Introduction-The cervical spine is subjected to injury frequently,especially among pilots who are usually on the condition of high acceleration.Injuries of the cervical spine will be potential risk of damage to the sp...Introduction-The cervical spine is subjected to injury frequently,especially among pilots who are usually on the condition of high acceleration.Injuries of the cervical spine will be potential risk of damage to the spinal cord,which could be result in life threatening展开更多
Percutaneous electrical nerve stimulation of an injured nerve can promote and accelerate peripheral nerve regeneration and improve function.When performing acupuncture and moxibustion,locating the injured nerve using ...Percutaneous electrical nerve stimulation of an injured nerve can promote and accelerate peripheral nerve regeneration and improve function.When performing acupuncture and moxibustion,locating the injured nerve using ultrasound before percutaneous nerve stimulation can help prevent further injury to an already injured nerve.However,stimulation parameters have not been standardized.In this study,we constructed a multi-layer human forearm model using finite element modeling.Taking current density and activated function as optimization indicators,the optimal percutaneous nerve stimulation parameters were established.The optimal parameters were parallel placement located 3 cm apart with the injury site at the midpoint between the needles.To validate the efficacy of this regimen,we performed a randomized controlled trial in 23 patients with median nerve transection who underwent neurorrhaphy.Patients who received conventional rehabilitation combined with percutaneous electrical nerve stimulation experienced greater improvement in sensory function,motor function,and grip strength than those who received conventional rehabilitation combined with transcutaneous electrical nerve stimulation.These findings suggest that the percutaneous electrical nerve stimulation regimen established in this study can improve global median nerve function in patients with median nerve transection.展开更多
In the repair of peripheral nerve injury using autologous or synthetic nerve grafting, the mag- nitude of tensile forces at the anastomosis affects its response to physiological stress and the ultimate success of the ...In the repair of peripheral nerve injury using autologous or synthetic nerve grafting, the mag- nitude of tensile forces at the anastomosis affects its response to physiological stress and the ultimate success of the treatment. One-dimensional stretching is commonly used to measure changes in tensile stress and strain; however, the accuracy of this simple method is limited. There- fore, in the present study, we established three-dimensional finite element models of sciatic nerve defects repaired by autologous nerve grafts. Using PRO E 5.0 finite element simulation software, we calculated the maximum stress and displacement of an anastomosis under a 5 N load in 10-, 20-, 30-, 40-mm long autologous nerve grafts. We found that maximum displacement increased with graft length, consistent with specimen force. These findings indicate that three-dimensional finite element simulation is a feasible method for analyzing stress and displacement at the anas- tomosis after autologous nerve grafting.展开更多
To estimate the aggressivity of vehicles in frontal crashes, national highway traffic safety administration (NHTSA) has introduced the driver fatality ratio, DFR, for different vehicle-to-vehicle categories. The DFR p...To estimate the aggressivity of vehicles in frontal crashes, national highway traffic safety administration (NHTSA) has introduced the driver fatality ratio, DFR, for different vehicle-to-vehicle categories. The DFR proposed by NHTSA is based on the actual crash statistical data, which makes it difficult to evaluate for other vehicle categories newly introduced to the market, as they do not have sufficient crash statistics. A finite element (FE) methodology is proposed in this study based on computational reconstruction of crashes and some objective measures to predict the relative risk of DFR associated with any vehicle-to-vehicle crash. The suggested objective measures include the ratios of maximum intrusion in the passenger compartments of the vehicles in crash, and the transmitted peak deceleration of the vehicles’ center of gravity, which are identified as the main influencing parameters on occupant injury. The suitability of the proposed method is established for a range of bullet light truck and van (LTV) categories against a small target passenger car with published data by NHTSA. A mathematical relation between the objective measures and DFR is then developed. The methodology is then extended to predict the relative risk of DFR for a crossover category vehicle, a light pick-up truck, and a mid-size car in crash against a small size passenger car. It is observed that the ratio of intrusions produces a reasonable estimate for the DFR, and that it can be utilized in predicting the relative risk of fatality ratios in head-on collisions. The FE methodology proposed in this study can be utilized in design process of a vehicle to reduce the aggressivity of the vehicle and to increase the on-road fleet compatibility in order to reduce the occupant injury out- come.展开更多
This paper uses the Taylor expansion to seek an approximate Korteweg- de Vries equation (KdV) solution to a higher-order traffic flow model with sufficiently large diffusion. It demonstrates the validity of the appr...This paper uses the Taylor expansion to seek an approximate Korteweg- de Vries equation (KdV) solution to a higher-order traffic flow model with sufficiently large diffusion. It demonstrates the validity of the approximate KdV solution considering all the related parameters to ensure the physical boundedness and the stability of the solution. Moreover, when the viscosity coefficient depends on the density and velocity of the flow, the wave speed of the KdV solution is naturally related to either the first or the second characteristic field. The finite element method is extended to solve the model and examine the stability and accuracy of the approximate KdV solution.展开更多
As the number of automobiles continues to increase year after year,the associated problem of traffic congestion has become a serious societal issue.Initiatives to mitigate this problem have considered methods for opti...As the number of automobiles continues to increase year after year,the associated problem of traffic congestion has become a serious societal issue.Initiatives to mitigate this problem have considered methods for optimizing traffic volumes in wide-area road networks,and traffic-flow simulation has become a focus of interest as a technique for advance characterization of such strategies.Classes of models commonly used for traffic-flow simulations include microscopic models based on discrete vehicle representations,macroscopic models that describe entire traffic-flow systems in terms of average vehicle densities and velocities,and mesoscopic models and hybrid(or multiscale)models incorporating both microscopic and macroscopic features.Because traffic-flow simulations are designed to model traffic systems under a variety of conditions,their underlyingmodelsmust be capable of rapidly capturing the consequences of minor variations in operating environments.In other words,the computation speed of macroscopic models and the precise representation of microscopic models are needed simultaneously.Thus,in this study we propose a multiscale model that combines a microscopic model—for detailed analysis of subregions containing traffic congestion bottlenecks or other localized phenomena of interest-with a macroscopic model enabling simulation of wide target areas at a modest computational cost.In addition,to ensure analytical stability with robustness in the presence of discontinuities,we discretize our macroscopic model using a discontinuous Galerkin finite element method(DGFEM),while to conjoin microscopic and macroscopic models,we use a generating/absorbing sponge layer,a technique widely used for numerical analysis of long-wavelength phenomena in shallow water,to enable traffic-flow simulations with stable input and output regions.展开更多
Medial tibial stress syndrome(MTSS) is a debilitating overuse injury of the tibia sustained by individuals whoperform recurrent impact exercise such as athletes and military recruits. Characterised by diffuse tibial a...Medial tibial stress syndrome(MTSS) is a debilitating overuse injury of the tibia sustained by individuals whoperform recurrent impact exercise such as athletes and military recruits. Characterised by diffuse tibial anteromedial or posteromedial surface subcutaneous periostitis, in most cases it is also an injury involving underlying cortical bone microtrauma, although it is not clear if the soft tissue or cortical bone reaction occurs first. Nuclear bone scans and magnetic resonance imaging(MRI) can both be used for the diagnosis of MTSS, but the patient's history and clinical symptoms need to be considered in conjunction with the imaging findings for a correct interpretation of the results, as both imaging modalities have demonstrated positive findings in the absence of injury. However, MRI is rapidly becoming the preferred imaging modality for the diagnosis of bone stress injuries. It can also be used for the early diagnosis of MTSS, as the developing periosteal oedema can be identified. Retrospective studies have demonstrated that MTSS patients have lower bone mineral density(BMD) at the injury site than exercising controls, and preliminary data indicates the BMD is lower in MTSS subjects than tibial stress fracture(TSF) subjects. The values of a number of tibial geometric parameters such as cross-sectional area and section modulus are also lower in MTSS subjects than exercising controls, but not as low as the values in TSF subjects. Thus, the balance between BMD and cortical bone geometry may predict an individual's likelihood of developing MTSS. However, prospective longitudinal studies are needed to determine how these factors alter during the development of the injury and to find the detailed structural cause, which is still unknown. Finite element analysis has recently been used to examine the mechanisms involved in tibial stress injuries and offer a promising future tool to understand the mechanisms involved in MTSS. Contemporary accurate diagnosis of either MTSS or a TSF includes a thorough clinical examination to identify signs of bone stress injury and to exclude other pathologies. This should be followed by an MRI study of the whole tibia. The cause of the injury should be established and addressed in order tofacilitate healing and prevent future re-occurrence.展开更多
背景:由身体接触性运动或交通事故造成的脑震荡远比人们想象的更为严重与常见,近年来引起了媒体、医学界及体育界的广泛关注与高度重视。目的:采用文献计量学方法对有限元方法在脑震荡领域的研究热点与趋势进行可视化分析,从而为中国在...背景:由身体接触性运动或交通事故造成的脑震荡远比人们想象的更为严重与常见,近年来引起了媒体、医学界及体育界的广泛关注与高度重视。目的:采用文献计量学方法对有限元方法在脑震荡领域的研究热点与趋势进行可视化分析,从而为中国在该领域的研究提供一定的参考。方法:基于Web of Science核心集数据库进行文献检索,检索主题词策略为(TS=(Concussion)) AND TS=(Finite element),利用CiteSpace 6.2.R4可视化工具对纳入文献的作者、国家、机构、关键词及被引文献等进行可视化分析。结果与结论:(1)共计纳入215篇文献,发文量与被引量总体上呈上升趋势;学科分布涉及生物医学工程、生物物理学、运动科学、临床神经学及神经科学等学科,呈现多学科交叉融合的趋势;发文量最多的作者是来自爱尔兰都柏林大学的Gilchrist M,发文量最多的机构是渥太华大学,发文量最多的国家是美国。(2)通过关键词分析发现研究的热点聚焦于脑损伤模型的建立用来模拟和预测脑震荡的损伤;脑震荡损伤机制的解析;防护设备和装置的优化设计。(3)通过文献共被引分析发现脑损伤的预测与评估是该领域的知识基础亦是研究热点。(4)有限元方法运用在脑震荡领域的研究热点主要围绕头部损伤预测为主题展开,结合探索大脑损伤机制以及防护装备的设计与改进。(5)随着人工智能与材料学的进步,未来有限元方法在脑震荡损伤领域的研究热点将集中于脑损伤模型、测试方法与防护装备的改进。展开更多
Background Thoracolumbar burst fracture is a common clinical injury, and the fracture mechanism is still controversial. The aim of this research was to study the formation of intracanal fracture fragments in thoracolu...Background Thoracolumbar burst fracture is a common clinical injury, and the fracture mechanism is still controversial. The aim of this research was to study the formation of intracanal fracture fragments in thoracolumbar burst fractures and to provide information for the prevention of thoracolumbar bursts fractures and reduction of damage to the nervous system. Methods A nonlinear three-dimensional finite element model of T11-L3 segments was established, and the injury processes of thoracolumbar bursts were simulated. The intact finite element model and the finite element model after the superior articular were impacted by 100 J of energy in different directions. The distribution and variation of stress in the superior posterior region of the L1 vertebral body were analyzed. Abaqus 6.9 explicit dynamic solver was used as finite element software in calculations. Results A three-dimensional nonlinear finite element model of the thoracolumbar spine was created. In the intact model, stress was concentrated in the superior posterior region of the L1 vertebral body. The stress peak was a maximum for the extension impact load and a minimum for the flexion impact load. The stress peak and contact force in the facet joint had close correlation with time. The stress peak disappeared after excision of the superior articular process. Conclusions The three-dimensional nonlinear finite element model was suitable for dynamic analysis. The contact force in the facet joint, which can be transferred to the superior posterior vertebral body, may explain the spinal canal fragment in thoracolumbar burst fractures.展开更多
Though the bumper of a vehicle plays a major role in protecting the vehicle body against damage in low speed impacts, many bumpers, particularly in large vehicles, are too stiff for pedestrian protection. In designing...Though the bumper of a vehicle plays a major role in protecting the vehicle body against damage in low speed impacts, many bumpers, particularly in large vehicles, are too stiff for pedestrian protection. In designing a bumper for an automobile, pedestrian protection is as important as bumper energy absorption in low speed collisions. To prevent lower extremity injuries in car-pedestrian collisions, it is important to determine the loadings that car front structures impart on the lower extremities and the mechanisms by which injury is caused by these loadings. The present work was focused on gaining more insight into the injury mechanisms leading to both ligament damage and bone fracture during bumper-pedestrian collisions. The European Enhanced Vehicle-safety Committee (EEVC) legform impactor model was introduced and validated against EEVCAVG17 criteria. The collision mechanism between a bumper and this legform impactor was investigated numerically using LS-DYNA software. To identify the effect of the bumper beam material on leg injuries, four analyses were performed on bumpers that had the same assembly but were made from different materials.展开更多
文摘Introduction-The cervical spine is subjected to injury frequently,especially among pilots who are usually on the condition of high acceleration.Injuries of the cervical spine will be potential risk of damage to the spinal cord,which could be result in life threatening
基金supported by the National Natural Science Foundation of China,No.81801787(to XZS)China Postdoctoral Science Foundation,No.2018M640238(to XZS)the Natural Science Foundation of Tianjin,No.20JCQNJC01690(to XLC)。
文摘Percutaneous electrical nerve stimulation of an injured nerve can promote and accelerate peripheral nerve regeneration and improve function.When performing acupuncture and moxibustion,locating the injured nerve using ultrasound before percutaneous nerve stimulation can help prevent further injury to an already injured nerve.However,stimulation parameters have not been standardized.In this study,we constructed a multi-layer human forearm model using finite element modeling.Taking current density and activated function as optimization indicators,the optimal percutaneous nerve stimulation parameters were established.The optimal parameters were parallel placement located 3 cm apart with the injury site at the midpoint between the needles.To validate the efficacy of this regimen,we performed a randomized controlled trial in 23 patients with median nerve transection who underwent neurorrhaphy.Patients who received conventional rehabilitation combined with percutaneous electrical nerve stimulation experienced greater improvement in sensory function,motor function,and grip strength than those who received conventional rehabilitation combined with transcutaneous electrical nerve stimulation.These findings suggest that the percutaneous electrical nerve stimulation regimen established in this study can improve global median nerve function in patients with median nerve transection.
基金supported by the Science and Technology Development Project of Jilin Province in China,No.20110492
文摘In the repair of peripheral nerve injury using autologous or synthetic nerve grafting, the mag- nitude of tensile forces at the anastomosis affects its response to physiological stress and the ultimate success of the treatment. One-dimensional stretching is commonly used to measure changes in tensile stress and strain; however, the accuracy of this simple method is limited. There- fore, in the present study, we established three-dimensional finite element models of sciatic nerve defects repaired by autologous nerve grafts. Using PRO E 5.0 finite element simulation software, we calculated the maximum stress and displacement of an anastomosis under a 5 N load in 10-, 20-, 30-, 40-mm long autologous nerve grafts. We found that maximum displacement increased with graft length, consistent with specimen force. These findings indicate that three-dimensional finite element simulation is a feasible method for analyzing stress and displacement at the anas- tomosis after autologous nerve grafting.
文摘To estimate the aggressivity of vehicles in frontal crashes, national highway traffic safety administration (NHTSA) has introduced the driver fatality ratio, DFR, for different vehicle-to-vehicle categories. The DFR proposed by NHTSA is based on the actual crash statistical data, which makes it difficult to evaluate for other vehicle categories newly introduced to the market, as they do not have sufficient crash statistics. A finite element (FE) methodology is proposed in this study based on computational reconstruction of crashes and some objective measures to predict the relative risk of DFR associated with any vehicle-to-vehicle crash. The suggested objective measures include the ratios of maximum intrusion in the passenger compartments of the vehicles in crash, and the transmitted peak deceleration of the vehicles’ center of gravity, which are identified as the main influencing parameters on occupant injury. The suitability of the proposed method is established for a range of bullet light truck and van (LTV) categories against a small target passenger car with published data by NHTSA. A mathematical relation between the objective measures and DFR is then developed. The methodology is then extended to predict the relative risk of DFR for a crossover category vehicle, a light pick-up truck, and a mid-size car in crash against a small size passenger car. It is observed that the ratio of intrusions produces a reasonable estimate for the DFR, and that it can be utilized in predicting the relative risk of fatality ratios in head-on collisions. The FE methodology proposed in this study can be utilized in design process of a vehicle to reduce the aggressivity of the vehicle and to increase the on-road fleet compatibility in order to reduce the occupant injury out- come.
基金supported by the National Natural Science Foundation of China(Nos.11072141 and11272199)the National Basic Research Program of China(No.2012CB725404)+2 种基金the Shanghai Program for Innovative Research Team in Universitiesthe Research Grants Council of the Hong KongSpecial Administrative Region,China(No.HKU7184/10E)the National Research Foundationof Korea(MEST)(No.NRF-2010-0029446)
文摘This paper uses the Taylor expansion to seek an approximate Korteweg- de Vries equation (KdV) solution to a higher-order traffic flow model with sufficiently large diffusion. It demonstrates the validity of the approximate KdV solution considering all the related parameters to ensure the physical boundedness and the stability of the solution. Moreover, when the viscosity coefficient depends on the density and velocity of the flow, the wave speed of the KdV solution is naturally related to either the first or the second characteristic field. The finite element method is extended to solve the model and examine the stability and accuracy of the approximate KdV solution.
基金This work was supported in part by The Japan Society for the Promotion of Science(JSPS)KAKENHI Grant Nos.JP15H01785 and JP19H02377.
文摘As the number of automobiles continues to increase year after year,the associated problem of traffic congestion has become a serious societal issue.Initiatives to mitigate this problem have considered methods for optimizing traffic volumes in wide-area road networks,and traffic-flow simulation has become a focus of interest as a technique for advance characterization of such strategies.Classes of models commonly used for traffic-flow simulations include microscopic models based on discrete vehicle representations,macroscopic models that describe entire traffic-flow systems in terms of average vehicle densities and velocities,and mesoscopic models and hybrid(or multiscale)models incorporating both microscopic and macroscopic features.Because traffic-flow simulations are designed to model traffic systems under a variety of conditions,their underlyingmodelsmust be capable of rapidly capturing the consequences of minor variations in operating environments.In other words,the computation speed of macroscopic models and the precise representation of microscopic models are needed simultaneously.Thus,in this study we propose a multiscale model that combines a microscopic model—for detailed analysis of subregions containing traffic congestion bottlenecks or other localized phenomena of interest-with a macroscopic model enabling simulation of wide target areas at a modest computational cost.In addition,to ensure analytical stability with robustness in the presence of discontinuities,we discretize our macroscopic model using a discontinuous Galerkin finite element method(DGFEM),while to conjoin microscopic and macroscopic models,we use a generating/absorbing sponge layer,a technique widely used for numerical analysis of long-wavelength phenomena in shallow water,to enable traffic-flow simulations with stable input and output regions.
文摘Medial tibial stress syndrome(MTSS) is a debilitating overuse injury of the tibia sustained by individuals whoperform recurrent impact exercise such as athletes and military recruits. Characterised by diffuse tibial anteromedial or posteromedial surface subcutaneous periostitis, in most cases it is also an injury involving underlying cortical bone microtrauma, although it is not clear if the soft tissue or cortical bone reaction occurs first. Nuclear bone scans and magnetic resonance imaging(MRI) can both be used for the diagnosis of MTSS, but the patient's history and clinical symptoms need to be considered in conjunction with the imaging findings for a correct interpretation of the results, as both imaging modalities have demonstrated positive findings in the absence of injury. However, MRI is rapidly becoming the preferred imaging modality for the diagnosis of bone stress injuries. It can also be used for the early diagnosis of MTSS, as the developing periosteal oedema can be identified. Retrospective studies have demonstrated that MTSS patients have lower bone mineral density(BMD) at the injury site than exercising controls, and preliminary data indicates the BMD is lower in MTSS subjects than tibial stress fracture(TSF) subjects. The values of a number of tibial geometric parameters such as cross-sectional area and section modulus are also lower in MTSS subjects than exercising controls, but not as low as the values in TSF subjects. Thus, the balance between BMD and cortical bone geometry may predict an individual's likelihood of developing MTSS. However, prospective longitudinal studies are needed to determine how these factors alter during the development of the injury and to find the detailed structural cause, which is still unknown. Finite element analysis has recently been used to examine the mechanisms involved in tibial stress injuries and offer a promising future tool to understand the mechanisms involved in MTSS. Contemporary accurate diagnosis of either MTSS or a TSF includes a thorough clinical examination to identify signs of bone stress injury and to exclude other pathologies. This should be followed by an MRI study of the whole tibia. The cause of the injury should be established and addressed in order tofacilitate healing and prevent future re-occurrence.
文摘背景:由身体接触性运动或交通事故造成的脑震荡远比人们想象的更为严重与常见,近年来引起了媒体、医学界及体育界的广泛关注与高度重视。目的:采用文献计量学方法对有限元方法在脑震荡领域的研究热点与趋势进行可视化分析,从而为中国在该领域的研究提供一定的参考。方法:基于Web of Science核心集数据库进行文献检索,检索主题词策略为(TS=(Concussion)) AND TS=(Finite element),利用CiteSpace 6.2.R4可视化工具对纳入文献的作者、国家、机构、关键词及被引文献等进行可视化分析。结果与结论:(1)共计纳入215篇文献,发文量与被引量总体上呈上升趋势;学科分布涉及生物医学工程、生物物理学、运动科学、临床神经学及神经科学等学科,呈现多学科交叉融合的趋势;发文量最多的作者是来自爱尔兰都柏林大学的Gilchrist M,发文量最多的机构是渥太华大学,发文量最多的国家是美国。(2)通过关键词分析发现研究的热点聚焦于脑损伤模型的建立用来模拟和预测脑震荡的损伤;脑震荡损伤机制的解析;防护设备和装置的优化设计。(3)通过文献共被引分析发现脑损伤的预测与评估是该领域的知识基础亦是研究热点。(4)有限元方法运用在脑震荡领域的研究热点主要围绕头部损伤预测为主题展开,结合探索大脑损伤机制以及防护装备的设计与改进。(5)随着人工智能与材料学的进步,未来有限元方法在脑震荡损伤领域的研究热点将集中于脑损伤模型、测试方法与防护装备的改进。
基金This study was supported by grants from Key Support Project from Science and Technology Commission of Shanghai,the National Natural Science Foundation of China
文摘Background Thoracolumbar burst fracture is a common clinical injury, and the fracture mechanism is still controversial. The aim of this research was to study the formation of intracanal fracture fragments in thoracolumbar burst fractures and to provide information for the prevention of thoracolumbar bursts fractures and reduction of damage to the nervous system. Methods A nonlinear three-dimensional finite element model of T11-L3 segments was established, and the injury processes of thoracolumbar bursts were simulated. The intact finite element model and the finite element model after the superior articular were impacted by 100 J of energy in different directions. The distribution and variation of stress in the superior posterior region of the L1 vertebral body were analyzed. Abaqus 6.9 explicit dynamic solver was used as finite element software in calculations. Results A three-dimensional nonlinear finite element model of the thoracolumbar spine was created. In the intact model, stress was concentrated in the superior posterior region of the L1 vertebral body. The stress peak was a maximum for the extension impact load and a minimum for the flexion impact load. The stress peak and contact force in the facet joint had close correlation with time. The stress peak disappeared after excision of the superior articular process. Conclusions The three-dimensional nonlinear finite element model was suitable for dynamic analysis. The contact force in the facet joint, which can be transferred to the superior posterior vertebral body, may explain the spinal canal fragment in thoracolumbar burst fractures.
文摘Though the bumper of a vehicle plays a major role in protecting the vehicle body against damage in low speed impacts, many bumpers, particularly in large vehicles, are too stiff for pedestrian protection. In designing a bumper for an automobile, pedestrian protection is as important as bumper energy absorption in low speed collisions. To prevent lower extremity injuries in car-pedestrian collisions, it is important to determine the loadings that car front structures impart on the lower extremities and the mechanisms by which injury is caused by these loadings. The present work was focused on gaining more insight into the injury mechanisms leading to both ligament damage and bone fracture during bumper-pedestrian collisions. The European Enhanced Vehicle-safety Committee (EEVC) legform impactor model was introduced and validated against EEVCAVG17 criteria. The collision mechanism between a bumper and this legform impactor was investigated numerically using LS-DYNA software. To identify the effect of the bumper beam material on leg injuries, four analyses were performed on bumpers that had the same assembly but were made from different materials.