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Rationale and protocol for estimating the economic value of a multicomponent quality improvement strategy for diabetes care in South Asia

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Global Health Research and Policy 2019年第1期4卷 333-342页

作者： Kavita Singh mohammed kali Raji Devarajan Roopa Shivashankar Dimple Kondal Vamadevan S.Ajay VUsha Menon Premlata KVarthakavi Vijay Viswanathan Mala Dharmalingam Ganapati Bantwal Rakesh Kumar Sahay Muhammad Qamar Masood Rajesh Khadgawat Ankush Desai Dorairaj Prabhakaran K.M.Venkat Narayan Victoria LPhillips Nikhil Tandon On behalf of the CARRS Trial Group Public Health Foundation of India Center of Excellence-Center for CArdio-metabolic Risk Reduction in South Asia4th FloorPlot No.47Sector 44Institutional AreaGurgaonHaryana 122002India Rollins School of Public Health Emory University1518 Clifton RoadRm CNR 7041AtlantaGA 30322USA Department of Endocrinology&Diabetes Amrita Institute of Medical SciencesAmrita Vishwa VidyapeethamPonekkara P.O.KochiKerala 682041India Department of Endocrinology TNM College&BYL Nair Charity HospitalDr.A.L.Nair RoadMumbai CentralMumbaiMaharashtra 400008India MV Hospital for Diabetes&Diabetes Research Centre No 4West Madha Church StreetRoyapuramChennaiTamil Nadu 600013India Bangalore Endocrinology&Diabetes Research Centre #355th CrossMalleswaram CircleBangaloreKarnataka 560003India Department of Endocrinology St.John’s Medical College&HospitalSarjapur RoadKoramangalaBangaloreKarnataka 560034India Department of Endocrinology Osmania General Hospital2nd FloorGolden Jubilee BlockAfzalgunjHyderabadTelangana 500012India Department of Medicine Section of Endocrinology and DiabetesAga Khan UniversityStadium RoadKarachi 74800Pakistan Department of Endocrinology&Metabolism All India Institute of Medical SciencesBiotechnology Block3rd FloorAnsari NagarNew Delhi 110029India Endocrine Unit Department of MedicineGoa Medical CollegeBambolimGoa 403202India Public Health Foundation of India 4th FloorPlot No.47Sector 44Institutional AreaGurgaonHaryana 122002India Rollins School of Public Health Emory University1518 Clifton RoadRm CNR 7049AtlantaGA 30322USA Rollins School of Public Health Emory University1518 Clifton RoadAtlantaGA 30322USA Department of Endocrinology&Metabolism All India Institute of Medical SciencesBiotechnology Block3rd FloorRm#312Ansari NagarNew Delhi 110029India Centre for Chronic Disease Control C 1/52Second FloorSafdarjung Development AreaNew Delhi110016India London School of Hygiene and Tropical Medicine Keppel StBloomsburyLondon WC1E 7HTUK. 不详

Background:Economic dimensions of implementing quality improvement for diabetes care are understudied *** describe the economic evaluation protocol within a randomised controlled trial that tested a multicomponent quality improvement(QI)strategy for individuals with poorly-controlled type 2 diabetes in South ***/design:This economic evaluation of the Centre for Cardiometabolic Risk Reduction in South Asia(CARRS)randomised trial involved 1146 people with poorly-controlled type 2 diabetes receiving care at 10 diverse diabetes clinics across India and *** economic evaluation comprises both a within-trial cost-effectiveness analysis(mean 2.5 years follow up)and a microsimulation model-based cost-utility analysis(life-time horizon).Effectiveness measures include multiple risk factor control(achieving HbA1c<7%and blood pressure<130/80 mmHg and/or LDL-cholesterol<100 mg/dl),and patient reported outcomes including quality adjusted life years(QALYs)measured by EQ-5D-3 L,hospitalizations,and diabetes related complications at the trial *** measures include direct medical and non-medical costs relevant to outpatient care(consultation fee,medicines,laboratory tests,supplies,food,and escort/accompanying person costs,transport)and inpatient care(hospitalization,transport,and accompanying person costs)of the intervention compared to usual diabetes ***,healthcare system,and societal perspectives will be applied for *** cost and health effects will be discounted at 3%per year for within trial cost-effectiveness analysis over 2.5 years and decision modelling analysis over a lifetime *** will be reported as the incremental cost-effectiveness ratios(ICER)to achieve multiple risk factor control,avoid diabetes-related complications,or QALYs gained against varying levels of willingness to pay threshold *** analyses will be performed to assess uncertainties around ICER estimates by varying costs(95%CIs)across publ

关键词： Economic evaluation Diabetes care Multicomponent strategy Quality improvement South Asia

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Effect of Ti4+Doping on Structural, Electrical and Magnetic Properties of Ni0.4Cu0.2Zn0.4Fe2-xTixO4Ferrites

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Materials Sciences and Applications 2019年第12期10卷 733-745页

作者： Sajal Chandra Mazumdar Farhad Alam Umma Habiba Tanni Kamrunnahar kali Bablu Chandra Das mohammed Nazrul Islam Khan Department of Physics Comilla UniversityCumillaBangladesh Department of Physical Sciences School of Engineering and Computer ScienceIndependent UniversityDhakaBangladesh Departments of Physics Bangladesh University of Engineering and TechnologyDhakaBangladesh Materials Science Division Atomic Energy CentreDhakaBangladesh

Ti4+ doped Ni0.4Cu0.2Zn0.4Fe2-xTixO4 (x = 0.0, 0.02, 0.05, 0.07, 0.10) chemical compositions are prepared by conventional solid state reaction technique. The ferrite phase formation has been confirmed from the pattern of XRD. The theoretical density (ρth), bulk density (ρB), and porosity are calculated from the XRD data and using approximate formulas. Value of ρth is found to be greater than the value of ρB indicating the formation of pores inside the bulk specimens. The micro-structural investigation has been done using Field Emission Scanning Electron Microscope and it is found that the average grain size reduces with the increase of Ti content. Saturation magnetization (Ms) also reduces with the increase of Ti content, contrarily remanent magnetization (Mr) and coercivity (Hc) increases with the concentration of Ti in the composition due to the pinning effect. The real part of the initial permeability is found to be maximum for the x = 0.02 sample which could be due to the homogeneity and high density of the sample. For increasing frequency, the dielectric constant and dielectric loss are observed to decrease.

关键词： Ferrite X-Ray Diffraction VSM SEM Dielectric Properties Magnetization

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Geo-Electric Assessment of kali Failed Dam Project Aliero, North Western Nigeria

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International Journal of Geosciences 2020年第1期11卷 1-13页

作者： U. Z. Magawata Ibrahim mohammed B. A. Ojulari A. I. Augie Salisu Musa Department of Physics Kebbi State University of Science and Technology Aliero Nigeria Department of Preliminary Studies Waziri Umaru Federal Polytechnic Birnin Kebbi Birnin Kebbi Nigeria Department of Chemical Geological and Physical Science Kwara State University Malete Nigeria Department of Geophysics Federal University Birnin Kebbi Birnin Kebbi Nigeria Department of Physics Bayero University Kano Kano Nigeria

An integrated geophysical investigation using very low frequency electro-magnetic (VLF-EM) and electrical resistivity methods using (VES) technique has been carried out for investigation of possible causes of dam failure in kali, Aliero Northwestern Nigeria. A total of Three 3 (VLF-EM) traverses and Ten 10 vertical electrical soundings (VES) techniques have been carried out to identify the fracture zones, seepage and possible threat that lead to the collapse of the dam. The interpretation of VLF-EM data is carried out qualitatively using Fraser and Karous-Hjelt filters and the interpretation of sounding data is done using IPI2 win software. VLF-EM data signifies the exact fracture zones founded on higher values of relative current density that coincide to the subsurface fracture. The survey was conducted on an interval of 10 m interval along traverses at South-North direction ranging from 620 - 640 m in length. The plot of filtered real and filtered imaginary identified noticeable fracture zone close to the surface which was later further delineated by (VES) technique. VES soundings were carried out at locations of prominent VLF anomalies presumably typical of basement fracture using AB/2 of 80 m. Results interpreted show layers thickness and their corresponding resistivity, top soil (0.5 m to 3.45 m, 51.9 Ωm to 318 Ωm), underlain by clay to confined clay (4.56 m to 54 m, 7.88 Ωm to 60.2 Ωm) which is underlain by fractured/fresh basement (5.76 m to 73.9 m, 40.3 Ωm to 197 Ωm). The overburden materials underlain are far away to subsurface (bed rock) in most of the area to support the dam. The clay materials which could serve as conduit, exist within the shallow overburden which was not excavated during the construction. Therefore it was concluded that the dam cannot retain its strength to oppose the dam against collapse.

关键词： Failure Appropriate Presumably Fractures Anomaly Prospective

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