RESUMO
The paper describes a platform developed for the secure management and analysis of medical data and images in a grid environment. Designed for telemedicine and built upon the EGEE gLite middleware and particularly the metadata catalogue AMGA as well as the GridSphere web portal, the platform provides to healthcare professionals the capacity to upload and query medical information stored over distributed servers. A job submission environment is also available for data analysis. Security features include authentication and authorization by grid certificates, anonymization of medical data and image encryption. The platform is currently deployed on several sites in Europe and Asia and is being customized for applications in the field of telemedicine and medical physics.
Assuntos
Segurança Computacional/instrumentação , Sistemas Computacionais , Computação em Informática Médica , Sistemas Computadorizados de Registros Médicos/organização & administração , Telemedicina/organização & administração , Acesso à Informação , Algoritmos , Bases de Dados como Assunto , França , Humanos , Método de Monte Carlo , Neurocirurgia/organização & administração , SoftwareRESUMO
Although mild tension and fear when visiting the dentist are considered normal, some patients experience extreme anxiety for dental treatment, which interferes with treatment and oral health, and causes significant distress. The present article reviews the literature on the definition and occurrence of dental fear. Causal and maintenance factors of dental fear are identified and a conceptual model of these factors is presented. From this model several interventions are presented that can be used to treat moderately anxious patients and pathological dental fear. The effects of these treatments are discussed.