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Biomedical subjects

N J Mills

Publications and source records attributed to N J Mills.

13 recordsLinked to original sources

Heel-shoe interactions and the durability of EVA foam running-shoe midsoles.

A finite element analysis (FEA) was made of the stress distribution in the heelpad and a running shoe midsole, using heelpad properties deduced from published force-deflection data, and measured foam properties. The heelpad has a lower initial shear modulus than the foam (100 vs. 1050 kPa), but a higher bulk modulus. The heelpad is more non-linear, with a higher Ogden strain energy function exponent than the foam (30 vs. 4). Measurements of plantar pressure distribution in running shoes confirmed the FEA. The peak plantar pressure increased on average by 100% after 500 km run. Scanning electron microscopy shows that structural damage (wrinkling of faces and some holes) occurred in the foam after 750 km run. Fatigue of the foam reduces heelstrike cushioning, and is a possible cause of running injuries.

Adult↗

Host-limited dynamics of autoparasitoids.

Autoparasitoids, an important class of intraguild predators used in classical biological control, have a unique biology. Females develop as primary endoparasitoids of scale insects and whiteflies. Males develop at the expense of conspecific or heterospecific parasitoid prepupae. To evaluate the effect of autoparasitism on host suppression, system stability, and parasitoid coexistence, stage-structured differential equation models are developed and analysed. For a host-parasitoid system, autoparasitism stabilizes host-parasitoid oscillations generated by developmental delays of the parasitoid. In host-autoparasitoid-primary parasitoid systems, a distinction between obligate (i.e. parasitoid only attacks conspecifics for the production of males) and facultative (i.e. parasitoid attacks conspecifics and heterospecifics for the production of males) autoparasitism is drawn. Coexistence between an obligate autoparasitoid and primary parasitoid occurs if and only if the autoparasitoid can invade at lower host densities than the primary parasitoid, and the primary parasitoid can suppress the host to a lower equilibrium density than the autoparasitoid. When coexistence occurs, the primary parasitoid determines the host equilibrium abundance. Interactions between facultative autoparasitoids and primary parasitoids can lead to a priority effect, and, less likely, to coexistence. When coexistence occurs, the invasion of the facultative autoparasitoid into the host-primary parasitoid system raises the equilibrium density of the host. In either coexistence scenario, the invasion of an autoparasitoid can stabilize an unstable host-primary parasitoid system. The analysis concludes by showing that the introduction of an autoparasitoid to a host-primary parasitoid system can improve host suppression in the short-term despite possible long-term disruption.

Animals↗

Quantitative evaluation of hypothermia, hyperthermia, and hemodilution on coagulation.

The purpose of this study was to investigate the effects of temperature change on the coagulation time of blood at two different hematocrit levels by using various coagulation-monitoring devices. The devices used in this study were the Bayer Rapid Point Coag Analyzers, Hemochron Jr. Signature, Hemochron Response, Medtronic ACT II, and Haemoscope Thrombelastograph. One unit of human bank blood was used in this study. The hematocrit level was adjusted to 40% and 20%. A control bath and experimental bath were set up. Control blood was maintained at 37 degrees C and tested every 45 +/- 15 min throughout the experimental period of 6 h to demonstrate the stability of the model. The experimental blood was tested at temperature points of 37, 32, 27, 32, 37, 42, and 37 degrees C. Activated clotting time (ACT) tended to increase when the temperature was initially decreased from 37 to 27 degrees C, which reached a statistically significant level when measured by the Hemochron Response at both the 20% (147 +/- 10.7 to 159.3 +/- 11.0, p < .0332) and 40% hematocrit level (130 +/- 14.9 to 152.1 +/- 19.7, p < .0148). ACT was decreased significantly (p < .05) when the temperature was increased to 42 degrees C as measured by all machines except the Hemochron Jr. Signature at the 20% hematocrit level. ACT was significantly higher (p < .05) at a 20% hematocrit level as compared to that at a 40% hematocrit level on all devices for the majority of temperature points. These data suggested that hypothermia only increased ACT when measured by a macrosample device requiring a milliliter sample (Hemochron Response). However, hemodilution induced anticoagulatory effects and hyperthermia caused an acceleration in coagulation by all devices utilized in this study.

Blood Banks↗

Effects of ultrafiltration on enoxaparin: an in vitro analysis.

The use of low molecular weight heparins (LMWH) as an anticoagulant in the heparin-resistant patient poses challenges during cardiopulmonary bypass (CPB). The ultrafiltrability of LMWH has not been previously examined. The purpose of this study was to determine the effects of continuous ultrafiltration on the concentraton of a LMWH, enoxaparin. An in vitro analysis was performed using fresh whole human blood and an extracorporeal circuit containing four parallel ultrafiltrators and a cardiotomy reservoir with an integrated heat exchanger. Constant conditions included temperature (37 degrees C), flow (0.20 L-min(-1)) transmembrane pressure (200 mmHg), and hematocrit (25 +/- 2%). Samples were collected at the inlet, outlet, and ultrafiltrate line at one and three min for one control trial and again for each of the four hemoconcentrators following the bolus of enoxaparin. Coagulation measurements included a viscoelastic monitor (TEG), activated clotting time (ACT), activated partial thromboplastin time (aPTT), and quantitative analysis utilizing a membrane-based electrode for potentiometric measurement of polyanionic concentrations of enoxaparin. Enoxaparin concentration, from inlet to outlet, increased from 2.95 +/- 0.64 to 5.89 +/- 0.95 (p < .001) at 1 min and 4.24 +/- 0.49 to 7.89 +/- 0.606 (p < .001) at 3 min. Kinetic clot activity, as assessed by the TEG index, decreased from -3.8 +/- 2.5 vs. -10.5 +/- 6.0; (p < .01) pre- to postultrafiltrator samples after 3 min. ACT and aPTT results demonstrated no significant change. In conclusion, this study demonstrates enoxaparin is concentrated with the use of continuous ultrafiltration. Functional coagulation studies also indicate a concentrating effect, primarily via the TEG.

Anticoagulants↗

The effect of volume replacement on serum protein concentration during cardiopulmonary bypass.

Although controversy exists concerning the optimal total protein and colloid osmotic pressure that should be maintained during cardiopulmonary bypass (CPB), the primary volume expanders remain albumin and 6% hetastarch. The purpose of this study was to quantify the effect of adding boluses of volume replacement agents under various conditions to total serum protein values during CPB. A standard CPB circuit was utilized in eight 45-kg swine that had a priming volume (physiologic saline solution) of 2309 +/- 245 mL. Volumetric alterations occurred throughout the CPB period by the addition of combinations of physiologic saline solution, 6% hetastarch or 5% swine albumin. Pre- and postadministration samples were assayed for total serum protein, total protein, and albumin throughout the CPB period and at pre- and postvolume administration times. There was a significant decline in total serum protein with the initiation of CPB (6.14 +/- 0.49 g/dL vs. 3.40 +/- 0.43 g/dL, p < .0001). Addition of 12.5 g of swine albumin (N = 5) to two different swine increased total serum protein significantly when compared to adding 500 mL of 6% hetastarch (N = 6) (swine albumin 12.4 +/- 6.3% vs. hetastarch 3.3 +/- 2.1%, p < .005). A reduction in total serum protein occurred after hemodilution with varying amount of physiologic saline solution: 250-450 mL (7.4 +/- 4.5%), 451-650 mL (9.6 +/- 5.6%), and 651-1050 mL (19.4 +/- 4.0%). In summary, knowledge of total serum protein concentration and estimated circulating blood volume can be used to guide albumin and hetastarch administration following hemodilution.

Albumins↗

Protection of the side of the head.

The side of the head is a frequent impact site for pedal cyclists, motorcyclists, and industrial workers. It is vulnerable to impact, yet many helmet standards do not have impact tests at the side of the helmet. Laboratory impact tests should reproduce the phenomena in real impacts, but usually they do not allow the headform to rotate, or ignore the effect of the neck on the motion of the head. The authors designed a linkage, simulating the flexibility of the neck, for use with anthropomorphic dummies in helmet testing. Impacts at the side of the helmet, normal to the helmet surface, were made with flat and hemispherical strikers. Head rotation during impacts caused the impact site to move, in some cases to below the level protected by the helmet. The peak angular head acceleration correlated with the peak linear accelerations. Neck flexibility means that helmets can protect the head from higher kinetic energy impacts than those specified in standards using immovable headforms or impact anvils. The load spreading efficiency of polypropylene foam, used in soft shell bicycle helmets, is better than that of polystyrene foam. The authors conclude that the side of the head can be protected by a suitable helmet design.

Acceleration↗

The biomechanics of hip protectors.

The mode of action of one design of hip protector was investigated. A dummy femur surrounded by a flesh substitute was impacted from a range of heights while the forces on the trochanter and the surrounding flesh were measured. The protector doubled the estimated fall distance for fracture of the trochanter. The protection mechanisms are load transfer to the muscles of the thigh and energy absorption in the protector. Hip protectors could absorb more energy safely if they were thicker, or if the shell design was modified.

Accidental Falls↗

Protective capability of bicycle helmets.

Cycle helmets that meet UK and US standards have been tested. The mechanisms of energy absorption for frontal and side impacts have been analysed. A good helmet should protect the wearer for impacts up to 15 mph into a rigid flat surface.

Bicycling↗

Performance of horse-riding helmets in frontal and side impacts.

Cases of head injury are reviewed in which riders wearing jockey skull caps have suffered impacts to the front, back or side of their helmets. The design and constructional materials of such helmets are assessed. Impact tests that simulate the accidents confirm the low energy absorption potential of some helmets for lateral impacts. Most pedal or motorcycle helmet designs afford better lateral impact protection.

Animals↗

The effectiveness of foams in bicycle and motorcycle helmets.

The optimisation of the foam used for shock absorption in bicycle and motorcycle helmets is considered. It is shown that for the former, the ideal foam yield stress for impact with a rigid protruding object is higher than that for impact with a deformable flat object. Therefore, the design must be a compromise. For motorcycle helmets the shell stiffness is higher and the force to cause shell buckling plays a significant part in the response. Lower density foams can be used only if the impact test standards are rewritten with less emphasis on impacts with convex and pointed objects.

Bicycling↗