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Validation cost effectiveness simulation

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https://www.readbyqxmd.com/read/28738137/public-health-and-economic-consequences-of-vaccine-hesitancy-for-measles-in-the-united-states
#1
Nathan C Lo, Peter J Hotez
Importance: Routine childhood vaccination is declining in some regions of the United States due to vaccine hesitancy, which risks the resurgence of many infectious diseases with public health and economic consequences. There are ongoing policy debates on the state and national level, including legislation around nonmedical (personal-belief) exemptions for childhood vaccination and possibly a special government commission on vaccine safety, which may affect vaccine coverage. Objective: To estimate the number of measles cases in US children and the associated economic costs under scenarios of different levels of vaccine hesitancy, using the case example of measles, mumps, and rubella (MMR) vaccination and measles...
July 24, 2017: JAMA Pediatrics
https://www.readbyqxmd.com/read/28720354/training-modalities-in-robot-assisted-urologic-surgery-a-systematic-review
#2
REVIEW
Catherine Elizabeth Lovegrove, Oussama Elhage, M Shamim Khan, Giacomo Novara, Alex Mottrie, Prokar Dasgupta, Kamran Ahmed
CONTEXT: Novel surgical techniques demand that surgical training adapts to the need for technical and nontechnical skills. OBJECTIVE: To identify training methods available for robot-assisted surgical (RAS) training in urology, evaluate their effectiveness in terms of validation, educational impact, acceptability, and cost effectiveness, and assess their effect on learning curves (LCs). EVIDENCE ACQUISITION: A systematic review following Preferred Reporting Items for Systematic Reviews and Meta-analysis guidelines searched Ovid Medline, Embase, PsycINFO, and the Cochrane Library...
February 2017: European Urology Focus
https://www.readbyqxmd.com/read/28676200/cigar-box-arthroscopy-a-randomized-controlled-trial-validates-nonanatomic-simulation-training-of-novice-arthroscopy-skills
#3
Rory P Sandberg, Nathan C Sherman, L Daniel Latt, Jolene C Hardy
PURPOSE: The goal of this study was to validate the cigar box arthroscopy trainer (CBAT) as a training tool and then compare its effectiveness to didactic training and to another previously validated low-fidelity but anatomic model, the anatomic knee arthroscopy trainer (AKAT). METHODS: A nonanatomic knee arthroscopy training module was developed at our institution. Twenty-four medical students with no prior arthroscopic or laparoscopic experience were enrolled as subjects...
July 1, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28673826/the-five-year-cost-effectiveness-of-two-level-anterior-cervical-discectomy-and-fusion-or-cervical-disc-replacement-a-markov-analysis
#4
Samuel C Overley, Steven J McAnany, Robert L Brochin, Jun S Kim, Robert K Merrill, Sheeraz A Qureshi
BACKGROUND CONTEXT: Anterior cervical discectomy and fusion (ACDF) and cervical disc replacement (CDR) are both acceptable surgical options for the treatment of cervical myelopathy and/or radiculopathy. To date, there are limited economic analyses assessing the relative cost-effectiveness of two-level ACDF versus CDR. PURPOSE: The purpose of this study was to determine the five-year cost-effectiveness of two-level ACDF versus CDR. STUDY DESIGN: Secondary analysis of prospectively collected data...
June 30, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/28669122/validation-of-a-dice-simulation-against-a-discrete-event-simulation-implemented-entirely-in-code
#5
Jörgen Möller, Sarah Davis, Matt Stevenson, J Jaime Caro
BACKGROUND: Modeling is an essential tool for health technology assessment, and various techniques for conceptualizing and implementing such models have been described. Recently, a new method has been proposed-the discretely integrated condition event or DICE simulation-that enables frequently employed approaches to be specified using a common, simple structure that can be entirely contained and executed within widely available spreadsheet software. To assess if a DICE simulation provides equivalent results to an existing discrete event simulation, a comparison was undertaken...
July 1, 2017: PharmacoEconomics
https://www.readbyqxmd.com/read/28650086/systemic-thrombolysis-catheter-directed-thrombolysis-and-anticoagulation-for-intermediate-risk-pulmonary-embolism-a-simulation-modeling-analysis
#6
Christopher Kabrhel, Ayman Ali, Jin Choi, Chin Hur
OBJECTIVES: Decision-making around the use of thrombolysis for patients with intermediate-risk (submassive) PE remains challenging. Studies indicate favorable clinical outcomes with systemic thrombolytics (IV tPA), but the risk of major bleeding and hemorrhagic stroke is a deterrent. Catheter-directed thrombolysis (CDT) may be a preferable strategy, as it has been shown to have a lower risk of bleeding than systemic thrombolysis. However, a three-arm randomized control study comparing IV tPA, CDT, and anticoagulation alone, with long-term follow up, would be costly and is unlikely to be performed...
June 26, 2017: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/28641435/validating-and-implementing-modified-filinov-phase-filtration-in-semiclassical-dynamics
#7
Matthew S Church, Sergey V Antipov, Nandini Ananth
The Mixed Quantum-Classical Initial Value Representation (MQC-IVR) is a recently introduced approximate semiclassical (SC) method for the calculation of real-time quantum correlation functions. MQC-IVR employs a modified Filinov filtration (MFF) scheme to control the overall phase of the SC integrand, extending the applicability of SC methods to complex systems while retaining their ability to accurately describe quantum coherence effects. Here, we address questions regarding the effectiveness of the MFF scheme in combination with SC dynamics...
June 21, 2017: Journal of Chemical Physics
https://www.readbyqxmd.com/read/28634131/cost-effectiveness-of-pre-versus-post-liver-transplant-hepatitis-c-treatment-with-direct-acting-antivirals
#8
Sumeyye Samur, Brian Kues, Turgay Ayer, Mark S Roberts, Fasiha Kanwal, Chin Hur, Drew Michael S Donnell, Raymond T Chung, Jagpreet Chhatwal
BACKGROUND & AIMS: Oral direct-acting antivirals (DAAs) for hepatitis C virus (HCV) treatment offer new hope to both pre- and post-liver transplant (LT) patients. However, whether to treat HCV patients pre- versus post-LT is not clear, as treatment can improve liver function but could reduce the chance of receiving a LT while on the waiting list. Our objective was to evaluate the cost-effectiveness of pre-LT versus post-LT HCV treatment with oral DAAs in decompensated cirrhotic patients on the LT waiting list...
June 17, 2017: Clinical Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/28618527/implementation-of-dual-time-stepping-strategy-of-the-gas-kinetic-scheme-for-unsteady-flow-simulations
#9
Ji Li, Chengwen Zhong, Yong Wang, Congshan Zhuo
In our study, the dual time-stepping strategy of the gas-kinetic scheme is constructed and used for the simulation of unsteady flows. In comparison to the previous implicit gas-kinetic scheme, both the inviscid and viscous flux Jacobian are considered in our work, and the linear system of the pseudo-steady-state is solved by applying generalized minimal residual algorithm. The accuracy is validated by several numerical cases, the incompressible flow around blunt bodies (stationary circular cylinder and square cylinder), and the transonic buffet on the NACA0012 airfoil under hybrid mesh...
May 2017: Physical Review. E
https://www.readbyqxmd.com/read/28608824/a-novel-unsupervised-adaptive-learning-method-for-long-term-electromyography-emg-pattern-recognition
#10
Qi Huang, Dapeng Yang, Li Jiang, Huajie Zhang, Hong Liu, Kiyoshi Kotani
Performance degradation will be caused by a variety of interfering factors for pattern recognition-based myoelectric control methods in the long term. This paper proposes an adaptive learning method with low computational cost to mitigate the effect in unsupervised adaptive learning scenarios. We presents a particle adaptive classifier (PAC), by constructing a particle adaptive learning strategy and universal incremental least square support vector classifier (LS-SVC). We compared PAC performance with incremental support vector classifier (ISVC) and non-adapting SVC (NSVC) in a long-term pattern recognition task in both unsupervised and supervised adaptive learning scenarios...
June 13, 2017: Sensors
https://www.readbyqxmd.com/read/28593095/load-enhanced-movement-quality-screening-and-tactical-athleticism-an-extension-of-evidence
#11
Stephen M Glass, Randy J Schmitz, Christopher K Rhea, Scott E Ross
BACKGROUND: Military organizations use movement quality screening for prediction of injury risk and performance potential. Currently, evidence of an association between movement quality and performance is limited. Recent work has demonstrated that external loading strengthens the relationship between movement screens and performance outcomes. Such loading may therefore steer us toward robust implementations of movement quality screens while maintaining their appeal as cost effective, field-expedient tools...
June 2017: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/28590498/a-multi-way-multi-task-learning-approach-for-multinomial-logistic-regression-an-application-in-joint-prediction-of-appointment-miss-opportunities-across-multiple-clinics
#12
Adel Alaeddini, Seung Hee Hong
OBJECTIVES: Whether they have been engineered for it or not, most healthcare systems experience a variety of unexpected events such as appointment miss-opportunities that can have significant impact on their revenue, cost and resource utilization. In this paper, a multi-way multi-task learning model based on multinomial logistic regression is proposed to jointly predict the occurrence of different types of miss-opportunities at multiple clinics. METHODS: An extension of L1 / L2 regularization is proposed to enable transfer of information among various types of miss-opportunities as well as different clinics...
June 7, 2017: Methods of Information in Medicine
https://www.readbyqxmd.com/read/28577041/determining-skeletal-muscle-architecture-with-laplacian-simulations-a-comparison-with-diffusion-tensor-imaging
#13
Geoffrey G Handsfield, Bart Bolsterlee, Joshua M Inouye, Robert D Herbert, Thor F Besier, Justin W Fernandez
Determination of skeletal muscle architecture is important for accurately modeling muscle behavior. Current methods for 3D muscle architecture determination can be costly and time-consuming, making them prohibitive for clinical or modeling applications. Computational approaches such as Laplacian flow simulations can estimate muscle fascicle orientation based on muscle shape and aponeurosis location. The accuracy of this approach is unknown, however, since it has not been validated against other standards for muscle architecture determination...
June 2, 2017: Biomechanics and Modeling in Mechanobiology
https://www.readbyqxmd.com/read/28575929/influence-of-land-development-on-stormwater-runoff-from-a-mixed-land-use-and-land-cover-catchment
#14
M A Paule-Mercado, B Y Lee, S A Memon, S R Umer, I Salim, C-H Lee
Mitigating for the negative impacts of stormwater runoff is becoming a concern due to increased land development. Understanding how land development influences stormwater runoff is essential for sustainably managing water resources. In recent years, aggregate low impact development-best management practices (LID-BMPs) have been implemented to reduce the negative impacts of stormwater runoff on receiving water bodies. This study used an integrated approach to determine the influence of land development and assess the ecological benefits of four aggregate LID-BMPs in stormwater runoff from a mixed land use and land cover (LULC) catchment with ongoing land development...
December 1, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/28574314/a-microcontroller-based-simulation-of-dural-venous-sinus-injury-for-neurosurgical-training
#15
Daniel R Cleary, Dominic A Siler, Nathaniel Whitney, Nathan R Selden
OBJECTIVE Surgical simulation has the potential to supplement and enhance traditional resident training. However, the high cost of equipment and limited number of available scenarios have inhibited wider integration of simulation in neurosurgical education. In this study the authors provide initial validation of a novel, low-cost simulation platform that recreates the stress of surgery using a combination of hands-on, model-based, and computer elements. Trainee skill was quantified using multiple time and performance measures...
June 2, 2017: Journal of Neurosurgery
https://www.readbyqxmd.com/read/28547013/new-cfd-tools-to-evaluate-nasal-airflow
#16
M A Burgos, E Sanmiguel-Rojas, C Del Pino, M A Sevilla-García, F Esteban-Ortega
Computational fluid dynamics (CFD) is a mathematical tool to analyse airflow. As currently CFD is not a usual tool for rhinologists, a group of engineers in collaboration with experts in Rhinology have developed a very intuitive CFD software. The program MECOMLAND(®) only required snapshots from the patient's cross-sectional (tomographic) images, being the output those results originated by CFD, such as airflow distributions, velocity profiles, pressure, temperature, or wall shear stress. This is useful complementary information to cover diagnosis, prognosis, or follow-up of nasal pathologies based on quantitative magnitudes linked to airflow...
August 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/28541904/diffusion-based-model-for-synaptic-molecular-communication-channel
#17
Tooba Khan, Bilgesu A Bilgin, Ozgur B Akan
Computational methods have been extensively used to understand underlying dynamics of molecular communication methods employed by nature. One very effective and popular approach is to utilize a Monte Carlo simulation. Although it is very reliable, this method can have a very high computational cost, which in some cases renders the simulation impractical. Therefore, in this paper, for the special case of an excitatory synaptic molecular communication channel, we present a novel mathematical model for the diffusion and binding of neurotransmitters that takes into account the effects of synaptic geometry in three-dimensional space and re-absorption of neurotransmitters by the transmitting neuron...
May 23, 2017: IEEE Transactions on Nanobioscience
https://www.readbyqxmd.com/read/28536460/towards-ultimate-low-frequency-air-core-magnetometer-sensitivity
#18
Ruben Pellicer-Guridi, Michael W Vogel, David C Reutens, Viktor Vegh
Air-core magnetometers are amongst the most commonly used magnetic field detectors in biomedical instruments. They offer excellent sensitivity, low fabrication complexity and a robust, cost-effective solution. However, air-core magnetometers must be tailored to the specific application to achieve high sensitivity, which can be decisive in the accuracy of the diagnoses and the time required for the examination. Existing methods proposed for the design of air-core magnetometers are based on simplified models and simulations using a reduced number of variables, potentially leading to sensitivity that is suboptimal...
May 23, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28534290/wear-predictions-for-uhmwpe-material-with-various-surface-properties-used-on-the-femoral-component-in-total-knee-arthroplasty-a-computational-simulation-study
#19
Kyoung-Tak Kang, Juhyun Son, Ho-Joong Kim, Changhyun Baek, Oh-Ryong Kwon, Yong-Gon Koh
The wear of ultrahigh-molecular weight polyethylene (UHMWPE) tibial inserts in total knee arthroplasty (TKA) remains a major limitation that hinders the longevity of clinically successful devices. Surface properties significantly affect the overall performance of TKA, and surface modification with mechanically and chemically stable materials is an effective method for overcoming the wear of TKA. However, wear tests are not cost-efficient or time-efficient; thus, the effects of geometric, loading, and alignment perturbations are often evaluated via parametric studies...
July 2017: Journal of Materials Science. Materials in Medicine
https://www.readbyqxmd.com/read/28526634/microsurgery-simulation-training-system-and-set-up-an-essential-system-to-complement-every-training-programme
#20
Dhalia Masud, Nadine Haram, Margarita Moustaki, Whitney Chow, Samer Saour, Pari Naz Mohanna
INTRODUCTION: Microsurgical techniques are essential in plastic surgery; however, inconsistent training practices, acquiring these skills can be difficult. To address this, we designed a standardised laboratory-based microsurgical training programme, which allows trainees to develop their dexterity, visuospatial ability, operative flow and judgement as separate components. METHOD: Thirty trainees completed an initial microsurgical anastomosis on a chicken femoral artery, assessed using the structured assessment of microsurgical skills (SAMS) method...
April 7, 2017: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
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