Structural response of cadaveric ribcages under a localized loading: stiffness and kinematic trends.

To improve understanding of structural coupling and deformation patterns throughout the loaded ribcage, the present study reports the force-displacement and kinematic responses under a highly-localized loading condition using three PMHS ribcages (ages 44, 61, and 63 years). The ribcages were quasi-statically loaded locally to a non-failure displacement (nominally 15% of the ribcage depth at the loaded rib level) at approximately 25 unilateral locations and 5-7 geometrically symmetric bilateral locations on the anterior surface of each ribcage, for a total of 94 tests. The translations of 56 points distributed around the anterior, lateral, and posterior portions of the superficial surface of the ribcage were measured while under loading.

The effect of upper limb orthotics after stroke: a systematic review.

Unlabelled: Upper limb orthotics, or splints, are widely advocated for people with stroke however opinion about whether, and how, they should be used is varied. We therefore systematically reviewed the literature on upper limb orthotics for people with stroke and other non-progressive brain lesions to establish whether an orthosis can improve function or/and impairments.

Search Strategy: The Cochrane library, MEDLINE, EMBASE, CINAHL, AMED, PsycINFO and RECAL were searched.

Cultivable anaerobic microbiota of severe early childhood caries.

Severe early childhood caries (ECC), while strongly associated with Streptococcus mutans using selective detection (culture, PCR), has also been associated with a widely diverse microbiota using molecular cloning approaches. The aim of this study was to evaluate the microbiota of severe ECC using anaerobic culture. The microbial composition of dental plaque from 42 severe ECC children was compared with that of 40 caries-free children.

Endodontic photodynamic therapy ex vivo.

Introduction: The objective of this study was to evaluate the antimicrobial effects of photodynamic therapy (PDT) on infected human teeth ex vivo.

Methods: Fifty-two freshly extracted teeth with pulpal necrosis and associated periradicular radiolucencies were obtained from 34 subjects. Twenty-six teeth with 49 canals received chemomechanical debridement (CMD) with 6% NaOCl, and 26 teeth with 52 canals received CMD plus PDT.

Modeling costal cartilage using local material properties with consideration for gross heterogeneities.

Contemporary computer models of the thorax designed to predict injury in automobile collisions model the costal cartilage as a homogeneous material using properties derived from local material characterization tests. No studies have validated the accuracy of these models in predicting the structural mechanics of costal cartilage. Two heterogeneities - the perichondrium and calcified regions - may affect the behavior of costal cartilage in a manner not accounted for by current models.

A pseudo-elastic effective material property representation of the costal cartilage for use in finite element models of the whole human body.

Objective: Injury-predictive finite element (FE) models of the chest must reproduce the structural coupling behavior of the costal cartilage accurately. Gross heterogeneities (the perichondrium and calcifications) may cause models developed based on local material properties to erroneously predict the structural behavior of cartilage segments. This study sought to determine the pseudo-elastic effective material properties required to reproduce the structural behavior of the costal cartilage under loading similar to what might occur in a frontal automobile collision.

Developmental sexual dimorphism of the oral and pharyngeal portions of the vocal tract: an imaging study.

Purpose: The anatomic origin for prepubertal vowel acoustic differences between male and female subjects remains unknown. The purpose of this study is to examine developmental sex differences in vocal tract (VT) length and its oral and pharyngeal portions.

Method: Nine VT variables were measured from 605 imaging studies (magnetic resonance imaging and computed tomography) of subjects between birth and age 19 years.

Inflammation and genetic risk indicators for early periodontitis in adults.

Background: This report is a further analysis of a study designed to determine clinical and microbial risk indicators for progressing periodontitis.

Methods: One hundred ninety subjects who were periodontally healthy or had early signs of periodontitis (age range: 20 to 40 years) were monitored clinically at 6-month intervals followed by supragingival cleaning. At each visit, gingival crevicular fluid (GCF) and blood were collected for determination of interleukin (IL)-1β content (in GCF) and IL-1 genotype (in blood).

An inflatable belt system in the rear seat occupant environment: investigating feasibility and benefit in frontal impact sled tests with a 50(th) percentile male ATD.

Frontal-impact airbag systems have the potential to provide a benefit to rear seat occupants by distributing restraining forces over the body in a manner not possible using belts alone. This study sought to investigate the effects of incorporating a belt-integrated airbag ("airbelt") into a rear seat occupant restraint system. Frontal impact sled tests were performed with a Hybrid III 50th percentile male anthropomorphic test device (ATD) seated in the right-rear passenger position of a 2004 mid-sized sedan buck.

Kinematic Comparison of Pediatric Human Volunteers and the Hybrid III 6-Year-Old Anthropomorphic Test Device.

The Hybrid III 6-year-old ATD has been benchmarked against adult-scaled component level tests but the lack of biomechanical data hinders the effectiveness of the procedures used to scale the adult data to the child. Whole body kinematic validation of the pediatric ATD through limited comparison to post mortem human subjects (PMHS) of similar age and size has revealed key differences attributed to the rigidity of the thoracic spine. As restraint systems continue to advance, they may become more effective at limiting peak loads applied to occupants, leading to lower impact environments for which the biofidelity of the ATD is not well established.

Expansion and evaluation of data characterizing the structural behavior of the pediatric abdomen.

Despite the importance of abdominal injuries in children involved in motor vehicle collisions, only two papers have reported experimental data quantifying the pediatric abdominal response to belt loading. One developed and characterized a porcine model of the pediatric abdomen and the other presented a series of tests performed on a single pediatric (7-year-old female) post-mortem human subject (PMHS) and used the data to evaluate the efficacy of the porcine model. The current paper presents the results from an additional pediatric (6-year-old female) PMHS test series and an expanded evaluation of the porcine model using the combined PMHS data.

Incorporation of CPR Data into ATD Chest Impact Response Requirements.

Pediatric and adult ATD's are key tools for the development of motor vehicle crash safety systems. Previous researchers developed size-based scaling methods to adapt blunt chest impact data from adult post-mortem human subjects (PMHS) for pediatric ATD chests design requirements, using skull or femur elastic modulus ratios to estimate the change in whole chest stiffness during maturation. Recently, the mechanics of chest compression during cardiopulmonary resuscitation (CPR) of patients spanning the pediatric and elderly ages have been reported.

Analysis of spinal motion and loads during frontal impacts. Comparison between PMHS and ATD.

Quantifying the kinematics of the human spine during a frontal impact is a challenge due to the multi-degree-of-freedom structure of the vertebral column. This papers reports on a series of six frontal impacts sled tests performed on three Post Mortem Human Surrogates (PMHS). Each subject was exposed first to a low-speed, non-injurious frontal impact (9 km/h) and then to a high-speed one (40 km/h).

Response of the human torso to lateral and oblique constant-velocity impacts.

The objective of this study was to provide new biomechanical response data for the thorax with lateral and oblique loading, so as to support the development of safety systems for side impact protection that would offer the level of protection that has been achieved in frontal impact. Three male human cadavers were successively impacted by an impactor system delivering a constant velocity impact from the left and the right sides at three levels (shoulder, upper chest and mid-chest). Different impact directions were also chosen for each side: lateral, +15° posterolateral, -15° anterolateral.

Morphology, distribution, mineral density and volume fraction of human calcified costal cartilage.

This study examines the properties of calcifying human costal cartilage and adjacent rib bone using qualitative and quantitative micro-computed tomography analysis. Calcifications are categorized with respect to location, microstructure, shape, and contiguity using a novel classification scheme and quantified in terms of mineral density, volume fraction, and length of infiltration from the costo-chondral junction (CCJ). Calcifications were present throughout the cartilage by location and ranged from small diffuse calcifications to nodes, rods, plates, and even large complex structures that exhibited a microstructural morphology similar to a cross-section of diaphysial bone, with a dense shell surrounding a trabecular core.

Nasal tuberculosis--an update of current clinical and laboratory investigation.

Objective: To report a case of primary nasal tuberculosis, and to discuss the diagnostic difficulties encountered.

Setting: A teaching hospital in Norwich, UK.

Method: Case report and review of the English language literature concerning tuberculosis affecting the head and neck region.

An acoustic study of the relationships among neurologic disease, dysarthria type, and severity of dysarthria.

Purpose: This study examined acoustic predictors of speech intelligibility in speakers with several types of dysarthria secondary to different diseases and conducted classification analysis solely by acoustic measures according to 3 variables (disease, speech severity, and dysarthria type).

Method: Speech recordings from 107 speakers with dysarthria due to Parkinson's disease, stroke, traumatic brain injury, and multiple system atrophy were used for acoustic analysis and for perceptual judgment of speech intelligibility. Acoustic analysis included 8 segmental/suprasegmental features: 2nd formant frequency slope, articulation rate, voiceless interval duration, 1st moment analysis for fricatives, vowel space, F0, intensity range, and Pairwise Variability Index.

Clonal analysis of the microbiota of severe early childhood caries.

Background/aims: Severe early childhood caries is a microbial infection that severely compromises the dentition of young children. The aim of this study was to characterize the microbiota of severe early childhood caries.

Methods: Dental plaque samples from 2- to 6-year-old children were analyzed using 16S rRNA gene cloning and sequencing, and by specific PCR amplification for Streptococcus mutans and Bifidobacteriaceae species.

Diet and caries-associated bacteria in severe early childhood caries.

Frequent consumption of cariogenic foods and bacterial infection are risk factors for early childhood caries (ECC). This study hypothesized that a short diet survey focused on frequency of foods, categorized by putative cariogenicity, would differentiate severe ECC (S-ECC) from caries-free children. Children's diets were obtained by survey and plaque bacteria detected by PCR from 72 S-ECC and 38 caries-free children.

The contribution of the perichondrium to the structural mechanical behavior of the costal-cartilage.

The costal-cartilage in the human ribcage is a composite structure consisting of a cartilage substance surrounded by a fibrous, tendon-like perichondrium. Current computational models of the human ribcage represent the costal-cartilage as a homogeneous material, with no consideration for the mechanical contributions of the perichondrium. This study sought to investigate the role of the perichondrium in the structural mechanical behavior of the costal-cartilage.

Accuracy of perceptually based and acoustically based inspiratory loci in reading.

Investigations of speech often involve the identification of inspiratory loci in continuous recordings of speech. The present study investigates the accuracy of perceptually determined and acoustically determined inspiratory loci. While wearing a circumferentially vented mask connected to a pneumotach, 16 participants read two passages.

Development of a multiplexed polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) assay to identify common members of the Subgenera Culex (Culex) and Culex (Phenacomyia) in Guatemala.

Morphological differentiation of mosquitoes in the subgenera Culex (Culex) and Culex (Phenacomyia) in Guatemala is difficult, with reliable identification ensured only through examination of larval skins from individually reared specimens and associated male genitalia. We developed a multiplexed polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) assay to identify common Cx. (Cux.