CUSTOM MADE INTERNAL AND EXTERNAL NASAL SPLINTS : A COST EFFECTIVE ALTERNATIVE

Objectives: To evaluate the usability and effectiveness of tailor made internal and external nasal splints after nasal surgery. Study Design: An observational study. Place and Duration of Study: Combined Military Hospital Kohat, from Nov 2015 to Aug 2017. Methodology: the study was carried out on 523 patients who underwent nasal surgery by the same team of surgeons. Custom made free of cost internal and external nasal splints were used as required. Complications pertaining to the use of nasal splints were recorded. Results: The custom made splints were found to be an excellent and cost effective alternative of commercially available expensive splints. The benefits and pitfalls were comparable. Conclusion: Where these free of cost splints does the job they as well save a lot of money and can be used as an effective alternative to commercially available splints.

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The “homemade” HIPEC machine – a cost-effective alternative in low-resource countries

Pleura and Peritoneum ◽

10.1515/pp-2017-0022 ◽

2017 ◽

Vol 2 (4) ◽

pp. 163-170 ◽

Cited By ~ 2

Author(s):

Aditi Bhatt ◽

Robin Prabhu ◽

Kayomarz Sethna ◽

Sajin Tharayil ◽

Madhan Kumar

Keyword(s):

Flow Rate ◽

Low Income ◽

Cost Effective ◽

Technical Support ◽

Effective Alternative ◽

Target Temperature ◽

Low Resource ◽

Custom Made ◽

Cost Effective Alternative ◽

Technical Failures

AbstractBackgroundHIPEC using custom-made machines (CMM) remains unaffordable for many patients in low-income countries. We describe the assembly and use homemade HIPEC machine (HMM) as a cost-effective alternative.MethodsWe evaluated the cost of setting up the HMM, maintenance, expenses per procedure as well as technical aspects including target temperature and flow rate, safety aspects, technical failures and the technical support required. The comparison with CMM was based on the manufacturer information and published reports and not on personal experience.ResultsForm 2011 to 2017, we performed HIPEC (Coliseum technique) in 81 patients using HMM. HMM was a cardiopulmonary bypass machine available in our institution, with an additional water bath. Flow rate was 2 L/min and target temperature between 41 and 43 °C could be achieved in all cases. There were no technical failures and there was no safety issue recorded. Routine maintenance was provided yearly by an in-house technician. Chemotherapy costs (between 20 and 500 USD) were independent from the devices used. Cost of consumables was 450 USD/procedure, as compared to 1800 to 3500 USD/procedure for commercially available products. Investment cost for CMM is between 70,000 and 1,35,000 USD.ConclusionsThe HMM is a cost-effective option allowing access to HIPEC to patients in low-resource countries without loss of efficacy or additional safety concerns. The initial cost and cost per procedure were substantially less for HMM while the maintenance of both systems was similar in terms of complexity and cost. The CMM are more user-friendly and require less technical support.

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A comparison of different over-the-counter foot orthotic devices on multi-segment foot biomechanics

Prosthetics and Orthotics International ◽

10.1177/0309364615584660 ◽

2016 ◽

Vol 40 (6) ◽

pp. 675-681 ◽

Cited By ~ 5

Author(s):

Reed Ferber ◽

Blayne A Hettinga

Keyword(s):

Repeated Measures ◽

Plantar Fascia ◽

Cost Effective ◽

Effective Alternative ◽

Camera Motion ◽

Cross Sectional ◽

Over The Counter ◽

Foot Biomechanics ◽

Custom Made ◽

Cost Effective Alternative

Background:Over-the-counter foot orthoses are a cost-effective alternative to custom-made devices. However, few studies have compared over-the-counter devices and most biomechanical research involving orthoses has focused on rearfoot biomechanics.Objectives:To determine changes in multi-segment foot biomechanics during shod walking in three commercially available over-the-counter devices: SOLE, SuperFeet and Powerstep when compared to no orthotic.Study design:Repeated measures, cross-sectional study.Methods:Retroreflective markers were placed on the right limb of 18 participants representing forefoot, midfoot, rearfoot and shank segments. Three-dimensional kinematics were recorded using an eight-camera motion capture system while participants walked on a treadmill and the order of condition was randomized between four conditions: SOLE, SuperFeet, Powerstep and no orthotic.Results:All over-the-counter devices exhibited significant decreases in plantar fascia strain compared to no orthotic and only Powerstep exhibited significant decreases in peak rearfoot eversion. Medial longitudinal arch deformation was not reduced for any over-the-counter device.Conclusion:Different over-the-counter devices exhibited specific alterations in rearfoot kinematics and all reduced plantar fascia strain by varying amounts. These over-the-counter-specific kinematic changes should be taken into consideration when recommending these devices as a treatment option.Clinical relevanceOver-the-counter orthoses are a cost-effective alternative to custom-made devices. We demonstrated that three commonly used over-the-counter devices influence foot kinematics and plantar fascia strain differently. Clinicians can use these results to provide more tailored treatment options for their patients.

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ANCORSTEEL 4300

Alloy Digest ◽

10.31399/asm.ad.sa0611 ◽

2009 ◽

Vol 58 (11) ◽

Keyword(s):

Fracture Toughness ◽

Physical Properties ◽

Tensile Properties ◽

Cost Effective ◽

Heat Treating ◽

Effective Alternative ◽

Powder Metal ◽

Secondary Processing ◽

Cost Effective Alternative

Abstract Ancorsteel 4300 alloy ferrous powder simulates wrought steel compositions and is a cost-effective alternative to alloys requiring secondary processing. This datasheet provides information on composition, physical properties, hardness, and tensile properties as well as fracture toughness. It also includes information on heat treating and powder metal forms. Filing Code: SA-611. Producer or source: Hoeganaes Corporation.

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Faculty Opinions recommendation of Is elective single embryo transfer a cost-effective alternative to double embryo transfer?

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.1058887.510823 ◽

2007 ◽

Author(s):

Julia Hussein

Keyword(s):

Embryo Transfer ◽

Cost Effective ◽

Single Embryo Transfer ◽

Effective Alternative ◽

Elective Single Embryo Transfer ◽

Cost Effective Alternative ◽

Double Embryo Transfer

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Robotic hepatectomy is a safe and cost-effective alternative to conventional open hepatectomy: A single center experience

HPB ◽

10.1016/j.hpb.2020.04.753 ◽

2020 ◽

Vol 22 ◽

pp. S186-S187

Author(s):

J. Hawksworth ◽

N.P. Llore ◽

M.L. Holzner ◽

P. Radkani ◽

E. Mesler ◽

...

Keyword(s):

Cost Effective ◽

Effective Alternative ◽

Single Center ◽

Robotic Hepatectomy ◽

Single Center Experience ◽

Open Hepatectomy ◽

Cost Effective Alternative

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A recent overview on the porphyrin-based π-extended small molecules as donors and acceptors for high-performance organic solar cells

Materials Chemistry Frontiers ◽

10.1039/d1qm00952d ◽

2021 ◽

Author(s):

Venkatesh Piradi ◽

Feng Yan ◽

Xunjin Zhu ◽

Wai-Yeung Raymond Wong

Keyword(s):

Solar Cells ◽

Solar Cell ◽

Small Molecules ◽

Organic Solar Cells ◽

High Performance ◽

Cost Effective ◽

Effective Alternative ◽

The Past ◽

Cost Effective Alternative ◽

Silicon Based

Organic solar cells (OSCs) have been considered as a promising cost-effective alternative to silicon-based solar cell counterparts due to their lightweight, mechanical flexibility, and easy fabrication features. Over the past...

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