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Creators/Authors contains: "Clarin, Julia"

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  1. Abstract The biased use of male subjects in biomedical research has created limitations, underscoring the importance of including women to enhance the outcomes of evidence-based medicine and to promote human health. While federal policies (e.g., the 1993 Revitalization Act and the 2016 Sex as a Biological Variable Act) have aimed to improve sex balance in studies funded by the National Institutes of Health (NIH), data on sex inclusivity in non-NIH funded research remain limited. The objective of this study was to analyze the trend of sex inclusion in abstracts submitted to the Summer Biomechanics, Bioengineering, & Biotransport Conference (SB3C) over 7 years. We scored every abstract accepted to SB3C, and the findings revealed that approximately 20% of total abstracts included sex-related information, and this trend remained stable. Surprisingly, there was no significant increase in abstracts, including both sexes and those with balanced female and male samples. The proportion of abstracts with balanced sexes was notably lower than those including both sexes. Additionally, we examined whether the exclusion of one sex from the corresponding studies was justified by the research questions. Female-only studies had a 50% justification rate, while male-only studies had only 2% justification. Disparity in sex inclusion in SB3C abstracts was apparent, prompting us to encourage scientists to be more mindful of the sex of the research samples. Addressing sex inclusivity in biomechanics and mechanobiology research is essential for advancing medical knowledge and for promoting better healthcare outcomes for everyone. 
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  2. Abstract We examined the mechanical deformation of valve interstitial cells (VICs) in the anterior leaflet of the tricuspid valve and explored the relationship between the extracellular matrix (ECM) structure and cellular mechanics. Fresh porcine hearts were used to prepare specimens, subjected to biaxial tensile testing, and imaged using confocal microscopy with VIC nuclei staining. A multi-scale computational framework was developed to analyze cellular deformation and orientation within the ECM, using nuclear aspect ratio (NAR) as a metric. Experimental results showed that NAR values increased with mechanical loading, from 2.57±0.72 in a traction-free state to 3.4±1.29 at 130 kPa. Model predictions aligned with experimental findings. They also highlighted the significant impact of ECM fiber orientation on VIC nuclei deformation. These results indicate that mechanical forces profoundly influence cellular morphology and, potentially, their function. Further development of models is necessary to understand the complex interplay between the mechanical environment and cellular responses, crucial for identifying how mechanical forces affect tricuspid valve function and malfunction. 
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  3. Mechanical characterization of the ex vivo tricuspid valve (TV) continues to provide key insights into native valve function and the development of valvular diseases. However, experimental methods to characterize TV biomechanical behavior ex vivo often fail to account for potential changes in the tissue’s mechanical responses that may occur during experiment preparation. Therefore, we assessed the mechanical responses of the anterior tricuspid leaflet (ATL) via biaxial mechanical testing over the course of 5 h to validate the accuracy of our fresh tissue experiments. We hypothesized that ATL mechanical responses would remain consistent for the proposed time scale. We found that ATL stiffness, represented by the upper tangent modulus (UTM), did not significantly change in either the radial or circumferential directions for the 5-h test period. Similarly, no significant change was observed in radial or circumferential strains corresponding to an estimated mean systolic stress value of 85 kPa. Overall mean UTM (±standard error of the mean (SEM)) showed that ATL samples were significantly stiffer in the circumferential direction (11.3 ± 0.98 MPa) compared to the radial direction (2.29 ± 0.20 MPa) across all time points. Thus, our results indicate that the outcomes of ex vivo tricuspid valve studies requiring sample preparation up to 5 h remain reliable. 
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