Purpose: Many printers are tempting at low prices, but later their accuracy turns out to be insufficient. The study has included checking the accuracy of printing and reproducing details of 3D printers used in dental technology and dentistry such as MultiJet Printing (ProJet MP3000, 3D Systems) and Fused Deposition Modelling (Inspire S2000, Tiertime). Design/methodology/approach: The 3D prints were created from scans of the maxillary gypsum model with the loss of left premolar. In the test, objects were set to the X and Y-axis. In order to check the dimensional differences after printing, scans of the printed models were superimposed on scans of the plaster model in the GOM Inspect V8 SR1 (Braunschweig, Germany). The focus was on the distance of scans from each other and a deviation map was created for each object. Findings: The average absolute value of deviations for each of models were equalled: FDMfor X-axis 0.06 ± 0.04 mm, for Y-axis 0.07 ± 0.04 mm; MJP- for X-axis- 0.04 ± 0.02 mm, for Y-axis- 0.06 ± 0.02 mm. A chart of arithmetic averages calculated for each tooth for the best printouts in each series show that higher deviation values exist in case of FDM printout. The models printed in the X-axis have smaller values of deviations from those printed in the Y-axis. Practical implications: MultiJet Printing technology can be used to create more precise models than the FDM, but these printouts meet the requirements of dimensional accuracy too. Originality/value: CAD / CAM technology in the future will exist in every dental technology laboratory so it is important to be aware of the way the 3D printers works. By paying attention to the quality of detail reproduction, a Dental Technician is able to choose the best 3D printer for them.
Introduction and objective. The aim of the study was to evaluate the neurodevelopmental outcomes of extremely premature babies at the age of 2 years, and to determine whether rehabilitation was carried out during this period. An additional aim was to determine the relationship between the use of rehabilitation and the degree of prematurity, asphyxia, birth weight, and the result of brain ultrasound. Materials and method. The study included 87 premature babies born between 24-31 weeks of pregnancy. A rehabilitation specialist assessed the neurodevelopmental outcomes of the children aged 2 years. Based on the documentation, the frequency of rehabilitation and its dependence on prematurity, asphyxia, birth weight and ultrasound results were analyzed. Results. Correct neurodevelopmental outcome in children aged 2 years was found in 57 (65%) children, of whom 40 (46%) did not undergo rehabilitation. Incorrect development was observed in a group of 30 children -12 patients were diagnosed with CP (14%), and 18 (21%) had 'red flags' of development milestones, they underwent rehabilitation. There was no statistically significant relationship between the degree of prematurity, perinatal asphyxia, birth weight and rehabilitation in the first 2 years of life. Abnormal ultrasound results were more common in rehabilitated children (n = 25; 53%) than in children without rehabilitation (n = 10; 25%), p = 0.008. Conclusions. Correct neurodevelopmental outcome at the age of 2 reached two-thirds of extreme prematurities, most of which did not need rehabilitation during this period. According to the authors' knowledge, this is the first study to show the percentage of premature babies who in the first 2 years of life did not require rehabilitation and achieved normal development.
Introduction. Premature babies are a special group at risk of persistent brain damage caused by diseases, the most serious of which are cerebral palsy(CP), autism spectrum disorders (ASD) and mental retardation, among others. These conditions may occur concurrently, but appear more often as separate disease syndromes in the same group of at-risk children. Longterm observation of psychomotor development by an interdisciplinary medical team closely cooperating with parents is necessary. It is important to detect the risk of developing these diseases as soon as possible in all development spheres. Materials and method. The research was conducted to demonstrate the prognostic value of 'red flags' of developmental milestones and the ability to detect early signs of risk of developing CP and ASD in extremely premature babies. In this preliminary study, 42 preterm babies, born after less than 32 weeks pregnancy participated. Results. The occurrence of ‚red flags'in the spheres: gross motor, fine motor and cognitive at 9 months was strongly associated with their presence at 24 months. The sensitivity and specificity were: gross motor -0.91 (95% CI: 0.59, 1.00) and 0.94 (95% CI: 0.79, 0.99); fine motor -0.83 (95% CI 0.36-1.00) and 1.00 (95% CI: 0.90-1.00); cognitive -1.00 (0.40, 1.00) and 0.97 (0.86, 1.00). Other spheres had lower sensitivity but high specificity. Conclusions. The conclusion is that the ‚red flags'at the 9 months milestones already predict the normal or developmental delay of premature babies, and predict the risk of CP and ASD. Due to the availability and lack of the need for specialized and costly training, it is worth considering their use in everyday life medical practice.
Medical rehabilitation plays an important leading role in the treatment of children with cerebral palsy (CP). Collaboration between specialists in medical rehabilitation and the rehabilitation team is a prerequisite for good medical care. The quality of medical services for children with CP depends chiefly on the level of expertise of the treatment team. Through training of specialists and sharing of knowledge, we can help more patients. This idea was developed and implemented by Dr Ewa Kooyman-Piskorz, the founder and president of Wandafonds Foundation. Between 2003 and 2014, Dutch specialists working with children with CP conducted a number of training workshops in Poland under the supervision of the Polish Rehabilitation Society and Prof. Jules Becher, a world-famous expert in the rehabilitation of children. Based on these experiences, we present the recommendations of the Paediatric Rehabilitation Section of the Polish Rehabilitation Society regarding an interdisciplinary model of treatment of children with CP in Poland.
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