Failure Properties and Damage of Cervical Spine Ligaments, Experiments and Modeling

2014 ◽  
Vol 136 (3) ◽  
Author(s):  
Ana Trajkovski ◽  
Senad Omerović ◽  
Marija Hribernik ◽  
Ivan Prebil

Cervical spine ligaments have an important role in providing spinal cord stability and restricting excessive movements. Therefore, it is of great importance to study the mechanical properties and model the response of these ligaments. The aim of this study is to characterize the aging effects on the failure properties and model the damage of three cervical spine ligaments: the anterior and the posterior longitudinal ligament and the ligamentum flavum. A total of 46 samples of human cadaveric ligaments removed within 24–48 h after death have been tested. Uniaxial tension tests along the fiber direction were performed in physiological conditions. The results showed that aging decreased the failure properties of all three ligaments (failure load, failure elongation). Furthermore, the reported nonlinear response of cervical ligaments has been modeled with a combination of the previously reported hyperelastic and damage model. The model predicted a nonlinear response and damage region. The model fittings are in agreement with the experimental data and the quality of agreement is represented with the values of the coefficient of determination close to 1.

2021 ◽  
Vol 10 (15) ◽  
pp. 3375
Author(s):  
Atsushi Kimura ◽  
Katsushi Takeshita ◽  
Toshitaka Yoshii ◽  
Satoru Egawa ◽  
Takashi Hirai ◽  
...  

Ossification of the posterior longitudinal ligament (OPLL) is commonly associated with diabetes mellitus (DM); however, the impact of DM on cervical spine surgery for OPLL remains unclear. This study was performed to evaluate the influence of diabetes DM on the outcomes following cervical spine surgery for OPLL. In total, 478 patients with cervical OPLL who underwent surgical treatment were prospectively recruited from April 2015 to July 2017. Functional measurements were conducted at baseline and at 6 months, 1 year, and 2 years after surgery using JOA and JOACMEQ scores. The incidence of postoperative complications was categorized into early (≤30 days) and late (>30 days), depending on the time from surgery. From the initial group of 478 patients, 402 completed the 2-year follow-up and were included in the analysis. Of the 402 patients, 127 (32%) had DM as a comorbid disease. The overall incidence of postoperative complications was significantly higher in patients with DM than in patients without DM in both the early and late postoperative periods. The patients with DM had a significantly lower JOA score and JOACMEQ scores in the domains of lower extremity function and quality of life than those without DM at the 2-year follow-up.


2017 ◽  
Vol 6 (2) ◽  
Author(s):  
Ahmad Iskandar

In the era of globalization, the competition in the business world becomes very tight. Companies vying to be able to continue to compete and survive in the business world. Each consumer must have had the expectation that the products they buy are able to provide satisfaction for them to be making purchasing decisions. Consumer purchasing decisions of companies to seeds virtual brand still low due to the brand image and quality of seeds that are still unsatisfactory.This study aims to determine the responses of respondents regarding brand image, product quality, purchasing decisions and how big an impact on the brand image itself against purchase decisions on the PT. Prabu Argo Mandiri Bandung and how much influence the quality of products on the purchase decision.The method by which the samples is Simple Random Sampling consists of 80 respondents. The method of analysis in this research using descriptive analysis and verification which is composed of multiple linear regression analysis. Product moment correlation analysis, and the coefficient of determination used to measure the level of influence of brand image and product quality on purchasing decisions.The results based on descriptive analysis of brand image variable is in good enough category, variable quality of the product is in the unfavorable category, and the purchase decision variable is in the unfavorable category. The results based on correlation test showed that the brand image is partially significant effect on purchasing decisions by 68% and the product quality is partially significant effect on purchasing decisions by 13%. Hypothesis test results suggested that the increased purchasing decisions partially and simultaneously influence through brand image and product quality.


Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Michael J. Mulcahy ◽  
Thananchayan Elalingam ◽  
Kevin Jang ◽  
Mario D’Souza ◽  
Matthew Tait

Abstract Background There has been increasing focus to improve the quality of recovery following anterior cervical spine surgery (ACSS). Postoperative pain and nausea are the most common reasons for prolonged hospital stay and readmission after ACSS. Superficial cervical plexus block (SCPB) provides site-specific analgesia with minimal side effects, thereby improving the quality of recovery. The aim of our study was to investigate the effect bilateral cervical plexus block has on postoperative recovery in patients undergoing ACSS. Methods The study is a pragmatic, multi-centre, blinded, parallel-group, randomised placebo-controlled trial. 136 eligible patients (68 in each group) undergoing ACSS will be included. Patients randomised to the intervention group will have a SCPB administered under ultrasound guidance with a local anaesthetic solution (0.2% ropivacaine, 15mL); patients randomised to the placebo group will be injected in an identical manner with a saline solution. The primary outcome is the 40-item quality of recovery questionnaire score at 24 h after surgery. In addition, comparisons between groups will be made for a 24-h opioid usage and length of hospital stay. Neck pain intensity will be quantified using the numeric rating scale at 1, 3, 6 and at 24 h postoperatively. Incidence of nausea, vomiting, dysphagia or hoarseness in the first 24 h after surgery will also be measured. Discussion By conducting a blinded placebo trial, we aim to control for the bias inherently associated with a tangible medical intervention and show the true treatment effect of SCPB in ACSS. A statistically significant result will indicate an overall improved quality of recovery for patients; alternatively, if no benefit is shown, this trial will provide evidence that this intervention is unnecessary. Trial registration ClinicalTrials.gov ACTRN12619000028101. Prospectively registered on 11 January 2019 with Australia New Zealand Clinical Trials Registry


Author(s):  
Marek Prokopienko ◽  
Michał Sobstyl

AbstractCervical spine diskectomy is a commonly used procedure in degenerative disease of cervical spine surgery. However, it is difficult to assess the quality of life after this widely applied and variously modified procedure. This literature review presents cervical diskectomy results, according to various scales and measures in multidirectional surgical strategies. Using relevant databases, we tried to find the best treatment options for degenerative disk disease and the best method of quality-of-life assessment, searching for modalities that may influence the outcome.


2017 ◽  
Vol 4 (02) ◽  
pp. 274-293
Author(s):  
Nur Hidayati ◽  
J.M.V. Mulyadi

ABSTRACT The purpose of this study is to examine whether variables such as quality of goods/services procurement committee, income of goods/services procurement committee, procurement system and procurement system, procurement ethic of goods/services and internal control system have influence to fraud of goods/ services procurement in the ministry of health affairs agency. Population in this research is all auditor related in process of procurement of goods/services, while the object of research (sample) that is as much as 56 people. The technique of determining the sample using purposive sampling method. Data were tested using validity test, reliability test, multicolinearity test, heteroskedasticity test, multiple regression analysis, hypothesis test and coefficient of determination. The result of the research shows that the quality of procurement committee variables significantly and negatively affect the fraud of procurement of goods/services. The income of the procurement committee does not significantly affect the procurement of goods/services, procurement system and procedures have significant effect and negative to the goods/service procurement, ethics have significant effect and negative to the procurement of goods/services and internal control system significantly and negative to the fraud of procurement of goods/services. ABSTRAK Tujuan dari penelitian ini adalah untuk menguji apakah variabel seperti kualitas panitia pengadaan barang/jasa, penghasilan panitia pengadaan barang/jasa, sistem dan prosedur pengadaan barang/jasa, etika pengadaan barang/jasa, dan sistem pengendalian internal memiliki pengaruh terhadap fraud pengadaan barang/jasa di Lingkungan Instansi Kementerian Kesehatan RI. Populasi dalam penelitian ini adalah seluruh auditor yang terkait dalam proses pengadaan barang/jasa, sedangkan yang dijadikan objek penelitian (sampel) yaitu sebanyak 56 orang. Teknik penentuan sampel menggunakan metode purposive sampling. Data diuji menggunakan uji validitas, uji reliabilitas, uji multikolinearitas, uji heteroskedastisitas, analisis regresi berganda, uji hipotesis dan koefisien determinasi. Hasil penelitian menunjukkan bahwa variabel kualitas panitia pengadaan berpengaruh secara signifikan dan negatif terhadap fraud pengadaan barang/jasa. Penghasilan panitia pengadaan tidak berpengaruh secara signifikan terhadap terhadap fraud pengadaan barang/jasa, sistem dan prosedur pengadaan berpengaruh secara signifikan dan negatif terhadap fraud pengadaan barang/jasa, ketika berpengaruh secara signifikan dan negatif terhadap fraud pengadaan barang/jasa dan sistem pengendalian internal berpengaruh secara signifikan dan negatif terhadap fraud pengadaan barang/jasa. JEL Classification: M41, M42, H57


2018 ◽  
Vol 2018 ◽  
pp. 1-14 ◽  
Author(s):  
Borja Millan ◽  
Santiago Velasco-Forero ◽  
Arturo Aquino ◽  
Javier Tardaguila

This paper describes a new methodology for noninvasive, objective, and automated assessment of yield in vineyards using image analysis and Boolean model. Image analysis, as an inexpensive and noninvasive procedure, has been studied for this purpose, but the effect of occlusions from the cluster or other organs of the vine has an impact that diminishes the quality of the results. To reduce the influence of the occlusions in the estimation, the number of berries was assessed using the Boolean model. To evaluate the methodology, three different datasets were studied: cluster images, manually acquired vine images, and vine images captured on-the-go using a quad. The proposed algorithm estimated the number of berries in cluster images with a root mean square error (RMSE) of 20 and a coefficient of determination (R2) of 0.80. Vine images manually taken were evaluated, providing 310 grams of mean error and R2=0.81. Finally, images captured using a quad equipped with artificial light and automatic camera triggering were also analysed. The estimation obtained applying the Boolean model had 610 grams of mean error per segment (three vines) and R2=0.78. The reliability against occlusions and segmentation errors of the Boolean model makes it ideal for vineyard yield estimation. Its application greatly improved the results when compared to a simpler estimator based on the relationship between cluster area and weight.


2021 ◽  
Vol 5 (2) ◽  
pp. 96-104
Author(s):  
Badrudin Badrudin ◽  
Neng Gustini ◽  
Cep Ilyas Amirulloh

This study aims to determine and describe the relationship between financing management and the quality of diniyah education in Madrasah Diniyah Takmiliyah Awaliyah in the Bandung Regency. This study uses a quantitative approach. The data collection technique is done by distributing questionnaires (questionnaires) and documentation with a sample of 37 people. The data analysis techniques used are research instrument trials, partial analysis, correlation analysis, and coefficient of determination (contribution) analysis. The results showed that the achievement of financing management and the quality of diniyah Takmiliyah Awaliyah education in Bandung Regency showed a significant relationship between financing management and the quality of diniyah education. The linearity test of financing management (X) and the quality of diniyah education (Y) obtained a value of F = 1.611 with a significance level of 0.218, so it can be interpreted that it has a positive and significant linear relationship. This study has implications for the importance of effective financing management in improving the quality of madrasah.


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