Functional comparison of pacifiers using finite element analysis.

BACKGROUND: Pacifiers have been shown to affect maxillary growth related to the anatomic structure of the palate and forces placed upon it during sucking. This study compares and evaluates the mechanical behavior of pacifiers of different design and size (i.e., fit), identified by brand and size, positioned in age-specific palatal models with respect to both contact area and force when subjected to peristaltic tongue function and intraoral pressure related to non-nutritive sucking. METHODS: Nonlinear finite element analyses were used to simulate dynamic mechanical interaction between the pacifiers and palates. Time-varying, external pressure loads were applied which represent intraoral pressure arising from non-nutritive sucking and peristaltic behavior of the tongue. The silicone rubber pacifier bulb was represented using a hyperelastic material model. RESULTS: Results from the finite element analyses include deformation, stress, strain, contact area, and contact force. Mechanical interaction was evaluated in terms of the spatial distribution of the contact area and force between the pacifier and the palate. The resulting palatal interaction profiles were quantitatively compared to assess how pacifier fit specifically affects the support provided to two areas of the palate, the palatal vault and the Tektal wall. CONCLUSIONS: Pacifiers interact with the palate differently based on their fit (i.e., design and size) regardless of whether they are labeled conventional or orthodontic. Finite element analysis is an effective tool for evaluating how a pacifier's design affects functional mechanics and for providing guidance on biometric sizing.

Computational simulation of pacifier deformation and interaction with the palate.

OBJECTIVES: The objective of this study is to demonstrate that computational finite element models can be used to reliably simulate dynamic interaction between a pacifier, the palate, and the tongue during nonnutritive sucking (NNS). The interactions can be quantified by the results of finite element analyses which include deformation, strain, stress, contact force, and contact area. MATERIALS AND METHODS: A finite element model was created based upon CAD solid models of an infant pacifier and palate. The silicone pacifier bulb is represented by a hyperelastic constitutive law. Contact surfaces are defined between the pacifier and palate. A time and spatially varying pressure load is applied to the bulb representing peristaltic interaction with the tongue. A second time-varying, periodic pressure representing NNS is applied to the model simultaneously. A large displacement, nonlinear transient dynamic analysis is run over two NNS cycles. RESULTS: Results from the finite element analysis show the deformed shape of the bulb with maximum principal elastic strain of 0.23 and a range of maximum principal stress on the palate from 0.60 MPa (tensile) to -0.27 MPa (compressive) over the NNS cycles. The areas of contact between the pacifier and the palate are shown in surface contour plots. CONCLUSIONS: A nonlinear transient dynamic finite element model can simulate the mechanical behavior of a pacifier and its interaction with the tongue and contact with the palate subject to NNS. Quantitative results predicting deformation, strain, stress, contact force, and contact area can be used in comparative studies to provide insight on how pacifiers cause changes in dental, orthognathic, and facial development.

Synthesis and Electrochemistry of O3-type NaFeO2-NaCo0.5Ni0.5O2 Solid Solutions for Na-Ion Positive Electrodes.

The synthesis, structure, and electrochemistry in Na cells of NaFe xM1- xO2 positive electrode materials with M = Ni, Co0.5Ni0.5, and Co are reported. In particular, the properties of O3-NaFeO2-NaCo0.5Ni0.5O2 solid solutions having compositions NaFe x(Co0.5Ni0.5)1- xO2 with 0 ≤ x ≤ 0.5 are explored. It is found that the substitution of Fe in NaNi0.5Co0.5O2 causes an increase in first cycle energy density from 320 to 440 mWh/g in a 1.5-4.0 V test. However, capacity retention is generally reduced when x is increased for all M = Ni, Co0.5Ni0.5, and Co. In general, NaFe xM1- xO2 samples with M = Co had the highest capacity retention for all values of x. Ex situ X-ray diffraction and Mössbauer results of as-prepared and charged materials are directly compared for NaFe x(Co0.5Ni0.5)1- xO2 and NaFe xCo1- xO2 ( x = 0.4, 0.5). Iron was found to be in the +3 oxidation state in the as-prepared materials. A significant fraction of Fe3+ is oxidized to Fe4+ in these samples when they are charged to 4.0 V.

A 3D-Printed Patient-Specific Phantom for External Beam Radiation Therapy of Prostate Cancer.

This paper presents the design evolution, fabrication, and testing of a novel patient and organ-specific, 3D printed phantom for external beam radiation therapy of prostate cancer. In contrast to those found in current practice, this phantom can be used to plan and validate treatment tailored to an individual patient. It contains a model of the prostate gland with a dominant intraprostatic lesion, seminal vesicles, urethra, ejaculatory duct, neurovascular bundles, rectal wall, and penile bulb generated from a series of combined T2-weighted/dynamic contrast-enhanced magnetic resonance images. The iterative process for designing the phantom based on user interaction and evaluation is described. Using the CyberKnife System at Boston Medical Center a treatment plan was successfully created and delivered. Dosage delivery results were validated through gamma index calculations based on radiochromic film measurements which yielded a 99.8% passing rate. This phantom is a demonstration of a methodology for incorporating high-contrast magnetic resonance imaging into computed-tomography-based radiotherapy treatment planning; moreover, it can be used to perform quality assurance.

Epidermal Growth Factor Receptor-Specific Nanoprobe Biodistribution in Mouse Models.

Nanotechnology offers a targeted approach to both imaging and treatment of cancer, the leading cause of death worldwide. Previous studies have found that nanoparticles with a wide variety of coatings initiate an immune response leading to sequestration in the liver and spleen. In an effort to find a nanoparticle platform which does not elicit an immune response, we created 43 nm and 44 nm of gold and silver nanoparticles coated with biomolecules normally produced by the body, α-lipoic acid and the epidermal growth factor (EGF), and have used mass spectroscopy to determine their biodistribution in mouse models, 24 h after tail vein injection. Relative to controls, mouse EGF (mEGF)-coated silver and gold nanoprobes are found at background levels in all organs including the liver and spleen. The lack of sequestration of mEGF-coated nanoprobes in the liver and spleen and the corresponding uptake of control nanoprobes at elevated levels in these organs suggest that the former are not recognized by the immune system. Further studies of cytokine and interleukin levels in the blood are required to confirm avoidance of an immune response.

Management of Cannulated Screw Failure and Recurrent SCFE Displacement - Case Report.

INTRODUCTION: SCFE occurs in 10 per 100,000 in some regions of the United States with the incidence continuing to increase. Percutaneous screw fixation is a well-accepted treatment for this disorder for over 20 years but management of complications is not well elucidated in the literature. CASE REPORT: We describe a case where a traumatic unstable SCFE that was initially treated with closed reduction and fixation with a single transphyseal screw went on to hardware failure with recurrence of the deformity. The complication was successfully treated with closed reduction and re-cannulating the fractured screw within the epiphysis and extracting it using a conical extraction screw commonly referred to as an "easy out." Three trans physeal screws were then placed for improved fixation strength. Follow-up at 9 months demonstrates a fused physis and no signs of avascular necrosis of the femoral head. CONCLUSION: Percutaneous management of SCFE screw breakage is possible utilizing specialized instruments and a precise and gentle manipulation preventing the need for more invasive treatments with their obligatory potential complications profile.

Some Historical Treatments should not be Forgotten: A Review of Cast Wedging and A Trick to Normalize Non-Standardized Digital X-rays.

INTRODUCTION: Cast wedging is a simple and reproducible method of manipulating a sub-optimally reduced fracture producing a correction and a final alignment that is amenable to definitive closed treatment. Multiple successful techniques have been previously described in the literature (opening wedge, closing wedge and combination). TECHNICAL NOTE: We present a simple reproducible method of templating and executing a proper cast wedging technique using digital imaging systems that are not controlled for magnification with an illustrative case. CONCLUSION: Renewed interest in cast wedging can provide a cost effective treatment with proven clinical outcomes in an ever changing and uncertain reimbursement climate.

Fracture through a Harris growth arrest line: a case report.

Fractures occur when bone is overloaded and mechanical failure occurs with the fracture propagating along the lines of least resistance. We report the case of a 6-year-old boy who sustained a nondisplaced distal third tibial shaft fracture through a Harris growth arrest line of increased osseous density due to low-energy blunt trauma. This case is used as an opportunity to review the literature on Harris growth arrest lines and discuss a fracture pattern that has not been previously described in the literature.