Lower Leg Injury Reference Values and Risk Curves from Survival Analysis for Male and Female Dummies: Meta-analysis of Postmortem Human Subject Tests

Objective: Derive lower leg injury risk functions using survival analysis and determine injury reference values (IRV) applicable to human mid-size male and small-size female anthropometries by conducting a meta-analysis of experimental data from different studies under axial impact loading to the foot–ankle–leg complex.

Methods: Specimen-specific dynamic peak force, age, total body mass, and injury data were obtained from tests conducted by applying the external load to the dorsal surface of the foot of postmortem human subject (PMHS) foot–ankle–leg preparations. Calcaneus and/or tibia injuries, alone or in combination and with/without involvement of adjacent articular complexes, were included in the injury group. Injury and noninjury tests were included. Maximum axial loads recorded by a load cell attached to the proximal end of the preparation were used. Data were analyzed by treating force as the primary variable. Age was considered as the covariate. Data were censored based on the number of tests conducted on each specimen and whether it remained intact or sustained injury; that is, right, left, and interval censoring. The best fits from different distributions were based on the Akaike information criterion; mean and plus and minus 95% confidence intervals were obtained; and normalized confidence interval sizes (quality indices) were determined at 5, 10, 25, and 50% risk levels. The normalization was based on the mean curve. Using human-equivalent age as 45 years, data were normalized and risk curves were developed for the 50th and 5th percentile human size of the dummies.

Results: Out of the available 114 tests (76 fracture and 38 no injury) from 5 groups of experiments, survival analysis was carried out using 3 groups consisting of 62 tests (35 fracture and 27 no injury). Peak forces associated with 4 specific risk levels at 25, 45, and 65 years of age are given along with probability curves (mean and plus and minus 95% confidence intervals) for PMHS and normalized data applicable to male and female dummies. Quality indices increased (less tightness-of-fit) with decreasing age and risk level for all age groups and these data are given for all chosen risk levels.

Conclusions: These PMHS-based probability distributions at different ages using information from different groups of researchers constituting the largest body of data can be used as human tolerances to lower leg injury from axial loading. Decreasing quality indices (increasing index value) at lower probabilities suggest the need for additional tests. The anthropometry-specific mid-size male and small-size female mean human risk curves along with plus and minus 95% confidence intervals from survival analysis and associated IRV data can be used as a first step in studies aimed at advancing occupant safety in automotive and other environments.     

Injuries in Full-Scale Vehicle Side Impact Moving Deformable Barrier and Pole Tests Using Postmortem Human Subjects

Objective: To conduct near-side moving deformable barrier (MDB) and pole tests with postmortem human subjects (PMHS) in full-scale modern vehicles, document and score injuries, and examine the potential for angled chest loading in these tests to serve as a data set for dummy biofidelity evaluations and computational modeling.

Methods: Two PMHS (outboard left front and rear seat occupants) for MDB and one PMHS (outboard left front seat occupant) for pole tests were used. Both tests used sedan-type vehicles from same manufacturer with side airbags. Pretest x-ray and computed tomography (CT) images were obtained. Three-point belt-restrained surrogates were positioned in respective outboard seats. Accelerometers were secured to T1, T6, and T12 spines; sternum and pelvis; seat tracks; floor; center of gravity; and MDB. Load cells were used on the pole. Biomechanical data were gathered at 20 kHz. Outboard and inboard high-speed cameras were used for kinematics. X-rays and CT images were taken and autopsy was done following the test. The Abbreviated Injury Scale (AIS) 2005 scoring scheme was used to score injuries.

Results: MDB test: male (front seat) and female (rear seat) PMHS occupant demographics: 52 and 57 years, 177 and 166 cm stature, 78 and 65 kg total body mass. Demographics of the PMHS occupant in the pole test: male, 26 years, 179 cm stature, and 84 kg total body mass. Front seat PMHS in MDB test: 6 near-side rib fractures (AIS = 3): 160–265 mm vertically from suprasternal notch and 40–80 mm circumferentially from center of sternum. Left rear seat PMHS responded with multiple bilateral rib fractures: 9 on the near side and 5 on the contralateral side (AIS = 3). One rib fractured twice. On the near and contralateral sides, fractures were 30–210 and 20–105 mm vertically from the suprasternal notch and 90–200 and 55–135 mm circumferentially from the center of sternum. A fracture of the left intertrochanteric crest occurred (AIS = 3). Pole test PMHS had one near-side third rib fracture. Thoracic accelerations of the 2 occupants were different in the MDB test. Though both occupants sustained positive and negative x-accelerations to the sternum, peak magnitudes and relative changes were greater for the rear than the front seat occupant. Magnitudes of the thoracic and sternum accelerations were lower in the pole test.

Conclusions: This is the first study to use PMHS occupants in MDB and pole tests in the same recent model year vehicles with side airbag and head curtain restraints. Injuries to the unilateral thorax for the front seat PMHS in contrast to the bilateral thorax and hip for the rear seat occupant in the MDB test indicate the effects of impact on the seating location and restraint system. Posterolateral locations of fractures to the front seat PMHS are attributed to constrained kinematics of occupant interaction with torso side airbag restraint system. Angled loading to the rear seat occupant from coupled sagittal and coronal accelerations of the sternum representing anterior thorax loading contributed to bilateral fractures. Inward bending initiated by the distal femur complex resulting in adduction of ipsilateral lower extremity resulted in intertrochanteric fracture to the rear seat occupant. These results serve as a data set for evaluating the biofidelity of the WorldSID and federalized side impact dummies and assist in validating human body computational models, which are increasingly used in crashworthiness studies.     

Curcumin and Its Analogs as a Therapeutic Strategy in Infections Caused by RNA Genome Viruses

Food and Environmental Virology - The use of natural resources for the prevention and treatment of diseases considered fatal to humanity has evolved. Several medicinal plants have nutritional and...     

Comparative abiotic or biotic degradation of carboxin by two Entisols with different surface properties or Pseudomonas aeruginosa strain: A toxicity study using the crustacean Thamnocephalus platyurus

The microcrustacean Thamnocephalus platyurus was used to detect the toxicity reduction of carboxin in abiotic degradation compared to biotic degradation. The abiotic degradation was obtained using two sterilized Entisols with different surface properties while the biotic degradation by Pseudomonas aeruginosa was obtained using the fungicide as the only C source. The results showed that the highest toxicity reduction rates for the abiotic degradation were achieved in 20 days with 49.2% for the coarser soil, 60.7% for the soil with a finer texture, whereas for the biotic degradation, 60.6%. Analysis (¹H NMR) showed that the soils transformed carboxin to produce sulfoxide and enol in different concentrations depending on the soil properties, while P. aeruginosa metabolized the fungicide to produce inorganic compounds such as ammonium and nitrite, minor degradation pathways were oxidized to sulfoxide and hydrolytic ring-opening to 2-[(2-hydroxyethyl)thio]acetoacetanilide enol. These results indicated that the degradation of carboxin occurred via abiotic catalytic processes as well as via biotic transformation leading to less toxic derivatives and such phenomena are caused by exchange/surface features of soils, rather than by the mere content of clay or organic matter fractions.     

Impacts of experimental trampling on tall alpine herbfields and subalpine grasslands in the Australian Alps

The Australian Alps, which are of high conservation value, are popular summer bushwalking destinations. Experimental trampling trials using a standardized methodology were conducted to determine the resistance and resilience of the two common vegetation types: tall alpine herbfield and subalpine grasslands. Vegetation parameters were measured in lanes subject to control (no trampling), 30, 100, 200, 500 and 700 passes at five sites prior to trampling, immediately post trampling, 2 weeks, 6 weeks and 1 year post trampling. Vegetation height, cover of graminoids and herbs, as well as net species richness all declined with trampling, while litter cover increased. Thresholds for damage varied between the two communities and among the different vegetation parameters. The resistance indices for the two communities (number of passes resulting in 50% reduction in vegetation cover), however, were similar at around 440–450 passes indicating that these two communities are among the most resistant of the 19 alpine–subalpine communities that have been tested around the world, but only of moderate resistance compared to non-alpine communities. The two communities showed limited recovery with damage still evident 1 year post trampling. This indicates that they have only moderate tolerance to damage due to moderate resistance, but low resilience.     

Carbon partitioning among the first trophic levels in the North Western Adriatic Basin

In the frame of PRISMA II Project samples for plankton analyses were carried out during four cruises (June, 1996; February and June, 1997; February, 1998) in order to assess the relative importance in term of biomasses of the three main size fractions (pico- <2 r µm, nano- 2-20 r µm and micro-plankton >20 r µm). Spatial and temporal distribution of the three plankton fractions were described as abundance and contribution to the total carbon content in an area between Po River mouth and Rimini. The relative contribution of picoplankton resulted higher in the offshore zone, while that of nanoplankton in the inshore waters. In February 1998 microphytoplankton, mainly constituted by diatoms, was very abundant in the inshore waters. Micro-zooplankton was always very scarce. Cluster analyses performed on these data grouped the stations on the basis of their community structure, and agreed with the hydrological features. Small size classes contributed more significantly to the total plankton carbon content in most of the situations. Microplankton fraction contribution was relevant only during spring diatom bloom of February 1998 and with a less extent in the confined coastal summer blooms.     

Biodynamics of steering wheel induced facial trauma

The present study was undertaken to determine the impact biomechanics of the facial skeleton secondary to steering wheel loading. Because of the particular relevance of the zygomatic bony complex in facial trauma during motor-vehicle accidents, tests were conducted by impacting the zygoma using a vertical drop impact test system. Zygoma was impacted once onto either soft or rigid wheel surfaces at velocities of up to 6.7 m/s. Peak impact forces at the cadaver zygoma were computed from the generalized force and deformation histories using matrix transformation principles. Structural abnormalities were assessed using pre- and post-test plain radiography, two-and three-dimensional computed tomography, and defleshing techniques. At impact velocities of 1.7 to 6.7 m/s, the human cadaver zygoma did not exhibit clinically significant fractures if the peak force was below 1335 N for the soft wheel interface and 1153 N for the rigid wheel interface. Consequently, to mitigate facial injuries due to unsupported rim impact, the data from the present study suggests that the peak dynamic force should be kept within these limits.