scholarly journals ARTHROSCOPY OF THE KNEE

2018 ◽  
Vol 23 (12) ◽  
pp. 1587-1592
Author(s):  
Moghees Ikram Ameen
Keyword(s):  
Knee Joint ◽  
Random Number Generator ◽  
Postoperative Pain Management ◽  
Operation Analysis ◽  
Significant Efficacy ◽  
Post Operation ◽  
The Cost ◽  
And Control ◽  
The Impact ◽  
Generator Function

Introduction: Arthroscopy has a significant efficacy amongst patients, butis dependent on the anasthesia used. This is particularly important, as research on kneearthroscopy has established importance on anasthesia, particularly the type and number used.Study Research Objective: This study conducted over a period of 2 years, included all patientsundergoing knee arthroscopy, irrespective of age, gender and underlying conditions (whethertraumatic, degenerative, infective or inflammatory). In this study the Impact of postoperativepain management on patient recovery was evaluated. There is evidence that the knee joint hasmorphine receptors, thus nalbuphin was used. Study Design: Randomized Case Control Study.Setting: Department of KRL Hospital. Period: Jan 2014 to Dec 2015. Methodology: Randomizationwas done through the random number generator function provided by Open EPI Ver. 3.01.The random numbers generated were compared with serial numbers assigned to patientsthrough consent forms and then assigned to the three groups accordingly (Control, Lignocaine,Lignocaine + Nalbucin). Out of 117 patients 6 patients were given general anesthesia and 111were given spinal anesthesia. Arthroscopy was done under tourniquet control. To measure painthresholds, a visual analogue scale from 1 to 9 was used and then made into three groups:mild (1-3), moderate (4-6) and severe (7-9). Patient Mobilization was measured 4, 6, 8, 10, 12,14, and 16 hours post operation. Analysis was done using OpenEPI Ver. 3.01 and MicrosoftExcel 2013 separately for both Lignocaine and Lignocaine + Nalbuphin. A systematic literaturereview was done to compare the results found in this study with those found in this study. Forthis purpose, the following string was used in Google Scholar and Pubmed: “Arthroscopy”AND “TB” AND “Synovial Biopsy” and “Postoperative Pain Management” AND “Arthroscopy”AND “Knee Joint”. Results: Interventions of Lignocaine and Lignocaine + Nalbucin were moreeffective than control. Lignocaine + Nalbucin combined showed higher chances of mobilitywhen compared to Lignocaine and control. Systematic Literature Review also provided similarresults. Conclusion: If this procedure is performed with the correct expertise and the patientgiven intra articular lignocaine and Nalbuphin, the patients show early and good recovery andtherefore they can be discharged the same day thus reducing the cost on the patient as wellas the hospital.

Voluntary Demand for Internal and External Auditing by Family Businesses

2000 ◽  
Vol 19 (s-1) ◽  
pp. 37-51 ◽  
Author(s):  
Peter Carey ◽  
Roger Simnett ◽  
George Tanewski
Keyword(s):  
Internal Audit ◽  
Business Environment ◽  
Family Businesses ◽  
Firm Characteristics ◽  
External Audit ◽  
The Family ◽  
The Board Of Directors ◽  
The Cost ◽  
And Control ◽  
The Impact

This study investigates voluntary demand for auditing by family businesses, a significant but relatively unexplored segment of the economy. The paper considers demand for both internal and external auditing by using survey data to investigate the impact of firm characteristics linked to the cost vs. benefit of engaging an auditor. Variables examined are firm size, debt, and two agency proxies that measure separation of ownership and control, namely, the proportion of nonfamily management in the firm, and the proportion of nonfamily representation on the board of directors. The paper also considers the association between internal and external auditing. Descriptive results on voluntary demand for auditing by 186 family businesses revealed that internal audit was more prevalent than external audit, and outsourcing was a common method for providing internal audit. Results from logistic regression analyses provide support for the hypothesized impact of the two agency proxies and firm debt on demand for external audit, but do not explain the demand for internal audit. For firms that voluntarily engaged an auditor (internal and/or external audit), the negative and significant correlation between internal and external audit suggest that in the family business environment they are more commonly viewed as substitute rather than complementary responses.

Capturing the Financial Impact of Heparin-Induced Thrombocytopenia.

Blood ◽  
2005 ◽  
Vol 106 (11) ◽  
pp. 3127-3127 ◽  
Author(s):  
Maureen A. Smythe ◽  
John M. Koerber ◽  
Joan C. Mattson
Keyword(s):  
Control Patient ◽  
Hospital Cost ◽  
Financial Impact ◽  
Case Patient ◽  
Heparin Induced Thrombocytopenia ◽  
The Mean ◽  
Cost Calculations ◽  
The Cost ◽  
And Control ◽  
The Impact

Abstract Data evaluating the financial impact of heparin-induced thrombocytopenia (HIT) (a severe adverse drug reaction which can result in life threatening thrombosis) is lacking. The goal of this case-control study was to evaluate the financial impact of HIT. Case patients were those with a new diagnosis of HIT from April 2003 to March 2004 for whom matched controls were available. Controls for each case patient were matched for the DRG under which the hospital was reimbursed, the patient’s primary diagnosis code and their primary procedure code. Case patients required identification of >1 control for inclusion. The hospital’s financial database was queried for length of stay (LOS), total cost, and reimbursement. For each case patient, the cost and reimbursement were compared to the cost and reimbursement for each group of matched controls. In an effort to eliminate the impact of variable reimbursement, a subset of only Medicare case and control patients was also evaluated. Of 72 new HIT patients, matched controls were identified for 31. The mean LOS for the case and control patients was 22.8 and 11.6 days respectively (p=0.006). The mean hospital cost of case and control patients was $55,440 and $26,505 respectively. From reimbursement minus cost calculations, our institution lost an average of $13,429 per HIT patient compared to an average of $393 per control patient (p=0.005). The mean LOS for Medicare cases (n=21) and matched Medicare controls was 26 and 14.6 days respectively (p=0.041). The mean hospital cost of Medicare case and control patients was $58,842 and $30,210 respectively. From reimbursement minus cost calculations for the Medicare subset, our institution lost an average of $20,229 per HIT case compared to $1844 per control patient (p<0.0001). Assuming 72 new cases of HIT per year, our institution incurs a projected annual financial loss of $980,000 from HIT. The use of alternate anticoagulants, although having a higher acquisition cost, may offset this loss through HIT avoidance.

Force-Measuring Robot for Evaluation of Anterior Cruciate Ligament Reconstruction

2012 ◽  
Vol 466-467 ◽  
pp. 1418-1423
Author(s):  
Yan Hu ◽  
Jun Wei ◽  
Lei Li ◽  
Shi Li ◽  
Xi Ju Zong
Keyword(s):  
Anterior Cruciate Ligament ◽  
Knee Joint ◽  
Acl Reconstruction ◽  
Cruciate Ligament ◽  
Lateral Force ◽  
Mathematics Model ◽  
Lateral Direction ◽  
Post Operation ◽  
Anterior Cruciate ◽  
And Control

Aiming at the problems of the anterior cruciate ligament (ACL) reconstruction in knee joint, such as deficiency in effective effect evaluation and insufficiency in operation safety, a zero gravity based force-measuring robot is developed to measure the pre- and post-operative tension of the knee joint ACL. The requirements for the robot's configuration and control are analyzed with regard to the ACL operation environment. Then the mathematical model of the ACL lateral force is deduced. The mechanical configuration and the control system design of the force-measuring robot for knee joint ACL are presented in detail. Lastly, experiments on measuring precision of the displacement and force of the mandrel, and the post-operation evaluation on the ovine bone, are implemented. The results show that the robot is effective for ACL reconstruction evaluation and the mathematics model of ACL forced in lateral direction is valid.

The Span Mitigation Analysis With Use of Advanced FEA Modeling Techniques

2011 ◽  
Author(s):  
James Wang ◽  
Ranil Banneyake ◽  
Shawn Huang ◽  
Paul Jukes ◽  
Ayman Eltaher
Keyword(s):  
Element Analysis ◽  
Upheaval Buckling ◽  
Fea Modeling ◽  
Significant Damage ◽  
Static And Dynamic Loads ◽  
The Cost ◽  
Mitigation Methods ◽  
And Control ◽  
The Impact ◽  
Cost Factors

Spans occur when a pipeline is laid on a rough undulating seabed or when upheaval buckling occurs due to constrained thermal expansion. This not only results in static and dynamic loads on the flowline at the span section, but also generates vortex induce vibration (VIV) which can lead a fatigue issue. The phenomenon, if not predicted and control properly, will result in significant damage to the pipeline integrity, leading to expensive remediation and intervention works. There are various span mitigation methods in use for both over stressing and fatigue concerns. The mitigation methods, if not analyzed properly, may result in much unnecessary work or generate more problems or concerns in the future. The mitigation analysis can become very challenging due to many restrictions in the field such as the minimum and maximum heights or lift of mechanical supports or grout bags, and bearing capacity vs. cost of supports. The cost of different mitigation methods and their interactions are the other considerations along with the installation tolerances, challenges associated with the water depth and uncertainties in seabed properties. This paper describes the latest developments in use of finite element analysis to investigate associate mitigation solutions given the governing practical limitations and cost factors. The ULS and fatigue lift criteria are used as the guidelines. The methods presented within this paper are applicable for various span conditions. Conclusions are then drawn to the impact of these various scenarios so that the pipeline integrity can be assured with confidence.

scholarly journals Do family firms pay less for external funding?

2021 ◽  
pp. 031289622110182
Author(s):  
Muhammad Jahangir Ali ◽  
Seema Miglani ◽  
Man Dang ◽  
Premkanth Puwanenthiren ◽  
Mazur Mieszko
Keyword(s):  
Family Involvement ◽  
Family Firms ◽  
Jel Classification ◽  
Family Control ◽  
Listed Firms ◽  
Family Enterprises ◽  
The Cost ◽  
And Control ◽  
The Impact

We examine the impact of family control on the cost of raising external funds by family enterprises. Using a sample of Australian publicly listed firms, we find a significantly negative relation between cost of newly raised capital and family control. Moreover, we show that this relationship varies with the quality of corporate governance and the quality of firm’s information environment. Furthermore, we conduct several robustness checks and consistently find that our main results remain unchanged. Overall, our evidence suggests that family firms have easier access to external financing fostered by family involvement in the ownership and control. JEL Classification: G31; G32; M41; M42

scholarly journals Poverty Reduction and Human Development: Impact of ENRICH Programme on Income Poverty in Bangladesh

2019 ◽  
Vol 13 (1) ◽  
pp. 13-31
Author(s):  
Farhana Nargis
Keyword(s):  
Community Development ◽  
Poverty Alleviation ◽  
Poverty Reduction ◽  
Income Poverty ◽  
Poor Households ◽  
Poverty Lines ◽  
The Cost ◽  
And Control ◽  
The Impact ◽  
Multiple Intervention

This article aims to analyse the impact of the ENRICH programme (a holistic microfinance programme with multiple intervention) in poverty alleviation. It is based on a survey of 1,800 households selected both in programme implemented and control areas. The cost of basic needs method was used in this study to calculate the poverty lines for the year 2015. This study shows that there has been a significant impact of the ENRICH programme on poverty. The programme has resulted in an additional 10 percentage point poverty reduction in the programme areas, besides contributing to a decrease in the number of extremely poor households over time. Moreover, it has contributed to social and community development with its participants feeling more respected and dignified than before.

Demonstrating Nutrient Cost Gradients: A Brooklyn Case Study

2014 ◽  
Vol 84 (5-6) ◽  
pp. 244-251 ◽  
Author(s):  
Robert J. Karp ◽  
Gary Wong ◽  
Marguerite Orsi
Keyword(s):  
Low Income ◽  
Energy Content ◽  
Food Selection ◽  
The United States ◽  
United States Department ◽  
Micronutrient Deficiencies ◽  
Caloric Density ◽  
Low Income Families ◽  
The Cost ◽  
The Impact

Abstract. Introduction: Foods dense in micronutrients are generally more expensive than those with higher energy content. These cost-differentials may put low-income families at risk of diminished micronutrient intake. Objectives: We sought to determine differences in the cost for iron, folate, and choline in foods available for purchase in a low-income community when assessed for energy content and serving size. Methods: Sixty-nine foods listed in the menu plans provided by the United States Department of Agriculture (USDA) for low-income families were considered, in 10 domains. The cost and micronutrient content for-energy and per-serving of these foods were determined for the three micronutrients. Exact Kruskal-Wallis tests were used for comparisons of energy costs; Spearman rho tests for comparisons of micronutrient content. Ninety families were interviewed in a pediatric clinic to assess the impact of food cost on food selection. Results: Significant differences between domains were shown for energy density with both cost-for-energy (p < 0.001) and cost-per-serving (p < 0.05) comparisons. All three micronutrient contents were significantly correlated with cost-for-energy (p < 0.01). Both iron and choline contents were significantly correlated with cost-per-serving (p < 0.05). Of the 90 families, 38 (42 %) worried about food costs; 40 (44 %) had chosen foods of high caloric density in response to that fear, and 29 of 40 families experiencing both worry and making such food selection. Conclusion: Adjustments to USDA meal plans using cost-for-energy analysis showed differentials for both energy and micronutrients. These differentials were reduced using cost-per-serving analysis, but were not eliminated. A substantial proportion of low-income families are vulnerable to micronutrient deficiencies.

Suppressed, but Not Forgotten

2011 ◽  
Vol 70 (1) ◽  
pp. 5-11 ◽  
Author(s):  
Beat Meier ◽  
Anja König ◽  
Samuel Parak ◽  
Katharina Henke
Keyword(s):  
Memory Trace ◽  
Thought Suppression ◽  
Test Phase ◽  
Indirect Test ◽  
Final Test ◽  
Test Experiment ◽  
And Control ◽  
Cue Words ◽  
The Impact

This study investigates the impact of thought suppression over a 1-week interval. In two experiments with 80 university students each, we used the think/no-think paradigm in which participants initially learn a list of word pairs (cue-target associations). Then they were presented with some of the cue words again and should either respond with the target word or avoid thinking about it. In the final test phase, their memory for the initially learned cue-target pairs was tested. In Experiment 1, type of memory test was manipulated (i.e., direct vs. indirect). In Experiment 2, type of no-think instructions was manipulated (i.e., suppress vs. substitute). Overall, our results showed poorer memory for no-think and control items compared to think items across all experiments and conditions. Critically, however, more no-think than control items were remembered after the 1-week interval in the direct, but not in the indirect test (Experiment 1) and with thought suppression, but not thought substitution instructions (Experiment 2). We suggest that during thought suppression a brief reactivation of the learned association may lead to reconsolidation of the memory trace and hence to better retrieval of suppressed than control items in the long term.

Research Participation Experiences of Informants of Suicide and Control Cases

Crisis ◽  
2010 ◽  
Vol 31 (5) ◽  
pp. 238-246 ◽  
Author(s):  
Paul W. C. Wong ◽  
Wincy S. C. Chan ◽  
Philip S. L. Beh ◽  
Fiona W. S. Yau ◽  
Paul S. F. Yip ◽  
...  
Keyword(s):  
Ethical Issues ◽  
Research Participation ◽  
Self Report ◽  
Initial Contact ◽  
Psychological Autopsy ◽  
Autopsy Study ◽  
The People ◽  
And Control ◽  
The Impact

Background: Ethical issues have been raised about using the psychological autopsy approach in the study of suicide. The impact on informants of control cases who participated in case-control psychological autopsy studies has not been investigated. Aims: (1) To investigate whether informants of suicide cases recruited by two approaches (coroners’ court and public mortuaries) respond differently to the initial contact by the research team. (2) To explore the reactions, reasons for participation, and comments of both the informants of suicide and control cases to psychological autopsy interviews. (3) To investigate the impact of the interviews on informants of suicide cases about a month after the interviews. Methods: A self-report questionnaire was used for the informants of both suicide and control cases. Telephone follow-up interviews were conducted with the informants of suicide cases. Results: The majority of the informants of suicide cases, regardless of the initial route of contact, as well as the control cases were positive about being approached to take part in the study. A minority of informants of suicide and control cases found the experience of talking about their family member to be more upsetting than expected. The telephone follow-up interviews showed that none of the informants of suicide cases reported being distressed by the psychological autopsy interviews. Limitations: The acceptance rate for our original psychological autopsy study was modest. Conclusions: The findings of this study are useful for future participants and researchers in measuring the potential benefits and risks of participating in similar sensitive research. Psychological autopsy interviews may be utilized as an active engagement approach to reach out to the people bereaved by suicide, especially in places where the postvention work is underdeveloped.

Using Work Domain Analysis to Evaluate the Impact of Digitization on Command and Control

2008 ◽  
Author(s):  
Daniel P. Jenkins ◽  
Neville A. Stanton ◽  
Paul M. Salmon ◽  
Guy H. Walker
Keyword(s):  
Command And Control ◽  
Domain Analysis ◽  
Work Domain Analysis ◽  
And Control ◽  
The Impact ◽  
Work Domain
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