The financial benefits of improved street lighting, based on crime reduction

2001 ◽  
Vol 33 (1) ◽  
pp. 3-10 ◽  
Author(s):  
Kate A Painter ◽  
David P Farrington
Keyword(s):  
Cost Effective ◽  
Control Area ◽  
Crime Reduction ◽  
Research Projects ◽  
Street Lighting ◽  
Financial Costs ◽  
Experimental Area ◽  
Financial Benefits ◽  
One Year

Two research projects were carried out to investigate the effects of improved street lighting on crime in Dudley and Stoke-on-Trent. In Dudley, crimes decreased by 41% in the experimental area, compared with a 15% decrease in a control area. In Stoke, crimes decreased by 43% in the experimental area and by 45% in two adjacent areas, compared with a decrease of only 2% in two control areas. In the two projects, the financial savings (from reduced crimes) exceeded the financial costs by between 2.4 and 10 times after one year. It is concluded that improved street lighting can be extremely cost-effective.

scholarly journals Determining the financial costs and benefits of conservation actions: a framework to support decision making

2021 ◽  
Author(s):  
Thomas White ◽  
Silviu Octavian Petrovan ◽  
Hollie Booth ◽  
Roberto J Correa ◽  
Yasmine Gatt ◽  
...  
Keyword(s):  
Decision Making ◽  
Cost Effectiveness ◽  
Cost Effective ◽  
Healthcare Sector ◽  
Costs And Benefits ◽  
Conservation Action ◽  
Financial Costs ◽  
Financial Benefits ◽  
Conservation Actions ◽  
Substantial Progress

The need for conservation action to be cost-effective is widely accepted and this has prompted an increased interest and effort to assess effectiveness. Assessing financial costs of conservation is equally important, yet its measurement and assessment are repeatedly identified as lacking. The healthcare sector however, has made substantial progress in identifying and including costs in decision-making. Here, we consider what conservation can learn from this experience. We present a three-step framework for identifying and recording the relevant financial costs and benefits of conservation interventions where the user 1) describes the costing context, 2) determines which types of cost and benefit to include and 3) obtains values for these costs and benefits alongside metadata necessary for others to interpret the data. This framework is designed to help estimate economic costs, but can also be used flexibly to record direct costs of interventions (i.e. accounting costs), calculate financial benefits, and calculate cost effectiveness. Although recording cost data can be deceptively complex, this framework facilitates the improved recording of financial costs and benefits, and shows how this could enhance the assessment of cost-effectiveness across a broad range of conservation contexts.

Sonographically guided, transcatheter foam sclerotherapy of the great saphenous vein

Phlebologie ◽  
2007 ◽  
Vol 36 (06) ◽  
pp. 309-312 ◽  
Author(s):  
T. Schulz ◽  
M. Jünger ◽  
M. Hahn
Keyword(s):  
Saphenous Vein ◽  
Great Saphenous Vein ◽  
Clinical Stage ◽  
Clinical Signs ◽  
Cost Effective ◽  
Duplex Sonography ◽  
Foam Sclerotherapy ◽  
Average Loss ◽  
One Year ◽  
The Cost

Summary Objective: The goal of the study was to assess the effectiveness and patient tolerability of single-session, sonographically guided, transcatheter foam sclerotherapy and to evaluate its economic impact. Patients, methods: We treated 20 patients with a total of 22 varicoses of the great saphenous vein (GSV) in Hach stage III-IV, clinical stage C2-C5 and a mean GSV diameter of 9 mm (range: 7 to 13 mm). We used 10 ml 3% Aethoxysklerol®. Additional varicoses of the auxiliary veins of the GSV were sclerosed immediately afterwards. Results: The occlusion rate in the treated GSVs was 100% one week after therapy as demonstrated with duplex sonography. The cost of the procedure was 207.91 E including follow-up visit, with an average loss of working time of 0.6 days. After one year one patient showed clinical signs of recurrent varicosis in the GSV; duplex sonography showed reflux in the region of the saphenofemoral junction in a total of seven patients (32% of the treated GSVs). Conclusion: Transcatheter foam sclerotherapy of the GSV is a cost-effective, safe method of treating varicoses of GSV and broadens the spectrum of therapeutic options. Relapses can be re-treated inexpensively with sclerotherapy.

Cost Avoidance and Clinical Benefits Derived from a Pharmacy-Managed Anemia Program

2000 ◽  
Vol 35 (2) ◽  
pp. 169-175 ◽  
Author(s):  
Robert A. Quercia ◽  
Ronald Abrahams ◽  
C. Michael White ◽  
John D'Avella ◽  
Mary Campbell
Keyword(s):  
Cost Savings ◽  
Cost Effective ◽  
Hemodialysis Patients ◽  
Cost Avoidance ◽  
Number Of Patients ◽  
Epoetin Alpha ◽  
Clinical Benefits ◽  
Unit Dose ◽  
One Year ◽  
Alpha Therapy

A pharmacy-managed anemia program included distribution and clinical components, with the goal of making epoetin alpha therapy for hemodialysis patients more cost-effective. The Pharmacy Department prepared epoetin alpha doses for patients in unit-dose syringes, utilizing and documenting vial overfill. Pharmacists dosed epoetin alpha and iron (oral and intravenous) per protocol for new and established patients. Baseline data were obtained in 1994, one year prior to implementation of the program, and were re-evaluated in 1995 and 1998. Cost avoidance from utilization of epoetin alpha vial overfill in 1995 and 1998 was $83,560 and $91,148 respectively. In 1995 and 1998, cost avoidance from pharmacy management of anemia was $191,159 and $203,985 respectively. The total cost avoidance from 1995 through 1998 was estimated at $1,018,638. The number of patients with hematocrits under 31% decreased from 32% in 1994 to 21% and 14% in 1995 and 1998 respectively. We conclude that a pharmacy-managed anemia program for hemodialysis patients results in significant cost savings and better achievement of target hematocrits.

Magnetic properties of PM in indoor/outdoor domestic environments 

2021 ◽  
Author(s):  
Aruã Da Silva Leite ◽  
Melina Macouin ◽  
Sonia Rousse ◽  
Jean-François Leon ◽  
Loïc Drigo ◽  
...  
Keyword(s):  
Iron Oxides ◽  
Cost Effective ◽  
Tree Bark ◽  
Indoor Environments ◽  
Magnetic Mineralogy ◽  
Magnetic Methods ◽  
Tree Barks ◽  
Domestic Environments ◽  
One Year ◽  
The City

<p>The finer fraction of the particulate matter (PM) is the most harmful health wise, as it has more capacity to reach deeper parts of the respiratory system. Among other constituents, PM also contains iron oxides, allowing for the use of magnetic methods in its investigation as proxies for the whole of PM. Those methods present advantages in comparison to traditional ones, being quick, cost effective and sensible to investigate iron oxides among PM. </p><p>To better understand the risks related to PM exposition in the domestic context, the assessment of magnetic parameters may be used in outdoor and indoor environments, giving us information on the concentration of iron oxides (and consequently, PM) and its dispersion from one environment to the other. </p><p>We developed a citizen sciences experiment in the city of Toulouse, France. Tree barks were used as bio-collectors. Garlands composed of tree bark pieces were distributed to the population in May-2019, and placed in both indoors and outdoors of flats and homes to capture PM. They were retrieved after one year. Measurement of magnetic susceptibility, ARM, SIRM, S -ratio and estimation of superparamagnetic concentration were performed. A total of 86 bio-collectors kits were successfully analyzed. The preliminary results indicate a higher concentration of iron oxides outdoors, with a mean difference between outdoor and indoor measurements of 6.58x10<sup>-9</sup>m<sup>3</sup>/kg and 1.38x10<sup>-5</sup>Am<sup>2</sup>/kg in susceptibility and SIRM respectively. The concentration of the SP fraction also follows this trend of higher outdoor values. The magnetic mineralogy is mostly dominated by low coercivity magnetite-like carriers.</p><div> <div> <div> </div> </div> <div> <div> </div> </div> </div>

scholarly journals A one-year cost–utility analysis of REBOA versus RTACC for non-compressible torso haemorrhage

Trauma ◽  
2017 ◽  
Vol 21 (1) ◽  
pp. 45-54 ◽  
Author(s):  
Maxwell S Renna ◽  
Cristiano van Zeller ◽  
Farah Abu-Hijleh ◽  
Cherlyn Tong ◽  
Jasmine Gambini ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Cost Effective ◽  
Quality Adjusted Life Year ◽  
Cost Utility ◽  
Incremental Cost Effectiveness Ratio ◽  
Cost Utility Analysis ◽  
Utility Analysis ◽  
Cost Effectiveness Ratio ◽  
One Year ◽  
Quality Adjusted Life

Introduction Major trauma is a leading cause of death and disability in young adults, especially from massive non-compressible torso haemorrhage. The standard technique to control distal haemorrhage and maximise central perfusion is resuscitative thoracotomy with aortic cross-clamping (RTACC). More recently, the minimally invasive technique of resuscitative endovascular balloon occlusion of the aorta (REBOA) has been developed to similarly limit distal haemorrhage without the morbidity of thoracotomy; cost–utility studies on this intervention, however, are still lacking. The aim of this study was to perform a one-year cost–utility analysis of REBOA as an intervention for patients with major traumatic non-compressible abdominal haemorrhage, compared to RTACC within the U.K.’s National Health Service. Methods A retrospective analysis of the outcomes following REBOA and RTACC was conducted based on the published literature of survival and complication rates after intervention. Utility was obtained from studies that used the EQ-5D index and from self-conducted surveys. Costs were calculated using 2016/2017 National Health Service tariff data and supplemented from further literature. A cost–utility analysis was then conducted. Results A total of 12 studies for REBOA and 20 studies for RTACC were included. The mean injury severity scores for RTACC and REBOA were 34 and 39, and mean probability of death was 9.7 and 54%, respectively. The incremental cost-effectiveness ratio of REBOA when compared to RTACC was £44,617.44 per quality-adjusted life year. The incremental cost-effectiveness ratio, by exceeding the National Institute for Health and Clinical Effectiveness’s willingness-to-pay threshold of £30,000/quality-adjusted life year, suggests that this intervention is not cost-effective in comparison to RTACC. However, REBOA yielded a 157% improvement in utility with a comparatively small cost increase of 31.5%. Conclusion Although REBOA has not been found to be cost-effective when compared to RTACC, ultimately, clinical experience and expertise should be the main factor in driving the decision over which intervention to prioritise in the emergency context.

scholarly journals Can anthropic fires affect epigaeic and hypogaeic Cerrado ant (Hymenoptera: Formicidae) communities in the same way?

2016 ◽  
Vol 64 (1) ◽  
pp. 95 ◽  
Author(s):  
Ernesto Oliveira Canedo-Júnior ◽  
Rafael Gonçalves Cuissi ◽  
Nelson Henrique De Almeida Curi ◽  
Guilherme Ramos Demetrio ◽  
Chaim José Lasmar ◽  
...  
Keyword(s):  
Species Richness ◽  
Species Composition ◽  
Recovery Time ◽  
Fire Effects ◽  
Control Area ◽  
Control Group ◽  
Ant Communities ◽  
Fire Event ◽  
Biological Communities ◽  
One Year

Fire occurrences are a common perturbation in Cerrado ecosystems, and may differently impact the local biodiversity. Arthropods are one of the taxa affected by fires, and among them, ants are known as good bioindicators. We aimed to evaluate the effect of anthropic fires on epigaeic and hypogaeic ant communities (species richness and composition) in Cerrado areas with different post-fire event recovery periods. We conducted the study in four Cerrado areas during two weeks of 2012 dry season: one unburned and three at different post-fire times (one month, one and two years). We sampled ants with pitfall traps in epigaeic and hypogaeic microhabitats. We collected 71 ant morpho-species from 25 genera. In the epigaeic microhabitat we sampled 56 morpho-species and 42 in the hypogaeic microhabitat. The area with the shortest recovery time presented lower epigaeic ant species richness (4.3 ± 2.00) in comparison to the other areas (8.1 ± 2.68 species on one year area; 10.3 ± 2.66 species on two years area; 10.4 ± 2.31 species on control area), but recovery time did not affect hypogaeic ant species richness. Regarding ant species composition, fire did not directly affect hypogaeic ant species, which remained the same even one month after fire event. However, two years were not enough to reestablish ant species composition in both microhabitats in relation to our control group samples. Our study is the first to assess anthropic fire effects upon epigaeic and hypogaeic ants communities; highlighting the importance of evaluating different microhabitats, to more accurately detect the effects of anthropic disturbances in biological communities. We concluded that ant communities are just partially affected by fire occurrences, and epigaeic assemblages are the most affected ones in comparison to hypogaeic ants. Furthermore the study provides knowledge to aid in the creation of vegetation management programs that allow Cerrado conservation.

scholarly journals Community-based Oral Health Education Program in a Rural Population of Haryana: A 25 years Experience

2015 ◽  
Vol 49 (3) ◽  
pp. 101-104
Author(s):  
Amrit Tewari ◽  
Utkal Mohanty ◽  
Ashima Goyal
Keyword(s):  
Health Promotion ◽  
Oral Health ◽  
Health Education ◽  
Education Program ◽  
Control Area ◽  
Health Education Program ◽  
Oral Health Promotion ◽  
Community Based ◽  
Oral Health Education ◽  
Experimental Area

ABSTRACT Background An Indian Council of medical Research (ICMR) task force project was started in 1985 covering a population of 120,000 of Raipur Rani block of Haryana to study the feasibility of implementation of oral health promotion and prevention in the community and in the schools by utilizing existing manpower at different sectors. Objectives (i) To evaluate the long-term role of healthcare workers in imparting primary preventive strategies of oral health to adult community (ii) To study the knowledge, attitude and practice of the community regarding oral health. Methodology A total of 600 households (300 in experimental block and 300 in control block) were included by stratified random sampling method depending on the distance from Community Health centre of Raipur Rani to assess KAP and Caries activity among the population. Results The use of toothbrush as an oral hygiene method is being practiced by 96.6% of population in the experimental area compared to 84% in the control population where no oral health promotion activity was carried out. A great variation was seen in the frequency of its usage; 56% of the population in experimental area brushes twice per day compared to 7% of control area. According to the present data, 80% of the population in the experimental area is aware about the etiology, progress and consequences of gum diseases due to continuous oral health education delivered by the trained health staff during their routine beat program. In the control area where no oral health program was implemented, this knowledge was seen in 22 to 35% of the population. Conclusion In a developing country like India there is a pressing need of community-based oral health programs to reduce the burden of oral diseases, improve quality of life and reduce out of pocket expenditure incurring toward treatment of these diseases. How to cite this article Goyal A, Gauba K, Mohanty U, Tewari A. Community-based Oral Health Education Program in a Rural Population of Haryana: A 25 years Experience. J Postgrad Med Edu Res 2015;49(3):101-104.

scholarly journals Retos y análisis de un programa municipal de prescripción de ejercicio físico para la salud: El programa VIU-ACTIU (Challenges and analysis of a local program of exercise prescription for health: The VIU-ACTIU program)

Retos ◽  
2020 ◽  
Author(s):  
Pablo Monteagudo Chiner ◽  
José Luís Herreros ◽  
Jesús Beltrán ◽  
Ana Cordellat Marzal ◽  
Ainoa Roldán Aliaga ◽  
...  
Keyword(s):  
Physical Exercise ◽  
Interdisciplinary Collaboration ◽  
Cost Effective ◽  
Drop Out ◽  
Promotion Strategy ◽  
Calidad De Vida ◽  
Health Promotion Strategy ◽  
Local Program ◽  
Sufficient Intensity ◽  
One Year

La política municipal debe atender a las necesidades de ejercicio físico de sus ciudadanos, con una oferta coste-efectiva y adecuada para todos. VIU-ACTIU es una estrategia integral de promoción de salud que se articula en torno a dos líneas de actuación municipal: a) asesoramiento y prescripción de ejercicio físico individualizado, supervisado por graduados en ciencias de la actividad física y el deporte en coordinación multidisciplinar con profesionales sanitarios; y b) coordinación con agentes del municipio en acciones de dinamización de salud comunitaria a través de “activos de salud” previamente mapeados. Objetivos: Evaluar cambios funcionales y psicosociales tras un año de programa, analizando dificultades encontradas durante su implantación; y proponer mejoras. Estudio longitudinal con evaluación pre-post donde 72 personas (63.49±10.92 años; 81.18±18.45 kg; 54 mujeres) fueron intencionalmente asignadas a dos propuestas de entrenamiento (paseos cardiosaludables; y paseos cardiosaludables + entrenamiento grupal supervisado). Los análisis estadísticos consideraron además las diferencias de cada entrenamiento en dos rangos de edad (<65, >65 años). Aptitud cardiovascular, agilidad y calidad de vida mejoraron significativamente (p<.05) en ambos tratamientos, con mayores beneficios en los >65. El preparador físico y el trabajo neuromuscular en los grupos supervisados aseguraron la intensidad necesaria para mejorar en los <65. Se requiere incluir una evaluación post obligatoria en el protocolo VIU-ACTIU, coordinada con el centro de salud, para cuantificar los beneficios de aquellos usuarios que, habiendo entrenado, abandonan antes de finalizar el programa. La colaboración interdisciplinar aporta valor añadido a los servicios municipales con asesoramiento, atención y supervisión profesional individualizada. Abstract. Municipal administration must address its citizens’ physical exercise needs, with a cost-effective and tailored offer. VIU-ACTIU is an overall health promotion strategy, developed around two lines of local intervention: a) advice and prescription of individualized physical exercise, supervised by individuals licensed in physical activity and sports sciences through multidisciplinary coordination with health professionals; and the coordination with local agents in policies of revitalization of community health through “health assets” previously mapped. The aim is to assess functional and psychosocial changes after one year of strategy, analyzing the difficulties encountered during its implementation; and to propose improvements. Longitudinal study with pre-post assessments in which 72 participants (63.49±10.92 years old; 81.18±18.45 kg; 54 women) were intentionally assigned to two training proposals (cardiovascular walks; and CV-walks + supervised group training). Statistical analysis also considered differences by age ranges (<65, >65 years old). Cardiorespiratory fitness, agility, and quality of life improved significantly (p<.05) in both groups, with greater benefits in >65 adults. The physical trainer and neuromuscular work in the supervised groups ensured sufficient intensity to improve in <65 elderly. A mandatory post-evaluation is required in the VIU-ACTIU protocol to quantify the benefits of those users who, despite having trained, drop out before the end of the program. Interdisciplinary collaboration adds value to municipal services with counseling, care, and individualized professional supervision.

scholarly journals Options for solving the problem of parts of the Shelter object located outside the New Safe Confinement

2020 ◽  
Vol 19 (4) ◽  
pp. 57-65
Author(s):  
O. V. Balan ◽  
◽  
S. Gh. Brylka ◽  
V. V. Derengovskyi ◽  
V. V. Yehorov ◽  
...  
Keyword(s):  
Cost Effective ◽  
Radiation Condition ◽  
Design Stage ◽  
Final Decision ◽  
Building Structures ◽  
Short Term ◽  
Design Studies ◽  
Financial Costs ◽  
Work Area ◽  
Goals And Objectives

The parts of the Shelter object structures remained outside the New Safe Confinement (protruding parts) are considered in the article. The analysis of the building structures condition of the turbine hall and the deaerator stack protruding parts on the east and west sides is carried out and the necessity of works on strengthening and/or dismantling of bearing structures is confirmed. Possible variants of reconstruction of the Shelter object protruding parts are stated and the technological sequence of works is provided. The analysis of the possibilities of performing works in the conditions of functioning of the New Safe Confinement — Shelter object system proved that such activity is rather difficult task, which can cause significant physical and financial costs. As there is no guarantee of trouble-free operation of the building structures of the protruding parts during the entire service life of the New Safe Confinement, it is necessary to make every effort to solve this problem in the short term. The results of the analysis allow to choose the most advantageous solution to the goals and objectives for the safest and most cost/effective dismantling and/or strengthening of structures of protruding parts, taking into account a number of different criteria. These criteria may be different in nature, which allowed to build a generalized efficiency indicator for individual criteria with certain weights that determine the importance of each of the criteria for decision making. Based on the results of the analysis, these options can be considered equivalent. The final decision on the choice of the optimal variant for the Shelter object protruding parts reconstruction can be made after detailing the technological decisions at the design stage of protruding parts reconstruction and before the design studies of the radiation condition in the work area. The obtained information can be used as input data during the design of the reconstruction of the deaerator stack and the turbine hall parts of the Shelter object, which protrude beyond the New Safe Confinement.

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