Ureteral injuries although rare can cause serious issues. The mechanism of injury is most commonly penetrating but in some rare cases blunt forces can contribute. It is important to diagnose ureteral injuries as soon as possible because they can have significant morbidity and mortality. Here we present two cases of isolated ureteral injury secondary to blunt force trauma. Both patients had the ureteral injury diagnosed by computed tomography (CT) scan and confirmed by a ureterogram with extravasation of contrast. Both patients also had peripelvic cyst, which could have been a contributing risk factor for injury. In both cases, the ureteral injury was repaired using a stent and both patients had no complications. We present these cases along with presentation, diagnostic work-up, and treatment.

Le travail de la thèse porte sur une étude globale des interactions qui surgissent sur le système projectile/protection/cible lors d’un impact balistique non perforant. L’objectif principal consiste à l’analyse et à l’évaluation des modes d’endommagement des projectiles et des protections d’une part, et les déformations occasionnées sur la cible, d’autre part. Une étude expérimentale a permis la caractérisation mécanique des différents matériaux utilisés à savoir : la gélatine, la plastiline, ainsi que l’analyse des réponses balistiques utilisant des protections en composite, en aluminium et textiles. L’accent a été mis sur la recherche des lois de comportement appropriées pour les différents composants du système balistique utilisant des multi-matériaux. Une simulation numérique du thorax humain a été développée, exploitée et validée sur la base d’un impact non pénétrant. La simulation numérique a été réalisée en prenant en compte à la fois le thorax et les différents organes du corps humain en intégrant aussi la présence de protections. / This work deals with interactions occurring on the projectile/protection/target system during a non-perforating ballistic impact. The first main goal concerns the analysis and evaluation of the processes’ damage projectiles and protections. The second one concerns the deformation of the target. An experimental study has allowed the mechanical characterisation of different used materials: the gelatine, the plastilina, and the analysis of the ballistic response of the composite, aluminium and textile based-protections. The research carried out here is focused on the appropriate material laws of different components of the ballistic system implicating the multi-materials. A numerical simulation of the human thorax has been developed, implemented and validated thanks to a non-penetrating ballistic impact. The numerical simulation has been realised by taking into account of both the thorax and the different organs of the human body protected by a ballistic protection.

This study surveyed school-based speech language pathologists regarding their expectations for children returning to school after suffering a traumatic brain injury. Limited literature exists discussing the coordination procedures that should occur between hospital and school personnel. The survey was developed based on the existing literature and was sent to school-based speech language pathologists in the state of Indiana. A total of 38% of the surveys were completed and returned. Results of the surveys found that many of the coordination procedures in the literature were not consistently being followed. Participants who reported having experience with this population in the schools seemed more aware of the procedures that should be followed, based on their answers to the survey questions. It can be concluded, based on the results of the surveys, that increased knowledge and experience of school personnel about the effects, implications, and needs of students with traumatic brain injury would benefit children returning to the school environment after sustaining this type of injury. / Department of Speech Pathology & Audiology

North American bison (Bovidae: Bison bison) incur blunt impacts to the interparietal and frontal bones when they engage in head-to-head fights. To investigate the impact mitigation of these bones, a finite element analysis of the skull under loading conditions was performed. Based on anatomical and histological studies, the interparietal and frontal bones are both comprised of a combination of haversian and plexiform bone, and are both underlain by bony septa. Additionally, the interparietal bone is thicker than the frontal. Data regarding the mechanical properties of bison bone are scarce, but the results of a phylogenetic analysis infer that the material properties of the closely-related domestic cow bone are a suitable proxy for use in the FEA. Results of the FEA suggest that the thickness of the interparietal in conjunction with the bony septa may prevent focal stresses by helping to absorb and disperse the blunt impact energy about the skull.

Les impacts non transfixiants sur les gilets pare-balles sont responsables de lésions non pénétrantes potentiellement létales, regroupées sous le terme d’effets arrière (Behind Armor Blunt Trauma : BABT). De telles lésions fermées se retrouvent également lors d’impacts thoraciques de projectiles d’Armes à Létalité Réduite cinétiques (ALRc). Afin d’améliorer le pouvoir protecteur des protections balistiques et de mieux maitriser le pouvoir vulnérant des ALRc, il est nécessaire de définir un critère lésionnel permettant de prédire l’importance des lésions en cas de traumatisme thoracique fermé de type balistique. Ce critère se doit d’être bien corrélé à la gravité du traumatisme, et de pouvoir être facilement transposable à l’ensemble des systèmes d’évaluation des protections balistiques et des ALRc. La gravité du traumatisme a été définie ici par le volume de la contusion pulmonaire. L’utilisation de cette valeur nécessitait le recours au modèle animal. Or, nous avons démontré que le thorax du modèle porcin n’offrait pas le même comportement biomécanique lors de l’impact que le thorax de l’adulte jeune. Nous avons donc développé un critère, l’impulsion de pression intrathoracique maximale (PImax), basé sur la mesure de la pression intrathoracique lors de l’impact, et donc indépendant du comportement biomécanique de la paroi thoracique vis-à-vis de ses effets sur le poumon. Ce critère très bien corrélé avec le volume de la contusion pulmonaire, quelque soit le type d’impact thoracique balistique (ALRc ou BABT), a l’avantage de pouvoir être transposable aux autres moyens d’évaluations balistiques tels que les modèles numériques ou mécaniques de thorax, afin de s’affranchir de l’expérimentation animale / When non-penetrating, impacts on bulletproof jackets can lead to potentially lethal blunt injuries known as behind armor blunt trauma (BABT). Impacts of less lethal kinetic weapons (LLKW) can also lead to such injuries. To both improve the protection capabilities of the BPJ and better comprehend the ounding potential of the LLKW, we need to design a wounding criterion to predict the injury severity of ballistic blunt thoracic trauma. In one hand, this criterion has to be well correlated with the severity of the injuries, and in the other hand, it has to be easily used with all the LLKW and BPJ assessment systems in use. First, we defined the pulmonary contusion volume as the severity of the injuries. Studying the pulmonary contusion involves the use of animal experiments. But we demonstrated that the biomechanics of the chest wall are different in animals and young adults. Then, we developed the maximum pressure impulse criterion (PImax). As it is based on the intrathoracic pressure measure during the blunt impact, it is independent from the chest wall behavior. This criterion can be used with the other assessment tools as the numerical simulation mechanical chest surrogates. This can help to reduce the use of animal experiments, which is more and more expensive, heavy and questionable on the ethical aspect

No description available.

Due to the nature of war, persons are killed with various types of weapons. Throughout the history of humanity, weapons were used in this regard and these weapons left injuries on the victims that are distinguishable. The type of force conveyed by the ancient weapons effected injuries that enable modern-day bioarchaeologists to extrapolate which weapons caused which injuries. The Assyrians depicted their wars and battles on reliefs. An analysis of these depictions, with an extrapolation of the lesions expected in skeletal remains, could contribute to better understanding of the strategies of war in ancient times. This dissertation will discuss how the evaluation of human remains in comparison to Assyrian reliefs may contribute to the chronological knowledge of war and warfare in the Iron Age Ancient Near East – especially at Lachish. A discourse of the approaches available to researchers regarding access to data in the forensic bioarchaeological field will be presented. / Biblical and Ancient Studies / M.A. (Biblical Archaeology)