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  • 1
    Electronic Resource
    Electronic Resource
    350 Main Street , Malden , MA 02148-5020 , USA and 9600 Garsington Road , Oxford OX4 2XG , England . : Blackwell Science Inc
    Journal of cardiac surgery 20 (2005), S. 0 
    ISSN: 1540-8191
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Abstract  Background: While potential benefits of robotic technology include decreased morbidity and improved recovery, some have suggested a prohibitively high cost. This study was undertaken to compare actual hospital costs of robotically assisted cardiac procedures with conventional techniques. Methods: We conducted a retrospective review of clinical and financial data of 20 patients who underwent atrial septal defect (ASD) closure and 20 patients who underwent mitral valve repair (MVr) using either robotic techniques or a conventional approach with a sternotomy. Total hospital cost (actual resource consumption) was subdivided into operative and postoperative costs. Results: Robotic technology did not significantly increase total hospital cost for ASD closure or MVr (p = 0.518 and p = 0.539). However, when including the initial capital investment for the robot through amortization of institutional costs, total hospital cost was increased by $3,773 for robotic ASD closure and $3,444 for robotic MVr (p = 0.021 and p = 0.004). The major driver of cost for robotic cases (operating room time) decreased over time. Conclusions: Robotic technology did not significantly increase hospital cost. While the absolute cost for robotic surgery was higher than conventional techniques after taking into account the institutional cost of the robot, the major driver of cost for robotic procedures will likely continue to decrease, as the surgical team becomes increasingly familiar with robotic technology. Furthermore, other benefits, such as improvement in postoperative quality of life and more expeditious return to work may make a robotic approach cost-effective. Thus, it is possible that the benefits of robotic surgery may justify investment in this technology.
    Type of Medium: Electronic Resource
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  • 2
    Publication Date: 2024-02-07
    Description: When pelagic organisms die and fall onto the deep-sea floor they create food falls, parcels of organic enrichment that subsidize deep benthic scavenging communities. The diversity and quantities of food falls remains unstudied for many ocean regions, since they are stochastically deposited and rapidly scavenged. The Southern Ocean habitat supports large populations of megafauna but few food falls have been documented. To investigate the diversity and quantity of food falls in the northwestern Weddell Sea we analyzed 8476 deep-sea floor images that were captured during the expedition PS118 on RV Polarstern in 2019 by the camera system OFOBS (Ocean Floor Observation and Bathymetry System). OFOBS was towed 1.5 m above the seafloor along five transects (400 to 2200 m seafloor depth) east of the Antarctic Peninsula. We observed the carcasses of one baleen whale, one penguin, and four fish at depths of 647 m, 613 m, 647 m, 2136 m, 2165 m, and 2112 m, respectively, as well as associated scavenging fauna. To the best of our knowledge, we describe here the first in situ observations of deep-sea food falls for penguins and fish in the Southern Ocean. While the whale carcass seemed in an intermediate successional stage, both the penguin and the fish were likely recently deposited and three of the fish potentially resulted from fishery discards. Our relatively small data set suggests that a diverse array of food falls provide nutrients to the slopes of the Powell Basin.
    Type: Article , PeerReviewed
    Format: text
    Format: archive
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