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PubMed1998

DoEpi. Computer-assisted instruction in epidemiology and computing and a framework for creating new exercises.

DoEpi is a series of computer exercises and a framework for making new exercises based on the Epi Info programs for epidemiologic computing. The system contains three outbreak investigations, a research survey, four exercises in advanced Epi Info programming, and four exercises in public health surveillance. The exercises are available via the Internet (www.cdc.gov, under "Publications, Products, and Software") with provision for CME and CEU credit from the Centers for Disease Control and Prevention. They can serve as a useful adjunct to lectures and textbooks in teaching epidemiology or epidemiologic computing. A new DoEpi exercise with hypertext, low-resolution photographs, questions, answers, and an examination can be constructed in hours rather than weeks or months using an Exercise Development "wizard" provided as part of the instructor's module. Epi Info exercises with data files and customized programs require more work to construct but can be added by those with the necessary skills. DoEpi exercises can be used in a variety of ways for different curricula and students of different background levels, including those with English as a second language. Translation of DoEpi exercises into other languages is facilitated by the instructor's module, and construction of new exercises with locally suitable materials is encouraged. DoEpi is based on DOS programs to allow the widest use. The format lends itself to conversion to hypertext programs in the Microsoft Windows and Internet formats at a future date.

Centers for Disease Control and Prevention, U.S.↗
PubMed1979

[Computer tomographic demonstration of lymph node metastases from malignant testicular tumours. A comparison of lymphography and computer tomography (author's transl)].

Lymphography and computer tomography was performed on 64 patients with malignant testicular tumours in order to demonstrate lymph node metastases. In 60 patients it was possible to confirm the findings by surgery. In 43 patients there was agreement between the findings of the computer tomogram and the lymphogram. In 39 of these patients lymph node metastases had been demonstrated, in three there was a false negative and in one a false positive. Amongst the patients in whom there was a descrepancy between the two types of examination, the CT findings were confirmed histologically in twelve, and the lymphographic findings in nine. In 12.5% CT added significant additional information. Accuracy of lymphography was 73% and of computer tomography 80%. Specificity for each examination was 79%.

Adult↗
PubMed1978

Distributed laboratory computing. Integration of a laboratory computer into a hospital information system.

The University of Iowa Hospitals and Clinics, a large teaching hospital and tertiary care referral center, has implemented a vendor-supplied laboratory computer package operating on a dedicated minicomputer. A high-speed communications link allows the laboratory computer to share patient administrative, census, and test result data with the central hospital information system on an interactive basis. Operational characteristics of the system are discussed, and special attention is given to the critical problems and advantages of interfacing two computers.

Computers↗
PubMed1983

A multifunction network of computers in a large pathology department. Integration of word processing, data base management, and general purpose computing using network principles.

We report the strategies for design and implementation of a system of compatible mini- and microcomputers intended to improve efficiency of data handling and research in several clinical and academic divisions of a large university hospital department of Pathology. A dedicated, preprogrammed, multiuser, word processing computer and small standalone word processing stations connected to a general purpose minicomputer, using standard network protocols for communication, permit virtually error-free movement of data between computers doing functionally distinct tasks of word processing, data base management, and general scientific computing. User programming is minimized and is done in a simple, well-known, high-level language. We show that cost, thruput, speed, document volume, document size, revision cycle frequency, data base size, and frequency of use are important design criteria and that existing staff can be trained easily to operate the systems.

Computers↗
PubMed1986

Computer program for the IBM personal computer which searches for approximate matches to short oligonucleotide sequences in long target DNA sequences.

We describe a program which may be used to find approximate matches to a short predefined DNA sequence in a larger target DNA sequence. The program predicts the usefulness of specific DNA probes and sequencing primers and finds nearly identical sequences that might represent the same regulatory signal. The program is written in the C programming language and will run on virtually any computer system with a C compiler, such as the IBM/PC and other computers running under the MS/DOS and UNIX operating systems. The program has been integrated into an existing software package for the IBM personal computer (see article by Mount and Conrad, this volume). Some examples of its use are given.

Base Sequence↗
PubMed2004

Preoperative detection of liver metastases secondary to pancreatic cancer: utility of combined helical computed tomography during arterial portography with biphasic computed tomography-assisted hepatic arteriography.

OBJECTIVE: This study was designed to define the diagnostic advantage of computed tomography during arterial portography combined with computed tomography-assisted hepatic arteriography ( CTAP + CTHA) for preoperative detection of liver metastases secondary to pancreatic cancer compared with that of multidetector computed tomography (MDCT). METHODS: From January 2002 to February 2003, we retrospectively studied 19 consecutive patients with pancreatic cancer. MDCT was performed on all patients prior to preoperative visceral angiography. Fourteen patients underwent CTAP + CTHA at the time of preoperative angiography. RESULTS: Liver metastases were identified in 3 patients by means of MDCT. Of 14 patients who underwent CTAP + CTHA, 8 patients (57.1%) were diagnosed as having liver metastases, which could not be detected by MDCT. These tumors missed by MDCT ranged from 5 to 15 mm in size. On CTAP + CTHA, a single nodule in the liver was detected in 2 patients, 2 nodules in 2 patients, 3 lesions in 1 patient, and > or =4 lesions in 3 patients. The sensitivity and specificity of CTAP + CTHA versus MDCT were 75.0% versus 23.1% and 66.7% versus 100%, respectively. CONCLUSIONS: In conclusion, the combination of CTAP and CTHA is useful to confirm liver metastases before operation for resectable pancreatic cancer because it has higher sensitivity to detect of liver metastases compared with MDCT.

Adenocarcinoma↗
PubMed2004

Computer-aided learning in the real world of medical education: does the quality of interaction with the computer affect student learning?

BACKGROUND: Computerised learning clearly offers exciting potential for improving student learning, either as an aid to or as a replacement for traditional formats, or for the development of innovative approaches. However, rigorous evaluation of the utility of computer-aided learning (CAL) in enhancing student learning can be difficult. Many studies have compared CAL to more traditional learning formats, but there is little evidence to show which style of CAL leads to the best learning outcomes. AIM: This study aimed to test the hypothesis that a CAL tutorial, in which the learner actively interacts with the computer, will result in superior learning (ability to apply and retain knowledge) to that obtained in more passive CAL formats. METHODS: Third year medical undergraduates at Adelaide University, South Australia were randomly assigned to 4 groups. Following a pretest, only students in the "didactic", "problem-based" and "free text" groups had 2 weeks of free access to a neuroradiology CAL tutorial in their assigned format. Tutorial access was denied to all students 2 weeks before post-testing. Learning was quantified by comparing the post- to pretest scores for each of the 4 groups. RESULTS: After active interaction with the computer material, students in the free text group demonstrated a statistically significant improvement in their ability to apply and retain knowledge compared to the control group, but no advantage compared to the didactic group. CONCLUSIONS: While users of an interactive CAL tutorial demonstrated significant learning gains compared to non-CAL users, these gains were not superior to those achieved from non-interactive CAL. When evaluating education interventions such as CAL packages, it is important to use a valid assessment tool to measure learning.

Australia↗
PubMedDate not supplied

Computational analysis and dosimetric evaluation of a commercial irregular-fields computer program.

The proper evaluation of the accuracy of a new computer program for radiation-therapy dosimetry requires consideration of both the mathematical algorithm used in the program and the performance required in clinical applications. As an example, our evaluation of the irregular-fields dosimetry program currently marketed by SHM for their Rad-8 system is described. The evaluation begins with an explanation of the mathematical computation described. The evaluation begins with an explanation of the mathematical computation method, with emphasis on the points where the calculation differs from previous methods. Next, the procedure for setting up the beam data file is discussed. Finally, a step-by-step procedure is described in which calculated doses are compared with measured doses, using a Varian Clinac-4 with lead flattening filter, and the limits within which a +/- 5% accuracy is attainable are estimated. Some sources of error and areas for possible improvements are mentioned.

Computers↗
PubMed1999

Computing with self-excitatory cliques: A model and an application to hyperacuity-scale computation in visual cortex.

We present a model of visual computation based on tightly inter-connected cliques of pyramidal cells. It leads to a formal theory of cell assemblies, a specific relationship between correlated firing patterns and abstract functionality, and a direct calculation relating estimates of cortical cell counts to orientation hyperacuity. Our network architecture is unique in that (1) it supports a mode of computation that is both reliable and efficient; (2) the current-spike relations are modeled as an analog dynamical system in which the requisite computations can take place on the time scale required for an early stage of visual processing; and (3) the dynamics are triggered by the spatiotemporal response of cortical cells. This final point could explain why moving stimuli improve vernier sensitivity.

Models, Neurological↗
PubMedDate not supplied

APA Summit on Medical Student Education Task Force on Informatics and Technology: learning about computers and applying computer technology to education and practice.

OBJECTIVE: This article provides a brief overview of important issues for educators regarding medical education and technology. METHODS: The literature describes key concepts, prototypical technology tools, and model programs. A work group of psychiatric educators was convened three times by phone conference to discuss the literature. Findings were presented to and input was received from the 2005 Summit on Medical Student Education by APA and the American Directors of Medical Student Education in Psychiatry. RESULTS: Knowledge of, skills in, and attitudes toward medical informatics are important to life-long learning and modern medical practice. A needs assessment is a starting place, since student, faculty, institution, and societal factors bear consideration. Technology needs to "fit" into a curriculum in order to facilitate learning and teaching. CONCLUSION: Learning about computers and applying computer technology to education and clinical care are key steps in computer literacy for physicians.

Computer User Training↗
PubMed1989

Psychology of computer use: XVI. Effect of computer-pointing devices on children's processing rate.

Computer-pointing devices for input into microcomputers have become a commonplace component in direct manipulation interfaces. Use of these peripheral devices by children should result in processing rates comparable to those obtained when children are pointing with their fingers or other means. Recent research suggests that children's processing rates are substantially lower when they are manipulating computer devices. One possibility is that a child's motor system is subjected to a greater load because the child's hands are not visible while the action of pointing with a computer is being carried out. The effect of two conditions (viewing hands, not viewing hands) on 6-, 8-, and 10-yr.-old children's processing rates was investigated. Results showed that there was no difference between the two conditions although low processing rates similar to those previously obtained were recorded.

Attention↗
PubMed2005

wolfPAC: building a high-performance distributed computing network for phylogenetic analysis using 'obsolete' computational resources.

wolfPAC is an AppleScript-based software package that facilitates the use of numerous, remotely located Macintosh computers to perform computationally-intensive phylogenetic analyses using the popular application PAUP* (Phylogenetic Analysis Using Parsimony). It has been designed to utilise readily available, inexpensive processors and to encourage sharing of computational resources within the worldwide phylogenetics community.

Algorithms↗
PubMed1982

Linking personal computers to a hospital laboratory computer.

In the Department of Pathology, Norwood Hospital, a number of individual microcomputers in the home and throughout the laboratory have been connected to a central hospital laboratory computer. The microcomputers are connected to the central computer over standard telephone lines via the autoanswer modem for any telephone. Here, the author describes the system and its benefits, and explains why this type of application is a major potential use of computers in medicine in the future.

Computers↗
PubMed1999

Efficient computational algorithms for docking and for generating and matching a library of functional epitopes II. Computer vision-based techniques for the generation and utilization of functional epitopes.

This is the second review in a two-part series. In the first review (1) we described the computational complexity involved in the docking of a ligand onto a receptor surface. In particular, we focused on efficient algorithms designed to handle this computational task. Such a procedure results in a large number of potential, geometrically feasible solutions. The difficulty is to pinpoint which of these is the more likely candidate. While there exists a number of approaches to rank these solutions according to different criteria, such as the size of the interface or some approximation of their binding energetics, none of the existing methods has been shown to be consistently successful in this endeavor. If the binding site is unknown a priori, the magnitude of the task is awesome. Here we propose one way of addressing this problem, i.e., via derivation and utilization of binding epitopes. If a library of such epitopes is available, particularly for a large number of protein families, it may be used to predict more likely binding sites for a given ligand. We describe an efficient, computer-vision based method to construct binding epitopes focusing on two ways through which such a library can be generated, (i) molecular surface-based, or (ii) residue-based. Alternatively, the two can be combined. We further describe how such a library may be used efficiently in the matching/docking procedure.

Algorithms↗
PubMed1999

A new technique for generating a computer-aided design and computer-integrated machining crown: case report.

A new technique for producing a Computer-Aided Design and Computer-Integrated Machining Ceramic Reconstruction crown is presented. After completion of the tooth preparation, an "optical" impression of the tooth was made with a charged couple device camera, and the electronic image was transferred to a computer screen. The "proposed" crown was electronically designed on the screen by the operator, and a proper prefabricated ceramic block was selected and used as milling material. A miniature milling machine then fabricated the crown from the ceramic block. The marginal adaptation and the contour of the crown were verified, and an external shading technique was utilized to improve the esthetics. The prepared tooth and crown were acid-etched, and the crown was cemented with a dual-curing composite luting agent. Once bonded in place, the occlusion was adjusted and the crown polished and finished. The advantage of this technique is that it eliminates the traditional laboratory casting procedure and corresponding laboratory fee while utilizing materials with superior physical properties for maximum strength and esthetics.

Adult↗
PubMed2006

[Computer aided design and computer aided manufacture of sacrificial pattern of removable partial denture framework].

OBJECTIVE: To introduce a method applied in computer aided design and computer aided manufacture (CAD-CAM) of removable partial denture framework for rehabilitating edentulous arch of Kennedy Class II and found a basis for this project. METHODS: Point cloud data of dental stone model was obtained by laser scanning. The following processes were made: drawing framework outline on the reconstructed triangle mesh model, picking up and processing its inner side data as the data of tissue surface, shelling it for 3-D model of framework, and transferring the data to rapid prototyping equipment for manufacture. RESULTS: 3-D model of the removable partial denture framework was preliminarily accomplished. The resin framework used as a sacrificial pattern was manufactured with the rapid prototyping equipment. The fit between resin framework and plaster model was good. CONCLUSIONS: This method, as an integrated procedure including data acquisition, 3-D computer modeling and fabrication by rapid prototyping, is feasible to implement CAD-CAM of removable partial denture framework.

Computer-Aided Design↗
PubMed1990

Computer-Aided Design and Computer-Aided Manufacture (CAD-CAM) applications in cosmetic below-elbow prostheses.

Computer-Aided Design and Computer-Aided Manufacture (CAD/CAM) techniques, though often technologically associated with engineering and applied sciences, has opened new horizons in the medical field. In CAD, a product is first geometrically modelled in three dimensions in a computer and it can be viewed and examined from any direction. This model can then be used for many downstream applications such as manufacturing and analysis. In CAM, numerically controlled machining processes are used for cutting out a prosthetic device of the hand for prosthesis. The paper aims at establishing the basis of using CAD/CAM techniques in prostheses in particular, a review of our present work done in the area of below-elbow prostheses using CAD/CAM. A laser scanning device has been used to capture the geometry of human hands. The algorithm used in processing the images is discussed. The processed 3D data file is then interfaced with a CAD modeller where reconstruction, mirroring, scaling, etc., can be performed. The resultant CAD model is then passed on to CAM, which concentrates purely on producing a "positive core" mould for moulding the prosthetic device.

Algorithms↗
PubMed1990

Computer-aided design and computer-aided manufacturing (CAD/CAM) in prosthetics.

Computer-aided design and computer-aided manufacturing (CAD/CAM) systems for the design and manufacture of limb prostheses have recently become commercially available. However, rigorous evaluations of these systems have not been performed to determine whether they produce sockets that fit as well as or better than sockets made using conventional design methods. A controlled evaluation protocol, in which computer-designed sockets are compared with conventionally designed sockets, has been developed and pilot tested at the authors' facility. A full trial of one of the commercially available systems for transtibial sockets is currently in progress. In preliminary findings, the CAD/CAM socket was preferred by one-half of the first 20 subjects. During the course of this trial, it was noted that the CAD/CAM technique seems to be better suited to some prosthetists than others.

Adult↗