- Browse by Subject
Browsing by Subject "Comparison"
Now showing 1 - 2 of 2
Results Per Page
Sort Options
Item Effects of Blended (Yellow) vs Forced Coagulation (Blue) Currents on Adverse Events, Complete Resection, or Polyp Recurrence After Polypectomy in a Large Randomized Trial(Elsevier, 2020-07) Pohl, Heiko; Grimm, Ian S.; Moyer, Matthew T.; Hasan, Muhammad K.; Pleskow, Douglas; Elmunzer, B. Joseph; Khashab, Mouen A.; Sanaei, Omid; Al-Kawas, Firas H.; Gordon, Stuart R.; Mathew, Abraham; Levenick, John M.; Aslanian, Harry R.; Antaki, Fadi; von Renteln, Daniel; Crockett, Seth D.; Rastogi, Amit; Gill, Jeffrey A.; Law, Ryan J.; Elias, Pooja A.; Pellise, Maria; Mackenzie, Todd A.; Rex, Douglas K.; Medicine, School of MedicineBackground & aims: There is debate over the type of electrosurgical setting that should be used for polyp resection. Some endoscopists use a type of blended current (yellow), whereas others prefer coagulation (blue). We performed a single-blinded, randomized trial to determine whether type of electrosurgical setting affects risk of adverse events or recurrence. Methods: Patients undergoing endoscopic mucosal resection of nonpedunculated colorectal polyps 20 mm or larger (n = 928) were randomly assigned, in a 2 × 2 design, to groups that received clip closure or no clip closure of the resection defect (primary intervention) and then to either a blended current (Endocut Q) or coagulation current (forced coagulation) (Erbe Inc) (secondary intervention and focus of the study). The study was performed at multiple centers, from April 2013 through October 2017. Patients were evaluated 30 days after the procedure (n = 919), and 675 patients underwent a surveillance colonoscopy at a median of 6 months after the procedure. The primary outcome was any severe adverse event in a per patient analysis. Secondary outcomes were complete resection and recurrence at first surveillance colonoscopy in a per polyp analysis. Results: Serious adverse events occurred in 7.2% of patients in the Endocut group and 7.9% of patients in the forced coagulation group, with no significant differences in the occurrence of types of events. There were no significant differences between groups in proportions of polyps that were completely removed (96% in the Endocut group vs 95% in the forced coagulation group) or the proportion of polyps found to have recurred at surveillance colonoscopy (17% and 17%, respectively). Procedural characteristics were comparable, except that 17% of patients in the Endocut group had immediate bleeding that required an intervention, compared with 11% in the forced coagulation group (P = .006). Conclusions: In a randomized trial to compare 2 commonly used electrosurgical settings for the resection of large colorectal polyps (Endocut vs forced coagulation), we found no difference in risk of serious adverse events, complete resection rate, or polyp recurrence. Electrosurgical settings can therefore be selected based on endoscopist expertise and preference.Item Real-time monitoring of distributed real-time and embedded systems using Web(2014-01-03) Puranik, Darshan Gajanan; Hill, James H. (James Haswell); Raje, Rajeev; Durresi, Arjan; Fang, ShiaofenAsynchronous JavaScript and XML (AJAX) is the primary method for enabling asynchronous communication over the Web. Although AJAX is providing warranted real-time capabilities to the Web, it requires unconventional programming methods at the expense of extensive resource usage. WebSockets, which is an emerging protocol, has the potential to address many challenges with implementing asynchronous communication over the Web. There, however, has been no in-depth study that quantitatively compares AJAX and WebSockets. This thesis therefore provides two contributions to Web development. First, it provides an experience report for adding real-time monitoring support over the Web to the Open-source Architecture of Software Instrumentation of Systems(OASIS), which is open-source real-time instrumentation middleware for distributed real-time and embedded (DRE) systems. Secondly, it quantitatively compares using AJAX and WebSockets to stream collected instrumentation data over the Web in real-time. Results from quantitative comparison between WebSockets and AJAX show that a WebSockets server consumes 50% less network bandwidth than an AJAX server; a WebSockets client consumes memory at constant rate, not at an increasing rate; and WebSockets can send up to 215.44% more data samples when consuming the same amount network bandwidth as AJAX.