1,061 research outputs found

    A new approach for solving nonlinear Thomas-Fermi equation based on fractional order of rational Bessel functions

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    In this paper, the fractional order of rational Bessel functions collocation method (FRBC) to solve Thomas-Fermi equation which is defined in the semi-infinite domain and has singularity at x=0x = 0 and its boundary condition occurs at infinity, have been introduced. We solve the problem on semi-infinite domain without any domain truncation or transformation of the domain of the problem to a finite domain. This approach at first, obtains a sequence of linear differential equations by using the quasilinearization method (QLM), then at each iteration solves it by FRBC method. To illustrate the reliability of this work, we compare the numerical results of the present method with some well-known results in other to show that the new method is accurate, efficient and applicable

    Simple Synthesis of Mercury Sulfide Nanstructures Via a One-Step Method

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    High-quality and high-yield rod-like HgS dendrites with cubic structure was synthesized by a wet chemical route, without using any surfactant and organic solvents at 180 degrees Celsius for 5 h, by using Hg(NO3)2.H2O and thioglycolic acid (TGA) as starting reagents. The obtained HgS with different morphologies and sized were characterized by FT-IR, SEM, TEM, EDX, and XRD. The morphology of HgS nanostructures could be changed from rod-like dendrites to nanoparticles by only decreased temperature reaction to 110 degrees Celsius. The optical absorption results showed that HgS is considered as an important material in the field of optoelectronics. When you are citing the document, use the following link http://essuir.sumdu.edu.ua/handle/123456789/3481

    Application of the Activity-Based Costing Method for Unit-Cost Calculation in a Hospital

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    BACKGROUND: Choosing an appropriate accounting system for hospital has always been a challenge for hospital managers. Traditional cost system (TCS) causes cost distortions in hospital. Activity-based costing (ABC) method is a new and more effective cost system. OBJECTIVE: This study aimed to compare ABC with TCS method in calculating the unit cost of medical services and to assess its applicability in Kashani Hospital, Shahrekord City, Iran.� METHODS: This cross-sectional study was performed on accounting data of Kashani Hospital in 2013. Data on accounting reports of 2012 and other relevant sources at the end of 2012 were included. To apply ABC method, the hospital was divided into several cost centers and five cost categories were defined: wage, equipment, space, material, and overhead costs. Then activity centers were defined. ABC method was performed into two phases. First, the total costs of cost centers were assigned to activities by using related cost factors. Then the costs of activities were divided to cost objects by using cost drivers. After determining the cost of objects, the cost price of medical services was calculated and compared with those obtained from TCS.� RESULTS: The Kashani Hospital had 81 physicians, 306 nurses, and 328 beds with the mean occupancy rate of 67.4 during 2012. Unit cost of medical services, cost price of occupancy bed per day, and cost per outpatient service were calculated. The total unit costs by ABC and TCS were respectively 187.95 and 137.70 USD, showing 50.34 USD more unit cost by ABC method. ABC method represented more accurate information on the major cost components. CONCLUSION: By utilizing ABC, hospital managers have a valuable accounting system that provides a true insight into the organizational costs of their department

    Cost-effectiveness analysis of trastuzumab in the adjuvant treatment for early breast cancer

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    BACKGROUND: Evidence from randomized controlled trials (RCTs) has shown a significant survival advantage of trastuzumab. Although extant work in developed countries examined economic evaluation of trastuzumab in adjuvant treatment for early breast cancer based on the 1-year treatment, there is uncertainty about cost-effectiveness of trastuzumab in the Adjuvant Treatment of early breast cancer in developing countries. This study aimed to estimate cost-effectiveness of adjuvant trastuzumab therapy compared to AC-T regimen in early breast cancer in Iran. METHODS: A cost-effectiveness analysis was performed using a Markov model to estimate outcomes and costs over a 20-year time period using a cohort of women with HER2 positive early breast cancer, treated with or without 12 months trastuzumab adjuvant chemotherapy. Transition probabilities were derived mainly from the BCIRG006 trial. Costs were estimated from the perspective of the Iranian health care system. Both costs and outcomes were discounted by 3. One-way sensitivity analysis was undertaken to assess the associated uncertainties in the expected output measures. RESULTS: On the basis of BCIRG006 trial, our model showed that adjuvant trastuzumab treatment in early breast cancer, yield 0.87 quality-adjusted life-years (QALY) compared with AC-T regimen. Adjuvant trastuzumab treatment yielded an incremental cost-effectiveness ratio (ICER) of US 51302 per QALY. CONCLUSION: By using threshold of 3 times GDP per capita, as per World Health Organization (WHO) recommendation, 12 months trastuzumab adjuvant chemotherapy is not a cost-effective therapy for patients with HER2-positive breast cancer in Iran

    Health Care Expenditure and GDP in Oil Exporting Countries: Evidence From OPEC Data, 1995-2012

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    BACKGROUND: There is a large body of literature examining income in relation to health expenditures. The share of expenditures in health sector from GDP in developed countries is often larger than in non-developed countries, suggesting that as the level of economic growth increases, health spending increase, too. OBJECTIVES: This paper estimates long-run relationships between health expenditures and GDP based on panel data of a sample of 12 countries of the Organization of the Petroleum Exporting Countries (OPEC), using data for the period 1995-2012. PATIENTS & METHODS: We use panel data unit root tests, cointegration analysis and ECM model to find long-run and short-run relation. This study examines whether health is a luxury or a necessity for OPEC countries within a unit root and cointegration framework. RESULTS: Panel data analysis indicates that health expenditures and GDP are co-integrated and have Engle and Granger causality. In addition, in oil countries that have oil export income, the share of government expenditures in the health sector is often greater than in private health expenditures similar developed countries. CONCLUSIONS: The findings verify that health care is not a luxury good and income has a robust relationship to health expenditures in OPEC countries

    Velocity Curve Analysis of the Spectroscopic Binary Stars V373 Cas, V2388 Oph, V401 Cyg, GM Dra, V523 Cas, AB And, and HD 141929 by Artificial Neural Networks

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    We used an Artificial Neural Network (ANN) to derive the orbital parameters of spectroscopic binary stars. Using measured radial velocity data of seven double-lined spectroscopic binary systems V373 Cas, V2388 Oph, V401 Cyg, GM Dra, V523 Cas, AB And, and HD 141929, we found corresponding orbital and spectroscopic elements. Our numerical results are in good agreement with those obtained by others using more traditional methods.Comment: 13 pages, 8 figures, 14 Table

    Family medicine in Iran: facing the health system challenges

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    OBJECTIVE: This study aimed to understand the perspectives of policy makers and decision makers of Iran's health system about the implementation of family medicine in Iran urban areas. MATERIALS/PATIENTS & METHODS: This study is a qualitative study with framework analysis. Purposive semi-structured interviews were conducted with Policy and decision makers in the five main organizations of Iran health care system. The codes were extracted using inductive and deductive methods. RESULTS: According to 27 semi-structured interviews were conducted with Policy and decision makers, three main themes and 8 subthemes extracted, including: The development of referral system, better access to health care and the management of chronic diseases. CONCLUSION: Family medicine is a viable means for a series of crucial reforms in the face of the current challenges of health system. Implementation of family medicine can strengthen the PHC model in Iran urban areas. Attempting to create a general consensus among various stakeholders is essential for effective implementation of the project. BACKGROUND: In response to the current fragmented context of health systems, it is essential to support the revitalization of primary health care in order to provide a stronger sense of direction and integrity. Around the world, family medicine recognized as a core discipline for strengthening primary health care setting

    Analysis of Multilayered Power Module Packaging Behavior under Random Vibrations

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