Marginal Bone Loss in Implants Placed in Grafted Maxillary Sinus

PurposeThe purpose of this study is to evaluate the vertical and horizontal graft bone resorption (GR) in grafted maxillary sinuses and the marginal bone loss (MBL) around implants placed in the sinuses with different prosthetic connections and to determine the effect of other clinical factors on these tissue responses at 6 and 18 months postloading.Material and MethodA total of 254 implants were placed in 150 grafted maxillary sinuses of 101 patients (51.5% female) with mean age of 52.2 years (range, 32–82 years). GR and MBL measurements were made in implants placed with two different prosthetic connections (internal and external) at 6 and 18 months postloading. The complex samples general linear model was used to analyze the influence of patient age, gender, smoking habit, history of periodontal disease, implantation timing (simultaneous vs deferred), and prosthetic abutment length on radiographic GR and MBL values.ResultsAt 18 months postloading, the MBL ranged from 0 mm to 5.89 mm; less than 1 mm was lost around 49.0% (mesial) and 44.3% (distal) of the implants, while no bone was lost around 32.9% (mesial) and 26.7% (distal). The GR was significantly affected by smoking, remnant alveolar bone height, graft length, graft height, gender, and age, and it significantly decreased over time. The MBL was influenced by the type of connection, implantation timing, and prosthetic abutment length. The MBL was greater with longer postloading interval and higher patient age and in smokers.ConclusionResorption of grafts that combine autogenous cortical bone with anorganic bovine bone is dependent on the anatomic features of the sinus and is not affected by the time elapsed after the first 6 months. The MBL in implants placed in these grafted areas is time dependent and mainly related to potentially modifiable clinical decisions and patient habits.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/110884/1/cid12092.pd

Comparative analysis of ferroelectric domain statistics via nonlinear diffraction in random nonlinear materials

© 2018 [Optical Society of America]. Users may use, reuse, and build upon the article, or use the article for text or data mining, so long as such uses are for non-commercial purposes and appropriate attribution is maintained. All other rights are reserved.We present an indirect, non-destructive optical method for domain statistic characterization in disordered nonlinear crystals having homogeneous refractive index and spatially random distribution of ferroelectric domains. This method relies on the analysis of the wave-dependent spatial distribution of the second harmonic, in the plane perpendicular to the optical axis in combination with numerical simulations. We apply this technique to the characterization of two different media, Calcium Barium Niobate and Strontium Barium Niobate, with drastically different statistical distributions of ferroelectric domains.Peer ReviewedPostprint (published version

Fracturas supracondíleas sobre prótesis total de rodilla

Presentamos 7 casos de fractura del extreme distal del fémur en pacientes con sustitución total de rodilla. El propósito del estudio consiste en valorar las distintas opciones terapéuticas y los resultados obtenidos a medio plazo. Los enfermos fueron tratados quirúrgicamente mediante un clavo intramedular u ortopédicamente con un sistema de tracción de Neufeld de una férula de tipo Q.T.B. El método de tratamiento se decidió en función del grado de desplazamiento de la fractura, tiempo transcurrido desde la misma y estado general del paciente. Todos alcanzaron un nivel de actividad similar al que poseían previo a la fractura.We present 7 cases of supracondylar fracture of the femur in patients with total knee arthroplaty. The purpose of this study was to asses the different options of treatment and their results at mid-term. Fractures were treated with an intramedular nail or with a Neufeld traction system followed by a Q.T.B. cast. The method of treatment depends on the grade of fracture displacement, period of time since the fracture and patient health. All o them reached similar level of activity like before the fracture

Use of camera trapping in determining Iberian lynx population parameters: The use area and its limitations

Below are the results of the survey of the Iberian lynx obtained with camera-trapping between 2000 and 2007 in Sierra Morena. Two very important aspects of camera-trapping concerning its efficiency are also analyzed. The first is the evolution along years according to the camera-trapping type used of two efficiency indicators. The results obtained demonstrate that the most efficient lure is rabbit, though it is the less proven (92 trap-nights), followed by camera-trapping in the most frequent marking places (latrines). And, we propose as a novel the concept of use area as a spatial reference unit for the camera-trapping monitoring of non radio-marked animals is proposed, and its validity discussed

Temporal variability analysis reveals biases in electronic health records due to hospital process reengineering interventions over seven years

[EN] Objective To evaluate the effects of Process-Reengineering interventions on the Electronic Health Records (EHR) of a hospital over 7 years. Materials and methods Temporal Variability Assessment (TVA) based on probabilistic data quality assessment was applied to the historic monthly-batched admission data of Hospital La Fe Valencia, Spain from 2010 to 2016. Routine healthcare data with a complete EHR was expanded by processed variables such as the Charlson Comorbidity Index. Results Four Process-Reengineering interventions were detected by quantifiable effects on the EHR: (1) the hospital relocation in 2011 involved progressive reduction of admissions during the next four months, (2) the hospital services re-configuration incremented the number of inter-services transfers, (3) the care-services re-distribution led to transfers between facilities (4) the assignment to the hospital of a new area with 80,000 patients in 2015 inspired the discharge to home for follow up and the update of the pre-surgery planned admissions protocol that produced a significant decrease of the patient length of stay. Discussion TVA provides an indicator of the effect of process re-engineering interventions on healthcare practice. Evaluating the effect of facilities¿ relocation and increment of citizens (findings 1, 3¿4), the impact of strategies (findings 2¿3), and gradual changes in protocols (finding 4) may help on the hospital management by optimizing interventions based on their effect on EHRs or on data reuse. Conclusions The effects on hospitals EHR due to process re-engineering interventions can be evaluated using the TVA methodology. Being aware of conditioned variations in EHR is of the utmost importance for the reliable reuse of routine hospitalization data.F.J.P.B, C.S., J.M.G.G. and J.A.C. were funded Universitat Politecnica de Valencia, project "ANALISIS DE LA CALIDAD Y VARIABILIDAD DE DATOS MEDICOS". www.upv.es. J.M.G.G.is also partially supported by: Ministerio de Economia y Competitividad of Spain through MTS4up project (National Plan for Scientific and Technical Research and Innovation 2013-2016, No. DPI2016-80054-R); and European Commission projects H2020-SC1-2016-CNECT Project (No. 727560) and H2020-SC1-BHC-2018-2020 (No. 825750). The funders did not play any role in the study design, data collection and analysis, decision to publish, nor preparation of the manuscript.Perez-Benito, FJ.; Sáez Silvestre, C.; Conejero, JA.; Tortajada, S.; Valdivieso, B.; Garcia-Gomez, JM. (2019). Temporal variability analysis reveals biases in electronic health records due to hospital process reengineering interventions over seven years. PLoS ONE. 14(8):1-19. https://doi.org/10.1371/journal.pone.0220369S119148Aguilar-Savén, R. S. (2004). Business process modelling: Review and framework. International Journal of Production Economics, 90(2), 129-149. doi:10.1016/s0925-5273(03)00102-6Poulymenopoulou, M. (2003). Journal of Medical Systems, 27(4), 325-335. doi:10.1023/a:1023701219563Dadam P, Reichert M, Kuhn K. Clinical Workflows -The Killer Application for Process-oriented Information Systems? Proceedings of the 4th International Conference on Business Information Systems. London: Springer London; 2000. pp. 36–59. doi: https://doi.org/10.1007/978-1-4471-0761-3Lenz, R., & Reichert, M. (2007). IT support for healthcare processes – premises, challenges, perspectives. Data & Knowledge Engineering, 61(1), 39-58. doi:10.1016/j.datak.2006.04.007Rebuge, Á., & Ferreira, D. R. (2012). Business process analysis in healthcare environments: A methodology based on process mining. Information Systems, 37(2), 99-116. doi:10.1016/j.is.2011.01.003Amour EAEH, Ghannouchi SA. Applying Data Mining Techniques to Discover KPIs Relationships in Business Process Context. 2017 18th International Conference on Parallel and Distributed Computing, Applications and Technologies (PDCAT). IEEE; 2017. pp. 230–237. doi: https://doi.org/10.1109/PDCAT.2017.00045Chou, Y.-C., Chen, B.-Y., Tang, Y.-Y., Qiu, Z.-J., Wu, M.-F., Wang, S.-C., … Chuang, W.-C. (2010). Prescription-Filling Process Reengineering of an Outpatient Pharmacy. Journal of Medical Systems, 36(2), 893-902. doi:10.1007/s10916-010-9553-5Leu, J.-D., & Huang, Y.-T. (2009). An Application of Business Process Method to the Clinical Efficiency of Hospital. Journal of Medical Systems, 35(3), 409-421. doi:10.1007/s10916-009-9376-4Gand K. Investigating on Requirements for Business Model Representations: The Case of Information Technology in Healthcare. 2017 IEEE 19th Conference on Business Informatics (CBI). IEEE; 2017. pp. 471–480. doi: https://doi.org/10.1109/CBI.2017.36Ferreira, G. S. A., Silva, U. R., Costa, A. L., & Pádua, S. I. D. de D. (2018). The promotion of BPM and lean in the health sector: main results. Business Process Management Journal, 24(2), 400-424. doi:10.1108/bpmj-06-2016-0115Abdulrahman Jabour RM. Cancer Reporting: Timeliness Analysis and Process. 2016; Available: https://search.proquest.com/openview/4ecf737c5ef6d2d503e948df8031fe54/1?pq-origsite=gscholar&cbl=18750&diss=yHewitt M, Simone J V. Enhancing Data Systems to Improve the Quality of Cancer Care [Internet]. National Academy Press; 2000. Available: http://www.nap.edu/catalog/9970.htmlWeiskopf, N. G., & Weng, C. (2013). Methods and dimensions of electronic health record data quality assessment: enabling reuse for clinical research. Journal of the American Medical Informatics Association, 20(1), 144-151. doi:10.1136/amiajnl-2011-000681Saez C, Robles M, Garcia-Gomez JM. Comparative study of probability distribution distances to define a metric for the stability of multi-source biomedical research data. Proceedings of the Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBS. IEEE; 2013. pp. 3226–3229. doi: https://doi.org/10.1109/EMBC.2013.6610228Sáez, C., Rodrigues, P. P., Gama, J., Robles, M., & García-Gómez, J. M. (2014). Probabilistic change detection and visualization methods for the assessment of temporal stability in biomedical data quality. Data Mining and Knowledge Discovery, 29(4), 950-975. doi:10.1007/s10618-014-0378-6Sáez, C., Zurriaga, O., Pérez-Panadés, J., Melchor, I., Robles, M., & García-Gómez, J. M. (2016). Applying probabilistic temporal and multisite data quality control methods to a public health mortality registry in Spain: a systematic approach to quality control of repositories. Journal of the American Medical Informatics Association, 23(6), 1085-1095. doi:10.1093/jamia/ocw010International Ethical Guidelines for Epidemiological Studies [Internet]. Geneva: Council for International Organizations of Medical Sciences (CIOMS) in collaboration with the World Health Organization; 2009. Available: https://cioms.ch/wp-content/uploads/2017/01/International_Ethical_Guidelines_LR.pdfResearch Ethics Committee of the Universitari i Politècnic La Fe Hospital [Internet]. Available: https://www.iislafe.es/en/research/ethics-committees/Charlson, M. E., Pompei, P., Ales, K. L., & MacKenzie, C. R. (1987). A new method of classifying prognostic comorbidity in longitudinal studies: Development and validation. Journal of Chronic Diseases, 40(5), 373-383. doi:10.1016/0021-9681(87)90171-8Schneeweiss, S., Wang, P. S., Avorn, J., & Glynn, R. J. (2003). Improved Comorbidity Adjustment for Predicting Mortality in Medicare Populations. Health Services Research, 38(4), 1103-1120. doi:10.1111/1475-6773.00165Quan, H., Sundararajan, V., Halfon, P., Fong, A., Burnand, B., Luthi, J.-C., … Ghali, W. A. (2005). Coding Algorithms for Defining Comorbidities in ICD-9-CM and ICD-10 Administrative Data. Medical Care, 43(11), 1130-1139. doi:10.1097/01.mlr.0000182534.19832.83Sáez Silvestre C. Probabilistic methods for multi-source and temporal biomedical data quality assessment [Internet]. Thesis. Universitat Politècnica de València. 2016. doi: https://doi.org/10.4995/Thesis/10251/62188Amari S, Nagaoka H. Methods of Information Geometry [Internet]. Amer. Math. Soc. and Oxford Univ. Press. American Mathematical Society; 2000. Available: https://books.google.es/books?hl=es&lr=&id=vc2FWSo7wLUC&oi=fnd&pg=PR7&dq=Methods+of+Information+geometry&ots=4HmyCCY4PX&sig=2-dpCuwMQvEC1iREjxdfIX0yEls#v=onepage&q=MethodsofInformationgeometry&f=falseCsiszár, I., & Shields, P. C. (2004). Information Theory and Statistics: A Tutorial. Foundations and Trends™ in Communications and Information Theory, 1(4), 417-528. doi:10.1561/0100000004Lin, J. (1991). Divergence measures based on the Shannon entropy. IEEE Transactions on Information Theory, 37(1), 145-151. doi:10.1109/18.61115M.Cover T. Elements Of Information Theory Notes [Internet]. 2006. Available: http://books.google.fr/books?id=VWq5GG6ycxMC&printsec=frontcover&dq=intitle:Elements+of+Information+Theory&hl=&cd=1&source=gbs_api%5Cnpapers2://publication/uuid/BAF426F8-5A4F-44A4-8333-FA8187160D9BBrandes, U., & Pich, C. (s. f.). Eigensolver Methods for Progressive Multidimensional Scaling of Large Data. Lecture Notes in Computer Science, 42-53. doi:10.1007/978-3-540-70904-6_6Liaw, S. T., Rahimi, A., Ray, P., Taggart, J., Dennis, S., de Lusignan, S., … Talaei-Khoei, A. (2013). Towards an ontology for data quality in integrated chronic disease management: A realist review of the literature. International Journal of Medical Informatics, 82(1), 10-24. doi:10.1016/j.ijmedinf.2012.10.001Arts, D. G. T. (2002). Defining and Improving Data Quality in Medical Registries: A Literature Review, Case Study, and Generic Framework. Journal of the American Medical Informatics Association, 9(6), 600-611. doi:10.1197/jamia.m1087Bray, F., & Parkin, D. M. (2009). Evaluation of data quality in the cancer registry: Principles and methods. Part I: Comparability, validity and timeliness. European Journal of Cancer, 45(5), 747-755. doi:10.1016/j.ejca.2008.11.032Parkin, D. M., & Bray, F. (2009). Evaluation of data quality in the cancer registry: Principles and methods Part II. Completeness. European Journal of Cancer, 45(5), 756-764. doi:10.1016/j.ejca.2008.11.033Fernandez-Llatas, C., Ibanez-Sanchez, G., Celda, A., Mandingorra, J., Aparici-Tortajada, L., Martinez-Millana, A., … Traver, V. (2019). Analyzing Medical Emergency Processes with Process Mining: The Stroke Case. Lecture Notes in Business Information Processing, 214-225. doi:10.1007/978-3-030-11641-5_17Fernandez-Llatas, C., Lizondo, A., Monton, E., Benedi, J.-M., & Traver, V. (2015). Process Mining Methodology for Health Process Tracking Using Real-Time Indoor Location Systems. Sensors, 15(12), 29821-29840. doi:10.3390/s151229769Van der Aalst, W., Weijters, T., & Maruster, L. (2004). Workflow mining: discovering process models from event logs. IEEE Transactions on Knowledge and Data Engineering, 16(9), 1128-1142. doi:10.1109/tkde.2004.47Weijters AJMM, Van Der Aalst WMP, Alves De Medeiros AK. Process Mining with the HeuristicsMiner Algorithm [Internet]. Available: https://pdfs.semanticscholar.org/1cc3/d62e27365b8d7ed6ce93b41c193d0559d086.pdfShim, S. J., & Kumar, A. (2010). Simulation for emergency care process reengineering in hospitals. Business Process Management Journal, 16(5), 795-805. doi:10.1108/14637151011076476Svolba, G., & Bauer, P. (1999). Statistical Quality Control in Clinical Trials. Controlled Clinical Trials, 20(6), 519-530. doi:10.1016/s0197-2456(99)00029-xKahn, M. G., Raebel, M. A., Glanz, J. M., Riedlinger, K., & Steiner, J. F. (2012). A Pragmatic Framework for Single-site and Multisite Data Quality Assessment in Electronic Health Record-based Clinical Research. Medical Care, 50, S21-S29. doi:10.1097/mlr.0b013e318257dd67Batini, C., Cappiello, C., Francalanci, C., & Maurino, A. (2009). Methodologies for data quality assessment and improvement. ACM Computing Surveys, 41(3), 1-52. doi:10.1145/1541880.1541883Heinrich, B., Klier, M., & Kaiser, M. (2009). A Procedure to Develop Metrics for Currency and its Application in CRM. Journal of Data and Information Quality, 1(1), 1-28. doi:10.1145/1515693.1515697Sirgo, G., Esteban, F., Gómez, J., Moreno, G., Rodríguez, A., Blanch, L., … Bodí, M. (2018). Validation of the ICU-DaMa tool for automatically extracting variables for minimum dataset and quality indicators: The importance of data quality assessment. International Journal of Medical Informatics, 112, 166-172. doi:10.1016/j.ijmedinf.2018.02.007Hinton, G. E., & Salakhutdinov, R. R. (2006). Reducing the Dimensionality of Data with Neural Networks. Science, 313(5786), 504-507. doi:10.1126/science.1127647Kohn LT, Corrigan JM. To err is human: building a safer health system. A report of the Committee on Quality of Health Care in America. 2000. p. 287. National Academies Press

Control of the pore size distribution and its spatial homogeneity in particulate activated carbon

There are circumstances where it is desirable to achieve a particular, optimal, pore size distribution (PSD) in a carbon, including in the molecular sieving, gas storage, CO2-capture and electrochemical energy storage. Activation protocols that cycle a carbon a number of times between a low-temperature oxygen chemisorption process and a higher temperature pyrolysis process have been proposed as a means of yielding such desired PSDs. However, it is shown here that for PFA-based char particles of ∼100 μm in size, only the super-micropores are substantially developed under such an activation protocol, with the ultra-micropores being substantially un-touched. It is also shown that a typical CO2-activation process yields similar control over PSD development. As this process is nearly 15 times faster than the cyclic-O2 protocol and yields larger pore volumes and areas for a given level of conversion, it is to be preferred unless spatial homogeneous porosity within the particles is also desired. If such homogeneity is desired, it is shown here that CO2 activation should continue to be used but at a rate of around one-tenth the typical; this slow rate also has the advantage of producing pore volumes and areas substantially greater than those obtained using the other activation protocols.CH acknowledges a joint scholarship provided by China Scholarship Council (CSC) and the University of Adelaide. SS acknowledges the award of International Postgraduate Research Scholarship (IPRS) from the University of Adelaide. SHM acknowledges the award of a President’s Scholarship from the University of South Australia. The support of the Australian Research Council Discovery Program (DP110101293) is also gratefully acknowledged

Harmonic generation from metal-oxide and metal-metal boundaries

We explore the outcomes of detailed microscopic models by calculating second- and third-harmonic generation from thin-film surfaces with discontinuous free-electron densities. These circumstances can occur in structures consisting of a simple metal mirror, or arrangements composed of either different metals or a metal and a free-electron system like a conducting oxide. Using a hydrodynamic approach we highlight the case of a gold mirror and that of a two-layer system containing indium tin oxide (ITO) and gold. We assume the gold mirror surface is characterized by a free-electron cloud of varying density that spills into the vacuum, which as a result of material dispersion exhibits epsilon-near-zero conditions and local-field enhancement at the surface. For a bilayer consisting of a thin ITO and gold film, if the wave is incident from the ITO side the electromagnetic field is presented with a free-electron discontinuity at the ITO-gold interface, and wavelength-dependent epsilon-near-zero conditions that enhance local fields and conversion efficiencies and determine the surface's emission properties. We evaluate the relative significance of additional nonlinear sources that arise when a free-electron discontinuity is present, and show that harmonic generation can be sensitive to the density of the screening free-electron cloud, and not its thickness. Our findings also suggest the possibility to control surface harmonic generation through surface charge engineering.Peer ReviewedPostprint (author's final draft

Psiquiatría de enlace en el hospital general: Aplicación a la práctica de un modelo teórico .

La psiquiatría de enlace es, en la actualidad, un elemento importante en el esquema general de tratamiento de pacientes hospitalizados. De este modo, los psiquiatras hospitalarios tienen a menudo que ampliar su campo de acción, ya que su trabajo incluye el tratamiento de un gran número de pacientes (inicialmente) no psiquiátricos. El presente artículo describe un modelo teórico, útil (en opinión de los autores) para la evaluación de las demandas, las motivaciones de los médicos y los resultados terapéuticos. Los autores analizan su experiencia en este campo

Psiquiatría de enlace en el hospital general: Aplicación a la práctica de un modelo teórico .

La psiquiatría de enlace es, en la actualidad, un elemento importante en el esquema general de tratamiento de pacientes hospitalizados. De este modo, los psiquiatras hospitalarios tienen a menudo que ampliar su campo de acción, ya que su trabajo incluye el tratamiento de un gran número de pacientes (inicialmente) no psiquiátricos. El presente artículo describe un modelo teórico, útil (en opinión de los autores) para la evaluación de las demandas, las motivaciones de los médicos y los resultados terapéuticos. Los autores analizan su experiencia en este campo