Publications by authors named "Lachman N"

Photogrammetry scans has directed attention to the development of advanced camera systems to improve the creation of three-dimensional (3D) models, especially for educational and medical-related purposes. This could be a potential cost-effective method for neuroanatomy education, especially when access to laboratory-based learning is limited. The aim of this study was to describe a new photogrammetry system based on a 5 Digital Single-Lens Reflex (DSLR) cameras setup to optimize accuracy of neuroanatomical 3D models.

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Article Synopsis
  • - Hip pain is a frequent issue for athletes, with common causes like gluteal tendinopathy, femoroacetabular impingement, and osteoarthritis often overshadowing rarer conditions like iliotibial band origin tendinopathy (ITBOT).
  • - Identifying the cause of hip pain can be challenging due to the complex pelvic anatomy and varied pain referral patterns, making a systematic evaluation approach crucial for accurate diagnosis.
  • - This review focuses on detailing the anatomy of the iliotibial band's origin, discussing how to diagnose ITBOT through imaging, and summarizing current treatment options, highlighting a need for more awareness and research on this condition.
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The adductor magnus ischiocondylar origin (AM-IO) tendon has often been described as a third proximal hamstring tendon due to its common origin on the ischial tuberosity as well as similar function. Prior studies have described the magnetic resonance imaging characteristics of the AM-IO; however, its appearance on ultrasound has not been well-detailed. The purpose of our study is to describe the sonographic appearance of the AM-IO and provide a structured scanning protocol for complete evaluation of the tendon.

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This work investigates the mechanical deformation and fracture characteristics of pristine bundles of vertically aligned multi-walled carbon nanotubes (MWCNTs) subjected to axial compressiontransmission electron microscope (TEM). Accurate measurements of force-displacement data were collected simultaneously with real-time TEM videos of the deformation process. Two distinct regimes were observed in the force-displacement curve: (1) an initial elastic section with a linear slope, followed by (2) a transition to a force plateau at a critical buckling force.

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Background: Deep and superficial parasternal intercostal plane blocks provide anterior chest wall analgesia for both breast and cardiac surgery. Our primary objective of this cadaveric study was to describe the parasternal spread of deep and superficial parasternal intercostal plane blocks. Our secondary objectives were to describe needle proximity to the internal mammary artery when performing deep parasternal intercostal plane blocks, and compare lateral injectate spread and extension into the rectus sheath.

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The 3D stereoscopic technique consists in providing the illusional perception of depth of a given object using two different images mimicking how the right and left eyes capture the object. Both images are slightly different and when overlapped gives a three-dimensional (3D) experience. Considering the limitations for establishing surgical laboratories and dissections courses in some educational institutions, techniques such as stereoscopy and photogrammetry seem to play an important role in neuroanatomy and neurosurgical education.

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Outflow tract ventricular arrhythmias are the most common type of idiopathic ventricular arrhythmia. A systematic understanding of the outflow tract anatomy improves procedural efficacy and enables electrophysiologists to anticipate and prevent complications. This review emphasizes the three-dimensional spatial relationships between the ventricular outflow tracts using seven anatomical principles.

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Introduction: Large animal models aid in innovating surgical approaches and developing medical devices for the treatment of facial paralysis. However, there is a lack of information on facial nerve anatomy in swine. This study aimed to investigate the branching pattern and histologic characteristics of the swine facial nerve, thereby establishing the anatomical patterns of preclinical models in facial paralysis research.

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Additive Manufacturing (AM), commonly known as "3D printing", is rapidly integrated into many various fields, from everyday commercial to high-end medical and aerospace. Its production flexibility in small-scale and complex shapes is a significant advantage over conventional methods. However, inferior physical properties of parts manufactured by AM in general, and by material extrusion in particular, compared to traditional fabrication methods, inhibit its full assimilation.

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Carbon nanotubes (CNTs) are extremely conductive and flexible, making them ideal for applications such as flexible electronics and nanoelectromechanical systems. However, in order to properly apply them in such devices, their long-term durability must be assessed. In the present study, we demonstrate cyclic loading of a thick MWCNT (175 nm) under axial compression, observed in situ under a transmission electron microscope (TEM).

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In this study, a reactive adsorbent filler was integrated into a polymeric matrix as a novel reactive protective barrier without undermining its mechanical, thermal, and chemical properties. For this purpose, newly synthesized TiO/MCM/polydimethylsiloxane (PDMS) composites were prepared, and their various properties were thoroughly studied. The filler, TiO/MCM, is based on a (45 wt%) TiO nanoparticle catalyst inside the pores of ordered mesoporous silica, MCM-41, which combines a high adsorption capacity and catalytic capability.

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The attractive properties of single-wall carbon nanotubes (SWCNT) such as mechanical strength and high electrical and thermal conductivity are often undercut by their agglomeration and re-agglomeration tendencies. As a result, the application of SWCNT as additives in advanced composite materials remain far from their potential, with proper dispersion being the major inhibitor. This work presents a dispersion quality control approach for water-based SWCNT dispersions (dispersed by a unique combination of physical and chemical methods), using complementary and easily scalable, characterization methods.

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The functional relevance of preexisting cross-immunity to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a subject of intense debate. Here, we show that human endemic coronavirus (HCoV)–reactive and SARS-CoV-2–cross-reactive CD4 T cells are ubiquitous but decrease with age. We identified a universal immunodominant coronavirus-specific spike peptide (S816-830) and demonstrate that preexisting spike- and S816-830–reactive T cells were recruited into immune responses to SARS-CoV-2 infection and their frequency correlated with anti–SARS-CoV-2-S1-IgG antibodies.

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Article Synopsis
  • Focused Ion Beam (FIB) is widely used for fabricating nanodevices, but its effects on the mechanical properties of polymers have not been fully understood until now.
  • The study used a transmission electron microscope to observe the bending of FIB-milled epoxy nanobeams, finding significant changes in strength and brittleness due to gallium ion irradiation.
  • Results indicated that the FIB process increases the flexural strength and alters the elastic properties of the epoxy, opening up possibilities for better polymer applications in nanoscale devices and soft materials.
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Background: The number of soft-tissue filler injections performed in the United States is constantly increasing and reflects the high demand for enhanced facial and body attractiveness. The objective of the present study was to measure the viscoelastic properties of soft-tissue fillers when subjected to different testing frequencies. The range of tested frequencies represents clinically different facial areas with more [lips (high frequency)] or less [zygomatic arch (low frequency)] soft-tissue movement.

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The clinical use of ultrasound has dramatically increased, necessitating early ultrasound education and the development of new tools in ultrasound training and assessment. The goal of this study was to devise a novel low-resource examination that tested the anatomical knowledge and technical skill of early undergraduate medical students in a gross anatomy course. The team-based ultrasound objective structured practice examination (OSPE) was created as a method for assessing practical ultrasound competencies, anatomical knowledge, and non-technical skills such as teamwork and professionalism.

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Objective: To provide precise description of the dorsal and ventral roots orientation along with the main spinal cord anatomical measurements and their segment-specific variations.

Patients And Methods: We collected and analyzed the measurements of the spines, spinal cords, and dorsal and ventral roots (C2-L5) of nine adult cadavers (five males and four females).

Results: This study for the first time provides analysis of the dorsal and ventral roots orientation along with spinal cord anatomical measurements and their segment-specific distribution.

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Background: Injecting soft tissue fillers into the deep plane of the forehead carries the risk of injection-related visual compromise due to the specific course of the arterial vasculature.

Objectives: The aim of this study was to investigate the 2- and 3-dimensional location of the change of plane of the deep branch of the supratrochlear and supraorbital artery, respectively.

Methods: A total of 50 patients (11 males and 39 females; mean age, 49.

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Tactics to increase the number of underrepresented (UR) students in biomedical research PhD training programs have not yet translated to UR faculty numbers that reflect the diversity of the United States. Continued interventions are required to build skills beyond those that result in placement into a PhD program. We hypothesize that successful interventions must build skills that give UR students foundations for confident self-efficacy in leadership.

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Myocardial bridges are anatomical entities characterized by myocardium covering segments of coronary arteries. In some patients, the presence of a myocardial bridge is benign and is only incidentally found on autopsy. In other patients, however, myocardial bridges can lead to compression of the coronary artery during systolic contraction and delayed diastolic relaxation, resulting in myocardial ischemia.

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Background:  Autologous breast reconstruction (ABR) has grown in popularity due to improved aesthetic and long-term patient reported outcomes, but data regarding sensory reinnervation of autologous flaps remain limited. Traditionally, the lateral cutaneous branch of the fourth intercostal nerve has been used for flap neurotization, but the use of the anterior cutaneous branch of the intercostal nerves (ACB) offer a more optimal location to the microsurgical field when using internal mammary vessels for the microanastomosis. This study aimed to evaluate the optimum ACB recipient site level for sensory nerve coaptation in ABR.

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Background: Chronic exertional compartment syndrome (CECS) is a type of leg pain related to elevated intracompartmental pressure with activity in one or more of the four compartments of the leg. Open fasciotomy is the definitive treatment for CECS but has a reported complication rate of up to 15.7% and return to full activity reported up to 16 weeks.

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