Biomedical subjects

D L Mansur

Publications and source records attributed to D L Mansur.

3 recordsLinked to original sources

PubMed1985

Sound graphs: a numerical data analysis method for the blind.

A system for the creation of computer-generated sound patterns of two-dimensional line graphs is described. The objectives of the system are to provide the blind with a means of understanding line graphs in the holistic manner used by those with sight. A continuously varying pitch is used to represent motion in the x direction. To test the feasibility of using sound to represent graphs, a prototype system was developed and human factors experimenters were performed. Fourteen subjects were used to compare the tactile-graph methods normally used by the blind to these new sound graphs. It was discovered that mathematical concepts such as symmetry, monotonicity, and the slopes of lines could be determined quickly using sound. Even better performance may be expected with additional training. The flexibility, speed, cost-effectiveness, and greater measure of independence provided the blind or sight-impaired using these methods was demonstrated.

Adult↗

PubMedDate not supplied

Histiocytes and the detection of endometrial adenocarcinoma.

Histiocytes have long been recognized as part of the milieu of endometrial carcinoma in gynecologic smears. In an effort to determine whether a quantitative assessment of histiocytes, especially in the absence of endometrial cells, could increase the effectiveness of the cervicovaginal smear for diagnosis of endometrial carcinoma, smears obtained prior to a tissue diagnosis of endometrial adenocarcinoma were evaluated from 44 postmenopausal women. Smears from 97 age-matched patients in the same clinic were also evaluated and used as a control group for the endometrial carcinoma patients. All smears were evaluated for the presence of histiocytes and for the presence of benign or malignant endometrial cells, with the histiocytes quantitated as minimal (less than 5 per high-power field [HPF]), moderate (5 to 10/HPF) or heavy (greater than 10/HPF). Sensitivity and specificity were calculated to assess the role of histiocytes in the presence and in the absence of endometrial cells using cytologic findings. Our data indicate that the presence of moderate or heavy numbers of histiocytes on cervicovaginal smears of postmenopausal women increased the cytologic sensitivity from 61% to 82% when considered a marker of disease along with endometrial cells. These results suggest that attention to the presence of histiocytes on cervicovaginal smears may increase the utility of cytology for the diagnosis of endometrial lesions and may be a useful guideline for the cancer-related gynecologic examination.

Adenocarcinoma↗

PubMedDate not supplied

Cytologic evidence of extensive keratotic reaction in women exposed to diethylstilbestrol in utero.

Squamous mucous membranes and squamous metaplastic epithelium sometimes undergo hypermaturation with the production of a keratin layer. Anucleated keratotic squamous plaques in smears are generally recognized as cytologic evidence of this altered maturation. This keratotic reaction was quantified in cytologic smears from 191 women exposed in utero to diethylstilbestrol (DES). Keratotic reaction was observed in the vaginal smear in 40% of the cases, in the cervical smear in 26% and in the endocervical smear in 19%; overall, a keratotic reaction was observed in at least one specimen from 48% of the women. These frequencies are higher than those reported in other studies. The observed frequency was age related. The significance of the hyperkeratosis, including its possible relationship to a lower dysplasia rate among DES-exposed women, is unclear. No conclusions can be drawn until more is known about behavioral factors in DES-exposed women.

Adolescent↗