The need for best practice standards in electronic governance of patient medical records to facilitate innovation

Background : Optimising the use of electronic data offers many opportunities to health services, particularly in rural and remote areas. These include reducing the effect of distance on access to clinical information and sharing information where there are multiple service providers for a single patient. The increasing compilation of large electronic databases of patient information and the ease with which electronic information can be transferred has raised concerns about the privacy and confidentiality of such records.Aims &amp; rationale/Objectives : This review aims to identify legal and ethical standards for areas of electronic governance where a lack of clarity may currently impede innovation in health service delivery.Methods : This paper describes best practices for storage and transfer of electronic patient data based on an examination of Australian legislative requirements and a review of a number of current models. This will firstly allow us to identify basic legal requirements of electronic governance as well as areas of ambiguity not fully addressed by legislation. An examination of current models will suggest recommendations for best practice in areas lacking sufficient legal guidance.Principal findings : We have identified the following four areas of importance, and shall discuss relevant details:1) Patients\u27 right of ownership to electronic patient records. 2) Custodial issues with data stored in centralised health care institutions 3) IT Security, including hierarchical level access, data encryption, data transfer standards and physical security 4) Software applications usage.Discussion : Our examination of several models of best practice for the transfer of electronic patient data, both in Australia and internationally, identifies and clarifies many unresolved issues of electronic governance. This paper will also inform future policy in this area.Implications : Clarification will facilitate the future development of beneficial technology-based innovations by rural health services.Presentation type : Poster <br /

A dimolybdenum paddlewheel as a building block for heteromultimetallic structures

Diphenylphosphine functionalized propionic acid was applied for the synthesis of heteromultimetallic dimolybdenum(II) complexes. The ligand features both carboxylic acid and phosphine functionalities, allowing the selective synthesis of a tetracarboxylate bridged Mo2(II)-paddlewheel structure in a first step. Due to the symmetrically arranged phosphine functionalities, the dimolybdenum(II) complex was utilized as a metalloligand. Subsequent coordination of late transition metal ions, such as gold(I), rhodium(I), iridium(I) or ruthenium(II) to the phosphine moieties allowed the formation of heteromultimetallic structures. The flexibility of the diphenylphosphino propionate ligand system enabled intermolecular aurophilic interactions in the Au(I) functionalized dimolybdenum(II) complexes. Depending on the Au(I) species applied, either a dimeric structure or a 1D coordination polymer was formed in the solid state. These structures represent the first examples of heterometallic dimolybdenum(II) complexes, forming supramolecular structures via aurophilic interactions

A cyclopentadienyl functionalized silylene-a flexible ligand for Si- And C-coordination

The synthesis of a 1,2,3,4-tetramethylcyclopentadienyl (Cp$^{4}$) substituted four-membered N-heterocyclic silylene [{PhC(NtBu) $_{2}$}Si(C$_{5}$Me$_{4}$H)] is reported first. Then, selected reactions with transition metal and a calcium precursor are shown. The proton of the Cp$_{4}$-unit is labile. This results in two different reaction pathways: (1) deprotonation and (2) rearrangement reactions. Deprotonation was achieved by the reaction of [{PhC(NtBu) $_{2}$}Si(C$_{5}$Me$_{4}$H)] with suitable zinc precursors. Rearrangement to [{PhC(NtBu) $_{2}$}(C$_{5}$Me$_{4}$)SiH], featuring a formally tetravalent silicon R$_{2}$CSi(R′)-H unit, was observed when the proton of the Cp$^{4}$ ring was shifted from the Cp$^{4}$-ring to the silylene in the presence of a Lewis acid. This allows for the coordination of the Cp$^{4}$-ring to a calcium compound. Furthermore, upon reaction with transition metal dimers [MCl(cod)] $_{2}$ (M = Rh, Ir; cod = 1,5-cyclooctadiene) the proton stays at the Cp$^{4}$-ring and the silylene reacts as a sigma donor, which breaks the dimeric structure of the precursors

Single tube support post thermal analysis and test results

Cold mass structural supports used in prototype Superconducting Super Collider (SSC) 50 mm dipole magnets built at Fermilab and Brookhaven are adaptations of the design developed during the 40 mm design program at Fermilab. The design essentially consists of two composite tubes nested within each other as a means of maximizing the thermal path length. In addition it provides an ideal way to utilize materials best suited for the temperature range over which they must operate. Filament wound S-glass is used between 300K and 80K. Filament wound graphite fiber is used between 80K and 20K and between 20K and 4.5K. An alternate design for supports which uses a single composite tube has been developed at Fermilab and continues to be refined by the industrial contractors. The advantage of the new design is cost reduction due to a significantly simpler assembly and incorporation of many common parts. This report describes the thermal analysis and testing of a single composite tube support post whose function is identical to that of the current reentrant design

Design of the multilayer insulation system for the Superconducting Super Collider 50mm dipole cryostat

The development of the multilayer insulation (MLI) system for the Superconducting Super Collider (SSC) 50 mm collider dipole cryostat is an ongoing extension of work conducted during the 40 mm cryostat program. While the basic design of the MLI system for the 50 mm cryostat resembles that of the 40 mm cryostat, results from measurements of MLI thermal performance below 80K have prompted a re-design of the MLI system for the 20K thermal radiation shield. Presented is the design of the MLI system for the 50 mm collider dipole cryostat, with discussion focusing on system performance, blanket geometry, cost-effective fabrication techniques, and built-in quality control measures that assure consistent thermal performance throughout the SSC accelerator. 16 refs., 8 figs., 2 tabs

3d-4f heterometallic complexes by the reduction of transition metal carbonyls with bulky LnII^{II} amidinates

The redox chemistry between divalent lanthanide complexes bearing bulky amidinate ligands has been studied with 3d transition metal carbonyl complexes (iron and cobalt). The reaction of [(DippForm)$_{2}$Sm$^{ǁ}$(thf)$_{2}$] (DippForm = N,N′-bis(2,6-diisopropylphenyl)formamidinate) with [Co$_{2}$(CO)$_{8}$] resulted in the formation of a tetranuclear Sm–Co complex, [{(DippForm)$_{2}$Sm$^{ǁǀ}$(thf)}$_{2}${(μ-CO)$_{2}$Co(CO)$_{2}$}$_{2}$]. The product of the reaction of [(DippForm)$_{2}$Yb$^{ǁ}$(thf)$_{2}$] and [Co$_{2}$(CO)$_{8}$] gives the dinuclear Yb–Co complex [{(DippForm)$_{2}$Yb$^{ǁǀ}$(thf)}{(μ-CO)Co(CO)$_{3}$}] in toluene. The reaction of [(DippForm)$_{2}$Sm$^{ǁ}$(thf)$_{2}$] was also carried with the neighbouring group 8 carbonyl complexes [Fe$_{2}$(CO)$_{9}$] and [Fe$_{3}$(CO)$_{12}$], resulting in a pentanuclear Sm$^{ǁǀ}$–Fe complex, [{(DippForm)$_{2}$Sm$^{ǁǀ}$}$_{2}${(μ$_{3}$-CO)$_{2}$Fe$_{2}$(CO)$_{9}$}], featuring a triangular iron carbonyl cluster core

3d-4f heterometallic complexes by the reduction of transition metal carbonyls with bulky Ln(II) amidinates

The redox chemistry between divalent lanthanide complexes bearing bulky amidinate ligands has been studied with 3d transition metal carbonyl complexes (iron and cobalt). The reaction of [(DippForm)(2)Sm-II(thf)(2)] (DippForm = N,N '-bis(2,6-diisopropylphenyl)formamidinate) with [Co-2(CO)(8)] resulted in the formation of a tetranuclear Sm-Co complex, [{(DippForm)(2)Sm-III(thf)}(2){(mu-CO)(2)Co(CO)(2)}2]. The product of the reaction of [(DippForm)(2)Yb-II(thf)(2)] and [Co-2(CO)(8)] gives the dinuclear Yb-Co complex [{(DippForm)(2)Yb-III(thf)}{(mu-CO)Co(CO)(3)}] in toluene. The reaction of [(DippForm)(2)Sm-II(thf)(2)] was also carried with the neighbouring group 8 carbonyl complexes [Fe-2(CO)(9)] and [Fe-3(CO)(12)], resulting in a pentanuclear Sm-III-Fe complex, [{(DippForm)(2)Sm-III}(2){(mu(3)-CO)(2)Fe-3(CO)(9)}], featuring a triangular iron carbonyl cluster core

SSC 50 mm dipole magnet cryostat thermal measurement results

A prototype Superconducting Super Collider (SSC) 50 mm dipole magnet cryostat, DCA323, was instrumented at Fermilab and delivered to the SSC Laboratory for installation into the accelerator systems string test facility. In series with other magnets, the instrumented cryostat will be used to quantify and verify cryostat thermal performance with respect to design requirements. Prior to leaving Fermilab, DCA323 was subjected to magnetic testing at the Magnet Test Facility (MTF). This presented an opportunity to obtain preliminary thermal performance data under simulated operating conditions. It should be noted that measurements of overall cryostat thermal performance were not possible during the MTF measurements as the magnet test stands are designed for magnetic rather than thermal testing. They are not designed to limit heat inleak to the ends of the cryostat, which has been shown to have a significant effect on overall measured thermal performance. Nonetheless, these measurements do offer insight into the performance of several of the cryostat components and sub-systems