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Use of Hedstrom file for removal of fractured root tips.

The foregoing case report describes a procedure that can be used to remove newly fractured roots. It is recommended that a Hedstrom file be used in cases in which the roots are loosened before they are fractured and provided that proper visibility and sufficient space in the root canal in which to introduce the file exist. This method, used alone or in combination with closed or open procedures, can be helpful for removing roots that are close to the maxillary sinus or mandibular canal. In the aforementioned case, the Hedstrom file's being threaded into the root tip was a safeguard against pushing the root tips into the surrounding anatomic structures. A method of using a Hedstrom file has been described for the removal of newly fractured root tips. If conditions are adequate, this method is simple and effective.

Adolescent

The optimal design of MUMPS global file.

This paper presents the basic consideration of global file design on MUMPS language. The major goal of global design is to reduce the number of disc accesses made over the long-term use of a file. To attain this goal, the procedure for finding the global file which minimizes the average number of disc blocks accessed to obtain a data node is proposed. Furthermore, the total number of blocks in use with file design are demonstrated by simple examples.

Computers

ADL: an integrated database for filing and study of malignant lymphoma patients.

The filing of clinical data must comply with purposes of logical organization for comparisons and evaluations. ADL (Archives of Data on Lymphomas) is an application program of dBASE III plus (Ashton-Tate) for personal computers, especially suitable for filing and studying patients afflicted with malignant lymphoma. It is subdivided into four data files: general data (private data, stage, therapy); disease data (sites of disease by tests and body area); immunological data (lymphocyte subpopulations, globulin and immunoglobulin dosage, delayed hypersensitivity skin tests); lost patients (register of patients not seen for at least 1 year). It has many utilities (descriptive statistics, clinical report, export service). Congruence checks and verification of names and dates input are included. This program stands as a valuable alternative to more traditional filing systems.

Archives

Electronic determination of root canal length by newly developed measuring device. Influences of the diameter of apical foramen, the size of K-file and the root canal irrigants.

A new electronic root canal measuring device called "ENDEX" which is able to determine the root canal length under moistened conditions using a relative value of different alternative electric currents is discussed in this study. This study is designed to investigate the efficiencies of the new device, in vitro, with respect to change in the root canal environment; namely the influence of the size of K-file, the diameter of the apical foramen and the various root canal irrigants. According to the present study, it was confirmed that the location of the apical foramen was clearly detected under moistened root canal with saline solution using any size of K-file. The locations of the tip of K-files were 0.5 mm inside the apical foramen when the relative value displayed 0.3 Volt, so that the apical constriction could not disturb during root canal measurement. One of the big problem with prior electrical measurement devices was not being able to determine the canal length under moistened conditions. However with this improved device, intracanal irrigants, such as saline, 5% NaOC1, 14% EDTA and 3% H2O2 did not interfere in detecting apical foramen irregardless of the size of K-file and the size of the apical foramen.

Dental Pulp Cavity

[Digital library for archiving files of radiology and medical imaging].

The Conseil des Enseignants de Radiologie de France in collaboration with the Ilab-TSI company and Schering laboratories has developed a computer programme allowing the storage and consultation of radiological teaching files. This programme, developed on Macintosh from standard Hypercard and Quicktime applications, allows, in consultation mode, the multicriteria search and visualisation of selected radiological files. In the author mode, new files can be included after digitalizing the author's own images or after obtaining images from another image library. This programme, which allows juxtaposition of digitalised radiological files, is designed to be extremely open and can be easily combined with other computer-assisted teaching or computer-assisted presentation applications.

Audiovisual Aids

Quantitative comparison of planar and SPECT normal data files of thallium-201, technetium-99m-sestamibi, technetium-99m-tetrofosmin and technetium-99m-furifosmin.

UNLABELLED: In recent years, several of 99mTc-labeled myocardial perfusion imaging agents have been developed, such as 99mTc-sestamibi, 99mTc-tetrofosmin and 99mTc-furifosmin. Although images obtained with these new tracers have a general similar appearance, there are differences in the myocardial kinetics, body distribution, general quality of images and imaging protocols. The aim of this study was to quantitatively compare normal exercise planar and SPECT data files obtained with 201TI and 99mTc-labeled agents. METHODS: Lower-limit-of-normal curves were generated for each specific radiopharmaceutical from normal subjects with low (< 3%) pretest likelihood of coronary artery disease using circumferential count distribution profiles from planar and SPECT exercise images. Lower-limit-of-normal curves were statistically compared using the nonparametric Kruskall-Wallis and Wilcoxon tests. RESULTS: Planar and SPECT lower-limit-of-normal curves generated for each radiopharmaceutical showed general similarities. Statistically significant differences among the lower-limit-of-normal curves were found in the planar left anterior oblique view and in the planar left lateral view (p < 0.05 for each). No statistically significant differences existed between lower-limit-of-normal curves of various radiopharmaceuticals on the planar anterior view and on SPECT imaging. CONCLUSION: For quantitative analysis of planar images, radiopharmaceutical-specific normal data files are mandatory. Although SPECT normal data files of various radiopharmaceuticals are not statistically different, they are not identical. It appears, nevertheless, prudent to use radiopharmaceutical-specific normal data files for quantitative analysis of SPECT images.

Adult

Extraction and anonymity protocol of medical file.

To carry out the epidemiological study of patients suffering from a given cancer, the Department of Medical Informatics (DIM) has to link information coming from different hospitals and medical laboratories in the Burgundy region. Demands from the French department for computerized information security (Commission Nationale de l'Informatique et des Libertés: CNIL), in regard to abiding by the law of January 6, 1978, completed by the law of July 1st, 1994 on nominal data processing in the framework of medical research have to be taken into account. Notably, the CNIL advised to render anonymous patient identities before the extraction of each establishment file. This paper describes a recently implemented protocol, registered with the French department for computerized information security (Service Central de la Sécurité des Systèmes d'information : SCSSI) whose purpose is to render anonymous medical files in view of their extraction. Once rendered anonymous, these files will be exportable so as to be merged with other files and used in a framework of epidemiological studies. Therefore, this protocol uses the Standard Hash Algorithm (SHA) which allows the replacement of identities by their imprints while ensuring a minimal collision rate in order to allow a correct linkage of the different information concerning the same patient. A first evaluation of the extraction and anonymity software with regard to the purpose of an epidemiological survey is described here. In this paper, we also show how it would be possible to implement this system by means of the Internet communication network.

Computer Communication Networks

[Quality of data acceptable for perinatal epidemiology surveillance: assessment of the health certificate at birth and the national obstetrics medical file. Study in three Seine-Maritime maternal wards].

Data from several sources could be used for perinatal epidemiology surveillance aimed at an assessment of regional programs such as those proposed by the Superior Committee for Public Health. A retrospective study of 561 births was conducted in three maternity wards in the French Seine Maritime department in order to evaluate the reliability of two data sources: the national obstetrics medical file and the health certificate at birth. The delivery room records were used as the gold standard. The sensitivity of the obstetrics file was better than that of the health certificate. With the obstetrics file, it was possible to identify almost all the vaginal route interventions, almost all the premature births and all the cesareans. With the health certificate, 39-58% of the vaginal route interventions, 61% of the premature births and 61-72% of the cesareans performed in the three wards studied were identified. The quality of data in the obstetrics file appears to be better than that in the health certificate but only concerns 40% of births in the geographical area studied. Inversely, the health certificate is theoretically delivered for all births (actually delivered for 93%). Integrating these two information systems could be an optimum solution.

Bias

A study on the development of a filing system for funduscopic images with a personal computer for Twin AMHTS.

A filing system for ocular funduscopic image data was developed by using a personal computer for the Twin AMHTS. The development of the system was tried as one of the data transfer system including image data between two similar AMHTSs named the Twin AMHTS through the information network system. The filing system is capable of storing 26782 data of ophthalmoscopic pictures with a data compression mode by using a magneto-optical disk (MOD) whose storage capacity of both sides is 616 MB. It takes no long time for retrieval and display of the image data in the filing system. Good quality of compression and decompression obtained and reproducibility of the ocular fundus picture is favorable regardless of normal or abnormal cases. As a result, it is suggested that the developed system has practical utility although it requires more improvement.

Computer Communication Networks

The who, why and how of radiology teaching files.

A variety of teaching files in diagnostic radiology is needed to serve a broad spectrum of purposes and students. A method of acquiring a simplified teaching file to be used for and by medical students, non-radiology house staff, first-year radiology residents and senior staff members is described. The medical student, as a learning experience, acts as the procurer of this file.

Filing

The who, why and how of radiology teaching files.

A variety of teaching files in diagnostic radiology is needed to serve a broad spectrum of purposes and students. A method of acquiring a simplified teaching file to be used for and by medical students, non-radiology house staff, first-year radiology residents and senior staff members is described. The medical student, as a learning experience, acts as the procurer of this file.

Filing

Powder data file as a tool for identification of dental gold alloys.

In order to obtain data for a prospective powder data file for dental gold alloys X-ray diffraction photograms of 75 different gold alloys were taken using a Guinier-Hägg camera and CuKalpha1 radiation. Before the X-ray photograms were taken the alloys had been heat treated at 700 degrees C, 800 degrees C or 900 degrees C depending on the solidus temperatures of the alloys. The lattice parameters of the samples were determined from the X-ray photograms. These data were supplemented by a specification of the interplanar spacings of the three strongest lines on the diffraction patterns and also by the relative intensities and Miller indices of these lines. An extensive library of reference films is to be collected and this and other details of the file are discussed. It is not intended that the file be used to identify a particular alloy but merely to identify the type of alloy. Thus it can serve as a guide to facilitate the proper selection of gold alloys within practical clinical dentistry.

Filing

Problems of medical record storage with an optical disk filing system--with special reference to image quality.

An optical disk filing system is a promising new method to memorize the contents of medical records. However, there are some problems of image quality and durability with the disk. The present study investigated the problems with image quality as to the content of medical records. Two optical disk filing systems on the market were used. Medical records of discharge summary, present illness, progress notes, ECGs and polaroid pictures, were put through the image scanner and compared with output images. Image data such as discharge summary and present illness were clearly reproduced with a resolution of 200 dots per inch (dpi). However, polaroid pictures of UCGs or sketches by doctors needed a resolution of 400 dpi with 32-64 gradations. ECGs needed a resolution of 400 dpi with 2 gradations. Records in more than 2 ink colours such as renograms, nurses' notes and doctors' sketches were reproduced in monochrome images, so the colour signals could not be distinguished. In conclusion, the optical disk filing system is useful to store medical records, but it must be improved so as to distinguish colour information.

Evaluation Studies as Topic

Medical reference filing systems.

Low priced shareware packages may be adequate for those whose main need is to index a collection of articles read in journals. Those who search the literature electronically will need a package able to import mass data. Pro-Cite is set up for bibliographic functions only, but Reference File and Notebook II can be used to index any kind of collection, with Reference File having the advantage of being memory-resident. Other reference filing databases being considered for purchase could be measured against those reviewed here.

Abstracting and Indexing

Filing and retrieving a personal collection of 35-mm teaching slides in medicine. A simplified system.

The use of 35-mm slides to teach or supplement lectures has become an important technique in medical education. To be effective, the slide collections need an efficient filing and retrieval system. The systems previously described for filing and retrieval of slides usually are expensive, require many materials and much space, and are more suited for slide libraries and large collections than for personal collections of teaching slides. A more simple and inexpensive system to file and retrieve personal collections of 35-mm teaching slides uses color labels to identify groups of topics and also numbers to identify each slide in a given group. The color labels also help in proper loading of slides into the slide tray. This system can be expanded easily to suit individual needs.

Audiovisual Aids

File maintenance of MeSH headings in MEDLINE.

This article addresses file maintenance of subject headings in the National Library of Medicine's MEDLINE, a bibliographic retrieval file which is indexed using Medical Subject Headings (MeSH), NLM's subject authority. The emphasis is class maintenance in which sets of records in MEDLINE are changed by maintenance actions which reflect yearly changes in MeSH. Specific types of maintenance action are described with examples to highlight problem areas. Class maintenance failures, checking class maintenance, and informing end-users of MeSH changes resulting in class maintenance are discussed. Technical constraints and feasibility are not analyzed in detail; rather, the approach is geared toward requirements and impact of maintenance from the standpoint of vocabulary specialists and end-users. The article concludes with a brief statement on defining file maintenance policy.

MEDLARS

Reporting, filing, and retrieval of coronary angiographic findings: a new personal computer-based system.

A software system for semiautomatic reporting and automatic filing of coronary angiographies has been developed and is suitable for an IBM Personal Computer (PC) with graphic tablet and printer. Coronary angiographic findings referring to the native anatomy, pathology, and post-surgical status can be easily recorded. The data is automatically coded and filed according to category of information. This system can analyze previously filed data and perform searches under one or more angiographic findings. This allows for a comparison of different series of patients.

Algorithms

Microcomputer-assisted filing system of cardiac catheterization records using a relational database management system.

To efficiently store and retrieve cardiac catheterization records, we have developed a computer-assisted database, which comprises a 16-bit microcomputer with dual floppy disk drives, a 20 MB random-access memory, hard disk drive, and a line printer. All programmings were accomplished using a relational database management system (R:base 5000, Microrim, Inc.). Data inquiry procedures could be performed with direct operational commands of the system as well as with preprogrammed command files, and final results of searches were printed out with a line printer. The major advantages of the present system described in this report include: (1) the relatively easy and rapid creation of the database, (2) ease of modification of the database structures even after the system design is finished, (3) operational commands in combination with conditional operator(s) are flexible and powerful enough to allow the end user to retrieve data based on various kinds of criteria, (4) a high-level programming language provided by the R:base automates a series of database procedures with relative ease, (5) relational capabilities of the database management system can enhance the possibility of reconstruction of a new data file from a single or several preexisting data files, and (6) the system can be realized at reasonable cost.

Cardiac Catheterization