Development of a Strain-Based Model to Predict Eviscerated Thoracic Response From Dynamic Individual Rib Tests

The objective of this study was to develop an analytical model using strain-force relationships from individual rib and eviscerated thorax impacts to predict bony thoracic response. Experimental eviscerated thorax forces were assumed to have two distinct responses: an initial inertial response and subsequently, the main response. A second order mass-spring-damper model was used to characterize the initial inertial response of eviscerated thorax force using impactor kinematics. For the main response, equivalent strains in rib levels 4-7 were mapped at each time point and a strain-based summed force model was constructed using individual rib tests and the same ribs in the eviscerated thorax test. A piecewise approach was developed to join the two components of the curve and solve for mass, damping, stiffness parameters in the initial response, transition point, and scale factor of the strain-based summed force model. The final piecewise model was compared to the overall experimental eviscerated thorax forces for each PMHS (n=5) and resulted in R2 values of 0.87-0.96. A bootstrapping approach was utilized to validate the model. Final model predictions for the validation subjects were compared with the corridors constructed for the eviscerated thorax tests. BRSS values were approximately 0.71 indicating that this approach can predict eviscerated responses within one standard deviation from the mean response. This model can be expanded to other tissue states by quantifying soft tissue and visceral contributions, therefore successfully establishing a link between individual rib tests and whole thoracic response.

Sources of Variability in Structural Bending Response of Pediatric and Adult Human Ribs in Dynamic Frontal Impacts

Despite safety advances, thoracic injuries in motor vehicle crashes remain a significant source of morbidity and mortality, and rib fractures are the most prevalent of thoracic injuries. The objective of this study was to explore sources of variation in rib structural properties in order to identify sources of differential risk of rib fracture between vehicle occupants. A hierarchical model was employed to quantify the effects of demographic differences and rib geometry on structural properties including stiffness, force, displacement, and energy at failure and yield. Three-hundred forty-seven mid-level ribs from 182 individual anatomical donors were dynamically (~2 m/s) tested to failure in a simplified bending scenario mimicking a frontal thoracic impact. Individuals ranged in age from 4 - 108 years (mean 53 ± 23 years) and included 59 females and 123 males of diverse body sizes. Age, sex, body size, aBMD, whole rib geometry and cross-sectional geometry were explored as predictors of rib structural properties. Measures of cross-sectional rib size (Tt.Ar), bone quantity (Ct.Ar), and bone distribution (Z) generally explained more variation than any other predictors, and were further improved when normalized by rib length (e.g., robustness and WBSI). Cortical thickness (Ct.Th) was not found to be a useful predictor. Rib level predictors performed better than individual level predictors. These findings moderately explain differential risk for rib fracture and with additional exploration of the rib's role in thoracic response, may be able contribute to ATD and HBM development and alterations in addition to improvements to thoracic injury criteria and scaling methods.

Visual Outcome in High Myopia After Laser in situ Keratomileusis

PURPOSE

The aim of the study was to study the results of LaAIK for myopia over -12.00 D.

METHODS

Surgery was done using Hansatome microkeratome and Nidek EC-5000 excimer laser. One hundred forty-five eyes were followed for a minimum of 6 months to assess the extent of correction and the gain or loss of lines as compared of previous spectacle correction.

RESULTS

Forty percent of eyes gained at least one line, 56% remained the same, and 4% lost one line of visual acuity. Thirty-five eyes were undercorrected with the majority between 0 and -5.00 D. One hundred ten eyes achieved their preoperative best spectacle-corrected visual acuity with no correction. Complications were minimal.

CONCLUSION

LASIK with the Nidek EC-5000 excimer laser achieved good results in eyes with myopia over -12.00 D. [J Refract Surg 2000; 16(suppl):S247-S250].

Mevalonate kinase is predominantly localized in peroxisomes and is defective in patients with peroxisome deficiency disorders

We reported recently that mevalonate kinase (EC 2.7.1.36; ATP:mevalonate 5-phosphotransferase) that was isolated from rat liver and believed to be a cytosolic protein was localized in rat liver peroxisomes. In addition, we found that the mevalonate kinase monoclonal antibody used in the study also reacted with several other proteins present in the mitochondrial and cytosolic fractions. These findings raised the prospect of the presence of several isoenzymes of mevalonate kinase localized in different compartments of the cell. In the current study we produced four new polyclonal antibodies against different epitopes of mevalonate kinase to investigate the subcellular localization of the protein by several different approaches: (i) by analytical subcellular fractionation and immunoblotting of mevalonate kinase in the isolated subcellular fractions with the monospecific antibodies; (ii) by immunocryoelectron microscopy techniques; and (iii) by expressing the cDNA encoding mevalonate kinase in mammalian cells. The data obtained demonstrate that there is only one mevalonate kinase protein that is predominantly localized in peroxisomes. We also illustrate that the protein is targeted to and imported into peroxisomes. In addition, we show that in cells and tissues obtained from patients with peroxisomal deficiency diseases mevalonate kinase protein and its activity are severely reduced.