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RESUMO Os estudos de viabilidade técnico econômica são elementos primordiais para a viabilização de projetos de saneamento, inclusive de incineração de resíduo sólido urbano com recuperação energética. O artigo teve como base os padrões para estudos de viabilidade técnico econômica conforme Portaria n° 557 do Ministério das Cidades, previstos na lei n° 11.445 que estabelece diretrizes nacionais para o saneamento básico. Foram realizadas visitas técnicas em quatro incineradores em operação na Suíça e dois em Portugal, com o objetivo de estabelecer um benchmarking para referenciar a análise da aplicação da Portaria, a identificação dos fatores críticos que dificultam a adoção dessa tecnologia no Brasil, assim como as ações necessárias para a viabilidade técnico-econômica do incinerador. Os principais fatores críticos identificados foram a localização da planta, o efeito Not in My Backyard, a concepção de conflito entre reciclagem e incineração, o elevado investimento inicial, o risco de adoção de tecnologias já superadas, a falta de experiência e mão de obra capacitada local, a variação e sazonalidade na alimentação de resíduo sólido urbano, a volatilidade do preço da energia no mercado, as receitas mínimas para viabilidade financeira, a adequação do arcabouço legal e a seleção de modelo de negócio adequado.
ABSTRACT Technical-economic feasibility studies are essential elements for making sanitation projects feasible, including projects of MSW incinerators with energy recovery. This article is based on the reference standards for technical-economic feasibility studies according to Ordinance No. 557 (2016) of the Ministry of Cities, provided for in Law No. 11.445, which establishes national guidelines for basic sanitation. Technical visits were carried out in four incinerators in Switzerland and two in Portugal in order to establish a benchmark to reference the analysis of the application of the Ordinance, the identification of critical factors that hinder the adoption of this technology in Brazil, as well as the necessary actions for technical-economic feasibility. The objective of this article is to propose an adaptation of the technical-economic feasibility studies model of the Ordinance for a MSW incinerator project with energy recovery, identifying the critical factors and actions related to the financial-economic viability that hinder the adoption of this technology in Brazil. The critical factors identified were the location of the plant, the Not in My Backyard effect, the concept of conflict between recycling and incineration, the high initial investment, the risk of adopting technologies that have already been overcome, the lack of experience and hands of qualified local work, variation and seasonality in MSW supply, volatility in the price of energy in the market, minimum revenues for financial viability, adequacy of the legal framework, and selection of an appropriate business model.
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@#Background: The low detection rate of tuberculosis (TB) cases in Malaysia remains a challenge in the effort to end TB by 2030. The collaboration between private and public health care facilities is essential in addressing this issue. As of now, no private-public health care collaborative program in pulmonary tuberculosis (PTB) screening exists in Malaysia. Aim: To determine the feasibility of a collaborative program between private general practitioners (GPs) and the public primary health clinics in PTB screening and to assess the yield of smearpositive PTB from this program. Methods: A prospective cohort study using convenient sampling was conducted involving GPs and public health clinics in the North-East District, Penang, from March 2018 to May 2019. In this study, GPs could direct all suspected PTB patients to perform a sputum acid fast bacilli (AFB) direct smear in any of the dedicated public primary health clinics. The satisfaction level of both the GPs and their patients were assessed using a self-administered client satisfaction questionnaire. IBM SPSS Statistical Software was used to analyze the data. Results: Out of a total of 31 patients who underwent the sputum investigation for PTB, one (3.2%) was diagnosed to have smear-positive PTB. Most of the patients (>90%) and GPs (66.7%) agreed to continue with this program in the future. Furthermore, most of the patients (>90%) were satisfied with the program structure. Conclusion: It is potentially feasible to involve GPs in combating TB. However, a more structured program addressing the identified issues is needed to make the collaborative program a success.
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Adult , Food Insecurity , Malaysia , Nutrition SurveysABSTRACT
OBJECTIVE@#This study introduces the feasibility study experience of intensive care clinical information management system in order to provide reference for the construction of intensive care clinical information management system in other hospitals.@*METHODS@#Four kinds of mainstream intensive care clinical information management system software were used to evaluate the implementation effect of each software such as equipment integration, information integration and application function module, so as to explore the construction scheme of intensive care clinical information management system.@*RESULTS@#The optimized construction scheme and comprehensive feasibility study report of intensive care clinical information management system were formed, which provided an objective basis for the final scheme design, demonstration, procurement and decision-making of the hospital.@*CONCLUSIONS@#The trial and feasibility study of intensive care clinical information management system contribute to optimize the construction scheme.
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Humans , Critical Care , Feasibility Studies , Information Management , Intensive Care Units , SoftwareABSTRACT
Abstract The present study examined feasibility evidence of a peer-based intervention in preventing dating violence by monitoring process indicators during the implementation phase of pilot studies. Two pilot studies were carried out in cities from different Brazilian regions with the participation of 25 high schoolers. Quantitative and qualitative measurements were used and this data was explored, respectively, by frequency count and content analysis. The study identified, on the one hand, evidence supporting the intervention, with good indicators of satisfaction and participant involvement, but on the other hand, contextual barriers that hampered recruitment, restricted the reach of the intervention, prevented the delivery of the number of planned sessions, and created roadblocks to the participants' adherence. In spite of such barriers, monitored process indicators testify in favor of the acceptability of the intervention if integrated into the school curriculum and changed its format to make it shorter.
Resumo O presente estudo examinou evidências de viabilidade de uma intervenção baseada nos pares para prevenção à violência no namoro, monitorando indicadores de processo durante a fase de implementação de estudos piloto. Foram realizados dois estudos pilotos em cidades de regiões distintas do Brasil, com a participação de vinte e cinco adolescentes do ensino médio. Foram usadas medidas quantitativas e qualitativas, cujos dados foram explorados, respectivamente, pela contagem de frequência e análise de conteúdo. O estudo identificou por um lado, evidências favoráveis à aceitabilidade da intervenção, com bons indicadores de satisfação e envolvimento dos participantes e, por outro, barreiras contextuais que dificultaram o recrutamento, restringiram o alcance da intervenção, impediram a oferta do número de sessões planejadas e geraram impasses à adesão dos participantes. Em que pese tais barreiras, os indicadores de processo monitorados depõem a favor da aceitabilidade da intervenção, se integrada ao currículo escolar e alterado o seu formato no sentido de torná-la mais breve.
Resumen El presente estudio examinó evidencias de viabilidad de una intervención basada en los pares para prevenir la violencia en el noviazgo, monitoreando indicadores de proceso durante la fase de implementación de estudios piloto. Se realizaron dos estudios pilotos en ciudades de regiones distintas de Brasil, con la participación de veinticinco adolescentes de la enseñanza media. Se utilizaron medidas cuantitativas y cualitativas, cuyos datos se explotaron, respectivamente, por el recuento de frecuencia y el análisis de contenido. El estudio identificó, por un lado, evidencias favorables a la aceptabilidad de la intervención, con buenos indicadores de satisfacción y participación de los participantes y, por otro, barreras contextuales que dificultaron el reclutamiento, restringieron el alcance de la intervención, impidieron la oferta del número de sesiones planificadas y generaron impasses a la adhesión de los participantes. En que pese a tales barreras, los indicadores de proceso monitoreados deponen a favor de la aceptabilidad de la intervención, si se integra al currículo escolar y cambian su formato para hacerla más breve.
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@#Introduction: Physical inactivity is the one of the leading causes of major non-communicable diseases in the world. The aim of this study is to assess the feasibility of an intervention program based on the stages of change, physical activity levels and health profiles of selected overweight and obese adults in Sarawak. Methods: This intervention study was carried out using selected overweight and obese adults in Sarawak. A total of 75 participants were placed in the intervention group, and 80 respondents were placed in the control group participated. Respondent-determined weekly aerobic exercise sessions were conducted for six months. The Malay version of the long-form International Physical Activity Questionnaire (IPAQ) and Transtheoretical model of change (TTM) questionnaire were used, together with anthropometric measurements and the collection of venous fasting blood profiles. Data was entered and analyzed using SPSS Version 20. Results: The intervention group had significant better stage transitions compared to the control group (p<0.01). They also had significantly lower total cholesterol, although both groups showed significant results (difference= 0.53, p<0.01; difference= 0.38, p=0.01). The respondent-determined intervention program was effective in improving stage transition; however, an intervention of longer duration could provide more conclusive health outcomes. Conclusion: Physical activity plays a role in assisting overweight and obese adults to be more active and healthier.
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@# Introduction: The prevalence of child undernutrition and micronutrient deficiencies are higher in the Orang Asli (OA) than the general Malaysian population. The World Health Organization recommends the use of multiple micronutrient supplement (MMS) that is a blend of micronutrients in powder form that can be sprinkled onto foods for home fortification to prevent undernutrition among children. This pilot study aimed to assess the feasibility of using MMS among OA children. Methods: A total of 25 OA children (14 boys and 11 girls) aged 6-31 months (mean±SD = 15.7±7.2 months) in Negeri Sembilan were given three sachets of MMS weekly for 5 weeks. Caregivers were instructed to add MMS to three types of food from the same food group per week varying with a different food group weekly. Written instruction for using MMS in simple language was given prior to the supplementation. Caregivers were interviewed for information on socio-demographics, compliance, acceptance, preference and adverse effect of MMS. Results: A high level of compliance was observed (85%). All caregivers reported that the instructions for use were easy to read. No noticeable changes to the foods mixed with MMS were observed and no adverse effects were reported. Conclusion: This study demonstrated feasibility of the use of MMS for future trials among OA children. The easy to read information that comes with the MMS, frequent monitoring of MMS use and support to caregivers were required to ensure compliance. Cultural feeding practices and financial constraints may limit the types of food that can be mixed with MMS.
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The aim of this study was to examine the feasibility of the Smart dynamometer as a rehabilitation exercise device in a daily care by comparing with the existing medical devices. We used and analyzed clinical and measurement data of breast cancer survivors who have used Smart dynamometer during their rehabilitation after breast cancer surgery. The Smart dynamometer was compared with the two existing devices of Takei dynamometer and surface electromyography (sEMG) that were used in routine care, respectively. Three key components of the rehabilitation exercise devices were analyzed to validate the feasibility of the Smart dynamometer: grip strength, reaction time, and grip endurance time. Pearson's correlation analysis was performed to compare the statistical significance between the devices. The data of 12 and 15 female breast cancer patients were analyzed for comparing the Smart dynamometer with Takei dynamometer and sEMG, respectively. There was a very weak correlation between the maximum values from the Takei and the Smart dynamometers in the affected and non-affected arms of breast cancer patients (r = 0.5321, 0.4733). Comparisons of 3 features between the Smart dynamometer and sEMG showed that there were strong positive correlations for both reaction time and endurance time in the affected and non-affected arms (r > 0.9). The feasibility of the Smart dynamometer for the possible use in a daily rehabilitation exercise was partially verified. Moreover, since the Smart dynamometer was highly correlated with time-related variables, it was important and significant to measure both grip strength and time-related information.
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Female , Humans , Arm , Breast Neoplasms , Breast , Electromyography , Feasibility Studies , Hand Strength , Reaction Time , Rehabilitation , Self Care , SurvivorsABSTRACT
PURPOSE: This study develop a Video Recording-Based Standardized Handoff (VRSH) program at shift change for ward nurses.METHOD: The study was conducted in five medical, three surgical, and one comprehensive nursing care service wards affiliated with a secondary general hospital. In this methodological study, the VRSH program was developed between April and December, 2017. It is noted that 65 nurses who were involved in the VRSH program participated in this study.RESULTS: In line with the modified Situation, Background, Assessment, Recommendation tool, the VRSH program consisted of three phases. In the VRSH program, the average time for handoff duration was 3–5 minutes per patient. More than 90% of the ward nurses were satisfied with the VRSH program since it benefited them by reducing overtime work and improving the performance, as well as effective communication, of nurses. The content analysis of nurses' VRSH program experience, revealed three categories and eight sub-categories.CONCLUSION: This study provides evidence that the VRSH program improves effective nursing performance and, the handoff communication and relationships between nurses. Future studies on large sample sizes and multiple settings are required to substantially evaluate the impact of the VRSH program on clinical outcomes.
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Humans , Feasibility Studies , Hospitals, General , Methods , Nursing , Nursing Care , Patient Handoff , Pilot Projects , Sample Size , Video RecordingABSTRACT
<p><b>BACKGROUND</b>Breast cancer patients experience various side effects during cancer therapy, often resulting in reduced quality of life and poor adherence to treatment. A limited range of proven interventions has been developed to target such side effects. While Tai Chi offers benefits for the health and well-being of breast cancer survivors, the effectiveness of Tai Chi across the treatment continuum has not been evaluated. Improved patient education and support has been suggested as a priority for breast cancer care. This pilot study assesses the feasibility of a randomized controlled trial (RCT) to evaluate the effectiveness of "an integrative Tai Chi" (ANITA) program for breast cancer patients undergoing cancer therapy.</p><p><b>METHODS/DESIGN</b>This is a single-centre, two-arm feasibility RCT. Twenty-four patients with breast cancer who have undergone surgical treatment will be recruited from the Dunedin Hospital (New Zealand) over a 12-month period (from August 2017 to July 2018). Subject to informed consent, patients will be randomized to receive standard cancer treatment alone or standard cancer treatment plus the ANITA program, consisting of peer support, health education, and Tai Chi Ruler exercise. The program runs alongside the patient's adjuvant cancer therapy, which may include chemotherapy, radiation therapy, antibody treatment, and/or antihormonal therapy. Analysis in this study will focus on process evaluation of participant recruitment, retention, treatment fidelity, acceptability of the program, and occurrence of adverse events. Clinical outcomes (i.e., fatigue, sleep quality, anxiety and depression and quality of life) will be assessed at baseline, and at 12 weeks and 24 weeks post-randomization.</p><p><b>DISCUSSION</b>Outcomes from this study will inform the feasibility and methodology for a future fully-powered RCT.</p><p><b>TRIAL REGISTRATION</b>Australian New Zealand Clinical Trials Registry with the identifier ACTRN12617000975392.</p>
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<p><b>BACKGROUND</b>Musculoskeletal disorders (MSD) comprise a wide range of conditions, associated with an enormous pain and impaired mobility, and are affecting people's lives and work. Management of musculoskeletal disorders typically involves a multidisciplinary team approach. Positive findings have been found in previous studies evaluating the effectiveness of complementary therapies, though little attention has been paid to evaluating of the effectiveness of integrated packages of care combining conventional and complementary approaches for musculoskeletal conditions in a National Health Service (NHS) setting.</p><p><b>OBJECTIVE</b>To determine the feasibility of all aspects of a pragmatic observational study designed: (1) to evaluate the effectiveness and cost effectiveness of integrated treatments for MSDs in an integrated NHS hospital in the UK; (2) to determine the acceptability of the study design and research process to patients; (3) to explore patients' expectation and experience of receiving integrated treatments.</p><p><b>METHODS</b>This is an observational feasibility study, with 1-year recruitment and 1-year follow-up, conducted in Royal London Hospital for Integrated Medicine, University College London Hospital Trust, UK. All eligible patients with MSDs newly referred to the hospital were included in the study. Interventions are integrated packages of care (conventional and complementary) as currently provided in the hospital. SF-36™ Health Survey, short form Brief Pain Inventory, Visual Analogue Scale, and modified Client Service Receipt Inventory will be assessed at 4/5 time points. Semi-structured interview/focus group will be carried out before treatment, and 1 year after commence of treatment.</p><p><b>DISCUSSION</b>We intend to conduct a pragmatic observational study of integrated medical treatment of MSDs at a public sector hospital. It will inform the design of a future trial including recruitment, retention, suitability of the outcome measures and patients experiences.</p>
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Humans , Data Collection , Feasibility Studies , Musculoskeletal Diseases , Therapeutics , Outcome Assessment, Health Care , Statistics as TopicABSTRACT
Objective To compare the efficacy and complications of the two surgical methods (between type Ⅰ hysterectomy and type Ⅱ hysterectomy),and to explore the feasibility of type Ⅰ hysterectomy in stage ⅠA cervical cancer.Methods The study group,92 cases(48 cases of stage ⅠA1,44 cases of stage ⅠA2) were performed with type Ⅰ hysterectomy plus selective pelvic lymph node dissection;the control group,93 cases (49 cases of stage ⅠA1,44 cases of ⅠA2) were performed with type Ⅱ hysterectomy plus selective pelvic lymph node dissection.Results The survival rate of 5 years and 10 years in study group were 100 ％ (92/92),100 ％ (74/74) and that in control group were 100 ％ (93/93),100 ％(66/66),respectively.There were no signicant difference between the two group (both P ＞ 0.05).When compared with the control group,the urinary tract infection of the study group was significantly reduced (0 versus 13.99 ％,P ＜ 0.05).Moreover,there were a shorter surgical duration [(96.14±17.20) min vs (116.82±16.30) min].The hemorrhage [(117.35±39.61) ml] and blood transfusion (0 ml) in study group was less common than those in control group [(201.74±46.25) ml,(82.07±16.32) ml] (all P ＜ 0.01).Conclusion There are no difference of 5-year and l0-year survival rate in stage ⅠA patients with type Ⅰ or type Ⅱ hysterectomy,however,the rate of the postoperative urinary tract infection in the former is lower than that in the latter,and also there are a shorter surgical duration,less hemorrhage and reduced blood transfusion requirements in study group.Therefore,type Ⅰ hysterectomy can be effective and applicable for the patients of stage ⅠA cervical cancer.
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Objective To discuss the indication and safety of vaginal birth after cesarean .Methods Prospective analysis was clone the 63 cases of successful vaginal delivery from scarred uterus during Jan 2009 to Dec 2012 in this hospital .Results Intensive observation revealed 21 successful cases of vaginal delivery without occurrence of uterus rupture or neonatal suffocation .Postpartum hemorrhage occurred only once .Conclusion Vaginal birth after cesarean is safe as long as its indication is strictly controlled .
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BACKGROUND: Repeated 24 hour recall has been considered as a preferred method for obtaining accurate dietary information while time and cost for coding and data processing have been a major barrier for their use in large studies. This burden can be resolved by automating the interview and data processing. However, there has been no report about a computerized interview system for dietary survey in a free-living population in Korea. METHODS: This study attempts to test the feasibility of a newly-developed web-based dietary assessment program, Diet Evaluation System (DES) for subjects in a mixed region of urban and rural areas via wireless internet. We conducted total of 134 interviews, twice for each of 67 subjects of various age. As another aspect of feasibility, the group discussion among interviewers was done. RESULTS: Success rate of total attempted interviews was about 70%. Major reasons for problem with DES were instability of wireless internet and consequent inefficient booting of laptops in some areas. It took 14 minute 56 seconds on average to complete an interview and data processing conducted automatically. Subjects' age and internet environment influenced the DES interview time. The group discussion revealed that one-stop system with DES is fast and convenient assuming good wireless internet environment. CONCLUSIONS: Web-based dietary assessment was feasible in this community nutrition survey. To confirm the feasibility in large scale, studies with more comprehensive area and subjects are needed with various wireless condition.
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Electronic Data Processing , Clinical Coding , Diet , Diet Surveys , Feasibility Studies , Internet , Korea , Methods , Nutrition SurveysABSTRACT
Objective To investigate the safety and clinical outcome of laparoscopic resection of rectal cancer. Methods The clinical data of 347 patients with rectal cancer who were admitted to the Shanxi Tumor Hospital from May 2004 to July 2008 were prospectively analyzed. Of all the patients, 343 met the inclusion criteria,and they were randomly allocated to laparoscope group (n = 169) and open group (n= 174). The diameter of the tumors, number of lymph node dissected, length of rectum resected, morbidity, the mean operation time, number of patients receiving blood transfusion, time to out-of-bed activity, first flatus, bowel movement and liquid diet were observed. All data were analyzed using the t test and chi-square test. The survival rate was calculated using the Kaplan-Meier method. Results The diameter of the tumors, number of lymph node dissected, length of rectum resected and number of patients receiving blood transfusion in the laparoscope group were (4.3 ± 1.3 ) cm, 7 ± 5,(19.1±2.2)cm and 4, and they were (4.2±1.3)cm, 7 ±5, (19.0±2.3)cm and 8 in the open group,respectively, with no significant difference between the two groups ( t = 0. 629, - 0. 726, 0. 562, x2 = 1. 264,P ＞0.05). The mean operation time in the laparoscope group was 19 minutes longer than that in the open group (t = 7. 904, P ＜ 0.05 ). The time to out-of-bed activity, first flatus, bowel movement and liquid diet in the laparoscope group were 0.6, 0.3, 0.3 and 0.6 days earlier than those in open group( t = - 6. 392, - 3.581, - 3. 802,- 3. 493, P ＜ 0.05 ). There were no significant differences in postoperative infection, anastomotic leakage, intestinal obstruction and deep vein thrombosis between the two groups ( x2 = 0. 236, 0. 354, 0. 000, 0. 000, P ＞0.05). A total of 167 patients in the laparoscope group and 172 patients in the open group had been followed upuntil 1 may, 2010. The 1-, 2-year survival rates were 94.0% and 82.6% in the laparoscope group and 95.3% and 91.2% in the open group. There was no significant difference in the 2-year survival between the two groups (x2 =0.541, P ＞0.05). The survival time of the patients in the laparoscope group and open group were 55.9 and 57.9 months, respectively. Conclusions Laparoscopic surgery is safe and feasible for patients with rectal cancer, with quick recovery after the operation.
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BACKGROUND/AIMS: Studies have investigated the use of different types of radiofrequency capsules for comparison or sequential capsule endoscopy, but none have compared the MiroCam device - which utilizes a novel data transmission technology - with other capsules. This study compared the feasibility of sequential capsule endoscopy using the MiroCam and PillCam SB devices, which employ different transmission technologies. METHODS: Patients with diseases requiring capsule endoscopy were enrolled. After a 12-hour fast, one randomly selected capsule was swallowed. The second capsule was swallowed once fluoroscopy had indicated that the first capsule had migrated below the gastric outlet. RESULTS: The total operating time in 24 patients was 702+/-60 min (mean+/-SD) for the MiroCam and 446+/-28 min for the PillCam SB (p<0.0001). The rate of a complete examination to the cecum was 83.3% for the MiroCam and 58.3% for the PillCam SB (p=0.031). Diagnostic yields for the MiroCam, PillCam SB, and sequential capsule endoscopy were 45.8%, 41.7%, and 50.0%, respectively. The agreement rate between the two capsules was 87.5%, with a kappa value of 0.74. Electrical interference in data transmission between the two capsules was not observed, but temporary visual interferences were observed in seven patients (29.2%). CONCLUSIONS: Sequential capsule endoscopy with the MiroCam and PillCam SB produced slight but nonsignificant increases in the diagnostic yield, and the two capsules did not exhibit electrical interference. A larger trial is necessary for elucidating the usefulness of sequential capsule endoscopy.
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Humans , Capsule Endoscopy , Capsules , Cecum , Feasibility Studies , Fluoroscopy , Gastrointestinal Hemorrhage , Pilot ProjectsABSTRACT
Objective To explore the feasibility of using unilateral continuous spinal anesthesia(UCSA)with hypobaric levobupivacaine in elderly patients undergoing hip replacement.Methods Sixty ASAⅠ~Ⅲ patients aged 63~91 were randomized to one of two groups:group U unilateral continuous spinal anesthesia(UCSA)(n=30)and group S single spinal epidural anesthesia(SSEA)(n=30).Patients in group U were performed at L2,3 or L3,4 interspace with the patients in the lateral position with the diseased leg upper most.The patients received a continuous spinal catheter,Hypobaric 0.375% levobupinacaine solution 0.5～1.0ml was injected.If analgesia did not reach T10 after 5～10min the same dose was repeated.Patients in group S were performed at L2,3 or L3,4 interspace with the patients in the lateral position with the diseased leg down most.Hyperbaric 0.375% bupivacaine solution 3 ml was injected into subarach noid through spinal needle,which was threaded through epidural needle.Then epidural catheter was placed.The position was adjusted to the analgesia level to reach T10.Parameters of circulation and respiration function were recorded.The level of block and degree of motor blockade were measured and recorded.The intraoperative and postoperative complication associated with spinal or epidural anesthesia were recorded.Results MAP was slightly decreased after initial dose of local anesthetics as compared to the baseline MAP in both groups.The incidences of hypotension was significantly lower in group U than in group S.There was no significant decreasement in SpO2 and no significant change in HR during operation in both groups.There was lower sensory block in group U than in group S.There was no significant difference in degree of motor blockade,dose of innovar,incidences of tremble,nausea and vomiting,headache and neural complication after operation between the two groups.Conclusion Both UCSA and SSEA can produce satisfactory sensory block for hip replacement.But UCSA can produce stabler hemodynamics and is anesthesia method of choice in elderly patients undergoing hip replacement.
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OBJECTIVE:To study the optimum conditions for extracting the effective components in Yansheng oral liquidMETHODS:Using orthogonal design L9(34),the content of total solid was taken as the screening indexInfluence of the concentration of alcohol on effective components was observedRESULTS:The number of times of extraction(D) had significant influence on the content of total solid(P
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PURPOSE: This study was carrid out to assess the feasibility of cancer registry program (KCR) in Kwangju metropolitan city, Korea. MATERIALS AND METHODS: The incidence cases and mortality data were mainly collected from the Korean national cancer registry system (NCR) and other resources such as medical insurance records, hospital records, pathology reports, radiation records and death certificates of 1996 in Kwangju metropolitan city. RESULTS: This study identified 1,422 cases of cancer in 1996, which was about 1379o more than NCR. Cancer cases reported from the hospitals outside Kwangju metropolitan city reached almost 40% of total cases. Death certificate notification percent (DCN%) in 1996 was estimated about 31.1%. The proposed KCR would cover more than 95% of cancer cases in Kwangju metropolitan city. CONCLUSION: The proposed KCR seems feasible in collecting cancer date with reasonable accuracy.
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Death Certificates , Feasibility Studies , Hospital Records , Incidence , Insurance , Korea , Mortality , PathologyABSTRACT
Projects of hospital reorganization and expansion can be put on the track of scientific,fair,economical,rational,objective,and sustainable development through feasibility studies and first-phase planning and preparations,which ensure that hospital reorganization and expansion meet the requirements of national policies and regional health planning,the needs of the medical market and the medical system,and the demands of medical reform,thus avoiding any inherent weaknesses that projects of hospital reorganization and expansion might have.
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Objective To explore the application effect of the model of clinical nursing path management in clinical nursing. Methods A comparative study was conducted of the clinical nursing paths respectively with regard to patients who had received thyroid adenoma resection and with regard to patients who had received hysteromyomectomy. Results In the experimental group involving clinical nursing path management, the average length of stay was shortened, pre operation days were reduced, and the average hospitalization expenses were lowered while the satisfaction rate of patients with thyroid adenoma rose by 2.18%, reaching 98.96% and that of patients with hysteromyoma rose by 2.87%, reaching 99.55%. At the same time, clinical nursing path management also enhanced the job satisfaction of nurses. Conclusion It is viable to adopt the model of clinical nursing path management in clinical nursing in China.