OARS: Toward Automating the Ongoing Subscription ReviewJonathan Harwell
Thorough assessments of subscriptions are unwieldy and time- consuming to perform every year. A metric has been developed for standardizing the process, with a Web-based platform being constructed to recommend renewals and
cancellations. This session will describe the metric and demonstrate the functionality of the platform, engaging the audience in making refinements. Coded in PHP and utilizing a MySQL database on the backend, the completed product will be an open-source Ongoing Automated Review System (OARS) for subscription reviews.
OARS will automate the selection of titles and data for review, which will result in a semi-automated process for annual renewal decisions. OARS will utilize multiple, customized variables, as well as an adjustable cumulative weighted scale of all variables which the system will use to recommend a renewal decision. OARS will use automated processes as much as possible, and will also provide data entry forms and uploads from files for easy input. There will also be an interface for stakeholders to view the data and respond to the review.
All of the variables and the draft requirements for OARS will be shared during the session. The variables include faculty ratings, cost, usage, Eigenfactor, and entanglements (such as consortial agreements, bundled packages, or cooperative collection development commitments).
OARS: Toward Automating the Ongoing Subscription ReviewJonathan Harwell
Thorough assessments of subscriptions are unwieldy and time- consuming to perform every year. A metric has been developed for standardizing the process, with a Web-based platform being constructed to recommend renewals and
cancellations. This session will describe the metric and demonstrate the functionality of the platform, engaging the audience in making refinements. Coded in PHP and utilizing a MySQL database on the backend, the completed product will be an open-source Ongoing Automated Review System (OARS) for subscription reviews.
OARS will automate the selection of titles and data for review, which will result in a semi-automated process for annual renewal decisions. OARS will utilize multiple, customized variables, as well as an adjustable cumulative weighted scale of all variables which the system will use to recommend a renewal decision. OARS will use automated processes as much as possible, and will also provide data entry forms and uploads from files for easy input. There will also be an interface for stakeholders to view the data and respond to the review.
All of the variables and the draft requirements for OARS will be shared during the session. The variables include faculty ratings, cost, usage, Eigenfactor, and entanglements (such as consortial agreements, bundled packages, or cooperative collection development commitments).
A Comprehensive Approach to Service Line Growth: Product Line Toolkit WebinarStratasan
If you've been tasked with the growth of a particular service line or want to reach a larger population with your services, you need reliable, data-based intelligence to guide your efforts and ensure your strategies will be effective.
Originally airing on Thursday, December 15, 2016, this encore presentation of Stratasan's Product Line Toolkit webinar shares a demonstration of how to collect the intelligence needed to increase the right patients at the right volume for a specific product line.
This second edition of the health system review of Philippines shows the major changes that have occurred over the 7 years since the last review. Channelling of funds from sin tax to Health has shown unprecedented levels of finances are now available for UHC. PhilHealth has dramatically increased coverage of people as well as service providers that it works with from both government and non-government sectors. However major challenges remain; regional and socioeconomic disparities in the availability and accessibility of resources are prominent and there is a need to improve regulation of service providers. Philippines HiT reports on the current health system reforms undertaken including challenges of incorporating primary health care as in the overall health architecture of the country.
Presentation by Dr Gemma Mullen, Consultant Anaesthetist, Aintree University Hospital NHS Foundation Trust at the Regional Emergency Laparotomy Collaborative - quarterly meeting on Thursday 10 October at Aintree University Hospital.
A JOINT RESEARCH STUDY OF PAS AND MEDIABANK PAKISTAN
TV MONTHLY INDUSTRY REPORT gives the overall picture of advertising on TV during the month of July 13. It covers top advertisers, categories and brands and their % share in total advertising in terms of minutes. The report also focuses on share of TV channels, share of each genre and ad-spend split over the time slots. The report also compares % advertising in minutes done by various advertisers on YOY bases.
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A Comprehensive Approach to Service Line Growth: Product Line Toolkit WebinarStratasan
If you've been tasked with the growth of a particular service line or want to reach a larger population with your services, you need reliable, data-based intelligence to guide your efforts and ensure your strategies will be effective.
Originally airing on Thursday, December 15, 2016, this encore presentation of Stratasan's Product Line Toolkit webinar shares a demonstration of how to collect the intelligence needed to increase the right patients at the right volume for a specific product line.
This second edition of the health system review of Philippines shows the major changes that have occurred over the 7 years since the last review. Channelling of funds from sin tax to Health has shown unprecedented levels of finances are now available for UHC. PhilHealth has dramatically increased coverage of people as well as service providers that it works with from both government and non-government sectors. However major challenges remain; regional and socioeconomic disparities in the availability and accessibility of resources are prominent and there is a need to improve regulation of service providers. Philippines HiT reports on the current health system reforms undertaken including challenges of incorporating primary health care as in the overall health architecture of the country.
Presentation by Dr Gemma Mullen, Consultant Anaesthetist, Aintree University Hospital NHS Foundation Trust at the Regional Emergency Laparotomy Collaborative - quarterly meeting on Thursday 10 October at Aintree University Hospital.
A JOINT RESEARCH STUDY OF PAS AND MEDIABANK PAKISTAN
TV MONTHLY INDUSTRY REPORT gives the overall picture of advertising on TV during the month of July 13. It covers top advertisers, categories and brands and their % share in total advertising in terms of minutes. The report also focuses on share of TV channels, share of each genre and ad-spend split over the time slots. The report also compares % advertising in minutes done by various advertisers on YOY bases.
Clase VIA RICA Y PBMA. VIII Edición de Curso CASTYM-PBM de los Cursos Extraordinarios de Verano de la Universidad de Zaragoza en la sede de Jaca. Julio 2023
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Manejo de la ANEMIA Y DE LA FERROPENIA EN LA HEMORRAGIA DIGESTIVA
PROtocolos asistenciales para mejorar la GESTión interdisciplinar de las enfermedades DIGestivas en el ámbito hospitalario
Asociación Española de Gastroenterologia
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Protocolos de Transfusión Masiva. Actualización en Hemorragia Masiva. Dr Páramo
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Manejo de la Anemia y Déficit de hierro (I): en paciente ortopédico.
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Segundo Pilar del Patient Blood Management: “Optimización de la hemostasia” (I )
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I Simposio Panamericano de Sangrado y Hemostasia Perioperatoria
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Lugar: Auditorio Carlos Ardila Lülle de la Fundación Valle del Lili - Cali (CO)
Organizador: Fundación Valle del Lili
Fecha: Febrero 9 - 10, 2018
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
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New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
How to Give Better Lectures: Some Tips for Doctors
P13 Blood Component Consumo in Aragon (SPAIN). nata 2014 (mm)
1. We recollected data from 2007 and considered two three years periods (P1: 2008-2010; P2: 2011-2013).
By using BASTA data management program (NetBank Gold, IZASA®, Spain), we reviewed data of blood
component [red blood cell (RBC), platelet (PLT) and inactivated fresh frozen plasma (FFP)] transfusion at all
public hospitals: two university hospitals over 500 beds (A & B), three hospitals over 200 beds (C, D & E), three
hospitals under 200 beds (F, G & H) and one long term 150 bed hospital (I).
We analyzed overall transfusion, RBC transfused per receptor (RBCT index), FFP transfusion Index (FFP
units/RBC units*100), and PLT transfusion Index (PLT units/RBC units*100) (mean ± standard deviation).
We used T student test for independent groups to analyze mean differences between two periods.
Differences are expressed as mean (95% confidence interval).
We reviewed data on blood component transfusion from 2007-2013 in the Autonomous Region of Aragon (Spain),
after Regional Blood Centre (BASTA) was created in September 2006.
The possible influences of the economic crisis and of implementation of a regional blood saving protocol in all nine
public hospitals in 2010, were also analysed.
Blood Component Use in Aragón (2007–2013):
Does Crisis Affect Blood Use?
García-Erce JA*, Tirado G***, González V**, Domingo JM & Rodríguez García J
Hospitals: *San Jorge Huesca, # Miguel Servet, ***Royo Villanova & Clinico Universitario.
INTRODUCTION & OBJECTIVE
PATIENTS & METHODS
RESULTS
In spite, the Regional Blood Saving Protocol and the economical crisis, we have observed an increase in the
number of patients transfused and RBC units transfused at Aragon.
In addition, the observed differences between similar hospitals seem to alert about different transfusion
attitudes between centres.
It is time to review and relaunch the Regional Blood Saving Program.
CONCLUSIONS
Since 2008 at Aragón overall transfusion has increased by 4%, the number or patients transfused increased by
5,96 %, but plasma transfusion decreased by 13% (Table 1).
Overall transfusion decreased at the four biggest hospitals between 2008 and 2013
13
www.awge.org
Table 1. Distribution of blood component transfusion between study periods. All hospitals.
2007 2008 2009 2010 2011 2012 2013,00 08-13% P1 P2 (%) P1-P2
ARAGÓN 40652 41660 43085 41801 42447 43200 43338 4,03 42182 42995 1,93
A 15128 15669 15347 16239 16514 16196 15445 -1,43 15752 16052 1,90
B 11166 11640 11716 10870 10956 11428 11090 -4,73 11409 11158 -2,20
C 3753 3947 3786 2965 2957 3064 2539 -35,67 3566 2853 -19,99
D 3198 3584 3638 3378 3063 3412 3154 -12,00 3533 3210 -9,16
E 2541 1917 2426 2805 2945 2802 3040 58,58 2383 2929 22,93
F 1542 1663 1690 1496 1421 1397 1348 -18,94 1616 1389 -14,09
G 1875 1905 2360 2286 2392 2162 2339 22,78 2184 2298 5,22
H 1133 1071 1247 1162 1259 1211 1276 19,14 1160 1249 7,64
I 316 258 182 168 215 317 458 77,52 203 330 62,83
2007 2008 2009 2010 2011 2012 2013,00 08-13% P1 P2 (%) P1-P2
ARAGÓN 40652 41660 43085 41801 42447 43200 43338 4,03 42182 42995 1,93
A 15128 15669 15347 16239 16514 16196 15445 -1,43 15752 16052 1,90
B 11166 11640 11716 10870 10956 11428 11090 -4,73 11409 11158 -2,20
C 3753 3947 3786 2965 2957 3064 2539 -35,67 3566 2853 -19,99
D 3198 3584 3638 3378 3063 3412 3154 -12,00 3533 3210 -9,16
E 2541 1917 2426 2805 2945 2802 3040 58,58 2383 2929 22,93
F 1542 1663 1690 1496 1421 1397 1348 -18,94 1616 1389 -14,09
G 1875 1905 2360 2286 2392 2162 2339 22,78 2184 2298 5,22
H 1133 1071 1247 1162 1259 1211 1276 19,14 1160 1249 7,64
I 316 258 182 168 215 317 458 77,52 203 330 62,83
Comparing both Periods, in spite the economic crisis, overall regional, the transfusion decrease only at three
medium-size hospitals.
From period 1 to period 2, in spite the Regional Saving Program, overall regional data: transfused RBC units
increased by 1,9 %