Laser surface colouring of titanium for contemporary jewellery

This paper describes work which emerged through a need to understand more about the potential of laser surface engineering for use in the creative industries. The method of creation of contemporary jewellery pieces and the resultant 'Ocular' jewellery series are described from the creative point of view. The work demonstrates how laser controlled oxide growth on Ti–6Al–4V alloy under ambient conditions can be used as an artistic tool by producing precisely defined colours. Use of the method to produce regular areas of even colour and to reproduce freehand drawings on a titanium alloy surface is described. Analysis highlights interference as the main colouring mechanism and suggests a graded surface layer, progressing from an outer layer of TiO2 to lower layers rich in TiO and Ti2O. The model of research by practice presented in this paper offers a contribution to the current debate on partnerships between art and science and engineering

Focused Management of Patients With Severe Acute Brain Injury and ARDS

Considering the COVID-19 pandemic where concomitant occurrence of ARDS and severe acute brain injury (sABI) has increasingly coemerged, we synthesize existing data regarding the simultaneous management of both conditions. Our aim is to provide readers with fundamental principles and concepts for the management of sABI and ARDS, and highlight challenges and conflicts encountered while managing concurrent disease. Up to 40% of patients with sABI can develop ARDS. Although there are trials and guidelines to support the mainstays of treatment for ARDS and sABI independently, guidance on concomitant management is limited. Treatment strategies aimed at managing severe ARDS may at times conflict with the management of sABI. In this narrative review, we discuss the physiological basis and risks involved during simultaneous management of ARDS and sABI, summarize evidence for treatment decisions, and demonstrate these principles using hypothetical case scenarios. Use of invasive or noninvasive monitoring to assess brain and lung physiology may facilitate goal-directed treatment strategies with the potential to improve outcome. Understanding the pathophysiology and key treatment concepts for comanagement of these conditions is critical to optimizing care in this high-acuity patient population