scholarly journals An Assessment of Diagnostic Equipment Utilization in a Tertiary Healthcare Setup: A Key to Economical Patient Management

2014 ◽  
Vol 2 (2) ◽  
pp. 111-116
Author(s):  
Poonam Chaudhary ◽  
Pankaj Kaul
Keyword(s):  
Patient Management ◽  
Low Cost ◽  
Healthcare Services ◽  
Diagnostic Equipment ◽  
Utilization Coefficient ◽  
Medical Diagnostic ◽  
Tertiary Healthcare ◽  
Equipment Utilization ◽  
Medium Cost ◽  
Medical Equipments

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.

Tenants' Satisfaction in High Residential Building

2020 ◽  
Vol 17 (1) ◽  
pp. 41
Author(s):  
UMMU SHOLEHAH MOHD NOR
Keyword(s):  
Urban Areas ◽  
Residential Buildings ◽  
Low Cost ◽  
Residential Building ◽  
Real Estate Market ◽  
The Real Estate ◽  
Level Of Satisfaction ◽  
Considerable Impact ◽  
Residential Living ◽  
Medium Cost

High residential living in Malaysia has not been widely given a significant emphasises in literature despite its increasing scale and significance in the real estate market. The significance of high rise is mainly due the increasing rate of migration from rural to urban. It is estimated a total of 77.2 percent of the Malaysian population lived in urban areas in 2020. Approximately, 30 percent of this urban population lives in strata housing. These percentages are predicted to continue to increase in the future. The emergence of high residential building has been argued as confronting various problems which has considerable impact on this life style. Satisfaction is an important outcome of living in one’s dwelling, although it is not the only consideration. High residential building in Malaysia encountered numerous problems in term of management aspects, legislation aspects, and residents’ satisfaction. The purpose of this paper is to investigate the tenants’ satisfaction living in high residential buildings in Klang Valley. The questionnaires survey is conducted amongst 276 tenants at low cost and medium cost HRB using random sampling in HRB located at areas under jurisdiction Dewan Bandaraya Kuala Lumpur (DBKL), Majlis Bandaraya Subang Jaya (MBSJ), Majlis Bandaraya Shah Alam (MBSA), Majlis Bandaraya Subang Jaya (MBSJ), Majlis Perbandaran Selayang (MPS) and Majlis Perbandaran Ampang Jaya (MPAJ). The result from this study shows that tenant in medium cost residential building are more satisfied in term of facilities and management as compared to tenants in low cost residential building. Tenants also not disclosed to the existing act and procedure related to high residential building. In conclusion, this study suggested the Local Authority to emphasise the role of tenant. These recommendation hopefully will increase the level of satisfaction amongst the residents in HRB.

scholarly journals Design and Adoption of Low-Cost Point-of-Care Diagnostic Devices: Syrian Case

Micromachines ◽  
2021 ◽  
Vol 12 (8) ◽  
pp. 882
Author(s):  
M. Munzer Alseed ◽  
Hamzah Syed ◽  
Mehmet Cengiz Onbasli ◽  
Ali K. Yetisen ◽  
Savas Tasoglu
Keyword(s):  
Civil Wars ◽  
Healthcare Workers ◽  
New Technologies ◽  
Point Of Care ◽  
Low Cost ◽  
Healthcare Services ◽  
Efficient Solutions ◽  
Humanitarian Crises ◽  
Technology Experience ◽  
The Cost

Civil wars produce immense humanitarian crises, causing millions of individuals to seek refuge in other countries. The rate of disease prevalence has inclined among the refugees, increasing the cost of healthcare. Complex medical conditions and high numbers of patients at healthcare centers overwhelm the healthcare system and delay diagnosis and treatment. Point-of-care (PoC) testing can provide efficient solutions to high equipment cost, late diagnosis, and low accessibility of healthcare services. However, the development of PoC devices in developing countries is challenged by several barriers. Such PoC devices may not be adopted due to prejudices about new technologies and the need for special training to use some of these devices. Here, we investigated the concerns of end users regarding PoC devices by surveying healthcare workers and doctors. The tendency to adopt PoC device changes is based on demographic factors such as work sector, education, and technology experience. The most apparent concern about PoC devices was issues regarding low accuracy, according to the surveyed clinicians.

scholarly journals Micropipette-Based Microfluidic Device for Monodisperse Microbubbles Generation

Micromachines ◽  
2018 ◽  
Vol 9 (8) ◽  
pp. 387
Author(s):  
Carlos Toshiyuki Matsumi ◽  
Wilson José da Silva ◽  
Fábio Kurt Schneider ◽  
Joaquim Miguel Maia ◽  
Rigoberto E. M. Morales ◽  
...  
Keyword(s):  
Electric Fields ◽  
Microfluidic Device ◽  
Soft Lithography ◽  
Low Cost ◽  
Characteristic Curve ◽  
Microfluidic Devices ◽  
Average Diameter ◽  
Internal Diameter ◽  
Medical Diagnostic ◽  
Average Size

Microbubbles have various applications including their use as carrier agents for localized delivery of genes and drugs and in medical diagnostic imagery. Various techniques are used for the production of monodisperse microbubbles including the Gyratory, the coaxial electro-hydrodynamic atomization (CEHDA), the sonication methods, and the use of microfluidic devices. Some of these techniques require safety procedures during the application of intense electric fields (e.g., CEHDA) or soft lithography equipment for the production of microfluidic devices. This study presents a hybrid manufacturing process using micropipettes and 3D printing for the construction of a T-Junction microfluidic device resulting in simple and low cost generation of monodisperse microbubbles. In this work, microbubbles with an average size of 16.6 to 57.7 μm and a polydispersity index (PDI) between 0.47% and 1.06% were generated. When the device is used at higher bubble production rate, the average diameter was 42.8 μm with increased PDI of 3.13%. In addition, a second-order polynomial characteristic curve useful to estimate micropipette internal diameter necessary to generate a desired microbubble size is presented and a linear relationship between the ratio of gaseous and liquid phases flows and the ratio of microbubble and micropipette diameters (i.e., Qg/Ql and Db/Dp) was found.

scholarly journals Prophylactic role of ivermectin in SARS-CoV-2 infection among healthcare workers

2021 ◽  
Author(s):  
Priyamadhaba Behera ◽  
Binod Kumar Patro ◽  
Biswa Mohan Padhy ◽  
Prasanta Raghab Mohapatra ◽  
Shakti Kumar Bal ◽  
...  
Keyword(s):  
Lower Risk ◽  
Healthcare Workers ◽  
Absolute Risk ◽  
Low Cost ◽  
Absolute Risk Reduction ◽  
Healthcare Services ◽  
Adjusted Relative Risk ◽  
Kaplan Meier

Abstract Background Healthcare workers (HCWs) are vulnerable to getting infected withSARS-CoV-2. Preventing HCWs from getting infected is a priority to maintain healthcare services. The therapeutic and preventive role of ivermectin in COVID-19 is being investigated. Based on promising results of in vitro studies of oral ivermectin, this study was conducted with the aim to demonstrate the prophylactic role of oral ivermectin in preventing SARS-CoV-2 infectionamong HCWs at All India Institute of Medical Sciences (AIIMS), Bhubaneswar.Methods A prospective cohort study was conducted at AIIMS Bhubaneswar, which provides both COVID and Non-COVID care since March 2020. All employees and students of the institute who provided written informed consent participated in the study.Uptake of two-doses of oral ivermectin (300 μg/kg at a gap of 72 hours) was considered as exposure. The primary outcome of the study was COVID-19 infection in the following month of ivermectin consumption diagnosed by RTPCR as per Government of India testing criteria guidelines.The log-binomial model was used to estimate adjusted relative risk, and the Kaplan-Meier failure plot was used to estimate the probability of COVID-19 infection with follow-up time.Results Of 3892 employees, 3532 (90.8%) participated in the study. The ivermectin uptake was 62.5% and 5.3% for two-doses and single-dose, respectively. Participants who took ivermectin prophylaxis had a lower risk of getting symptoms suggestive of SARS-CoV-2 infection(6% vs 15%). HCWs who had taken two-doses of oral ivermectin have a significantly lower risk of contracting COVID-19 disease during the following month (ARR 0.17; 95% CI, 0.12-0.23). Females had a lower risk of contracting COVID-19 than males (ARR 0.70 95% CI, 0.52-0.93). The absolute risk reduction of SARS-CoV-2 infection was 9.7%. Only 1.8% of the participants reported adverse events, which were mild and self-limiting.Conclusion and relevance Two-doses of oral ivermectin (300 μg/kg given 72 hours apart) as chemoprophylaxis among HCWs reduces the risk of COVID-19 infection by 83% in the following month. Safe, effective, and low-cost chemoprophylaxis have relevance in the containment of pandemic alongside vaccine.

scholarly journals Infrared: A Key Technology for Security Systems

2012 ◽  
Vol 2012 ◽  
pp. 1-15 ◽  
Author(s):  
Carlo Corsi
Keyword(s):  
Thermal Imaging ◽  
Energy Savings ◽  
Low Cost ◽  
Far Infrared ◽  
Building Structures ◽  
Security Systems ◽  
Infrared Wavelength ◽  
Security Applications ◽  
Medical Diagnostic ◽  
Military Systems

Infrared science and technology has been, since the first applications, mainly dedicated to security and surveillance especially in military field, besides specialized techniques in thermal imaging for medical diagnostic and building structures and recently in energy savings and aerospace context. Till recently the security applications were mainly based on thermal imaging as surveillance and warning military systems. In all these applications the advent of room temperature, more reliable due to the coolers avoidance, low cost, and, overall, completely integrable with Silicon technology FPAs, especially designed and tailored for specific applications, smart sensors, has really been impacted with revolutionary and new ideas and system concepts in all the infrared fields, especially for security applications. Lastly, the advent of reliable Infrared Solid State Laser Sources, operating up to the Long Infrared Wavelength Band and the new emerging techniques in Far Infrared Submillimeter Terahertz Bands, has opened wide and new areas for developing new, advanced security systems. A review of all the items with evidence of the weak and the strong points of each item, especially considering possible future developments, will be reported and discussed.

Comparative study on Vietnam’s and Philippines' COVID-19 response using historical institutionalism

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Peter Jerome B. Del Rosario ◽  
Francesca Mitchel Ofilada ◽  
Rose Ann D. Vicente
Keyword(s):  
Healthcare System ◽  
Information Dissemination ◽  
Low Cost ◽  
Secondary Data ◽  
Healthcare Spending ◽  
Healthcare Services ◽  
The Philippines ◽  
Historical Institutionalism ◽  
Contact Tracing ◽  
Content Type

PurposeThis paper analyzed the healthcare systems of the Philippines and Vietnam prior to the coronavirus disease 2019 (COVID-19) and their strategies on mass testing, contact tracing, quarantine procedures and information dissemination about the pandemic.Design/methodology/approachSteinmo's (2008) historical institutionalism approach was used in this paper. Secondary data gathering, document analysis and comparative process tracing were employed.FindingsThe findings revealed that Vietnam's implementation of its Law on Prevention and Control of Infectious Diseases in 2007, its relatively low-cost healthcare system, its efficient mass testing and contact tracing strategies and its science-based decisions are contributory to its success in handling the pandemic. Meanwhile, the Philippines failure to enact its Pandemic and All-Hazards Preparedness Act in 2013, its costly and dominantly private healthcare system, its heavy focus on strict, long lockdowns and its militarist methods to control the spread of the pandemic were found to be insufficient.Research limitations/implicationsDetailed study on the delivery of healthcare services in marginal areas, healthcare spending for COVID-19 positive individuals and information dissemination strategies about the pandemic were not explored.Practical implicationsHealth institutions can redesign their governance mechanisms by ensuring a cost-effective healthcare system and maximizing resource utilization to ensure efficient management of future pandemics. Moreover, national governments should not compromise their country's healthcare system over the economy during a pandemic.Originality/valueThis paper analyzed the countries' history of healthcare governance and its influence in handling COVID-19 compared to previous studies which only focused on the countries' strategies during the pandemic.

scholarly journals Identifying a Medical Department Based on Unstructured Data: A Big Data Application in Healthcare

Information ◽  
2019 ◽  
Vol 10 (1) ◽  
pp. 25 ◽  
Author(s):  
Veena Bansal ◽  
Abhishek Poddar ◽  
R. Ghosh-Roy
Keyword(s):  
Character Recognition ◽  
Optical Character Recognition ◽  
Medical Science ◽  
Imaging Data ◽  
Medical Department ◽  
User Input ◽  
Medical Diagnostic ◽  
Tertiary Healthcare ◽  
Big Data Application ◽  
And Performance

Health is an individual’s most precious asset and healthcare is one of the vehicles for preserving it. The Indian government’s spend on healthcare system is relatively low (1.2% of GDP). Consequently, Secondary and Tertiary government healthcare centers in India (that are presumed to be of above average ratings) are always crowded. In Tertiary healthcare centers, like the All India Institute of Medical Science (AIIMS), patients are often unable to articulate their problems correctly to the healthcare center’s reception staff, so that these patients to be directed to the correct healthcare department. In this paper, we propose a system that will scan prescriptions, referral letters and medical diagnostic reports of a patient, process the input using OCR (Optical Character Recognition) engines, coupled with image processing tools, to direct the patient to the most relevant department. We have implemented and tested parts of this system wherein a patient enters his symptoms and/or provisional diagnosis; the system suggests a department based on this user input. Our system suggests the correct department 70.19% of the time. On further investigation, we found that one particular department of the hospital was over-represented. We eliminated the department from the data and performance of the system improved to 92.7%. Our system presently makes its suggestions using random forest algorithm that has been trained using two information repositories-symptoms and disease data, functional description of each medical department. It is our informed assumption that, once we have incorporated medicine information and diagnostics imaging data to train the system; and the complete medical history of the patient, performance of the system will improve further.

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