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From the standpoint of a bedside teacher, there seems to have been palpable erosion of critical and analytical thinking skills as students and residents prioritize labeling of conditions and following prepackaged care protocols.
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Prevalence of palpable tape or erosion: the proportion of patients with palpable tape or erosion will be compared between groups using a chi-square test.
A McNemar chi-square test will be performed to assess whether there is a relationship between having palpable tape or erosion at 12 months, and having of palpable tape or erosion at 5 years following surgery.
Point prevalence of palpable tape, vaginal erosion or other serious adverse outcomes at 5 years after index SUI surgery.
Point prevalence of palpable tape and vaginal erosion will be measured by standardised digital vaginal exam by a blinded examiner.
Because the risk factors for adverse outcomes of tape surgery are not clearly understood, we are unable to say whether palpable tapes will lead to vaginal erosions or whether they merge into vaginal tissue.
The clinical results from our RCT raise the possibility that the TOT approach may lead to more women having longer term problems if those with tapes found to be palpable at 12 months go on to develop vaginal erosion.
In addition, our study may be able to produce information about any possible link between palpable tape at 12 months after surgery and development of vaginal erosion and other adverse outcomes.
Do women with tape found to be palpable in the vagina at 12 months postoperatively, go on to develop vaginal erosion by 5 years following surgery?
"The erosion of confidence and trust in the financial world, in the financial authorities that oversee it, and in government generally is palpable".
That's serious erosion.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com