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Background:
Glaucoma, a characteristic type of optic nerve degeneration in the posterior pole of the eye, is a common cause of irreversible vision loss and the second leading cause of blindness worldwide. As an optic neuropathy, glaucoma is identified by increasing degeneration of retinal ganglion cells (RGCs), with consequential vision loss. Current treatments only postpone the development of retinal degeneration, and there are as yet no treatments available for this disability. Recent studies have shown that replacing lost or damaged RGCs with healthy RGCs or RGC precursors, supported by appropriately designed bio-material scaffolds, could facilitate the development and enhancement of connections to ganglion cells and optic nerve axons. The consequence may be an improved retinal regeneration. This technique could also offer the possibility for retinal regeneration in treating other forms of optic nerve ailments through RGC replacement.
Methods:
In this brief review, we describe the innovations and recent developments in retinal regenerative medicine such as retinal organoids and gene therapy which are specific to glaucoma treatment and focus on the selection of appropriate bio-engineering principles, biomaterials and cell therapies that are presently employed in this growing research area.
Results:
Identification of optimal sources of cells, improving cell survival, functional integration upon transplantation, and developing techniques to deliver cells into the retinal space without provoking immune responses are the main challenges in retinal cell replacement therapies.
Conclusion:
The restoration of visual function in glaucoma patients by the RGC replacement therapies requires appropriate protocols and biotechnology methods. Tissue-engineered scaffolds, the generation of retinal organoids, and gene therapy may help to overcome some of the challenges in the generation of clinically safe RGCs.
Tagespflege in Bewegung
(2020)
Interpretable neural networks based on continuous-valued logic and multicriteria decision operators
(2020)
Jugendhilfeplanung
(2020)
Innovation und Qualität
(2020)
Analyse der Wirksamkeit des Harninkontinenzmanagements in einer geriatrischen Rehabilitationsklinik
(2020)
The objective of this study is to investigate the influence of veneering technique (hand-layering vs. milling) on the fracture resistance of bi-layer implant-supported zirconia-based hybrid-abutment crowns. Mandibular molar copings were anatomically designed and milled. Copings were then veneered by hand-layering (HL) (n = 20) and milling using the Cad-On technique (LD) (n = 20). Crowns were cemented to zirconia hybrid-abutments. Ten samples of each group acted as a control while the remaining ten samples were subjected to fatigue in a chewing simulator. Crowns were loaded between 50 and 100 N for 1.2 million cycles under simultaneous temperature fluctuation between 5 and 55 °C. Crowns were then subjected to static load a to fracture test. Data were statistically analysed using the one-way ANOVA. Randomly selected crowns from each group were observed under scanning electron microscopy to view fractured surfaces. Study results indicate that during fatigue, LD crowns had a 100% survival rate; while HL crowns had a 50% failure rate. Fracture resistance of LD crowns was statistically significantly higher than that of HL crowns at the baseline and after fatigue (p ≤ 0.05). However, fatigue did not cause a statistically significant reduction in fracture resistance in both LD and HL groups (p > 0.05). Copings fractured in the LD crowns only and the fracture path was different in both LD and HL groups. According to the results, it was concluded that milled veneer implant-supported hybrid-abutment crowns exhibit significantly higher fracture resistance, and better withstand clinical masticatory loads in the posterior region compared to the hand-layered technique. Also, fatigue application and artificial aging caused no significant strength reduction in both techniques. Clinical significance: Different veneering techniques and materials (hand-layering or milling) act differently to clinical forces and environment and may be prone to early chipping during service. Therefore, practitioners are urged to consider the appropriate veneering protocol for posterior implant-supported hybrid-abutment restorations.
Zum Beispiel Pflege – Fragen an den arbeitssoziologischen Topos der Subjektivierung von Arbeit
(2020)
Our current mobility paradigm increasingly faces economic, ecological, and social limits in urban areas. The aim of this paper is to analyse if a fleet of shared autonomous electric vehicles (AEVs) can meet these challenges while satisfying the current requirements of privately-owned internal combustion engine vehicles (ICEVs). Therefore, analytical models have been developed to simulate and investigate the impacts of mobility behaviour in Berlin and Stuttgart (Germany). The collected data were used to calculate the fleet size, the energy consumption, the emission of particulate matter, nitrogen oxides, and the carbon footprint of different shared AEVs in comparison with privately owned ICEVs. The approach shows that the system of a shared AEV fleet could lower externalities (accident avoidance, traffic jams, free spaces, parking costs and lifetime losses) in cities and generate cost benefits for customers.
Lasst uns nicht alleine!
(2020)
Hot isostatic pressing can be utilized to reduce the anisotropic mechanical properties of Al–Si–Mg alloys fabricated by laser powder-bed fusion (L-PBF). The implementation of post processing densification processes can open up new fields of application by meeting high quality requirements defined by aircraft and automotive industries. A gas pressure of 75 MPa during hot isostatic pressing lowers the critical cooling rate required to achieve a supersaturated solid solution. Direct aging uses this pressure related effect during heat treatment in modern hot isostatic presses, which offer advanced cooling capabilities, thereby avoiding the necessity of a separate solution annealing step for Al–Si–Mg cast alloys. Hot isostatic pressing, followed by rapid quenching, was applied to both sand cast as well as laser powder-bed fused Al–Si–Mg aluminum alloys. It was shown that the critical cooling rate required to achieve a supersaturated solid solution is significantly higher for additively manufactured, age-hardenable aluminum alloys than it is for comparable sand cast material. The application of hot isostatic pressing can be combined with heat treatment, consisting of solution annealing, quenching and direct aging, in order to achieve both a dense material with a small number of preferred locations for the initiation of fatigue cracks and a high material strength.
Comparing multidimensional sensor data from vehicle fleets with methods of sequential data mining
(2020)
Laser powder-bed fusion (LPBF) has significantly gained in importance and has become one of the major fabrication techniques within metal additive manufacturing. The fast cooling rates achieved in LPBF due to a relatively small melt pool on a much larger component or substrate, acting as heat sink, result in fine-grained microstructures and high oversaturation of alloying elements in the α-aluminum. Al-Si-Mg alloys thus can be effectively precipitation hardened. Moreover, the solidified material undergoes an intrinsic heat treatment, whilst the layers above are irradiated and the elevated temperature in the built chamber starts the clustering process of alloying elements directly after a scan track is fabricated. These silicon-magnesium clusters were observed with atom probe tomography in as-built samples. Similar beneficial clustering behavior at higher temperatures is known from the direct-aging approach in cast samples, whereby the artificial aging is performed immediately after solution annealing and quenching. Transferring this approach to LPBF samples as a possible post-heat treatment revealed that even after direct aging, the outstanding hardness of the as-built condition could, at best, be met, but for most instances it was significantly lower. Our investigations showed that LPBF Al-Si-Mg exhibited a high dependency on the quenching rate, which is significantly more pronounced than in cast reference samples, requiring two to three times higher quenching rate after solution annealing to yield similar hardness results. This suggests that due to the finer microstructure and the shorter diffusion path in Al-Si-Mg fabricated by LPBF, it is more challenging to achieve a metastable oversaturation necessary for precipitation hardening. This may be especially problematic in larger components.
Laser powder bed fusion has become one of the major techniques within metal additive manufacturing, especially when delicate structures and high geometric accuracy are concerned. Lately, the awareness of the material-specific macroscopic anisotropy has risen and led to widespread investigations on the static mechanical strength. However, little is known about the fracture behavior of the layer-wise fabricated metal components and their affinity of crack propagation between consecutive layers, which is particularly important for aluminium–silicon alloys containing embrittled zones in double-irradiated areas. A recent study indicated that there is a significant drop in fracture toughness in case the crack growth direction is parallel to the layering. To investigate this matter further and to shed light on the fracture toughness behavior in the range of a 0°–45° angle offset between the crack growth direction relative to the layering, notched samples with varying polar angles were subjected to mode I fracture toughness testing. Our results indicate that the fracture toughness is an almost-stable characteristic up to a mismatch of about 20° between the crack propagation path and the layering, at which point the fracture toughness decreases by up to 10%.
A number of planetary boundaries, including climate change as a result of greenhouse gas emissions, has already been exceeded. This situation has deleterious consequences for public health. Paradoxically, 4.4% of these emissions are attributable to the healthcare sector. These problems have not been sufficiently acknowledged in health professions curricula. This paper addresses two main issues, humanistic learning and the application of knowledge acquisition to clinical practice. Humanistic learning principles can be used to emphasize learner-centered approaches, including knowledge acquisition and reflection to increase self-awareness. Applying humanistic principles in everyday life and clinical practice can encourage stewardship, assisting students to become agents for change. In terms of knowledge and skills application to clinical practice, an overview of varied and novel approaches of how sustainable education can be integrated at different stages of training across several health care professions is provided. The Health and Environment Adaptive Response Taskforce (HEART) platform as an example of creating empowered learners, the NurSusTOOLKIT, a multi-disciplinary collaboration offering free adaptable educational resources for educators and the Greener Anaesthesia and Sustainability Project (GASP), an example of bridging the transition to clinical practice, are described.
The aim of the current work was to illustrate the effect of the fibre area correction factor on the results of modelling natural fibre-reinforced composites. A mesoscopic approach is adopted to represent the stochastic heterogeneity of the composite, i.e. a meso-structural numerical model was prototyped using the finite element method including quasi-unidirectional discrete fibre elements embedded in a matrix. The model was verified by the experimental results from previous work on jute fibres but is extendable to every natural fibre with cross-sectional non-uniformity. A correction factor was suggested to fine-tune both the analytical and numerical models. Moreover, a model updating technique for considering the size-effect of fibres is introduced and its implementation was automated by means of FORTRAN subroutines and Python scripts. It was shown that correcting and updating the fibre strength is critical to obtain accurate macroscopic response of the composite when discrete modelling of fibres is intended. Based on the current study, it is found that consideration of the effect of flaws on the strength of natural fibres and inclusion of the fibre area correction factor are crucial to obtain realistic results.
Herein, the general constitutive equation of bi-phasic materials equipped with orientation tensor is presented in direct notation. The formulation is refined by some correction factors specific to natural fibre-reinforced composites; then, a planar case is derived. The necessity of local information is emphasised through the introduction of auxiliary maps, which included volume fraction and orientation data. A semi-analytical homogenisation method is introduced through finite element analysis. Auxiliary maps are shown to be a better alternative to the overall orientation of fibres. Global calculations are insensitive to local variations whilst appropriate auxiliary maps offer refined results. Considering the multidisciplinary application of orientation tensors, the proposed scheme can be used in all areas where local information cannot be disregarded.
Waste
(2020)