AIM：To define the financial and management conditions required to introduce a femtosecond laser system for cataract surgery in a clinic using a fuzzy logic approach.METHODS：In the simulation performed in the current...AIM：To define the financial and management conditions required to introduce a femtosecond laser system for cataract surgery in a clinic using a fuzzy logic approach.METHODS：In the simulation performed in the current study,the costs associated to the acquisition and use of a commercially available femtosecond laser platform for cataract surgery（VICTUS,TECHNOLAS Perfect Vision GmbH,Bausch ＆ Lomb,Munich,Germany） during a period of 5y were considered.A sensitivity analysis was performed considering such costs and the countable amortization of the system during this 5y period.Furthermore,a fuzzy logic analysis was used to obtain an estimation of the money income associated to each femtosecond laser-assisted cataract surgery（G）. RESULTS：According to the sensitivity analysis,the femtosecond laser system under evaluation can be profitable if 1400 cataract surgeries are performed per year and if each surgery can be invoiced more than $500.In contrast,the fuzzy logic analysis confirmed that the patient had to pay more per surgery,between $661.8 and $667.4 per surgery,without considering the cost of the intraocular lens（IOL）.CONCLUSION：A profitability of femtosecond laser systems for cataract surgery can be obtained after a detailed financial analysis,especially in those centers with large volumes of patients.The cost of the surgery for patients should be adapted to the real flow of patients with the ability of paying a reasonable range of cost.展开更多
Considered from a logical point of view,Confucius'Analects contain many implicit forms of reasoning and argumentation.This is shown first by analyzing the phenomenon of parallelism:direct parallelism is often a wa...Considered from a logical point of view,Confucius'Analects contain many implicit forms of reasoning and argumentation.This is shown first by analyzing the phenomenon of parallelism:direct parallelism is often a way of hinting at a general assertion,whereas anti-parallelism hides dilemmas,generalizations and modal notions of"moral preference."The Analects also have various types of conditionals,ranging from material implications,to modalized implications,and counterfactual conditionals,which are the germs of implicit reasoning,concluding with a moral recommendation.Analogies are particularly abundant and a presentation of three examples suggests that,beyond their explicative role,they also involve moral recommendations.The implicit logic of The Analects requires an active,albeit unconscious participation of the reader,which could be an important element in explaining the enduring influence of the text.展开更多
文摘AIM：To define the financial and management conditions required to introduce a femtosecond laser system for cataract surgery in a clinic using a fuzzy logic approach.METHODS：In the simulation performed in the current study,the costs associated to the acquisition and use of a commercially available femtosecond laser platform for cataract surgery（VICTUS,TECHNOLAS Perfect Vision GmbH,Bausch ＆ Lomb,Munich,Germany） during a period of 5y were considered.A sensitivity analysis was performed considering such costs and the countable amortization of the system during this 5y period.Furthermore,a fuzzy logic analysis was used to obtain an estimation of the money income associated to each femtosecond laser-assisted cataract surgery（G）. RESULTS：According to the sensitivity analysis,the femtosecond laser system under evaluation can be profitable if 1400 cataract surgeries are performed per year and if each surgery can be invoiced more than $500.In contrast,the fuzzy logic analysis confirmed that the patient had to pay more per surgery,between $661.8 and $667.4 per surgery,without considering the cost of the intraocular lens（IOL）.CONCLUSION：A profitability of femtosecond laser systems for cataract surgery can be obtained after a detailed financial analysis,especially in those centers with large volumes of patients.The cost of the surgery for patients should be adapted to the real flow of patients with the ability of paying a reasonable range of cost.
文摘Considered from a logical point of view,Confucius'Analects contain many implicit forms of reasoning and argumentation.This is shown first by analyzing the phenomenon of parallelism:direct parallelism is often a way of hinting at a general assertion,whereas anti-parallelism hides dilemmas,generalizations and modal notions of"moral preference."The Analects also have various types of conditionals,ranging from material implications,to modalized implications,and counterfactual conditionals,which are the germs of implicit reasoning,concluding with a moral recommendation.Analogies are particularly abundant and a presentation of three examples suggests that,beyond their explicative role,they also involve moral recommendations.The implicit logic of The Analects requires an active,albeit unconscious participation of the reader,which could be an important element in explaining the enduring influence of the text.
