Projektijuhi kutse arendamine Eesti Vabariigis

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Evaluating user acceptance of an open-source mobile app for hospital price transparency rule

In 2021, the US Center for Medicare and Medicaid Service mandated the Price Transparency Rule, requiring hospitals to publish a patient service price list called Charge Description Master. However, the mandated machine-readable formats made it difficult for patients to understand pricing and limited price transparency. To address this, we developed the LibreHealth Cost of Care Explorer App to provide patients with a user-friendly format of the CDM. We conducted a mixed-methods user study with 55 patients in two large US cities, one in a safety-net hospital and another in a for-profit hospital, and used PLS-SEM path modeling to analyze the app’s acceptability using the Unified Theory of Acceptance and Use of Technology constructs. Behavioral Intention and Facilitating Conditions significantly impacted Usage Behavior. Effort Expectancy also had a positive impact. Further explanations for the observed model differences in the two hospital systems were obtained from think-aloud observations and semi-structured interviews

Teknobränd? - En kvantitativ undersökning om teknologins inverkan på utbrändhet i arbetslivet

The purpose of this study was to examine the relation between technostress, performance based self-esteem (PBS) and burnout among employees, further if technostress beyond PBS could act as a predictor for burnout. The participants in the study were white collar workers from a Swedish manufacturing industry who on a daily basis were using computer and information technology in their work. These completed a survey with scales that among other things intended to measure aspects of technostress, PBS and burnout. According to the results the participants showed no high scores for neither of the scales. Overall the re- sults showed significant positive correlations between the variables and the re- gression analysis indicated significant results, even though the contributions were small. In summary the study showed support for that technostress to some extent covaried with burnout and PBS and could beyond PBS partly act as a predictor for burnout. Finally the authors discuss how technostress and PBS could be considered as important components in the working life, which could be put in relation to burnout and should be taken into consideration regarding stress related illness in the working life.The kind of electoral system in use in a democracy affects voters possibilities regarding the number of parties/candidates any individual is allowed to support and if there is an opportunity to vote against parties/candidates that he or she does not want to see in power. In this study 235 Swedes were participated in a survey about how they experienced three different electoral systems regarding how well they felt these represented their political opinions, how valuable they considered their vote to be, and how difficult it was to make a decision regarding what/which parties they would vote for. The systems that were compared were one similar to the present system in use in Sweden, a range-voting system and a cumulative system. The instrument Need to Evaluate Scale was used to check if the participants’ scores on this scale affected what they thought about and how well they used the alternative systems. The study found support for the idea that there are possibilities for improvement in the democratic process by renewing the kind of electoral system in use

Theoretical Framework of ESP: The Major Case Studies in the Hotel Industry and Translation as Necessary Input

The present paper aims at providing a theoretical overview of English for Specific Purposes as one of the major areas of EFL teaching since its beginnings in the 1960s. It presents the developments related with the theoretical aspects concerning ESP and needs analysis as the cornerstone in designing ESP courses in English language teaching and learning. The most influential ESP teaching theories are summarised briefly, beginning with register analysis which paved the way for course designers to design specific courses based on teaching the linguistic features of a language to the urgent need for developing communication and translation. At the end, based on the nature of the hotel industry, the purpose of this paper is twofold: 1) to mention some previous case studies related to hotels because most of the linguistic researches conducted by ESP specialists focused in particular on the formal aspects of a language especially in the academic field and neglected the needs of the occupational settings; 2) to discuss the major needs of the employees in hotels and the significance of translation in this industry and therefore proposing possible solutions to overcome any deficiencies

Controlled Release of Benzocaine from Monomer and Copolymer Carriers in Synthetic Gastro-intestinal Media

Abstract: New dosage forms able to control drug release in the gastro-intestinal media have been prepared and investigated in this paper. Two different type of medicinal agent bonding (MA), in our case Benzocaine (Bz), were chosen in order to examine drug release. i) MA attached to ethylenic monomer (m,p-vinylbenzaldehyde), condensation reaction. ii) The copolymer carrier (Cp) is obtained by copolymerizing this monomer. These two carriers were well characterized by microanalysis, FTIR, DSC (Tg) and GPC (Ip) and the two fraction α and β were calculated from elemental analyses of Cp. The results showed good polydispersity and low average molecular weight. MA linked to an organic product by the azomethine function (C=N), hydrolytically sensitive, allowed controlled release of Bz, from the monomer carrier and from the bending Schiff bases groups. Theoretical and experimental analyses of controlled release of Bz kinetics from monomer and copolymer carriers were conducted for the case of contact with synthetic gastro-intestinal fluids at various pH (1,2; 6,0 and 8,0) at 37°C. The process was found to be controlled by the nature of media (heterogeneous), which involved the preliminary hydrolysis, and the drug (Bz) diffusing out of structure of copolymer (Cp) to the external aqueous media. The results obtained on the rate of delivery showed a clear difference between pH = 1,2 and pH = 6,0 and 8,0 based on: i) The cation of p-aminoniumbenzoic acid (PABAH + ) release at pH = 1,2 ii) Bz release at pH = 6,0 and 8,

Torsion of the Gallbladder

A 77-year-old woman was seen with progressive abdominal pain. A CT scan was made and showed a large gallbladder extending into the right lower abdomen. Ultrasound was performed but demonstrated no gallstones. Laparoscopy showed a tordated, necrotic gallbladder that was attached to the liver only by the cystic artery and cystic duct. Cholecystectomy was performed. Torsion of the gallbladder is a rare but clinically important condition in which the diagnosis seldom is made preoperatively. In radiological and clinical signs of cholecystitis without gallstones, this condition should be considered