The Impact of Imaging Modalities on Patient Management: Quantitative Assessment Using Decision Analysis

1992 ◽  
pp. 591-596
Author(s):  
C. F. Hess ◽  
H. Schmidberger ◽  
M. Bamberg
Keyword(s):  
Decision Analysis ◽  
Quantitative Assessment ◽  
Patient Management ◽  
Imaging Modalities ◽  
The Impact

Working conditions and the formation of health risks among workers of the petrochemical industry engaged in the production of methanol and its derivatives

2019 ◽  
pp. 266-271
Author(s):  
Nina M. Meshchakova ◽  
Marina P. Dyakovich ◽  
Salim F. Shayakhmetov
Keyword(s):  
Working Conditions ◽  
Health Risks ◽  
Quantitative Assessment ◽  
Circulatory System ◽  
Medical Examination ◽  
Physical Factors ◽  
Labor Intensity ◽  
Industrial Noise ◽  
Harmful Substances ◽  
The Impact

Introduction.Methanol and its derivatives occupy one of the leading places among the main organic synthesis intermediates in terms of their importance and scale of production. According to experts, by 2027 the global demand for methanol can reach 135 million tons, the annual growth will be about 5.5%. However, there is little information regarding the assessment of working conditions and occupational risks for workers in modern methanol production and its derivatives.The aim of the studyis hygienic assessment of working conditions and the formation of health risks in workers of modern production of methanol and methylamines.Materials and methods.The assessment of the main adverse factors of production is given. When studying the state of health, objective indicators (the results of an in-depth medical examination) and subjective (the results of a quantitative assessment of the risks of the main pathological syndromes associated with health) are considered.Results.According to long-term observations, the concentration of harmful substances in the air of the working area, indicators of labor severity, parameters of physical factors met hygienic requirements, with the exception of industrial noise exceeding the maximum permissible level, as well as labor intensity of 1 degree. The General assessment of working conditions corresponds to the category of harmful 2 degrees (3.2). According to the results of the medical examination and quantitative assessment of the risks of health disorders in workers, the most significant were functional disorders and diseases of the circulatory system. The levels of somatic pathology on the part of the main body systems were significantly higher in apparatchiks compared to the engineering and technical personnel (ETP).Conclusions:In the production of methyl alcohol and methylamines, the main hygienic importance is the impact on workers of the complex of harmful substances of 1-IV hazard classes in low concentrations, increased levels of industrial noise, labor intensity of 1 degree. According to the subjective assessment of health and medical examination, the greatest prevalence of health risks in workers was observed from the circulatory system, and the levels of the revealed somatic pathology were statistically significantly higher in apparatchiks compared with the ETP.

scholarly journals Modeling the Impact of Delaying Bariatric Surgery due to COVID-19: a Decision Analysis

2020 ◽  
Author(s):  
Maren E. Shipe ◽  
Alicia Beeghly-Fadiel ◽  
Stephen A. Deppen ◽  
Wayne English ◽  
Eric L. Grogan
Keyword(s):  
Bariatric Surgery ◽  
Decision Analysis ◽  
The Impact

scholarly journals Impact of Coronary CT angiography in combination with CAD-RADS on the management of coronary artery disease patients

2021 ◽  
Vol 22 (Supplement_1) ◽  
Author(s):  
F Andre ◽  
S Seitz ◽  
P Fortner ◽  
R Sokiranski ◽  
F Gueckel ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Risk Stratification ◽  
Coronary Ct Angiography ◽  
Patient Management ◽  
Male Gender ◽  
Coronary Ct ◽  
History Of ◽  
Artery Disease ◽  
The Impact

Abstract Funding Acknowledgements Type of funding sources: Private company. Main funding source(s): Siemens Healthineers Introduction Coronary CT angiography (CCTA) plays an increasing role in the detection and risk stratification of patients with coronary artery disease (CAD). The Coronary Artery Disease – Reporting and Data System (CAD-RADS) allows for standardized classification of CCTA results and, thus, may improve patient management. Purpose Aim of this study was to assess the impact of CCTA in combination with CAD-RADS on patient management and to identify the impact of cardiovascular risk factors (CVRF) on CAD severity. Methods CCTA was performed on a third-generation dual-source CT scanner in patients, who were referred to a radiology centre by their attending physicians. In a total of 4801 patients, CVRF were derived from medical reports and anamnesis. Results The study population consisted of 4770 patients (62.0 (54.0-69.0) years, 2841 males) with CAD (CAD-RADS 1-5), while 31 patients showed no CAD and were excluded from further analyses. Age, male gender and the number of CVRF were associated with more severe CAD stages (all p < 0.001). 3040 patients (63.7 %) showed minimal or mild CAD requiring optimization of CVRF i.e. medical therapy but no further assessment at his time. A group of 266 patients (5.6 %) had a severe CAD defined as CAD-RADS 4B/5. In the multivariate regression analysis, age, male gender, history of smoking, diabetes mellitus and hyperlipidaemia were significant predictors for severe CAD, whereas arterial hypertension and family history of CAD did not reach significance. Of note, a subgroup of 28 patients (10.5 %) with a severe CAD (68.5 (65.5-70.0) years, 26 males, both p = n.s.) had no CVRF. Conclusions CCTA in combination with the CAD-RADS allowed for effective risk stratification of CAD patients. The majority of the patients showed non-obstructive CAD and, thus, could be treated conservatively without the need for further CAD assessment. CVRF out of arterial hypertension and family history had an impact on CAD severity reflected in higher CAD-RADs gradings. Of note, a relevant fraction of patients with CAD did not have any CVRF and, thus, may not be covered by risk stratification models. CAD-RADS n Age (years) Males (%) 1 1453 56.0 (50.0-62.0) 623 (42.9 %) 2 1587 62.0 (55.0-69.0) 918 (57.8 %) 3 1067 66.0 (59.0-71.0) 749 (70.2 %) 4A 397 66.0 (59.0-72.0) 317 (79.8 %) 4B 162 67.0 (61.0-74.0) 139 (85.8 %) 5 104 66.0 (58.5.0-77.0) 95 (91.3 %)

scholarly journals New Zealand community mental healthcare provider experience in schizophrenia management with 3-monthly paliperidone palmitate

2020 ◽  
pp. 103985622092886
Author(s):  
Cathal Cassidy ◽  
Wayne Miles
Keyword(s):  
New Zealand ◽  
Relapse Prevention ◽  
Patient Management ◽  
Treatment Effectiveness ◽  
Mental Healthcare ◽  
Paliperidone Palmitate ◽  
Online Questionnaire ◽  
Provider Experience ◽  
Management Changes ◽  
The Impact

Objectives: To understand the impact of 3-monthly treatment with paliperidone palmitate on patient management, including non-adherence and relapse, from a psychiatrist and nurse perspective for 73 patients enrolled in a patient familiarisation programme (PFP) in New Zealand. Methods: An online questionnaire was sent to clinicians with at least 6 months of regular interaction with PFP patients. Questions addressed treatment effectiveness and patient management changes. Analyses are descriptive only and do not represent patient or carer perspectives. Results: Seven psychiatrists, representing 58 of 73 (79.5%) of patients, and 17 nurses responded to the survey. Psychiatrists were satisfied with efficacy and tolerability and relapse prevention. Treatment goals were either ‘met’ (2/7; 28.6%) or ‘exceeded’ (5/7; 71.4%). The focus on adherence issues decreased and the focus on life areas and recovery goals increased. Conclusions: From the clinician perspective, 3-monthly paliperidone palmitate offers patients the potential to remain adherent and improve social functioning.

661: The impact of cervical screening on preterm birth: a decision analysis

2016 ◽  
Vol 214 (1) ◽  
pp. S351
Author(s):  
Ben Mol ◽  
Esmé Kamphuis ◽  
Steffi Naber ◽  
Dik Habbema ◽  
Chris De Groot
Keyword(s):  
Preterm Birth ◽  
Decision Analysis ◽  
Cervical Screening ◽  
The Impact

scholarly journals Regional assessment of climate risks using GIS technologies (on the example of the Belgorod Region)

2020 ◽  
Vol 26 (1) ◽  
pp. 271-278
Author(s):  
Yuri Chendev ◽  
Maria Lebedeva ◽  
Olga Krymskaya ◽  
Maria Petina
Keyword(s):  
Climate Change ◽  
Quantitative Assessment ◽  
Weather Conditions ◽  
Climatic Conditions ◽  
Winter Period ◽  
Adaptation Measures ◽  
Climate Services ◽  
Climate Risks ◽  
Weather And Climate ◽  
The Impact

The ongoing climate change requires a quantitative assessment of the impact of weather conditions on the nature and livelihoods of the population. However, to date, the concept of “climate risk” has not been finally defined, and the corresponding terminology is not universally recognized. One manifestation of climate change is an increase in climate variability and extremeness in many regions. At the same time, modern statistics indicate growing worldwide damage from dangerous weather and climate events. The most widely used in climate services is the concept of “Vulnerability index”, which reflects a combination (with or without weighing) of several indicators that indicate the potential damage that climate change can cause to a particular sector of the economy. development of adaptation measures to ensure sustainable development of territories. The main criterion for the vulnerability of the territory from the point of view of meteorological parameters is the extremeness of the basic values: daily air temperature, daily precipitation, maximum wind speed. To fully take into account the possible impacts of extreme climatic conditions on the region’s economy, it is necessary to detail the weather and climate risks taking into account the entire observation network, since significant differences in quantitative assessment are possible. The obtained average regional values of the climate vulnerability indices for the Belgorod Region of the Russian Federation provide 150 points for the winter period, 330 points for the summer season, which indicates the prevalence of extreme weather conditions in the warm season. Most of the territory has a relative influence on climatic phenomena, with the exception of the East and the Southeast Region. Moreover, the eastern part of the region is the most vulnerable in climatic terms.

scholarly journals Development of scientific and methodological approach to quantitative and qualitative assessment of intellectual property management in industrial enterprises

2021 ◽  
Vol 2 (13 (110)) ◽  
pp. 28-41
Author(s):  
Diana Raiko ◽  
Viktoriia Cherepanova ◽  
Ihor Sylka ◽  
Olha Podrez ◽  
Irina Fedorenko
Keyword(s):  
Intellectual Property ◽  
Quantitative Assessment ◽  
Methodological Approach ◽  
Market Value ◽  
Qualitative Assessment ◽  
Property Management ◽  
Industrial Enterprises ◽  
Intellectual Property Management ◽  
Intellectual Potential ◽  
The Impact

The competitiveness, market value and income of an enterprise depend on the level of intellectual property management. Therefore, the aim of research is to develop, substantiate and test a scientific and methodological approach to a quantitative and qualitative assessment of the management of intellectual property of industrial enterprises.  The originality of the proposed approach is that on the basis of the concept of "management of intellectual property" a procedure for current management has been developed, the main stage of which is a quantitative and qualitative assessment. The assessment is based on the structural and logical model, which is built according to two criteria. The criteria make it possible to determine the current state of the use of intellectual property (intangible assets) – a quantitative assessment, and the prospect of further use (intellectual potential) – a qualitative assessment. A quantitative assessment involves the calculation of indicators characterizing the state of assets, the dynamics of the impact on the market value of the enterprise, the profitability of production, which is proposed to be determined through the net cash flow from operating activities. A qualitative assessment is carried out in terms of components (information and investment, organizational and legal, economic, personnel and motivation), tools and relative indicators that characterize the intellectual potential of an industrial enterprise. The assessment is carried out using a general integral indicator, which is of practical importance, since it shows the existing level of intellectual property management and directions for improvement in the future. The approbation of the scientific and methodological approach was carried out on the example of three Ukrainian coke-chemical enterprises (CJSC Avdeevka Coke Plant, CJSC Zaporozhkoks, CJSC Yuzhkoks) of the American association SUNCOKE ENERGY, INC and the Polish association J.S.W. S.A. Group. Empirical studies for the period from 2015 to 2019 made it possible to build a scale for assessing the level of intellectual property management according to the Harrington function

Reducing the number of unnecessary laboratory tests within hospital through the use of educational interventions

2021 ◽  
pp. 000456322110406
Author(s):  
Michael Thurm ◽  
Helen Craggs ◽  
Merlin Watts ◽  
Anthony Brooks
Keyword(s):  
Cohort Study ◽  
Cost Saving ◽  
General Hospital ◽  
Laboratory Tests ◽  
Patient Management ◽  
District General Hospital ◽  
Educational Interventions ◽  
Blood Tests ◽  
Medical Teams ◽  
The Impact

Background The growing number of laboratory investigation requests is placing an increased burden upon NHS resources. Around a quarter of all tests are unnecessary repeats, and almost a third have no impact on patient management. Doctors recognise that tests should only be performed when clinically indicated, but a culture persists of undertaking unnecessary repeat investigations. Methods A cohort study was undertaken at a district general hospital to observe the impact of introducing educational interventions in the form of a poster and a series of educational lectures, encouraging clinicians to consider whether an investigation was clinically indicated. Data was collected from nine different sites across the hospital run by different medical teams regarding the number of tests undertaken and the impact on patient care. Results Data from over 13,000 tests and over 2000 patients was analysed from nine different sites across the hospital. There was a significant reduction (33%, p = 0.0001) in the number of blood tests performed. This reduction in testing saved £7006 over the course of 1 month, in addition to other benefits. There was a reduction in testing in eight out of the nine sites in which the study was undertaken, demonstrating good generalisability of results. There was no significant increase in length of admission or mortality. Conclusion Educational interventions to doctors have a significant and safe impact in reducing the number of unnecessary investigations, providing cost saving benefits to the NHS.

Sign in / Sign up

Export Citation Format

Share Document