scholarly journals 774 Primary vs Deferred Ureteroscopies In Stone Management-Quality and Cost Evaluation

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
M Wani ◽  
W Hassan
Keyword(s):  
Operating Cost ◽  
Cost Evaluation ◽  
Index Admission ◽  
Income Loss ◽  
Cost Benefits ◽  
Ureteric Stenting ◽  
Management Quality ◽  
One Year ◽  
Hospital Days

Abstract Introduction To investigate quality and cost benefits of primary ureteroscopies (URS) compared to deferred URS after initial ureteric stenting in patients presenting with urolithiasis. Method This was one-year, retrospective study, carried out to evaluate quality and cost benefits of primary URS in comparison to deferred URS after initial stenting. 85 patients underwent emergency stenting while as 148 patients underwent elective URS (Including both primary as well as deferred URS). The quality assessment was based on patient factors -including number of procedures, days spent at hospital, days off work and expertise of person operating. Cost analysis included hospital stay expenses and income loss due to off work. Results Study revealed the average stay of patients who had a stent inserted on index admission was 2.54 days compared to 1.35 in patients who underwent primary URS during index admission. Overall, additional expenditure in patients who did not undergo primary URS was in the range of £ 1800 for hospital alone, excluding loss of work for patients, who needed to return for multiple procedures. Conclusions We conclude approach of primary URS and management of stone in index admission in stone management is very effective in both improving quality of patients as well as bringing down cost.

Psychosomatic Inpatient Treatment Achieves in the Medium Term Sustainable Clinical Improvement as well as a Reduction in Utilization of Medical Services-Results of a one-year follow-up

2017 ◽  
Vol 41 (S1) ◽  
pp. s784-s784
Author(s):  
J. Valdes-Stauber ◽  
S. Merath ◽  
S. Krämer
Keyword(s):  
Drop Out ◽  
Medical Services ◽  
Medium Term ◽  
Post Discharge ◽  
Doctor Visits ◽  
Drop Out Rate ◽  
One Year ◽  
Hospital Days

BackgroundThe research on sustainability of effectiveness of inpatient psychosomatic treatment is necessary for epidemiological and economic reasons as well as towards their legitimacy.Objectives and aimsTo investigate whether the achieved clinical improvement by the inpatient treatment continues one year after discharge and whether the utilization of medical services display a significant reduction post-discharge compared to the year before admission.MethodsNaturalistic 1 year follow-up study of a cohort (n = 122). Three measuring time points: T1 (discharge), T2 (6 months after discharge; drop-out rate about 33%), T3 (12 months after discharge; drop-out rate about 49%). Assessment by means of standardized tests of changes in clinical variables, self-efficacy, quality of life, and personality between discharge and one year after discharge. Utilization variables (hospital days, days of incapacity, medication and doctor visits) were compared with ranges in the year before admission.ResultsImprovements at discharge in general functionality, psychological and somatic stress, depressiveness, bitterness level, quality of life and self-efficacy remain one year after discharge sustainably. Furthermore, hospital days, days of incapacity, number of doctor visits and of prescribed drugs decreased significantly in comparison with the year prior to admission.ConclusionsInpatient psychotherapy is effective not only in short-term but also in medium-term. One year after discharge clinically improvement at discharge time-point remains stable and the utilization of medical services decreased significantly. Longer periods of observation, identification of risk groups and of resilient prognostic factors, as well as ensuring post-discharge care are necessary in order to prevent relapses and to made early interventions.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Analisis Benchmarking Terhadap Kinerja Perusahaan Kontraktor Di Dinas Pupr Kota Blitar

REVITALISASI ◽  
2020 ◽  
Vol 8 (1) ◽  
pp. 56
Author(s):  
Dessy Kusuma Wardani ◽  
Edy Swasono
Keyword(s):  
Consumer Satisfaction ◽  
Success Factors ◽  
Successful Implementation ◽  
Company Performance ◽  
Community Satisfaction ◽  
Construction Work ◽  
Acquisition Rate ◽  
One Year ◽  
Construction Product

This study aims to identify the dominant factors of the successful implementation of benchmarking on the performance of contracting companies and test the significance of the application of benchmarking on the performance of contracting companies. The research sample was saturated samples of 65 qualified contractor companies. The method and type of research used were correlational methods of multiple regression analysis using SPPS. The results of the study concluded that 1.Benchmarking significantly influences the performance of contracting companies in the Blitar City DPUPR; 1. The ranking of success factors for the Blitar City contractor companies in the process of implementing benchmarking (1) planning, (2) data collection, (3) acception and action and (4) analysis; 2.Benchmarking has proven to significantly improve company performance as measured by increasing (1) Corporate Finance (2) Company productivity, (3) DPUPR Consumer Satisfaction, (4) Community Satisfaction, (5) Quality of the company's construction technical personnel, (6) Satisfaction employee work, (7) Project acquisition rate in one year, (8) Effective completion of construction work, (9) Construction product quality.

Health-related quality of life one year after surgical treatment of the type I chronic aortic dissection

2019 ◽  
Vol 38 (1) ◽  
Author(s):  
Oksana Kamenskaya ◽  
Asya Klinkova ◽  
Irina Loginova ◽  
Alexander Chernyavskiy ◽  
Dmitry Sirota ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Surgical Treatment ◽  
Aortic Dissection ◽  
Type I ◽  
Health Related Quality ◽  
Chronic Aortic Dissection ◽  
Related Quality ◽  
Health Related ◽  
One Year

Pembuatan Pilot Project Pengolahan Air Limbah Industri Rambut Palsu dengan Sistem Lumpur Aktif

2016 ◽  
Vol 8 (15) ◽  
pp. 37-47
Author(s):  
Sri Moertinah ◽  
Misbachul Moenir
Keyword(s):  
Activated Sludge ◽  
Biological Treatment ◽  
Operating Cost ◽  
Pilot Project ◽  
Labor Costs ◽  
Industrial Waste Water ◽  
Microbial Adaptation ◽  
Central Java ◽  
Electricity Costs

This study aims to create a pilot project for wastewater treatment wig industry with biological activated sludge technology to applied in the industry. Design criteria for the pilot project are the influent COD ≤ 900 mg/l, MLSS = 3,000 mg/l, 30-hours residence time. DO ≥ 2 mg/l and flow 10 m3/day. Implementation of a pilot project initiated by seeding aerobic microbes and microbial adaptation to proceed with wastewater to be treated. The trial results showed that the pilot project % COD reduction ranged from 73.2% - 91% and the result is not much different from the results of laboratory-scale research about 89.7% and the quality  of the effluent is already fullfill the standard of industrial waste water wig required by the Central Java Provincial Regulation No. 5 of 2012. The calculation of operating cost of activated sludge biological treatment which includes labor costs, electricity costs, equipment maintenance costs, expenses and other nutrients obtained the price of  Rp. 2972/m3 or Rp. 742.99/wig.ABSTRAKPenelitian ini bertujuan untuk membuat pilot project pengolahan air limbah industri rambut palsu dengan sistem lumpur aktif yang diterapkan di industri. Kriteria desain pilot project tersebut adalah COD influen ≤ 900 mg/l, MLSS = 3.000 mg/l, waktu tinggal 30 jam DO≥2 mg/l  dan debit air limbah 10 m3/hari. Pelaksanaan pilot project dimulai dengan seeding mikroba aerob dan dilanjutkan dengan adaptasi mikroba dengan air limbah yang akan diolah. Hasil uji coba pilot project menunjukkan bahwa % penurunan COD berkisar antara 73,2% - 91% dan hasil ini tidak berbeda jauh dengan hasil penelitian skala laboratorium sekitar 89,7% dan kualitas air limbah hasil pengolahan sudah memenuhi baku mutu air limbah industri rambut palsu yang dipersyaratkan oleh Peraturan Daerah Provinsi Jawa Tengah No 5 tahun 2012. Dari hasil perhitungan biaya operasional pengolahan biologis lumpur aktif yang meliputi biaya tenaga kerja, biaya listrik, biaya perawatan peralatan, biaya nutrien dan lainnya diperoleh harga sebesar Rp. 2972/m3  atau Rp. 742,99/wig.   Kata kunci : air limbah industri rambut palsu, pilot project, sistem lumpur aktif

The Links between the Companies Market Price Quality and that of its Management and Business Quality: A System Panel Data Approach

GIS Business ◽  
2016 ◽  
Vol 11 (6) ◽  
pp. 28-38
Author(s):  
Dinis Daniel Santos ◽  
Elias Soukiazis
Keyword(s):  
Panel Data ◽  
Business Performance ◽  
Market Price ◽  
Equation System ◽  
Simultaneous Equation ◽  
System Equation ◽  
Simultaneous Equation System ◽  
Management Quality ◽  
The Relationship

This work uses a simultaneous equation system approach to analyze the relationship between the management and business quality of companies and their market price quality. Using panel data we found that both the management and the business quality of companies positively influence the market price quality of the studied American companies. Additionally, variables like the actual position of the company price quality compared to the industry average, being on the top or the bottom, or the beta value of a company, also influence the market price quality of the respective company. It is shown that the system equation approach is the most appropriate to explain the linkages between price, business, and management quality providing consistent estimates. Also, using ratings to express the three core variables in the system is the most adequate way to define the quality characteristics in terms of price, management, and business performance of the companies considered in this study.

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