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The endodontic file is a disposable instrument.

Most cutting and machining tools wear when properly operated on intended substrates. Little is known about endodontic files when machining on human dentin. It was shown earlier that the efficiency of files was very variable when evaluated on Plexiglas substrates. The present study of seven different brands and types of files was undertaken to understand their wear better when machining human dentin. It was shown that all files evaluated rapidly deteriorated when machining dentin. This decline in efficiency was significant but different within, as well as, among brands. It was suggested that endodontic files be disposable.

Dentin↗

[Requests for access to medical files at the Nancy University Hospital Center].

OBJECTIVE: Law 2002-303 of March 04, 2002, authorizes patients to have direct access to their medical record, without requiring a physician to serve as interme-diary. The aim of this study was to characterize these requests for a 23-month period. METHOD: A database was created to record information about these requests. The descriptive and quantitative analysis here covers 23 months. RESULTS: There were 942 requests in all, 64.5% by patients themselves and 18.5% by their heirs or assignees. The mean age of the patients seeking access to their medical file was 53 years, with a slight majority of men. Heirs and assignees av-eraged 49 years of age and were generally women. Thirty percent of them reported wanting some additional information, while 51% requested a copy of the entire file. Only 5.8% asked for a physician to help them understand the file, although that was systematically offered. CONCLUSION: Patients' new legal rights to direct access to their medical files imply that physicians will modify the way they maintain these files.

Adolescent↗

1995 Joseph E. Whitley, MD, Award. A World Wide Web gateway to the radiologic learning file.

RATIONALE AND OBJECTIVES: Computer networks in general, and the Internet specifically, are changing the way information is manipulated in the world at large and in radiology. The goal of this project was to develop a computer system in which images from the Radiologic Learning File, available previously only via a single-user laser disc, are made available over a generic, high-availability computer network to many potential users simultaneously. METHODS: Using a networked workstation in our laboratory and freely available distributed hypertext software, we established a World Wide Web (WWW) information server for radiology. Images from the Radiologic Learning File are requested through the WWW client software, digitized from a single laser disc containing the entire teaching file and then transmitted over the network to the client. The text accompanying each image is incorporated into the transmitted document. RESULTS: The Radiologic Learning File is now on-line, and requests to view the cases result in the delivery of the text and images. Image digitization via a frame grabber takes 1/30th of a second. Conversion of the image to a standard computer graphic format takes 45-60 sec. Text and image transmission speed on a local area network varies between 200 and 400 kilobytes (KB) per second depending on the network load. CONCLUSION: We have made images from a laser disc of the Radiologic Learning File available through an Internet-based hypertext server. The images previously available through a single-user system located in a remote section of our department are now ubiquitously available throughout our department via the department's computer network. We have thus converted a single-user, limited functionality system into a multiuser, widely available resource.

CD-ROM↗

Transportation of curved canals prepared with canal master U, canal master U niti, and stainless steel K-type files.

The purpose of this study was to evaluate and to compare root canal configuration after preparation with three different hand instruments and techniques: the canal master U preparation technique (Brasseler, Savannah, GA.), using stainless steel or nickel-titanium canal master U instruments, and the step-back technique using precurved conventional stainless steel K-type files. Sixty-three simulated curved canals were divided in three groups of 21 each. Each group was prepared using one of the three instruments. Comparison of root canal configuration was evaluated with pre- and postoperative photographs that measured the difference in canal diameter and the mesial and distal transportation of the canal walls at the canal length and at levels 1, 2, 3, 4, 5, 6, 7, and 8 mm coronal to the canal length. Data obtained were analyzed statistically using an analysis of variance. Instrument breakage was also recorded. Results showed that the final diameter of the prepared canals as well as canal transportation were significantly different between both canal master U instruments and the stainless steel K file. Three stainless steel canal master U instruments separated during instrumentation whereas none in the nickel-titanium canal master U and stainless steel K-type file groups separated. The results of this study show that the canal master U instruments and technique provide a better canal configuration than K files using the step-back technique and that the nickel-titanium canal master U and stainless steel K-type file offers a greater safety factor against breakage than the stainless steel canal master U.

Analysis of Variance↗

Single-file diffusion near channel boundaries.

Molecular transport under the conditions of single-file diffusion was investigated near the channel boundaries by using dynamic Monte Carlo and molecular dynamics simulations of tracer exchange between single-file channels and their surroundings. The boundary effect reported in our recent papers (Vasenkov S.; Kärger, J. Phys. Rev. E 2002, 66, 052601. Schüring, A.; Vasenkov S.; Fritzsche, S. J. Phys. Chem. B 2005, 109, 16711) was studied in detail. This boundary effect is characterized by deviations of the intrachannel concentration profiles of tracer molecules observed in the case of single-file diffusion near the channel boundaries from the corresponding profiles typical for normal diffusion. It has been shown in our previous studies that these deviations occur under the conditions when the potential-energy difference inside and outside of single-file channels was both comparable and much larger than the activation energy of intrachannel diffusion. Here, we report a quantitative model describing the boundary effect. According to this model, an occurrence of the boundary effect is related to a complex character of diffusion in finite single-file systems. Such diffusion can be described by the following two types of movements occurring in parallel: (i) correlated displacements of all molecules in any particular channel and (ii) fast displacements of single molecules, which are uncorrelated with the displacements of all other molecules in the same channel. The latter displacements are restricted to a certain length interval that depends on the channel length and the channel occupancy. This length interval is shown to determine the extensions of the channel margins where the boundary effect is observed.

Diffusion↗

The standardized-taper root canal preparation--Part 3. GT file technique in large root canals with small apical diameters.

AIM: To describe the preparation of Large Root canals with small apical diameters by the GT file technique. SUMMARY: Large Root canals with small apical diameters can usually be prepared with one to three GT files; one to nine clinical steps, and one to five minutes of clinical time. Following proper access, pulp tissue should be removed, and lubricant applied to prevent pulp compaction and blockage. Initial crown-down enlargement is accomplished with up to three standard GT rotary files 0.10, 0.08 and 0.06 taper, running at 300 r.p.m., and with light touch. Care should be taken not to overload instruments, and they should be withdrawn, cleaned and inspected whenever they bind. Sometimes, the shaping objective is achieved with a single instrument; often waves of instrumentation are required before the shaping objective file cuts to length. Prior to cone-fit, the apical resistance form is confirmed with conventional files, employed as feeler gauges of the tapering form created at the canal terminus. Regardless of the shaping time, canals should be soaked with sodium hypochlorite solution for at least 30 min for effective cleaning. KEY LEARNING POINTS: Large Root canals with small apical diameters should be prepared to shaping objectives 0.08 or 0.10 taper. Compacted pulp tissue causes many canal blockages. It should be removed early, and canals should be well lubricated. Large Root canals with small apical diameters should be prepared in crown-down sequence, with recapitulation of steps until the shaping objective is achieved. Apical resistance form should always be confirmed before cone-fit. Canals should be exposed to sodium hypochlorite for at least 30 min for effective cleaning.

Dental Pulp Cavity↗

Does the first file to bind correspond to the diameter of the canal in the apical region?

AIM: The aim of this study was to determine whether the first file that binds at the working length corresponds to the canal diameter. METHODOLOGY: Two similar groups (n = 10) of mandibular premolars with curved canals were selected on the basis of their morphology. Following access and pulp tissue removal, the first instrument that bound in each canal at the working length was determined. In one group the instrument used was a K-file, in the other group a Lightspeed instrument was used. After fixing the instruments in place, the apices were ground to the level of the working length and the diameters of both the instrument and the apical canal were recorded. RESULTS: In 75% of the canals, the instruments bound at one side of the wall only; in the other 25%, the instrument did not contact the wall. In 90% of the canals, the diameter of the instrument was smaller than the short diameter of the canal; this discrepancy was up to 0.19 mm. No significant difference in discrepancy was found between instruments (P > 0.05). CONCLUSIONS: Neither the first K-file nor the first Lightspeed instrument that bound at the working length accurately reflected the diameter of the apical canal in curved mandibular premolars. It is uncertain whether dentine can be removed from the entire circumference of the canal wall by filing the root canal to three sizes larger than the file that binds first.

Bicuspid↗

Study on removal effects of filling materials and broken files from root canals using pulsed Nd:YAG laser.

OBJECTIVES: The aims of this study were to investigate the capability of removing the filling materials or broken files from root canals with pulsed Nd:YAG laser irradiation at three parameters, and to evaluate the temperature rises on root surfaces and morphological changes of root canal walls in vitro. SUMMARY BACKGROUND DATA: There has been no report on removing the filling materials and broken instruments from root canals with laser irradiation. MATERIALS AND METHODS: Thirty-six extracted human incisors were divided into two groups of 18 each. Eighteen root canals were shaped and obturated with gutta-percha and root canal sealer. In another 18 specimens, 3-mm long fractures of files were performed intentionally during root canal preparation. A pulsed Nd:YAG laser irradiation was performed repeatedly at three parameters of 1, 2, and 3 W to remove the filling materials or file fragments. Temperature rises on root surfaces during laser irradiation were measured by thermography, and the remaining of obturated materials and morphological changes of root canal walls were evaluated by stereoscopy and scanning electron microscopy. RESULTS: In more than 70% of the teeth, the obturated materials were completely removed by laser, and in more than 55% of the teeth, the broken files were successfully removed. Temperature rises ranging from 17 degrees C to 27 degrees C were measured from 6 to 11 repeated times. CONCLUSION: These results demonstrated that a pulsed Nd:YAG laser irradiation has the capability of removing the obturated materials in root canals and is useful for removing the broken files in same if the counter-measure reducing the temperature rise is performed.

Dental Pulp Cavity↗

MAFin: motif detection in multiple alignment files.

MOTIVATION: Whole Genome and Proteome Alignments, represented by the multiple alignment file format, have become a standard approach in comparative genomics and proteomics. These often require identifying conserved motifs, which is crucial for understanding functional and evolutionary relationships. However, current approaches lack a direct method for motif detection within MAF files. We present MAFin, a novel tool that enables efficient motif detection and conservation analysis in MAF files to address this gap, streamlining genomic and proteomic research. RESULTS: We developed MAFin, the first motif detection tool for Multiple Alignment Format files. MAFin enables the multithreaded search of conserved motifs using three approaches: (i) using user-specified k-mers to search the sequences. (ii) with regular expressions, in which case one or more patterns are searched, and (iii) with predefined Position Weight Matrices. Once the motif has been found, MAFin detects the motif instances and calculates the conservation across the aligned sequences. MAFin also calculates a conservation percentage, which provides information about the conservation levels of each motif across the aligned sequences, based on the number of matches relative to the length of the motif. A set of statistics enables the interpretation of each motif's conservation level, and the detected motifs are exported in JSON and CSV files for downstream analyses. AVAILABILITY AND IMPLEMENTATION: MAFin is offered as a Python package under the GPL license as a multi-platform application and is available at: https://github.com/Georgakopoulos-Soares-lab/MAFin.

Software↗

HXMS: a standardized file format for HX-MS data.

MOTIVATION: Hydrogen/deuterium exchange-mass spectrometry (HX-MS) is a rapidly expanding technique used to investigate protein conformational ensembles. The growing popularity and utility of HX-MS has driven the development of diverse instrumentation and software, resulting in inconsistent, non-standardized data analysis and representation. Most HX-MS data formats also employ only mean deuteration representations of the data rather than full isotopic mass spectra, which reduces the information content of the data and limits downstream quantitative analysis. RESULTS: Inspired by reliable protein structure and genomics data formats, we present HXMS, a unified, lightweight, scalable, and human-readable file format for HX-MS data. The HXMS format preserves the isotopic mass envelopes for all peptides, captures the full experimental time-course including fully deuterated control samples, and contains all other key information. It supports multimodal distributions, post-translational modifications (PTMs), and experimental replicates. To promote compatibility with existing HX-MS workflows, we also developed PFLink, a Python package that converts exported data files from commonly used HX-MS software to the HXMS format. PFLink and the HXMS format will enable quantitative, higher-resolution data processing, improved data sharing and storage among HX-MS practitioners, future machine learning applications, and further developments in HX-MS analysis. AVAILABILITY AND IMPLEMENTATION: PFLink is publicly available to install locally on HuggingFace, alongside documentation, or use online at HuggingFace (https://huggingface.co/spaces/glasgow-lab/PFlink). The supplementary information includes sample input files, sample HXMS files, and a generic unfilled PFlink custom CSV file that users may populate with key experimental conditions and results, which can then be read and converted into the HXMS format.

Software↗

NCL: a C++ class library for interpreting data files in NEXUS format.

UNLABELLED: The NEXUS Class Library (NCL) is a collection of C++ classes designed to simplify interpreting data files written in the NEXUS format used by many computer programs for phylogenetic analyses. The NEXUS format allows different programs to share the same data files, even though none of the programs can interpret all of the data stored therein. Because users are not required to reformat the data file for each program, use of the NEXUS format prevents cut-and-paste errors as well as the proliferation of copies of the original data file. The purpose of making the NCL available is to encourage the use of the NEXUS format by making it relatively easy for programmers to add the ability to interpret NEXUS files in newly developed software. AVAILABILITY: The NCL is freely available under the GNU General Public License from http://hydrodictyon.eeb.uconn.edu/ncl/ SUPPLEMENTARY INFORMATION: Documentation for the NCL (general information and source code documentation) is available in HTML format at http://hydrodictyon.eeb.uconn.edu/ncl/

Databases, Bibliographic↗

Archive of mass spectral data files on recordable CD-ROMs and creation and maintenance of a searchable computerized database.

A database containing names of mass spectral data files generated in a forensic toxicology laboratory and two Microsoft Visual Basic programs to maintain and search this database is described. The data files (approximately 0.5 KB/each) were collected from six mass spectrometers during routine casework. Data files were archived on 650 MB (74 min) recordable CD-ROMs. Each recordable CD-ROM was given a unique name, and its list of data file names was placed into the database. The present manuscript describes the use of search and maintenance programs for searching and routine upkeep of the database and creation of CD-ROMs for archiving of data files.

CD-ROM↗

Digital imaging of black and white photomicrographs: impact of file size.

The publication of black and white photomicrographs has a long tradition in pathology. High-resolution film and quality objectives have been the backbone of generating quality photomicrographs suitable for publication. However, the digital imaging revolution has changed the way we view and capture images. As the quality of image capture devices increases and as their price decreases, more and more investigators are using digital imaging, and the use of color digital imaging for teleconferencing, telediagnosis, and reproduction is now well established. The purpose of this study was to determine the file sizes needed to obtain publication-quality black and white images using digital imaging technology. In this study, four experts in renal pathology reviewed 70 black and white images of various file sizes obtained from specimens representing a variety of renal histopathology. Without knowledge of the file size, the four renal pathologists graded the degree of pixelation, and the overall diagnostic and publication quality of the images. In all cases, digital imaging was capable of obtaining publication quality images equal to those achieved using film. The file size needed to achieve publication quality black and white images depended on magnification, with lower magnification images requiring larger file sizes.

Computer Communication Networks↗

Defects in rotary nickel-titanium files after clinical use.

The purpose of this study was to analyze the type and frequency of defects in nickel-titanium rotary endodontic files after routine clinical use, and to draw conclusions regarding the reasons for failure. All of the files (total: 378, Quantec Series 2000) discarded after normal use from a specialist endodontic practice over 6 months were analyzed. Almost 50% of the files showed some visible defect; 21% were fractured and 28% showed other defects without fracture. Fractured files could be divided into two groups according to the characteristics of the defects observed. Torsional fracture occurred in 55.7% of all fractured files, whereas flexural fatigue occurred in 44.3%. The results indicated that torsional failure, which may be caused by using too much apical force during instrumentation, occurred more frequently than flexural fatigue, which may result from use in curved canals.

Dental Alloys↗

Measurement of endodontic file lengths: a density profile plot analysis.

The purpose of this study was to evaluate measurements of endodontic files of known length and diameter using a density profile plot analysis of digital images. Ten single-rooted teeth with relatively straight roots in cadaver specimens were used. The crowns of the teeth were removed and a rectangular orthodontic wire, 5.13 mm in length, was placed horizontally on the occlusal surface to serve as a calibration reference point. The #8, #10, #15, and #20 FlexOFiles were measured to the nearest 0.5 mm and then placed to four working lengths that terminated within the apical third of each root. A GE X-ray unit and a Schick CDR #2 sensor were used to digitally acquire 160 images. The digital images were placed in random order and an independent, blinded investigator determined the file length using a density profile plot analysis. The measurements generated by the histogram analysis (experimental) were compared with the original clinical measurements. The paired t test, intraclass correlation coefficient, and the Bradley-Blackwood test were used to assess reliability. The results revealed that the means of the experimental measurements of all file sizes were within 0.5 mm of the known lengths and were always shorter than the known lengths. Also, the larger the file size the less deviation from the known lengths: #20, -0.16 mm (p = 0.0001); #15, -0.21 mm (p = 0.0001); #10, -0.34 mm (p = 0.0001); and #8, -0.45 mm (p = 0.0001). This study demonstrated that the density profile plot analysis might be a useful adjunct for the measurement of endodontic file lengths on a digital image.

Analysis of Variance↗

Measurement of endodontic file lengths: calibrated versus uncalibrated digital images.

This in vitro study compared the accuracy of file length measurements made on calibrated and uncalibrated direct digital images. Endodontic files of known lengths and ISO sizes were used in 10 single-rooted, relatively straight teeth within cadaver specimens. The crowns of the teeth were ground flat and an orthodontic wire of known length was secured to the coronal surface. This wire was placed mesiodistally and perpendicular to the root and served as the reference point for the file measurement and as a calibration reference length. A #20 file was hand-measured to a length that reached the apical third of each tooth. It was inserted and a radiographic image was secured. The instrument was remeasured three additional times at different lengths on the same tooth and reinserted before each image acquisition. Thus 40 digital images were acquired using a GE X-ray unit and a Schick Computed Dental Radiography (CDR) #2 sensor. These images were placed in random order, and an independent, blinded investigator determined the file lengths using on-screen calibrated and uncalibrated measurement of the CDR image with a straight-line and multiple-line measuring technique. The experimental measurements were compared with each other and with the known clinical measurements. A two-way analysis of variance indicated that there was a statistically significant difference showing that the calibrated measurements were more accurate than the uncalibrated measurements (p = 0.0001), and there was no significant difference between the straight-line and multiple-line measuring techniques (p = 0.14).

Analysis of Variance↗

Clinical relevance of standardization of endodontic files dimensions according to the ISO 3630-1 specification.

The aim of this study was to examine the current status of standardization of endodontic instruments. Measurements of instrument dimensions were conducted on stainless steel H- and K-files (sizes 08-40), as well as on rotary-driven nickel titanium (NiTi) files (sizes 15-40), to determine the incidence and degree of deviation from ISO 3630-1, 1992 specification. In addition, the dimensions of sets of H- and K-files (sizes 08-25) were measured to identify discrepancies in dimensions among instruments within the same size per manufacturer. The percentage of difference in width were used to determine the graduation from each size to the next. None of the files tested complied with the ISO nominal size. All files were within the ISO tolerance limits. However, under such tolerance limits, there is a high possibility of either sizes overlapping or of great differences between two sequential sizes. These results may explain the clinical difficulty found in negotiating narrow and curved canals and may establish the need for a more comprehensive approach on the evaluation methods used in root-canal instrument dimension specifications.

Dental Instruments↗

A standard protocol for the exchange of nuclear medicine image files.

In order to meet an increasing demand for a standard file format which would facilitate the exchange of image files from one computer to another, the protocol initiated by Report #10 of the American Association of Physicists in Medicine has been adopted. This protocol uses the concept of an ASCII file in which key-value pairs are used to describe the various parameters of the image file. Keys specific to nuclear medicine image files have been established and are published here. In addition, the latest version of the keys has been placed on a list server which is accessible by electronic mail. This will facilitate the development of conversion programs which will also be placed on the same list server as they become available.

Computer Systems↗