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Within-Hospital Price Gaps Across National Insurers.
JAMA Netw Open
December 2024
Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
Importance: Commercial prices for hospital care are high and vary widely in the US. Employers and state policymakers are exploring reference-based pricing (RBP) to set their payment rates as multiples of Medicare prices; understanding the range of commercial price variation within a hospital is important for calculating the appropriate price targets that are effectively low to generate savings but also feasible and viable to local hospital markets.
Objective: To examine within-hospital maximum-to-minimum commercial hospital price gaps negotiated by 5 national insurers and estimate plan savings if the minimum prices within each hospital are used as new payment level.
Improving early initiation and exclusive breastfeeding practice through PDSA framework: the experience at a private hospital in Tanzania.
BMJ Open Qual
December 2024
Paediatrics, Aga Khan Hospital, Dar es Salaam, Tanzania, United Republic of.
Article Synopsis
- Optimal breastfeeding can save over 800,000 children's lives annually, with WHO guidelines recommending initiation within the first hour, exclusive breastfeeding for six months, and continued breastfeeding up to two years.
- In Tanzania, the study aimed to raise early initiation and exclusive breastfeeding rates to 80% through a quality improvement project using the Plan-Do-Study-Act (PDSA) framework, implementing policies, staff training, and antenatal education.
- Results showed significant improvements in early breastfeeding initiation (from 22% to 84%) and exclusive breastfeeding rates (from 45% to 90%) after three PDSA cycles, demonstrating the effectiveness of a comprehensive approach involving policies and support.
Surface-based deep inspiration breath-hold radiotherapy in left-sided breast cancer: final results from the SAVE-HEART study.
ESMO Open
December 2024
Department of Radiation Oncology, University Hospital LMU Munich, Munich, Germany.
Background: Adjuvant radiotherapy (RT) plays an essential role in the management of early breast cancer (BC), but can lead to cardiovascular and lung toxicities. RT in deep inspiration breath hold (DIBH) often allows better protection of organs at risk. This prospective study compares surface-guided DIBH with free breathing (FB) in patients with left-sided BC, by evaluating individual cardiovascular risks and treatment plan dosimetry.
View Article and Find Full Text PDFResearch on Abnormal State Detection of CZ Silicon Single Crystal Based on Multimodal Fusion.
Sensors (Basel)
October 2024
School of Automation and Information Engineering, Xi'an University of Technology, Xi'an 710048, China.
The Czochralski method is the primary technique for single-crystal silicon production. However, anomalous states such as crystal loss, twisting, swinging, and squareness frequently occur during crystal growth, adversely affecting product quality and production efficiency. To address this challenge, we propose an enhanced multimodal fusion classification model for detecting and categorizing these four anomalous states.
View Article and Find Full Text PDFEffects of Prickly Ash Seed Dietary Supplementation on Meat Quality, Antioxidative Capability, and Metabolite Characteristics of Hu Lambs.
Foods
October 2024
College of Animal Science and Technology, Gansu Agricultural University, Lanzhou 730070, China.
In China, the processing of prickly ash (PA) produces a large number of by-products, including prickly ash seeds (PASs), which are rich in bioactive components such as flavonoids and phenolic compounds, and which may have an important influence on meat quality and muscle metabolites. Therefore, this study aimed to assess the impact of dietary PAS supplementation on the meat quality, antioxidant activity, and metabolite characteristics of lambs. Eighteen 3-month-old Hu lambs (25.
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