Coagulopathy-independent injectable catechol-functionalized chitosan shape-memory material to treat non-compressible hemorrhage.

Uncontrolled non-compressible hemorrhage, which is often accompanied by coagulopathy, is a major cause of mortality following traumatic injuries in civilian and military populations. In this study, coagulopathy-independent injectable catechol-modified chitosan (CS-HCA) hemostatic materials featuring rapid shape recovery were fabricated by combining controlled sodium tripolyphosphate-crosslinking with hydrocaffeic acid (HCA) grafting. CS-HCA exhibited robust mechanical strength and rapid blood-triggered shape recovery. Furthermore, CS-HCA demonstrated superior blood-clotting ability, enhanced blood cell adhesion and activation, and greater protein adsorption than commercial hemostatic gauze and Celox. CS-HCA showed enhanced procoagulant and hemostatic capacities in a lethal liver-perforation wound model in rabbits, particularly in heparinized rabbits. CS-HCA is suitable for mass manufacturing and shows promise as a clinically translatable hemostat.

Compressible turbulent plane channel DNS datasets.

The database contains detailed statistics of compressible turbulent plane channel (TPC) flow, obtained from direct numerical simulation (DNS), with a very-high-order massively parallel solver of the compressible Navier-Stokes equations. It contains datasets for 25 different flow conditions determined by the corresponding HCB friction Reynolds number and centerline Mach number, covering the ranges 100 ⪅ R e τ ★ ⪅ 1000 and 0.3 ⪅ M ¯ CL x ⪅ 2.5 . All calculations are for strictly isothermal wall conditions at temperature T w = 298 K in a medium-size (MB) computational box ( 8 π δ × 2 δ × 4 π δ where 2 δ is the channel-height). Statistics (moments and pdfs) were collected after the elimination of the transient, and post-processed to create the dataset, which contains only plain text (.txt) space-separated multicolumn files for ease of use. The dataset for each flow-condition is tagged by the values of ( R e τ ★ , M ¯ CL x ) and is organized in 4 directories: (0) global data files, (1) profiles and budgets (meanflow profiles, velocity-moments up to 6-order, budgets of Reynolds-stresses transport, turbulent fluxes appearing in transport equations for velocity-moments and thermodynamic quantities, correlation coefficients between thermodynamic variables, and skewness and flatness profiles) as a function of the wall-distance, (2) single-variable probability density functions (pdfs) for numerous flow quantities at selected wall-normal distances, and (3) two-variable joint pdfs for numerous couples of flow-quantities at the same selected wall-normal distances.

Numerical study of laser-induced cavitation bubble with consideration of chemical reactions.

Cavitation generated during injector jetting can significantly affect fuel atomization. Laser-induced cavitation bubble is an important phenomenon in laser induced plasma ignition technology. Limited by the difficulties in experimental measurements, numerical simulations have become an important tool in the study of laser-induced cavitation bubble, but most previous numerical models used to study the dynamics of laser-induced cavitation bubble usually ignore the effect of chemical reactions. In this study, the finite volume method is used to solve the compressible two-dimensional reynolds averaged Navier-Stokes equation by considering the heat and mass transfer as well as the chemical reactions within the cavitation bubble. The effects of overall reaction and elementary reactions on the cavitation bubble are evaluated, respectively. It is found that by additionally considering chemical reactions within the numerical model, lower maximum temperatures and higher maximum pressures are predicted within the bubble. And the generated non-condensable gases produced by the chemical reactions enhance the subsequent expansion process of the cavitation bubble. Besides, the effect of the one-sided wall boundary condition on cavitation bubble is compared with the infinite boundary condition. Influenced by the wall boundary, the cavitation bubble forms a localized high pressure on the side of the bubble away from the wall during the collapse process, which causes the bubble to be compressed into a "crescent" shape. The maximum pressure and temperature inside the bubble are lower due to localized losses caused by the wall.

Gradient-Robust Hybrid DG Discretizations for the Compressible Stokes Equations.

This paper studies two hybrid discontinuous Galerkin (HDG) discretizations for the velocity-density formulation of the compressible Stokes equations with respect to several desired structural properties, namely provable convergence, the preservation of non-negativity and mass constraints for the density, and gradient-robustness. The later property dramatically enhances the accuracy in well-balanced situations, such as the hydrostatic balance where the pressure gradient balances the gravity force. One of the studied schemes employs an H ( div ) -conforming velocity ansatz space which ensures all mentioned properties, while a fully discontinuous method is shown to satisfy all properties but the gradient-robustness. Also higher-order schemes for both variants are presented and compared in three numerical benchmark problems. The final example shows the importance also for non-hydrostatic well-balanced states for the compressible Navier-Stokes equations.

Ising Paradigm in Isobaric Ensembles.

We review recent work on Ising-like models with "compressible cells" of fluctuating volume that, as such, are naturally treated in NpT and µpT ensembles. Besides volumetric phenomena, local entropic effects crucially underlie the models. We focus on "compressible cell gases" (CCG), namely, lattice gases with fluctuating cell volumes, and "compressible cell liquids" (CCL) with singly occupied cells and fluctuating cell volumes. CCGs contemplate singular diameters and "Yang-Yang features" predicted by the "complete scaling" formulation of asymmetric fluid criticality, with a specific version incorporating "ice-like" hydrogen bonding further describing the "singularity-free scenario" for the low-temperature unusual thermodynamics of supercooled water. In turn, suitable CCL variants constitute adequate prototypes of water-like liquid-liquid criticality and the freezing transition of a system of hard spheres. On incorporating vacant cells to such two-state CCL variants, one obtains three-state, BEG-like models providing a satisfactory description of water's "second-critical-point scenario" and the whole phase behavior of a simple substance like argon. Future challenges comprise water's crystal-fluid phase behavior and metastable states.

Entropy Fluctuations and Correlations in Compressible Turbulent Plane Channel Flow.

The thermodynamic turbulence structure of compressible aerodynamic flows is often characterised by the correlation coefficient of entropy with pressure or temperature. We study entropy fluctuations s' and their correlations with the fluctuations of the other thermodynamic variables in compressible turbulent plane channel flow using dns data. We investigate the influence of the hcb (Huang-Coleman-Bradshaw) friction Reynolds number (100⪅Reτ★⪅1000) and of the centreline Mach number (0.3⪅M¯CLx⪅2.5) on the magnitude and location of the peak of the root-mean-square srms'. The complete series expansions of s' with respect to the fluctuations of the basic thermodynamic variables (pressure p, density ρ and temperature T) are calculated for the general case of variable heat-capacity cp(T) thermodynamics. The correlation coefficients of s' with the fluctuations of the basic thermodynamic quantities (cs'p', cs'ρ', cs'T'), for varying (Reτ★,M¯CLx), are studied. Insight on these correlations is provided by considering the probability density function (pdf) of s' and its joint pdfs with the other thermodynamic variables.

An Arbitrarily High Order and Asymptotic Preserving Kinetic Scheme in Compressible Fluid Dynamic.

We present a class of arbitrarily high order fully explicit kinetic numerical methods in compressible fluid dynamics, both in time and space, which include the relaxation schemes by Jin and Xin. These methods can use the CFL number larger or equal to unity on regular Cartesian meshes for the multi-dimensional case. These kinetic models depend on a small parameter that can be seen as a "Knudsen" number. The method is asymptotic preserving in this Knudsen number. Also, the computational costs of the method are of the same order of a fully explicit scheme. This work is the extension of Abgrall et al. (2022) [3] to multi-dimensional systems. We have assessed our method on several problems for two-dimensional scalar problems and Euler equations and the scheme has proven to be robust and to achieve the theoretically predicted high order of accuracy on smooth solutions.

Compressible Hydrogels with Stabilized Chirality from Thermoresponsive Helical Dendronized Poly(phenylacetylene)s.

Fabrication of chiral hydrogels from thermoresponsive helical dendronized phenylacetylene copolymers (PPAs) carrying three-fold dendritic oligoethylene glycols (OEGs) is reported. Three different temperatures, i.e. below or above cloud point temperatures (Tcps) of the copolymers, and under freezing condition, were utilized, affording thermoresponsive hydrogels with different morphologies and mechanical properties. At room temperature, transparent hydrogels were obtained through crosslinking among different copolymer chains. Differently, opaque hydrogels with much improved mechanical properties were formed at elevated temperatures through crosslinking from the thermally dehydrated and collapsed copolymer aggregates, leading to heterogeneity for the hydrogels with highly porous morphology. While crosslinking at freezing temperature synergistically through ice templating, these amphiphilic dendronized copolymers formed hydrogels with highly porous lamellar structures, which exhibited remarkable compressible properties as human articular cartilage with excellent fatigue resistance. Amphiphilicity of the dendronized copolymers played a pivotal role in modulating the network formation during the gelation, as well as morphology and mechanical performance of the resulting hydrogels. Through crosslinking, these dendronized copolymers featured with typical dynamic helical conformations were transformed into hydrogels with unprecedently stabilized helicities due to the restrained chain mobilities in the three-dimensional networks.

Development of a two-hit lethal liver injury model in swine.

PURPOSE: Noncompressible truncal hemorrhage remains a leading cause of preventable death in the prehospital setting. Standardized and reproducible large animal models are essential to test new therapeutic strategies. However, existing injury models vary significantly in consistency and clinical accuracy. This study aims to develop a lethal porcine model to test hemostatic agents targeting noncompressible abdominal hemorrhages. METHODS: We developed a two-hit injury model in Yorkshire swine, consisting of a grade IV liver injury combined with hemodilution. The hemodilution was induced by controlled exsanguination of 30% of the total blood volume and a 3:1 resuscitation with crystalloids. Subsequently, a grade IV liver injury was performed by sharp transection of both median lobes of the liver, resulting in major bleeding and severe hypotension. The abdominal incision was closed within 60 s from the injury. The endpoints included mortality, survival time, serum lab values, and blood loss within the abdomen. RESULTS: This model was lethal in all animals (5/5), with a mean survival time of 24.4 ± 3.8 min. The standardized liver resection was uniform at 14.4 ± 2.1% of the total liver weight. Following the injury, the MAP dropped by 27 ± 8mmHg within the first 10 min. The use of a mixed injury model (i.e., open injury, closed hemorrhage) was instrumental in creating a standardized injury while allowing for a clinically significant hemorrhage. CONCLUSION: This novel highly lethal, consistent, and clinically relevant translational model can be used to test and develop life-saving interventions for massive noncompressible abdominal hemorrhage.

Decreasing the blood flow of non-compressible intra-abdominal organs with non-invasive transcutaneous electrical stimulation.

Non-invasive neuromodulation of non-compressible internal organs has significant potential for internal organ bleeding and blood-shift in aero/space medicine. The present study aims to investigate the potential influences of the non-invasive transcutaneous electrical nerve stimulation (TENS) on multiple non-compressible internal organs' blood flow. Porcine animal model (n = 8) was randomized for a total of 48 neuromodulation sessions with two different TENS stimulation frequencies (80 Hz, 10 Hz) and a placebo stimulation. A combination of two different electrode configurations (Abdominal-only or Abdominal and hind limb) were also performed. Intraarterial blood flow measurements were taken during pre and post-stimulation periods at the left renal artery, common hepatic artery, and left coronary artery. Intracranial, and extracranial arterial blood flows were also assessed with digital subtraction angiography. TENS with abdominal-only electrode configurations at 10 Hz demonstrated significant reductions in average peak blood flow velocity (APV) of the common hepatic artery (p = 0.0233) and renal arteries (p = 0.0493). Arterial pressures (p = 0.0221) were also significantly lower when renal APV was reduced. The outcome of the present study emphasises the potential use of TENS in decreasing the blood flow of non-compressible internal organs when the correct combination of electrodes configuration and frequency is used.

Has the balloon really burst? Analysis of "the UK-REBOA randomized clinical trial".

BACKGROUND: Uncontrolled hemorrhagic shock is a leading cause of early death after injury. Resuscitative endovascular balloon occlusion of the aorta (REBOA) represents a paradigm shift in achieving hemodynamic stability and its implementation still remain controversial in different settings. The recently published UK-REBOA Randomized Clinical Trial aimed to determine the effectiveness of REBOA in patients with hemorrhagic shock, concluding its increased mortality compared with standard care alone. METHODS: An adjustment of the statistical analysis was performed and a comprehensive analysis was proposed to address the study's limitations and demonstrate that these conclusions cannot be considered as benchmarks. RESULTS: Primary and secondary outcomes were analyzed using Bayesian logistic regression and generalized linear models suitable for the outcome distribution. No statistically significant differences were observed between the two groups for the primary outcome (p-value 0.3341) nor in most of the secondary outcomes. The results of the principal stratum analyses (to account for intercurrent events) also did not show significant differences after the statistical analysis tests. CONCLUSION: It cannot be stated that REBOA increases mortality compared with standard care alone in trauma patients with exsanguinating hemorrhage. Further studies and adequate simulation training programs in REBOA are critical to its successful implementation within a trauma system and to identify the optimum settings and patients.

Developing excellent plantar pressure sensors for monitoring human motions by using highly compressible and resilient PMMA conductive iongels.

Based on real-time detection of plantar pressure, gait recognition could provide important health information for rehabilitation administration, fatigue prevention, and sports training assessment. So far, such researches are extremely limited due to lacking of reliable, stable and comfortable plantar pressure sensors. Herein, a strategy for preparing high compression strength and resilience conductive iongels has been proposed by implanting physically entangled polymer chains with covalently cross-linked networks. The resulting iongels have excellent mechanical properties including nice compliance (young's modulus < 300 kPa), high compression strength (>10 MPa at a strain of 90 %), and good resilience (self-recovery within seconds). And capacitive pressure sensor composed by them possesses excellent sensitivity, good linear response even under very small stress (∼kPa), and long-term durability (cycles > 100,000) under high-stress conditions (133 kPa). Then, capacitive pressure sensor arrays have been prepared for high-precision detection of plantar pressure spatial distribution, which also exhibit excellent sensing performances and long-term stability. Further, an extremely sensitive and fast response plantar pressure monitoring system has been designed for monitoring plantar pressure of foot at different postures including upright, forward and backward. The system achieves real-time tracking and monitoring of changes of plantar pressure during different static and dynamic posture processes. And the characteristics of plantar pressure information can be digitally and photography displayed. Finally, we propose an intelligent framework for real-time detection of plantar pressure by combining electronic insoles with data analysis system, which presents excellent applications in sport trainings and safety precautions.

Ultralight and Robust Covalent Organic Framework Fiber Aerogels.

Shaping covalent organic frameworks (COFs) into macroscopic objects with robust mechanical properties and hierarchically porous structure is of great significance for practical applications but remains formidable and challenging. Herein, a general and scalable protocol is reported to prepare ultralight and robust pure COF fiber aerogels (FAGs), based on the epitaxial growth synergistic assembly (EGSA) strategy. Specifically, intertwined COF nanofibers (100-200 nm) are grown in situ on electrospinning polyacrylonitrile (PAN) microfibers (≈1.7 µm) containing urea-based linkers, followed by PAN removal via solvent extraction to obtain the hollow COF microfibers. The resultant COF FAGs possess ultralow density (14.1-15.5 mg cm-3) and hierarchical porosity that features both micro-, meso-, and macropores. Significantly, the unique interconnected structure composed of nanofibers and hollow microfibers endows the COF FAGs with unprecedented mechanical properties, which can fully recover at 50% strain and be compressed for 20 cycles with less than 5% stress degradation. Moreover, the aerogels exhibit excellent capacity for organic solvent absorption (e.g., chloroform uptake of >90 g g-1). This study opens new avenues for the design and fabrication of macroscopic COFs with excellent properties.

Continuous and discontinuous compressible flows in a converging-diverging channel solved by physics-informed neural networks without exogenous data.

Physics-informed neural networks (PINNs) are employed to solve the classical compressible flow problem in a converging-diverging nozzle. This problem represents a typical example described by the Euler equations, a thorough understanding of which serves as a guide for solving more general compressible flows. Given a geometry of the channel, analytical solutions for the steady states do indeed exist, and they depend on the ratio between the back pressure of the outlet and the stagnation pressure of the inlet. Moreover, in the diverging region, the solution may branch into subsonic flow, supersonic flow, or a mixture of both with a discontinuous transition where a normal shock occurs. Classical numerical schemes with shock fitting and capturing methods have been developed to solve this type of problem effectively, whereas the original PINNs are unable to predict the flows correctly. We make a first attempt to exploit the power of PINNs to solve this problem directly by adjusting the weights of different components of the loss function to acquire physical solutions and in the meantime, avoid trivial solutions. With a universal setting yet no exogenous data, we are able to solve this problem accurately; that is, for different given pressure ratios, PINNs provide different branches of solutions at both steady and unsteady states, some of which are discontinuous in nature. For an inverse problem such as unknown specific-heat ratio, it works effectively as well.

Data of compressible multi-material flow simulations utilizing an efficient bimaterial Riemann problem solver.

This paper presents fluid dynamics simulation data associated with two test cases in the related research article [1]. In this article, an efficient bimaterial Riemann problem solver is proposed to accelerate multi-material flow simulations that involve complex thermodynamic equations of state and strong discontinuities across material interfaces. The first test case is a one-dimensional benchmark problem, featuring large density jump (4 orders of magnitude) and drastically different thermodynamics relations across a material interface. The second test case simulates the nucleation of a pear-shaped vapor bubble induced by long-pulsed laser in water. This multiphysics simulation combines laser radiation, phase transition (vaporization), non-spherical bubble expansion, and the emission of acoustic and shock waves. Both test cases are performed using the M2C solver, which solves the three-dimensional Eulerian Navier-Stokes equations, utilizing the accelerated bimaterial Riemann solver. Source codes provided in this paper include the M2C solver and a standalone version of the accelerated Riemann problem solver. These source codes serve as references for researchers seeking to implement the acceleration algorithms introduced in the related research article. Simulation data provided include fluid pressure, velocity, density, laser radiance and bubble dynamics. The input files and the workflow to perform the simulations are also provided. These files, together with the source codes, allow researchers to replicate the simulation results presented in the research article, which can be a starting point for new research in laser-induced cavitation, bubble dynamics, and multiphase flow in general.

Efficacy of partial and complete resuscitative endovascular balloon occlusion of the aorta in the hemorrhagic shock model of liver injury.

BACKGROUND: Resuscitative endovascular balloon occlusion of the aorta (REBOA) can temporarily control traumatic bleeding. However, its prolonged use potentially leads to ischemia-reperfusion injury (IRI). Partial REBOA (pREBOA) can alleviate ischemic burden; however, its security and effectiveness prior to operative hemorrhage control remains unknown. Hence, we aimed to estimate the efficacy of pREBOA in a swine model of liver injury using an experimental sliding-chamber ballistic gun. METHODS: Twenty Landrace pigs were randomized into control (no aortic occlusion) (n=5), intervention with complete REBOA (cREBOA) (n=5), continuous pREBOA (C-pREBOA) (n=5), and sequential pREBOA (S-pREBOA) (n=5) groups. In the cREBOA and C-pREBOA groups, the balloon was inflated for 60 min. The hemodynamic and laboratory values were compared at various observation time points. Tissue samples immediately after animal euthanasia from the myocardium, liver, kidneys, and duodenum were collected for histological assessment using hematoxylin and eosin staining. RESULTS: Compared with the control group, the survival rate of the REBOA groups was prominently improved (all P<0.05). The total volume of blood loss was markedly lower in the cREBOA group (493.14±127.31 mL) compared with other groups (P<0.01). The pH was significantly lower at 180 min in the cREBOA and S-pREBOA groups (P<0.05). At 120 min, the S-pREBOA group showed higher alanine aminotransferase (P<0.05) but lower blood urea nitrogen compared with the cREBOA group (P<0.05). CONCLUSION: In this trauma model with liver injury, a 60-minute pREBOA resulted in improved survival rate and was effective in maintaining reliable aortic pressure, despite persistent hemorrhage. Extended tolerance time for aortic occlusion in Zone I for non-compressible torso hemorrhage was feasible with both continuous partial and sequential partial measures, and the significant improvement in the severity of acidosis and distal organ injury was observed in the sequential pREBOA.

Compressible and Elastic Reduced Graphene Oxide Sponge for Stable and Dendrite-Free Lithium Metal Anodes.

Dendritic Li deposition, an unstable solid-electrolyte interphase (SEI), and a nearly infinite relative volume change during cycling are three major obstacles to the practical application of Li metal batteries. Herein, we introduce a compressible and elastic reduced graphene oxide sponge (rGO-S) to simultaneously eliminate Li dendrite growth, stabilize the SEI, and accommodate the volume change. The volume change is contained by compressing and expanding the rGO-S anode, which effectively releases the Li plating-induced stress during cycling. The smooth and dense Li metal is deposited on rGO-S without dendrites, which preserves the SEI, reduces consumption of the electrolyte, and prevents the formation of Li debris. The half-cells employing rGO-S show a steady and high Coulombic efficiency. The Li@rGO-S symmetric cells demonstrate excellent cycling stability over 1200 cycles with a low overpotential. When paired with LiFePO4 (LFP), the Li@rGO-S||LFP full cells exhibit a high specific capacity (150.3 mAh g-1 at 1C), superior rate performance, and good capacity retention.

Global Existence and Weak-Strong Uniqueness for Chemotaxis Compressible Navier-Stokes Equations Modeling Vascular Network Formation.

A model of vascular network formation is analyzed in a bounded domain, consisting of the compressible Navier-Stokes equations for the density of the endothelial cells and their velocity, coupled to a reaction-diffusion equation for the concentration of the chemoattractant, which triggers the migration of the endothelial cells and the blood vessel formation. The coupling of the equations is realized by the chemotaxis force in the momentum balance equation. The global existence of finite energy weak solutions is shown for adiabatic pressure coefficients γ>8/5. The solutions satisfy a relative energy inequality, which allows for the proof of the weak-strong uniqueness property.

Photopolymerized multifunctional sodium alginate-based hydrogel for antibacterial and coagulation dressings.

Trauma caused by tissue damage in clinical applications has posed a serious threat to public safety. Dressings with a single function cannot meet the needs of wound healing, but multifunctional dressings are difficult to achieve and obtain. To address this issue, this research designed a facile one-pot photo-crosslinking method to prepare multifunctional sodium alginate-based hydrogel dressings for effective wound healing. According to irregular wounds, sodium alginate-based hydrogel dressings can be quickly prepared anytime and anywhere. The structure and physicochemical properties of hydrogels are regulated by modulating the proportion of main components sodium alginate and acrylamide. The results showed the sodium alginate-based composite hydrogel as a candidate multifunctional dressing that exhibits excellent stretchability and compressibility, viscoelasticity, and suitable tissue-like adhesion. In vitro drug release and antibacterial experiments indicated that the hydrogel has effective antibacterial properties against S. aureus and P. aeruginosa. Furthermore, the haemostatic behaviour of the hydrogel was demonstrated using the coagulation activation test, whole blood-clotting test, and blood cell and platelet adhesion experiments. All these results demonstrated that the sodium alginate-based hydrogel had high application potential as a multifunctional medical dressing for wound healing.