scholarly journals 1340 Is Displaying Mandated Information in Clinic Harming Patient and Society?

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
J Herron ◽  
P Alleway

Abstract Aim The CQC has mandated certain pieces of information are displayed in a clinic and the staff know where to find them. This is in addition to the mandatory training that staff members undergo with increasing repetition. The UK Armed Forces is no exception to this, in addition wall space is often used as opportunistic education for patients. Method We counted the number of posters that were displayed in a CQC good, rated clinic, worked out the average cost to produce, produced a questionnaire of staff and patients to see how many times people engaged with the information and the carbon footprint of compliance. We looked timed how long it took for someone new to the clinic to spot the lifesaving information. Results 140 items of literature took on average 65 minutes ±240 to produce, with an average of 9 pages per item ±190. Average cost was 10 pence per page when lamination was included, totalling £126. At 6000kg CO2/paper page and 1500kg CO2/laminate page, the total carbon footprint was 9,450,000 Kg CO2. Staff members engaged zero times with the literature and only one patient engaged. The time to spot the critical information in a clean room was 0.8 second, in a normal clinic room was 4.3 seconds. Conclusions Distractions can be detrimental in emergency situations and with human factors interplay this can cost people their lives. A 3.5 second delay may seem inconsequential but compounded could be devastating. The cost and Carbon footprint is extraordinary for little benefit.

2021 ◽  
Vol 4 (1) ◽  
pp. 42-49
Author(s):  
Anukram Sharma ◽  
Khem N Poudyal ◽  
Nawraj Bhattarai

Study of carbon footprint is an emerging field which provides statistical analysis about the contribution of an activity on global climate change. Every human activity in daily life is achieved at the expense of those substances which directly or indirectly contribute to global warming. In this era of global communication, humans are habitual to know about the ongoing changes in the world. Newspapers are one of the reliable sources for getting updated about the global information. Paper-based newspapers come at the cost of greenhouse gas emissions. So, this article based upon an analysis of carbon footprint of Nepal’s national daily newspaper provides evaluation of each of the following: carbon emission during the manufacturing of raw materials, carbon emission from fuel consumption during transportation of raw materials, carbon emissions during the printing of newspaper and carbon emission from the fuel consumption during the transportation of printed newspaper. During the study period of 2019 A.D., the result shows that the total carbon emission of Gorkhapatra newspaper was found to be 2308.5 kg CO2e per ton. The upshot of this study provides not only thorough information about carbon emissions but also builds a foundation for calculation of carbon emissions from paper used in various sectors.


Introduction 200 Hospital catering 202 Schools 206 Prisons 210 The Armed Forces 211 Regulation and monitoring 212 In the UK approx. £2 bill/y is spent on providing food and drink in public institutions to service users, staff and the general public. However the quality and safety of the food is equally as important as the cost. In 2006 the National Audit Office (...


2017 ◽  
Vol 242 ◽  
pp. R37-R50
Author(s):  
Stephen Clarke ◽  
Ilona Serwicka ◽  
L. Alan Winters

This paper considers two aspects of this question. First, Brexit has already induced a devaluation of sterling of around 14 per cent since June 2016, which has started to work through to consumer prices: between June 2016 and July 2017 consumer prices increased by around 2.5 per cent. Second, while it is not government policy, nor the desire of the UK public, that the outcome of negotiations is a ‘MFN Brexit’, this remains a distinct possibility. Thus we ask how the imposition of tariffs on imports from the EU will work through into consumer prices. Making very conservative assumptions, we conclude that ‘MFN Brexit’ will increase the average cost of living by around 1 per cent and increase it for 8 per cent of households by 2 per cent or more. We present results for different groups of households according to their employment and structural characteristics and show that the impact will generally be largest on unemployed, single parent and pensioner households.


2014 ◽  
Vol 222 (1) ◽  
pp. 37-48 ◽  
Author(s):  
Stephanie Romney ◽  
Nathaniel Israel ◽  
Danijela Zlatevski

The present study examines the effect of agency-level implementation variation on the cost-effectiveness of an evidence-based parent training program (Positive Parenting Program: “Triple P”). Staff from six community-based agencies participated in a five-day training to prepare them to deliver a 12-week Triple P parent training group to caregivers. Prior to the training, administrators and staff from four of the agencies completed a site readiness process intended to prepare them for the implementation demands of successfully delivering the group, while the other two agencies did not complete the process. Following the delivery of each agency’s first Triple P group, the graduation rate and average cost per class graduate were calculated. The average cost-per-graduate was over seven times higher for the two agencies that had not completed the readiness process than for the four completing agencies ($7,811 vs. $1,052). The contrast in costs was due to high participant attrition in the Triple P groups delivered by the two agencies that did not complete the readiness process. The odds of Triple P participants graduating were 12.2 times greater for those in groups run by sites that had completed the readiness process. This differential attrition was not accounted for by between-group differences in participant characteristics at pretest. While the natural design of this study limits the ability to empirically test all alternative explanations, these findings indicate a striking cost savings for sites completing the readiness process and support the thoughtful application of readiness procedures in the early stages of an implementation initiative.


2017 ◽  
Vol 2 (1) ◽  
pp. 59
Author(s):  
Nor Izana Mohd Shobri ◽  
Wan Noor Anira Hj Wan Ali ◽  
Norizan Mt Akhir ◽  
Siti Rasidah Md Sakip

The purpose of this study is to assess the carbon footprint emission at UiTM Perak, Seri Iskandar Campus. The assessment focuses on electrical power and transportation usage. Questionnaires were distributed to the staffs and students to survey their transportation usage in the year 2014 while for electrical consumption, the study used total energy consumed in the year 2014. Data was calculating with the formula by Green House Gas Protocol. Total carbon footprint produced by UiTM Perak, Seri Jskandar Campus in the year 2014 is 11842.09 MTC02' The result of the study is hoped to provide strategies for the university to reduce the carbon footprint emission.


The results revealed that on an overall average size of landholding was estimated to be 0.97 ha. The total cultivated area at all categories of sample farms were found to be irrigated. Overall average, cost of cultivation was estimated `27819.43 per ha. The cost of cultivation showed positive relation with size of holding. The cost of cultivation was highest on medium farms (`32549.25) followed by small (`31528.40 and marginal (`29171.74), respectively. Overall average, cost of production was estimated `2446.44 per hectare. On an average input-output ratio on the basis Costs A1/A2, B1, B2, C1, and C2 were recorded 1:2.86, 1:2.77, 1:1.91, 1:1.89 and 1:1.46, respectively. On the basis of Cost C2 input-output ratio was highest on marginal farms (1:1.47) followed by small (1:1.44) and medium (1:1.43), respectively. Overall average, net income and gross income were found `9859.33 and 40028.69 per ha, respectively.


Author(s):  
David Whetham

Between 2007 and 2011, Wootton Bassett, a small Wiltshire town in the UK, became the focus of national attention as its residents responded to the regular repatriations of dead soldiers through its High Street. The town’s response came to symbolize the way that broader attitudes developed and changed over that period. As such, it is a fascinating case study in civil–military relations in the twenty-first century. Success may be the same as victory, but victory, at least as it has been traditionally understood, is not a realistic goal in many types of contemporary conflict. Discretionary wars—conflicts in which national survival is not an issue and even vital national interests may not be at stake—pose particular challenges for any government which does not explain why the cost being paid in blood and treasure is ‘worth it’.


2021 ◽  
pp. 004051752110062
Author(s):  
Weiran Qian ◽  
Xiang Ji ◽  
Pinghua Xu ◽  
Laili Wang

Recycled polyester textile fibers stemming from waste polyester material have been applied in the textile industry in recent years. However, there are few studies focusing on the evaluation and comparison of the environmental impacts caused by the production of virgin polyester textiles and recycled polyester textiles. In this study, the carbon footprint and water footprint of virgin polyester textiles and recycled polyester textiles were calculated and compared. The results showed that the carbon footprint of the virgin polyester textiles production was 119.59 kgCO2/100 kg. Terephthalic acid production process occupied the largest proportion, accounting for 45.83%, followed by polyester fabric production process, ethylene production process, paraxylene production process, ethylene glycol production process and polyester fiber production process. The total carbon footprint of waste polyester recycling was 1154.15 kgCO2/100 kg, approximately ten times that of virgin polyester textiles production. As for the water footprint, it showed that virgin polyester fabric production and recycled polyester fabric production both had great impact on water eutrophication and water scarcity. Chemical oxygen demand caused the largest water eutrophication footprint, followed by ammonia-nitrogen and five-day biochemical oxygen demand. The water scarcity footprint of virgin polyester fabric production and recycled polyester fabric production was 5.98 m3 H2Oeq/100 kg and 1.90 m3 H2Oeq/100 kg, respectively. The comprehensive evaluation of carbon footprint and water footprint with the life cycle assessment polygon method indicated that the polyester fabric production process exhibited greater environmental impacts both for virgin polyester and recycled polyester.


2021 ◽  
pp. 019459982110268
Author(s):  
Joseph R. Acevedo ◽  
Ashley C. Hsu ◽  
Jeffrey C. Yu ◽  
Dale H. Rice ◽  
Daniel I. Kwon ◽  
...  

Objective To compare the cost-effectiveness of sialendoscopy with gland excision for the management of submandibular gland sialolithiasis. Study Design Cost-effectiveness analysis. Setting Outpatient surgery centers. Methods A Markov decision model compared the cost-effectiveness of sialendoscopy versus gland excision for managing submandibular gland sialolithiasis. Surgical outcome probabilities were found in the primary literature. The quality of life of patients was represented by health utilities, and costs were estimated from a third-party payer’s perspective. The effectiveness of each intervention was measured in quality-adjusted life-years (QALYs). The incremental costs and effectiveness of each intervention were compared, and a willingness-to-pay ratio of $150,000 per QALY was considered cost-effective. One-way, multivariate, and probabilistic sensitivity analyses were performed to challenge model conclusions. Results Over 10 years, sialendoscopy yielded 9.00 QALYs at an average cost of $8306, while gland excision produced 8.94 QALYs at an average cost of $6103. The ICER for sialendoscopy was $36,717 per QALY gained, making sialendoscopy cost-effective by our best estimates. The model was sensitive to the probability of success and the cost of sialendoscopy. Sialendoscopy must meet a probability-of-success threshold of 0.61 (61%) and cost ≤$11,996 to remain cost-effective. A Monte Carlo simulation revealed sialendoscopy to be cost-effective 60% of the time. Conclusion Sialendoscopy appears to be a cost-effective management strategy for sialolithiasis of the submandibular gland when certain thresholds are maintained. Further studies elucidating the clinical factors that determine successful sialendoscopy may be aided by these thresholds as well as future comparisons of novel technology.


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