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Rachel B Ramoni, Jini Etolue, Oluwabunmi Tokede, Lyle McClellan, Kristen Simmons, Alfa Yansane, Joel M White, Muhammad F Walji, Elsbeth Kalenderian
BACKGROUND: Standardized dental diagnostic terminologies (SDDxTs) were introduced decades ago. Their use has been on the rise, accompanying the adoption of electronic health records (EHRs). One of the most broadly used terminologies is the Dental Diagnostic System (DDS). Our aim was to assess the adoption of SDDxTs by US dental schools by using the Rogers diffusion of innovations framework, focusing on the DDS. METHODS: The authors electronically surveyed clinic deans in all US dental schools (n = 61) to determine use of an EHR and SDDxT, perceived barriers to adoption of an SDDxT, and the effect of implementing an SDDxT on clinical productivity...
May 2017: Journal of the American Dental Association
Keisuke Ota, Noriaki Matsubara, Shigeru Miyachi, Takashi Izumi, Masashi Ito, Takumi Asai, Takashi Yamanouchi, Toshihiko Wakabayashi
In endovascular coil embolization of intracranial aneurysms, very soft coils, often called "finishing coils," are usually selected in the final stage of coil embolization. The authors developed a radiolucent coil made of thin nylon thread to evaluate the performance of coils under a situation simulating the course of embolization. The characteristics of various types of finishing coils were investigated using radiolucent coils. Experimental embolization was performed with a silicone aneurysm filled with radiolucent coils simulating the final stage of embolization...
April 2017: Interventional Neuroradiology
Patrice Barsamian Wunsch, Marissa M Kuhnen, Al M Best, Tegwyn H Brickhouse
PURPOSE: The purposes of this retrospective chart review were to determine: (1) how primary molars in need of vital pulp therapy (VPT) have been treated over a period of four years at a university-based pediatric dental practice (UBP); and which treatments-indirect pulp therapy (IPT), formocresol pulpotomy (FCP), and ferric sulfate pulpotomy (FSP)-have been successful. METHODS: Electronic patient records (axiUm) that contained the procedure codes D3120 (pulp cap-indirect) or D3220 (therapeutic pulpotomy) were totaled by year...
October 15, 2016: Pediatric Dentistry
Aymeric Rouchaud, Waleed Brinjikji, Daying Dai, Yong-Hong Ding, Tina Gunderson, Dana Schroeder, Laurent Spelle, David F Kallmes, Ramanathan Kadirvel
PURPOSE: Long-term occlusion of coiled aneurysms frequently fails, probably because of poor intrasaccular healing and inadequate endothelialization across the aneurysm neck. The purpose of this study was to determine if attachment of autologous mesenchymal stem cells (MSCs) to platinum coils would improve the healing response in an elastase-induced aneurysm model in rabbits. MATERIALS AND METHODS: With approval from the institutional animal care and use committee, aneurysms were created in rabbits and embolized with control platinum coils (Axium; Medtronic) (n=6) or coils seeded ex vivo with autologous adipose-tissue MSCs (n=7)...
January 11, 2017: Journal of Neurointerventional Surgery
Umberto Marcello Bracale, Donatella Narese, Ilaria Ficarelli, Mario De Laurentis, Flavia Spalla, Ettore Dinoto, Gaetano Vitale, Domenico Solari, Guido Bajardi, Felice Pecoraro
Renal artery aneurysms (RAAs) are rare with an estimated incidence of 0.1% in the general population, and they represent approximately 25% of all visceral aneurysms. The gold standard of treatment is open surgery, but it is associated with a high risk of nephrectomy, mortality, and morbidity. Less invasive endovascular therapies are becoming increasingly common for the treatment of RAAs. Here, we aimed to report three cases of wide-necked complex renal artery aneurysms treated endovascularly using stent-assisted coil embolization with self-expandable stent nitinol Solitaire AB and Concerto Axium coils...
January 2017: Diagnostic and Interventional Radiology: Official Journal of the Turkish Society of Radiology
Rachel B Ramoni, Sheetal R Asher, Joel M White, Ram Vaderhobli, Eyitope O Ogunbodede, Muhammad F Walji, Christine Riedy, Elsbeth Kalenderian
A person's right to access his or her protected health information is a core feature of the U.S. Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule. If the information is stored electronically, covered entities must be able to provide patients with some type of machine-readable, electronic copy of their data. The aim of this study was to understand how academic dental institutions execute the Privacy Rule's right of access in the context of electronic health records (EHRs). A validated electronic survey was distributed to the clinical deans of 62 U...
June 2016: Journal of Dental Education
Angela M Lopez-Loverich, Maria Minerva Garcia, Kevin J Donly
PURPOSE: The purpose of this retrospective chart review was to explore the retention of anterior pre-veneered stainless steel crowns (NuSmile) and conventional stainless steel crowns (3M ESPE) placed on primary anterior teeth. METHODS: Records for children were reviewed over four years using the electronic record system axiUm. Data collected included child's age at time of crown placement, date of placement, tooth number, type of crown, patient behavior, treatment environment, provider type, crown presence, absence, and cementation success or failure at subsequent recall visits...
November 2015: Pediatric Dentistry
Susan G Reed, Shawn S Adibi, Mullen Coover, Robert G Gellin, Amy E Wahlquist, Anitha AbdulRahiman, Lindsey H Hamil, Muhammad F Walji, Paula O'Neill, Elsbeth Kalenderian
The Consortium for Oral Health Research and Informatics (COHRI) is leading the way in use of the Dental Diagnostic System (DDS) terminology in the axiUm electronic health record (EHR). This collaborative pilot study had two aims: 1) to investigate whether use of the DDS terms positively impacted predoctoral dental students' critical thinking skills measured by the Health Sciences Reasoning Test (HSRT), and 2) to refine study protocols. The study design was a natural experiment with cross-sectional data collection using the HSRT for 15 classes (2013-17) of students at three dental schools...
June 2015: Journal of Dental Education
D S Ray, A H Wiemann, P B Patel, X Ding, R J Kryscio, C S Miller
This study used conventional digital radiography to estimate the rate of tooth wear (TW) of maxillary and mandibular central incisors based on a cross-sectional study design. The crown length of 1239 permanent maxillary and mandibular central incisors from 346 persons (age groups: 10, 25, 40, 55 and 70 years ± 3) were measured by three calibrated dentists. Study teeth were intact incisally, had clearly visible incisal edges and cementoenamel junctions and had natural tooth antagonists. Measures were based on digital radiographic images (N = 666) archived in MiPACS within the electronic health record (axiUm(®)) from the College of Dentistry patient database...
June 2015: Journal of Oral Rehabilitation
Pouran Famili, Mandana M Shaya
OBJECTIVE: The purpose of this study was to evaluate the prevalence of periodontal disease among the patient population at the University of Pittsburgh who receive the Low Income Discount (LID) financial obligation reduction based on family income in relation to federal poverty guidelines. STUDY DESIGN: This was a retrospective study examining the Electronic Health Record at the University of Pittsburgh School of Dental Medicine (axiUm, Exan Group) from August 2008 to April 2013 (N = 7936)...
November 2014: Compendium of Continuing Education in Dentistry
Vikram Huded, Rithesh R Nair, Devashish D Vyas, Bhumir N Chauhan
CONTEXT: Stent-assisted coiling of wide-necked and complex intracranial aneurysms is an effective and feasible treatment option. The self-expanding, fully retrievable Solitaire AB (eV3, Irvine, CA, USA) stent is the latest neurovascular remodeling device available. To the best of our knowledge, there are no studies of Solitaire AB-assisted coiling of wide-necked intracranial aneurysms from India. AIM: Solitaire AB-assisted coiling of wide-necked intracranial aneurysms...
July 2014: Journal of Neurosciences in Rural Practice
Gaurav Girdhar, Megan Read, Jihae Sohn, Chirag Shah, Sanjay Shrivastava
BACKGROUND: Embolic coils have been used to treat intracranial aneurysms using an endovascular approach for more than two decades. However, significant aneurysm recanalization rates have been reported specifically in large and giant aneurysms. Adding filaments to bare Platinum coils is considered a modification and has been proposed to achieve higher aneurysm occlusion rates as compared to bare Platinum coils. Quantitative information - in terms of thrombin generation potential of these modifications - is however lacking...
April 15, 2014: Journal of the Neurological Sciences
Kyle M Fargen, Spiros Blackburn, Eric M Deshaies, Jeffrey S Carpenter, Pascal Jabbour, William J Mack, Ansaar T Rai, Adnan H Siddiqui, Raymond D Turner, J Mocco
BACKGROUND: We previously performed a multicenter prospective single-arm trial of 100 patients treated with Axium MicroFX Coils (ev3; Plymouth, Minnesota, USA), AMERICA: Axium MicroFX for Endovascular Repair of IntraCranial Aneurysm study. Initial angiographic and clinical outcomes were excellent. The final results are presented herein. METHODS: AMERICA is a multicenter, prospective single-arm trial evaluating the safety and efficacy of the ev3 Axium MicroFX coil system in 100 separate aneurysms between April 2010 and October 2012...
January 2015: Journal of Neurointerventional Surgery
Marisol Tellez, Sundeep Kaur
The aims of this study were twofold: to describe different aspects of caregiver satisfaction with pediatric dental treatment provided at a dental school clinic and to explore differences in satisfaction by caregivers' demographics and compliance with their children's appointments. A cross-sectional study was conducted in two phases. In Phase I, a convenience sample of caregivers (n=100) eighteen years of age and older whose children had been receiving dental care in Philadelphia, Pennsylvania, were invited to complete a self-administered dental satisfaction questionnaire...
November 2013: Journal of Dental Education
Kyle M Fargen, Spiros Blackburn, Jeffrey S Carpenter, Pascal Jabbour, William J Mack, Ansaar T Rai, Adnan H Siddiqui, Raymond D Turner, J Mocco
BACKGROUND: Axium MicroFX coils contain polymer (polyglycolic/polylactic acid, PGLA) microfilaments designed to significantly impact intra-aneurysmal flow and to encourage aneurysm thrombosis. To provide preliminary evaluation of the safety and suggested efficacy of the MicroFX design, we performed a multicenter prospective single-arm trial, Axium MicroFX for Endovascular Repair of IntraCranial Aneurysm study (AMERICA). METHODS: AMERICA is a prospective multicenter 100 aneurysm observational study evaluating the safety and efficacy of Axium MicroFX PGLA coils...
September 2014: Journal of Neurointerventional Surgery
Phyllis J Filker, Nicole Cook, Jodi Kodish-Stav
The objective of this study was to investigate if electronic patient records have utility in dental school strategic planning. Electronic health records (EHRs) have been used by all predoctoral students and faculty members at Nova Southeastern University's College of Dental Medicine (NSU-CDM) since 2006. The study analyzed patient demographic and caries risk assessment data from October 2006 to May 2011 extracted from the axiUm EHR database. The purpose was to determine if there was a relationship between high oral health care needs and patient demographics, including gender, age, and median income of the zip code where they reside in order to support dental school strategic planning including the locations of future satellite clinics...
May 2013: Journal of Dental Education
Byung Moon Kim, Dong Joon Kim, Pyoung Jeon, Pyung Ho Yoon, Byung Hee Lee, Myeong Sub Lee, Tae Hong Lee, Jun Soo Byun, Dong Ik Kim
PURPOSE: Axium™ coils were developed to improve the durability of coil-embolized cerebral aneurysms by increasing packing density. The purpose of this prospective multicenter registry was to evaluate the safety and durability of Axium™ coils. MATERIALS AND METHODS: One hundred twenty-six patients with 135 aneurysms of ≤ 15 mm in size underwent coil embolization using bare platinum coils, with Axium™ coils constituting over 50% of the total coil length. Immediate and short-term follow-up results were prospectively registered and retrospectively evaluated...
September 2012: Neurointervention
Deok Hee Lee, Seon Moon Hwang, Ok Kyun Lim, Jae Kyun Kim
OBJECTIVE: Device- or technique-related air embolism is a drawback of various neuro-endovascular procedures. Detachable aneurysm embolization coils can be sources of such air bubbles. We therefore assessed the formation of air bubbles during in vitro delivery of various detachable coils. MATERIALS AND METHODS: A closed circuit simulating a typical endovascular coiling procedure was primed with saline solution degassed by a sonification device. Thirty commercially available detachable coils (7 Axium, 4 GDCs, 5 MicroPlex, 7 Target, and 7 Trufill coils) were tested by using the standard coil flushing and delivery techniques suggested by each manufacturer...
July 2012: Korean Journal of Radiology: Official Journal of the Korean Radiological Society
B Waldau, K M Fargen, W J Mack, N M Wilson, A Khaldi, B L Hoh, J Mocco
Recanalization of previously coiled aneurysms remains a major drawback of endovascular aneurysm therapy. We performed a prospective single arm trial to provide early initial data regarding the safety and angiographic durability of a new coil technology, the Axium MicroFX Polyglycolic/polylactic acid (PGLA) coil, which was designed to lower recanalization rates. Fifteen patients (16 aneurysms) were prospectively enrolled. Demographic and peri-procedural data were collected. Angiographic images of the initial coil embolization and three to six month follow-up angiographic images underwent blinded evaluation...
June 2012: Interventional Neuroradiology
J Peggy Maillet, Cara L Tax, Nancy R Neish, Allison L Denny
As part of their curriculum, senior dental hygiene students at Dalhousie University Faculty of Dentistry provide tobacco cessation counseling (TCC). This study was conducted to evaluate the effectiveness of the TCC didactic curriculum and its clinical extensions. Research methods included a comprehensive literature search, an assessment of available resources related to TCC, and a structured telephone interview. The interview, consisting of ten summative questions, was conducted to determine the current tobacco use status of clients who had been counseled by a dental hygiene student for tobacco cessation...
March 2010: Journal of Dental Education
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