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41.
    
Aims: To assess incremental charges of patients experiencing venous thromboembolisms (VTE) across various types of elective inpatient surgical procedures with administration of general anesthesia in the US.

Methods: The authors performed a retrospective study utilizing data from a nationwide hospital operational records database from July 2014 through June 2015 to compare a group of inpatients experiencing a VTE event post-operatively to a propensity score matched group of inpatients who did not experience a VTE. Patients included in the analysis had a hospital admission for an elective inpatient surgical procedure with the use of general anesthesia. Procedures of the heart, brain, lungs, and obstetrical procedures were excluded, as these procedures often require a scheduled ICU stay post-operatively. Outcomes examined included VTE events during hospitalization, length of stay, unscheduled ICU transfers, number of days spent in the ICU if transferred, 3- and 30-day re-admissions, and total hospital charges incurred.

Results: The study included 17,727 patients undergoing elective inpatient surgical procedures. Of these, 36 patients who experienced a VTE event were matched to 108 patients who did not. VTE events occurred in 0.2% of the study population, with most events occurring for patients undergoing total knee replacement. VTE patients had a mean total hospital charge of $60,814 vs $48,325 for non-VTE patients, resulting in a mean incremental charge of $11,979 (p?<?.05). Compared to non-VTE patients, VTE patients had longer length of stay (5.9 days vs 3.7 days, p?<?.001), experienced a higher rate of 3-day re-admissions (3 vs 0 patients) and 30-day re-admissions (7 vs 2 patients).

Conclusions: Patients undergoing elective inpatient surgical procedures with general anesthesia who had a VTE event during their primary hospitalization had a significantly longer length of stay and significantly higher total hospital charges than comparable patients without a VTE event.  相似文献   
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In two studies, the authors examine three targets of commitment in service provider–consumer relationships and their effects on customer loyalty. The results indicate that service consumers distinguish between commitment to a service company, commitment to an individual in the role of service employee, and commitment to an individual outside of the role of service employee (e.g., a personal commitment such as a friendship). In addition, these three targets of commitment are hierarchically related and have differential effects on various customer responses. The results have implications for both customer relationship managers and researchers studying such relationships.
Harvir S. BansalEmail:
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The aim of this study is to investigate the sustainability of Italian public accounts using in a long-run perspective, using empirical tests on sustainability and solvency of the country’s fiscal policies. The results of unit root and stationarity tests show that government expenditures and revenues series are first-differences stationary. The empirical analysis considered both the entire period and two sub-periods (1862–1913, 1947–2013). Furthermore, we conduct tests on cointegration, which evidence that a clear long-run relationship between public expenditure and revenues emerges only for the years 1862–1913. In essence, the paper’s results reveal that Italy have sustainability problems in the republican age.

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Do international trade and finance flow together? In a variety of theoretical models, trade and finance can be shown to have the potential to be substitutes or complements, so the matter must be resolved empirically. We study trade and financial flows from the United Kingdom from 1870 to 1913 and the United States in the interwar years. These were the two major capital exporters and key financial centers in each era. We find that trade and finance were robustly correlated for each case. We consider simultaneity issues. We also discuss evidence from the British Empire which casts doubt on the idea that trade is a punishment device in the event of a default.  相似文献   
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University campuses across Canada and elsewhere are developing and implementing emergency alert systems to warn campus community members about a variety of threats. In this study, focus group discussions were used to examine how undergraduate students living on campus may respond to an emergency alert. A focus group activity used tornado, fire and threatening message alert messages to provide a context for the focus group discussions. After reading the warning message, most students understood the warning message but there was uncertainty about the non-specified threat and how and where to evacuate. Many would believe a message sent by the university as long as it was sent via a phone number that they associated with the university. Personalization of risk varied, and students reported that they would confirm a warning message with a variety of sources including student colleagues, faculty and teaching staff, television and internet sources. Taking protective action by sheltering in place was deemed to be feasible, however evacuation off campus was found to be problematic. We found that the nature of short message service text messages, the characteristics of universities, and the students’ home being in an on-campus residence influenced how the students may respond to an emergency alert message.  相似文献   
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