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Background
To assess the in-field walking mechanics during downhill hiking of patients with total knee arthroplasty five to 14 months after surgery and an age-matched healthy control group and relate them to the knee flexor and extensor muscle strength.
Methods
Participants walked on a predetermined hiking trail at a self-selected, comfortable pace wearing an inertial sensor system for recording the whole-body 3D kinematics. Sagittal plane hip, knee, and ankle joint angles were evaluated over the gait cycle at level walking and two different negative slopes. The concentric and eccentric lower extremity muscle strength of the knee flexors and extensors isokinetically at 50 and 120°/s were measured.
Findings
Less knee flexion angles during stance have been measured in patients in the operated limb compared to healthy controls in all conditions (level walking, moderate downhill, steep downhill). The differences increased with steepness. Muscle strength was lower in patients for both muscle groups and all measured conditions. The functional hamstrings to quadriceps ratio at 120°/sec correlated with knee angle during level and downhill walking at the moderate slope in patients, showing higher ratios with lower peak knee flexion angles.
Interpretation
The study shows that even if rehabilitation has been completed successfully and complication-free, five to 14 months after surgery, the muscular condition was still insufficient to display a normal gait pattern during downhill hiking. The muscle balance between quadriceps and hamstring muscles seems related to the persistence of a stiff knee gait pattern after knee arthroplasty. LoE: III.
Steroid hormones (SHs) are a rising concern due to their high bioactivity, ubiquitous nature, and prolonged existence as a micropollutants in water, they pose a potential risk to both human health and the environment, even at low concentrations. Estrogens, progesterone, and testosterone are the three important types of steroids essential for human development and maintaining multiorgan balance, are focus to this concern. These steroid hormones originate
from various sources, including human and livestock excretions, veterinary medications, agricultural runoff, and pharmaceuticals, contributing to their presence in the environment. According to the recommendation of WHO, the guidance value for estradiol (E2) is 1 ng/L. There are several methods been attempted to remove the SH micropollutant by conventional water and wastewater technologies which are still under research. Among the various methods, electrochemical membrane reactor (EMR) is one of the emerging technologies that can address the challenge of insufficient SHs removal from the aquatic environment by conventional treatment. The degradation of SHs can be significantly influenced by various factors when treated with EMR.
In this project, the removal of SH and the important mechanism for the removal using carbon nanotube CNT-EMR is studied and the efficiency of CNT-EMR in treating the SH micropollutant is identified. By varying different parameters this experiment is carried out with the (PES-CNTs) ultrafiltration membrane. The study is carried out depending upon the SH removal based on the limiting factor such as cell voltage, flux, temperature, concentration, and type of the SH.
A novel peptidyl-lys metalloendopeptidase (Tc-LysN) from Tramates coccinea was recombinantly expressed in Komagataella phaffii using the native pro-protein sequence. The peptidase was secreted into the culture broth as zymogen (~38 kDa) and mature enzyme (~19.8 kDa) simultaneously. The mature Tc-LysN was purified to homogeneity with a single step anion-exchange chromatography at pH 7.2. N-terminal sequencing using TMTpro Zero and mass spectrometry of the mature Tc-LysN indicated that the pro-peptide was cleaved between the amino acid positions 184 and 185 at the Kex2 cleavage site present in the native pro-protein sequence. The pH optimum of Tc-LysN was determined to be 5.0 while it maintained ≥60% activity between pH values 4.5—7.5 and ≥30% activity between pH values 8.5—10.0, indicating its broad applicability. The temperature maximum of Tc-LysN was determined to be 60 °C. After 18 h of incubation at 80 °C, Tc-LysN still retained ~20% activity. Organic solvents such as methanol and acetonitrile, at concentrations as high as 40% (v/v), were found to enhance Tc-LysN’s activity up to ~100% and ~50%, respectively. Tc-LysN’s thermostability, ability to withstand up to 8 M urea, tolerance to high concentrations of organic solvents, and an acidic pH optimum make it a viable candidate to be employed in proteomics workflows in which alkaline conditions might pose a challenge. The nano-LC-MS/MS analysis revealed bovine serum albumin (BSA)’s sequence coverage of 84% using Tc-LysN which was comparable to the sequence coverage of 90% by trypsin peptides.
The growing threat posed by multidrug-resistant (MDR) pathogens, such as Klebsiella pneumoniae (Kp), represents a significant challenge in modern medicine. Traditional antibiotic therapies are often ineffective against these pathogens, leading to high mortality rates. MDR Kp infections pose a novel challenge in military medical contexts, particularly in Medical Biodefense, as they can be deliberately spread, leading to resource-intensive care in military centres. Recognizing this issue, the European Defence Agency initiated a prioritised research project in 2023 (EDF Resilience PHAGE- SGA 2023). To address this challenge, the Bundeswehr Institute of Microbiology (IMB) leads BMBF- (Federal Ministry of Education and Research) and EU-funded projects on the use of bacteriophages as adjuvant therapy alongside antibiotics. Since 2017, the IMB has isolated and characterised Kp phages, collecting over 600 isolates and optimizing their production for therapy, in compliance with the EMA (European Medicine Agency) guidelines. This involves in vitro phage genome packaging to minimize endotoxin load, reduce manufacturing costs, and shorten production times. The goal of this work was to establish MinION sequencing (Oxford Nanopore Technology) as a quick and reliable way for initial identification and characterisation of phage genomes. Especially as a quick screening method for isolated on Kp, prior to more precise but also more expensive and time consuming sequencing methods like Illumina. This characterisation is crucial for developing a personalized pipeline aimed at producing magistral or Good Manufacturing Practice (GMP) quality medicinal phage solutions tailored individually for each patient. DNA extraction methods were compared to identify suitable input DNA for sequencing purposes. Additionally, the quality of this DNA was as- sessed to determine its suitability for in vitro phage packaging, which was successfully done achieving a phage titer of 103, confirming that the DNA used for MinION sequencing could indeed be used for acellular packaging. The created genomes were annotated and compared with Illumina sequencing, revealing high similarity in all five individually tested cases. Between the generated sequences only a 4% maximal percentual difference in genome size was observed, while simultaneously showing high similarity in the actual sequence. Throughout the course of this study, a total of 645.15 GB of sequencing data were generated. In total, 38 phages were successfully characterised, with 21 phage genomes assembled and annotated, and saved in the IMB database.
Photovoltaic-heat pump (PV-HP) combinations with battery and energy management systems are becoming increasingly popular due to their ability to increase the autarchy and utilization of self-generated PV electricity. This trend is driven by the ongoing electrification of the heating sector and the growing disparity between growing electricity costs and reducing feed-in tariffs in Germany. Smart control strategies can be employed to control and optimize the heat pump operation to achieve higher self-consumption of PV electricity. This work presents the evaluation results of a smart-grid ready controlled PV-HP-battery system in a single-family household in Germany, using 1-minute-high-resolution field measurement data. Within 12 months evaluation period, a self-consumption of 43% was determined. The solar fraction of the HP amounts to 36%, enabled also due to higher set temperatures for space heating and domestic hot water production. Accordingly, the SPF decreases by 4.0% the space heating and by 5.7% in the domestic hot water mode. The combined seasonal performance factor for the heat pump system increases from 4.2 to 6.7, when only considering the electricity taken from the grid and disregarding the locally generated electricity supplied from photovoltaic and battery units.
Increasing global energy demand and the need to transition to sustainable energy sources to mitigate climate change, highlights the need for innovative approaches to improve the resilience and sustainability of power grids. This study focuses on addressing these challenges in the context of Morocco's evolving energy landscape, where increasing energy demand and efforts to integrate renewable energy require grid reinforcement strategies. Using renewable energy sources such as photovoltaic systems and energy storage technologies, this study aims to develop a methodology for strengthening rural community grids in Morocco.
Traditional reinforcement measures such as line and transformer upgrades will be investigated as well as the integration of power generation from photovoltaic systems, which offer a promising way to utilise Morocco's abundant solar resources. In addition, energy storage systems will be analysed as potential solutions to the challenges of grid stability and resilience. Using comprehensive data analysis, scenario planning and simulation methods with the open-source simulation software Panda Power, this study aims to assess the impact of different grid reinforcement measures, including conventional methods, photovoltaic integration, and the use of energy storage, on grid performance and sustainability. The results of this study provide valuable insights into the challenges and opportunities of transitioning to a more resilient and sustainable energy future in Morocco.
Based on a rural medium-voltage grid in Souihla, Morocco, three scenarios were carried out to assess the impact of demand growth in 2030 and 2040. The first scenario focuses on conventional grid reinforcement measures, while the second scenario incorporates energy from residential photovoltaic systems. The third scenario analyses the integration of storage systems and their impact on grid reinforcement in 2030.
The simulations with energy from photovoltaic systems show a reduction in grid reinforcement measures compared to the scenario without solar energy. In addition, the introduction of a storage system in 2030 led to a significant reduction in the required installed transformer capacity and fewer congested lines. Furthermore, the results emphasized the role of storage in stabilizing grid voltage levels.
In summary, the results highlighted the potential benefits of integrating energy from photovoltaics and storage into the grid. This integration not only reduces the need for transformers and overall grid infrastructure but also promotes a more efficient and sustainable energy system.
Batteries typically consist of multiple individual cells connected in series. Here we demonstrate single-cell state of charge (SOC) and state of health (SOH) diagnosis in a 24 V class lithium-ion battery. To this goal, we introduce and apply a novel, highly efficient algorithm based on a voltage-controlled model (VCM). The battery, consisting of eight single cells, is cycled over a duration of five months under a simple cycling protocol between 20 % and 100 % SOC. The cell-to-cell standard deviations obtained with the novel algorithm were 1.25 SOC-% and 1.07 SOH-% at beginning of cycling. A cell-averaged capacity loss of 9.9 % after five months cycling was observed. While the accuracy of single-cell SOC estimation was limited (probably owed to the flat voltage characteristics of the lithium iron phosphate, LFP, chemistry investigated here), single-cell SOH estimation showed a high accuracy (2.09 SOH-% mean absolute error compared to laboratory reference tests). Because the algorithm does not require observers, filters, or neural networks, it is computationally very efficient (three seconds analysis time for the complete data set consisting of eight cells with approx. 780.000 measurement points per cell).
In a randomized controlled cross-over study ten male runners (26.7 ± 4.9 years; recent 5-km time: 18:37 ± 1:07 min:s) performed an incremental treadmill test (ITT) and a 3-km time trial (3-km TT) on a treadmill while wearing either carbon fiber insoles with downwards curvature or insoles made of butyl rubber (control condition) in light road racing shoes (Saucony Fastwitch 9). Oxygen uptake, respiratory exchange ratio, heart rate, blood lactate concentration, stride frequency, stride length and time to exhaustion were assessed during ITT. After ITT, all runners rated their perceived exertion, perceived shoe comfort and perceived shoe performance. Running time, heart rate, blood lactate levels, stride frequency and stride length were recorded during, and shoe comfort and shoe performance after, the 3-km TT. All parameters obtained during or after the ITT did not differ between the two conditions [range: p = 0.188 to 0.948 (alpha value: 0.05); Cohen's d = 0.021 to 0.479] despite the rating of shoe comfort showing better scores for the control insoles (p = 0.001; d = −1.646). All parameters during and after the 3-km TT showed no differences (p = 0.200 to 1.000; d = 0.000 to 0.501) between both conditions except for shoe comfort showing better scores for control insoles (p = 0.017; d = −0.919). Running with carbon fiber insoles with downwards curvature did not change running performance or any submaximal or maximal physiological or biomechanical parameter and perceived exertion compared to control condition. Shoe comfort is impaired while running with carbon fiber insoles. Wearing carbon fiber insoles with downwards curvature during treadmill running is not beneficial when compared to running with control insoles.
The research employed HPTLC Pro System and other HPTLC instruments from CAMAG® to conduct various laboratory tests, aiming to compile a database for subsequent analyses. Utilizing MATLAB, distinct codes were developed to reveal patterns within analyzed biomasses and pyrolysis oils (sewage sludge, fermentation residue, paper sludge, and wood). Through meticulous visual and numerical analysis, shared characteristics among different biomasses and their respective pyrolysis oils were revealed, showcasing close similarities within each category. Notably, minimal disparity was observed in fermentation residue and wood biomasses with a similarity coefficient of 0.22. Similarly, for pyrolysis oils, the minimal disparity was found in fermentation residues 1 and 3, with a disparity coefficient of 1.41. Despite higher disparity coefficients in certain results, specific biomasses and pyrolysis oils, such as fermentation residue and sewage sludge, exhibited close similarities, with disparity coefficients of 0.18 and 0.55, respectively. The database, derived from triplicate experimentation, now serves as a valuable resource for rapid analysis of newly acquired raw materials. Additionally, the utility of HPTLC PRO as an investigation tool, enabling simultaneous analysis of up to five samples, was emphasized, although areas for improvement in derivatization methods were identified.
As the population grows, so does the amount of biowaste. As demand for energy grows, biogas is a promising solution to the problem. Lignocellulosic materials are challenged of slow degradability due to the presence of polymers such as cellulose, lignin and hemicellulose. There are several pretreatment methods available to enhance the degradability of such materials, including enzymatic pretreatment. In this pretreatment, there are few parameters that can influence the results, the most important being the enzyme to solid ratio and the solid to liquid ratio. During this project, experiments were conducted to determine the optimal conditions for those two factors. It was discovered that a solid to liquid ratio of 31 g of buffer per 1 gram of organic dry matter produced the highest reducing sugar release in flasks when combined with 34 mg of protein per 1 gram of organic dry mass. Additionally, another experiment was carried out to investigate the impact of enzymatic pretreatment on biogas production using artificial biowaste as a substrate. Artificial biowaste produced 577,9 NL/kg oDM, while enzymatically pretreated biowaste produced 639,3 NL/kg oDM. This resulted in a 10,6% rise in cumulative biogas production compared to its use without enzymatic pretreatment. By the conclusion of the investigation, specific cumulative dry methane yields of 364,7 NL/kg oDM and 426,3 NL/kg oDM were obtained from artificial biowaste without and with enzymatic pretreatment, respectively. This resulted in a methane production boost of 16,9%. Additionally in case of the reactors with enzymatically pretreated substrate kinetic constant was lower more than double, where maximum volume of biogas increased, comparing to the reactors without enzymatic pretreatment.