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At least 217 records · Page 12Linked to original sources

Effects of tendon vibration on unimanual and bimanual movement accuracy.

Vibration-induced changes in target accuracy were examined to determine the influence of afferent information on unimanual and bimanual movements. Normal adult male subjects (N = 4) undertook a 90 degrees curvilinear positioning task (flexion and extension of the elbow) in the absence of vision. Each trial required the subject to reproduce a criterion target position while one of three vibration treatments was applied to the distal aspect of the triceps brachii tendon of the dominant arm. Vibration (100 Hz) was administered manually either prior to or concurrently with movement. Subsequent movement outcome was compared with a control or no-vibration condition. In the unimanual condition application of vibration to an antagonist muscle produced consistent undershoot of approximately 10 to 12% of the total movement amplitude. In contrast, vibration of the agonist produced minimal error in movement. A similar pattern was seen in the vibrated dominant arm of the bimanual condition; however, the results exhibited no interaction between hands. Target accuracy during prior vibration did not differ significantly from control trials and we concluded that vibration was an inappropriate stimulus to distort initial condition information. The observed results are consistent with vibration-induced activation of muscle spindle receptors in the lengthening muscle during movement. We concluded that afferent information from an antagonist muscle is critically important in the final movement outcome, but there was no evidence of contralateral effects.

Adult↗

Stabilization of the craniomandibular therapeutic relationship with etched porcelain bonded restorations: a clinical report.

The major advantage of this technique is sustaining the preexisting therapeutic position of the mandible during the restorative phase with minimal error in the occlusal scheme despite the type of restorative material. This clinical report demonstrated the conservative nature of bonding etched porcelain to tooth structure while concomitantly stabilizing the mandible to the maxillary dental arch.

Acid Etching, Dental↗

Utility of d4-PGE2 as an internal standard to quantify endogenous levels of PGE1, PGE2, 19OH PGE1 and 19OH PGE2 in human seminal fluid by GC-MS-SIM.

Four prostaglandins-PGE1, PGE2, 19OH PGE1 and 19OH PGE2-were quantified in human seminal fluid by GC-MS-SIM using only the internal standard, d4-PGE2. Methods and calculations were developed to minimize errors inherent in using only one internal standard for quantifying four closely related prostaglandins. Preliminary data concerning the statistical significance of the difference found between PGE and 19OH PGE levels in fertile, azospermic and oligospermic men are reported.

Chromatography, Gas↗

Predicting/preventing child abuse: value of utility maximizing cutting scores.

Any standardized method for identifying cases of likely child abuse requires specification of a cutting score (or scores) on a predictor variable. In this paper, we describe two criteria for determining cutting scores--utility maximizing (UtilMax) and error minimizing (ErrMin)--and we demonstrate that UtilMax is often the superior, and never the inferior, criterion. Two types of ErrMin cutting scores, true and artificial, are distinguishable based on whether realistic or artificial base rates are used to find the cutting score. Since studies often compute artificial ErrMin cutting scores, these scores must be modified to produce true ErrMin cutting scores. UtilMax cutting scores are explained and a numerical example is presented to show that maximizing utility is the preferable criterion in that it optimizes the balance between the costs of incorrect decisions and the benefits of correct decisions. The example also illustrates how UtilMax cutting scores help one to decide whether attempting to predict abuse would be worthwhile or not.

Child↗

Light microscopic depth measurements of thick sections.

Measurements of the thickness of a thick histological section or the depth of an object within the section, can be made most easily by reading differences in the setting of the fine focus knob of a compound light microscope. Two corrections must be made to such measurements: (1) when using a dry objective, a factor of 1.5 for the index of refraction of the specimen, and (2) a correction for the calibration of the fine focus itself. In addition, several precautions should be taken to minimize errors in the readings.

Histological Techniques↗

Assessment of ventricular function by combined noninvasive measures: factors accounting for methodologic disparities.

We studied the predictive accuracy and disparities among cineventriculographic ejection fraction, pre-ejection period over left ventricular ejection time (PEP/LVET) obtained from the systolic time intervals and the percent shortening of the internal echocardiographic diameter (% delta D) in assessing left ventricular performance in 453 consecutive patients without valvular heart disease. In 308 patients all three tests were normal, and in 78 patients all three tests were abnormal. Overall agreement (predictive accuracy) among ejection fraction (normal greater than or equal to 57), % delta D (normal greater than or equal to 28%) and PEP/LVET (normal less than or equal to 0.42) was 85%. In 67 patients disparities among the tests as measures of global left ventricular performance were found. The major mechanisms accounting for such disparities were: (a) large segmental contraction abnormalities which selectively distort the % delta D and ejection fraction and (b) diminished isovolumic pressure (less than 45 mmHg) which distorts PEP/LVET. When patients with segmental contraction abnormalities and low isovolumic pressure were excluded the agreement between PEP/LVET and ejection fraction was 97%, ejection fraction and % delta D 98% and PEP/LVET and % delta D 97%. The combined uses of systolic time intervals and echocardiogram minimizes error due to segmental contraction abnormalities and isovolumic pressure. If both PEP/LVET and % delta D are concordant the agreement with ejection fraction is 94% for normal and 99% for abnormal left ventricular function.

Adult↗

Data editing in a clinical trial.

In clinical research and, particularly, in multicenter clinical trials, data are collected onto study forms designed to minimize errors in the recorded data. Nevertheless, errors of various kinds must be anticipated, and it is necessary to devise means to detect, review, and correct erroneous values. General requirements of a data editing system and methods for accomplishing these tasks are presented. A general computer program for error detection and a method for updating the data base that leaves an "audit trail" of the original data and subsequent corrections are described.

Clinical Trials as Topic↗

Plasma amino acid concentration changes during total parental nutrition in critically ill patients.

In 16 critically ill patients with full-blown stress reaction and without severe organ failure, we studied the kinetics of the arterial plasma amino acid (aa) profile during the first 48 h of total parenteral nutrition (TPN) in order to assess the time necessary to reach the steady-state condition during infusion. Each patient was treated with one of three different amino acid solutions giving, with the same nitrogen load, different intakes of individual amino acids. We found four different responses to the administered amino acids. Some amino acids showed a different trend depending on the dose given. At lower doses a steady state was achieved sooner. Plasma levels of amino acids not supplied in the TPN were unaffected or decreased, achieving a steady state at various times during the study period. We conclude that, in critically ill patients, stable arterial plasma amino acid concentrations are obtained within 24 h of starting TPN. In such patients, valid studies of the effect of amino acid solutions may therefore be carried out over short periods of time, thereby minimizing errors due to a fluctuating and unstable clinical state.

Journal Article↗

Coding properties of peak and average response rates in American cockroach olfactory sensory cells.

The response of phasic neurons is often measured in terms of average spiking rates over arbitrarily selected time intervals. Averages taken over inappropriate intervals may severely reduce the information content of data, as we show here using response data from female American cockroach peripheral olfactory cells. We demonstrate that a 100-ms period around the peak response contains the best information for discriminating among odors at moderate to high concentrations. Further, the 100-ms post-peak response period contains the best information at low concentrations, as well as in situations where it is important to minimize errors in misidentifying the quality of an odor. Averaging the data over the full 0.5 s stimulus period degrades the odor separation qualities of the data.

Action Potentials↗

A few considerations in the design and analysis of experiments in neurotoxicology.

To help minimize errors and confusion in the scientific literature, a few principles can be followed. The original intent and hypothesis of each study should be made clear, and deviations from the initial purpose should be stated. The hypothesis-testing portions of the research need to be clearly differentiated from the hypothesis generating sections. If data were selected and reanalyzed in unintended ways, the analyses should be clearly identified as hypothesis generating, and no conclusions should be drawn from such data. The data should be unassailable. The control group should be adequate. The data analysis should be consistent with the experimental design. Given that the larger the number of P-values, the greater the rate of false declarations, the total number of derived P-values should be reasonable and should be reported. The publication should unveil all details necessary to understand and replicate the research project, including the data analysis. Alternate etiologies should be seriously considered in light of potential confounding factors. It is important to be critical of the results of a study, especially when data confirm a preconceived hypothesis.

Animals↗

A dynamic finite element surface model for segmentation and tracking in multidimensional medical images with application to cardiac 4D image analysis.

This paper presents a physics-based approach to anatomical surface segmentation, reconstruction, and tracking in multidimensional medical images. The approach makes use of a dynamic "balloon" model--a spherical thin-plate under tension surface spline which deforms elastically to fit the image data. The fitting process is mediated by internal forces stemming from the elastic properties of the spline and external forces which are produced form the data. The forces interact in accordance with Lagrangian equations of motion that adjust the model's deformational degrees of freedom to fit the data. We employ the finite element method to represent the continuous surface in the form of weighted sums of local polynomial basis functions. We use a quintic triangular finite element whose nodal variables include positions as well as the first and second partial derivatives of the surface. We describe a system, implemented on a high performance graphics workstation, which applies the model fitting technique to the segmentation of the cardiac LV surface in volume (3D) CT images and LV tracking in dynamic volume (4D) CT images to estimate its nonrigid motion over the cardiac cycle. The system features a graphical user interface which minimizes error by affording specialist users interactive control over the dynamic model fitting process.

Animals↗

Validity of self-reported pregravid weight.

Self-reported pregravid weight is a commonly used baseline indicator of nutritional status in prenatal weight gain studies. This study assesses the validity of self-reported pregravid weight in 1591 gravidas who entered into prenatal care within the first trimester of pregnancy from 1986 to 1988 at the University of Maryland Medical Systems. A significant difference of 4.3 lb (t = 25.56, P < 0.001) was found between self-reported pregravid weight and estimated pregravid weight. Limits of agreement (interval within which 95% of the differences between the self-reported and measured weights) were constructed by population characteristics. Multiple linear regression models with estimated pregravid weight as the dependent variable were estimated by self-reported pregravid weight, body weight, height, age, race, education, insurance status, and marital status groups. A model with self-reported pregravid weight as the sole independent variable was found to explain 88% of the variance in estimated pregravid weight. Results of this study suggest that the validity of self-report pregravid weight varies with sociodemographic and anthropometric factors. Adjustment by a simple regression equation can minimize error in self-reported pregravid weight.

Adult↗

Strength of cancellous bone trabecular tissue from normal, ovariectomized and drug-treated rats over the course of ageing.

Hormone therapy (HT) drugs and bisphosphonates prevent osteoporosis by inhibiting osteoclastic bone resorption. However, the effects of osteoporosis and anti-resorptive drugs on the mechanical behavior of the bone tissue constituting individual trabeculae have not yet been quantified. In this study, we test the hypothesis that the mechanical properties of bone trabecular tissue will differ for normal, ovariectomized and drug-treated rat bones over the course of ageing. Microtensile testing is carried on individual trabeculae from tibial bone of ovariectomized (OVX) rats, OVX rats treated with tibolone and placebo-treated controls. The method developed minimizes errors due to misalignment and stress concentrations at the grips. The local mineralization of single trabeculae is compared using micro-CT images calibrated for bone mineral content assessment. Our results indicate that ovariectomy in rats increases the stiffness, yield strength, yield strain and ultimate stress of the mineralized tissue constituting trabecular bone relative to normal; we found significant differences (P < 0.05) at 14, 34 and 54 weeks of treatment. These increases are complemented by a significant increase in the mineral content at the tissue level, although overall bone mineral density and mass are reduced. With drug treatment, the properties remain at, or slightly below, the placebo-treated controls levels for 54 weeks. The higher bone strength in the OVX group may cause the trabecular architecture to adapt as seen during osteopenia/osteoporosis, or alternately it may compensate for loss of trabecular architecture. These findings suggest that, in addition to the effects of osteoporosis and subsequent treatment on bone architecture, there are also more subtle processes ongoing to alter bone strength at the tissue level.

Aging↗

Intravascular brachytherapy using 90Sr for saphenous vein grafts having diameters ranging from 2.0-5.0 mm.

PURPOSE: Symptomatic coronary artery disease is routinely treated with angioplasty and stenting. Unfortunately, treatment failure in the form of in-stent restenosis (ISR) occurs relatively frequently. Intravascular brachytherapy (IVBT) is a safe and effective method proven to markedly reduce the rate of ISR in native coronary arteries. The commercially available devices for IVBT are not FDA-approved for treatment of saphenous vein grafts (SVG). This article presents calculated dosimetry for treatment of a wide range of SVG, in addition to further evaluating the dose homogeneity for native coronary arteries. METHODS AND MATERIALS: AAPM Task Group 43 and 60 formalisms permitted dose calculations for a wide range of vessel internal diameters (phi) in both native coronary arteries and SVG. Doses were analytically calculated for the Novoste Beta-Cath 5.0 French (F) treatment devices (30, 40, and 60 mm sourcetrains) when employed for the treatment of native vessels with 2.7 <or= phi <or= 4.0 mm and for SVG with 2.0 <or= phi <or= 5.0 mm. This latter range of phi was segmented into 7 bins to facilitate rapid clinical implementation with minimal errors. Calculations of dose and dose rate for the 3.5 F devices were also performed. Dose inhomogeneity in the form of dose maxima and minima were calculated for the 3.5 and 5.0 F catheters, with the 30, 40, and 60 mm sourcetrains, and for 2.0 <or= phi <or= 5.0 mm. RESULTS: The calculated doses rates for the 30 mm device were in agreement (typically +/- 0.3%) with measured dose rates. Reference dose calculations performed for SVG with 2.0 <or= phi <or= 5.0 mm were in alignment with those used for the more narrow range of native coronary arteries currently approved for IVBT. Errors associated with using a phi binning technique for simplifying clinical implementation did not exceed 15%, and were typically under 9%. The degree of dose inhomogeneity at a depth of 0.5 mm increased as phi increased, catheter size decreased, and sourcetrain length decreased, and was -42% and +101% relative to the prescribed dose for the 40 mm 5.0 F system with phi = 4.0 mm. CONCLUSIONS: Use of 7 phi bins facilitates rapid clinical implementation of IVBT in the typical cardiac catheterization laboratory. While calculation of reference dose for treatment of large vessels is possible with established formalisms, the degree of dose inhomogeneity in light of current clinical results suggests further research is needed.

Brachytherapy↗

NMR spectroscopic and molecular modeling studies of protein-carbohydrate and protein-peptide interactions.

Investigations of the conformations of carbohydrates, their analogues and their molecular mimics are described, with emphasis on structural and functional information that can be gained by NMR spectroscopic techniques in combination with molecular modeling. The transferred nuclear Overhauser effect (trNOE) has been employed to determine the bound conformations of carbohydrates and other bioactive molecules in complex with protein receptors. The corresponding experiments in the rotating frame (trROE) and selective editing experiments (e.g., QUIET-NOESY) are used to eliminate indirect cross-relaxation pathways (spin diffusion), thereby minimizing errors in the data used for calculation of conformations. Saturation transfer difference NMR experiments reveal detailed information about intermolecular contacts between ligand and protein. Computational techniques are integrated with NMR-derived information to construct structural models of these bioactive molecules and of their complexes with proteins. Recent investigations into the nature of molecular mimicry with regard to protein-ligand interactions are described, along with applications in determining the mode of action of enzyme inhibitors. The results are relevant for the design of the next generation of drug and vaccine candidates.

Carbohydrate Conformation↗

Estimation of significant solvent concentration ranges and its application to the enhancement of the accuracy of gradient predictions.

The solvent concentration range actually useful for gradient predictions is significantly narrower than the total range scanned in a gradient run. This range, called "solvent informative range" (SIR), if known with the highest accuracy, allows to predict gradient retention times (t(g) with minimal error. The small size of the SIR supports the application of the linear solvent strength theory (LSST). Furthermore, LSST allows a closed-form solution to the integral required to predict gradient retention times, which eliminates numerical integration, needed with other retention models. A methodology that calculates the SIR by applying error analysis, and uses it to improve the accuracy in the prediction of t(g) from isocratic experiments, is proposed. The importance of those mobile-phase compositions that do not contribute significantly to the prediction of t(g) is selectively attenuated within the prediction algorithm, relying the predictions more heavily on the SIR. As a result, t(g) was found to be predicted with similar accuracy using isocratic training data with regard to predictions based on gradient training data. The approach is useful for all situations where the chromatographer is able to provide predictions of retention at constant solvent concentration, and wish to predict the retention in gradient mode.

Algorithms↗

Intelligent dental identification system (IDIS) in forensic medicine.

This study reports the design and development of the intelligent dental identification system (IDIS), including its efficiency and reliability. Five hundred patients were randomly selected from the Dental Department at Police General Hospital in Thailand to create a population of 3000 known subjects. From the original 500 patients, 100 were randomly selected to create a sample of 1000 unidentifiable subjects (400 subjects with completeness and possible alterations of dental information corresponding to natural occurrences and general dental treatments after the last clinical examination, such as missing teeth, dental caries, dental restorations, and dental prosthetics, 100 subjects with completeness and no alteration of dental information, 500 subjects with incompleteness and no alteration of dental information). Attempts were made to identify the unknown subjects utilizing IDIS. The use of IDIS advanced method resulted in consistent outstanding identification in the range of 82.61-100% with minimal error 0-1.19%. The results of this study indicate that IDIS can be used to support dental identification. It supports not only all types of dentitions: primary, mixed, and permanent but also for incomplete and altered dental information. IDIS is particularly useful in providing the huge quantity and redundancy of related documentation associated with forensic odontology. As a computerized system, IDIS can reduce the time required for identification and store dental digital images with many processing features. Furthermore, IDIS establishes enhancements of documental dental record with odontogram and identification codes, electrical dental record with dental database system, and identification methods and algorithms. IDIS was conceptualized based on the guidelines and standards of the American Board of Forensic Odontology (ABFO) and International Criminal Police Organization (INTERPOL).

Adolescent↗

Kinetics of ethanol degradation in forensic blood samples.

To determine ethanol in human post-mortem blood samples is problematic, largely due to the inappropriate and variable methods of preserving and storing, which can cause decomposition and loss of alcohol concentration. In this study, four crucial parameters of sample conservation were studied: temperature (T), percentage of air chamber in container (%CA), ethanol concentration in blood and post-mortem time. Blood samples from post-mortem cases were stored under different conditions (ethanol levels were known in all cases); factorial design variables: (%CA) 0, 5, 20, 35, 65%; storage temperature: 25, 4 and -10 degrees C; in a total of 15 experiments. No preserving agent was used in samples. Quantification of ethanol in blood was carried out by gas chromatography with head-space FID detector. Initial ethanol concentration ranged from 0.50 to 4.30 g/L. The kinetics of degradation observed was pseudo-first-order. The parameter that characterised the kinetics of ethanol degradation (k(0)) ranged from (4 x 10(-4) and 5.0 x 10(-1) day(-1)), depending on storage conditions. A strong dependence between ethanol degradation and the content of the air chamber was observed and this dependence was found to be stronger than that between degradation and temperature; there was an experimental relation between (k(0)) and (%CA). Activation energy for different conditions, i.e. 0, 5, 20, 35 and 65 (%CA), were calculated and contour plots were made. A mathematical equation relating air chamber, temperature and ethanol concentration at a certain time was determined. This equation allowed estimation of initial concentrations of ethanol with minimal error. A good correlation between experimental data and data calculated with the equation was obtained (r(2) = 0.9998). The best storage conditions were: 0% CA and storage at -10 degrees C, obtaining an ethanol degradation of 0.01% after 15 days. However, 33% of ethanol degradation was obtained with 35% CA at 25 degrees C after 15 days. This equation is useful in forensic cases in which original concentration of ethanol has to be estimated under different sample storage conditions.

Air↗