A novel production route and process optimization of biomass-derived paraffin wax for pharmaceutical application

The Biomass to Liquid (BtL) Fischer-Tropsch (FT) route converts lignocellulosic feedstock to renewable hydrocarbons. This, paper shows a novel production route for biomass-derived synthetic paraffin wax via gasification of lignocellulosic feedstock, Fischer-Tropsch synthesis (FTS) and hydrofining. The Fischer-Tropsch wax was fractionated, refined and analyzed with respect to compliance to commercial standards. The fractioned paraffin waxes were hydrofined using a commercial sulfide NiMo–Al2O3 catalyst and a trickle bed reactor. A parametric variation was performed to optimize the hydrofining process. It was shown that the produced medium-melt paraffin wax could fulfill the requirements for “Paraffinum solidum” defined by the European Pharmacopoeia (Ph. Eur). The high-melt wax fraction showed potential to be used as food packaging additive. Furthermore, the renewable wax was analyzed regarding PAH content and it was shown that the hydrofined wax was quasi-PAH-free

A non‐inferiority comparative analysis of micro‐ultrasonography and MRI‐targeted biopsy in men at risk of prostate cancer

Objective: To compare the efficacy of multiparametric magnetic resonance imaging (mpMRI)-directed and micro-ultrasonography (micro-US)-directed biopsy for detecting clinically significant (Grade Group >1) prostate cancer (csPCa). Materials and methods: A total of 203 patients were prospectively enrolled at three institutions across Germany and Austria in the period from January 2019 to December 2019. During each biopsy, the urologist was blinded to the mpMRI report until after the micro-US targets had been assessed. After unblinding, targets were then sampled using software-assisted fusion, followed by systematic samples. The primary outcome measure was non-inferiority of micro-US to detect csPCa, with a detection ratio of at least 80% that of mpMRI. Results: A total of 79 csPCa cases were detected overall (39%). Micro-US-targeted biopsy detected 58/79 cases (73%), while mpMRI-targeted biopsy detected 60/79 (76%) and non-targeted (completion sampling) samples detected 45/79 cases (57%). mpMRI-targeted samples alone detected 7/79 (9%) csPCa cases which were missed by micro-US-targeted and non-targeted samples. Three of these seven were anterior lesions with 2/7 in the transition zone. Micro-US-targeted samples alone detected 5/79 (6%) and completion sampling alone detected 4/79 cases (5%). Micro-US was non-inferior to mpMRI and detected 97% of the csPCa cases detected by mpMRI-targeted biopsy (95% CI 80-116%; P = 0.023). Conclusions: This is the first multicentre prospective study comparing micro-US-targeted biopsy with mpMRI-targeted biopsy. The study provides further evidence that micro-US can reliably detect cancer lesions and suggests that micro-US biopsy might be as effective as mpMRI for detection of csPCA. This result has significant implications for increasing accessibility, reducing costs and expediting diagnosis

Fischer-Tropsch products from biomass-derived syngas and renewable hydrogen

Global climate change will make it necessary to transform transportation and mobility away from what we know now towards a sustainable, flexible, and dynamic sector. A severe reduction of fossil-based CO2 emissions in all energy-consuming sectors will be necessary to keep global warming below 2 °C above preindustrial levels. Thus, long-distance transportation will have to increase the share of renewable fuel consumed until alternative powertrains are ready to step in. Additionally, it is predicted that the share of renewables in the power generation sector grows worldwide. Thus, the need to store the excess electricity produced by fluctuating renewable sources is going to grow alike. The “Winddiesel” technology enables the integrative use of excess electricity combined with biomass-based fuel production. Surplus electricity can be converted to H2 via electrolysis in a first step. The fluctuating H2 source is combined with biomass-derived CO-rich syngas from gasification of lignocellulosic feedstock. Fischer-Tropsch synthesis converts the syngas to renewable hydrocarbons. This research article summarizes the experiments performed and presents new insights regarding the effects of load changes on the Fischer-Tropsch synthesis. Long-term campaigns were carried out, and performance-indicating parameters such as per-pass CO conversion, product distribution, and productivity were evaluated. The experiments showed that integrating renewable H2 into a biomass-to-liquid Fischer-Tropsch concept could increase the productivity while product distribution remains almost the same. Furthermore, the economic assessment performed indicates good preconditions towards commercialization of the proposed system

Prevalence and incidence of iron deficiency in European community-dwelling older adults : An observational analysis of the DO-HEALTH trial

Background and aim Iron deficiency is associated with increased morbidity and mortality in older adults. However, data on its prevalence and incidence among older adults is limited. The aim of this study was to investigate the prevalence and incidence of iron deficiency in European community-dwelling older adults aged ≥ 70 years. Methods Secondary analysis of the DO-HEALTH trial, a 3-year clinical trial including 2157 community-dwelling adults aged ≥ 70 years from Austria, France, Germany, Portugal and Switzerland. Iron deficiency was defined as soluble transferrin receptor (sTfR) > 28.1 nmol/L. Prevalence and incidence rate (IR) of iron deficiency per 100 person-years were examined overall and stratified by sex, age group, and country. Sensitivity analysis for three commonly used definitions of iron deficiency (ferritin  1.5) were also performed. Results Out of 2157 participants, 2141 had sTfR measured at baseline (mean age 74.9 years; 61.5% women). The prevalence of iron deficiency at baseline was 26.8%, and did not differ by sex, but by age (35.6% in age group ≥ 80, 29.3% in age group 75–79, 23.2% in age group 70–74); P  1.5. Occurrences of iron deficiency were observed with IR per 100 person-years of 9.2 (95% CI 8.3–10.1) and did not significantly differ by sex or age group. The highest IR per 100 person-years was observed in Austria (20.8, 95% CI 16.1–26.9), the lowest in Germany (6.1, 95% CI 4.7–8.0). Regarding the other definitions of iron deficiency, the IR per 100 person-years was 4.5 (95% CI 4.0–4.9) for ferritin  1.5. Conclusions Iron deficiency is frequent among relatively healthy European older adults, with people aged ≥ 80 years and residence in Austria and Portugal associated with the highest risk

Nicht-indikationsgemäßer Einsatz schnell freisetzender Fentanylzubereitungen: Stichprobenartige Fragebogenerhebung bei Kongressteilnehmern und Schmerzmedizinern

Background: Despite publicised advice and warnings, there are only scant data on the non-indicated prescription of rapid-onset preparations of fentanyl (ROF) in non-cancer pain (NCP). Powered by Editorial Manager® and ProduXion Manager® from Aries Systems Corporation. Objective: Initiated by the Working Group Cancer Pain and supported by the German Pain Society, a random sample survey was conducted to assess the non-indicated use of ROF. Methods: The survey addressed attendees of pain conferences who were given the option to fill in the questionnaires outside the conference or online. Primary endpoints of the structured questionnaire were quantitative and qualitative items with regard to the prescription of ROF, while secondary endpoints were opioid-induced side effects. Results: Obtaining a response rate of 44% (132/300) and an additional 51 online questionnaires revealed that 165 (90%) respondents had knowledge of non-indicated prescriptions or were involved in these. Of these, 65% were clinicians and 17% worked in an outpatient capacity. In all, 22% were trained pain or palliative physicians. Approximately 1205 patients were assessed indirectly. The main causes for dispensing ROF included NCP entities such as back pain (44%), neuropathic pain (33%), head or facial pain (12%), and dyspnea (5%) in cancer pain or lack of break-through pain or basic medication (44%). Sedation (32%), nausea/vomiting (31%), constipation (16%) and insufficient analgesia (31%) were the mostly commonly reported adverse effects. Conclusion: Despite the non-ambiguous indication for ROF, physicians often demonstrate inappropriate prescription behaviour. Iatrogenic misuse of ROF should be minimized. The rates of adverse effects of ROF seems to be in line with other opioids

Temporal and spatial benthic data collection via an internet operated Deep Sea Crawler

Environmental conditions within deep-sea ecosystems such as cold-seep provinces or deep-water coral reefs vary temporally and spatially over a range of scales. To date, short periods of intense ship-borne activity or low resolution, fixed location studies by Lander systems have been the main investigative methods used to investigate such sites. Cabled research infrastructures now enable sensor packages to receive power and transmit data from the deep-sea in real-time. By attaching mobile research platforms to these cabled networks, the investigation of spatial and temporal variability in environmental conditions and/or faunal behaviour across the deep sea seafloor is now a possibility. Here we describe one such mobile platform: a tracked Deep Sea Crawler, controlled in real-time via the Internet from any computer worldwide. The Crawler has been extensively used on the NEPTUNE Canada cabled observatory network at a cold-seep site at ∼890 m depth in the Barkley Canyon, NE Pacific. We present both the technical overview of the Crawler development and give examples of scientific results achieved

ENEREED - Sustainable Energy Conversion from Reed

Energie-Umweltmanagemen