Comparing Diagnosis and Treatment of Pulmonary Hypertension Patients at a Pulmonary Hypertension Center versus Community Centers

Once patients are diagnosed with pulmonary hypertension it is important to identify the correct diagnostic group as it will have implications on the disease state management. Pulmonary hypertension is increasingly diagnosed and treated in general medical practices; however, evidence-based guidelines recommend evaluation and treatment in pulmonary hypertension centers for accurate diagnosis and appropriate treatment recommendations. We conducted a retrospective cohort study of 509 random patients 18 years and older who were evaluated in our pulmonary hypertension clinic from January 2005 to December 2018. 68.4% (n = 348) had their diagnostic group clarified or changed. Pulmonary hypertension was deemed an incorrect diagnosis in 12.4% (n = 63). A total of 114 patients (22.4%) had been initiated on pulmonary hypertension specific treatment prior to presentation. Pulmonary hypertension specific medication was stopped in 57 (50.0%) cases. The estimated monthly saving of the stopped medication based on wholesale acquisition costs was USD 396,988.05–419,641.05, a monthly saving of USD 6964.70–7362.12 per patient. Evaluation outside of a pulmonary hypertension center may lead to misdiagnosis and inappropriate or inadequate treatment. Pulmonary arterial hypertension directed therapy improves median survival, but inappropriate therapy may cause harm; therefore, patients benefit from a specialized center with multiple resources to secure an accurate diagnosis and tailored treatment for their condition.

Membaca Serat Gembring Baring Karya Raden Ronggo Prawirodirjo III: Sebuah Ikhtiar Pencarian Pemimpinan Idaman Rakyat

<p><em>The old manuscript is one of the cultural heritages of the Indonesian nation which is full of noble values. One of the old literary works that has the function of piwulang is Serat Serat Gembring Baring by Raden Rangga Prawiradirja III [Madiun Regent 1796-1810]. The purpose of this study is to describe the leadership concepts contained in the Serat Gembring Baring in order to answer one of the mistakes of our state management, namely, the leadership crisis so that we can find the criteria for an ideal leader and what the people want. The content analysis method is used to reveal the leadership concept contained in the fiber, while the approach used is a historical-descriptive approach. A good leader in Fiber Gembring Baring is a leader who has the following criteria: kaṅ nĕdya hulaḥ praja (seriously government the country), maḍĕp kawulannira (pay attention to the people), mantĕp maraṅ hadabbiṅ nagari (be loyal to the adab [rules] of the country).</em></p>

Applying appropriate models to predict bankruptcy for Vietnamese listed construction companies

This study focuses on assessing the suitability and condition of various bankruptcy risk models applied to construction companies listed on the Vietnam Stock Market. In this study, the panel data were collected from the disclosed financial statements of the companies from 2012 to 2017. Through the assessment, bankruptcy risks are predicted for the companies that are experiencing initial signals such as delisting, compulsory supervision. In the next step, interviews were conducted to justify which of the following factors may indicate the companies at the risk of being bankrupted: asset management, capital structure, business size, and/or state management.

Integrated Regional Operational Programme as an instrument for supporting local and regional development in the perspective of EU funds for 2021-2027

The implementation of the IROP objective concerned the policy of regional development of the state, contributed to economic growth, decentralisation of state management, structural transformation of regions, increase in urbanisation, increasing the spatial mobility of the population, increasing the level of knowledge and access to the most modern technologies for the society and business entities.

Territorial and economic aspects of urbanization in Kazakhstan

The purpose of the work is to study the problems of territorial and economic development within the confines of regulated activation of urbanization processes in the Republic of Kazakhstan. To achieve it, authors analysed the statistical data on such indicators as population density, administrative-territorial division, according to which significant disproportions of territorial and economic development and settlement in the republic, the development of the regions of Kazakhstan were revealed. The authors studied the main provisions of regional policy, considered the main directions of state management of the formation of centers of urbanization with the decisive role of cities with a population of millions people in the optimization of regional economic systems. Research on this topic allowed the authors to conclude that the process of urbanization in Kazakhstan has a dynamic character and has not yet exhausted its potential, which gives reason to conclude that it is necessary to form new centers of urbanization and agglomerations. The article examines the main trends of the urbanization process at the present stage, namely, in economically developed countries, where urbanization has reached a sufficiently high level, the share of the urban population is growing at a slower pace, whereas in developing countries the urbanization process continues to grow in breadth and has a spontaneous, uncontrollable character. At the same time, the growth of population in cities far outstrips their economic development. Materials and research methods. When studying the territorial and economic features of urbanization in Kazakhstan, a complex of the following research methods were used: monographic, program-targeted, statistical analysis. In this work also used such theoretical research methods as comparisons and generalizations, scientific abstraction and synthesis.

Science and technology in Vietnam

The main managing agency responsible for science and technology (S&amp;T) in Vietnam is the Ministry of Science and Technology (MOST). MOST's responsibilities include scientific research, technology development and innovation activities; development of science and technology potentials; intellectual property; standards, metrology and quality control; atomic energy, radiation and nuclear safety; and state management on public services in fields under the Ministry’s management as stipulated by law.

Accounting Information System in the Digital Economy in Vietnam

The industrial revolution 4.0 in general and the trend of the digital economy in particular have affected all aspects of the economy. The requirements of finance and digital accounting, as well as the requirements of regional and international financial and accounting integration, require proactive preparation, taking full advantage of the advantages as well as limiting the impacts. disadvantage. That context is posing a requirement to innovate the accounting information system in the digital technology era. Therefore, learning about the impact of the digital economy on the accounting information system: accounting process, accounting human resources, and state management of accounting is essential to ensure the system effective accounting system, helping businesses seize opportunities and overcome challenges.

EXPERT COMMUNITY’S OPINION ON SOME PROBLEMS OF NATIONAL POLICY IN CHUVASHIA

The article presents the views of 30 experts on a number of national policy problems in the Chuvash Republic. According to experts, friendly, conflict-free interethnic and interconfessional relations prevail in Chuvashia, rare cases of negative interethnic contacts are characteristic of everyday situations, most often related to the use of native languages. The possibility of interethnic conflicts is considered as unlikely. They may be associated with potentially ill-conceived actions in the sphere of linguistic and other ethno-cultural interests of representatives of individual peoples. According to experts, preservation and improvement of good-neighborly relations between representatives of certain ethnic groups are greatly influenced by the verified national policy and successful economic development of the republic. Some experts support the opinion which prevails among the republic population on the negative impact of labor migrants on the labor market opportunities for the old-age population, although statistics data do not confirm such attitudes. From experts’ viewpoint, successful implementation of national policy in the republic could be facilitated by organization of a special state management structure (ministry, committee), active involvement of enthusiasts in national cultural associations in various management issues, regular ethnological monitoring, dissemination of positive practices in the field of interethnic relations, etc. In general, experts believe that there is no noticeable influence of the ethnic factor on real politics in Chuvashia.

Improvement of State Institution on Mineral Resources Management and Exploitation in Vietnam

Vietnam's mining industry has a long history with mines distributed throughout the country. Ithas contributed significantly to national economic growth. However, it also causes negative impacts onthe environment, thereby affecting sustainable development and mineral resource management.Therefore, mineral resource management is one of the most critical tasks of state management. The factorsthat directly affect this issue are the institutional system and state management tools by the law. Stateinstitutions are an essential tool to regulate behaviors and establish social orders and disciplines in allfields, including mineral resources management. This article presents the current law on managing andexploiting mineral resources to provide orientations and solutions to improve the state institution on theseactivities in Vietnam. Based on clarifying the theory of state institutions and analyzing the current legaldocument systems in Viet Nam, the paper emphasizes the role of appraisal in improving the quality oflegal documents and perfecting state institutions.

State management of social media in Vietnam

The development of Internet in Vietnam since late 2000s represents an unprecedented opportunity for economic growth; it also poses a major challenge to political stability insofar as its development has coincided with the emergence of civil society and the rise of the social media. Vietnamese social media has been studied by many scholars from different point of views. Yet, the organisational side of Internet gouvernance and its inherent vulnerability remain obscure in the literature. Our paper will scrutinize the state management dilemma of social media. We will overview the two-pronged strategy which alternates development with control vis--vis social media; then we will examine how several management and control measures are combined and how the boundaries may blur between the political and online public spheres, making the states digital governance vulnerable and uncertain. Our analysis is based on the states regulations and information published online by official and social media, and foreign news services.