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PubMed2001

Computer simulation of stair falls to investigate scenarios in child abuse.

OBJECTIVES: To demonstrate the usefulness of computer simulation techniques in the investigation of pediatric stair falls. Since stair falls are a common falsely reported injury scenario in child abuse, our specific aim was to investigate the influence of stair characteristics on injury biomechanics of pediatric stair falls by using a computer simulation model. Our long-term goal is to use knowledge of biomechanics to aid in distinguishing between accidents and abuse. METHODS: A computer simulation model of a 3-year-old child falling down stairs was developed using commercially available simulation software. This model was used to investigate the influence that stair characteristics have on biomechanical measures associated with injury risk. Since femur fractures occur in unintentional and abuse scenarios, biomechanical measures were focused on the lower extremities. RESULTS: The number and slope of steps and stair surface friction and elasticity were found to affect biomechanical measures associated with injury risk. CONCLUSIONS: Computer simulation techniques are useful for investigating the biomechanics of stair falls. Using our simulation model, we determined that stair characteristics have an effect on potential for lower extremity injuries. Although absolute values of biomechanical measures should not be relied on in an unvalidated model such as this, relationships between accident-environment factors and biomechanical measures can be studied through simulation. Future efforts will focus on model validation.

Accidental Falls↗
PubMedDate not supplied

Effects of surface electrode size on computer simulated surface motor unit potentials.

Surface myoelectric signals are recorded in motor nerve conduction, fatigue and kinesiologic studies using discrete electrodes. Single site recordings have limited means to reduce cross-talk and to enhance timing and quantification of relative muscular activity. These limitations are compounded by the effects of the electrode size. A grid electrode would reduce some of these limitations. However, an optimum grid electrode requires detail examination of the effects of the size of individual electrodes and the interelectrode distance. The purpose of this study is to investigate the temporal and spatial effects of the electrode size on surface motor unit potentials (SMUP). Muscle fiber action potentials and surface electrodes are simulated by computer models. Peak to peak amplitude, the mean frequency of SMUP, and the muscle conduction velocity were calculated as functions of the size of the electrode. The random variations of these parameters due to systematic errors are also simulated and investigated.

Action Potentials↗
PubMed1999

Decrease in case duration required to complete an additional case during regularly scheduled hours in an operating room suite: a computer simulation study.

UNLABELLED: We used Monte-Carlo computer simulation to determine whether surgical or anesthetic interventions to achieve small decreases in case duration may create enough new open operating room (OR) time to permit an additional case to be scheduled for completion in an OR suite during regular working hours. We used rules for scheduling of cases assuming that OR personnel are compensated so that the OR suite can profit financially from decreasing case duration to complete an additional case during regularly scheduled hours. The decreases in each case's duration required to create enough new open OR time to reliably (> or =95%) schedule another case were 30-39 min, 79-110 min, and 105-206 min for OR suites with 1-15 ORs and mean case durations of 1, 2, or 3 h, respectively. IMPLICATIONS: Computer simulation shows decreasing case duration is unlikely to create sufficient operating room time to reliably permit an additional case to be scheduled for completion during working hours. Additional cases may best be added to the operating room suite schedule by optimizing case scheduling, not by decreasing the duration of all cases in the suite.

Anesthesia↗
PubMed2006

Solvation dynamics by computer simulation: coumarin C153 in 1,4-dioxane.

Computer simulation results are presented for an atomistic pair potential model of 1,4-dioxane which takes into account molecular flexibility. The model has been conceived to be applied to the study of solvatochromism and solvation dynamics in the presence of the polar probe coumarin C153. Computer simulations on the pure liquid have produced thermodynamical, structural, and dynamical data in good agreement with available experimental measures. This constitutes a valuable test of the 1,4-dioxane all-atom model employed. The study of solute-solvent interactions for C153 in 1,4-dioxane has been motivated by the aim of casting light, through simulations, on the interesting experimental findings according to which such a solvent behaves as a "polar" solvent with respect to dynamic solvation properties. Molecular dynamics is particularly suitable to model the process and provides an interpretation of the so-called "dioxane anomaly". An investigation of the structure of the solvation shell and of the dynamics of solvation is presented and discussed. In particular, the satisfactory accordance between simulated and experimental solvation response implies that the simulations give a reliable description of both solute and solvent at a molecular level and reinforces the idea that the explicit inclusion of discrete solvent molecules is needed for a realistic treatment of solvation phenomena in which the local structure of the liquid plays a key role.

Journal Article↗
PubMedDate not supplied

Computer simulations of blood pressure tracking.

Individual blood pressures (BP) tend to remain in the same relative position within a population BP distribution ('tracking'). Individuals in the upper range of the distribution may be predisposed to future hypertension, but this has not been proven epidemiologically. In this study tracking was simulated by computer using 4 simple empirical models to assess commonly reported criteria of BP tracking (correlation coefficient (r) and quintile analysis) and the relationship between the rank position of BP and the subsequent development of 'hypertension' or 'death'. The four models were applied to a population (n = 1500) of normally or log-normally distributed values corresponding to BPs with a mean of 75 and SD of 10 mmHg, also generated by the computer, and to real BP data from a longitudinal population survey. Each iteration of the model represented one year. Changes in BP at each iteration were cumulative. With both normally and log-normally distributed data, r for paired initial and final BPs decreased progressively but remained statistically significant for all models, up to 30 'years'. However, r was low. The patterns resembled that found in the longitudinal survey and data obtained by submitting the initial real BP data from the same survey to the simulations. In agreement with epidemiological studies, there was frequent movement of BP values between distribution quintiles, confirming that tracking is inefficient. In the computer-derived data, the relative risk of 'death' or 'hypertension' was greatest in the topmost quintile. The results suggest that though physiological BP control mechanisms are complex, adequate description of BP trends with time in a population is possible using simple models.(ABSTRACT TRUNCATED AT 250 WORDS)

Blood Pressure↗
PubMed2004

Programming of a flexible computer simulation to visualize pharmacokinetic-pharmacodynamic models.

Teaching pharmacokinetic-pharmacodynamic (PK/PD) models can be made more effective using computer simulations. We propose the programming of educational PK or PK/PD computer simulations as an alternative to the use of pre-built simulation software. This approach has the advantage of adaptability to non-standard or complicated PK or PK/PD models. Simplicity of the programming procedure was achieved by selecting the LabVIEW programming environment. An intuitive user interface to visualize the time courses of drug concentrations or effects can be obtained with pre-built elements. The environment uses a wiring analogy that resembles electrical circuit diagrams rather than abstract programming code. The goal of high interactivity of the simulation was attained by allowing the program to run in continuously repeating loops. This makes the program behave flexibly to the user input. The programming is described with the aid of a 2-compartment PK simulation. Examples of more sophisticated simulation programs are also given where the PK/PD simulation shows drug input, concentrations in plasma, and at effect site and the effects themselves as a function of time. A multi-compartmental model of morphine, including metabolite kinetics and effects is also included. The programs are available for download from the World Wide Web at http:// www. klinik.uni-frankfurt.de/zpharm/klin/ PKPDsimulation/content.html. For pharmacokineticists who only program occasionally, there is the possibility of building the computer simulation, together with the flexible interactive simulation algorithm for clinical pharmacological teaching in the field of PK/PD models.

Algorithms↗
PubMed2004

Tubulin dipole moment, dielectric constant and quantum behavior: computer simulations, experimental results and suggestions.

We used computer simulation to calculate the electric dipole moments of the alpha- and beta-tubulin monomers and dimer and found those to be |p(alpha)| = 552D, |p(beta)| = 1193D and |p(alphabeta)| = 1740D, respectively. Independent surface plasmon resonance (SPR) and refractometry measurements of the high-frequency dielectric constant and polarizability strongly corroborated our previous SPR-derived results, giving Deltan/Deltac approximately 1.800 x 10(-3)ml/mg. The refractive index of tubulin was measured to be n(tub) approximately 2.90 and the high-frequency tubulin dielectric constant k(tub) approximately 8.41, while the high-frequency polarizability was found to be alpha(tub) approximately 2.1 x 10(-33)C m(2)/V. Methods for the experimental determination of the low-frequency p are explored, as well as ways to test the often conjectured quantum coherence and entanglement properties of tubulin. Biobits, bioqubits and other applications to bioelectronics are discussed.

Computer Simulation↗
PubMed1983

Computer simulation of an optometric practice.

Computer simulation languages have been used extensively in industry to model specific jobs or operations and these same languages can be used in health care settings to analyze the performance of optometric practices. A General Purpose Simulation System (GPSS) simulation of an optometric practice is described which permits 21 different reasons for visits. The model individually simulates each type of visit, provides unique criteria concerning who sees each patient, computes service times and office delays, and uses return visit probabilities to simulate patient flow through the office. Statistics are collected which can be used to analyze the performance of the office. Through this technique the optometrist can evaluate or discover new ways to improve his/her practice.

Computers↗
PubMed1995

Computer simulations of histologic patterns in melanoma using a cellular automaton provide correlations with prognosis.

Computer simulations have been used frequently in the life sciences to investigate the mechanisms of morphologic pattern formation. The cellular automaton program SMN5 is designed to simulate tumor growth and to estimate biologic properties by comparing real tumor patterns with computer-simulated reference patterns. This method was applied to 195 cases of primary melanoma of the skin. S-100-stained sections were evaluated by image analysis and compared statistically to a reference set of 4000 simulated patterns. Estimates of tumor cell proliferation, motility, cell loss, cohesion, stroma destruction, and intercellular signals (autocrine and paracrine factors affecting growth, motility, and cell loss) were calculated. Twelve of 18 estimated parameters correlated significantly with tumor progression, as indicated by vertical tumor thickness (linear regression analysis: p < or = 0.05), and 13 of 18 parameters carried prognostic significance (log rank test: p < or = 0.05). Poor prognosis was associated particularly with a pronounced increase in the estimates of proliferation, tumor cell motility, and stromal degradation. Poor prognosis was also associated with a decrease in the estimates of cell loss, tumor cell cohesion, and paracrine growth factor dependence. In multivariate analysis using Cox's proportional hazard model, stromal degradation and motility showed prognostic information in addition to conventional prognostic parameters. The study shows that analytical comparison of real tumors with computer-simulated patterns of a cellular automaton facilitates a functional interpretation of tumor morphology, which carries prognostic significance in cutaneous melanoma.

Computer Simulation↗
PubMed1990

Computer-simulated lung nodules in digital chest radiographs for detection studies.

Computer simulations of lung nodules overcome many shortcomings of creating radiographs using anthropomorphic nodule phantoms for lung nodule detection studies, but these algorithms can be cumbersome and involved. A simple, fast, and flexible computer program to simulate lung nodules in digital chest radiographs for detection studies is reported. To verify the realism of the simulated nodules, a psychophysical study and a statistical study were conducted. In the psychophysical study, six radiologists and four nonradiologists were asked to distinguish between 17 real lung nodules and 17 computer-simulated lung nodules shown in eight radiographs. The results show that the computer-simulated lung nodules are indistinguishable visually from real lung nodules. Using parameters from the Rose model of vision, results show that the simulated and real nodules are the same statistically. Thus, besides visual validity, statistical analysis in confirming the validity of the simulated lung nodules is included.

Computer Simulation↗
PubMed1992

High control coefficient of transketolase in the nonoxidative pentose phosphate pathway of human erythrocytes: NMR, antibody, and computer simulation studies.

The degree of control exerted by transketolase over metabolite flux in the nonoxidative pentose phosphate pathway in human erythrocytes was investigated using transketolase antiserum to modulate the activity of that enzyme. 31P NMR enabled the simultaneous measurement of the levels of pentose phosphate pathway metabolites following incubation of hemolysates with ribose 5-phosphate. The variations in metabolic flux which occurred as the transketolase activity of hemolysate samples was altered indicated that a high degree of control was exerted by transketolase. Investigations using transaldolase-depleted hemolysates showed that transaldolase exhibits a lesser degree of control over pathway flux. Experimental data were compared with simulations generated by a computer model encompassing the reactions of the classical nonoxidative pentose phosphate pathway. The sensitivity coefficients (also called "control strengths" or "flux-control coefficients") calculated from the computer simulations were 0.74 and 0.03 for transketolase and transaldolase, respectively.

Blotting, Western↗
PubMed1989

Computer simulation of cerebral microhemodynamics.

Microvascular network hemodynamics was simulated by computer in an anatomically reconstructed cerebral microvascular network. A video microscope system was used for three-dimensional mapping of the vessel network in the rat brain cortex. The complete topology, length and mean diameter of the microvessels were determined. The distribution of blood flow and red cell flux in the network was calculated based on vessel resistance estimated from geometrical data and a rheological model of blood. This model described apparent relative blood viscosity as a function of vessel diameter and local discharge hematocrit. The calculations predicted highly heterogeneous cell flux distribution at any feed hematocrit between 10 and 40 percent. The frequency distribution of microvessel hematocrit was bimodal and included values exceeding the feed hematocrit value. A probabilistic simulation of cell transit resulted in transit time distributions which agree with experimental findings. The most probable transit time and capillary path length and 4s and 300 microns, respectively.

Animals↗
PubMed1987

Computer simulation of action potential propagation in septated nerve fibers.

The nonlinear, core-conductor model of action potential propagation down axisymmetric nerve fibers is adapted for an implicit, numerical simulation by computer solution of the differential equations. The calculation allows a septum to be inserted in the model fiber; the thin, passive septum is characterized by series resistance Rsz and shunt resistance Rss to the grounded bath. If Rsz is too large or Rss too small, the signal fails to propagate through the septum. Plots of the action potential profiles for various axial positions are obtained and show distortions due to the presence of the septum. A simple linear model, developed from these simulations, relates propagation delay through the septum and the preseptal risetime to Rsz and Rss. This model agrees with the simulations for a wide range of parameters and allows estimation of Rsz and Rss from measured propagation delays at the septum. Plots of the axial current as a function of both time and position demonstrate how the presence of the septum can cause prominent local reversals of the current. This result, not previously described, suggests that extracellular magnetic measurements of cellular action currents could be useful in the biophysical study of septated fibers.

Action Potentials↗
PubMed1991

Computer simulation of growth of anastomosing microvascular networks.

Stochastic growth of polygonal microvascular networks was simulated on computer by dichotomous terminal branching and bridging (anastomosing with an existing segment). The model was applied to describe microvascular growth into a rectangular plane from the sides when vessels bifurcate in a probabilistic manner. The angle of bifurcation was drawn from a normal distribution, the mean of which was varied between 40 degrees and 80 degrees. The resulting networks contained an average of 88-104 nodes of which 30-38% were due to bridging. Number of nodes, number of branches, number of vascular polygons and a fractal dimension representing the density of nodes were calculated for each simulated network. Capillary density increased when mean angle of bifurcation was increased between 40 degrees and 80 degrees. Distributions of normalized vessel lengths and polygon shapes were compared with those of a mesenteric vascular network. The distributions were not found to be significantly different (p less than 0.05) for most values of the mean angle of bifurcation, matching best for the mean bifurcation angle of 50 degrees. Vascular polygons had an average shape between pentagonal and hexagonal for the mesenteric network as well as for all values of the mean bifurcation angle used in this study.

Capillaries↗
PubMed1984

Computer simulation of human motion in sports biomechanics.

This chapter has covered some important aspects of the computer simulation of human motion in sports biomechanics. First the definition and the advantages and limitations of computer simulation were discussed; second, research on various sporting activities were reviewed. These activities included basic movements, aquatic sports, track and field athletics, winter sports, gymnastics, and striking sports. This list was not exhaustive and certain material has, of necessity, been omitted. However, it was felt that a sufficiently broad and interesting range of activities was chosen to illustrate both the advantages and the pitfalls of simulation. It is almost a decade since Miller [53] wrote a review chapter similar to this one. One might be tempted to say that things have changed radically since then--that computer simulation is now a widely accepted and readily applied research tool in sports biomechanics. This is simply not true, however. Biomechanics researchers still tend to emphasize the descriptive type of study, often unfortunately, when a little theoretical explanation would have been more helpful [29]. What will the next decade bring? Of one thing we can be certain: The power of computers, particularly the readily accessible and portable microcomputer, will expand beyond all recognition. The memory and storage capacities will increase dramatically on the hardware side, and on the software side the trend will be toward "user-friendliness." It is likely that a number of software simulation packages designed specifically for studying human motion [31, 96] will be extensively tested and could gain wide acceptance in the biomechanics research community. Nevertheless, a familiarity with Newtonian and Lagrangian mechanics, optimization theory, and computers in general, as well as practical biomechanical insight, will still be a prerequisite for successful simulation models of human motion. Above all, the biomechanics researcher will still have to bear in mind that his or her model is merely a simplified representation of the real-world system and, as such, has certain limitations. In conclusion, it is evident that the path we have followed has been an interesting and varied one. The way ahead looks equally interesting and diverse, and we can certainly look forward with confidence to the exciting challenges and benefits that computer simulation of human motion will bring.

Biomechanical Phenomena↗
PubMed1988

Ventricular volume regulation: a mathematical model and computer simulation.

A mathematical model of ventricular volume regulation based on fluid mechanical principles has been constructed using a systems engineering approach. The parameters used in the model are based on clinical observation, laboratory investigation, and presumptions that will be tested later. The model was constructed to be the basis of a computer simulation. Using the computer simulation, information obtained from the literature and laboratory hypotheses regarding pathophysiology, several enigmatic conditions were tested. The model predicted that over-production of cerebrospinal fluid, as in the case of choroid plexus papilloma, could by itself lead to distention of the ventricular system. In simulating pseudotumor cerebri, if cerebrospinal fluid absorption at the arachnoid villi is impaired and the brain itself is rendered incompressible by swelling, intracranial pressure rises and ventricular volume diminishes. Conversely, in normal-pressure hydrocephalus, if cerebrospinal fluid flow is restricted between the spinal and cortical subarachnoid spaces and the brain is made more compressible, the ventricular volume increases with minimal increases in intracranial pressure. This mathematical model and its associated computer simulation is useful in predicting the behavior of the volume of the cerebral ventricles to a variety of pathological phenomena.

Animals↗
PubMed2000

Biomechanical study of a computer simulated reconstruction of the anterior cruciate ligament (ACL).

UNLABELLED: The purpose of the study was to use a computer simulation of various surgical techniques for reconstruction of the anterior cruciate ligament (ACL) to study graft biomechanics. To ensure the normal function of the cruciate ligament and, consequently, normal kinematics of the knee joint, the complex structure of the normal ACL must be built into the graft. METHODS: First the ACL was modeled and then a reconstruction of the ACL was simulated on a computer model of the cadaveric knee. Biomechanical patterns of the ACL and the modeled grafts in different spatial orientations and positions of the femoral attachments were studied. Isometricity of the peripheral and central fibers of the ACL and grafts was measured and the average fiber length change and isometric pattern of fibers in the graft were compared. RESULTS: None of the ACL fibers is isometric and fiber length change varies with individual fibers of the original ligament or graft. The average length change of graft fibers depends on the position of the femoral attachment in the sagittal plane. It is smaller in anterior positions in relation to the geometric center of the femoral origin of the ACL, and larger in posterior positions. The isometric pattern of fibers in the graft in isometric orientations resembles most closely the pattern of the original ACL. CONCLUSIONS: A computer simulation of various surgical techniques of reconstruction of the ACL can be successfully used for the study of biomechanics. The most significant kinematic characteristics of the ACL is gradual recruitment of graft fibers during knee extension, which can be defined as the pattern of isometricity. The isometric pattern of the graft is primarily influenced by spatial orientation.

Anterior Cruciate Ligament↗
PubMed2002

Learning by computer simulation does not lead to better test performance than textbook study in the diagnosis and treatment of dysrhythmias.

STUDY OBJECTIVE: To compare computer-based learning with traditional learning methods in studying advanced cardiac life support (ACLS). DESIGN: Prospective, randomized study. SETTING: University hospital. MEASUREMENTS: Senior medical students were randomized to perform computer simulation and textbook study. Each group studied ACLS for 150 minutes. Tests were performed 1 week before, immediately after, and 1 week after the study period. Testing consisted of 20 questions. All questions were formulated in such a way that there was a single best answer. Each student also completed a questionnaire designed to assess computer skills, as well as satisfaction with and benefit from the study materials. MAIN RESULTS: Test scores improved after both textbook study and computer simulation study in both groups, although the improvement in scores was significantly higher for the textbook group only immediately after the study. There was no significant difference between groups in their computer skill and satisfaction with the study materials. The textbook group reported greater benefit from study materials than did the computer simulation group. CONCLUSIONS: Studying ACLS with a hard-copy textbook may be more effective than computer simulation for acquiring simple information during a brief period. However, the difference in effectiveness is likely transient.

Adult↗