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Hintergrund
In diesem Artikel wird ein Überblick und Vergleich der am häufigsten verwendeten zementierten Hüftschäfte, gruppiert in die verschiedenen Schafttypen und Zementmanteldicken, gegeben, um zu sehen, welche Kombination gut abschneidet.
Methodik
Aus dem Endoprothesenregister Deutschland wurden die Revisionsraten zementierter Schaftarten kategorisiert und die Revisionsraten von 3 und 5 Jahren erfasst und analysiert. Für die Recherche lag die Konzentration auf den Schäften Exeter, C‑Stem, MS-30, Excia, Bicontact, Charnley, Müller Geradschaft, Twinsys, Corail, Avenir, Quadra und dem Lubinus SP II. Ein wichtiger Aspekt lag darin, welcher Schaft favorisiert implantiert wird und welche Zementiertechnik in Hinblick auf die geplante Zementmanteldicke angewendet wird. Um einen Trend in der zementierten Hüftendoprothetik herauszufinden, wurden zusätzlich die Daten des dänischen, schwedischen, norwegischen, schweizerischen, neuseeländischen, englischen und australischen Endoprothesenregister verglichen.
Ergebnisse und Schlussfolgerung
Die meisten Länder nutzen zementierte Prothesen nach dem Kraftschlussprinzip (Exeter, MS30, C‑Stem etc.) oder dem Formschlussprinzip (Charnley, Excia, Bicontact), welche mit einer Zementmanteldicke von 2–4 mm implantiert werden. Jedoch hat sich in Deutschland und der Schweiz ein Trend zur Line-to-Line-Technik, mit einer geplanten Zementmanteldicke von 1 mm (Twinsys, Corail, Avenir, Quadra) aufgezeigt, dem Prinzip der Müller-Geradschaft-Prothese und der Kerboul-Charnley-Prothese folgend, auch wenn diese an sich als „french paradoxon“ postuliert werden. In den EPRD-5-Jahres-Ergebnissen scheinen die neueren Line-to-Line-Prothesen etwas schlechter abzuschneiden. Die besten Ergebnisse erzielt der „MS 30“ in Deutschland und der „Exeter“ in England. Hierbei handelt es sich um polierte Geradschäfte mit Zentraliser und Subsidence-Raum an der Spitze mit einem 2–4 mm Zementmantel in guter Zementiertechnik.
In this study, circular economy (CE) relevance in Germany will be discussed based on LinkedIn readily available data. LinkedIn company profiles located in Germany with ‘circular economy’ in their description or any other field were selected and used as a data source to analyze their CE relation. Overall, 514 German companies were analyzed in reference to the 15 German regions they belong. Most companies are located in the federal state of Berlin (126), followed by North Rhine-Westphalia (96) and Bavaria (77). In terms of the industry sector, they are self-classified to environmental services (64), management consulting (50), renewables & environment (33), research (31), and computer software (18) etc. Regarding their employees with LinkedIn profiles, 22,621 people are affiliated with these companies, ranging from one to 7,877. All examined companies have a total of 819,632 followers on LinkedIn, ranging from none to 88,167. An increase in CE-related companies was recorded in 13 of the 16 federal states of Germany over a one-year period. This work provides essential insights into the increasing relevance and trends of the circular economy in German enterprises and will help conduct further national studies with readily available data from LinkedIn.
Human interaction frequently includes decision-making processes during which interactants call on verbal and non-verbal resources to manage the flow of interaction. In 2017, Stevanovic et al. carried out pioneering work, analyzing the unfolding of moment-by-moment dynamics by investigating the behavioral matching during search and decision-making phases. By studying the similarities in the participant's body sway during a conversation task in Finnish, the authors showed higher behavioral matching during decision phases than during search phases. The purpose of this research was to investigate the whole-body sway and its coordination during joint search and decision-making phases as a replication of the study by Stevanovic et al. (2017) but based on a German population. Overall, 12 dyads participated in this study and were asked to decide on 8 adjectives, starting with a pre-defined letter, to describe a fictional character. During this joint-decision task (duration: 206.46 ± 116.08 s), body sway of both interactants was measured using a 3D motion capture system and center of mass (COM) accelerations were computed. Matching of body sway was calculated using a windowed cross correlation (WCC) of the COM accelerations. A total of 101 search and 101 decision phases were identified for the 12 dyads. Significant higher COM accelerations (5.4*10−3 vs. 3.7*10−3 mm/s2, p < 0.001) and WCC coefficients (0.47 vs. 0.45, p = 0.043) were found during decision-making phases than during search phases. The results suggest that body sway is one of the resources humans use to communicate the arrival at a joint decision. These findings contribute to a better understanding of interpersonal coordination from a human movement science perspective.
Femtosecond (fs) time-resolved magneto-optics is applied to investigate laser-excited ultrafast dynamics of one-dimensional nickel gratings on fused silica and silicon substrates for a wide range of periodicities Λ = 400–1500 nm. Multiple surface acoustic modes with frequencies up to a few tens of GHz are generated. Nanoscale acoustic wavelengths Λ/n have been identified as nth-spatial harmonics of Rayleigh surface acoustic wave (SAW) and surface skimming longitudinal wave (SSLW), with acoustic frequencies and lifetimes being in agreement with theoretical calculations. Resonant magnetoelastic excitation of the ferromagnetic resonance (FMR) by SAW’s third spatial harmonic, and, most interestingly fingerprints of the parametric resonance at 1/2 SAW frequency have been observed. Numerical solutions of Landau–Lifshitz–Gilbert (LLG) equation magnetoelastically driven by complex polychromatic acoustic fields quantitatively reproduce all resonances at once. Thus, our results provide a solid experimental and theoretical base for a quantitative understanding of ultrafast fs-laser-driven magnetoacoustics and tailoring the magnetic-grating-based metasurfaces at the nanoscale.
Background/Purpose
Several methods are used to evaluate the outcome of total hip arthroplasty (THA), however, their relationship at different time points after surgery is unclear. The purpose of this exploratory study was to investigate correlations between self-report function, performance-based tests (PBTs) and biomechanical parameters in patients 12 months after THA.
Methods
Eleven patients were included in this preliminary cross-sectional study. Hip disability and Osteoarthritis Outcome Score (HOOS) was completed for self-reported function. As PBTs, the Timed-up-and-Go test (TUG) and 30-Second-Chair-Stand test (30CST) were used. Biomechanical parameters were derived from analyses of hip strength, gait and balance. Potential correlations were calculated using Spearman correlation coefficient r.
Results
HOOS scores and parameters of PBTs showed moderate to strong correlations (0.3 < r < 0.7). Correlation analysis between HOOS scores and biomechanical parameters revealed moderate to strong correlations for hip strength whereas correlations with gait parameters and balance were rather weak (r < 0.3). Moderate to strong correlations were also found between parameters of hip strength and 30CST.
Conclusion
For THA outcome assessment 12 months after surgery, our first results indicate that self-report measures or PBTs could be used. Analysis of hip strength also appears to be reflected in HOOS and PBT parameters and may be considered as an adjunct. Given the weak correlations with gait and balance parameters, we suggest that gait analysis and balance testing should be performed in addition to PROMs and PBTs as they may provide supplementary information, especially for THA patients that are at risk for falls.
Precisely synchronized communication is a major precondition for many industrial applications. At the same time, hardware cost and power consumption need to be kept as low as possible in the Internet of Things (IoT) paradigm. While many wired solutions on the market achieve these requirements, wireless alternatives are an interesting field for research and development. This article presents a novel IEEE802.11n/ac wireless solution, exhibiting several advantages over state-of-the-art competitors. It is based on a market-available wireless System on a Chip with modified low-level communication firmware combined with a low-cost field-programmable gate array. By achieving submicrosecond synchronization accuracy, our solution outperforms the precision of low-cost products by almost four orders of magnitude. Based on inexpensive hardware, the presented wireless module is up to 20 times cheaper than software-defined-radio solutions with comparable timing accuracy. Moreover, it consumes three to five times less power. To back up our claims, we report data that we collected with a high sampling rate (2000 samples per second) during an extended measurement campaign of more than 120 h, which makes our experimental results far more representative than others reported in the literature. Additional support is provided by the size of the testbed we used during the experiments, composed of a hybrid network with nine nodes divided into two independent wireless segments connected by a wired backbone. In conclusion, we believe that our novel Industrial IoT module architecture will have a significant impact on the future technological development of high-precision time-synchronized communication for the cost-sensitive industrial IoT market.
Blockchain interoperability: the state of heterogenous blockchain-to-blockchain communication
(2023)
Blockchain technology has been increasingly adopted over the past few years since the introduction of Bitcoin, with several blockchain architectures and solutions being proposed. Most proposed solutions have been developed in isolation, without a standard protocol or cryptographic structure to work with. This has led to the problem of interoperability, where solutions running on different blockchain platforms are unable to communicate, limiting the scope of use. With blockchains being adopted in a variety of fields such as the Internet of Things, it is expected that the problem of interoperability if not addressed quickly, will stifle technology advancement. This paper presents the current state of interoperability solutions proposed for heterogenous blockchain systems. A look is taken at interoperability solutions, not only for cryptocurrencies, but also for general data-based use cases. Current open issues in heterogenous blockchain interoperability are presented. Additionally, some possible research directions are presented to enhance and to extend the existing blockchain interoperability solutions. It was discovered that though there are a number of proposed solutions in literature, few have seen real-world implementation. The lack of blockchain-specific standards has slowed the progress of interoperability. It was also realized that most of the proposed solutions are developed targeting cryptocurrency-based applications.
This paper presents an overview of EREMI, a two-year project funded under ERASMUS+ KA203, and its results. The project team’s main objective was to develop and validate an advanced interdisciplinary higher education curriculum, which includes lifelong learning components. The curriculum focuses on enhancing resource efficiency in the manufacturing industry and optimising poorly or non-digitised industrial physical infrastructure systems. The paper also discusses the results of the project, highlighting the successful achievement of its goals. EREMI effectively supports the transition to Industry 5.0 by preparing a common European pool of future experts. Through comprehensive research and collaboration, the project team has designed a curriculum that equips students with the necessary skills and knowledge to thrive in the evolving manufacturing landscape. Furthermore, the paper explores the significance of EREMI’s contributions to the field, emphasising the importance of resource efficiency and system optimisation in industrial settings. By addressing the challenges posed by under-digitised infrastructure, the project aims to drive sustainable and innovative practices in manufacturing. All five project partner organisations have been actively engaged in offering relevant educational content and framework for decentralised sustainable economic development in regional and national contexts through capacity building at a local level. A crucial element of the added value is the new channel for obtaining feedback from students. The survey results, which are outlined in the paper, offer valuable insights gathered from students, contributing to the continuous improvement of the project.
The article investigates the development of a manufacturing route for highly porous titanium foams suitable for craniofacial surgery applications, particularly in cranioplasties. The study focuses on the polyurethane replication method for foam production and emphasizes reducing residual gas content, as it significantly affects the mechanical properties and suitability for approval of the foams. Various factors such as starting materials, solvent debinding, heating schedules, and hydrogen atmosphere are analyzed for their impact on residual gas content. It is shown that significant reductions in residual gas content can only be achieved by reworking each step of the process. A combination of initial solvent debinding of the PU template with dimethyl sulphoxide, reduction of suspension additives, use of coarser Gd. 1 powders, and an integrated debinding and sintering process under partial hydrogen atmosphere achieves a significant reduction in residual gas content. This way, the potential for producing titanium foams that comply with relevant standards for craniofacial implants is demonstrated.
Optimization of energetic refurbishment roadmaps for multi-family buildings utilizing heat pumps
(2023)
A novel methodology for calculating optimized refurbishment roadmaps is developed in this paper. The aim of the roadmaps is to determine when and how should which component of the building envelope and heat generation system be refurbished to achieve the lowest net present value. The integrated optimization approach couples a particle swarm optimization algorithm with a dynamic building simulation of the building envelope and the heat supply system. Due to a free selection of implementation times and refurbishment depth, the optimization method achieves the lowest net present value and high CO2 reduction and is therefore an important contribution to achieve climate neutrality in the building stock.
The method is exemplarily applied to a multi-family house built in 1970. In comparison to a standard refurbishment roadmap, cost savings of 6–16 % and CO2 savings of 6–59 % are possible. The sensitivity of the refurbishment roadmap measures is analyzed on the basis of a parametric analysis. Robust optimization results are obtained with a mean refurbishment level of approx. 50 kWh/m2/a of the building envelope. The preferred heat generation system is a bivalent brine-heat pump system with a share of 70 % of the heat load being covered by the electric heat pump.