The regional difference of viscoelastic property of bovine temporomandibular joint disc in compressive stress-relaxation

An in vitro experimental technique was performed to measure the viscoelastic properties of the bovine disc. Thirteen TMJ discs from young cattle (3-year-old) were used. Each disc was divided into five specimens of anterior, central, posterior, lateral and medial regions, and they were used for compression tests. A series of stress-relaxation tests was conducted for each specimen from 5% strain up to 20% strain with 5% intervals. The stress-relaxation was monitored over a period of 5 min. Each region exhibited a different biomechanical behavior, which is presumably related to the organization and distribution of proteoglycans that indirectly modulate the stiffness of the collagen network. It is suggested that an improved understanding of the viscoelastic properties of the disc under function may guide consideration for design and selection of biomaterials for TMJ reconstruction.     

Strain rate dependent orthotropic properties of pristine and impulsively loaded porcine temporomandibular joint disk.

The purpose of this study was to characterize the tensile stress-strain behavior of the porcine temporomandibular joint (TMJ) disk with respect to collagen orientation and strain rate dependency. The apparent elastic modulus, ultimate tensile strength, and strain at maximum stress were measured at three elongation rates (0.5, 50, and 500 mm/min) for dumbbell-shaped samples oriented along either anteroposterior or mediolateral axes of the disks. In order to study the effects of impact-induced fissuring on the mechanical behavior, the same properties were measured along each orientation at an elongation rate of 500 mm/min for disks subjected to impulsive loads of 0.5 N. s. The results suggested a strongly orthotropic nature to the healthy pristine disk. The values for the apparent modulus and ultimate strength were 10-fold higher along the anteroposterior axis (p < or = 0.01), which represented the primary orientation of the collagen fibers. Strain rate dependency was evident for loading along the anteroposterior axis but not along the mediolateral axis. No significant differences in any property were noted between pristine and impulsively loaded disks for either orientation (p > 0.05). The results demonstrated the importance of choosing an orthotropic model for the TMJ disk to conduct finite element modeling, to develop failure criteria, and to construct tissue-engineered replacements. Impact-induced fissuring requires further study to determine if the TMJ disk is orthotropic with respect to fatigue.     

The ability of quantitative ultrasound to predict the mechanical properties of trabecular bone under different strain rates

The ability of quantitative ultrasound to predict the mechanical properties of trabecular bone under different strain rates was investigated. Ultrasound velocity (UV) and broadband attenuation (BUA) were measured for 60 specimens of human trabecular bone. Samples were divided into two equal groups and loaded in compression at the strain rates of 0.0004 and 0.08 s⁻¹. The ultimate strength, elastic modulus, and energy absorption capacity were determined for each specimen. Specimens tested at 0.08 s⁻¹ had a mean value of strength 63% higher than the specimens tested at 0.0004 s⁻¹. The elastic modulus and energy absorption capacity were 82% and 42% higher, respectively, for the higher strain rate. UV and BUA were significantly associated with most mechanical properties at both strain rates. All mechanical properties were also correlated strongly with a linear combination of UV and BUA for both the low and high loading rates. The use of ultrasound parameters may provide good clinical means for assessing the resistance of trabecular bone to both low and high energy trauma.     

Craniomandibular disorders--comparative investigations with clinical examination and electronic axiography.

An essential problem in the diagnosis of craniomandibular disorders is still the evaluation of the type and severity of the TMJ diseases. For a differential classification of TMJ diseases, we developed an electronic axiography system which facilitates a recording of lower jaw movements. It works 3-dimensionally and relates to the joints. The measuring system, which was internationally patented, is based on a linear resistive foil for the sagittal plane and an inductive gauge for the horizontal plane. The aim of this pilot study was to evaluate the usefulness of our electronic axiography system in obtaining a differential diagnosis of craniomandibular disorders. We examined 30 patients (60 joints) with complaints in the TMJ area (pain and TMJ sounds). Clinical examinations yielded only uncertain indications of TMJ disease. With the help of electronic axiography we could differentiate the TMJ diseases into microtrauma and macrotrauma. Both forms may show a loss of function and an audible TMJ clicking. 23 joints had a macrotrauma (disk displacement with reduction, 20 times; disk displacement without reduction, 3 times). In 8 joints, a microtrauma was found. 3 joints showed a subluxation. In 4 uncertain cases, the diagnosis was confirmed with the help of magnetic resonance imaging (MRI). All patients with a diagnosed arthrogenic disorder received adequate treatment with reposition splints. Our initial results show that 3-dimensional electronic axiography can be a good aid in further characterization of craniomandibular disorders and permits an effective therapy.     

人体颞下颌关节盘后组织生物力学研究

确定了颞下关节盘后组织的生物力学性质,研究其功能机制。对取自８个新鲜关节标本的１３个盘后组织试件进行了软组织单向拉伸应力松驰和破坏实验,结合Ｆｕｎｇ ＹＣ拟线 粘弹性理论对实验结果进行了分析。结果表明：盘后组织的生理二相区在２０％－３０％应变范围内。     

Effect of Mechanical Strain on Solute Diffusion in Human TMJ Discs: An Electrical Conductivity Study

This study investigated the effect of mechanical strain on solute diffusion in human TMJ discs (mean cadaver age 77.8) using the electrical conductivity method. The electrical conductivity, as well as small ion diffusivity, of male and female TMJ discs was determined under three compressive strains. In the male group, the average disc electrical conductivity (mean ± SD) at 0% strain was 5.14 ± 0.97 mS/cm, decreased to 4.50 ± 0.91 mS/cm (?12.3%) at 10% strain, and 3.93 ± 0.81 mS/cm (?23.5%) at 20% compressive strain. Correspondingly, the average disc relative ion diffusivity at 0% strain was 0.44 ± 0.08, decreased to 0.40 ± 0.08 (?8.9%) at 10% strain, and 0.36 ± 0.08 (?16.7%) at 20% compressive strain. In the female group, the average disc electrical conductivity at 0% strain was 5.84 ± 0.59 mS/cm, decreased to 5.01 ± 0.50 mS/cm (?14.2%) at 10% strain, and 4.33 ± 0.46 mS/cm (?25.8%) at 20% compressive strain. Correspondingly, the average disc relative ion diffusivity at 0% strain was 0.49 ± 0.05, decreased to 0.43 ± 0.04 (?11.3%) at 10% strain, and 0.39 ± 0.04 (?19.9%) at 20% compressive strain. The results indicated that mechanical strain significantly impeded solute diffusion through the disc. This mechanical strain effect was larger in the female than in the male human TMJ disc. This study may provide new insights into TMJ pathophysiology.     

A Perceptual Evaluation of JPEG 2000 Image Compression for Digital Mammography: Contrast-Detail Characteristics

In this investigation the effect of JPEG 2000 compression on the contrast-detail (CD) characteristics of digital mammography images was studied using an alternative forced choice (AFC) technique. Images of a contrast-detail phantom, acquired using a clinical full-field digital mammography system, were compressed using a commercially available software product (JPEG 2000). Data compression was achieved at ratios of 1:1, 10:1, 20:1, and 30:1 and the images were reviewed by seven observers on a high-resolution display. Psychophysical detection characteristics were first computed by fitting perception data using a maximum-likelihood technique from which CD curves were derived at 50%, 62.5%, and 75% threshold levels. Statistical analysis indicated no significant difference in the perception of mean disk thickness up to 20:1 compression except for disk diameter of 1 mm. All other compression combinations exhibited significant degradation in CD characteristics.Certain aspects of this research were presented as a poster at the SCAR 2003 conference in Boston, MA, and was awarded the second place in the poster awards category by the SCAR committee.     

Deformation rate controls elasticity and unfolding pathway of single tropocollagen molecules

Collagen is an important structural protein in vertebrates and is responsible for the integrity of many tissues like bone, teeth, cartilage and tendon. The mechanical properties of these tissues are primarily determined by their hierarchical arrangement and the role of the collagen matrix in their structures. Here we report a series of Steered Molecular Dynamics (SMD) simulations in explicit solvent, used to elucidate the influence of the pulling rate on the Young’s modulus of individual tropocollagen molecules. We stretch a collagen peptide model sequence [(Gly-Pro-Hyp)₁₀]₃ with pulling rates ranging from 0.01 to 100 m/s, reaching much smaller deformation rates than reported in earlier SMD studies. Our results clearly demonstrate a strong influence of the loading velocity on the observed mechanical properties. Most notably, we find that Young’s modulus converges to a constant value of approximately 4 GPa tangent modulus at 8% tensile strain when the initially crimped molecule is straightened out, for pulling rates below 0.5 m/s. This enables us for the first time to predict the elastic properties of a single tropocollagen molecule at physiologically and experimentally relevant pulling rates, directly from atomistic-level calculations. At deformation rates larger than 0.5 m/s, Young’s modulus increases continuously and approaches values in excess of 15 GPa for deformation rates larger than 100 m/s. The analyses of the molecular deformation mechanisms show that the tropocollagen molecule unfolds in distinctly different ways, depending on the loading rate, which explains the observation of different values of Young’s modulus at different loading rates. For low pulling rates, the triple helix first uncoils completely at 10%–20% strain, then undergoes some recoiling in the opposite direction, and finally straightens for strains larger than 30%. At intermediate rates, the molecule uncoils linearly with increasing strain up to 35% strain. Finally, at higher velocities the triple helix does not uncoil during stretching.     

Dynamic compressive response of bovine liver tissues

This study aims to experimentally determine the strain rate effects on the compressive stress-strain behavior of bovine liver tissues. Fresh liver tissues were used to make specimens for mechanical loading. Experiments at quasi-static strain rates were conducted at 0.01 and 0.1?s(-1). Intermediate-rate experiments were performed at 1, 10, and 100?s(-1). High strain rate (1000, 2000, and 3000?s(-1)) experiments were conducted using a Kolsky bar modified for soft material characterization. A hollow transmission bar with semi-conductor strain gages was used to sense the weak forces from the soft specimens. Quartz-crystal force transducers were used to monitor valid testing conditions on the tissue specimens. The experiment results show that the compressive stress-strain response of the liver tissue is non-linear and highly rate-sensitive, especially when the strain rate is in the Kolsky bar range. The tissue stiffens significantly with increasing strain rate. The responses from liver tissues along and perpendicular to the liver surface were consistent, indicating isotropic behavior.     

Predicting the susceptibility of anaerobes to cefoperazone, cefotaxime, and cefoxitin with the thioglycolate broth disk procedure.

A variety of clinical anaerobic isolates were tested against cefoperazone (216 strains), cefoxitin (120 strains), and cefotaxime (120 strains) by the thioglycolate anaerobic broth disk method, and the results were compared with the National Committee for Clinical Laboratory Standards reference agar dilution method. The broth disk and reference breakpoint concentrations were as follows: cefoperazone, 60 and 64 or 30 and 32 micrograms/ml; cefotaxime, 30 and 32 micrograms/ml; cefoxitin, 18 and 16 micrograms/ml, respectively. Discrepant results were retested to obtain a mode. There was 99% agreement between the broth disk and reference methods for cefotaxime, 98% for cefoperazone with 60- and 64-micrograms/ml breakpoints and 91% with 30- and 32-micrograms/ml breakpoints, and 75% for cefoxitin. All but one of the strains that produced false susceptibility results by broth disk were members of the Bacteroides fragilis group, 1 with cefoperazone using the 60-micrograms/ml concentration, 14 with cefoperazone at the 30-micrograms/ml concentration, and 27 with cefoxitin. One strain of Clostridium difficile produced false susceptibility results to cefoperazone at the 30-micrograms/ml concentration. The lack of agreement between the broth disk and reference methods with cefoxitin may be a reflection of the number of isolates at the 16-micrograms/ml level and that the broth disk breakpoint was slightly higher than this concentration. Increased incubation time did not improve the results significantly.     

Apoptosis in the development of the temporomandibular joint

 Apoptosis has been shown to be involved in remodeling of organs during development, and derangement of the apoptotic process may result in temporomandibular joint (TMJ) dysfunction or congenital malformation. To investigate the relationship between the development of the TMJ and apoptosis, rat fetuses at 17.5–20.5 days of gestation (E17.5–20.5, vaginal plug=E0) and rats at postnatal days 1, 2, 3, 5, and 10 (P1, 2, 3, 5, and 10) were examined by light (LM) and transmission electron microscopy (TEM) and electrophoretic analysis of DNA fragmentation. At E17.5 and 18.5, a few layers of slender mesenchymal cells which eventually develop into the TMJ disk were observed, although TEM or electrophoresis did not reveal apoptotic cells at these stages. At E19.5 and 20.5, all structures of the TMJ except the lower joint cavity could be distinguished, but at these stages apoptotic cells were not observed. In P1 condyles, apoptotic cells were observed by TEM both at the subsurface of the condyle and in the region at which the lateral pterygoid muscle attaches to the condyle. These apoptotic cells showed irregular chromatin condensation, convolution of the cell membrane, and fragmentation and disintegration of the cytoplasm. Electrophoretic analysis of the P1 condyle further confirmed DNA fragmentation. Apoptosis was not observed in all specimens at the P1 stage. It was confirmed in 8 out of 20 animals (10 out of 27 joints) by TEM and/or electrophoretic analysis. The shape of the upper portion of the condyle flattened progressively from E20.5 to P2. At this stage, the lower joint cavity was developing, as observed by LM. These findings suggest that the morphological changes of the mandibular condyle effected by apoptosis, together with development of the lower joint cavity, play important roles in the postnatal functional adaptation to external stimuli such as mechanical strain. Accepted: 11 June 1997     

Microdosimetry of 10-15 MeV bremsstrahlung x rays

Experimental techniques have been developed for obtaining microdosimetric spectra on a hospital-based linear accelerator. Teletherapy beams of 10 and 15 MeV bremsstrahlung x rays from a Varian Clinac-18 and Clinac-20, respectively, have been produced at ultralow dose rates (50-200 microGy/h) which enables direct measurements of lineal energy distributions with a conventional Rossi-type gas proportional counter. Extensive measurements have been made to insure that the dosimetric properties of these low dose rate beams are nearly identical to those produced under high dose rate clinical conditions. Analytical procedures have been developed to correct measured lineal energy spectra for pileup caused by the low duty factor of the linear accelerator. The lineal energy spectra of these megavoltage beams differ significantly from Co-60, with dose averaged lineal energies (yD) being 20%-30% lower than for Co-60. Although such differences may not be important at clinical doses, the theory of dual radiation action does predict a lower biological effectiveness for these beams at very low dose levels.     

The effects of strain rate and low-gamma irradiation on the compressive properties of UHMWPE

The effects of strain rate and low-gamma irradiation on the compressive properties of ultra-high molecular-weight polyethylene (UHMWPE) were investigated. Gamma irradiation was performed at 30 kGy in nitrogen or at 29 kGy in air without post-irradiation treatment. Quasi-static and impact compressive tests using the split-Hopkinson pressure-bar technique were performed to measure stress-strain relations up to a true strain of 8% at strain rates of between 0.0004 and 260 s(-1). For both unirradiated and gamma-irradiated UHMWPE specimens, an increase in the strain rate significantly increased the Young's modulus and the 0.5% yield stress. Gamma irradiation in air significantly increased the Young's modulus, as determined by quasi-static and impact compressive testing, and the 0.5% yield stress, as determined by impact compressive testing. The strain-rate dependence in the power-law relationship was similar to that observed for strain rates ranging from 0.02 to 0.10 s(-1) (Kurtz et al., Biomaterials 23, 2002, pp. 3681-3697).     

A New Method to Determine Rate-dependent Material Parameters of Corneal Extracellular Matrix

The cornea protects internal ocular contents against external insults while refracting and transmitting the incoming light onto the lens. The biomechanical properties of the cornea are largely governed by the composition and structure of the stromal layer which is an extracellular matrix composed of collagen fibrils embedded in a hydrated soft matrix. The mechanical behavior of the corneal stroma has commonly been characterized using uniaxial tensile tests and inflation experiments. In the present study, unconfined compression experiments were used to investigate the influence of loading rates on compressive behavior of nineteen porcine corneal specimens. The experiments were performed at ramp displacement rates 0.15 μm/s (eight samples), 0.5 μm/s (six samples), and 1.0 μm/s (five samples). For all tests, a maximum compressive strain of 50% (five strain increments of 4% followed by three strain increments of 10%) was selected. The experimental data was analyzed by a transversely isotropic biphasic model and material parameters, i.e., the in-plane Young’s modulus, the out-of-plane Young’s modulus, and the permeability coefficient were calculated. It was observed that while the permeability coefficient decreased exponentially with increasing compressive strain, the in-plane and out-of-plane Young’s moduli increased exponentially with increasing strain. Furthermore, it was found that the equilibrium stress was almost rate independent.     

A Comparative Clinical Study on Five Types of Compression Therapy in Patients with Venous Leg Ulcers

The aim of this study was to compare five types of compression therapy in venous leg ulcers (intermittent pneumatic vs. stockings vs. multi layer vs. two layer short stretch bandages vs. Unna boots). Primary study endpoints were analysis of changes of the total ulcer surface area, volume and linear dimensions inside observed groups. The secondary end points were comparisons between all groups the number of completely healed wounds (ulcer healing rates), Gilman index and percentage change of ulcer surface area. In total, 147 patients with unilateral venous leg ulcers were included to this study. Participants were randomly allocated to the groups: A, B, C, D and E. After two months the healing rate was the highest in group A (intermittent pneumatic compression) - 57.14%, 16/28 patients, B (ulcer stocking system) - 56.66%, 17/30 patients and C (multi layer short stretch bandage) - 58.62%, 17/29 patients. Significantly much worse rate found in group D (two layer short stretch bandages) - only 16.66%, 5/30 patients and E (Unna boots) - 20%, 6/30 patients. The analysis of changes of the percentage of Gilman index and wound total surface area confirmed that intermittent pneumatic compression, stockings and multi layer bandages are the most efficient. The two layer short - stretch bandages and Unna boots appeared again much less effective.     

Effect of humidity on lung surfactant films subjected to dynamic compression/expansion cycles

The surface activity of bovine lipid extracted surfactant (BLES) preparations used in surfactant replacement therapy is studied in dynamic film compression/expansion cycles as a function of relative humidity, surfactant concentration, compression rate, and compression periodicity. BLES droplets were formed in a constrained sessile droplet configuration (CSD). Images obtained during cycling were analyzed using axisymmetric drop shape analysis (ADSA) to yield surface tension, surface area, and drop volume data. The experiments were conducted in a chamber that allowed both humid (100% RH), and "dry" air (i.e. less than 20% RH) environments. It was observed that in humid environments BLES films are not stable and tend to have poor surface activity compared to BLES films exposed to dry air. Further analysis of the data reveal that if BLES films are compressed fast enough (i.e. at physiological conditions) to avoid film hydration, lower minimum surface tensions are achieved. A film hydration-relaxation mechanism is proposed to explain these observations.     

皮持骨在拉伸型,剪切型和撕裂型加载条件下的断裂韧性——纵向断裂…

对以质骨在拉伸、剪切和撕裂型载荷下的裂纹启裂韧性进行了研究。总数为１３０个紧凑拉式样,紧凑剪切试样和三腿型试样分别用于测量骨的拉伸型、剪切型和撕裂型启裂韧性。多试样柔度法用来测定当ａ／Ｗ＝０．５５（１,裂纹长度,Ｗ,试样宽度）时的临界能量释放率。临界应力强度因子由ａ／Ｗ＝０．５５的试样在试验中得到的临界载荷来计算。为了考察骨力学 各是性对于它的剪切型和撕裂裂纹启裂韧性的影响,对骨试样的裂纹扩展方向     

A Surface–Regional and Freeze–Thaw Characterization of the Porcine Temporomandibular Joint Disc

The temporomandibular joint (TMJ) disc is a central element in several TMJ disorders. Tissue-engineered TMJ disc replacements may alleviate discomfort associated with TMJ disorders; however, prior to developing a replacement, a thorough understanding of the native disc must be attained. Toward this end, we developed an unconfined compression, incremental stress relaxation viscoelastic model which simultaneously incorporates the strain increment magnitude and total deformation in the stress relaxation solution. This multiple strain step model was fit to stress relaxation data from (i) 80 test sites from eight porcine TMJ discs for the purposes of a surface–regional characterization and (ii) 30 test sites from five porcine TMJ discs for the purposes of a freeze–thaw characterization. The model estimated viscoelastic parameters accurately and surface–regional variations were detected throughout the TMJ disc. Regionally, the medial and anterior regions have the largest relaxation moduli, and the posterior and anterior regions have the largest instantaneous moduli. The inferior surface was found to have higher instantaneous modulus values than the superior surface. Furthermore, material properties were retained over five freeze–thaw cycles. The results of this study allow for the creation of design and validation criteria for future engineering efforts and shed light on the disc’s role in TMJ function and dysfunction.     

Mechanical properties of oligomer-modified acrylic bone cement

The aim of this study was to determine the mechanical properties of acrylic bone cement modified with an experimental oligomer filler, based on an amino acid of trans-4-hydroxy-L-proline synthesized in the laboratory. The test specimens were tested either dry, or after being stored in distilled water or in simulated body fluid (SBF) for 1 week and then tested in distilled water. The three-point bending test was used to measure the flexural strength and flexural modulus of the cement, and the compression tests were used to measure the compression strength and modulus. One test specimen from each group was examined under a scanning electron microscope (SEM) to determine the nature of the oligomer filler in the polymethylmethacrylate-polymethylacrylate copolymer-based (PMMA-PMA/PMMA) polymer blend. In dry conditions, the flexural strength of the test specimens tested in air was 66 MPa, and the compression strength was 93 GPa (p<0.001) for the plain bone cement. For the test specimens including 20 wt% of oligomer filler, the flexural strength was 37 MPa, and the compression strength was 102 MPa(p<0.001) in dry conditions. The storage in wet conditions (in distilled water and the SBF) decreased the flexural strength of the test specimens with 20 wt% of oligomer filler (p<0.001) by 60% and the flexural modulus by 44% compared to the plain bone cement specimens stored in the same conditions. The reduction in compression strength in wet conditions was 32%, and that of the compression modulus was 30% (p<0.001). No significant differences were found between test specimens stored in distilled water or SBF (ANOVA, p<0.001). In the SEM examinations, random voids were observed in the oligomer-PMMA-PMA/PMMA polymer blend after water or SBF storage. The results suggest that both water and SBF storage decrease the mechanical properties of the PMMA-PMA/PMMA bone cement modified with oligomer, while at the same time, there was porous formation in the bone cement structure.     

On the formation of the temporomandibular joint cavity in the human fetus

The purpose of this study was to clarify the mechanism of articular cavity formation by means of observing the temporomandibular joint (TMJ) in human fetuses (9th-30th gestational weeks) using light microscope. In the 9th-11th week, although neither cavity had been formed, several small blood vessels running postero-anteriorly on the lower surface of the articular disk that would be the future lower cavity were recognized. However, such blood vessels were not seen in the future upper cavity beneath the glenoid fossa. In the 12th week, when the lower cavity formation commenced, the cavity was filled with blood corpuscles, and a series of apertures was observed throughout the condyle, from the posterior portion to a part of the anterior portion. Tracing posteriorly, the lower cavity diminished gradually until it had at last united to one blood vessel. On the other hand, in upper cavity formation, which was recognized only at the posterior portion of the TMJ, no blood corpuscles were seen in the upper cavity but several small clusters of collagen fibers. Blood corpuscles in the lower cavity disappeared after the formation of synovial membrane (20th week) and vascular canals in the condyle (21st week). From these findings, the mechanism of lower cavity formation appears to differ from that of upper cavity formation. Lower cavity formation involved small blood vessels running postero-anteriorly on the lower surface of the articular disk. As for upper cavitation, there was no evidence of blood vessels, which would suggest that upper cavitation depends on another mechanism of formation.