Retrospective analysis of total direct medical costs associated with hepatitis B patients with oral antiviral versus pegylated interferon therapy in Turkey

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/108669/1/jvh12206.pd

The influence of problem-based learning and direct teaching on students’ learning outcomes

One of the student-centered learning methods which is able to improve the students’ learning outcomes is Problem-Based Learning (PBL). This study examined (1) the difference in the learning results of students using PBL and Direct Teaching (DT) with high and low learning motivation and creativity, (2) the influence of learning methods with motivation and creativity toward learning outcomes, and (3) the difference in the learning results of students using PBL and DT in terms of learning motivation and creativity. The subject consisted of students of Vocational High Schools or Sekolah Menengah Kejuruan N 1 Ngawen. The data analysis used an ANOVA test and a T-test. The results revealed (1) insignificantly different learning outcomes between the use of PBL and DT, (2) insignificantly different learning outcomes with the significance of 0.652 between students with high and low motivation, (3) significantly different learning outcomes with the significance of 0.039 between students with high and low creativity, (4) influence of the interaction between learning methods with learning motivation to the learning outcomes, (5) influence of the interaction between learning methods with creativity to the learning outcomes, (6) insignificantly different learning outcomes between students using PBL and DT in terms of learning motivation, and (7) insignificantly different learning outcomes between students using PBL and DT in terms of creativit

E-portfolio MSC indicator for a virtual learning environment

This study was conducted to identify indicators for the use of e-portfolio for a virtual learning environment in the Malaysian Skills Certification (MSC) system. The approach is through a modified Delphi technique run in three stages. The first stage is analysis of past research material and documents as guidelines in the development of questionnaire items. In the second and third stages, the developed questionnaire is distributed to experts for approval in determining e-portfolio indicators for implementation of the Malaysian Skills Certification system. The sample selected consists of 11 experts in the field of skills certification in Malaysia. Feedback from the experts was analysed using descriptive statistics (mean, median and interquartile range). The findings identify four elements (Assessment, Personal Space, Exhibition and Learning Management) and 32 indicators through a literature review. In conclusion, there are 22 indicators were identified as necessary for the implementation of the use of the e-portfolio in the Malaysian Skills Certification system

Antibacterial activity and composition of the essential oils of two endemic Salvia sp. from Turkey

Water-distilled essential oils from dried aerial parts of Salvia cryptantha and Salvia heldreichiana (Lamiaceae), endemic in Turkey, were analysed using gas chromatography-mass spectrometry (GCMS). Camphor (19.1%), 1,8-cineole (16.4%), borneol (11.9%), viridiflorol (11.5%) and bornyl acetate (2.4%) were found to be the major constituents in the oil of S. cryptantha. The major constituents in the oil of S. heldreichiana were linalool (9.4%), a-pinene (5.6%), 1,8-cineole (5.6%), borneol (5.6%), cryptone (5.3%), linalyl acetate (4.9%), a-terpineol (4.4%), camphor (3.9%), terpinen-4-ol (3.3%), trans-linalool oxide (Furanoid) (2.9%), trans-verbenol (2.2%), geranyl acetate (2.2%) and cis-linalool oxide (Furanoid) (2.1%). Essential oil of S. heldreichiana exhibited antimicrobial activity using the disc diffusion method against Escherichia coli, Sarcinia lutea and Salmonella typhimurium. The oil of S. cryptantha inhibited the growth of S. lutea

Effect of a dietary essential oil mixture on performance of laying hens in the summer season

The experiment was conducted to evaluate the effects of dietary supplements of either an essential oil mixture (EOM) or a mannan oligosaccharide (MOS) as alternatives to an antibiotic feed additive (avilamycin) for layers kept under hot summer conditions. Four hundred and eighty 54-week old Nick-Brown hens were assigned to four dietary treatments. Each treatment consisted of four replications of 10 cages (three hens per cage). The treatment groups were: 1) Control: Basal diet without additive; 2) Basal diet plus antibiotic (10 mg avilamycin/kg feed); 3) Basal diet plus 1 g MOS/kg feed; 4) Basal diet plus 24 mg EOM/kg feed. Performance of laying hens was affected by dietary treatments. Dietary supplementation of EOM and MOS significantly increased egg production compared with control and antibiotic groups. There were no significant differences in feed consumption between treatments. The EOM significantly improved feed conversion ratio above that of the control group. Egg weights were significantly different between treatments. Laying hens consuming MOS produced significantly lower egg weights than the other groups, while egg weights in the EOM, antibiotic and control groups did not differ significantly. Cracked-broken egg rate was decreased by dietary addition of EOM, MOS and antibiotic compared with the control. Number of deaths among hens was significantly affected by dietary treatments with the number of deaths in the MOS treatment being significantly lower than in the other treatments. The performance of laying hens during the summer season could be maintained with inclusions of EOM and MOS in the diet. Keywords: Essential oils, mannan oligosaccharide, antibiotic, egg production, laying hen, summer seasonSouth African Journal of Animal Science Vol. 36 (4) 2006: pp. 215-22

An analysis of 13 patients with perforated gastric carcinoma: A surgeon's nightmare?

<p>Abstract</p> <p>Background and Objectives</p> <p>Perforation is a rare complication of gastric carcinoma and generally not diagnosed preoperatively. To clarify the clinicopathologic characteristics of patients with this condition we reviewed 13 cases of gastric cancer perforation who required emergency surgery.</p> <p>Methods</p> <p>A total of 13 patients with gastric cancer perforation were retrospectively reviewed. The clinicopathological features including tumor stage and survival and also the type of treatment were analyzed and compared to literature data.</p> <p>Results</p> <p>There were 13 patients (10 males and 3 females) with a mean age of 59.0 ± 9.56 years. The incidence of perforated gastric cancer was 9.6% among gastric carcinoma and 4.2% of all gastric perforation cases. The perforation was more frequently in stage III–IV (2–10), but one case of stage II (T3N0M0) gastric cancer was also observed. None of the patients had curative resection or radical lymph-node dissection. Six (46%) patients were treated by palliative, local surgery. Emergency gastrectomy were performed in 7 (54%) patients. Overall 30-day mortality rate was % 46. The overall survival time was 128.2 ± 184.8 days for all patients, it was 52.8 ± 52.9 days for locally treated group, and 192.9 ± 235.4 days for patients who underwent resectional surgery. The difference between the treatment groups was not significant</p> <p>Conclusion</p> <p>Perforation usually occurs in advanced stages of gastric cancer. These patients had a poor prognosis because of the presence of advanced cancer.</p

Painlev\'e Transcendent Describes Quantum Correlation Function of the XXZ Antiferromagnet away from the free-fermion point

We consider quantum correlation functions of the antiferromagnetic spin-$\frac{1}{2}$ Heisenberg XXZ spin chain in a magnetic field. We show that for a magnetic field close to the critical field $h_c$ (for the critical magnetic field the ground state is ferromagnetic) certain correlation functions can be expressed in terms of the solution of the Painlev\'e V transcendent. This establishes a relation between solutions of Painlev\'e differential equations and quantum correlation functions in models of {\sl interacting} fermions. Painlev\'e transcendents were known to describe correlation functions in models with free fermionic spectra.Comment: 10 pages, LaTeX2

Analysis of the volatile components of five Turkish Rhododendron species by headspace solid-phase microextraction and GC-MS (HS-SPME-GC-MS)

Volatile constituents of various solvent extracts (n-hexane, CH2Cl2, H2O) of 15 different organs (leaves, flowers, fruits) of five Rhododendron species (Ericaceae) growing in Turkey were trapped with headspace solid-phase microextraction (HS-SPME) technique and analyzed by GC-MS. A total of 200 compounds were detected and identified from organic extracts, while the water extracts contained only traces of few volatiles. The CH2Cl2 extract of the R. luteum flowers was found to exhibit the most diverse composition: 34 compounds were identified, with benzyl alcohol (16.6%), limonene (14.6%) and p-cymene (8.4%) being the major compounds. The CH2Cl2-solubles of R. x sochadzeae leaves contained only phenyl ethyl alcohol. This study indicated appreciable intra-specific variations in volatile compositions within the genus. Different anatomical parts also showed altered volatile profiles. This is the first application of HS-SPME-GC-MS on the volatiles of Rhododendron species

Rapid chemical analysis and antiprotozoal effect of the solvent extracts and the essential oil of Artemisia indica

Artemisia indica is used as antipyretic in malarial fevers during malaria outbreaks in India [1]. We selected this plant because reports concerning the presence of artemisinin is contradictory, the content of methoxyflavonoids that potentiate the antimalarial efficacy of artemisinin has remained unstudied and the essential oil of the plant from different regions shows great chemical variations. Solvent extracts [petroleum ether, n-hexane, dichloromethane, acetone, MeOH or EtOH (96, 80 or 60% v/v), and hot water] of A. indica leaves originated from the West Bengal region (India) were assessed by HPLC-DAD and HPLC-MS for the content of artemisinin and the characteristic Artemisia methoxyflavonoids, eupatin, casticin, chrysoplenetin, cirsilineol, chrysosphenol-D and artemetin. None of the extracts contained artemisinin or the methoxyflavonoids chrysosphenol-D and artemetin, while all extracts contained chrysoplenetin. Eupatin, casticin and cirsilineol were found in all extracts except for the p. ether, n-hexane and hot water infusion. The acetone and EtOH extracts contained the highest levels of polymethoxyflavonoids (1.15 – 1.17%), whereas the infusion was devoid of them. The essential oil of the plant was obtained by hydrodistillation and analyzed by GC and GC-MS simultaneously. Of the 92 compounds detected in the oil, camphor (13.0%) and caryophyllene oxide (10.87%) were the major components. All solvent extracts and the volatile oil showed in vitro antimalarial activity (1.8 – 20 µg/mL). Except for the infusion, all extracts were also active against other parasitic protozoa (Trypanosoma b. rhodesiense, T. cruzi, Leishmania donovani). This is the first study investigating both artemisinin and polymethoxyflavonoid content and detailed in vitro antiprotozoal potential of A. indica extracts and the essential oil

Medicare Payments for Common Inpatient Procedures: Implications for Episode-Based Payment Bundling

Aiming to align provider incentives toward improving quality and efficiency, the Center for Medicare and Medicaid Services is considering broader bundling of hospital and physician payments around episodes of inpatient surgery. Decisions about bundled payments would benefit from better information about how payments are currently distributed among providers of different perioperative services and how payments vary across hospitals.Using the national Medicare database, we identified patients undergoing one of four inpatient procedures in 2005 (coronary artery bypass [CABG], hip fracture repair, back surgery, and colectomy). For each procedure, price-standardized Medicare payments from the date of admission for the index procedure to 30 days postdischarge were assessed and categorized by payment type (hospital, physician, and postacute care) and subtype.Average total payments for inpatient surgery episodes varied from U.S.$26,515 for back surgery to U.S.$45,358 for CABG. Hospital payments accounted for the largest share of total payments (60–80 percent, depending on procedure), followed by physician payments (13–19 percent) and postacute care (7–27 percent). Overall episode payments for hospitals in the lowest and highest payment quartiles differed by U.S.$16,668 for CABG, U.S.$18,762 for back surgery, U.S.$10,615 for hip fracture repair, and U.S.$12,988 for colectomy. Payments to hospitals accounted for the largest share of variation in payments. Among specific types of payments, those associated with 30-day readmissions and postacute care varied most substantially across hospitals.Fully bundled payments for inpatient surgical episodes would need to be dispersed among many different types of providers. Hospital payments—both overall and for specific services—vary considerably and might be reduced by incentives for hospitals and physicians to improve quality and efficiency.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/79298/1/j.1475-6773.2010.01150.x.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/79298/2/HESR_1150_sm_authormatrix.pd