Correction: The role of cumulative physical work load in symptomatic knee osteoarthritis – a case–control study in Germany (Seidler et al. 2008)

ABSTRACT: In the original paper (Seidler et al. 2008), there is a mistake in the results of the occupational group analysis. This mistake occurred when the core data set was merged with the occupational group data. According to the modified occupational group analysis (see modified Table 1), OR for chemical processers and manufacturers of plastics products are no longer significantly elevated. Having worked more than 10 years as metal worker is associated with knee osteoarthritis (OR=2.2; 95% CI 1.1-4.4). The knee osteoarthritis risk of plasterers, insulators, glaziers, terrazzo workers, construction carpenters, roofers, and upholsters approaches statistical significance in the long-duration category (OR=3.7; 95% CI 0.9-15.2). For woodworkers, the knee osteoarthritis risk is no longer significantly elevated. Having worked more than 10 years as painter or varnisher is associated with knee osteoarthritis (OR=9.6; 95% CI 1.2-77.9). Finally, we find a significantly elevated OR of 3.2 (95% CI 1.1-9.1) among subjects having worked as physically exposed service workers (storemen, nurses, refuse collectors) for more than 10 years. When subjects with non-service work as main occupation ("blue-collar workers") are compared with "white-collar workers", the odds ratio for knee osteoarthritis is still significantly elevated (OR=2.0; 95% CI 1.3-2.9)

Age-related efficiency loss of household refrigeration appliances: Development of an approach to measure the degradation of insulation properties

Despite the omnipresence of household refrigeration appliances, there is still a lack of knowledge about their age-related efficiency loss over time. Past studies provide basic evidence for increasing electricity consumption of cooling appliances with ageing but fail to investigate the associated technical wear. Concentrating on the degradation of the thermal insulation, we first determined the ageing process of sealed samples of polyurethane rigid foam by investigating changes in cell gas composition and thermal conductivity over time. Simultaneously, the main challenge was to develop an approach that investigates the age-related efficiency loss of the insulation without its destruction. This testing procedure is referred to as the Bonn method. The non-destructive Bonn method was applied to varying refrigerator models in a series of successive experiments to evaluate the insulation degradation over time. Subsequently, the physical relationship between the test value of the Bonn method and the heat transfer through the multi-layered compartment walls of domestic refrigeration appliances was established, ultimately characterising the degrading insulation in terms of increasing heat transfer. Our results give substantiated evidence that the efficiency loss of cooling appliances is greatly influenced by insulation degradation over time. The ageing of sealed samples of polyurethane rigid foam indicates a large initial increase of thermal conductivity by 15% within the first year, corresponding to a change in cell gas composition. These results are in line with those of the Bonn method, emphasising an increasing heat flow through the multi-layered compartment walls of domestic refrigerators with ageing. Therewith, the present study is of significance to a wide range of stakeholders and forms the basis for future research.BMWi, 03ET1544, ALGE: Alterungsmechanismen von Haushaltskältegeräte

Postgraduate palliative care education and curricular issues in Central Asia, Eastern and South-Eastern Europe: Results from a quantitative study

Introduction. The WHO Europe Office, together with the European Association for Palliative Care, issupporting the development of an interdisciplinary core curriculum for health care professionals in theEuropean Region, which is to be given to the countries as a recommendation.Material and methods. Between April and September 2018, a research journey to Central Asia, Easternand South-Eastern Europe took place. It covered two main tasks: collecting quantitative data using a surveyand collecting qualitative data by conducting on-site interviews. This article contains the quantitativepart. Experts in palliative care education in 23 countries were invited to fill out a questionnaire. The datareceived from 23 questions were statistically evaluated by IBM SPSS Statistics 25.Results. 27 surveys received from 21 countries were evaluated. In one-third of the surveyed countries, thereis still no postgraduate training in palliative care. The main barriers to the development of educational workare limited political interest, followed by limited educational structures, missing curricula, lack of trainersand the limited healthcare system. For 92.6% of all respondents, a WHO-recommended interdisciplinarypostgraduate core curriculum would help promote palliative care in their country.Conclusion. There is a high need for postgraduate education in general and the intended core curriculumin particular. The results of the survey, along with those from the interviews in a later second part of thepublication, are essential for the development of a core curriculum

Unraveling the role of ectopic thymic tissue in patients undergoing thymectomy for myasthenia gravis

Extended thymectomy has been considered the goal of surgery for myasthenia gravis (MG) mainly due to the existence of ectopic thymic tissue. Recently, ectopic thymic tissue has attracted increasing attention in patients with MG following thymectomy. However, the specific role of ectopic thymic tissue in patients with MG is still under debate. A systematic search of the literature was performed on PubMed and Medline according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISM) statement. Studies evaluating the rate of ectopic thymic tissue in patients with MG with or without thymoma were included. Extraction was performed for all eligible studies and the rate of ectopic thymic tissue at common locations was calculated. Eighteen out of fifty-nine studies were eligible for inclusion, of which ten studies reported the common locations of ectopic thymic tissue in mediastinal fat. Of these ten studies, the presence of ectopic thymic tissue was investigated in different anatomical locations in 882 patients, of whom, 509 patients (58%) have at least one positive location with the most common ones being anterior mediastinal fat, pericardiophrenic angles, aortopulmonary window, cervical region (pretracheal fat) and lateral to phrenic nerves. On the other hand, nine studies analyzed the influence of the presence of ectopic thymic tissue on the clinical outcomes of MG patients. Of these, six found that the presence of ectopic thymic tissue in MG patients is a significant predictor of poor outcome after thymectomy, however, the other three did not find a significance. Altogether, ectopic thymic tissue is likely to present in more than a half of patients undergoing thymectomy for MG. Besides, MG patients who have ectopic thymic tissue after thymectomy do not seem to have as good outcome as those who have not

The role of cumulative physical work load in symptomatic knee osteoarthritis – a case-control study in Germany

<p>Abstract</p> <p>Objectives</p> <p>To examine the dose-response relationship between cumulative exposure to kneeling and squatting as well as to lifting and carrying of loads and symptomatic knee osteoarthritis (OA) in a population-based case-control study.</p> <p>Methods</p> <p>In five orthopedic clinics and five practices we recruited 295 male patients aged 25 to 70 with radiographically confirmed knee osteoarthritis associated with chronic complaints. A total of 327 male control subjects were recruited. Data were gathered in a structured personal interview. To calculate cumulative exposure, the self-reported duration of kneeling and squatting as well as the duration of lifting and carrying of loads were summed up over the entire working life.</p> <p>Results</p> <p>The results of our study support a dose-response relationship between kneeling/squatting and symptomatic knee osteoarthritis. For a cumulative exposure to kneeling and squatting > 10.800 hours, the risk of having radiographically confirmed knee osteoarthritis as measured by the odds ratio (adjusted for age, region, weight, jogging/athletics, and lifting or carrying of loads) is 2.4 (95% CI 1.1–5.0) compared to unexposed subjects. Lifting and carrying of loads is significantly associated with knee osteoarthritis independent of kneeling or similar activities.</p> <p>Conclusion</p> <p>As the knee osteoarthritis risk is strongly elevated in occupations that involve both kneeling/squatting and heavy lifting/carrying, preventive efforts should particularly focus on these "high-risk occupations".</p

Cryo-printed microfluidics enable rapid prototyping for optical-cell analysis

This paper highlights an innovative, low-cost rapid-prototyping method for generating microfluidic chips with extraordinary short fabrication times of only a few minutes. Microchannels and inlet/outlet ports are created by controlled deposition of aqueous microdroplets on a cooled surface resulting in printed ice microstructures, which are in turn coated with a UV-curable acrylic cover layer. Thawing leaves an inverse imprint as a microchannel structure. For an exemplary case, we applied this technology for creating a microfluidic chip for cell-customized optical-cell analysis. The chip design includes containers for cell cultivation and analysis. Container shape, length, position, and angle relative to the main channel were iteratively optimized to cultivate and analyze different cell types. With the chip, we performed physiological analyses of morphologically distinct prokaryotic Corynebacterium glutamicum DM1919, eukaryotic Hansenula polymorpha RB11 MOX-GFP, and phototrophic Synechocystis sp. PCC 6803 cells via quantitative time-lapse fluorescence microscopy. The technology is not limited to rapid prototyping of complex biocompatible microfluidics. Further exploration may include printing with different materials other than water, printing on other substrates in-situ biofunctionalization, the inclusion of electrodes and many other applications

Automated biological target volume delineation for radiotherapy treatment planning using FDG-PET/CT

Background: This study compared manually delineated gross tumour volume (GTV) and automatically generated biological tumour volume (BTV) based on fluoro-deoxy-glucose (FDG) positron emission tomography (PET)/CT to assess the robustness of predefined PET algorithms for radiotherapy (RT) planning in routine clinical practice. Methods: RT-planning data from 20 consecutive patients (lung-(40\%), oesophageal-(25\%), gynaecological-(25\%) and colorectal (10\%) cancer) who had undergone FDG-PET/CT planning between 08/2010 and 09/2011 were retrospectively analysed, five of them underwent neoadjuvant chemotherapy before radiotherapy. In addition to manual GTV contouring, automated segmentation algorithms were applied-among these 38\%, 42\%, 47\% and 50\% SUVmax as well as the PERCIST total lesion glycolysis (TLG) algorithm. Different ratios were calculated to assess the overlap of GTV and BTV including the conformity index and the ratio GTV included within the BTV. Results: Median age of the patients was 66 years and median tumour SUVmax 9.2. Median size of the GTVs defined by the radiation oncologist was 43.7 ml. Median conformity indices were between 30.0-37.8\%. The highest amount of BTV within GTV was seen with the 38\% SUVmax algorithm (49.0\%), the lowest with 50\% SUVmax (36.0\%). Best agreement was obtained for oesophageal cancer patients with a conformity index of 56.4\% and BTV within GTV ratio of 71.1\%. Conclusions: At present there is only low concordance between manually derived GTVs and automatically segmented FDG-PET/CT based BTVs indicating the need for further research in order to achieve higher volumetric conformity and therefore to get access to the full potential of FDG-PET/CT for optimization of radiotherapy planning

Automated biological target volume delineation for radiotherapy treatment planning using FDG-PET/CT

Background: This study compared manually delineated gross tumour volume (GTV) and automatically generated biological tumour volume (BTV) based on fluoro-deoxy-glucose (FDG) positron emission tomography (PET)/CT to assess the robustness of predefined PET algorithms for radiotherapy (RT) planning in routine clinical practice. Methods: RT-planning data from 20 consecutive patients (lung-(40\%), oesophageal-(25\%), gynaecological-(25\%) and colorectal (10\%) cancer) who had undergone FDG-PET/CT planning between 08/2010 and 09/2011 were retrospectively analysed, five of them underwent neoadjuvant chemotherapy before radiotherapy. In addition to manual GTV contouring, automated segmentation algorithms were applied-among these 38\%, 42\%, 47\% and 50\% SUVmax as well as the PERCIST total lesion glycolysis (TLG) algorithm. Different ratios were calculated to assess the overlap of GTV and BTV including the conformity index and the ratio GTV included within the BTV. Results: Median age of the patients was 66 years and median tumour SUVmax 9.2. Median size of the GTVs defined by the radiation oncologist was 43.7 ml. Median conformity indices were between 30.0-37.8\%. The highest amount of BTV within GTV was seen with the 38\% SUVmax algorithm (49.0\%), the lowest with 50\% SUVmax (36.0\%). Best agreement was obtained for oesophageal cancer patients with a conformity index of 56.4\% and BTV within GTV ratio of 71.1\%. Conclusions: At present there is only low concordance between manually derived GTVs and automatically segmented FDG-PET/CT based BTVs indicating the need for further research in order to achieve higher volumetric conformity and therefore to get access to the full potential of FDG-PET/CT for optimization of radiotherapy planning

Determining the heat flow through the cabinet walls of household refrigerating appliances

The increase of the thermal conductivity of PUR foam in the insulation of the cabinet is an important cause for aging processes of household refrigerating appliances. To determine the influence of the PUR foam aging on energy consumption, the development of a new measurement method is necessary because current methods influence the aging behavior of household refrigerators and are therefore not applicable in general. Based on a latent heat sink, constructed as an ice water bucket, a new measurement method is developed to determine the k · A value over time. With this method, the k · A value of four household refrigerating appliances was determined over an interval of 14 months. The k · A value increased between 3.6 % and 11.5 % during this period.BMWi, 03ET1544A, Verbundvorhaben ALGE: Alterungsmechanismen von Haushaltskältegeräte