The document summarizes a study that characterized the biomechanical properties and regional strain patterns of murine Achilles tendons. The following key points were reported:
1. Murine Achilles tendons exhibited significant regional variations in tissue strain, with the highest strain observed at the insertion region and the lowest in the distal midsubstance region.
2. At peak forces seen in other animal models, the insertional strain in murine Achilles tendons was significantly greater than both the distal and proximal midsubstance regions.
3. Future work will focus on using this testing method to observe the biomechanical response and regional strain variations in mutant mouse models lacking tendon transcription factors, to study tendon injury models.
Knee Joint Articular Cartilage Segmentation using Radial Search Method, Visua...CSCJournals
Knee is a complex and highly stressed joint of the human body. Articular Cartilage is a smooth hyaline spongy material between the tibia and femur bones of knee joint. Cartilage morphology change is an important biomarker for the progression of osteoarthritis (OA). Magnetic Resonance Imaging (MRI) is the modality widely used to image the knee joint because of its hazard free and soft tissue contrast. Cartilage thickness measurement and visualization is useful for early detection and progression of the disease in case of OA affected patients. In the present work, knee joint MR images of normal and OA affected are processed for segmentation and visualization of cartilage using semiautomatic method. The radial search method is used with minor modifications in search area to reduce computation time. Cartilage thickness and volume is measured in lateral, medial and patellar regions of femur. The overall accuracy of measurements is determined by comparing the measurements with another semiautomatic method based on edge detection and interpolation. It is observed a good correlation between quantification of cartilage in two methods. The method takes less time for segmentation because of reduced manual steps. The reduced cartilage thickness and volume is observed in OA affected knee of different level of progression.
Structural Targets for Prevention of Post Traumatic OAOARSI
David Hunter MBBS, PhD, FRACP
Florance and Cope Chair of Rheumatology, Professor of Medicine
University of Sydney and Royal North Shore Hospital
Chair, Institute of Bone and Joint Research
Chair, Musculoskeletal, Sydney Medical Program
Consultant Rheumatologist, North Sydney Orthopedic and Sports Medicine
Finite Element Analysis of Osteosynthesis Miniplate for the Reconstruction of...UniversitasGadjahMada
In the last two decades, the use of osteosynthesis miniplate has been growing to aid the healing process and reconstruction of fractured mandibular bone. In principle, the plate is used to provide stable fixation of the fractured bone tissue during the healing process and reconstruction. Based on earlier studies, it is noted that arrangements and geometry of the osteosynthesis miniplate played a critical role in determining the stability of the fractured mandibular bone, as well as the miniplate. In this research, a simulation with finite element method (FEM) was carried out to investigate the influence of the number of holes in an osteosynthesis miniplate on the stability of fractured mandibular bone and the corresponding miniplate after the implantation. For this purpose, a set of osteosynthesis miniplate with three different configurations was taken for simulation using a three-dimensional (3D) model of mandibular bone generated from the patient through computed tomography (CT). The result of the simulation showed that all the miniplates with three configurations tested were stable enough to prevent movement of fractured mandibular bone. Moreover, fixation with a pair of miniplates having four screw holes demonstrated the desired result; as indicated by the lowest value of displacement, pressure on the bone surface and pressure on the miniplate.
Assessment of proximal femur bone density and geometry by dxa in japanese pat...IJSIT Editor
Hip structure analysis (HSA) and advanced hip assessment (AHA) can be used to evaluate proximal
femur geometry based on dual energy X-ray absorptiometry scans of the hip. The purpose of this review was
to reveal the effects of 1-year risedronate therapy on proximal femur bone mineral density (BMD) and
geometry in Japanese patients with an increased risk for fractures. The relevant literature was searched using
PubMed and two available clinical practice-based observational studies were identified. The HSA study
revealed that the BMD increased at the intertrochanter and shaft, the cross-sectional area (CSA) and section
modulus increased at the narrow neck, intertrochanteric, and shaft and the buckling ratio decreased at the
intertrochanteric. The increase in section modulus was greater than the increase in BMD. The AHA study
revealed that the total hip and femoral neck BMD, CSA, cross-sectional moment of inertia (CSMI), and femoral
strength index (FSI) of the proximal femur increased. The increases in CSMI, CSA, and FSI were greater than
the increases in femoral neck and total hip BMD. These results suggested beneficial effects of risedronate
therapy on proximal femur geometry assessed by HSA and AHA in Japanese patients with an increased risk
for fractures, indicating positive effects of risedronate on the structural properties in terms of bone quality.
Osteoarthritis (OA) is the most common form of arthritis seen in aged or older populations. It is caused
because of a degeneration of articular cartilage, which functions as shock absorption cushion in knee joint. OA
also leads sliding of bones together, cause swelling, pain, eventually and loss of motion. Nowadays, magnetic
resonance imaging (MRI) technique is widely used in the progression of osteoarthritis diagnosis due to the ability
to display the contrast between bone and cartilage. Usually, analysis of MRI image is done manually by a
physician which is very unpredictable, subjective and time consuming. Hence, there is need to develop automated
system to reduce the processing time. In this paper, a new automatic knee OA detection system based on feature
extraction and artificial neural network is developed. The different features viz GLCM texture, statistical, shape
etc. is extracted by using different image processing algorithms. This detection system consists of 4 stages, which
are pre-processing with ROI cropping, segmentation, feature extraction, and classification by neural network. This
technique results 98.5% of classification accuracy at training stage and 92% at testing stage.
Keywords — Artificial Neural Network (ANN), Gray Level Co-occurrence Matrix (GLCM),Knee
Joint, Magnetic Resonance Imaging (MRI), Osteoarthritis(OA).
Dr jehad al sukhun gives modelling of orbital deformationjehadsukhun
The purpose of this study was to develop a three-dimensional finite-element model (FEM) of the human orbit, containing the globe, to predict orbital deformation in subjects following a blunt injury
Knee Joint Articular Cartilage Segmentation using Radial Search Method, Visua...CSCJournals
Knee is a complex and highly stressed joint of the human body. Articular Cartilage is a smooth hyaline spongy material between the tibia and femur bones of knee joint. Cartilage morphology change is an important biomarker for the progression of osteoarthritis (OA). Magnetic Resonance Imaging (MRI) is the modality widely used to image the knee joint because of its hazard free and soft tissue contrast. Cartilage thickness measurement and visualization is useful for early detection and progression of the disease in case of OA affected patients. In the present work, knee joint MR images of normal and OA affected are processed for segmentation and visualization of cartilage using semiautomatic method. The radial search method is used with minor modifications in search area to reduce computation time. Cartilage thickness and volume is measured in lateral, medial and patellar regions of femur. The overall accuracy of measurements is determined by comparing the measurements with another semiautomatic method based on edge detection and interpolation. It is observed a good correlation between quantification of cartilage in two methods. The method takes less time for segmentation because of reduced manual steps. The reduced cartilage thickness and volume is observed in OA affected knee of different level of progression.
Structural Targets for Prevention of Post Traumatic OAOARSI
David Hunter MBBS, PhD, FRACP
Florance and Cope Chair of Rheumatology, Professor of Medicine
University of Sydney and Royal North Shore Hospital
Chair, Institute of Bone and Joint Research
Chair, Musculoskeletal, Sydney Medical Program
Consultant Rheumatologist, North Sydney Orthopedic and Sports Medicine
Finite Element Analysis of Osteosynthesis Miniplate for the Reconstruction of...UniversitasGadjahMada
In the last two decades, the use of osteosynthesis miniplate has been growing to aid the healing process and reconstruction of fractured mandibular bone. In principle, the plate is used to provide stable fixation of the fractured bone tissue during the healing process and reconstruction. Based on earlier studies, it is noted that arrangements and geometry of the osteosynthesis miniplate played a critical role in determining the stability of the fractured mandibular bone, as well as the miniplate. In this research, a simulation with finite element method (FEM) was carried out to investigate the influence of the number of holes in an osteosynthesis miniplate on the stability of fractured mandibular bone and the corresponding miniplate after the implantation. For this purpose, a set of osteosynthesis miniplate with three different configurations was taken for simulation using a three-dimensional (3D) model of mandibular bone generated from the patient through computed tomography (CT). The result of the simulation showed that all the miniplates with three configurations tested were stable enough to prevent movement of fractured mandibular bone. Moreover, fixation with a pair of miniplates having four screw holes demonstrated the desired result; as indicated by the lowest value of displacement, pressure on the bone surface and pressure on the miniplate.
Assessment of proximal femur bone density and geometry by dxa in japanese pat...IJSIT Editor
Hip structure analysis (HSA) and advanced hip assessment (AHA) can be used to evaluate proximal
femur geometry based on dual energy X-ray absorptiometry scans of the hip. The purpose of this review was
to reveal the effects of 1-year risedronate therapy on proximal femur bone mineral density (BMD) and
geometry in Japanese patients with an increased risk for fractures. The relevant literature was searched using
PubMed and two available clinical practice-based observational studies were identified. The HSA study
revealed that the BMD increased at the intertrochanter and shaft, the cross-sectional area (CSA) and section
modulus increased at the narrow neck, intertrochanteric, and shaft and the buckling ratio decreased at the
intertrochanteric. The increase in section modulus was greater than the increase in BMD. The AHA study
revealed that the total hip and femoral neck BMD, CSA, cross-sectional moment of inertia (CSMI), and femoral
strength index (FSI) of the proximal femur increased. The increases in CSMI, CSA, and FSI were greater than
the increases in femoral neck and total hip BMD. These results suggested beneficial effects of risedronate
therapy on proximal femur geometry assessed by HSA and AHA in Japanese patients with an increased risk
for fractures, indicating positive effects of risedronate on the structural properties in terms of bone quality.
Osteoarthritis (OA) is the most common form of arthritis seen in aged or older populations. It is caused
because of a degeneration of articular cartilage, which functions as shock absorption cushion in knee joint. OA
also leads sliding of bones together, cause swelling, pain, eventually and loss of motion. Nowadays, magnetic
resonance imaging (MRI) technique is widely used in the progression of osteoarthritis diagnosis due to the ability
to display the contrast between bone and cartilage. Usually, analysis of MRI image is done manually by a
physician which is very unpredictable, subjective and time consuming. Hence, there is need to develop automated
system to reduce the processing time. In this paper, a new automatic knee OA detection system based on feature
extraction and artificial neural network is developed. The different features viz GLCM texture, statistical, shape
etc. is extracted by using different image processing algorithms. This detection system consists of 4 stages, which
are pre-processing with ROI cropping, segmentation, feature extraction, and classification by neural network. This
technique results 98.5% of classification accuracy at training stage and 92% at testing stage.
Keywords — Artificial Neural Network (ANN), Gray Level Co-occurrence Matrix (GLCM),Knee
Joint, Magnetic Resonance Imaging (MRI), Osteoarthritis(OA).
Dr jehad al sukhun gives modelling of orbital deformationjehadsukhun
The purpose of this study was to develop a three-dimensional finite-element model (FEM) of the human orbit, containing the globe, to predict orbital deformation in subjects following a blunt injury
BACKGROUND: The stimulating effect of low level laser phototherapy on bone healing has been shown in a number of in vitro and animal studies. However, the effect of LLLT on the bone healing in human has not been previously wide demonstrated. The article reports an accidentally injury pattern and reported as fractures of the mid third of the left tibia. OBJECTIVE: The purpose of this case study was to demonstrate the biological effects of low-level laser therapy (LLLT) on tibial fractures treated surgically using radiographic, examinations. CASE REPORT: The case hospitalized for conventional surgery and followed by applying Low Level Laser Therapy LLLT to enhance and accelerate the bone fracture healing of the left tibia using the effect of laser bio-stimulation. Radiological x-ray imaging evaluation follow up for our case showed a significant bone healing rate as result of exposure of Diode Laser 650 nm with energy density of 5 J/cm2 three times/week for one month. Radiographic findings revealed no significant fracture callus thickness difference before using LLLT however, the fractures showed significant callus formation after using LLLT. CONCLUSION: The study suggests that LLLT accelerates the process of fracture repair or cause increases in callus volume
Panoramic radiographs in diagnosis of osteoporosis/ dental implant coursesIndian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.
Megaprosthetic replacement of knee in a young boy of 14 yearsApollo Hospitals
Now a days, Total Knee Replacement (TKR) is a common for elderly patients but is an uncommon procedure in young individuals. Recently, limb conservation surgery for malignant bone tumours like osteosarcoma around the knee has become a common indication for TKR in young. We report, here a histologically confirmed osteosarcoma in right
proximal tibia of a 14-year-old boy who was managed successfully by limb salvage surgery using Global Modular Replacement System (GMRS, Stryker).
Rotator cuff tears are a very common cause of shoulder pain. Surgery is very successful in improving pain but biological augmentation is aimed at improving the healing rate. Amniotic membrane allografts, PRP (platelet rich plasma) and stem cells are all currently popular options.
This study is an In vitro analysis of amniotic membrane allograft as a potential agent for biological augmentation of rotator cuff repair performed by Dr Adnan Saithna, Orthopedic Surgeon, AZBSC Orthopedics
Computer Navigated Medial Opening Wedge High Tibial Osteotomy- Review of Lite...CrimsonPublishersOPROJ
Computer Navigated Medial Opening Wedge High Tibial Osteotomy- Review of Literature by Kunal Dhurve* in Crimson Publishers: Orthopedic Research and Reviews Journal
Vertebra osteoporosis detection based on bone density using Index-Singh stati...TELKOMNIKA JOURNAL
Osteoporosis is a progressive decrease in bone density so that the bones become brittle and broken. Bones are composed of minerals such as calcium and phosphate, so the bones become hard and solid. Many people do not realize that osteoporosis is a silent disease. Therefore, early detection of osteoporosis is very important. Detection of osteoporosis can be done by utilizing x-ray images of the vertebra. In this research the detection of bone density using blended statistical methods and Index-Singh. The x-ray sample used in this research was 50 images of osteoporosis patients. The result of the area calculation yields the highest white pixel is 7,983 pixels and the lowest white pixel is 5,410 pixels. Based on the results of these calculations, a statistical grouping is conducted into 6 Index-Singh. The range of statistical values is 5,410–6,266 pixels grouped into Index-Singh 1, range of data 6,323–6,512 pixels grouped into Index-Singh 2, the data range 6,520-6,747 pixels grouped into Index-Singh 3, data range 6,778-6,998 pixels grouped into Index-Singh 4, data range 7,001-7,219 pixels grouped into Index-Singh 5, and data range 7,338-7,983 pixels grouped into Index-Singh 6. Overall, the results of testing the osteoporosis detection system have been successful and can be used as an early detection system for osteoporosis. This assistance system has a detection accuracy of 76% compared to doctor's justification.
Osteoporosis Detection Using Deep LearningIJMTST Journal
Osteoporosis is a bone disorder which occurs due to low bone mass, degradation of bone micro-architecture
and high susceptibility to fracture. It is a major health concern across the world, especially in elderly people.
Osteoporosis can cause spinal or hip fractures that may lead to socio-economic burden and high morbidity.
Therefore, there is a need for the early diagnosis of osteoporosis and predicting the presence of the fracture.
We introduce a Convolutional Neural Network model to effectively diagnose osteoporosis in bone radiography
data. Automated diagnosis from digital radiographs is very challenging since the scans of healthy and
osteoporotic subjects show little or no visual differences. In this paper, we have proposed a model to separate
healthy from osteoporotic subjects using high dimensional textural feature representations computed from
radiography images. CNN can help us bring the use of structural MRI measurements of bone quality into
clinical practice for the detection of Osteoporosis as it gives high accuracy.
BACKGROUND: The stimulating effect of low level laser phototherapy on bone healing has been shown in a number of in vitro and animal studies. However, the effect of LLLT on the bone healing in human has not been previously wide demonstrated. The article reports an accidentally injury pattern and reported as fractures of the mid third of the left tibia. OBJECTIVE: The purpose of this case study was to demonstrate the biological effects of low-level laser therapy (LLLT) on tibial fractures treated surgically using radiographic, examinations. CASE REPORT: The case hospitalized for conventional surgery and followed by applying Low Level Laser Therapy LLLT to enhance and accelerate the bone fracture healing of the left tibia using the effect of laser bio-stimulation. Radiological x-ray imaging evaluation follow up for our case showed a significant bone healing rate as result of exposure of Diode Laser 650 nm with energy density of 5 J/cm2 three times/week for one month. Radiographic findings revealed no significant fracture callus thickness difference before using LLLT however, the fractures showed significant callus formation after using LLLT. CONCLUSION: The study suggests that LLLT accelerates the process of fracture repair or cause increases in callus volume
Panoramic radiographs in diagnosis of osteoporosis/ dental implant coursesIndian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.
Megaprosthetic replacement of knee in a young boy of 14 yearsApollo Hospitals
Now a days, Total Knee Replacement (TKR) is a common for elderly patients but is an uncommon procedure in young individuals. Recently, limb conservation surgery for malignant bone tumours like osteosarcoma around the knee has become a common indication for TKR in young. We report, here a histologically confirmed osteosarcoma in right
proximal tibia of a 14-year-old boy who was managed successfully by limb salvage surgery using Global Modular Replacement System (GMRS, Stryker).
Rotator cuff tears are a very common cause of shoulder pain. Surgery is very successful in improving pain but biological augmentation is aimed at improving the healing rate. Amniotic membrane allografts, PRP (platelet rich plasma) and stem cells are all currently popular options.
This study is an In vitro analysis of amniotic membrane allograft as a potential agent for biological augmentation of rotator cuff repair performed by Dr Adnan Saithna, Orthopedic Surgeon, AZBSC Orthopedics
Computer Navigated Medial Opening Wedge High Tibial Osteotomy- Review of Lite...CrimsonPublishersOPROJ
Computer Navigated Medial Opening Wedge High Tibial Osteotomy- Review of Literature by Kunal Dhurve* in Crimson Publishers: Orthopedic Research and Reviews Journal
Vertebra osteoporosis detection based on bone density using Index-Singh stati...TELKOMNIKA JOURNAL
Osteoporosis is a progressive decrease in bone density so that the bones become brittle and broken. Bones are composed of minerals such as calcium and phosphate, so the bones become hard and solid. Many people do not realize that osteoporosis is a silent disease. Therefore, early detection of osteoporosis is very important. Detection of osteoporosis can be done by utilizing x-ray images of the vertebra. In this research the detection of bone density using blended statistical methods and Index-Singh. The x-ray sample used in this research was 50 images of osteoporosis patients. The result of the area calculation yields the highest white pixel is 7,983 pixels and the lowest white pixel is 5,410 pixels. Based on the results of these calculations, a statistical grouping is conducted into 6 Index-Singh. The range of statistical values is 5,410–6,266 pixels grouped into Index-Singh 1, range of data 6,323–6,512 pixels grouped into Index-Singh 2, the data range 6,520-6,747 pixels grouped into Index-Singh 3, data range 6,778-6,998 pixels grouped into Index-Singh 4, data range 7,001-7,219 pixels grouped into Index-Singh 5, and data range 7,338-7,983 pixels grouped into Index-Singh 6. Overall, the results of testing the osteoporosis detection system have been successful and can be used as an early detection system for osteoporosis. This assistance system has a detection accuracy of 76% compared to doctor's justification.
Osteoporosis Detection Using Deep LearningIJMTST Journal
Osteoporosis is a bone disorder which occurs due to low bone mass, degradation of bone micro-architecture
and high susceptibility to fracture. It is a major health concern across the world, especially in elderly people.
Osteoporosis can cause spinal or hip fractures that may lead to socio-economic burden and high morbidity.
Therefore, there is a need for the early diagnosis of osteoporosis and predicting the presence of the fracture.
We introduce a Convolutional Neural Network model to effectively diagnose osteoporosis in bone radiography
data. Automated diagnosis from digital radiographs is very challenging since the scans of healthy and
osteoporotic subjects show little or no visual differences. In this paper, we have proposed a model to separate
healthy from osteoporotic subjects using high dimensional textural feature representations computed from
radiography images. CNN can help us bring the use of structural MRI measurements of bone quality into
clinical practice for the detection of Osteoporosis as it gives high accuracy.
ASSESSING THE EFFECT OF UNICONDYLAR KNEE ARTHROPLASTY ON PROXIMAL TIBIA BONE ...ijbesjournal
ABSTRACT
In order to develop computational models of implanted constructs to predict prosthesis performance,robust experimental tests need to be devised. In the case of unicondylar knee arthroplasty (UKA), whereuptake of the procedure has been relatively low compared to traditional total knee arthroplasty techniques,computational modelling can give an insight into the factors affect theperformance of UKA if verified withappropriate, preferably data rich, experimental simulations. In the present work, an image based strainanalysis technique was applied for the assessment of the effect of UKA implantation on the strainsdeveloped in cortical bone of the proximal tibia. The results indicated the presence of increased strains inthe proximal portion of the bone, which could be exacerbated in the case of poor implant positioning, or for patients with diminished bone quality.
KEYWORDS
Unicondylar Knee Arthroplasty, Orthopaedics, Implantation, Cadaver Bone, Strain, Digital ImageCorrelation
Segmentation and Labelling of Human Spine MR Images Using Fuzzy Clustering csandit
Computerized medical image segmentation is a challenging area because of poor resolution
and weak contrast. The predominantly used conventional clustering techniques and the
thresholding methods suffer from limitations owing to their heavy dependence on user
interactions. Uncertainties prevalent in an image cannot be captured by these techniques. The
performance further deteriorates when the images are corrupted by noise, outliers and other
artifacts. The objective of this paper is to develop an effective robust fuzzy C- means clustering
for segmenting vertebral body from magnetic resonance images. The motivation for this work is
that spine appearance, shape and geometry measurements are necessary for abnormality
detection and thus proper localisation and labelling will enhance the diagnostic output of a
physician. The method is compared with Otsu thresholding and K-means clustering to illustrate
the robustness. The reference standard for validation was the annotated images from the
radiologist, and the Dice coefficient and Hausdorff distance measures were used to evaluate the
segmentation.
SEGMENTATION AND LABELLING OF HUMAN SPINE MR IMAGES USING FUZZY CLUSTERINGcscpconf
Computerized medical image segmentation is a challenging area because of poor resolution and weak contrast. The predominantly used conventional clustering techniques and the thresholding methods suffer from limitations owing to their heavy dependence on user interactions. Uncertainties prevalent in an image cannot be captured by these techniques. The performance further deteriorates when the images are corrupted by noise, outliers and other artifacts. The objective of this paper is to develop an effective robust fuzzy C- means clustering for segmenting vertebral body from magnetic resonance images. The motivation for this work is that spine appearance, shape and geometry measurements are necessary for abnormality detection and thus proper localisation and labelling will enhance the diagnostic output of a physician. The method is compared with Otsu thresholding and K-means clustering to illustrate the robustness. The reference standard for validation was the annotated images from the radiologist, and the Dice coefficient and Hausdorff distance measures were used to evaluate the segmentation.
Modelling of orbital deformation - Jehad Al Sukhun and othersDr Jehad Al Sukhun
The purpose of this study was to develop a three-dimensional finite-element model (FEM) of the human orbit, containing the globe, to predict orbital deformation in subjects following a blunt injury. This study investigated the hypothesis that such deformation could be modelled using finite-element techniques. To know more about modelling of orbital deformation contact to Jehad Al Sukhun at http://drjehadalsukhun.com.
Towards diagnosis of rotator cuff tears in 3-D MRI using 3-D convolutional ne...Wesley De Neve
Towards diagnosis of rotator cuff tears in 3-D MRI using 3-D convolutional neural networks. Paper presented at the Workshop on Computational Biology at the International Conference on Machine Learning, Long Beach, USA, 2019.
Internal fixation of fractures of the capitellum and trochlea - Retrospective...Apollo Hospitals
Fractures of capitellum and trochlea account for 0.5-1% of elbow fractures and 6% of distal humerus fractures. These usually occur due to axial loading of the distal humerus by forces transmitted across the joint producing a coronal shear fracture of the capitellum or the trochlea. Internal fixation is the best modality to restore articular congruity in these fractures.
An Expandable Prosthesis with Dual Cage-and-Plate Function in a Single Device...Erwin Chiquete, MD, PhD
Juan J. Ramı´rez, Erwin Chiquete, Juan J. Ramı´rez, Jr., Ernesto Go´mez-Limo´n, and Juan M. Ramı´rez
An expandable vertebral body prosthesis with dual cage-and-plate function in a single
device (JR prosthesis) was designed to test the hypothesis that this modular system can
provide the biomechanical requirements for immediate and durable spine stabilization
after corpectomy. Cadaver assays were performed with a stainless steal device to test fixation
and adequacy to the human spine anatomy. Then, 14 patients with vertebral tumors
(eight metastatic) underwent corpectomy and vertebral body replacement with a titaniummade
JR prosthesis. All patients had neurological deficit, severe pain and spine instability
prior to surgery. Mean pain score before surgery on a visual analog scale decreased from
7.6e3.0 points after operation ( p 5 0.002). All patients achieved at least one grade of
improvement in the Frankel score ( p 5 0.003), excepting the three patients with Frankel
grade A before surgery. Two patients with renal cell carcinoma died during the following
4 days after surgery. The remaining patients attained a painless and stable spine immediately,
which was maintained for long periods (mean follow-up: 25.4 months). No significant
infections or implant failures were registered. A nonfatal case of inferior vena cava
surgical injury was observed (repaired during surgery without further complications). In
conclusion, the JR prosthesis stabilizes the spine immediately after surgery and for the
rest of the patients’ life. To our knowledge, this is the first report on the clinical experience
of any expandable vertebral body prosthesis with dual cage-and-plate function in
a single device.
CFD Simulation of By-pass Flow in a HRSG module by R&R Consult.pptxR&R Consult
CFD analysis is incredibly effective at solving mysteries and improving the performance of complex systems!
Here's a great example: At a large natural gas-fired power plant, where they use waste heat to generate steam and energy, they were puzzled that their boiler wasn't producing as much steam as expected.
R&R and Tetra Engineering Group Inc. were asked to solve the issue with reduced steam production.
An inspection had shown that a significant amount of hot flue gas was bypassing the boiler tubes, where the heat was supposed to be transferred.
R&R Consult conducted a CFD analysis, which revealed that 6.3% of the flue gas was bypassing the boiler tubes without transferring heat. The analysis also showed that the flue gas was instead being directed along the sides of the boiler and between the modules that were supposed to capture the heat. This was the cause of the reduced performance.
Based on our results, Tetra Engineering installed covering plates to reduce the bypass flow. This improved the boiler's performance and increased electricity production.
It is always satisfying when we can help solve complex challenges like this. Do your systems also need a check-up or optimization? Give us a call!
Work done in cooperation with James Malloy and David Moelling from Tetra Engineering.
More examples of our work https://www.r-r-consult.dk/en/cases-en/
Cosmetic shop management system project report.pdfKamal Acharya
Buying new cosmetic products is difficult. It can even be scary for those who have sensitive skin and are prone to skin trouble. The information needed to alleviate this problem is on the back of each product, but it's thought to interpret those ingredient lists unless you have a background in chemistry.
Instead of buying and hoping for the best, we can use data science to help us predict which products may be good fits for us. It includes various function programs to do the above mentioned tasks.
Data file handling has been effectively used in the program.
The automated cosmetic shop management system should deal with the automation of general workflow and administration process of the shop. The main processes of the system focus on customer's request where the system is able to search the most appropriate products and deliver it to the customers. It should help the employees to quickly identify the list of cosmetic product that have reached the minimum quantity and also keep a track of expired date for each cosmetic product. It should help the employees to find the rack number in which the product is placed.It is also Faster and more efficient way.
COLLEGE BUS MANAGEMENT SYSTEM PROJECT REPORT.pdfKamal Acharya
The College Bus Management system is completely developed by Visual Basic .NET Version. The application is connect with most secured database language MS SQL Server. The application is develop by using best combination of front-end and back-end languages. The application is totally design like flat user interface. This flat user interface is more attractive user interface in 2017. The application is gives more important to the system functionality. The application is to manage the student’s details, driver’s details, bus details, bus route details, bus fees details and more. The application has only one unit for admin. The admin can manage the entire application. The admin can login into the application by using username and password of the admin. The application is develop for big and small colleges. It is more user friendly for non-computer person. Even they can easily learn how to manage the application within hours. The application is more secure by the admin. The system will give an effective output for the VB.Net and SQL Server given as input to the system. The compiled java program given as input to the system, after scanning the program will generate different reports. The application generates the report for users. The admin can view and download the report of the data. The application deliver the excel format reports. Because, excel formatted reports is very easy to understand the income and expense of the college bus. This application is mainly develop for windows operating system users. In 2017, 73% of people enterprises are using windows operating system. So the application will easily install for all the windows operating system users. The application-developed size is very low. The application consumes very low space in disk. Therefore, the user can allocate very minimum local disk space for this application.
Saudi Arabia stands as a titan in the global energy landscape, renowned for its abundant oil and gas resources. It's the largest exporter of petroleum and holds some of the world's most significant reserves. Let's delve into the top 10 oil and gas projects shaping Saudi Arabia's energy future in 2024.
About
Indigenized remote control interface card suitable for MAFI system CCR equipment. Compatible for IDM8000 CCR. Backplane mounted serial and TCP/Ethernet communication module for CCR remote access. IDM 8000 CCR remote control on serial and TCP protocol.
• Remote control: Parallel or serial interface.
• Compatible with MAFI CCR system.
• Compatible with IDM8000 CCR.
• Compatible with Backplane mount serial communication.
• Compatible with commercial and Defence aviation CCR system.
• Remote control system for accessing CCR and allied system over serial or TCP.
• Indigenized local Support/presence in India.
• Easy in configuration using DIP switches.
Technical Specifications
Indigenized remote control interface card suitable for MAFI system CCR equipment. Compatible for IDM8000 CCR. Backplane mounted serial and TCP/Ethernet communication module for CCR remote access. IDM 8000 CCR remote control on serial and TCP protocol.
Key Features
Indigenized remote control interface card suitable for MAFI system CCR equipment. Compatible for IDM8000 CCR. Backplane mounted serial and TCP/Ethernet communication module for CCR remote access. IDM 8000 CCR remote control on serial and TCP protocol.
• Remote control: Parallel or serial interface
• Compatible with MAFI CCR system
• Copatiable with IDM8000 CCR
• Compatible with Backplane mount serial communication.
• Compatible with commercial and Defence aviation CCR system.
• Remote control system for accessing CCR and allied system over serial or TCP.
• Indigenized local Support/presence in India.
Application
• Remote control: Parallel or serial interface.
• Compatible with MAFI CCR system.
• Compatible with IDM8000 CCR.
• Compatible with Backplane mount serial communication.
• Compatible with commercial and Defence aviation CCR system.
• Remote control system for accessing CCR and allied system over serial or TCP.
• Indigenized local Support/presence in India.
• Easy in configuration using DIP switches.
Sachpazis:Terzaghi Bearing Capacity Estimation in simple terms with Calculati...Dr.Costas Sachpazis
Terzaghi's soil bearing capacity theory, developed by Karl Terzaghi, is a fundamental principle in geotechnical engineering used to determine the bearing capacity of shallow foundations. This theory provides a method to calculate the ultimate bearing capacity of soil, which is the maximum load per unit area that the soil can support without undergoing shear failure. The Calculation HTML Code included.
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Murine Achilles Tendon Biomechanical Properties and Regional Strain Patterns
1. Kallenbach, Jacob G.1 ; Gilday, Steve D.1 ; Shearn, Jason T.1
INTRODUCTION RESULTS
METHODS
1Biomedical Engineering, University of Cincinnati, Cincinnati, OH, USA
Murine Achilles Tendon Biomechanical Properties
and Regional Strain Patterns
• Injuries involving the Achilles tendon (AT) occur in 5.5 to 10 individuals per 100,000 each year in
North America resulting in significant pain, discomfort, and disability[4]. Elucidating the
mechanisms of injury and healing process behind many treatments and rehabilitation protocols
is inconclusive[1].
• Because current clinical tests cannot evaluate Achilles tendon mechanical properties in vivo,
there is vast clinical importance of utilizing methods to test the Achilles tendon at normal
physiological levels in diseased and injured animal models through fatigue and failure loading.
Objective
• Understand the mechanical properties of healthy murine Achilles tendon tissues in order to relate
to structural changes seen before injury, during healing, and after injury.
Hypothesis
• Normal, un-operated murine Achilles tendons will exhibit significant regional variations in
tissue strain.
DISCUSSION
1. The purpose of this study was to characterize native adult murine Achilles tendon mechanical and structural
properties by designing and validating a repeatable testing mechanism and analysis method. Regional strain
variations were found to be statistically different between insertion, distal midsubstance and proximal midsubstance in
the murine strain C57BL/6J AT.
2. At peak in vivo forces seen in rabbit patellar tendon[5] and in goat patellar tendon[6], insertional strain in the murine
Achilles tendon is significantly greater than both distal and proximal midsubstances. Increased strain at the insertional
AT is clinically important in AT injuries as it may lead to insertional AT tendinopathy, which is a chronic condition
causing pain, impairment, and swelling at the insertion[3].
3. Future work will focus this testing and analysis protocol on various mutant mouse models, who have missing tendon
specific transcription factors, to observe the biomechanical response and regional strain variations in an injury model.
REFERENCES
[1] Freedman BR. J Biomech. 2014. [2] Dyment NA. Journal of Orthopaedic Research. 2012. [3] Hu CT. Operative Techniques in Orthopaedics. 2008. [4]
Suchak AA. Foot and Ankle International. 2005. [5] Juncosa N. J Biomech. 2003. [6] Korvick DL. J Biomech. 1996.
ACKNOWLEDGEMENTS
I thank Dr. Christy Holland, Dr. Daria Narmoneva, and Cindi Gooch for their technical assistance and Jessica Arble for moral support.
50μm
C57BL/6J AT Average Structural and Material Curves
Figure 3: Average murine AT Structural and Material Curves. Average curve of Load vs. Displacement (A). Average stress-strain curve for normal murine
Achilles tendons (B). Error bars indicate standard error margin (SEM); n=12.
Animal model
• Adult C57BL/6J male mice at 18-20 week old (n=12, Fig 1).
• Mice displayed normal tendon morphology with before dissection (Fig 1).
Achilles Tendon Dissection and Biomechanical Testing
• After examining the gross morphological appearance, the murine AT was isolated by dissecting
away the tibia, fibula, tarsal, and metatarsal bones leaving the calcaneus bone intact (Fig 1A,B).
After removal of the gastrocnemius musculature, the calcaneus and AT whole sample was
secured and mounted in a materials testing system (100R Test Resources).
• Once mounted, tendons were submerged in 37C phosphate buffered saline and preloaded to
0.02N. Samples were preconditioned at 25 cycles, 0-1% strain, 3 microns/sec, and failed in
uniaxial tension at a rate of 3 microns/sec [2] while recording displacement and load (Fig 1C,D).
Figure 1: Murine Achilles Tendon Dissection and Experimental Setup. Male murine Achilles Tendon (The Jackson Laboratory)
(A). Murine Achilles tendon total length (B). Grip to grip mounting of AT with calcaneus embedded in bottom grip (C). Materials
testing system full experimental setup (D).
Optical Strain Analysis
• After dissection and before mounting, 6-0 silk suture saturated in Verhoeff’s stain was used to
create two local strain marks on the AT 1/3 the total distance up from the calcaneus and a
second 2/3 of the total distance up from the calcaneus (Fig 2A).
• Once mounted, high resolution digital images were taken in the sagittal and frontal planes to
calculate initial AT dimensions. Images of the posterior surface of the AT were captured at 5
second intervals throughout the failure test to optically measure regional tissue strains and
assess failure location (Fig 2B-D).
• Regional tissue strains were computed by optically tracking applied stain lines for each
specimen using the MTrack2 plugin for ImageJ (Fig 2B-D). Raw displacement data was utilized
to calculate and plot tensile strain in the insertion, distal midsubstance, and proximal
midsubstance as a function of load.
Figure 2: Optical Strain Analysis. Achilles tendon specimens were marked with two stain lines and loaded into the tensile testing system
(A). Local tissue strain is calculated utilizing with high resolution images (B). Thresholded 8-bit binary grayscale image of centroid (C).
Frame by frame displacement of centroid paths tracked by MTrack2 plugin for ImageJ (D).
C57BL/6J AT Regional Strain Outcomes in Murine Achilles Tendons
Figure 4: Regional Strain Variations. Normal murine Achilles tendons exhibited distinct regional variations in tissue strain at all levels greater than 0.25N. At
failure, insertion reached a maximum strain of 49.21% +/- 7.15 (mean+/-SEM) compared to both distal 10.18% +/- 5.25 and proximal 39.82% +/- 7.35
midsubstances (A). At 21% and 40% of normal AT failure force, normal tendons showed increased local strain in the insertion region compared to both distal
and proximal midsubstances (B). Curves represent average of 12 specimens; error bars indicate SEM and statistical significance * p<0.05.
A CB D
{
{
{Proximal
Midsubstance
Distal
Midsubstance
Insertion
Calcaneus
A DCB
0
10
20
30
40
50
60
0 1 2 3 4 5 6 7
OpticalStrain(%)
Load (N)
Insertion
Distal Midsubstance
Proximal Midsubstance
*
*
* *
* *
* * * * * * * * *
* * * * * * * * *
0
10
20
30
40
50
60
21% of Failure Load 40% of Failure Load 100% of Failure Load
OpticalStrain(%)
Insertion
Distal Midsubstance
Proximal Midsubstance
*
*
*
*
*
0
2
4
6
8
10
0 0.5 1 1.5 2
Load(N)
Grip-to-Grip Displacement (mm)
C57BL6
0
2
4
6
8
10
0 4 8 12 16 20 24 28 32
Stress(MPa)
Strain (%)
C57BL6
AT
DISSECTION
TENDON MOUNTED IN
SYSTEM
FROM FAILURE TEST
Age (wk)
Length
(mm)
Avg CSA
(mm^2)
Ult Load (N)
Stiffness
(N/mm)
Disp at Ult
Load (mm)
Ult Stress
(MPa)
Modulus
(MPa)
% Strain at Ult
Stress
Mean 19.250 5.312 0.819 7.194 10.640 1.610 9.082 74.095 30.501
SD 0.783 0.444 0.172 0.946 3.713 0.436 1.880 40.320 8.219
SEM 0.226 0.128 0.050 0.273 1.072 0.126 0.543 11.639 2.373
Table 1: Average Mouse AT Data. Average structural and material properties of normal mouse AT (n=12).
C57BL/6J AT Specimen Structural and Material Average Data
A B
*