21 research outputs found

    Analysis of price competition with yield management in the US Airline industry

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    Ph.D.Justin A. Myric

    Teknik Pemeriksaan IV P Pada Kasus Restensi Urin Di Instalasi Radiologi RS.Bethesda Yogyakarta.

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    Hidup bersama stress : kebenaran Alkitabiah untuk mengelola hidup anda = Living with stress : Biblical truths to manage your life

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    Penulis buku ini, Charles Gerber seorang konselor Kristen, melihat tidak terbilang banyaknya klien yang menunjukkan cara-cara tragis yang berpotensi merusak, akibat dari salah pengelolaan terhadap stress. Tetapi dari pengamatan klinis yang dilakukan dan studi pribadi terhadap firman Allah dia beroleh hikmat untuk menolong kita dengan stress yang sedemikian terkonsentrasi di dalam gaya hidup modern kita.Jakarta167 halaman ; 20 c

    Adherence to prescribed antihypertensive drug treatments: longitudinal study of electronically compiled dosing histories

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    Objective To describe characteristics of dosing history in patients prescribed a once a day antihypertensive medication

    Efficacy of a medication adherence enhancing intervention in transplantation: The MAESTRO-Tx trial

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    Well-designed randomized controlled trials (RCTs) testing efficacy of post-transplant medication adherence enhancing interventions and clinical outcomes are scarce.; This randomized controlled trial enrolled adult heart, liver, and lung transplant recipients who were >1 year post-transplant and on tacrolimus twice daily (convenience sample) (visit 1). After a 3-month run-in period, patients were randomly assigned 1:1 to intervention group (IG) or control group (CG) (visit 2), followed by a 6-month intervention (visits 2-4) and a 6-month adherence follow-up period (visit 5). All patients used electronic monitoring for 15 months for adherence measurement, generating a daily binary adherence score per patient. Post-intervention 5-year clinical event-free survival (mortality or retransplantation) was evaluated. The IG received staged multicomponent tailored behavioral interventions (visits 2-4) building on social cognitive theory and trans-theoretical model (e.g., electronic monitoring feedback, motivational interviewing). The CG received usual care and attended visits 1-5 only. Intention-to-treat analysis used generalized estimating equation modeling and Kaplan-Meier survival analysis.; Of 247 patients, 205 were randomly assigned (103 IG, 102 CG). At baseline, average daily proportions of patients with correct dosing (82.6% IG, 78.4% CG) and timing adherence (75.8% IG, 72.2% CG) were comparable. The IG had a 16% higher dosing adherence post-intervention (95.1% IG, 79.1% CG; p < 0.001), resulting in odds of adherence being 5 times higher in the IG than in the CG (odds ratio 5.17, 95% confidence interval 2.86-9.38). This effect was sustained at end of follow-up (similar results for timing adherence). In the IG, 5-year clinical event-free survival was 82.5% vs 72.5% in the CG (p = 0.18).; Our intervention was efficacious in improving adherence and sustainable. Further research should investigate clinical impact, cost-effectiveness, and scalability
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