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A computer program to support patient assessment and clinical decision-making in nursing education.

This article reports on the development of a computer program for the recording of patient assessments performed by graduate nursing students. This program is part of a larger effort called Computer-Aided Research in Nursing (CARIN) that will also be used for data collection and retrieval. This article describes two phases of the current project. Other nursing diagnosis programs in existence are briefly reviewed, and formulation of the two initial steps of the nursing process, assessment and nursing diagnosis, are described.

Decision Making, Computer-Assisted↗

DNAGEL: a computer program for determining DNA fragment sizes using a small computer equipped with a graphics tablet.

The program DNAGEL is used to determine the size of DNA fragments run on agarose or polyacrylamide gels. The positions of the bands are read from gel photographs by means of a digitizer. Standard curves are calculated by the method of Southern (1979). The bands, as they are measured, are reproduced on the screen so that erroneous input can be recognized and corrected immediately. Similarly the estimated fragment sizes are printed in a table in the same relative positions as the bands on the gel. This makes it especially easy to relate fragment sizes with the bands on the gel picture. As an additional function the calculated positions of bands can be displayed on the screen. The program DNAGEL is written in APPLESOFT BASIC, suitable for APPLE II computers with 48K memory connected to a monitor, printer and a HOUSTON graphics tablet.

Base Sequence↗

A computer program for Spearman-Kärber and probit analysis of psychometric function data.

PMETRIC is a computer program for the analysis of observed psychometric functions. It can estimate the parameters of these functions, using either probit analysis (a parametric technique) or the Spearman-Kärber method (a nonparametric one). For probit analysis, either a maximum likelihood or a minimum chi 2 criterion may be used for parameter estimation. In addition, standard errors of parameter estimates can be estimated via bootstrapping. The program can be used to analyze data obtained from either yes-no or m-alternative forced-choice tasks. To facilitate the use of PMETRIC in simulation work, an associated program, PMETGEN, is provided for the generation of simulated psychometric function data. Use of PMETRIC is illustrated with data from a duration discrimination task.

Computer Simulation↗

Computer programs to implement retinal models.

To implement retinal models of some complexity a set of computer programs, coordinated by a main program is required. A set of said programs is presented here which permits the design and the experimentation with linear and non-linear retinal layered models. A main program, called RETINA, is the basis for the building of a model, the generation of the input stimuli and the experimentation with the overall system.

Computers↗

Computer editing of morphometric data on nerve fibers. An improved computer program.

A short guide is given for the planning of nerve fiber morphometry using computer-assisted methods. A new computer program is introduced which allows, among other factors, correction for myelin sheath shrinkage. If myelin shrinkage is not corrected for, there will be false high values for axon caliber and false low values for sheath thickness. The magnitude of the skew produced by this factor is shown on hand from computer editing.

Animals↗

DSLINK: a computer program for gene-centromere linkage analysis in families with a trisomic offspring.

Trisomic individuals provide information for gene-centromere mapping, since two of the four chromatids in a meiotic tetrad can be recovered. When centromeric markers are available, linkage analysis between the centromere and any marker locus can be performed in nuclear families having one or more trisomic offspring. Since conventional linkage programs consider only disomic individuals, we have written a FORTRAN computer program, DSLINK, that performs gene-centromere linkage analysis on the basis of information on trisomic and disomic offspring. This program makes it possible to study the relationship between recombination and chromosome segregation.

Centromere↗

A PC-based computer program for quality assessment of INAA results of emission and air particulate samples.

A PC-based computer program for quality assessment (QAS) of results obtained by neutron activation analysis (NAA) is described. Program QAS is designed for the quality assurance system based on a routine use of certified reference materials (CRMs) with similar matrix composition as the samples analyzed together with each sample batch. The results obtained for CRMs samples are then compared with certified (true) values and with the results obtained for particular CRM in previous analysis runs. Five various tests are applied to check the quality of NAA results (for CRM and, consequently, for real samples) obtained for a particular analysis run. Control charts for elemental concentrations found in CRM and ranges of results for duplicate aliquots of CRM are displayed to visualize possible discrepancies. The program accepts files transported from gamma-ray spectrometric system ND 683 (based on a PDP 11 computer), extracts and stores reference material results, and prepares a work spreadsheet for each set of results to avoid typist and other kinds of errors.

Air Pollution↗

[A computer program to retrieve and record ISTAT codes related to pediatric diagnosis].

The paper describes a computer program that retrieves ISTAT codes increasing the efficiency of the retrieving time spent with traditional methods storing the obtained information in a suitable data-base, which may be lately explored by means of commercial programs. To increase the detail of the stored data, many of the official codes have been expanded with an extra character. Some results obtained from an experience conducted at the Pediatric Division of Crema Hospital are also reported.

Age Factors↗

The accuracy of a Bayesian computer program for diagnosis and teaching in acute abdominal pain of childhood.

The use of a computer program for diagnosing acute abdominal pain in children using Bayes' theorem is described and the results of a one-year trial are analysed in order to qualify and quantify the accuracy of the system and to suggest some of the educational benefits that might be obtained. A means of feedback to medical students is described which can localise their weaknesses based on their experiences of real patients and could be used by educators to measure the effectiveness of their courses and the major areas of difficulty being encountered by the students. The computer has in this instance achieved a remarkable degree of accuracy in view of several factors acting against it. Such experience is very encouraging for further endeavour in this area.

Abdomen, Acute↗

A computer program for sequencing and presenting complex sounds for auditory neuroimaging studies.

This paper describes a computer program, named ASAP (audio sequencing and presentation), that runs on IBM PC compatible hardware with a Microsoft Windows operating system and has been specially designed for facilitating auditory neuroimaging studies. The program's main characteristics are: (1) the ability to generate sequences of complex sounds; (2) an easy-to-use, graphical user interface; (3) full compatibility with Microsoft Windows 95 or later and Windows NT version 4.0 or later software; (4) precise timing of selected sound sequences; (5) the capability of triggering other devices; (6) the capability of being triggered to deliver stimuli; (7) support for both monotic and dichotic sound sequences; and (8) rudimentary support for the simultaneous presentation of pictures/text and sound.

Acoustic Stimulation↗

A computer program for determining Vmax from the uncalibrated left ventricular pressure signal and its first derivative.

A computer program was developed to simplify the conventional method for determining the maximal contractile element shortening velocity at zero load (Vmax) by analysis of pressure-velocity graphs during the isovolumic contraction period. From an uncalibrated left ventricular (LV) pressure signal and its first derivative (dP/dt), the graph relating developed LV pressure (Pd) to the corresponding instantaneous value of (dP/dt)/28 Pd was constructed by the computer. The segment of the graph that encompassed approximately the second half of the isovolumic contraction period, as determined by analysis of the dP/dt waveform, was then extrapolated to provide V'max on the ordinate. This V'max was compared with the conventional Vmax obtained from calibrated LV and aortic pressure signals. In 5 dogs both in the control state and during inotropic (epinephrine, propranolol) and noninotropic interventions (phenylephrine or dextran infusion), a high degree of correlation was found relating V'max and Vmax both derived by either linear (Vmax = 0.91 V'max + 0.14; r = 0.933; P less than 0.001) or exponential (Vmax = 0.99 V'max - 0.06; r = 0.959; P less than 0.001) extrapolation of the pressure-velocity graph to zero load. By use of this program, Vmax can be easily and reliably estimated from the uncalibrated LV pressure signal and its first derivative.

Animals↗

A computer program for analysis of dental caries data.

This paper describes the basic principles underlying the development of a computer program for the analyses of dental caries data. A data structure is described which is based on a definition of each tooth or tooth surface in the dentition, using a multi-dimensional co-ordinate system. The basic process for the computer to perform is to count the number of locations which fulfill certain predefined criteria. Programs developed according to these principles will yield exactly the output the individual user is asking for, no more and no less.

Computers↗

A computer program for morphometry of circular and elliptical profiles on the microscope.

We describe a short computer program, which is written in Pascal language, to measure the diameter of circular and elliptical profiles in sections. Coordinate pairs on the microscope stage, corresponding to two or three points of a profile, are input to obtain its diameter. The program enables one to take measurements directly on the microscope, thereby reducing photographic work and caliper measurement. While the program is largely designed for electron microscopy, it also may be useful for light microscopy morphometry.

Animals↗

The computer program LUDI: a new method for the de novo design of enzyme inhibitors.

A new computer program is described, which positions small molecules into clefts of protein structures (e.g. an active site of an enzyme) in such a way that hydrogen bonds can be formed with the enzyme and hydrophobic pockets are filled with hydrophobic groups. The program works in three steps. First it calculates interaction sites, which are discrete positions in space suitable to form hydrogen bonds or to fill a hydrophobic pocket. The interaction sites are derived from distributions of nonbonded contacts generated by a search through the Cambridge Structural Database. An alternative route to generate the interaction sites is the use of rules. The second step is the fit of molecular fragments onto the interaction sites. Currently we use a library of 600 fragments for the fitting. The final step in the present program is the connection of some or all of the fitted fragments to a single molecule. This is done by bridge fragments. Applications are presented for the crystal packing of benzoic acid and the enzymes dihydrofolate reductase and trypsin.

Algorithms↗

A 1H NMR database computer program for the analysis of the primary structure of complex carbohydrates.

A 1H NMR database computer program has been developed to determine the primary structure of complex carbohydrates. The database contains carbohydrate structures, their corresponding 1H NMR data, and literature references. From an input list of chemical shift values, the program generates an output list of partially or completely matching carbohydrate structures. In order to facilitate the recognition of the matching part of the selected carbohydrate structures, these structures are displayed with the matching structural elements highlighted. This new 1H NMR database, together with the search program described, now provides a fast access to the published 1H NMR data of complex carbohydrates and furnishes easy links to carbohydrate structures. The performance of the program is demonstrated by the analysis of five carbohydrate fractions prepared from a pool of horse serum glycoproteins.

Carbohydrate Conformation↗

Metal Complexation in Xylem Fluid : II. THEORETICAL EQUILIBRIUM MODEL AND COMPUTATIONAL COMPUTER PROGRAM.

Theoretical considerations of metal complex formation in aqueous solutions were used to develop a computer program (CHELATE) to calculate all equilibrium species (free metal ions, metal complexes, etc.) in any user-defined system, such as xylem fluid. Mass-balance equations were established to describe each free metal ion and each free ligand concentration as a function of solution pH, total metal or total ligand, hydrogen-association constants, and the stability constants of known metal complexes. A default data base can be altered by the user to define any desired system covered by the stored equilibrium data. The program can currently handle nine metal ions, 35 ligands, and 500 complex species. The validity of the program was confirmed by using experimental test systems in which free-metal ion activity measurements were made with ion-selective electrodes.Program CHELATE was used to calculate the distribution of six metals in 0- to 1-hour exudate from soybean (Glycine max L. Merr.) and tomato (Lycopersicon esculentum Mill.) plants grown in normal and Zn-phytotoxic nutrient solutions. The results indicated that Fe is bound by citric acid, and Cu is bound by several amino acids in the normal-Zn exudate. Most of the Cu in soybean exudate is bound to asparagine and histidine. In tomato, Cu is bound to histidine, glutamine, and asparagine. Zinc, Mn, Ca, and Mg are bound primarily by citric acid and malic acid in both species; the per cent bound for these metals is lower than that for Fe and Cu. Zinc phytotoxicity caused equilibrium concentration shifts and resulted in the formation of several additional metal complexes not found in the normal-Zn exudate.

Journal Article↗

A computer program for analysing complex bulk XAFS spectra and for performing significance tests.

LSFitXAFS is a computer program designed to calculate fractions of individual components (i.e. individual species, minerals, compounds or chemical environments) making up bulk XAFS spectra. The program performs Gaussian elimination and multiple linear regression techniques to simultaneously solve mass balance equations. In addition, the program contains a number of data reduction and analysis routines including the determination of random and systematic noise in Fourier-transformed spectra and calculation of the goodness-of-fit parameters for different combinations of shells.

Journal Article↗