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Hierarchical assembly and the onset of banding in fibrous long spacing collagen revealed by atomic force microscopy.

The mechanism of formation of fibrillar collagen with a banding periodicity much greater than the 67 nm of native collagen, i.e. the so-called fibrous long spacing (FLS) collagen, has been speculated upon, but has not been previously studied experimentally from a detailed structural perspective. In vitro, such fibrils, with banding periodicity of approximately 270 nm, may be produced by dialysis of an acidic solution of type I collagen and alpha(1)-acid glycoprotein against deionized water. FLS collagen assembly was investigated by visualization of assembly intermediates that were formed during the course of dialysis using atomic force microscopy. Below pH 4, thin, curly nonbanded fibrils were formed. When the dialysis solution reached approximately pH 4, thin, filamentous structures that showed protrusions spaced at approximately 270 nm were seen. As the pH increased, these protofibrils appeared to associate loosely into larger fibrils with clear approximately 270 nm banding which increased in diameter and compactness, such that by approximately pH 4.6, mature FLS collagen fibrils begin to be observed with increasing frequency. These results suggest that there are aspects of a stepwise process in the formation of FLS collagen, and that the banding pattern arises quite early and very specifically in this process. It is proposed that typical 4D-period staggered microfibril subunits assemble laterally with minimal stagger between adjacent fibrils. alpha(1)-Acid glycoprotein presumably promotes this otherwise abnormal lateral assembly over native-type self-assembly. Cocoon-like fibrils, which are hundreds of nanometers in diameter and 10-20 microm in length, were found to coexist with mature FLS fibrils.

Animals↗

Chemical Abstracts Service approach to management of large data bases.

When information handling is "the business," as it is at Chemical Abstract Service (CAS), the total organization must be involved in information management. Since 1967, when, as a result of long-range planning efforts, CAS adopted a "data-base approach" to management of both the processing system and the distribution of information files, CAS has been grappling with the problems of managing large collections of information in computer-based systems. This paper describes what has been done at CAS in the management of large files and what we see as necessary, as a result of our experience, to improve and complete the information management system that is the foundation of our production processes.

Abstracting and Indexing↗

EPIX: an interactive computer application program for cross-sectional epidemiological, periodontal investigations from X-ray films.

This article introduces the interactive computer application program EPIX and the associated personal computer/digitizer system. The system is used to measure marginal alveolar bone height and to record angular alveolar bone defects, defective margins of dental restorations and dental calculus from 5 X-magnified periapical radiographs in cross-sectional epidemiological investigations. The 134-kBytes compiled BASIC program provides 17 menu options. A complete recording of interproximal tooth surfaces takes on average 20 minutes per subject. Data from 200 subjects can be stored on one 5.25" floppy disk. EPIX transforms data files into text files to enable transfer to main-frame computer for statistical analyses. Data displays on VDU or paper are available. Routines for data location and processing, file processing and visual display of an operator's manual provide additional facilities. EPIX has been used to process an epidemiological material of 912 subjects and has proved to be useful.

Cross-Sectional Studies↗

Organizing, storing, and analysing qualitative research information in a computer database.

OBJECTIVE: To describe a method to handle data in qualitative research. DESIGN: Description of the data handling process in a personal computer database. SETTING: The method was used in a Danish qualitative study with more than 100 interviews on quality of care. OUTCOME MEASURES: The author's own description and assessment of the system. RESULTS: Storing information in a database makes it possible to store and retrieve information from qualitative research divided in themes and subthemes. The themes and subthemes are based on an interview guide and the succeeding development of theory and new themes. The comprehensive sorting systems in a database enable the researcher to keep an overview of his data while analysing and reporting. CONCLUSION: Storing, analysing, and retrieving data from qualitative research demands careful planning. A computer database may be a good help in this process if the researcher will not use more complex and comprehensive software for his analysis.

Denmark↗

Electronic signature of computerized patient records.

The article describes the computerized system developed and used at the Ohio State University Medical Center in Columbus, Ohio to affix a physician's signature electronically. The system electronically sends dictated reports (e.g., discharge summaries, history and physical examinations, and operative reports) and attestation statements to the physician for review. The physician selects the report individually and may approve or enter comments. Comments are forwarded electronically to medical information management. The article describes the fiscal intermediary's requirements and approval process and the impact on delinquent records and accounts awaiting attestation signature before billing.

Authorship↗

Coding clinical information: analysis of clinicians using computerized coding.

Data are presented of a controlled experiment with a computerized browsing and encoding tool. Eighteen practicing clinicians extracted medical concepts from two narrative exercise cases using two approaches, traditional and computer-assisted use of ICD-9. Our results indicate that by using a computerized coding tool the completeness of coding can be improved by up to 55%, that by enforcing mandatory as opposed to optional modifier codes results in lower rates of incomplete coding (0 and 55%, respectively), higher rates of correct coding (41 to 92%) and no change in incorrect code, and that manual coding takes twice as long than coding with the help of the computerized coding tool. Clinicians need 59% more time for processing the whole set of codes than is suggested by the sum of individual codes. We conclude that the use of a computerized coding tool can save time and result in higher quality codes. However, the real time spent on coding may be underestimated when looking at individual coding times, instead of the whole task of processing a clinical scenario.

Disease↗