scholarly journals Improving patient flow in acute psychiatric wards: enhanced bed management and trusted assessment

2020 ◽  
Vol 44 (4) ◽  
pp. 159-162
Author(s):  
Douglas Turkington ◽  
Steve Moorhead ◽  
Gordon D. Turkington ◽  
Carla King ◽  
Leigh Bell ◽  
...  
Keyword(s):  
Mental Health ◽  
Patient Flow ◽  
Cost Effective ◽  
Management Team ◽  
Bed Management ◽  
Cost Effective Approach ◽  
Before And After ◽  
Acute Psychiatric Wards ◽  
Two Measures ◽  
Out Of Area

Aims and methodIn three localities in a mental health trust in England, an enhanced bed management team was established to improve patient flow and reduce out-of-area placements. Trusted assessments were provided to support risk management and conflict resolution. Two measures of flow were compared before and after the team was established.ResultsThe trusted assessment recommendation was for discharge in 70% of cases. The number of out-of-area placements was significantly reduced (P < 0.05), saving £616 876 over a 12-month period. Patient flow was significantly improved in one of the three localities as measured by patients/bed/6-month period (P < 0.05). In one of the other localities increased use of trusted assessment input and reduced numbers of patients being transferred in are recommended to improve flow.Clinical implicationsMental health trusts should consider the establishment of an enhanced bed management team, including trusted assessment, as a safe and cost-effective approach to improving patient flow and reducing the need for out-of-area placement.

scholarly journals The Inverse Spacer—A Novel, Safe, and Cost-Effective Approach in Routine Procedures for Revision Knee Arthroplasty

2021 ◽  
Vol 10 (5) ◽  
pp. 971
Author(s):  
Kristoff Hammerich ◽  
Jens Pollack ◽  
Alexander F. Hasse ◽  
André El Saman ◽  
René Huber ◽  
...  
Keyword(s):  
Knee Arthroplasty ◽  
Clinical Success ◽  
Cost Effective ◽  
Revision Total Knee Arthroplasty ◽  
Rotational Stability ◽  
X Rays ◽  
Free Interval ◽  
Major Disadvantage ◽  
Cost Effective Approach ◽  
Before And After

Background: A major disadvantage of current spacers for two-stage revision total knee arthroplasty (R-TKA) is the risk of (sub-) luxation during mobilization in the prosthesis-free interval, limiting their clinical success with detrimental consequences for the patient. The present study introduces a novel inverse spacer, which prevents major complications, such as spacer (sub-) luxations and/or fractures of spacer or bone. Methods: The hand-made inverse spacer consisted of convex tibial and concave femoral components of polymethylmethacrylate bone cement and was intra-operatively molded under maximum longitudinal tension in 5° flexion and 5° valgus position. Both components were equipped with a stem for rotational stability. This spacer was implanted during an R-TKA in 110 knees with diagnosed or suspected periprosthetic infection. Postoperative therapy included a straight leg brace and physiotherapist-guided, crutch-supported mobilization with full sole contact. X-rays were taken before and after prosthesis removal and re-implantation. Results: None of the patients experienced (sub-) luxations/fractures of the spacer, periprosthetic fractures, or soft tissue compromise requiring reoperation. All patients were successfully re-implanted after a prosthesis-free interval of 8 weeks, except for three patients requiring an early exchange of the spacer due to persisting infection. In these cases, the prosthetic-free interval was prolonged for one week. Conclusion: The inverse spacer in conjunction with our routine procedure is a safe and cost-effective alternative to other articulating or static spacers, and allows crutch-supported sole contact mobilization without major post-operative complications. Maximum longitudinal intra-operative tension in 5° flexion and 5° valgus position appears crucial for the success of surgery.

Investigating the effects of COVID-19 to crime rates through a geospatial approach: the case of New York, USA

2021 ◽  
Author(s):  
Ioanna Tselka ◽  
Isidora Isis Demertzi ◽  
George P. Petropoulos
Keyword(s):  
New York ◽  
Scientific Evidence ◽  
Cost Effective ◽  
Crime Rates ◽  
Added Value ◽  
Web Gis ◽  
Study Region ◽  
Cost Effective Approach ◽  
Before And After ◽  
The Impact

&lt;p&gt;Covid-19 pandemic has led to severe consequences to humanity worldwide. Yet, to our knowledge, little scientific evidence is available exploring the impact of the pandemic on criminality. Thus, it is imperative to examine their relationships spatially to obtain a better understanding of societal characteristics during the pandemic.&lt;/p&gt;&lt;p&gt;This study aims at demonstrating the use of geoinformation in analyzing the spatial patterns between crime properties and Covid-19 spread using as a case study New York City, USA, one of the largest metropolitan cities of the world. To address our objectives, geostatistical analysis and data visualization methods have been implemented in real-world crime data acquired from a web-GIS platform. Our analysis concerns two equal time periods before and after the lockdown implementation.&lt;/p&gt;&lt;p&gt;Results revealed some very interesting patterns spatially between the examined parameters and societal characteristics existing in the study region. The methodological framework presented underlined the added value of geoinformation as a robust and cost-effective approach in examining the impact of the pandemic to the society.&lt;/p&gt;&lt;p&gt;&amp;#160;&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Keywords:&lt;/strong&gt; Covid-19, pandemic, crime rates, geoinformation, New York&lt;/p&gt;

scholarly journals How Disruptive Solutions Could Improve the Prevailing Healthcare Paradigm. A Novel Perspective the Treatment of Mental Health Conditions Using the Strannik Mathematical Model

2020 ◽  
Vol 3 (3) ◽  
pp. 89-114
Author(s):  
Wilfred Ewing Graham ◽  
Keyword(s):  
Mental Health ◽  
Cost Effective ◽  
Light Therapy ◽  
Health Conditions ◽  
Mental Health Conditions ◽  
Therapeutic Outcomes ◽  
Cost Effective Approach ◽  
Trade Name ◽  
The Brain ◽  
Biomedical Paradigm

There are few technologies which offer the potential to disrupt the prevailing biomedical paradigm. The author discusses the existence of the first technology to be based upon a precise and sophisticated simulation of how the brain regulates the autonomic nervous system and associated structures which has the potential to significantly disrupt the prevailing biomedical paradigm through the emergent neurological paradigm i.e. by understanding how the brain works and how this can be applied with diagnostic and/or therapeutic effect. Known commonly by the trade name ‘Strannik’ the associated package of Strannik software programmes have been shown in initial research, in 15-20 clinical studies conducted over the period 1997-2017, that Strannik Virtual Scanning (SVS) is able to determine the onset and progression of the complete spectrum of pathologies 2%-23% more accurately than the current plethora of medical tests; screen pathological onset from the presymptomatic level; define each pathology in terms of its genotype and phenotype; determine ca. 5-15 pathologies in each of 30+ organs, provide results in ca. 10 minutes - 15 minutes; more safely/non-invasively than contemporary methods of diagnosing and treating disease; achieve therapeutic outcomes with the neuromodulation technique Strannik Light Therapy (SLT) which initial studies indicate is 75%-96% therapeutic effectiveness i.e. which appear to exceed that which is possible using biomedicine; and to do as at considerably lower cost by comparison with biomedical tests and treatments. The author discusses the limitations of biomedicine and how such a neurological approach, in the form of the Strannik technology, could be applied to address such limitations and provide an alternative and cost-effective approach to the provision of healthcare, in particular (but not exclusively), regarding the management of lifestyle-related mental health conditions.

Physical and Psychological Benefits of Written Emotional Expression

2015 ◽  
Vol 20 (4) ◽  
pp. 242-251 ◽  
Author(s):  
Éva Kállay
Keyword(s):  
Mental Health ◽  
Expressive Writing ◽  
Mental Health Problems ◽  
Cost Effective ◽  
Health Problems ◽  
Future Research ◽  
Psychological Benefits ◽  
Cost Effective Treatment ◽  
Meta Analyses

Abstract. The last several decades have witnessed a substantial increase in the number of individuals suffering from both diagnosable and subsyndromal mental health problems. Consequently, the development of cost-effective treatment methods, accessible to large populations suffering from different forms of mental health problems, became imperative. A very promising intervention is the method of expressive writing (EW), which may be used in both clinically diagnosable cases and subthreshold symptomatology. This method, in which people express their feelings and thoughts related to stressful situations in writing, has been found to improve participants’ long-term psychological, physiological, behavioral, and social functioning. Based on a thorough analysis and synthesis of the published literature (also including most recent meta-analyses), the present paper presents the expressive writing method, its short- and long-term, intra-and interpersonal effects, different situations and conditions in which it has been proven to be effective, the most important mechanisms implied in the process of recovery, advantages, disadvantages, and possible pitfalls of the method, as well as variants of the original technique and future research directions.

The WHO World Mental Health (WMH) Surveys

2009 ◽  
Vol 06 (01) ◽  
pp. 5-9 ◽  
Author(s):  
S. Aguilar-Gaxiola ◽  
J. Alonso ◽  
S. Chatterji ◽  
S. Lee ◽  
T. B. Üstün ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Treatment Effectiveness ◽  
Age Of Onset ◽  
Common Mental Disorders ◽  
Mental Health Policy ◽  
Unmet Need ◽  
Cost Effective ◽  
World Mental Health ◽  
Prevalence Estimates

SummaryThe paper presents an overview of the WHO World Mental Health (WMH) Survey Initiative and summarizes recent WMH results regarding the prevalence and societal costs of mental disorders. The WMH surveys are representative community surveys that were carried out in 28 countries throughout the world aimed at providing information to mental health policy makers about the prevalence, burden, and unmet need for treatment of common mental disorders. Results show that mental disorders are commonly occurring in all participating countries. The inter-quartile range (IQR: 25th-75th percentiles) of lifetime DSM-IV disorder prevalence estimates (combining anxiety, mood, disruptive behavior, and substance disorders) is 18.1-36.1%. The IQR of 12-month prevalence estimates is 9.8-19.1%. Analysis of age-of-onset reports shows that many mental disorders begin in childhood-adolescence and have significant adverse effects on subsequent role transitions. Adult mental disorders are found in the WMH data to be associated with high levels of role impairment. Despite this burden, the majority of mental disorders go untreated. Although these results suggest that expansion of treatment could be cost-effective from both the employer perspective and the societal perspective, treatment effectiveness trials are needed to confirm this suspicion. The WMH results regarding impairments are being used to target several such interventions.

E-Insurance :A Platform For Insurance Penetration In India

2019 ◽  
Vol 118 (6) ◽  
pp. 90-93
Author(s):  
L. Terina Grazy ◽  
Dr.G. Parimalarani
Keyword(s):  
Insurance Industry ◽  
Cost Effective ◽  
Online Marketing ◽  
Insurance Companies ◽  
The Internet ◽  
Insurance Sector ◽  
The People ◽  
Cost Effective Approach ◽  
Time And Energy ◽  
Work Done

E-commerce is a part of Internet Marketing. The arrival of Internet made the world very simple and dynamic in all the areas. Internet is the growing business as a result most of the people are using it in their day to day life. E-commerce is attractive and efficient way for both buyers and sellesr as it reduce cost, time and energy for the buyer. No surprise the insurance sector has become quite active within the internet sphere. Most insurance companies are offering policies to be brought online and also the portals for paying premiums. It actually saves from hassles involved in going to an insurance office and spend hours to get the insurance work done. Insurance has become an important and crucial aspect of life. Online insurance is the best and most cost effective approach of taking the insurance deal. This paper focused on influence of online marketing on the insurance industry in India, usage of internet in India , the internet penetration in India and the online sale of insurance product by the insurance sector.

Sign in / Sign up

Export Citation Format

Share Document