Calcaneal Tendon Collagen Fiber Morphometry and Aging.

Fibrillar collagen in tendons and its natural development in rabbits are discussed in this paper. Achilles tendons from newborn (~7 days) to elderly (~38 months) rabbits were monitored in intact (n tendons=24) and microtome sectioned (n tendons=11) states with label-free second harmonic generation microscopy. After sectioning, the collagen fiber pattern was irregular for the younger animals and remained oriented parallel to the load axis of the tendon for the older animals. In contrast, the collagen fiber pattern in the intact samples followed the load axis for all the age groups. However, there was a significant difference in the tendon crimp pattern appearance between the age groups. The crimp amplitude (A) and wavelength (Λ) started at very low values (A=2.0±0.6 µm, Λ=19±4 µm) for the newborn animals. Both parameters increased for the sexually mature animals (>5 months old). When the animals were fully mature the amplitude decreased but the wavelength kept increasing. The results revealed that the microtome sectioning artifacts depend on the age of animals and that the collagen crimp pattern reflects the physical growth and development.

Changes in the mechanical parameters of hair in a group of women in reproductive age.

OBJECTIVE: Hair quality and scalp characteristics are considered to be a significant marker of health. This marker is reflected in mechanical properties of hair. To investigate these properties, hair samples have been collected among women of different age and then analyzed. The thickness, Young's modulus of elasticity and ultimate strength limit were the main observed parameters. METHODS: The diameter of each hair has been measured using an optical microscope equipped with a digital camera. The hair was then clipped into the uniaxial tensile testing device. Each sample has been stretched to failure at a speed of 2 mm/min and force vs. elongation was recorded. The mechanical results were converted with respect to the diameter and Stress-Strain curve was obtained for each sample. In addition, all the analyzed samples were divided into two groups in dependence on the age, namely samples from women younger than 35 and over 35 years of age. All the measured parameters were statistically evaluated. RESULTS: Young's modulus, yield and elongation parameters showed no significant difference among samples. On the other hand there was a significant difference among the samples in ultimate strength values. Findings from group analysis showed that women under 35 years show about 5 times greater variability in hair strength than that of women above that age. CONCLUSION: The results of our study indicate that hair tendency to grow persists up to 30 years of age, then slowly decreases and then achieves a steady state around 60 years of age.

Kinematic and dynamic biomechanical values in relation to muscle activity during contact head impact.

OBJECTIVE: For the evaluation of neck injury the relative distance was observed between a marker placed on the forehead and a marker placed on the shoulder and also by change of the angle. To compare the severity of head injury a value of maximum head acceleration was used, HIC and a 3 ms criterion. All criteria were related to the activity of musculus sternocleidomastoideus and musculus trapezius in a situation of expected or unexpected contact impact. MATERIALS AND METHODS: The situation was recorded using a Qualisys system, head acceleration of probands in three axes was recorded using the accelerometer, activity of neck muscles was monitored by a mobile EMG. RESULTS: Maximum head acceleration was 5.61 g for non-visual and 5.03 g for visual. HIC36 was 6.65 non visual and 5.97 for visual. 3-ms criterion was 5.37 g for non-visual and 4.89 g for visual and max. force was 291 N for non-visual and 314 N for visual. The average time of muscle activation of the observed group without visual perception is 0.355 s after hitting an obstacle, with visual perception 0.085 s before the crash. CONCLUSIONS: Kinematic values indicate more favourable parameters for neck injuries for visual. Head injury criteria show an average decrease of about 10% for visual. We can conclude that the visual perception means a significant increase in pre-activation of the observed muscle group of almost 745% and lower activation in following phase of approximately 90%.

A new strategy for the surgical management of RLN infiltrated by well-differentiated thyroid carcinoma.

Well-differentiated thyroid carcinoma (WDTC) represents the most common endocrine malignancy. Despite excellent prognoses exceeding 90% in 10-year follow-up, there are clinically controversial issues. One of these is extrathyroidal tumour extension invading recurrent laryngeal nerve (RLN). The spread outside of the thyroid parenchyma and invasion to the surrounding structures, classified as always T4a, are the most important negative prognostic factor for the WDTC. Conversely, resection of the RLN leads to vocal cord paralysis with hoarseness, possible swallowing problems, and finally decreased quality of life. We propose a new algorithm for intraoperative management based on the MACIS classification, which would allow swift status evaluation pre/intraoperatively and consider a possibility to preserve the infiltrated RLN without compromising an oncological radicality. In the case of a preoperative vocal cord paralysis (VCP) and confirmation of the invasive carcinoma, a resection of the RLN and the nerve graft reconstruction are indicated. Preoperatively, unaffected vocal cord movement and intraoperatively detected RLN infiltration by the invasive WDTC require an individual assessment of the oncological risk by the proposed algorithm. Preservation of the infiltrated RLN is oncologically acceptable only in specific groups of patients of a younger age with a minor size of primary tumour.

Influence of the front part of the vehicle and cyclist's sitting position on the severity of head injury in side collision.

An injury of cyclists during a collision with a car is currently a neglected topic. Most research projects evaluate in detail the injury of pedestrians, but with an increasing number of cyclists it will be necessary to devote more attention to their safety. This study is focused on the most common type of collision and offers insights into the biomechanics of cyclist's head injury without the use of bicycle helmet. Initial mechanical and kinematic conditions that affect Head Injury Criterion (HIC) after a car hits a cyclist were determined using simulation software MADYMO. In relation to HIC, three different shapes of the front part of the car and three basic cyclist's positions were compared.

Pre-activation and muscle activity during frontal impact in relation to whiplash associated disorders.

OBJECTIVE: For the evaluation of neck injury the relative distance was observed between a marker placed on the forehead and a marker placed on the shoulder and also by change of the angle. To compare the severity of head injury a value of maximum head acceleration was used, HIC and a 3 ms criterion. All criteria were related to the activity of musculus sternocleidomastoideus and musculus trapezius in a situation of expected or unexpected impact. MATERIALS AND METHODS: The situation was recorded using a Qualisys system, head acceleration of probands in three axes was recorded using the accelerometer, activity of neck muscles was monitored by a mobile EMG. RESULTS: Maximum head acceleration was 12.1 g for non-visual and 8.2 g for visual. HIC36 was 5.7 non visual and 4.0 for visual. 3-ms criterion was 11.5 g for non-visual and 7.8 g for visual. The average time of muscle activation of the observed group without visual perception is 0.027 s after hitting an obstacle, with visual perception 0.127 s before the crash. CONCLUSIONS: Kinematic values indicate more favourable parameters for neck injuries for visual. Head injury criteria show an average decrease of about 30% for visual. We can conclude that the visual perception means a significant increase in pre-activation of the observed muscle group of almost 400% and lower activation in both following phases of approximately 40%.

Changes in attenuation characteristics of axial system of pregnant drivers detected by the TVS method.

OBJECTIVES: During a longer car drive there are changes in rheological properties of driver's or passenger's connective tissues taking place as a consequence of monotonous and vibration load. These changes show more among the pregnant drivers, whose motion system is under heavier demands due to pregnancy. To asses these changes we have used the TVS (transfer vibration through the spine) method. METHODS: The TVS is based on application of γ excitation pulses with half-length 5 ms and then harmonic excitation continuously periodically changing from 5 Hz to 160 Hz on C7 and L5 vertebrae. This wave is transferred along the axial system and the acceleration of all the spinous tips of the vertebrae, along which the waves spread between C7 and S1, is detected by accelerometric sensors. The measurement was carried out on three drivers before and after a 4-hours driving. The same measurements of wave transfer along the spine with just one pregnant woman were carried out in th 16th, 26th and 32nd week of pregnancy. Consequently we constructed a simplified model of the spine in order to analyze gathered data by discovering elementary properties of the measured system. RESULTS: After both vibration and physical load there is a more significant dampening of the spinal tissues apparent, i.e. lower acceleration amplitude and the tissues resonance frequency also shifts towards the lower frequencies. On the other hand after long lasting relaxation on a bed an opposite tendency showed, the acceleration amplitude was higher, tissues were relaxed and dampening was lower. The same tendency manifested among the pregnant women. The influence of progressing pregnancy on the spinal segment transfer function showed through a shifting of peaks above 20Hz. Their size also changes monotonously. An absorption area moves towards higher frequencies, rigidity of axial system connections grows. CONCLUSION: The results say that drivers, including pregnant women, show changes in mechanical properties of examined tissues before and after vibration or other type of load. Or conversely before and after relaxation on a bed. Results of this work will be further analyzed, verified and evaluation procedures will be improved. We expect to find dependencies between excitation and resonance frequencies during the transfer via the axial system, the rheological properties of the axial system components and the physical nature of the load of the axial system. They are then going to be applicable for the prevention of injuries of the axial system, physiotherapy practices in the rehabilitation of post-operative conditions, the dosage of training loads of athletes, in determining the effects of job stress regimes and their prevention.

Occurrence of critical driver's behavior as a result of alcohol intoxication.

OBJECTIVE: Operator's movements are one of the areas where variability is undesirable. Vehicle driving is probably the most frequent operator movement in society where errors can result in serious social, medical and economic consequences. In this article we focused on the influence of moderate alcohol intoxication (less then 1.0 g/kg) on right hand movement variability during manual gear selection and on driving ability. METHODS: The test took place in a laboratory setup in a passenger vehicle simulator. Simulated traffic lights were used to stop the car and hand movement was measured by kinematical analysis with the use of a motion capture system. RESULTS: Large variability in blood alcohol concentrations were observed as well as large intra-individual hand movement variability and reaction time to visual stimulus. DISCUSSION: The findings are somewhat ambiguous. Research outcomes did not confirm the hypothesis about the impact of moderate alcohol intoxication on movement variability. On the other hand, in some cases the observed data indicate critical behavior regarding safe driving and response to particular traffic situations.