Review on Master Patient Index

In today's health care establishments there is a great diversity of information systems. Each with different specificities and capacities, proprietary communication methods, and hardly allow scalability. This set of characteristics hinders the interoperability of all these systems, in the search for the good of the patient. It is vulgar that, when we look at all the databases of each of these information systems, we come across different registers that refer to the same person; records with insufficient data; records with erroneous data due to errors or misunderstandings when inserting patient data; and records with outdated data. These problems cause duplicity, incoherence, discontinuation and dispersion in patient data. With the intention of minimizing these problems that the concept of a Master Patient Index is necessary. A Master Patient Index proposes a centralized repository, which indexes all patient records of a given set of information systems. Which is composed of a set of demographic data sufficient to unambiguously identify a person and a list of identifiers that identify the various records that the patient has in the repositories of each information system. This solution allows for synchronization between all the actors, minimizing incoherence, out datedness, lack of data, and a decrease in duplicate registrations. The Master Patient Index is an asset to patients, the medical staff and health care providers

A framework for human microbiome research.

A variety of microbial communities and their genes (the microbiome) exist throughout the human body, with fundamental roles in human health and disease. The National Institutes of Health (NIH)-funded Human Microbiome Project Consortium has established a population-scale framework to develop metagenomic protocols, resulting in a broad range of quality-controlled resources and data including standardized methods for creating, processing and interpreting distinct types of high-throughput metagenomic data available to the scientific community. Here we present resources from a population of 242 healthy adults sampled at 15 or 18 body sites up to three times, which have generated 5,177 microbial taxonomic profiles from 16S ribosomal RNA genes and over 3.5 terabases of metagenomic sequence so far. In parallel, approximately 800 reference strains isolated from the human body have been sequenced. Collectively, these data represent the largest resource describing the abundance and variety of the human microbiome, while providing a framework for current and future studies

Evaluation of fit for 3D printed retainers as compared to thermoform retainers

ABSTRACT EVALUATION OF FIT FOR 3D PRINTED RETAINERS AS COMPARED TO THERMOFORM RETAINERS By David Cole, D.M.D. A thesis submitted in partial fulfillment of the requirements for the degree of Master of Science in Dentistry at Virginia Commonwealth University Thesis Directors: Eser Tüfekçi, D.D.S., M.S., Ph.D., M.S.H.A. Professor, Department of Orthodontics Sompop Bencharit, D.D.S., M.S., Ph.D. Associate Professor and Director of Digital Dentistry, Department of General Practice Introduction: Despite recent advances in three-dimensional (3D) printing, little information is available on 3D printed retainers Methods: Three reference models were used to fabricate traditional vacuum formed, commercially-available vacuum formed, and 3D printed retainers. For each model, three retainers were made using the three methods (a total of 27 retainers). To determine the trueness, the distances between the intaglio surface of the retainers and the occlusal surface of the reference models were measured using an engineering software. A small difference was indicative of a good fit. Results: Average differences of the traditional vacuum formed retainers ranged from 0.10 to 0.20mm. The commercially-available and 3D printed retainers had a range of 0.10 to 0.30mm and 0.10 to 0.40mm, respectively. Conclusions: The traditional vacuum formed retainers showed the least amount of deviation from the original reference models while the 3D printed retainers showed the greatest deviation

A framework for human microbiome research

A variety of microbial communities and their genes (the microbiome) exist throughout the human body, with fundamental roles in human health and disease. The National Institutes of Health (NIH)-funded Human Microbiome Project Consortium has established a population-scale framework to develop metagenomic protocols, resulting in a broad range of quality-controlled resources and data including standardized methods for creating, processing and interpreting distinct types of high-throughput metagenomic data available to the scientific community. Here we present resources from a population of 242 healthy adults sampled at 15 or 18 body sites up to three times, which have generated 5,177 microbial taxonomic profiles from 16S ribosomal RNA genes and over 3.5 terabases of metagenomic sequence so far. In parallel, approximately 800 reference strains isolated from the human body have been sequenced. Collectively, these data represent the largest resource describing the abundance and variety of the human microbiome, while providing a framework for current and future studies

A Comparison of Three-Dimensional Printing Technologies on the Precision, Trueness, and Accuracy of Printed Retainers

Purpose: The aim of this study was to evaluate the differences in the precision, trueness, and accuracy of 3D printed orthodontic clear retainers produced using printer systems with various printing technologies. Methods: Retainers (n=15) were printed using four different 3D printers: a stereolithography (SLA) printer, two different digital light processing (DLP and cDLP) printers, and a polyjet photopolymer (PPP) printer. The 3D printed retainers were transformed into a digital file through a cone-beam computed tomography scan that was compared to the original image using a 3D superimposition analysis software. At previously chosen landmarks (R6, L6, R3, L3, R1, L1) retainers were compared to the reference model. The intercanine and the intermolar width measurements were also analyzed for deviations between the samples and the original file. A discrepancy up to 0.25mm was considered clinically acceptable. Precision of printers was evaluated on 5 randomly chosen samples. Trueness was determined by comparing the measurements on printed retainers to those on the original image file. Root mean square (RMS) and percent of points within the tolerance level (inTOL) were also calculated with respect to precision and trueness for each retainer. Samples were analyzed for intra-printer reliability (precision), and inter-printer trueness. Statistical significance was set at P\u3c0.05. Results: Interrater correlation coefficient indicated good agreement and all measurements were within 0.10mm at least 95% of the time. Statistically significant differences were found between printer types among each of the 6 landmarks and the arch widths. When evaluating inTOL and RMS, statistically significant differences in both median precision and trueness among each printer type were found. SLA and PPP printing technologies exhibited both excellent precision and trueness. Conclusion: Retainers fabricated by SLA, DLP, cDLP, and PPP technologies were shown to be clinically acceptable and accurate compared to the standard reference file. SLA and PPP printers showed greater accuracy, and the DLP and cDLP printers exhibited greater precision. The PPP printer had the most accurate intra-arch measurements followed by the SLA printer, and therefore, based on their high trueness and precision values, were deemed to be the most accurate overall

Numerical simulation of the stress-strain state of the dental system

We present mathematical models, computational algorithms and software, which can be used for prediction of results of prosthetic treatment. More interest issue is biomechanics of the periodontal complex because any prosthesis is accompanied by a risk of overloading the supporting elements. Such risk can be avoided by the proper load distribution and prediction of stresses that occur during the use of dentures. We developed the mathematical model of the periodontal complex and its software implementation. This model is based on linear elasticity theory and allows to calculate the stress and strain fields in periodontal ligament and jawbone. The input parameters for the developed model can be divided into two groups. The first group of parameters describes the mechanical properties of periodontal ligament, teeth and jawbone (for example, elasticity of periodontal ligament etc.). The second group characterized the geometric properties of objects: the size of the teeth, their spatial coordinates, the size of periodontal ligament etc. The mechanical properties are the same for almost all, but the input of geometrical data is complicated because of their individual characteristics. In this connection, we develop algorithms and software for processing of images obtained by computed tomography (CT) scanner and for constructing individual digital model of the tooth-periodontal ligament-jawbone system of the patient. Integration of models and algorithms described allows to carry out biomechanical analysis on three-dimensional digital model and to select prosthesis design.Comment: 19 pages, 9 figure

NEOREG : design and implementation of an online neonatal registration system to access, follow and analyse data of newborns with congenital cytomegalovirus infection

Today's registration of newborns with congenital cytomegalovirus (cCMV) infection is still performed on paper-based forms in Flanders, Belgium. This process has a large administrative impact. It is imortant that all screening tests are registered to have a complete idea of the impact of cCMV. Although these registrations are usable in computerised data analysis, these data are not available in a format to perform electronic processing. An online Neonatal Registry (NEOREG) System was designed and developed to access, follow and analyse the data of newborns remotely. It allows patients' diagnostic registration and treatment follow-up through a web interface and uses document forms in Portable Document Format (PDF), which incorporate all the elements from the existing forms. Forms are automatically processed to structured EHRs. Modules are included to perform statistical analysis. The design was driven by extendibility, security and usability requirements. The website load time, throughput and execution time of data analysis were evaluated in detail. The NEOREG system is able to replace the existing paper-based CMV records

Outlook: Summer 2003

Alumni publication of the Boston University School of Dental Medicine

Learning fast: broadband and the future of education

Educational institutions have always had a central place in the online age. Before the advent of high-speed broadband, other communications technologies and services also played a big role in education.  University researchers were among the first Australian users of what became known as the Internet. When the domain name system was deployed in the mid-1980s, the .au domain was delegated to Robert Elz at the University of Melbourne. When the Australian Vice-Chancellor’s Committee decided to set up a national communications network to support research, Geoff Huston transferred to its payroll from ANU to work as technical manager for AARNet, whose current chief executive, Chris Hancock, is interviewed by Liz Fell in this issue. When a 56 kbps ARPANET link with Australia was made by NASA and the University of Hawaii via Intelsat in June 1989, the connection was established in Elz’s University of Melbourne laboratory. (Clarke 2004: 31) In earlier times, the postal service made learning-at-a-distance possible by ‘correspondence’, particularly in remote areas of Australia. Advances in radio communications made it easier and the interactivity more immediate. Television sets and later video cassette and DVD players and recorders made it more visual. The telephone provided a tool of communication for teachers and learners; the best of them understood that most people were both at different times. Then simple low bandwidth tools like email and web browsing provided new ways for students, teachers and their institutions to communicate and distribute and share information. Learning management systems like Blackboard have been widely deployed through the education sector. Information that was once housed in libraries is now available online and social media platforms are providing new ways for students to collaborate. Ubiquitous, faster broadband and mobile access via smartphones and tablets promise further transformations. &nbsp