Objective:Smart insufflation(SI)techniques relying on valve and membrane-free insufflation are increasing in usage.Although considerable literature exists demonstrating the benefits of SI on procedural ease and patien...Objective:Smart insufflation(SI)techniques relying on valve and membrane-free insufflation are increasing in usage.Although considerable literature exists demonstrating the benefits of SI on procedural ease and patient outcomes,there remains a paucity describing the financial impact of these devices.The purpose of this study was to determine the financial and efficiency impact of these devices on the operating room and inpatient wards of a hospital.Methods:A discrete event simulation model representing a typical mid-sized North American hospital comparing SI to traditional insufflation(TI)was generated.The National Surgical Quality Improvement database from 2015 to 2019 was used to populate the model with data supplemented from the literature.Outcomes included length of stay(LOS),duration of surgery(DOS),annual procedure volume,profit,return on investment(ROI),and gross profit margin(GPM).From the literature review,DOS savings were 10e32 minutes/case,while LOS savings were 0e3 days/case.Results:Implementation of an SI led to an increase in annual throughput of 42e346(4.4%e36.6%)cases for all procedures and 38 to 297(4.3%e33.3%)cases for complex procedures.LOS was found to be decreased by 175e614(18.3%e64.2%)days for all procedures and 231 to 614(35.6%e77.9%)cases for complex procedures with the implementation of an SI.Together,this resulted in an increase in net profit of$104,685 per annum.The ROI of SI over the TI device was>1000%,and the GPM for the TI was 90.0%,while the GPM for the SI was 71.7%.Conclusion:Despite the initial financial investment being greater,the implementation of SI offsets these expenses and yields significant financial benefits.Our study demonstrates the financial benefits of SI over TI and illustrates how granular operational and financial analyses of technologies are essential to aid in sound healthcare procurement decision making.展开更多
The Urumqi riot has damaged the local economy and social development more than the global financial crisis has, said Abudu Rezhake Tomur, Secretary of the Communist Party of China in the Xinjiang Social Science Academy.
On Jun. 10-12, 2009, The 15th China’s International Chemical Fiber Conference, with the theme of "Financial Crisis and Chemical Fiber Industry", was held at Hangzhou, Zhejiang Province. During the conferenc...On Jun. 10-12, 2009, The 15th China’s International Chemical Fiber Conference, with the theme of "Financial Crisis and Chemical Fiber Industry", was held at Hangzhou, Zhejiang Province. During the conference, the China Chemical Fiber Association released a speech on "The Impact of Global Financial Crisis on China Chemical Fiber Industry and Response Strategies". Here in the following part, we will focus on the part of the impact of financial crisis on Chinese chemical fiber industry. In our next issue, we will go on with the part of Response Strategies.展开更多
Prospects of Global Financial Crisis and Economic Crisis The widely spreading global financial crisis has halted the fast growth of world economy in five consecutive years,and heavily stricken the financial and econom...Prospects of Global Financial Crisis and Economic Crisis The widely spreading global financial crisis has halted the fast growth of world economy in five consecutive years,and heavily stricken the financial and economic sectors worldwide.It’s second only to the "Great Depression" in the 1930’s.Governments展开更多
Thalassemia major is a disease that requires frequent admission of patients to medical facilities along with unremitting medicinal and blood transfusion aids. The families of such patients suffer in different aspects ...Thalassemia major is a disease that requires frequent admission of patients to medical facilities along with unremitting medicinal and blood transfusion aids. The families of such patients suffer in different aspects of their lives. The severity of the challenges they are subject to has been examined in this research with reference to Karachi and Hyderabad. Chief focus is rendered to the assessment of psychological, social, and economical implications. </span><b><span style="font-family:Verdana;">Objective:</span></b><span style="font-family:Verdana;"> The aim of this study is to assess the social, financial and psychological impact of thalassemia on parents of children suffering from thalassemia. </span><b><span style="font-family:Verdana;">Study Design:</span></b><span style="font-family:Verdana;"> Cross</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">-</span></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;">sectional study. </span><b><span style="font-family:Verdana;">Place and Duration of Study:</span></b><span style="font-family:Verdana;"> The study was conducted at PNS Shifa Hospital Karachi, Jinnah Post Graduate Medical Institute Karachi, and Civil Hospital Hyderabad. </span><b><span style="font-family:Verdana;">Methodology:</span></b><span style="font-family:Verdana;"> A cross-sectional study which was aimed at establishing the social, financial and psychological impact of thalassemia on families of affected children was conducted at PNS Shifa Hospital, Jinnah Post Graduate Medical Institute Karachi, and Civil Hospital Hyderabad. The data was collected using a structured questionnaire as tool for data collection. The questionnaires were filled by interviewing the parents of registered thalassemia major patients by the researchers. Data was analyzed and interpreted using the SPSS 25.0 version. </span><b><span style="font-family:Verdana;">Results: </span></b><span style="font-family:Verdana;">The total number of participants which were meeting the inclusion criteria was 237.</span></span></span></span><span><span><span style="font-family:""> </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">Study population with high income (above PK rupees 35</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">,</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">000) </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">is</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;"> demonstrated to be less severely affected than the low earning study group. 17% of the parents in the study admitted to hav</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">ing</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;"> negative impact of their child’s illness on their relationship while 40% of study participants reveal their child </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">is </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">ignored/marginalized by relatives. About 80% of participant</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">s</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;"> acknowledged feeling sad and depressed sometimes but only 25% of them take antidepressant medication.展开更多
Cultural tourism in regional cities has grown rapidly in recent years. In order to be successful and sustainable, management of the local authorities is considered as an urgent need to investigate the views of the loc...Cultural tourism in regional cities has grown rapidly in recent years. In order to be successful and sustainable, management of the local authorities is considered as an urgent need to investigate the views of the local community The purpose of this study was to investigate and interpret the residents＇ views of Trikala city, in Thessaly, for the benefits of cultural tourism and their attitude to the relevant bodies and local authorities. The empirical analysis is based on the use of cross section data, which were derived from a sample survey to 372 residents of the city. The empirical analysis shows that, generally, the benefits of cultural tourism are recognized, even if the region is at an early stage of development. The findings of logistic regression model show that the view that competent bodies ensure that the promotion of local culture and local heritage is determined by the abundance of events, festivals, and local museums in the city. From the proper utilization of architectural heritage attractions and local heritage, the knowledge of recent achievements concern cultural tourism and the appropriate infrastructure in the city.展开更多
基金funding to conduct this study was provided by a research innovation grant provided by CONMED Corporation(#IRB 22-0113-C).
文摘Objective:Smart insufflation(SI)techniques relying on valve and membrane-free insufflation are increasing in usage.Although considerable literature exists demonstrating the benefits of SI on procedural ease and patient outcomes,there remains a paucity describing the financial impact of these devices.The purpose of this study was to determine the financial and efficiency impact of these devices on the operating room and inpatient wards of a hospital.Methods:A discrete event simulation model representing a typical mid-sized North American hospital comparing SI to traditional insufflation(TI)was generated.The National Surgical Quality Improvement database from 2015 to 2019 was used to populate the model with data supplemented from the literature.Outcomes included length of stay(LOS),duration of surgery(DOS),annual procedure volume,profit,return on investment(ROI),and gross profit margin(GPM).From the literature review,DOS savings were 10e32 minutes/case,while LOS savings were 0e3 days/case.Results:Implementation of an SI led to an increase in annual throughput of 42e346(4.4%e36.6%)cases for all procedures and 38 to 297(4.3%e33.3%)cases for complex procedures.LOS was found to be decreased by 175e614(18.3%e64.2%)days for all procedures and 231 to 614(35.6%e77.9%)cases for complex procedures with the implementation of an SI.Together,this resulted in an increase in net profit of$104,685 per annum.The ROI of SI over the TI device was>1000%,and the GPM for the TI was 90.0%,while the GPM for the SI was 71.7%.Conclusion:Despite the initial financial investment being greater,the implementation of SI offsets these expenses and yields significant financial benefits.Our study demonstrates the financial benefits of SI over TI and illustrates how granular operational and financial analyses of technologies are essential to aid in sound healthcare procurement decision making.
文摘The Urumqi riot has damaged the local economy and social development more than the global financial crisis has, said Abudu Rezhake Tomur, Secretary of the Communist Party of China in the Xinjiang Social Science Academy.
文摘On Jun. 10-12, 2009, The 15th China’s International Chemical Fiber Conference, with the theme of "Financial Crisis and Chemical Fiber Industry", was held at Hangzhou, Zhejiang Province. During the conference, the China Chemical Fiber Association released a speech on "The Impact of Global Financial Crisis on China Chemical Fiber Industry and Response Strategies". Here in the following part, we will focus on the part of the impact of financial crisis on Chinese chemical fiber industry. In our next issue, we will go on with the part of Response Strategies.
文摘Prospects of Global Financial Crisis and Economic Crisis The widely spreading global financial crisis has halted the fast growth of world economy in five consecutive years,and heavily stricken the financial and economic sectors worldwide.It’s second only to the "Great Depression" in the 1930’s.Governments
文摘Thalassemia major is a disease that requires frequent admission of patients to medical facilities along with unremitting medicinal and blood transfusion aids. The families of such patients suffer in different aspects of their lives. The severity of the challenges they are subject to has been examined in this research with reference to Karachi and Hyderabad. Chief focus is rendered to the assessment of psychological, social, and economical implications. </span><b><span style="font-family:Verdana;">Objective:</span></b><span style="font-family:Verdana;"> The aim of this study is to assess the social, financial and psychological impact of thalassemia on parents of children suffering from thalassemia. </span><b><span style="font-family:Verdana;">Study Design:</span></b><span style="font-family:Verdana;"> Cross</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">-</span></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;">sectional study. </span><b><span style="font-family:Verdana;">Place and Duration of Study:</span></b><span style="font-family:Verdana;"> The study was conducted at PNS Shifa Hospital Karachi, Jinnah Post Graduate Medical Institute Karachi, and Civil Hospital Hyderabad. </span><b><span style="font-family:Verdana;">Methodology:</span></b><span style="font-family:Verdana;"> A cross-sectional study which was aimed at establishing the social, financial and psychological impact of thalassemia on families of affected children was conducted at PNS Shifa Hospital, Jinnah Post Graduate Medical Institute Karachi, and Civil Hospital Hyderabad. The data was collected using a structured questionnaire as tool for data collection. The questionnaires were filled by interviewing the parents of registered thalassemia major patients by the researchers. Data was analyzed and interpreted using the SPSS 25.0 version. </span><b><span style="font-family:Verdana;">Results: </span></b><span style="font-family:Verdana;">The total number of participants which were meeting the inclusion criteria was 237.</span></span></span></span><span><span><span style="font-family:""> </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">Study population with high income (above PK rupees 35</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">,</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">000) </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">is</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;"> demonstrated to be less severely affected than the low earning study group. 17% of the parents in the study admitted to hav</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">ing</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;"> negative impact of their child’s illness on their relationship while 40% of study participants reveal their child </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">is </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">ignored/marginalized by relatives. About 80% of participant</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">s</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;"> acknowledged feeling sad and depressed sometimes but only 25% of them take antidepressant medication.
文摘Cultural tourism in regional cities has grown rapidly in recent years. In order to be successful and sustainable, management of the local authorities is considered as an urgent need to investigate the views of the local community The purpose of this study was to investigate and interpret the residents＇ views of Trikala city, in Thessaly, for the benefits of cultural tourism and their attitude to the relevant bodies and local authorities. The empirical analysis is based on the use of cross section data, which were derived from a sample survey to 372 residents of the city. The empirical analysis shows that, generally, the benefits of cultural tourism are recognized, even if the region is at an early stage of development. The findings of logistic regression model show that the view that competent bodies ensure that the promotion of local culture and local heritage is determined by the abundance of events, festivals, and local museums in the city. From the proper utilization of architectural heritage attractions and local heritage, the knowledge of recent achievements concern cultural tourism and the appropriate infrastructure in the city.
