Citations

Blast-induced traumatic brain injury (bTBI), is defined as a type of acquired brain injury that occurs upon the interaction of the human head with blast-generated high-pressure shockwaves. Lack of experimental studies due to moral issues, have motivated the researchers to employ computational methods to study the bTBI mechanisms. Accordingly, a nonlinear finite element (FE) analysis was employed to study the interaction of both unprotected and protected head models with explosion pressure waves. The head was exposed to the incoming shockwaves from front, back, and side directions. The main goal was to examine the effects of head protection tools and the direction of blast waves on the tissue and kinematical responses of the brain. Generation, propagation, and interactions of blast waves with the head were modeled using an arbitrary Lagrangian-Eulerian (ALE) method and a fluid-structure interaction (FSI) coupling algorithm. The FE simulations were performed using Ls-Dyna, a transient, nonlinear FE code. Side blast predicted the highest mechanical responses for the brain. Moreover, the protection assemblies showed to significantly alter the blast flow mechanics. Use of faceshield was also observed to be highly effective in the front blast due to hindering of shockwaves.

ABSTRACT Although a large number of studies have addressed the age-related changes in bone mineral density (BMD), there is a paucity of data for the assessment of femoral strength loss with age in both genders. We determined the variation of strength with age in femurs of women and men by mechanical tests on a cohort of 100 cadaveric femurs. In addition, the age-related neck BMD loss in our cadaveric cohort was found to be similar with BMD loss of four published population-based studies. Given the strong correlation found in our cadaveric study between BMD and femoral strength, we also estimated the femoral strength of the four populations based on their reported neck BMDs. Our study showed that men's femurs in our cadaveric cohort were stronger than women's femurs by about 800 N at the same BMD level, and by 1750 N at the same age. The strength differences were not explained satisfactorily by the size difference between men's and women's bones. Similar to the findings of clinical studies, the BMD values of men at all ages were larger than that of women. The age-related loss rates in BMD and strength were not statistically different between the two genders of our cadaveric cohort. After normalization, strength decreased more than 40% faster than BMD. On average, men reached a certain BMD value about 16 years later than women, and for strength about 23 years later, which may explain the higher rate of hip fracture in postmenopausal women. In patient population cohorts men reached a similar BMD value about 16 to 25 years later than women, whereas for estimated strength, sometimes more than 40 years later. © 2015 American Society for Bone and Mineral Research.