A new method for determining the ogden parameters of soft materials using indentation experiments.

A full understanding of the material properties of skin tissue is crucial for exploring its tribo-mechanical behaviour. It has been widely accepted that the mechanical behaviour of skin tissue for both small and large deformations can be accurately described using a hyperelastic model, such as the one developed by Ogden. However, obtaining these Ogden parameters for in-vivo skin by in-vivo experiments no matter the indentation or suction tests is a significant challenge. The mathematical model used to describe the material behaviour during the test should consider not only the material nonlinearity but also the geometrical confinement of the tissue, the large deformations induced, and the fact that the specimens are relatively thin. A range of contact models is available to describe the contact behaviour during the indentation test. However, none of them can be used for hyperelastic materials with small thickness under large deformations. Simultaneously explaining material nonlinearity and geometric nonlinearity, either through theoretical equations or numerical calculations, poses a significant challenge. In this research, we propose a pragmatic method to obtain Ogden parameters for in-vivo skin tissue by combining experimental indentation results and numerical simulations. The indentation tests were used to obtain the force-indentation depth curves, while the numerical simulations were used to obtain the strain fields. The method assumes the material behaviour of specimens can be linearized in each small deformation increment, and the contact model developed by Hayes can be applied to accommodate each increment. Then, the linear elastic behaviour in each increment can be described by the elastic modulus E which were obtained using Hayes model, and the principal stresses in each increment were subsequently obtained using Hooke's law. By combining all stress fields, overall stress-strain curves can be constructed, from which the hyperelastic Ogden parameters can be obtained. A second numerical simulation of the hyperelastic indentation was then performed using the obtained Ogden parameters, allowing a comparison of the experimental and simulated relationships between force and indentation.

Friction and neuroimaging of active and passive tactile touch.

Two types of exploratory touch including active sliding and passive sliding are usually encountered in the daily life. The friction behavior of the human finger against the surface of objects is important in tactile perception. The neural mechanisms correlating to tribological behavior are not fully understood. This study investigated the tactile response of active and passive finger friction characterized with functional near-infrared spectroscopy (fNIRS). The friction test and fNIRS test were performed simultaneously using the tactile stimulus of polytetrafluoroethylene (PTFE) specimens. Results showed that the sliding modes did not obviously influence the friction property of skin. While three cortex regions were activated in the prefrontal cortex (PFC), showing a higher activation level of passive sliding. This revealed that the tribological performance was not a simple parameter to affect tactile perception, and the difference in cortical hemodynamic activity of active and passive touch was also recognised. The movement-related blood flow changes revealed the role of PFC in integrating tactile sensation although there was no estimation task on roughness perception.

Modernising Orodispersible Film Characterisation to Improve Palatability and Acceptability Using a Toolbox of Techniques.

Orodispersible films (ODFs) have been widely used in paediatric, geriatric and dysphagic patients due to ease of administration and precise and flexible dose adjustments. ODF fabrication has seen significant advancements with the move towards more technologically advanced production methods. The acceptability of ODFs is dependent upon film composition and process of formation, which affects disintegration, taste, texture and mouthfeel. There is currently a lack of testing to accurately assess ODFs for these important acceptability sensory perceptions. This study produced four ODFs formed of polyvinyl alcohol and sodium carboxymethylcellulose using 3D printing. These were assessed using three in vitro methods: Petri dish and oral cavity model (OCM) methods for disintegration and bio-tribology for disintegration and oral perception. Increasing polymer molecular weight (MW) exponentially increased disintegration time in the Petri dish and OCM methods. Higher MW films adhered to the OCM upper palate. Bio-tribology analysis showed that films of higher MW disintegrated quickest and had lower coefficient of friction, perhaps demonstrating good oral perception but also stickiness, with higher viscosity. These techniques, part of a toolbox, may enable formulators to design, test and reformulate ODFs that both disintegrate rapidly and may be better perceived when consumed, improving overall treatment acceptability.

Influence of different fluid environments on tactile perception and finger friction.

Human beings often explore and perceive the characteristics of objects by touching with their fingers. During this process, the contact pressure and shear stress acting on the skin also modulate the tactile sensation. The external environment is an important factor that influences tactile perception as well as the finger friction characteristics. The purpose of this study was to investigate the effects of fluid environments, such as air, deionized water (DW) and thickened water (TW), on perceived roughness and relevant friction behaviour during finger movement. Two studies were performed to analyse the effect of fluid environment as well as the influence of lubricant viscosity on finger tactile friction behaviour. Participants conducted perception and sliding friction tests with their index finger in air and submerged in DW and TW, respectively. Perception tests were performed using a pairwise comparison, scoring the perceived roughness difference between a reference sample and the test sample. The statistical analysis showed that there was no significant difference in the roughness perception between air and DW, while the sensitivity of perception reduced with increasing lubricant viscosity. An approximate calculation of the film thickness was combined with classical lubrication theory to investigate the relationship between perception and friction. In TW, the thick film formed between the finger and the polytetrafluoroethylene plate changed the contact of the asperities with the skin, thus changing the subjective judgement and friction.

A numerical analysis of skin-PPE interaction to prevent facial tissue injury.

The use of close-fitting PPE is essential to prevent exposure to dispersed airborne matter, including the COVID-19 virus. The current pandemic has increased pressure on healthcare systems around the world, leading to medical professionals using high-grade PPE for prolonged durations, resulting in device-induced skin injuries. This study focuses on computationally improving the interaction between skin and PPE to reduce the likelihood of discomfort and tissue damage. A finite element model is developed to simulate the movement of PPE against the face during day-to-day tasks. Due to limited available data on skin characteristics and how these vary interpersonally between sexes, races and ages, the main objective of this study was to establish the effects and trends that mask modifications have on the resulting subsurface strain energy density distribution in the skin. These modifications include the material, geometric and interfacial properties. Overall, the results show that skin injury can be reduced by using softer mask materials, whilst friction against the skin should be minimised, e.g. through use of micro-textures, humidity control and topical creams. Furthermore, the contact area between the mask and skin should be maximised, whilst the use of soft materials with incompressible behaviour (e.g. many elastomers) should be avoided.

Wax-oil lubricants to reduce the shear between skin and PPE.

Prolonged use of tight-fitting PPE, e.g., by COVID-19 healthcare workers leads to skin injuries. An important contributor is the shear exerted on the skin due to static friction at the skin-PPE interface. This study aims to develop an optimised wax-oil lubricant that reduces the friction, or shear, in the skin-PPE contact for up to four hours. Lubricants with different wax-oil combinations were prepared using beeswax, paraffin wax, olive oil, and mineral oil. In-vivo friction measurements involving seven participants were conducted by sliding a polydimethylsiloxane ball against the volar forearms to simulate the skin-PPE interface. The maximum static coefficient of friction was measured immediately and four hours after lubricant application. It was found that the coefficient of friction of wax-oil lubricants is mainly governed by the ratio of wax to oil and the thermal stability and morphology of the wax. To maintain long-term lubricity, it is crucial to consider the absorption of oil into the PPE material. The best performing lubricant is a mixture of 20 wt% beeswax, 40 wt% olive oil, and 40 wt% mineral oil, which compared to unlubricated skin, provides 87% (P = 0.0006) and 59% (P = 0.0015) reduction in instantaneous and 4-h coefficient of friction, respectively.

Measurement of molten chocolate friction under simulated tongue-palate kinematics: Effect of cocoa solids content and aeration.

The perception of some food attributes is related to mechanical stimulation and friction experienced in the tongue-palate contact during mastication. This paper reports a new bench test to measure friction in the simulated tongue-palate contact. The test consists of a flat PDMS disk, representing the tongue loaded and reciprocating against a stationary lower glass surface representing the palate. The test was applied to molten chocolate samples with and without artificial saliva. Friction was measured over the first few rubbing cycles, simulating mechanical degradation of chocolate in the tongue-palate region. The effects of chocolate composition (cocoa solids content ranging between 28 â€‹wt% and 85 â€‹wt%) and structure (micro-aeration/non-aeration 0-15 â€‹vol%) were studied. The bench test clearly differentiates between the various chocolate samples. The coefficient of friction increases with cocoa solids percentage and decreases with increasing micro-aeration level. The presence of artificial saliva in the contact reduced the friction for all chocolate samples, however the relative ranking remained the same.

A lubrication replenishment theory for hydrogels.

Hydrogels are suggested as less invasive alternatives to total joint replacements, but their inferior tribological performance compared to articular cartilage remains a barrier to implementation. Existing lubrication theories do not fully characterise the friction response of all hydrogels, and a better insight into the lubrication mechanisms must be established to enable optimised hydrogel performance. We therefore studied the lubricating conditions in a hydrogel contact using fluorescent imaging under simulated physiological sliding conditions. A reciprocating configuration was used to examine the effects of contact dimension and stroke length on the lubricant replenishment in the contact. The results show that the lubrication behaviour is strongly dependent on the contact configurations; When the system operates in a 'migrating' configuration, with the stroke length larger than the contact width, the contact is uniformly lubricated and shows low friction; When the contact is in an 'overlapping' configuration with a stroke length smaller than the contact width, the contact is not fully replenished, resulting in high friction. The mechanism of non-replenishment at small relative stroke length was also observed in a cartilage contact, indicating that the theory could be generalised to soft porous materials. The lubrication replenishment theory is important for the development of joint replacement materials, as most physiological joints operate under conditions of overlapping contact, meaning steady-state lubrication does not necessarily occur.

Evaluating lubricant performance to reduce COVID-19 PPE-related skin injury.

BACKGROUND: Healthcare workers around the world are experiencing skin injury due to the extended use of personal protective equipment (PPE) during the COVID-19 pandemic. These injuries are the result of high shear stresses acting on the skin, caused by friction with the PPE. This study aims to provide a practical lubricating solution for frontline medical staff working a 4+ hours shift wearing PPE. METHODS: A literature review into skin friction and skin lubrication was conducted to identify products and substances that can reduce friction. We evaluated the lubricating performance of commercially available products in vivo using a custom-built tribometer. FINDINGS: Most lubricants provide a strong initial friction reduction, but only few products provide lubrication that lasts for four hours. The response of skin to friction is a complex interplay between the lubricating properties and durability of the film deposited on the surface and the response of skin to the lubricating substance, which include epidermal absorption, occlusion, and water retention. INTERPRETATION: Talcum powder, a petrolatum-lanolin mixture, and a coconut oil-cocoa butter-beeswax mixture showed excellent long-lasting low friction. Moisturising the skin results in excessive friction, and the use of products that are aimed at 'moisturising without leaving a non-greasy feel' should be prevented. Most investigated dressings also demonstrate excellent performance.

Morphology and composition play distinct and complementary roles in the tolerance of plantar skin to mechanical load.

Plantar skin on the soles of the feet has a distinct morphology and composition that is thought to enhance its tolerance to mechanical loads, although the individual contributions of morphology and composition have never been quantified. Here, we combine multiscale mechanical testing and computational models of load bearing to quantify the mechanical environment of both plantar and nonplantar skin under load. We find that morphology and composition play distinct and complementary roles in plantar skin's load tolerance. More specifically, the thick stratum corneum provides protection from stress-based injuries such as skin tears and blisters, while epidermal and dermal compositions provide protection from deformation-based injuries such as pressure ulcers. This work provides insights into the roles of skin morphology and composition more generally and will inform the design of engineered skin substitutes as well as the etiology of skin injury.

Lateral pressure equalisation as a principle for designing support surfaces to prevent deep tissue pressure ulcers.

When immobile or neuropathic patients are supported by beds or chairs, their soft tissues undergo deformations that can cause pressure ulcers. Current support surfaces that redistribute under-body pressures at vulnerable body sites have not succeeded in reducing pressure ulcer prevalence. Here we show that adding a supporting lateral pressure can counter-act the deformations induced by under-body pressure, and that this 'pressure equalisation' approach is a more effective way to reduce ulcer-inducing deformations than current approaches based on redistributing under-body pressure. A finite element model of the seated pelvis predicts that applying a lateral pressure to the soft tissue reduces peak von Mises stress in the deep tissue by a factor of 2.4 relative to a standard cushion (from 113 kPa to 47 kPa)-a greater effect than that achieved by using a more conformable cushion, which reduced von Mises stress to 75 kPa. Combining both a conformable cushion and lateral pressure reduced peak von Mises stresses to 25 kPa. The ratio of peak lateral pressure to peak under-body pressure was shown to regulate deep tissue stress better than under-body pressure alone. By optimising the magnitude and position of lateral pressure, tissue deformations can be reduced to that induced when suspended in a fluid. Our results explain the lack of efficacy in current support surfaces and suggest a new approach to designing and evaluating support surfaces: ensuring sufficient lateral pressure is applied to counter-act under-body pressure.

Fluid load support does not explain tribological performance of PVA hydrogels.

The application of hydrogels as articular cartilage (AC) repair or replacement materials is limited by poor tribological behaviour, as it does not match that of native AC. In cartilage, the pressurisation of the interstitial fluid is thought to be crucial for the low friction as the load is shared between the solid and liquid phase of the material. This fluid load support theory is also often applied to hydrogels. However, this theory has not been validated as no experimental evidence directly relates the pressurisation of the interstitial fluid to the frictional response of hydrogels. This lack of understanding about the governing tribological mechanisms in hydrogels limits their optimised design. Therefore, this paper aims to provide a direct measure for fluid load support in hydrogels under physiologically relevant sliding conditions. A photoelastic method was developed to simultaneously measure the load on the solid phase of the hydrogel and its friction coefficient and thus directly relate friction and fluid load support. The results showed a clear distinction in frictional behaviour between the different test conditions, but results from photoelastic images and stress-relaxation experiments indicated that fluid load support is an unlikely explanation for the frictional response of the hydrogels. A more appropriate explanation, we hypothesized, is a non-replenished lubricant mechanism. This work has important implications for the tribology of cartilage and hydrogels as it shows that the existing theories do not adequately describe the tribological behaviour of hydrogels. The developed insights can be used to optimise the tribological performance of hydrogels as articular cartilage implants.