The proportion of sports public service facilities based on the dea model in colleges and universities / A proporção de instalações de serviços públicos desportivos universitários com base no modelo dea / Investigación sobre la proporción de asignación de instalaciones de servicio público de deportes universitarios basada en el modelo de la dea

ABSTRACT In order to strengthen the physical education of college students, it is necessary to reasonably allocate university sports public service resources. In order to improve the allocation of university sports resources, this study constructs the Data Envelopment Analysis (DEA) model by analyzing the proportion of public sports service facilities in colleges and universities. Through the selection of input index and output index of sports public service facilities in colleges and universities, as well as selecting 20 colleges and universities as decision-making units, this paper constructs a DEA model, and studies the use of the DEA Tobit two-stage method to evaluate the matching efficiency of public sports service facilities in colleges and universities. The results show that the pure technical efficiency of sports public service facilities in colleges and universities is effective, and the scale efficiency of most colleges and universities is relatively high, and the proportion of sports facilities is relatively reasonable. However, there are still large problems in the proportion of public sports service facilities in colleges and universities, so it is necessary to adjust the proportion and scale of sports facilities allocation reasonably. This study verified the effectiveness of the DEA model in evaluating the proportion of public sports service facilities in colleges and universities, hoping to provide certain reference for improving the proportion of public sports service facilities in colleges and universities.

RESUMO A fim de reforçar a educação física dos estudantes universitários, é necessário aloca de forma razoável os recursos públicos de serviços desportivos universitários. A fim de melhorar a alocação de recursos desportivos universitários, este estudo constrói o modelo de Análise por Envoltória de Dados (Data Envelopment Analysis — DEA) ao analisar a proporção de instalações de serviço esportivo público em faculdades e universidades. Através da seleção do índice de entrada e índice de saída de instalações de serviços públicos esportivos universitários, bem como da seleção de vinte faculdades e universidades como unidades de tomada de decisão, este estudo constrói um modelo DEA e estuda o uso do método DEA Tobit em duas fases para avaliar a respectiva eficiência das instalações de serviços públicos desportivos em faculdades e universidades. Os resultados mostram que a eficiência técnica das instalações de serviços públicos desportivos em faculdades e universidades é eficaz, e a eficiência em escala da maioria das faculdades e universidades é relativamente alta, e a proporção de instalações esportivas é relativamente razoável. No entanto, ainda há grandes problemas na proporção de instalações públicas de serviço desportivo em faculdades e universidades, pelo que é necessário ajustar razoavelmente a proporção e a escala das instalações desportivas atribuídas. Este estudo verificou a eficácia do modelo DEA na avaliação da proporção de instalações públicas de serviço desportivo em faculdades e universidades na esperança de fornecer certa referência para melhorar a proporção de instalações públicas de serviço desportivo nesses locais.

RESUMEN Para fortalecer la educación física de los estudiantes universitarios, es necesario asignar razonablemente los recursos del servicio público deportivo universitario. Con el fin de mejorar la asignación de recursos deportivos universitarios, este estudio construye el modelo Análisis Envolvente de Datos (Data Envelopment Analysis DEA) analizando la proporción de instalaciones de servicios públicos deportivos en colegios y universidades. Mediante la selección del índice de entrada y de salida de las instalaciones de servicio público deportivo en colegios y universidades, así como la selección de 20 colegios y universidades como unidades de toma de decisiones, este documento construye un modelo DEA y estudia el uso del método DEA Tobit de dos etapas para evaluar la eficiencia de emparejamiento de las instalaciones de servicios deportivos públicos en colegios y universidades. Los resultados muestran que la eficiencia técnica pura de las instalaciones de servicio público deportivo en los colegios y universidades es efectiva, y la eficiencia de escala de la mayoría de los colegios y universidades es relativamente alta y la proporción de instalaciones deportivas es relativamente razonable. Sin embargo, todavía existen grandes problemas en la proporción de instalaciones de servicios deportivos públicos en colegios y universidades, por lo que es necesario ajustar la proporción y la escala de la asignación de instalaciones deportivas de manera razonable. Este estudio verificó la efectividad del modelo DEA al evaluar la proporción de instalaciones de servicios deportivos públicos en colegios y universidades, con la esperanza de proporcionar cierta referencia para mejorar la proporción de instalaciones de servicios deportivos públicos en colegios y universidades.

Research on the scientific research performance evaluation of young scientists in hospitals based on Analytic Hierarchy Process and Data Envelopment Analysis / 中华医学科研管理杂志

Objective:To establish a performance evaluation index system and evaluation method for young scientists in hospitals, and to provide reliable evidence for management departments in evaluating, selecting outstanding young scientists and formulating tailored training programs.Methods:Literature analysis, expert consultation, analytic hierarchy process and data envelopment analysis were adopted in this article to evaluate the scientific research performance of young scientists in hospitals.Results:The scientific research data of young scientists under 45 years of age in Peking University Cancer Hospital from 2015 to 2019 were collected, and their scale efficiency and technical efficiency were analyzed by using index system and its weight and propose the improvement measures to achieve the purpose of evaluation and reform.Conclusions:This method is useful for the effective evaluation of the young scientists in the hospital, and is helpful to improve the level of scientific research management, as well as realize the virtuous circle of matching the input and output of scientific and technological innovation.

Eficiencia en la educación superior. Estudio empírico en universidades públicas de Colombia y España / Eficiência no ensino superior. Estudo empírico em universidades públicas da Colômbia e Espanha / Efficiency in higher education. Empirical study in public universities of Colombia and Spain

Resumen En las últimas décadas, las universidades de Iberoamérica han introducido nuevos esquemas de evaluación de calidad y rendición de cuentas, inspirados en el modelo de la nueva gestión pública (NGP). En este contexto, la eficiencia en el reparto de los fondos públicos y la obtención del máximo rendimiento posible son una prioridad. Así, medir la eficiencia en el sector público, y específicamente en la educación superior, se ha convertido en un desafío para la ciencia contable. El objetivo de este trabajo es una propuesta para el cálculo de índices de eficiencia con modelos de análisis envolvente de datos (DEA), introduciendo un paso previo a través del análisis de correlación canónica (ACC). A través de esta técnica se pretende mejorar la capacidad de discriminación y superar la monodimensionalidad y falta de confiabilidad en la representatividad de las variables input y output elegidas. El estudio se aplicó en las universidades públicas de Colombia y España durante los años 2015 y 2016. Los resultados obtenidos demuestran la conveniencia de aplicar este paso preliminar en el análisis multivariante. Con ello, se refuerza la necesidad de explorar metodologías más rigurosas en etapas previas y posteriores al cálculo de los índices de eficiencia, que permitan generar confianza, a efectos de ser utilizados en la formulación de políticas y gestión de recursos para el sector.

Resumo Nas últimas décadas, as universidades iberoamericanas introduziram novos esquemas de avaliação e prestação de contas, inspirados no modelo da Nova Gestão Pública (NGP). Nesse contexto, a eficiência na distribuição de recursos públicos e a obtenção do máximo retorno possível são uma prioridade. Assim, medir a eficiência no setor público, e especificamente no ensino superior, tornou-se um desafio para a ciência contábil. O objetivo deste trabalho é uma proposta para o cálculo de índices de eficiência com os modelos DEA (Data Envelopment Analysis), introduzindo uma etapa anterior da Análise de Correlação Canônica (ACC). O objetivo dessa técnica é melhorar a capacidade de discriminação e superar a monodimensionalidade e a falta de confiabilidade no quão representativas são as variáveis de entrada e saída escolhidas. O estudo é aplicado nas universidades públicas da Colômbia e Espanha durante os anos de 2015 e 2016. Os resultados obtidos demonstram a conveniência de aplicar esta etapa preliminar na análise multivariada. Isso reforça a necessidade de explorar metodologias mais rigorosas nas etapas antes e depois do cálculo dos índices de eficiência, os quais gerarão confiança, para serem utilizados na formulação de políticas e gestão de recursos para o setor.

Abstract In recent decades, Iberoamerican universities have introduced new quality assessment and accountability schemes, inspired by the New Public Management (NGP) model. In this context, efficiency in the distribution of public funds and obtaining the maximum possible return are a priority. Thus, measuring efficiency in the public sector, and specifically in higher education, has become a challenge for accounting science. The objective of this work is a proposal to calculate efficiency indices with Data Envelopment Analysis (DEA) models, introducing a previous step through the Analysis of Canonical Correlation (ACC). Using this technique, the aim is to improve discrimination capacity and overcome monodimensionality and lack of reliability in the representativeness of the chosen input and output variables. The study is applied in the public universities of Colombia and Spain during the years 2015 and 2016. The results obtained demonstrate the convenience of applying this preliminary step in the multivariate analysis. This reinforces the need to explore more rigorous methodologies in stages before and after the calculation of the efficiency indices. This practice increases confidence when using the indices to formulate policies and manage resources for the sector.

Evaluation on the Efficiency of Drug Safety Supervision in Guangdong Province Based on Super Efficiency DEA Model and Malmquist Index / 中国药房

OBJECTIVE：To evaluate the efficiency of drug safety supervision in Guangdong priovince and provide optimization suggestion for improving the construction of drug safety supervision system. METHODS ：Taking 21 cities in Guangdong province as samples ， the supervision input （supervision funds investment ， supervision and inspection of enterprises）-output（the rate of administrative penalty and qualified rate of sampling inspection ）data were collected from 2017 to 2018. Super-efficiency data envelopment analysis （DEA）model and Malmqusit index were used to analyze the efficiency of drug safety supervision from both static and dynamic point of view. RESULTS & CONCLUSIONS ：In static efficiency evaluation ， average drug safety supervision super-efficiency DEA in Guangdong province was 0.810，and the overall efficiency of drug safety supervision was in the low level ；among different cities ，there were obvious differences in supervision efficiency ；DEA values of only 5 cities（Shenzhen，Zhanjiang，Shaoguan，Qingyuan，Yangjiang）were higher than 1 and had achieved relatively effective results，while those of remaining cities were all invalid. In dynamic efficiency evaluation ，average Malmqusit index of drug safety supervision in Guangdong province was 0.787，which was decreased by 21.30％ in 2018 than 2017；the level of drug safety supervision in the whole province was declining ，and the main reason for the decline in the efficiency of drug safety supervision was technical backwardness ；technical efficiency played a promoter role in supervision efficiency to a certain extent. It is suggested that the efficiency improvement of drug safety supervision should further optimize resource allocation ，strengthen the level of supervision technical innovation ，expand the supervision scale ，and coordinate regional regulatory balance according to local conditions，so as to improve the construction of drug safety supervision system in Guangdong province.

Assessing the environmental management and operational efficiency of Brazilian public ports that export soybeans / Evaluación de la eficiencia de la gestión ambiental y eficiencia operacional de puertos públicos brasileños que exportan soja / Avaliação da eficiência da gestão ambiental e eficiência operacional de portos públicos brasileiros que exportam soja

Abstract Using Data Envelopment Analysis (DEA), seven public ports in Brazil that trade soybeans had their environmental management assessed. Data regarding the management of sewage, solid waste, and of the presence of synanthropic fauna in public ports was used along with the port environmental index created by ANTAQ in the analysis. The results show that the quality of the environmental management needs to be addressed, so the efficiency of the system can be reached, and that DEA can be a useful tool.

Resumen Se evaluaron siete puertos públicos brasileños de embarque de soja en cuanto a su gestión ambiental usando el análisis por envoltura de datos (DEA). Para el análisis, los datos referentes a la gestión de efluentes líquidos, residuos sólidos, y presencia de fauna sinantrópica en esos puertos se utilizaron en conjunto con el Índice de Desempeño Ambiental de la ANTAQ (Agencia Nacional de Transportes Acuáticos). Los resultados muestran que la calidad de la gestión ambiental debe abordarse para que el sistema sea eficiente en su totalidad, y para ello, el DEA puede ser una herramienta útil.

Resumo Sete portos públicos brasileiros que movimentam soja foram avaliados quanto a sua gestão ambiental usando-se Análise por Envelopamento de Dados (DEA). Para a análise, os dados referentes ao gerenciamento de efluentes líquidos, resíduos sólidos, e presença de fauna sinantrópica nesses portos foram utilizados em conjunto com o Índice de Desempenho Ambiental da ANTAQ. Os resultados mostram que a qualidade da gestão ambiental precisa ser abordada para que o sistema seja eficiente como um todo, e para isso, DEA pode ser uma ferramenta útil.

Applying Malmquist index to evaluate the output efficiency of scientific research in a hospital department / 中华医学科研管理杂志

Objective To study the dynamic changes of scientific research efficiency of 51 departments in a top three hospitals in Beijing from 2014 to 2016,and to provide reference information for improving the efficiency of scientific research in hospital departments.Methods The CCC model of DEA,BCC model were used for lateral analysis,and then Malmquist index was used for longitudinal analysis.Results There were 12 (23.53％) departments in 2014,11 (21.57％) departments in 2015,9 (17.65％) departments in 2016 data envelopment analysis was valid,from 2014 to 2016,41 (80.39％) departments of the hospital increased the total factor productivity.Conclusions The total factor productivity of the 51 departments in the hospital increased from 2014 to 2016,and technological progress was the main reason for its growth.

Study on the R&D Contribution Rate of Listed Pharmaceutical Enterprises in Southwest China Based on Super-efficiency DEA Model / 中国药房

OBJECTIVE： To provide reference for pharmaceutical enterprises to enhance the R&D capability and improve the R&D investment strategy. METHODS： The annual report data of 13 listed pharmaceutical enterprises in southwest China were collcted. Taking fixed assets， operating costs， the number of employees in service and the amount of R&D investment as input indicators， net profit， operating income and earnings per share as output indicators， the efficiency values were calculated by using MyDEA 1.0 software based on super-efficiency DEA model. The operating efficiency of enterprises with or without R&D input were compared； the contribution rate of R&D investment to enterprises were calculated. Finally， Wilcoxon symbolic rank test was carried out by using SPSS 20.0 software to compare the difference. RESULTS： From 2013 to 2015， 10 of the 13 listed pharmaceutical enterprises had increased their R&D investment， which indicated that listed pharmaceutical enterprises in southwest China paid more attention to R&D investment. For three consecutive years， the efficiency value of R&D investment of the 13 listed pharmaceutical enterprises was significantly higher than that of the enterprises without R&D investment， and the number of the former reaching DEA efficiency was more， indicating that R&D investment was positively correlated with the operational efficiency of pharmaceutical enterprises. The Wilcoxon symbol rank test also confirmed that R&D investment was an effect input. After three enterprises joined the R&D input index， their operational efficiency was improved， and their R&D contribution was greater. Five enterprises had zero R&D contribution， their efficiency value remained unchanged whether or not they joined R&D input. The R&D contribution of other listed pharmaceutical enterprises varied greatly in each year. CONCLUSIONS： At the overall level of the industry， enterprises should increase their R&D investment and pay attention to improving R&D efficiency， establish a sound R&D innovation system and R&D personnel training mechanism， establish an integrated training mode of production， learning and research； the government should create an environment to support R&D activities of pharmaceutical enterprises. For individual enterprises， different strategies should be adopted based on practical situation in order to improve the pulling effect of R&D input on the operational efficiency of enterprises.

Research on the coupling and coordination of scale, efficiency and quality of public hospitals in Anhui / 中华医院管理杂志

Objective@#To evaluate the scale, efficiency and quality of secondary and tertiary public hospitals in Anhui province, and analyze the degree of coupling and coordination among the three dimensions.@*Methods@#Thirty-two hospitals′ data were extracted from the direct reporting system of Anhui Health Commission. Hospital efficiency was evaluated by DEA model, hospital quality was evaluated by TOPSIS model, and coupling coordination degree was analyzed by coupling function.@*Results@#In the single-dimension evaluation, there were significant differences in the distribution of the three dimensions among different levels of hospitals, and the efficiency and quality of secondary hospitals were better than those of tertiary hospitals. In the coupling evaluation, the average degree of coupling coordination in Anhui was 0.637, which was in the " primary coordination" level. The overall coupling and coordination degree of the tertiary hospitals were better than that of the secondary hospitals, and the highest score was in central Anhui.@*Conclusions@#Single-dimensional evaluation method cannot objectively represent a general picture of the hospitals. On the other hand, coupling coordination degree evaluation can provide a more comprehensive and objective result. The development strategy of hospitals should be made to fit local conditions and to coordinate the development of scale, efficiency and quality.

Frequency of dog erythrocyte antigen 1 blood group and risk of incompatible transfusion in dogs of different breeds and mongrels from the city of Salvador - BA, Brazil / Frequência do antígeno eritrocitário canino 1 e risco de transfusão incompatível em cães de diferentes raças e mestiços da cidade de Salvador-BA, Brasil

The dog erythrocyte antigen 1 (DEA 1) is the most immunogenic blood group in dogs, and blood transfusions may trigger some undesirable effects in veterinary patients, which are directly associated with incompatible transfusions. The present study aimed to investigate the frequency of positive DEA 1 blood group in blood donor dogs from a blood bank in Salvador, Bahia, Brazil, and also to calculate the risk of managing incompatible blood in both first and second transfusion. A number of 203 dogs of different breeds, aged between 1 and 8 years, weighing 28 kg, with no degree of kinship and of both sexes in Salvador - BA, Brazil were evaluated to investigate the blood type DEA 1 frequency, by means of chromatography and flow cytometry tests for blood typing. The risk of incompatible blood transfusion in either a first or a second transfusion was also calculated. The frequency of the DEA 1 group ranged from 0% to 100% in various breeds, but with a mean positivity of 62.07% (126/203). And the lowest risk of an DEA 1 negative animal receiving DEA 1 positive blood within the group of animals evaluated was 0.92% at a first transfusion; and the risk of the same animal receiving incompatible blood for the DEA group 1 in the second transfusion was 0.008%. The highest risk of an DEA 1 negative animal receiving DEA 1 positive blood from these animals was 69.12%; and the risk of receiving incompatible blood for DEA 1 was 47.77%. In conclusion, the frequency of the DEA 1 group varied between the studied breeds and the risk of incompatible blood transfusions varies according to donor and recipiente breeds, but this can be overridden if blood typing tests are performed along with the cross-reaction test for compatibility.

O antígeno eritrocitário canino 1 (AEC 1) é o grupo sanguíneo mais imunogênico em cães, podendo as transfusões sanguíneas desencadearem alguns efeitos indesejáveis nos pacientes veterinários. Estes estão diretamente associados à transfusões incompatíveis. O presente trabalho teve como objetivo estudar a frequência do grupo sanguíneo AEC 1 em cães doadores de sangue de um banco de sangue de Salvador-BA, Brasil, e calcular o risco de administrar sangue incompatível tanto em uma primeira quanto em uma segunda transfusão. Foram avaliados 203 cães de diversas raças, de ambos os sexos, com idade entre 1 e 8 anos, peso a partir de 28 kg, sem nenhum grau de parentesco originários de Salvador ­ BA, Brasil, para pesquisa da frequência do tipo sanguíneo AEC 1, por meio de testes de imunocromatografia e citometria de fluxo para tipagem sanguínea. E calculado o risco de transfusão sanguínea incompatível tanto em uma primeira como em uma segunda transfusão. A frequência do grupo AEC 1 variou entre as raças estudadas de 0% a 100%, porém com uma positividade média de 62,07% (126/203). O menor risco de um animal AEC 1 negativo receber sangue AEC 1 positivo, dentro do grupo dos animais avaliados foi de 0,92% em uma primeira transfusão e o risco do mesmo animal receber sangue incompatível para o gruo AEC 1 na segunda transfusão foi de 0,008%. Quanto ao maior risco de um animal AEC 1 negativo receber sangue AEC 1 positivo destes animais foi de 69,12% e o risco do mesmo receber sangue incompatível para o AEC 1 foi de 47,77%. A frequência do grupo AEC 1 variou entre as raças estudadas e o risco de transfusões incompatíveis variou de acordo com as raças doadoras e receptoras, mas esse risco pode ser anulado se sempre forem realizados os testes para tipagem sanguínea junto com a prova de reação cruzada para compatibilidade.

Evaluation of the scientific research efficiency of 100 tertiary hospitals and the influencing factors analysis based on Bootstrap DEA-OLS model / 中华医院管理杂志

Objective To evaluate the scientific research efficiency of tertiary hospitals and analyze the influencing factors, providing reference for the decision-making of scientific research managers in China. Methods Evaluation indicators were collected from 100 tertiary hospitals in China, and their research efficiency was evaluated using Bootstrap data envelopment analysis (DEA) method. The influencing factors were analyzed using ordinary least square ( OLS) regression model. Results The averaged scientific research efficiency of these hospitals using Bootstrap DEA method was 0. 5224, lower than that using conventional DEA method (0. 0676), yet with a great variation (from 0. 1103 to 0. 8790) among them. Linear regression analysis showed that factors such as R&D input and output, and hospital types has statistical significance on the saentific research efficiency (P < 0. 05). Conclusions These hospitals are inefficient in scientific research with sizable room for improvement. Conventional DEA method should be used with caution, as deviations should be corrected with Bootstrap DEA method. The research development level and hospital types of their province can influence the research efficiency the hospitals significantly.

Nuevas áreas de vida ­ Revisión muerte súbita 2018 / New areas of life ­ Sudden death review 2018

Una de cada cinco muertes en adultos en países desarrollados se debe a causas cardiovasculares; la mitad de esas muertes se produce de forma súbita y un gran porcentaje en el ámbito extrahospitalario. Las medidas de prevención se dividen en: aquellas destinadas a prevenir en primer lugar que el evento de muerte súbita cardíaca suceda, y aquellas cuyo objetivo es actuar en el momento en que el evento de muerte súbita está sucediendo. Las primeras tienen como objetivo disminuir las principales causas de muerte súbita en países desarrollados: las cardiopatías estructurales (cuya principal causa es la enfermedad coronaria). En este sentido, con el fin de intentar paliar el desarrollo de una cardiopatía que predisponga a la aparición de arritmias fatales y la MSC, se implementan medidas de prevención primarias higiénico-dietéticas y farmacológicas (con el objetivo de disminuir y el controlar los factores de riesgo) y, en aquellos con enfermedad cardiovascular ya establecida, se implementan las estrategias secundarias farmacológicas y/o quirúrgicas (revascularización, reemplazo valvular, etc.). El segundo abordaje surge del hecho de que, a pesar de todas estas medidas, un gran número de pacientes presentará eventos arrítmicos en el ámbito extrahospitalario (MSCEH), ya sea porque aunque recibieron el tratamiento óptimo presentan aún un elevado riesgo de MSC, porque no fueron diagnosticados a tiempo o porque a pesar de haber hecho estudios complementarios el diagnóstico es muy dificultoso. Existen dos estrategias: la primera son los dispositivos de cardiodesfibrilación implantables (o, más recientes, los chalecos vestibles). Estos aparatos están indicados para una población seleccionada, sea por haber presentado ya un episodio de muerte súbita abortado, o por presentar una cardiopatía (estructural o genética) que predisponga a una mayor probabilidad de sufrir un evento. La segunda estrategia es la educación y el desarrollo de programas de salud pública que permitan capacitar a la población general en la realización de RCP y el uso de desfibriladores automáticos externos (DEAs), los cuales deberían estar disponibles en cualquier lugar público. Múltiples estudios demostraron que el acceso de la población general al aprendizaje de maniobras de RCP sencillas y pragmáticas y la presencia de DEAs se traduce en un gran aumento de sobrevida sin secuelas en víctimas de MSCEH. (AU)

One of every five deaths in adults is due to cardiovascular causes, in developed countries, and half of these deaths will occur suddenly. A large percentage occur in the out of hospital setting, so measures to prevent it are divided into: those designed to prevent, in the first place, the sudden cardiac death event from happening and those whose purpose is to act when the sudden death event that has already occurred and it´s ongoing. The first aims to reduce the main causes of sudden death in developed countries: structural heart disease (with coronary heart disease as its main cause). In this regard, with the purpose to mitigate the development of a heart disease that predisposes the occurrence of fatal arrhythmias and SCD, we have primary prevention measures, like healthy life style conduct with or without pharmacological treatment, (whose objective is the reduction and control of cardiovascular risk factors) and, in those with cardiovascular disease already established, there is an implementation of pharmacological and / or surgical strategies (Revascularization, valve replacement, etc.). The second objective arises from the fact that, despite all these preventive and therapeutic measures, a large number of patients will present out-of-hospital cardiac arrest (OHCA) either because although they received optimal treatment they still remain in high risk of SCD, even because they were not diagnosed on time, or because despite having complementary studies made the diagnosis is very difficult. There are two well strategies: the first are implantable cardio-defibrillation devices (or, more recently, wearable vests). These are indicated for a selected population, either because they have already presented an episode of sudden aborted death, or because they have heart disease (structural or genetic), which predisposes to a greater probability of suffering an event. The second strategy is the education and development of public health programs that enable the general population to be trained in CPR and the use of external automatic defibrillators. (AEDs) should be available in any public place. Multiple studies showed that access to the general population for learning simple and pragmatic CPR maneuvers and the presence of AEDs is making an impact on a significant increase in survival without consequences in OHCA victims. (AU)

Detection of canine anti-DEA 1 antibodies using flow cytometry in dogs following DEA 1-positive blood transfusion / Detecção de anticorpos caninos anti-AEC 1 por citometria de fluxo em cães pós-transfundidos com sangue AEC 1 positivo

The shortage of dog blood donors in veterinary emergencies can lead to blood transfusions between animals whose blood type has not been identified. The antibody profile serves as a warning sign for animals that require a second blood transfusion, which is only advisable from compatible donor dogs. This article focuses on determination of anti-DEA 1 antibodies using the flow cytometry technique in dogs that have undergone a transfusion using DEA 1-positive blood, compared to results obtained from crossmatching. Blood from 18 DEA 1-positive donors ranked according to the chromatographic technique was used to transfuse thirty-three animals with unknown blood types and which demonstrated negative crossmatching to donors. On post-transfusion days 7, 14, 21 and 28, 45% and 27% of the animals tested positive for the anti-DEA 1 antibody, through crossmatching and flow cytometry, respectively. Detecting antibodies using the flow cytometric technique has high specificity and sensitivity, while crossmatching methods are highly sensitive but manifest low specificity. Following blood transfusion, animals that did not present as positive through crossmatching or flow cytometry were considered different from all other DEA 1-positive blood groups.(AU)

A escassez de cães doadores de sangue em situações de emergência na Medicina Veterinária pode levar a realização de transfusões de sangue entre animais que não tiveram seu tipo sanguíneo previamente determinado. O padrão de anticorpos serve como um sinal de alerta para animais que serão submetidos a uma segunda transfusão sanguínea, sendo essa somente recomendável a partir de cães doadores compatíveis. Este artigo aborda a pesquisa de anticorpos anti-AEC 1 pela técnica de citometria de fluxo em cães que receberam uma transfusão utilizando sangue do grupo AEC 1 positivo, comparando os resultados com aqueles obtidos a partir de reação cruzada. Foi utilizado sangue de 18 animais doadores do tipo AEC 1 positivo classificados por técnica cromatográfica para transfundir trinta e três animais com tipos sanguíneos desconhecidos, os quais mostraram reação cruzada negativa aos doadores. Nos dias 7, 14, 21 e 28 pós-transfusão, 45% e 27% dos animais mostraram-se positivos para os anticorpos anti-AEC 1, respectivamente, pela reação cruzada e através de citometria de fluxo. A pesquisa de anticorpos com o emprego da técnica de citometria de fluxo tem alta especificidade e sensibilidade, enquanto a reação cruzada, altamente sensível, tem baixa especificidade. Animais que não apresentaram positividade após a transfusão de sangue na reação cruzada e na citometria de fluxo concomitantemente foram considerados de qualquer outro grupo sanguíneo diferente do grupo sanguíneo AEC 1 positivo.(AU)

Analyzing Efficiency of Basic Medical Insurance Operated by Commercial Insurance Based on Ultra-efficient DEA Model in Anhui / 中国卫生经济

Objective:To evaluate the efficiency of basic medical insurance operated by commercial insurance in Anhui and provide evidence for medical insurance management system reform.Methods:Using the ultra-efficient DEA model to evaluate the efficiency of basic medical insurance operated by commercial insurance in 2016.Results:The pilot areas with comprehensive effective efficiency accounted 40％ of the evaluated pilot areas,increasing returns to scale occurs in 30％ pilot areas and decreasing returns to scale occurs in 40％ pilot areas.Conclusion:It needed to improve the management level of commercial insurance companies and services capabilities of operators.

Study on the operational efficiency and influencing factors for county-level public hospitals in Jiangsu province: a study based on the super-efficiency DEA model and Tobit model / 中华医院管理杂志

Objective To analyze the static and dynamic efficiency of the county-level public hospitals in Jiangsu province, and the influencing factors of efficiency. Methods The static and dynamic efficiency of 43 such hospitals was analyzed using the super-efficiency DEA and the Malmquist index method, and the influencing factors were studied using the Tobit regression model. Results Overall efficiency of the 43 county-level public hospitals varies significantly, mostly found in their technical efficiency. From 2014 to 2015, the total factor productivity index of some hospitals declined, mostly due to declining technical efficiency changing index. The efficiency is positively correlated to the location of the hospital, medical personnel, and the ratio of beds available. On the other hand, the efficiency is a negatively correlated to hospital grading, drug proportion per 100 yuan medical income. Conclusions Differential strategies are recommended to improve their operational efficiency, by optimizing hospital resource allocation, rationalizing hospital scale, and improving internal management system.

Efficiency and productivity in access to Colombian public universities / Eficiencia y productividad en la cobertura de las universidades públicas colombianas

RESUMEN Este artículo analiza la eficiencia y los cambios productivos en la cobertura de las 32 instituciones de educación superior colombianas pertenecientes al Sistema de Universidades Estatales durante el periodo 2003-2012. Para tal fin, se empleó el análisis envolvente de datos y el índice de productividad de Malmquist para analizar los datos sobre matrícula de pregrado y posgrado, número docentes de tiempo completo, gasto en personal administrativo y recursos financieros y físicos. Los resultados muestran que, aproximadamente, todas las instituciones evaluadas obtienen eficiencias por encima de 70 % y crecimientos promedios de su productividad a una tasa aproximada de 9 %. Sin embargo, se observan profundas diferencias entre los desempeños interregionales, sobre todo entre la región andina y la región caribe.

ABSTRACT This article analyzes the efficiency and the productive changes in the coverage of the 32 Colombian Higher Education Institutions belonging to the System of State Universities (SUE), during the period 2003-2012. Data Envelopment Analysis and the Malmquist Productivity Index were used to analyze data on students enrolled in undergraduate and postgraduate programs, number of full-time teachers, administrative expenses, and financial and infrastructure resources. The results show that, on average, all the institutions of higher education obtained efficiencies above 70%, as well as increases in their productivity at an average rate of 9%. However, it was observed deep differences between the regions of Colombia, especially the central region and the north of Colombia.

Imunohematologia veterinária: antígenos eritrocitários caninos / Veterinary immunohematology: canine erythrocyte antigen / Inmunohematología veterinaria: antígenos eritrocitarios caninos

A imunohematologia veterinária vem ganhando interesse nos últimos anos devido a maior acessibilidade a tecnologias de detecção de antígenos e anticorpos, interesse dos donos e médicos veterinários em buscar uma melhor qualidade de vida para os animais e as necessidades de transfusões com o menor índice possível de reações indesejadas. Os cães possuem antígenos presentes na membrana de suas células vermelhas, podendo causar reações durante e após transfusões. Diferentemente de humanos e felinos, cães não possuem anticorpos naturais para os principais antígenos, a priori podendo ser transfundidos com qualquer tipo sanguíneo sem consequências posteriores, porém, se submetidos a uma segunda transfusão, sendo essa de um tipo sanguíneo incompatível e previamente sensibilizados, as chances de ocorrer reações transfusionais graves aumentam drasticamente, ocasionando danos ao animal, podendo levá-lo à morte. Por conta desses riscos se faz necessário uma maior atenção aos tipos sanguíneos desses animais onde 8 sistemas são reconhecidos internacionalmente classificados como sistema DEA, sendo eles DEA 1 e seus subtipos (DEA 1.1; DEA1.2; DEA 1.3); DEA 3; DEA 4; DEA 5; DEA 6; DEA 7 e DEA 8, e recentemente um novo sistema denominado Dal. Não há disponível ainda soros para os sistemas DEA 6 e DEA 8, tornando a pesquisa sobre esses antígenos dificultosa.(AU)

Veterinary immunohematology is gaining interest in recent years due to greater accessibility to antigen and antibody detection technologies, the interests of pet owners and veterinarians in seeking a better quality of life for animals, and requirement of transfusions with the lowest possible rate of collateral reactions. Dogs have antigens present in the membrane of their red blood cells that can cause reactions during and after transfusions. Unlike humans and cats, dogs do not have natural antibodies to the key antigens, and a priori they can be transfused with any type of blood without any further consequences. However, if they are ever subjected to a second transfusion, if using incompatible blood types and being previously sensitized, the likelihood of having serious transfusion reactions drastically increase, causing damage to the animal, which may even lead it to death. Due to those risks, greater attention is required to the blood type of those animals, which present 8 systems, internationally recognized and classified as the DEA system, namely DEA 1 and its subtypes (DEA 1.1; DEA 1.2; DEA 1.3); DEA 3; DEA 4; DEA 5; DEA 6; DEA 7 and DEA 8, and recently a new system referred to as Dal. No serum is yet available for DEA 6 and DEA 8 systems, hindering the research on those antigens.(AU)

La inmunohematología veterinaria ha ganado atención en los últimos años debido mayor accesibilidad a tecnologías de detección de antígenos y anticuerpos, interés de dueños y médicos veterinarios en buscar mejor calidad de vida para los animales y las necesidades de transfusiones con menor índice posible de reacciones indeseadas. Los perros poseen antígenos presentes en la membrana de sus células rojas, pudiendo causar reacciones durante y después de transfusiones. Diferentemente de humanos y felinos, perros no tienen anticuerpos naturales para los principales antígenos, a priori, pudiendo ser transfundidos con cualquier tipo de sangre sin consecuencias posteriores, todavía, si sometidos a una segunda transfusión, siendo esa de un tipo sanguíneo incompatible y previamente sensibilizados, la posibilidad de ocurrir reacciones transfusional grave aumenta drásticamente, ocasionando daños al animal, pudiendo llevarlo a la muerte. Por esos riesgos se hace necesario más atención a los tipos sanguíneos de esos animales, donde 8 sistemas son reconocidos internacionalmente y clasificados como sistema DEA, siendo ellos DEA 1 y sus subtipos (DEA 1.1; DEA 1.2; DEA 1.3); DEA 3; DEA 4; DEA 5; DEA 6; DEA 7 y DEA 8, y recién un nuevo sistema denominado Dal. No hay aún disponible sueros para los sistemas DEA 6 y DEA 8, haciendo dificultosa la investigación sobre esos antígenos.(AU)

Scientific Efficiency Evaluation of Tertiary Hospitals Based on Data Envelopment Analysis / 医学信息学杂志

Data Envelopment Analysis (DEA) method is used to evaluate the efficiency of 41 tertiary hospitals in 2015 in Beijing.The possible causes of non-DEA effective hospitals are analyzed,and the direction and measures of non-DEA effective hospitals to promote scientific research efficiency are put forward.

Dynamic analysis and assessment on technical efficiency of medical and health institutions in China based on Network DEA model / 中华医院管理杂志

Objective To assess the technical efficiency and subsystem technical efficiency of the healthcare institutions in China,including that of management system and medical system.Methods Panel data of 31 provinces' healthcare institutions were selected,and Network DEA was adopted to assess such input indicators as managerial staff and health technical personnel,and such output indicators as medical revenue and number of medical visits.Results The technical efficiency of healthcare institutions is as lower as an efficiency mean of 0.853 in five year.Provinces of Zhejiang,Shandong,Henan,Guangdong and Tibet have maintained a higher level.The healthcare system breaks down into two independent subsystems of the management subsystem and medical subsystem.The mean of the former one is 0.937,higher than 0.783 of the latter.The number of medical revenue and that of patients in the non-effective provinces were relatively inadequate.Conclusions Healthcare resources allocation in China needs to be optimized.It is imperative to adjust the input-output ratio,improve medical service quality via scientific management.

Operational efficiency of county level public hospitals in Hubei:a Bootstrap-data envelopment analysis / 中华医院管理杂志

Objective To estimate the operational efficiency of 37 county level public general hospitals in Hubei province using the world popular method of Bootstrap-data envelopment analysis.The aim is to make up for the theory and methodology gaps on DEA research for hospitals in China,and to provide policy and management recommendations for their further improvement.Methods The input and output indicators of hospital efficiency evaluation were selected based on our previous research.R Software was used to describe the current input and output indicators,while FEAR package used to measure Bootstrap-DEA efficiency value of the sample hospitals with bias corrected,along with such applied analysis as efficiency benchmarking for the technical efficiency outcomes.Results There are great differences among the healthcare input and output of these hospitals.In particular,the difference in the number of actual beds was 4.67 times between the highest hospital and the lowest one.All of the bias corrected efficiency scores were lower than those before correction,and the average bias corrected score of the sample hospitals is 0.717 9.Moreover,only 20 hospitals(54.05%)have their efficiency scores above the median level.Conclusions The healthcare resources allocation of these hospitals needs to be further optimized.Hospitals still have big potential to improve their efficiency.Besides providing policy support,the government is advised to guide hospitals to innovate their management mechanisms,such as introducing and applying benchmarking,ranking,inter-hospital learning among others,so as to continuously improve their operational efficiency.

Private hospitals operated in DEA-Tobit model in Shenzhen: operating efficiency and influencing factors / 中华医院管理杂志

Objective To study the efficiency changes of private hospitals in Shenzhen and explore influencing factors for the utilization efficiency of health resources. Methods DEA-Tobit two-stage model was used to analyze the operating efficiency and influencing factors of Shenzhen′s private hospitals. Results The range of technical efficiency varied between 0.690 to 0.742 in six years, and the index of total factor production was consistent with the technical change index. The input and output indicators showed non-linear growth. The internal and external factors of sample hospitals jointly influence the efficiency of operation. Conclusions The two-stage method effectively reveals the dynamic efficiency change and the influencing factors of these hospitals in Shenzhen. The technical efficiency of sample hospitals fluctuates in waves in six years,with investment redundancy and insufficient output found. Sample hospitals need to strengthen their innovative application of diagnostic and therapeutic technology,and to strengthen their internal management and improve operating efficiency.