The Experts below are selected from a list of 255 Experts worldwide ranked by ideXlab platform
Philip Jacobs - One of the best experts on this subject based on the ideXlab platform.
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trans obturator Tape compared with tension free vaginal Tape in the Surgical treatment of stress urinary incontinence a cost utility analysis
British Journal of Obstetrics and Gynaecology, 2011Co-Authors: Doug Lier, Sue Ross, Selphee Tang, Magali Robert, Philip JacobsAbstract:Please cite this paper as: Lier D, Ross S, Tang S, Robert M, Jacobs P, for the Calgary Women’s Pelvic Health Research Group. Trans-obturator Tape compared with tension-free vaginal Tape in the Surgical treatment of stress urinary incontinence: a cost utility analysis. BJOG 2011;118:550–556. Objective To conduct an economic evaluation of the use of trans-obturator Tape (TOT) compared with tension-free vaginal Tape (TVT) in the Surgical treatment of stress urinary incontinence (SUI) in women. Design Cost utility analysis from public-payer perspective, conducted alongside a randomised clinical trial (RCT). Setting Health services provided in Alberta, Canada. Population A total of 194 women who participated in the RCT, followed to 1 year from surgery. Methods Data collected on all women in the RCT, over 12 months following surgery. Comparisons undertaken between RCT groups for cost and quality-adjusted life-years (QALYs). Multiple imputation used for the 10% missing data. Bootstrapping used to account for sampling uncertainty. One-way sensitivity analysis conducted for productivity loss due to time away from work. Main outcome measures Utility – 15D questionnaire was used to calculate QALYs. Costs over 12 months—from trial data, health provider and provincial ministry of health. Results The TOT group had a non-significant average saving of $1133 (95% CI −2793; 442), with no difference in average QALYs between groups (95% CI −0.02; 0.01). TOT was cost-saving in over 80% of bootstrapping replications, over a wide range of willingness-to-pay. Conclusion The bootstrapping replication results suggest that TOT could be cost-effective compared with TVT in the treatment of SUI. However, these results must be confirmed by longer-term assessment of clinical and economic outcomes, because of concern that Surgical Tape palpable at 12 months may lead to vaginal erosion and further treatment.
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Trans‐obturator Tape compared with tension‐free vaginal Tape in the Surgical treatment of stress urinary incontinence: a cost utility analysis
British Journal of Obstetrics and Gynaecology, 2011Co-Authors: Doug Lier, Sue Ross, Selphee Tang, Magali Robert, Philip JacobsAbstract:Please cite this paper as: Lier D, Ross S, Tang S, Robert M, Jacobs P, for the Calgary Women’s Pelvic Health Research Group. Trans-obturator Tape compared with tension-free vaginal Tape in the Surgical treatment of stress urinary incontinence: a cost utility analysis. BJOG 2011;118:550–556. Objective To conduct an economic evaluation of the use of trans-obturator Tape (TOT) compared with tension-free vaginal Tape (TVT) in the Surgical treatment of stress urinary incontinence (SUI) in women. Design Cost utility analysis from public-payer perspective, conducted alongside a randomised clinical trial (RCT). Setting Health services provided in Alberta, Canada. Population A total of 194 women who participated in the RCT, followed to 1 year from surgery. Methods Data collected on all women in the RCT, over 12 months following surgery. Comparisons undertaken between RCT groups for cost and quality-adjusted life-years (QALYs). Multiple imputation used for the 10% missing data. Bootstrapping used to account for sampling uncertainty. One-way sensitivity analysis conducted for productivity loss due to time away from work. Main outcome measures Utility – 15D questionnaire was used to calculate QALYs. Costs over 12 months—from trial data, health provider and provincial ministry of health. Results The TOT group had a non-significant average saving of $1133 (95% CI −2793; 442), with no difference in average QALYs between groups (95% CI −0.02; 0.01). TOT was cost-saving in over 80% of bootstrapping replications, over a wide range of willingness-to-pay. Conclusion The bootstrapping replication results suggest that TOT could be cost-effective compared with TVT in the treatment of SUI. However, these results must be confirmed by longer-term assessment of clinical and economic outcomes, because of concern that Surgical Tape palpable at 12 months may lead to vaginal erosion and further treatment.
Devinder Mohan Thappa - One of the best experts on this subject based on the ideXlab platform.
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Surgical pearl Surgical Tape for dressing of epidermal grafts in lip vitiligo
Journal of The American Academy of Dermatology, 2005Co-Authors: Chandrashekar Laxmisha, Devinder Mohan ThappaAbstract:tissue heating, thus avoiding unintended injury. For larger Surgical defects, local, uniform pressure can be applied with the locked jaws of the hemostat parallel to the wound edge while holding the instrument at its base, which is at a safe distance from the wound (Fig 2). If bleeding is likely fed from a vessel with a known path, the pressure may be directed closer towards that vessel’s origin and at an even greater distance from the wound (eg, at the eyebrow to block the supra-orbital artery). In addition to improved safety, other advantages of this technique include the fact that it is nearly universally applicable, is easy to perform for even an untrained assistant, and does not require additional instruments on the Surgical tray. An important limitation exists in that deeper layers must offer some resistance to the pressure. Various articles have described similar techniques of temporary hemostasis using pressure from firm devices; however, these either used specially-made instruments or were anatomically limited in their scope of application. In summary, this technique offers a fast and convenient method for temporary hemostasis that is safely and easily performed by assistants with little experience, and therefore may be especially helpful in a training environment. REFERENCES 1. Yen A, Braverman IM. Ultrastructure of the human dermal microcirculation: the horizontal plexus of the papillary dermis. J Invest Dermatol 1976;66:131-41. 2. Grabb WC. A concentration of 1:500,000 epinephrine in a local anesthetic solution is sufficient to provide excellent hemostasis. Plast Reconstr Surg 1979;63:834. 3. Rudolph H, Gartner J, Studtmann V. Skin lesions following the use of a tourniquet. Unfallchirurgie 1990;16:244-51. 4. Sawchuk WS, Friedman KJ, Manning T, Pinnell SR. Delayed healing in full thickness wounds treated with aluminum chloride solution. A histologic study with evaporimetry correlation. J Am Acad Dermatol 1986;15:982-9. 5. Armstrong RB, Nichols J, Pachance J. Punch biopsy wounds treated with Monsel’s solution or a collagen matrix. A comparison of healing. Arch Dermatol 1986;122:546-9. 6. Boyer JD,Maino KL, Zitelli JA. Surgical pearl: hemostasis assisted with two skin hooks. J Am Acad Dermatol 2002;47:938-9. 7. Fante RG, Fante RL. Perspective: the physical basis of Surgical electrodissection. Ophthal Plast Reconstr Surg 2003;19:145-8. 8. Hafner J, Hohenleutner U. Surgical pearl: A flat plastic cylinder derived from a disposable syringe effectively achieves hemostasis in carbon dioxide laser surgery. J Am Acad Dermatol 2001;45:277-8. 9. Wheeland RG, Gilmore WA, Morgan RJ. Use of a nonconductive acrylic ring for control of bleeding during minor skin surgery. J Dermatol Surg Oncol 1983;9:18-9. 10. Sharquie KE, Al-Rawi JR. Sharquie’s metal ring in skin surgery. Dermatol Surg 2000;26:163-4. 11. Harahap M. Excision of small skin lesions on the scalp. In: Robins P, editor. Surgical gems in dermatology. Vol 1. New York: Journal Publishing Group; 1988. pp. 73-4. J AM ACAD DERMATOL SEPTEMBER 2005 498 Pearls
Keisaku Fujimoto - One of the best experts on this subject based on the ideXlab platform.
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Simultaneous Measurement of Heart Sound, Pulse Wave and Respiration with Single Fiber Bragg Grating Sensor
2018 IEEE International Symposium on Medical Measurements and Applications (MeMeA), 2018Co-Authors: Ken Ogawa, Shouhei Koyama, Hiroaki Ishizawa, Seiya Fujiwara, Keisaku FujimotoAbstract:Heart sound, pulse wave and respiration are simultaneously measured with single fiber Bragg grating(FBG) sensor. The FBG sensor is inscribed in optical fiber so that it is quite thinner than conventional electrical sensor, even enough to be weaved in clothes. In this study, single FBG sensor is Taped near the Tricuspid area and on the carotid artery with the Surgical Tape. Measured data is denoised through digital Butterworth filter with low pass filter (0.2 Hz), medium frequency band pass filter (0.5 Hz - 5.0 Hz) and higher frequency bandpass filter (35.0 Hz - 55.0 Hz) to extract the information of respiration, pulse wave and heart sound, respectively. The lower frequency signal follows the reference respiration sensor. The medium and higher frequency signal contains the features of typical pulse wave and heart sound waveform. The pulse wave measured on precordium contains the feature of apex cardiogram. The result also indicate that the timing of the heart sound is slightly delayed on the carotid artery. These results indicate the possibility of wearable, continuous vital sigh measurement system.
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MeMeA - Simultaneous Measurement of Heart Sound, Pulse Wave and Respiration with Single Fiber Bragg Grating Sensor
2018 IEEE International Symposium on Medical Measurements and Applications (MeMeA), 2018Co-Authors: Ken Ogawa, Shouhei Koyama, Hiroaki Ishizawa, Seiya Fujiwara, Keisaku FujimotoAbstract:Heart sound, pulse wave and respiration are simultaneously measured with single fiber Bragg grating(FBG) sensor. The FBG sensor is inscribed in optical fiber so that it is quite thinner than conventional electrical sensor, even enough to be weaved in clothes. In this study, single FBG sensor is Taped near the Tricuspid area and on the carotid artery with the Surgical Tape. Measured data is denoised through digital Butterworth filter with low pass filter (0.2 Hz), medium frequency band pass filter (0.5 Hz - 5.0 Hz) and higher frequency bandpass filter (35.0 Hz - 55.0 Hz) to extract the information of respiration, pulse wave and heart sound, respectively. The lower frequency signal follows the reference respiration sensor. The medium and higher frequency signal contains the features of typical pulse wave and heart sound waveform. The pulse wave measured on precordium contains the feature of apex cardiogram. The result also indicate that the timing of the heart sound is slightly delayed on the carotid artery. These results indicate the possibility of wearable, continuous vital sigh measurement system.
Doug Lier - One of the best experts on this subject based on the ideXlab platform.
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trans obturator Tape compared with tension free vaginal Tape in the Surgical treatment of stress urinary incontinence a cost utility analysis
British Journal of Obstetrics and Gynaecology, 2011Co-Authors: Doug Lier, Sue Ross, Selphee Tang, Magali Robert, Philip JacobsAbstract:Please cite this paper as: Lier D, Ross S, Tang S, Robert M, Jacobs P, for the Calgary Women’s Pelvic Health Research Group. Trans-obturator Tape compared with tension-free vaginal Tape in the Surgical treatment of stress urinary incontinence: a cost utility analysis. BJOG 2011;118:550–556. Objective To conduct an economic evaluation of the use of trans-obturator Tape (TOT) compared with tension-free vaginal Tape (TVT) in the Surgical treatment of stress urinary incontinence (SUI) in women. Design Cost utility analysis from public-payer perspective, conducted alongside a randomised clinical trial (RCT). Setting Health services provided in Alberta, Canada. Population A total of 194 women who participated in the RCT, followed to 1 year from surgery. Methods Data collected on all women in the RCT, over 12 months following surgery. Comparisons undertaken between RCT groups for cost and quality-adjusted life-years (QALYs). Multiple imputation used for the 10% missing data. Bootstrapping used to account for sampling uncertainty. One-way sensitivity analysis conducted for productivity loss due to time away from work. Main outcome measures Utility – 15D questionnaire was used to calculate QALYs. Costs over 12 months—from trial data, health provider and provincial ministry of health. Results The TOT group had a non-significant average saving of $1133 (95% CI −2793; 442), with no difference in average QALYs between groups (95% CI −0.02; 0.01). TOT was cost-saving in over 80% of bootstrapping replications, over a wide range of willingness-to-pay. Conclusion The bootstrapping replication results suggest that TOT could be cost-effective compared with TVT in the treatment of SUI. However, these results must be confirmed by longer-term assessment of clinical and economic outcomes, because of concern that Surgical Tape palpable at 12 months may lead to vaginal erosion and further treatment.
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Trans‐obturator Tape compared with tension‐free vaginal Tape in the Surgical treatment of stress urinary incontinence: a cost utility analysis
British Journal of Obstetrics and Gynaecology, 2011Co-Authors: Doug Lier, Sue Ross, Selphee Tang, Magali Robert, Philip JacobsAbstract:Please cite this paper as: Lier D, Ross S, Tang S, Robert M, Jacobs P, for the Calgary Women’s Pelvic Health Research Group. Trans-obturator Tape compared with tension-free vaginal Tape in the Surgical treatment of stress urinary incontinence: a cost utility analysis. BJOG 2011;118:550–556. Objective To conduct an economic evaluation of the use of trans-obturator Tape (TOT) compared with tension-free vaginal Tape (TVT) in the Surgical treatment of stress urinary incontinence (SUI) in women. Design Cost utility analysis from public-payer perspective, conducted alongside a randomised clinical trial (RCT). Setting Health services provided in Alberta, Canada. Population A total of 194 women who participated in the RCT, followed to 1 year from surgery. Methods Data collected on all women in the RCT, over 12 months following surgery. Comparisons undertaken between RCT groups for cost and quality-adjusted life-years (QALYs). Multiple imputation used for the 10% missing data. Bootstrapping used to account for sampling uncertainty. One-way sensitivity analysis conducted for productivity loss due to time away from work. Main outcome measures Utility – 15D questionnaire was used to calculate QALYs. Costs over 12 months—from trial data, health provider and provincial ministry of health. Results The TOT group had a non-significant average saving of $1133 (95% CI −2793; 442), with no difference in average QALYs between groups (95% CI −0.02; 0.01). TOT was cost-saving in over 80% of bootstrapping replications, over a wide range of willingness-to-pay. Conclusion The bootstrapping replication results suggest that TOT could be cost-effective compared with TVT in the treatment of SUI. However, these results must be confirmed by longer-term assessment of clinical and economic outcomes, because of concern that Surgical Tape palpable at 12 months may lead to vaginal erosion and further treatment.
Chandrashekar Laxmisha - One of the best experts on this subject based on the ideXlab platform.
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Surgical pearl Surgical Tape for dressing of epidermal grafts in lip vitiligo
Journal of The American Academy of Dermatology, 2005Co-Authors: Chandrashekar Laxmisha, Devinder Mohan ThappaAbstract:tissue heating, thus avoiding unintended injury. For larger Surgical defects, local, uniform pressure can be applied with the locked jaws of the hemostat parallel to the wound edge while holding the instrument at its base, which is at a safe distance from the wound (Fig 2). If bleeding is likely fed from a vessel with a known path, the pressure may be directed closer towards that vessel’s origin and at an even greater distance from the wound (eg, at the eyebrow to block the supra-orbital artery). In addition to improved safety, other advantages of this technique include the fact that it is nearly universally applicable, is easy to perform for even an untrained assistant, and does not require additional instruments on the Surgical tray. An important limitation exists in that deeper layers must offer some resistance to the pressure. Various articles have described similar techniques of temporary hemostasis using pressure from firm devices; however, these either used specially-made instruments or were anatomically limited in their scope of application. In summary, this technique offers a fast and convenient method for temporary hemostasis that is safely and easily performed by assistants with little experience, and therefore may be especially helpful in a training environment. REFERENCES 1. Yen A, Braverman IM. Ultrastructure of the human dermal microcirculation: the horizontal plexus of the papillary dermis. J Invest Dermatol 1976;66:131-41. 2. Grabb WC. A concentration of 1:500,000 epinephrine in a local anesthetic solution is sufficient to provide excellent hemostasis. Plast Reconstr Surg 1979;63:834. 3. Rudolph H, Gartner J, Studtmann V. Skin lesions following the use of a tourniquet. Unfallchirurgie 1990;16:244-51. 4. Sawchuk WS, Friedman KJ, Manning T, Pinnell SR. Delayed healing in full thickness wounds treated with aluminum chloride solution. A histologic study with evaporimetry correlation. J Am Acad Dermatol 1986;15:982-9. 5. Armstrong RB, Nichols J, Pachance J. Punch biopsy wounds treated with Monsel’s solution or a collagen matrix. A comparison of healing. Arch Dermatol 1986;122:546-9. 6. Boyer JD,Maino KL, Zitelli JA. Surgical pearl: hemostasis assisted with two skin hooks. J Am Acad Dermatol 2002;47:938-9. 7. Fante RG, Fante RL. Perspective: the physical basis of Surgical electrodissection. Ophthal Plast Reconstr Surg 2003;19:145-8. 8. Hafner J, Hohenleutner U. Surgical pearl: A flat plastic cylinder derived from a disposable syringe effectively achieves hemostasis in carbon dioxide laser surgery. J Am Acad Dermatol 2001;45:277-8. 9. Wheeland RG, Gilmore WA, Morgan RJ. Use of a nonconductive acrylic ring for control of bleeding during minor skin surgery. J Dermatol Surg Oncol 1983;9:18-9. 10. Sharquie KE, Al-Rawi JR. Sharquie’s metal ring in skin surgery. Dermatol Surg 2000;26:163-4. 11. Harahap M. Excision of small skin lesions on the scalp. In: Robins P, editor. Surgical gems in dermatology. Vol 1. New York: Journal Publishing Group; 1988. pp. 73-4. J AM ACAD DERMATOL SEPTEMBER 2005 498 Pearls
