Hoepker W W
Bull Schweiz Akad Med Wiss. 1977 May;33(1-3):159-71.
The theme is centred on the topics: informatics without computer-stitistics without numbers. Informatics without computers: the development of electronic data processing in medicine and especially in pathology has demonstrated that we are still far from clear text processing or automated diagnosis. An essential reason is seen in the fact that the present nomenclature allows no clear distinction between the terms of entity of disease and diagnosis. An exact differentiation between these terms is prerequisite for a further development of data processing. Statistics without nombers: In a larger interdisciplinary study we examined how the known risk factors to arteriosclerosis and myocardial infarction can be correlated upon the morphometrical explored patho-anatomical changes of the coronary vessel system. The method used was the factor analysis. In about 30% of the observed cases (total number: 419) the morphologic aspect alone and under simultaneous consideration of the risk factors did not sufficiently explain the patho-anatomically detected myocardial infarctions. As a possible explanation of this phenomenon the simultaneous and concordant attack of the intramural coronary vessels is being discussed.
没有计算机的信息学,没有数字的统计学。没有计算机的信息学:医学尤其是病理学中电子数据处理的发展表明,我们距离清晰的文本处理或自动诊断仍有很大差距。一个重要原因在于当前的命名法无法明确区分疾病实体和诊断的术语。这些术语之间的精确区分是数据处理进一步发展的前提条件。没有数字的统计学:在一项更大规模的跨学科研究中,我们研究了已知的动脉硬化和心肌梗死风险因素如何与通过形态测量探索的冠状动脉系统病理解剖变化相关联。所使用的方法是因子分析。在约30%的观察病例(总数:419例)中,仅形态学方面并同时考虑风险因素,不足以解释病理解剖学检测到的心肌梗死。作为对这一现象的一种可能解释,正在讨论壁内冠状动脉的同时协同攻击。