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  • 1
    ISSN: 1432-1440
    Keywords: Heart catheterisation ; Cath-lab-systems ; Computer analysis ; Haemodynamic studies ; Man-computer interaction ; Computer reliability ; Herzkatheteruntersuchung ; Herzkatheterlabor ; Computeranalyse ; Hämodynamik ; Mensch-Computer-Dialog ; Computer-Zuverlässigkeit
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Das in Aachen entwickelte Computersystem für die on-line-Analyse von hämodynamischen Daten ermöglicht im Dialog mit dem Rechner die sofortige Auswertung von Ekg, Drücken und Kälte- bzw. Farbstoffverdünnungskurven. Das Vorgehen bei der Kurvenauswertung sowie die vom Computer angestellten Berechnungen der einzelnen hämodynamischen Parameter werden beschrieben. Bei der Gegenüberstellung der ärztlich-manuellen Auswertung der auf Papier registrierten Druckkurven und der Computerresultate zeigt das in der täglichen Routine seit Oktober 1974 eingesetzte System eine sehr gute Korrelation für die Wellenerkennung und Wellenvermessung. Auch bei Verwendung verschiedener in der Praxis üblicher, flüssigkeitsgefüllter Katheter und des Tip-Manometers bestätigt sich für die Druckregistrierung in den einzelnen Herzabschnitten, daß das Computersystem für alle verwendeten Kathetermaterialien eine zuverlässige Auswertung bringt. Die flexible Konzeption des Computerprogramms mit seiner schnellen Adaptation an neue Fragestellungen erlaubt seinen Einsatz nicht nur in der klinischen Routine sondern besonders bei der Bearbeitung wissenschaftlicher Probleme im Rahmen hämodynamischer Untersuchungen.
    Notes: Summary The computer-system for the on-line-analysis of hemodynamic data developed in Aachen enables the clinical user to perform the immediate on-line analysis of ECG, pressure-curves and thermo- or dye-dilution-curves in a dialog mode. The procedure of pressure analysis as well as the calculations by the computer for the individual haemodynamic parameters are described. The comparison of the medicalmanual evaluation of the pressure curves on paper-registration and the computer results of the same measurement shows a very good correlation for wave-recognitions and wave-measurements for this system, integrated in the daily routine since 24 months. As well in the application of various fluid-filled catheters used in praxis as in tip-manometers it could be proved for the pressure-analysis in the different positions of the heart, that the computer-system produces reliable evaluations for all catheter materials used. The flexible conception of the computer program with its fast adaption to new problems allows its use not only in the clinical routine, but also and especially in the handling of scientific questions in the frame-work of haemodynamic analysis.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Calcified tissue international 23 (1977), S. 259-269 
    ISSN: 1432-0827
    Keywords: Amorphous calcium phosphate ; Apatite ; Calcification ; Octacalcium phosphate
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology , Medicine , Physics
    Notes: Summary The maturation of calcium phosphate crystals formed by the conversion of spontaneously precipitated amorphous calcium phosphate (ACP) was studied in aqueous media at temperatures ranging from 20° to 37°. Reaction pH was kept at 7.4 with either Hepes buffer or by the pH-stat addition of base. Reaction kinetics were followed by monitoring solution calcium and total phosphate, and, in the pH-stat controlled reaction, by recording the amount of KOH needed to maintain pH. Reaction products were examined chemically and by X-ray diffraction and transmission electron microcopy. The first crystals to form deviated markedly from apatite in morphology, composition, structure, and solubility. They were extremely thin and flaky in appearance, had a low Ca/P molar ratio (1.4), contained an appreciable amount of acid phosphate (16%), and had an exceptionally largea-axis (10.5 Å vs. 9.4 Å for apatite). With maturation, the crystals became thicker but smaller in lateral dimensions, more apatitelike in structure and composition, and less soluble. However, this ripening of the crystals was accompanied by unusual inflections in the solution Ca and total PO4 curves, and, in the case of the pH-stat experiments, in the OH consumption profiles as well. These anomalous post-ACP solution changes suggest that a phase change had taken place during crystal maturation. Although the observed structural and compositional changes are not inconsistent with the perfection of an initially defective apatite, the changes in crystal morphology and the anomalous behavior of the reaction solution may more accurately reflect a conversion of the ACP first into an OCP-like crystalline phase which subsequently hydrolyzes into apatite.
    Type of Medium: Electronic Resource
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