No Evidence for a Cumulative Impact Effect on Concussion Injury Threshold

Recent studies using a helmet-based accelerometer system (Head Impact Telemetry System [HITS]) have demonstrated that concussions result from a wide range of head impact magnitudes. Variability in concussion thresholds has been proposed to result from the cumulative effect of non-concussive head impacts prior to injury. We used the HITS to collect biomechanical data representing >100,000 head impacts in 95 high school football players over 4 years. The cumulative impact histories prior to 20 concussive impacts in 19 athletes were compared to the cumulative impact histories prior to the three largest magnitude non-concussive head impacts in the same athletes. No differences were present in any impact history variable between the concussive and non-concussive high magnitude impacts. These analyses included the number of head impacts, cumulative HIT severity profile value, cumulative linear acceleration, and cumulative rotational acceleration during the same practice or game session, as well as over the 30-min and 1 week preceding these impacts. Our data do not support the proposal that impact volume or intensity influence concussion threshold in high school football athletes.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/90490/1/neu-2E2011-2E1910.pd

Conceptual design of the MHD Engineering Test Facility

The reference conceptual design of the MHD engineering test facility, a prototype 200 MWe coal-fired electric generating plant designed to demonstrate the commerical feasibility of open cycle MHD is summarized. Main elements of the design are identified and explained, and the rationale behind them is reviewed. Major systems and plant facilities are listed and discussed. Construction cost and schedule estimates are included and the engineering issues that should be reexamined are identified

The balancing act between high electronic and low ionic transport influenced by perovskite grain boundaries

\ua9 2024 The Royal Society of Chemistry.A better understanding of the materials\u27 fundamental physical processes is necessary to push hybrid perovskite photovoltaic devices towards their theoretical limits. The role of the perovskite grain boundaries is essential to optimise the system thoroughly. The influence of the perovskite grain size and crystal orientation on physical properties and their resulting photovoltaic performance is examined. We develop a novel, straightforward synthesis approach that yields crystals of a similar size but allows the tuning of their orientation to either the (200) or (002) facet alignment parallel to the substrate by manipulating dimethyl sulfoxide (DMSO) and tetrahydrothiophene-1-oxide (THTO) ratios. This decouples crystal orientation from grain size, allowing the study of charge carrier mobility, found to be improved with larger grain sizes, highlighting the importance of minimising crystal disorder to achieve efficient devices. However, devices incorporating crystals with the (200) facet exhibit an s-shape in the current density-voltage curve when standard scan rates are used, which typically signals an energetic interfacial barrier. Using the drift-diffusion simulations, we attribute this to slower-moving ions (mobility of 0.37 7 10-10 cm2 V-1 s-1) in combination with a lower density of mobile ions. This counterintuitive result highlights that reducing ion migration does not necessarily minimise hysteresis

Overcoming the mobility penalty introduced by dipole disorder in small-molecule HTM films

The importance of the hole-transport material (HTM) in perovskite solar cells (PSCs) is now very well-established, with state-of-the-art materials such as Spiro-OMeTAD attracting significant attention in the last decade. The high cost of such materials still limits the commercialisation of these HTMs. To tackle this, the amide linker has recently been introduced into HTM systems via EDOT-Amide-TPA, utilising condensation chemistry as a cheap and effective route to HTMs. EDOT-Amide-TPA is capable of a variety of intermolecular interactions such as dipole-dipole interactions and hydrogen bonding, both of which are beneficial for enhancing the film morphology and improving charge transport. However, the interplay between these different interactions is not trivial, and understanding how they affect each other is paramount to inform new HTM designs whilst minimising material waste. To date, studies investigating the combined effects of different intermolecular interactions within the HTL on the charge transport properties of these materials are lacking. Furthermore, dipole disorder within the film introduces a mobility ‘penalty’: mobility decreases with stronger overall dipole due to energetic disorder within the film, which hinders charge hopping. In this work, we investigate three amide-based HTM analogs with differing intermolecular interaction capabilities, and show that this penalty can be compensated by a preferentially increased dipole ordering, likely achieved through intermolecular hydrogen bonding. This effectively cancels out the dipole disorder while retaining the beneficial effects on the molecular packing. Our aim is that this work provides a good foundation for navigating the complex interplay between hydrogen bonding, dipole moments, conductivity, and film formation in small-molecule HTM

Environmental Effects of Hydrokinetic Turbines on Fish: Desktop and Laboratory Flume Studies

This collection of three reports describes desktop and laboratory flume studies that provide information to support assessment of the potential for injury and mortality of fish that encounter hydrokinetic turbines of various designs installed in tidal and river environments. Behavioral responses to turbine exposure also are investigated to support assessment of the potential for disruptions to upstream and downstream movements of fish. The studies: (1) conducted an assessment of potential injury mechanisms using available data from studies with conventional hydro turbines; (2) developed theoretical models for predicting blade strike probabilities and mortality rates; and (3) performed flume testing with three turbine designs and several fish species and size groups in two laboratory flumes to estimate survival rates and document fish behavior. The project yielded three reports which this document comprises. The three constituent documents are addressed individually below Fish Passage Through Turbines: Application of Conventional Hydropower Data to Hydrokinetic Technologies Fish passing through the blade sweep of a hydrokinetic turbine experience a much less harsh physical environment than do fish entrained through conventional hydro turbines. The design and operation of conventional turbines results in high flow velocities, abrupt changes in flow direction, relatively high runner rotational and blade speeds, rapid and significant changes in pressure, and the need for various structures throughout the turbine passageway that can be impacted by fish. These conditions generally do not occur or are not significant factors for hydrokinetic turbines. Furthermore, compared to conventional hydro turbines, hydrokinetic turbines typically produce relatively minor changes in shear, turbulence, and pressure levels from ambient conditions in the surrounding environment. Injuries and mortality from mechanical injuries will be less as well, mainly due to low rotational speeds and strike velocities, and an absence of structures that can lead to grinding or abrasion injuries. Additional information is needed to rigorously assess the nature and magnitude of effects on individuals and populations, and to refine criteria for design of more fish-friendly hydrokinetic turbines. Evaluation of Fish Injury and Mortality Associated with Hydrokinetic Turbines Flume studies exposed fish to two hydrokinetic turbine designs to determine injury and survival rates and to assess behavioral responses. Also, a theoretical model developed for predicting strike probability and mortality of fish passing through conventional hydro turbines was adapted for use with hydrokinetic turbines and applied to the two designs evaluated during flume studies. The flume tests were conducted with the Lucid spherical turbine (LST), a Darrieus-type (cross flow) turbine, and the Welka UPG, an axial flow propeller turbine. Survival rates for rainbow trout tested with the LST were greater than 98% for both size groups and approach velocities evaluated. Turbine passage survival rates for rainbow trout and largemouth bass tested with the Welka UPG were greater than 99% for both size groups and velocities evaluated. Injury rates of turbine-exposed fish were low with both turbines and generally comparable to control fish. Video observations of the LST demonstrated active avoidance of turbine passage by a large proportion fish despite being released about 25 cm upstream of the turbine blade sweep. Video observations from behavior trials indicated few if any fish pass through the turbines when released farther upstream. The theoretical predictions for the LST indicated that strike mortality would begin to occur at an ambient current velocity of about 1.7 m/s for fish with lengths greater than the thickness of the leading edge of the blades. As current velocities increase above 1.7 m/s, survival was predicted to decrease for fish passing through the LST, but generally remained high (greater than 90%) for fish less than 200 mm in length. Strike mortality was not predicted to occur during passage through a Welka UPG turbine at ambient current velocities less than about 2.5 m/s. Survival and Behavior of Juvenile Atlantic Salmon and Adult American Shad on Exposure to a Hydrokinetic Turbine This report describes a series of experiments designed to measure the effect of exposure to a full-scale, vertical axis hydrokinetic turbine on downstream migrating juvenile Atlantic salmon and upstream migrating adult American shad. Studies were performed in a large-scale, open-channel flume, and all individuals approached the turbine under volitional control. No injuries were observed, and there was no measurable increase in mortality associated with turbine passage. Exposure to the turbine elicited behavioral responses from both species, however, with salmon passing primarily over the downrunning blades. Shad movement was impeded in the presence of the device, as indicated by fewer attempts of shorter duration and reduced distance of ascent up the flume. More work should be performed in both laboratory and field conditions to determine the extent to which observed effects are likely to influence fish in riverine environments. Analysis is needed to assess the potential for multiple units to lead to greater mortality rates or impacts on fish movements and migrations. Additionally, future research should focus on expanding the existing data by developing better estimates of encounter and avoidance probabilities

Environmental Effects of Hydrokinetic Turbines on Fish: Desktop and Laboratory Flume Studies

This collection of three reports describes desktop and laboratory flume studies that provide information to support assessment of the potential for injury and mortality of fish that encounter hydrokinetic turbines of various designs installed in tidal and river environments. Behavioral responses to turbine exposure also are investigated to support assessment of the potential for disruptions to upstream and downstream movements of fish. The studies: (1) conducted an assessment of potential injury mechanisms using available data from studies with conventional hydro turbines; (2) developed theoretical models for predicting blade strike probabilities and mortality rates; and (3) performed flume testing with three turbine designs and several fish species and size groups in two laboratory flumes to estimate survival rates and document fish behavior. The project yielded three reports which this document comprises. The three constituent documents are addressed individually below Fish Passage Through Turbines: Application of Conventional Hydropower Data to Hydrokinetic Technologies Fish passing through the blade sweep of a hydrokinetic turbine experience a much less harsh physical environment than do fish entrained through conventional hydro turbines. The design and operation of conventional turbines results in high flow velocities, abrupt changes in flow direction, relatively high runner rotational and blade speeds, rapid and significant changes in pressure, and the need for various structures throughout the turbine passageway that can be impacted by fish. These conditions generally do not occur or are not significant factors for hydrokinetic turbines. Furthermore, compared to conventional hydro turbines, hydrokinetic turbines typically produce relatively minor changes in shear, turbulence, and pressure levels from ambient conditions in the surrounding environment. Injuries and mortality from mechanical injuries will be less as well, mainly due to low rotational speeds and strike velocities, and an absence of structures that can lead to grinding or abrasion injuries. Additional information is needed to rigorously assess the nature and magnitude of effects on individuals and populations, and to refine criteria for design of more fish-friendly hydrokinetic turbines. Evaluation of Fish Injury and Mortality Associated with Hydrokinetic Turbines Flume studies exposed fish to two hydrokinetic turbine designs to determine injury and survival rates and to assess behavioral responses. Also, a theoretical model developed for predicting strike probability and mortality of fish passing through conventional hydro turbines was adapted for use with hydrokinetic turbines and applied to the two designs evaluated during flume studies. The flume tests were conducted with the Lucid spherical turbine (LST), a Darrieus-type (cross flow) turbine, and the Welka UPG, an axial flow propeller turbine. Survival rates for rainbow trout tested with the LST were greater than 98% for both size groups and approach velocities evaluated. Turbine passage survival rates for rainbow trout and largemouth bass tested with the Welka UPG were greater than 99% for both size groups and velocities evaluated. Injury rates of turbine-exposed fish were low with both turbines and generally comparable to control fish. Video observations of the LST demonstrated active avoidance of turbine passage by a large proportion fish despite being released about 25 cm upstream of the turbine blade sweep. Video observations from behavior trials indicated few if any fish pass through the turbines when released farther upstream. The theoretical predictions for the LST indicated that strike mortality would begin to occur at an ambient current velocity of about 1.7 m/s for fish with lengths greater than the thickness of the leading edge of the blades. As current velocities increase above 1.7 m/s, survival was predicted to decrease for fish passing through the LST, but generally remained high (greater than 90%) for fish less than 200 mm in length. Strike mortality was not predicted to occur during passage through a Welka UPG turbine at ambient current velocities less than about 2.5 m/s. Survival and Behavior of Juvenile Atlantic Salmon and Adult American Shad on Exposure to a Hydrokinetic Turbine This report describes a series of experiments designed to measure the effect of exposure to a full-scale, vertical axis hydrokinetic turbine on downstream migrating juvenile Atlantic salmon and upstream migrating adult American shad. Studies were performed in a large-scale, open-channel flume, and all individuals approached the turbine under volitional control. No injuries were observed, and there was no measurable increase in mortality associated with turbine passage. Exposure to the turbine elicited behavioral responses from both species, however, with salmon passing primarily over the downrunning blades. Shad movement was impeded in the presence of the device, as indicated by fewer attempts of shorter duration and reduced distance of ascent up the flume. More work should be performed in both laboratory and field conditions to determine the extent to which observed effects are likely to influence fish in riverine environments. Analysis is needed to assess the potential for multiple units to lead to greater mortality rates or impacts on fish movements and migrations. Additionally, future research should focus on expanding the existing data by developing better estimates of encounter and avoidance probabilities

Consensus statement on concussion in sport—the 5 th international conference on concussion in sport held in Berlin, October 2016

The 2017 Concussion in Sport Group (CISG) consensus statement is designed to build on the principles outlined in the previous statements1–4 and to develop further conceptual understanding of sport-related concussion (SRC) using an expert consensus-based approach. This document is developed for physicians and healthcare providers who are involved in athlete care, whether at a recreational, elite or professional level. While agreement exists on the principal messages conveyed by this document, the authors acknowledge that the science of SRC is evolving and therefore individual management and return-to-play decisions remain in the realm of clinical judgement. This consensus document reflects the current state of knowledge and will need to be modified as new knowledge develops. It provides an overview of issues that may be of importance to healthcare providers involved in the management of SRC. This paper should be read in conjunction with the systematic reviews and methodology paper that accompany it. First and foremost, this document is intended to guide clinical practice; however, the authors feel that it can also help form the agenda for future research relevant to SRC by identifying knowledge gaps

The American Congress of Rehabilitation Medicine Diagnostic Criteria for Mild Traumatic Brain Injury

Objective: To develop new diagnostic criteria for mild traumatic brain injury (TBI) that are appropriate for use across the lifespan and in sports, civilian trauma, and military settings. Design: Rapid evidence reviews on 12 clinical questions and Delphi method for expert consensus. Participants: The Mild Traumatic Brain Injury Task Force of the American Congress of Rehabilitation Medicine Brain Injury Special Interest Group convened a Working Group of 17 members and an external interdisciplinary expert panel of 32 clinician-scientists. Public stakeholder feedback was analyzed from 68 individuals and 23 organizations. Results: The first 2 Delphi votes asked the expert panel to rate their agreement with both the diagnostic criteria for mild TBI and the supporting evidence statements. In the first round, 10 of 12 evidence statements reached consensus agreement. Revised evidence statements underwent a second round of expert panel voting, where consensus was achieved for all. For the diagnostic criteria, the final agreement rate, after the third vote, was 90.7%. Public stakeholder feedback was incorporated into the diagnostic criteria revision prior to the third expert panel vote. A terminology question was added to the third round of Delphi voting, where 30 of 32 (93.8%) expert panel members agreed that ‘the diagnostic label ‘concussion’ may be used interchangeably with ‘mild TBI’ when neuroimaging is normal or not clinically indicated.’ Conclusions: New diagnostic criteria for mild TBI were developed through an evidence review and expert consensus process. Having unified diagnostic criteria for mild TBI can improve the quality and consistency of mild TBI research and clinical care.</p