Towards appropriate nutritional prescribing: challenges and solutions

2019 ◽  
Vol 1 (11) ◽  
pp. 556-564 ◽  
Author(s):  
Rebecca Fisher
Keyword(s):  
Best Practice ◽  
Nutritional Supplements ◽  
Pricing Model ◽  
Adequate Knowledge ◽  
Use Of Resources ◽  
Product Pricing ◽  
Appropriate Prescribing ◽  
Public Health Message ◽  
The Right ◽  
The Cost

The appropriate prescribing of nutritional supplements is coming under increasing scrutiny due to rising costs, workforce challenges, and a product pricing model that does not meet the needs of the healthcare economy. Data show that, whilst the number of items being prescribed is marginally decreasing, the cost of these items is increasing, and the assumption that all patients discharged on nutritional borderline substances from hospital have been assessed by a dietitian cannot be made. Standards of communication are highly variable but, with increasing knowledge about best practice and digitalisation, improvements are being made. There is a disparity between adequate knowledge of nutrition, prescribing, and best use of resources to effectively manage patient-centred care and costs. A number of strategies are being trialled to improve education and the utilisation of the right workforce. The need for a clear public health message on the importance of maintaining weight in older age is essential to ensure nutritional borderline substances are appropriately used.

614 Staff Nurse Retention in a Growing Advanced Burn and Wound Clinic Through Implementing a Hiring Best Practice: Peer Interview as a Successful Change Process Managerial Approach

2020 ◽  
Vol 41 (Supplement_1) ◽  
pp. S151-S152 ◽  
Author(s):  
Kathleen M Prestifilippo ◽  
Emily Webb ◽  
Robert F Mullins ◽  
Shawn Fagan ◽  
Zaheed Hassan ◽  
...  
Keyword(s):  
Best Practice ◽  
Nurse Managers ◽  
Critical Time ◽  
Nurse Retention ◽  
Staff Nurse ◽  
Employee Morale ◽  
Healthcare Administrators ◽  
The Right ◽  
Staff Nurse Retention ◽  
The Cost

Abstract Introduction In recent decades, healthcare administrators and nurse managers have been challenged with identifying qualified candidates for patient care positions, and then to retain these personnel. The entire process of onboarding the right candidate requires time, money and resources on various levels. When the approach is from a top-down managerial style, it is not always accepted and therefore, is not always successful. Peer interviewing has been identified as a hiring best practice and can contribute to lowering the cost of recruitment, decreasing loss of time to screen and interview and contributes to higher employee morale. To distribute resources and thus save money and time, we adopted this approach to hiring during a critical time of growth and development of a large advanced burn and wound center. Methods Results Conclusions Applicability of Research to Practice Sharing best practices and outcomes with other clinicians helps foster standardization and validation of care among peers.

IMPLEMENTASI JOB ORDER COSTING METHOD DALAM PERHITUNGAN HARGA POKOK PRODUKSI MAP

2018 ◽  
Vol 4 (2) ◽  
pp. 43-55
Author(s):  
Ika Yulianti ◽  
Endah Masrunik ◽  
Anam Miftakhul Huda ◽  
Diana Elvianita
Keyword(s):  
Production Process ◽  
Quantitative Data ◽  
Production Cost ◽  
Qualitative Data ◽  
Cost Data ◽  
Method Calculation ◽  
Cost Of Production ◽  
The Right ◽  
The Cost

This study aims to find a comparison of the calculation of the cost of goods manufactured in the CV. Mitra Setia Blitar uses the company's method and uses the Job Order Costing (JOC) method. The method used in this study is quantitative. The types of data used are quantitative and qualitative. Quantitative data is in the form of map production cost data while qualitative data is in the form of information about map production process. The result of calculating the cost of production of the map between the two methods results in a difference of Rp. 306. Calculation using the company method is more expensive than using the Job Order Costing method. Calculation of cost of goods manufactured using the company method is Rp. 2,205,000, - or Rp. 2,205, - each unit. While using the Job Order Costing (JOC) method is Rp. 1,899,000, - or Rp 1,899, - each unit. So that the right method used in calculating the cost of production is the Job Order Costing (JOC) method

Mechanisms of Resource Curse and Economic Policy

2007 ◽  
pp. 4-27 ◽  
Author(s):  
V. Polterovich ◽  
V. Popov ◽  
A. Tonis
Keyword(s):  
Real Exchange Rates ◽  
Resource Curse ◽  
Budget Deficits ◽  
Resource Abundance ◽  
Fuel Prices ◽  
Use Of Resources ◽  
Resource Wealth ◽  
The One ◽  
The Right ◽  
Rich Countries

This paper compares various mechanisms of resource curse leading to a potentially inefficient use of resources; it is demonstrated that each of these mechanisms is associated with market imperfections and can be "corrected" with appropriate government policies. Empirical evidence seems to suggest that resource abundant countries have on average lower budget deficits and inflation, and higher foreign exchange reserves. Besides, lower domestic fuel prices that are typical for resource rich countries have a positive effect on long-term growth even though they are associated with losses resulting from higher energy consumption. On top of that resource abundance allows to reduce income inequalities. So, on the one hand, resource wealth turns out to be conducive to growth, especially in countries with strong institutions. However, on the other hand, resource abundance leads to corruption of institutions and to overvalued real exchange rates. On balance, there is no solid evidence that resource abundant countries grow more slowly than the others, but there is evidence that they grow more slowly than could have grown with the right policies and institutions.

Protecting the Desperate: The Regulation of Payday Lending

2015 ◽  
Vol 43 (1) ◽  
pp. 147-176
Author(s):  
Andrew J Serpell
Keyword(s):  
Consumer Credit ◽  
Law Reform ◽  
Payday Lending ◽  
Short Term ◽  
Payday Loans ◽  
The Law ◽  
The Right ◽  
Credit Contracts ◽  
The Cost

Payday loans are small-amount, short-term, unsecured, high-cost credit contracts provided by non-mainstream credit providers. Payday loans are usually taken out to help the consumer pay for essential items, such as food, rent, electricity, petrol, broken-down appliances or car registration or repairs. These consumers take out payday loans because they cannot — or believe that they cannot — obtain a loan from a mainstream credit provider such as a bank. In recent years there has been a protracted debate in Australia — and in several overseas jurisdictions — about how to regulate the industry. Recent amendments to the National Consumer Credit Protection Act 2009 (Cth) — referred to in this article as the 2013 reforms — are designed to better protect payday loan consumers. While the 2013 reforms provide substantially improved protection for payday loan consumers, further changes to the law may be warranted. This article raises several law reform issues which should be considered as part of the 2015 review into small amount credit contracts, including whether the caps on the cost of credit are set at the right level, whether the required content and presentation of the consumer warnings needs to be altered, whether more needs to be done to protect consumers who are particularly disadvantaged or vulnerable and whether a general anti-avoidance provision should be included in the credit legislation.

Microcontroller Device for Conductor Identification Using Acoustic Signal

2020 ◽  
Vol 67 (1) ◽  
pp. 28-34
Author(s):  
Aleksandr V. Vinogradov ◽  
Aleksey V. Bukreev
Keyword(s):  
Acoustic Signal ◽  
Acoustic Waves ◽  
Theoretical Calculations ◽  
Poor Quality ◽  
Electrical Circuit ◽  
Research Purpose ◽  
Electrical Wiring ◽  
The Right ◽  
The Cost ◽  
Technical Solutions

When repairing and replacing electrical wiring in enterprises, the main difficulty is the lack or poor quality of documentation, plans for conductors laying. Distinguishing wires (cables) and their cores by the color of the shells or using tags attached to the ends is difficult if the shells have the same color and there are no tags. Devices and technical solutions used to identify wires and cables do not allow recognizing conductors without breaking the electrical circuit, removing insulation, and de-energizing the network. Searching for the right conductor is a time-consuming operation. (Research purpose) The research purpose is developing a new microcontroller device for identifying wires using an acoustic signal. (Materials and methods) Literature sources has been searched for devices for conductors identifying. (Results and discussion) The article proposes a method that involves feeding an acoustic signal to a wire at one point and capturing it at another, in order to recognize the desired wire. The article presents results of comparison of the developed microcontroller device for identifying conductors using an acoustic signal with known devices and methods for conductors recognizing. (Conclusions) The article reveals the shortcomings of existing methods and means of identifying wires and cables. Authors performed a theoretical calculation of the sound pressure in the conductor at a given distance. The article presents the calculation of speed of acoustic waves in conductors with different types of insulation. Authors designed a microcontroller device for identifying conductors using an acoustic signal and tested it. It was determined that the device increases the safety of work, reduces the cost of operating internal wiring and identification time; eliminates the violation of wire insulation, the need to disable electrical receivers. The convergence of theoretical calculations and experimental data was shown.

scholarly journals An Optimal Control Problem by a Hybrid System of Hyperbolic and Ordinary Differential Equations

Games ◽  
2021 ◽  
Vol 12 (1) ◽  
pp. 23
Author(s):  
Alexander Arguchintsev ◽  
Vasilisa Poplevko
Keyword(s):  
Optimal Control ◽  
Differential Equations ◽  
Optimal Control Problem ◽  
Control Problem ◽  
Ordinary Differential Equations ◽  
Hyperbolic Equations ◽  
Control Methods ◽  
The Right ◽  
The Cost ◽  
Optimal Control Methods

This paper deals with an optimal control problem for a linear system of first-order hyperbolic equations with a function on the right-hand side determined from controlled bilinear ordinary differential equations. These ordinary differential equations are linear with respect to state functions with controlled coefficients. Such problems arise in the simulation of some processes of chemical technology and population dynamics. Normally, general optimal control methods are used for these problems because of bilinear ordinary differential equations. In this paper, the problem is reduced to an optimal control problem for a system of ordinary differential equations. The reduction is based on non-classic exact increment formulas for the cost-functional. This treatment allows to use a number of efficient optimal control methods for the problem. An example illustrates the approach.

scholarly journals Urban Sustainability at the Cost of Rural Unsustainability

2021 ◽  
Vol 13 (10) ◽  
pp. 5466
Author(s):  
Guangwei Huang
Keyword(s):  
Urban Sprawl ◽  
Rural Areas ◽  
Urban Sustainability ◽  
Negative Externalities ◽  
Large Cities ◽  
Rural Sustainability ◽  
Use Of Resources ◽  
The Cost ◽  
New Framework ◽  
Japan And China

Urban sustainability refers to building and maintaining cities that can continue to function without running out of resources. However, growing cities require more land and urban sprawl has transformed surrounding rural areas into urbanized settlements. Furthermore, the prosperity of large cities depends on the supply of both natural and human resources from rural areas, either nearby or remote. On the other hand, the use of resources of rural areas by cities may cause negative externalities to rural areas, affecting their sustainability. Therefore, a critical, but very much neglected issue, is how unban sustainability should be pursued without affecting rural sustainability. In this study, cases in Japan and China were analyzed from resources and population migration perspectives to provide evidence for the possibility that urban sustainability might have been pursued at the cost of rural unsustainability. It was intended to develop a better understanding of urban sustainability through the lens of externalities. Based on the analysis, a new framework for urban sustainability study was proposed, which consists of three new pillars. Namely, externality, vulnerability, and population instability.

scholarly journals Embracing Industry 4.0: Empirical Insights from Malaysia

Informatics ◽  
2021 ◽  
Vol 8 (2) ◽  
pp. 30
Author(s):  
Mansoor Ahmed Soomro ◽  
Mohd Hizam-Hanafiah ◽  
Nor Liza Abdullah ◽  
Mohd Helmi Ali ◽  
Muhammad Shahar Jusoh
Keyword(s):  
Industry 4.0 ◽  
New Technologies ◽  
Descriptive Study ◽  
Digital Transformation ◽  
Quantitative Approach ◽  
Survey Questionnaire ◽  
Digital Revolution ◽  
Leadership Strategy ◽  
The Right ◽  
The Cost

Industry 4.0 revolution, with its cutting-edge technologies, is an enabler for businesses, particularly in reducing the cost and improving the productivity. However, a large number of organizations are still too in their infancy to leverage the true potential of Industry 4.0 and its technologies. This paper takes a quantitative approach to reveal key insights from the companies that have implemented Industry 4.0 technologies. For this purpose, 238 technology companies in Malaysia were studied through a survey questionnaire. As technology companies are usually the first in line to adopt new technologies, they can be studied better as leaders in adopting the latest technologies. The findings of this descriptive study surfaced an array of insights in terms of Industry 4.0 readiness, Industry 4.0 technologies, leadership, strategy, and innovation. This research paper contributes by providing 10 key empirical insights on Industry 4.0 that can be utilized by managers to pace up their efforts towards digital transformation, and can help the policymakers in drafting the right policy to drive the digital revolution.

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