Calcium buffering is required to maintain bone stiffness in saline solution.

This work determined whether mineral dissolution due to prolonged testing or storage of bone specimens in normal saline would alter their elastic modulus. In one experiment, small pieces of equine third metacarpal bone were soaked in normal saline supplemented with varying amounts of CaCl2. Changing Ca ion concentrations in the bath were monitored and the equilibrium concentration was determined. In a second experiment, the elastic moduli of twenty 4 x 10 x 100 mm equine third metacarpal beams were determined non-destructively in four-point bending. Half the beams were then soaked for 10 days in normal saline, and the other half in saline buffered to the bone mineral equilibrium point with Ca ions. Modulus measurements were repeated at 6 and 10 days. The equilibrium Ca ion concentration for bone specimens was found to be 57.5 mg l-1. The modulus of bone specimens soaked in normal saline significantly diminished 2.4%, whereas the modulus of those soaked in calcium-buffered saline did not change significantly.

Fatigue behavior of the equine third metacarpus: mechanical property analysis.

This is the first in a series of experiments to study the fatigue properties of equine cannon (third metacarpal) bone specimens from Thoroughbred racehorses. Monotonic and fatigue tests to failure were performed in four-point bending on diaphyseal specimens in a 37 degrees C saline bath to answer three initial questions. (a) Will a linear variable differential transducer yield the same elastic modulus as strain gauges? (b) Will fatigue results depend on whether the periosteal or endosteal side of the beam is in tension? (c) Are there regional variations in the monotonic and fatigue properties of the cannon bone midshaft? Eighteen left-right pairs of specimens from six horses were used. One beam of each pair was fitted with strain gauges. Fatigue tests were conducted on 24 specimens under load control at 2 Hz; an initial range of 0-10,000 microstrain was used so as to produce failure in a reasonable period of time. There were no left-right differences in the fatigue or monotonic properties, and the presence of a gauge had no effect on modulus measured by a linear variable differential transducer. However, gauge-measured moduli were about 1 GPa less than transducer-measured values. Fatigue life was independent of which side of the beam was in tension, and there were significant variations in mechanical properties around the cortex. The lateral region was stiffer than the dorsal region but the latter had a longer fatigue life. The fixed cylindrical supports used in this experiment eventually produced slight wear grooves, causing artifactual stiffening at the end of the load cycle in some specimens. A second experiment using roller supports confirmed the reason for this stiffening. It also showed that fatigue life was shorter when roller supports were used but regional differences were similar.

Western voodoo: providing mental health care to Haitian refugees.

This article described certain aspects of Haitian life, voodoo and its role in Haitian society, the quality and quantity of psychiatric and mental health care for Haitians in Haiti, and suggestions for providing appropriate mental health care to Haitian refugees in the United States. Conway and Buchanan (1985) described what has helped Haitian refugees adapt in the transition to life in the United States: the strengths from their cultural heritage, such as fortitude; perseverance in the most arduous circumstances; deep religious faith; high self-respect; reliance on the extended family; and the tradition of sharing. Building on these assets may assist Western mental health-care providers in offering culturally sensitive mental health care to Haitians.

Visual communication with Haitian women: a look at pictorial literacy.

PIP: A study of village women in Haiti which presents baseline data from their responses to stylized health education pictures is reported. The study questioned the concept that pictorial messages were accurately recognized and self-explanatory to nonliterate Haitian village women. The investigator, who used a descriptive survey, sought answers to a major and a related question: what do nonliterate Haitian village women recognize in selected health education pictures; and are their differences in picture recognition traceable to the complexity of the pictures. There were 110 women (25 from a mountain village, 25 from a plains village, 25 from a seacoast village, and 35 urban dwellers) who responded to 9 health education pictures. The women ranged in age from 18-80 years of age; 32 (29%) had gone to school for a range of an "unknown time" to 8 years. 47% of those who had gone to school indicated that they could read. The investigator rated the verbatim responses to the pictures for accuracy as: accurate, overinclusive, underinclusive, inaccurate, and do not know. The quantitative analysis of this data revealed that the accuracy levels decreased as the complexity level increased. This is best shown in the 129 (39%) accurate responses in the low level; 6 (1.8%) in the moderate level; and no accurate responses in the high complexity level. An unexpected finding was the highest number of inaccurate responses (n = 83, 25.1%) found in the low complexity level, while the moderate and high levels both showed 36 (10.8%). In addition to the differences in accuracy in picture recognition based on picture complexity, there were significant differences on the chi-square test which confirmed the assertion of the question that picture recognition is traceable to the complexity of the picture. These findings are consistent with the picture complexity studies of Holmes, Jelliffe, and Kwansa.^ieng