134 research outputs found
Following red blood cells in a pulmonary capillary
The red blood cells or erythrocytes are biconcave shaped cells and consist
mostly in a membrane delimiting a cytosol with a high concentration in
hemoglobin. This membrane is highly deformable and allows the cells to go
through narrow passages like the capillaries which diameters can be much
smaller than red blood cells one. They carry oxygen thanks to hemoglobin, a
complex molecule that have very high affinity for oxygen. The capacity of
erythrocytes to load and unload oxygen is thus a determinant factor in their
efficacy. In this paper, we will focus on the pulmonary capillary where red
blood cells capture oxygen. We propose a camera method in order to numerically
study the behavior of the red blood cell along a whole capillary. Our goal is
to understand how erythrocytes geometrical changes along the capillary can
affect its capacity to capture oxygen. The first part of this document presents
the model chosen for the red blood cells along with the numerical method used
to determine and follow their shapes along the capillary. The membrane of the
red blood cell is complex and has been modelled by an hyper-elastic approach
coming from Mills et al (2004). This camera method is then validated and
confronted with a standard ALE method. Some geometrical properties of the red
blood cells observed in our simulations are then studied and discussed. The
second part of this paper deals with the modeling of oxygen and hemoglobin
chemistry in the geometries obtained in the first part. We have implemented a
full complex hemoglobin behavior with allosteric states inspired from
Czerlinski et al (1999).Comment: 17 page
Characterization of Erbium-Doped Nanoparticles in Transparent Glass Ceramic Optical Fibres
We report on using nanometric mass spectroscopy and molecular dynamics modelling to characterize the composition and structure of self-grown erbium-doped nanoparticles in transparent glass ceramic optical fibres fabricated by modified chemical vapour deposition without post-ceramming
Interplay between geometry and flow distribution in an airway tree
Uniform fluid flow distribution in a symmetric volume can be realized through
a symmetric branched tree. It is shown here, however, that the flow
partitioning can be highly sensitive to deviations from exact symmetry if
inertial effects are present. This is found by direct numerical simulation of
the Navier-Stokes equations in a 3D tree geometry. The flow asymmetry is
quantified and found to depend on the Reynolds number. Moreover, for a given
Reynolds number, we show that the flow distribution depends on the aspect ratio
of the branching elements as well as their angular arrangement. Our results
indicate that physiological variability should be severely restricted in order
to ensure uniform fluid distribution in a tree. This study suggests that any
non-uniformity in the air flow distribution in human lungs should be influenced
by the respiratory conditions, rest or hard exercise
Erbium-doped transparent glass ceramic optical fibres: Characterization using mass spectroscopy and molecular dynamics modeling
Rare earth (RE) doped silica-based optical fibres with transparent glass ceramic (TGC) core were fabricated through the well-known modified chemical vapor deposition (MCVD) process without going through the commonly used stage of post-ceramming. The main characteristics of the RE-doped
dielectric nanoparticles (DNP), their density and mean diameter in thefibres are dictated by various parameters. This paper reports on progresses in the fine characterization of the nanopaticles, particularly their dimensions and composition, using nanosclae mass spectroscpy and molecular dynamics modeling, and alteration of the spectroscopic properties of the erbium ions embedded within the phospho-silicate DNP. These results permit to get more insight into the complex process of the
DNP self-nucleation and growth during the fibre fabrication process. This fabrication route could have important potentials in improving rare-earth-doped fibre amplifiers and laser sources
Adult scoliosis can be reduced through specific SEAS exercises: a case report
<p>Abstract</p> <p>Background</p> <p>It has been known since many years that scoliosis can continue to progress after skeletal maturity: the rate of progression has shown to be linear, and it can be used to establish an individual prognosis. Once there is progression there is an indication for treatment: usually it is proposed a surgical one. There are very few papers on an alternative rehabilitation approach; since many years we propose specific SEAS exercises and the aim of this study is to present one case report on this approach.</p> <p>Case presentation</p> <p>All radiographs have been measured blindly twice using the same protractor by one expert physician whose repeatability error proved to be < 3° Cobb; the average measurement has been used. In this case a 25 years old female scoliosis patient, previously treated from 14 (Risser 1) to 19 years of age with a decrease of the curve from 46° to 37°, showed a progression of 10° Cobb in 6 years. The patient has then been treated with SEAS exercises only, and in one year progression has been reverted from 47° to 28.5°.</p> <p>Conclusion</p> <p>A scoliosis curve is made of different components: the structural bony and ligamentous components, and a postural one that counts up to 9° in children, while it has not been quantified in adults. This case shows that when adult scoliosis aggravates it is possible to intervene with specific exercises (SEAS) not just to get stability, but to recover last years collapse. The reduction of scoliotic curve through rehabilitation presumably does not indicate a reduction of the bone deformity, but rely on a recovery of the upright postural collapse. This reduction can decrease the chronic asymmetric load on the spine and, in the long run, reduce the risks of progression.</p
Brace technology thematic series - The Sforzesco and Sibilla braces, and the SPoRT (Symmetric, Patient oriented, Rigid, Three-dimensional, active) concept
<p>Abstract</p> <p>Background</p> <p>Bracing is an effective strategy for scoliosis treatment, but there is no consensus on the best type of brace, nor on the way in which it should act on the spine to achieve good correction. The aim of this paper is to present the family of SPoRT (Symmetric, Patient-oriented, Rigid, Three-dimensional, active) braces: Sforzesco (the first introduced), Sibilla and Lapadula.</p> <p>Methods</p> <p>The Sforzesco brace was developed following specific principles of correction. Due to its overall symmetry, the brace provides space over pathological depressions and pushes over elevations. Correction is reached through construction of the envelope, pushes, escapes, stops, and drivers. The real novelty is the drivers, introduced for the first time with the Sforzesco brace; they allow to achieve the main action of the brace: a three-dimensional elongation pushing the spine in a down-up direction.</p> <p>Brace prescription is made plane by plane: frontal (on the "slopes", another novelty of this concept, i.e. the laterally flexed sections of the spine), horizontal, and sagittal. The brace is built modelling the trunk shape obtained either by a plaster cast mould or by CAD-CAM construction. Brace checking is essential, since SPoRT braces are adjustable and customisable according to each individual curve pattern.</p> <p>Treatment time and duration is individually tailored (18-23 hours per day until Risser 3, then gradual reduction). SEAS (Scientific Exercises Approach to Scoliosis) exercises are a key factor to achieve success.</p> <p>Results</p> <p>The Sforzesco brace has shown to be more effective than the Lyon brace (matched case/control), equally effective as the Risser plaster cast (prospective cohort with retrospective controls), more effective than the Risser cast + Lyon brace in treating curves over 45 degrees Cobb (prospective cohort), and is able to improve aesthetic appearance (prospective cohort).</p> <p>Conclusions</p> <p>The SPoRT concept of bracing (three-dimensional elongation pushing in a down-up direction) is different from the other corrective systems: 3-point, traction, postural, and movement-based. The Sforzesco brace, being comparable to casting, may be the best brace for the worst cases.</p
Introduction to the "Scoliosis" Journal Brace Technology Thematic Series: increasing existing knowledge and promoting future developments
Bracing is the main non-surgical intervention in the treatment of idiopathic scoliosis during growth, in hyperkyphosis (and Scheuermann disease) and occasionally for spondylolisthesis; it can be used in adult scoliosis, in the elderly when pathological curves lead to a forward leaning posture or in adults after traumatic injuries. Bracing can be defined as the application of external corrective forces to the trunk; rigid supports or elastic bands can be used and braces can be custom-made or prefabricated. The state of research in the field of conservative treatment is insufficient and while it can be stated that there is some evidence to support bracing, we must also acknowledge that today we do not have a common and generally accepted knowledge base, and that instead, individual expertise still prevails, giving rise to different schools of thought on brace construction and principles of correction. The only way to improve the knowledge and understanding of brace type and brace function is to establish a single and comprehensive source of information about bracing. This is what the Scoliosis Journal is going to do through the "Brace Technology" Thematic Series, where technical papers coming from the different schools will be published
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