Abstract: 20 years of dentistry was a period of transition from
communist to market economy but Romanian doctors have
insufficient management knowledge. Recently, the need for modern
management has increased due to technologies and superior materials
appearance, as patient-s demands.
Research goal is to increase efficiency by evaluating dental
medical office cost categories in real pricing procedures.
Empirical research is based on guided study that includes
information about the association between categories of cost
perception and therapeutic procedures commonly used in dental
offices.
Due to the obtained results to identify all the labours that make up
a settled procedure costs were determined for each procedure.
Financial evaluation software was created with the main functions:
introducing and maintaining patient records, treatment and
appointments made, procedures cost and monitoring office
productivity.
We believe that the study results can significantly improve the
financial management of dental offices, increasing the effectiveness
and quality of services.
Abstract: With the rapid growth in business size, today-s businesses orient Throughout thirty years local, national and international experience in medicine as a medical student, junior doctor and eventually Consultant and Professor in Anaesthesia, Intensive Care and Pain Management, I note significant generalised dissatisfaction among medical students and doctors regarding their medical education and practice. We repeatedly hear complaints from patients about the dysfunctional health care system they are dealing with and subsequently the poor medical service that they are receiving. Medical students are bombarded with lectures, tutorials, clinical rounds and various exams. Clinicians are weighed down with a never-ending array of competing duties. Patients are extremely unhappy about the long waiting lists, loss of their records and the continuous deterioration of the health care service. This problem has been reported in different countries by several authors [1,2,3]. In a trial to solve this dilemma, a genuine idea has been suggested implementing computer technology in medicine [2,3]. Computers in medicine are a medium of international communication of the revolutionary advances being made in the application of the computer to the fields of bioscience and medicine [4,5]. The awareness about using computers in medicine has recently increased all over the world. In Misr University for Science & Technology (MUST), Egypt, medical students are now given hand-held computers (Laptop) with Internet facility making their medical education accessible, convenient and up to date. However, this trial still needs to be validated. Helping the readers to catch up with the on going fast development in this interesting field, the author has decided to continue reviewing the literature, exploring the state-of-art in computer based medicine and up dating the medical professionals especially the local trainee Doctors in Egypt. In part I of this review article we will give a general background discussing the potential use of computer technology in the various aspects of the medical field including education, research, clinical practice and the health care service given to patients. Hope this will help starting changing the culture, promoting the awareness about the importance of implementing information technology (IT) in medicine, which is a field in which such help is needed. An international collaboration is recommended supporting the emerging countries achieving this target.
Abstract: Hospitals in southern Hualien teamed with the
Hypertension Joint Care Network. Working with the network, the
team provided a special designed health education to the individual
who had been identified as a hypertension patient in the outpatient
department. Some metabolism improvements achieved. This is a
retrospective study by purposively taking 106 patients from a hospital
between 2008 and 2010. Records of before and after education
intervention of the objects was collected and analyzed to see the how
the intervention affected the patients- hypertension control via clinical
parameter monitoring. The results showed that the clinical indicators,
the LDL-C, the cholesterol and the systolic blood pressure were
significantly improved. The study provides evidence for the
effectiveness of the network in controlling hypertension.
Abstract: Recent years, adaptive pushover methods have been
developed for seismic analysis of structures. Herein, the accuracy of
the displacement-based adaptive pushover (DAP) method, which is
introduced by Antoniou and Pinho [2004], is evaluated for Irregular
buildings. The results are compared to the force-based procedure.
Both concrete and steel frame structures, asymmetric in plan and
elevation are analyzed and also torsional effects are taking into the
account. These analyses are performed using both near fault and far
fault records. In order to verify the results, the Incremental Dynamic
Analysis (IDA) is performed.
Abstract: Information regarding early onset neonatal sepsis
(EONS) pathogens may vary between regions. Global perspectives
showed Group B Streptococcal (GBS) as the most common causative
pathogens, but the widespread use of intrapartum antibiotics has
changed the pathogens pattern towards gram negative
microorganisms, especially E. coli. Objective of this study is to
describe the pathogens isolated, to assess current treatment and risk
of EONS. Records of 899 neonates born in three General Hospitals
between 2009 until 2012 were retrospectively reviewed. Proven was
found in 22 (3%) neonates. The majority was isolated with gram
positive organisms, 17 (2.3%). All grams positive and most gram
negative organisms showed sensitivity to the tested antibiotics. Only
two rare gram negative organisms showed total resistant. Male was
possible risk of proven EONS. Although proven EONS remains
uncommon in Malaysia, nonetheless, the effect of intrapartum
antibiotics still required continuous surveillance.
Abstract: This study adopted previous fault patterns, results of
detection analysis, historical records and data, and experts-
experiences to establish fuzzy principles and estimate the failure
probability index of components of a power transformer. Considering
that actual parameters and limiting conditions of parameters may
differ, this study used the standard data of IEC, IEEE, and CIGRE as
condition parameters. According to the characteristics of each
condition parameter, relative degradation was introduced to reflect the
degree of influence of the factors on the transformer condition. The
method of fuzzy mathematics was adopted to determine the
subordinate function of the transformer condition. The calculation
used the Matlab Fuzzy Tool Box to select the condition parameters of
coil winding, iron core, bushing, OLTC, insulating oil and other
auxiliary components and factors (e.g., load records, performance
history, and maintenance records) of the transformer to establish the
fuzzy principles. Examples were presented to support the rationality
and effectiveness of the evaluation method of power transformer
performance conditions, as based on fuzzy comprehensive evaluation.
Abstract: Air pollution is a major environmental health
problem, affecting developed and developing countries around the
world. Increasing amounts of potentially harmful gases and
particulate matter are being emitted into the atmosphere on a global
scale, resulting in damage to human health and the environment.
Petroleum-related air pollutants can have a wide variety of adverse
environmental impacts. In the crude oil production sectors, there is a
strong need for a thorough knowledge of gaseous emissions resulting
from the flaring of associated gas of known composition on daily
basis through combustion activities under several operating
conditions. This can help in the control of gaseous emission from
flares and thus in the protection of their immediate and distant
surrounding against environmental degradation.
The impacts of methane and non-methane hydrocarbons emissions
from flaring activities at oil production facilities at Kuwait Oilfields
have been assessed through a screening study using records of flaring
operations taken at the gas and oil production sites, and by analyzing
available meteorological and air quality data measured at stations
located near anthropogenic sources. In the present study the
Industrial Source Complex (ISCST3) Dispersion Model is used to
calculate the ground level concentrations of methane and nonmethane
hydrocarbons emitted due to flaring in all over Kuwait
Oilfields.
The simulation of real hourly air quality in and around oil
production facilities in the State of Kuwait for the year 2006,
inserting the respective source emission data into the ISCST3
software indicates that the levels of non-methane hydrocarbons from
the flaring activities exceed the allowable ambient air standard set by
Kuwait EPA. So, there is a strong need to address this acute problem
to minimize the impact of methane and non-methane hydrocarbons
released from flaring activities over the urban area of Kuwait.