Cost-Effective Management of Patients Following Myocardial Infarction: the Impact of Ischemia on Alternative Approaches

OBJECTIVE The misdiagnosis and inappropriate treatment of benign positional vertigo have resulted in significant costs to the medical system. In the current medical-economic climate, there is an increased emphasis on cost control. Recent studies have shown that the canalith repositioning procedure (CRP) is effective; the next step is to show the impact of CRP in cost-effective management of benign positional vertigo. METHODS Forty-six of 100 patients who underwent CRP for benign positional vertigo responded to a survey regarding the financial impact of their disease. They were asked to subjectively estimate the sum of all disease-related expenses. Objective substantiation of this number was estimated by tabulating physician data, laboratory data, and failed treatment costs. RESULTS The subjective figure totaled $2684.74 per individual. Summation of the tangible objective figures yielded $2009.63 per patient, corroborating the subjective figure. CONCLUSIONS Because CRP is a relatively simple procedure that can obviate many wasted expenses in most patients, we believe that it is very cost-effective and should be incorporated into routine practice.

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Citrus Greening: Management Strategies and Their Economic Impact

HortScience ◽

10.21273/hortsci14696-19 ◽

2020 ◽

Vol 55 (5) ◽

pp. 604-612

Author(s):

Sheng Li ◽

Feng Wu ◽

Yongping Duan ◽

Ariel Singerman ◽

Zhengfei Guan

Keyword(s):

Broad Spectrum ◽

Management Strategies ◽

Cost Effective ◽

Citrus Greening ◽

Effective Strategy ◽

Effective Management ◽

Yield And Quality ◽

Citrus Huanglongbing ◽

The Impact ◽

Citrus Disease

Citrus huanglongbing (HLB), or greening, is the most destructive citrus disease worldwide and is threatening the sustainability of the industry in major citrus-growing regions. Various treatments have been proposed in the literature to manage the disease. We review such literature and conduct an economic analysis based on the reported treatment effects on fruit yield and quality to identify cost-effective management strategies. Our results suggest that, among the treatments we reviewed, broad-spectrum insecticides provide the only cost-effective strategy for mitigating the impact of the disease. Our findings and discussion should help growers, policymakers, and other stakeholders make informed decisions in the search for effective, sustainable, and environmentally friendly treatments and policies against HLB.

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Cost-Effective Management of bEnign Positional Vertigo Using Canalith Repositioning

Otolaryngology ◽

10.1016/s0194-5998(00)70043-x ◽

2000 ◽

Vol 122 (3) ◽

pp. 334-339 ◽

Cited By ~ 23

Author(s):

John C. Li ◽

Celeste J. Li ◽

John Epley ◽

Lynn Weinberg

Keyword(s):

Simple Procedure ◽

Laboratory Data ◽

Cost Effective ◽

Routine Practice ◽

Effective Management ◽

Subjective Figure ◽

Positional Vertigo ◽

Inappropriate Treatment ◽

Economic Climate ◽

The Impact

OBJECTIVE: The misdiagnosis and inappropriate treatment of benign positional vertigo have resulted in significant costs to the medical system. In the current medical-economic climate, there is an increased emphasis on cost control. Recent studies have shown that the canalith repositioning procedure (CRP) is effective; the next step is to show the impact of CRP in cost-effective management of benign positional vertigo. METHODS: Forty-six of 100 patients who underwent CRP for benign positional vertigo responded to a survey regarding the financial impact of their disease. They were asked to subjectively estimate the sum of all disease-related expenses. Objective substantiation of this number was estimated by tabulating physician data, laboratory data, and failed treatment costs. RESULTS: The subjective figure totaled $2684.74 per individual. Summation of the tangible objective figures yielded $2009.63 per patient, corroborating the subjective figure. CONCLUSIONS: Because CRP is a relatively simple procedure that can obviate many wasted expenses in most patients, we believe that it is very cost-effective and should be incorporated into routine practice.

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One Year Survival Among Patients With Myocardial Infarction Complicated by Cardiogenic Shock Alive at 30 Days, and the Impact of Early Revascularization: Results From GUSTO-1

Journal of the American College of Cardiology ◽

10.1016/s0735-1097(97)84115-0 ◽

1998 ◽

Vol 31 (2) ◽

pp. 94A

Author(s):

P Berger

Keyword(s):

Myocardial Infarction ◽

Cardiogenic Shock ◽

Early Revascularization ◽

One Year ◽

The Impact

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Regulatory and sustainability initiatives lead to improved polyaminopolyamide epichlorohydrin (PAE) wet-strength resins and paper products

TAPPI Journal ◽

10.32964/tj17.09.519 ◽

2018 ◽

Vol 17 (09) ◽

pp. 519-532 ◽

Cited By ~ 1

Author(s):

Mark Crisp ◽

Richard Riehle

Keyword(s):

Health And Safety ◽

Cost Effective ◽

Worker Safety ◽

Regulatory Requirements ◽

Wet Strength ◽

The Past ◽

Consumer Safety ◽

Federal Institute ◽

Sustainability Initiatives ◽

The Impact

Polyaminopolyamide-epichlorohydrin (PAE) resins are the predominant commercial products used to manufacture wet-strengthened paper products for grades requiring wet-strength permanence. Since their development in the late 1950s, the first generation (G1) resins have proven to be one of the most cost-effective technologies available to provide wet strength to paper. Throughout the past three decades, regulatory directives and sustainability initiatives from various organizations have driven the development of cleaner and safer PAE resins and paper products. Early efforts in this area focused on improving worker safety and reducing the impact of PAE resins on the environment. These efforts led to the development of resins containing significantly reduced levels of 1,3-dichloro-2-propanol (1,3-DCP) and 3-monochloropropane-1,2-diol (3-MCPD), potentially carcinogenic byproducts formed during the manufacturing process of PAE resins. As the levels of these byproducts decreased, the environmental, health, and safety (EH&S) profile of PAE resins and paper products improved. Recent initiatives from major retailers are focusing on product ingredient transparency and quality, thus encouraging the development of safer product formulations while maintaining performance. PAE resin research over the past 20 years has been directed toward regulatory requirements to improve consumer safety and minimize exposure to potentially carcinogenic materials found in various paper products. One of the best known regulatory requirements is the recommendations of the German Federal Institute for Risk Assessment (BfR), which defines the levels of 1,3-DCP and 3-MCPD that can be extracted by water from various food contact grades of paper. These criteria led to the development of third generation (G3) products that contain very low levels of 1,3-DCP (typically <10 parts per million in the as-received/delivered resin). This paper outlines the PAE resin chemical contributors to adsorbable organic halogens and 3-MCPD in paper and provides recommendations for the use of each PAE resin product generation (G1, G1.5, G2, G2.5, and G3).

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What is the most cost-effective management strategy for foliage-feeding lepidopterans in Alabama soybeans?

10.1603/ice.2016.115141 ◽

2016 ◽

Author(s):

Tim Reed

Keyword(s):

Management Strategy ◽

Cost Effective ◽

Effective Management

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Exploring the Benefits of Early Contractor Involvement (ECI) and the Mechanism for Automated 5D BIM Quantification Process in Offsite Modular Construction

Modular and Offsite Construction (MOC) Summit Proceedings ◽

10.29173/mocs6 ◽

2016 ◽

Author(s):

Tochukwu Moses ◽

David Heesom ◽

David Oloke ◽

Martin Crouch

Keyword(s):

Effective Means ◽

Cost Effective ◽

Modular Construction ◽

Automated Quantification ◽

Building Information ◽

Project Risks ◽

Value Add ◽

The Uk ◽

The Impact ◽

Level 2

The UK Construction Industry through its Government Construction Strategy has recently been mandated to implement Level 2 Building Information Modelling (BIM) on public sector projects. This move, along with other initiatives is key to driving a requirement for 25% cost reduction (establishing the most cost-effective means) on. Other key deliverables within the strategy include reduction in overall project time, early contractor involvement, improved sustainability and enhanced product quality. Collaboration and integrated project delivery is central to the level 2 implementation strategy yet the key protocols or standards relative to cost within BIM processes is not well defined. As offsite construction becomes more prolific within the UK construction sector, this construction approach coupled with BIM, particularly 5D automated quantification process, and early contractor involvement provides significant opportunities for the sector to meet government targets. Early contractor involvement is supported by both the industry and the successive Governments as a credible means to avoid and manage project risks, encourage innovation and value add, making cost and project time predictable, and improving outcomes. The contractor is seen as an expert in construction and could be counter intuitive to exclude such valuable expertise from the pre-construction phase especially with the BIM intent of äóÖbuild it twiceäó», once virtually and once physically. In particular when offsite construction is used, the contractoräó»s construction expertise should be leveraged for the virtual build in BIM-designed projects to ensure a fully streamlined process. Building in a layer of automated costing through 5D BIM will bring about a more robust method of quantification and can help to deliver the 25% reduction in overall cost of a project. Using a literature review and a case study, this paper will look into the benefits of Early Contractor Involvement (ECI) and the impact of 5D BIM on the offsite construction process.

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IDENTIFICATION AND ASSESSMENT OF RISK FACTORS ROLE IN MYOCARDIAL INFARCTION DEVELOPMENT

Wiadomości Lekarskie ◽

10.36740/wlek201905111 ◽

2019 ◽

Vol 72 (5) ◽

pp. 779-783

Author(s):

Victor A. Ognev ◽

Anna A. Podpriadova ◽

Anna V. Lisova

Keyword(s):

Risk Factors ◽

Myocardial Infarction ◽

Cardiovascular Disease ◽

Cardiovascular System ◽

Control Group ◽

Biological Factors ◽

Prevention And Treatment ◽

High Level ◽

Social Importance ◽

The Impact

Introduction:The high level of morbidity and mortality from cardiovascular disease is largely due toinsufficient influence on the main risk factors that contribute to the development of myocardial infarction.Therefore, a detailed study and assessment of risk factors is among the most important problems of medical and social importance. The aim: To study and evaluate the impact of biological, social and hygienic, social and economic, psychological, natural and climatic risk factors on the development of myocardial infarction. Materials and methods: A sociological survey was conducted in 500 people aged 34 to 85. They were divided into two groups. The main group consisted of 310 patients with myocardial infarction. The control group consisted of 190 practically healthy people, identical by age, gender and other parameters, without diseases of the cardiovascular system. Results: It was defined that 30 factors have a significant impact on the development of myocardial infarction.Data analysis revealed that the leading risk factors for myocardial infarction were biological and socio-hygienic. The main biological factors were: hypertension and hypercholesterolemia. The man socio-hygienic factor was smoking. Conclusions: Identification of risk factors provides new opportunities for the development of more effective approaches for the prevention and treatment of myocardial infarction.

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