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1
Lara-Júnior, Célio Rezende, Ana Emília de Oliveira Ahouagi, Isabela Vaz Leite Pinto, Debora Gontijo Braga, Thiago Rabelo Andrade, Djenane Ramalho-de-Oliveira, and Mariana Martins Gonzaga do Nascimento. "Implementation and Effectiveness of a Pharmacotherapeutic Follow-Up Service for People with Tuberculosis in Primary Healthcare." International Journal of Environmental Research and Public Health 19, no. 21 (November 6, 2022): 14552. http://dx.doi.org/10.3390/ijerph192114552.
Анотація:
Tuberculosis (TB) is a disease of great relevance, responsible for 1.5 million deaths worldwide. Therefore, actions to control TB are necessary, and pharmacists may play an important role, especially in primary healthcare (PHC), where the diagnosis and management of this infection occurs. In a large Brazilian city, pharmacotherapeutic follow-up in PHC has been offered by pharmacists to people with TB since 2018. The objective of this study was to evaluate the implementation and effectiveness of this service though a longitudinal type 1 effectiveness–implementation hybrid study. Data were collected from January 2018 to February 2020 in the pharmaceutical services system. The service indicators were described and effectiveness was evaluated using Poisson regression analysis to compare the incidence of cure among patients using and not using the service. The service was performed in 148 PHC units by 82 pharmacists. Of the total of 1076 treatments, 721 were followed up by pharmacists, and TB was cured more frequently in these cases (90.4% attended vs. 73.5% unattended). The adjusted hazard ratio of cure among patients enrolled in the pharmacotherapeutic follow-up service was 2.71 (2.04–3.61; p < 0.001). Pharmacotherapeutic follow-up for people with TB significantly increased the incidence of cure and should be encouraged.
2
Komunda, Mabel, and Aihie Osarenkhoe. "Remedy or cure for service failure?" Business Process Management Journal 18, no. 1 (February 3, 2012): 82–103. http://dx.doi.org/10.1108/14637151211215028.
3
Raju, T. V., and Satya S. "Process Efficiency in Wellness Sector." Ushus - Journal of Business Management 4, no. 1 (January 10, 2005): 32–39. http://dx.doi.org/10.12725/ujbm.5.5.
Анотація:
The 'Wellness Sector' is an emerging sector in India. This concept is catching up the world over as this sector focuses on the maintenance of health rather than cure. The trauma involved in cure, high escalating costs and the shrinking size of families makes Wellness a better option than cure.
India is known amongst westerners for its ancient wisdom and knowledge. If we plan well, this sector can become another IT sector in terms of generating goodwill and tourist interest in our country. To enable this the industry should streamline service provision and make the process of delivery international in standards. To enable this, the industry must offer comprehensive services. Service provision must be well thought our and streamlined. Process efficiency, apart from providing good standards of customer encounters, should also aim at making the customer a life long member.
4
Marx, Clare. "Prevention – the way to cure the health service?" Bulletin of the Royal College of Surgeons of England 98, no. 2 (February 2016): 53. http://dx.doi.org/10.1308/rcsbull.2016.53.
5
Evison, Matthew, Julian Cox, Freya Howle, Kathryn Groom, Ryan Moore, Hannah Clegg, Cheryl Pearse, et al. "Health economic analysis for the ‘CURE Project’ pilot: a hospital-based tobacco dependency treatment service in Greater Manchester." BMJ Open Respiratory Research 8, no. 1 (December 2021): e001105. http://dx.doi.org/10.1136/bmjresp-2021-001105.
Анотація:
IntroductionTreating tobacco dependency in patients admitted to acute care National Health Service (NHS) trusts is a key priority in the NHS 10-year plan. This paper sets out the results of a health economic analysis for ‘The CURE Project’ pilot; a new hospital-based tobacco dependency service.MethodsA health economic analysis to understand the costs of the intervention (both for the inpatient service and postdischarge costs), the return on investment (ROI) and the cost per quality-adjusted life year (QALY) of the CURE Project pilot in Greater Manchester. ROI and cost per QALY were calculated using the European Study on Quantifying Utility of Investment in Protection from Tobacco and Greater Manchester Cost Benefit Analysis Tools.ResultsThe total intervention costs for the inpatient service in the 6-month CURE pilot were £96 224 with a cost per patient who smokes of £40.21. The estimated average cost per patient who was discharged on pharmacotherapy was £97.40. The cost per quit (22% quit rate for smokers at 12 weeks post discharge) was £475. The gross financial ROI ratio was £2.12 return per £1 invested with a payback period of 4 years. The cashable financial ROI ratio was £1.06 return per £1 invested with a payback period of 10 years. The public value ROI ratio was £30.49 per £1 invested. The cost per QALY for this programme was £487.DiscussionThe CURE Project pilot has been shown to be exceptionally cost-effective with highly significant ROI in this health economic analysis. This supports the NHS priority to embed high-quality tobacco addiction treatment services in acute NHS trusts, and the CURE Project provides a blueprint and framework to achieve this.
6
Mostafa, Rania, Cristiana R. Lages, and Maria Sääksjärvi. "The CURE scale: a multidimensional measure of service recovery strategy." Journal of Services Marketing 28, no. 4 (July 8, 2014): 300–310. http://dx.doi.org/10.1108/jsm-09-2012-0166.
Анотація:
Purpose – This paper aims to address the gaps in service recovery strategy assessment. An effective service recovery strategy that prevents customer defection after a service failure is a powerful managerial instrument. The literature to date does not present a comprehensive assessment of service recovery strategy. It also lacks a clear picture of the service recovery actions at managers’ disposal in case of failure and the effectiveness of individual strategies on customer outcomes. Design/methodology/approach – Based on service recovery theory, this paper proposes a formative index of service recovery strategy and empirically validates this measure using partial least-squares path modelling with survey data from 437 complainants in the telecommunications industry in Egypt. Findings – The CURE scale (CUstomer REcovery scale) presents evidence of reliability as well as convergent, discriminant and nomological validity. Findings also reveal that problem-solving, speed of response, effort, facilitation and apology are the actions that have an impact on the customer’s satisfaction with service recovery. Practical implications – This new formative index is of potential value in investigating links between strategy and customer evaluations of service by helping managers identify which actions contribute most to changes in the overall service recovery strategy as well as satisfaction with service recovery. Ultimately, the CURE scale facilitates the long-term planning of effective complaint management. Originality/value – This is the first study in the service marketing literature to propose a comprehensive assessment of service recovery strategy and clearly identify the service recovery actions that contribute most to changes in the overall service recovery strategy.
7
L., J. F. "HEALTH REFORM CAN'T CURE HIGH COSTS." Pediatrics 94, no. 3 (September 1, 1994): A40. http://dx.doi.org/10.1542/peds.94.3.a40.
Анотація:
These facts prove that, contrary to widespread belief, no health care system offers a magic cure for rising costs. Something else is going on. The "something else" is that health care, like education and police work, is a "handicraft service." Characteristically, these activities can't be automated or sped up and made more productive. Doctors, for instance, simply cannot work much faster than they do without cutting into quality. True, technological advances can and do add some productivity to these fields, but not that much ... This important phenomenon is called "the cost disease of the handicraft services" and it undermines a basic assumption of some health reforms. If, by its craft nature, health care is condemned to low productivity growth and rapidly rising costs, then these inherent limits will simply not be correctable by price controls or other reforms of the system. In other words, cost increases are in the nature of the health care beast. Efforts to alter this nature will be fruitless or harmful.
8
Corby, Susan, Geoff White, Louise Millward, Elizabeth Meerabeau, and Jan Druker. "Finding a cure? Pay in England's National Health Service." Employee Relations 25, no. 5 (October 2003): 504–16. http://dx.doi.org/10.1108/01425450310490192.
9
Ross, Graeme. "Importance of ambient cure for high-temperature coatings." APPEA Journal 60, no. 2 (2020): 654. http://dx.doi.org/10.1071/aj19087.
Анотація:
Due to increasing demand for energy around the world, the prevalence of global megaprojects within the oil and gas industry is increasing. Process pipes, valves and vessels may be manufactured and coated in China or Korea, where labour costs are comparatively low, before being transported to the final project location, such as Western Australia. During the transport and fabrication phase, coated steelwork may spend months or even years exposed to harsh offshore or coastal environments before going into service. This means coatings must be able to provide protection throughout an extensive construction phase, in addition to the in-service lifetime of the steel. This paper examines the demands on high temperature performance coatings both before and once in service. Test methodology and exposure data are reviewed with a focus on how modern aluminium pigmented silicone coatings provide a solution to the corrosion challenges faced in global megaprojects.
10
P. Narode, Miss Priyanka, and Prof I. R. Shaikh. "Review on EM-CURE Algorithm for Detection DDOS Attack." International Journal Of Engineering And Computer Science 7, no. 01 (January 10, 2018): 23386–489. http://dx.doi.org/10.18535/ijecs/v7i1.04.
Анотація:
Distributed Denial of Service attack (DoS attack) is a cyber attack where the perpetrator seeks to make a machine or network resource unavailable to its intended users by temporarily or indefinitely disrupting services of a host connected to the internet. Denial of service is typically accomplished by flooding the targeted machine or resource with superfluous requests in an attempt to overload systems and prevent some or all legitimate requests from being fulfilled. It is necessary to analyze the fundamental features of DDoS attacks because these attacks can easily vary the used port/protocol, or operation method because they are designed to restricted applications on limited environments.DDoS attack detection very difficult because the non-existence of predefined rules to correctly identify the genuine network flow. A combination of unsupervised data mining techniques as IDS are introduced. The Entropy Method concept in term of windowing the incoming packets is applied with data mining technique using Clustering Using Representative (CURE) as cluster analysis to detect the DDoS attack in network flow. The data is mainly collected from datasets. The CURE DDoS attack detection technique based on entropy gives a promising way to analyze this attack and construct an efficient detection model using a clustering data mining techniques. This approach has been evaluated and compared with several existing approaches in terms of accuracy, false alarm rate, detection rate, F. measure and Phi coefficient.
11
Davies, O., and S. James. "52 A Community Cure for Frequent Reattenders: Developing An Interface Geriatrics Service." Age and Ageing 49, Supplement_1 (February 2020): i14—i17. http://dx.doi.org/10.1093/ageing/afz186.06.
Анотація:
Abstract Topic Setting up an interface geriatrics service in a seaside area with a large elderly population. Many elderly patients are readmitted due to the challenge of managing their chronic health conditions in the community. These patients are frail, with frequently exacerbated chronic conditions causing regular readmissions. We noted that treatment was rarely changed during these admissions and patients were not uniformly managed. Aims Aims for this project were to improve care for older people, reduce readmissions and produce clear patient care plans. Interventions Our first PDSA cycle involved implementing geriatrician presence at community MDTs (involving social services, GPs, intermediate care teams, and various others). This generated home visits to several patients, with a mix of acute and chronic issues. We offered Advance Care planning where appropriate to these patients. We noted several patients were repeatedly discussed at MDT. This brought into focus frequent attenders who were usually well-known to the community. In the next cycle we introduced ‘frequent attender’ plans for these patients, ensuring a unified approach to their management. Subsequent cycles involved geriatrician presence at the ‘frequent attenders’ steering group, and further links with community teams. Our primary intervention has been Advance care & frequent attender plans offering tailored management for complex patients. These are completed by a geriatrician discussing patients wishes for treatment and future care. Improvements Readmission rates show up to 90% reduction in admissions/ED attendances for patients following care plan implementation. Feedback from families and patients is positive – the service is ‘pragmatic and supportive’, delivering ‘empathetic care’. Discussion Implementing an interface geriatrics service highlights the importance of caring for frail patients in their preferred place of care, reducing unnecessary/inappropriate hospitalisations. Geriatrician presence at community MDTs has improved care by offering prompt access to medical advice and review of complex patients. It highlights patients presenting frequently to services, allowing us to work with patients and families to improve management. A frequent attender list generated by the hospital helps target patients for whom intervention will give significant benefit. We plan to extend this further by working with nursing homes that have high conveyancing rates. The service is being extended to more areas within our region, and we are working with GPs and care homes to further offer advance care planning to vulnerable and frail patients.
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Cagidiaco, Maria Crysanti, Cecilia Goracci, and Antonella Polimeni. "XP Bond in Self-Cure Mode Used for Luting Porcelain Restorations: 4-year Recall." World Journal of Dentistry 1, no. 2 (2010): 69–73. http://dx.doi.org/10.5005/jp-journals-10015-1014.
Анотація:
ABSTRACT Purpose The aim of this clinical study was to evaluate some clinical parameters of Empress II restorations luted under clinical conditions with XP Bond in combination with SCA and Calibra cured in self-cure mode after 4 years of clinical service. Materials and methods Fifty-three restorations were placed in 38 patients from March 2006 until April 2006. No patient received more than two restorations. Luting procedures were performed following manufacturers’ instructions. The restorations were evaluated for postoperative sensitivity, marginal discoloration, marginal integrity, secondary caries, maintenance of interproximal contact and fracture at baseline, after 2 weeks, 6 months, 1, 2, 3 and 4 years of clinical service. Results At the 4-year recall 49 restorations were reevaluated. The clinical examination showed that postoperative sensitivity did not affect any restoration. Only 5 restorations of 49 showed bravo score and 2 charlie for marginal integrity/stain.1 restoration showed bravo score at vitality test and another restoration for interproximal contact. Secondary caries, retention and fracture parameters showed alpha scores. Conclusion All the evaluated restorations were in place and acceptable. The postoperative sensitivity recorded after using XP BOND with SCA and Calibra in self-cure mode was clinically acceptable after 4 years of clinical service and no serious endodontic complications were recorded.
13
Fiddler, Walter, John W. Pensabene, Robert A. Gates, Judith M. Foster, and Wertice J. Smith. "Investigations on N-Nitrosopyrrolidine in Dry-Cured Bacon." Journal of AOAC INTERNATIONAL 72, no. 1 (January 1, 1989): 19–22. http://dx.doi.org/10.1093/jaoac/72.1.19.
Анотація:
Abstract Dry-cured or "country-style" bacon is a low volume specialty product typically made by small producers whose production practices vary widely. These practices include the direct application of dry-cure formulations containing varying concentrations of salt, sugar, flavoring agents, sodium nitrite, and sometimes sodium nitrate, and the use of lengthy curing and processing times. Because of the possibility of generating higher levels of N-nitrosopyrrolidine (NPYR) after frying in this product type compared with pump-cured bacon, an investigation was carried out on dry-cured bacon obtained from cooperating state or federally inspected establishments. Three different samples from each of the 16 plants were analyzed. Only one sample from each of 2 different producers exceeded the Food Safety and Inspection Service (FSIS) action level of 17 ppb NPYR, indicating that the majority of samples tested were in compliance. A significant correlation (P < 0.01) was found between residual NaN02 prior to frying and NPYR after frying. The elimination of added nitrate in the dry-cure formulations is recommended.
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Zhang, Bao Yan, Bin Tai Li, Xiang Bao Chen, and Zheng Gang Zhou. "Investigation on a Novel Low Temperature/Vacuum Bag Cure Prepreg." Materials Science Forum 546-549 (May 2007): 1623–26. http://dx.doi.org/10.4028/www.scientific.net/msf.546-549.1623.
Анотація:
A low temperature cure resin has been prepared successfully by applying self designed/synthesized cure agent and commercial epoxies through slurry mixing process. Low temperature/vacuum bag cure prepreg with excellent drapeability & spreadability and over 10 days storage life at room temperature could be prepared by hot/melt technique. The cure and post cure parameters of manufacturing composites were optimized. The main properties of low temperature/vacuum bag cure composite have been determined. Results indicated that the low temperature/vacuum bag cure composite system had excellent mechanical properties and its long service temperature could reach 80°C. The influence of ultrasonic irradiation applied during the manufacturing process on the properties of the composite was discussed, and results showed that the ultrasonic irradiation improved the properties of composite greatly and suggested a novel strategy to improve the mechanical properties of low temperature cure composite systems.
15
Wulan, Sri, Eva Graciella Sihaloho, Fauziah Fitri, and Miza Fazlina Ray. "EDUCATION ABOUT TRADITIONAL ELEMENTS IN CURE PATHOLOGICAL WHITENESS." JURNAL PENGMAS KESTRA (JPK) 2, no. 1 (June 30, 2022): 44–48. http://dx.doi.org/10.35451/jpk.v2i1.1122.
Анотація:
Pathological vaginal discharge is a type of disease that can attack the female reproductive organs. This abnormal vaginal discharge if not treated immediately can have a fatal effect, for example, it can cause cancer such as cervical cancer or others. There are many ways that can be done to treat pathological vaginal discharge either medically or traditionally, for example by using plants such as betel leaf. Based on the results of previous studies, betel leaf has a lot of content and benefits, including one of them can overcome vaginal discharge, betel leaf is easy to obtain and can be planted in home gardens. traditional ingredients of this betel leaf. The purpose of this community service is to increase adolescent knowledge, especially about pathological vaginal discharge. This community service activity was carried out in Sidodadi Village, Beringin District, with 42 participants, to see knowledge before and after being given education as measured by questionnaires, then the data were analyzed. From the results of the community service, it was found that the characteristics of the majority of respondents aged 16-17 years were 64.3%, 83.3% high school educated and 90.4% unmarried, while the majority of respondents' knowledge before being given education was less than 50% and after education the majority was good as much as 47 ,6%. It is recommended for teenagers to be able to continue to add information about health, especially about vaginal discharge.
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Sinaga, Jon Pitter, Bachtiyar Wahab, and Bunga Mari Sembiring. "EDUKASI STANDAR PELAYANAN DI PUSKEMAS DAN KAITANNYA DENGAN PEMANFAATAN LAYANAN KESEHATAN DI PUSKEMAS NAMORAMBE KECAMATAN NAMBORAMBE KABUPATEN DELI SERDANG." Jurnal Pengabdian Masyarakat Putri Hijau 2, no. 1 (December 22, 2021): 112–15. http://dx.doi.org/10.36656/jpmph.v2i1.739.
Анотація:
Health services are a basic need for the community, therefore the Government is obliged to provide health service facilities in each region. Health services are increasingly needed in line with the high cases of sudden death and the occurrence of extraordinary diseases. In order to improve the health status of the community, the government must set clear and measurable standards to be easily implemented in every health service in the region. In avoiding problems, there must be a minimum service standard.
With the minimum service standards, it is hoped that regional health services will be better. Utilization of health services is every effort carried out individually or jointly in an organization to maintain and improve health, prevent and cure disease and restore the health of individuals, families, groups and communities.
Utilization of health services becomes a demand for consumers based on the need for pain, discomfort or desire for the prevention of a disease. In the Education of Service Standards at the Public Health Center and its Relation to the Utilization of Health Services, it is hoped that it can increase the knowledge of health workers at the Namorambe Health Center to improve health services and use health services properly.
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이종수. "Public service illness and cure effect of storytellinghealing in Chosun dynasty." Korean Studies ll, no. 29 (April 2016): 403–44. http://dx.doi.org/10.36093/ks.2016..29.012.
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Shine, Daniel, Alvin Fried, Pratibha Rao, and Anca Andrei. "Pounds of Cure: Chart Weight as a Measure of Service Intensity." Southern Medical Journal 99, no. 4 (April 2006): 346–47. http://dx.doi.org/10.1097/01.smj.0000209029.14748.be.
19
Hughes, J. R. "The health service is more intent on cure than on care." BMJ 345, dec20 7 (December 20, 2012): e8353-e8353. http://dx.doi.org/10.1136/bmj.e8353.
20
Geiger, Rebecca, Jessica Steinert, Grant McElwee, Jennifer Carver, Robert Montanez, Julie Niewoehner, Cassandra Clark, and Brigg Reilley. "A Regional Analysis of Hepatitis C Virus Collaborative Care With Pharmacists in Indian Health Service Facilities." Journal of Primary Care & Community Health 9 (January 2018): 215013271880752. http://dx.doi.org/10.1177/2150132718807520.
Анотація:
Background: American Indian/Alaska Natives (AI/ANs) are disproportionately affected by hepatitis C virus (HCV), with more than double the national rate of HCV-related mortality as well as the highest rates of acute HCV. The “cascade of care” for HCV consists of screening, confirmation, treatment, and sustained virologic clearance (SVR)/cure. At each stage of this process, patients can be lost to follow-up. Federal health care facilities in an administrative area of the Indian Health Service conducted a review to identify and address gaps in HCV treatment. Facilities generally treated HCV with a strong pharmacy component using a collaborative practice agreement and HCV telehealth services to external specialists. Methods: All facilities had a pharmacist HCV program point of contact. Each pharmacist conducted a chart review of HCV patients and submitted aggregate results on HCV antibody status, HCV confirmation testing, stage of liver disease, initiation of treatment, and SVR/cure. Each facility also ranked current barriers to scaling up HCV treatment services from a defined list of options. Results: Of 1789 HCV antibody positive patients, 77% (1381) had a confirmation test, of which 67% (929) were positive. Of these patients, 62% (576) had their liver fibrosis scored, and 58% (335) had initiated treatment. Of patients with an SVR/cure test, all (274/274) were negative. Discussion: These data indicate that rural clinics can be successful providing HCV diagnosis and treatment. Pharmacists can play a key role in HCV clinical services. The outcomes of each step in the treatment process at the facility level can vary widely due to local factors. The barriers to HCV care that persist are nonclinical.
21
Nuruddin, Md, Kayli DeCocker, Seyedeh Mahboobeh Teimouri Sendesi, Andrew J. Whelton, Jeffrey P. Youngblood, and John A. Howarter. "Influence of aggressive environmental aging on mechanical and thermo-mechanical properties of Ultra Violet (UV) Cured in Place Pipe liners." Journal of Composite Materials 54, no. 23 (March 29, 2020): 3365–79. http://dx.doi.org/10.1177/0021998320913988.
Анотація:
Ultraviolet light cured-in-place pipe is a popular trenchless rehabilitation technology used to repair existing buried pipelines without soil excavation. A polymer composite liner is manufactured directly in the field. After curing is complete, the new liner is placed in service to convey flowing water. Long-term water exposure has the potential to degrade the fiber reinforced cured-in-place pipe liners. Like other composites, liner hygrothermal stability could be a major challenge, especially for undercured materials. The objective of this study was to investigate the effect of aggressive environmental conditions such as water, salt solution, and simulated concrete pore solution at 50℃ on cured-in-place pipe liner mechanical and thermo-mechanical performance. Liners were exposed to aqueous solutions ranging from a typical exposure environment to a very aggressive alkaline environment. Cured-in-place pipe liner samples were collected from New York storm sewer installation sites. Specimens were assessed for the degree of curing as determined by differential scanning calorimetry and TGA. Samples were then immersed in aforementioned solutions for investigating the stability of the liners as a function of degree of cure. Both interlaminar shear strength and thermo-mechanical properties significantly differed based on the degree of cure. Cured-in-place pipe liner mechanical and thermo-mechanical properties were significantly impacted by water, salt, and pore solutions exposure. Long-term exposure to salt and alkaline environments may have a detrimental effect on the performance of cured-in-place pipe liners and desires additional scrutiny.
22
Agrawal, Sanjay, Zaheer Mangera, Rachael L. Murray, Freya Howle, and Matthew Evison. "Successes and Challenges of Implementing Tobacco Dependency Treatment in Health Care Institutions in England." Current Oncology 29, no. 5 (May 20, 2022): 3738–47. http://dx.doi.org/10.3390/curroncol29050299.
Анотація:
There is a significant body of evidence that delivering tobacco dependency treatment within acute care hospitals can deliver high rates of tobacco abstinence and substantial benefits for both patients and the healthcare system. This evidence has driven a renewed investment in the UK healthcare service to ensure all patients admitted to hospital are provided with evidence-based interventions during admission and after discharge. An early-implementer of this new wave of hospital-based tobacco dependency treatment services is “the CURE project” in Greater Manchester, a region in the North West of England. The CURE project strives to change the culture of a hospital system, to medicalise tobacco dependency and empower front-line hospital staff to deliver an admission bundle of care, including identification of patients that smoke, provision of very brief advice (VBA), protocolised prescription of pharmacotherapy, and opt-out referral to the specialist CURE practitioners. This specialist team provides expert treatment and behaviour change support during the hospital admission and can agree a support package after discharge, with either hospital-led or community-led follow-up. The programme has shown exceptional clinical effectiveness, with 22% of all smokers admitted to hospital abstinent from tobacco at 12 weeks, and exceptional cost-effectiveness with a public value return on investment ratio of GBP 30.49 per GBP 1 invested and a cost per QALY of GBP 487. There have been many challenges in implementing this service, underpinned by the system-wide culture change and ensuring the good communication and engagement of all stakeholders across the complex networks of the tobacco control and healthcare system. The delivery of hospital-based tobacco dependency services across all NHS acute care hospitals represents a substantial step forward in the fight against the tobacco epidemic.
23
Hadiyati, Hadiyati. "Analisis Kepercayaan Pasien Rawat Inap pada RSUD di Propinsi Kepulauan Riau." Jurnal Daya Saing 1, no. 3 (October 15, 2015): 231–37. http://dx.doi.org/10.35446/dayasaing.v1i3.30.
Анотація:
Abstract: Speaking of health problems, this is a form of investment for the community, because health is a basic capital that is needed by all people to be able to move in accordance with the duties and responsibilities of each. Hospital patient requires trust, trust is a behavior in which leads to an assessment of a given action or attitude. This belief affect the sustainability of a service that sediri. In the case of hospital services, the service becomes essential in making the patient wants and continue to use the services of the hospital. Many of the complaints and prove that the hospitals Kepulauan Riau, the most fundamental problems that need to be built is a matter of the ability of doctors daam cure the patient.
Keywords: Confidence, ability, integrity and Policy
24
McGuirk, Steve. "From cure to prevention ‐ transformational change in the Fire and Rescue Service." International Journal of Leadership in Public Services 6, no. 4 (November 17, 2010): 18–21. http://dx.doi.org/10.5042/ijlps.2010.0632.
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Nishiguchi, Jacey, Anusha McNamara, Colleen S. Surlyn, Kellene Vokaty Eagen, Laura Feeney, Vivian Lian, and David E. Smith. "Efficacy of an eConsult service to cure hepatitis C in primary care." Journal of Viral Hepatitis 29, no. 1 (October 7, 2021): 21–25. http://dx.doi.org/10.1111/jvh.13616.
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Stone, M. A., I. F. Schwartz, and H. D. Chandler. "Residual stresses arising from partial in-service post-cure of GRP structures." Composites 25, no. 3 (March 1994): 177–81. http://dx.doi.org/10.1016/0010-4361(94)90014-0.
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Boudelal, Saleh, Mounir Adnane, and Abdelatif Niar. "Cefacetrile and Rifaximin association might improve first service conception rate and reduce the number of services per conception in cows with clinical endometritis." Veterinarska stanica 53, no. 3 (October 13, 2021): 273–81. http://dx.doi.org/10.46419/vs.53.3.1.
Анотація:
Clinical endometritis (CE) is a serious disease leading to poor reproductive performances in lactating dairy cows, thus diminishing farm profitability. To preserve optimum reproductive efficiency, various strategies and therapeutic approaches have been proposed to manage cows with CE, often with contradictory results. Thus, investigating new paths to CE treatment is economically important. The aim of the present study was to test the efficacy of three therapeutic protocols on the clinical cure rate of CE, and improvement of reproductive performance. Cows with CE (n=42), 21–38 days in milk (DIM), were assigned to three treatment groups: PGF: cows (n=19) were treated systemically with two doses of d-cloprostenol, a PGF2α analogue, at 14-days intervals; CEFAX: cows (n=10) received an intrauterine infusion of the combined antibiotics Cefacetrile and Rifaximin; and NAX: cows (n=13) received systemic treatment with Ceftiofur crystalline free acid (CCFA). A control group included cows (n=36) free from CE (healthy group: HE). All cows were clinically re-examined after the end of the treatment protocol. The clinical cure rate was 73.7%, 80% and 69.2% in PGF, CEFAX, and NAX groups, respectively (P>0.05). The HE group had a significantly shorter calving to first service interval compared to CEFAX and PGF groups (P<0.05), however the difference was not significant with NAX group. The mean calving to fertilizing service interval (CFI) was slightly higher in all three treatment groups compared to the HE group, however the difference was not significant (P>0.05). CEFAX protocol resulted in shorter but not statistically significant CFI, compared to the PGF and NAX protocols. Services per conception rate were slightly lower (1.7) in the CEFAX group compared to HE (1.75), PGF (1.84) and NAX (2.23) groups, however these differences were not significant. First service conception rate and conception rate at 105 DIM did not differ statistically between the treatment groups. While the difference was not significant, CEFAX protocol had slightly better cure rate for CE, reducing the number of services per conception and boosting the resumption of ovarian activity after calving. Validating these finding on a larger herd size will improve the accuracy of these findings.
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Shrestha, Manisha, Binod Chapagain, Pooja Pandey, Raj Mandal, Kelly Perry, Bhim Pun, and Amy Weissman. "A Quality Improvement Initiative to Enhance the Treatment of Children With Severe Acute Malnutrition in Nepal." Current Developments in Nutrition 6, Supplement_1 (June 2022): 174. http://dx.doi.org/10.1093/cdn/nzac051.090.
Анотація:
Abstract Objectives Despite being implemented for decades, Nepal's Integrated Management of Acute Malnutrition program has experienced several implementation challenges such as low coverage, stock outs of ready-to-use therapeutic food supplies, poor reporting, loss to follow up and sub-optimal counselling. To address these and build a culture of continuous service delivery improvement, the Suaahara-II program adopted and assessed a quality improvement (QI) approach. Methods Change ideas, including increasing case identification through various platforms, developing QA standards to measure service quality, and providing incentives for female community health volunteers, were implemented as part of the QI initiative in four pilot municipalities. To assess changes in outcomes such as cure rate and number of cases identified and lost to follow-up, baseline information was collected over six months pre-implementation and performance was monitored throughout the QI implementation cycle of 17 months (February 2019—June 2021). We also analyzed secondary data from the government health management information system and established a monitoring mechanism to ensure data quality for outcome measures. For the outcome measure of service quality score, we developed a quality assurance (QA) checklist to score services while treating children with severe acute malnutrition (SAM). Results Our findings suggest that the QI effort was effective. The SAM cure rate increased from 67.4% pre-implementation to 80% post-implementation and the loss-to-follow-up rate declined from 26% to 8%. The number of new SAM cases fluctuated between 0–20 cases per month likely due to restrictions to mobility caused by the COVID-19 pandemic. Although there is no comparison to facilities that did not participate in the QI pilot, those that did had an average quality assurance score of 82.4%–above the 80% benchmark. Conclusions We found that the QI approach helped improve SAM cure rate, limited loss-to-follow-up and improved quality of case management for children with SAM. To successfully and sustainably implement QI to improve service delivery, leadership and local government accountability, regular coaching support and collaborative team efforts are key. Funding Sources United States Agency for International Development (USAID).
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Pornpeerakeat, Sacharuck, Tonkid Chantrasmi, Arisara Chaikittiratana, and Sitthichai Limrungruengrat. "Three Dimensional Finite Element Program for Determination of Cure Level in Thick Rubber Part." Key Engineering Materials 728 (January 2017): 318–24. http://dx.doi.org/10.4028/www.scientific.net/kem.728.318.
Анотація:
The vulcanization or curing process begins in a heated mould to convert viscous uncured rubber materials into functional elastic ones. As the mechanical properties and service performances of the final products are greatly affected by the state of cure or cure level of rubbers, thus it is very crucial to use suitable time, pressure and temperature for the curing process to ensure that the desired quality of the final products are obtained. A computer program “RACE-CURE” written in standard FORTRAN code has been developed by our research team for the analysis of curing process of large rubber parts. The program is developed based on the incremental finite element formulation for three dimensional nonlinear transient heat transfer analysis coupled with cure kinetics. The RACE-CURE is tested for a test problem of curing of a large rubber block and results are compared to another two programs: ANSYS Polyflow v.14 and CFEM, a MATLAB© FEM program with capability to add curing kinetics, independently developed at our research group.
30
O'Connor, John A., Fred I. Burge, Bernice King, and Joan Epstein. "Does Care Exclude Cure in Palliative Care?" Journal of Palliative Care 2, no. 1 (March 1987): 9–15. http://dx.doi.org/10.1177/082585978700200103.
Анотація:
This article, on the basis of an extensive analysis of one case history, formulates a critical question about whether hospices / units are the best settings to deliver optimal palliative care. The case history device allows the authors to raise questions that are reflective of a much broader range of patient experiences. The viewpoint is adopted that the best way to increase the quality of life for persons who may die is by refusing to separate the concepts of care and cure. Also, informed patient choices must take precedence over the perspectives of either cure- or care-oriented professionals. Although palliative care developed many of its service goals in reaction to the care that the dying received in acute care facilities, its future requires that these earlier assumptions be examined. Readers are asked to consider the questions posed in this article as they relate to their own settings.
31
Acquaro, Caroline, Marli Teresinha C. Duarte, and Lenice do Rosário de Souza. "Genital Infections of HIV-Infected Women Assisted by a Specialized Service." ISRN Infectious Diseases 2013 (December 29, 2013): 1–8. http://dx.doi.org/10.5402/2013/510840.
Анотація:
The present study aimed at analyzing the persistence/recurrence of genital infections and its associated factors in HIV-infected women. Fifty-eight women treated for chlamydial infection, trichomoniasis, vulvovaginal candidiasis, and/or bacterial vaginosis (BV) and who had specimens collected for cure control up to one year after treatment were studied. Diagnoses were performed by the Gram staining method for cases of BV and candidiasis and by T. vaginalis culture and qualitative PCR for C. trachomatis. Antiretroviral therapy was used by 79.3% of patients, and 62.1% showed an undetectable HIV plasma load. The most frequent infection was BV with persistence/recurrence of 52.4%, which was associated with a longer time period between treatment and cure control (), postmenopausal period (), and having a steady partner (). Persistence/recurrence of vulvovaginal candidiasis was observed in 25%, trichomoniasis in 23.1%, and chlamydial infection in 10.5%. The latter was associated with inadequate treatment of the partner (). There was a tendency to higher persistence/recurrence of BV () and trichomoniasis () among patients with low T CD4+ lymphocyte counts. The majority of women in the present study showed good HIV-infection control and a vulnerable sexual behavior, which stress the importance of maintaining gynecological followup.
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Venturini, Ernesto. "Prendersi cura della cura." PSICOTERAPIA E SCIENZE UMANE, no. 3 (August 2009): 381–98. http://dx.doi.org/10.3280/pu2009-003006.
Анотація:
- The meaning of "cure" in medicine is examined, also in order to understand how in western civilization such a concept is historically determined. Two important aspects emerge. "To cure" means both to treat and to take care of, to look after someone. These two terms are intertwined, and their values and shortcomings are highlighted. There are contradictions in these two models both in medicine and in psychiatry, but a solution is found when the patient is the protagonist of treatment. Recovery represents the fundamental innovation, in that it helps the doctor in charge to re-examine and question his/her role in the relationship with the patient. This age of technology reduces the medical act into a simple service. Health care professionals should pay more attention to the moral principles involved in their work. This is particularly true in psychiatry, since real recovery occurs if a change comes about also in those responsible for treatment.KEY WORDS: recovery, cure, care, psychotherapeutic relationship, empowerment
33
Sulviana, Fitri, Ali Harokan, Lilis Suryani, and Akhmad Dwi Priyatno. "Analysis of Patient Satisfaction with Dental Health Services at the Community Health Centre." Lentera Perawat 5, no. 2 (July 1, 2024): 201–8. http://dx.doi.org/10.52235/lp.v5i2.355.
Анотація:
Oral and dental health services to improve oral and dental health, prevent and cure diseases and restore oral and dental health for individuals, families, groups or communities in a complete, integrated and quality manner. Limited facilities and infrastructure, lack of health workers and lack of medical equipment in the dental room, so that the services provided are not in line with community expectations. This study aims to determine the factors associated with patient satisfaction with dental health services. This research design is quantitative with a crosssectional approach. The population of this study were people who visited the Puskesmas dental clinic. The sample in this study amounted to 87 people. The sampling method uses purposive sampling. This research was conducted on 08 February - 8 March 2024. Data collection using questionnaires. Bivariate data analysis using Chi-Square test and multivariate logistic regression. The results showed that there was a relationship between responsiveness (p value 0.003), assurance (p value 0.011), and empathy (p value 0.05) to dental health service satisfaction. The most dominant factor with dental health service satisfaction is Responsiveness (p value 0.002) (OR 5.50). For the Puskesmas to provide fast and responsive service in providing health services.
34
Lewis, Anne-Marie. "Organisations adjusting to change: A discussion of the impact of an Improving Access to Psychological Therapies (IAPT) service on the organisational dynamics of an existing psychological therapies department." Counselling Psychology Review 27, no. 1 (March 2012): 22–30. http://dx.doi.org/10.53841/bpscpr.2011.27.1.22.
Анотація:
Content and FocusHealth systems are typical examples of what Halton (1995) describes as ‘dependency cultures’. People who chose to work in such cultures are, it is argued, vocationally motivated by a desire to help those in the ‘dependent’ position. The primary value of this culture is to maximise the development, health and welfare of the people who need these services. The introduction of market forces into the National Health Service (NHS) has gradually undermined this value as scarce resources dictate to who and how much service could be given. Re-evaluation and restructuring of therapeutic services is necessary to ensure they are run efficiently and effectively; however, problems arise when lack of recognition or matching of the ‘dependency values’ and the implicit primary task of ‘caring for others’ obstructs the vocational motivation of practitioners. This has the potential to introduce conflict between the values of the different staff groups within and between services leading to confusion and stress. The introduction of Improving Access to Psychological Therapies (IAPT) has been criticised for promoting an idealised culture of ‘cure’ which has failed to acknowledge the real complexity, and often comordidity of mental health problems (Fairfax, 2008). This change of emphasis from ‘care’ to ‘cure’ denigrates both the primary task and the morale of staff whose abilities to care and to act realistically by accepting the often complex and chronic nature of mental health problems, are undermined (Stokes, 1994). Bion’s (1961) concept of unconscious processes within groups and organisations is used to provide a psychodynamic understanding of how the introduction of IAPT into an NHS psychological therapies department created tensions between the non-IAPT and IAPT services, disrupting the organisations ability to work towards its primary task of care. Using the author’s observations and experiences as a trainee counselling psychologist within this service, the paper concludes with a discussion of how counselling psychology’s humanistic values and pluralistic training provides a unique perspective from which to arbitrate professional conflicts, and facilitate adjustment to organisational change.
35
Lewis, Anne-Marie. "Organisations adjusting to change: A discussion of the impact of an Improving Access to Psychological Therapies (IAPT) service on the organisational dynamics of an existing psychological therapies department." Counselling Psychology Review 27, no. 1 (March 2012): 22–30. http://dx.doi.org/10.53841/bpscpr.2012.27.1.22.
Анотація:
Content and FocusHealth systems are typical examples of what Halton (1995) describes as ‘dependency cultures’. People who chose to work in such cultures are, it is argued, vocationally motivated by a desire to help those in the ‘dependent’ position. The primary value of this culture is to maximise the development, health and welfare of the people who need these services. The introduction of market forces into the National Health Service (NHS) has gradually undermined this value as scarce resources dictate to who and how much service could be given. Re-evaluation and restructuring of therapeutic services is necessary to ensure they are run efficiently and effectively; however, problems arise when lack of recognition or matching of the ‘dependency values’ and the implicit primary task of ‘caring for others’ obstructs the vocational motivation of practitioners. This has the potential to introduce conflict between the values of the different staff groups within and between services leading to confusion and stress. The introduction of Improving Access to Psychological Therapies (IAPT) has been criticised for promoting an idealised culture of ‘cure’ which has failed to acknowledge the real complexity, and often comordidity of mental health problems (Fairfax, 2008). This change of emphasis from ‘care’ to ‘cure’ denigrates both the primary task and the morale of staff whose abilities to care and to act realistically by accepting the often complex and chronic nature of mental health problems, are undermined (Stokes, 1994). Bion’s (1961) concept of unconscious processes within groups and organisations is used to provide a psychodynamic understanding of how the introduction of IAPT into an NHS psychological therapies department created tensions between the non-IAPT and IAPT services, disrupting the organisations ability to work towards its primary task of care. Using the author’s observations and experiences as a trainee counselling psychologist within this service, the paper concludes with a discussion of how counselling psychology’s humanistic values and pluralistic training provides a unique perspective from which to arbitrate professional conflicts, and facilitate adjustment to organisational change.
36
Curwen, Peter. "The Private Finance Initiative: a cure for the ills of the health service?" Teaching Public Administration 20, no. 1 (March 2000): 6–25. http://dx.doi.org/10.1177/014473940002000103.
37
Cheserem, E., J. Stevenson, R. Evason, and M. Brady. "O3 Gonorrhoea test of cure: outcomes in a large urban sexual health service." Sexually Transmitted Infections 88, Suppl 1 (May 23, 2012): A1.3—A2. http://dx.doi.org/10.1136/sextrans-2012-050601a.3.
38
Gupta, Sunil Kumar, and Sakshi Gupta. "GOODS AND SERVICE TAX - A CURE TO ILLS OF EARLIER INDIRECT TAX REGIME." REVIEW JOURNAL PHILOSOPHY & SOCIAL SCIENCE 47, no. 1 (2022): 117–28. http://dx.doi.org/10.31995/rjpss.2022.v47i01.013.
39
Dechant, Andrea, Martin Spann, and Jan U. Becker. "Positive Customer Churn: An Application to Online Dating." Journal of Service Research 22, no. 1 (August 27, 2018): 90–100. http://dx.doi.org/10.1177/1094670518795054.
Анотація:
In the service literature, churn is primarily attributed to customers who are dissatisfied with a service. However, in several industries, such as health care, weight loss services, and online dating, satisfied customers also churn because the service delivers on its promise, for example, by providing a cure, facilitating weight loss, or creating the circumstances that allow a person to meet their partner. Considering these dual churn pathways, it is necessary for companies in these markets to create awareness of what drives positive and negative churn to address the corresponding challenges for managing customer relationships. This study defines and theoretically discusses the concept of positive churn and outlines its consequences for companies in the short- and long term. Based on an analysis of combined observational and survey data from 1,369 customers, we empirically demonstrate the necessity of accounting for positive and negative churn by analyzing this phenomenon in online dating. Furthermore, this article discusses opportunities for future research on positive churn.
40
Wallace, Jack, Bev Hanley, Mary Belfrage, Sandra Gregson, Niall Quiery, and Jayne Lucke. "Delivering the hepatitis C cure to Aboriginal people: documenting the perspectives of one Aboriginal Health Service." Australian Journal of Primary Health 24, no. 6 (2018): 491. http://dx.doi.org/10.1071/py18024.
Анотація:
Aboriginal and Torres Strait Islander peoples are disproportionately affected by hepatitis C, an infection that is curable with direct acting antivirals (DAAs). The Australian Government funded access to DAAs from March 2016 for all people with hepatitis C, with primary care physicians, along with clinical specialists, permitted to prescribe these treatments. The Victorian Aboriginal Health Service, in recognising the effect of liver disease from viral hepatitis within their community, and of the increased availability to DAAs, established a Liver Clinic to facilitate access to treatment for people attending the service. This study conducted semi-structured interviews to document the health service provider perspectives on the barriers and enablers to treatment; explored patients’ experiences of hepatitis C treatment and cure; and sought to identify possible health system-level changes to facilitate increased access and uptake of treatment by Aboriginal people. The study found the success of the clinic was supported by the multidisciplinary and accessible nature of the health service, and the relationships built over time between clinic staff and people with, or at risk of, hepatitis C. For those treated, the individual effect of the cure not only eliminated the hepatitis C virus, but reduced shame and increased broader social participation.
41
Damanik, Yunita Syahputri, Viktor Edward Marbun, and Rian Fedriko Ginting. "Penyuluhan Implementasi Kebijakan Layanan di Masa Covid-19 dan Kaitannya Dengan Kinerja Perawat di Rumah Sakit Umum Sembiring." Jurnal Pengabdian Masyarakat Putri Hijau 2, no. 1 (December 22, 2021): 131–34. http://dx.doi.org/10.36656/jpmph.v2i1.744.
Анотація:
The purpose of health development is health is to create people who have healthy behavior which includes awareness, willingness and ability to live healthy, able to reach quality health, live in a healthy environment and have optimal health degrees. The creation of an Indonesian society like this is marked by the population living with a healthy behavior and environment, and having the ability to access health services. Health services are every effort that is carried out alone or jointly in an organization to maintain and improve health, prevent and cure disease and restore the health of individuals, families, groups and or communities. The use of health services is most closely related to when a person needs health services and how far a person takes health services.
In supporting development in the health sector, hospitals have a role in implementing policies in the health sector. It is mandated that to carry out its duties in health development, hospitals have the role of carrying out individual health service efforts in a plenary manner. The policy that regulates the Hospital is PERMENKES No. 3 of 2020 concerning Hospital Classification and Licensing states that a hospital is a health service institution that provides complete individual health services that provide inpatient, outpatient, and emergency services.
This counseling activity aims to explain the implementation of service policies in hospitals during the Covid 19 pandemic. From the findings it is known that the Sembiring Deli Tua General Hospital has carried out its functions as mandated by PERMENKES No. 3 of 2020, namely the function as a complete individual health service that provides inpatient, outpatient, and emergency services. However, a special strategy is needed to maintain the quality of service in the hospital to obtain achievements in accordance with the minimum service standards contained in the performance assessment.
42
van der Hoeven Kraft, Kaatje J., and Karen M. Kortz. "Leveraging a Service Experience into a Course-Based Undergraduate Research Experience in an Introductory Geology Classroom." Scholarship and Practice of Undergraduate Research 4, no. 3 (May 28, 2021): 59. http://dx.doi.org/10.18833/spur/4/3/2.
Анотація:
A local, nonprofit, organic farm (Growing Veterans n.d.) sought to partner with Whatcom Community College in a service opportunity examining its soil health. The outcome was a course-based undergraduate research experience (CURE) for students in an introductory environmental geology course for nonmajors.
43
Keller, Robert C. "Peroxide Curing of Ethylene-Propylene Elastomers." Rubber Chemistry and Technology 61, no. 2 (May 1, 1988): 238–54. http://dx.doi.org/10.5254/1.3536185.
Анотація:
Abstract 1. Ethylene-propylene elastomers, suitably compounded for extrusion applications, can be readily vulcanized with organic peroxides to meet emerging requirements of improved performance and longer service life. 2. Aralkyl or dialkyl classes of peroxides produce the preferred cure performance, highest physical properties, and lowest compression set. Choice of peroxide governs rate of cure but not necessarily the optimum in crosslinking efficiency. 3. Coagents are essential to the development of optimum cure and stress-strain properties. The bis-maleimide is very effective in compounds that contain significant quantities of process oil, antioxidants for increased heat resistance, or other materials that consume free-radicals. 4. Ethylene-propylene compositional parameters influencing vulcanization activity are the diene, both type and concentration, and the ethylene content. Reactivity of the terpolymers is dependent on the type and amount of diene utilized in the polymer synthesis. High ethylene content improves crosslinking efficiency because there are fewer propylene sequences where chain scission can occur. 5. Increasing levels of hydrocarbon process oil needed in fast extruding compounds require higher peroxide concentrations to maintain cure and stress-strain properties.
44
Hudson, Tyler B., Nicolas Auwaijan, and Fuh-Gwo Yuan. "Guided wave-based system for real-time cure monitoring of composites using piezoelectric discs and phase-shifted fiber Bragg gratings." Journal of Composite Materials 53, no. 7 (August 15, 2018): 969–79. http://dx.doi.org/10.1177/0021998318793512.
Анотація:
A real-time, in-process cure monitoring system employing a guided wave-based concept for carbon fiber reinforced polymer composites was developed. The system included a single piezoelectric disc that was bonded to the surface of the composite for excitation, and an embedded phase-shifted fiber Bragg grating for sensing. The phase-shifted fiber Bragg grating almost simultaneously measured both quasi-static strain and the ultrasonic guided wave-based signals throughout the cure cycle. A traditional FBG was also used as a base for evaluating the high sensitivity of the phase-shifted fiber Bragg grating sensor. Composite physical properties (degree of cure and glass transition temperature) were correlated to the amplitude and time of arrival of the guided wave-based measurements during the cure cycle. In addition, key state transitions (gelation and vitrification) were identified from the experimental data. The physical properties and state transitions were validated using cure process modeling software (e.g. RAVEN®). This system demonstrated the capability of using an embedded phase-shifted fiber Bragg grating to sense a wide bandwidth of signals during cure. The distinct advantages of a fiber optic-based system include multiplexing of multiple gratings along a single optical fiber, small size compared to piezoelectric sensors, ability to embed or surface mount, utilization in harsh environments, electrically passive operation, and electromagnetic interference (EMI) immunity. The embedded phase-shifted fiber Bragg grating fiber optic sensor can monitor the entire life-cycle of the composite structure from curing, post-cure/assembly, and in-service creating “smart structures”.
45
Majeed, Alaa. "Effect of Addition Retention Bead and Repair Material on Transverse Strength of Repaired Acrylic Denture Resin." Iraqi National Journal of Nursing Specialties 23, no. 1 (November 5, 2018): 60–66. http://dx.doi.org/10.58897/injns.v23i1.71.
Анотація:
Objective: One of the most important practical deficiencies of present denture base materials is fracture, therefore manyattempts have been made to reinforce of the repaired denture base resin. A desirable objective for this service is to obtainoptimum strength for repairs, which can be achieved by making available a good bond between original and repairedmaterials.Methodology: The present study was carried out to evaluate and compare the transverse strength of acrylic specimensrepaired by two different materials (hot-cure and cold-cure acrylic resin). A total of 50 specimens were prepared by hot(40) repair: (10) by hot with retention bead, (10) by cold with retention bead and (10) repair by hot only, (10) repair by coldonly, and (10) un repair control made from hot cure acrylic resin. Transverse strength was measured for each specimenusing three points bending on a brinell transverse testing machine.Results: The result showed that the repair with heat-cure acrylic resin with retention bead has a significant higher than therepair with cold-cure acrylic resin with retention bead and higher than control specimen (unrepaired).Recommendations: It can be concluded that the hot acrylic resin with retention bead are an important parameter in thereinforcement of repaired acrylic denture base resin.
46
Withnell, Allan. "The Natural Cure of Coronary Heart Disease." Nutrition and Health 17, no. 1 (January 2003): 55–60. http://dx.doi.org/10.1177/026010600301700106.
Анотація:
Following the development of coronary heart disease in 1989 I was introduced to an alumnus of the Pritikin Longevity Center in California and I adopted the regimen of diet and exercise. Within five months I was able to abandon all medication and was symptom free. My medical colleagues maintained that, because I had recovered, the Consultant's diagnosis must have been wrong—there can be no cure of coronary heart disease by lifestyle changes alone. As a result of my experience I decided to review the literature to study the natural history of coronary heart disease. My findings strongly suggest that the increase in incidence in the last hundred years from virtually nil to epidemic proportions is due to lifestyle changes and that the disease can be reversed. I list a number of doctors who have influenced large numbers of people to change their lifestyles with great success. They have utilised mainly plant-based diets whose composition is the same or similar to that which Pritikin originally used and which is still extant at the Longevity Center. I conclude by suggesting that the possibility of reversal of coronary heart disease has profound implications for its treatment with enormous potential savings for the National Health Service.
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Abdul-Rassol Jaber, Makarem. "Effects of aluminum oxide addition on the surface roughness and hardness of acrylic resin denture base." Tikrit Journal for Dental Sciences 1, no. 1 (December 3, 2023): 32–38. http://dx.doi.org/10.25130/tjds.2015.1.4.
Анотація:
Problem: Acrylic dentures frequently fracture during service due to their poor strength characteristic. Several attempts have been carried out to improve strength of acrylic by addition some materials such as fibers or Aluminum oxide. The purpose of this study was to evaluate the effect of adding Aluminum oxide (AL2O3) on the surface roughness and hardness of heat cure acrylic resin denture base material.Materials and Methods: 60 specimens were made from the heat cure acrylic resin denture base after being cured in microwave oven, 30 specimens prepared for surface roughness test and these where subdivided according to concentration of AL2O3 into three subgroups as follow:Group (A): 10 specimens of acrylic resin without AL2O3 (control group)Group (B): 10 specimens of acrylic resin+2.5% by weight AL2O3Group (C): 10 specimens of acrylic resin +5% by weight AL2O330 specimens prepared for surface hardness test and these where subdivided according to concentration of AL2O3 into three subgroups as follow:Group (A): 10 specimens of acrylic resin without AL2O3 (control group)Group (B): 10 specimens of acrylic resin+2.5% by weight AL2O3Group (C): 10 specimens of acrylic resin +5% by weight AL2O3The average of the surface roughness of the samples has been determined with using the profilometer (surface roughness tester)¸ also the average of the surface hardness of the samples has been determined with using surface hardness tester (digital micro Vickers).Result: The results showed that there were no statistically significant differences in the surface roughness and hardness.Conclusion: The addition of aluminum oxide in low percentage not affected on the surface roughness and hardness of heat cure acrylic resin.
48
Lamb, C. Finney, and C. Phelan. "Cultural Observations on Vietnamese Children's Oral Health Practices and Use of the Child Oral Health Services in Central Sydney: A Qualitative Study." Australian Journal of Primary Health 14, no. 1 (2008): 75. http://dx.doi.org/10.1071/py08010.
Анотація:
The research was conducted to describe Vietnamese-speaking parents' practices in children's oral health care and to identify barriers parents had in accessing child dental services after being notified that their child needed treatment. A qualitative study design was employed, using a stratified purposive sample of five focus groups and three semi-structured interviews. A multidisciplinary team conducted a thematic analysis on the translated transcripts of the focus groups and interview notes. The retention of four traditional patterns of oral care and service use may increase the risk of oral disease among Vietnamese children: traditional oral hygiene practices using salt; delayed introduction of tooth-brushing; not attending a dental clinic for preventive care; and the use of lay remedies, rather than dental care, to cure pain. Language was identified as the major barrier to attending the child dental service, following notification of treatment need. The results suggest that the retention of cultural oral health practices and patterns of service use may increase the risk of oral disease among Vietnamese children. Oral health messages need to provide information in the language spoken at home; messages about dental services and western and traditional practices in oral care.
49
Layer, Robert W. "A Postcrosslinking Accelerator System for Natural Rubber Based on Thiocarbamyl Sulfenamides." Rubber Chemistry and Technology 60, no. 1 (March 1, 1987): 89–101. http://dx.doi.org/10.5254/1.3536124.
Анотація:
Abstract Thick natural rubber articles require long cure times in order for the central portion of the article to reach optimum cure. Even at relatively low cure temperatures, using conventional cure systems, the outer portions of the article become overcured and lose physical properties due to reversion of the crosslinking process. The primary result is a decrease in the number of crosslinks and a loss of modulus. To lessen reversion, low sulfur and/or sulfur donor cure systems are used. These systems produce fewer of the thermally labile polysulfide crosslinks and more of the more thermally stable di and monosulfide crosslinks. But even these EV systems undergo reversion, albeit much more slowly than conventional cure systems, due to the slower cleavage of the disulfide crosslinks. Even better reversion resistance can be obtained with a sulfurless cure system, such as TMTD, which produces only very thermally stable monosulfide crosslinks. Unfortunately, fatigue properties become progressively poorer as one goes from polysulfide to disulfide to monosulfide crosslinks. Thus, in practice, a compromise between thermal stability and fatigue resistance is reached for each particular application. For many applications, such as treads of large off-the-road tires and aircraft tires, the heat generated during the demanding service conditions to which they are exposed is itself sufficient to cause reversion. This reversion is self-perpetuating since it lowers the modulus, which in turn speeds the heat buildup. The final result can be premature failure. Consequently, efforts continue to find ways to improve reversion resistance. Recently, the use of “postcrosslinking” additives, which form new crosslinks to replace those lost by reversion, have been reported. It is also known that certain accelerators show a postcrosslinking effect in NR, but only when high levels of sulfur are used. No accelerators have been reported to give postcrosslinking in a low-sulfur EV-cure system. We now find that an OTOS/OBTS (2:1) synergistic EV-cure system continues to generate new crosslinks on overcure. This can be utilized to improve physical properties or to slightly raise cure temperatures.
50
Li, Shi Tong, Su Li Xing, Si Wei Wen, Chao Yi Peng, Shun Yong Wang, Ren Li, and Fei Hu Yu. "Mechanical Properties of the Cracked Thick Aluminum Plate Repaired with M40J/Epoxy Composite Patch." Applied Mechanics and Materials 190-191 (July 2012): 513–16. http://dx.doi.org/10.4028/www.scientific.net/amm.190-191.513.
Анотація:
To extend the service life of the equipment, a novel, efficient and cost-effective method is used to recover the damaged component of the equipment. The mechanical properties of unidirectional M40J/epoxy composites, prepared by molding process, were studied. Then the centre-cracked thick LC52CS aluminum plates were single and double side repaired with the composites patches by vacuum bagging technology in which three cure cycles were applied. Results show that a low cure temperature induce a small thermal residual stress. Choosing the cure cycle with the highest tensile strength of single-side repaired specimens, the tensile strength of single-side and double-side repaired specimens enhance 31.50% and 47.29% of that of the unrepaired specimens, respectively. And fatigue life of the double-side repaired specimens extends that of the cracked aluminum plate over 76 times, which is also significantly better than that of the single-side repaired specimen.