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221. Emerging Applications of Bedside 3D Printing in Plastic Surgery (PubMed)

, selective laser sintering, binder jet technique, and fused deposition modeling. However, many clinicians have questioned whether the cost-to-benefit ratio justifies its ongoing use. The cost and size of 3D printers have rapidly decreased over the past decade in parallel with the expiration of key 3D printing patents. Significant improvements in clinical imaging and user-friendly 3D software have permitted computer-aided 3D modeling of anatomical structures and implants without outsourcing in many cases (...) Emerging Applications of Bedside 3D Printing in Plastic Surgery Modern imaging techniques are an essential component of preoperative planning in plastic and reconstructive surgery. However, conventional modalities, including three-dimensional (3D) reconstructions, are limited by their representation on 2D workstations. 3D printing, also known as rapid prototyping or additive manufacturing, was once the province of industry to fabricate models from a computer-aided design (CAD) in a layer

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2015 Frontiers in surgery

222. I started a family medicine practice for $11,000. You can, too.

was only seeing a few patients a day, so I am leaving this cost out of the total. I wouldn’t have this expense if I had to start over, instead I would wait a few months until I was busy enough, and then hire an assistant. I spent $1,700 on vaccines, all of which got reimbursed by payers later, but I will include it here as an up front cost. Things I got free were my EMR (Practice Fusion), a front desk computer and a printer (the lab company gives these free for some reason), and utilities (included (...) for a used kitchen fridge, which was acceptable for vaccines. The U-Hauls and gas to move all this were $165. Other supplies included $68 for a thermometer and scale at Target, $127 at Walmart for various office supplies, $134 for a scanner at Office Depot, and $30 for a used router. For my startup costs, I’ll include $1,800 for my laptop, although I use it for personal stuff half the time. If you already have a decent computer, you can exclude this cost in planning. Rent was $1,000 per month for more

2015 KevinMD blog

223. Determination of Bleb Capsule Porosity With an Experimental Glaucoma Drainage Device and Measurement System. (PubMed)

. Testing was performed on 22 adult New Zealand white rabbits that received the experimental GDD or an existing GDD.A new experimental GDD, the Center for Eye Research Australia (CERA) implant, was created using computer-aided design and a 3-dimensional printer. The CERA GDDs were implanted in the eyes of rabbits randomized into 1 of the following 3 groups: with no connection to the anterior chamber (n = 7), with connection to the anterior chamber for 1 week (n = 5), and with connection to the anterior

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2015 JAMA ophthalmology

224. Diagnostic Performance of an Advanced Modeled Iterative Reconstruction Algorithm for Low-Contrast Detectability with a Third-Generation Dual-Source Multidetector CT Scanner: Potential for Radiation Dose Reduction in a Multireader Study. (PubMed)

multidetector computed tomography (CT) scanner.A proprietary phantom with a range of low-contrast cylindrical objects, representing five contrast levels (range, 5-20 HU) and three sizes (range, 2-6 mm) was fabricated with a three-dimensional printer and imaged with a third-generation dual-source CT scanner at various radiation dose index levels (range, 0.74-5.8 mGy). Image data sets were reconstructed by using different section thicknesses (range, 0.6-5.0 mm) and reconstruction algorithms (filtered back

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2015 Radiology

225. Veteran Dual Use of Health Systems

health condition Prescribed 5 or more medications Upcoming VA and non-VA appointments within the study time frame Registered or willing to become registered with My HealtheVet Access to a computer with internet, phone, and a printer. English speaking VA or Non-VA Providers: provide care to a stuy participant Exclusion Criteria: Previously shared health data with a provider via their My HealtheVet or local provider patient portal No scheduled VA or non-VA appointments Contacts and Locations Go

2015 Clinical Trials

226. Custom fenestration templates for endovascular repair of juxtarenal aortic aneurysms. (PubMed)

Custom fenestration templates for endovascular repair of juxtarenal aortic aneurysms. Physician-modified endovascular grafts, with fenestrations added to accommodate major branch vessels, provide a means for endovascular treatment of abdominal aortic aneurysms that are adjacent to the renal arteries. Manual measurements of vessel origin locations from computed tomography images, however, take time and can lead to errors in the positions of the fenestrations. To make the fenestration process (...) faster and more accurate, we have developed a procedure to create custom templates that serve as patient-specific guides for graft fenestration. We use a three-dimensional printer to create a clear rigid sleeve that replicates the patient's aorta and includes holes placed precisely at the locations of the branch vessels. The sleeve is slipped over the graft, the locations of the openings are marked with a pen, and the fenestrations are created after the sleeve is removed. Custom fenestration

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2015 Journal of Vascular Surgery

227. Verification of Accuracy of CyberKnife Tumor-tracking Radiation Therapy Using Patient-specific Lung Phantoms. (PubMed)

Verification of Accuracy of CyberKnife Tumor-tracking Radiation Therapy Using Patient-specific Lung Phantoms. To investigate the accuracy of the CyberKnife Xsight Lung Tracking System (XLTS) compared with that of a fiducial-based target tracking system (FTTS) using patient-specific lung phantoms.Three-dimensional printing technology was used to make individualized lung phantoms that closely mimicked the lung anatomy of actual patients. Based on planning computed tomographic data from 6 lung (...) cancer patients who underwent stereotactic ablative radiation therapy using the CyberKnife, the volume above a certain Hounsfield unit (HU) was assigned as the structure to be filled uniformly with polylactic acid material by a 3-dimensional printer (3D Edison, Lokit, Korea). We evaluated the discrepancies between the measured and modeled target positions, representing the total tracking error, using 3 log files that were generated during each treatment for both the FTTS and the XLTS. We also

2015 Biology and Physics

228. Application of 3-Dimensional Printing in Hand Surgery for Production of a Novel Bone Reduction Clamp. (PubMed)

Application of 3-Dimensional Printing in Hand Surgery for Production of a Novel Bone Reduction Clamp. Three-dimensional printing is being rapidly incorporated in the medical field to produce external prosthetics for improved cosmesis and fabricated molds to aid in presurgical planning. Biomedically engineered products from 3-dimensional printers are also utilized as implantable devices for knee arthroplasty, airway orthoses, and other surgical procedures. Although at first expensive (...) fractures was created based on the senior author's (M.V.M.) specific design, previous experience, and preferences for fracture fixation. Once deemed satisfactory, the computer files were sent to a 3-dimensional printing company for the production of the prototypes. Multiple plastic prototypes were made and adjusted, affording a fast, low-cost working model of the proposed clamp. Once a workable design was obtained, a printing company produced the surgical clamp prototype directly from the 3-dimensional

2014 Journal of Hand Surgery - American

229. Development of an Ultrasound Phantom for Spinal Injections With 3-Dimensional Printing. (PubMed)

Development of an Ultrasound Phantom for Spinal Injections With 3-Dimensional Printing. This report describes a method for producing anatomically detailed, low-cost ultrasound phantoms of the spine with 3-dimensional printing. An implementation that involves representing a portion of the lumbar spine and the ligamentum flavum with 2 different printing materials and the surrounding soft tissues with agar gel is presented.A computed tomography image volume of a patient with normal spinal anatomy (...) was segmented to isolate the spine. Segments representing the ligamentum flavum and a supporting pedestal were digitally added, and the result was printed with a 3-dimensional printer. The printed spine was embedded in agar gel as a soft tissue component. Ultrasound images of the phantom were acquired and compared with those acquired from a human patient.The sonographic appearances of the phantom compared favorably with those observed from the human patient. The soft tissue component was suitable for needle

2014 Regional Anesthesia and Pain Medicine

230. Simulation Model for Transcervical Laryngeal Injection Providing Real-time Feedback. (PubMed)

Simulation Model for Transcervical Laryngeal Injection Providing Real-time Feedback. This study aimed to develop and evaluate a model for teaching transcervical laryngeal injections.A 3-dimensional printer was used to create a laryngotracheal framework based on de-identified computed tomography images of a human larynx. The arytenoid cartilages and intrinsic laryngeal musculature were created in silicone from clay casts and thermoplastic molds. The thyroarytenoid (TA) muscle was created

2014 Rhinology and Laryngology

231. Internet-Based Interventions for Bipolar Disorder (MoodSwings 2)

Manual for Mental Disorders (SCID) mood disorders module. Age 21 to 65 Access to a computer with internet access. Access to a printer is preferable, but not required. Able to speak and read English proficiently. Some degree of medical supervision of bipolar disorder (sees a health professional at least twice a year to discuss symptoms and treatment needs). Local access to emergency care. Exclusion Criteria: Current psychosis, as assessed in screening phone interview with the SCID psychotic screening

2014 Clinical Trials

232. A New Model with an Anatomically Accurate Human Renal Collecting System for Training in Fluoroscopy-Guided Percutaneous Nephrolithotomy Access (PubMed)

training model for simulated PCNL access under fluoroscopic guidance.Collecting systems from routine computed tomography urograms were extracted and reformatted using specialized software. These images were printed in a water-soluble plastic on a three-dimensional (3D) printer to create biomodels. These models were embedded in silicone and then the models were dissolved in water to leave a hollow collecting system within a silicone model. These PCNL models were filled with contrast medium and sealed

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2014 Journal of Endourology

233. Enabling medication management through health information technology

would not be complete without their wisdom, experience, good will, and sense of humor. Further thanks to Dr. Chris Gibbons and Dr. Paul Gorman who provided insights into their work on previous AHRQ evidence reports at the start of this project. We acknowledge the hard work of Nicholas Hobson, our computer programmer, for creating our evolving systematic review management software. The report is stronger and more focused because of the continued expert guidance of Rebecca Roper of the Agency (...) IT applied to medication management (Appendix A of the full report). These searches were then combined with a search using subject headings related to the five medication management phases plus reconciliation and education as well as specific health IT application terms (e.g., CDSS). We combined these medication management terms with computer and technology terms. When possible, we excluded letters, editorials, commentaries, and animal studies. Because our interest was in all study designs, we did

2011 EvidenceUpdates

234. Blepharoplasty, Subciliary Approach

and realistic surgical results. In the academic setting, the authors find that digital photography is very useful for cosmetic facial surgery because the photographs are immediately available for discussion among residents and faculty members at daily rounds and meetings. Using a notebook computer and a liquid crystal display projector, the digital facial images can be projected to a screen. Prints are available through high-quality color photography printers. Photographic views include (1) frontal view (...) disk space). Images can be stored on USB flash drives, compact discs, digital video discs, computer hard drives, and tapes for easy review and analysis. At present, 35-mm single lens reflex photography and digital photography are capable of achieving high-quality pictures that serve well for documentation in blepharoplasty. In addition, digital images can be used to demonstrate and discuss with each patient the preoperative findings, facial asymmetry, features of aging, and even anticipated

2014 eMedicine Surgery

235. An overview of current management of auditory processing disorder (APD)

the listening environment 14 9.1.1 Acoustic changes to the environment (reduce of noise and reverberation) 14 9.1.2 Assisted listening FM systems 15 9.1.3 Teacher/speaker adaptations 17 9.2 Auditory training 17 9.2.1 Formal training methods: computer-based auditory training (e.g. Earobics, Fast ForWord, Phonomena) 17 9.2.2 Formal training methods: programmes for improving phonological awareness and auditory discrimination 20 9.2.3 Formal training methods: non-computer based auditory training programmes (...) to less expensive ones. 9.2.1 Formal training methods: computer-based auditory training (e.g. Earobics, Fast ForWord, Phonomena) Computer technology has made possible the presentation of auditory training tasks through computer programmes with an adaptive procedure ensuring an appropriate level of difficulty. Although auditory training tasks are used, the focus is more on language than fundamental auditory processing training. Interesting computer graphics also help engage the child. The tasks

2010 British Society of Audiology

236. PillCam ESO (Update)

upper endoscopy. Clin Gastroenterol Hepatol 2007; 5 (3): 312-318. COST IMPACT The Given Workstation (which includes a dedicated computer, printer and LCD screen) loaded with the RAPID software application costs AUD$30,000 while the DR2 DataRecorder kit costs AUS$16,700. The single use PillCam ESO capsule is supplied in packs of 10 which costs AUD$8950 (AUD$895 per capsule). Given Imaging Inc., has stated that the Given Workstation, DataRecorders and the RAPID software are designed to be compatible

2008 Australia and New Zealand Horizon Scanning Network

237. AAGBI safety guideline - safe management of anaesthetic related equipment

-of-life date.7 In addition to items for which the technical department has continuing responsibility, the inventory should also include items such as laryngoscopes and non-clinical items such as computers and printers. Although these may not need regular maintenance they should be included in the replacement programme. Every item of equipment, including consumables, must be identified by a unique number or batch number, and its location must be recorded. This is particularly important in the case (...) Organization, and its standards have gradually been integrated with their European equivalents. 4.3 CE marking and non-medical equipment CE marks for medical devices are awarded in four categories of differing stringency. However, devices intended for non- medical use may also bear a CE mark that is indistinguishable from those on medical devices, but they may not be suitable for use as medical devices. An example is computer equipment, including display units and recording devices, which may have

2009 Association of Anaesthetists of GB and Ireland

238. Information management: guidance for anaesthetists

anaesthetic record- keeping system connected to the patient monitors. This should be linked with the main hospital administrative and clinical systems, so that all information held on the patient is available at the point of care. • Computers used by clinical staff should be capable of handling all the day-to-day tasks required by information and communications technology including, for example, the transmission and display of high quality images and electronic clinical reference systems (...) of the patient using this number. It is essential that personal data storage, whether on workplace or personal computers, conforms to the requirements of the Act. At the time of writing there is considerable confusion in the minds of different authorities as to the precise implications of the Act. Consultants must make sure that they and their trainees are familiar with the requirements of the Act and local regulations. Medical records are subject to a minimum retention period, which may vary according

2008 Royal College of Anaesthetists

239. Face validity study of an artificial temporal bone for simulation surgery. (PubMed)

alternative strategies to improve accessibility.Ultra high-resolution computed tomography (CT) images (0.15-mm resolution) were obtained from a cadaver temporal bone. Manual segmentation and conversion into a stereolithography file format permitted printing on a RP stereolithography printer. A 3-dimensional physical model was hardened to achieve the desired consistency. Eight practicing otologists were recruited to evaluate this model. Respondents were asked to drill the artificial bone and complete

2013 Otology and Neurotology

240. Internet-Based Interventions for Bipolar Disorder

for eligibility information Ages Eligible for Study: 21 Years to 65 Years (Adult, Older Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: No Criteria Inclusion Criteria: Current diagnosis of bipolar I disorder, bipolar II disorder, or bipolar disorder NOS verified with the Structured Clinical Interview for the Diagnostic and Statistical Manual for Mental Disorders (SCID) Mood disorder module. Age 21-65. Access to a computer with internet access. Access to a printer is preferable

2013 Clinical Trials

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