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At least 793 records · Page 44Linked to original sources
PubMed2005

Mechanical testing of human cardiac tissue: some implications for MRI safety.

PURPOSE: The effects of aging on tissue strength and its ability to withstand forces associated with MRI have not been investigated. This study aimed to determine the forces required to cause partial or total detachment of a heart valve prosthesis in patients with age-related degenerative diseases exposed to MRI. METHODS: Eighteen tissue samples excised during routine heart valve replacement surgery were subjected to a suture pull-out test using a tensile materials testing machine. Five preconditioning cycles were applied before commencing the final destructive test. The test was complete when the sample ruptured and the suture was pulled completely free from the tissue. Results were compared with previously calculated magnetically induced forces at 4.7 T. RESULTS: All tissue samples displayed a basic failure pattern. Mean forces required to cause initial yield and total rupture were 4.0 N (+/- 3.3 N) and 4.9 N (+/- 3.6 N), respectively. Significant factors determining initial yield were stenosed calcific tissue (p < .01), calcific degeneration (single pathology) (p < .04) and tissue stiffness (p < .01). Calcific degeneration (p < .03) and tissue stiffness (p < .03) were also significant in determining maximum force required to cause total rupture. CONCLUSION: Specific age-related degenerative cardiac diseases stiffen and strengthen tissue resulting in significant forces being required to pull a suture through valve annulus tissue. These forces are significantly greater than magnetically induced < 4.7 T. Therefore, patients with degenerative valvular diseases are unlikely to be at risk of valve dehiscence during exposure to static magnetic field < or = 4.7 T.

Adult↗
PubMed1996

In vitro biomechanical comparison of multistrand cables with conventional cervical stabilization.

STUDY DESIGN: The biomechanical stability of six different methods of cervical spine stabilization, three using multistrand cables, were evaluated in a bovine model. OBJECTIVES: To quantify and compare the in vitro biomechanical properties of multistrand cables used for posterior cervical wiring to standard cervical fixation techniques. SUMMARY OF BACKGROUND DATA: Fixation of the posterior cervical spine with monofilament stainless steel wire is a proven technique for stabilization of the cervical spine. Recently, multistrand braided cables have been used as a substitute for monofilament stainless steel wires. These cables, made of stainless steel, titanium, or polyethylene, are reported to be stronger, more flexible, and fatigue resistant than are monofilament wire based on mechanical testing. However, no in vitro biomechanical studies have been performed testing a standard posterior cervical wiring technique using multistrand cables. METHODS: Thirty-six fresh frozen cervical calf spines consistent in size and age were mounted and fixed rigidly to isolate the C4-C5 motion segment. Six different reconstruction techniques were evaluated for Rogers' posterior cervical wiring technique using: 1) 20-gauge stainless steel monofilament wire, 2) stainless steel cable, 3) titanium cable, 4) polyethylene cables, 5) anterior locking plate construct with interbody graft, and 6) posterior plate construct. Six cervical spines were included in each group (n = 6), with each specimen statically evaluated under three stability conditions: 1) intact, 2) reconstructed, and 3) postfatigue. The instability model created before the reconstruction consisted of a distractive flexion Stage 3 injury at C4-C5. Nondestructive static biomechanical testing, performed on an material testing machine (MTS 858 Bionix test system, Minneapolis, MN), included axial compression, axial rotation, flexion-extension, and lateral bending. After reconstruction and static analysis, the specimens were fatigued for 1500 cycles and then statically retested. Data analysis included normalization of the reconstructed and postfatigue data to the intact condition. The calculated static parameters included operative functional unit stiffness and range of motion. RESULTS: Posterior cervical reconstruction with stainless steel monofilament wire proved inadequate under fatigue testing. Two of the six specimens failed with fatigue, and this construct permitted the greatest degree of flexion-extension motion after fatigue in comparison with all other constructs (P < 0.05). There were no significant differences in flexural stiffness or range of motion between stainless steel, titanium, or polyethylene cable constructs before or after fatigue testing. The posterior cervical plate constructs were the stiffest constructs under flexion, extension, and lateral bending modes, before and after fatigue testing (P < 0.05). CONCLUSIONS: Multistrand cables were superior to monofilament wire with fatigue testing using an in vitro calf cervical spine model. There were no failures or detectable differences in elongation after fatigue testing between the stainless steel, titanium, and polyethylene cables, as shown by the flexion-extension range of motion. The posterior cervical plate construct offered the greatest stability compared with all other constructs.

Animals↗
PubMed2005

Stability provided by the sternum and rib cage in the thoracic spine.

STUDY DESIGN: Multidirectional flexibility tests were conducted on 10 human thoracic spines with intact rib cage. OBJECTIVES: To determine the amount of stability the rib cage imparts to the thoracic spine and to show the amount of stability lost by a sternal fracture. SUMMARY OF BACKGROUND DATA: There is no published study of biomechanical testing of human cadaveric specimens with the rib cage intact. METHODS: In this study, 10 human cadaveric thoracic spines with the rib cage intact were tested using a biaxial material testing machine and an opto-electronic three-dimensional motion measuring device (Opto-trak 3020). The specimens were tested in axial compression, axial rotation, lateral bending, and flexion/extension. First, the specimens were tested through all four loading types with the sternum and rib cage intact. Next, the sternum was fractured at the sternomanubrial junction displacing the proximal fragment posteriorly. Lastly, the entire rib cage was removed. RESULTS: The rib cage increased the stability of the thoracic spine by 40% in flexion/extension (P = 0.012), 35% in lateral bending (P = 0.008), and 31% in axial rotation (P = 0.008). An indirect flexion-compression type of sternal fracture decreased the stability of the thoracic spine by 42% in flexion/extension (P = 0.036), 22% in lateral bending (P = 0.038), and 15% in axial rotation (P = 0.011). CONCLUSION: The rib cage significantly increases the stability of the thoracic spine in flexion/extension, lateral bending, and axial rotation. A sternal fracture significantly decreases the stability of the thorax.

Aged↗
PubMedDate not supplied

Effects of naltrexone on repressive coping and disclosure of emotional material: a test of the opioid-peptide hypothesis of repression and hypertension.

OBJECTIVE: The present study was designed to assess the role of endogenous opioids in the relationship of hypertension to repressive coping. METHODS: Ten hypertensive and 8 normotensive males were given either the opioid antagonist naltrexone or placebo in a randomized, double-blind fashion over the course of four laboratory sessions. Measures of repression and disclosure were completed and blood pressure was assessed during a laboratory stressor protocol. RESULTS: Opioid antagonism reduced repression and increased disclosure only in the hypertensive group. Also, opioid antagonism increased stress-related systolic blood pressure only in the hypertensive group. CONCLUSION: The results support the hypothesis that endogenous opioid dysregulation underlies both hypertension and repressive phenomena.

Adaptation, Psychological↗
PubMed1994

Effect of restoration composition, shade, and thickness on the cure of a photoactivated resin cement.

PURPOSE: This study investigates the effect of selected properties of a restorative material (type, shade, and thickness) on the cure of a photoactivated resin cement. MATERIALS AND METHODS: Disks of ceramic and resin-based restorative materials of two extreme shades were made to provide thicknesses of 0.5 to 3.0 mm in 0.5-mm intervals. Light transmission was measured through various thicknesses and shades of each restorative material type. The effect of light transmission, as influenced by restorative material type, shade, and thickness on resin cement cure was also determined. RESULTS: Thickness and shade of restorative material had the greatest influence on light transmission. For simulated restoration thicknesses 1.5 mm and greater, Dicor (Dentsply International Inc, York, PA) had greater transmission of light than the other materials, regardless of shade. At equal restorative material thickness, light transmission was similar for identical shades of the other three materials. Restoration shade and thickness also had the greatest influence on resin cement cure. Material type, although significant, had only a minor influence. At thicknesses of 1 to 2 mm, Dicor consistently yielded greater resin cement cure values than any other material tested. CONCLUSIONS: When considering the ability of restorative materials to transmit light for curing of photo-activated resin cements, the thickness of the restoration and its shade are much more influential than the choice of restorative material. Dicor provides greater light transmission that results in the ability to photobond restorations of greater thicknesses than the other materials. For restorations greater than 1 mm in thickness, a dual cure or chemical cure resin cement should be used to provide maximal cement properties.

Analysis of Variance↗
PubMed1988

Comparison of various modes of presenting sentence materials in tests of speech perception in noise.

This study compares alternative modes of presenting sentences in testing situations where noise is employed and where the required response is only one word in the sentence. The purpose is to establish the extent to which contextual information is transmitted to the listener in the following four presentation modes: (1) acoustical presentation of the test word under noise and written presentation of the rest of the sentence (mode W); (2) acoustical presentation of sentence and test word under uniform noise (mode A); (3) superposition of the previous two modes (mode B); and (4) acoustical presentation of the test word under noise in one ear, immediately following the presentation of the rest of the sentence without noise in the other ear (mode C). Modes B and C are found to be essentially equivalent to mode W. When mode A is used, the intelligibility of the test word is substantially lower than with mode W, especially at low signal-to-noise (S/N) ratios. These results are particularly relevant to testing situations where the primary intent is to assess the utilization of contextual information in perceiving speech.

Attention↗
PubMed1999

Molecular analysis of ammonia-oxidizing bacteria of the beta subdivision of the class Proteobacteria in compost and composted materials.

Although the practice of composting animal wastes for use as biofertilizers has increased in recent years, little is known about the microorganisms responsible for the nitrogen transformations which occur in compost and during the composting process. Ammonia is the principle available nitrogenous compound in composting material, and the conversion of this compound to nitrite in the environment by chemolithotrophic ammonia-oxidizing bacteria is an essential step in nitrogen cycling. Therefore, the distribution of ammonia-oxidizing members of the beta subdivision of the class Proteobacteria in a variety of composting materials was assessed by amplifying 16S ribosomal DNA (rDNA) and 16S rRNA by PCR and reverse transcriptase PCR (RT-PCR), respectively. The PCR and RT-PCR products were separated by denaturing gradient gel electrophoresis (DGGE) and were identified by hybridization with a hierarchical set of oligonucleotide probes designed to detect ammonia oxidizer-like sequence clusters in the genera Nitrosospira and Nitrosomonas. Ammonia oxidizer-like 16S rDNA was detected in almost all of the materials tested, including industrial and experimental composts, manure, and commercial biofertilizers. A comparison of the DGGE and hybridization results after specific PCR and RT-PCR suggested that not all of the different ammonia oxidizer groups detected in compost are equally active. amoA, the gene encoding the active-site-containing subunit of ammonia monooxygenase, was also targeted by PCR, and template concentrations were estimated by competitive PCR. Detection of ammonia-oxidizing bacteria in the composts tested suggested that such materials may not be biologically inert with respect to nitrification and that the fate of nitrogen during composting and compost storage may be affected by the presence of these organisms.

Ammonia↗
PubMed1999

Speech perception results for children implanted with the CLARION cochlear implant at the Medical University of Hannover.

The perception of speech of 167 children implanted with a CLARION Multi-Strategy Cochlear Implant (1.2 device) was evaluated preimplantation and at 3, 6, 12, 18, and 24 months postimplantation. The children were between 15 months and 15 years of age. The test materials consisted of 8 tests involving syllable structure, single- and 2-syllable words, differentiation of word pairs, and sentences. Two difficulty levels were used, depending on developmental age (<7, and 7 to 15 years). There was an improvement in test scores over time for both age groups. The younger children (particularly those under age 4) improved steadily over the first 2 years, while the older children tended to plateau between 12 and 18 months after implantation. These findings demonstrate that deaf children up to 15 years old benefit from cochlear implants. Children under 4 years of age may even have the ability to compensate for delays in speech development before they reach school age.

Adolescent↗
PubMed2006

Biomechanical evaluation of 2 techniques for ulnar collateral ligament reconstruction of the elbow.

BACKGROUND: Elbow medial ulnar collateral ligament tears often result in pain and instability that may be career threatening in overhead-throwing athletes. Surgical reconstruction is frequently chosen to treat this injury. Ulnar collateral ligament reconstruction as described by Jobe is the most commonly used technique. Testing of this construct has not demonstrated that the biomechanical parameters of the native ligament are restored. A more recent construct, the docking technique, may more reliably reproduce these factors. HYPOTHESIS: Increasing the number of strands of palmaris longus tendon graft used in ulnar collateral ligament reconstruction and tensioning them using the docking technique result in a construct with improved biomechanical parameters as compared with the Jobe technique. STUDY DESIGN: Controlled laboratory study. METHODS: Thirty-three fresh-frozen human cadaveric elbows were randomized into 3 subgroups: Jobe (11), docking (12), and native (10). The Jobe and docking groups underwent reconstruction using their described palmaris tendon graft constructs. The ulnar collateral ligament was left intact in the native group. Elbows were potted and tested using a servohydraulic materials testing machine to apply a valgus moment at 30 degrees of elbow flexion. Maximal moments to failure, stiffness, and strain at maximal moment and with a 3 N.m force applied were determined using a 2-camera motion analysis system to track reflective markers spanning the site. RESULTS: The docking (14.3 N.m) and native (18.8 N.m) subgroups resulted in higher maximal moment to failure than did the Jobe (8.9 N.m) subgroup (P < .001). There was no significant difference between native and docking groups (P > .05). Native ligaments were stiffer (301.4 N.m) than were Jobe (74.3 N.m) or docking (80.8 N.m; P < .001). Native ligaments demonstrated lower strain at maximal force (0.087 mm/mm) and 3 N.m forces (0.030 mm/mm) than did the Jobe (0.198/0.057 mm/mm) or docking (0.287/0.042 mm/mm) subgroups. There was no difference in stiffness or strain between the Jobe and docking subgroups (P > .05). CONCLUSION: Neither technique reproduced the biomechanical profile of the native ulnar collateral ligament; the findings of this study suggest that the docking construct may offer initial biomechanical advantage over the Jobe construct.

Analysis of Variance↗
PubMedDate not supplied

Experimental studies of acute anterior cruciate ligament injury and repair.

Ten dogs and six rhesus monkeys underwent transection and repair of the anterior cruciate ligament. One-half of the procedures involved the femoral end, the other half involved the tibial end of the ligament. Seven of the 10 canine and all of the primate ligaments, that had been transected and repaired, did heal. Functional and clinical instability was demonstrable in all repaired knees. The monkeys developed fewer degenerative changes with more grossly normal appearing ligaments after the repairs than did the dogs. Failure testing on an Instron materials testing machine revealed maximum strength of the repaired ligaments to be 10.4% for the repairs at the femoral end and 2.0% for repairs at the tibial ends in dogs when compared with the contralateral control knees. In monkeys the femoral repairs were 46.8% and the tibial repairs were 62.6% of the control knees. Inadequate immobilization and early stress were believed to be principal causes of the poorer results in dogs. The observations in monkeys support the suggestion that injured anterior cruciate ligaments that can be repaired, should be repaired.

Animals↗
PubMed2004

Comparison of the psychophysical properties of various intraoral film and digital systems by means of the perceptibility curve test.

OBJECTIVES: To compare psychophysical properties of two intraoral films and three digital systems using the perceptibility curve (PC) test. MATERIALS AND METHODS: A test object was used to determine the exposures and exposure differences between the total thickness of the test object and details consisting of holes of increasing depth. The PCs for the two intraoral films, UltraSpeed and EktaSpeed Plus, were constructed employing exposure and exposure differences from dose response functions. Integrals of the PCs were calculated to obtain the psychophysical properties of the two films. Psychophysical properties of the two films were compared with those of the three digital systems published previously (CDR, Dixel and Digora). RESULTS: The PC for the EktaSpeed Plus showed a slightly higher peak than that for the UltraSpeed. Available exposure ranges were comparable. The PC for the EktaSpeed Plus was shifted to the left of the exposure axis indicating its higher sensitivity as compared with UltraSpeed. All three digital systems had narrower but higher peaks compared with the films. The integrals for the digital systems were considerably larger than those for the two film types. CONCLUSIONS: All the three digital systems have superior psychophysical properties compared with the two tested films.

Absorptiometry, Photon↗
PubMed2003

A model with original conditions and materials to test potential inhibitors of cyclooxygenase-2 versus cyclooxygenase-1 in isolated human blood cells.

The inflammatory process can be influenced by an enzyme known as cyclooxygenase, which exists in two isoforms: COX-1, the constitutive form, and COX-2, which is only synthesized in the case of inflammation and has negative side effects. To decrease these undesirable effects, current research seeks to discover compounds that selectively inhibit COX-2 versus COX-1. When added to the samples, arachidonic acid activates the synthesis of COX-2. This explains why the two isoforms proceed in different ways. As for COX-1, human lymphocytes and monocytes were activated with 50 microM of calcium ionophore for 1 h at 37 degrees C with 50 microM of arachidonic acid, and the quantity of thromboxane B(2) (TxB(2)) was measured by radioimmuno-assay (RIA). As for COX-2, cells were first incubated with acetylsalicylic acid to block COX-1, then stimulation of COX-2 was performed using 8 mcg/ml lipopolysaccharide (LPS) for 3 h at 37 degrees C with 50 microM arachidonic acid. The IC(50) values for reference compounds were reproducible, taking into consideration the passage through the plasmatic membrane and the transduction signal, while avoiding the problems of binding with plasma proteins and using identical cells, unlike other models.

Anti-Inflammatory Agents, Non-Steroidal↗
PubMed2003

Frontal cortex, laterality, and memory: encoding versus retrieval.

The cerebral hemispheres differ in their capabilities and response to verbal versus nonverbal visual material. A priori, it might thus be expected that the right hemisphere would be best activated during a mnemonic task with fMRI when using nonverbalizable images, and the left hemisphere with verbal material. However, previous psychological tests had shown a high degree of similarity in measures of memory for these disparate items. It was thus hypothesized that extensive commonality in the areas activated would prevail when this previously tested material was employed with fMRI. Six subjects underwent fMRI with four types of trials in blocks: fixating; passively viewing 12 words and 12 nonverbalizable images; endeavoring to remember (encoding) another set of 12 words and images; endeavoring to recognize (retrieve) previously viewed words or images. Passive viewing produced small islands of activation in left versus right frontal cortex for words and images, respectively. Endeavoring to remember enlarged the areas of activation and produced some bilaterality. Retrieval greatly augmented activation as well as bilaterality, and some 20% of the activated frontal volume was shared by words and images. Thus, on the one hand, the distribution of activation upon retrieval differed substantially for words versus images, but on the other, as predicted, there was considerable commonality. Predominant laterality of activation in some areas shifted between encoding and retrieval (HERA), importantly involving different regions for words versus images. Of course, processes other than memory per se are undoubtedly involved in these distributions of fMRI activation in frontal cortex, yet the nature of the to-be-remembered items is clearly a major factor, in accord with the asymmetric lateralization in their basic representation.

Adult↗
PubMed1993

1993 William J. Stickel Gold Award. Stability of absorbable fixation in basilar first metatarsal osteotomies.

The purpose of this study was to compare the structural characteristics of 2.0-mm polyglycolic acid pins and 2.0-mm Steinmann pins in oblique closing base wedge osteotomies of the first metatarsal bone commonly used to correct metatarsus primus varus. Six pairs of fresh frozen cadaveric first metatarsal bones were osteotomized, fixated with either absorbable or stainless steel 2.0-mm pins, cemented in a specimen-holding jig, and tested with the Bionix Material Testing System. There was no significant difference in the mean ultimate force, ultimate displacement, or structural stiffness when comparing 2.0-mm polyglycolic acid pins and Steinmann pins in this model. The structural characteristics of 2.0-mm absorbable pins were the same as stainless steel pins at the time of initial placement in the oblique closing base wedge osteotomy of the first metatarsal.

Absorption↗
PubMed1990

ASTM (American Society for Testing and Materials) standards for medical computing.

One of the founders of the Healthcare Information Standards Coordinating Committee (HISCC), formed two years ago, discusses the need for and status of development of standards that allow incompatible systems to share healthcare data. IS standards underpin the entire concept of networking, which stands as a top priority for the 1990s.

Clinical Laboratory Information Systems↗
PubMed1991

The role of ASTM (American Society for Testing and Materials) in computer information standards for medicine.

The computer is a valuable tool for processing information and knowledge in medicine. Its ability to store, correlate, display, and transfer vast amounts of information rapidly and economically has already greatly impacted medicine. As the standards needed to connect the diverse parts of the current systems are put into place, future capabilities will be even more significant and encompassing. With these standards will come the ability to readily draw diverse information together for appropriate display, analysis, and interpretation. Good standards are essential for the continuation of the computer revolution in medicine.

Clinical Laboratory Information Systems↗