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In order to create accurate anatomical models for medical training and research, mechanical properties of biological tissues need to be studied. However, non-linear and viscoelastic behaviour of most soft biological tissues complicates the evaluation of their mechanical properties. In the current study, a method for measuring hyperelasticity and viscoelasticity of bovine and porcine hepatic parenchyma in tension is presented. First, non-linear stress-stretch curves resulting from ramp loading and unloading, were interpreted based on a hyperelastic framework, using a Veronda-Westmann strain energy function. Sumatriptan Strain-specific elastic moduli, such as initial stiffness EI, were thereupon defined in certain parts of the stress-stretch curves. Furthermore, dissipated and stored energy density were calculated. Next, the viscoelastic nature of liver tissue was examined with two different methods stress relaxation and dynamic cyclic testing. Both tests yielded dissipated and stored energy density, as well as loss tangendes novel insight into the tensile viscoelastic properties of hepatic tissue, and provides guidelines for convenient evaluation of soft tissue mechanical properties.In Saudi Arabia, alcohol consumption is prohibited by law, but interpreting postmortem ethanol can be complicated by its postmortem production. This study developed and validated a method using headspace gas chromatography with flame ionization detection and liquid chromatography tandem mass spectroscopy to detect ethanol and its polar metabolites (ethyl glucuronide [EtG] and ethyl sulfate [EtS]) in postmortem blood and urine specimens, respectively. All calibration curves were linear with coefficients of determination greater than 0.999. The limits of detection ranged 4.5-5.0mg/dL for ethanol and 0.05-0.06mg/L for EtG and EtS. The limits of quantification were 10.0mg/dL for ethanol and 0.075mg/L for EtG and EtS. Within-run precision was less than 11% for all analytes of interest. Matrix effects for EtG and EtS ranged 3-47%. After excluding matrix effects, analytical recoveries ranged 72-100%. This validated method was then used for routine postmortem forensic toxicology analyses in 592 routine postmortem cases to distinguish between antemortem ethanol consumption and its postmortem microbial formation. Among them, 98 blood samples (17%) were positive for ethanol or its polar metabolites. Thirty-two of these cases (33%) were positive for EtG and EtS and therefore due to antemortem ethanol consumption. The remaining 66 (67%) cases were negative for both EtG and EtS and therefore due to postmortem ethanol synthesis. Because this is the first study to report the problem of alcohol consumption in Saudi Arabia, further studies are essential for validating these findings.Calliphoridae is a family of Diptera of great forensic interest because some of its species belong to the sarcosaprophagous diptera community, as their larvae are necrophagous or necrophilous. In the Iberian Peninsula there are six species that stand out, as they are the first insects to arrive at carrion Calliphora vicina, Calliphora vomitoria, Lucilia sericata, Lucilia caesar, Chrysomya albiceps and Chrysomya megacephala. To differentiate among these blowflies, we compared the value of using traditional and geometric morphometrics by performing a morphometric analysis of the wings (shape and size). A total of 600 individuals were considered, segregated by species and sex equally. Seventeen landmarks per wing were recognized, and then centroid size and shape analyses were performed using geometric morphometrics, and size using traditional morphometrics, to identify species and sex. The results showed differences in shape among the species and it was found that landmarks 2 to 11 were the most variable, while the landmarks located at the base of the wings were relatively stable. However, according to both traditional and geometric morphometrics, no significant differences were found among species in wing size (Calliphora vicina, Chrysomya megacephala and Lucilia caesar were indistinguishable), but females were larger than males (except for the two Chrysomya species). Our results indicate that the use of geometric morphometrics to analyze wing configuration (shape) is an easy-to-use tool that helps to distinguish among common blowfly species of forensic importance.

Elderly (65 and older) fall-related injuries are a significant cause of morbidity and mortality. Although frailty predicts poor outcomes in geriatric trauma, literature comparing frailty scoring systems remains limited. Herein, we evaluated which frailty scoring system best predicts falls over time in the elderly.

Acute surgical patients 65y and older were enrolled and prospectively observed. Demographics and frailty, assessed using the FRAIL Scale, Trauma Specific Frailty Index (TSFI), and Canadian Frailty Scale (CSHA-CFS), were collected at enrollment and 3mo intervals following discharge for 1y. Surveys queried the total number and timing of falls. Changes in frailty over time were assessed by logistic regression and area under the curve (AUC).

Fifty-eight patients were enrolled. FRAIL Scale and CSHA-CFS scores did not change over time, but TSFI scores did (P≤0.01). Worsening frailty was observed using TSFI at 6 (P≤0.01) and 12mo (P≤0.01) relative to baseline. Mortality did not differ based on frailty using any frailty score. Increasing frailty scores and time postdischarge was associated with increased odds of a fall. AUC estimates with 95% CI were 0.72 [0.64, 0.80], 0.81 [0.74, 0.88], and 0.76 [0.68, 0.84] for the FRAIL Scale, TSFI, and CSHA-CFS, respectively.

The risk of falls postdischarge were associated with increased age, time postdischarge, and frailty in our population. No scale appeared to significantly outperform the other by AUC estimation. Further study on the longitudinal effects of frailty is warranted.

The risk of falls postdischarge were associated with increased age, time postdischarge, and frailty in our population. No scale appeared to significantly outperform the other by AUC estimation. Further study on the longitudinal effects of frailty is warranted.

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