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Background:
Additional stabilization of the “comma sign” in anterosuperior rotator cuff repair has been proposed to provide biomechanical benefits regarding stability of the repair.
Purpose:
This in vitro investigation aimed to investigate the influence of a comma sign–directed reconstruction technique for anterosuperior rotator cuff tears on the primary stability of the subscapularis tendon repair.
Study Design:
Controlled laboratory study.
Methods:
A total of 18 fresh-frozen cadaveric shoulders were used in this study. Anterosuperior rotator cuff tears (complete full-thickness tear of the supraspinatus and subscapularis tendons) were created, and supraspinatus repair was performed with a standard suture bridge technique. The subscapularis was repaired with either a (1) single-row or (2) comma sign technique. A high-resolution 3D camera system was used to analyze 3-mm and 5-mm gap formation at the subscapularis tendon-bone interface upon incremental cyclic loading. Moreover, the ultimate failure load of the repair was recorded. A Mann-Whitney test was used to assess significant differences between the 2 groups.
Results:
The comma sign repair withstood significantly more loading cycles than the single-row repair until 3-mm and 5-mm gap formation occurred (P≤ .047). The ultimate failure load did not reveal any significant differences when the 2 techniques were compared (P = .596).
Conclusion:
The results of this study show that additional stabilization of the comma sign enhanced the primary stability of subscapularis tendon repair in anterosuperior rotator cuff tears. Although this stabilization did not seem to influence the ultimate failure load, it effectively decreased the micromotion at the tendon-bone interface during cyclic loading.
Clinical Relevance:
The proposed technique for stabilization of the comma sign has shown superior biomechanical properties in comparison with a single-row repair and might thus improve tendon healing. Further clinical research will be necessary to determine its influence on the functional outcome.
This study focuses on thermoelectric elements (TEE) as an alternative for room temperature control. TEE are semi-conductor devices that can provide heating and cooling via a heat pump effect without direct noise emissions and no refrigerant use. An efficiency evaluation of the optimal operating mode is carried out for different numbers of TEE, ambient temperatures, and heating loads. The influence of an additional heat recovery unit on system efficiency and an unevenly distributed heating demand are examined. The results show that TEE can provide heat at a coefficient of performance (COP) greater than one especially for small heating demands and high ambient temperatures. The efficiency increases with the number of elements in the system and is subject to economies of scale. The best COP exceeds six at optimal operating conditions. An additional heat recovery unit proves beneficial for low ambient temperatures and systems with few TEE. It makes COPs above one possible at ambient temperatures below 0 ∘C. The effect increases efficiency by maximal 0.81 (from 1.90 to 2.71) at ambient temperature 5 K below room temperature and heating demand Q˙h=100W but is subject to diseconomies of scale. Thermoelectric technology is a valuable option for electricity-based heat supply and can provide cooling and ventilation functions. A careful system design as well as an additional heat recovery unit significantly benefits the performance. This makes TEE superior to direct current heating systems and competitive to heat pumps for small scale applications with focus on avoiding noise and harmful refrigerants.
Was ist „Männlichkeit“ und was verstehen junge Erwachsene unter diesem Begriff? Das Ziel des Projektes war 18 bis 30 jährige Jungen und Männer des biologisch männlichen Geschlechts zu befragen, was ihre Definition von Männlichkeit sei. Diese Arbeit hatte die Intention den Befragten einen sicheren Raum zu geben, damit sie ihre ehrlichen Antworten äußern und ihre wahren Gesichter zeigen können. Die dabei entstandenen Fotografien sollen die Persönlichkeiten und die seelische Verfassung der abgebildeten Personen widerspiegeln. Es handelt sich um eine soziologische Bestandsaufnahme der „Männlichkeiten“ der heutigen Jugend und der heranwachsenden Erwachsenen im 21. Jahrhundert.
Jeder hat schon etwas vom Impfen gehört, trotzdem wird es von vielen vernachlässigt. Das Thema Impfen hat besonders im vergangenen Jahr an Relevanz gewonnen. Vor allem durch die Corona-Pandemie wird der Menschheit bewusst, welch wichtige Bedeutung ein Impfstoff hat. Doch auch abgesehen von der Impfung gegen Covid-19 sind Impfungen wichtig für unser aller Gesundheit. Viele lebenswichtige Impfungen werden vernachlässigt oder sind in der öffentlichen Wahrnehmung weniger präsent. Genau das soll die Kampagne verhindern. Das Ziel ist es, Jugendliche und junge Erwachsene auf das Thema aufmerksam zu machen. Die Kampagne soll zeigen, dass schon ein kleiner Piekser Leben retten kann. Gleichzeitig bietet sie auch die Möglichkeit, den Aufruf direkt umzusetzen. Lokale und terminbezogene Veranstaltungen helfen dabei. Dieses Projekt versucht durch eine Info-Tour, der Unwissenheit über Impfungen entgegenzuwirken.
The planned coal phase-out in Germany by 2038 will lead to the dismantling of power plants with a total capacity of approx. 30 GW. A possible further use of these assets is the conversion of the power plants to thermal storage power plants; the use of these power plants on the day-ahead market is considerably limited by their technical parameters. In this paper, the influence of the technical boundary conditions on the operating times of these storage facilities is presented. For this purpose, the storage power plants were described as an MILP problem and two price curves, one from 2015 with a relatively low renewable penetration (33 %) and one from 2020 with a high renewable energy penetration (51 %) are compared. The operating times were examined as a function of the technical parameters and the critical influencing factors were investigated. The thermal storage power plant operation duration and the energy shifted with the price curve of 2020
increases by more than 25 % compared to 2015.
This paper introduces a new maritime search and rescue system based on S-band illumination harmonic radar (HR). Passive and active tags have been developed and tested while attached to life jackets and a small boat. In this demonstration test carried out on the Baltic Sea, the system was able to detect and range the active tags up to a distance of 5800 m using an illumination signal transmit-power of 100 W. Special attention is given to the development, performance, and conceptual differences between passive and active tags used in the system. Guidelines for achieving a high HR dynamic range, including a system components description, are given and a comparison with other HR systems is performed. System integration with a commercial maritime X-band navigation radar is shown to demonstrate a solution for rapid search and rescue response and quick localization.
Ein naturbelassenes System oder systematisch Natur? In der Bachelorarbeit COFFEE TO STAY entstand das modulare Seating-System REGROW. Sitzlandschaften für kurze Pausen, zwischen Kommen und Gehen, zwischen Begegnungen und Verabschiedungen – REGROW steht für die Entschleunigung im Alltag. Mit Material und Oberflächen, die von der Natur inspiriert sind, bietet REGROW Zufluchtsorte in urbanen Städten, geprägt von Beton und Asphalt. Ein Stück Natur, das sich dem räumlichen Kontext anpassen kann: Dank seiner flexiblen Modularität kann REGROW auf kleine und auf große Räume reagieren. Die Kollektion besteht aus Sitzelementen, die sich durch Rückenlehnen und Armlehnen ergänzen lassen. Mit den Beistelltischen lassen sich Sitzmodule miteinander im 45 oder 90 Grad Winkel verbinden.