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PubMed2001

Modeling capacity of ENDOflash files in simulated root canals.

With the development of rotary nickel-titanium files and their applications in Endodontics, the concepts of root canal preparation have changed. The objective of this research is to evaluate the transportation of simulated root canals caused by stainless steel ENDOflash rotary files compared to nickel-titanium ProFile files (.04, .06 and Orifice Shapers). Twenty-four simulated root canals with a 30 degrees curvature were randomly divided into 2 groups and prepared with ENDOflash or ProFile files according to manufacturers' instructions. Comparison between the simulated root canals before and after instrumentation showed significant differences (p < 0.001) between the groups, with greater transportation observed with ENDOflash files. One case of deformation was observed with a ProFile instrument (#20/.04) and there were no fractures.

Dental Alloys↗

PubMed2001

Use and validation of public data files for identification of the diabetic population in a Danish county.

INTRODUCTION: This study aims to describe the process of identifying people known to have diabetes through public data files, to validate this method, and to describe models for optimization of such identification processes. PATIENTS AND METHODS: In a study population of 303,250 citizens, the diabetics were identified by combining information from public data files with information from general practitioners. Data validity was checked by comparing the results of data searches in public data files against information from general practitioners and a random sample of diabetics. Two models were defined to optimize the use of public data files for identification of diabetics. In model A the minimum number of parameters needed to obtain a sensitivity as high as possible was identified. In model B the optimal combination of parameters needed to obtain a high positive predictive value combined with a high sensitivity was identified. RESULTS: A total of 5449 diabetics were identified. Of those 4438 (81%) were classified as Type 2 diabetics and 1011 (19%) were classified as Type 1 diabetics. The data validation revealed that one person was misclassified as a diabetic and 93 persons were misclassified as non-diabetics. In model A the identification parameters included: "prescription", "HbA1c", "chiropodist service" and "glucose service". In model B the optimal combination of parameters was identified as: minimum two HbA1c measurements, minimum one visit to a chiropodist, minimum one prescription or minimum one abnormal HbA1c during one year. CONCLUSION: Public data files are suitable for identification of both Type 1 and Type 2 diabetics. Models have been developed to identify diabetics and to promote the possibilities of long-term follow-up and quality assessment in an unselected diabetic population in a region.

Adult↗

PubMed2001

Effectiveness of the ProFile.04 Taper Series 29 files in removal of gutta-percha root fillings during curved root canal retreatment.

The purpose of this in vitro study was to evaluate the capacity of ProFile.04 Taper Series 29 files to remove gutta-percha during curved root canal retreatment. Forty-four mandibular molars whose mesial roots presented between 26 and 40 degrees of curvature, determined by Schneider's method, were selected. The root canals were enlarged to ISO size 35 and obturated with laterally condensed gutta-percha using Sealer 26. The teeth were randomly divided into three groups for gutta-percha removal: GI: size 2 Gates Glidden drills; GII: size 6 ProFile.04 Taper Series 29 files; GIII: size 7 ProFile.04 Taper Series 29 files. The penetration of the instruments was measured with millimetered x-rays and clinical observation. The ProFile.04 Taper Series 29 files removed the endodontic filling material better than the Gates Glidden files.

Analysis of Variance↗

PubMed2005

[In vitro comparison of root canal preparation with step-back technique and GT rotary file--a nickel-titanium engine driven rotary instrument system].

The aim of the authors' study was to compare the remaining root canal wall thickness and the preparation time of root canals, prepared either with step-back technique, or with GT Rotary File, an engine driven nickel-titanium rotary instrument system. Twenty extracted molars were decoronated. Teeth were divided in two groups. In Group 1 root canals were prepared with step-back technique. In Group 2 GT Rotary File System was utilized. Preoperative vestibulo-oral X-ray pictures were taken from all teeth with radiovisiograph (RVG). The final preparations at the mesiobuccal canals (MB) were performed with size #30 and palatinal/distal canals with size #40 instruments. Postoperative RVG pictures were taken ensuring the preoperative positioning. The working time was measured in seconds during each preparation. The authors also assessed the remaining root canal wall thickness at 3, 6 and 9 mm from the radiological apex, comparing the width of the canal walls of the vestibulo-oral projections on pre- and postoperative RVG pictures both mesially and buccally. The ratios of the residual and preoperative root canal wall thickness were calculated and compared. The largest difference was found at the MB canals of the coronal and middle third level of the root, measured on the distal canal wall. The ratio of the remaining dentin wall thickness at the coronal and the middle level in the case of step-back preparation was 0.605 and 0.754, and 0.824 and 0.895 in the cases of GT files respectively. The preparation time needed for GT Rotary File System was altogether 68.7% (MB) and 52.5% (D/P canals) of corresponding step-back preparation times. The use of GT Rotary File with comparison of standard step-back method resulted in a shortened preparation time and excessive damage of the coronal part of the root canal could be avoided.

Dental Alloys↗

PubMed1991

Medical Facts File: a self service database of reference information.

The Dahlgren Memorial Library, Georgetown University Medical Center, will demonstrate Medical Facts File, a newly developed in-house database of general medical information. The file content emerged from the library's experience with commonly asked reference questions and the need to develop a database as an online source for users seeking quick answers to medical queries. Medical Facts File joins a growing family of over 18 databases which comprise Georgetown's IAIMS Knowledge Network. Use scenarios will demonstrate how an online search is initiated, either directly or as a prompt from one of the other online databases. The design of Medical Facts File at the Dahlgren Memorial Library began in late 1989 with a publishing section on instructions for authors planning to submit manuscripts to a variety of prominent medical journals. Since then, seven sections have been identified for the database. Three sections are highlighted for presentation, although work on the project is on-going. Medical Facts File is an easy-to-use, time saving system that facilitates tedious searching through a multitude of library sources. It provides users with a self-service, information look-up system.

Databases, Factual↗

PubMed1995

An Internet-based nuclear medicine teaching file.

UNLABELLED: Teaching file cases play an important role in the training of nuclear medicine residents; however, film-based teaching files have limitations, such as difficulty in accessing cases in a department with several remote clinical sites. The goal of this project was to develop a digital teaching file with the capability for local and remote (Internet) network access, with the additional requirements that viewing existing cases and addition of new cases be easy and simple. METHODS: The teaching file software (TF-Web) utilizes applications developed for the World-Wide-Web in combination with locally developed programs for importing images, entering case information, indexing, searching, case selection and case editing. The time required to add cases to the TF-Web and to access existing cases from local and remote network sites as well as computer storage requirements were assessed. RESULTS: Cases entered in TF-Web may be viewed either with or without diagnoses and may be accessed with acceptable speed (2-14 sec) from both local and remote network sites. A relatively complex case required 1.2 megabytes of storage, with lesser storage requirements for simpler cases. CONCLUSION: A digital teaching file has been developed that allows easy access from computers located both locally and elsewhere on the Internet. Digital storage requirements are reasonable, and, because of the unique nature of TF-Web, case storage may be distributed among multiple institutions.

Computer Communication Networks↗

PubMed1994

The body of a trial master file for a pivotal phase I study.

This paper describes in detail the documentation which would form the body of a Trial Master File for Phase I pivotal investigations filed to render easily and totally auditable all the documentation. The body of a Trial Master File is formed by formal documents (study protocol, research report), by documents to be attached to the research report (clinical report, analytical validation report, statistical report, blank case report form, blank consent form, approval from Ethics Committee), by documents to be kept in file (investigator's brochure, clinical source documentation, clinical trial supplies, filled case report forms, monitoring reports, auditing reports, letters, contracts, faxes, phone notes) and by confidential documents that must be filed in the Clinical Unit only (signed consent forms which contain the subjects' identification).

Clinical Trials, Phase I as Topic↗

PubMed1981

Microcomputer-based filing system for emergency medicine literature.

A personal reprint file is an important educational tool for every physician. We have developed a microcomputer-based system for the filing of journal articles and reprints relevant to the practice of emergency medicine. The system uses a Northstar microcomputer, but could be adapted for use on other similar microcomputers. The filing system is easy to use and allows filing and retrieval of articles coded according to the subject outline of the Emergency Medicine Core Content.

Abstracting and Indexing↗

PubMed1977

Report filing in histopathology.

An assessment of alternative methods of filing histopathology report forms in alphabetical order showed that orthodox card index filing is satisfactory up to about 100000 reports but, because of the need for long-term retrieval, when the reports filed exceed this number they should be copied on jacketed microfilm and a new card index file begun.

Costs and Cost Analysis↗

PubMed1992

An updated cross-referenced filing system for anesthesiologists.

A filing system that provides a medical-information retrieval system is useful for medical students, physicians-in-training, and practicing physicians. The present system is an expansion and update of the one proposed by Petty and Carden in 1973. This filing system for anesthesiologists contains a simple numerical index of the major categories in the anesthetic, medical, and surgical literatures. The organ system and the anesthetic considerations are combined. A cross-reference index is provided as well. This system allows the user to cross-file reprints, locate ones that have been loaned, and keep track of references that may be found in personal bound volumes. The files may be expanded over the years to any desired degree. Finally, this system may be of use either to the individual anesthesiologist or to a department's library.

Anesthesiology↗

PubMed1976

Computer-stored faculty publication file using the MT/ST in a medium-sized medical center library.

The Bowman Gray School of Medicine Library has implemented a computerized faculty publication file adapted from an existing system that utilized a Magnetic Tape/Selectric Typewriter for catalog card production and computer storage. The faculty publication file has provided printouts for the school's annual report and monthly faculty bulletins. After the data for all faculty bibliographies have been stored in the file, it will be possible to retrieve complete author and departmental listings. The file will be continuously updated by adding current citations and the bibliographies of new faculty members and by deleting data when faculty members leave the staff.

Cataloging↗

PubMed1999

Mechanosensory pegs constitute stridulatory files in grasshoppers.

Stridulatory files on the inner face of hindleg femora were shown to consist of mechanosensory pegs in males and females of Syrbula montezuma (Saussure) and in males of Chorthippus biguttulus (L.). Females of Chorthippus had stiff protuberances on their stridulatory files, with an innervated tubercle instead of pegs. Pegs and tubercles of adult grasshoppers were shown to develop from innervated tubercular hairs present from the first instar onward in Chorthippus. In adults of Chorthippus, two sensory cells innervated each peg of males and each tubercle of females. Central projections of these afferents from the stridulatory files were very similar to those of the neighboring tactile hairs on the femur. The afferents from pegs in Syrbula responded to deflection and pressure introduced via the widened cuticular cap. In both species, selective stimulation of femoral cuticular receptors elicited antagonistic reflex responses in a coxal retractor muscle: pegs inhibited and neighboring hairs raised the efferent tonic discharges. Apparently, in these two distantly related grasshopper species, stridulatory files function as both sound-producing and proprioceptive organs.

Afferent Pathways↗

PubMed1998

Evaluation of a patient file folder to improve the dissemination of written information materials for cancer patients.

BACKGROUND: Many cancer centers make available to patients written information material to supplement verbal information provided by clinicians. Randomized trials have demonstrated that providing such information can increase patient knowledge and satisfaction. However, little data are available regarding effective means of dissemination of such materials. The purpose of this study was to determine whether providing patients with a personal file folder after their first clinic appointment would improve the dissemination of written information materials and increase patient satisfaction. METHODS: A before/after study was performed. Consecutive patients with newly diagnosed cancer attending the Hamilton Regional Cancer Centre were selected randomly and interviewed by telephone within 1-2 weeks of the first clinic appointment regarding the number of information pamphlets received, patient satisfaction, and general preference for written information materials. The preintervention evaluation (T1) occurred over a 4-month period followed by the introduction of the personal file folder into the clinical practice. Six weeks after its introduction, the postintervention (T2) evaluation took place over the ensuing 4 months. RESULTS: A total of 300 patients completed the evaluation (150 each in T1 and T2). Responding patients in the two time periods were comparable with respect to background demographic variables. The mean number of information pamphlets received by patients increased with the introduction of the personal file folder from 2.4+/-2.0 standard deviations (SD) in T1 to 3.6+/-2.5 SD in T2 (P=0.0001). The percentage of patients planned for treatment who received treatment-related information increased from 36% (42 of 116 patients) in T1 to 65% (68 of 105 patients) in T2 (P=0.002). Mean patient satisfaction increased from 3.3+/-1.1 SD to 3.8+/-1.0 SD over the 2 time periods (P=0.0001). The majority of patients (87%) believed it was important to receive written information materials. CONCLUSIONS: The patient file folder increased the dissemination of written information materials and currently is being incorporated into routine practice.

Attitude↗

PubMed1984

A proposal for a flow cytometric data file standard.

The increasing complexity of multiparameter data collection and analysis in flow cytometry and the development of relatively inexpensive arc-lamp-based flow cytometers, which increases the probability that laboratories or institutions may have more than one type of instrument, creates a need for shareable analysis programs and for the transport of flow cytometric data files within an installation or from one institution to another. To address this need, we propose a standard file format to be used for all flow cytometric data. The general principles of this proposal are: (1) The data file will contain a minimum of three segments, TEXT, DATA, and ANALYSIS; (2) The TEXT and ANALYSIS segments consist of KEYWORDS, which are the names of data fields, and their values; (3) All TEXT is encoded in ASCII; (4) KEYWORDS and their values may be of any length; (5) Certain KEYWORDS will be standard, i.e., having specified formats to be recognized by all programs. The structure of the DATA segment will be uniquely defined by the values of KEYWORDS in the TEXT area. It may be in any bit resolution, facilitating compatibility between machines with different word length and/or allowing bit compression of the data. The structured nature of the TEXT area should facilitate management of flow cytometric data using existing data base management systems. The proposed file format has been implemented on VAX, PDP-11, and HP9920 based flow cytometry data acquisition systems.

Computers↗

PubMed1990

Proposed standard for image cytometry data files.

A number of different types of computers running a variety of operating systems are presently used for the collection and analysis of image cytometry data. In order to facilitate the development of sharable data analysis programs, to allow for the transport of image cytometry data from one installation to another, and to provide a uniform and controlled means for including textual information in data files, this document describes a data storage format that is proposed as a standard for use in image cytometry. In this standard, data from an image measurement are stored in a minimum of two files. One file is written in ASCII to include information about the way the image data are written and optionally, information about the sample, experiment, equipment, etc. The image data are written separately into a binary file. This standard is proposed with the intention that it will be used internationally for the storage and handling of biomedical image cytometry data. The method of data storage described in this paper is similar to those methods published in American Association of Physicists in Medicine (AAPM) Report Number 10 and in ACR-NEMA Standards Publication Number 300-1985.

Electronic Data Processing↗

PubMed1997

Implementation of an electronic teaching file using web technology.

The implementation of an electronic teaching file using web technology is discussed in this article. A web client server model is used for a standard web browser capable of displaying joint photographic Experts Group (JPEG) compression images. Like other web-based teaching files, this teaching file in a similar way uses a database containing information. This database section of the teaching file allows flexible database querying and viewing of pages generated by hypertext markup language (HTML). Because the browser client is so flexible, images types such as video and 3D representations with virtual reality markup language (VRML) can be displayed.

Computer Communication Networks↗

PubMed1991

A prototype of a high-resolution computerized radiology teaching file.

Computers provide an excellent tool for handling the task of organizing a radiology teaching file. Currently available computerized teaching files are either film-based, slide-based, or use laser-disc video technology for image display. There are obvious advantages to having the management of radiologic images under the control of a computer, and the need for a higher resolution alternative to video laser-disc technology becomes apparent when one tries to computerize a chest radiology teaching file. We describe the prototype of such a system, named MIRTLE, (the Mallinckrodt Institute of Radiology Teaching and Learning Environment) which was designed to integrate text under the control of a custom data base with high-resolution digital images from a Picture Archiving and Communications System. This system with its easy-to-use windows environment should allow a significant increase in the use of the radiology teaching file.

Computer Systems↗

PubMed2005

Establishing a Web-based DICOM teaching file authoring tool using open-source public software.

Online teaching files are an important source of educational and referential materials in the radiology community. The commonly used Digital Imaging and Communications in Medicine (DICOM) file format of the radiology community is not natively supported by common Web browsers. The ability of the Web server to convert and parse DICOM is important when the DICOM-converting tools are not available. In this paper, we describe our approach to develop a Web-based teaching file authoring tool. Our server is built using Apache Web server running on FreeBSD operating system. The dynamic page content is produced by Hypertext Preprocessor (PHP). Digital Imaging and Communications in Medicine images are converted by ImageMagick into Joint Photographic Experts Group (JPEG) format. Digital Imaging and Communications in Medicine attributes are parsed by dicom3tools and stored in PostgreSQL database. Using free software available from the Internet, we build a Web service that allows radiologists to create their own online teaching file cases with a common Web browser.

Computer Communication Networks↗