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PubMedDate not supplied

Microcomputer analysis of hyperbolic and non-hyperbolic steady-state kinetics.

A BASIC computer program has been developed which has been used to show that bovine lens aldose reductase with NADPH as substrate follows a 1:1 function, while rabbit lens hexokinase has a rate equation of minimum degree 2:2, and bovine lens polyol dehydrogenase has a rate equation of minimum degree 1:2 with xylitol as substrate. The parameter estimates obtained are very close to those from the BMDP3R curvefitting program on an ICL 2980 mainframe computer, with identical conclusions as to the minimum degree of the rate equation. The computer program can be run on any microcomputer with high resolution graphics in less than 48 K of random access memory.

Aldehyde Reductase↗
PubMed1988

Quantitative computer analysis of Golgi-impregnated neurons using a new 'expanded stick' model for coding; its application to the study of axons.

A computer program to obtain quantitative data from an expanded 'stick model' of the Golgi-impregnated neuron is described. The computer program allows complete three-dimensional morphometric analysis of neurons, including the size of varicosities and spines and their distribution on neuronal branches. Furthermore, the perimeter and area of the perikaryon as well as the length, width and area of neuronal processes can be obtained. The use of this computer program is illustrated by coding two types of axons.

Animals↗
PubMed1987

Interlaboratory proficiency-testing programs: a computer model to assess their capability to correctly characterize intralaboratory performance.

We developed a computer model of an interlaboratory survey program to study the ability of proficiency testing (PT) programs to detect intralaboratory errors (total, random, and systematic). It uses a base interlaboratory PT population of 400 laboratories and one test laboratory each with uniquely defined intralaboratory characteristics, i.e., mean, standard deviation (SD), and bias. A gaussian random-number generator uses these parameters to simulate 401 test results analogous to the analysis of one PT sample by each laboratory. The test laboratory's intralaboratory error is expressed as various combinations of bias and coefficient of variation (CV); its simulated survey result is evaluated by a performance criterion derived from the group statistics. To eliminate statistical artifacts, the computer model repeats the complete simulation process 400 times and determines the percentage of the test laboratory's results that fail to meet a specified performance criterion. The computer model can use assigned values or actual intralaboratory data.

Computer Simulation↗
PubMed1996

A program for the user-independent computation of the correlation dimension and the largest Lyapunov exponent of heart rate dynamics from small data sets.

We propose a specially optimized computer program for the user-independent calculation of the correlation dimension D and the largest Lyapunov exponent L of heart rate dynamics on the basis of only 1024 electrocardiographically recorded RR intervals (heartbeat intervals). The validity of our program was established by analyzing a set of artificial standard signals. Our norm values of the correlation dimension (D = 5.37 +/- 0.62) and the largest Lyapunov exponent (L = 0.561 +/- 0.037 bits/beat) of RR dynamics, obtained from 79 healthy adults aged 26.3 +/- 4.8 years, were independent of gender and age; D and L correlated slightly with each other (Pearson correlation coefficient r = 0.26). Short-term reliability, tested for 25 of our subjects by two successive recordings, was fair: the intraclass correlation coefficients (ICCs) were 0.45 and 0.41 for D and L of RR dynamics, respectively. However, long-term reliability, tested for eight of our subjects by ten weekly recordings, was acceptable for L (ICC = 0.40) but not for D (ICC = 0.01). These results permit group comparisons on the basis of single measurements of L of RR dynamics. A reliable differentiation between young healthy individuals requires four measurements of L.

Adult↗
PubMed1987

Influence of noise on wave boundary recognition by ECG measurement programs. Recommendations for preprocessing.

In the international cooperative project entitled "Common Standards for Quantitative Electrocardiography" (CSE) systematic noise tests have been performed in order to compare measurement results of electrocardiographic computer programs under degraded operational conditions and to develop recommendations for preprocessing and measurement strategies. The influence of seven different high- and low-frequency noise types on the recognition of P, QRS, and T wave onsets and offsets was investigated. The analysis was performed on 160 electrocardiograms derived from two sets of 10 cases each, by eight electrocardiographic and six vectorcardiographic computer programs. The stability and precision of these programs were tested with respect to the results obtained (1) in the noise-free recordings and (2) by a group of five cardiologists who have analyzed the recordings previously in a Delphi reviewing process. Increasing levels of high-frequency noise shifted the onsets and offsets of most programs outward. Programs analyzing an averaged beat showed significantly less variability than programs which measure every complex or a selected beat. On the basis of the findings of the present study, a measurement strategy based on selective averaging is recommended for diagnostic ECG computer programs. However, averaging should be performed only if proper alignment and precise waveform comparison have been performed beforehand in order to exclude dissimilar complexes.

Diagnosis, Computer-Assisted↗
PubMed1995

Interactive computer-based programs for a cancer learning center.

This paper describes the design and evaluation of a computer-based instruction (CBI) program that was integrated into a multidisciplinary cancer curriculum at the Medical College of Pennsylvania. Instruction took place in a cancer learning center. Modules contained literature, posters, slide sets, videocassette films, and "see, touch, and feel" models to teach and practice breast, testicular, rectal, laryngeal, and colonoscopic examinations. The CBI (programmed on HyperCard) contained tutorials divided into three levels of learning objectives: level one, epidemiology and prevention; level two, diagnosis and staging; and level three, management and prognosis. Simulated cases and test items were developed for each level. To evaluate students' perceptions of the program and provide them with feedback about their performances, the authors designed a questionnaire, held a focus group, and developed a built-in tracking system for the CBI. Results showed that the program was well received, the students answered the test items correctly, and the students wanted more time to study cancer. A description of some of the problems encountered with technology and equipment is provided for faculty who may be interested in designing and implementing similar CBI programs.

Computer-Assisted Instruction↗
PubMed1991

The use of integer programming in dairy sire selection.

A computerized sire selection integer program, IPSIRE, was developed to test the optimality of solutions obtained by using MAXBULL, a popular computerized sire selection aid. The IPSIRE program uses an optimization software package and a compatible spreadsheet; MAXBULL uses linear programming techniques. The computer programs were compared using large and small data sets. Multiple combinations were run, varying the levels requested for PD fat percentage, PD type, and price paid per unit of semen. All other constraints were held constant. The objective function for all combinations maximized PD milk. The IPSIRE program exceeded MAXBULL by an average of $2.5 for PD dollars and 7.3 kg (16.1 lb) for PD milk using the small bull data base. Sire averages for traits PD type, PD fat percentage, and price paid were not different between the two programs. Similar trends were seen using the large bull data base. The IPSIRE program exceeded MAXBULL by an average of $1.2 for PD dollars and 4.1 kg (9.0 lb) for PD milk, whereas sire averages for PD fat percentage, PD type, and price paid were not different between programs. The goal for PD type had the least influence of the three goals on sire averages for PD milk. The goal for price paid had the greatest impact on realized PD milk; higher goals for price paid produced solutions with higher values for realized PD milk. The IPSIRE program required longer computational times for finding solutions that maximized PD milk than MAXBULL.

Animals↗
PubMedDate not supplied

[A new examination program for forensic assessment: performance of computers in medicine].

Computerizing of medicine is expected to increase very rapidly in the next few years. This will bear new questions for forensic judgement. We report a case and our expert opinion concerning the use of a very simple computer program at a private hospital to obtain comments on laboratory findings. Furthermore we discuss questions we consider to be of importance for forensic judgement in this field.

Clinical Laboratory Information Systems↗
PubMed2005

Using OrgAhead, a computational modeling program, to improve patient care unit safety and quality outcomes.

As part of ongoing research to investigate the impact of patient characteristics, organization characteristics and patient unit characteristics on safety and quality outcomes, we used a computational modeling program, OrgAhead, to model patient care units' achievement of patient safety (medication errors and falls) and quality outcomes. We tuned OrgAhead using data we collected from 32 units in 12 hospitals in Arizona. Validation studies demonstrated acceptable levels of correspondence between actual and virtual patient units. In this paper, we report how we used OrgAhead to develop testable hypotheses about the kinds of innovations that nurse managers might realistically implement on their patient care units to improve quality and safety outcomes. Our focus was on unit-level innovations that are likely to be easier for managers to implement. For all but the highest performing unit (for which we encountered a ceiling effect), we were able to generate practical strategies that improved performance of the virtual units that could be implemented by actual units to improve safety and quality outcomes. Nurse managers have responded enthusiastically to the additional decision support for quality improvement.

Arizona↗
PubMed1989

A microcomputer data base system for maternal serum alpha fetoprotein screening programmed in BASIC.

A computer program was developed for the IBM PC computer to be used for maternal serum alpha fetoprotein screening (MSAFP). This program, written in BASIC, 1) maintains a data base for patients tested, 2) allows input and storage of MSAFP results, 3) calculates the gestational age dependent result in multiple of the median (MOM), 4) makes an individualized interpretation of the result based on maternal age, weight and diabetes, 5) makes an appropriate recommendation for subsequent action based on the result, and 6) prints a report containing the above information. In addition, the program will print a daily log of patients tested, provides a follow-up sheet to assist in tracking abnormal results to term, converts the data files into files which can be easily intergrated into more powerful data base programs, and generates a monthly statement for billing purposes. The program can be easily modified by someone with minimal training in the BASIC programming language.

Female↗
PubMed1986

A threedimensional reconstruction program for personal computers.

A reconstruction program is described for personal computers, permitting threedimensional image reconstructions from serial sections. This program also makes it possible to calculate the volume of structures from their twodimensional images in histological sections. In this paper we show a program written in BASIC and debugged on a Sharp MZ-700 personal computer, equipped with the Sharp MZ-1P01 plotter. The program is explained in detail and is easily adapted to run on any personal computer.

Computers↗
PubMed1999

A graphic nomogram for warfarin dosage adjustment.

We assessed the ability of a graphic nomogram to adjust steady-state warfarin dosages and to predict international normalized ratios (INR) after a dosage change, compared with an anticoagulation clinic pharmacist and a Bayesian regression computer program. Study subjects were 108 men and 3 women receiving warfarin anticoagulation. In all patients the median absolute errors in predicted INR values for the nomogram, computer program, and pharmacist were 0.33, 0.46, and 0.48, respectively. The nomogram was significantly more precise than both other methods (p=0.036). In a subset of 50 patients who required dosage reductions, the median absolute INR prediction errors for the nomogram, computer program, and pharmacist were 0.35, 0.54, and 0.48 respectively. The nomogram was significantly more precise than the pharmacist (p=0.005) and computer (p=0.002). The ability to provide more precise dosage reductions of warfarin may be of clinical importance in light of current recommendations for higher-intensity warfarin therapy and maintenance of higher INR values. Prospective validation of the performance of this nomogram in a routine clinical setting is warranted.

Adult↗
PubMed1990

A microcomputer data base system for an in vitro fertilization clinic programmed in BASIC.

A computer program was developed for the IBM personal computer to be used for in vitro fertilization and gamete intrafallopian transfer clinics. This program, written in BASIC, allows input, editing, updating, sorting, and printing of patient data. Statistical functions permit summation of patient data based on various combinations of user-defined treatment cycles, diagnoses, and protocols, thus making possible comparison of pregnancy and other patient data between and among various treatment groups and diagnoses. The statistical information can be continually updated and revised when new data become available on patients (such as confirmation of pregnancy by ultrasound or live births) and at the end of each cycle. The formats used are useful in assimilating individual clinic data for various surveys and other reporting requirements. The program can be easily modified by anyone with minimal training in the BASIC programming language.

Ambulatory Care Facilities↗
PubMed1989

Simulating the open-loop transfer function as a means for understanding acoustic feedback in hearing aids.

Suppressing unstable acoustic feedback in hearing aids will first require knowledge of the open-loop transfer functions of such systems. Reported herein is a mathematical technique for simulating the open-loop transfer function of an in situ eyeglass-type hearing aid. In particular, a computer program was developed that characterized the hearing aid as a serial connection of two-port blocks, each representing one individual component of a hearing aid. Included, for example, were two-port blocks representing the microphone, amplifier, receiver, sound tubes leading to the eardrum (including the ear canal itself), earmold vent, and external pathway from the vent outlet back to the microphone. The computer program was validated by replicating laboratory data derived from an experiment involving a nonstandard manikin fitted with a nonstandard artificial ear. Next, the open-loop transfer function of an eyeglass-type hearing aid in situ on the manikin was simulated via the computer program. Unfortunately, those computer-generated data were not replicated in the laboratory due to the difficulty encountered in actually measuring the open-loop transfer function. Nevertheless, investigators were able to utilize those data to predict, within +/- 25 Hz, the "squeal" frequency of unstable acoustic feedback.

Acoustics↗