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31.
Laparoscopic pelvic lymph node dissection has been applied as a minimally invasive staging technique for men with prostate cancer. This procedure has been shown to shorten markedly postoperative hospitalization, decrease analgesic requirements and shorten convalescence period compared to open pelvic node dissection. However, the laparoscopic procedure takes longer to perform and many disposable instruments are used, thus increasing the cost. We determine the overall cost of laparoscopic versus open pelvic lymph node dissection. Between January 1989 and April 1992, 61 men underwent only staging pelvic lymph node dissection for cancer of the prostate at a single university teaching hospital. Of these patients 11 and 50 underwent open and laparoscopic pelvic lymph node dissection, respectively. Information from the hospital business office was reorganized into preoperative, intraoperative and postoperative expenses. All individual charges were transformed up or down to the dollar amounts of the 1990 to 1991 fiscal year so as to correct for inflationary changes. Preoperative costs were not significantly different between the 2 operative approaches. Intraoperative expenses were 52% greater if laparoscopic pelvic lymph node dissection was performed and can be explained by the longer operative times and use of disposable instrumentation. However, the postoperative period lasted an average of 1.61 days following laparoscopic pelvic lymph node dissection. Postoperative nursing and analgesic requirements were significantly more for patients undergoing open pelvic lymph node dissection. The overall postoperative costs following open pelvic lymph node dissection were 280% more expensive than for the laparoscopic procedure. The overall total costs were approximately $1,250 more for laparoscopic pelvic lymph node dissection. Wages lost or earned during this period and rapid return to normal activity following laparoscopic pelvic lymph node dissection would, in our opinion, justify this additional cost. 相似文献
32.
井巷掘进爆破工程中,工作面按设计要求,布置各种斜形炮孔,利用量角器和垂直尺控制钎杆与工作面夹角,使炮孔钻孔精度与设计炮孔角度基本上符合,在生产中取得了良好的爆破效果. 相似文献
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Theory is presented to provide insight into the observation that attenuation through vegetation is proportional to vegetation water content. In this analysis, the canopy is modeled as a sparse layer of randomly oriented particles (leaves, stalks, etc.) over a flat, homogeneous ground plane (soil) and an expression is obtained for the “optical depth”. The formulas developed by Ulaby and El Rayes are used to relate this expression to the water content of the canopy. In the low frequency extreme (Rayleigh scatterers), the attenuation varies almost linearly with water content and inversely with wavelength. In contrast, in the high frequency limit, the attenuation is independent of both water content and frequency, in between, geometry dependent “resonances” occur even at the low frequency end of the microwave spectrum (e.g. L-band) making the dependence of attenuation on frequency and water content specific to canopy architecture 相似文献
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地震数据采集系统中频谱均衡滤波器的理论设计 总被引:2,自引:0,他引:2
地层的高频吸收衰减效应是导致地震勘探分辨率不高的主要原因,在高分辨率野外地震数据系统中,频谱均衡滤波器所设置的重要部件。文章以频谱均衡滤波器的原理和地层吸收衰减特性为基础,用计算机模拟的方法研究地层吸收衰减使分辨率降低的程度和频谱均衡滤波器对分辨率的补偿效果,给出了较好的频谱均衡滤波器的设计方案。 相似文献
37.
Li-Pen Yuan Chin-Chi Teng Sung-Mo Kang 《Very Large Scale Integration (VLSI) Systems, IEEE Transactions on》1998,6(1):65-73
In this paper, we present a new statistical technique for estimation of average power dissipation in digital circuits. The present parametric statistical technique estimates the average power based on the assumption that the power distribution can be characterized by a preassumed function. Large error can incur when the assumption is not met. On the other hand, the existing nonparametric technique, although accurate, is too conservative and requires a large sample size in order to achieve convergence. For a good tradeoff between simulation accuracy and computational efficiency, we propose a new nonparametric technique using the properties of the order statistics. It is generally applicable to any type of circuit irrespective of its power distribution function. Compared to the existing nonparametric technique, it is much more computationally efficient since it requires a much smaller sample size to achieve the same accuracy specification. This new technique is implemented in the distribution-independent power estimation tool (DIPE). DIPE is empirically demonstrated to be more robust and accurate than the parametric technique 相似文献
38.
F Goffinet B Langer B Carbonne N Berkane D Tardif F Le Goueff M Laville F Maillard 《Canadian Metallurgical Quarterly》1997,177(5):1238-1246
OBJECTIVE: Our purpose was to evaluate the feasibility of intrapartum fetal pulse oximetry, the distribution of fetal oxygen saturation values, and the relationship with the neonatal outcome in a population with an abnormal fetal heart rate. STUDY DESIGN: A prospective multicenter observational study was performed from June 1994 to November 1995. Fetal oxygen saturation was continuously recorded with use of a Nellcor N-400 fetal pulse oximeter in case of an abnormal fetal heart rate during labor. Simultaneous readings of fetal oxygen saturation and fetal blood analysis were obtained at inclusion and before birth. Feasibility, adverse effects, distribution of fetal oxygen saturation values, and relationship with neonatal outcome were assessed. RESULTS: One hundred seventy-four patients were included. From 172 attempted sensor placements, the procedure was impossible in three cases and fetal oxygen saturation values were obtained in 164 cases (95.3%). Physicians considered sensor placement an easier task than an attempt at fetal blood analysis (easy in 87.5% vs 78.9% for fetal blood analysis, p = 0.03). The mean reliable signal time (+/- SD) was 64.7% +/- 32% during the first stage. There were no serious adverse effects in the study population. The mean fetal oxygen saturation during the first stage of labor was 42.2% +/- 8.0% (10th to 90th percentile range 30% to 53%). Fetal oxygen saturation was significantly correlated with scalp pH (r = 0.29, p = 0.01) but not with neonatal umbilical artery pH or gas values. There was a significant association between low fetal oxygen saturation (< 30%) and poor neonatal condition. CONCLUSION: The feasibility of fetal pulse oximetry is satisfactory in clinical practice. It is easy to use and provides a fair rate of recorded values, even in a population with suspicion of fetal distress. A low fetal oxygen saturation is significantly associated with an abnormal neonatal outcome. 相似文献
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介绍了军用飞机电子吊舱蒸汽压缩制冷环境控制系统的工作特点,给出了电子膨胀阀在电子吊舱地面模拟制冷系统中的初步试验研究结果。 相似文献