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241. A low-cost surgical application of additive fabrication. (Abstract)

with computer software, translating the medical imaging data sets into useful 3D geometry files in stereo lithography format for 3D printing. A commercial third party was used to print the 3D models in laser sintered nylon, which provided access to expensive, industrial-grade, high-resolution 3-D printers at a low cost.Multiple patient-specific preoperative 3D physical models were printed of portal and hepatic venous anatomy at a cost of less than $100 per model.Current 3D printing techniques can be used (...) A low-cost surgical application of additive fabrication. This study was used to test the feasibility of using additive fabrication techniques 3-dimensional (3D) printing to create personalized/patient-specific hepatic 3D physical models from clinical radiology studies for surgical resident education.Patient-specific imaging data from either computed tomography or magnetic resonance imaging scans, in Digital Imaging and Communications in Medicine format, were rendered and manipulated

2014 Journal of Surgical Education

242. Injecting Realism in Surgical Training-Initial Simulation Experience With Custom 3D Models. (Abstract)

Injecting Realism in Surgical Training-Initial Simulation Experience With Custom 3D Models. The traditionally accepted form of training is direct supervision by an expert; however, modern trends in medicine have made this progressively more difficult to achieve. A 3-dimensional printer makes it possible to convert patients imaging data into accurate models, thus allowing the possibility to reproduce models with pathology. This enables a large number of trainees to be trained simultaneously (...) using realistic models simulating actual neurosurgical procedures. The aim of this study was to assess the usefulness of these models in training surgeons to perform standard procedures that require complex techniques and equipment.Multiple models of the head of a patient with a deep-seated small thalamic lesion were created based on his computed tomography and magnetic resonance imaging data. A workshop was conducted using these models of the head as a teaching tool. The surgical trainees were

2014 Journal of Surgical Education

243. 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

244. 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

245. Use of the Internet for Health Information

Eligible for Study: All Accepts Healthy Volunteers: Yes Criteria Inclusion Criteria: Upcoming Non-VA provider appointment Take 5 or more prescribed medications Have or obtain a My HealtheVet premium account Access to computer, printer, & Internet to complete study protocol Exclusion Criteria: No non-VA provider or upcoming appointment Less than 5 medications No premium MHV account Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your

2013 Clinical Trials

246. Face validity study of an artificial temporal bone for simulation surgery. (Abstract)

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

247. 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

248. Working with today’s EMRs is mentally exhausting

, printer selections and all the rest. Honestly, it’s far easier to admit someone to the ICU than to discharge them. At least in terms of computer time. That’s the thing about FEEMRS. The flow is all off. Oh, it’s data rich. But it’s mentally exhausting. Too many clicks, too little useful data, not nearly enough white space. Furthermore, there are the orders to sign and the charts to sign. And after you’ve signed them, there’s another place to sign. And if the nurse so much as helps them to the door

2016 KevinMD blog

249. 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

250. 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

251. 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

252. 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

253. 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

2015 FP Notebook

254. "Learning About Biologics"-Rheumatoid Arthritis

will be conducted at Geisinger Medical Center. All subjects enrolled will complete a baseline survey and then will be randomized to use of the decision support tool or to usual care. Those randomized to usual care will be offered the opportunity to access the tool once enrollment is closed and all follow-up visits have been completed. Outcomes will be assessed at two and six weeks after the baseline visit by the Geisinger Telephone Survey and Interviewing Facility. This facility is equipped with 12 computers (...) and runs two shifts a day. The Survey Unit uses a state-of-the-art Windows based Computer Assisted Telephone Interview (CATI) system to administer surveys and collect research data. The group holds 12 interviewer licenses for the CATI system. Trained and experienced interviewers are available to make the calls from 9 am to 9 pm Monday through Friday and from 10 am to 2 pm on Saturdays. Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Actual Enrollment

2012 Clinical Trials

255. Spartan FRX Project Reproducibility Study

different days, sites, operators and systems. Condition or disease Intervention/treatment Analytical Reproducibility of a Medical Device Device: Spartan FRX CYP2C19 Test System Detailed Description: The FRX system is comprised of hardware and consumable components. The hardware components of the system include an Analyzer (thermal cycler with fluorescence detection capability), a notebook computer and a printer. The consumable component of the FRX system is a sample collection kit. Each kit contains

2012 Clinical Trials

256. Omega-3 Supplementation and Depression Clinical Trial

: mild depression; 20-28: moderate depression and 29-63: severe depression. The change in BDI-II scores were computed from post-intervention scores at week 8 and baseline BDI-II scores at week 0. Eligibility Criteria Go to Information from the National Library of Medicine Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study (...) ., 2007. Melina, V. and B. Davis, The New Becoming Vegetarian. The essential guide to a healthy vegetarian diet. 2003, Tennessee: Healthy Living Publications. NASCOP, Kenya AIDS Indicator Survey, (KAIS) 2007, 2009, NASCOP: Nairobi. p. 11. KNBS, Kenya 2009 Population and Housing Census, M.o.P.a.N. Development, Editor 2010, Government Printers: Nairobi. NASCOP/MOH/CDC, Sentinel Surveillance of HIV & STDs in Kenya Report 2006, 2006, NASCOP: Nairobi. Publications automatically indexed to this study

2012 Clinical Trials

257. Treatment of Social Phobia With Cognitive Bias Modification

, Layout table for eligibility information Ages Eligible for Study: 18 Years and older (Adult, Older Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: No Criteria Inclusion Criteria: Written informed consent provided Diagnosed social phobia (according to DSM-IV criteria) Access to computer with internet connection, and printer Exclusion Criteria: Severe depression (and/or suicidal behavior) Addiction and/or abuse Suffer from other severe psychiatric condition (e.g. psychosis) Non-stable

2012 Clinical Trials

258. Internet Based Cognitive Behavioral Therapy Effects on Depressive Cognitions and Brain Function

. For general information, Layout table for eligibility information Ages Eligible for Study: 18 Years to 45 Years (Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: Yes Criteria Inclusion criteria: Age range between 18 and 45. Subjects must be right handed (as measured by Edinburgh Handedness Inventory). The primary language of the subjects must be English Must have regular access to a computer with internet connection and printer (for potential MDD or MAC participants) DSM-IV criteria (...) to treatment and which minimizes barriers to care by enhancing access and maximizing schedule flexibility. Emerging evidence suggests that iCBT is a particularly promising and well-accepted approach for treating large numbers of individuals while minimizing cost and clinicians' time demand. The study of internet-based and other computer-assisted therapies is currently in its infancy and most studies still lack sufficient methodological rigor to firmly establish the efficacy and applicability

2012 Clinical Trials

259. Employment and Arthritis: Making it Work

Arthritis, Ankylosing Spondylitis, Lupus Erythematosus, Systemic, Psoriatic Arthritis, Other Connective Tissue Diseases and Spondylarthropathy) Have access to a computer, a web-cam, a headset and a printer, or willingness to purchase these items Are willing to travel to Vancouver, Kelowna, Victoria, Prince Rupert, Prince George, Cranbrook or Kamloops, Calgary, Toronto, Newmarket or Brampton for one visit with an occupational therapist Exclusion Criteria: Individuals who are not working Individuals

2012 Clinical Trials

260. Method Comparison Study of the Spartan FRX CYP2C19 Genotyping System Against Bi-directional Sequencing

: The Spartan FRX CYP2C19 Test System (hereafter referred to as the 'FRX System') is a qualitative in vitro diagnostic test for the identification of a patient's CYP2C19 *2, *3 and *17 genotypes from genomic DNA obtained from buccal swab samples. The FRX system is comprised of hardware and consumable components. The hardware components of the system include an Analyzer (thermal cycler with fluorescence detection capability), a netbook computer and a printer. The consumable component of the FRX system

2012 Clinical Trials

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