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PubMed1995

Automatic quantitative measurement of ocular hyperemia.

Evaluation of ocular hyperemia has been an important assessment in research studies of effects of contact lenses, medications, and pollutants on the eye. Hyperemia has been difficult to quantitate objectively. The purpose of this study was to validate a computer based image analysis system to quantitate hyperemia automatically and objectively in pixelated images of the external eye using two measures, the percent of the red color, RR, and the fraction of pixels which are blood vessels, VA. Validation was against an established photographic reference scale of ocular hyperemia and against the clinical pharmacologic effects of 0.5% dapiprazole hydrochloride, known to increase hyperemia, and 2.5% phenylephrine hydrochloride, known to decrease hyperemia. Color transparencies from the reference scale were converted to digital images. Temporal and nasal regions of the external eye were imaged directly to magnetic disk before and after pharmacologic intervention. Custom software automatically excluded unwanted regions, and quantitative image analysis produced RR and VA. RR and VA were each correlated with the reference scale. For each region and for each pharmacologic intervention, the mean RR and the mean VA, respectively, were compared at time zero and at a mean elapsed time of 713 +/- 47 s. RR and VA consistently increased as the hyperemia in the reference scale increased. Pearson correlation coefficients were 0.98 and 0.99, respectively, (p < 0.01). At 713 +/- 47 s after each pharmacologic intervention, RR and VA increased and decreased as expected (p < 0.001). Thus, this study successfully validated the methodology against expert clinical judgment and was able to measure automatically and objectively clinical changes in ocular hyperemia.

Adult↗
PubMed1993

Automatic suspension device for gait training.

The automatic suspension device (REHABOT) suspends the patient's body in a standing position allowing the patient to walk around the circular handrail without forward propulsion. Reduction of body weight is accurately maintained automatically while safely supporting the patient. The device was used for 23 patients with orthopaedic disorders or central nervous system disorders who were chosen because of their initial difficulties with gait training in parallel bars. Its advantages are that (1) it may be used for patients with open wounds or cardiac problems, or patients using prostheses or orthoses, (2) preparation and walking practice are simpler both for patients and staff than the therapeutic pool and walking trolley, (3) running costs are lower than the therapeutic pool. Its drawbacks are that the initial cost is relatively high, only one patient can be trained at a time, and the effect of warm water is missing. The automatic suspension device will become one of the new and fundamental pieces of equipment for gait training, especially for hospitals where there are many elderly patients and also severely and multiple disabled persons.

Adolescent↗
PubMedDate not supplied

[The hyperammonemia of exercise; value of automatic measurement].

Ammonia blood level (NH3) was measured during maximum exercise performed on cycloergometer, in 11 patients. NH3 measurements through an automatic chemical method (whole blood) were compared to those of the enzymatic reference method (plasma). Automatic analysis made it possible to quickly obtain [NH3] values, that were highly correlated with those of the enzymatic method (P < 0.001). Plasma [NH3] may be calculated from the following equation, where it is expressed versus [NH3] obtained with the automatic method (c anal): [NH3] mumol.l-1 = 0.795. [c] anal.microgram.dl-1 + 5.446.

Ammonia↗
PubMedDate not supplied

Comparison between manual and automatic coding of medical record statistical cards at a university hospital.

The coding error rate of systems for medical record statistical cards (MRSCs) throughout health services is about 30%. A program using automatic coding has been developed at the Institute of Clinical Surgery II, Padua University Hospital, with a view to reducing this percentage. Out of an overall sample of 4776 MRSCs from all departments of the hospital, 54 were automatically coded at our institute. Categories of discrepancy between the discharge diagnosis codes of the 4722 manually coded MRSCs and the other 54 MRSCs were classified as follows: types I-III, diagnosis assigned to an erroneous under-class, class or heading (ICD-9) respectively; type IV, incorrect diagnosis formulation precluding code assignment; type V, two or more discrepancies on MRSC; and type VI, secondary diagnosis not coded. Discrepancy rates were as follows: 22.3% and 0.0% for type I; 21.3% and 0.0% for type II; 17.6% and 0.0% for type III; 1.9% and 0.0% for type IV; 5.8% and 0.0% for type V; 31% and 1.9% for type VI. Code discrepancy rates for surgical procedures, which were also compared, ranged from 7.0 to 12.5% for manual coding, while no discrepancy was observed in automatically-coded MRSCs. The results clearly demonstrate the utility of the system reported on, and it is suggested that it should be used in a modified form in other hospital departments.

Abstracting and Indexing↗
PubMed2004

Genotype x environment interaction for yield and somatic cell score with automatic and conventional milking systems.

The objective of this study was to quantify genotype by environment interaction (G x E) between automatic milking systems (AMS) and conventional milking systems (CMS) for test-day milk, fat, and protein yield and for test-day somatic cell score (SCS) in The Netherlands. The G x E was studied in 2 ways: 1) between AMS farms and CMS farms in the same period and 2) within farms comparing the period before introduction of AMS with the period after introduction of AMS. For both sub-objectives, a separate data set was generated. Test-day records were used to be more flexible with respect to the introduction date of AMS. Multivariate, fixed regression, test-day sire models were used to estimate variance components. Genetic correlations between AMS farms and CMS farms in the same period were 0.93, >0.99, 0.98, and 0.79 for test-day milk yield, fat yield, protein yield, and SCS, respectively. Genetic correlations within farms between the period before and after introduction of AMS were lower for production traits and higher for SCS: 0.89, 0.91, 0.87, and >0.99, respectively, for test-day milk yield, fat yield, protein yield, and SCS. Heterogeneity of variance was observed between AMS and CMS in both data sets. Especially the residual variance increased with automatic milking. As a consequence, the heritability tended to be lower for automatic milking. It was concluded that effects of G x E are small between AMS and CMS. Therefore, AMS farms can select sires accurately based on national rankings.

Analysis of Variance↗
PubMed2005

Visual detection of technical success and effectiveness of teat cleaning in two automatic milking systems.

Technical success and effectiveness of teat cleaning and the management factors associated with them were evaluated in 9 automatic milking herds. In total, 616 teats cleaned with a cleaning cup and 716 teats cleaned with rotating brushes were included. Technical success and the effectiveness of teat cleaning, including the location and nature of the dirt, were evaluated visually. On average, 79.9% of teat cleanings with a cleaning cup, and 85.0% of those cleaned with brushes succeeded technically; that is, the teat was correctly positioned in the cleaning device throughout the whole cleaning process. The difference between use of teat cups and brushes was significant. However, because technical success of teat cleaning is strongly dependent on herd characteristics, these results should be interpreted with caution. Factors associated with the technical success of teat cleaning with a cleaning cup were herd, days in milk, behavior of the cow, teat color, and teat location. For rotating brushes, behavior of the cow, teat location, udder and teat structure, and days in milk were associated with technical success. Excessive udder hair and technical failure of the automatic milking machine also caused a few technically unsuccessful teat cleanings with a cleaning cup. Teats with technically successful teat cleanings were evaluated for the effectiveness of teat cleaning. From originally dirty teats, the cleaning cup had a significant advantage over the brushes in the percentage of teats that became clean or almost clean during the cleaning process (79.8 vs. 72.9%). Teat orifices were least effectively cleaned compared with the teat barrel and apex. Bedding material (peat, sawdust, or straw) on the teat was cleaned almost completely. Factors associated with the effectiveness of teat cleaning were teat cleanliness before cleaning, herd, teat cleaning method, and teat condition. The variation among herds indicates the likelihood that herd management factors can be adjusted to improve milking hygiene. There is also a need to improve the precision and effectiveness of the teat cleaning mechanisms of automatic milking systems.

Animals↗
PubMed2006

Use of repeated measures analysis for evaluation of genetic background of dairy cattle behavior in automatic milking systems.

Milking frequencies measured at official test days were used with repeated measurement analysis to reveal the environmental and genetic impact on the milking frequency of cows in automatic milking systems. Repeated measurements were 3 test-day observations per cow within days in milk (DIM) classes, with 1,216 cows in DIM class 1 (d 0 to 99), from 1,112 cows in DIM class 2 (d 100 to 199), and from 1,004 cows in DIM class 3 (d 200 to 299) kept in 15 farms. Selection criteria for models analyzing repeated measurements were Akaike and Schwarz Bayesian values, which favored the autoregressive [AR(1)] covariance structure over the compound symmetry model. Results from the AR(1) model indicated a significant impact of fixed herd and parity effects. Milking frequencies decreased with increasing parities and were greatest for first-parity cows. High daily milk yield was associated with higher milking frequencies. Heritabilities for milking frequency were 0.16, 0.19, and 0.22 in DIM classes 1, 2, and 3, respectively, from the AR(1) model. Higher heritabilities in the later stage of lactation were due to a substantial reduction of the residual variance. Genetic correlations between test-day milk yield and daily milking frequency were in the range of 0.46 to 0.57 for all DIM classes and between milking frequency and somatic cell score were near zero. For verification of results, milking frequencies of the same cows obtained from herd management programs were averaged within DIM classes. Heritabilities were slightly above the values from the AR(1) model. In conclusion, heritabilities for milking frequency in automatic milking systems are moderate enough to incorporate this behavioral trait in a combined breeding goal. The inevitable improvement of labor efficiency in dairy cattle farming demands such cows going easily and voluntarily in automatic milking systems.

Analysis of Variance↗
PubMed2006

Influence of air intake on the concentration of free fatty acids and vacuum fluctuations during automatic milking.

The main objective of the study was to determine whether the amount of air intake during quarter milking influences the concentration of free fatty acids (FFA) and vacuum fluctuations at the teat end when milking automatically. Air intake in the teat cup was restricted from the normal inlet of 4.5 to 7 L/min to 1.7 and 0 L/min on 2 farms and experiments were carried out as half-udder studies with 40 cows. Blockage of the air inlet reduced FFA from 1.02 to 0.77 mEq/100 g of fat in one herd and from 1.50 to 1.17 mEq/100 g of fat in the other herd. Milk yield per milking was the most significant factor influencing FFA. Air intake accounted for <20% of the variation in FFA concentration. Characteristics of the cow explained the most variation, which could mainly be assigned to the effects of milk yield, fat percentage, fat globule size, and fat globule size distribution. The interval between milkings was not significant when adjusting for milk yields. Blockage of the air inlet caused vacuum fluctuations at the teat end to increase from 15.4 to 21.5 kPa for one model of an automatic milking system (AMS), but from 12.8 to 53.6 kPa for another model. Measurements made with a flow simulator and water revealed that the AMS model and water flow were the most important factors influencing vacuum fluctuations, and that interactions existed between the diameter of the short milk tube and air intake. Free fatty acids in bulk milk from 5,980 herds averaged 0.75 mEq/L of milk for conventional herds and varied from 0.77 to 0.94 mEq/L of milk for the 5 AMS models on the Danish market. Fault detection in 55 herds pointed out that the most frequent faults in conventional herds were air leakages and intake of too much air in the cluster, whereas AMS herds had problems with the cooling and stirring of milk. Correction of the cooling faults caused FFA to decrease by 0.52 mEq/L in the AMS herds. We concluded that air intake during automatic milking is not the most important factor in reducing FFA, whereas milk yield per milking matters the most. More attention should be paid to the cooling and stirring of milk. Reducing the air intake causes vacuum fluctuations during milking to increase significantly.

Air Movements↗
PubMed2004

Automatic classification of dysfunctional thoughts: a feasibility test.

The identification of dysfunctional thoughts is a central effort in cognitive therapy. This paper describes the first version of a computer module that classifies dysfunctional thoughts automatically. It is part of COGNO, a system we are developing to give automatic feedback on dysfunctional thoughts. The system uses rules that were developed from language markers identified in a sample of 149 dysfunctional thoughts. The system was tested with an independent set of 112 example thoughts. The system detects the majority of dysfunctional thoughts, but works reliably only for some thought categories. Automatic thought classification may be a first step toward developing natural dialogue systems in cognitive therapy.

Artificial Intelligence↗
PubMed2002

Eye gaze is not unique: automatic orienting in response to uninformative arrows.

Recent studies (Driver et al., 1999; Friesen & Kingstone, 1998; Langton & Bruce, 1999) have argued that the perception of eye gaze may be unique, as compared with other symbolic cues (e.g., arrows), in being able to automatically trigger attentional orienting. In Experiment 1, 17 participants took part in a visuospatial orienting task to investigate whether arrow cues might also trigger automatic orienting. Two arrow cues were presented for 75 msec to the left and right of a fixation asterisk. After an interval of either 25 or 225 msec, the letter O or X appeared. After both time intervals, mean response times were reliably faster when the arrows pointed toward, rather than away from, the location of the target letter. This occurred despite the fact that the participants were informed that the arrows did not predict where the target would appear. In Experiment 2, the same pattern of data was recorded when several adjustments had been made in an attempt to rule out alternative explanations for the cuing effects. Overall, the findings suggest that the eye gaze is not unique in automatically triggering orienting.

Adult↗
PubMed1995

Instance-based categorization: automatic versus intentional forms of retrieval.

Two experiments are reported which attempt to disentangle the relative contribution of intentional and automatic forms of retrieval to instance-based categorization. A financial decision-making task was used in which subjects had to decide whether a bank would approve loans for a series of applicants. Experiment 1 found that categorization was sensitive to instance-specific knowledge, even when subjects had practiced using a simple rule. L. L. Jacoby's (1991) process-dissociation procedure was adapted for use in Experiment 2 to infer the relative contribution of intentional and automatic retrieval processes to categorization decisions. The results provided (1) strong evidence that intentional retrieval processes influence categorization, and (2) some preliminary evidence suggesting that automatic retrieval processes may also contribute to categorization decisions.

Adult↗
PubMed1997

The role of attention in automatization: does attention operate at encoding, or retrieval, or both?

In this research, we investigated whether attention operates in the encoding of automatized information, the retrieval of automatized information, or in both cases. Subjects searched two-word displays for members of a target category in focused-attention or divided-attention conditions that were crossed with block (training vs. transfer). To see whether subjects encoded all available items or only attended items, we compared performance for subjects in different training conditions but in the same transfer condition. Subjects encoded attended items. To see whether subjects retrieved all the items they had in memory, or only items associated with that to which they were attending at retrieval, we compared performance for subjects in the same training conditions but in different transfer conditions. Subjects retrieved attended items. Attention was found to operate at both encoding and retrieval. These findings support the instance theory of automaticity, which predicts the role of attention at encoding and retrieval.

Adult↗
PubMed1999

Analyzing estimates of automatic and conscious retrieval in between- and within-subjects designs.

The process dissociation procedure (PDP) was developed as a means of quantifying the contributions of conscious and automatic retrieval to memory performance. Although the required inclusion and exclusion conditions are manipulated within subjects in most experiments, several researchers have expressed concerns that the instructions may be particularly difficult to follow under these conditions. Thus, manipulating instructions between subjects may have some advantages, although some aspects of the statistical analysis of conscious and automatic estimates are not routine in such a design. We describe a procedure for this analysis and present some initial data to illustrate its application to PDP. We also comment on other issues related to the calculation of estimates of automatic and conscious retrieval in between- and within-subjects designs.

Consciousness↗
PubMed1988

Automatic wire twister.

This automatic wire twister used in surgery consists of a 6-inch needle holder attached to a twisting mechanism. The major advantage of this device is that it twists wires significantly more rapidly than the conventional manual techniques. Testing has found that the ultimate force required to disrupt the wires twisted by either the automatic wire twister or manual techniques did not differ significantly and was directly related to the number of twists. The automatic wire twister reduces the time needed for wire twisting without altering the security of the twisted wire.

Bone Wires↗
PubMed2001

[Self-reference effect on automatic and intentional memory].

The present study examined whether the self-reference effect occurred when memory retrieval was automatic. The process-dissociation procedure (e.g., Jacoby, 1991; Toth, Reingold, & Jacoby, 1994) was used to separate automatic and intentional, i.e., consciously controlled, components of memory in a word-stem completion task. In the learning phase, subjects were asked to rate trait words in one of the three ways of encoding: self-reference, semantic, and physical. Immediately after the phase, they performed an arithmetic problem for three minutes, and then were given the surprise word-stem recall task under an inclusion and exclusion performance conditions. Estimates derived from a process dissociation procedure showed the self-reference effect was found only in intentional memory, and not in automatic memory. Results therefore suggested that the self-reference effect to occur, intentional use of memory was necessary.

Adult↗
PubMed2005

Chronic kidney disease and automatic reporting of estimated glomerular filtration rate: a position statement.

The systematic staging of chronic kidney disease (CKD) by glomerular filtration measurement and proteinuria has allowed the development of rational and appropriate management plans. One of the barriers to early detection of CKD is the lack of a precise, reliable and consistent measure of kidney function. The most common measure of kidney function is currently serum creatinine concentration. It varies with age, sex, muscle mass and diet, and interlaboratory variation between measurements is as high as 20%. The reference interval for serum creatinine concentration includes up to 25% of people (particularly thin, elderly women) who have an estimated glomerular filtration rate (eGFR) that is significantly reduced (< 60 mL/min/1.73 m2). The recent publication of a validated formula (MDRD) to estimate GFR from age, sex, race and serum creatinine concentration, without any requirement for measures of body mass, allows pathology laboratories to "automatically" generate eGFR from data already acquired. Automatic laboratory reporting of eGFR calculated from serum creatinine measurements would help to identify asymptomatic kidney dysfunction at an earlier stage. eGFR correlates well with complications of CKD and an increased risk of adverse outcomes such as cardiovascular morbidity and mortality. We recommend that pathology laboratories automatically report eGFR each time a serum creatinine test is ordered in adults. As the accuracy of eGFR is suboptimal in patients with normal or near-normal renal function, we recommend that calculated eGFRs above 60 mL/min/1.73 m2 be reported by laboratories as "> 60 mL/min/1.73 m2", rather than as a precise figure.

Adult↗
PubMed2005

Automatic 3-dimensional visualization of peripheral blood slides: a new approach for the detection of infection/inflammation at the point of care.

CONTEXT: The identification and quantitation of the intensity of the acute-phase response at the point of care might be of clinical relevance. OBJECTIVE: To report the possibility of automatic screening of unstained peripheral blood slides by using a 3-dimensional image analysis system. DESIGN: Peripheral venous blood was obtained from children with acute inflammation/infection and examined by an automatic 3-dimensional image analyzer to detect the number of white blood cells as well as to reveal the degree of erythrocyte aggregation, a marker of the humoral phase response. RESULTS: We included 66 children with acute bacterial infections and 59 with nonbacterial inflammation/infection; mean ages of the 2 groups were 4.3 +/- 3.9 years and 4.2 +/- 3.7 years, respectively (P = .91). The percentages of correct classifications based on discriminant analysis in predicting between bacterial and nonbacterial inflammation/infection were 61.3% by using the white blood cell count, 64.5% by using the percentage of granulocytes, 61.6% by using the degree of erythrocyte aggregation, and 59.2% by using the number of leukocytes counted on the unstained slides. The results of the receiver-operated characteristic curve analysis yielded an area under the curve of 0.714 (P < .001) for the number of granulocytes, 0.699 (P < .001) for the white blood cell count, 0.685 (P < .001) for the number of leukocytes on the slides, and 0.685 (P = .001) for the degree of erythrocyte aggregation. The correlation between the number of leukocytes by the electronic cell analyzer and the number of cells counted on the slides was highly significant (r = 0.85, P < .001). CONCLUSIONS: It is feasible to use an automatic 3-dimensional image analyzer to reveal the different intensities of the acute-phase response between a group of children with an acute bacterial infection and another with nonbacterial inflammation/infection. These findings might be relevant for potential application at the point of care.

Acute Disease↗
PubMed1988

Automatic implantable cardioverter defibrillators and survival of patients with left ventricular dysfunction and malignant ventricular arrhythmias.

STUDY OBJECTIVE: To assess survival after insertion of automatic implantable cardioverter defibrillators in high-risk patients who have malignant ventricular arrhythmias and left ventricular dysfunction. DESIGN: Actual survival time compared with arrhythmia-free time in a single group of patients. SETTING: Inpatient services of a tertiary referral center and outpatient follow-up. PATIENTS: Seventy consecutive patients with clinical sustained ventricular tachycardia or fibrillation whose arrhythmia could not be controlled by medication as determined by programmed electrical stimulation, and who had an automatic cardioverter defibrillator implanted. INTERVENTION: All patients received an implantable defibrillator. MEASUREMENTS AND MAIN RESULTS: Two-year survival was 93.4% (95% CI, 87 to 99.8) and projected survival based on recurrence of malignant arrhythmias was 60.3% (CI, 47.3 to 73.3; P less than 0.001). In the 25 patients with left ventricular ejection fraction less than 30%, actual survival was 86.7% (CI, 72.3 to 91.1) and projected survival was 56.9% (CI, 35.9 to 77.9; P = 0.025). Projected survival percentages are similar to survival figures reported in the literature for such high-risk patients. There was only one sudden death; the remaining deaths were not arrhythmic in nature. Of the 65 patients who were alive at the end of follow-up, 13 were in New York Heart Association Class I; 44, Class II; 5, Class III; and 3, Class IV. CONCLUSIONS: The automatic implantable cardioverter defibrillator is probably highly effective in preventing arrhythmic mortality even in high-risk patients. Such treatment does not appear to significantly impair a patient's functional status.

Actuarial Analysis↗