Medical Store Management: An Integrated Economic Analysis of a Tertiary Care Hospital in Central India

Economic analysis plays a pivotal role in the management of medical store. The main objectives of this study were to consider always better control-vital, essential and desirable (ABC-VED) analysis with economic order quantity (EOQ), comparison of indexed cost and the actual cost, and to assess the expenditure for the forthcoming years. Based on cost and criticality, a matrix of nine groups by combining ABC and VED analysis was formulated. Drug categories were narrowed down for prioritization to direct supervisory monitoring. The subgroups AE and AV of the categories category I and II should be ordered based on EOQ. The difference between the actual annual drug expenditure (ADE) and the derived indexed cost using the cost inflation index (CII) was calculated. Linear regression was used to assess the expenditure for the forth coming years. The total ADE for the financial year of 2010–2011 was Rs. 1,91,44,253 which was only 7.68% of annual hospital expenditure. Using the inflation index, the indexed cost of acquisition of ADE for year 2010–2011 was Rs. 1,95,10,387. The difference between the two was estimated to be 2.11%. Thus, the CII justifies the demand of increased budget for next year and prompts us for cautious use of drugs. By taking into consideration the ADE of last 10 years, we have forecasted the budget for forthcoming years which will help significantly for making policies according to the available budget

Algebraic Self-Similar Renormalization in Theory of Critical Phenomena

We consider the method of self-similar renormalization for calculating critical temperatures and critical indices. A new optimized variant of the method for an effective summation of asymptotic series is suggested and illustrated by several different examples. The advantage of the method is in combining simplicity with high accuracy.Comment: 1 file, 44 pages, RevTe

Neutrino hierarchy from CP-blind observables with high density magnetized detectors

High density magnetized detectors are well suited to exploit the outstanding purity and intensities of novel neutrino sources like Neutrino Factories and Beta Beams. They can also provide independent measurements of leptonic mixing parameters through the observation of atmospheric muon-neutrinos. In this paper, we discuss the combination of these observables from a multi-kton iron detector and a high energy Beta Beam; in particular, we demonstrate that even with moderate detector granularities the neutrino mass hierarchy can be determined for $\theta_{13}$ values greater than 4$^\circ$.Comment: 16 pages, 7 figures. Added a new section discussing systematic errors (sec 5.2); sec.5.1 and 4 have been extended. Version to appear in EPJ

Higher Order Evaluation of the Critical Temperature for Interacting Homogeneous Dilute Bose Gases

We use the nonperturbative linear \delta expansion method to evaluate analytically the coefficients c_1 and c_2^{\prime \prime} which appear in the expansion for the transition temperature for a dilute, homogeneous, three dimensional Bose gas given by T_c= T_0 \{1 + c_1 a n^{1/3} + [ c_2^{\prime} \ln(a n^{1/3}) +c_2^{\prime \prime} ] a^2 n^{2/3} + {\cal O} (a^3 n)\}, where T_0 is the result for an ideal gas, a is the s-wave scattering length and n is the number density. In a previous work the same method has been used to evaluate c_1 to order-\delta^2 with the result c_1= 3.06. Here, we push the calculation to the next two orders obtaining c_1=2.45 at order-\delta^3 and c_1=1.48 at order-\delta^4. Analysing the topology of the graphs involved we discuss how our results relate to other nonperturbative analytical methods such as the self-consistent resummation and the 1/N approximations. At the same orders we obtain c_2^{\prime\prime}=101.4, c_2^{\prime \prime}=98.2 and c_2^{\prime \prime}=82.9. Our analytical results seem to support the recent Monte Carlo estimates c_1=1.32 \pm 0.02 and c_2^{\prime \prime}= 75.7 \pm 0.4.Comment: 29 pages, 3 eps figures. Minor changes, one reference added. Version in press Physical Review A (2002

Asymptotically Improved Convergence of Optimized Perturbation Theory in the Bose-Einstein Condensation Problem

We investigate the convergence properties of optimized perturbation theory, or linear $\delta$ expansion (LDE), within the context of finite temperature phase transitions. Our results prove the reliability of these methods, recently employed in the determination of the critical temperature T_c for a system of weakly interacting homogeneous dilute Bose gas. We carry out the explicit LDE optimized calculations and also the infrared analysis of the relevant quantities involved in the determination of $T_c$ in the large-N limit, when the relevant effective static action describing the system is extended to O(N) symmetry. Then, using an efficient resummation method, we show how the LDE can exactly reproduce the known large-N result for $T_c$ already at the first non-trivial order. Next, we consider the finite N=2 case where, using similar resummation techniques, we improve the analytical results for the nonperturbative terms involved in the expression for the critical temperature allowing comparison with recent Monte Carlo estimates of them. To illustrate the method we have considered a simple geometric series showing how the procedure as a whole works consistently in a general case.Comment: 38 pages, 3 eps figures, Revtex4. Final version in press Phys. Rev.

High Temperature Resummation in the Linear δ\delta-Expansion

The optimized linear $\delta$-expansion is applied to the $\lambda \phi^4$ theory at high temperature. Using the imaginary time formalism the thermal mass is evaluated perturbatively up to order $\delta^2$. A variational procedure associated with the method generates nonperturbative results which are used to obtain the critical temperature for the phase transition. Our results are compared with the ones given by propagator dressing methods.Comment: 16 pages (2 eps figs,uses epsf), Revtex. Some misprints and errors in the Eqs corrected. New refs added. Version in press PR

Treatment Outcomes of Patients With Multidrug-Resistant and Extensively Drug-Resistant Tuberculosis According to Drug Susceptibility Testing to First- and Second-line Drugs: An Individual Patient Data Meta-analysis

The clinical validity of drug susceptibility testing (DST) for pyrazinamide, ethambutol, and second-line antituberculosis drugs is uncertain. In an individual patient data meta-analysis of 8955 patients with confirmed multidrug-resistant tuberculosis, DST results for these drugs were associated with treatment outcome