ABSTRACT
The basic objectives of the study were to enquire in to the involvement of various types of costs, the returns per rupee invested and the benefit thereof in different agro-ecosystems in the state of Jammu and Kashmir in general and valley of Kashmir in particular, especially the sampled districts. This study was based upon primary and secondary data. A multi-stage random sampling was utilised for collection of date from 432 respondents of four different agro-ecological zones. For major crops, the cost of cultivation were estimated by concept utilised by Commission on Agricultural Costs and Prices (CACP), Government of India. The results revealed that fruit crop agro-ecosystem is highly remunerative than field crop and crop agro-ecosystems, though the fruit crop involve huge of investment in terms of different costs. The livestock based agro-ecosystem is also dominant in some parts of the Kashmir region with declining trend. The results revealed that the gross returns of paddy and apple, livestock and cash crop were Rs. 23250, Rs. 321000, Rs. 108920 and 106915 respectively. This study had its applicability in the daily routine life of any household dwelling in the sampled agro-ecosystems. The study could be of utmost importance in selecting the crop in which the region/agro-ecosystem had specialisation or absolute advantage.
ABSTRACT
Background: Time to ROSC has been shown to be an important and independent predictor of mortality and adverse neurological outcome. In resource limited situations judicious deployment of resources is crucial. Prognostication of arrest victims may aid in better resource allocation. This study aimed to assess the time to Return of Spontaneous Circulation (ROSC) in cardiac arrest victims and its relationship with opening rhythms.Methods: Consecutive victims of cardiopulmonary arrest who presented to a single center were included in this study if they met the inclusion and exclusion criteria. Time at which opening rhythm was analyzed and time at which ROSC was achieved was noted. This was done for all cases and mean time to ROSC was calculated for each opening rhythm. All those patients who achieved ROSC were followed up till hospital discharge or death. Primary outcome measured was achievement of ROSC and the secondary outcome was the survival to hospital discharge.Results: A sample size of 100 was calculated to yield a significance criterion of 0.05 and a power of 0.80 based on prior studies. Out of 100 patients studied. 58% had shockable rhythms and 42% had non-shockable rhythms. Mean time to ROSC for shockable rhythm was 5.55±3.51 minutes, and for non-shockable rhythm is 17.29±4.18 minutes. There was a statistically significant difference between opening rhythms in terms of survival to hospital discharge (p=0.0329).Conclusions: Cardiac arrests with shockable rhythms attained ROSC faster when compared to nonshockable rhythms. Shockable rhythms have a better survival to hospital discharge when compared to shockable rhythms. Opening rhythms may aid the clinician in better utility of resources in a resource constrained setting.
ABSTRACT
Objective To analyze the optimal scales of secondary public hospitals so as to optimize the expansion of public hospitals.Methods Forty-six secondary public general hospitals in Beijing were selected as the sample,with input and output indicators pinpointed,for analysis of the status of economic return to scale of such hospitals from 1996 to 2012,and identification of inflexion points of the returns to scale.These efforts will help find an optimal scale of such hospitals.Resalts The period from 1996 to 2012 found the general effectiveness of such hospitals in a decline.In 2012,only 4 of the 46 hospitals were in DEA effectiveness status,and the other 42 hospitals were not; Forty-three inflexion points were identified.This study found that the strict control standards for secondary public general hospitals in Beijing were 298 beds and 585 staffs; the flexible control standards were 421 beds and 807 staffs.Conclclsion The optimal scales for secondary public hospitals were drown from the analysis,for references of other regions in China.The hospitals should prioritize resources efficiency instead of scale expansion.