scholarly journals ANALYSIS OF THE DEGREE OF ADHERENCE TO THERAPY IN PATIENTS WITH DIAGNOSED DEPRESSION

2018 ◽  
Vol 6 ◽  
pp. 916-921
Author(s):  
Antonia Kondova ◽  
Anna Todorova ◽  
Antoaneta Tsvetkova ◽  
Kalina Andreevska ◽  
Daniela Grekova ◽  
...  
Keyword(s):  
Antidepressant Treatment ◽  
Education Quality ◽  
Social Significance ◽  
Poor Patient ◽  
Cost Of Health Care ◽  
Clear Idea ◽  
The Cost ◽  
Adherence To Therapy

Introduction: Depression is the most common form of mental disorder of great social significance. Antidepressant treatment is a standard approach to treat depressed patients, but in order to be effective, patients need to follow their strictly prescribed treatments. Bad compliances are mostly associated with side effects, poor patient awareness, comorbidity of the disease, and a lack of communication with healthcare professionals.Objectives: The aim is to investigate the level of adherence to the therapy of patients with a diagnosed depressive condition.Methods: In order to achieve this aim, a survey was conducted among 120 patients with diagnosed depression when receiving their prescribed drugs from a pharmacy. Determination of patient`s adherence was done using the Morriski test- as well as a short questionnaire in parallel as a validated tool giving a clear idea of the degree of adherence to therapy.Results: The results show that the patients under study exhibited unsatisfactory adherence to the assigned therapy. The total coefficient for the entire population is 1.68. Compared with the reference values (0-4), patients were found to have 42% adherence.Conclusions: Inadequate adherence to therapy leads to a worsening of the condition of patients with depression while also increasing the cost of health care. A number of approaches are required such as patient education, quality communication between doctors, patients and pharmacists, socio-economic measures to change patient's beliefs and perceptions of treatment, and to improve adherence to the therapy and quality of life of patients suffering from depression.

scholarly journals Determination of the transfer step of the ore chute while mining the technogenic deposit of the bulk type

2020 ◽  
Vol 166 ◽  
pp. 02004
Author(s):  
Volodymyr Peregudov ◽  
Ihor Hryhoriev ◽  
Serhii Joukov ◽  
Yulian Hryhoriev
Keyword(s):  
Raw Materials ◽  
Mining Industry ◽  
Process Conditions ◽  
Geological Conditions ◽  
Scientific Task ◽  
Technogenic Deposit ◽  
Mining Works ◽  
The Cost

Further development of the open mining works on the domestic enterprises will be accompanied by the worsening of mining-geological conditions and declining of the quality of iron ore raw materials. In the same time, the accumulated mining wastes, that can make the technogenic deposits, pass into one of the important sources of the mineral raw materials. Taking into account this thing, the development and implementation of the modern technological circuits of the technogenic deposit development is an actual calling for mining industry, and determination and optimization of process conditions of the technogenic deposit development – is the scientific task of this publication. The obtained results of studies of the optimum step value of the ore chute transfer during the technogenic deposit development can be used by design organizations and mining enterprises for designing works. The obtained methodology and the proposed mathematical dependencies will reduce the cost of mining of the technogenic deposit due to the reasonable timely transfer of the open ore chute.

Debits and Credits in the Management of Depression

1993 ◽  
Vol 163 (S20) ◽  
pp. 33-39 ◽  
Author(s):  
John A. Henry
Keyword(s):  
Antidepressant Drugs ◽  
Indirect Costs ◽  
Depressive Illness ◽  
Cost Of Health Care ◽  
Outcome Differences ◽  
Cost Of Drugs ◽  
The Cost ◽  
Toxic Drugs ◽  
Financial Analyses

Concern over the cost of health care is playing an increasing role in Great Britain, but evaluation of benefit is generally inadequate. This is particularly true in the case of depression, for which the cost of drugs is 1.9% of the National Health Service pharmaceutical budget. Since differences in effectiveness between antidepressant drugs are difficult to demonstrate, quality-of-life studies may help to identify outcome differences. At present, the worst outcome of depressive illness - suicide - absolves carers from further costs. An assessment is needed which takes into account both the direct and indirect costs of depression; this should include the costs of investment into improving diagnosis. Even without financial analyses, it is clear that some cases of suicide can be prevented by prescribing less toxic drugs, but research is needed to investigate whether use of these drugs also reduces the costs of overdose.

scholarly journals Quality consideration of building and renovation works while forensic structural inspections to determine the volume and cost of construction

2021 ◽  
Vol 23 (1) ◽  
pp. 236-245
Author(s):  
T. Dudnyk ◽  
L. Chintea
Keyword(s):  
Building Codes ◽  
Construction Work ◽  
Field Surveys ◽  
Quality Of Work ◽  
Physical Volume ◽  
The Cost ◽  
Cost Of Construction ◽  
Construction Works

Currently, forensic methods and regulations in the field of construction do not explain how quality of work affects the procedure of forensic examinations and research related to determining the work scope. While carrying out building and renovation services, it is possible to control provided construction and renovation services,  establish their physical volume and quality. While research, forensic expert can identify violations of building codes, as well as determine the cost of refurbishment or elimination of defects made providing services. The scoop of performed works is determined by geometric parameters of construction elements, established during field surveys using design and as-built documentation. While carrying out field surveys, it is necessary (along with the determination of service scope) to pay attention to the compliance of the work performed with the requirements of building codes. The article outlines problematic issues and provides a list of basic indicators determining the scoop and quality of the construction works carried out, indicated in the reporting documentation drawn up by contractors based on results of activities in the field of construction. Actual issue arising in the establishment of the scoop and cost of construction work is considered  that quality does not meet the requirements of regulatory documents in the field of construction. It is explained how the quality of the work performed affects the results of research related to the determination of the actually completed volumes of repair, building and renovation and construction work.

scholarly journals FEATURES OF DETERMINATION OF THE COST OF PLANTS CERTAIN KINDS WHEN CARRYING OUT FORENSIC MERCHANDISING EXAMINATIONS

2017 ◽  
Vol 17 ◽  
pp. 351-359
Author(s):  
О. S. Obolentseva-Krasivska
Keyword(s):  
Ornamental Plants ◽  
Biological Properties ◽  
Planting Material ◽  
The Subject ◽  
Definition Of ◽  
The Cost ◽  
Market Relations

Flowers, ornamental plants, planting material (saplings) and other plants with regard to which the market with possibility of carrying out independent adequate marketing was formed, are the subject of evaluation by the experts in field of forensic merchandising. With the development of the market and market relations such goods as flowers, planting material and others are increasingly encashed in the market of Ukraine and become the objects of forensic merchandising examinations and expert researches. Special feature of merchandising researches of the plant origin objects is the use of the comprehensive approach to the estimation of their quality and cost. Researches are carried out with the purpose of determination of properties, consumer value, conformity to standards and specifications of plants certain kinds. When studying a considerable variety of flower plants, one distinguishes scientific and industrial classifications. In merchandising flowers industrial classification of flower ornamental plants which provides distribution of flower plants to the separate groups similar on biological properties, the agricultural technician of cultivation and practical application in gardening is used. During carrying out merchandising examinations on an establishment of consumer properties of certain kinds plants, namely establishments organoleptic indicators of quality and quantity of flower decorative production given for research, the expert checks conformity of this production to requirements of normative and technical documents. Requirements to quality of flower production are normalised by standards depending on production kind – cutf lowers, pottery blossoming plants, pottery decorative sheet plants, sprouts of flower decorative production, planting material, seeds of flower ornamental plants. At carrying out merchandising researches of flower decorative production, plants and saplings it’s necessary for merchandising experts to pay special attention on definition of quality indicators and a grade of plants according to standards, and also to consider data concerning age of a plant, novelty of a grade and origin country of production.

scholarly journals COMPLEX FORENSIC BUILDING-TECHNICAL AND ECONOMIC EXAMINATION

2019 ◽  
pp. 639-655
Author(s):  
Keyword(s):  
Construction Industry ◽  
Expert Knowledge ◽  
Social Significance ◽  
Criminal Offenses ◽  
Comprehensive Examination ◽  
Specialist Knowledge ◽  
Special Knowledge ◽  
Complex Construction ◽  
The Cost

The construction industry is one of the priority sectors of the economy and has a great social significance. Despite the implementation of the state policy on counteracting criminal offenses in the budgetary sphere, their level remains significant, especially in such priority sectors as construction, reconstruction and repair of state facilities. As expert practice shows, recently, the number of expert studies related to the determination of the cost of actually executed construction work has increased. Crimes in the field of construction have recently been characterized by a complex mechanism of accomplishment. During their investigation, the investigators have tasks whose solution requires the application of specialist knowledge in various fields, including accounting, engineering and construction, etc. As analysis of investigative practice shows, in the investigation of crimes in the field of construction, a comprehensive judicial-economic and construction-technical expertise is conducted. Comprehensive examination should be appointed when the solution of the questions posed is impossible as a result of several consecutive examinations. There is an integrated examination, in the production of which the solution of the problem is impossible without the simultaneous participation of specialists in various fields of knowledge and formulation of their general conclusion. Complex examination is carried out by at least two experts from different fields of knowledge or different areas within one area of ​​knowledge. The article analyzes the peculiarities of the process of carrying out complex construction-economic researches and examinations, reveals the main tasks of the complex judicial building-technical and economic expertise, as well as proposes a general algorithm for the implementation of a comprehensive judicial engineering-building and economic expertise. The authors of the article agree that in most cases, the appointment of a comprehensive judicial construction, technical and economic expertise is the most efficient, methodologically correct way to the solution of expert tasks, when obtaining a reliable answer is guaranteed only by a general generalization of the results of the application of basic expert knowledge and methods. Key words: special knowledge, multi-discipline expertise, multi-discipline construction, technical and economic expertise.

scholarly journals PRACTICAL QUESTIONS FOR SILO BAGS GRAIN STORAGE TECHNOLOGY

2019 ◽  
Vol 19 (2) ◽  
pp. 10-16
Author(s):  
O. M. M. ZHELOBKOVA ◽  
G. N. STANKEVYCH
Keyword(s):  
Storage Period ◽  
Final Analysis ◽  
Grain Storage ◽  
Storage Site ◽  
Special Equipment ◽  
Storage Technology ◽  
Sanitary Condition ◽  
The Cost

In enterprises with limited capacities and a low-powered grain drying facilities there is a problem of economical and reliable storage of dry, wet and moist grains. One of the options for its successful solution is the application of grain storage technology in silo bags, tested in many enterprises, the basic principle of which is based on the self-preservation of grain under hermetic conditions in an environment of carbon dioxide. To implement this technology, it is necessary to determine the suitability of the batch of grain for loading in the silo bags on the basis of an operational analysis of the grain quality. After loading the grain, the silo bags are sealed, the grain mass is stored for a certain time and then unloaded. After many years of industrial testing of grain storage technology in silobags, recommendations have been developed that allow to ensure the quantity and proper quality of grain in the process of implementation of the technology. To do this, it is provided to carry out a whole range of activities - personnel training, the selection and preparation of a storage area for grain, deratization, the determination of the quality of grain at all stages and a safe shelf-life, depending on the condition of the grain, weighing of the grain; loading silo bags and placing them on the site; drawing of marks for identification of silobags; monitoring of the state of silo bags and grain and the restoration of the integrity of the silo bags throughout the storage period; accounting for grain in the silobags; processing of unconditioned grain; object protection, final analysis of the work performed, identify problems and ways to solve them. The storage site for grain in the silo bags must be cleaned of stubble and grass, sharp objects, grain residues, solid hardwood or the most densely packed soil (the clay surface is undesirable, as precipitation makes imposible laying and unloading of silobags), ensure no stagnation of water during rains and melting snow, provide the possibility of free movement of special equipment on the site. It must be deratized and fenced with a mesh with small openings, a height of at least 1 m and dipped. The analysis of the characteristics of three-layer silobags showed that to optimize the storage of dry grain, it is advisable to use the largest silobags of 90 m in length, since they have a larger capacity, there will be less time spent on dressing and sealing the silobags, saving space between the silo bags lying along one another , there will be less length of silobags to go for tying, as well as saving money on the cost of silobags, the cost of working time and fuel (decreases the number of transfers of special equipment). It is advisable to take into account the possibility of unloading the sleeve during one shift. At all stages (loading, storage, unloading) the determination of the quality of grain, monitoring the condition and restoring the integrity of the silo bags checking the sanitary condition of the site and the presence of baits should be carried out. Precautions should be observed, grain accounting, working with non-standard grain and final analysis of grain storage results should be carried out.

Financial Innovation

2019 ◽  
pp. 115-139
Author(s):  
Murat Akkaya
Keyword(s):  
Financial Innovation ◽  
Information Economy ◽  
Innovation Research ◽  
Long Run ◽  
Funds Management ◽  
Economy Globalization ◽  
The Cost ◽  
Management Of Uncertainty

Financial innovation offers cheaper and available services to financial system and it increases quality of service and products in a long run. The functions of financial innovation are decrease in the cost of payments and increase in the speed of determination of fraud, mechanism for the pooling of funds, management of uncertainty and controlling of risk, manages agency costs, and enhancement of liquidity. Technology contributes to the design and pricing of new instruments and facilitates the identification, measurement, and monitoring of risks in portfolios containing complex instruments. Innovation research has shown that the increase in countries' innovation performance plays a key role in economic and social development, prosperity, and development. Financial innovation is the most important driving force for the transition to the information economy. Globalization and global competition require innovation. Hence, the future is mobile and should be innovative.

scholarly journals Determination of influencing metricsin water fall model

2018 ◽  
Vol 7 (2.26) ◽  
pp. 7
Author(s):  
K David ◽  
R Anand
Keyword(s):  
Critical Role ◽  
Project Manager ◽  
Senior Management ◽  
Project Teams ◽  
Cycle Model ◽  
The Right ◽  
The Cost ◽  
The Relationship

You cannot control what you can’t measure - Tom DeMarco -Metrics plays a critical role in any industry. The metrics can tell the senior management the health of the activity in that organization. In the paper, we have studied the relationship between the metrics and the quality of deliverables. Once the right metrics are identified for a particular phasein the life cycle model it will help the project manager to proactive-ly detect the issues earlier and arrest the defects. This can help the project teams to deliver the product on time without defects. There by the cost of the projects can be reduced which in turn will have high customer satisfaction.  

scholarly journals Determination of Downtime Cost of Ready Mix Concrete Plant and Transit Mixer

2019 ◽  
Vol 8 (9) ◽  
pp. 3105-3108
Keyword(s):  
Construction Projects ◽  
Cox Model ◽  
Rapid Progress ◽  
Quality Of Work ◽  
The Cost ◽  
The Impact ◽  
Cost Of Construction ◽  
Ready Mix Concrete

In today’s scenario, construction equipment plants are essential for any construction projects and are also important for rapid progress and improvement in the quality of work. Breakdown and less productivity of equipment can increased the cost of construction project. Hence it is important that attempts to be made to increase the productivity of equipment. Earlier research has often addressed this fact, but it has rarely explained the causes and consequences of downtime. Thus this research paper highlights various causes of downtime of RMC plant and Transit Mixer. Also the downtime cost of RMC plant and Transit Mixer (TM) is determined by using mathematical model, COX Model and NUNALLY Model. These models are used to identify the downtime cost of equipment where COX Model gives the value by only taking into account of failure machine and not considering the impact, while the NUNALLY Model gives higher value due to considering the overall impact of failure machine on work.

A conceptual model for a geriatric syllabus for podiatric medicine

2000 ◽  
Vol 90 (5) ◽  
pp. 258-267 ◽  
Author(s):  
AE Helfand
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Chronic Disease ◽  
Care Delivery ◽  
Foot Care ◽  
Older Patient ◽  
Care Services ◽  
Cost Of Health Care ◽  
The Cost

Foot disorders and the complications of chronic disease in the older population have a significant effect on society, the cost of health care, and individuals' quality of life. Given podiatric medicine's role in the management of problems of the aging, it is critical that the profession's educational system produce practitioners who understand the process of aging and the needs of the older patient and who are prepared to serve on the health-care-delivery team as the primary providers of foot-care services. The geriatric syllabus presented here is one approach to attaining that goal.

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