A Comparison of the Defect Rate Between Original Equipment Manufacturer and Reprocessed Single-Use Bipolar and Ultrasound Diathermy Devices

2015 ◽  
Vol 9 (4) ◽  
Author(s):  
Terrence J. Loftus
Keyword(s):  
Surgical Team ◽  
Limited Data ◽  
Original Equipment Manufacturer ◽  
Equipment Manufacturer ◽  
Defect Rate ◽  
Significant Difference ◽  
Single Use ◽  
Surgical Teams ◽  
The Cost

Reprocessing has emerged as an attempt to control the cost of single-use bipolar and ultrasound diathermy devices despite limited data on defect rates. This study compares the defect rates, as reported by surgical teams, between original equipment manufacturer (OEM) single-use bipolar and ultrasound diathermy devices and reprocessed (RP) devices. Data were retrospectively collected on 3112 devices over a 7-month period for two types of bipolar and ultrasound diathermy devices. There is a significant difference (p < 0.001) in reported bipolar and ultrasound diathermy device defects between OEM and RP. OEM single-use bipolar and ultrasound diathermy devices were reported to be defective more frequently than RP devices based on reports from the surgical team.

scholarly journals Pengujian Kepresisian Modul GNSS Murah Dual Frequency Pada Pengamatan GNSS Dengan Metode RTK-NTRIP

2019 ◽  
Vol 2019 (1) ◽  
Author(s):  
Efrila Aji Ratnawati ◽  
Henri Kuncoro
Keyword(s):  
Low Cost ◽  
Test Procedure ◽  
Baseline Length ◽  
Gps Receiver ◽  
Dual Frequency ◽  
Original Equipment Manufacturer ◽  
International Standard ◽  
Equipment Manufacturer ◽  
Cost Issue ◽  
The Cost

AbstrakGNSS berkembang dengan pesat seiring berkembangnya zaman. Dominasi dari receiver GNSS tipe geodetik memiliki kekurangan, yaitu terkait permasalahan biaya (cost issue) yang tinggi. Permasalahan biaya tersebut dapat diatasi dengan pengembangan Original Equipment Manufacturer boards (OEM-boards) yang memerlukan biaya murah untuk menjadi modul GNSS yang bisa digunakan untuk pengukuran RTK-NTRIP. Penelitian ini bertujuan menguji tingkat kepresisian dari modul GNSS murah dual frequency untuk pengukuran metode RTK-NTRIP dengan panjang baseline 0,1 km, 2 km, 10 km, dan 20 km. Pengukuran dilakukan berdasarkan New International Standard ISO 17123-8:2015 yang terdiri dalam  tiga tahap, yaitu pengukuran menggunakan receiver GPS geodetik metode statik, pengukuran menggunakan modul GNSS murah dual frequency, dan pengukuran menggunakan receiver geodetik metode RTK-NTRIP. Kepresisian  ditentukan berdasarkan simpangan baku horizontal dan vertikal, diuji menggunakan Simplified Test Procedure. Tingkat kepresisian yang dihasilkan modul GNSS murah tergolong tinggi, untuk komponen horizontal berkisar antara 8 mm s.d. 3 cm dan vertikal antara 7 mm s.d. 3 dm. Nilai kepresisian horizontal telah memenuhi standar yang ditetapkan oleh New International Standard ISO 17123-8:2015, sedangkan komponen vertikal tingkat kepresisiannya terbatas pada baseline kurang dari 10 km.Kata kunci: Panjang baseline, modul GNSS murah; tingkat kepresisianAbstractGNSS was a technology that grows rapidly. Unfortunately, most of geodetic GNSS receivers had disadvantages related to the cost issue. Original Equipment Manufacturer boards (OEM-boards) could be developed as low cost GNSS modules which is used for RTK-NTRIP measurements to overcome the cost problem. This research was objected to  measure the level of  precision from dual-frequency GNSS modules of the RTK-NTRIP method, tested on baselines with 0.1 km, 2 km, 10 km, and 20 km length Based on New International Standard ISO 17123-8: 2015 measurements were established with three stages, static measurement with geodetic GPS receiver, measurement with cheap dual-frequency GNSS modules, and RTK-NTRIP measurements with geodetic GPS receiver. Precision was determined based on horizontal and vertical standard deviation and tested using the Simplified Test Procedure. It was founded that low cost GNSS modules could achieved the the high-level precision, 8 mm to 3 cm for horizontal component and 7 mm to 3 dm for the vertical. Horizontal precision had reached the New International Standard ISO 17123-8: 2015, while the vertical precision still could be reached the standard with limitation, i.e. for baselines with less 10 kilometers length.Keywords: baseline length, low cost GNSS modules, level of precision

scholarly journals Cost of Management of Diabetes Mellitus: A Pan India Study

2021 ◽  
pp. 097275312199849
Author(s):  
Raghuram Nagarathna ◽  
M Madhava ◽  
Suchitra S Patil ◽  
Amit Singh ◽  
K. Perumal ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Urban Areas ◽  
Noncommunicable Disease ◽  
Cost Of Treatment ◽  
Rural And Urban Areas ◽  
Cost Of Disease ◽  
Rural And Urban ◽  
Significant Difference ◽  
The Cost ◽  
Prevalence Of Diabetes Mellitus

Background: Diabetes mellitus is a major noncommunicable disease. While mortality rates are increasing, the costs of managing the disease are also increasing. The all-India average monthly expenditure per person (pppm) is reported to be ₹ 1,098.25, which translates to an annual expenditure of ₹13,179 per person. Purpose: While a number of studies have gone into the aspect of the cost of disease management, we do not find any study which has pan-India reach. We also do not find studies that focus on differences (if any) between rural and urban areas, age or on the basis of gender. We planned to report the cost of illness (COI) in diabetes individuals as compared to others from the data of a pan-India trial. Methods: Government of India commissioned the Indian Yoga Association to study the prevalence of diabetes mellitus in India in 2017. As part of the questionnaire, the cost of treatment was also captured. Data collected from 25 states and union territories were analyzed using the analysis of covriance (ANCOVA) test on SPSS version 21. Results: There was a significant difference ( P < .05) between the average expenses per person per month (pppm) of individuals with self-reported known diabetes (₹1,357.65 pppm) and others (unknown and/or nondiabetes individuals–₹ 999.91 pppm). Similarly, there was a significant difference between rural (₹2,893 pppm) and urban (₹4,162 pppm) participants and between those below (₹1,996 pppm) and above 40 years (₹5,059 pppm) of age. Conclusion: This preliminary report has shown that the COI because of diabetes is significantly higher than others pointing to an urgent need to promote disease-preventive measures.

scholarly journals A Threat of Farmers’ Suicide and the Opportunity in Organic Farming for Sustainable Agricultural Development in India

2019 ◽  
Vol 11 (8) ◽  
pp. 2400 ◽  
Author(s):  
Karthikeyan Mariappan ◽  
Deyi Zhou
Keyword(s):  
Organic Farming ◽  
Tamil Nadu ◽  
Agricultural Development ◽  
Small Scale ◽  
Conventional Farming ◽  
Wide Range ◽  
Significant Difference ◽  
Small Scale Farmers ◽  
The Cost ◽  
Input Cost

Agriculture is the main sources of income for humans. Likewise, agriculture is the backbone of the Indian economy. In India, Tamil Nadu regional state has a wide range of possibilities to produce all varieties of organic products due to its diverse agro-climatic condition. This research aimed to identify the economics and efficiency of organic farming, and the possibilities to reduce farmers’ suicides in the Tamil Nadu region through the organic agriculture concept. The emphasis was on farmers, producers, researchers, and marketers entering the sustainable economy through organic farming by reducing input cost and high profit in cultivation. A survey was conducted to gather data. One way analysis of variance (ANOVA) has been used to test the hypothesis regards the cost and profit of rice production. The results showed that there was a significant difference in profitability between organic and conventional farming methods. It is very transparent that organic farming is the leading concept of sustainable agricultural development with better organic manures that can improve soil fertility, better yield, less input cost and better return than conventional farming. The study suggests that by reducing the cost of cultivation and get a marginal return through organic farming method to poor and small scale farmers will reduce socio-economic problems such as farmers’ suicides in the future of Indian agriculture.

scholarly journals GCT-27. CLINICAL FEATURES AND PROGNOSTIC FACTORS OF NONGERMINOMATOUS GERM CELL TUMORS IN 111 CONSECUTIVE PATIENTS IN A SINGLE INSTITUTION: IMPACT OF IRRADIATION AND CHEMOTHERAPY CYCLES ON SURVIVAL

2020 ◽  
Vol 22 (Supplement_3) ◽  
pp. iii333-iii333
Author(s):  
Lei Wen ◽  
Juan Li ◽  
Qingjun Hu ◽  
Mingyao Lai ◽  
Cheng Zhou ◽  
...  
Keyword(s):  
Prognostic Factors ◽  
Germ Cell ◽  
Chinese Population ◽  
Germ Cell Tumors ◽  
Tumor Diameter ◽  
Limited Data ◽  
Single Institution ◽  
Large Institution ◽  
Significant Difference

Abstract BACKGROUND Limited data is available in intracranial nongerminomatous germ cell tumors (NGGCTs) in Chinese population. Here we aimed to retrospectively assess the clinical-pathological and prognostic factors of NGGCTs in a single large institution in China. METHODS From June 2003 to December 2018, 111 consecutive NGGCTs were treated in Guangdong Sanjiu Brain Hospital, China. RESULTS The median follow-up was 36.2 months (range, 1.2 to 131.2 months). Three-year EFS and OS for 111 NGGCTs patients were 78.5%±4.5% and 82.8%±4.0%, respectively. 98 patients received CSI plus boost yielded better survival than those who received reduced-volume radiotherapy or no radiotherapy (3y OS, 86.7% vs. 51.4%, p=0.007). Patients had at least four cycles of chemotherapy were strongly associated with improved 3-year OS, compared to those received less than 4 cycles (94.1% vs. 63.6%, p＜0.001). There was no significant difference in survival of patients stratified by age, surgery, hydrocephalus, as well as tumor diameter. Multivariate analysis identified chemotherapy cycles less than 4 was the only prognostic factor that conferring a worse OS (p=0.003). Patients both received CSI and at least 4 courses of chemotherapy were correlated with lower incidence of relapse (p=0.044). CONCLUSIONS Multimodal approach including CSI and enough courses of chemotherapy was effective and should be recommended for the treatment of newly diagnosed NGGCTs in Chinese population.

scholarly journals Use of hormonal subdoses applied in Bai Hui acupuncture in estrus synchronization protocols for goats

2019 ◽  
Vol 40 (4) ◽  
pp. 1501 ◽  
Author(s):  
Diego Oliveira de Souza ◽  
Monna Lopes de Araújo ◽  
Carmo Emanuel Almeida Biscarde ◽  
Claudinéia da Silva Mendes ◽  
Mariana Alves de Andrade Silva ◽  
...  
Keyword(s):  
Estrus Synchronization ◽  
Reproductive Parameters ◽  
Follicular Growth ◽  
Plasma Progesterone ◽  
Significant Difference ◽  
Estrus Detection ◽  
Detection Coverage ◽  
Equine Chorionic Gonadotropin ◽  
The Cost ◽  
Synchronization Protocol

The objective of this study was to evaluate the efficacy of delivering reduced doses of hormones via the Bai Hui acupoint in estrus synchronization in goats. A total of 40 goats received intravaginal sponges with medroxyprogesterone acetate for 7 days. The goats were then randomly distributed into 5 treatment: T1 - application of 132.5 ?g of cloprostenol and 300 IU of equine chorionic gonadotropin (eCG), both by intramuscular injection (IM); T2 - application of 39.75 ?g cloprostenol at the Bai Hui acupoint, and 300 IU of eCG by IM; T3 - application of 132.5 ?g of cloprostenol by IM, and 90 IU of eCG at the Bai Hui acupoint; T4 - application of 39.75?g of cloprostenol and 90 UI of eCG, both in Bai Hui and T5 acupuncture: application of 39.75?g of cloprostenol and 90 UI of eCG, both applied in false acupoint. The goats were subjected to an estrus synchronization protocol and monitored for estrus detection, coverage and evaluation of reproductive parameters to detect entry into estrus. The data were subjected to normality tests, followed by appropriate statistical analyses of each variable. There was no significant difference (P > 0.05) in the percentage of animals in estrus (95.00 ± 11.18%), interval between sponge removal and beginning of estrus (49.72 ± 8.93 h), interval between sponge removal and end of estrus (76.84 ± 11.98 h), duration of estrus (27.08 ± 8.68 h), size of the largest follicle (6.82 ± 0.44 mm), interval between sponge removal and ovulation (78.28 ± 10.82 h), time from ovarian onset to estrus (28.52 ± 5.44 h), follicular growth rate (0.86 ± 0.29 mm/day), number of ovulations (1.32 ± 0.23), plasma progesterone concentration at 7 days after ovulation (10.28 ± 1.65 ng.mL-1), and gestation rate at 30 days after the beginning of estrus (75 ± 12.5%). However, the cost of the synchronization protocol per animal was 43.42% lower in treatments 4 and 5 (30% of the doses) than in treatment 1 (100% of the dose). Ovulation and estrus were efficiently synchronized with the use of 39.75 ?g of sodium cloprostenol and 90 UI of eCG, applied at the Bai Hui acupoint or at a false acupoint.

scholarly journals Cost-Effectiveness of Initial Revision Digit Amputation Performed in the Emergency Department Versus the Operating Room

Hand ◽  
2018 ◽  
Vol 15 (2) ◽  
pp. 208-214 ◽  
Author(s):  
Joseph A. Gil ◽  
Avi D. Goodman ◽  
Andrew P. Harris ◽  
Neill Y. Li ◽  
Arnold-Peter C. Weiss
Keyword(s):  
Emergency Department ◽  
Cost Effectiveness ◽  
Operating Room ◽  
Cost Effective ◽  
Initial Management ◽  
Fingertip Amputation ◽  
Significant Difference ◽  
Initial Procedure ◽  
The Cost ◽  
Cost Effectiveness Threshold

Background: The objective of this study was to determine the comparative cost-effectiveness of performing initial revision finger amputation in the emergency department (ED) versus in the operating room (OR) accounting for need for unplanned secondary revision in the OR. Methods: We retrospectively examined patients presenting to the ED with traumatic finger and thumb amputations from January 2010 to December 2015. Only those treated with primarily revision amputation were included. Following initial management, the need for unplanned reoperation was assessed and associated with setting of initial management. A sensitivity analysis was used to determine the cost-effectiveness threshold for initial management in the ED versus the OR. Results: Five hundred thirty-seven patients had 677 fingertip amputations, of whom 91 digits were initially primarily revised in the OR, and 586 digits were primarily revised in the ED. Following initial revision, 91 digits required unplanned secondary revision. The unplanned secondary revision rates were similar between settings: 13.7% digits from the ED and 12.1% of digits from the OR ( P = .57). When accounting for direct costs, an incidence of unplanned revision above 77.0% after initial revision fingertip amputation in the ED would make initial revision fingertip amputation in the OR cost-effective. Therefore, based on the unplanned secondary revision rate, initial management in the ED is more cost-effective than in the OR. Conclusions: There is no significant difference in the incidence of unplanned/secondary revision of fingertip amputation rate after the initial procedure was performed in the ED versus the OR.

scholarly journals Single-use versus reusable flexible ureteroscopes: a comprehensive cost-analysis decision model

2018 ◽  
Vol 97 (3) ◽  
pp. 323-333
Author(s):  
Giovanni Scala Marchini ◽  
Fábio César Miranda Torricelli ◽  
Manoj Monga ◽  
Carlos Alfredo Batagello ◽  
Fábio Carvalho Vicentini ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Case Series ◽  
Final Analysis ◽  
Flexible Ureteroscopy ◽  
Complication Rates ◽  
Ureteral Access Sheath ◽  
Flexible Scope ◽  
Surgical Costs ◽  
Single Use ◽  
The Cost

Purpose: The significant improvements in flexible ureterorenoscopes have made flexible ureteroscopy the main treatment modality to target upper urinary pathologies. The purpose of this study was to critically evaluate all literature concerning the cost-effectiveness of flexible ureteroscopy comparing single-use with reusable scopes. Methods: A systematic online literature review was performed in PubMed, Embase and Google Scholar databases. Two separate urologists (GSM and FCT) performed the online search and reviewed all papers considered suitable and relevant for this analysis. Because of the paucity of high quality publications, not only prospective assessments but also case control and case series studies were included in the final analysis. All factors potentially affecting surgical costs or clinical outcomes were considered in the analysis. Results: 741 studies with the previously elected terms were found. Of those, 18 were duplicated and 77 were not related to urology procedures and were excluded. Of the remaining 646 studies, 59 published between 2000 and 2018 were considered of relevance to the pre-defined queries and were selected for further analysis. Stone free and complication rates were similar between single-use and reusable scopes. In special, urinary tract infection rate following flexible ureteroscopy is not inferior if a single-use device is used instead of a reusable scope. Operative time was in average 20% shorter if a digital scope was used, single-use or not. There is a suggestion that the learning curve is shorter with single-use devices but this is not consistent in the literature. Surgeon expertise impacts the longevity of the flexible scope. Reusable digital scopes seem to last longer than optic ones, though scope longevity is very variable worldwide. New scopes usually last three to four times more than refurbished ones and single-use ureterorenoscopes have good resilience throughout long cases. Both sterilization method and cleaning process impact scope longevity, the best results being achieved with Cidex and a dedicated nurse to take care of the sterilization process. The main factors that negatively impact device longevity regarding patient and disease are lower pole pathologies, large stone burden and non-use of a ureteral access sheath. Conclusions: The cost-effectiveness of a flexible ureteroscopy program is dependent of several aspects that must be considered when deciding whether to choose between a single-use and a reusable ureterorenoscope. Disposable devices are already a reality and will progressively become the standard as manufacturing price falls significantly.

scholarly journals Cost awareness of radiological studies among doctors at Universitas Academic Hospital in Bloemfontein, South Africa

2021 ◽  
Vol 25 (1) ◽  
Author(s):  
Khanyisa N. Mrwetyana ◽  
Jacques Janse van Rensburg ◽  
Gina Joubert
Keyword(s):  
South Africa ◽  
Cost Estimation ◽  
Academic Hospital ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Significant Difference ◽  
Education Training ◽  
The Cost ◽  
Cost Awareness ◽  
Radiological Studies

Background: South Africa has high healthcare expenses. Improving cost-consciousness could decrease government expenditure on healthcare.Objectives: To determine cost awareness of radiological studies among doctors at a tertiary hospital. The objective was met by assessing the accuracy of cost estimation according to the level of training and speciality, whether participants had received prior education/training related to cost awareness and if they had a desire to learn more about the cost of radiological imaging.Method: A cross-sectional survey was conducted in six clinical departments at Universitas Academic Hospital using an anonymous questionnaire that determined doctors’ cost awareness of five radiological studies. Each radiological study was answered using six different cost ranges, with one correct option. Costs were based on the Department of Health’s 2019 Uniform Patients Fee Schedule (UPFS).Results: In total, 131 (67.2%) of 195 questionnaires distributed to registrars and consultants were returned. Overall, low accuracy of cost estimation was observed, with 45.2% of the participants choosing only incorrect options. No participant estimated all five costs correctly. Only the Internal Medicine clinicians demonstrated a significant difference between registrars and consultants for the number of correct answers (median 0 and 1, respectively) (p = 0.04). No significant differences were found between specialities stratified by registrars/consultants. Most participants (88.6%) would like to learn about imaging costs. Only 2.3% of the participants had received prior education/training related to cost awareness of radiological studies.Conclusion: Doctors were consistently inaccurate in estimating the cost of radiological studies. Educating doctors about the cost of radiological imaging could have a positive effect on healthcare expenditure.

scholarly journals GULA POVIDINE-IODINE 1%: ALTERNATIF PENGOBATAN LUKA TEKAN

2014 ◽  
Vol 8 (1) ◽  
pp. 8-12
Author(s):  
Amelia Kurniati
Keyword(s):  
Total Sample ◽  
Control Group ◽  
Nursing Time ◽  
Hydrocolloid Dressing ◽  
Significant Difference ◽  
Post Test ◽  
Equivalent Control ◽  
The Cost ◽  
Povidine Iodine

AbstrakLuka tekan (luka akibat penekanan yang terus menerus) adalah masalah yang umum terjadi pada kelompok klien tertentu seperti klien usia lanjut, klien kritis, dan klien yang menderita kelumpuhan. Luka tekan ini menimbulkan banyak masalah: tingginya biaya yang dikeluarkan untuk mengobati luka, menurunnya kualitas hidup klien, lamanya dirawat di rumah sakit, dan meningkatnya angka kematian klien. Penelitian dilakukan untuk membandingkan efektivitas pemakaian balutan modern (hydrocolloid) dan gula povidine-iodine 1% di 4 rumah sakit di Jakarta selama 2 bulan dengan menggunakan desain non-equivalent control group pre dan posttest. Didapat total sampel sebanyak 25 klien, dibagi secara random ke dalam 2 kelompok; kelompok hydrocolloid dan kelompok gula povidine-iodine 1%. Setiap sampel dilakukan pretest, kemudian dirawat selama 3 minggu, dan setiap minggu perawatan dilakukan posttest oleh peneliti. Hasil yang didapat adalah tidak ada perbedaan yang bermakna untuk pengecilan area luka tekan - walaupun ketika membandingkan kecepatan penghancuran jaringan mati dan kecepatan pertumbuhan granulasi, terlihat bahwa kedua keadaan ini lebih cepat terjadi di kelompok gula povidine-iodinee 1%-. Untuk biaya perawatan lebih tinggi di kelompok hydrocolloid, sedangkan untuk lamanya waktu perawatan luka lebih cepat. AbstractPressure ulcers (ulcers which caused by body pressure) are common problems in some sub-specific patients, such as, elderly patients, critical-ill and para paraplegia patients. Pressure ulcers induces problems: the costs involved, patients’ quality of life and mortality rate. Research purposed to compare the efectivity hydrocolloid dressing and sugar Povidine-iodine (1%) dressing. Research has been conducted within the 4 selected hospitals in 2 months period of time using non equivalen control group; pre and post test. Total sample was 25 patients, which divided onto 2 groups: hydrocolloid group and sugar povidineiodinee group. Pre-test was also done to obtain initial data to be used for further treatments with hydrocolloid dressing and sugar Povidine-iodine (1%) dressing. Each patient was treating for 3 weeks, and in each week was conducted a post-test. Results from processing the data obtained, indicating that there was no significant difference on wound size reduction. The cost involved was higher in the hydrocolloid group while the nursing time consumption was lower.

scholarly journals Costing out Educational Needs for Khyber Pakhtunkhwa

2019 ◽  
Vol IV (II) ◽  
pp. 34-42
Author(s):  
Noor Jehan ◽  
Muhammad Idris
Keyword(s):  
Rural Students ◽  
Total Cost ◽  
Khyber Pakhtunkhwa ◽  
Pocket Money ◽  
Significant Difference ◽  
Urban Student ◽  
Education Needs ◽  
Successful School ◽  
Grade One ◽  
The Cost

This study was undertaken for costing out education needs for Khyber Pakhtunkhwa based on location, gender, district and grade. The sample consisted of 778 schools, including 364 females and 414 males. The study used descriptive statistics for analysis. It was found that rural students get slightly less pocket money than urban students. The cost of average monthly stationery, uniform cost, teacher cost and total cost for urban student was higher than for rural students. District Haripur was found to be the most successful school district. It was further found that better results need good financing. The study also confirmed that the girl student cost is less than a boy student. It was also concluded that the pocket money on average increases with grade. There was no significant difference of stationery cost across grades while grade one and grade four students’ cost on uniform was slightly higher than other grades.

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