scholarly journals Diagnosis associated with COVID-19 (U07.1), Pneumonia- Unspecified (J18.9) and other types of admissions: A restricted medical scheme case study- South Africa

2021 ◽  
Vol 8 (1) ◽  
pp. 001-016
Author(s):  
Michael Mncedisi Willie ◽  
◽  
Asnath Motsepe ◽  
Keyword(s):  
Private Hospital ◽  
Hospital Admissions ◽  
Primary Objective ◽  
Inclusion Criteria ◽  
Pcr Assay ◽  
Private Hospitals ◽  
Review Period ◽  
Icd 10 ◽  
Secondary Objective

The primary objective of this study was to assess the characteristics of patients admitted for COVID-19, ‘J18.9 Pneumonia, unspecified organism’ and other types of diagnoses. The aim was to assess as to what extent do COVID-19 related admissions changed to pneumonia, and as to what extent do ‘J18.9 Pneumonia, unspecified organism’ related admissions that changed to COVID-19 diagnosis at discharge stage. The secondary objective of the study was to assess’ predictors of readmissions in private hospitals. The review period was private hospital claims received by the scheme between January and August 2020. The inclusion criteria for COVID-19 admissions were patients that had a laboratory-confirmed (RT – PCR assay) COVID-19. Predictors of readmissions were modelled using logistic regression. The study found that restricted scheme patients admitted for a COVID-19 diagnosis changed to a ‘J18.9 Pneumonia, unspecified organism’ diagnosis. The converse was found to be true in that some patients that were admitted as J18.9 Pneumonia, unspecified organism’ diagnosis changed to a COVID-19 diagnosis. This study showed underlying factors associated with hospital admissions and predictors of readmissions in private hospitals. Keywords: COVID-19, Diagnosis, Hospitalisation, ICD-10, Pneumonia, Risk factors

scholarly journals Searching for the hospital yardstick:A case study of private hospital productivity bargaining

1997 ◽  
Vol 20 (4) ◽  
pp. 96
Author(s):  
Nils Timo
Keyword(s):  
Trade Unions ◽  
Private Hospital ◽  
Bottom Line ◽  
Bargaining Process ◽  
Private Hospitals ◽  
Hospital Productivity ◽  
Fixation System

The decentralisation of Australia?s centralised wage fixation system has been seen asproviding opportunities for employers and trade unions to tailor workingarrangements to suit the needs of the workplace and to provide better paid long-termjobs. This paper details the productivity bargaining between the Private Hospitals?Association of Queensland and The Australian Workers? Union in 1995?97 inQueensland that led to the introduction of a number of productivity-based enterpriseagreements. The case study shows that productivity bargaining in the private hospitalsstudied remains focused on ?bottom line? issues where cashable savings can readily begenerated. The paper concludes with an examination of the lessons drawn from theproductivity bargaining process.

scholarly journals Experimental Investigation of the Viscosity Parameters Ranges—Case Study of Engine Oils in the Selected Viscosity Grade

Energies ◽  
2020 ◽  
Vol 13 (12) ◽  
pp. 3152 ◽  
Author(s):  
Artur Wolak ◽  
Grzegorz Zając ◽  
Kamil Fijorek ◽  
Piotr Janocha ◽  
Arkadiusz Matwijczuk
Keyword(s):  
Energy Efficient ◽  
Kinematic Viscosity ◽  
Primary Objective ◽  
Laboratory Measurements ◽  
Mahalanobis Distances ◽  
Engine Oils ◽  
Secondary Objective ◽  
Viscosity Grade ◽  
The Difference

The primary objective of the research was to compare the viscosity parameters of the same viscosity grade engine oils, as declared by the manufacturers, to the actual laboratory measurements. The secondary objective was to briefly investigate (1) what kind of information oil manufacturers provide in the product data sheets of the studied oils, and (2) the potential savings resulting from the use of the energy efficient oils. The study material consisted of 42 selected synthetic engine oils that belong to the 5W-30 viscosity grade. Stabinger SVM 3001 viscometer was used to determine kinematic viscosity at −20 °C, 40 °C, 100 °C and 130 °C. The HTHS (high temperature high shear), CCS (cold cranking simulator), FTIR (Fourier-transform infrared spectroscopy) and GC (Gas Chromatography) measurements were also performed for the samples that had the lowest and the highest kinematic viscosity. Large differences (5–25%) between oil producers’ declarations and the results of laboratory tests were found. Although all of the engine oils tested met the 5W-30 grade standards, the high variability of viscosity measurements needs to be reported. The difference between the oil with the highest and the oil with the lowest kinematic viscosity at −20 °C was 11,804 mm2/s. The outlying temperature-related viscosity profiles were recovered using Mahalanobis distances which identified 16 out of 42 analyzed oil samples as atypical.

Opd Service Quality And Satisfaction: A Case Study Of A Private Hospital In Malaysia.

GIS Business ◽  
2020 ◽  
Vol 15 (1) ◽  
pp. 31-46
Author(s):  
Priscila Rajah Davarajah ◽  
Syriac Nellikunnel Devasia ◽  
Hanim Norza Baba ◽  
Hanim Norza Baba ◽  
Maria Josephine Williams ◽  
...  
Keyword(s):  
Customer Satisfaction ◽  
Service Quality ◽  
Quantitative Data ◽  
Private Hospital ◽  
Outpatient Department ◽  
Statistical Tools ◽  
Private Hospitals ◽  
Outpatient Departments ◽  
Klang Valley

This study is to find out the customer satisfaction in the context of outpatient department services in a private hospital in Klang Valley.  SERVPERF model is used to understand the depth of service quality in outpatient departments. The quantitative data is analysed using SPSS statistical tools analyse customer satisfaction in relation to the five dimensional aspects of the service quality in private hospital, namely; tangibility, reliability, responsiveness, assurance and empathy. The findings and conclusion of the study serves as guideline to the researchers and managers to design a strategic plan with an improved outpatient department services to satisfy customers’ demands. The limitations of this study is that it covers only the outpatient customers and does not cover all the private hospitals in Malaysia.

Sight Unseen: Diagnostic Yield and Safety Outcomes of a Novel Multimodality Navigation Bronchoscopy Platform with Real-Time Target Acquisition

Respiration ◽  
2021 ◽  
pp. 1-8
Author(s):  
Sameer K. Avasarala ◽  
Lance Roller ◽  
James Katsis ◽  
Heidi Chen ◽  
Robert J. Lentz ◽  
...  
Keyword(s):  
Real Time ◽  
Clinical Data ◽  
Hospital Admissions ◽  
Diagnostic Yield ◽  
Outcome Data ◽  
Primary Objective ◽  
Complication Rates ◽  
Digital Tomosynthesis ◽  
Electromagnetic Navigation ◽  
Secondary Objective

<b><i>Background:</i></b> Several advanced bronchoscopy platforms are currently available, but the clinical data supporting their use vary. Electromagnetic navigation bronchoscopy (ENB) remains the dominant technology; it is limited by its reliance on preoperative computed tomography, which only approximates patient anatomy during the procedure. Recently, ENB was enhanced with the (1) addition of digital tomosynthesis-based navigation correction, (2) improvements in planning algorithms, and (3) continuous real-time guidance (Illumisite™; Medtronic, Minneapolis, MN, USA). There are currently no clinical data on the diagnostic yield and safety profile of this system. <b><i>Objectives:</i></b> The primary objective of this study is to describe the diagnostic yield of the first 100 pulmonary parenchymal lesions sampled using the multimodality navigation bronchoscopy (MNB) platform. The secondary objective is to describe safety. <b><i>Methods:</i></b> In this single-center prospective observational study, a database was maintained to track patient, procedural, and outcome data for the first 100 consecutive lesions sampled using the MNB platform at an academic quaternary referral center. Descriptive statistics and univariate and multivariate analyses are reported. <b><i>Results:</i></b> The overall diagnostic yield of samples acquired was 79% (79/100). In the cohort where digital tomosynthesis was used, the diagnostic yield was 83% (69/83). Sensitivity for malignancy was 71% (52/73). Overall complication rates were low: pneumothorax (<i>n</i> = 3, 3%) and bleeding requiring intervention (<i>n</i> = 2, 2%). There were no procedural-related hospital admissions. <b><i>Conclusions:</i></b> The MNB system performed favorably. Platform superiority cannot be established without future prospective and comparative studies.

Design, Model, and Virtually Fly: Investigation of the B-1A Cruise Performance With F101 Engines Compared With Its Re-Engined Performance Using F119 Engines

2011 ◽  
Author(s):  
August J. Rolling
Keyword(s):  
Primary Objective ◽  
Integrated System ◽  
Actual Case ◽  
Modular Software ◽  
Engine Design ◽  
Polar Model ◽  
Secondary Objective ◽  
Insight Into ◽  
Geospatial Mapping

This paper examines application of AEDSYS and MATLAB design tools to virtually fly an engine in a platform through a mission. The primary objective of this effort was to develop the procedures for this process as an instructional tool. The secondary objective was application of the process to an actual case study, the re-engine of the B-1A. The resulting modular software uses performance data from engine models for the F101, F119, and a cadet designed engine built in AEDSYS; a B-1A drag polar model; as well as atmospheric and geospatial mapping tools available in MATLAB. The resulting simulation provides a relatable means of presenting this complicated information. This tool gives the cadets the opportunity to virtually fly their engine. This visualization gives them full insight into how the integrated system performs. Aside from providing a great means of discussing many aspects for consideration in engine design, it also provides an incentive to develop a higher performance engine through competition.

scholarly journals SAT-399 Baseline Characteristics from the Observational PARADIGHM Registry of Patients with Chronic Hypoparathyroidism

2020 ◽  
Vol 4 (Supplement_1) ◽  
Author(s):  
Bart L Clarke ◽  
Lars Rejnmark ◽  
Steven W Ing ◽  
Maria Luisa Brandi ◽  
Sigridur Björnsdottir ◽  
...  
Keyword(s):  
Vitamin D ◽  
Clinical Course ◽  
Clinical Care ◽  
Primary Objective ◽  
Baseline Data ◽  
Inclusion Criteria ◽  
Secondary Objective ◽  
The Mean ◽  
Baseline Characteristics ◽  
Chronic Hypoparathyroidism

Abstract PARADIGHM is an actively recruiting, prospective, observational registry (NCT01922440/EUPAS16927). The primary objective is to evaluate the safety and effectiveness of recombinant human parathyroid hormone, rhPTH(1-84), treatment in patients with chronic hypoparathyroidism (HypoPT) under routine clinical care. The secondary objective is to characterize the clinical course of chronic HypoPT under conditions of routine clinical practice. At enrollment, registry inclusion criteria are patients having a HypoPT diagnosis &gt;6 months and receiving conventional therapy (CT; eg, calcium supplements and active vitamin D), rhPTH(1-84) plus CT, or rhPTH(1-84). We present baseline characteristics of patients as of a June 30 2019 data cut. Baseline was defined as the value entered at the time of enrollment (Visit 1). Baseline symptom data exclude patients who initiated rhPTH(1-84) prior to enrollment (n=68) and are herein presented as two groups: those subsequently prescribed with rhPTH(1-84) after enrollment or those treated with CT. All data are summarized descriptively. Patient data from 64 centers in Europe and North America were analyzed. In the analysis population (n=737), 587 patients (79.6%) were female, 620 (84.1%) were white, and the mean (SD) age was 49.1 (16.45) years. The mean (SD) BMI was 19.3 (5.73) kg/m2 and 30.0 (7.72) kg/m2 in patients aged &lt;18 (n=25) and ≥18 (n=587) years, respectively. The primary cause of HypoPT was thyroid surgery (n=547 [74.2%]; of these, 281 [60.0%] underwent surgery for thyroid cancer). Endocrinologists were the prescribing specialists for most patients (n=660 [89.6%]). Vitamin D and analogs were prescribed for 90.1% of patients (calcitriol, 74.2%, native vitamin D, 47.4%, alfacalcidol, 7.9%,), calcium for 81.0% (calcium carbonate, 57.9%, calcium citrate, 27.1%), and thyroid hormones for 71.2% (levothyroxine, 73.4%; liothyronine, 5.8%). Symptoms reported at enrollment for the rhPTH(1-84) (n=66) and the CT groups (n=603), respectively, included fatigue (53.0%, 39.3%), paresthesia (48.5%, 29.2%), muscle twitching (48.5%, 21.1%), muscle cramping (40.9%, 33.0%), headaches (33.3%, 17.6%), anxiety (28.8%, 20.1%), muscle pain (28.8%, 19.2%), tetany (28.8%, 12.1%), and brain fog (27.3%, 16.3%). The baseline data for the overall population appear to be representative of patients with chronic HypoPT. Baseline data suggest that at enrollment patients prescribed rhPTH(1-84) after enrollment appear to have an increased burden of disease than patients receiving CT based on symptoms. PARADIGHM will be a valuable resource of real-world longitudinal data for patients with chronic HypoPT.

The Student Room Survey: Changes in the Post Graduate Study for Cardiothoracic Surgery

2020 ◽  
Vol 23 (2) ◽  
pp. 71-74
Author(s):  
Md Faizus Sazzad ◽  
Mohammed Moniruzzaman ◽  
Dewan Iftakher Raza Choudhury ◽  
Arif Ahmed Mohiuddin ◽  
Raafi Rahman ◽  
...  
Keyword(s):  
Thoracic Surgery ◽  
Retrospective Analysis ◽  
Primary Objective ◽  
Graduate Study ◽  
Postgraduate Students ◽  
Depth Interview ◽  
Secondary Objective ◽  
Cardio Vascular ◽  
The University ◽  
Day By Day

Background: The number of postgraduate students in Cardiac surgical discipline is increasing day by day with incremental proportion are measurably suffering from the unnecessary lingering of the present course curriculum. The primary objective of this study was to find out the last 5 years’ of results of Masters in Surgery course under the University of Dhaka from a student room survey. A secondary objective was to find out positive changes that could show us the way of a step toward up-gradation. Methods: It is a retrospective analysis of all examination results of Cardio-vascular & Thoracic Surgery published since January 2008 to January 2013 from the University of Dhaka with in depth interview of 11 participants. Results: 85.24% students failed to pass part-I of Masters in Surgery for Cardio-vascular & Thoracic Surgery course while, 82.18% in part-II and 71.28% failed to pass the final part. Average 2.51 attempts needed to complete each part of the designed course resulted into lingering of course duration for 42.18 months/student. In the thoracic surgery discipline the number of students alarmingly reduced up to 0% in the recent academic sessions. Conclusions: Masters in Surgery is resulting in unnecessary prolongation of the course. We should step forward to meet the next generation challenge. Journal of Surgical Sciences (2019) Vol. 23(2): 71-74

Epidemiology of pheochromocytoma and paraganglioma: population-based cohort study

2021 ◽  
Vol 184 (1) ◽  
pp. 19-28
Author(s):  
Alexander A Leung ◽  
Janice L Pasieka ◽  
Martin D Hyrcza ◽  
Danièle Pacaud ◽  
Yuan Dong ◽  
...  
Keyword(s):  
Cohort Study ◽  
Administrative Data ◽  
Laboratory Data ◽  
Population Based ◽  
Incidence Rates ◽  
Primary Objective ◽  
Administrative Databases ◽  
Secondary Objective ◽  
True Frequency ◽  
Clinical Records

Objective Despite the significant morbidity and mortality associated with pheochromocytoma and paraganglioma, little is known about their epidemiology. The primary objective was to determine the incidence of pheochromocytoma and paraganglioma in an ethnically diverse population. A secondary objective was to develop and validate algorithms for case detection using laboratory and administrative data. Design Population-based cohort study in Alberta, Canada from 2012 to 2019. Methods Patients with pheochromocytoma or paraganglioma were identified using linked administrative databases and clinical records. Annual incidence rates per 100 000 people were calculated and stratified according to age and sex. Algorithms to identify pheochromocytoma and paraganglioma, based on laboratory and administrative data, were evaluated. Results A total of 239 patients with pheochromocytoma or paraganglioma (collectively with 251 tumors) were identified from a population of 5 196 368 people over a period of 7 years. The overall incidence of pheochromocytoma or paraganglioma was 0.66 cases per 100 000 people per year. The frequency of pheochromocytoma and paraganglioma increased with age and was highest in individuals aged 60–79 years (8.85 and 14.68 cases per 100 000 people per year for males and females, respectively). An algorithm based on laboratory data (metanephrine >two-fold or normetanephrine >three-fold higher than the upper limit of normal) closely approximated the true frequency of pheochromocytoma and paraganglioma with an estimated incidence of 0.54 cases per 100 000 people per year. Conslusion The incidence of pheochromocytoma and paraganglioma in an unselected population of western Canada was unexpectedly higher than rates reported from other areas of the world.

Incidência da utilização de protetores bucais em diversos esportes de contato

2020 ◽  
Vol 12 (45) ◽  
pp. 118-122
Author(s):  
Victor Paes Dias Gonçalves ◽  
Hugo Leonardo Matias Nahmias ◽  
Marcus Menezes Alves Azevedo
Keyword(s):  
Martial Arts ◽  
Rio De Janeiro ◽  
Dental Trauma ◽  
Primary Objective ◽  
Type Ii ◽  
Contact Sports ◽  
The Face ◽  
Secondary Objective ◽  
The City

Among contact sports, the practice of martial arts offers a greater risk of causing dental trauma and fractures as contact with the face is more frequent. The primary objective of the research is to evaluate the incidence of mouthguard use, and the secondary objective is to verify which type has a greater predominance and the difficulties in its use correlating to the type of mouthguard used. A documentary study was carried out with 273 athletes of different contact sports, among them: MMA, Boxing, Muay Thai, Jiu-Jitsu, and Taekwondo of the city of Campos dos Goytacazes, Rio de Janeiro, Brazil. It was concluded that the most commonly used mouthguard is PB Boils and Bites - Type II and its level of approval is poor, interfering with the athletes’ performance, mainly in relation to the breathing factor.

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