The impact of telemedicine on the quality and satisfaction with the health care provided during the COVID-19 pandemic in the field of pediatrics with special reference to the surgical professions

2021 ◽  
Vol 93 (6) ◽  
pp. 53-60
Author(s):  
Marko Bašković

The COVID-19 pandemic has forced healthcare systems around the world to adopt telemedicine at an unprecedented rate. Visits to telemedicine have increased to provide access and maintain continuity of care. Internet access has almost become a necessity, and new technologies allow for the easy flow of data from patient to doctor and vice versa. Doctors of all specialties were forced to adapt to the pandemic and emerging conditions. The provision of surgical services and the learning ability of surgeons are particularly disrupted, and the pediatric surgical community is not exempt. During the pandemic, telemedicine proved to be a viable and safe technique for providing health services. In an environment of a health system that is constantly facing a shortage of resources, effective telemedicine placement can come with a high benefit-cost ratio and quality of care, while ensuring patient satisfaction.

2016 ◽  
Vol 9 (3) ◽  
pp. 840-846 ◽  
Author(s):  
Kevin Shee ◽  
Alan T. Kono ◽  
Susan P. D'Anna ◽  
Mark A. Seltzer ◽  
Xiaoying Lu ◽  
...  

Despite the clinical efficacy of anthracycline agents such as doxorubicin, dose-limiting cardiac toxicities significantly limit their long-term use. Here, we present the case of a 33-year-old female patient with extensive metastatic ER+/PR+/HER2– mucinous adenocarcinoma of the breast, who was started on doxorubicin/cyclophosphamide therapy after progressing on paclitaxel and ovarian suppressor goserelin with aromatase inhibitor exemestane. The patient was comanaged by cardiology, who carefully monitored measures of cardiac function, including EKGs, serial echocardiograms, and profiling of lipids, troponin, and pro-BNP every 2 months. The patient was treated with the cardioprotective agent dexrazoxane, and changes in cardiac markers [e.g. decreases in ejection fraction (EF)] were immediately addressed by therapeutic intervention with the ACE inhibitor lisinopril and beta-blocker metoprolol. The patient had a complete response to doxorubicin therapy, with a cumulative dose of 1,350 mg/m2, which is significantly above the recommended limits, and to our knowledge, the highest dose reported in literature. Two and a half years after the last doxorubicin cycle, the patient is asymptomatic with no cardiotoxicity and an excellent quality of life. This case highlights the importance of careful monitoring and management of doxorubicin-mediated cardiotoxicity, and that higher cumulative doses of anthracyclines can be considered in patients with ongoing clinical benefit.


2021 ◽  
Vol 4 (13(112)) ◽  
pp. 101-112
Author(s):  
Olexander Bugrov ◽  
Olena Bugrova

A conceptual model for analyzing the dynamics of the value of the project, achieved as a result of engineering, under conditions of uncertainty has been developed. In the methodological context, the proposed approach is based on an array of isovalues, each of which corresponds to its own level of optimism in forecasting the cash flow for the project. With the increase in the efficiency of the project due to engineering, the entire array of iso-value lines’ changes its geometrical position, moving further from the origin (in the four-dimensional space "time-benefit-cost-risk"). The proposed model includes three stages. At the first stage, input information is collected and the corresponding analysis is initiated. The result of the second stage is a multivariate cash flow forecast and calculation of the benefit-cost ratio (BCR) and its changes for each scenario. The third stage provides the calculation of the expected BCR and its change, an assessment of the risk of making an erroneous decision and changing this risk as a result of the engineering session. The model makes it possible to calculate the achieved proportion of the static and dynamic vectors of change in the value of the project, which is one of the key manifestations of the scientific novelty of the work. In the example considered, the share of the dynamic vector of growth in the value of the project was found to be 35.47 %. The model has an environmental property - the assessment of the success of value engineering under conditions of uncertainty is carried out on the basis of the annual total benefits and the annual total costs throughout the project cycle. Thus, the analysis takes into account the impact of the project on the environment, which is reflected in the risk assessment. The given case testifies to the feasibility of applying the model in the practice of engineering the value of construction projects.


2021 ◽  
Author(s):  
Farren Kaylyn Foo ◽  
Derric Shen Chien Ong

Abstract Oil prices see large fluctuations peculiarly over the last eight years due to natural disasters, political instability, and Covid-19 pandemic shock. These prompt to anxiety towards expenditure in planning and forecasting of a field development plan (FDP). Economic optimization of a reservoir under water drive can be extremely tedious and time consuming especially for complex field. Traditionally, upon completion of forecast optimization on fluid production, reservoir engineer willhand over the reservoir models to petroleum economist for economical evaluation. If the chosen development strategy is not economically viable, the model strategies will have to be updated, and continue the repetition of financial evaluation all over again. Hence, this paper established an automated workflow that diminished the dilemma on iterations obligation between simulation runs and financial reviews in searching for most efficient waterflooding strategy. The automated workflow is accomplished by bridging three tools together seamlessly utilizing python scripting. These include the cash flow economic spreadsheet model, the dynamic simulator, and an assisted uncertainty analysis tool. The process first started with defining the economic parameters such as OPEX, CAPEX, oil price, taxes, discounted rates, and other financial parameters on an annual basis in spreadsheet. The uncertainty parameters: water injection rate, maximum water cut, and injection duration will be evaluated during forecast optimization to produce project efficiency indexes: Net Present Value (NPV) and Benefit-Cost Ratio (BCR). This integration was achieved by python script that automatically creates a coding path which exchanges simulation production and economic spreadsheet data at every simulation time step and each development strategy, that require no manual intervention. The integrated economic-dynamic model workflow has successfully applied on West Malaysian field and Olympus model, a development strategy that maximize oil recovery without neglecting cost of water disposal, storage for total water produced from the reservoir. This paper successfully identified the most efficient waterflooding strategy and production constraints for each well using BCR as objective function for optimization. The optimum development scenario does have a BCR which is more than 2 which show that investment on that particular development strategy is profitable. The results also demonstrated a crucial impression that the highest oil cumulative production may not results in high BCR due to cost involvement in resolving water production and field maintenance services. This paper outlined the methodology, python scripting codes, and how integration automation works that successfully optimized an injection strategy in a development project using economic model from third-party application. The results of this automated workflow demonstrate a successful utilization of new technologies and simple customize programming knowledge that promote cross-discipline integration for enhanced work-time efficiencies in problem solving that is suitable for all reservoir model type to determine its success rate and economic viability during FDP.


2013 ◽  
Vol 655-657 ◽  
pp. 1479-1483
Author(s):  
Jiu Hui Ding ◽  
Bai Wei Guo ◽  
Shuang Wei

one hardware-in-the-loop simulation (referred to HILS) system for terminally guided projectile guidance and control system has been built, based on the analysis to the demand of HILS for the guidance and control system of the terminally guided projectile. The running process and the comparison results of the HILS & mathematical simulation have been given. The simulation results show that the movement of the terminally guided projectile could be simulated by the HILS system, which has a high benefit-cost ratio and confidence.


2014 ◽  
Vol 663 ◽  
pp. 596-603
Author(s):  
Zulhaidi Mohd Jawi ◽  
Aqbal Hafeez Ariffin ◽  
Yahaya Ahmad ◽  
Khairil Anwar Abu Kassim ◽  
Norlen Mohamed ◽  
...  

The newly established New Car Assessment Program for Southeast Asian Countries (ASEAN NCAP) has incorporated Safety Assist Technologies (SATs) in its automobile safety rating scheme. In order for any assessed car to be eligible for the maximum 5-star rating, it should first be equipped with Electronic Stability Control (ESC) and fitted with seatbelt reminder (SBR). However, since these SATs are not being evaluated in their performance by the means of field testing, this paper explains the benefit of having these SATs through Cost-Benefit Analysis (CBA) which help to rationalize the importance of SATs in preventing road accidents or mitigating severity of injuries. Due to data limitation, this preliminary CBA assessment will only be focusing on Malaysia’s situation and is based on published sources and the authors’ best estimates. This study also includes the Cost-Benefit Analysis on Anti-lock Braking System (ABS), which is the basis for ESC technology, in preparation for its inclusion in the future rating scheme to expedite the vision of making ABS as standard fit in all ASEAN’s passenger cars. The preliminary result shows that all technologies – ESC, SBR and ABS – appear to be cost-effective (benefit/cost-ratio > 3) or most likely cost effective (1 < benefit/cost-ratio < 3) in Malaysia’s road safety situation per se.


Author(s):  
V. Chandrasekar ◽  
P. Jeyanthi ◽  
Nikitha Gopal

Fish meal is an important feed ingredient produced from trash and low value fishes and is widely used in the poultry, aquafeed and agricultural sector. In addition to traditional sun dried product, modern fish meal is produced by modern fish meal plants. This paper presents a comparison of economic performance of fish meal units adopting the traditional and modern methods of fish meal production in Veraval, Gujarat. The study was conducted among 12 fish meal plants operating in Veraval. In the traditional method, the raw material is sourced from and nearby places within the state which is sun dried and then ground to produce fish meal. In modern fish meal units, through a mechanised production line, raw fish is steam-cooked, dried and finally ground to produce fish meal. Quality of the fish meal produced in the modernised units was found to be superior as compared to traditional fish meal. While sun dried fish meal fetches `20-30 kg-1, the fish meal produced in modern units is sold at `50-70 kg-1. Even though the initial investment and operational cost, which includes raw material, labour and other overheads is more in the modern method, the price realisation is almost double per unit of the product and the quality of the fish meal is also better than the traditionally produced one. The benefit cost ratio and net present value for modern method was also estimated to be higher.


Author(s):  
B.L. Jat ◽  
Nidhi . ◽  
Gopichand Singh ◽  
Pushpa Kumawat

On Farm Testing of Pheromone trap @ 5/ha + Coriander row (7/8:1) + HaNPV @ 250 LE/ha against pod borer (Helicoverpa armigera L.) management was assessed on farmers field in Nagaur district during 2020-21. Trial was conducted on 10 farmer’s field to know the impact of said technology on chickpea pod borer management. In the demonstrated technologies the chickpea seed production 19.83 q/ha. The percent seed yield increase over the farmer’s practices was 34.11%. The net return in demonstration technology was ` 67036/ha and the same was ` 44525/ha. The incremental benefit cost ratio was 3.26 in demonstration technology as compared to farmer’s/ local check 2.60 respectively.


2019 ◽  
Vol 11 (4) ◽  
pp. 332-337
Author(s):  
S. Adhikari ◽  
B.R. Dahal ◽  
V. Bist

Abstract. Maize is one of the top agricultural commodities that has great share in the Agricultural Government Development Plan of Nepal. Despite being a major crop, productivity of maize is quite lower than global average. In this context, a study was undertaken to determine the extent of technology adoption between improved and local seed users of Arghakhanchi district of Nepal. A pretested semi-structured questionnaire was administered among 120 randomly selected farmers during the month of January 2018. The extent of technology adoption was measured on sowing time, seed replacement, variety change, seed rate, application of fertilizer, weeding and plant protection. The empirical evidence suggested that, extent of technology adoption and benefit cost ratio were magnificently higher for improved seed users than local seed users. So, there is still a gigantic scope to improve maize productivity in the area by adoption of recommended technology of maize farming. The probability of adoption of recommended technology (improved seed) for maize farming was found to be higher for those with access to extensive service. Overall, our study pointed out that extension facility is a key strategy to make famers aware of the new technologies and a crucial factor to increase the chance of adoption.


Author(s):  
B. Venkatesh ◽  
Y. S. Parameswari ◽  
M. Madhavi ◽  
T. Ram Prakash

A field experiment was conducted during kharif, 2019 at Professor Jayashankar Telangana State Agricultural University, Rajendranagar, Hyderabad. The experiment done with twelve treatments and three replications. The study was taken to find out which herbicide mixture most effective in controlling of weeds leads to maximum yields with higher benefit cost ratio. The results revealed that, application of herbicide mixture florpyrauxifen-benzyl + cyhalofop-butyl 10% EC 150 g/ha PoE fb hand weeding at 40 days after transplanting (DAT) gave higher yields and net returns with high benefit cost ratio (B: C) which was statistically on par with minimum competitive plot. Unweeded plot yield was deviated about 48 % compare to florpyrauxifen-benzyl + cyhalofop-butyl 10% EC 150 g/ha PoE fb hand weeding at 40 days after transplanting.


2014 ◽  
Vol 12 (1) ◽  
pp. 89-95
Author(s):  
AK Singh

Pod fly [Melanagromyza obtusa (Malloch)] is a key biotic constraint for productivity in subsistence crop protection pattern; its damage varies up to 80%; has been estimated about US $ 256 million annually. The research trial was accomplished at Research Farm of SASRD, Nagaland University during Kharif 2011 and 2012 in order to evaluate the new molecules against pod fly. The experiment was consisted 6 treatments (Trizophos 500 g ai. ha-1, Emamectine benzoate 11 g ai. ha-1, Emamectine benzoate 11 g ai. ha-1 + Acetamiprid 30 g ai. ha-1, Flubendiamide 47 g ai. ha-1, Chlorantraniliprole 40 g ai. ha-1 and Spinosade 75 g ai. ha-1) compare with control. The lowest pod damage (9.7% and 9.3%), lowest grain damage (5.3% and 5%) and highest grain yield (1202 kg ha-1 and 1209 kg ha-1) were obtained from Chlorantraniliprole followed by Emamectine benzoate+ Acetamiprid, Spinosade, Emamectine benzoate, Flubendiamide, Trizophos and all the treatments were significantly superior over control. The highest B: C ratio reward (1:4.24) was obtained from Chlorantraniliprole. The results indicated that Chlorantraniliprole was more effectual against pod damage, grain damage, yield and B: C ratio. The safer chemical control methods reduce the pod damage, grain damage and higher yield with high benefit: cost ratio, so therefore chemical control popularizes as an effective, practical alternative and makes lucrative cultivation of pigeon pea. DOI: http://dx.doi.org/10.3329/sja.v12i1.21115 SAARC J. Agri., 12(1): 89-95 (2014)


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