Search results for "Costs and cost analysis"
showing 10 items of 49 documents
Job absenteeism and arterial hypertension: results of a hypertension control program.
1992
This study reports the findings of one of the stages of a programme for the detection and control of arterial hypertension, started in I980 in an automobile company with a workforce of 9,782. In the initial screening, 522 hypertensive males were found using epidemiological criteria and 206 of these fulfilled the criteria of definite hypertension. The objective of this study consisted of evaluating, 9 years after the start of the program, the indirect cost in terms of the reduction in the morbidity indicator-temporary work incapacity (TWI). Analysis is based on a comparison of the prevalence of hypertension in the population when the program was begun (6%) and in 1989 (9.8%). It can be obser…
Robotic Versus Laparoscopic Gastric Resection for Primary Gastrointestinal Stromal Tumors5 cm: A Size-Matched and Location-Matched Comparison.
2017
This study compared robotic (RR) and laparoscopic resection (LR) for primary gastrointestinal stromal tumors (GISTs) of the stomach >5 cm. Twelve consecutive patients who underwent RR from 2012 to 2015 were matched for tumor size and location with 24 patients who underwent LR from 2000 to 2012. The median tumor size was 7.1 cm (range, 5.5 to 11.5). GISTs were resected by wedge resection (91.7%) or distal gastrectomy. The median RR operative time was longer than that of LR (162.5 vs. 130 min, respectively; P=0.004). Only 1 LR patient required conversion. The time to flatus and hospital stay were similar between groups. Overall, 3 patients developed minor postoperative complications that w…
Effect of cost on early removal of contraceptive implants: a prospective cohort study
2019
OBJECTIVES To evaluate the effect of the cost of subdermal etonogestrel implant (SEI) on the continuation rate one year after insertion, and to assess the reasons given by users to remove the implant before the expiration date. METHODS Prospective cohort study conducted among 265 women who chose the SEI as a contraceptive method in a sexual and reproductive health center in the eastern region of Spain, between October/2012 and October/2017. The sample was divided into two cohorts depending on the cost of the implant for the user (free-of-charge or requiring partial payment). Kaplan-Meier survival curves were used to compare the cumulative removal rates of free implants with partially paid i…
Hospital and outpatient models for Hematopoietic Stem Cell Transplantation: A systematic review of comparative studies for health outcomes, experienc…
2021
The number of Hematopoietic Stem Cell Transplantations has risen in the past 20 years. The practice of outpatient Hematopoietic Stem Cell Transplantation programs is increasing in an attempt to improve the quality of patient care and reduce the demand for hospital admission. A systematic review of 29 comparative studies between in-hospital and outpatient treatment of Hematopoietic Stem Cell Transplantation, with no restriction by outpatient regime was conducted. This study aims to analyse the current evidence on the effects of the outpatient model on patient-centred outcomes, comparing both in-hospital and outpatient models for autologous and allogeneic HSCT using the Triple Aim framework: …
PET/CT and contrast enhanced CT in single vs. two separate sessions: a cost analysis study
2012
AIM: Aim of the study was to quantify the economic impact of PET/CT and contrast enhanced (c.e.) CT performed in a single session examination vs. stand-alone modalities in oncological patients. METHODS: One-hundred-forty-five cancer patients referred to both PET/CT and c.e. CT, to either stage (N.=46) or re-stage (N.=99) the disease, were included. Seventy-two/145 performed both studies in a single session (innovative method) and 73/145 in two different sessions (traditional method). The cost-minimization analysis was performed by evaluating: 1) institutional costs, data obtained by hospital accountability (staff, medical materials, equipment maintenance and depreciation, departments utilit…
Sustainability evaluation of Sicily's lemon and orange production: An energy, economic and environmental analysis
2013
The island of Sicily has a long standing tradition in citrus growing. We evaluated the sustainability of orange and lemon orchards, under organic and conventional farming, using an energy, environmental and economic analysis of the whole production cycle by using a life cycle assessment approach. These orchard systems differ only in terms of a few of the inputs used and the duration of the various agricultural operations. The quantity of energy consumption in the production cycle was calculated by multiplying the quantity of inputs used by the energy conversion factors drawn from the literature. The production costs were calculated considering all internal costs, including equipment, materi…
The relevance of the design characteristics to the optimal operation of wastewater treatment plants: Energy cost assessment
2018
Operational parameters of the wastewater treatment process do not always fit the design ones for several reasons, such as the seasonality or an inaccurate estimation of the population connected. This fact has an effect on the performance of the Wastewater Treatment Plants (WWTPs) and their energy costs. The aim of this paper is to develop a cost function for the energy cost that takes into account the mismatching between the design and the operational inflow. For this purpose, a performance index is constructed in order to represent how far the operational inflow is from the design one, and will be included in the cost model. Moreover, three cost functions, depending on the size of the plan…
Low cost-sensors as a real alternative to on-line nitrogen analysers in continuous systems.
2009
This paper is focused on the evaluation of the applicability of low-cost sensors (pH and ORP) versus nutrient analysers for controlling biological nitrogen removal in WWTPs. A nutrient removal pilot plant located in Carraixet WWTP (Valencia, Spain) that is equipped with a significant number of nutrient analysers and low-cost sensors was used. The relations between reliable, cheap on-line sensors such as pH and ORP (located in anaerobic, anoxic and aerobic zones) and the nitrification/denitrification processes are provided. The nitrification process can be evaluated by measuring the pH difference between the first and last aerobic zones. The denitrification process can be evaluated by measur…
Biological nitrogen removal from municipal landfill leachate: low-cost nitrification in biofilters and laboratory scale in-situ denitrification.
2002
The slow leaching of nitrogen from solid waste in landfills, resulting in high concentrations of ammonia in the landfill leachate, may last for several decades. The removal of nitrogen from leachate is desirable as nitrogen can trigger eutrophication in lakes and rivers. In the present study, a low-cost nitrification-denitrification process was developed to reduce nitrogen load especially in leachates from small landfills. Nitrification was studied in laboratory and on-site pilot aerobic biofilters with waste materials as filter media (crushed brick in upflow filters and bulking agent of compost in a downflow filter) while denitrification was studied in a laboratory anoxic/anaerobic column …
The contingent equilibrium during imbalanced volcano tourism demand through fee estimation: An empirical analysis of tourism in Mt. Etna
2022
Volcanic sites can be considered strategic areas for conservation and protection policies, but such policies may involve considerable costs However, not only are volcanic sites often integral to the tourism industry and, hence, of potential significant benefit to local economies in general; entrance fee income from tourists can also contribute to management and conservation costs in particular. Nevertheless, seasonal variations in tourism demand, resulting in over-and under-tourism situations, may impact on both the level of income generated as well as on the sustainability of sites Therefore, based on a case study of Mt Etna in Italy, this study considers establishing appropriate entry fee…