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27 and 0.23. The ICER of BCP versus CP was $ 465 150 QALY. The results of the Monte Carlo simulation showed that CP was cost-effective in 100% of the iterations compared with BCP.
The addition of bevacizumab to the scheme carboplatin+ paclitaxel compared to carboplatin+ paclitaxel for NSCLC is not cost-effective from the point of view of the Colombian health system.
The addition of bevacizumab to the scheme carboplatin + paclitaxel compared to carboplatin + paclitaxel for NSCLC is not cost-effective from the point of view of the Colombian health system.
It's estimated that 40% to 60% of patients undergoing major orthopedic surgery of the hip or knee who do not receive thromboprophylaxis will develop deep venous thrombosis Instituto Nacional de Traumatologia e Ortopedia has established a guideline to prevent DVT with the administration of the Enoxaparin. Recently, institute stakeholders have been questioning this guideline as new oral anticoagulants that offer more comfort and efficacy, but present higher risk of bleeding, have been appearing in the market for treating deep venous thrombosis.
This study aims to validate the application of a multicriteria decision analysis in a real-world problem, the use of rivaroxaban and enoxaparin to prevent deep venous thrombosis.
The multicriteria method MACBETH (Measuring Attractiveness by a Categorical Based Evaluation Technique) was used in a decision conferencing process to develop an evaluation model for measuring the relative value of the drugs on each evaluation criterion, separately and globally. The model-building process was informed by a literature review and meta-analysis of randomized clinical trials with a critical appraisal of the evidence.
We report a model-structure with eight criteria, each one associated with a weighting coefficient and value function. buy PRT4165 Following a simple additive aggregation process, the model-outputs showed that Rivaroxaban was considered a robust option for DVT. Sensitivity analysis and robustness analysis were performed and testify the consistency of the results.
This article contributes to literature by showing how MACBETH method can be combined with scientific evidence and participatory group processes, for health technology assessment in hospitals.
This article contributes to literature by showing how MACBETH method can be combined with scientific evidence and participatory group processes, for health technology assessment in hospitals.Nowadays, metal oxide nanoparticles (NPs) have been applied in various fields of nanotechnology including catalysis of chemical reactions, drug delivery, water treatment, textile industries, polymer composites, adhesives, and coatings. The greatest challenge in relation to metal oxide NPs is high tendency to aggregation. Chemical surface modification of metal oxide NPs has gained widely interest to control of dispersion and aggregation of NPs. Silane modifiers are one of the most important bifunctional modifiers that are frequently used for surface treatment of metal oxide NPs. In this review paper, we first focus on the synthesis, surface thermodynamic properties, surface modification techniques, and kinetic of silanization reaction of metal oxide NPs. Then, the recent development in using silane modifiers for treatment of metal oxide NPs in various applications were investigated. It was found that the unmodified NPs have high surface energy and are thermodynamically unstable. The thermodynamic properties of NPs including Gms, Hms, and Smsincrease with decreasing the particle size. Aggregation phenomena is the simple way to reduce the excess surface energy of NPs that leads to an increase in particle size. Therefore, the chemical surface modification of NPs using silane modifiers can be used as an effective method for the prevention of NPs agglomeration and improvement of NPs stability.
Recently, a dualistic carcinogenesis model of ovarian cancer has emerged. We aimed to investigate differences in the glycolytic phenotypes of type I and type II ovarian carcinoma on the basis of FDG uptake and in the pathological features according to tumour grade and histology.
In total, 386 epithelial ovarian carcinoma patients underwent debulking surgery, and the histopathological results of the patients were retrospectively reviewed from 2003 to 2017. Among these patients, 170 patients had histopathological data that were available due to primary cytoreductive surgery and could be analysed regarding FDG avidity in type I and type II ovarian cancer. The FDG uptake of the tumour (SUVmax), metabolic tumor volume (MTV) and total lesion glycolysis (TLG) were analysed according to the tumour grade, histology and type of ovarian carcinogenesis (type I and II) and prognosis.
Among the 386 patients, there was a significant difference in SUVmax among ovarian cancer subtypes. There was a significant increase it differences between type I and II ovarian cancer. SUVmax of the ovarian cancer would be considered in the differentiation of type I and II ovarian cancer.Subject-specific finite element models (FEMs) of the shoulder can be used to evaluate joint replacement designs preclinically. However, to ensure accurate conclusions are drawn, experimental validation is critical. The objective of the current study was to evaluate the accuracy of strain predictions generated by subject-specific scapula FEMs through comparisons against full-field experimental strains measured using digital volume correlation (DVC). Three cadaveric scapulae were mechanically loaded using a custom-hexapod robot within a micro-CT scanner. BoneDVC was used to quantify resultant experimental full-field strains. Scapula FEMs were generated using three different density-modulus relationships to assign material properties. Two types of boundary conditions (BCs) were simulated DVC-displacement-driven or applied-force-driven. Third principal strains were compared between the DVC measurements and FEM predictions. With applied-force BCs, poor agreement was observed between the predicted and measured strains (slope range 0.16-0.19, r2 range 0.04-0.30). Agreement was improved with the use of DVC-displacement BCs (slope range 0.54-0.59, r2 range 0.73-0.75). Strain predictions were independent of the density-modulus relationship used for DVC-displacement BCs, but differences were observed in the correlation coefficient and intercept for applied-force BCs. Overall, this study utilized full-field DVC-derived experimental strains for comparison with FEM predicted strains in models with varying material properties and BCs. It was found that fair agreement can be achieved in localized strain measurements between DVC measurements and FEM predictions when DVC-displacement BCs are used. However, performance suffered with use of applied-force BCs.
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