Browse Topic: Children

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Mitigating both neck and head injuries in the pediatric population relies heavily on improving our understanding of the underlying biomechanics of the pediatric cervical spine. The tensile response for individual motion segments and the whole cervical spine (WCS) has been reported, but there is no data characterizing the intersegmental kinematics of pediatric WCS under axial loading conditions. The structural response of motion segments and WCS provide valuable data for the design and validation of biofidelic physical and computational models for the pediatric population. However, the use of motion segment data to construct WCS response or the use of WCS axial response to accurately characterize intersegmental response may present limitations to accurately modeling the pediatric cervical spine response. In this secondary analysis of the work of Luck et al. (2008, 2013), the fixed-fixed, low load, quasi-static tensile response of the WCS and individual motion segments (O-C2, C4-C5, and
Liu, MirandaLuck, Jason F.
This study compared modern vehicle and booster geometries with relevant child anthropometries. Vehicle geometries (seat length, seat pan height, shoulder belt outlet height, and roof height) were obtained for 275 center and outboard rear seating positions of US vehicles (MY 2009–2022). Measurements of 85 US boosters (pan height and pan length) and anthropometries of 80 US children between 4–14yo (seated height, thigh length, leg length, and seated shoulder height) were also collected. Comparisons were made between vehicles, boosters, and child anthropometries. Average vehicle seat lengths exceeded child thigh lengths (+9.5cm). Only 16.4% of seating positions had seat lengths less than the child thigh length mean+1SD. Even for children at least 145cm, only 18.8% had thigh lengths greater than the average vehicle seat length. Child thigh lengths were more comparable with average booster seat pan lengths for all multi-mode and high-back designs (-2.0cm) and low-back boosters (+3.1cm). The
Baker, Gretchen H.Connell, Rosalie R.Rhodes, Carrie A.Mansfield, Julie A.
Chocolate-flavored pills for children who hate taking medicine. Several drugs combined into one daily pill for seniors who have trouble remembering to take their medications. Drugs printed at your local pharmacy at personalized dosages that best suit your health needs. These are just a few potential advantages of 3D drug printing, a new system for manufacturing drugs and treatments on-site at pharmacies, healthcare facilities, and other remote locations
To harmonize and define terminology associated with occupant protection for children for vehicle manufacturers and child restraint manufacturers in the United States and Canada
Children's Restraint Systems Committee
Researchers have designed a lightweight helmet with tiny LEGO-size sensors that scan the brain while a person moves. The helmet is the first of its kind to accurately record magnetic fields generated by brain activity while people are in motion. This advance could make it easier to conduct brain scans in young children and individuals with neurological disorders who can’t always remain still in conventional scanners
The car door handle is an essential component of any vehicle, as it plays a crucial role in providing access to the cabin and ensuring safety of the passenger. The primary function of the car door handle is to allow entry and exit from the vehicle while preventing unauthorized access. In addition to this, car door handles also play a critical role in ensuring passenger safety by keeping the door closed during accidents or when there is a significant amount of G-force acting on the vehicle. A typical car door handle comprises several components including the structure, cover, bowden lever, bracket, pins and other child parts. The structure provides the ergonomics and rigidity for grabbing the handle, while the cover gives the handle an aesthetic appearance. The Bowden lever facilitates the unlatching of the door and the intermediate parts ensure that the handle operates smoothly. The position of the Bowden lever is crucial for the unlatching process and for keeping the door closed
Kumar, Vinayak
Researchers at the EPFL have achieved a breakthrough in the treatment of tracheomalacia, a condition characterized by weak tracheal cartilage and muscles that normally keep the airway open for proper breathing. The team, composed of EPFL engineers and CHUV pediatric airway surgeons, has successfully developed a novel adhesive hydrogel patch that can effectively alleviate tracheomalacia, providing hope for improved treatment options for this challenging condition. The proof of concept was recently published in iScience
Effective smart cockpit interaction design can address the specific needs of children, offering ample entertainment and educational resources to enhance their on-board experience. Currently, substantial attention is focused on smart cockpit design to enrich the overall travel engagement for children. Recognizing the contrasts between children and adults in areas such as physical health, cognitive development, and emotional psychology, it becomes imperative to meticulously customize the design and optimization processes to cater explicitly to their individual requirements. However, a noticeable gap persists in both research methodologies and product offerings within this domain. This study employs user survey to delve into children’s on-board experiences and utilization of current child-centric in-cockpit interaction solutions (C-SI Solutions), that over 50% of the interviewees (children) got on-board at least several times per week and over half of the parents would pay for C-SI
Xu, JinghanHui, XinruWang, YixiangJia, Qing
Strep throat is a common and treatable childhood disease in the United States, but in less wealthy countries, children afflicted with strep can develop rheumatic fever, in which runaway inflammation attacks the body’s tissues. Rheumatic fever often damages the valves of the heart, causing rheumatic heart disease that can lead to serious health problems, including heart failure
This user’s manual covers the Hybrid III 6-year-old child test dummy, including changes specified in 49 CFR Part 572, Subpart N in the final rule dated December 9, 2010. It is intended for technicians who work with this device. It covers the construction and clothing, disassembly and reassembly, available instrumentation, external dimensions and segment masses, as well as certification and inspection test procedures. Appendix A contains guidelines for safe handling of instrumented dummies. Appendix B contains instructions for repairing dummy flesh. Appendix C includes procedures for adjusting the joints throughout the dummy
Dummy Testing and Equipment Committee
Side door latches in an automotive play a major role in occupants’ safety. The latches consist of both retention assembly and actuator assembly. The actuator assembly majorly consists of motor, gear & other components and these are protected through a Plastic Lower case and Housing. The Lower case (over-mold) with the Electrical Component Carrier - ECC (pre-mold) plays an important role in providing electrical power supply to the latch system. Since these parts are manufactured with terminal traces & plastics, upfront mold flow simulations help the product teams to evaluate the short fills, warpage, and other quality aspects in the critical areas of these components. In the part assembly station, the ECC (pre-mold) and the Lower case (over-mold) are connected to the Motor on one side and the Connector on the other. The proper alignment of the pre-mold pins is of great importance and the pre-mold must not be externally visible once the molding is complete. During the prototype build
LONKAR, VISHWAVINUTANAC, Rupesh KumarManjunath, ArunKumar, Naveen
This user's manual covers the Hybrid III 10-year old child test dummy. The manual is intended for use by technicians who work with this test device. It covers the construction and clothing, assembly and disassembly, available instrumentation, external dimensions and segment masses, as well as certification and inspection test procedures. It includes guidelines for handling accelerometers, guidelines for flesh repair, and joint adjustment procedures. Finally, it includes drawings for some of the test equipment that is unique to this dummy
Dummy Testing and Equipment Committee
As pedestrians are among the most critical road users, this research analyzes their vulnerability characteristics and predicts the injury severity of pedestrian crashes through decision tree techniques, rather than using statistical regression models that have particular predefined causal relationships between dependent and independent variables. Five years have been studied in Nablus Governorate/Province (2012–2016), one of 16 governorates in Palestine, as a case study based on reported crash frequencies for developing countries. Tree techniques (CART [Classification and Regression Tree] and CHAID [Chi-Square Automatic Interaction Detector]) were applied to extract the main impacting factors on injury severity for pedestrian crashes. The main contributions considered a small regional context in developing countries and found differences between the results of various methods in injury severity. Fourteen independent variables have been analyzed. A CART model with Gini splitting has
Jaber, AhmedAl-Sahili, Khaled
The SJD Barcelona Children’s Hospital’s pediatric maxillofacial surgery team has used 3D printing technology to successfully perform a complicated operation to resect a malignant tumor in an 11-year-old boy. Given the complexity of the operation, the medical team, led by Dr. Josep Rubio, head of the maxillofacial surgery unit at SJD, decided to carry out preoperative planning and simulation using BCN3D’s technology and 3D anatomical models of the parts of the patient’s skull
Though there are active safety features in the passenger cars, unfortunately not all accidents are avoidable. Airbags are the passive safety feature which avoid occupants in colliding with the car interiors and help to mitigate the fatal injuries. Trend and interest in the recent times is to study the occupant injury for front row seats. The second-row occupants are usually protected with the passive safety systems by Seat belts, Inflatable Curtain airbags, seat airbags, Windshield airbags etc. These are installed in the side and rear areas of car to pass on the regulations like FMVSS, ECE and other global standards. This particular case study is to evaluate or say how effective are the occupants in the second rows if they are unbelted. In few of the crash tests and experiment of frontal impact collision, the child dummies will be placed on female dummy lap without wearing the seat belt. In this, we see the second-row occupants will be seriously injured in most of the cases. Though the
Srinivasa, PraveenSundaram, BalachandarPatil, Shubham
Vehicles that start moving from a stationary position can cause fatal traffic accidents involving pedestrians. Ultrasonic sensors installed in the vehicle front are an active technology designed to alert drivers to the presence of stationary objects such as rigid walls in front of their vehicles. However, the ability of such sensors to detect humans has not yet been established. Therefore, this study aims to ascertain whether these sensor systems can successfully detect humans. First, we conducted experiments using four vehicles equipped with ultrasonic sensor systems for vehicle-forward moving-off maneuvers and investigated the detection distances between the vehicles and a pipe (1 m long and having a diameter of 75 mm), child, adult female, or adult male. The detections of human volunteers were evaluated under two different conditions: front-facing and side-facing toward the front of each vehicle. Front-facing is defined as the condition where the human faces the vehicle front, while
Matsui, YasuhiroOikawa, Shoko
Field data was analyzed on second-row children in front, side and rear impacts to study fatality trends by model year (MY) and calendar year (CY) with 1980-2020 MY vehicles. The different MY and CY perspectives show changes in rates that are useful for setting priorities for second-row child safety in rear impacts. 1990 to 2019 FARS was queried to assess the number of fatally injured and non-ejected second-row children (0-15 years old) in crashes without fires. The children included outboard occupants seated behind an occupied front seat and center occupants. The data was analyzed for rear, front and side impacts to assess crash frequency. 1990-2015 POLK was queried to assess exposure of registered vehicles and estimate a fatality rate. The FARS and POLK data were sub-grouped by MY of the vehicle and CY of the crash. There were 2.8-times more fatally injured children in frontal crashes than in the rear crashes. The ratio of frontal and rear crashes varied with CY sub-groups. It was 3.9
Parenteau, ChantalViano, DavidLau, Edmund
This paper takes a review of fretting phenomenon on splines of the engaging gears and corresponding splines on shaft of automotive transmission and how it leads to failure of other components in the gearbox. Fretting is a special wear process which occurs at the contact area of two mating metal surfaces when subject to minute relative oscillating motion under vibration. In automotive gearbox, which is subjected to torsional vibrations of the powertrain, the splines of engaging gears and corresponding shaft may experience fretting, especially when the subject gear pair is not engaged. The wear debris formed under fretting process when oxidizes becomes very hard and more abrasive than base metal. These oxidized wear particles when comes in mesh contact with nearby components like bearings, gears etc. may damage these parts during operation and eventually lead to failure. In this paper, a case study is presented wherein fretting has been identified as the root cause of failures of some
Mohire, SujitBhandari, Kiran KamlakarTendulkar, VishveshvarChatterjee, Soumik
Child injury performance evaluation is becoming critical part of almost all legal and consumer ratings-based vehicle safety evaluation protocols. Most of New CAR Assessment Programs (NCAP) now have separate ratings exclusively to evaluate child restraint system effectiveness and child dummy performance under various crash testing modes. OEM’s have need and challenge to maximize injury performance. Sled tests are conventionally used for tuning restraints like seat belts and airbags for driver and co-driver under various frontal type test conditions. However, second row seats are used for CRS/ Child injury performance evaluations. In the present study an attempt is made to simulate child injury performance of P3 dummy positioned on second row seat on defined child seat for 64 kmph frontal Offset deformable barrier type test conforming to Global NCAP. Sled pulses are carefully tuned to capture key injury patterns. Thence restraint parameters are tuned to improve child dummy injuries
Shanbhag, Ganesh
Ear infections occur when fluid builds up in the middle ear behind the eardrum and is infected. This buildup is also common in another condition called otitis media with effusion. Any kind of fluid buildup can be painful and make it hard for children to hear. A new smartphone app can detect fluid behind the eardrum by simply using a piece of paper and a smartphone’s microphone and speaker
A cochlear implant enables people with severe hearing loss to hear again. An audiologist adjusts the device based on the user’s input, but this is not always easy. Think of children who are born deaf or elderly people with dementia. They have more difficulty assessing and communicating how well they hear the sounds, resulting in an implant that is not optimally tuned to their situation
To improve the biofidelity of the currently available Hybrid III 10-year-old (HIII-10C) Anthropomorphic Test Device (ATD), the National Highway Traffic Safety Administration (NHTSA) has developed the Large Omnidirectional Child (LODC) ATD. The LODC head is a redesigned HIII-10C head with mass properties and modified skin material required to match pediatric biomechanical impact response targets from the literature. A dynamic, nonlinear finite element (FE) model of the LODC head has been developed using the mesh generating tool Hypermesh based on the three-dimensional CAD model. The material data, contact definitions, and initial conditions are defined in LS-PrePost and converted to LS-Dyna solver input format. The aluminum head skull is stiff relative to head flesh material and was thus modeled as a rigid material. For the actual LODC, the head flesh is form fit onto the skull and held in place through contact friction. In an attempt to identify the matching flesh-skull contact
Katangoori, Divya ReddyYang, PeiyuNoll, ScottStammen, JasonSuntay, BrianCarlson, MichaelMoorhouse, Kevin
Naturalistic driving studies have shown that pediatric occupants do not assume ideal seating positions in real-world scenarios. Current vehicle assessment programs and child restraint system (CRS) sled tests, such as FMVSS No. 213, do not account for a wide range of seating postures that are typically observed during real-world trips. Therefore, this study aims to analyze the kinematic and kinetic response of a pediatric human body model in various naturalistic seating positions in booster seats when subjected to a frontal offset impact in a full-vehicle environment, with and without the application of pre-crash automatic emergency braking (AEB). A 6YO (seated on a lowback and highback booster) and a 10YO (seated in no-CRS and on a lowback booster) PIPER pediatric human body model’s response was explored in a reference, and two most commonly observed seating postures: forward-leaning and forward-inboard-leaning. The vehicle environment with a side-curtain airbag (SCAB) was subjected to
Maheshwari, J.Sarfare, S.Falciani, C.Belwadi, A.
In order to study the influence of autonomous vehicles on short and medium distance mode choice for intercity travel, this paper incorporates the latent psychological variables that affect the choice behavior of autonomous vehicles into the latent class conditional logit model and establishes a hybrid choice model to conduct the empirical research based on the theory of planned behavior. The results show that compared with the traditional multinomial logit model, the latent class conditional logit model has higher fitting goodness. Travelers can be divided into three subgroups: class1, class2, and class 3, accounting for 40.7%, 24.4%, and 34.9%, respectively. At a 5% confidence level, gender, education, occupation, monthly household income, children, and IC card significantly affect the sample’s latent class. The value of in-vehicle time of class1 and class3 are 2.400 yuan/min and 2.169 yuan/min, which is slightly higher than the total in-vehicle time value of the sample (1.799 yuan
Liu, ZhiweiDeng, WeiChen, Yingzi
Dual mass flywheel (DMF) is an excellent solution to improve the noise, vibration and harshness (NVH) characteristic of any vehicle by isolating the driveline from the engine torsional vibrations. For the same reason, DMFs are widely used in high power-density diesel and gasoline engines. However, the real-world usage conditions pose a lot of challenges to the structural robustness of the DMF. In the present work, a new methodology is developed to evaluate the robustness of a DMF fitted in a compact sports utility vehicle (SUV) with rear-wheel drive architecture. The abuse conditions (mis-gear, sudden braking, etc) in the real-world usage could lead to a sudden engine stall leading to an abnormally high angular deceleration of the driveline components. The higher rate of deceleration coupled with the higher rotational moment of inertia of the systems might end up in introducing a significantly high impact torque on the DMF. Hence, prolonged usage of the vehicle in abuse conditions
Vellandi, VikramanAP, BaaheedharanVijayarangan, Deepak
Can one technical solution help prevent drowsy drivers and detect a child left behind? Yes, using a single, maintenance-free, Non-Dispersive Infrared (NDIR) gas sensor integrated in the cabin ventilation system. Carbon dioxide (CO2) is an established proxy for ventilation needs in buildings. Recently, several studies have been published showing a moderate elevation of the indoor carbon dioxide level effect cognitive performance such as information usage, activity, focus and crisis response. A study of airplane pilots using 3-hour flight simulation tests, showed pilots made 50% more mistakes when exposed to 2,500 ppm carbon dioxide compared to 700 ppm. This has a direct impact on safety. All living animals and humans exhale carbon dioxide. In our investigations we have found that an unintentionally left behind child, or pet, can easily be detected in a parked car by analyzing the carbon dioxide trends in the cabin. Even an 8-month old baby acts as a carbon dioxide source, increasing
Rödjegård, HenrikFranchy, MichaelEhde, StaffanZoubir, YassineAl-Khaldy, SamOlsson, PatrikBengtsson, CarlNowak, TonyO'Brien, Don
Spine degeneration can lower injury tolerance and influence injury outcomes in vehicle crashes. To date, limited information exists on the effect of age and sex on thoracic spine 3-dimensional geometry. The purpose of this study is to quantify thoracic spinal column and canal geometry using selected geometrical measurement from a large sample of CT scans. More than 33,488 scans were obtained from the International Center for Automotive Medicine database at the University of Michigan under Institutional Review Board approval (HUM00041441). The sample consisted of CT scans obtained from 31,537 adult and 1,951 pediatric patients between the ages of 0 to 99 years old. Each scan was processed semi-automatically using custom algorithms written in MATLAB (The Math Works, Natick, MA). Five geometrical measurements were collected including: 1) maximum spinal curvature depth (D), 2) T1-to-T12 vertical height (H), 3) Kyphosis Index (KI), 4) kyphosis angle, and 5) spinal canal radius. The data
Parenteau, ChantalCaird, MichelleKohoyda-Inglis, CarlaHolcombe, SvenWang, Stewart
Seats are one of the critical component of school bus for children’s comfort & safety. Seat foam thickness, its shape, cushion width & seat height will play a vital role in comfort. Fatigue is the common cause due to uncomfortable seating and it is due to only one type of seat available in school buses to accommodate different height children. (here different height means; schools have children from class nursery to senior secondary). Fatigue will cause impact on children’s health & overall development. The topic was chosen because of increasing concerns in children’s comfort & safety in school buses. In existing design, standard seat with cushion height from bus floor is 450mm. In this case, it’s only suitable for children height of 4.5 feet to 5.5 feet. Ergonomically, it is very difficult to climb on the seat for range of children height from 3 feet to 4feet
Joshi, RaviBanginwar, Sujit
In the fields of forensic accident reconstruction and biomechanical engineering, it is often necessary to estimate the length of a specific body segment for an individual, about whom little is known besides overall stature. Since body proportions and body segment lengths vary throughout the population, there will be some error in these estimations. The current study provides estimates for the accuracy of human body segment length predictions based on stature. In this study, four different methods for predicting body segment lengths based on stature were evaluated. Using publicly available adult and child anthropometric datasets, a leave-one-out cross validation analysis was conducted to evaluate the accuracy of each of the four methods in predicting body segment lengths. The results of the leave-one-out analysis showed that different prediction methods produced the best estimates for different body segment length measurements. When using the best method for each body segment, body
Campbell, JuliusPetroskey, Karla
NHTSA has recently been petitioned to address the protection of second-row children in rear crashes due front seatback performance. The protection of children is important. However, it is more complex than assessing front seat performance in rear impacts. Viano, Parenteau (2008 [1]) analyzed cases of serious-to-fatally injured (MAIS 3+F) children up to 7 years old in the second row in rear impacts involving 1990+ model year vehicles using 1997-2005 NASS-CDS. They observed that intrusion was an important factor pushing the child forward into the back of the front seat, B-pillar or other front structure. To help assess whether stiffening the front seats would be beneficial for second-row child safety, the 2008 study was updated using more recent data and model year vehicles. In the present study, 1997-2015 NASS-CDS data were analyzed for serious-to-fatally (MAIS 3+F) injured 0- to 7-year old children in the second row with 1994+ model year vehicles. First, the data were analyzed to
Parenteau, ChantalViano, David
Ultrasonic parking sensors are an active technology designed to alert drivers to the presence of objects behind their vehicle but not the presence of a human. The purpose of this study was therefore to ascertain if these sensor systems can successfully detect a human subject. We accordingly conducted experiments using four vehicles equipped with both rear-facing center and corner ultrasonic parking sensor systems to determine the detection distance between the vehicle and a 1-m tall, 75-mm diameter pipe, a child, an adult woman, and an adult man. The detection of human subjects was evaluated under front-facing and side-facing conditions behind each vehicle. The results indicate that for a front-facing and side-facing child, the center sensor detection distances were 50-84% and 32-64%, respectively, shorter than that of the pipe. For front-facing and side-facing adults, the center sensor detection distances were just less than or roughly equivalent to that of the pipe at 89-102% and 78
Matsui, YasuhiroHosokawa, NaruyukiOikawa, Shoko
Motor vehicle crashes remain the leading cause of death for children. Traditionally, restraint design has focused on the crash phase of the impact with an optimally seated occupant. In order to optimize restrain design for real-world scenarios, research has recently expanded its focus to non-traditional loading conditions including pre-crash positioning and lower speed impacts. The goal of this study was to evaluate the biofidelity of the large omni-directional child (LODC) ATD in non-traditional loading conditions by comparing its response to pediatric volunteer data in low-speed sled tests. Low-speed (2-4 g, 1.9-3.0 m/s) frontal (0°), far-side oblique (60°), and far-side lateral (90°) sled tests, as well as lateral swerving (0.72 g, 0.5 Hz) tests, were conducted using the LODC. The LODC was restrained using a 3-point-belt with an electromechanical motorized seat belt retractor, or pre-pretensioner. Motion capture markers were placed on the head, torso, and belt. The LODC was compared
Seacrist, ThomasMaheshwari, JalajGraci, ValentinaHolt, Christine M.Akkem, RaulChingas, GregoryDouglas, Ethan C.Griffith, MadelinePalumbo, Aimee J.
Thoracic injuries are frequently observed in motor vehicle crashes, and rib fractures are the most common of those injuries. Thoracic response targets have previously been developed from data obtained from post-mortem human subject (PMHS) tests in frontal loading conditions, most commonly of mid-size males. Traditional scaling methods are employed to identify differences in thoracic response for various demographic groups, but it is often unknown if these applications are appropriate, especially considering the limited number of tested PMHS from which those scaling factors originate. Therefore, the objective of this study was to establish a new scaling approach for generating age-, sex-, and body size-dependent thoracic responses utilizing structural properties of human ribs from direct testing of various demographics. One-hundred forty-seven human ribs (140 adult; 7 pediatric) from 132 individuals (76 male; 52 female; 4 pediatric) ranging in age from 6 to 99 years were included in
Kang, Yun-SeokBolte IV, John H.Stammen, JasonMoorhouse, KevinAgnew, Amanda M.
There has been recent progress over the past 10 years in research comparing 6-year-old thoracic and abdominal response of pediatric volunteers, pediatric post mortem human subjects (PMHS), animal surrogates, and 6-year-old ATDs. Although progress has been made to guide scaling laws of adult to pediatric thorax and abdomen data for use in ATD design and development of finite element models, further effort is needed, particularly with respect to lateral impacts. The objective of the current study was to use the impact response data of age equivalent swine from Yaek et al. (2018) to assess the validity of scaling laws used to develop lateral impact response corridors from adult porcine surrogate equivalents (PSE) to the 3-year-old, 6-year-old, and 10-year-old for the thorax and abdominal body regions. Lateral impact response corridors were created from 50th adult male PSE pendulum lateral impact T1, T14, and L6 accelerations and pendulum impact force time histories for the thorax and
Yaek, Jennifer L.Cavanaugh, John M.Rouhana, Stephen W.
In the pediatric safety field the use of computer simulations to assess passenger kinematics is becoming more prevalent. However, there is a need for volunteer data to serve as a baseline for biomechanical responses to better appraise the biofidelity of these simulations. The objective of this study is to provide volunteer data of cervical spine strength and stiffness in 5-7 year old children. An isokinetic dynamometer was used to quantify strength and stiffness measurements. Twenty-three subjects with a mean age 5.9±0.7 participated. Children were stronger at mid-range of motion in both flexion and extension, and strongest in extension. Stiffness calculations for initial motions were higher for both flexion (0.277 Nm/°) and extension (0.227 Nm/°) than secondary motions (0.148 Nm/° and 0.095 Nm/°, respectively). This study offers a unique perspective to pediatric volunteers’ c-spine strength and stiffness, and can provide a better understanding of the head-neck kinematics of this young
Zaragoza-Rivera, Yadetsie N.Bolte IV, John H.Boucher, Laura C.
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