenosis, the area with TAWSS <1 Pa downstream significantly increased. Until complete occlusion, the area of low TAWSS and high OSI were maximized. Conclusion: This study underscores how anatomical variations in the CoW, combined with ICA stenosis, impact both total cerebral blood flow and its distribution among different outlets. Moreover, it highlights the potential for increased atherosclerosis development in affected areas. Particularly notable is the finding the absence of LP1 and RA1 vessels alongside 50% LICA stenosis results in blood flow patterns similar to those seen with 75% LICA stenosis in a complete CoW, emphasizing clinical implications for the patient. Hemodynamic changes, including TAWSS and OSI, are most pronounced downstream of the stenosis especially when the stenosis rate exceeds 75%.

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Background: Physician turnover and job instability have profound implications for healthcare systems, private facilities, and patient outcomes. High physician turnover disrupts continuity of care, impedes establishment of patient-physician relationships, and may compromise overall healthcare quality. Objective: This survey study explores the rate of job turnover in the field of Interventional Spine and Pain Medicine, based on a 2022 survey of physicians of the International Pain and Spine Intervention Society. Methods: A standardized, anonymous survey was distributed by email via Research Electronic Data Capture (REDCap) software to physician members of the International Pain and Spine Interventional Society (IPSIS). Results: Our survey results indicate that interventional spine/pain physicians with initially lower starting salaries were more likely to leave their first job. We also found that those currently in a productivity-based compensation models were more likely to have left their first job. Conclusions: Of the interventional pain and spine physicians who had been in practice for at least three years, over 65% reported leaving their initial job after training.

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Human-wildlife conflict studies of high-altitude areas are rare due to budget constraints and the challenging nature of research in these remote environments. This study investigates the prevalence and increasing trend of human-wildlife conflict (HWC) in the mountainous Gaurishankar Conservation Area (GCA) of Nepal, with a specific focus on leopard (Panthera pardus) and Himalayan black bear (Ursus thibetanus laniger). The study analyzes a decade of HWC reports and identifies goats as the livestock most targeted by leopards. The Dolakha district of GCA received the highest number of reports, highlighting the need for mitigation measures in the area. In GCA, livestock attacks accounted for 85% of compensation, with the remaining 15% for human injuries. We estimate that the number of reported wildlife attacks grew on average by 33% per year, with an additional increase of 57 reports per year following the implementation of a new compensation policy during BS 2076 (2019 AD). While bear attacks showed no significant change post-rule alteration, leopard attack reports surged from 1 to 60 annually, indicating improved compensation may have resulted in increased leopard-attack reporting rates. The findings emphasize the economic impact of HWC on local communities and suggest strategies such as increasing prey populations, promoting community education and awareness, enhancing alternative livelihood options, developing community-based insurance programs, and implementing secure enclosures (corrals) to minimize conflicts and foster harmonious coexistence. This research addresses a knowledge gap in HWC in high-altitude conservation areas like the GCA, providing valuable insights for conservation stakeholders and contributing to biodiversity conservation and the well-being of humans and wildlife.

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Recent advances in low-cost liquid crystal display (LCD) 3D printing have popularized its use in creating microfluidic master molds and complete devices. However, the quality and precision of these fabrications often fall short of the rigorous standards required for advanced microfluidic applications. This study introduces a novel approach to enhance the dimensional accuracy of microchannels produced using a desktop LCD 3D printer. We propose a method for dimension compensation, optimize the printing parameters, and provide a straightforward post-treatment technique to ensure high-quality curing of polydimethylsiloxane (PDMS) in master molds made from photosensitive resin. Our investigation assesses the precision of 3D printing across three different scales of square cross-section microchannels by measuring their widths and heights, leading to the determination of optimal printing parameters that minimize dimensional errors. The dimensional errors are further reduced by introducing a series of dimension compensation factors, which correct the nominal dimensions of the microchannels by using the compensation factors in 3D printing. The dimensional accuracy is significantly improved after compensation even in fabricating complex microchannels of triangular cross-sections. Finally, a spiral channel of trapezoidal-like cross-section with tilted edges is fabricated for microfluidic application, and highly efficient particle separation is realized in the channel. The proposed method provides new insights for utilizing desktop LCD 3D printers to achieve high-accuracy microstructures necessary for advanced microfluidic applications.

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There are some non-communicable diseases (NCD) associated with arterial hypertension (AHT) that are cured after recovery from AHT. Recently confirmed the theory of centralized aerobic-anaerobic energy balance compensation (TCAAEBC) originated some NCDs with the obstructions of arterial blood flow access to the rhomboid fossa. For some sergeants, this has already been demonstrated. Since neurological NCDs are similarly considered by TCAAEBC, it is logical to analyze dynamics of such musculoskeletal neurological problem as isolated musculoskeletal chest pain (IMCP) in connection with the therapy based on TCAAEBC. We retrospectively evaluated the medical records of adult patients with AHT, simultaneously suffering from IMCP. All these patients underwent complex treatment including manual techniques that restore arterial blood flow to the rhomboid fossa, followed by therapy that strengthens the muscular corset primarily of the cervical region. This, in addition to the normalization of AHT, led to a decrease in the musculoskeletal pain syndrome. The dynamic of pain was recorded according to four questionaries - Oswestry Disability Index (ODI) Hospital Anxiety and Depression Scale (HADS), Numerical Rating Scale (NRS), and the Quality-of-life assessment questionnaire (SF-12). The collected data were analyzed with the Wilcoxon signed-rank test, which confirms the recovery of the patients from both AHT and IMCP.

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Background: Recent studies suggest that better outcomes in work productivity following spine surgery eventually offset the higher cost of treatment. By analyzing preoperative and postoperative changes in work productivity, studies can determine if surgery is cost-effective and give patients valuable information about treatment. Prior studies reviewing outcomes in work performance after spine surgery have largely excluded patients on workers' compensation from the overall cost analysis. Methods: A retrospective review of 92 eligible patients was conducted. Evaluation of the EHR identified presenteeism and absenteeism from designated work restrictions. Statistical analyses were conducted using JMP Pro 17. Results: About 84 (83%) spinal surgery cases were able to return to work, 60 (59%) were able to return to work with no restrictions, 26 (26%) received permanent work restrictions, and 12 (12%) were still undergoing treatment. 86 (85%) experienced presenteeism and 99 (98%) experienced absenteeism. Of the cases that were able to return to work without permanent work restrictions, the mean presenteeism length postoperatively was 287.4 days (median 191 days) and the mean absenteeism length postoperatively was 232.5 days (median 142 days). 72 patients were identified as having sedentary or nonsedentary labor. After excluding outliers, the average return-to-work length was 988.62 days for patients with sedentary employment types and 952.15 days for patients with nonsedentary employment types (p=.116). Conclusion: Following spinal surgery, our worker's compensation patient population's return-to-work rate was at an average of 232.5 days (median of 142 days) for 83% of patients included in this study. This exhibited worse outcomes than a previous study's measurement excluding worker's compensation patients. Presenteeism length within our population contributed more to decreased work productivity postoperatively than absenteeism length. Our results found no significant difference in return-to-work length between patients with sedentary and nonsedentary employment types.

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River ecological protection and rational utilization of water resources provide an important support for the sustainable development for human beings and nature. In view of the lack of ecological compensation research on river ecological water demand and socio-economic water demand, a mechanism and methodology for ecological compensation based on the synergistic control of river ecological water demand and river water rights allocation is proposed. The variable monthly flow method and the improved dynamic calculation method are applied to obtain the river basic and suitable ecological water demands as the river protection threshold. A two-layer decision model for water rights allocation is established, which realizes the cascading allocation of initial water rights from city to counties to sectors, and the socio-economic water usage threshold for each level is obtained based on the model. Developing compensation discrimination guidelines under the dual-threshold synergistic control and using the unilateral water resources value by sub-sector as the compensation standard, realize the quantification and sharing of compensation funds. The Nanyang section of the Bai River basin in China is used as an example. The ecological compensation value for wet year (2011), normal year (2012), and dry years (2014-2013) are 0, 15.09 × 108 and 12.04 × 108 (average value for dry years) RMB. The adoption of suitable ecological water demand thresholds in 2012 increases the ecological protection requirements thus leading to an internal compensation situation between Nanyang County and Xinye County. From 2014 to 2016, river runoff continued to be low, and excessive water intake from upstream lead to a chain of compensation situations in the midstream and downstream. It is essential to establish a basin and regionally nested ecological compensation mechanism. The research results are conducive to improving the eco-compensation theory and provide scientific references for water resources management and high-quality development in the basin.

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BACKGROUND: This study aimed to elucidate the specificity of the radiological features of Dropped head syndrome (DHS) from both reginal and global aspects. METHODS: We enrolled 53 patients with DHS (8 men, 45 women; mean age 73.5 years), and captured their lateral spinopelvic radiographs in standing position. We also selected 21 age- and sex-matched controls with cervical spondylosis. Radiological parameters were measured and compared between two groups. Compensatory and decompensatory sites were also listed for each patient. RESULTS: Radiological factors such as sagittal vertical axis (SVA), clivo-axial angle (CAA), C2-7 angle, C2-7 SVA, anterior slippage of the vertebra, alignment. C1, C2, C3, C4, C5, C6 slopes, and T1 slope-C2-7 angle showed statistically significant differences between the groups. Multivariate logistic regression showed that SVA, C2-7 SVA, T1-slope-C2-7 angle, and C1 slope were the most important factors specific to DHS. Sole cervical spine and involvement of both cervical and thoracic spine accounted for 22% and 29% of the decompensatory sites in DHS respectively. Notably, 24% of the patients did not show decompensation of the cervical spine. While, 93% exhibited compensation at the craniovertebral junction. The thoracic spine contributed 70% to DHS compensation. CONCLUSIONS: This study indicated the radiological features of DHS from both regional and global aspects. Compensatory and decompensatory DHS mechanisms varied among individuals. Compensation was likely to be developed at the neighboring sites, with the craniovertebral and thoracic junctions as the proximal and distal parts for DHS, respectively.

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To improve dynamic performance and steady-state accuracy of position leap control of the direct current (DC) servo motor, a fuzzy inference system (FIS) enabled artificial neural network (ANN) feedforward compensation control method is proposed in this study. In the method, a proportional-integral-derivative (PID) controller is used to generate the baseline control law. Then, an ANN identifier is constructed to online learn the reverse model of the DC servo motor system. Meanwhile, the learned parameters are passed in real-time to an ANN compensator to provide feedforward compensation control law accurately. Next, according to system tracking error and network modeling error, an FIS decider consisting of an FI basic module and an FI finetuning module is developed to adjust the compensation quantity and prevent uncertain disturbance from undertrained ANN adaptively. Finally, the feasibility and efficiency of the proposed method are verified by the tracking experiments of step and square signals on the DC servo motor testbed. Experimental results show that the proposed FIS-enabled ANN feedforward compensation control method achieves lower overshoot, faster adjustment, and higher precision than other comparative control methods.

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Face recognition abilities vary tremendously in the general population. People at the lower end of the spectrum, those with developmental prosopagnosia, report stress, anxiety or social interaction issues due to their poor face recognition abilities. It is thus important to develop adequate diagnostic tools convenient to use for clinicians and to examine relationships between face recognition skills and negative affects. In the present study, we provide a validated French translation of the 20-item prosopagnosia index (PI20), a self-report measure used to detect people with developmental facial identity recognition deficits (Shah et al., 2015; Tsantani et al., 2021). We also examined links between face recognition skills measured with the PI20 and a standard face recognition test (Cambridge face memory test-CFMT; Duchaine & Nakayama, 2006) and measures of social anxiety (social interaction anxiety scale, social phobia scale) and negative affects (state trait anxiety scale, Beck depression inventory). We did not find any significant correlation between the CFMT and measures of psychosocial well-being and only found a weak positive association between the PI20 and social interaction anxiety. Although this association is weak and warrants further research, raising awareness about developmental face recognition issues may help improve the well-being of people with facial identity recognition deficits and provide new investigation or intervention avenues for clinicians who treat patients with social interaction anxiety.

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PURPOSE: Previous research indicates that the compensation process is stressful for people with a compensable injury, contributing to poorer recovery. However, little is known about the challenges faced by clinicians who work in this setting. This study aims to qualitatively explore the experiences of clinicians delivering care to patients with compensable injuries in Australia. MATERIALS AND METHODS: Semi-structured interviews were conducted with 26 experienced clinicians providing care to compensable patients in Australia. The interviews were transcribed, and data were analysed using reflective thematic analysis. RESULTS: Participants described their work as challenging due to factors such as high patient distress, poor clinical outcomes, and high administrative load. However, they responded to these challenges in varying ways. While some reported feelings of vicarious injustice, emotional exhaustion, and self-doubt, others derived a sense of meaning, purpose, and mastery from these challenges. Clinician responses to the challenge of working with people with a compensation claim were associated with access to mentoring, continuous education and training, and a supportive workplace culture. CONCLUSION: Clinicians reported both positive and negative responses to the challenges of working with people with a compensable injury. Coping strategies that were associated with more positive reactions included seeking further education, mentoring, peer support. Prioritising these support systems is important for clinician wellbeing and patient outcomes.

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As a typical tunnel oxide, Na0.44MnO2 features excellent electrochemical performance and outstanding structural stability, making it a promising cathode for sodium-ion batteries (SIBs). However, it suffers from undesirable challenges such as surface residual alkali, multiple voltage plateaus, and low initial charge specific capacity. Herein, an internal and external synergistic modulation strategy is adopted by replacing part of the Mn with Ti to optimize the bulk phase and construct a Ti-containing epitaxial stabilization layer, resulting in reduced surface residual alkali, excellent Na+ transport kinetics and improved water/air stability. Specifically, the Na0.44Mn0.85Ti0.15O2 using water-soluble carboxymethyl cellulose as a binder can realize a capacity retention rate of 94.30% after 1,000 cycles at 2C, and excellent stability is further verified in kilogram large-up applications. In addition, taking advantage of the rich Na content in Prussian blue analog (PBA), PBA-Na0.44Mn1-xTixO2 composites are designed to compensate for the insufficient Na in the tunnel oxide and are matched with hard carbon to achieve the preparation of coin full cell and 18650 cylindrical battery with satisfactory electrochemical performance. This work enables the application of tunnel oxides cathode for SIBs in 18650 cylindrical batteries for the first time and promotes the commercialization of SIBs.

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As a crucial industrial, agricultural, and energy base in China, the urban agglomerations in the Yellow River Basin (YRB) have faced increasingly significant pressure for carbon emission reduction since the implementation of the "Dual Carbon" strategy. This study focuses on 615 counties within the major urban agglomerations in the YRB, analyzing the spatiotemporal evolution of carbon budget in land use from 2000 to 2020. Methods such as the normalized revealed comparative advantage (NRCA) index and SOM-K-means model are employed to explore the carbon compensation zoning of counties in the urban agglomerations in the YRB from the perspective of main functional zones. The results show that: (1) From 2000 to 2020, there was a significant and continuous widening gap between carbon emissions and carbon absorption in the study area. The total carbon emissions increased significantly from 3.64 × 108 to 13.56 × 108 t, showing a "north high, south low" spatial distribution pattern. Meanwhile, the carbon absorption remained stable at around 6.47 × 107 t, with a spatial distribution pattern roughly characterized by "higher in the west, lower in the east, and highest in the central part". The carbon budget of various types of functional zones generally aligns well with their strategic positioning. (2) There is a significant regional difference in net carbon emissions among urban agglomerations, with the greatest internal variation observed in the Guanzhong Plain Urban Agglomeration (Gw = 0.471) and the most notable differences between the Lanzhou-Xining Urban Agglomeration and others (Gb = 0.554). (3) The study area consists of 273 payment zones, 257 balanced zones, and 85 compensated zones. Combining with the reconstruction of main functional areas, seven types of carbon compensation zones are identified.

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BACKGROUND: India experiences the highest snakebite burden globally, with 58 000 predicted deaths annually. The central Indian state of Madhya Pradesh is thought to have a substantial snakebite burden and provides compensation to families who can demonstrate by postmortem and hospital treatment reports that their relatives have died due to snakebite. This study represents the first report on the frequency of distribution of compensation for snakebite deaths in Madhya Pradesh. METHODS: Statewide snakebite death compensation data from 2020-2021 and 2021-2022, provided by the Madhya Pradesh health authorities, were analysed alongside interviews with 15 families that described the events that ultimately led to their compensation claims. RESULTS: Compensation was paid to a total of 5728 families, with a total value equating to 22 912 Lakhs (approximately US${\$}$27.94 million). Families described commonly recognised snakebite risk factors and behaviours in the events that resulted in their relatives' deaths. CONCLUSIONS: The snakebite burden in Madhya Pradesh is significant, both in terms of mortality and economic expenditure of the state. Sustained investment in preventative interventions, as well as monitoring of the rate of compensation payouts due to snakebite death as a measure of intervention effectiveness, should be considered to substantially reduce snakebite incidence and mortality.

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Many jurisdictions are simultaneously expanding natural gas and renewable capacities, largely supported by renewable compensation policies (RCPs). However, RCPs' impacts on firms' incentives for conventional capacity investment remain unclear. This paper develops a two-stage theoretical model to investigate this interaction within an imperfect competition and uncertain demand context. Firms initially invest in conventional energy capacity, followed by competing to supply electricity from conventional and previously owned renewables. Conventional output is compensated at market prices, but renewable output is subject to two common RCPs: feed-in tariffs (FiT) and feed-in premiums (FiP). The illustrative numerical example shows that increasing the proportion of renewable output compensated by a FiT from 20% to 80% increases the market-level conventional investment by 18%, leading to an increase in consumer surplus but decreasing firms' profits. These results exemplify the unintended effects of RCPs, encouraging the adoption of conventional generation capacity. The model presented in this paper provides a theoretical foundation for understanding the relationship between RCPs and conventional energy capacity investment-critical for carbon-intensive nations transitioning to renewables while maintaining reliable electricity supply through conventional generation.