Highly stretchable polymer semiconductor thin films with multi-modal energy dissipation and high relative stretchability.

Stretchable polymer semiconductors (PSCs) have seen great advancements alongside the development of soft electronics. But it remains a challenge to simultaneously achieve high charge carrier mobility and stretchability. Herein, we report the finding that stretchable PSC thin films (<100-nm-thick) with high stretchability tend to exhibit multi-modal energy dissipation mechanisms and have a large relative stretchability (rS) defined by the ratio of the entropic energy dissipation to the enthalpic energy dissipation under strain. They effectively recovered the original molecular ordering, as well as electrical performance, after strain was released. The highest rS value with a model polymer (P4) exhibited an average charge carrier mobility of 0.2 cm2V-1s-1 under 100% biaxial strain, while PSCs with low rS values showed irreversible morphology changes and rapid degradation of electrical performance under strain. These results suggest rS can be used as a parameter to compare the reliability and reversibility of stretchable PSC thin films.

Understanding the mechanical link between oriented cell division and cerebellar morphogenesis.

The cerebellum is a tightly folded structure located at the back of the head. Unlike the folds of the cerebrum, the folds of the cerebellum are aligned such that the external surface appears to be covered in parallel grooves. Experiments have shown that anchoring center initiation drives cerebellar foliation. However, the mechanism guiding the location of these anchoring centers, and subsequently cerebellar morphology, remains poorly understood. In particular, there is no definitive mechanistic explanation for the preferential emergence of parallel folds instead of an irregular folding pattern like in the cerebral cortex. Here we use mechanical modeling on the cellular and tissue scales to show that the oriented granule cell division observed in the experimental setting leads to the characteristic parallel folding pattern of the cerebellum. Specifically, we propose an agent-based model of cell clones, a strategy for propagating information from our in silico cell clones to the tissue scale, and an analytical solution backed by numerical results to understand how differential growth between the cerebellar layers drives geometric instability in three dimensional space on the tissue scale. This proposed mechanical model provides further insight into the process of anchoring center initiation and establishes a framework for future multiscale mechanical analysis of developing organs.

Microstructural origin of resistance-strain hysteresis in carbon nanotube thin film conductors.

A basic need in stretchable electronics for wearable and biomedical technologies is conductors that maintain adequate conductivity under large deformation. This challenge can be met by a network of one-dimensional (1D) conductors, such as carbon nanotubes (CNTs) or silver nanowires, as a thin film on top of a stretchable substrate. The electrical resistance of CNT thin films exhibits a hysteretic dependence on strain under cyclic loading, although the microstructural origin of this strain dependence remains unclear. Through numerical simulations, analytic models, and experiments, we show that the hysteretic resistance evolution is governed by a microstructural parameter [Formula: see text] (the ratio of the mean projected CNT length over the film length) by showing that [Formula: see text] is hysteretic with strain and that the resistance is proportional to [Formula: see text] The findings are generally applicable to any stretchable thin film conductors consisting of 1D conductors with much lower resistance than the contact resistance in the high-density regime.

Modeling mechanical inhomogeneities in small populations of proliferating monolayers and spheroids.

Understanding the mechanical behavior of multicellular monolayers and spheroids is fundamental to tissue culture, organism development, and the early stages of tumor growth. Proliferating cells in monolayers and spheroids experience mechanical forces as they grow and divide and local inhomogeneities in the mechanical microenvironment can cause individual cells within the multicellular system to grow and divide at different rates. This differential growth, combined with cell division and reorganization, leads to residual stress. Multiple different modeling approaches have been taken to understand and predict the residual stresses that arise in growing multicellular systems, particularly tumor spheroids. Here, we show that by using a mechanically robust agent-based model constructed with the peridynamic framework, we gain a better understanding of residual stresses in multicellular systems as they grow from a single cell. In particular, we focus on small populations of cells (1-100 s) where population behavior is highly stochastic and prior investigation has been limited. We compare the average strain energy density of cells in monolayers and spheroids using different growth and division rules and find that, on average, cells in spheroids have a higher strain energy density than cells in monolayers. We also find that cells in the interior of a growing spheroid are, on average, in compression. Finally, we demonstrate the importance of accounting for stochastic fluctuations in the mechanical environment, particularly when the cellular response to mechanical cues is nonlinear. The results presented here serve as a starting point for both further investigation with agent-based models, and for the incorporation of major findings from agent-based models into continuum scale models when explicit representation of individual cells is not computationally feasible.

A highly stretchable, transparent, and conductive polymer.

Previous breakthroughs in stretchable electronics stem from strain engineering and nanocomposite approaches. Routes toward intrinsically stretchable molecular materials remain scarce but, if successful, will enable simpler fabrication processes, such as direct printing and coating, mechanically robust devices, and more intimate contact with objects. We report a highly stretchable conducting polymer, realized with a range of enhancers that serve a dual function: (i) they change morphology and (ii) they act as conductivity-enhancing dopants in poly(3,4-ethylenedioxythiophene):poly(styrenesulfonate) (PEDOT:PSS). The polymer films exhibit conductivities comparable to the best reported values for PEDOT:PSS, with over 3100 S/cm under 0% strain and over 4100 S/cm under 100% strain-among the highest for reported stretchable conductors. It is highly durable under cyclic loading, with the conductivity maintained at 3600 S/cm even after 1000 cycles to 100% strain. The conductivity remained above 100 S/cm under 600% strain, with a fracture strain of 800%, which is superior to even the best silver nanowire- or carbon nanotube-based stretchable conductor films. The combination of excellent electrical and mechanical properties allowed it to serve as interconnects for field-effect transistor arrays with a device density that is five times higher than typical lithographically patterned wavy interconnects.

Modeling tumor growth with peridynamics.

Computational models of tumors have the potential to connect observations made on the cellular and the tissue scales. With cellular scale models, each cell can be treated as a discrete entity, while tissue scale models typically represent tumors as a continuum. Though the discrete approach often enables a more mechanistic and biologically driven description of cellular behavior, it is often computationally intractable on the tissue scale. Here, we adapt peridynamics, a theoretical and computational approach designed to unify the mechanics of discrete and continuous media, for the growth of biological materials. The result is a computational model for tumor growth that can represent either individual cells or the tissue as a whole. We take advantage of the flexibility provided by the peridynamic framework to implement a cell division mechanism, motivated by the fact that cell division is the mechanism driving tumor growth. This paper provides a general framework for implementing a new tumor growth modeling technique.

Quantifying the relationship between cell division angle and morphogenesis through computational modeling.

When biological cells divide, they divide on a given angle. It has been shown experimentally that the orientation of cell division angle for a single cell can be described by a probability density function. However, the way in which the probability density function underlying cell division orientation influences population or tissue scale morphogenesis is unknown. Here we show that a computational approach, with thousands of stochastic simulations modeling growth and division of a population of cells, can be used to investigate this unknown. In this paper we examine two potential forms of the probability density function: a wrapped normal distribution and a binomial distribution. Our results demonstrate that for the wrapped normal distribution the standard deviation of the division angle, potentially interpreted as biological noise, controls the degree of tissue scale anisotropy. For the binomial distribution, we demonstrate a mechanism by which direction and degree of tissue scale anisotropy can be tuned via the probability of each division angle. We anticipate that the method presented in this paper and the results of these simulations will be a starting point for further investigation of this topic.

Highly stretchable polymer semiconductor films through the nanoconfinement effect.

Soft and conformable wearable electronics require stretchable semiconductors, but existing ones typically sacrifice charge transport mobility to achieve stretchability. We explore a concept based on the nanoconfinement of polymers to substantially improve the stretchability of polymer semiconductors, without affecting charge transport mobility. The increased polymer chain dynamics under nanoconfinement significantly reduces the modulus of the conjugated polymer and largely delays the onset of crack formation under strain. As a result, our fabricated semiconducting film can be stretched up to 100% strain without affecting mobility, retaining values comparable to that of amorphous silicon. The fully stretchable transistors exhibit high biaxial stretchability with minimal change in on current even when poked with a sharp object. We demonstrate a skinlike finger-wearable driver for a light-emitting diode.

Tri-layer wrinkling as a mechanism for anchoring center initiation in the developing cerebellum.

During cerebellar development, anchoring centers form at the base of each fissure and remain fixed in place while the rest of the cerebellum grows outward. Cerebellar foliation has been extensively studied; yet, the mechanisms that control anchoring center initiation and position remain insufficiently understood. Here we show that a tri-layer model can predict surface wrinkling as a potential mechanism to explain anchoring center initiation and position. Motivated by the cerebellar microstructure, we model the developing cerebellum as a tri-layer system with an external molecular layer and an internal granular layer of similar stiffness and a significantly softer intermediate Purkinje cell layer. Including a weak intermediate layer proves key to predicting surface morphogenesis, even at low stiffness contrasts between the top and bottom layers. The proposed tri-layer model provides insight into the hierarchical formation of anchoring centers and establishes an essential missing link between gene expression and evolution of shape.

A highly stretchable autonomous self-healing elastomer.

It is a challenge to synthesize materials that possess the properties of biological muscles-strong, elastic and capable of self-healing. Herein we report a network of poly(dimethylsiloxane) polymer chains crosslinked by coordination complexes that combines high stretchability, high dielectric strength, autonomous self-healing and mechanical actuation. The healing process can take place at a temperature as low as -20 °C and is not significantly affected by surface ageing and moisture. The crosslinking complexes used consist of 2,6-pyridinedicarboxamide ligands that coordinate to Fe(III) centres through three different interactions: a strong pyridyl-iron one, and two weaker carboxamido-iron ones through both the nitrogen and oxygen atoms of the carboxamide groups. As a result, the iron-ligand bonds can readily break and re-form while the iron centres still remain attached to the ligands through the stronger interaction with the pyridyl ring, which enables reversible unfolding and refolding of the chains. We hypothesize that this behaviour supports the high stretchability and self-healing capability of the material.

Understanding geometric instabilities in thin films via a multi-layer model.

When a thin stiff film adhered to a compliant substrate is subject to compressive stresses, the film will experience a geometric instability and buckle out of plane. For high film/substrate stiffness ratios with relatively low levels of strain, the primary mode of instability will either be wrinkling or buckling delamination depending on the material and geometric properties of the system. Previous works approach these systems by treating the film and substrate as homogenous layers, either consistently perfectly attached, or perfectly unattached at interfacial flaws. However, this approach neglects systems where the film and substrate are uniformly weakly attached or where interfacial layers due to surface modifications in either the film or substrate are present. Here we demonstrate a method for accounting for these additional thin surface layers via an analytical solution verified by numerical results. The main outcome of this work is an improved understanding of how these layers influence global behavior. We demonstrate the utility of our model with applications ranging from buckling based metrology in ultrathin films, to an improved understanding of the formation of a novel surface in carbon nanotube bio-interface films. Moving forward, this model can be used to interpret experimental results, particularly for systems which deviate from traditional behavior, and aid in the evaluation and design of future film/substrate systems.

Initial experience with remote catheter ablation using a novel magnetic navigation system: magnetic remote catheter ablation.

BACKGROUND: Catheters are typically stiff and incorporate a pull-wire mechanism to allow tip deflection. While standing at the patient's side, the operator manually navigates the catheter in the heart using fluoroscopic guidance. METHODS AND RESULTS: A total of 42 patients (32 female; mean age, 55+/-15 years) underwent ablation of common-type (slow/fast) or uncommon-type (slow/slow) atrioventricular nodal reentrant tachycardia (AVNRT) with the use of the magnetic navigation system Niobe (Stereotaxis, Inc). It consists of 2 computer-controlled permanent magnets located on opposite sides of the patient, which create a steerable external magnetic field (0.08 T). A small magnet embedded in the catheter tip causes the catheter to align and to be steered by the external magnetic field. A motor drive advances or retracts the catheter, enabling complete remote navigation. Radiofrequency current was applied with the use of a remote-controlled 4-mm, solid-tip, magnetic navigation-enabled catheter (55 degrees C, maximum 40 W, 60 seconds) in all patients. The investigators, who were situated in the control room, performed the ablation using a mean of 7.2+/-4.7 radiofrequency current applications (mean fluoroscopy time, 8.9+/-6.2 minutes; procedure duration, 145+/-43 minutes). Slow pathway ablation was achieved in 15 patients, whereas slow pathway modulation was the end point in the remaining patients. There were no complications. CONCLUSIONS: The Niobe magnetic navigation system is a new platform technology allowing remote-controlled navigation of an ablation catheter. In conjunction with a motor drive unit, this system was used successfully to perform completely remote-controlled mapping and ablation in patients with AVNRT.

Modulation of the slow pathway in the presence of a persistent left superior caval vein using the novel magnetic navigation system Niobe.

AIMS: This is the first report of a young female with typical AVNRT in the presence of a persistent left superior caval vein that underwent catheter ablation using the novel magnetic navigation system (MNS) Niobe (Stereotaxis Inc.). METHODS: The MNS consists of two outer permanent magnets (about 0.1 T) that align a third small magnet integrated in the tip of a mapping and ablation catheter along its magnetic field lines. By changing the orientation of the outer magnets, the orientation of the magnetic field lines also change, thereby allowing navigation of the ablation catheter. In combination with an automated advancer system, this novel technique allows for the first time complete remote catheter ablation. RESULTS: Successful slow pathway modulation was performed using a total of seven radiofrequency current applications via the magnetic ablation catheter. No complication occurred. CONCLUSIONS: The novel magnetic navigation system proved to be a safe and feasible tool for remote catheter ablation of common type AVNRT in the presence of a persistent left superior caval vein.

[Three-dimensional reconstruction of pulmonary veins and left atrium. Implications for catheter ablation of atrial fibrillation]. / Dreidimensionale Rekonstruktion der Pulmonalvenen und des linken AtriumsBedeutung für die Katheterablation von Vorhofflimmern.

BACKGROUND: Selective pulmonary vein (PV) isolation to eliminate triggers is commonly used for curative catheter ablation of atrial fibrillation guided by two-dimensional (2-D) PV angiography, which is somewhat limited to depict the complex morphology of the PVs. 3-D mapping systems are limited to reconstruct the complete "true" anatomy by the reach of the mapping electrode related to catheter properties (maximum deflection and curve). New 3-D imaging systems (spiral computed tomography [CT] or magnetic resonance imaging [MRI]) provide detailed knowledge of the individual left atrial and PV morphology. Especially with the tampering, funnel-shaped PV ostia, identification of the PV ostium in selective PV isolation procedures aiming at the interruption of myocardial fibers is rather challenging using the 2-D imaging technique of contrast angiography. PATIENTS AND METHODS: In a total of 16 patients (13 male, three female, mean age 57 +/- 8 years), cardiac 3-D magnetic resonance angiography (MRA; 1.5 T, ACS Intera Philips, Germany) using an ECG-gated technique (1.3-1.7 mm slices) was performed. Using the postprocessing software Leonardo (Siemens, Germany), all adjacent anatomic structures such as the pulmonary artery were cut off to focus on the left atrium (LA) and PV anatomy. RESULTS: Left-sided PVs always entered in close proximity into the LA (common ostium in two patients). The right PVs entered more separately into the LA with a predominance of oval shapes. CONCLUSION: MRA is a noninvasive tool providing knowledge of the individual 3-D anatomy in a photorealistic fashion. Ultimately, image fusion with 3-D mappings systems would allow for true 3-D electrophysiologic mapping and could facilitate further understanding of the underlying substrate of so far "unsolved" complex arrhythmias such as atrial fibrillation in the future.

Catheter ablation of subepicardial ventricular tachycardia using electroanatomic mapping.

BACKGROUND: In patients with left ventricular tachycardia (VT) and failed endocardial ablation, a subepicardial substrate may be considered. PATIENTS AND METHODS: Seven patients with drug-refractory VT of right bundle branch block morphology were investigated to identify the arrhythmogenic substrate using three-dimensional (3-D) electroanatomic endocardial and epicardial mapping. RESULTS: In three patients with repetitive monomorphic VT, endocardial and epicardial mapping during tachycardia showed a focal pattern with an earliest activation preceding the onset of the QRS complex by 20 and 28 ms in the lateral aspect of the epicardial outflow tract in two patients and by 24 ms near the posterolateral mitral annulus in one patient; in two patients with sustained VT, endocardial mapping during tachycardia displayed a focal pattern with a wide breakthrough, and epicardial mapping showed a macroreentrant VT with an isthmus located in the left anterior wall in one patient and in the left inferolateral wall in the other. In the remaining two patients, endocardial and epicardial mapping were performed during sinus rhythm. An area with fragmented and late potentials as well as low amplitude was only identified in the epicardial left inferolateral wall. During tachycardia, a diastolic potential was only recorded on the epicardium and coincided with the late potential during sinus rhythm in the same area. A focal or linear epicardial irrigated lesion terminated the VT and resulted in noninducibility in all seven patients. During a median follow-up of 16 months, VT recurred in two patients without antiarrhythmic drugs. The recurrent VT was successfully reablated in one patient and treated with oral amiodarone in the other. CONCLUSION: Subepicardial left focal and macroreentrant VT may present as focal origin on endocardial mapping and can only be abolished by radiofrequency (RF) applications in the epicardial space.