SEARCH · Search PubMed
Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.
Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.
Explore the source record for details and available documents.
This paper is a review of how geographers and others have used spatial analysis to study disease and health care delivery patterns. Point, line, area and surface patterns, as well as map comparisons and relative spaces are discussed. Problems encountered in applying spatial analytic techniques in medical geography are pointed out. The paper is intended to stimulate discussion about where medical geography can and should go in this area of study. Point pattern techniques include standard distance, standard deviational ellipses, gradient analysis and space and space-time clustering. Line methods include random walks, vectors and graph theory or network analysis. Under areas, location quotients, standardized mortality ratios, Poisson probabilities, space and space-time clustering, autocorrelation measures and hierarchical clustering are discussed. Surface techniques mentioned are isolines and trend surfaces. For map comparisons, Lorenz curves, coefficients of areal correspondence and correlation coefficients have been used. Case-control matching, acquaintance networks, multidimensional scaling and cluster analysis are examples of methods that are based on relative or non-metric spaces. The review gives rise to the discussion of several general points: problems encountered in spatial analysis, theory building and verification, the appropriate role of technique and computer use. Some suggestions are made for further use of spatial analytic techniques in medical geography: Monte Carlo simulation of point patterns, network analysis to study referral systems and health care for pastoralists, geographic information systems to assess environmental risk, difference mapping for disease and risk factor map comparisons and multidimensional scaling to measure social distance.
The spatial analysis of the potentials of single motor units of the rat medial gastrocnemius muscle evoked by stimulation of the fibres of split ventral roots was carried out with a bipolar electrode moving in the direction perpendicular to the longitudinal axis of the muscle fibres. During this movement of the electrode a variability was observed in the time of the biphasic potential from its maximum to minimum, and in the peak-to-peak amplitude of these potentials. The potentials recorded outside the territory of the motor unit had a lower amplitude in relation to the potentials from the territory of the unit. This made localization of the motor unit on the cross-section of the muscle possible. Differences in the duration of the potential from maximal to minimal amplitude (maximum-minimum amplitude time--M-MAT) of each investigated motor unit from successive recording sites reflected the number of fibres contributing to the action potential and the distance of the recording surface of the electrode from the zone of the motor end-plates of this motor unit. The greatest diameter of the territory of the observed motor units reached 2.5 mm.
This paper presents the operation of a digital computer program, VECTAN II, for the spatial analysis of the vectorcardiogram (VCG). The program incorporates a unique waveform recognition algorithm based on the spatial vector length which has been shown to perform better than previous algorithms. The waveform analysis employed by the program considers the vectorcardiogram as a three dimensional entity rather than as scalar or planar representations. VECTAN II is designed chiefly to measure and quantify the VCG response of normal subjects to a controlled stress by analyzing one VCG complex every five seconds throughout a long experiment. The program has been used to analyzeom the NASA Johnson Space Center Cardiovascular Laboratory, from the pre- and postflight medical examinations of the Apollo 15, 16 and 17 crewmen, and from onboard Skylab experiments.
The glycosaminoglycan hyaluronate (HA) appears to play an important role in limb cartilage differentiation. The large amount of extracellular HA accumulated by prechondrogenic mesenchymal cells may prevent the cell-cell and/or cell-matrix interactions necessary to trigger chondrogenesis, and the removal of extracellular HA may be essential to initiate the crucial cellular condensation process that triggers cartilage differentiation. It has generally been assumed that HA turnover during chondrogenesis is controlled by the activity of the enzyme hyaluronidase (HAase). In the present study we have performed a temporal and spatial analysis of HAase activity during the progression of limb development and cartilage differentiation in vivo. We have separated embryonic chick wing buds at several stages of development into well-defined regions along the proximodistal axis in which cells are in different phases of differentiation, and we have examined HAase activity in each region. We have found that HAase activity is clearly detectable in undifferentiated wing buds at stage 18/19, which is shortly following the formation of a morphologically distinct limb bud rudiment, and remains relatively constant throughout subsequent stages of development through stage 27/28, at which time well-differentiated cartilage rudiments are present. Moreover, HAase activity in the prechondrogenic distal subridge regions of the limb at stages 22/23 and 25 is just as high as, or even slightly higher than, it is in proximal central core regions where condensation and cartilage differentiation are progressing. We have also found that limb bud HAase is active between pH 2.2 and 4.5 and is inactive above pH 5.0. This suggests that limb HAase is a lysosomal enzyme and that extracellular HA would have to be internalized to be degraded. These results indicate that the onset of chondrogenesis is not associated with the appearance or increase in activity of HAase. We suggest that possibility that HA turnover may be regulated by the binding and endocytosis of extracellular HA in preparation for its intracellular degradation by lysosomal HAase. Finally, we have found that the apical ectodermal ridge (AER)-containing distal limb bud ectoderm possesses a relatively high HAase activity. We suggest the possibility that a high HAase activity in the AER may ensure a rapid turnover and remodeling of the disorganized HA-rich basal lamina of the AER that might be essential for limb outgrowth.
Spatial transcriptomics (ST) enables genome-wide gene expression profiling while retaining spatial context within tissue sections. Since the foundational work by Ståhl et al. in 2016, the field has expanded rapidly, with diverse platforms now spanning sequencing-based (e.g., Visium, Visium HD, Slide-seq, Stereo-seq, and Seq-Scope) and imaging-based (e.g., MERFISH, Xenium, and CosMx SMI) approaches. The breadth of platforms, data structures, and computational tools, however, can be daunting for newcomers. Here, we present ten quick tips spanning the entire ST research workflow: whether ST suits a given biological question, how to select a platform aligned with study objectives, how to understand and process ST data, and which software tools to employ for analysis and visualization. We further discuss interpreting spatial patterns in biological context, integrating complementary modalities such as single-cell RNA sequencing and spatial proteomics, and leveraging public datasets and sharing results. Finally, we highlight current limitations of ST, particularly the challenge of reconstructing three-dimensional tissue architecture from serial tissue sections. This review provides biologists, bioinformaticians, and clinician-scientists with a concise, platform-neutral roadmap for incorporating ST into research, from experimental design to biological discovery.
Adult diffuse gliomas are composed of malignant cell states interwoven with the non-malignant brain microenvironment. Here, we combine spatial transcriptomics and spatial proteomics of isocitrate dehydrogenase (IDH)-mutant gliomas to define organizational principles across histological grades. In low-grade tumors, spatial organization is shaped by underlying brain anatomy. We identify a functional white-gray matter junction that restricts cortical invasion and is associated with marked changes in tumor composition and cellular phenotypes. This junction is preferentially traversed by oligodendrocyte progenitor (OPC)-like malignant cells, suggesting a role in tumor expansion. In contrast, tumors with intermediate histological features are largely disorganized, with few recurring interactions between cancer cell states and microenvironmental cell types. In high-grade tumors, hypoxia-associated structure emerges, resembling IDH-wild-type glioblastoma. Together, these findings reveal two independent axes of spatial organization-from anatomy-driven structure in low-grade tumors to hypoxia-driven organization in high-grade tumors-and establish a framework linking tumor grade to recurrent spatial interactions.
Spatial patterns are described and analysed for the 84 most common surnames in England and Wales, as well as 16 others selected for various reasons. At least three-quarters of the surname frequencies show spatial structure and are heterogeneous over the area of study. While they do not exhibit clines extending over the entire area of study, they do divide into four characteristics patterns. Spatial autocorrelation, while significant, is relatively low; similarity in surname frequency does not extend much beyond 100 km. Correlograms could be clustered to yield groups of surfaces denoting partial clines, isolation by distance, and differentiation at far distances. A method for detecting zones of rapid change found 21 such zones, mostly near the periphery of the study area. These boundaries do not indicate barriers to gene flow, but appear to be patterns brought about by historical factors. There are diffusion patterns between areas that differ greatly in surname composition, such as Wales and central England. There is little evidence of long-distance movements involving several surnames. At least three characteristic migration patterns, east-west and north-south diffusion and local dispersal, were found.
Spatial transcriptomics (ST) integrates spatial information into genomics, yet methods for generating spatially-informed gene representations are limited and computationally intensive. We present SIGEL, a cost-effective framework that derives gene manifolds from ST data by exploiting spatial genomic context. The resulting SIGEL-generated gene representations (SGRs) are context-aware, biologically meaningful, and robust across samples, making them highly effective for key downstream tasks, including imputing missing genes, detecting spatial expression patterns, identifying disease-related genes and interactions, and improving spatial clustering. Extensive experiments across diverse ST datasets validate SIGEL's effectiveness and highlight its potential in advancing spatial genomics research.
The laminar and tangential distributions of association neurons projecting from areas 4 and 6 of the frontal lobe to area 5 of the superior parietal lobule were studied in macaque monkeys by using horseradish peroxidase histochemistry. In both areas 4 and 6 association neurons were medium-large pyramidal cells of layers II and III, and pyramidal and fusiform cells of layers V-VI. Tangentially, they were distributed unevenly over the cortical surface occupying only certain parts of areas 4 and 6, including the dorsomedial part of area 6, the proximal arm region of Woolsey's M1 map, parts of the postarcuate cortex, and the supplementary motor area. Within these projection zones, the number of projection cells waxed and waned in a periodic fashion. Quantitative methods, including spectral analysis techniques, were used to characterize precisely spatial periodicities along the rostrocaudal dimension. The same quantitative analyses were used to determine the nature of the tangential distribution of corticocallosal cells of area 5 projecting to contralateral area 5. Both association and callosal spectra contained a strong component in the range of low spatial frequencies, corresponding to periods greater than 2 mm. Moreover, a consistent peak was observed in both spectra at spatial frequencies corresponding to periods ranging from 0.85 to 1.28 mm. This peak is in accord with the hypothesis of a modular organization of the cells of origin of these projection systems.
Lateralisation for tactile-spatial perception was studied in 21 10- to 15-yr.-old boys of average intelligence who were underachieving in reading and 21 matched controls. Controls showed a significant advantage at recognising shapes on a visual display when they had been actively felt with the left hand. There was no difference between left- and right-hand scores in the poor readers. This supports Witelson's (1977) finding that poor readers are less lateralised for spatial-processing than are average readers.
This paper illustrates the usefulness of cartographic and centrographic methods in examining the locational characteristics of health care resources, such as specialist physicians' offices. Cartographic analysis involving map comparisons not only describes the nature of particular spatial patterns, but it also suggests relevant hypotheses on the basis of observed locational relationships among the mapped phenomena. Centrographic analysis generally substantiates the findings of simple map analysis by providing certain objective quantitative measures regarding the basic characteristics of a point distribution; additionally, it generates a graphic summary, the Standard Deviational Ellipse (SDE), which offers a convenient means for direct comparison of multiple spatial patterns. The essentially complementary nature of the two methods is highlighted, and it is concluded that they are most useful when used in conjunction with one another.
The pattern of infestations of Ixodes dammini on white-tailed deer in Ogle County in Illinois was studied through examinations of hunted deer from 1988 to 1990. The Illinois Geographic Information System mapped the spatial distribution of tick infestations on deer and related it to a known endemic focus for I. dammini and Borrelia burgdorferi (Castle Rock State Park), and to a major waterway (Rock River). Second-order neighborhood analysis was used to analyze the spatial distribution of deer around Castle Rock State Park. More than 25% of deer were infested. All deer were clustered around CRSP, but the clustering resulted mostly from clustering of infested deer around CRSP. CRSP is apparently the only important source of tick infestations in Ogle County. Clustering of infested deer did not change during the 3-yr study period. The dispersion pattern of ticks on deer was aggregated, with twice and three times as many ticks collected from bucks as from does and from fawns, respectively. More male ticks than female ticks were collected from infested deer. Of 59 ticks removed from harvested deer in 1990, 5.1% tested positive for B. burgdorferi.
The hypothesis that odor-specific patterns of mitral cell activity during odor discrimination might be found in the corresponding spatial patterns of electroencephalogram (EEG) amplitude over a surgically accessible segment of the bulbar surface was tested in rabbits with chronically implanted electrode arrays. The spatial spectrum of the bulbar EEG was derived and compared with the spectrum predicted for the granule cell generator. Spatial filters were devised to identify, enhance, or remove the granule cell contribution to the EEG. Spatial deconvolution was applied to the filtered granule cell activity patterns to correct for distortion caused by volume conduction. The results indicated that the bulb generated odor-specific spatial patterns in rabbits trained to discriminate between two odors. The odor-specific information was not localizable to subsets of channels. This suggested that the discriminative output of the bulb involved the entire structure, even though the receptor input was delivered to limited subsets of mitral cells.
We propose methods for the spatial and temporal characterization of time-dependent magnetic fields generated by eddy currents after switching gradients. For an on-line determination of the temporal variations of the fields, we extract two terms from the unresolved signal of an extended sample, describing the time evolution of a frequency shift gamma delta Bz(t) and of a decay constant k(t). This procedure allows us to optimize interactively the multiexponential pre-emphasis as well as any spectral volume selection method with respect to eddy currents. Additionally, we suggest an imaging sequence which allows us to determine the spatial distribution of eddy current fields at a chosen time-point after any gradient sequence to be tested. Expansion of these eddy currents fields into spherical harmonic functions proves the existence of a higher order terms, which cannot be corrected by a standard pre-emphasis device, where time constants and amplitudes are adjusted on the X, Y, Z, and Z0 coils. The proposed numerical analysis gives a tool to characterize any magnet/gradient system quantitatively with respect to eddy current performance.
The social behavior, and particularly the spacing patterns, of a marmoset (Saguinus fuscicollis) group in a semi-naturalistic enclosure were observed for 14 months. Data analysis revealed various changes as the group grew in size from four to eventually six members. Weekly mean distances between the adult pair supported a spatial measure for estrus for the female. Group dispersion, mean squared distance between all possible pairs, seemed to vary with the age composition of the group. Factor analysis of location correlation matrices by 4-week blocks resulted in age-related subgroupings. Each of the adult pair formed an independent subgroup except for behavioral estrus and early infant care periods when they formed one subgroup. The offspring, initially attached to the adults, gradually moved into juvenile/subadult subgroups. Increasing spatial independence was shown as an animal approached adulthood at 24 months of age.
The decline in pertussis (whooping cough) immunization in the 1970s is related to public concern about the safety of the vaccine. The debates about its safety and effectiveness and the impact of vaccination on notifications are reviewed. A study is made of spatial variations in vaccine uptake within the metropolitan district of Salford, Greater Manchester, using data available at ward level. Salford as a whole has one of the lowest rates of uptake in the North Western Regional Authority, which itself has the lowest uptake in the country. Variations from ward to ward are noted and an attempt is made to account for these using Poisson regression. Both the number of children being immunized against pertussis and the number receiving diphtheria and tetanus vaccine (but foregoing the pertussis component) are used as dependent variables. Of the explanatory variables social class proves a useful predictor. However, the analysis is an ecological one and further work is called for at the scale of individual clinics in order to investigate health worker and parental attitudes and the accessibility constraints felt by those responsible for bringing children to clinics.
The objective of the paper is to examine the methods of keeping medical records in medical institutions in Nigeria and the limitations of present practices of record keeping to the study of various aspects of the spatial pattern of health problems in the country. There are suggestions of the type of additional information to be recorded about patients and methods of storage so that records at our health institutions can be more useful in understanding the health problems and needs of the country.