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Biomedical subjects

W C Murphy

Publications and source records attributed to W C Murphy.

5 recordsLinked to original sources

Evaluation of the reproducibility of rest activity of the anterior temporal and masseter muscles in asymptomatic and symptomatic temporomandibular subjects.

There is a general assumption that temporomandibular disorders and the pain and tenderness of mastication muscles may be caused by hyperactivity. Five asymptomatic men, five asymptomatic women, and five women with temporomandibular disorders participated in this study. Multiple examinations were performed to provide information concerning the reproducibility of the rest electromyographic signals. No significant differences between groups were noted. This study supports the contention that the mean rest activity in women with pain and dysfunction is less than or equal to that of sex-matched controls.

Adult

Rerandomization tests for analyzing correlated data from dental studies.

Dental research studies often produce relatively small data sets in which observations are serially or spatially correlated. Rerandomization tests are presented as alternatives to analysis of variance and multivariate analysis for assessing group differences using such data. Rerandomization tests are particularly useful when the investigator is unwilling to make strong assumptions about the nature of the serial correlation or the distribution of the data. Two examples are discussed that demonstrate these techniques.

Data Interpretation, Statistical

Assessing diagnostic reliability and estimating incidence rates associated with a strictly progressive disease: dental caries.

This paper presents a general approach for simultaneously assessing, from serial data, diagnostic consistency, interrater reliability and incidence of a strictly progressive disease. Observed data are viewed as incomplete: diagnostic errors are not distinguished from true diagnoses. We introduce a broad class of models to separate rater errors from underlying patterns of disease incidence. The analysis can include covariates and risk factors. We provide variance expressions for parameter estimates. Categorical data for estimating the incidence of dental caries serve as an example.

Dental Caries

Computed tomographic evaluation of the density of the temporomandibular joint meniscus.

Pathologic alteration of the articular disk, including moderate calcification within the meniscus proper, has been reported to occur in many cases of TMJ dysfunction with chronic anterior meniscal displacement. The purpose of this investigation was to measure, by means of direct sagittal computed tomographic scanning technology, the density (x-ray attenuation) of the meniscus. Fifty-two joints, shown to have meniscus displacement with or without reduction (MD/MDR), and 24 symptomatic joints with normal tomograms were evaluated with the use of a GE 8800 CT scanner. Mean attenuation values were extrapolated with the use of a symmetrical (1 to 9 pixels) region-of-interest (ROI) cursor. Density gradients of the masseter muscle, lateral pterygoid fat pad, and lateral pterygoid muscle were also obtained. The results of this study showed that the mean meniscal density values were 116.7 +/- 4.2 Hounsfield units (HU) for MD subjects, 111.3 +/- 4.6 HU for MDR subjects, and 82.4 +/- 2.9 HU for subjects with symptoms. The MD and MDR density group means were significantly different (p less than 0.001) from the normal group means. A relative comparison of the meniscus density with that of the lateral pterygoid muscle, its fat pad, and the masseter muscle showed a consistent mean difference when the paired t test was used. Meniscal displacement was found to be associated with an increase in density gradient, which suggests histologic alteration.

Adult