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Assessment of bone mineral and matrix using backscatter electron imaging and FTIR imaging.

The resistance of bone to fracture is determined by its geometric and material properties. The geometry and density can be determined by radiographic methods, but material properties such as collagen structure, mineral composition, and crystal structure currently require analysis by invasive techniques. Backscatter electron imaging provides quantitative information on the distribution of the mineral within tissue sections, and infrared and other vibrational spectroscopic methods can supplement these data, providing site-specific information on mineral content as well as information on collagen maturity and distributions of crystal size and composition. This information contributes to the knowledge of "bone quality."

Bone Density↗

Comparison of SPECT aerosol deposition data with twenty-four-hour clearance measurements.

Three-dimensional (3D) radionuclide imaging provides detailed information on the distribution of inhaled aerosol material within the body. Analysis of the data can provide estimates of the deposition per airway generation. Information on regional distribution of deposited aerosol can also be obtained from 24-hour clearance measurements. In this study, a nebulizer was used to deliver a radiolabeled aerosol to nine human subjects. Single photon emission computed tomography (SPECT) has been used to assess the distribution of aerosol deposition per airway generation. The deposition pattern was also estimated using measurements of the aerosol remaining in the lung 24 h after inhalation. The error in the SPECT value was assessed by simulation and that in the 24-h clearance value by repeat analysis. The mean fraction of lung deposition in the conducting airway (CADF) from SPECT was 0.21. The corresponding 24-h clearance value was 0.23. These values were not significantly different. There was a weak but non-significant correlation between the SPECT and 24-h measurements (r = 0.49). The standard error of the difference was 0.11. The corresponding errors on the SPECT and 24-h clearance measurements were 0.04 and 0.05, respectively. There was no systematic difference between the values of conducting airways deposition obtained from 24-h measurements and SPECT. However, there were random differences on individual subjects, which were larger than the estimated measurement errors.

Administration, Inhalation↗

Distribution of pulmonary ventilation and perfusion during short periods of weightlessness.

Information on the distributions of pulmonary ventilation and perfusion was obtained from four subjects on board a Learjet during 112 weightless periods lasting up to 27 s each. Zero gravity (G) was obtained during all or part of each test by varying the aircraft flight profile. Single-breath N2 washouts were performed with the test inspiration containing an initial bolus of argon at residual volume (RV). When the test inspiration was at 0 G, and the washout at 0 G or greater, the terminal rises and the cardiogenic oscillations in both N2 and argon were small and often absent. If instead the test inspiration was at 1 G with the washout at 0 G, the terminal rises were again small or absent but the cardiogenic oscillations remained. The terminal rise and the cardiogenic oscillations for N2, but not argon, were also nearly eliminated by performing just the preliminary exhalation to RV at 0 G with the test inspiration and washout following at 1 G. Aleveolar plateaus for N2 sloped upward at 0 G apparently due to nontopographical inequalities of ventilation. In further tests during air breathing, recordings were made of expired partial pressure of oxygen PO2) and carbon dioxide (POO2) following a brief hyperventilation and a 15-s breath hold. These recordings revealed marked cardiogenic oscillations in PO2 and PCO2 at 1 G that were enhanced at 2 G but almost eliminated at 0 G. The results suggest that virtually all the topographical inequality of ventilation, blood flow, and lung volume seen under 1-G conditions are abolished during short periods of 0 G.

Adult↗

A multi-agent softbot to retrieve medical information on Internet.

World-Wide Web is a media where information is unstructured, distributed, multimedia and multilingual. Many tools have been developed to help users search for information: subject hierarchies, general search engines, browsers and search assistants. Although helpful, they show serious limitations, mainly in terms of precision, multilingual indexing and distribution. The M.A.R.V.I.N. project (Multi Agent Retrieval Vagabond on Information Networks) proposes solutions with a distribution of the indexing task in agents specialized in a given domain. M.A.R.V.I.N. has been successfully applied to the medical domain. The medical index and its associated search engine MedHunt (Medical Hunter) demonstrate the interest of such an approach with currently 50,000 indexed medical sites and more than 100,000 accesses each month.

Abstracting and Indexing↗

A verifiable solution to the MEG inverse problem.

Magnetoencephalography (MEG) is a non-invasive brain imaging technique with the potential for very high temporal and spatial resolution of neuronal activity. The main stumbling block for the technique has been that the estimation of a neuronal current distribution, based on sensor data outside the head, is an inverse problem with an infinity of possible solutions. Many inversion techniques exist, all using different a-priori assumptions in order to reduce the number of possible solutions. Although all techniques can be thoroughly tested in simulation, implicit in the simulations are the experimenter's own assumptions about realistic brain function. To date, the only way to test the validity of inversions based on real MEG data has been through direct surgical validation, or through comparison with invasive primate data. In this work, we constructed a null hypothesis that the reconstruction of neuronal activity contains no information on the distribution of the cortical grey matter. To test this, we repeatedly compared rotated sections of grey matter with a beamformer estimate of neuronal activity to generate a distribution of mutual information values. The significance of the comparison between the un-rotated anatomical information and the electrical estimate was subsequently assessed against this distribution. We found that there was significant (P < 0.05) anatomical information contained in the beamformer images across a number of frequency bands. Based on the limited data presented here, we can say that the assumptions behind the beamformer algorithm are not unreasonable for the visual-motor task investigated.

Brain↗

X-ray fluorescence tomography of individual municipal solid waste and biomass fly ash particles.

Information about Cd distribution inside single municipal solid waste and biomass fly ash particles is fundamental since it affects its leachability. The internal 2D distributions of the main and trace elements in such highly inhomogeneous matrixes were successfully determined by means of the combined synchrotron radiation induced micro X-ray fluorescence (micro-SRXRF) and tomography (micro-SRXRFT) techniques. Scanning micro-SRXRF measurements show Cd elemental distribution within single fly ash particles to be inhomogeneous, but no information can be obtained about its internal distribution. During micro-SRXRFT analysis, single fly ash particles are successively measured by a rotational-translational scan in a VH=2 x 5 microm2 microbeam. The 2D internal elemental distribution images, obtained by the modified simultaneous algebraic reconstruction technique algorithm, provide the size and the location of Cd-containing areas together with the location of other measurable elements. Results showed Cd concentration to be higher in the core of the fly ash particles analyzed rather than on the surface of the particles. Moreover, in both ashes, Ca-containing matrixes are found to be the main Cd-bearing phases. A possible mechanism for Cd adsorption on the fly ash particles is proposed based on the obtained results.

Cadmium↗

Carbon-13 Nuclear Magnetic Resonance Analysis of Metabolism in Soybean Labeled by CO(2).

Fourier transform (13)C nuclear magnetic resonance spectra have been obtained of intact, fresh soybean ovules (Glycine max L. cv. Dare) harvested from pods subtended by a trifoliolate exposed to (13)CO(2) 1 to 3 days earlier. The high resolution spectra are interpreted in terms of the labeled sugars and lipids in the ovule. Comparison of the spectra taken over the 3-day period permits qualitative estimates of sugar metabolism and rates of lipid synthesis. The spectra also contain information about the distribution of labels within the lipid chains. This information leads to a method of estimating the extent to which glucose degradation in the synthesizing soybean ovule is involved in the reactions of the phosphogluconate pathway.

Journal Article↗

[Hospital information systems or data processing in gynecology? Strategic reflections towards a comprehensive information concept].

Hospital information systems are essential tools for efficient hospital management and improvement of medical procedures. Structural differences between the management of hospital information systems and the management of other huge, distributed and heterologous information systems cannot be found. However, there are differences concerning special tasks in patient care and medical research with high demands in data protection and modularity. The management of information processing has to be performed systematically.

Electronic Data Processing↗

Adiposity in aboriginal people from Arnhem Land, Australia: variation in degree and distribution associated with age, sex and lifestyle.

A number of researchers have found substantial sex, population and group differences in adiposity and fat-distribution patterns, but there is relatively little information on body fat distribution in Aboriginal groups, especially for the indigenous people of Australia. This study, the largest of its kind for Australian Aboriginal people, presents information on adiposity and fat distribution in 425 Yolngu, a group of Aboriginal people living in a number of communities representing a wide range of lifestyles, in northeast Arnhem Land, Australia. Using BMI standards developed for people of European descent, the majority of the individuals in this study were lean, and the incidence of obesity was considerably less than in other Australian groups, Aboriginal and non-Aboriginal. For the Yolngu in this study the relationship between ageing and adiposity is similar to that reported for tradition-orientated Aboriginal people, as well as for a number of other indigenous groups, viz., while the men maintain their weight into old age, the women, once they are past early adulthood, lose body fat with age. The results from the present study suggest that the age at which the Yolngu women start to gain, and subsequently lose, body fat is associated with differences in degree of acculturation. As has been found in other populations, age- and sex-related differences in body fat distribution occur, but no correlation was found between adiposity and fat distribution. The Aboriginal women and men, however, had a significantly more central distribution of subcutaneous fat than their non-Aboriginal counterparts. Our findings have implications for the health and demography of Aboriginal people in general, and the Yolngu in particular, as they continue the transition from hunting and foraging towards a more 'westernized' lifestyle.

Adipose Tissue↗

Using fractals and nonlinear dynamics to determine the physical properties of ion channel proteins.

Three examples are given of how concepts from fractals and nonlinear dynamics have been used to analyze the voltages and currents recorded through ion channels in an attempt to determine the physical properties of ion channel proteins. (1) Early models had assumed that the switching of the ion channel protein from one conformational state to another can be represented by a Markov process that has no long-term correlations. However, one support for the existence of long-term correlations in channel function is that the currents recorded through individual ion channels have self-similar properties. These fractal properties can be characterized by a scaling function determined from the distribution of open and closed time intervals, which provides information on the distribution of activation energy barriers between the open and closed conformational substates of the ion channel protein and/or on how those energy barriers change in time. (2) Another support for such long-term correlations is that the whole-cell membrane voltage recorded across many channels at once may also have a fractal form. The Hurst rescaled range analysis of these fluctuations provides information on the type and degree of correlation in time of the functioning of ion channels. (3) The early models had also assumed that the switching from one state to another is an inherently random process driven by the energy from thermal fluctuations. More recently developed models have shown that deterministic dynamics may also produce the same distributions of open and closed times as those previously attributed to random events. This raises the possibility that the deterministic atomic and electrostatic forces play a role in switching the channel protein from one conformational shape to another. Debate exists about whether random, fractal, or deterministic models best represent the functioning of ion channels. However, fractal and deterministic dynamics provide a new approach to the study of ion channels that should be seriously considered by neuroscientists.

Animals↗

[Construction of a bed management system using widely available software: departmental information integration including the department of radiological technology].

In recent years, the distribution of medical information through Internet technology has been increasingly promoted as a result of the December 2001 initiative of the Ministry of Health, Labor and Welfare known as "the grand design for the application of welfare and medical care information technology in the field of health." In June 1999, we developed a bed management system that uses a local area network (LAN). The ultimate goals of this systems configuration were the development of an order-entry system, an electronic health-record system, and improved information sharing. The system, which was created by employing widely used software, rationalized daily work by integrating patient information, hospitalization information, radiological examination reservation information, physiological examination reservation information, and rehabilitation reservation information. The radiological examination reservation information system that our radiology department uses is one of these systems. Electronic preservation of the reservation list is carried out in the radiology department, and information on examinations is input. The resulting full-scale order-entry system was introduced in July 2002, and it has improved the sharing of information among staff members.

Bed Occupancy↗

Binding and folding: in search of intramolecular chaperone-like building block fragments.

We propose an intramolecular chaperone which catalyzes folding and neither dissociates nor is cleaved. This uncleaved foldase is an intramolecular chain-linked chaperone, which constitutes a critical building block of the structure. Macroscopically, all molecular chaperones facilitate folding reactions and manifest similar energy landscapes. However, microscopically they differ. While intermolecular chaperones catalyze folding by unfolding misfolded conformations or prevent misfolding, the chain-linked cleaved (proregion) and uncleaved intramolecular chaperone-like building blocks suggested here, catalyze folding by binding to, stabilizing and increasing the populations of native conformations of adjacent building block fragments. In both, the more stable the intramolecular chaperone fragment region, the faster is the folding rate. Hence, mechanistically, intramolecular chaperones and chaperone-like segments are similar. Both play a dual role, in folding and in protein function. However, while the functional role of the proregions is inhibitory, necessitating their cleavage, the function of the uncleaved intramolecular chaperone-like building blocks does not require their subsequent removal. On the contrary, it requires that they remain in the structure. This may lead to the difference in the type of control they are under: proteins folding with the assistance of the proregion have been shown to be under kinetic control. It has been suggested that kinetically controlled folding reactions, with the proregion catalyst removed, lend longevity under harsh conditions. On the other hand, proteins with uncleaved intramolecular chaperone-like building blocks, with their 'foldases' still attached, are largely under thermodynamic control, consistent with the control observed in most protein folding reactions. We propose that an uncleaved intramolecular chaperone-like fragment occurs frequently in proteins. We further propose that such proteins would be prone to changing conditions and in particular, to mutations in this critical building block region. We describe the features qualifying it for its proposed chaperone-like role, compare it with inter- and intramolecular chaperones and review current literature in this light. We further propose a mechanism showing how it lowers the barrier heights, leading to faster folding reaction rates. Since these fragments constitute an intergal part of the protein structure, we call these critical building blocks intramolecular, chaperone-like fragments, to clarify, distinguish and adhere to the definition of the transiently associating chaperones. The new mechanism presented here differs from the concept of 'folding nuclei'. While the concept of folding nuclei focuses on a non-sequential distribution of the folding information along the entire protein chain, the chaperone-like building block fragments proposition focuses on a segmental distribution of the folding information. This segmental distribution controls the distributions of the populations throughout the hierarchical folding processes.

Catalysis↗

Integrating context-aware public displays into a mobile hospital information system.

Hospitals are convenient settings for deployment of ubiquitous computing technology. Not only are they technology-rich environments, but their workers experience a high level of mobility resulting in information infrastructures with artifacts distributed throughout the premises. Hospital information systems (HISs) that provide access to electronic patient records are a step in the direction of providing accurate and timely information to hospital staff in support of adequate decision-making. This has motivated the introduction of mobile computing technology in hospitals based on designs which respond to their particular conditions and demands. Among those conditions is the fact that worker mobility does not exclude the need for having shared information artifacts particular locations. In this paper, we extend a handheld-based mobile HIS with ubiquitous computing technology and describe how public displays are integrated with handheld and the services offered by these devices. Public displays become aware of the presence of physicians and nurses in their vicinity and adapt to provide users with personalized, relevant information. An agent-based architecture allows the integration of proactive components that offer information relevant to the case at hand, either from medical guidelines or previous similar cases.

Artificial Intelligence↗

Diabetes in Ontario: determination of prevalence and incidence using a validated administrative data algorithm.

OBJECTIVE: Accurate information about the magnitude and distribution of diabetes can inform policy and support health care evaluation. We linked physician service claims (PSCs) and hospital discharge abstracts (HDAs) to determine diabetes prevalence and incidence. RESEARCH DESIGN AND METHODS: A retrospective cohort was constructed using administrative data from the national HDA database, PSCs for Ontario (population 11 million), and registries carrying demographics and vital statistics. All HDAs and PSCs bearing a diagnosis of diabetes (ICD9-CM 250) were selected for 1991-1999. Two previously reported algorithms for identification of diabetes were applied as follows: "1-claim" (any HDA or PSC showing diabetes) and "2-claim" (one HDA or two PSCs within 2 years showing diabetes). Incident cases were defined as individuals who met the criteria for diabetes for the first time after at least 2 years of observation. For validation, diagnostic data abstracted from primary care charts (n=3,317) of 57 randomly selected physicians were linked to the administrative data cohort, and sensitivity and specificity were calculated. RESULTS: -In 1998, 696,938 individuals met the 1-claim criteria and 528,280 met the 2-claim criteria. Sensitivity for diabetes was 90 and 86%; for the 1- and 2-claim algorithms, specificity was 92 and 97%, respectively, and positive predictive values were 61 and 80%, respectively. Using the 2-claim algorithm, the all-age prevalence increased from 3.2% in 1993 to 4.5% in 1998 (6.1% in adults). Incidence remained stable. CONCLUSIONS: Administrative data can be used to establish population-based incidence and prevalence of diabetes. Diabetes prevalence is increasing in Ontario and is considerably higher than self-reported rates.

Algorithms↗

[Total hematological analysis system as a screening test for hematological malignancy].

Measurement of complete blood cell count and white blood cell differentiation is an essential laboratory test and the most important screening test for hematological malignancy. Recently, several automated blood cell analyzers have been developed to improve accuracy and precision. When flag messages generated in the presence of morphological abnormalities of the samples are displayed, manual revision is necessary. In our laboratory, the manual revision rate has been 35-40%. Therefore blood cell analyzers are useful in screening for abnormalities as well as greatly reducing expensive and time-consuming manual differential procedures. In addition, automated blood cell analyzers can provide several types of useful information including the leukocyte distribution scattergram. However, most such information is not utilized in the clinical field. In the future, a total hematological analysis system will be constructed so that all information provided by automated blood cell analyzer and by manual methods are available.

Blood Cell Count↗

Blood pressure trends and life style risk factors in rural India.

A door to door survey of a random sample of 448 subjects (> or = 15 years of age) of Kodamendhi village (near Nagpur) revealed a prevalence of hypertension of 4% rising to 19% in more than 60 years age group. One of the main goals of the study was to search for social, behavioural and life style risk factors and provide baseline information on blood pressure distribution in rural Indian population, information regarding which is scarce from Central India. The relationship between alcohol consumption, smoking, obesity, education, income and diet (assessed by a questionnaire administered by trained interviewers) to blood pressure were studied, in multivariate context. Separate multiple linear regression analysis, performed in males and females with mean blood pressure (MBP) as dependent variable showed that the MBP increased significantly with age (p = 0.000) and males had significantly higher MBP than females (p = 0.002). In males, BMI (p = 0.000) and alcohol intake (p = 0.008) were significantly related to MBP while smokers had significantly lower MBP than non smokers (p = 0.004). Per capita income was a significant predictor of MBP in females (p = 0.000). There was no relationship with education and diet.

Adolescent↗

[Bayesian representation of prior information and MCMC method in microwave imaging].

Microwave imaging for dielectric objects was considered in this paper. Applying Bayesian approach to represent prior information about permittivity distribution of observed object by prior probability density and combine measurements information of scattering field, we obtained posterior probability density that included synthetic information about the observed object. And then, Gibbs sampler, one of Markov Chain Monte Carlo method, was used to sample the posterior probability density. The sample mean was regarded as an evaluation of the permittivity distribution. The results of simulation imaging with "blocky" objects showed that this set of methods made good use of information and had the advantages of feasibility and very strong anti-noise ability. In addition,it is capable of describing (definite or indefinite) prior information in a convenient and controllable way, as well as capable of giving the "complete" solution, i.e., the occurrence probability of every permittivity distribution.

Bayes Theorem↗

A simple discriminant function for hepatic disease.

Tests of hepatic function do not correlate highly and this, together with their skew distribution, makes the information provided by them difficult to interpret. By means of an appropriate transformation it is possible to normalise their distributions so that the information from them can be combined in the form of a discriminant function which is not only easy to interpret but gives an index of severity of disease which is more reliable than any one single test. In this study nine tests were examined, and after normalisation it was found that only four tests were required to present almost all the information available in the nine. A formula is given for calculating the index in T-score form, which is particularly easy to interpret. A discriminant function of the type described retains the maximum information with the minimum number of biochemical tests. It therefore contributes to the solution of a problem which is causing increasing concern--the exponential increase in the number of investigations which the hospital services will soon find it impossible to bear.

Analysis of Variance↗