The relationship between road traffic collision dynamics and traumatic brain injury pathology.

Road traffic collisions are a major cause of traumatic brain injury. However, the relationship between road traffic collision dynamics and traumatic brain injury risk for different road users is unknown. We investigated 2065 collisions from Great Britain's Road Accident In-depth Studies collision database involving 5374 subjects (2013-20). Five hundred and ninety-five subjects sustained a traumatic brain injury (20.2% of 2940 casualties), including 315 moderate-severe and 133 mild-probable injuries. Key pathologies included skull fracture (179, 31.9%), subarachnoid haemorrhage (171, 30.5%), focal brain injury (168, 29.9%) and subdural haematoma (96, 17.1%). These results were extended nationally using >1 000 000 police-reported collision casualties. Extrapolating from the in-depth data we estimate that there are ∼20 000 traumatic brain injury casualties (∼5000 moderate-severe) annually on Great Britain's roads, accounting for severity differences. Detailed collision investigation allows vehicle collision dynamics to be understood and the change in velocity (known as delta-V) to be estimated for a subset of in-depth collision data. Higher delta-V increased the risk of moderate-severe brain injury for all road users. The four key pathologies were not observed below 8 km/h delta-V for pedestrians/cyclists and 19 km/h delta-V for car occupants (higher delta-V threshold for focal injury in both groups). Traumatic brain injury risk depended on road user type, delta-V and impact direction. Accounting for delta-V, pedestrians/cyclists had a 6-times higher likelihood of moderate-severe brain injury than car occupants. Wearing a cycle helmet during a collision was protective against overall and mild-to-moderate-to-severe brain injury, particularly skull fracture and subdural haematoma. Cycle helmet protection was not due to travel or impact speed differences between helmeted and non-helmeted cyclist groups. We additionally examined the influence of the delta-V direction. Car occupants exposed to a higher lateral delta-V component had a greater prevalence of moderate-severe brain injury, particularly subarachnoid haemorrhage. Multivariate logistic regression models created using total delta-V value and whether lateral delta-V was dominant had the best prediction capabilities (area under the receiver operator curve as high as 0.95). Collision notification systems are routinely fitted in new cars. These record delta-V and automatically alert emergency services to a collision in real-time. These risk relationships could, therefore, inform how routinely fitted automatic collision notification systems alert the emergency services to collisions with a high brain injury risk. Early notification of high-risk scenarios would enable quicker activation of the highest level of emergency service response. Identifying those that require neurosurgical care and ensuring they are transported directly to a centre with neuro-specialist provisions could improve patient outcomes.

Advanced RuO2 Thin Films for pH Sensing Application.

RuO2 thin films were prepared using magnetron sputtering under different deposition conditions, including direct current (DC) and radio frequency (RF) discharges, metallic/oxide cathodes, different substrate temperatures, pressures, and deposition times. The surface morphology, residual stress, composition, crystal structure, mechanical properties, and pH performances of these RuO2 thin films were investigated. The RuO2 thin films RF sputtered from a metallic cathode at 250 °C exhibited good pH sensitivity of 56.35 mV/pH. However, these films were rougher, less dense, and relatively softer. However, the DC sputtered RuO2 thin film prepared from an oxide cathode at 250 °C exhibited a pH sensitivity of 57.37 mV/pH with a smoother surface, denser microstructure and higher hardness. The thin film RF sputtered from the metallic cathode exhibited better pH response than those RF sputtered from the oxide cathode due to the higher percentage of the RuO3 phase present in this film.

Oriented Graphenes from Plasma-Reformed Coconut Oil for Supercapacitor Electrodes.

The utilization of vertical graphene nanosheet (VGN) electrodes for energy storage in supercapacitors has long been desired yet remains challenging, mostly because of insufficient control of nanosheet stacking, density, surface functionality, and reactivity. Here, we report a single-step, scalable, and environment-friendly plasma-assisted process for the fabrication of densely packed yet accessible surfaces of forested VGNs (F-VGNs) using coconut oil as precursor. The morphology of F-VGNs could be controlled from a continuous thick structure to a hierarchical, cauliflower-like structure that was accessible by the electrolyte ions. The surface of individual F-VGNs was slightly oxygenated, while their interior remained oxygen-free. The fabricated thick (>10 µm) F-VGN electrodes presented specific capacitance up to 312 F/g at a voltage scan rate of 10 mV/s and 148 F/g at 500 mV/s with >99% retention after 1000 cycles. This versatile approach suggests realistic opportunities for further improvements, potentially leading to the integration of F-VGN electrodes in next-generation energy storage devices.

Accelerated oral nanomedicine discovery from miniaturized screening to clinical production exemplified by paediatric HIV nanotherapies.

Considerable scope exists to vary the physical and chemical properties of nanoparticles, with subsequent impact on biological interactions; however, no accelerated process to access large nanoparticle material space is currently available, hampering the development of new nanomedicines. In particular, no clinically available nanotherapies exist for HIV populations and conventional paediatric HIV medicines are poorly available; one current paediatric formulation utilizes high ethanol concentrations to solubilize lopinavir, a poorly soluble antiretroviral. Here we apply accelerated nanomedicine discovery to generate a potential aqueous paediatric HIV nanotherapy, with clinical translation and regulatory approval for human evaluation. Our rapid small-scale screening approach yields large libraries of solid drug nanoparticles (160 individual components) targeting oral dose. Screening uses 1 mg of drug compound per library member and iterative pharmacological and chemical evaluation establishes potential candidates for progression through to clinical manufacture. The wide applicability of our strategy has implications for multiple therapy development programmes.

Thin film composites of nanocrystalline ZrO(2) and diamond-like carbon: Synthesis, structural properties and bone cell proliferation.

We report on the synthesis of thin composites of diamond-like carbon (DLC) and nanocrystalline ZrO(2) deposited using pulsed direct current plasma-enhanced chemical vapor deposition at low temperatures (<120 degrees C). Films containing up to 21at.% Zr were prepared (hydrogen was not included in the calculation) and their structural and surface properties were determined using a number of spectroscopic methods and contact angle measurements. Bone cell adhesion to the films was studied using a 3 day cell culture with osteoblasts. These nanocomposites (DLC-ZrO(2)) consist of tetragonal ZrO(2) nanocrystals with an average size of 2-5 nm embedded in an amorphous matrix consisting predominantly of DLC. The surface water contact angle of the films increased from approximately 60 degrees to 80 degrees as the Zr content increased from 0 to 21at.%. The cell culture study revealed that although the cell counts were not significantly different, the morphology of the osteoblasts growing on the DLC-ZrO(2) nanocomposites was markedly different from that of cells growing on DLC alone. Cells growing on the DLC-ZrO(2) surfaces were less spread out and had a smaller cell area in comparison with those growing on DLC surfaces. In some areas on the DLC-ZrO(2) surfaces, large numbers of cells appeared to coalesce. It is postulated that the difference in cell morphology between osteoblasts on DLC-ZrO(2) surfaces and DLC surfaces is related to the presence of very small tetragonal nanocrystals of ZrO(2) in the composite film.

DLC coatings: effects of physical and chemical properties on biological response.

Recent trials on diamond-like carbon (DLC) coated medical devices have indicated promise for blood interfacing applications. The literature is sparse regarding structural and compositional effects of DLC on cellular response. An important goal in optimizing blood-interfacing implants is minimal macrophage attachment, and maximal albumin:fibrinogen adsorption ratio. DLC coatings deposited by PACVD and FAD, were analysed with respect to sp3 content (EELS), hydrogen content (ERDA), surface composition (XPS), surface roughness (AFM), surface energy, albumin:fibrinogen adsorption ratio, and macrophage viability and attachment. We found that increasing surface roughness and surface energy enhanced the macrophage viability and the albumin:fibrinogen adsorption ratio. We also found that the higher the hydrogen content for a-C:Hs deposited by PACVD, the lower the albumin:fibrinogen adsorption ratio, and macrophage attachment. This suggests that hydrogen content may be an important factor for influencing the biological response of DLC surfaces. Macrophage cells spread well on all DLC surfaces, and the surface results indicated the non-toxic nature of the surfaces on the cells at the time points tested.

Mechanical characteristics of optical coatings prepared by various techniques: a comparative study.

Good performance of optical coatings depends on the appropriate combination of optical and mechanical properties. Therefore, successful applications require good understanding of the relationship between optical microstructural and mechanical characteristics and film stability. In addition, there is a lack of standard mechanical tests that allow one to compare film properties measured in different laboratories. We give an overview of the methodology of mechanical measurements suitable for optical coatings; this includes depth-sensing indentation, scratch resistance, friction, abrasion and wear testing, and stress and adhesion evaluation. We used the techniques mentioned above in the same laboratory to systematically compare the mechanical behavior of frequently used high- and low-index materials, namely, TiO2, Ta2O5, and SiO2, prepared by different complementary techniques. They include ion-beam-assisted deposition by electron-beam evaporation, magnetron sputtering, dual-ion-beam sputtering, plasma-enhanced chemical-vapor deposition, and filtered cathodic arc deposition. The mechanical properties are correlated with the film microstructure that is inherently related to energetic conditions during film growth.