Improvement of Tertiary Wastewater Quality by Soil Aquifer Treatment

1999 ◽  
Vol 40 (7) ◽  
pp. 159-163 ◽  
Author(s):  
M. N. Viswanathan ◽  
M. N. Al Senafy ◽  
T. Rashid ◽  
E. Al-Awadi ◽  
K. Al-Fahad
Keyword(s):  
Experimental Study ◽  
High Rate ◽  
Soil Aquifer Treatment ◽  
Cost Of Treatment ◽  
Subsurface Region ◽  
Wastewater Quality ◽  
Conventional Methods ◽  
The Cost

Treatment of wastewater by the high rate land infiltration system is known as soil aquifer treatment (SAT). SAT is a proven technique for the improvement of wastewater quality. The quality of wastewater produced after SAT is suitable for unrestricted irrigation. The experimental study undertaken at Sulaibiyah proved that the method could be successfully used in Kuwait. The gatch layers within the subsurface region posed no major problems for the infiltration of the wastewater. The groundwater conditions at Sulaibiyah are suitable for the storage of large volumes of wastewater. The cost of treatment by SAT is considerably less than that of conventional methods.

scholarly journals Unstable Hemostasis and Specific Postoperative Complications (Literature Review)

2020 ◽  
Vol 5 (4) ◽  
pp. 98-102
Author(s):  
D. V. Lebedeva ◽  
E. A. Ilyicheva
Keyword(s):  
Postoperative Complications ◽  
Rapid Development ◽  
Point Of View ◽  
The Body ◽  
Cost Of Treatment ◽  
Duration Of Hospital Stay ◽  
Technical Errors ◽  
Perioperative Bleeding ◽  
The Cost

Perioperative bleeding occupies a leading place among all surgical complications and, despite the rapid development of surgery, remains relevant to this day. In addition to an increase in mortality, bleeding can cause the development of other postoperative complications, which lead to disability of patients and to a decrease in the quality of life in all age groups. Most perioperative bleeding are caused by technical errors. This article reviews the problem of perioperative bleeding from the point of view of impaired coagulation capabilities of the body. The main etiopathogenetic features of hemostasis during the development of this complication are considered. The analysis of postoperative complications, which were directly or indirectly caused by bleeding during or after surgery, is presented. The prevalence of these complications in various areas of surgery has been demonstrated. More detailed study of the hemostasis system and the identification of predictors of hemostasis difficulties before the surgery may cause an improvement in the results of surgical treatment and reduce the number of postoperative complications and the duration of hospital stay. Accordingly, this will lead to a decrease in the cost of treatment and an increase in patient satisfaction with the medical care. In connection with the above, there is a great interest among surgeons and anesthesiologists in preventing the development of perioperative bleeding.

scholarly journals LEGAL RISKS IN THE PRACTICE OF A DENTIST

2018 ◽  
Vol 22 (6) ◽  
pp. 309-313
Author(s):  
S. N Andreeva
Keyword(s):  
Dental Care ◽  
Professional Responsibility ◽  
Cost Of Treatment ◽  
Results Of Treatment ◽  
Judicial Practice ◽  
Decisive Importance ◽  
Legal Risks ◽  
Civil Cases ◽  
The Cost

The article presents the results of the analysis of judicial practice for five years (2013-2017) in civil cases related to defects of dental care. Studies have shown that the most common reasons for patients to go to court are claims to orthopedic dentists (in 42% of cases) and dental therapists (in 31% of cases). The specialty of the doctor is not of decisive importance for the occurrence of judicial risks, due to the fact that the quality of complex dental care is most often assessed (in 45% of cases). The largest amounts of payments, exceeding 92 times the cost of treatment, are determined by dentists-surgeons. The study substantiates the need to develop new assessments at the stages of treatment, criteria for assessing the achieved results of treatment and the development of the practice of insurance of professional responsibility of dentists.

scholarly journals Plasmapheresis with return of cryoglobulin-depleted autologous plasma (cryoglobulinpheresis) in cryoglobulinemia

Blood ◽  
1980 ◽  
Vol 55 (5) ◽  
pp. 866-870 ◽  
Author(s):  
BC McLeod ◽  
RJ Sassetti
Keyword(s):  
Plasma Exchange ◽  
Treatment Process ◽  
Clinical Manifestations ◽  
Cost Of Treatment ◽  
Autologous Plasma ◽  
Abnormal Protein ◽  
Replacement Fluid ◽  
The Cost

Three patients with cryoglobulinemia have been treated with automated plasma exchange procedures in which the replacement fluid was autologous plasma, obtained at a previous plasmapheresis and incubated in the cold to precipitate abnormal protein. All three responded with a reduction in cryoglobulin level and an improvement in clinical manifestations of cryoglobulinemia. The cost of treatment was less than that of conventional plasmapheresis, even though the quality of the replacement fluid was superior. The term “cryoglobulinpheresis” is suggested for this treatment process.

scholarly journals Importance of the Evaluation in the Quality of life in bariatric surgery

2020 ◽  
Vol 8 (15) ◽  
pp. 3-8
Author(s):  
Iracema Islas-Vega ◽  
Alfredo García-Alvarado ◽  
Juan Roberto González Santamaría
Keyword(s):  
Quality Of Life ◽  
Bariatric Surgery ◽  
Cosmetic Surgery ◽  
Cost Benefit ◽  
High Rate ◽  
Obese Person ◽  
Cost Benefit Ratio ◽  
The Cost ◽  
Metabolic Comorbidities

Obesity is a serious health problem that has increased in recent decades. It is a chronic disease responsible for serious physical, psychological and social problems, reaching to alter the quality of life of people who suffer from it. Bariatric surgery is the best treatment for obesity even in its most severe levels, since in addition to reducing excess weight, it achieves a high rate of improvement and remission of metabolic comorbidities, improving the quality and expectation of life of the operated patients. Within bariatric procedures, laparoscopic gastric bypass and laparoscopic sleeve gastrectomy are the most performed worldwide. Quality of life is defined as, the perception that the obese person has of their physical, psychological, and social limitations and the reduction of opportunities. The success of the surgery consists of changing the quality of life of the patient. The results should not be evaluated only according to the initial loss or late weight gain, complications or sequelae of one or another technique or the subsequent need for cosmetic surgery, but a series of factors derived from the patients themselves should be taken into account, which together define the quality of life and even the cost / benefit ratio.

scholarly journals Cystic Fibrosis Patient Registries: Domestic and Foreign Experience

2017 ◽  
Vol 14 (2) ◽  
pp. 115-126 ◽  
Author(s):  
Dmitry A. Andreev ◽  
Ekaterina E. Bashlakova ◽  
Natalia V. Khachanova ◽  
Maria V. Davydovskaia
Keyword(s):  
Cystic Fibrosis ◽  
Medical Care ◽  
Cystic Fibrosis Patient ◽  
Disease Course ◽  
Patient Registries ◽  
Cost Of Treatment ◽  
Therapy Effectiveness ◽  
Quality Of Medical Care ◽  
The Cost

Cystic fibrosis is a multi-organ genetic disease that reduces life expectancy and requires costly complex therapy. The economic burden of cystic fibrosis is determined by the cost of treatment, the conditions for optimizing medical technologies based on epidemiological knowledge of the disease course nature and the therapy effectiveness. In many countries cystic fibrosis patient registries have been created that allow to assess the quality, efficiency and optimality of medical care. Registries are formed at the regional, national, and international levels, which facilitates the collection of complete and reliable patient information for subsequent analysis, comparison and synthesis of clinical and epidemiological indicators. The review is devoted to the actual principles of organization of domestic and some foreign cystic fibrosis patient registries. The article selectively provides examples of information from registries. The application of positive experience of the work of foreign registries in Russia can improve the quality of medical care for patients with cystic fibrosis.

An Audit of the Safe Use of the Mini C-Arm Image Intensifier in the Out-Patient Setting

2007 ◽  
Vol 32 (5) ◽  
pp. 563-568 ◽  
Author(s):  
S. HASHAM ◽  
F. D. BURKE ◽  
S. J. EVANS ◽  
M. K. ARUNDELL ◽  
D. N. QUINTON
Keyword(s):  
Radiation Protection ◽  
Upper Limb ◽  
Care Pathway ◽  
Image Intensifier ◽  
Low Doses ◽  
Cost Of Treatment ◽  
Potential Benefits ◽  
The Cost ◽  
Operating Surgeon

Mini C-arm image intensifiers are used commonly in surgery of the upper limb. With relatively low doses of emitted ionising radiation, portability and superior quality of image, they are a useful aid to the operating surgeon. However, these benefits are not so often used outside the theatre setting. This paper examines the use of a mini C-arm image intensifier in the out-patient clinic and presents an audit of 100 consecutive out-patients. We reviewed the potential benefits and effects on their care pathway. We also look at the specific radiation protection issues of the mini C-arm image intensifier in the out-patients clinic. We believe use of the mini C-arm image intensifier in the out-patient setting may speed treatment and reduce the cost of treatment.

scholarly journals CURRENT STRATEGY FOR TREATMENT OF COMORBID STATES: COMPLICATED COMMUNITY-ACQUIRED PNEUMONIA WITH ARTERIAL HYPERTENSION

2020 ◽  
Vol 73 (6) ◽  
pp. 1257-1260
Author(s):  
Liliia V. Burya ◽  
Andrii V. Vakhnenko ◽  
Nataliia V. Moiseieva ◽  
Anna A. Kapustianska ◽  
Iryna M. Zviagolska
Keyword(s):  
Functional Limitations ◽  
Social Activity ◽  
Community Acquired Pneumonia ◽  
Cost Of Treatment ◽  
X Ray ◽  
Blood Biochemical ◽  
Combination Drugs ◽  
Prolonged Effect ◽  
The Cost

The aim: To optimize the treatment of CAP patients with hypertension, complicated by exudative pleuritis. Materials and methods: The study included 43 CAP patients, aged 46 to 65 years, with viral lesions along with hypertension. The average age of the patients was 52.5 ± 4.5 years. Verification of the CAP diagnosis and its formulation was performed in accordance with the order of the Ministry of Health of Ukraine No. 128 of 19.03.2007 “On the approval of clinical protocols of medical care in “Pulmonology” in all patients, pneumonia was complicated by exudative pleuritis, which was confirmed by X-ray examination. Results: The use of combination drugs, namely, torasemide with prolonged effect and tivortin aspartate in the treatment of patients with community-acquired pneumonia, complicated by exudative pleuritis, combined with hypertension led to more significant positive changes in the values of saturation, blood biochemical parameters, as well as accelerated recovery of patients, which was confirmed by the positive dynamics of X-ray examination. Conclusions: As a result of the treatment, all parameters of the quality of life of the patients were greatly improved, which resulted in a significant reduction in functional limitations and high social activity of the patients, which significantly reduced the cost of treatment.

scholarly journals Plasmapheresis with return of cryoglobulin-depleted autologous plasma (cryoglobulinpheresis) in cryoglobulinemia

Blood ◽  
1980 ◽  
Vol 55 (5) ◽  
pp. 866-870 ◽  
Author(s):  
BC McLeod ◽  
RJ Sassetti
Keyword(s):  
Plasma Exchange ◽  
Treatment Process ◽  
Clinical Manifestations ◽  
Cost Of Treatment ◽  
Autologous Plasma ◽  
Abnormal Protein ◽  
Replacement Fluid ◽  
The Cost

Abstract Three patients with cryoglobulinemia have been treated with automated plasma exchange procedures in which the replacement fluid was autologous plasma, obtained at a previous plasmapheresis and incubated in the cold to precipitate abnormal protein. All three responded with a reduction in cryoglobulin level and an improvement in clinical manifestations of cryoglobulinemia. The cost of treatment was less than that of conventional plasmapheresis, even though the quality of the replacement fluid was superior. The term “cryoglobulinpheresis” is suggested for this treatment process.

Access the Quality Service of Ganeshman Singh Memorial Hospital and Research Center

2020 ◽  
Vol 3 (3) ◽  
pp. 51-63
Author(s):  
Milan Gurung ◽  
Narayan Thapa ◽  
Milan Khadka ◽  
Tej Bahadur Karki ◽  
Dasarath Neupane
Keyword(s):  
Mean Value ◽  
Research Center ◽  
Memorial Hospital ◽  
Quality Of Services ◽  
Cost Of Treatment ◽  
The Cost ◽  
Lab Test ◽  
Reception Area ◽  
Key Parameter

The aim of this paper is to assess the quality of services in the Ganeshman Singh Memorial Hospital and Research Center, Lalitpur, Nepal, considering that the quality is a key parameter in performance evaluation. Patients are the main actors in evaluating and judging the quality, therefore this study is based on a questionnaire completed by 53 patients and visitors between January and February, 2020. The results show that services by the paramedical staff (OPD nurses) have the highest mean value (mean = 4.17) which is closed to the excellent performance of hospital whereas the lowest mean was 3.57 rated for the cleanliness of the hospital, including the reception area, OPD and surrounding area. Though, in average (mean = 3.77), facilities of Hospital were rated as ‘Good’ in total. Similarly, the cost of medicine was slightly expensive in comparison of other cost like consultation fee, cost of diagnosis and lab test and registration. The patients had rated the cost of hospital in totality as ‘Good’ status, which indicates that the total cost of treatment was affordable for the patient. With the necessary inputs from the patients and the attendants by pointing various drawbacks or deficiencies should always be taken care of by the hospital administration that will turn into a good result of improvement in the hospital services to the satisfaction of the patients.

Dimensions of Outcome with Clozapine

1992 ◽  
Vol 160 (S17) ◽  
pp. 46-53 ◽  
Author(s):  
Herbert Y. Meltzer
Keyword(s):  
Quality Of Life ◽  
Negative Symptoms ◽  
Treatment Compliance ◽  
Family Burden ◽  
Positive Symptoms ◽  
Treatment Resistant ◽  
Cost Of Treatment ◽  
Schizophrenic Patients ◽  
The Cost

Various outcome measures following clozapine administration to neuroleptic-resistant schizophrenic patients are considered. The importance of a multidimensional perspective is emphasised. There was significant improvement in positive symptoms, some negative symptoms, quality of life, some types of cognitive function (e.g. semantic memory), extrapyramidal function, and tardive dyskinesia. Readmission to hospital, and family burden were markedly reduced, which achieved significant savings in the cost of treatment. Compliance with clozapine and weekly blood testing can be achieved in the majority of treatment-resistant cases. These benefits may occur independently of each other.

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