Unique stick-slip crack dynamics of double-network hydrogels under pure-shear loading.

In this work, we have found that a prenotched double-network (DN) hydrogel, when subjected to tensile loading in a pure-shear geometry, exhibits intriguing stick-slip crack dynamics. These dynamics synchronize with the oscillation of the damage (yielding) zone at the crack tip. Through manipulation of the loading rate and the predamage level of the brittle network in DN gels, we have clarified that this phenomenon stems from the significant amount of energy dissipation required to form the damage zone at the crack tip, as well as a kinetic contrast between the rapid crack extension through the yielding zone (slip process) and the slow formation of a new yielding zone controlled by the external loading rate (stick process).

Wrinkling and restabilization of a hyperelastic PDMS membrane at finite strain.

Wrinkles are commonly observed in uniaxially stretched hyperelastic membranes and eventually disappear with the increase of stretching. The widely used scheme at present assumes the material parameters to be empirical values and straightforwardly considers some constitutive models to explore the wrinkling and restabilization behavior. However, this simple treatment may cause deviation from experiment by ignoring the applicability of the models and the authenticity of the input parameters, prompting us to report based on realistic material parameters. This paper presents an experimental, theoretical and numerical investigation on the wrinkling and restabilization behavior of hyperelastic materials. By fitting experimental stress-strain curves of PDMS films, we confirm that the 3-term Ogden model bears a closer resemblance to the experimental data than the widely used neo-Hookean, Mooney-Rivlin, and Arruda-Boyce models under certain circumstances. The simulation results indicate that different constitutive models quantitatively affect the critical buckling strain, wrinkling amplitudes, and restabilization points. Furthermore, the isolated central bifurcation point solved by Koiter stability theory agrees well with the simulation and experimental results. A 3D phase diagram of stability boundaries was established to gain a comprehensive insight into the effects of geometric parameters (length, width, and thickness) on wrinkling.

Numerical calculation of free-energy barriers for entangled polymer nucleation.

The crystallization of entangled polymers from their melt is investigated using computer simulation with a coarse-grained model. Using hybrid Monte Carlo simulations enables us to probe the behavior of long polymer chains. We identify solid-like beads with a centrosymmetry local order parameter and compute the nucleation free-energy barrier at relatively high supercooling with adaptive-bias windowed umbrella sampling. Our results demonstrate that the critical nucleus sizes and the heights of free-energy barriers do not significantly depend on the molecular weight of the polymer; however, the nucleation rate decreases with the increase in molecular weight. Moreover, an analysis of the composition of the critical nucleus suggests that intra-molecular growth of the nucleated cluster does not contribute significantly to crystallization for this system.

Thrombectomy for a Patient with Concomitant Acute Cervical Internal Carotid and Middle Cerebral Artery Occlusion: Video Case.

We present the case of a 62-yr-old female who presented with ground-level fall and new onset of left-sided weakness of 30 min duration. CT angiogram revealed right ICA pseudo-occlusion and thrombus filling the right proximal M1 segment of the right MCA. On detailed neurological exam patient was noted to have NIHSS of 25. Patient was started on IV TPA infusion and was taken to interventional angiography suite after an informed consent was obtained. Diagnostic angiography was performed which demonstrated critical stenosis of the right proximal internal carotid artery. Right carotid artery stenting and balloon angioplasty of the carotid stent with distal embolic protection device was performed. Post carotid stent angiogram once again confirmed proximal right M1 pseudo-occlusion in the right MCA distribution. The clot was removed using a stent retriever, thus achieving complete recanalization (TICI 3) of the right cerebral hemisphere. The patient returned to baseline neurological status and a 1 mo follow-up diagnostic angiogram revealed patent carotid stent. Following the case presentation, we present the nuances of acute ischemic stroke management of large vessel occlusion with an emphasis on technical nuances, recent published guidelines1 and the literature.2-8.

Microsurgical Treatment of Foramen Magnum Cognard Type V Dural Arteriovenous Fistula: 2-Dimensional Operative Video.

Cognard type V dural fistulas represent a rare and unique entity, and present clinically with myelopathy. They are frequently located around the foramen magnum and are most commonly fed by dural branches of the vertebral and external carotid artery. Detection requires meticulous angiography to define the angioarchitecture of the fistula, which in turn defines the treatment modality. We present the case of a 63 yr old woman, after informed consent was obtained, with prolonged, severe and progressive lower extremity myelopathy for 6 yr, with T2-weighted signal changes in the thoracic spinal cord on magnetic resonance imaging (MRI). Cervical MRI was unremarkable. Following computed tomography (CT), angiography of the spinal canal that revealed tortuous and dilated veins on the thoracic spinal cord surface, catheter angiography was performed. This demonstrated a fistula in relation to a dural branch of left vertebral artery with a characteristic single draining vein coursing caudally to the thoracic level, with delayed outflow suggestive of venous hypertension. Given the fact that the dural feeder was tortuous and relatively small, thus, precluding distal microcatheter access, and with presence of a single accessible draining vein, microsurgical treatment was preferred. Following a midline suboccipital craniotomy in prone position, a limited vertical dural opening was performed. Careful microsurgical arachnoid dissection revealed the arterialized draining vein with the aid of Indocyanine Green angiography. The draining vein was clipped, coagulated, and disconnected. Postoperative recovery was uneventful and the patient is undergoing rehabilitation therapy. Follow-up angiography showed complete elimination of the fistula. Salient teaching points are narrated at conclusion.

Treatment Strategy of a Patient With a Brain Arteriovenous Malformation and Cranial Dural Fistula: 2-Dimensional Operative Video.

We present the case of a 56-yr-old right-handed male, after informed consent was obtained, who presented with acute confusion and agitation, on the background of a remote history of an uncomplicated resection of a left parietal grade 2 glioma. Imaging revealed a large, acute right temporal intracerebral hemorrhage (ICH). Standard vascular workup for the cause of the ICH included catheter angiography. No direct cause of the hemorrhage was revealed; however, a high grade parasagittal dural arteriovenous fistula (DAVF) with cortical venous reflux was noted close to the prior craniotomy site. The venous reflux was towards the left hemisphere, but it was hypothesized that similar reflux on the right side may have been present and was not presently evident due to thrombosis. The DAVF was embolized by endovascular means, followed by evacuation of the hematoma. Follow-up angiogram 7 mo later revealed a high-flow, right superior temporal cortical arteriovenous malformation (AVM). The DAVF unfortunately had also progressed. Endovascular occlusion of both lesions was attempted but was not successful. Subsequently, microsurgical resection for both the vascular malformations was performed with careful pre- and intraoperative planning to obtain a successful clinical and angiographic result. In this video, we summarize diagnostic and therapeutic nuances that have broad implications for the workup of ICH and the strategic management of a unique scenario involving a brain AVM and high-grade cranial dural fistula in the same patient. Prior to each procedure, informed consent was obtained from the patient, which includes consent for publication.

Flow-induced density fluctuation assisted nucleation in polyethylene.

The nucleation processes of polyethylene under quiescent and shear flow conditions are comparatively studied with all-atom molecular dynamics simulations. Under both conditions, nucleation is demonstrated to be a two-step process, which, however, proceeds via different intermediate orders. Quiescent nucleation is assisted by local order structures, while flow-induced nucleation is promoted by density fluctuation, which is a coupling effect of conformational and orientational orderings. Flow drives the transformation from flexible chains to conformational ordered segments and circumvents the entropic penalty, which is the most peculiar and rate-limited step in polymer crystallization. This work suggests that the acceleration of the nucleation rate in orders of magnitude by flow is mainly attributed to the different kinetics pathway via conformational/orientational ordering-density fluctuation-nucleation.

A portable extruder for in situ wide angle x-ray scattering study on multi-dimensional flow field induced crystallization of polymer.

We have designed and constructed a portable extruder with a rotatable mandrel, which can be employed to study the multi-dimensional flow field (MDFF) induced crystallization of polymer combined with in situ wide angle x-ray scattering (WAXS). With the piston driving the melt sample to flow along the channel, a direct axial shear field is achieved. At the same time, the central mandrel keeps rotating under a stable speed, providing the sample with an additional circumferential shear field. By presetting different proportions of the two shear fields, namely, axial and circumferential, various flow states of the sample can be obtained, which makes it capable of investigating the effects of MDFF on polymer crystallization. We have performed an in situ WAXS experiment of MDFF induced crystallization of isotactic polypropylene based on the portable extruder at the beam line BL16B in Shanghai Synchrotron Radiation Facility. The rheological and structural information is collected simultaneously, which manifests the viability of the portable extruder on regulating MDFF and can provide guidance for polymer processing.

Coupling between intra- and inter-chain orderings in flow-induced crystallization of polyethylene: A non-equilibrium molecular dynamics simulation study.

Non-equilibrium molecular dynamics simulations have been performed to study the molecular mechanism of flow-induced crystallization (FIC) of polyethylene (PE). The end-to-end distance of chain Rete and the content of trans conformation Ctrans are extracted out to represent intra-chain conformation ordering at whole chain and segment levels, respectively, while orientation correlation function P, density ρ, and bond orientational order parameter Q4 are taken to depict inter-chain orders. Imposing the extension induces the intra-chain conformational ordering to occur first, which further couples with the inter-chain order and results in the formation of hexagonal packing. Further increasing strain leads to the appearance of orthorhombic order. The results demonstrate that the FIC of PE proceeds via a multi-stage ordering process, during which coupling occurs among stress, intra-chain conformation, and inter-chain orientation and density orderings. Analyzing the flow-induced energy evolution unveils that not only entropy but also energy plays an important role in the FIC.