Full-scale numerical simulation of hemodynamics based on left ventricular assist device

Ventricular assist devices have been widely used and accepted to treat patients with end-stage heart failure. The role of VAD is to improve circulatory dysfunction or temporarily maintain the circulatory status of patients. In order to be closer to the medical practice, a multi-Domain model of the left ventricular coupled axial flow artificial heart was considered to study the effect of its hemodynamics on the aorta. Because whether LVAD itself was connected between the left ventricular apex and the ascending aorta by catheter in the loop was not very important for the analysis of simulation results, on the premise of ensuring the multi-Domain simulation, the simulation data of the import and export ends of LVAD were imported to simplify the model. In this paper, the hemodynamic parameters in the ascending aorta, such as blood flow velocity vector, wall shear stress distribution, vorticity current intensity, vorticity flow generation, etc., have been calculated. The numerical conclusion of this study showed the vorticity intensity under LVAD was significantly higher than that under patients' conditions and the overall condition is similar to that of a healthy ventricular spin, which can improve heart failure patients' condition while minimizing other pitfalls. In addition, high velocity blood flow during left ventricular assist surgery is mainly concentrated near the lining of the ascending aorta lumen. What's more, the paper proposes to use Q criterion to determine the generation of vorticity flow. The Q criterion of LVAD is much higher than that of patients with heart failure, and the closer the LVAD is to the wall of the ascending aorta, the greater the Q criterion is. All these are beneficial to the effectiveness of LVAD in the treatment of heart failure patients and provide clinical suggestions for the LVAD implantation in clinical practice.

Experimental study on mechanical properties of heavy-haul low-vibration track under train static load

In this paper, a full-scale model of Low Vibration Track was established and three working conditions were applied to a single bearing block; these include: vertical load at the end of the track slab, combination of horizontal and vertical load at the end of the track slab, and vertical load at the middle of the track slab. By applying four times static wheel load to the full-scale model, the relationship between the stress of the track structure and the load under different working conditions was investigated. The corresponding load values were obtained when the track slab and the bearing block reached the axial tensile strength of the concrete. Through the static load test, the weak position of the track structure was found, and the development trend of the crack was obtained. (1) Obtained the maximum stress of the concrete of the track slab at the corner of the bearing block, the maximal stress of the concrete of the track slab, the stress at the bottom of the bearing block, and the stress at the bottom of the bearing block under different working conditions. (2) The horizontal load of the train increased the force of the track slab concrete at the corners of the bearing block. (3) Compared the strain of different location of the track slab and different working conditions. (4) Observed the positions of slight crack and its development trend appeared on track slabs in different working conditions. (5) For the weak part of the track structure, it can be improved by measures such as increasing the thickness of the end of the track slab and arranging stirrups in the track slab around the support block. The research results provide reference for the design, application and maintenance of Low Vibration Track in the heavy-haul railway tunnel.

Corrective Osteotomy of Malunited Diaphyseal Fractures of the Forearm Simplified Using 3-Dimensional CT Data: Proposal of Our Simple Strategy Through Case Presentation

BACKGROUND

Reconstruction of malunited diaphyseal fractures of the forearm is one of the most difficult treatments due to its complicated structure. Widespread usage of Digital Imaging and Communications in Medicine (DICOM) data of 3-dimensional (3D) computed tomography (CT) and 3D printing can make estimating the true plane of the deformity easy.

METHODS

A 21-year-old man with limited supination due to left forearm nonunion deformity initially treated by locking plate fixation was referred to our hospital. We evaluated the deformity by superimposing the mirror image bone model of the contralateral normal bone onto a model of the affected bone and 3D real full-scale bone model.

RESULTS

The patient underwent a manual corrective osteotomy according to our planning. He had satisfactory improvement of his symptoms with no complications.

CONCLUSIONS

We postulated that our simple preoperative simulation and manual osteotomy with the aid of 3D CT reconstruction and 3D real full-scale bone model fit in the clinical practice as a recent trend.

Gating of steering signals through phasic modulation of reticulospinal neurons during locomotion

The neural control of movements in vertebrates is based on a set of modules, like the central pattern generator networks (CPGs) in the spinal cord coordinating locomotion. Sensory feedback is not required for the CPGs to generate the appropriate motor pattern and neither a detailed control from higher brain centers. Reticulospinal neurons in the brainstem activate the locomotor network, and the same neurons also convey signals from higher brain regions, such as turning/steering commands from the optic tectum (superior colliculus). A tonic increase in the background excitatory drive of the reticulospinal neurons would be sufficient to produce coordinated locomotor activity. However, in both vertebrates and invertebrates, descending systems are in addition phasically modulated because of feedback from the ongoing CPG activity. We use the lamprey as a model for investigating the role of this phasic modulation of the reticulospinal activity, because the brainstem-spinal cord networks are known down to the cellular level in this phylogenetically oldest extant vertebrate. We describe how the phasic modulation of reticulospinal activity from the spinal CPG ensures reliable steering/turning commands without the need for a very precise timing of on- or offset, by using a biophysically detailed large-scale (19,600 model neurons and 646,800 synapses) computational model of the lamprey brainstem-spinal cord network. To verify that the simulated neural network can control body movements, including turning, the spinal activity is fed to a mechanical model of lamprey swimming. The simulations also predict that, in contrast to reticulospinal neurons, tectal steering/turning command neurons should have minimal frequency adaptive properties, which has been confirmed experimentally.