Abstract Reliability and accessibility of distribution systems are important goals that have significant impacts on the costs. The proper strategy maintenance based components arrangement assets is best way to reach these goals. This a kind uses reliability-centered (RCM). Due limited budget, performing activities for all system neither possible nor logical. So most resources should be allocate...

BACKGROUND The advent of highly efficacious, well-tolerated, all-oral direct-acting antiviral regimens has revolutionized the standard of care for patients chronically infected with hepatitis C virus. As efficacy and safety rates converge, prescribers and payers need to consider value for money. OBJECTIVES To evaluate the health economic value of daclatasvir + asunaprevir versus sofosbuvir/le...

As long-term care policy makers struggle with competing challenges including state budget deficits and pressures to expand homeand community-based services (HCBS), there is a pressing need for information on the comparative cost of Medicaid HCBS and institutional care. This paper uses the most recent available data (2002) to present three per participant expenditure comparisons between Medicaid...

In this paper, we propose a novel progressive lossless mesh compression algorithm based on Incremental Parametric Refinement, where the connectivity is uncontrolled in a first step, yielding visually pleasing meshes at each resolution level while saving connectivity information compared to previous approaches. The algorithm starts with a coarse version of the original mesh, which is further ref...

Disease management (DM) programmes have long been promoted as a major medical cost-saving mechanism, even though the scant research that exists on the topic has provided conflicting results. In a 2004 literature review, the Congressional Budget Office stated that 'there is insufficient evidence to conclude that disease management programs can generally reduce the overall cost of health care ser...

Treatment of polytrauma patients requires a large number of well trained staff and expensive medical equipment. The high medical standard in polytrauma care resulted in a reduction of a 40% lethality in the 70's to 10 to 15% today. The changes in german health systems (GSG) cut down the financial resources and call for careful evaluation of costs in trauma centers. Our analysis of the costs of ...

Due to the energy consumption/resource utilization characteristics of todays centralized DB servers, the fastest configuration is also the most energy-efficient one. Extensive use of SSDs alone cannot enable a fundamental change of this overall picture, because the storagerelated energy consumption is typically only a little fraction of the overall energy budget. Even, when this storage-related...

Service providers are migrating to on-demand cloud computing services to unburden the task of managing infrastructure, while cloud computing providers expand the number of servers in their data centers because of the increase in load. With this growing need, their energy consumption increases significantly. Conserving energy and reducing the operational cost while satisfying the service level a...

BACKGROUND While the benefits of evidence-based counseling to large numbers of women and physicians are intuitively evident, there is an urgent need to document that teratology counseling, in addition to improving the quality of life of women and families, also leads to cost saving. The objective of the present study was to calculate the cost effectiveness of the Motherisk Program, a large tera...