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Treatment Scenarios (treatment + scenario)

Distribution by Scientific Domains

Medical Sciences	50%

Selected Abstracts

Therapeutic and economic implications of traumatic dental injuries in Denmark: an estimate based on 7549 patients treated at a major trauma centre

INTERNATIONAL JOURNAL OF PAEDIATRIC DENTISTRY, Issue 4 2001
Mette Kit Borum
Aim. To analyse the type and extent of injuries presented by patients seeking treatment for traumatic dental injuries at a major trauma centre. Furthermore, to analyse acute and subsequent treatment demands and treatment costs. Methods. A therapeutic and economic analysis was performed of 7549 patients treated for traumatic dental injuries in a major trauma centre located at the University Hospital in Copenhagen, Denmark. Cases were divided into uncomplicated (concussion, subluxation, enamel and enamel-dentine fractures) and complicated cases (crown fractures with exposed pulps and crown-root fractures, luxation injuries with displacement of the tooth and bone fractures). Results. Primary tooth injuries were found in 2874 patients, involving 5443 teeth, among which 62·8% had complicated injuries. Permanent tooth injuries were found in 4525 patients, involving 10673 teeth, among which 40·4% had complicated injuries. The cost of treatment (including acute trauma service, follow-up and subsequent restoration) was estimated to be 0·6,1 mill USD a year for the patients treated in this trauma centre. If this figure is transferred to the estimated trauma population in Denmark, a yearly cost of traumatic dental injuries appears to range from 2 to 5 mill USD per 1 mill inhabitants per year according to the treatment scenario. Conclusion. Thus, treatment of traumatic dental injuries comprises an expensive part of the health services in Denmark. [source]

Prediction of hemodialysis sorbent cartridge urea nitrogen capacity and sodium release from in vitro tests

HEMODIALYSIS INTERNATIONAL, Issue 2 2008
Benjamin P. ROSENBAUM
Abstract In sorbent-based hemodialysis, factors limiting a treatment session are urea conversion capacity and sodium release from the cartridge. In vitro experiments were performed to model typical treatment scenarios using various dialyzers and 4 types of SORBÔ sorbent cartridges. The experiments were continued to the point of column saturation with ammonium. The urea nitrogen removed and amount of sodium released in each trial were analyzed in a multi-variable regression against several variables: amount of zirconium phosphate (ZrP), dialysate flow rate (DFR), simulated blood flow rate (BFR), simulated patient whole-body fluid volume (V), initial simulated patient urea concentration (BUNi), dialyzer area permeability (KoA) product, initial dialysate sodium and bicarbonate (HCO3i) concentrations, initial simulated patient sodium (Nai), pH of ZrP, creatinine, breakthrough time, and average urea nitrogen concentration in dialysate. The urea nitrogen capacity (UNC) of various new SORBÔ columns is positively related to ZrP, BFR, V, BUNi, and ZrP pH and negatively to DFR with an R2adjusted=0.990. Two models are described for sodium release. The first model is related positively to DFR and V and negatively to ZrP, KoA product, and dialysate HCO3i with an R2adjusted=0.584. The second model incorporates knowledge of initial simulated patient sodium (negative relationship) and urea levels (negative relationship) in addition to the parameters in the first model with an R2adjusted=0.786. These mathematical models should allow for prediction of patient sodium profiles and the time of column urea saturation based on simple inputs relating to patient chemistries and the dialysis treatment. [source]

SELECTED ALTERNATIVES TO METHYL BROMIDE IN THE POSTHARVEST AND QUARANTINE TREATMENT OF ALMONDS AND WALNUTS: AN ECONOMIC PERSPECTIVE

JOURNAL OF FOOD PROCESSING AND PRESERVATION, Issue 6 2001
ANTHONI F. AEGERTER
Methyl bromide is a highly effective fumigant used in the postharvest and quarantine treatment of tree nuts. There will be a complete phase out in the United States of America (U.S.) of methyl bromide by 2005 according to The Montreal Protocol of 1991 with the exception of preshipment and quarantine uses as stated in the 1998 Clean Air Act. This study analyzed alternative treatment scenarios. The alternatives considered were phosphine, irradiation, and controlled atmosphere storage. Costs for each scenario were developed. Cost increases with irradiation ranged from two to fourteen times the benchmark costs for methyl bromide. Controlled atmosphere storage for both commodities had cost increases ranging from 174% to 256% over methyl bromide costs. Phosphine was used only to treat almonds. Phosphine application costs were 108% and 117% above the benchmark costs for methyl bromide. [source]

Exposure of non-target tissues in medical diathermy

BIOELECTROMAGNETICS, Issue 1 2010
N. Leitgeb
Abstract With different prevalence in different regions, radio frequency (RF) electromagnetic fields (EMF) are widely used for therapeutic tissue heating. Although short-wave diathermy (27.12,MHz) is the most popular treatment modality, quantitative data on patient's exposure have been lacking. By numerical simulation with the numerical anatomical model NORMAN, intracorporal distributions of specific absorption rates (SAR) were investigated for different treatment scenarios and applicators. Quantitative data are provided for exposures of target treatment areas as well as for vulnerable regions such as the eye lenses, central nervous system, and testes. Different applicators and distances were investigated. Capacitive and inductive applicators exhibit quite a different heating efficiency. It could be shown that for the same output power therapeutic heat deposition can vary by almost one order of magnitude. By mimicking therapist's practice to use patient's heat perception as an indicator for output power setting, numerical data were elaborated demonstrating that muscle tissue exposures may be several times higher for inductive than for capacitive applicators. Presented quantitative data serve as a guide for power adjustment preventing relevant overexposures without compromising therapy; they also provide a basis for estimating target tissue heat load and developing therapeutic guidelines. Bioelectromagnetics 31:12,19, 2010. © 2009 Wiley-Liss, Inc. [source]