Knee Internal Contact Force in a Varus Malaligned Phenotype in Knee Osteoarthritis

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An Overview on Functional Integration of Hybrid Renewable Energy Systems in Multi-Energy Buildings

Buildings are responsible for over 30% of global final energy consumption and nearly 40% of total CO2 emissions. Thus, rapid penetration of renewable energy technologies (RETs) in this sector is required. Integration of renewable energy sources (RESs) into residential buildings should not only guarantee an overall neutral energy balance over long term horizon (nZEB concept), but also provide a higher flexibility, a real-time monitoring and a real time interaction with end-users (smart-building concept). Thus, increasing interest is being given to the concepts of Hybrid Renewable Energy Systems (HRES) and Multi-Energy Buildings, in which several renewable and nonrenewable energy systems, the energy networks and the energy demand optimally interact with each other at various levels, exploring all possible interactions between systems and vectors (electricity, heat, cooling, fuels, transport) without them being treated separately. In this context, the present paper gives an overview of functional integration of HRES in Multi-Energy Buildings evidencing the numerous problems and potentialities related to the application of HRESs in the residential building sector. Buildingintegrated HRESs with at least two RESs (i.e., wind–solar, solar–geothermal and solar–biomass) are considered. The most applied HRES solutions in the residential sector are presented, and integration of HRES with thermal and electrical loads in residential buildings connected to external multiple energy grids is investigated. Attention is focused on the potentialities that functional integration can offer in terms of flexibility services to the energy grids. New holistic approaches to the management problems and more complex architectures for the optimal control are described

Thermal characterization of recycled materials for building insulation

The building sector is known to have a significant environmental impact, considering that it is the largest contributor to global greenhouse gas emissions of around 36% and is also responsible for about 40% of global energy consumption. Of this, about 50% takes place during the building operational phase, while around 10–20% is consumed in materials manufacturing, transport and building construction, maintenance, and demolition. Increasing the necessity of reducing the environmental impact of buildings has led to enhancing not only the thermal performances of building materials but also the environmental sustainability of their production chains and waste prevention. As a consequence, novel thermo-insulating building materials or products have been developed by using both locally produced natural and waste/recycled materials that are able to provide good thermal performances while also having a lower environmental impact. In this context, the aim of this work is to provide a detailed analysis for the thermal characterization of recycled materials for building insulation. To this end, the thermal behavior of different materials representing industrial residual or wastes collected or recycled using Sardinian zero-km locally available raw materials was investigated, namely: (1) plasters with recycled materials; (2) plasters with natural fibers; and (3) building insulation materials with natural fibers. Results indicate that the investigated materials were able to improve not only the energy per-formances but also the environmental comfort in both new and in existing buildings. In particular, plasters and mortars with recycled materials and with natural fibers showed, respectively, values of thermal conductivity (at 20 °C) lower than 0.475 and 0.272 W/(mK), while that of building materials with natural fibers was always lower than 0.162 W/(mK) with lower values for com-pounds with recycled materials (0.107 W/(mK)). Further developments are underway to analyze the mechanical properties of these materials

Digital Entry-Level Education in Physiotherapy : a Commentary to Inform Post-COVID-19 Future Directions

Open access funding provided by Lund University. © The Author(s) 2021.Currently, the coronavirus disease 2019 (COVID-19) severely influences physiotherapy education which is based mostly on face-to-face teaching. Thus, educators have been compelled to adapt their pedagogical approaches moving to digital education. In this commentary, we debate on digital education highlighting its effectiveness, the users’ perspectives, and its weakness in the context of physiotherapy teaching aimed at informing post-COVID-19 future directions in this educational field. Existing evidence on digital education produced before COVID-19 supports its implementation into entry-level physiotherapy education. However, some challenges (e.g. social inequality and evaluation of students) threaten its applicability in post-COVID-19 era, calling educators to take appropriate actions

Towards improved humidity measurements at high temperatures and transient conditions

Humidity is a key parameter in controlling drying processes and ambient conditions in many industrial manufacturing, storage and test applications. Air humidity is routinely measured at temperatures above 100 °C and at conditions that are often challenging due to temporal and local variations. Calibrations of humidity sensors do not provide appropriate representativeness of measurement conditions because they are limited to temperatures below 100 °C and static conditions. A European metrology research project HIT (“Metrology for Humidity at High Temperatures and Transient conditions”) is developing improved humidity measurement and calibration techniques to temperatures up to 180 °C and non-static conditions. This paper summaries developments of the project: calibration and test facilities for industrial hygrometers, studies on humidity control in specific microbial transient processes and a new measurement approach for water activity measurements

Inflammatory rheumatic diseases and the risk of drug use disorders: a register-based cohort study in Sweden

To investigate the association between chronic inflammatory rheumatic diseases (CIRD) and drug use disorder (DUD). Individuals aged ≥ 30 years in 2009 that met the following conditions were included: residing in the Skåne region, Sweden, with at least one healthcare contact in person and no history of DUD (ICD-10 codes F11-F16, F18-F19) during 1998–2009 (N = 649,891). CIRD was defined as the presence of rheumatoid arthritis (RA), ankylosing spondylitis (AS), psoriatic arthritis (PsA), or systemic lupus erythematosus. Treating CIRD as a time-varying exposure, we followed people from January 1, 2010 until a diagnosis of DUD, death, relocation outside the region, or December 31, 2019, whichever occurred first. We used flexible parametric survival models adjusted for attained age, sociodemographic characteristics, and coexisting conditions for data analysis. There were 64 (95% CI 62–66) and 104 (88–123) incident DUD per 100,000 person-years among those without and with CIRD, respectively. CIRD was associated with an increased risk of DUD in age-adjusted analysis (hazard ratio [HR] 1.77, 95% CI 1.49–2.09). Almost identical HR (1.71, 95% CI 1.45–2.03) was estimated after adjustment for sociodemographic characteristics, and it slightly attenuated when coexisting conditions were additionally accounted for (1.47, 95% CI 1.24–1.74). Fully adjusted HRs were 1.49 (1.21–1.85) for RA, 2.00 (1.38–2.90) for AS, and 1.58 (1.16–2.16) for PsA. More stringent definitions of CIRD didn’t alter our findings. CIRD was associated with an increased risk of DUD independent of sociodemographic factors and coexisting conditions