The South African gold mining sector remains a significant contributor to the country’s economy.Facing several challenges that hinder the realisation of South Africa’s full mineral potential,the sector’s sustainabi...The South African gold mining sector remains a significant contributor to the country’s economy.Facing several challenges that hinder the realisation of South Africa’s full mineral potential,the sector’s sustainability and profitability can be enhanced through implementing operational improvement measures.Mobile cooling units(MCUs)were identified as a potential focus area for operational improvement.MCUs are used as tertiary or in-stope cooling in hot underground workings.In this paper,a method was presented to characterise the performance of existing MCUs based on three key performance indicators(KPIs),namely,the wet-bulb temperature ratio(WTR),efficiency and position.Optimisation strategies were then elected and implemented based on these KPIs.The implementation of this method in a South African gold mine attained a reduction in pumped water volumes,reduced operating costs through electricity cost savings and improvements in underground ventilation air temperatures.展开更多
Background: In Greece, the provision of mental health services is limited to people residing in rural and remote areas. The operation of Mobile Mental Health Units (MMHUs) has been introduced in the Cyclades islands. ...Background: In Greece, the provision of mental health services is limited to people residing in rural and remote areas. The operation of Mobile Mental Health Units (MMHUs) has been introduced in the Cyclades islands. It is an innovative policy intervention that has been shown to be effective and efficient internationally. Objective: The aim was to evaluate the operation of MMHUs in the Cyclades islands based on real-world evidence (RWE), from a societal perspective. Methods: A cost-effectiveness analysis was performed where outcomes and costs were elaborated and classified based on two comparators, 1) with MMHUs’ operation and 2) without MMHUs’ operation. Clinical primary outcomes were based on RWE data and were elaborated for the Disability-Adjusted Life Years (DALYs) values calculation, for a 12 months’ time horizon. Data descriptive statistics were performed with SPSS Statistics 22.0. Direct medical, non-medical and indirect costs were incorporated. Unit costs and monetary values were extracted from published data. Sensitivity analysis was undertaken to test the robustness of the results. Results: The operation of MMHUs in the Cyclades islands led to an incremental cost of €12,250.78 per DALY averted. A substantial higher increase is observed in the direct non-medical costs of the non-MMHUs’ operation where patients had to pay approximately €2,602 per capita annually for their transportation and accommodation due to hospitalization and outpatient care. Informal care expenses are 3 fold increasing in the non-MMHUs’ operation arm. Both direct non-medical and informal care costs correspond to high out of pocket payments totally covered by the patients. The sensitivity analyses demonstrated that the decision does not change when we varied the unit costs by ±10%. Conclusions: The operation of MMHUs appears to be a cost-effective option for treating patients with mental disorders in remote areas and islands in Greece. MMHUs appear to overcome the existing NHS structural inefficiencies by minimizing public expenditures and patients’ income losses by preventing and improving their mental health status.展开更多
Objective To understand the perceptions of pregnant Jordanian women who received antenatal care via mobile clinic,and to contribute new insights into the experiences of these mothers and how they evaluated the service...Objective To understand the perceptions of pregnant Jordanian women who received antenatal care via mobile clinic,and to contribute new insights into the experiences of these mothers and how they evaluated the services that were available.Methods Ten Jordanian mothers who had received antenatal care at a mobile clinic discussed their experiences in semi-structured,audiotaped interviews in a study that adopted a qualitative research design.The analysis was done using interpretative phenomenological analysis.Results Three main themes were identified:Being informed about the medical campaign or missing the opportunity of being informed;The experience of receiving antenatal care was wonderful,although there was only one thing lacking;and they safeguard our life and take any opportunity to educate us.Conclusion Data indicate that the mothers were largely satisfied with most facets of the antenatal care services they had received at the mobile clinics.However,while services are generally well received,there are clear opportunities for ameliorating the quality of services provided.For mothers living in remote,deprived areas,outreach is not just an‘optional extra’but rather an essential service.展开更多
Objective:To explore the current development and challenges regarding mobile medical applications(mmAPPs),so as to provide reference for application function elevation and quality improvement.Methods:We retrieved lite...Objective:To explore the current development and challenges regarding mobile medical applications(mmAPPs),so as to provide reference for application function elevation and quality improvement.Methods:We retrieved literature databases like Web of Science,PubMed,China National Knowledge Infrastructure,Wanfang,China Biomedical Network,time limit was from January 1,2010 to December 31,2021,and restricted to the Chinese or English language.Results:This study concluded with the following six aspects:Domestic and foreign development of mmAPP,reminder function,barriers and challenges(low quality;slow update rate;lack of standard evaluation tool or criterion),privacy and safety concerns,adverse drug event report state(low report rate-related reasons,different countries’report policies),and current hindrances in the progression(economic worries;personal education level;acceptance and study of technology;rural districts,and low-income countries).Conclusions:We should focus on the application’s quality elevation rather than quantity,pay more attention to patients’adverse drug event reports,privacy and safety,and place emphasis on rural districts and low-income countries.展开更多
Objective:This study aimed to investigate the feasibility,efficacy,and safety of using a miniature mobile integrated cabin-theatre equipped with angiography and surgical operating room capabilities,and to explore its ...Objective:This study aimed to investigate the feasibility,efficacy,and safety of using a miniature mobile integrated cabin-theatre equipped with angiography and surgical operating room capabilities,and to explore its therapeutic scope,effectiveness,and operational mode.Methods:A miniature mobile integrated operating cabin-theatre was deployed across 15 hospitals in 15 cities or counties in China from April 2012 to November 2024.The interventions and outcomes of interventional and minimally invasive surgical procedures were prospectively observed and evaluated;perioperative complications were documented,and the stability,adaptability,and mobility of the integrated system were assessed.Results:A total of 133 procedures were successfully performed,130 of which were interventional and 3 minimally invasive.The angiography machine showed good imaging performance without any equipment failures,loosening,or damage,with normal chamber unfolding.One patient experienced a fever the day after laparoscopy,while none of the other patients exhibited perioperative complications such as infection,surgical site bleeding/hematoma,or reperfusion arrhythmia.The instrument was easily manipulated,aligning with the needs of clinical intervention and surgery,and was perceived by patients as being a comfortable environment,with no psychological or other obvious discomfort.Conclusions:The miniature mobile integrated cabin-theatre,comprising an angiography machine and an operating room,allows interventional or minimally invasive surgical procedures to be performed smoothly and safely.It can also provide rapid and efficient on-site treatment of acute and critical illnesses across multiple body systems,including the cardiovascular,cerebrovascular,and gastrointestinal systems.展开更多
Background Natural disasters have been frequent in recent years. Effective treatment of patients with cardiovascular disease following natural disasters is an unsolved problem. We aimed to develop a novel miniature mo...Background Natural disasters have been frequent in recent years. Effective treatment of patients with cardiovascular disease following natural disasters is an unsolved problem. We aimed to develop a novel miniature mobile cardiac catheterization laboratory （Mini Mobile Cath Lab） to provide emergency interventional services for patients with critical cardiovascular disease following natural disasters. A feasibility study was performed by testing the Mini Mobile Cath Lab on dogs with ST-elevation myocardial infarction （STEMI） model in a hypothetical natural-disaster-stricken area. Methods The Mini Mobile Cath Lab was transported to the hypothetical natural-disaster-stricken area by truck. Coronary angiography and primary percutaneous coronary intervention （PCI） were performed on six dogs with STEMI model. The transportation and transformation of the Mini Mobile Cath Lab were monitored and its functioning was evaluated through the results of animal experiments. Results The Mini Mobile Cath Lab could be transpdrted by truck at an average speed of 80 km/h on mountain roads during daytime in the winter, under conditions of light snow （-15℃ to -20℃/-68°F to -59°F）. The average time required to prepare the Mini Mobile Cath Lab after transportation, in a wetland area, was 30 minutes. Coronary angiography, and primary PCI were performed successfully. Conclusion This preliminary feasibility study of the use of the Mini Mobile Cath Lab for emergency interventional treatment of dogs with STEMI indicated that it may perform well in the rescue of critical cardiovascular disease following natural disasters.展开更多
基金This work was sponsored by ETA Operations(Pty)Ltd.
文摘The South African gold mining sector remains a significant contributor to the country’s economy.Facing several challenges that hinder the realisation of South Africa’s full mineral potential,the sector’s sustainability and profitability can be enhanced through implementing operational improvement measures.Mobile cooling units(MCUs)were identified as a potential focus area for operational improvement.MCUs are used as tertiary or in-stope cooling in hot underground workings.In this paper,a method was presented to characterise the performance of existing MCUs based on three key performance indicators(KPIs),namely,the wet-bulb temperature ratio(WTR),efficiency and position.Optimisation strategies were then elected and implemented based on these KPIs.The implementation of this method in a South African gold mine attained a reduction in pumped water volumes,reduced operating costs through electricity cost savings and improvements in underground ventilation air temperatures.
文摘Background: In Greece, the provision of mental health services is limited to people residing in rural and remote areas. The operation of Mobile Mental Health Units (MMHUs) has been introduced in the Cyclades islands. It is an innovative policy intervention that has been shown to be effective and efficient internationally. Objective: The aim was to evaluate the operation of MMHUs in the Cyclades islands based on real-world evidence (RWE), from a societal perspective. Methods: A cost-effectiveness analysis was performed where outcomes and costs were elaborated and classified based on two comparators, 1) with MMHUs’ operation and 2) without MMHUs’ operation. Clinical primary outcomes were based on RWE data and were elaborated for the Disability-Adjusted Life Years (DALYs) values calculation, for a 12 months’ time horizon. Data descriptive statistics were performed with SPSS Statistics 22.0. Direct medical, non-medical and indirect costs were incorporated. Unit costs and monetary values were extracted from published data. Sensitivity analysis was undertaken to test the robustness of the results. Results: The operation of MMHUs in the Cyclades islands led to an incremental cost of €12,250.78 per DALY averted. A substantial higher increase is observed in the direct non-medical costs of the non-MMHUs’ operation where patients had to pay approximately €2,602 per capita annually for their transportation and accommodation due to hospitalization and outpatient care. Informal care expenses are 3 fold increasing in the non-MMHUs’ operation arm. Both direct non-medical and informal care costs correspond to high out of pocket payments totally covered by the patients. The sensitivity analyses demonstrated that the decision does not change when we varied the unit costs by ±10%. Conclusions: The operation of MMHUs appears to be a cost-effective option for treating patients with mental disorders in remote areas and islands in Greece. MMHUs appear to overcome the existing NHS structural inefficiencies by minimizing public expenditures and patients’ income losses by preventing and improving their mental health status.
文摘Objective To understand the perceptions of pregnant Jordanian women who received antenatal care via mobile clinic,and to contribute new insights into the experiences of these mothers and how they evaluated the services that were available.Methods Ten Jordanian mothers who had received antenatal care at a mobile clinic discussed their experiences in semi-structured,audiotaped interviews in a study that adopted a qualitative research design.The analysis was done using interpretative phenomenological analysis.Results Three main themes were identified:Being informed about the medical campaign or missing the opportunity of being informed;The experience of receiving antenatal care was wonderful,although there was only one thing lacking;and they safeguard our life and take any opportunity to educate us.Conclusion Data indicate that the mothers were largely satisfied with most facets of the antenatal care services they had received at the mobile clinics.However,while services are generally well received,there are clear opportunities for ameliorating the quality of services provided.For mothers living in remote,deprived areas,outreach is not just an‘optional extra’but rather an essential service.
基金supported by the Joint Medical project of Chongqing Science and Technology Commission (No. 2020MSXM077)the Nursing Development project of Chinese Medical Association (No. CMAPH-NRD2021004)
文摘Objective:To explore the current development and challenges regarding mobile medical applications(mmAPPs),so as to provide reference for application function elevation and quality improvement.Methods:We retrieved literature databases like Web of Science,PubMed,China National Knowledge Infrastructure,Wanfang,China Biomedical Network,time limit was from January 1,2010 to December 31,2021,and restricted to the Chinese or English language.Results:This study concluded with the following six aspects:Domestic and foreign development of mmAPP,reminder function,barriers and challenges(low quality;slow update rate;lack of standard evaluation tool or criterion),privacy and safety concerns,adverse drug event report state(low report rate-related reasons,different countries’report policies),and current hindrances in the progression(economic worries;personal education level;acceptance and study of technology;rural districts,and low-income countries).Conclusions:We should focus on the application’s quality elevation rather than quantity,pay more attention to patients’adverse drug event reports,privacy and safety,and place emphasis on rural districts and low-income countries.
基金funded by the Science and Technology Project of Liaoning Province(2022JH2/101500017).
文摘Objective:This study aimed to investigate the feasibility,efficacy,and safety of using a miniature mobile integrated cabin-theatre equipped with angiography and surgical operating room capabilities,and to explore its therapeutic scope,effectiveness,and operational mode.Methods:A miniature mobile integrated operating cabin-theatre was deployed across 15 hospitals in 15 cities or counties in China from April 2012 to November 2024.The interventions and outcomes of interventional and minimally invasive surgical procedures were prospectively observed and evaluated;perioperative complications were documented,and the stability,adaptability,and mobility of the integrated system were assessed.Results:A total of 133 procedures were successfully performed,130 of which were interventional and 3 minimally invasive.The angiography machine showed good imaging performance without any equipment failures,loosening,or damage,with normal chamber unfolding.One patient experienced a fever the day after laparoscopy,while none of the other patients exhibited perioperative complications such as infection,surgical site bleeding/hematoma,or reperfusion arrhythmia.The instrument was easily manipulated,aligning with the needs of clinical intervention and surgery,and was perceived by patients as being a comfortable environment,with no psychological or other obvious discomfort.Conclusions:The miniature mobile integrated cabin-theatre,comprising an angiography machine and an operating room,allows interventional or minimally invasive surgical procedures to be performed smoothly and safely.It can also provide rapid and efficient on-site treatment of acute and critical illnesses across multiple body systems,including the cardiovascular,cerebrovascular,and gastrointestinal systems.
文摘Background Natural disasters have been frequent in recent years. Effective treatment of patients with cardiovascular disease following natural disasters is an unsolved problem. We aimed to develop a novel miniature mobile cardiac catheterization laboratory （Mini Mobile Cath Lab） to provide emergency interventional services for patients with critical cardiovascular disease following natural disasters. A feasibility study was performed by testing the Mini Mobile Cath Lab on dogs with ST-elevation myocardial infarction （STEMI） model in a hypothetical natural-disaster-stricken area. Methods The Mini Mobile Cath Lab was transported to the hypothetical natural-disaster-stricken area by truck. Coronary angiography and primary percutaneous coronary intervention （PCI） were performed on six dogs with STEMI model. The transportation and transformation of the Mini Mobile Cath Lab were monitored and its functioning was evaluated through the results of animal experiments. Results The Mini Mobile Cath Lab could be transpdrted by truck at an average speed of 80 km/h on mountain roads during daytime in the winter, under conditions of light snow （-15℃ to -20℃/-68°F to -59°F）. The average time required to prepare the Mini Mobile Cath Lab after transportation, in a wetland area, was 30 minutes. Coronary angiography, and primary PCI were performed successfully. Conclusion This preliminary feasibility study of the use of the Mini Mobile Cath Lab for emergency interventional treatment of dogs with STEMI indicated that it may perform well in the rescue of critical cardiovascular disease following natural disasters.
