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  1. Article ; Online: A primer and overview of the role of artificial intelligence in oral and maxillofacial radiology.

    Tyndall, Donald A

    Oral surgery, oral medicine, oral pathology and oral radiology

    2024  

    Language English
    Publishing date 2024-02-20
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2650843-6
    ISSN 2212-4411 ; 2212-4403
    ISSN (online) 2212-4411
    ISSN 2212-4403
    DOI 10.1016/j.oooo.2024.02.009
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: S-217622, a 3CL Protease Inhibitor and Clinical Candidate for SARS-CoV-2.

    Tyndall, Joel D A

    Journal of medicinal chemistry

    2022  Volume 65, Issue 9, Page(s) 6496–6498

    Abstract: The coronavirus disease (COVID-19) pandemic has highlighted the ability of scientists to quickly react to the immense challenge presented to the world. The orally available 3CL protease inhibitor S-217622 is currently progressing through clinical trials ... ...

    Abstract The coronavirus disease (COVID-19) pandemic has highlighted the ability of scientists to quickly react to the immense challenge presented to the world. The orally available 3CL protease inhibitor S-217622 is currently progressing through clinical trials and its discovery via structure-based drug design, screening and optimization by Shionogi and Hokkaido University is presented here.
    MeSH term(s) Antiviral Agents/pharmacology ; Antiviral Agents/therapeutic use ; COVID-19/drug therapy ; Coronavirus 3C Proteases ; Humans ; Protease Inhibitors/pharmacology ; Protease Inhibitors/therapeutic use ; SARS-CoV-2
    Chemical Substances Antiviral Agents ; Protease Inhibitors ; Coronavirus 3C Proteases (EC 3.4.22.28)
    Language English
    Publishing date 2022-05-04
    Publishing country United States
    Document type Journal Article
    ZDB-ID 218133-2
    ISSN 1520-4804 ; 0022-2623
    ISSN (online) 1520-4804
    ISSN 0022-2623
    DOI 10.1021/acs.jmedchem.2c00624
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Hematopoietic Stem Cell Transplantation for Systemic Sclerosis: Review of Current Status.

    Tyndall, Alan

    BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy

    2019  Volume 33, Issue 4, Page(s) 401–409

    Abstract: Three prospective controlled clinical trials and numerous small series and case reports have confirmed that durable, drug-free remission in systemic sclerosis is possible via an autologous hematopoietic stem cell transplantation. Similar results have ... ...

    Abstract Three prospective controlled clinical trials and numerous small series and case reports have confirmed that durable, drug-free remission in systemic sclerosis is possible via an autologous hematopoietic stem cell transplantation. Similar results have been seen in other autoimmune diseases. The exact mechanism by which this immune "reset" was achieved in some but not all cases remains elusive, but includes major reduction of autoreactive immune competent cells, re-establishment of T- and B cell regulatory networks and normalization of tissue niche function, particularly vascular. Some aspects regarding mobilization, conditioning and graft manipulation still remain open, but clearly a significant toxicity is associated with all effective regimens at present, and therefore patient selection remains a key issue. In the hematology/oncology arena, major efforts are being made to reduce genotoxic and other collateral toxicity induced by current mobilization and conditioning protocols, which may also translate to autoimmune disease. These include developments in rapid mobilization and antibody drug conjugate conditioning technology. If effective, such low-toxicity regimens might be applied to autoimmune disease at an earlier stage before chronicity of autoimmunity has been established, thus changing the therapeutic paradigm.
    MeSH term(s) Controlled Clinical Trials as Topic ; Graft vs Host Disease/immunology ; Graft vs Host Disease/prevention & control ; Hematopoietic Stem Cell Transplantation/adverse effects ; Hematopoietic Stem Cell Transplantation/methods ; Humans ; Immunoconjugates/therapeutic use ; Prospective Studies ; Scleroderma, Systemic/immunology ; Scleroderma, Systemic/therapy ; Transplantation Conditioning/methods ; Transplantation, Autologous/adverse effects ; Transplantation, Autologous/methods ; Transplantation, Homologous/adverse effects ; Transplantation, Homologous/methods ; Treatment Outcome
    Chemical Substances Immunoconjugates
    Language English
    Publishing date 2019-07-14
    Publishing country New Zealand
    Document type Journal Article ; Review
    ZDB-ID 1364202-9
    ISSN 1179-190X ; 1173-8804
    ISSN (online) 1179-190X
    ISSN 1173-8804
    DOI 10.1007/s40259-019-00364-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Hematopoietic stem cell transplantation for autoimmune diseases: more than just prolonged immunosuppression.

    Tyndall, Alan

    Current opinion in hematology

    2018  Volume 25, Issue 6, Page(s) 433–440

    Abstract: Purpose of review: To summarize the current clinical experience in the use of autologous hematopoietic stem cell transplantation (HSCT) in autoimmune disease and to explore the concept of durable remission induction and tissue de-remodeling via ... ...

    Abstract Purpose of review: To summarize the current clinical experience in the use of autologous hematopoietic stem cell transplantation (HSCT) in autoimmune disease and to explore the concept of durable remission induction and tissue de-remodeling via restoration of normal niche function and "immune reset.'
    Recent findings: Controlled clinical trials in systemic sclerosis, multiple sclerosis, and Crohn's disease as well as extensive uncontrolled trial and registry data have established the unique role of HSCT in selected cases. Although HSCT for multiple sclerosis and systemic sclerosis has recently entered several official treatment guidelines, mechanistic studies are few but indicate some possible modes of action, for example, increase of regulatory T cells. Toxicity of HSCT remains high but is improving with protocol modifications and more precise patient selection.
    Summary: For the first time, it has been demonstrated that strategies exist which may permanently reprogram an autoaggressive immune system to one of self-tolerance independent of ongoing immunosuppression. In addition, some tissues have the capacity to repair damage via normal regenerative processes. The exact mechanism(s) as to how this is achieved in certain cases and not others are emerging. Such knowledge, together with adoption of recently developed less toxic and more targeted regimens from the hematology/oncology field may translate to a safer yet still effective treatment for autoimmune disease.
    MeSH term(s) Autoimmune Diseases/therapy ; Hematopoietic Stem Cell Transplantation ; Humans ; Immunosuppression
    Language English
    Publishing date 2018-10-01
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1153887-9
    ISSN 1531-7048 ; 1065-6251
    ISSN (online) 1531-7048
    ISSN 1065-6251
    DOI 10.1097/MOH.0000000000000466
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Surveying the landscape of diagnostic imaging in dentistry's future: Four emerging technologies with promise.

    Tyndall, Donald A / Price, Jeffery B / Gaalaas, Laurence / Spin-Neto, Rubens

    Journal of the American Dental Association (1939)

    2024  

    Abstract: Background: Advances in digital radiography for both intraoral and panoramic imaging and cone-beam computed tomography have led the way to an increase in diagnostic capabilities for the dental care profession. In this article, the authors provide ... ...

    Abstract Background: Advances in digital radiography for both intraoral and panoramic imaging and cone-beam computed tomography have led the way to an increase in diagnostic capabilities for the dental care profession. In this article, the authors provide information on 4 emerging technologies with promise.
    Types of studies reviewed: The authors feature the following: artificial intelligence in the form of deep learning using convolutional neural networks, dental magnetic resonance imaging, stationary intraoral tomosynthesis, and second-generation cone-beam computed tomography sources based on carbon nanotube technology and multispectral imaging. The authors review and summarize articles featuring these technologies.
    Results: The history and background of these emerging technologies are previewed along with their development and potential impact on the practice of dental diagnostic imaging. The authors conclude that these emerging technologies have the potential to have a substantial influence on the practice of dentistry as these systems mature. The degree of influence most likely will vary, with artificial intelligence being the most influential of the 4.
    Conclusions and practical implications: The readers are informed about these emerging technologies and the potential effects on their practice going forward, giving them information on which to base decisions on adopting 1 or more of these technologies. The 4 technologies reviewed in this article have the potential to improve imaging diagnostics in dentistry thereby leading to better patient care and heightened professional satisfaction.
    Language English
    Publishing date 2024-03-23
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 220622-5
    ISSN 1943-4723 ; 0002-8177 ; 1048-6364
    ISSN (online) 1943-4723
    ISSN 0002-8177 ; 1048-6364
    DOI 10.1016/j.adaj.2024.01.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Comparison of incidental findings on cone beam computed tomographic and 2-dimensional images.

    Crockett, Benjamin / Broome, Angela / Tawil, Peter / Tyndall, Don

    General dentistry

    2023  Volume 71, Issue 4, Page(s) 64–71

    Abstract: Cone beam computed tomography (CBCT) provides a 3-dimensional (3D) view of the patient and has a high frequency of incidental findings (IFs) that do not relate to the area of interest. Many of these IFs are not always visible on 2-dimensional (2D) ... ...

    Abstract Cone beam computed tomography (CBCT) provides a 3-dimensional (3D) view of the patient and has a high frequency of incidental findings (IFs) that do not relate to the area of interest. Many of these IFs are not always visible on 2-dimensional (2D) intraoral or panoramic radiographs. Thus, the aim of the present study was to assess the IFs that did or did not appear on 3D vs 2D images. Significant IFs were recorded from a review of 510 CBCT reports by board-certified oral and maxillofacial radiologists. The IFs on CBCTs with 5-, 8-, and 11-cm fields of view (n = 170 per group) were recorded. A subset of these significant IFs was also viewed on intra-oral and panoramic radiographs to determine whether they were or were not visible in 2D imaging. A total of 677 significant IFs were discovered on 302 (59.2%) of the 510 reports. When a subset of 293 IFs was reviewed on intraoral and panoramic imaging, 112 (38.2%) were not visible on 2D radiographs, while 50 (17.1%) could not be confirmed with certainty. The frequency of significant IFs on CBCT imaging is high and increases with larger fields of view. A substantial number of these findings could not be seen on 2D radiographs, implying that many IFs are visible only on 3D images. Clinicians who order CBCT scans need to carefully review the volume in its entirety, regardless of previous imaging, so as not to miss any significant and relevant findings.
    MeSH term(s) Humans ; Incidental Findings ; Radiography, Panoramic ; Cone-Beam Computed Tomography/methods ; Imaging, Three-Dimensional
    Language English
    Publishing date 2023-06-26
    Publishing country United States
    Document type Review ; Journal Article
    ZDB-ID 603650-8
    ISSN 0363-6771
    ISSN 0363-6771
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: FHIR Healthcare Directories: Adopting Shared Interfaces to Achieve Interoperable Medical Device Data Integration.

    Tyndall, Timothy / Tyndall, Ayami

    Studies in health technology and informatics

    2018  Volume 249, Page(s) 181–184

    Abstract: Healthcare directories are vital for interoperability among healthcare providers, researchers and patients. Past efforts at directory services have not provided the tools to allow integration of the diverse data sources. Many are overly strict, ... ...

    Abstract Healthcare directories are vital for interoperability among healthcare providers, researchers and patients. Past efforts at directory services have not provided the tools to allow integration of the diverse data sources. Many are overly strict, incompatible with legacy databases, and do not provide Data Provenance. A more architecture-independent system is needed to enable secure, GDPR-compatible (8) service discovery across organizational boundaries. We review our development of a portable Data Provenance Toolkit supporting provenance within Health Information Exchange (HIE) systems. The Toolkit has been integrated with client software and successfully leveraged in clinical data integration. The Toolkit validates provenance stored in a Blockchain or Directory record and creates provenance signatures, providing standardized provenance that moves with the data. This healthcare directory suite implements discovery of healthcare data by HIE and EHR systems via FHIR. Shortcomings of past directory efforts include the ability to map complex datasets and enabling interoperability via exchange endpoint discovery. By delivering data without dictating how it is stored we improve exchange and facilitate discovery on a multi-national level through open source, fully interoperable tools. With the development of Data Provenance resources we enhance exchange and improve security and usability throughout the health data continuum.
    MeSH term(s) Computer Systems ; Databases, Factual ; Delivery of Health Care ; Electronic Health Records ; Humans ; Software ; Systems Integration
    Language English
    Publishing date 2018-06-01
    Publishing country Netherlands
    Document type Journal Article ; Review
    ISSN 0926-9630
    ISSN 0926-9630
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Digital Interventions to Save Lives From the Opioid Crisis Prior and During the SARS COVID-19 Pandemic: A Scoping Review of Australian and Canadian Experiences.

    Donnell, Andrea / Unnithan, Chandana / Tyndall, Jessica / Hanna, Fahad

    Frontiers in public health

    2022  Volume 10, Page(s) 900733

    Abstract: Background: The potential for digital initiatives for opioid harm reduction is boundless. Synthesized evidence on current interventions and their efficacy are emerging. This scoping review is an effort to aggregate Canadian and Australian digital health ...

    Abstract Background: The potential for digital initiatives for opioid harm reduction is boundless. Synthesized evidence on current interventions and their efficacy are emerging. This scoping review is an effort to aggregate Canadian and Australian digital health initiatives used to prevent opioid-related deaths and minimize harm, prior to and particularly during the pandemic of SARs-COVID-19, when the crisis escalated.
    Methods: The Joanna Briggs Institute's methodological framework for conducting scoping reviews was used. Peer reviewed and gray literature published between January 2016 to October 2021 were included. Search translation was performed across CINAHL, Cochrane, SCOPUS, MEDLINE Complete, and ProQuest Public Health with consistent use of key search terms. Citation checks were also conducted. Studies included were written in English and reported on digital technologies to prevent opioid-related harm and/or mortality in participants aged 18 years or older in Australia and Canada.
    Results: A total of 16 publications were included in the final analysis (Australia = 5; Canada = 11). The most frequently reported digital technologies were telehealth to support access to treatment (
    Conclusions: Digital interventions to minimize opioid crisis related harm and overdose prevention are fast emerging in Australia and Canada. During the pandemic, the crisis escalated in both countries as a public health emergency, and different initiatives were trialed. Digital harm reduction solutions via mobile apps (or SaaS solutions) were found to have the potential to prevent accidental overdose deaths and save lives, if rendered through privacy preserved, secure and trust enabled methods that empower users. Knowledge sharing between the two countries, relating to suitable interventions, may add significant value in combatting the escalating opioid crisis in the post pandemic era.
    MeSH term(s) Analgesics, Opioid/therapeutic use ; Australia/epidemiology ; COVID-19/epidemiology ; Canada/epidemiology ; Drug Overdose/epidemiology ; Drug Overdose/prevention & control ; Humans ; Opioid Epidemic ; Pandemics
    Chemical Substances Analgesics, Opioid
    Language English
    Publishing date 2022-07-12
    Publishing country Switzerland
    Document type Systematic Review
    ZDB-ID 2711781-9
    ISSN 2296-2565 ; 2296-2565
    ISSN (online) 2296-2565
    ISSN 2296-2565
    DOI 10.3389/fpubh.2022.900733
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Exploring North Carolina's Transition to Whole-Person, Integrated Care From the Provider Perspective: Results From an Exploratory Survey.

    Tyndall, Lisa / Muse, Amelia / Herrity, Sara

    North Carolina medical journal

    2022  Volume 83, Issue 6, Page(s) 461–466

    Abstract: ... ...

    Abstract BACKGROUND
    MeSH term(s) Humans ; North Carolina ; Surveys and Questionnaires ; Delivery of Health Care, Integrated
    Language English
    Publishing date 2022-11-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 422795-5
    ISSN 0029-2559
    ISSN 0029-2559
    DOI 10.18043/ncm.83.6.461
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Mesenchymal stromal cells and rheumatic disorders.

    Tyndall, Alan

    Immunology letters

    2015  Volume 168, Issue 2, Page(s) 201–207

    Abstract: Mesenchymal stromal cells (MSC), often incorrectly called stem cells, have been the intense focus of in vitro studies and animal models of rheumatic and other diseases over more than a decade. Despite multiple plausible mechanisms of action and a ... ...

    Abstract Mesenchymal stromal cells (MSC), often incorrectly called stem cells, have been the intense focus of in vitro studies and animal models of rheumatic and other diseases over more than a decade. Despite multiple plausible mechanisms of action and a plethora of positive in vivo animal studies, few randomised controlled clinical trials have demonstrated meaningful clinical benefit in any condition so far. This could be due to confusion in cell product terminology, complexity of clinical study design and execution or agreement on meaningful outcome measures. It could also indicate that MSC as currently employed are ineffective. Within the rheumatic diseases, SLE, rheumatoid arthritis (RA) and osteoarthritis (OA) have received most attention. Uncontrolled multiple trial data from over 300 SLE patients have been published from one centre suggesting a positive outcome; one single centre comparative study in 172 RA was positive and no human studies have compared intra-articular MSC therapy to non-MSC techniques for osteoarthritis in the absence of surgery. Two randomised studies suggested benefit from the addition of bone marrow derived MSC and peripheral blood mononuclear cells added to surgical "standard of care" in knee OA and knee focal cartilage defects, respectively. The possible reasons for this apparent mismatch between expectation and clinical reality will be discussed.
    MeSH term(s) Arthritis, Rheumatoid/immunology ; Arthritis, Rheumatoid/therapy ; Cell Communication/immunology ; Clinical Trials as Topic ; Humans ; Immune System/immunology ; Immune System/pathology ; Lupus Erythematosus, Systemic/immunology ; Lupus Erythematosus, Systemic/therapy ; Mesenchymal Stem Cell Transplantation/methods ; Mesenchymal Stromal Cells/cytology ; Mesenchymal Stromal Cells/immunology ; Models, Immunological ; Osteoarthritis/immunology ; Osteoarthritis/therapy ; Treatment Outcome
    Language English
    Publishing date 2015-12
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 445150-8
    ISSN 1879-0542 ; 0165-2478
    ISSN (online) 1879-0542
    ISSN 0165-2478
    DOI 10.1016/j.imlet.2015.05.017
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