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A modeling method of non-uniform material assignment based on Slope Difference Distribution (SDD) is proposed to establish a complete and effective finite element (FE) model of the lower limb tibia. The validity and accuracy of the model based on in vitro mechanical experiments are verified. An initial tibia model was established based on Computed Tomography (CT) images. The numerical distribution of the extracted Hounsfield Unit histograms of the tibia mesh elements was fitted as a smooth curve. The critical point of the slope difference distribution curve was computed and selected to establish a tibia FE model with non-uniform material properties through numerical variations. The composite tibia's area of interest was subjected to data acquisition and analysis of displacement and strain at three gaits through a Digital Image Correlation (DIC) device. The slopes of the stress-strain straight fitting lines for slope difference distribution and structural FE models are 47.17 and 36.45. A comparison of the results of the previous experiments revealed that the FE model based on the material assignment method of slope difference distribution is more accurate. The assignment method is not limited to tibia models but also provides a method for modeling other human bones and reduces the cost of mechanical testing for accurate prediction in the simulation of bone biomechanics.
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http://dx.doi.org/10.1016/j.medengphy.2025.104359 | DOI Listing |
J Exp Orthop
July 2025
Department of Orthopedic Surgery, Institute for Locomotion Aix-Marseille University Marseille France.
Purpose: The posterior tibial slope (PTS) plays a key role in knee biomechanics and may influence the risk of anterior cruciate ligament (ACL) rupture as well as the outcomes of its reconstruction. We hypothesised that a steeper medial posterior tibial slope (MPTS) would be associated with an increased risk of bilateral ACL reconstruction compared to unilateral reconstruction. This study aimed to test this hypothesis by comparing the MPTS between patients undergoing unilateral ACL reconstruction (uniACLR) and those requiring non-simultaneous bilateral ACL reconstruction (biACLR), using radiographic imaging.
View Article and Find Full Text PDFCureus
August 2025
Department of Neurosurgery, Virginia Commonwealth University, Richmond, USA.
Background Anterior cervical discectomy and fusion (ACDF) is a common surgical procedure that patients undergo for cervical disc herniations and degenerative disc disease, aimed at relieving radicular symptoms and restoring cervical alignment. The impact of preoperative kyphotic cervical imbalance versus preoperative lordosis on postoperative radiographic outcomes in ACDF patients is unclear. The purpose of this study is to examine how preoperative cervical sagittal balance can influence quantified postoperative cervical sagittal balance.
View Article and Find Full Text PDFIntroduction Systemic inflammation alters lipid metabolism by suppressing hepatic lipoprotein synthesis, increasing catabolism, and impairing reverse cholesterol transport. These changes result in reduced levels of low-density lipoprotein (LDL), high-density lipoprotein (HDL), and total cholesterol (TC), despite elevated cardiovascular risk, which is a phenomenon termed the "inflammatory lipid paradox." While well-characterized in chronic inflammatory diseases, such as rheumatoid arthritis, its prevalence and clinical impact in hospitalized adults with systemic inflammation remain underexplored.
View Article and Find Full Text PDFData Brief
October 2025
INRAE, US ODR, Castanet-Tolosan F-31326, France.
Lots of agricultural or environmental studies, researches, policy evaluations are based on Land Parcel Information System (LPIS), combined with other pedo-climatic or agro-environmental data. This is the case for example for different kinds of models, as crop models which have been used widely in France to assess ecosystemic services or carbon storage, agent-based models for watershed analyses or for models assessing erosion risks. However, integration of pedo-climatic and agro-environmental data at a high-resolution level remains challenging.
View Article and Find Full Text PDFOxf Open Digit Health
August 2025
Center for Digital Health and Implementation Sciences, University of Gondar, Gondar, Ethiopia.
Rwanda is harnessing digital health as a key strategy to improve optimal access to quality maternal and child health services, aiming to reduce maternal and child mortality and attain sustainable development goals. Evidence is essential to guide Rwanda's effort to integrate digital health technologies with maternal and child health service delivery. This study analyzed data from 2010, 2014/15 and 2019/20 Rwanda demographic and health surveys to explore trends and socio-economic equity in mobile phone ownership and its influence on reproductive and maternal health service utilization.
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