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  • 1
    ISSN: 1471-0528
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Objectives To determine the safety, cost effectiveness and effect on quality of life of laparoscopicassisted vaginal hysterectomy (LAVH) compared with total abdominal hysterectomy (TAH) in the management of benign gynaecological disease.Design Randomised controlled trial and economic evaluation.Setting Three hospitals in the West of Scotland.Participants Two hundred women scheduled for an abdominal hysterectomy for benign gynaecological disease.Main outcome measures Conversion rate of LAVH to TAH, complication rates, NHS resource use and costs, quality of life using EuroQol 5 D visual analogue scale, and achievement of milestones.Results The overall incidence of operative complications was 14% in the TAH group and 8% in the LAVH group, with an 8% conversion rate. Length of operation was significantly greater in the women having LAVH at 81 ±30 min vs 47 ±16 min (P 〈 0.001). There was no difference in analgesic requirements between the groups although there was a significantly shorter hospital stay for those having LAVH. The rate of post-surgery recovery, satisfaction with operation and quality of life at four weeks post-operative were similar in the two groups of women. LAVH was significantly more expensive than TAH and remained more expensive for all but the most extreme scenario.Conclusions This study demonstrates that despite the decreased length of hospital stay, LAVH is more expensive than TAH. In addition, recovery following operation and patient satisfaction were not affected by the route chosen. It is unlikely that LAVH represents an efficient use of NHS resources.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 0009-8981
    Keywords: Alkaline phosphatase isoenzymes ; Norethisterone ; Postmenopausal
    Source: Elsevier Journal Backfiles on ScienceDirect 1907 - 2002
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    Grass and forage science 13 (1958), S. 0 
    ISSN: 1365-2494
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Agriculture, Forestry, Horticulture, Fishery, Domestic Science, Nutrition
    Notes: Utilised grass production on ten small farms in North County Dublin has been estimated using (A) the method adopted by the British Grassland Society Sub-Committee on the assessment and recording of the utilised output of grassland, and (B) a live-weight increase method using Woodman's figures.At the beginning of the grazing season all the grazing animals on each farm were weighed. At the same time the records for method A were begun. Altogether 169 animals and 12 sheep were weighed during March-April. Animals sold during the period of investigation were weighed, where possible.The results obtained using the two methods have been compared. Average percentage difference on ten observations was 11.3%, with a variation of ± 3.7%. On farms 1–5, where only mature stock were kept, the percentage difference was 9.9%± 2.2%. On farms 6–10, where animals of all categories were grazed, the percentage difference averaged 12.8%± 2.2%. In all cases the live-weight-increase method gave the higher estimated yield.The techniques used in the estimation of utilised grassland production are discussed. Total output varied between 26.5 cwt. and 9.0 cwt. of utilised S.E. per acre. The significance of the findings is discussed and the value of the methods used is considered.
    Type of Medium: Electronic Resource
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