Craniocerebral Dynamic Response and Cumulative Effect of Damage Under Repetitive Blast

Effect of blast orientation, multi-point blasts, and repetitive blasts on brain injury

Explosions in the battlefield can result in brain damage. Research on the effects of shock waves on brain tissue mainly focuses on the effects of single-orientation blast waves, while there have been few studies on the dynamic response of the human brain to directional explosions in different planes, multi-point explosions and repetitive explosions. Therefore, the brain tissue response and the intracranial pressure (ICP) caused by different blast loadings were numerically simulated using the CONWEP method. In the study of the blast in different directions, the lateral explosion blast wave was found to cause greater ICP than did blasts from other directions. When multi-point explosions occurred in the sagittal plane simultaneously, the ICP in the temporal lobe increased by 37.8 % and the ICP in the parietal lobe decreased by 17.6 %. When multi-point explosions occurred in the horizontal plane, the ICP in the frontal lobe increased by 61.8 % and the ICP in the temporal lobe increased by 12.2 %. In a study of repetitive explosions, the maximum ICP of the second blast increased by 40.6 % over that of the first blast, and that of the third blast increased by 61.2 % over that of the second blast. The ICP on the brain tissue from repetitive blasts can exceed 200 % of that of a single explosion blast wave.

Dynamic buckling response of buried X70 steel pipe with bolted flange connection under two-charge explosion loads

It is of great significance to investigate the dynamic response of pipes under blasting loads for the operation, assessment, and repair of pipes. However, there are few studies available on the dynamic buckling response of pipes under multiple explosion loads. In the present study, pipe-soil coupling 3-D models are established to investigate the dynamic buckling response of X70 steel pipe with bolted flange connection (BFC) under two-charge explosion loads (Charge A lied on the ground surface and Charge B lied in the soil). The main influencing factors are also discussed, including explosion mode, internal pressure, interval time, mass ratio of charges, and diameter-to-thickness ratio (D/t ratio). When Charges A and B were exploded simultaneously, it is found that the non-pressurized X70 pipe produced more significant cross-sectional deformation than in one-point explosion (Charge A or B). Increasing D/t ratio is advantageous for the anti-explosion of the pipe with BFC. Suitable internal pressure can effectively prevent the buckling deformation of the pipe. Compared with the common straight pipe, BFC system can effectively decrease the local buckling deformation and improve the anti-explosion ability of the pipe due to its higher local stiffness and energy absorption.

Experimental Study on Intracranial Pressure and Biomechanical Response in Rats Under the Blast Wave

Explosion overpressure propagates extracranially and causes craniocerebral injury after being transmitted into the brain. Studies on the extent of skull to reduce impact overpressure are still lacking. Therefore, it is necessary to study the relationship between intracranial pressure (ICP) and external field pressure and the situation of craniocerebral injury under the blast wave. Pressure sensor of ϕ 1.2 mm was disposed 3 mm posterior to the bregma of rat skull, and type I biological shock tube (BST-I) was used as the source of injury while a side-on air pressure sensor was installed at the horizontal position of the ICP sensor. Eleven groups of blast experiments with peak air overpressure ranging from 167 kPa to 482 kPa were performed to obtain the variation law of ICP and injury of rats. Data measured by sensors show that the peak pressure formed in the rat brain are lower than the external air overpressure; the differential pressure between the inside and outside of the brain is 27-231 kPa. When side-on air overpressure is ≤363 kPa, ICP is ≤132 kPa, and the hemorrhage area of the rat's brain is <15%, the injury is minor. When side-on air overpressure is 363 kPa-401 kPa, ICP range is from 132 kPa to 248 kPa, hemorrhage area is about 15%-20%, and the injury increases. When side-on air overpressure is 401 kPa-435 kPa, ICP range from 248 kPa to 348 kPa, the hemorrhage area is about 20%-24%, and the injury is serious. When side-on air overpressure ≥482 kPa, the peak ICP surged to 455 kPa and the peak negative ICP reached -84 kPa, the hemorrhage area exceeded 26%. When the external blast wave is weak, skull can absorb the blast wave better, reducing the pressure by 81.4%, when the external shockwave is strong, skull only reduces the pressure by 5.6%, but both can play certain protective role. The fitting curve of air overpressure and ICP can be used to predict the changes of ICP under different external blast overpressure. Analysis of cranial injury showed that the area of cranial hemorrhage with extremely severe injury increased by 107.9% compared with mild injury, increased by 53.3% compared with moderate injury, and increased by 21.6% compared with severe injury. This work may provide references for the dynamic response of biological cranial and brain injury mechanism under the effect of blast wave.

An inverse analysis procedure for characterizing the homogeneous skull model used for predicting blast-induced brain response

Based upon the homogeneous skull model, the skull/brain assembly can be simplified as a homogeneous-shell (HMS)/core structure, in which the exterior shell and interior core represent the skull and brain, respectively. From the blast responses of the spherical shell/core structures calculated via finite element modeling, it is found that the existing homogeneous skull model developed by the well-accepted approach based upon three-point bending tests cannot properly describe the blast response of the skull, modeled as a three-layered sandwich (TLS) shell in the present work, e.g. the average error in the calculated core (brain) pressure is up to ∼30%. Moreover, an innovative approach based upon inverse analysis procedure is then proposed to develop a modified homogeneous skull model, which can give a proper description of the blast response of the skull (a TLS shell), e.g. the average error in the calculated core (brain) pressure is reduced to ∼7%. It is concluded that the well-accepted three-point bending approach cannot develop an effective HMS skull model for studying the blast response of the skull/brain assembly, upon which the model parameter will be overestimated by ∼60%; instead, the innovative approach based upon inverse analysis procedure should be adopted.

Availability of rehabilitation for victims of mine-explosive injury in the conditions of territorial community

OBJECTIVE

Aim: The aim of the study was to determine the needs for long-term rehabilitation of persons with damage as a result of a mine-explosive trauma and the availability of rehabilitation for these persons in the territorial community.

PATIENTS AND METHODS

Materials and Methods: Research materials included domestic and foreign scientific sources and normative legal acts on the topic. Research methods included the content analysis, bibliosemantic, data summarization, medical and statistical.

RESULTS

Results: The needs for long-term rehabilitation are determined by combined damage, among which damage to the limbs (34.78%-65.22%) [10], craniocerebral injuries (7.9%-12.7%) [11], the acoustic system (40.5%) [16], injuries of bones and soft tissues of the face (10.85%) [18]. Іn 2018, for the first time, 1.2 per 10,000 adult population of participants of the Anti-Terrorist Operation/Joint Forces Operation were recognized as persons with disabilities [7]. Permanent limitations of life activities were caused mainly by brain and limb injuries. In general, long-term rehabilitation is available to persons with injuries in the territorial community in accordance with European approaches. At the same time, the participation of the general practitioner-family doctor is limited by regulatory requirements only to refer the patient to rehabilitation specialists and other specialists.

CONCLUSION

Conclusions: High needs for long-term rehabilitation of persons brain and limb injuries as a result of mine-explosive trauma have been established. There is a need to expand the participation of general practitioners-family doctor in the organization and implementation of rehabilitation as a full-fledged member of a multidisciplinary rehabilitation team, which requires making appropriate changes to regulatory acts.

Study on chest injury and bulletproof vest protection under the combined action of blast wave and fragments

Using a simulation based method, this paper analysis the damage effect of blast wave and fragments on human body and the protective effect of bulletproof vest. The results show that compared with the single blast shock wave, the chest injury is more serious under the combined action of blast shock wave and fragments. The peak stress of sternum, costal cartilage and rib increases by 334.34%, 170.23% and 39.72%, respectively. The peak stress on the side of the lung decreases by 3.95%, with little change. The peak stress on the front and back of the lung increases by 83.58% and 409.09% respectively. Overall, the lung injury is aggravated. With the addition of the bulletproof vest, the damage caused by fragments is reduced, and the peak stress of the sternum and the costal cartilage decreases by 48.77% and 69.78%, respectively. Due to the interaction of the blast wave with the vest and the chest, the damage caused by blast wave is aggravated. The peak stress of rib increases by 13.55%, and the peak stress of lung front, side and back increases by 1.22%, 6.51% and 3.57%, respectively.

Nanowired Delivery of Cerebrolysin with Mesenchymal Stem Cells Attenuates Heat Stress-Induced Exacerbation of Neuropathology Following Brain Blast Injury

Blast brain injury (bBI) following explosive detonations in warfare is one of the prominent causes of multidimensional insults to the central nervous and other vital organs injury. Several military personnel suffered from bBI during the Middle East conflict at hot environment. The bBI largely occurs due to pressure waves, generation of heat together with release of shrapnel and gun powders explosion with penetrating and/or impact head trauma causing multiple brain damage. As a result, bBI-induced secondary injury causes breakdown of the blood-brain barrier (BBB) and edema formation that further results in neuronal, glial and axonal injuries. Previously, we reported endocrine imbalance and influence of diabetes on bBI-induced brain pathology that was significantly attenuated by nanowired delivery of cerebrolysin in model experiments. Cerebrolysin is a balanced composition of several neurotrophic factors, and active peptide fragment is capable of neuroprotection in several neurological insults. Exposure to heat stress alone causes BBB damage, edema formation and brain pathology. Thus, it is quite likely that hot environment further exacerbates the consequences of bBI. Thus, novel therapeutic strategies using nanodelivery of stem cell and cerebrolysin may further enhance superior neuroprotection in bBI at hot environment. Our observations are the first to show that combined nanowired delivery of mesenchymal stem cells (MSCs) and cerebrolysin significantly attenuated exacerbation of bBI in hot environment and induced superior neuroprotection, not reported earlier. The possible mechanisms of neuroprotection with MSCs and cerebrolysin in bBI are discussed in the light of current literature.

Study on protective performance and gradient optimization of helmet foam liner under bullet impact

Protective equipment in war plays a vital role in the safety of soldiers, the threat to soldiers from brain damage caused by deformation at the back of the helmet cannot be ignored, so research on reduce blunt post-cranial injury has great significance and value. This study first conducted gunshot experiments, used rifle bullets impact bulletproof plate and different density liner foam to record the incident process and internal response of craniocerebral model. After verifying the accuracy of finite element model through experimental data, optimization model is established based on response surface method to optimize the structure of gradient foam, analyze the cranial strain and energy absorption to select the best density and thickness distribution of each foam layer. Optimization results show that liner foam which designed to have lower density and thicker thickness for impact and brace layers, higher density and thinner thickness for middle layer can significantly improve the energy absorption efficiency. Compared to the 40.65 J of energy absorption before optimization, the optimized gradient foam can absorb 109.3 J of energy, with a 169% increase in the absorption ratio. The skull strain in the craniocerebral model was reduced from 1.260 × 10^–2 to 1.034 × 10^–2, with a reduction of about 22%. This study provides references for the design and development of protective equipment and plays an important role in ensuring the safety of soldiers in the battlefield environment.