犬囊状动脉瘤模型的制作

本文报道用“静脉囊镶嵌技术·制成犬的囊状动脉瘤模型。18个模型(6个单侧型,6个分叉型,6个末梢型)造型后2周经IA DSA检查。本模型在分型、血流动力学改变方面与人类囊状脑动脉瘤类似。不同类型的动脉瘤模型既有相同的血流动力学特征,又有各自的特点,这与动脉瘤与载瘤动脉的角度有关。我们认为该模型可应用于研究动脉瘤的血流动力学与血管内栓塞治疗。     

Mechanical properties vary for different regions of the finger extensor apparatus

The extensor apparatus, an aponeurosis that covers the dorsal side of each finger, transmits force from a number of musculotendons to the phalanges. Multiple tendons integrate directly into the structure at different sites and the extensor apparatus attaches to the phalanges at multiple points. Thus, prediction of the force distribution within the extensor apparatus, or hood, and the transmission to the phalanges is challenging, especially as knowledge of the underlying mechanical properties of the tissue is limited. We undertook quantification of some of these properties through material testing of cadaver specimens. We punched samples at specified locations from 19 extensor hood specimens. Material testing was performed to failure for each sample with a custom material testing device. Testing revealed significant differences in ultimate load, ultimate strain, thickness, and tangent modulus along the length of the extensor hood. Specifically, thickness, ultimate load, and ultimate strain were greater in the more proximal sections of the extensor hood, while the tangent modulus was greater in the more distal sections. The variations in mechanical properties within the hood may impact prediction of force transmission and, thus, should be considered when modeling the action of the extensor apparatus. Across the extensor hood, tangent modulus values were substantially smaller than values reported for other soft tissues, such as the Achilles tendon and knee ligaments, while ultimate strains were much greater. Thus, the tissue in the extensor apparatus seems to have greater elasticity, which should be modeled accordingly.     

Mechanical properties of calcified exoskeleton from the neotropical millipede, Nyssodesmus python

The calcified exoskeleton of millipedes plays a crucial role in resisting large forces developed during burrowing locomotion. I measured morphological and mechanical properties of cuticle from the neotropical forest floor millipede, Nyssodesmus python (Diplopoda: Polydesmidae), which ranges in body mass from 2 to 7 g. Scaling of thickness of the cuticle with respect to body mass followed predictions of geometric similarity. Both fracture strength and Young's modulus increased with body mass in females but not in males. In spite of their smaller size, male millipedes were still stronger, on average, than female millipedes. Mean fracture strength of millipede cuticle was 124 MPa, and Young's modulus was 17 GPa. Both of these values exceed measurements from typical insect cuticle, suggesting that calcium salts may play a role in stiffening and strengthening the millipede exoskeleton. Because of the high density of calcified millipede cuticle (1660 kg/m³), stiffness and strength relative to body weight remain comparable to values for other insect cuticles. These results corroborate a previous hypothesis that absolute not specific strength and stiffness have been selective factors in the evolution of millipede cuticle, and that bulkiness of the exoskeleton has been minimized through the deposition of calcium salts.     

临床护理路径对囊性动脉瘤介入手术患者的应用研究

目的：应用临床护理路径,提高囊性动脉瘤介入手术患者的护理质量。方法：采用病例对照研究随机选择囊性动脉瘤患者60例。其中病例组30例,对照组30例,在相同治疗条件下病例组使用临床护理路径干预,对照组予以常规护理。结果：病例组使用临床护理路径后,与对照组相比平均住院日缩短P〈0．05,住院费用减少P〈0．05,患者满意度提高P〈0．05。结论：临床护理路径对囊性动脉瘤患者介入手术的干预效果有效,值得临床护理应用。     

临床护理路径对囊性动脉瘤介入手术患者的应用研究

目的:应用临床护理路径,提高囊性动脉瘤介入手术患者的护理质量。方法:采用病例对照研究随机选择囊性动脉瘤患者60例。其中病例组30例,对照组30例,在相同治疗条件下病例组使用临床护理路径干预,对照组予以常规护理。结果:病例组使用临床护理路径后,与对照组相比平均住院日缩短P0.05,住院费用减少P0.05,患者满意度提高P0.05。结论:临床护理路径对囊性动脉瘤患者介入手术的干预效果有效,值得临床护理应用。     

A Method for Material Parameter Determination for the Human Mandible Based on Simulation and Experiment

In cranio-maxillofacial surgery planning and implant design, it is important to know the elastic response of the mandible to load forces as they occur, e.g., in biting. The goal of the present study is to provide a method for a quantitative determination of material parameters for the human jaw bone, whose values can, e.g., be used to devise a prototype plastic model for the mandible. Non-destructive load experiments are performed on a cadaveric mandible using a specially designed test bed. The identical physiological situation is simulated in a computer program. The underlying mathematical model is based on a two component, linear elastic material law. The numerical realization of the model, difficult due to the complex geometry and morphology of the mandible, is via the finite element (FE) method. Combining the validated simulation with the results of the tests, an inverse problem for the determination of Young's modulus and the Poisson ratio of both cortical and cancellous bone can then be solved.     

Mechanical analysis of intestinal contractility in a neonatal maternal deprivation irritable bowel syndrome rat model

The aims of the present study are to investigate biomechanical properties and provide mechanical analysis of contractility in ileum and colon in a neonatal maternal deprivation (NMD) irritable bowel syndrome (IBS) rat model. Mechanical testing was done on segments from ileum and colon in 25 IBS rats and 13 Control rats. Morphometric data were obtained from digitized images of the segments at no-load and zero-stress states. Pressure and diameter changes were measured during flow and ramp distensions under active and passive experimental conditions. Circumferential stresses (force per area) and strains (deformation) were computed with referenced to the zero-stress state. The contraction frequency was analyzed. Contraction thresholds and maximum contraction amplitude were calculated in terms of mechanical stress and strain. Compared with controls, the IBS rats had lower body weight (P < 0.01), smaller colonic opening angle (P < 0.05), higher colonic contraction frequency (P < 0.05 and P < 0.01) and lower contraction thresholds of pressure, stress and strain in both ileum and colon (P < 0.05 and P < 0.01). The maximum contraction pressure, stress and strain did not differ between IBS and Control groups (P > 0.05). In conclusion, the pressure, stress, and strain to evoke contractility in ileum and colon were lower whereas the frequency of induced colon contractions was higher in NMD IBS rats compared to normal rats. Furthermore, zero-stress state remodeling occur in colon in NMD IBS rats. Further studies on the association between intestinal biomechanical properties, hypersensitivity and afferent signaling in the IBS animal models are warranted.     

Three-dimensional Orthotropic Viscoelastic Finite Element Model of a Human Ligament

Ligaments undergo finite strain displaying hyperelastic behaviour as the initially tangled fibrils present straighten out, combined with viscoelastic behaviour (strain rate sensitivity). In the present study the anterior cruciate ligament of the human knee joint is modelled in three dimensions to gain an understanding of the stress distribution over the ligament due to motion imposed on the ends, determined from experimental studies. A three dimensional, finite strain material model of ligaments has recently been proposed by Pioletti in Ref. [2]. It is attractive as it separates out elastic stress from that due to the present strain rate and that due to the past history of deformation. However, it treats the ligament as isotropic and incompressible. While the second assumption is reasonable, the first is clearly untrue. In the present study an alternative model of the elastic behaviour due to Bonet and Burton (Ref. [4]) is generalized. Bonet and Burton consider finite strain with constant modulii for the fibres and for the matrix of a transversely isotropic composite. In the present work, the fibre modulus is first made to increase exponentially from zero with an invariant that provides a measure of the stretch in the fibre direction. At 12% strain in the fibre direction, a new reference state is then adopted, after which the material modulus is made constant, as in Bonet and Burton's model. The strain rate dependence can be added, either using Pioletti's isotropic approximation, or by making the effect depend on the strain rate in the fibre direction only.

A solid model of a ligament is constructed, based on experimentally measured sections, and the deformation predicted using explicit integration in time. This approach simplifies the coding of the material model, but has a limitation due to the detrimental effect on stability of integration of the substantial damping implied by the nonlinear dependence of stress on strain rate. At present, an artificially high density is being used to provide stability, while the dynamics are being removed from the solution using artificial viscosity. The result is a quasi-static solution incorporating the effect of strain rate. Alternate approaches to material modelling and integration are discussed, that may result in a better model.     

Age-dependent material properties of the porcine cerebrum: effect on pediatric inertial head injury criteria

During growth and development, the immature central nervous system undergoes rapid alterations in constituents and structure. We hypothesize that these alterations are accompanied by changes in the mechanical properties of brain tissue which, in turn, influence the response of the brain to traumatic inertial loads. Samples of frontal cerebrum from neonatal (2–3 days) and adult pigs were harvested and tested within 3 h post-mortem. The complex shear modulus of the samples was measured in a custom-designed oscillatory shear testing device at engineering shear strain amplitudes of 2.5% or 5% from 20–200 Hz, at 25°C and 100% humidity. In this range, the elastic and viscous components of the complex shear modulus increased significantly with the development of the cerebral region of the brain. Using an idealized model of the developing head, the age-dependent material properties of brain tissue were shown to affect the mechanical response of the brain to inertial loading. This study is a first step toward developing head injury tolerance criteria specifically for the pediatric population.     

Quantifying differences in the material properties of the fiber regions of the pectoralis major using ultrasound shear wave elastography

The sternocostal and clavicular regions of the pectoralis major are independently harvested to provide shoulder stability, but surgical decision making does not consider the biomechanical consequences that disinsertion of one fiber region over the other has on shoulder function. Differences in material properties between the fiber regions could influence which tissue is more optimal for surgical harvesting. The current study utilized ultrasound shear wave elastography (SWE) to investigate whether the in vivo material properties differ between the fiber regions. Shear wave velocities (SWVs) were collected from the sternocostal and clavicular fiber regions of the pectoralis major from ten healthy young male participants. Participants produced isometric shoulder torques of varying magnitudes (passive, 15%, and 30% MVC) and directions (horizontal and vertical adduction). Four shoulder positions encompassing different vertical abduction and external rotation angles were examined. One-way ANOVAs tested the hypotheses that differences in SWVs during rest existed between the fiber regions as a function of shoulder position, and differences in SWVs during contraction existed as a function of shoulder position and torque direction. In all shoulder positions, the clavicular region exhibited greater SWVs during rest than the sternocostal region (P < 0.001). In shoulder positions that did not include external rotation, the clavicular region exhibited greater SWVs during contraction when producing horizontal adduction torques (P < 0.001), while the sternocostal region exhibited greater SWVs during contraction when producing vertical adduction torques at 30% MVC (P < 0.01). Our results suggest that each fiber region of the pectoralis major provides unique contributions to passive and active shoulder function.     

Mechanical phenotyping of stem cells

Elasticity and visco-elasticity are mechanical properties of cells which directly reflect cellular composition, internal structure (cytoskeleton), and external interactions (cell-cell and/or cell-surface). A variety of techniques involving probing, pulling, or deforming cells have been used to characterize these mechanical properties. With continuing advances in the technology, it may be possible to establish mechanical phenotypes that can be used to identify cells at specific points of differentiation and dedifferentiation with direct applications to regenerative medicine, therapeutics, and diagnostics.     

Mechanical properties of anterior malleolar ligament from experimental measurement and material modeling analysis

In this paper, mechanical properties of the anterior malleolar ligament (AML) of human middle ear were studied through the uniaxial tensile, stress relaxation and failure tests. The digital image correlation (DIC) method was used to assess the boundary effect in experiments and calculate the strain on specimens. The constitutive behavior of the AML was described by a transversely isotropic hyperelastic model which consists of a first-order Ogden model augmented by a I (4)-type reinforcing term. The material parameters of the model were estimated and the viscoelasticity of the AML was illustrated by hysteresis phenomena and stress relaxation function. The mechanical strength of the AML was obtained through the failure test and the mean ultimate stress and stretch ratio were measured as 1.05 MPa and 1.51, respectively. Finally, a linear Young's modulus-stress relationship of the AML was derived based on constitutive equation of the AML within a stress range of 0-0.5 MPa.     

Differential Activation of Dual Signaling Responses by Human H1 and H2 Histamine Receptors

Abstract

Stimulation of human H₁ and H₂‐histamine receptors (HRs) primarily activates signaling pathways to increase intracellular calcium [Ca²⁺]_i and cyclic AMP (cAMP), respectively. Activation of H₂‐HR in human embryonic kidney (HEK) cells by histamine and dimaprit increases both cAMP formation and [Ca²⁺]_i, as determined by cAMP‐scintillation proximity assays and fluorescence imaging plate reader (FLIPR) assays. In HEK cells expressing relatively high levels of H₂‐HR (B_max = 26 pmol/mg protein), histamine and dimaprit are full agonists in eliciting cAMP responses with pEC₅₀ values of 9.30 and 7.72 that are 1000‐fold more potent than their respective pEC₅₀ values of 6.13 and 4.91 for increasing [Ca²⁺]_i. The agonist potencies decrease for both responses at lower H₂‐HR density (5 pmol/mg protein) and dimaprit exhibits partial agonist behavior for the [Ca²⁺]_i response. The inverse agonists ranitidine and cimetidine more potently inhibit cAMP production in the higher expressing H₂‐HR line. Histamine also activated both signaling pathways via human H₁‐HRs highly expressed (B_max = 17 pmol/mg protein) in HEK cells, with a 1000‐fold greater potency for [Ca²⁺]_i vs. cAMP responses (pEC₅₀ = 7.86 and 4.82, respectively). These studies demonstrate a markedly different potency for activation of multiple signaling pathways by H₁‐ and H₂‐HRs that may contribute to the selectivity of histamine responses in vivo.     

The evolution of tendon--morphology and material properties

Phylogenetically, tendinous tissue first appears in the invertebrate chordate Branchiostoma as myosepta. This two-dimensional array of collagen fibers is highly organized, with fibers running along two primary axes. In hagfish the first linear tendons appear and the myosepta have developed specialized regions with unidirectional fiber orientation-a linear tendon within the flat sheet of myoseptum. Tendons react to compressive load by first forming a fibrocartilaginous pad, and under severe stress, sesamoid bones. Evidence for this ability to react to load first arises in the cartilaginous fish, here documented in a tendon from the jaw of a hard-prey crushing stingray. Sesamoid bones are common in bony fish and also in tetrapods. Tendons will also calcify under tensile loads in some groups of birds, and this reaction to load is seen in no other vertebrates. We conclude that the evolutionary history of tendon gives us insight into the use of model systems for investigating tendon biology. Using mammal and fish models may be more appropriate than avian models because of the apparent evolution of a novel reaction to tensile loads in birds.     

The relationship of whole human vertebral body creep to geometric,microstructural, and material properties

Creep, the time dependent deformation of a structure under load, is an important viscoelastic property of bone and may play a role in the development of permanent deformity of the vertebrae in vivo leading to clinically observable spinal fractures. To date, creep properties and their relationship to geometric, microstructural, and material properties have not been described in isolated human vertebral bodies. In this study, a range of image-based measures of vertebral bone geometry, bone mass, microarchitecture and mineralization were examined in multiple regression models in an effort to understand their contribution to creep behavior. Several variables, such as measures of mineralization heterogeneity, average bone density, and connectivity density persistently appeared as significant effects in multiple regression models (adjusted r²: 0.17–0.56). Although further work is needed to identify additional tissue properties to fully describe the portion of variability not explained by these models, these data are expected to help understand mechanisms underlying creep and improve prediction of vertebral deformities that eventually progress to a clinically observable fracture.     

Interfacial Strength of Cement Lines in Human Cortical Bone

In human cortical bone, cement lines (or reversal lines) separate osteons from the interstitial bone tissue, which consists of remnants of primary lamellar bone or fragments of remodeled osteons. There have been experimental evidences of the cement line involvement in the failure process of bone such as fatigue and damage. However, there are almost no experimental data on interfacial properties of cement lines in human cortical bone. The objective of this study is to design and assemble a precision and computer controlled osteon pushout microtesting system, and to experimentally determine the interfacial strength of cement lines in human cortical bone by performing osteon pushout tests. Thirty specimens were prepared from humeral diaphyses of four human subjects. Twenty specimens were tested under the condition of a small hole in the supporting plate, in which the cement line debonding occurred. The cement line interfacial strength ranged from 5.38 MPa to 10.85 MPa with an average of 7.31±1.73 MPa. On the other hand, ten specimens were tested under the condition of a large hole in the supporting plate, in which the shear failure inside osteons was observed. The specimens tested under the condition of the large hole resulted in an average shear strength of 73.71±15.06 MPa, ranging from 45.97 MPa to 93.74 MPa. Therefore, our results suggest that the cement line interface between osteon and interstitial bone tissue is weaker than that between bone tissue lamellae.     

Effect of arabinose substitution on the material properties of arabinoxylan films

This study was undertaken to investigate the effect of arabinose content on film properties. The substrate used was a rye arabinoxylan that had an Ara/Xyl ratio of 0.52 and an average number molecular weight of 305 kDa. Oxalic acid was used to attempt selective removal of the arabinose substituents on the xylan main chain. The debranching of the polymer was coupled with a decrease in molecular weight. The effect of reaction conditions on the decrease in arabinose content and loss of molecular weight was investigated. Optimal conditions were selected using an experimental design. Treatment at lower temperature for longer period of times resulted in debranching with less degradation of the main chain. As the Ara/Xyl ratio was lowered, aggregates began to form in an interval of the Ara/Xyl ratio between 0.31 and 0.23 in a water solution. Precipitation occurred below an Ara/Xyl ratio of 0.1. Thus, removal of arabinose substituents results in a gradual association of unsubstituted chains. There is a linear correlation between arabinose substitution and the moisture content of arabinoxylan at 98% RH. A decrease in arabinose content resulted in the loss of a plasticizing effect, as determined by dynamic mechanical analysis, which is correlated to water binding capacity.