Use of computed tomography in appendicitis: technique, findings, and pitfalls

Twelve patients with acute appendicitis were studied by computed tomography. Our technique of conducting the examination, the computed tomography signs, and the pitfalls encountered in studying these patients are presented. Use of computed tomography should be considered whenever the clinical presentation is atypical or confirmation of the clinical diagnosis is necessary.     

Body disclosure and self-disclosure-relating two modes of interpersonal encounter

This study investigated the relationship between body-disclosure and self-disclosure. The author drew upon current research in self-disclosure and body image and hypothesized that self-disclosure and body-disclosure would be directly related. Ss who volunteered for the experiment were matched for sex, past disclosure, and willingness to disclose to someone of the opposite sex. A social nudity experience was provided for one group, an outing day was provided for the second group, and a third group received no treatment. Testing included a tape recorded self-disclosure dialogue and ratings of self-and body attitudes. Finally the Ss were asked to write their subjective „experience of the experiment.”︁ Ss who had undergone a body-disclosure experience disclosed more to each other than did Ss in the other groups. Ss also tended to like themselves better after the social nudity experience. Furthermore, they described the body-disclosing day as a peak experience.     

Interventional Radiologic Treatment of Hepatocellular Carcinoma—A Cost Analysis from the Payer Perspective

PurposeTo determine whether there is a cost advantage for one of the three commonly performed interventional radiology (IR) procedures (chemoembolization, selective internal radiation therapy [SIRT], radiofrequency ablation [RFA]) in the treatment of hepatocellular carcinoma (HCC).Materials and MethodsA cost analysis from the payer perspective was performed. Primary data were collected from a university hospital, and sensitivity testing was done by comparing coding information obtained at two other tertiary care medical facilities. Medicare allowable reimbursements were used to estimate costs. Decision analytic models using decision tree analysis and Monte Carlo simulations were used to compare alternatives. Simulations were performed comparing all three procedures, followed by a two-way comparison of chemoembolization and SIRT.ResultsSimple decision tree analyses showed that RFA was less expensive compared with chemoembolization and SIRT. Monte Carlo simulations showed average reimbursements for each of the three procedures that was largely dependent on the number of repeat procedures required ($9,362 vs $30,107 vs $35,629 for RFA, chemoembolization, and SIRT; P < .001). When comparing only chemoembolization and SIRT, chemoembolization was the lower cost strategy in most scenarios, but SIRT was lower in cost in more than one-third of the simulations.ConclusionsRFA was the least costly of the three IR strategies in nearly all scenarios studied in these models. Although chemoembolization was less expensive than SIRT in most instances, Monte Carlo simulation showed a preference for SIRT in more than one-third of all scenarios. Sensitivity analyses showed that the most important variables assessed were the need for repeat procedures.