“The growth of bean plants within limited intervals and the growth of
children, again between quite restricted limits, follow approximately the
law of organic growth. Radium in decomposing follows the same law; the
rate of decrease at any instant being proportional to the quantity. In the
case of vibrating bodies, like a pendulum, the rate of decrease of the
amplitude follows this law; similarly in the case of a noise dying down
and in certain electrical phenomena, the rate of decrease is proportional
at any instant to the value of the function at the instant....
“_The Curve of Healing of a Wound._—Closely allied to the formulas
expressing the law of organic growth, _y = e__kt_, and the law of ‘organic
decay,’ _y = e__-kt_, is a recently discovered law which connects
algebraically by an equation and graphically by a curve, the surface-area
of a wound, with time expressed in days, measured from the time when the
wound is aseptic or sterile. When this aseptic condition is reached, by
washing and flushing continually with antiseptic solutions, two
observations at an interval commonly of four days give the ‘index of the
individual,’ and this index, and the two measurements of area of the
wound-surface, enable the physician-scientist to determine the normal
progress of the wound-surface, the expected decrease in area, for this
wound-surface of this individual. The area of the wound is traced
carefully on transparent paper, and then computed by using a mathematical
machine, called a planimeter, which measures areas.
“The areas of the wound are plotted as ordinates with the respective times
of observation measured in days as abscissas. After each observation and
computation of area the point so obtained is plotted to the same axes as
the graph which gives the ideal or prophetic curve of healing.
“When the observed area is found markedly greater than that determined by
the ideal curve, the indication is that there is still infection in the
wound.... A rather surprising and unexplained situation occurs frequently
when the wound-surface heals more rapidly than the ideal curve would
indicate; in this event secondary ulcers develop which bring the curve
back to normal....
“This application of mathematics to medicine is largely due to Dr. Alexis
Carrel of the Rockefeller Institute of Medical Research. He noted that the
larger the wound-surface, the more rapidly it healed, and that the rate of
healing seemed to be proportional to the area. This proportionality
constant is not the same for all values of the surface or we would have an
equation of the form,
_S = S__1__e__-kt_
in which _S_, is the area at the time that the wound is rendered sterile
and observations to be plotted really begin....
Public-domain text, read in full here on John Shaqi.
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