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To compare ultrasonography-guided drainage versus conventional surgical incision and drainage in deep neck space abscesses.
Methods
The study was pre-registered on the National Institute of Health Research Prospective Register of Systematic Reviews (CRD42023466809) and adhered to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The Medline, Embase and Central databases were searched. Primary outcomes were length of hospital stay and recurrence. Heterogeneity and bias risk were assessed, and a fixed-effects model was applied.
Results
Of 646 screened articles, 7 studies enrolling 384 participants were included. Ultrasonography-guided drainage was associated with a significantly shorter hospital stay (mean difference = −2.31, p < 0.00001), but no statistically significant difference was noted in recurrence rate compared to incision and drainage (odds ratio = 2.02, p = 0.21). Ultrasonography-guided drainage appeared to be associated with cost savings and better cosmetic outcomes.
Conclusion
Ultrasonography-guided drainage was associated with a shorter hospital stay, making it a viable and perhaps more cost-effective alternative. More randomised trials with adequate outcomes reporting are recommended to optimise the available evidence.
A new partial ordering generated by the set of star-shaped functions is introduced. This ordering is equivalent to the stochastic comparison of the length-biased distributions which are frequently appropriate for certain natural sampling plans in biometry, reliability, and survival analysis studies. It is shown that the length-biased ordering fits in the framework of stochastic and variatiility orderings. It enjoys many properties similar to those of the stochastic and variability orderings.
The concept of max-infinite divisibility is viewed as a positive dependence concept. It is shown that every max-infinitely divisible distribution function is a multivariate totally positive function of order 2 (MTP2). Inequalities are derived, with emphasis on exchangeable distributions. Applications and examples are given throughout the paper.
Two arbitrary life distributions F and G can be ordered with respect to their Laplace transforms. We say is Laplace-smaller than for all s > 0. Interpretations of this ordering concept in reliability, operations research, and economics are described. General preservation properties are presented. Using these preservation results we derive useful inequalities and discuss their applications to M/G/1 queues, time series, coherent systems, shock models and cumulative damage models.
An extension of the INAR(1) process which is useful for modelling discrete-time dependent counting processes is considered. The model investigated here has a form similar to that of the Gaussian AR(p) process, and is called the integer-valued pth-order autoregressive structure (INAR(p)) process. Despite the similarity in form, the two processes differ in many aspects such as the behaviour of the correlation, Markovian property and regression. Among other aspects of the INAR(p) process investigated here are the limiting as well as the joint distributions of the process. Also, some detailed discussion is given for the case in which the marginal distribution of the process is Poisson.
Recently many authors have established connections between dispersive ordering and some other partial orderings of distributions. This paper presents the connection which superadditive ordering has with dispersive ordering.
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