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[A new measurement method for the radiographic assessment of the proximal femur: the center-trochanter distance].

OBJECTIVES: We developed a new method --measuring the perpendicular distance between the center of the femur head and the tip of the trochanter-- for radiographic assessment of the proximal femur. METHODS: The "center-trochanter distance" (CTD) refers to the perpendicular line drawn to the femoral shaft axis between two parallel lines that pass through the center of the femoral head (C) and the tip of the greater trochanter (T). The measured distance in millimeters is expressed as a positive or negative value depending on the location of the point C, that is, above or below the point T, respectively. Measurements were made on anteroposterior plain radiographs of 200 skeletally immature and 600 skeletally mature hips, all of which had been assessed as normal. Values that were found to be below or above the standard deviation of 1 and 2 of the mathematical means were regarded as "normal" and "pathological", respectively. The reliability of the method was tested in 43 hips that had been surgically treated for developmental dysplasia of the hip and had a long-term follow-up. RESULTS: The center-trochanter distance measured below -5 mm and above 15 mm in the skeletally immature proximal femora, and below -17 mm and above 7 mm in the skeletally mature proximal femora were regarded as "pathologic". The intraobserver (kappa coefficient, 0.92 and 0.81) and interobserver (kappa coefficient 0.88) reliability of the method was found to be excellent. CONCLUSION: The center-trochanter distance may prove to be useful in radiographic assessment of the proximal femur in several hip disorders such as developmental dysplasia of the hip and Legg-Calvé-Perthes disease.

Adolescent↗

Peri-implant bone loss as a function of tooth-implant distance.

PURPOSE: In a retrospective study, the radiographs of 39 patients with Applegate-Kennedy Class I or II in the posterior mandible who had been treated with screw-anchored fixed partial dentures supported by IMZ implants and natural teeth were examined for the presence of radiologically detectable peri-implant bone loss. Furthermore, the results were correlated with a mathematical model. MATERIALS AND METHODS: The radiographs of the implants were digitized, and the areas of bone atrophy mesial and distal to the implants were determined semi-automatically. The data obtained were correlated with the distance between the implant and the abutment tooth. The connection between the tooth-supported crown and the implant-supported denture was made with a vertical screw-lock precision attachment. In a mathematical analysis it was assumed that the fixed partial prosthesis was a rigid beam with 3 elastically embedded supports. RESULTS: The mean distance between the tooth and the first implant was 11.02 mm (SD: 4.24), and between the tooth and the second implant was 20.25 mm (SD: 5.16). Peri-implant bone loss significantly followed a rational function (mesial implant: P = .03, distal implant: P = .02), meaning that, as the tooth-implant distance increased, the area of atrophy became rapidly larger and then diminished gradually. Distances of 8 to 14 mm between the tooth and the first implant and of 17 to 21 mm between the tooth and the second implant were associated with a more pronounced bone loss. These results were also confirmed mathematically. CONCLUSION: A tooth-implant distance of 8 to 14 mm for the first implant and 17 to 21 mm for the second implant should be avoided for implant placement if prosthetic rehabilitation is planned using a fixed partial denture supported by a premolar and 2 IMZ implants in the mandible. Although this investigation was done on IMZ implants only, the results were confirmed by a mathematical model, which indicated that the observed bone loss may be the same in other types of implants placed in the same positions.

Adult↗

Evaluating distance functions for clustering tandem repeats.

Tandem repeats are an important class of DNA repeats and much research has focused on their efficient identification, their use in DNA typing and fingerprinting, and their causative role in trinucleotide repeat diseases such as Huntington Disease, myotonic dystrophy, and Fragile-X mental retardation. We are interested in clustering tandem repeats into groups or families based on sequence similarity so that their biological importance may be further explored. To cluster tandem repeats we need a notion of pairwise distance which we obtain by alignment. In this paper we evaluate five distance functions used to produce those alignments--Consensus, Euclidean, Jensen-Shannon Divergence, Entropy-Surface, and Entropy-weighted. It is important to analyze and compare these functions because the choice of distance metric forms the core of any clustering algorithm. We employ a novel method to compare alignments and thereby compare the distance functions themselves. We rank the distance functions based on the cluster validation techniques--Average Cluster Density and Average Silhouette Width. Finally, we propose a multi-phase clustering method which produces good-quality clusters. In this study, we analyze clusters of tandem repeats from five sequences: Human Chromosomes 3, 5, 10 and X and C. elegans Chromosome III.

Algorithms↗

Multiple Mantel tests and isolation-by-distance, taking into account long-term historical divergence.

Mantel tests of matrix correspondence have been widely used in population genetics to examine microevolutionary processes, such as isolation-by-distance (IBD). We used partial and multiple Mantel tests to simultaneously test long-term historical effects and current divergence and equilibrium processes, such as IBD. We used these procedures to calculate genetic divergence among Eugenia dysenterica (Myrtaceae) populations in Central Brazil. The Nei's genetic distances between pairs of local populations were strongly correlated with geographic distances, suggesting an IBD process, but field observations and the geographic distribution of the samples suggest that populations may have been subjected to more complex evolutionary processes of genetic divergence. Partial Mantel regression was used to partition the effects of geographic structure and long-term divergence associated with a possible historical barrier. The R(2) of the model with both effects was 73.3%, and after the partition 21.9% of the variation in the genetic distances could be attributed to long-term historical divergence alone, whereas only 1.5% of the variation in genetic distances could be attributed to IBD. As expected, there was a large overlap between these processes when explaining genetic divergence, so it was not possible to entirely partition divergence between historical and contemporary processes.

Biological Evolution↗

Effect of Er:YAG laser irradiation distance on superficial dentin morphology.

PURPOSE: To assess in vitro the effect of Er:YAG laser irradiation distance on dentin surface morphology, by SEM. METHODS: 60 sound human third molars were employed to obtain discs (approximately equal to 1mm thick), that were polished to standardize the smear layer. Discs were randomly assigned to six groups (n=10) and sequentially bisected. Five groups (including both disc halves of each sample) received Er:YAG laser irradiation (80mJ/2Hz) for 20s, according to the irradiation distance (11, 12, 14, 16 or 17mm) and one was the control group. In the lased-groups, one disc half was separated for superficial analysis without subsequent acid-etching and the other half received phosphoric acid for 15 seconds. In the control group, one disc half was treated with phosphoric acid and no superficial treatment was done in the other half. Specimens were prepared for SEM. RESULTS: Er:YAG laser-irradiated specimens, regardless of the irradiation distance, showed an irregular and scaly surface, with intense ablation of the intertubular dentin, mainly when the irradiation was performed in the focused mode (12 mm). The smear layer was removed and dentin tubules were opened, however, no tubule enlargement was found, unlike the group that only received acid application. The irradiation with 17 mm resulted in a surface appearance more homogeneous than those presented with other distances closer to the focus. The subsequent acid-etching on the lased surfaces decreased the superficial irregularities with partial exposure and enlargement of dentin tubules, in all the tested irradiation distances.

Acid Etching, Dental↗

Knowledge acquisition for computation of semantic distance between WHO-ART terms.

Computation of semantic distance between adverse drug reactions terms may be an efficient way to group related medical conditions in pharmacovigilance case reports. Previous experience with ICD-10 on a semantic distance tool highlighted a bottleneck related to manual description of formal definitions in large terminologies. We propose a method based on acquisition of formal definitions by knowledge extraction from UMLS and morphosemantic analysis. These formal definitions are expressed with SNOMED International terms. We provide formal definitions for 758 WHO-ART terms: 321 terms defined from UMLS, 320 terms defined using morphosemantic analysis and 117 terms defined after expert evaluation. Computation of semantic distance (e.g. k-nearest neighbours) was implemented in J2EE terminology services. Similar WHO-ART terms defined by automated knowledge acquisition and ICD terms defined manually show similar behaviour in the semantic distance tool. Our knowledge acquisition method can help us to generate new formal definitions of medical terms for our semantic distance terminology services.

Adverse Drug Reaction Reporting Systems↗

Sighting dominance and monovision distance binocular fusional ranges.

Clinicians typically apply the distance correction to the dominant sighting eye in fitting presbyopic patients with monovision (MV) contact lenses. We evaluated the effect of this fitting strategy on distance binocular fusional ranges for 23 presbyopic subjects. This sample was composed of successful and unsuccessful MV wearers. Fusional ranges for the two MV fitting possibilities (distance lens on the dominant eye, near lens on the dominant eye) were compared to fusional ranges in which both eyes were fitted with the distance correction. A greater esophoric shift and greater reduction in vergence ranges were demonstrated when the non-dominant eye received the clear image compared to when the dominant eye received the clear image. Successful MV patients demonstrated these effects to a lesser degree than did unsuccessful patients. In general, effects of MV on distance binocular fusional ranges were fewer when successful MV subjects received the clear image in the dominant eye.

Contact Lenses↗

[Blood and plasma viscosity versus claudication distance in patients with obliterative atherosclerosis of the lower limbs].

The aim of the investigations was to show the influence of increased blood and plasma viscosity on the claudication distance in patients with obliterative atherosclerosis of lower limbs. The investigations were carried out in 53 patients: 41 men and 12 women (group I, age 45-67 years). The control group consisted of 100 healthy persons (group II) with similar range of age. The rheological studies of blood were carried out by low-shear 100 Contraves viscometer, the plasma viscosity--by means of capillary viscometer. Moreover, the total lipids, alpha, pre-beta, beta-lipoproteins, triglycerides, total cholesterol, free fatty acids, fibrinogen and hematocrit of the blood were determined. The blood for above mentioned estimations was collected before testing of the claudication distance. A significant increase of blood and plasma has been shown as well as an increase of total lipids, fibrinogen, triglycerides, total cholesterol, free fatty acids. The alpha lipoproteins were significant decreased in patients with intermittent claudication compared to the controls. The claudication distance ranged 10-500 m (the mean: 143 +/- 119 m). The correlation between claudication distance and blood and plasma viscosity was significantly negative (r = -0.42, p less than 0.001 and r = -0.32, p less than 0.05 respectively). The obtained results indicated that an increase of blood and plasma viscosity in patients with obliterative atherosclerosis of lower limbs was correlated to the decrease of claudication distance.

Aged↗

Rocker-soled shoes and walking distance in patients with calf claudication.

Calf claudication is the major clinical manifestation of peripheral vascular occlusive disease in a significant number of patients. Although claudication causes substantial patient disability, most patients are treated conservatively because of the risks of surgical therapy and the uncertain efficacy of drug therapy. It was hypothesized that rocker-soled shoes would decrease the work of the plantar flexors and therefore increase walking distance in patients with calf claudication. To test this hypothesis, walking distances in patients with calf claudication using rocker-soled shoes and a placebo shoe insert were compared. Rocker-soled shoes significantly increased both the total distance walked and the distance at which patients were initially bothered by symptoms by 77m (37%, p less than .0005) and 89m (91%, p = .003), respectively. It was concluded that rocker-soled shoes may reduce disability in patients with calf claudication by increasing walking distance.

Aged↗

The behaviour of the mean power frequency of the surface electromyogram in biceps brachii with increasing force and during fatigue. With special regard to the electrode distance.

The present study aims to investigate: a) the relationship between force and mean power frequency of the EMG, and b) how the distance between surface electrodes influences the mean power frequency. The study consisted of three parts: 1) a gradually increasing contraction upto 100% MVC, 2) contractions performed at 5 different levels from 20% upto 100% MVC with rest in between, and 3) an endurance test at 30% MVC. Nine healthy women participated. The elbow was flexed 90 degrees and EMG signals were obtained from the biceps brachii. The surface electrodes were placed so that electrode distances of 10 mm, 20 mm and 30 mm were obtained. The mean power frequency increased upto 60% MVC. Above 60% MVC no change in mean power frequency occurred. No differences in the mean power frequency with respect to the electrode distances existed at each force level. No significant differences were found at each contraction level between the gradually increasing contraction and the stepwise increasing contractions. The mean power frequency decreased linearly during the endurance test without any differences with respect to the electrode distances. It is concluded that the different electrode distances do not affect the mean power frequency-force relationship or the decrease in mean power frequency during fatigue. It is proposed that the increase in mean power frequency, on group level, can be used as an indicator of motor unit recruitment. However, this proposal was found to be complicated when individual analyses were made.

Adult↗

[Determination of interproton distances in peptides by two-dimensional nuclear Overhauser effect spectroscopy (NOESY). Conformation of a cyclic analog of substance P in a solution].

Quantitative method is developed for evaluation interproton distances in peptides in solution. The method is based on the measurement of the relative intensities of the cross-peaks in the pure-phase absorption NOESY spectra. The ratios of the cross-peak intensities IN alpha/I alpha N and INN/I alpha N enable to determine the corresponding interproton distances dN alpha, d alpha N and dNN for several amino acid residues. These distances can be used to estimate other distances with cross-peaks in NOESY spectra. As example, the interproton distances are determined in a cyclic hexapeptide, namely cyclic analogue of substance P: cyclo [H-Glu-Phe-Phe-Gly-Leu-Met-NH(CH2)3-NH-]. The spatial structure of the molecule in dimethylsulphoxide solution is established.

Magnetic Resonance Spectroscopy↗

Distance geometry of alpha-substituted 2,2-diphenylpropionate antimuscarinics.

Quantitative structure-activity relationships between pharmacological activities and physical properties of a series of 2,2-diphenylpropionate compounds were used to define the topography of the antagonist binding site of muscarinic receptors. XICAMM, a computer molecular modeling program, was used to calculate geometrical and topological values of the compounds. The compounds were tested for their antimuscarinic activities by: (a) inhibition of [N-methyl-3H]scopolamine binding to the muscarinic receptors of N4TG1 neuroblastoma cells, (b) inhibition of carbachol-induced alpha-amylase release from rat pancreas acini, and (c) blocking of acetylcholine-induced contraction of guinea pig ileum. To evaluate as clearly as possible only the effect of the bond distance on the potency of the synthesized antimuscarinics, the compounds contained as many constant features as possible. Neither the hydrophobic nor the ester moieties of the compounds were changed, and the rings containing the protonated nitrogen were saturated and restricted. The antimuscarinic activities obtained from the three assays were significantly correlated with each other, with the exception of two compounds, 9 and 13. The latter two compounds demonstrated specificity for the m3 muscarinic receptor subtype expressed in the pancreas. Furthermore, it was demonstrated that the antimuscarinic activities were significantly related to the bond distances between the carbonyl oxygen (constant electronegative locus) and the protonated nitrogen (center of cationic charge) of the 2,2-diphenylpropionate compounds. Parabolic relationships between the pharmacological activities and bond distances were empirically established. The shortest calculated bond distance of these compounds was approximately 4.4 A, whereas the longest was about 5.9 A. The maximum antimuscarinic potency was observed with a calculated bond distance of about 5.2 A in all three assays.

Animals↗

[What is the relation between pressure parameters and claudication distance?].

The authors examined the relationship between the ankle pressure, or pressure gradient on the one hand, and the walking distance and different actions, i.e. equalting and standing on tip toes, on the other hand. In 56 male patients with obliterating atherosclerosis, the first stage showed both pressure parameters as closely correlated to the final claudication distance, but not to the actions indicated above. At the second stage, 62 persons showed both the initial and final claudication distances as dependent on the poststenotic pressure as well as on the pressure gradient. Stepwise regression analysis showed a significant dependence of both distances on the lowest pressure measured on four crural arteries. The closest correlation [R = 0.98] was found between the initial and final claudication distances which persisted even after elimination of all pressure parameters.

Adult↗

[Reconstruction of genetic distance matrix].

A method for reconstruction of genetic distances' matrix, based on linear combination of physical distances' matrices among populations and mean sizes of the population matrices is proposed. The analogue of genetic distances' matrix obtained correlates with the matrix at the level 0.59. The reconstruction may be used for the populations of about 2-3 neighbour districts. An index xi is introduced, as a constant describing some big regions. Comparison of reconstructed matrix of genetic distances with some well-known matrices of genetic distances is performed.

Alleles↗

CT in the evaluation of the orbit and the bony interorbital distance.

The distance between the orbits and their individual dimensions are important in the diagnosis of craniofacial anomalies. Most observers rely on standard radiographs for measuring the bony interorbital distance. Tomography of the skull base and orbital computed tomography (CT) can also be used. This article describes the normal range of the bony interorbital distance and other useful orbital linear and angular measurements as determined from a series of CT scans of the orbits in 400 adults who had CT for other purposes. The normal interorbital distance measured at the posterior border of the frontal processes of the maxilla on nonrotated scans, in the plane of the optic nerve, ranges from 2.29 to 3.21 cm (average, 2.67 cm) in men and 2.29 to 3.20 cm (average, 2.56 cm) in women. The widest interorbital distance lies behind the posterior poles of the globes. This ranges from 3.16 to 4.10 cm (average, 3.37 cm) in men and 2.93 to 3.67 cm (average, 3.20 cm) in women.

Adolescent↗

Continuous measurement of biparietal distance in the intact and hypophysectomized fetal sheep using ultrasound.

Piezoelectric transducers were implanted into the parietal bones of intact (n = 4) and hypophysectomized (n = 8) fetal sheep of approximately 110-120 days gestational age (term 145-150 days). Intertransducer distance was determined by measuring the time taken for an ultrasonic pulse, generated by one transducer, to elicit a piezoelectric response in an opposing transducer. The limit of sensitivity of the timer was +/- 0.033 microsec. The ultrasonic velocity through fetal sheep brain tissue was 1549.6 +/- 2.2 m.s-1 (SEM; n = 33). This velocity remained constant throughout the entire period studied in both intact and hypophysectomized fetuses. At this velocity, the sensitivity of the measuring device was +/- 0.05mm. The ultrasonic transit time was measured daily between 0900 and 1100h until term in all fetuses. Three hypophysectomized fetuses were allowed to remain in utero until day 163 of gestation. The mean biparietal distance growth rate prior to day 135 for the intact and hypophysectomized fetuses was 0.25 +/- 0.03 and 0.27 +/- 0.025 mm/day respectively. These values were not significantly different (P greater than 0.05). A significant decrease (P less than 0.05) in growth rate was detected in both experimental groups between days 135 and 147 and was more pronounced in the sham (0.05 +/- 0.04 mm/day) than in the hypophysectomized (0.14 +/- 0.03 mm/day) group. However, the growth rate of the sham animals after day 135 was not significantly different from that of the hypophysectomized animals. In the three hypophysectomized fetuses killed at day 163 the biparietal distance growth was maintained at 0.12 +/- 0.005 mm/day. We conclude that fetal biparietal distance growth is pituitary independent from day 110 of gestation and that this technique for measuring distance is a valid and extremely accurate method for the continuous measurement of this parameter of fetal growth and may have further applications in other areas of growth research.

Animals↗

The effect of shortening velocity on the shortening heat and its relationship to the distance shortened.

Irving and Woledge showed using isovelocity (1/2 Vmax) releases that the shortening heat per unit shortening declines with distances shortened. This non-linear behavior of the shortening heat was examined in experiments in which muscles shortened during isovelocity releases at 1/4, 1/2, and 1/1 Vmax. As shortening velocity increases, the reduction in shortening heat production per unit shortening with distance becomes more pronounced. These results could be a consequence of the facts that shortening heat production is load dependent and during shortening at constant velocity, the average force exerted by the muscle shortening a small distance is greater than that exerted by the muscle shortening greater distances. To test this idea, shortening heat production was measured in releases in which the force remained constant during constant velocity shortening. Again, the shortening heat produced per unit shortening declined with distance shortened, and the effect at Vmax was more pronounced than at 1/2 Vmax. These results agree with the two state crossbridge model proposed by Irving and Woledge and suggest that: 1) significant lengths of time are required (minimum of 50 ms at Vmax and 90 ms at 1/2 Vmax) for the energy liberation to reach a steady state in the transition from isometric to shortening contractions, 2) shortening induces shifts in the distribution of crossbridge states whose magnitude increases with shortening velocity, and 3) the non-linearity of shortening heat production is related to the energy imbalance observed during rapid shortening.

Animals↗

Asynchronous distance between homologous DNA sequences.

The distance between homologous DNA sequences of two species is proposed to be -1/4 ln[det(P)], where P is the conditional probability matrix specifying the proportions of the various nucleotides in the second sequence, corresponding to each of the four nucleotides in the first sequence. A probability model is described which supports this choice of distance. Distance measures based on a constant evolutionary rate assumption are described and compared with the proposed measure. Sampling properties of both types of distance are examined and we conclude by applying the distance measures to mitochondrial DNA sequences of the hominoids.

Base Sequence↗