Cost analysis of radical resection of malignant breast tumors under the China Healthcare Security Diagnosis Related Groups payment system

BACKGROUND Breast cancer is one of the most common malignant tumors in women worldwide and poses a severe threat to their health.Therefore,this study examined patients who underwent breast cancer surgery,analyzed hospitalization costs and structure,and explored the impact of China Healthcare Security Diagnosis Related Groups(CHS-DRG)management on patient costs.It aimed to provide medical institutions with ways to reduce costs,optimize cost structures,reduce patient burden,and improve service efficiency.AIM To study the CHS-DRG payment system’s impact on breast cancer surgery costs.METHODS Using the CHS-DRG(version 1.1)grouping criteria,4073 patients,who underwent the radical resection of breast malignant tumors from January to December 2023,were included in the JA29 group;1028 patients were part of the CHS-DRG payment system,unlike the rest.Through an independent sample t-test,the length of hospital stay as well as total hospitalization,medicine and consumables,medical,nursing,medical technology,and management expenses were compared.Pearson’s correlation coefficient was used to test the cost correlation.RESULTS In terms of hospitalization expenses,patients in the CHS-DRG payment group had lower medical,nursing,and management expenses than those in the diagnosis-related group(DRG)non-payment group.For patients in the DRG payment group,the factors affecting the total hospitalization cost,in descending order of relevance,were medicine and consumable costs,consumable costs,medicine costs,medical costs,medical technology costs,management costs,nursing costs,and length of hospital stay.For patients in the DRG nonpayment group,the factors affecting the total hospitalization expenses in descending order of relevance were medicines and consumable expenses,consumable expenses,medical technology expenses,the cost of medicines,medical expenses,nursing expenses,length of hospital stay,and management expenses.CONCLUSION The CHS-DRG system can help control and reduce unnecessary medical expenses by controlling medicine costs,medical consumable costs,and the length of hospital stay while ensuring medical safety.

RELATIVE ENTROPY DIMENSION FOR COUNTABLE AMENABLE GROUP ACTIONS

We study the topological complexities of relative entropy zero extensions acted upon by countable-infinite amenable groups.First,for a given Følner sequence,we define the relative entropy dimensions and the dimensions of the relative entropy generating sets to characterize the sub-exponential growth of the relative topological complexity.we also investigate the relations among these.Second,we introduce the notion of a relative dimension set.Moreover,using the method,we discuss the disjointness between the relative entropy zero extensions via the relative dimension sets of two extensions,which says that if the relative dimension sets of two extensions are different,then the extensions are disjoint.

Relative Chemical Shifts for Obtaining Accurate Chemical Shifts of Hydrogen Atoms in CH Groups

Accurate chemical shifts of hydrogen atoms in CH groups are difficult to obtain. To solve this problem, relative chemical shifts are introduced. Internal and external standard methods were used to measure the chemical shifts in a whole-concentration of N-methylacetamide- water system. Determination of the chemical shifts of hydrogen atoms, especially those of CH groups, according to the two methods yielded significant differences. Relative chemical shifts were proven to be independent of the reference and may be applied to other systems.

Interpersonal Perception in Virtual Groups: Examining Homophily, Identification and Individual Attraction Using Social Relations Model in Network

With the penetration of the Internet, virtual groups have become more and more popular. The reliability and accuracy of interpersonal perception in the virtual environment is an intriguing issue. Using the Social relations model (SRM) [1], this paper investigates interpersonal perception in virtual groups from a multilevel perspective. In particular, it examines the following three areas: homophily, identification, and individual attraction, and explores how much of these directional and dyadic relational evaluations can be attributed to the effect of the actor, the partner, and the relationship.

Multi-Criteria Group Decision-Making Method Based on an Improved Single-Valued Neutrosophic Hamacher Weighted Average Operator and Grey Relational Analysis

This paper proposes a multi-criteria decision-making (MCGDM) method based on the improved single-valued neutrosophic Hamacher weighted averaging (ISNHWA) operator and grey relational analysis (GRA) to overcome the limitations of present methods based on aggregation operators. First, the limitations of several existing single-valued neutrosophic weighted averaging aggregation operators (i.e. , the single-valued neutrosophic weighted averaging, single-valued neutrosophic weighted algebraic averaging, single-valued neutrosophic weighted Einstein averaging, single-valued neutrosophic Frank weighted averaging, and single-valued neutrosophic Hamacher weighted averaging operators), which can produce some indeterminate terms in the aggregation process, are discussed. Second, an ISNHWA operator was developed to overcome the limitations of existing operators. Third, the properties of the proposed operator, including idempotency, boundedness, monotonicity, and commutativity, were analyzed. Application examples confirmed that the ISNHWA operator and the proposed MCGDM method are rational and effective. The proposed improved ISNHWA operator and MCGDM method can overcome the indeterminate results in some special cases in existing single-valued neutrosophic weighted averaging aggregation operators and MCGDM methods.

Relative Property (T) for Topological Groups

In this paper, we investigate Kazhdan’s relative Property (T) for pairs , where is a topological group and is any subset of . We show that the pair has Property (FH) and every function conditionally of negative type on is X-bounded if the pair has relative Property (T). We also prove that has Property (T) whenis a s -compact locally compact group generated by its subgroups and the pair has relative Property (T) for all .

Insulation fault diagnosis based on group grey relational grade analysis method for power transformers

Utilising dissolved gases analysis, a new insulation fault diagnosis methodfor power transformers is proposed. This method is based on the group grey relational grade analysismethod. First, according to the fault type and grey reference sequence structure, some typicalfault samples are divided into several sets of grey reference sequences. These sets are structuredas one grey reference sequence group. Secondly, according to a new calculation method of the greyrelational coefficient, the individual relational coefficient and grade are computed. Then accordingto the given calculation method for the group grey relation grade, the group grey relational gradeis computed and the group grey relational grade matrix is structured. Finally, according to therelational sequence, the insulation fault is identified for power transformers. The results of alarge quantity of instant analyses show that the proposed method has higher diagnosis accuracy andreliability than the three-ratio method and the traditional grey relational method. It has goodclassified diagnosis ability and reliability.

Interactive group decision making procedure based on uncertain multiplicative linguistic preference relations

Group decision making problems are investigated with uncertain multiplicative linguistic preference relations.An unbalanced multiplicative linguistic label set is introduced,which can be used by the experts to express their linguistic preference information over alternatives.The uncertain linguistic weighted geometric mean operator is utilized to aggregate all the individual uncertain multiplicative linguistic preference relations into a collective one,and then a simple approach is developed to determine the experts＇ weights by utilizing the consensus degrees among the individual uncertain multiplicative linguistic preference relations and the collective uncertain multiplicative linguistic preference relations.Furthermore,a practical interactive procedure for group decision making is proposed based on uncertain multiplicative linguistic preference relations,in which a possibility degree formula and a complementary matrix are used to rank the given alternatives.Finally,the proposed procedure is applied to solve the group decision making problem of a manufacturing company searching the best global supplier for one of its most critical parts used in assembling process.

Diagnosis related group grouping study of senile cataract patients based on E-CHAID algorithm

AIM： To figure out the contributed factors of the hospitalization expenses of senile cataract patients（HECP） and build up an area-specified senile cataract diagnosis related group（DRG） of Shanghai thereby formulating the reference range of HECP and providing scientific basis for the fair use and supervision of the health care insurance fund.METHODS： The data was collected from the first page of the medical records of 22 097 hospitalized patients from tertiary hospitals in Shanghai from 2010 to 2012 whose major diagnosis were senile cataract. Firstly, we analyzed the influence factors of HECP using univariate and multivariate analysis. DRG grouping was conducted according to the exhaustive Chi-squared automatic interaction detector（E-CHAID） model, using HECP as target variable. Finally we evaluated the grouping results using non-parametric test such as Kruskal-Wallis H test, RIV, CV, etc.RESULTS： The 6 DRGs were established as well as criterion of HECP, using age, sex, type of surgery and whether complications/comorbidities occurred as the key variables of classification node of senile cataract cases.CONCLUSION： The grouping of senile cataract cases based on E-CHAID algorithm is reasonable. And the criterion of HECP based on DRG can provide a feasible way of management in the fair use and supervision of medical insurance fund.

A group decision making method based on double hesitant linguistic preference relations

A simple decision method is proposed to solve the group decision making problems in which the weights of decision organizations are unknown and the preferences for alternatives are provided by double hesitant linguistic preference relations. First, double hesitant linguistic elements are defined as representing the uncertain assessment information in the process of group decision making accurately and comprehensively, and the double hesitant linguistic weighted averaging operator is developed based on the defined operational laws for double hesitant linguistic elements. Then, double hesitant linguistic preference relations are defined and a means to objectively determine the weights of decision organizations is put forward using the standard deviation of scores of preferences provided by the individual decision organization for altematives. Finally the correlation coefficient between the scores of preferences and the scores of preferences are provided by the other decision organizations. Accordingly, a group decision method based on double hesitant linguistic preference relations is proposed, and a practical example of the Jiudianxia reservoir operation alternative selection is used to illustrate the practicability and validity of the method. Finally, the proposed method is compared with the existing methods. Comparative results show that the proposed method can deal with the double hesitant linguistic preference information directly, does not need any information transformation, and can thus reduce the loss of original decision information.

Some properties of linguistic preference relation and its ranking in group decision making

The group decision making problem with linguistic pref- erence relations is studied. The concept of additive consistent linguistic preference relation is defined, and then some properties of the additive consistent linguistic preference relation are studied. In order to rank the alternatives in the group decision making with the linguistic preference relations, the weighted average is first utilized to combine the group linguistic preference relations to one linguistic preference relation, and then the transformation function is proposed to transform the linguistic preference relation to the multiplicative preference relation, and thus the Saaty＇s eigenvec- tor method （EM） of multiplicative preference relation is utilized to rank the alternatives in group decision making with the linguistic preference relations. Finally, an illustrative numerical example is given to verify the proposed method. A comparative study to the linguistic ordered weighted averaging （LOWA） operator method is also demonstrated.

Group Decision Making With Consistency of Intuitionistic Fuzzy Preference Relations Under Uncertainty

Intuitionistic fuzzy preference relation(IFPR) is a suitable technique to express fuzzy preference information by decision makers(DMs). This paper aims to provide a group decision making method where DMs use the IFPRs to indicate their preferences with uncertain weights. To begin with, a model to derive weight vectors of alternatives from IFPRs based on multiplicative consistency is presented. Specifically, for any IFPR,by minimizing its absolute deviation from the corresponding consistent IFPR, the weight vectors are generated. Secondly,a method to determine relative weights of DMs depending on preference information is developed. After that we prioritize alternatives based on the obtained weights considering the risk preference of DMs. Finally, this approach is applied to the problem of technical risks assessment of armored equipment to illustrate the applicability and superiority of the proposed method.

The Power of Group Generators and Relations: An Examination of the Concept and Its Applications

This paper investigates the approach of presenting groups by generators and relations from an original angle. It starts by interpreting this familiar concept with the novel notion of “formal words” created by juxtaposing letters in a set. Taking that as basis, several fundamental results related to free groups, such as Dyck’s Theorem, are proven. Then, the paper highlights three creative applications of the concept in classifying finite groups of a fixed order, representing all dihedral groups geometrically, and analyzing knots topologically. All three applications are of considerable significance in their respective topic areas and serve to illustrate the advantages and certain limitations of the approach flexibly and comprehensively.

Precise relative rotation sensing using slow light

A novel relative rotation sensor based on slow light is proposed and analysed. A theoretical analysis shows that the high sensitivity of the proposed rotation sensor is achieved through an electromagneticaIly-induced-transparency medium. Unlike the tradition detection method, the idea of rotation sensing is to detect group delay between counterpropagating wave packets. It can be used to realize an ultra-precise rotation sensor.

THE PROXIMAL RELATION,REGIONALLY PROXIMAL RELATION AND BANACH PROXIMAL RELATION FOR AMENABLE GROUP ACTIONS

In this paper,we study the proximal relation,regionally proximal relation and Banach proximal relation of a topological dynamical system for amenable group actions.A useful tool is the support of a topological dynamical system which is used to study the structure of the Banach proximal relation,and we prove that above three relations all coincide on a Banach mean equicontinuous system generated by an amenable group action.

Group Decision-Making Method with Incomplete Intuitionistic Fuzzy Preference Relations Based on a Generalized Multiplicative Consistent Concept

Based on the analyses of existing preference group decision-making(PGDM)methods with intuitionistic fuzzy preference relations(IFPRs),we present a new PGDM framework with incomplete IFPRs.A generalized multiplicative consistent for IFPRs is defined,and a mathematical programming model is constructed to supplement the missing values in incomplete IFPRs.Moreover,in this study,another mathematical programming model is constructed to improve the consistency level of unacceptably multiplicative consistent IFPRs.For group decisionmaking(GDM)with incomplete IFPRs,three reliable sources influencing the weights of experts are identified.Subsequently,a method for determining the weights of experts is developed by simultaneously considering three reliable sources.Furthermore,a targeted consensus process(CPR)is developed in this study with reference to the actual situation of the consensus level of each IFPR.Meanwhile,in response to the proposed multiplicative consistency definition,a novel method for determining the optimal priority weights of alternatives is redefined.Lastly,based on the above theory,a novel GDM method with incomplete IFPRs is developed,and the comparative and sensitivity analysis results demonstrate the utility and superiority of this work.

Analysis of Length of Stay (LOS) Data from the Medical Records of Tertiary Care Hospital in Saudi Arabia for Five Diagnosis Related Groups: Application of Cox Prediction Model

Background: One of the main objectives of hospital managements is to control the length of stay (LOS). Successful control of LOS of inpatients will result in reduction in the cost of care, decrease in nosocomial infections, medication side effects, and better management of the limited number of available patients’ beds. The length of stay (LOS) is an important indicator of the efficiency of hospital management by improving the quality of treatment, and increased hospital profit with more efficient bed management. The purpose of this study was to model the distribution of LOS as a function of patient’s age, and the Diagnosis Related Groups (DRG), based on electronic medical records of a large tertiary care hospital. Materials and Methods: Information related to the research subjects were retrieved from a database of patients admitted to King Faisal Specialist Hospital and Research Center hospital in Riyadh, Saudi Arabia between January 2014 and December 2016. Subjects’ confidential information was masked from the investigators. The data analyses were reported visually, descriptively, and analytically using Cox proportional hazard regression model to predict the risk of long-stay when patients’ age and the DRG are considered as antecedent risk factors. Results: Predicting the risk of long stay depends significantly on the age at admission, and the DRG to which a patient belongs to. We demonstrated the validity of the Cox regression model for the available data as the proportionality assumption is shown to be satisfied. Two examples were presented to demonstrate the utility of the Cox model in this regard.

Morita Equivalences Induced by Two-Sided Group Relative Hopf-Module

Let H be a Hopf π-coalgebra over a commutative ring k with bijective antipode S, and A and B right π-H-comodulelike algebras. We show that the pair of adjoint functors （F3 = A Bop A□ HBop -,G3 = （-）coH） between the categories A□HBopM and AMπB-H is a pair of inverse equivalences, when A is a faithfully flat π-H-Galois extension. Furthermore, the categories Moritaπ-H（A,B） and Morita □π-H（AcoH,BcoH） are equivalent, if A and B are faithfully flat π-H-Galois extensions.

BSI Group Chairman Sir David John in China to Meet Customers and Consolidate Relations with the Chinese Standards Community

On 29th November 2004, BSI Group Chairman Sir David John and senior colleagues were in Beijing to meet with Management Systems’ clients of the BSI Group and to consolidate already established relationships with the Chinese standards community. This trip came in the wake of last year’s visit of the Group Chairman to Beijing and Shanghai, which paved the way for the signing of a cooperation agreement between BSI and the Standardization Adminis-

Current Situation and Suggestions on the Development of Diagnosis Related Group(DRG)Policy in China

Objective To implement the national diagnosis related group(DRG)policy smoothly,and gradually move towards value medicine and fine management,some suggestions are put forward for improving medical service efficiency,saving medical insurance fund,and reducing the burden of patients,so as to realize the win-win situation of medical insurance and patients.Methods Based on the experience of the United States,Australia,and Germany,the policy implementation background and development process in China were summarized.The advantages and disadvantages of single disease payment method,disease score payment method,and diagnosis related groups-prospective payment system(DRG-PPS)method were compared,and then the problems were found out.Results and Conclusion In view of the imperfect information system,lack of professional talents,and uneven progress of each pilot,it is proposed that relevant departments should pay more attention to the construction and improvement of coding and other information systems,cultivate professional talents,promote the reform of DRG payment technology specification and grouping technology combined with national pilot project,thus enhancing the application and in-depth development of DRG policy in China.