The measurement of applied forces during anterior single rod surgical correction of adolescent idiopathic scoliosis

INTRODUCTION. Following anterior thoracoscopic instrumentation and fusion for the treatment of thoracic AIS, implant related complications have been reported as high as 20.8%. Currently the magnitudes of the forces applied to the spine during anterior scoliosis surgery are unknown. The aim of this study was to measure the segmental compressive forces applied during anterior single rod instrumentation in a series of adolescent idiopathic scoliosis patients. METHODS. A force transducer was designed, constructed and retrofitted to a surgical cable compression tool, routinely used to apply segmental compression during anterior scoliosis correction. Transducer output was continuously logged during the compression of each spinal joint, the output at completion converted to an applied compression force using calibration data. The angle between adjacent vertebral body screws was also measured on intra-operative frontal plane fluoroscope images taken both before and after each joint compression. The difference in angle between the two images was calculated as an estimate for the achieved correction at each spinal joint. RESULTS. Force measurements were obtained for 15 scoliosis patients (Aged 11-19 years) with single thoracic curves (Cobb angles 47˚- 67˚). In total, 95 spinal joints were instrumented. The average force applied for a single joint was 540 N (± 229 N)ranging between 88 N and 1018 N. Experimental error in the force measurement, determined from transducer calibration was ± 43 N. A trend for higher forces applied at joints close to the apex of the scoliosis was observed. The average joint correction angle measured by fluoroscope imaging was 4.8˚ (±2.6˚, range 0˚-12.6˚). CONCLUSION. This study has quantified in-vivo, the intra-operative correction forces applied by the surgeon during anterior single rod instrumentation. This data provides a useful contribution towards an improved understanding of the biomechanics of scoliosis correction. In particular, this data will be used as input for developing patient-specific finite element simulations of scoliosis correction surgery.

Influence of compression forces on tablets disintegration by AC Biosusceptometry

Analysis of physical phenomena that occurs during tablet disintegration has been studied by several experimental approaches; however none of them satisfactorily describe this process. The aim of this study was to investigate the influence of compression force on the tablets by associating the AC Biosusceptometry with consolidated methods in order to validate the biomagnetic technique as a tool for quality control in pharmaceutical processes.Tablets obtained at five compression levels were submitted to mechanical properties tests. For uncoated tablets, water uptake and disintegration force measurements were performed in order to compare with magnetic data. For coated tablets, magnetic measurements were carried out to establish a relationship between physical parameters of the disintegration process. According to the results, differences between the compression levels were found for water uptake, force development and magnetic area variation measurements. ACB method was able to estimate the disintegration properties as well as the kinetics of disintegration process for uncoated and coated tablets. This study provided a new approach for in vitro investigation and validated this biomagnetic technique as a tool for quality control for pharmaceutical industry. Moreover, using ACB will also be possible to test these parameters in humans allowing to establish an in vitro/in vivo correlation (IVIVC). (C) 2007 Elsevier B.V. All rights reserved.

Optimal design of a beam subjected to compression forces in the framework of different structural models

The optimal design of a vertical cantilever beam is presented in this paper. The beam is assumed immersed in an elastic Winkler soil and subjected to several loads: a point force at the tip section, its self weight and a uniform distributed load along its length. lbe optimal design problem is to find the beam of a given length and minimum volume, such that the resultant compressive stresses are admisible. This prohlem is analyzed according to linear elasticity theory and within different alternative structural models: column, Navier-Bernoulli beam-column, Timoshenko beamcolumn (i.e. with shear strain) under conservative loads, typically, constant direction loads. Results obtained in each case are compared, in order to evaluate the sensitivity of model on the numerical results. The beam optimal design is described by the section distribution layout (area, second moment, shear area etc.) along the beam span and the corresponding beam total volume. Other situations, some of them very interesting from a theoretical point of view, with follower loads (Beck and Leipholz problems) are also discussed, leaving for future work numerical details and results.

Numerical investigation of the active role of the actin cytoskeleton in the compression resistance of cells.

Numerous in-vitro studies have established that cells react to their physical environment and to applied mechanical loading. However, the mechanisms underlying such phenomena are poorly understood. Previous modelling of cell compression considered the cell as a passive homogenous material, requiring an artificial increase in the stiffness of spread cells to replicate experimentally measured forces. In this study, we implement a fully 3D active constitutive formulation that predicts the distribution, remodelling, and contractile behaviour of the cytoskeleton. Simulations reveal that polarised and axisymmetric spread cells contain stress fibres which form dominant bundles that are stretched during compression. These dominant fibres exert tension; causing an increase in computed compression forces compared to round cells. In contrast, fewer stress fibres are computed for round cells and a lower resistance to compression is predicted. The effect of different levels of cellular contractility associated with different cell phenotypes is also investigated. Highly contractile cells form more dominant circumferential stress fibres and hence provide greater resistance to compression. Computed predictions correlate strongly with published experimentally observed trends of compression resistance as a function of cellular contractility and offer an insight into the link between cell geometry, stress fibre distribution and contractility, and cell deformability. Importantly, it is possible to capture the behaviour of both round and spread cells using a given, unchanged set of material parameters for each cell type. Finally, it is demonstrated that stress distributions in the cell cytoplasm and nucleus computed using the active formulation differ significantly from those computed using passive material models.

Nonlinear mechanical property of tracheal cartilage: A theoretical and experimental study

Background: Despite being the stiffest airway of the bronchial tree, the trachea undergoes significant deformation due to intrathoracic pressure during breathing. The mechanical properties of the trachea affect the flow in the airway and may contribute to the biological function of the lung. Method: A Fung-type strain energy density function was used to investigate the nonlinear mechanical behavior of tracheal cartilage. A bending test on pig tracheal cartilage was performed and a mathematical model for analyzing the deformation of tracheal cartilage was developed. The constants included in the strain energy density function were determined by fitting the experimental data. Result: The experimental data show that tracheal cartilage is a nonlinear material displaying higher strength in compression than in tension. When the compression forces varied from -0.02 to -0.03 N and from -0.03 to -0.04 N, the deformation ratios were 11.03±2.18% and 7.27±1.59%, respectively. Both were much smaller than the deformation ratios (20.01±4.49%) under tension forces of 0.02 to 0.01 N. The Fung-type strain energy density function can capture this nonlinear behavior very well, whilst the linear stress-strain relation cannot. It underestimates the stability of trachea by exaggerating the displacement in compression. This study may improve our understanding of the nonlinear behavior of tracheal cartilage and it may be useful for the future study on tracheal collapse behavior under physiological and pathological conditions.

Avaliação de ligações tubulares tipo T entre CHS com reforço tipo chapa.

Os perfis tubulares sem costura são utilizados em diversos países, principalmente devido às vantagens associadas à estética a sua elevada resistência à torção, cargas axiais e efeitos combinados. Canadá, Inglaterra, Alemanha e Holanda utilizam de forma veemente estas estruturas e possuem produção contínua e industrializada com alto nível de desenvolvimento tecnológico. O Brasil, porém, se limitava praticamente ao uso destes perfis nas coberturas espaciais. Devido ao aumento da utilização desses tipos de estruturas, fez-se necessário o aprofundamento dos estudos com métodos de análise coerentes para utilização de perfis tubulares, principalmente em relação às ligações, pois são consideradas regiões vulneráveis neste tipo de estrutura. Para atender a necessidade de normatização deste procedimento desenvolveu-se uma norma brasileira específica para o dimensionamento de estruturas em perfis tubulares. Considerando esta perspectiva, este trabalho apresenta uma análise de ligações tipo T com reforço tipo chapa com perfis tubulares circulares (CHS) para o banzo e para o montante efetuada com base na norma europeia, Eurocode 3, no CIDECT, na NBR 16239:2013 e ISO 14346. Desenvolveu-se no programa Ansys um modelo de elementos finitos para cada tipo de ligação analisada, calibrado e validado com resultados experimentais e numéricos existentes na literatura. Verificou-se a influência da compressão atuante no montante no comportamento global das ligações. As não-linearidades físicas e geométricas foram incorporadas aos modelos a fim de se mobilizar totalmente a capacidade resistente desta ligação. A nãolinearidade do material foi considerada através do critério de plastificação de von Mises através da lei constitutiva tensão versus deformação bilinear de forma a exibir um comportamento elasto-plástico com encruamento. A não-linearidade geométrica foi introduzida no modelo através da Formulação de Lagrange Atualizada. A análise dos esforços resistentes obtidos em comparação com os resultados do modelo numérico, apresentaram valores a favor da segurança no cálculo utilizando as equações de dimensionamento. Por fim um estudo para fatores de correção das equações de dimensionamento foi também proposto.

Static analysis of Euler-Bernoulli beams with multiple unilateral cracks under combined axial and transverse loads

The paper deals with the static analysis of pre-damaged Euler-Bernoulli beams with any number of unilateral cracks and subjected to tensile or compression forces combined with arbitrary transverse loads. The mathematical representation of cracks with a bilateral behaviour (i.e. always open) via Dirac delta functions is extended by introducing a convenient switching variable, which allows each crack to be open or closed depending on the sign of the axial strain at the crack centre. The proposed model leads to analytical solutions, which depend on four integration constants (to be computed by enforcing the boundary conditions) along with the Boolean switching variables associated with the cracks (whose role is to turn on and off the additional flexibility due to the presence of the cracks). An efficient computational procedure is also presented and numerically validated. For this purpose, the proposed approach is applied to two pre-damaged beams, with different damage and loading conditions, and the results so obtained are compared against those given by a standard finite element code (in which the correct opening of the cracks is pre-assigned), always showing a perfect agreement. © 2013 Elsevier Ltd. All rights reserved.

Deformation of Implant Abutments After Framework Connection Using Strain Gauges

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

MICROFIBRILS - NEGLECTED COMPONENTS OF PRESSURE-BEARING TENDONS

Some tendons wrap around joints and receive compressive forces besides transferring the tension forces from muscle to bone. These tendons develop a fibrocartilaginous structure which enables them to withstand pressure. This article describes the existence and distribution of microfibrils (or preelastic fibers) in the pressure-bearing tendons of rabbits and dogs by the application of histochemical assays and transmission electron microscopy. Rabbit and dog tendons possess no mature elastic fibers. The rabbit tendon exhibits some response to Weigert's method prior to oxidation which indicates the existence of the so-called elaunin fibers, especially in the pressure zone. Oxidation with peracetic acid or oxone discloses intricate aspects of the oxytalan fiber distribution in both tension and pressure zones of the dog and rabbit tendons. Bundles of 12 nm microfibrils were demonstrated in the rabbit tendon by electron microscopy after fixation in the presence of tannic acid. The existence of preelastic fibers in the pressure-bearing tendons has been neglected and they are assumed to have importance in the microarchitecture of the tissue and in the ability of the tendon to support tension and compression forces.

Verificação de pilares metálicos compostos constituídos por perfis formados a frio por meio de programa computacional

In this work, we discuss the procedures adopted for the design of built-up columns (laced and battened columns). Built-up columns are widely used in steel construction generally when the compression forces are relatively low and the column buckling lengths are large. They are commonly used in industrial buildings, for example, as posts for cladding, or as columns supporting a crane girder. Unlike columns with full section, in the case of built-up columns, it is necessary to evaluate the shear stiffness. In fact, the shear strength leads to a significant reduction of the critical load. In the context of this work, the components of the columns (chords, diagonals, posts, etc.) are formed by cold-formed members. In order to systematize and rationalize the verification of the built-up columns, this work aim to develop a computer program based on the standards NBR 14762, NBR 6355 and Eurocode 3, basically the considerations of the part EN 1993-1-1

Verificação de pilares metálicos compostos constituídos por perfis formados a frio por meio de programa computacional

In this work, we discuss the procedures adopted for the design of built-up columns (laced and battened columns). Built-up columns are widely used in steel construction generally when the compression forces are relatively low and the column buckling lengths are large. They are commonly used in industrial buildings, for example, as posts for cladding, or as columns supporting a crane girder. Unlike columns with full section, in the case of built-up columns, it is necessary to evaluate the shear stiffness. In fact, the shear strength leads to a significant reduction of the critical load. In the context of this work, the components of the columns (chords, diagonals, posts, etc.) are formed by cold-formed members. In order to systematize and rationalize the verification of the built-up columns, this work aim to develop a computer program based on the standards NBR 14762, NBR 6355 and Eurocode 3, basically the considerations of the part EN 1993-1-1

Deformation of Implant Abutments After Framework Connection Using Strain Gauges

When a cylinder is connected to an abutment it is expected that abutment and cylinder will be subjected to compression forces throughout their periphery because of the clamping force exerted by the screw. The deformation resultant of this compression should be measurable and uniform along the periphery of the abutment. Considering that multiple retainers connected to each other can affect the fit of a framework, as well as the use of different alloys, it is expected that the abutments will present different levels of deformation as a result of framework connection. The aim of this study was to evaluate the deformation of implant abutments after frameworks, cast either in cobalt-chromium (CoCr) or silver-palladium (AgPd) alloys, were connected. Samples (n = 5) simulating a typical mandibular cantilevered implant-supported prosthesis framework were fabricated in cobalt-chromium and silver-palladium alloys and screwed onto standard abutments positioned on a master-cast containing 5 implant replicas. Two linear strain gauges were fixed on the mesial and distal aspects of each abutment to capture deformation as the retention screws were tightened. A combination of compressive and tensile forces was observed on the abutments for both CoCr and AgPd frameworks. There was no evidence of significant differences in median abutment deformation levels for 9 of the 10 abutment aspects. Visually well-fit frameworks do not necessarily transmit load uniformly to abutments. The use of CoCr alloy for implant-supported prostheses frameworks may be as clinically acceptable as AgPd alloy.

Estudio de la permeabilidad y de la resistencia a tracción en hormigones precomprimidos

Entre los requisitos que deben cumplir las estructuras se debe garantizar que estas posean la durabilidad necesaria para permanecer en servicio a lo largo de todo el periodo de vida útil para el que han sido proyectadas. Para conseguir este objetivo las normativas han ido incorporando prescripciones para el diseño del hormigón, en base a distintas clases de exposición dependiendo del origen y magnitud de la agresividad exterior. En ambientes con una elevada agresividad, una de las comprobaciones que debe cumplir el hormigón es que tenga una permeabilidad inferior a los valores máximos fijados según la clase de exposición, y que en caso de considerar como ensayo de referencia el de penetración de agua, analiza el frente de penetración limitando las profundidades de penetración media y máxima. Adicionalmente a las condiciones de diseño según el tipo de ambiente, principalmente basadas en la dosificación del hormigón en términos de la relación agua/cemento y el mínimo contenido de cemento y el recubrimiento de las armaduras, durante la vida en servicio las estructuras pueden están solicitadas por distintas acciones imprevistas que pueden provocar cambios en la microestructura interna del hormigón que modifican su permeabilidad y resistencia, y por tanto pueden alterar la durabilidad inicialmente prevista. Es conocido el efecto de cansancio del hormigón cuando está solicitado por cargas de compresión mantenidas en el tiempo, provocando bajas en su resistencia debido al incremento de la microfisuración. Dada la relación entre la permeabilidad y la microfisuración del hormigón, es previsible el aumento de la permeabilidad en hormigones que han sido precomprimidos durante un periodo largo de tiempo. Los estudios de la permeabilidad en hormigones previamente comprimidos se han realizado analizando periodos de tiempo de compresión cortos que no permiten evaluar el efecto del cansancio sobre la permeabilidad. La presente tesis doctoral investiga la permeabilidad y resistencia a tracción en hormigones que previamente han sido comprimidos en carga mantenida durante distintos plazos de tiempo, al objeto de conocer su evolución en base al tiempo de precompresión. La investigación se apoya en el estudio de otras dos variables como son el tipo de hormigón de acuerdo a su dosificación según el tipo de ambiente considerando una agresividad baja, media o alta, y el grado de compresión aplicado respecto de su carga última de rotura. En los resultados del plan experimental desarrollado se ha obtenido que la permeabilidad presenta un incremento significante con el tiempo de precompresión, que dependiendo del valor inicial de la permeabilidad que tiene el hormigón puede provocar que hormigones que previamente satisfacen las limitaciones de permeabilidad pasen a incumplirlas, pudiendo afectar a su durabilidad. También se confirma la influencia del tiempo de precompresión sobre la resistencia a tracción obteniendo bajas de resistencia importantes en los casos pésimos ensayados, que deben ser tenidas en consideración en tanto afectan a la capacidad resistente del hormigón como a otros aspectos fundamentales como el anclaje de las armaduras en el hormigón armado y pretensado. One of the requirements that structures must meet is to guarantee their durability to remain in service throughout all the working life period for which they have been designed. To achieve this goal, building standards and codes have included specifications for the design of concrete structures, based on different exposure classes depending on the environmental conditions and their origin and magnitude. In severe aggressive environments, one of the specifications the concrete must meet is to have a permeability lower than the maximum values set for a certain exposure class. If this parameter is referenced to water penetration on specimens, then the average and maximum depths of front penetration are analyzed. In addition to the design conditions depending on the exposure class, which regulate the dosage of concrete in terms of the water/cement ratio, minimum samples that have been pre-compressed for a long period of time. Previous studies on permeability have been carried on pre-compressed concrete elements analyzing short periods of time. However, they have not studied the effects of compression forces on concrete in the long term. This Thesis investigates permeability and tensile strength of concrete samples that have been previously compressed under loads applied for different periods of time. The goal is to understand its evolution based on the time exposed to compression. The research variables also include the type of concrete according to the dosage used - depending on the environmental exposure it will have low, medium or high aggressiveness-, and the amount of compression applied in relation to its failure load. Results of the experimental tests showed that permeability increases significantly over the time of pre-compression. Depending on the initial value of permeability, this change could make the concrete not meet the original permeability restrictions and therefore affect its durability. These investigations also confirmed the influence of time of pre-compression in tensile strength, where some cases showed a significant decrease of resistance. These issues must be taken into consideration as they affect the bearing capacity of the material and other key features such as the anchoring of steel bars in reinforced and pre-stressed concrete. amount of cement content and the minimum concrete cover of the steel bars, during their working life structures may be subject to various unforeseen actions. As a result, the concrete’s internal microstructure might be affected, changing its permeability and resistance, and possibly altering the original specified durability. It is a known fact that when concrete is loaded in compression maintained over a long time, its resistance to compression forces is diminished due to the increase in micro-cracking. Considering the relationship between permeability and microcracking of concrete, an increase in permeability may be expected in concrete

Systematic screening of compressed ODT excipients:cellulosic versus non-cellulosic

The successful development of compressed ODTs utilises low compression forces to create a porous structure whereby excipients are added to enhance wicking/swelling action or provide strength to the fragile tablet framework. In this work, a systematic investigation comparing materials from two different categories was employed to understand their functionality in binary mixture tablets of the most commonly used diluent mannitol. Cellulose based excipients such as HPC (SSL-SFP), L-HPC (NBD-022) and MCC (Avicel PH-102) were compared with non-cellulosic materials such as PEO (POLYOX WSR N-10) and Crospovidone (XL-10). Pure excipient properties were studied using Heckel Plot, compressibility profile, SEM and XRPD, whereas the prepared binary mixture compacts were studied for hardness, disintegration time and friability. Results from our investigation provide insight into differences encountered in product performance of ODT upon inclusion of additional materials. For example, non-cellulosic excipients Polyox and Crospovidone showed higher plasticity (Py values 588 and 450MPa) in pure form but not in binary mixtures of mannitol. Cellulosic excipients, nonetheless, offer faster disintegration (<30 sec) specifically L-HPC and MCC tablets. Disintegration time for tablets with fully substituted-HPC was prolonged (200-500 sec) upon increasing concentration between 1-10% due to gelation/matrix formation. It can be concluded that despite the reasonably good plasticity of both cellulosic and non-cellulosic excipients in pure form, the mechanical strength in binary mixtures is negatively impacted by the fragmentation/fracture effect of mannitol. © 2014 Bentham Science Publishers.

Excipient characterization and particle engineering to develop directly compressed orally disintegrating tablets

ODTs have emerged as a novel oral dosage form with a potential to deliver a wide range of drug candidates to paediatric and geriatric patients. Compression of excipients offers a costeffective and translatable methodology for the manufacture of ODTs. Though, technical challenges prevail such as difficulty to achieve suitable tablet mechanical strength while ensuring rapid disintegration in the mouth, poor compressibility of preferred ODT diluent Dmannitol, and limited use for modified drug-release. The work investigates excipients’ functionality in ODTs and proposes new methodologies for enhancing material characteristics via process and particle engineering. It also aims to expand ODT applications for modified drug-release. Preformulation and formulation studies employed a plethora of techniques/tests including AFM, SEM, DSC, XRD, TGA, HSM, FTIR, hardness, disintegration time, friability, stress/strain and Heckel analysis. Tableting of D-mannitol and cellulosic excipients utilised various compression forces, material concentrations and grades. Engineered D-mannitol particles were made by spray drying mannitol with pore former NH4HCO3. Coated microparticles of model API omeprazole were prepared using water-based film forming polymers. The results of nanoscopic investigations elucidated the compression profiles of ODT excipients. Strong densification of MCC (Py is 625 MPa) occurs due to conglomeration of physicomechanical factors whereas D-mannitol fragments under pressure leading to poor compacts. Addition of cellulosic excipients (L-HPC and HPMC) and granular mannitol to powder mannitol was required to mechanically strengthen the dosage form (hardness >60 N, friability <1%) and to maintain rapid disintegration (<30 sec). Similarly, functionality was integrated into D-mannitol by fabrication of porous, yet, resilient particles which resulted in upto 150% increase in the hardness of compacts. The formulated particles provided resistance to fracture under pressure due to inherent elasticity while promoted tablet disintegration (50-77% reduction in disintegration time) due to porous nature. Additionally, coated microparticles provided an ODT-appropriate modified-release coating strategy by preventing drug (omeprazole) release.