Characteristics of crashes involving injured children in side impacts

The objective of this study was to define the crash characteristics of near-side impact crashes in which children seated in the rear rows are injured. The crash characteristics included the direction of force, heading angle, horizontal impact location, vertical impact location, extent of deformation and intrusion at the child occupant's seating position. Cases from in-depth crash investigation databases of the NASS-CDS (National Automotive Sampling System-Crashworthiness Data System), CIREN (Crash Injury Research and Engineering Network) and Chalmers University of Technology were reviewed. The principal direction of force was most frequently between 60° and 75°. The heading angle of the bullet vehicle was most commonly between 61° and 90°. The bullet vehicle hit the passenger compartment of the target vehicle, particularly the rear door. Often, one or both of the adjacent pillars to the rear door were involved, most commonly the B pillar. In 11 of 16 crashes, the car sill was not engaged. Most commonly, the deformation extent was into Zone 3 or more – about 40 cm – and the intrusion at the child's seating position was in the range 20–30 cm. This review of the crashes revealed differences between the current side impact test procedures and the actual side impact crashes in which children were injured

Kinematic assessment of subject personification of human body models (THUMS)

The goal of this study was to quantify the effect of improving the geometry of a human body model on the accuracy of the predicted kinematics for 4 post-mortem human subject sled tests. Three modifications to the computational human body model THUMS were carried out to evaluate if subject personification can increase the agreement between predicted and measured kinematics of post-mortem human subjects in full frontal and nearside oblique impacts. The modifications consisted of: adjusting the human body model mass to the actual subject mass, morphing it to the actual anthropometry of each subject and finally adjustment of the model initial position to the measured position in selected post-mortem human subject tests. A quantitative assessment of the agreement between predicted and measured response was carried out by means of CORA analysis by comparing the displacement of selected anatomical landmarks (head CoG, T1 and T8 vertebre and H-Point). For all three scenarios, the more similar the human body model was to the anthropometry and posture of the sled tested post-mortem human subject, the more similar the predictions were to the measured responses of the post-mortem human subject, resulting in higher CORA score

Two-Dimensional Partial-Covariance Mass Spectrometry of Large Molecules Based on Fragment Correlations

Covariance mapping [L. J. Frasinski, K. Codling, and P. A. Hatherly, Science 246, 1029 (1989)] is a well-established technique used for the study of mechanisms of laser-induced molecular ionization and decomposition. It measures statistical correlations between fluctuating signals of pairs of detected species (ions, fragments, electrons). A positive correlation identifies pairs of products originating from the same dissociation or ionization event. A major challenge for covariance-mapping spectroscopy is accessing decompositions of large polyatomic molecules, where true physical correlations are overwhelmed by spurious signals of no physical significance induced by fluctuations in experimental parameters. As a result, successful applications of covariance mapping have so far been restricted to low-mass systems, e.g., organic molecules of around 50 daltons (Da). Partial-covariance mapping was suggested to tackle the problem of spurious correlations by taking into account the independently measured fluctuations in the experimental conditions. However, its potential has never been realized for the decomposition of large molecules, because in these complex situations, determining and continuously monitoring multiple experimental parameters affecting all the measured signals simultaneously becomes unfeasible. We introduce, through deriving theoretically and confirming experimentally, a conceptually new type of partial-covariance mapping—self-correcting partial-covariance spectroscopy—based on a parameter extracted from the measured spectrum itself. We use the readily available total ion count as the self-correcting partial-covariance parameter, thus eliminating the challenge of determining experimental parameter fluctuations in covariance measurements of large complex systems. The introduced self-correcting partial covariance enables us to successfully resolve correlations of molecules as large as 10 3 – 10 4     Da , 2 orders of magnitude above the state of the art. This opens new opportunities for mechanistic studies of large molecule decompositions through revealing their fragment-fragment correlations. Moreover, we demonstrate that self-correcting partial covariance is applicable to solving the inverse problem: reconstruction of a molecular structure from its fragment spectrum, within two-dimensional partial-covariance mass spectrometry

Microvascular reconstruction of midface osteoradionecrosis

Background: Head and neck osteoradionecrosis (ORN) of the midface requiring free flap (FF) reconstruction is uncommon. This multi-institutional study was designed to review outcomes for this rare patient population. Methods: Retrospective multi-institutional review of FF reconstruction for midface ORN (2005–2022; n = 54). Results: The FF survival rate was 87% (n = 54). Patients were less likely to be tolerating a regular diet at 3 months postoperative if they had a preoperative history of prior head and surgery (80% vs. 95%; p = 0.02), a pathologic fracture (50% vs. 90%; p = 0.04), exposed bone intraorally (43% vs. 94%; p = 0.002), or a fistula (67% vs. 96%; p = 0.03). Mean albumin was higher in patients whose FF survived (3.6 ± 0.5 vs. 2.7 ± 1.4; p = 0.03). Patients with low prealbumin were more likely to undergo a hematoma evacuation (27% vs. 0%; p = 0.02). Conclusion: In this series of midface ORN requiring FF reconstruction preoperative nutritional status impacted postoperative complications. Preoperative occurrence of a fistula, pathologic fracture, and intraoral bone exposure correlated with decreased tolerance of a regular diet following reconstruction

Molecular mechanisms of glucocorticoids action: implications for treatment of rhinosinusitis and nasal polyposis

Intra-nasal glucocorticoids are the most effective drugs available for rhinosinusitis and nasal polyposis treatment. Their effectiveness depends on many factors and not all of them have been well recognized so far. The authors present the basic information on molecular mechanisms of glucocorticoid action, direct and indirect effects of glucocorticoids on transcription of genes encoding inflammatory mediators. They focus on recently proved nongenomic mechanisms which appear quickly, from several seconds to minutes after glucocorticoid administration and discuss clinical implications resulting from this knowledge. Discovery of nongenomic glucocorticoid actions allows for better use of these drugs in clinical practice

Cysteinyl leukotrienes: multi-functional mediators in allergic rhinitis

Cysteinyl leukotrienes (CysLTs) are a family of inflammatory lipid mediators synthesized from arachidonic acid by a variety of cells, including mast cells, eosinophils, basophils, and macrophages. This article reviews the data for the role of CysLTs as multi-functional mediators in allergic rhinitis (AR). We review the evidence that: (1) CysLTs are released from inflammatory cells that participate in AR, (2) receptors for CysLTs are located in nasal tissue, (3) CysLTs are increased in patients with AR and are released following allergen exposure, (4) administration of CysLTs reproduces the symptoms of AR, (5) CysLTs play roles in the maturation, as well as tissue recruitment, of inflammatory cells, and (6) a complex inter-regulation between CysLTs and a variety of other inflammatory mediators exists.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/75432/1/j.1365-2222.2006.02498.x.pd

Diagnostic tools in Rhinology EAACI position paper

This EAACI Task Force document aims at providing the readers with a comprehensive and complete overview of the currently available tools for diagnosis of nasal and sino-nasal disease. We have tried to logically order the different important issues related to history taking, clinical examination and additional investigative tools for evaluation of the severity of sinonasal disease into a consensus document. A panel of European experts in the field of Rhinology has contributed to this consensus document on Diagnostic Tools in Rhinology

Structural adaptivity in frontal collisions: implications on crash pulse characteristics

Today\u27s passenger cars protect occupants better than ever against most injury types in passenger car frontal collisions. There is, however, one notable exception: neck injuries. Studies have shown that high mean vehicle deceleration is likely to lead to a greater risk of sustaining neck injuries. In order to design future cars that minimize occupant injury risk, it is suggested that the response of the front structure should be adapted to impact severity. A finite element model was used to predict the implications on acceleration time history by yield-strength variation of the longitudinal rails. Results indicate that lower mean deceleration can be attained by lower-yield-stress material, but caution must be taken to avoid stiff engine-firewall contact as this can create high mean decelerations. Furthermore, results indicate that for an adaptable frontal structure to reduce mean acceleration and neck-injury risk, global load paths must be controlled in frontal impacts