Exploring English Language Needs: Business Students' and Teachers' Perspectives in a Saudi Undergraduate Context
In: Arab World English Journal: Special Issue:Application of Global ELT Practices in Saudi Arabia September 2019
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In: Arab World English Journal: Special Issue:Application of Global ELT Practices in Saudi Arabia September 2019
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Globally, breast cancer management is associated with a heavy economic burden, but its impact in Saudi Arabia has not been fully quantified. The aim of this study was to estimate the economic burden of breast cancer management at various disease stages, in Saudi Arabia, from a payer perspective. We conducted a retrospective, multicenter cost of illness study in two governmental healthcare centers from January to December 2018, using the data of 300 patients at different breast cancer stages. A micro-costing, bottom-up method was used, and descriptive and inferential statistics were analyzed. The total estimated cost for treating breast cancer during the study period was $13.345 million USD, with the average cost per patient ranging from $14,249 USD in stage I to $81,489 USD in stage IV (p < 0.001). Medication cost was the main driver of total healthcare spending, followed by hospitalization and diagnostic tests. The cost of targeted therapy drugs represented 67% of the total medication costs, mostly driven by trastuzumab-based regimens. The economic burden of breast cancer management in Saudi Arabia is substantial and increases significantly with disease advancement. Early detection screening programs, evaluating the value of highly expensive interventions, and considering biosimilars, may contribute toward cost savings.
BASE
In: Strategic change, Band 27, Heft 3, S. 231-243
ISSN: 1099-1697
Along with cognitive perceptions, customers' psychological traits are key determinants of Internet banking continuance to use. Incorporating psychological traits into technology acceptance models strengthens their explanatory power and boosts our understanding of online behavior. Users' technology readiness, uncertainty avoidance, and satisfaction are key determinants of Internet banking continuous use. Bank managers should take users' personal preferences into consideration by offering flexible online systems with diversified designs and choices.
In: Journal of ecohumanism, Band 3, Heft 8
ISSN: 2752-6801
Clinical pharmacy services (CPS) are essential for individuals with chronic kidney disease (CKD) not only to reduce morbidity and mortality but also to alleviate the economic burden. A systematic review was conducted to evaluate the impact of CPS on adult patients with CKD. This review examined randomized controlled trials (RCTs) published between 2013 and 2023, sourced from PubMed, Web of Science, and Scopus databases. The Cochrane Risk of Bias Tool 2.0 was employed to assess the quality of these studies. Five studies involving 2,738 patients with CKD at various stages indicated that CPS roles encompassed medication review, patient education, and collaboration with physicians. Furthermore, CPS facilitated improved medication reconciliation, safety, and quality of life (QoL). Clinical outcomes varied across studies; some reported improvements in interdialytic weight gain, blood pressure control, and hemoglobin levels, whereas others showed no significant difference in blood pressure management. The inconsistent results across studies highlight the need for additional research to enhance these interventions and assess their long-term effects on CKD management. However, the potential of CPS to reduce expenses in CKD management is a promising aspect that cannot be overlooked.