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181. ECG of the Week - 26th December 2016 - Interpretation

power supply Printing factors Low ink Print head tracking Paper alignment External factors Electrical interference from other devices - mobile phones, diathermy, computers etc. An awareness of these factors and a systemic approach to addressing each point in the recording process, from patient to printer, is important in addressing recording problems such as artifact and lead malpositioning. References / Further Reading Textbook C han TC, Brady WJ, Harrigan RA, Ornato JP, Rosen P. ECG in Emergency

2016 ECG of the Week blog

182. Three-dimensional assessment of the effects of high-density embolization material on the absorbed dose in the target for Gamma Knife radiosurgery of arteriovenous malformations. (PubMed)

hypothesized that this was partly caused by dosimetric deficiency. The actual dose delivered to the target may be smaller than the intended dose because of increased photon attenuation by high-density embolic materials. The authors performed a phantom-based study to quantitatively evaluate the 3D dosimetric effect of embolic material on GKRS. METHODS A 16-cm-diameter and 12-cm-long cylindrical phantom with a 16-cm-diameter hemispherical dome was printed by a 3D printer. The phantom was filled (...) treatment planning system (version 10.1.1). The plan was created to cover a fictitious AVM target volume near the embolization areas with eleven 8-mm shots and a prescription dose of 20 Gy to 50% isodose level. Dose distributions were computed using both tissue maximum ratio (TMR) 10 and convolution dose-calculation algorithms. These two 3D dose distributions were compared using an in-house program. Additionally, the same analysis method was applied to evaluate the dosimetric effects for 2 patients

2016 Journal of Neurosurgery

183. Three-dimensional printed final occlusal splint for orthognathic surgery: design and validation. (PubMed)

Three-dimensional printed final occlusal splint for orthognathic surgery: design and validation. Orthognathic surgery is indicated for the treatment of significant skeletal malocclusion and is normally prepared using conventional face bows combined with two-dimensional cephalometric analysis and manually made splints. With recent developments in oral imaging, more orthognathic surgeries are being planned using three-dimensional computer-aided design and manufacturing (3D CAD/CAM) software (...) . The purpose of this study was to present a protocol for the design and 3D printing of final digital occlusal splints based on 3D planning of orthognathic surgery and to validate the accuracy of these splints. The 3D virtual planning was performed in PROPLAN software (Materialise). The required data were then exported into 3-matic software (Materialise) to design the splints, which were 3D printed in biocompatible material using an Objet Connex 350 printer (Stratasys). To validate the accuracy

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2016 International Journal of Oral and Maxillofacial Surgery

184. Low-grade inflammation and the brain

of the species or to maintain sustenance without being injured or killed in the process. In an evolutionary sense, it is also logical that various systems could have multiple functions and work synergistically with other systems – a multifunction printer on your desktop compared to four separate devices. Compromise has its advantages and disadvantages. Part of our defence mechanism is the immune system against disease and our damage repair system required following injury. Both have components requiring (...) ) suggest the term neurogenic neuroinflammation for use specifically in relation to the topic under discussion: “In summary, the elaborated inflammatory response repertoire of CNS tissue may not only be used to deal with infectious, toxic or degenerative processes but also to cope with the demands of increased levels of neuronal activity and to enhance the computational power of neuronal networks in the CNS. However, neurogenic neuroinflammation may become maladaptive and aggravate clinical conditions

2016 Body in Mind blog

185. 3D-printed pediatric endoscopic ear surgery simulator for surgical training. (PubMed)

, fabricate, and test a low-cost and reusable 3D-printed TEES simulator.The TEES simulator was designed in computer-aided design (CAD) software using anatomic measurements taken from anthropometric studies. Cross sections from external auditory canal samples were traced as vectors and serially combined into a mesh construct. A modified tympanic cavity with a modular testing platform for simulator tasks was incorporated. Components were fabricated using calcium sulfate hemihydrate powder and multiple (...) is feasible for TEES simulation. Otolaryngology training programs with access to a 3D printer may readily fabricate a TEES simulator, resulting in inexpensive yet high-fidelity surgical simulation.Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

2016 International Journal of Pediatric Otorhinolaryngology

186. 6 medical breakdowns in my mother’s care. And 1 close call.

the effects of dehydration. I immediately went to the nurse’s station and demanded to know how much fluid Mom had received in the past three days. The nurse wrestled with the computer for forty minutes to get the information (aren’t EHRs great?). After another forty minutes waiting for the nurse to get the printer working, I insisted on seeing the computer itself. Thirteen ounces. My mother had gotten thirteen ounces of fluid in three days. That amounts to a can of soda. Medical breakdown #6: Where do I (...) at this hospital were more interested in punching their time clock than they were in building relationships with patients, but given their highly regulated work environment, I can hardly blame them. I spoke with the doctors about my mother’s medication adjustment and requested an x-ray of her hand, which was bruised and swollen (battle scar from her fight with the ER nurse). It took three days for them to get the x-ray. I was told that this delay was due to a problem with the computer order reaching radiology

2016 KevinMD blog

187. It’s time for hospital CEOs to listen to lectures from doctors and nurses

the right printer. I recently worked at a site with a shiny new nationally known EMR. “Please call the hospitalist,” says I to the secretary. “Alright. Will you enter the consult order in the computer so I can document it?” I’ve been handed faxes to fill out myself and of course, nothing gets done until it’s put in the computer. Another rant for another day, as I digress. The physicians rarely look up from their keyboards to chat, except when running off to see the patients who inconveniently stand (...) It’s time for hospital CEOs to listen to lectures from doctors and nurses It's time for hospital CEOs to listen to lectures from doctors and nurses It’s time for hospital CEOs to listen to lectures from doctors and nurses | | March 15, 2016 41K Shares I was working in a hospital recently and saw a note from a CEO on the computer. Notes and memos are ubiquitous these days. Bathroom walls, break-rooms, computer screens. Everywhere there is another reminder to check this, do that, mark those

2016 KevinMD blog

188. Radiopaque Three-dimensional Printing: A Method to Create Realistic CT Phantoms. (PubMed)

, reproduction of patient anatomy was tested by printing computed tomographic (CT) images of a real patient abdomen scan. In a second step, gray scales, iodine deposition, and Hounsfield units were investigated by printing geometric phantoms with gray scales ranging from 0% (white) to 100% (black). On the basis of these results, a gray-scale-correction procedure was developed to achieve realistic Hounsfield units in the patient phantom. In a third step, reproduction of the real patient's Hounsfield units (...) template gray scales and printer deposition. Application of a correction procedure to the template gray scales allowed for a linear correlation (r = 0.9946; 95% confidence interval: 0.9916, 0.9966). After the same correction procedure was applied to the abdomen phantom, linear correlation of phantom and patient Hounsfield units was confirmed (r = 0.9925; 95% confidence interval: 0.9635, 0.9985). Conclusion The method presented in this work can realize realistic and customizable phantoms for diagnostic

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2016 Radiology

189. From tissue to silicon to plastic: three-dimensional printing in comparative anatomy and physiology (PubMed)

by reproduction on flat inherently 2D screens. One way to circumvent this problem is in the production of 3D-printed scale models. We have applied computed tomography and magnetic resonance imaging to produce digital models of animal anatomy well suited to be printed on low-cost 3D printers. In this communication, we report how to apply such technology in comparative anatomy and physiology to aid discovery, description, comprehension and communication, and we seek to inspire fellow researchers in these fields

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2016 Royal Society Open Science

190. Three-Dimensional-Printing of Bio-Inspired Composites (PubMed)

researchers an excellent instrument to design and reconstruct natural-inspired materials. The most advanced 3D-printer can now be used to manufacture samples to emulate their geometry and material composition with high fidelity. Its capabilities, in combination with computational modeling, have provided us even more opportunities for designing, optimizing, and testing the function of composite materials, in order to achieve composites of high mechanical resilience and reliability. In this review article

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2016 Journal of biomechanical engineering

191. Microsoft Windows Run Command

Utility IX. Technique: System Administration AppWiz.cpl Add or remove programs CompMgMt.msc Computer Management Control Control Panel Control AdminTools Administration Tools Control NetConnections Network Connections Control Printers Printers and Faxes HdwWiz.cpl Device Manager EventVwr.msc Event Viewer GpEdit.msc Local Group Policy Editor InetMgr Internet Information Services (IIS) MsInfo32 System Information SysDm.cpl System properties (computer name, hardware, remote and environment variables

2018 FP Notebook

192. Wired Connection Interface

Connection Interface Aka: Wired Connection Interface From Related Chapters II. Types: Computer to device interfaces USB USB 3.1 transfer rates of 10 GBits/s USB 3 transfer rates of 5 GBits/s (900 mA charging) USB 2 transfer rates of 480 MBits/s (500 mA charging) Adapters: Type A (standard desktop), Type B (micro, mini), Type C (new, reversible) Computer USB ports can be disabled via group management in windows (enterprise security measure) Old, largely defunct Firewire (IEEE 1394) Transfer rates 400-800 (...) MBits/s (defunct, replaced by USB) PS/2 Old notched, round, 6-pin and 1 square peg, mouse and keyboard adapters replaced by USB Parallel Port (DB25) Old 25-pin printer interfaces replaced by USB Serial Port (DB9) Old 9-pin device adapter (still used for some - e.g. router configuration) III. Types: Ethernet Cable (RJ-45, Twisted-Pair Copper Cable) Twisted cables cancel each wires' electromagnetic radiation (causes interference in other wires) Available in shielded (in areas of high signal

2018 FP Notebook

193. 3D-printing and the effect on medical costs: a new era? (PubMed)

3D-printing and the effect on medical costs: a new era? 3D-printing (3DP) is the art and science of printing in a new dimension using 3D printers to transform 3D computer aided designs (CAD) into life-changing products. This includes the design of more effective and patient-friendly pharmaceutical products as well as bio-inspired medical devices. It is poised as the next technology revolution for the pharmaceutical and medical-device industries. After decorous implementation scientists

2016 Expert review of pharmacoeconomics & outcomes research

194. Assessment and Planning for a Pediatric Bilateral Hand Transplant Using 3-Dimensional Modeling: Case Report. (PubMed)

not be appropriate. We present an 8-year-old child evaluated for a bilateral hand transplant following bilateral amputation. The recipient forearms and model hands were modeled from computed tomography imaging studies and replicated as anatomic models with a 3-dimensional printer. We modified the scale of the printed hand to produce 3 proportions, 80%, 100% and 120%. The transplant team used the anatomical models during evaluation of a donor for appropriate match based on size. The donor's hand size matched

2016 Journal of Hand Surgery - American

195. Full 3-dimensional digital workflow for multicomponent dental appliances: A proof of concept. (PubMed)

process without the need for a physical model of the patient's dentition.Plaster models can be superfluous for orthodontic treatment as digital models can be used in all phases of a full digital workflow in orthodontics. The arduous task of making a multicomponent dental appliance that involves bending wires can possibly be replaced by a computer, design software, a 3D printer, and a bending robot.Copyright © 2016 American Dental Association. Published by Elsevier Inc. All rights reserved. (...) Full 3-dimensional digital workflow for multicomponent dental appliances: A proof of concept. The authors used a 3-dimensional (3D) printer and a bending robot to produce a multicomponent dental appliance to assess whether 3D digital models of the dentition are applicable for a full digital workflow.The authors scanned a volunteer's dentition with an intraoral scanner (Lava Chairside Oral Scanner C.O.S., 3M). A digital impression was used to design 2 multicomponent orthodontic appliances

2016 Journal of the American Dental Association

196. Stop Sitting, Start Moving : Staying Active in 2016 and Beyond

about a goal of running 2 miles at a 10:30 pace in 1 month. As long you your heart is “healthy” – we can get you there… and it’s only a month away. Your goal at the beginning of any journey towards a healthier you needs to be achievable. Enter the concept of Making Your Day a Little Harder. This was started by a brilliant Family Practice doc in Canada -kudos to Mike Evans. The concept is simple. At home… move your printer far away from your computer. Park in a spot at the back of the lot. Walk those

2016 Howard J. Luks, MD blog

197. Content Validity of Temporal Bone Models Printed Via Inexpensive Methods and Materials. (PubMed)

Content Validity of Temporal Bone Models Printed Via Inexpensive Methods and Materials. Computed tomographic (CT) scans of the 3-D printed temporal bone models will be within 15% accuracy of the CT scans of the cadaveric temporal bones.Previous studies have evaluated the face validity of 3-D-printed temporal bone models designed to train otolaryngology residents. The purpose of the study was to determine the content validity of temporal bone models printed using inexpensive printers (...) and materials.Four cadaveric temporal bones were randomly selected and clinical temporal bone CT scans were obtained. Models were generated using previously described methods in acrylonitrile butadiene styrene (ABS) plastic using the Makerbot Replicator 2× and Hyrel printers. Models were radiographically scanned using the same protocol as the cadaveric bones. Four images from each cadaveric CT series and four corresponding images from the model CT series were selected, and voxel values were normalized to black

2016 Otology and Neurotology

198. 3D Printed replica of articular fractures for surgical planning and patient consent: a two years multi-centric experience (PubMed)

3D Printed replica of articular fractures for surgical planning and patient consent: a two years multi-centric experience CT scanning with 3D reconstructed images are currently used to study articular fractures in orthopedic and trauma surgery. A 3D-Printer creates solid objects, starting from a 3D Computer representation.We report from two year of multicenter experience in 3D printing of articular fractures.During the study period, 102 patients (distal radius fractures, radial head, tibial

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2016 3D Printing in Medicine

199. 3D Printing in the Laboratory: Maximize Time and Funds with Customized and Open-Source Labware (PubMed)

3D Printing in the Laboratory: Maximize Time and Funds with Customized and Open-Source Labware 3D printing, also known as additive manufacturing, is the computer-guided process of fabricating physical objects by depositing successive layers of material. It has transformed manufacturing across virtually every industry, bringing about incredible advances in research and medicine. The rapidly growing consumer market now includes convenient and affordable "desktop" 3D printers. These are being used (...) several years, 3D printers could be commonplace within the home; with so many practical uses for 3D printing, we anticipate that the technology will also play an increasingly important role in the laboratory. © 2016 Society for Laboratory Automation and Screening.

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2016 Journal of laboratory automation

200. Low-cost Design and Manufacturing of Surgical Guides for Mandibular Reconstruction Using a Fibula (PubMed)

Low-cost Design and Manufacturing of Surgical Guides for Mandibular Reconstruction Using a Fibula Surgical cutting guides are used in mandibular reconstruction involving osteotomy of the mandible and fibula. Cutting guides produced using computer-aided design (CAD) and computer-aided manufacturing (CAM) technologies have been reported recently. These guides aim to increase the benefits to patients by improving the accuracy, shortening the operating time, and correcting occlusion. However (...) , the availability of these advanced technologies is limited in some regions of the world. To test whether we could produce low-cost surgical cutting guides, we made surgical guides and investigated their accuracy.Using free CAD software, we designed surgical cutting guides for the mandible and fibula and used these to perform virtual mandibular segmental osteotomies and fibula transplants in 12 model surgeries. The cutting guides were printed on a 3-dimensional (3D) printer. The model surgeries were performed

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2016 Plastic and Reconstructive Surgery Global Open

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