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Tools for Immunization Guideline Knowledge Maintenance 免疫指南知识维护工具
Computers and biomedical research, an international journal Pub Date : 1998-06-01 DOI: 10.1006/cbmr.1998.1471
Perry L. Miller, Sandra J. Frawley, Cynthia Brandt, Frederick G. Sayward
{"title":"Tools for Immunization Guideline Knowledge Maintenance","authors":"Perry L. Miller,&nbsp;Sandra J. Frawley,&nbsp;Cynthia Brandt,&nbsp;Frederick G. Sayward","doi":"10.1006/cbmr.1998.1471","DOIUrl":"10.1006/cbmr.1998.1471","url":null,"abstract":"<div><p>IMM/Test is a prototype software tool built to generate test cases that can be used to help test and verify the internal logic of an immunization forecasting program. A forecasting program takes as input a child's immunization history and produces recommendations as to which vaccinations are due and which should be scheduled next. IMM/Test was developed to test a specific immunization forecasting program, IMM/Serve. In addition, IMM/Test has been incorporated into a broader Web-based tool, IMM/Web, which allows the user (e.g., a member of an immunization registry staff) to customize the parameters used for immunization forecasting (e.g., the minimum ages for each dose and the minimum wait intervals between doses) to reflect local practice. IMM/Web then generates a customized set of test cases that may be used to test the user's immunization forecasting program. The user may also request that the test cases be automatically passed to IMM/Serve to analyze using the newly defined parameters. The paper describes the internal design of IMM/Test and IMM/Web and discusses certain lessons learned in the implementation of the two programs.</p></div>","PeriodicalId":75733,"journal":{"name":"Computers and biomedical research, an international journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1998-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1006/cbmr.1998.1471","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20547713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 13
Joint Time and Time-Frequency Optimal Detection of K-Complexes in Sleep EEG 睡眠脑电图中k -复合体的联合时频最优检测
Computers and biomedical research, an international journal Pub Date : 1998-06-01 DOI: 10.1006/cbmr.1998.1476
Cédric Richard, Régis Lengelle
{"title":"Joint Time and Time-Frequency Optimal Detection of K-Complexes in Sleep EEG","authors":"Cédric Richard,&nbsp;Régis Lengelle","doi":"10.1006/cbmr.1998.1476","DOIUrl":"10.1006/cbmr.1998.1476","url":null,"abstract":"<div><p>Automated detection of waveforms such as delta and K-complex in the EEG is an important component of sleep stage monitoring. The K-complex is a key feature that contributes to sleep stages assessment. However, its automated detection is still difficult due to the stochastic nature of the EEG. In this paper, we propose a detection structure which can be interpreted as joint linear filtering operations in time and time-frequency domains. We also introduce a method of obtaining the optimum detector from training data, and we show that the resulting receiver offers better performances than the one obtained via the Fisher criterion maximization. The efficiency of this approach for K-complexes detector design is explored. It results from this study that the obtained receiver is potentially the best one which can be found in the literature. Finally, it is emphasized that this methodology can be advantageously used to solve many other detection problems.</p></div>","PeriodicalId":75733,"journal":{"name":"Computers and biomedical research, an international journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1998-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1006/cbmr.1998.1476","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20547714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 36
An Efficient Procedure for Permutation Tests in Imaging Research 成像研究中一种有效的排列试验方法
Computers and biomedical research, an international journal Pub Date : 1998-06-01 DOI: 10.1006/cbmr.1998.1478
Dan Heckel , Stephan Arndt , Ted Cizadlo , Nancy C. Andreasen
{"title":"An Efficient Procedure for Permutation Tests in Imaging Research","authors":"Dan Heckel ,&nbsp;Stephan Arndt ,&nbsp;Ted Cizadlo ,&nbsp;Nancy C. Andreasen","doi":"10.1006/cbmr.1998.1478","DOIUrl":"10.1006/cbmr.1998.1478","url":null,"abstract":"<div><p>Recent interest in hypothesis testing on functional imaging data has spurred the development of several statistical techniques. The purpose of this paper is to provide a method to reduce the computational intensity associated with randomization tests of positron emission tomography imaging data. We discuss the advantages and disadvantages of traditional distributional hypothesis testing versus the advantages and disadvantages of randomization tests. A method for reducing the computational intensity of randomization uses a conjunction of updating and sequenching and results in significantly reduced processing. The running times of randomization methods are compared.</p></div>","PeriodicalId":75733,"journal":{"name":"Computers and biomedical research, an international journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1998-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1006/cbmr.1998.1478","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20547711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Tools for Immunization Guideline Knowledge Maintenance 免疫指南知识维护工具
Computers and biomedical research, an international journal Pub Date : 1998-06-01 DOI: 10.1006/cbmr.1998.1472
Perry L. Miller
{"title":"Tools for Immunization Guideline Knowledge Maintenance","authors":"Perry L. Miller","doi":"10.1006/cbmr.1998.1472","DOIUrl":"10.1006/cbmr.1998.1472","url":null,"abstract":"<div><p>IMM/Def is a prototype computer program designed to facilitate the building and maintenance of a rule-based program which performs childhood immunization forecasting. An immunization forecasting program takes as input a child's immunization history and produces recommendations as to which vaccinations are due and which should be scheduled next. A significant amount of the knowledge required for immunization forecasting can be expressed in tabular form, including the parameters that indicate the minimum age when each dose may be given and the minimum intervals between doses. The choice of which of these sets of parameters apply to a particular case depends upon additional clinical logic. To perform forecasting, this logic must be applied in three temporal contexts: (1) a dose is due now, (2) a dose is not yet due, and (3) a dose must be scheduled to follow a dose which is due now. Building and maintaining this logic by hand is a formidable challenge. IMM/Def demonstrates how this task can be simplified by first defining immunization “definition logic” which can be automatically translated into if-then rules for each of the three contexts. The approach has been applied successfully to the six childhood vaccination series which are routinely administered. A key advantage is that IMM/Def allows one to have two specifications of the logic that can be examined independently and that can be cross-checked to help assure completeness, consistency, and accuracy of the logic. The paper describes how IMM/Def performs its translation and discusses several design issues and lessons learned.</p></div>","PeriodicalId":75733,"journal":{"name":"Computers and biomedical research, an international journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1998-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1006/cbmr.1998.1472","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20547712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 17
DerivFit:A Program for Rate Equation Parameter Fitting Using Derivatives 使用导数进行速率方程参数拟合的程序
Computers and biomedical research, an international journal Pub Date : 1998-04-01 DOI: 10.1006/cbmr.1998.1469
Rafał Michalski , Wojciech Rode , Andrzej Leś
{"title":"DerivFit:A Program for Rate Equation Parameter Fitting Using Derivatives","authors":"Rafał Michalski ,&nbsp;Wojciech Rode ,&nbsp;Andrzej Leś","doi":"10.1006/cbmr.1998.1469","DOIUrl":"10.1006/cbmr.1998.1469","url":null,"abstract":"<div><p>A C program for fitting parameters in enzymatic rate equations is presented. The<strong>DerivFit</strong>program employs the reaction scheme in the form of ordinary differential equations (ODEs). The kinetic parameters are fitted to the experimental data by minimizing the sum of squared deviations of experimental points from theoretically predicted progress curves. In the minimization process we use the Gradient, Newton, and Marquardt algorithms. The gradients are calculated explicitly by solving a set of additional ODEs that are automatically attached by the program, taking advantage of a general formulation of the basic ODEs that determine the reaction's time course. The program is applied to simple enzymatic systems including slow tight-binding inhibition.</p></div>","PeriodicalId":75733,"journal":{"name":"Computers and biomedical research, an international journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1998-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1006/cbmr.1998.1469","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20492551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Computer-Assisted Analysis of the Impact of Respiratory Quotient on Blood CO2Tension and pH Changes 呼吸商对血co2浓度和pH值变化影响的计算机辅助分析
Computers and biomedical research, an international journal Pub Date : 1998-04-01 DOI: 10.1006/cbmr.1998.1468
Ivo Giovannini, Carlo Chiarla, Giuseppe Boldrini, Gennaro Nuzzo
{"title":"Computer-Assisted Analysis of the Impact of Respiratory Quotient on Blood CO2Tension and pH Changes","authors":"Ivo Giovannini,&nbsp;Carlo Chiarla,&nbsp;Giuseppe Boldrini,&nbsp;Gennaro Nuzzo","doi":"10.1006/cbmr.1998.1468","DOIUrl":"10.1006/cbmr.1998.1468","url":null,"abstract":"<div><p>A computer model for the accurate quantification of blood gas exchange components was used to assess the impact of respiratory quotient (RQ) on venoarterial CO<sub>2</sub>tension and pH differences over a large group of patient measurements. The combined use of measured and computer-generated data has shown that, for any given increase in blood CO<sub>2</sub>concentration (i.e., when the arterial blood becomes venous), the associated increase in CO<sub>2</sub>tension and decrease in pH are inversely related to the RQ, and that this relationship is mediated by the Haldane effect. These results are useful for a thorough understanding of blood gas and metabolic interactions in normal and abnormal states, and for improving the interpretation of changes in venoarterial CO<sub>2</sub>tension gradient in clinical monitoring.</p></div>","PeriodicalId":75733,"journal":{"name":"Computers and biomedical research, an international journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1998-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1006/cbmr.1998.1468","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20493649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Detection of Spikes with Artificial Neural Networks Using Raw EEG 基于原始脑电图的人工神经网络尖峰检测
Computers and biomedical research, an international journal Pub Date : 1998-04-01 DOI: 10.1006/cbmr.1998.1475
Ö. Özdamar , T. Kalayci
{"title":"Detection of Spikes with Artificial Neural Networks Using Raw EEG","authors":"Ö. Özdamar ,&nbsp;T. Kalayci","doi":"10.1006/cbmr.1998.1475","DOIUrl":"10.1006/cbmr.1998.1475","url":null,"abstract":"<div><p>Artificial neural networks (ANN) using raw electroencephalogram (EEG) data were developed and tested off-line to detect transient epileptiform discharges (spike and spike/wave) and EMG activity in an ongoing EEG. In the present study, a feedforward ANN with a variable number of input and hidden layer units and two output units was used to optimize the detection system. The ANN system was trained and tested with the backpropagation algorithm using a large data set of exemplars. The effects of different EEG time windows and the number of hidden layer neurons were examined using rigorous statistical tests for optimum detection sensitivity and selectivity. The best ANN configuration occurred with an input time window of 150 msec (30 input units) and six hidden layer neurons. This input interval contained information on the wave component of the epileptiform discharge which improved detection. Two-dimensional receiver operating curves were developed to define the optimum threshold parameters for best detection. Comparison with previous networks using raw EEG showed improvement in both sensitivity and selectivity. This study showed that raw EEG can be successfully used to train ANNs to detect epileptogenic discharges with a high success rate without resorting to experimenter-selected parameters which may limit the efficiency of the system.</p></div>","PeriodicalId":75733,"journal":{"name":"Computers and biomedical research, an international journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1998-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1006/cbmr.1998.1475","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20493652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 75
Contribution to the Definition of the Power Bands Limits of Sleep EEG by Linear Prediction 线性预测对睡眠脑电图频带界限定义的贡献
Computers and biomedical research, an international journal Pub Date : 1998-04-01 DOI: 10.1006/cbmr.1998.1474
J.-P. Lanquart
{"title":"Contribution to the Definition of the Power Bands Limits of Sleep EEG by Linear Prediction","authors":"J.-P. Lanquart","doi":"10.1006/cbmr.1998.1474","DOIUrl":"10.1006/cbmr.1998.1474","url":null,"abstract":"<div><p>The linear prediction method has been applied to compute the power spectra distribution in 10 healthy young men (aged 17 to 26). For each subject, the local extrema positions have been detected and grouped as a function of their frequency. The computation of a mean frequency distribution for the extrema position, on the 10 subjects, allowed for the definition of eight frequency power bands. The time evolution of these power bands during the first NREM episode has been computed and averaged for the 10 subjects. The cross-correlation analysis demonstrated the relevance of three bands in the range 0–8.10 Hz: delta ]0–2.78] Hz, theta 1 ]2.78–5.42] Hz, theta 2 ]5.42–8.10] Hz. Our extrema study leads to the division of the beta range ]16.25–25.00] Hz into three bands. However, their time evolution does not support the usefulness of the partitioning of the beta range, probably resulting from our too low sampling frequency.</p></div>","PeriodicalId":75733,"journal":{"name":"Computers and biomedical research, an international journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1998-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1006/cbmr.1998.1474","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20493650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Developing Online Support for Clinical Information System Developers: The FAQ Approach 为临床信息系统开发者开发在线支持:常见问题解答方法
Computers and biomedical research, an international journal Pub Date : 1998-04-01 DOI: 10.1006/cbmr.1998.1470
Adam Wilcox, George Hripcsak, Stephen B. Johnson, Jae-Jun Hwang, Min Wu
{"title":"Developing Online Support for Clinical Information System Developers: The FAQ Approach","authors":"Adam Wilcox,&nbsp;George Hripcsak,&nbsp;Stephen B. Johnson,&nbsp;Jae-Jun Hwang,&nbsp;Min Wu","doi":"10.1006/cbmr.1998.1470","DOIUrl":"10.1006/cbmr.1998.1470","url":null,"abstract":"<div><p><strong>Objective:</strong>We investigate a knowledge-based help system for developers of an integrated clinical information system (CIS). The first objective in the study was to determine the system's ability to answer users' questions effectively. User performance and behavior were studied. The second objective was to evaluate the effect of using questions and answers to augment or replace traditional program documentation.</p><p><strong>Design:</strong>A comparative study of user and system effectiveness using a collection of 47 veritable questions regarding the CIS, solicited from various CIS developers, is conducted. Most questions were concerning the clinical data model and acquiring the data.</p><p><strong>Measurements:</strong>Answers using current documentation known by users were compared to answers found using the help system. Answers existing within traditional documentation were compared to answers existing within question–answer exchanges (Q-A's).</p><p><strong>Results:</strong>The support system augmented 39% of users' answers to test questions. Though the Q-A's were less than 5% of the total documentation collected, these files contained answers to nearly 50% of the questions in the test group. The rest of the documentation contained about 75% of the answers.</p><p><strong>Conclusions:</strong>A knowledge-based help system built by collecting questions and answers can be a viable alternative to large documentation files, providing the questions and answers can be collected effectively.</p></div>","PeriodicalId":75733,"journal":{"name":"Computers and biomedical research, an international journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1998-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1006/cbmr.1998.1470","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20493651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Modeling and Simulating Morphological Evolution in an Artificial Life Environment 人工生命环境中形态进化的建模与模拟
Computers and biomedical research, an international journal Pub Date : 1998-02-01 DOI: 10.1006/cbmr.1997.1464
Paulo Sérgio Panse Silveira, Eduardo Massad
{"title":"Modeling and Simulating Morphological Evolution in an Artificial Life Environment","authors":"Paulo Sérgio Panse Silveira,&nbsp;Eduardo Massad","doi":"10.1006/cbmr.1997.1464","DOIUrl":"10.1006/cbmr.1997.1464","url":null,"abstract":"<div><p>This paper presents a computer-based environment designed to study biological evolution considering morphological aspects. It was inspired on<em>cellular automata</em>and<em>evolutionary algorithm</em>principles. Simple rules are used to determine the genotype and phenotype of individuals and their relationships with behavioral aspects in a square matrix environment, where individuals can evolve. Two methods to simulate mutational errors and to introduce variability of mutations are discussed. A series of four simulations show that the model promotes phenotype evolution depending on the distribution of food over the environment; morphology evolved as to favor movement of the individuals towards the portion of the environment in which the food has been distributed or to capture falling food.</p></div>","PeriodicalId":75733,"journal":{"name":"Computers and biomedical research, an international journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1998-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1006/cbmr.1997.1464","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20484242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
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