scholarly journals DETERMINATION OF OPTIMIZATION WAYS OF RE-PROTHESIS USING VARIOUS SCHEMES GNATHOLOGICAL SUPPORT OF PATIENTS AT THE PREPARATORY STAGE TO THE ORTHOPEDIC CORRECTION OF PATIENTS WITH OCCLUSIVE IATROGENIC DISORDERS OF TOOTH-JAW APPARATUS

Author(s):  
V. P. Nespryadko ◽  
O. G. Tereshchuk ◽  
I. A. Shynchukovskyi ◽  
P. S. Flis ◽  
N. S. Khrol

We brought to the light that one of the the most controversial issues is the moment of adaptation to reconstructive procedures. Often it becomes unclear which and in which order to use medical diagnostic equipment, to training for fixed prosthetic stages. Our studies make it possible to predict not only the treatment time, but the amount of occlusal adjustment in conjunction with the reconstruction of the position of the mandible.One of the most debated issues is the time of adaptation to reconstructive manipulation. Often it becomes unclear how and in what order medical diagnostic equipment should be used in the preparatory stages of the stationary prosthetics. Our studies make it possible to predict not only the treatment time, and the amount of occlusal adjustment in conjunction with the reconstruction of the lower jaw. Keywords: tooth-jaw apparatus, temporomandibular joint, violation functional occlusion, dental surgery, medical diagnostic devices, muscle disorders, adaptation, occlusal splint, occlusal adjustment, chewing muscles, provisional design.

Author(s):  
Poonam Chaudhary ◽  
Pankaj Kaul

ABSTRACT Equipment utilization management is the evaluation of the medical equipment necessity, appropriateness, and efficiency of the use in the healthcare services or procedures. The investment on an equipment is said to be a good one if it shows a utilization coefficient of 50% or above. The study was descriptive observational in nature and was conducted in the Histopathology Department, PGIMER, Chandigarh. The data for the entire year of 2012 was collected by studying various records of the department including purchase files, inventory registers, log books and service records of medical equipments. The results indicated that the Utilization Coefficients of various diagnostic equipments in the department of Histopathology, PGIMER, Chandigarh for the year 2012 were in the order of 58.1, 62.1 and 60.4% for high cost, medium cost and low cost equipments respectively. On an average, the utilization coefficient of medical equipments under study (Year 2012) of the Histopathology Department, PGIMER, Chandigarh, was found to be 60.2% (above 50%). This figure reflects that the budget spent on average medical diagnostic equipment in this department is very much justifiable. The study also showed that the cost incurred on various cost categories of diagnostic equipments, i.e. the low, medium and high cost equipments was also equally important. How to cite this article Chaudhary P, Kaul P. An Assessment of Diagnostic Equipment Utilization in a Tertiary Healthcare Setup: A Key to Economical Patient Management. Int J Res Foundation Hosp Healthc Adm 2014;2(2):111-116.


2010 ◽  
Vol 36 (4) ◽  
pp. 619-651 ◽  
Author(s):  
Stephen Pessagno

AbstractIf nature has made any one thing less susceptible than all others of exclusive property, it is the action of the thinking power called an idea, which an individual may exclusively possess as long as he keeps it to himself; but the moment it is divulged, it forces itself into the possession of every one, and the receiver cannot dispossess himself of it.


2021 ◽  
pp. 104420732110101
Author(s):  
Nicole D. Agaronnik ◽  
Areej El-Jawahri ◽  
Lisa I. Iezzoni

More than 30 years since enactment of the Americans with Disabilities Act, people with disability continue to face physical access barriers, notably inaccessible medical diagnostic equipment, in clinical settings. Access barriers affect breast cancer screening and treatment for women with disability. We used standard diagnosis codes and natural language processing to screen electronic health records (EHRs) in a digital data repository from a large health care delivery system for patients with pre-existing mobility disability diagnosed with breast cancer between 2005 and 2017. We reviewed EHRs of 20 patients, using conventional content analysis to examine breast cancer diagnosis and treatment experiences. Clinicians noted challenges positioning patients for routine procedures including manual breast exam, screening mammography, and breast biopsies. Given challenges accommodating disability for adjuvant therapies, mastectomy was favored over breast-conserving options despite early stages of diagnosis. Notations contained little information about proactive problem-solving for arranging accommodations. Notations described physical access barriers for breast cancer detection and treatment, with limited planning for mitigating barriers. Despite 2017 promulgation of federal Standards for Accessible Medical Diagnostic Equipment, implementing these standards requires further rulemaking.


Author(s):  
Giovanna Lo Nigro ◽  
Maria Eleonora Bizzoca ◽  
Lorenzo Lo Muzio ◽  
Giuseppina Campisi

Background: In order to protect dental teams and their patients during the COVID-19 pandemic, dentists have had to adopt several measures (operating and post-operating procedures) which may increase the total treatment time and costs relating to individual protective measures. This paper will propose a thorough analysis of operating dentistry procedures, comparing the economic performance of the activity in a dental surgery before and after the adoption of these protective measures, which are required to contain the risk of SARS-COV-2 infections. Methods: The economic analysis is articulated in three approaches. Firstly, it assesses a reduction in markup by maintaining current charges (A); alternatively, it suggests revised charges to adopt in order to maintain unvaried levels of markup (B). And the third Approach (C) examines available dental treatments, highlighting how to profitably combine treatment volumes to reduce markup loss or a restricted increase in dental charges. Results: Maintaining dental charges could cause a loss in markup, even rising to 200% (A); attempting to maintain unvaried levels of markup will result in an increase in dental charges, even at 100% (B); and varying the volumes of the single dental treatments on offer (increasing those which current research indicates as the most profitable) could mitigate the economic impact of the measures to prevent the transmission of SARS-COV-2 (C). Conclusions: The authors of this paper provide managerial insights which can assist the dentist-entrepreneur to become aware of the boundaries of the economic consequences of governmental measures in containing the virus infection.


2011 ◽  
Vol 43 (2) ◽  
pp. 197 ◽  
Author(s):  
Alessia Berzolla ◽  
Maria Cristina Reguzzi ◽  
Elisabetta Chiappini

Controlled atmospheres using nitrogen represent a safe and effective method for both objects and human health. The use of this technique against pests in museums has received an increasing amount of interest during the last twenty years. This paper looks at the researches into anoxic treatments that use nitrogen from the late ‘80s until now. At the moment, the recommended protocol suggests an oxygen percentage below 1% for at least three weeks. Considering that the major practical problems of controlled atmospheres are connected to treatment time and low oxygen percentage, it is very important to develop more flexible protocols that consider higher oxygen percentages or shorter treatment times, exploiting temperature and/or relative humidity. At oxygen percentage higher than those commonly used, temperature and relative humidity are very critical to insects’ development and success. Preliminary data (unpublished) show that it is possible to adapt the application of the controlled atmospheres to different situations, taking advantage of favorable conditions already present in the considered situation and at the same time to use the other parameters at more favorable levels.


2020 ◽  
Vol 36 (4) ◽  
pp. 379-397
Author(s):  
Raquel Monteiro Souza ◽  
André Victor Alvarenga ◽  
Lorena Itati Petrella ◽  
Rodrigo P. B. Costa-Felix

2018 ◽  
Vol 10 (9) ◽  
pp. 3349
Author(s):  
Gang Du ◽  
Xinyue Li ◽  
Hui Hu ◽  
Xiaoling Ouyang

Under the background of the unbalanced supply and demand of medical diagnostic equipment and rising health care costs, this study aims to optimize the service scheduling for medical diagnostic equipment so as to improve patient satisfaction by ensuring the equipment utilization rate and hospital revenue. The finite horizon Markov Decision Process (MDP) was adopted to solve this problem. On the basis of field research, we divided patients into four categories: emergency patients, inpatients, appointed outpatients, and the randomly arrived outpatients according to the severity of illness and appointment situations. In the construction of the MDP model, we considered the possibility of cancellation (no-show patients) in scheduling optimization. Combined with the benefits and costs related to patient satisfaction, based on the value iteration algorithm, we took patient satisfaction and hospital revenue as the objective functions. Results indicated that, compared with the current scheduling strategy, the integrated strategy proposed in this study has a better performance, which could maintain the sustainable usage rate of large medical resources and patient satisfaction.


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