Cost calculation and prediction in adult intensive care: A ground-up utilization study

Publisher's copy made available with the permission of the publisherThe ability of various proxy cost measures, including therapeutic activity scores (TISS and Omega) and cumulative daily severity of illness scores, to predict individual ICU patient costs was assessed in a prospective “ground-up” utilization costing study over a six month period in 1991. Daily activity (TISS and Omega scores) and utilization in consecutive admissions to three adult university associated ICUs was recorded by dedicated data collectors. Cost prediction used linear regression with determination (80%) and validation (20%) data sets. The cohort, 1333 patients, had a mean (SD) age 57.5 (19.4) years, (41% female) and admission APACHE III score of 58 (27). ICU length of stay and mortality were 3.9 (6.1) days and 17.6% respectively. Mean total TISS and Omega scores were 117 (157) and 72 (113) respectively. Mean patient costs per ICU episode (1991 $AUS) were$6801 ($10311), with median costs of$2534, range $106 to$95,602. Dominant cost fractions were nursing 43.3% and overheads 16.9%. Inflation adjusted year 2002 (mean) costs were $9343 ($ AUS). Total costs in survivors were predicted by Omega score, summed APACHE III score and ICU length of stay; determination R2, 0.91; validation 0.88. Omega was the preferred activity score. Without the Omega score, predictors were age, summed APACHE III score and ICU length of stay; determination R2, 0.73; validation 0.73. In non-survivors, predictors were age and ICU length of stay (plus interaction), and Omega score (determination R2, 0.97; validation 0.91). Patient costs may be predicted by a combination of ICU activity indices and severity scores.J. L. Moran, A. R. Peisach, P. J. Solomon, J. Martinhttp://www.aaic.net.au/Article.asp?D=200403

High Precision Measurement of the Proton Elastic Form Factor Ratio μpGE/GM\mu_pG_E/G_M at low Q2Q^2

We report a new, high-precision measurement of the proton elastic form factor ratio \mu_p G_E/G_M for the four-momentum transfer squared Q^2 = 0.3-0.7 (GeV/c)^2. The measurement was performed at Jefferson Lab (JLab) in Hall A using recoil polarimetry. With a total uncertainty of approximately 1%, the new data clearly show that the deviation of the ratio \mu_p G_E/G_M from unity observed in previous polarization measurements at high Q^2 continues down to the lowest Q^2 value of this measurement. The updated global fit that includes the new results yields an electric (magnetic) form factor roughly 2% smaller (1% larger) than the previous global fit in this Q^2 range. We obtain new extractions of the proton electric and magnetic radii, which are ^(1/2)=0.875+/-0.010 fm and ^(1/2)=0.867+/-0.020 fm. The charge radius is consistent with other recent extractions based on the electron-proton interaction, including the atomic hydrogen Lamb shift measurements, which suggests a missing correction in the comparison of measurements of the proton charge radius using electron probes and the recent extraction from the muonic hydrogen Lamb shift.Comment: 12 pages, 3 figure

Técnicas de colheita para tomate de mesa Harvesting methods for fresh market tomatoes

Comparou-se a qualidade de frutos provenientes de colheita utilizando cestas de bambu e sacolas de lona plástica em campos de produção na região de Mogi-Guaçu, SP. Utilizou-se como testemunha frutos não submetidos ao manuseio. O delineamento utilizado foi inteiramente casualizado em esquema fatorial (sistemas de colheita x dias após a colheita) com três repetições. Foram observados o tempo de colheita, incidência de danos físicos (%) originados no campo e/ou no processo de colheita, perda de masa (%) durante o armazenamento, e a qualidade visual após armazenamento por 21 dias a temperatura ambiente (23ºC). O tempo necessário para realizar a colheita no mesmo número de plantas utilizando-se cesta de bambu foi superior em 20%, em relação à sacola plástica. A incidência de danos físicos (%) e perda de massa (%), apesar de maiores nos frutos colhidos com sacola, não foram significativamente diferentes dos colhidos com cestas de bambus. Observou-se maior perda de massa (%) durante o armazenamento nos frutos colhidos utilizando-se sacolas de lonas plásticas. Após armazenamento por 21 dias, frutos colhidos com sacola plástica apresentavam maiores perdas do que aqueles colhidos utilizando-se cestas de bambu, principalmente devido a danos físicos e podridões.<br>Quality of tomato fruits harvested using traditional bamboo baskets was compared to fruits harvested using harvest bags in the Mogi Guaçu region, São Paulo State, Brazil. Fruits not submitted to handling were used as control. The trial was totally randomized (harvest system x days after harvest) in a factorial design. The observed data were time spent for each harvest operation, mechanical injury (%) caused either in the field or/and in the process of harvesting, weight loss (%) during storage and final quality of fruits after storage for 21 days at room temperature (23ºC). The time necessary for the harvest with bamboo baskets was 20% higher than using plastic bags. The results showed that weight loss (%) and injury incidence (%) using harvesting bags were higher than the harvest using bamboo baskets. Weight loss (%) was higher in fruits harvested with plastic bags during storage. After storage during 21 days, tomatoes harvested using plastic bag showed higher losses than fruits picked using bamboo baskets due to mainly mechanical injury and diseases