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The influence of osteoporotic bone structures of the pelvic-hip complex on stress distribution under impact load

Arkusz K., Klekiel T., Niezgoda T. M., Będziński R.

Acta of Bioengineering and Biomechanics

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2018

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Vol. 20, no. 1

29--38

EN

Purpose: The aim of this study was to determine the effect of bone mineral density (BMD) on the stress distribution in pelvic-hip complex (PHC) model which included bone structures and soft tissues. Bone mass changes in osteoporosis and osteopenia were considered in this analysis. In addition, the relations between force direction and stress distribution causing PHC fractures were determined. Methods: This paper presents the development and validation of a detailed 3D finite element model with high anatomical fidelity of the PHC and BMD changes in trabecular and cortical bones, modelled based on CT scans. 10 kN loading was induced on a model consisting of 8 ligaments, the pelvis, sacrum, femur in front and side directions. Results: For validation, the results of this model were compared to physiological stress in standing position and previous results with high-energy crashes under side impact load. Analysis of side-impact indicated the influence of BMD on femoral neck fractures, acetabular cartilage and sacroiliac joint delaminations. Front-impact analysis revealed the inferior pubic ramus, femoral neck fractures and soft tissue injuries, i.e., acetabular cartilage and symphysis pubis in osteoporosis and osteopenia. Conclusions: The elaborated PHC model enables effective prediction of pelvis injuries in high-energy trauma, according to Young-Burgess classification, and the determination of the influence of BMD reduction on pelvis trauma depending on force direction. The correlation between BMD and stress distribution causing varying injuries was determined.

2

Using discrete Markov chains in prediction of health economics behaviour

Bauer W., Wieczór A.

Information Systems in Management

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2017

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Vol. 6, No. 4

259--269

EN

The aim of this article is show the concept of using of the Discrete Markov Chains to predict economic phenomena. This subject is important for two reasons. The first of them are models based on Markov chains use the statistical informations obtained during the investigation processes. Another important reason is the fact that this way of modeling is highly flexible and can be used to simulation of economic phenomenas. In this paper authors describe the idea of modeling and present the example of simply model of patient population of primary health care and show preliminary simulation results.

3

New approach in modelling of the patients behavior in Primary Health Care (PHC)

Bauer W.

Automatyka / Automatics

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2015

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Vol. 19, no. 1

17--28

EN

The purpose of this paper is to show the concept of simulation of Primary Health Care (PHC) patients behavior. There are two reasons for interest in this area. The first of them is the need for support in decision making regarding financing and management of PHC facilities on levels from national (Natonal Health Fund) to local (PHC provider). The second one is the lack of effective methods for such population modeling. In this paper author describe an idea of probability distribution modeling and present preliminary results of patient visits simulation over a period of a year.

PL

Celem artykułu jest pokazanie koncepcji symulacji zachowań pacjentów Podstawowej Opieki Zdrowotnej (POZ). Temat ten jest ważny z dwóch powodów. Po pierwsze model taki mógłby posłużyć w podejmowaniu decyzji w rozdzielaniu funduszy pomiędzy jednostkami POZ przez Narodowy Fundusz Zdrowia. Drugim z powodów jest obecnie brak efektywnych metod modelowania populacji POZ. W niniejszej pracy autor opisuje ideę modelowania populacji przy użyciu rozkładu prawdopodobieństwa i przedstawia wstępne wyniki symulacji dla wizyt pacjentów w ciągu roku.