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At least 163 records · Page 9Linked to original sources

[EEG data filing system with personal computer and magneto-optical disc].

We established a new computerized EEG filing system, in which an EEG machine was connected to an EEG filing unit which consisted of a personal computer with a 32 bit CPU, 18 channel analog -to-digital and digital-to-analog converters, and a magneto-optical disc driver. This system has the following merits. The system was space-saving, the space required to store the EEG data, being only 1/500 of that required for storing EEG record. Though the system had two independent EEG filing units, our original file configuration enabled us to have access to all of the recorded EEG data anytime for more than 10 years. The system enabled us to display EEG data continuously on the high resolution CRT, just as if turning the page of an EEG record paper, and through the quick scanning, enabled us to view the entire EEG pattern. Furthermore, the system enabled us to conduct reliable digital analysis for EEG data by entering the EEG data without artifacts into a data processor after confirmation on the display. In the system, we used data files with the MS-DOS operating system. This enabled us to analyze the data obtained by a personal computer operating on other systems, by transferring the data to a floppy disc operating on our system. Our EEG filing system allows quick access to data as well as mass data storage.

Electroencephalography↗

A filing system for the gastroenterology/hepatology consultant.

OBJECTIVES: A personal reprint collection is useful to practicing gastroenterologists. Its utility is enhanced when access to information is ensured through an efficient method of filing and retrieval. Our objective was to develop a filing system appropriate for use by gastroenterology/hepatology consultants. METHODS: Analyzing the shortcomings of computer-based and noncomputer-based filing systems, we developed a low-cost, intuitive (organ system-based) filing order with an up-to-date cross-referencing index. Authoritative gastroenterology and hepatology textbooks were consulted to ensure completeness. RESULTS: The filing system developed is user-friendly, expandable, and can be initiated with little investment of material or time. The system requires no computer and is easily learned. Moreover, this structure can organize both individual and departmental/divisional reprint collections and serve as a template for gastroenterology and hepatology textbooks. CONCLUSION: The organ system-based filing scheme presented is a valuable resource for gastroenterology/hepatology consultants.

Filing↗

[A proposal for a computerized clinical records file for a department of general surgery].

The author suggest a computerized program for filing clinical records of surgical institution. The proposed file is written in DB III plus (Ashton-Tate) and consists of one file .dbf and 4 files .prg. The database file contains anagraphic and clinical data of the patients. The program files make it possible to attribute a personal code to patients, print records of single patients, calculate the time of operation and assist in codifying diagnostic related groups (DRGs). The author stresses the utility of a medical computerized records system containing only few but important clinical data. It makes it possible to perform the most analysis of surgical series without the aid of a professional programmer.

Computer Systems↗

Implementing a MIRC query interface for a database driven teaching file.

This paper describes the authors' experience with integrating an existing database-driven teaching file with the RSNA (Radiological Society of North America) Medical Imaging Resource Center (MIRC). MIRC is the product of an RSNA-sponsored initiative to enable medical institutions to share their electronic medical content (images, text, and multimedia) by creating a distributed repository accessible from the Internet. An existing database-driven teaching file, developed by the authors and used extensively by the University of California San Francisco (UCSF) Department of Radiology since 1998, was retrofitted to include an interface for handling broadcast queries initiated by a MIRC query service. These queries take place through the exchange of XML documents via HTTP. After all the storage services have responded, the results are collated by the query service and presented to the user. The teaching file and MIRC interface were developed using the 4th Dimension Relational Database Management System (RDBMS). The integration process primarily involved mapping the "MIRCdocument" schema to the teaching file's schema, translating the actual MIRC query into the internal query language of the database and extending the access control mechanisms of the teaching file to allow public access. A working implementation of the interface required only 3 days of development time, with refinements taking place over several months. Interface development was greatly aided by MIRC's use of well-established Internet standards. This project has demonstrated the feasibility of implementing a MIRC interface on an existing teaching file server.

Computer-Assisted Instruction↗

Variations in same-size endodontic files.

Variations in same-size endodontic files (K-type, style B, stainless steel) were detected with a three-dimensional gauge. The variation between same-size files was within 3 mm. in most instances; however, variations from the smallest file in one size group to the largest file in the next size group was 5 mm. or more in many instances. Overall, about 74 percent of the variations came from the file itself. Suggestions concerning the use of the files are presented.

Dental Instruments↗

A standard multidimensional, easy-access data file structure for Apple II computers.

A random access file structure was designed for Apple II microcomputers that allows data storage of more than 65,500 data values at 170 per Kbyte with a dynamic range of nearly 5 orders of magnitude. All or part of the data are easily accessible from BASIC under ProDOS operating conditions. The file structure accommodates single or multiple data sets in a single data file. Data values within a file with one set of data may interrelate by equal spacing along a second coordinate, such as time or space. Multiple data sets in a file can be independent, parallel or interdependent. Each interdependent data set defines the position of a data point along its coordinate in a two- or multidimensional registration system. The lowest and highest values of each data set are separately recorded to allow easy manipulation of even part of the data, e.g. for graphical presentation. The possibility of storing large numbers of data values in a single file facilitates high-resolution recording of events and simple mathematical manipulation.

Computers↗

Media analyses based on Microsoft NTFS file ownership.

The ever-increasing size of digital media presents a continuous challenge to digital investigators who must rapidly assess computer media to find and identify evidence. To meet this challenge, methods must continuously be sought to expedite the examination process. This paper investigates using the file ownership property as an analytical tool focusing on activity by individuals associated with the computer. Research centered on the New Technology File System (NTFS), which is the default file system in Microsoft Windows Operating System (OS). This was done because Microsoft's worldwide market penetration makes Windows and NTFS the most likely OS and file system to be encountered in digital forensic examinations. Significantly, digital forensic software now allows examination of NTFS file attributes and properties including the ownership property. The paper outlines potential limitations regarding interpreting ownership findings, and suggests areas for further research. Overall, file ownership is seen as a potentially viable new digital forensic tool.

Journal Article↗

Structure and dynamics of a proton wire: a theoretical study of H+ translocation along the single-file water chain in the gramicidin A channel.

The rapid translocation of H+ along a chain of hydrogen-bonded water molecules, or proton wire, is thought to be an important mechanism for proton permeation through transmembrane channels. Computer simulations are used to study the properties of the proton wire formed by the single-file waters in the gramicidin A channel. The model includes the polypeptidic dimer, with 22 water molecules and one excess proton. The dissociation of the water molecules is taken into account by the "polarization model" of Stillinger and co-workers. The importance of quantum effects due to the light mass of the hydrogen nuclei is examined with the use of discretized Feynman path integral molecular dynamics simulations. Results show that the presence of an excess proton in the pore orients the single-file water molecules and affects the geometry of water-water hydrogen bonding interactions. Rather than a well-defined hydronium ion OH3+ in the single-file region, the protonated species is characterized by a strong hydrogen bond resembling that of O2H5+. The quantum dispersion of protons has a small but significant effect on the equilibrium structure of the hydrogen-bonded water chain. During classical trajectories, proton transfer between consecutive water molecules is a very fast spontaneous process that takes place in the subpicosecond time scale. The translocation along extended regions of the chain takes place neither via a totally concerted mechanism in which the donor-acceptor pattern would flip over the entire chain in a single step, nor via a succession of incoherent hops between well-defined intermediates. Rather, proton transfer in the wire is a semicollective process that results from the subtle interplay of rapid hydrogen-bond length fluctuations along the water chain. These rapid structural fluctuations of the protonated single file of waters around an average position and the slow movements of the average position of the excess proton along the channel axis occur on two very different time scales. Ultimately, it is the slow reorganization of hydrogen bonds between single-file water molecules and channel backbone carbonyl groups that, by affecting the connectivity and the dynamics of the single-file water chain, also limits the translocation of the proton across the pore.

Biophysical Phenomena↗

Dynamic fracture of hybrid endodontic hand instruments compared with traditional files.

The purpose of this study was to analyze in vitro the dynamic fracture of some endodontic hand instruments. The K file and H file were tested as reference traditional files; the K-Flex, Flexofile, Unifile, and Helifile were tested as newly developed hybrid instruments. The files were mounted in a lathe and rotated with cyclical axial motion in the lumen of a curved tempered steel groove until failure occurred. The results showed that the life span of instruments, the distance between the instrument tip and the rupture point, and the resistance to fracture were dependent on the size and design of the instruments. Moreover, scanning electron microscopic photographs revealed two types of breakage patterns. The K file, H file, Unifile, and Helifile showed a distinct fracture starting point with crack striations and ductile fractures. The K-Flex and Flexofile showed only plastic deformations and axial fissures.

Equipment Failure↗

Effects of constraint on the oscillatory pattern of endosonic files.

When operated in air, the transverse oscillation of the endosonic file exhibits a series of nodes and antinodes along its length with the greatest displacement amplitude occurring at the unconstrained tip. Endosonic files of varying design, length, and thickness exhibit differences in their oscillation. Preliminary work has revealed that the endosonic file is susceptible to constraint when working within the root canal and a model system was designed to investigate this problem. The constraining influence was found to be greatest when it was applied at those antinodes nearest the tip. This effect was further enhanced if the file was angled. Furthermore, constraint applied at the nodes also influenced the file oscillation. Such results may explain in situ observations on the occasional inefficiency of the system, especially when negotiating the apical third of a curved root canal. Clinical techniques utilizing an endosonic file may require reappraisal in order to minimize such constraint.

Root Canal Therapy↗

Torsional properties of stainless steel and nickel-titanium endodontic files.

The torsional properties of stainless steel (SS) endodontic files (Flex-O-File; Maillefer/L. D. Caulk Co., Milford, DE) and recently developed nickel-titanium (NiTi) endodontic files (Quality Dental Products, Inc., Johnson City, TN) were compared. File sizes 15, 25, 35, 45, and 55 were subjected to torsional load in clockwise (CW) and counterclockwise (CCW) directions independently. Results showed that SS files had a significantly greater rotation to failure in the CW direction, whereas the NiTi files had a significantly greater rotation to failure in the CCW direction. Despite these differences in rotation to fracture, there was essentially no difference between the SS and NiTi instruments in the torque that it took to cause failure in both the CW and the CCW directions. Therefore, whereas the number of CW and CCW rotations to failure differed for the two instruments, the actual force that it took to cause that failure was the same.

Alloys↗

Cutting ability of Heliosonic, Rispisonic, and Shaper files.

The aim of this study was to investigate the cutting ability of the Heliosonic, Rispisonic, and Shaper files supplied with the MM 1500 sonic handpiece. A model system was used and the following variables evaluated; file type (Heliosonic, Rispisonic or Shaper), power (air inlet ring opening of half, three quarters or fully open), width (15, 25 or 35), and load (25, 50 or 100 grams). A 3(4) full factorial analysis with two replications was performed. A new file with water irrigation was used for each cut. The substrate used was 1 mm thick sections of bovine bone. The differences between the variables were significant (ANOVA, p < 0.001). The most significant variable to affect cutting was load, followed by file type, power, and width. It is suggested that operators should select the file type for use appropriately and press the file against the root canal wall for optimum cutting.

Analysis of Variance↗

Penetration of constricted canals with modified K files.

A technique using K files with modified tips has been developed for the penetration of constricted canals. The tip of a #10 K file was sliced diagonally to make it thinner. Because this modified K file has an especially fine tip and an appropriate stiffness, it followed constricted or sharply curved canals well and had a high penetration potential. The author attempted to penetrate to the apical foramen in all 1844 canals of 977 teeth treated from 1987 to 1994. In 263 canals (14.3%) that could not be penetrated with conventional #10 K files, further attempts were made with the modified K files. As a result, the number of the nonpenetrated canals was reduced to 75 (4.1%). There were 7 file breakages and 14 accidental perforations.

Chi-Square Distribution↗

Relative value of analog and digital teaching files.

RATIONALE AND OBJECTIVES: This study was performed to determine if it is financially reasonable for radiology residency programs that create and maintain their own teaching files to switch from analog teaching files (ATFs) to digital teaching files (DTFs). MATERIALS AND METHODS: Radiology residency program directors were surveyed electronically about the monetary value and importance of conventional ATFs and DTFs. The costs for maintaining each type of file were calculated at the authors' institution. RESULTS: Surveys were sent to the program directors of all 197 accredited radiology residencies. Responses were received from 48 (24%). DTFs were scored as more important than ATFs, but the difference was not significant (P = .22). DTFs were rated as less complete (P = .01) but more current (P << .001) than ATFs. DTFs included the American College of Radiology Learning File (85%), in-house productions (77%), and other commercially available products (63%). Thirty percent of respondents had a DTF integrated into a picture archiving and communication system, and 28% reported having a technician dedicated to the teaching file. Program directors ascribed total median dollar values of $250 and $3,000 per year to their ATFs and DTFs, respectively. The annual costs at the authors' institution were much higher than these ascribed values: $44,720 ($91 per case) for maintaining a DTF produced in house and $24,601 ($50 per case) for maintaining an ATF, excluding physician time. CONCLUSION: Program directors are more willing to pay for a DTF than an ATF. For both, the costs of maintenance are great and the relative monetary value is low.

Analog-Digital Conversion↗

Dose reduction of two digital sensor systems measuring file lengths.

OBJECTIVE: The aim of this study was to determine the effect of dose reduction on the image quality of two sensor systems with automatic greyscale adjustment. STUDY DESIGN: Two digital sensor systems, Sidexis (Siemens, Bensheim, Germany) and Digora (Soredex, Helsinki, Finland), were tested. The image quality of the systems was determined by comparing lengths of endodontic files (025, 020, 015, and 010 files) and a premolar root in the digital images with lengths on conventional radiographic films. For the experiments the exposure was changed to 100%, 50%, 25%, 12.5%, 6.25%, and 3.125% of that for Ektaspeed films. RESULTS: The lengths of 025 and 020 files and the premolar root in the digital images were comparable with the lengths on films even if the exposure was reduced to 6% of that used for Ektaspeed films. The lengths of 015 files reduced as the exposure was reduced. The lengths of 010 files were significantly shorter than the lengths on films. CONCLUSIONS: With the systems tested, a dose reduction of approximately 95% compared with Ektaspeed films is possible to determine the lengths of a premolar root and 025 and 020 files. For thinner objects a dose reduction is questionable.

Analysis of Variance↗

Learning throughout life: can a progress file help?

UNLABELLED: Modern dentistry demands continuous professional development. This paper reports part of a project to develop a lifelong learning tool known as a progress file for members of the dental team. AIM: To elucidate the views of dentists (as employers/managers) and dental therapists (as employees) on the potential use at work of a progress file. To obtain feedback from these groups on a prototype progress file for dental therapists. METHOD: Consultations were conducted with an opportunistic sample of 15 dentists and 32 dental therapists. Twenty eight dental therapists trialled the prototype for 6 months and 15 dentists appraised it. Opinion was obtained through interview and questionnaire, yielding largely qualitative data, which was content-analysed. FINDINGS: Both dentists and therapists were positively disposed towards a progress file at work but considered its success conditional upon factors including input from the team leader and rewarding dentists for time spent on supporting file users. Evaluation of the prototype was mainly positive. Trial data bore out many impressions from the consultations. CONCLUSION: A progress file that addresses the needs of both employers and employees has potential to help all members of the dental team meet the demands of lifelong learning.

Attitude of Health Personnel↗

The standardized-taper root canal preparation--Part 4. GT file technique in large root canals with large apical diameters.

AIM: To describe the GT file shaping steps required to create apical resistance in the presence of a wide root apex. SUMMARY: Canals are occasionally encountered with apices wider than 0.25 mm. These can be some of the most difficult to manage with conventional instruments, and overfills are common. Shaping such canals with GT files requires a paradigm shift of thinking, extending tapered files through the apex to create linear resistance in the apical few mm of the canal. GT standard and accessory files allow canals with apices up to around 0.7 mm to be prepared for tapered gutta percha cone-fit. Apices larger than this should be considered too large for further shaping, and repaired with MTA before filling. KEY LEARNING POINTS: Tapered apical preparations offer optimal resistance form for obturation. Tapered apical preparations can be prepared in most roots with wide apices by extending GT files and GT accessory files to or through the apex. Apices wider than 0.7 mm should be repaired with MTA prior to filling.

Aluminum Compounds↗

The standardized-taper root canal preparation--part 5. GT file technique in small root canals.

AIM: To describe the shaping of Small Root canals with GT files. SUMMARY: Small Roots are lower incisors, two and three canal bicuspids, buccal roots of upper molars, and mesial roots of lower molars. The Shaping Objective instrument for such cases is usually a 0.08 or 0.06 taper GT file. After proper access, pulp tissue should be removed to prevent its compaction and canal blockage. Orifice shaping and smoothing is then achieved with a 35-0.12 accessory GT File, running at full slow-speed r.p.m. (5-20K).Crown-down preparation commences with the 0.10 GT file, followed by the 0.08 and 0.06 tapers as needed. Occasionally, a 20-0.04 Profile is required to reach length. Files are rotated at 300 r.p.m. with steady, light pressure, and withdrawn frequently for cleaning and inspection. Once one of these files has cut to length, the canal terminus is enlarged to Shaping Objective. If difficulty is encountered, be willing to accept a 0.06 instead of the original 0.08 taper Shaping Objective. If the terminal diameter is 0.2 mm you will have plenty of apical resistance form in a tortuous canal with the 0.06 taper preparation. It is definitely better to end up with a smaller shape than originally planned, than to experience the heartache of separation. KEY LEARNING POINTS: Small Root canals should be prepared to a Shaping Objective 0.08 or 0.06 taper. Pulp tissue should be removed before preparation to prevent compaction and blockage. Preparation follows in a crown-down sequence, and may occasionally require the use of small Profiles. Final apical shaping is easily achieved when root length is reached.

Bicuspid↗