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Potential of finite element analysis for cephalometric investigation.

In view of concerns relating to the validity of traditional cephalometric appraisals, we undertook this study to use a potentially powerful method, finite element analysis, to compare cephalometric changes between two samples (subjects with and without orthodontic treatment). The derived data show varying sample contrasts depending on the particular finite element array included in the analysis. Thus, although finite element analysis facilitates rigorous morphometric analysis, further investigation is required before it can be applied universally in cephalometric studies.

Adolescent↗

[Computer-assisted laboratory diagnosis with graphic demonstration of results (system "DIAGEMES")].

A DIAGENES computer system was developed which enables an doctor without experience in informatics to organise a database, to fill it with own diagnostic data, to verify this data from various standpoints, to assess the discriminative value of each of the used studies and the whole database with its eventual modification, as well as to develop an own clinically useful discriminating system. The result of the discriminative analysis has the form of a likelihood list or a computer figure, easy to evaluate.

Computer Graphics↗

Problems of knowledge acquisition automation in medical expert systems.

Certain problems exist in the automation of knowledge acquisition (identification of phenomena, their description, formalization and coding), for medical diagnosis, therapy and scientific investigations. Issues concern the comparison of various approaches and their ability to be implemented and utilized.

Artificial Intelligence↗

Protein folding mechanisms and the multidimensional folding funnel.

An important idea that emerges from the energy landscape theory of protein folding is that subtle global features of the protein landscape can profoundly affect the apparent mechanism of folding. The relationship between various characteristic temperatures in the phase diagrams and landmarks in the folding funnel at fixed temperatures can be used to classify different folding behaviors. The one-dimensional picture of a folding funnel classifies folding kinetics into four basic scenarios, depending on the relative location of the thermodynamic barrier and the glass transition as a function of a single-order parameter. However, the folding mechanism may not always be quantitatively described by a single-order parameter. Several other order parameters, such as degree of secondary structure formation, collapse and topological order, are needed to establish the connection between minimalist models and proteins in the laboratory. In this article we describe a simple multidimensional funnel based on two-order parameters that measure the degree of collapse and topological order. The appearance of several different "mechanisms" is illustrated by analyzing lattice models with different potentials and sequences with different degrees of design. In most cases, the two-dimensional analysis leads to a classification of mechanisms totally in keeping with the one-dimensional scheme, but a topologically distinct scenario of fast folding with traps also emerges. The nature of traps depends on the relative location of the glass transition surface and the thermodynamic barrier in the multidimensional funnel.

Computer Simulation↗

Mathematical model for human myeloma relating growth kinetics and drug resistance.

We present a computer-based mathematical model that can simulate characteristic features of the clinical time course of human myeloma. It asserts that therapy resistance in myeloma cells is an inherited trait associated with the longer inter-mitotic times of some cells and that the strength of this trait affects tumour growth characteristics. These kinetic differences within the malignant cell clone may also influence therapeutic efficacy. In the model, the same total therapy, administered in different time-dose fractions, could be 'curative' or 'minimally effective' depending on kinetic properties. For example, as others have shown, in myeloma pulsed intermittent therapy is often more effective than low dose continuous therapy. According to our model this finding is compatible with a high coefficient of inheritability of resistance from one cell generation to the next. The model also suggests that if there are subclones of varying resistance, a therapy must have some effect on each of them if it is to be employed in a curative fashion. While many aspects of the model are not yet clinically testable, exploration of its concepts might increase knowledge about fundamental neoplastic mechanisms.

Antineoplastic Agents↗

Formulas predicting survival in patients with heart transplantation.

Kirklin et al. (J Heart Transpl. 7 (1988) 331-336) reported survival data in 132 patients who underwent heart transplantation. Survival was evaluated by using the product-limit method of Kaplan-Meier and maximum likelihood method. In addition, the effect of pulmonary vascular resistance on survival was estimated by using multivariate analysis. A microcomputer program in BASIC for predicting the survival probability after transplantation in patients with heart transplantation is designed. The formula used in this program is derived from the survival data reported by Kirklin et al. (J Heart Transpl. 7 (1988) 331-336). A mathematical model of the 'probacent'-probability equation and a computer program previously published by the author are employed in this study. Analysis of the computer-assisted predicted values and the data reported by Kirklin et al. (J Heart Transpl. 7 (1988) 331-336) indicates that the program is accurate and reliable with a complete agreement in expressing survival probability as a function of time after heart transplantation. The computer-assisted predictive formula can determine the relationship between the time and the survival probability and may be of value for prognostic evaluation of patients. The computer-assisted mathematical model of the 'probacent'-probability equation may be proposed as a general approximation method to make useful predictions of probable outcomes in various biomedical phenomena.

Algorithms↗

Mathematical description of the interaction between prostaglandins and calcium.

The interpretation of the biological action of prostaglandins is very difficult because the shape of the dose-response curves in different assays is often unusual. Horrobin has attempted to explain these unusual curves by supposing special interactions between Ca and the prostaglandin receptors. This paper gives a mathematical description of his theoretical models. The results of computer simulation based on these models were in good agreement with the reported experimental observations.

Binding, Competitive↗

[Establishment and computer drawings of a dynamic mathematical eyeball model].

A dynamic mathematic model of the eyeball is established with the computer on the basis of ocular anatomical data and equations of the axial length as the variable in relation to other parameters. With an automatic plotter, the model is transformed into 4 geometric diagrams of the frontal and lateral views, and the meridian and coronary sections. Meanwhile, a set of pictures for intraocular foreign body localization is developed.

Computer Graphics↗