Total hip arthroplasty for destructive septic arthritis of the hip using a two-stage protocol without spacer placement

Introduction: The optimal treatment of patients with a degenerative joint disease secondary to an active or chronic septic arthritis of the hip is unclear. The aim of the present study was to report on our experience with two-stage total hip arthroplasty (THA) using a contemporary treatment protocol without spacer insertion. Materials and methods: Our prospective institutional database was used to identify all patients with degenerative septic arthritis treated with a non-spacer two-stage protocol between 2011 and 2017. Clinical outcomes included interim revision, periprosthetic infection (PJI) and aseptic revision rates. Restoration of leg-length and offset were assessed radiographically. Modified Harris hip score (mHHS) were obtained. Treatment success was defined using the modified Delphi consensus criteria. Mean follow-up was 62 months (13-110). Results: A total of 33 patients with a mean age of 60 years (13-85) were included. 55% of the cohort was male and average Charlson Comorbidity Index (CCI) was 3.7 (0-12). 21 patients (64%) had an active/acute infection and 12 patients (36%) were treated for chronic/quiescent septic arthritis. Overall, 11 patients (33%) had treatment failure, including 5 patients who failed to undergo THA, 2 interim re-debridement for persistent infection, and 4 patients who developed PJI after an average of 7 months (0.3-13) following THA. The most common identified pathogen was Staphylococcus aureus (42.4%). No aseptic revision was recorded following THA. Leg-length and offset were successfully restored. Mean mHHS improved from 35.2 points to 73.4 points. Conclusion: Two-stage THA without spacer placement is a viable treatment option for destructive septic arthritis of the hip, demonstrating comparable rates of infection control and functional outcome. However, definitive resection arthroplasty is not uncommon in these often critically ill patients

Surface and trapping energies as predictors for the photocatalytic degradation of aromatic organic pollutants

In this study, anatase samples enclosed by the majority of three different crystal facets {0 0 1}, {1 0 0}, and {1 0 1} were successfully synthesized. These materials were further studied toward photocatalytic degradation of phenol and toluene as model organic pollutants in water and gas phases. The obtained results were analyzed concerning their surface structure, reaction type, and surface development. Moreover, the regression model was created to find the correlation between the possible predictors and the photodegradation rate constants (k). From the studied factors, the trapping energy of charge carriers at the surface was found to be the most significant one, exponentially affecting the observed k. This resulted in the overall per-surface activity between the samples being in the order {1 0 1} > {1 0 0} > {0 0 1}. Further introduction of the surface energy (Esurf) to the regression model and the number of possible trapping centers per number of pollutant’s molecules (ntrap·n–1) improved the model accuracy, simultaneously showing the dependence on the reaction type. In the case of phenol photocatalytic degradation, the best accuracy was observed for the model including Esurf ·(ntrap·n–1)1/2 relation, while for the toluene degradation, it included Esurf2 and the S·n–1 ratio, where S is the simple surface area. Concerning different surface features which influence photocatalytic performance and are commonly discussed in the literature, the results presented in this study suggest that trapping is of particular importance.publishe

Fe-modified Mn2CuO4 spinel oxides: coatings based on abundant elements for solid oxide cell interconnects

The current state of the art steel interconnect coating materials are based on critical raw material - Co-oxide spinels. Replacing Co-oxide spinels with alternative, abundant materials can reduce the dependence on the critical raw materials. Cobalt-free coatings with the general formula Mn2-xCuFexO4, where x = 0, 0.1, 0.3, were electrophoretically deposited on a ferritic stainless-steel support and evaluated. Prior to deposition, the powders were prepared by a soft chemistry process and studied in terms of crystallographic phase analysis, electrical conductivity, thermal expansion, and sinterability behaviour. Coated steel samples were oxidised in an air atmosphere at 750 \ub0C for 3000 h. In parallel, a state-of-the-art MnCo2O4 spinel oxide was tested as a reference. The coatings and oxide scale microstructures of the surfaces and cross-sections were examined by XRD, and SEM-EDX. TEM-EDX, XRF, and micro-XRD were also performed on the cross-section lamellae. The electrical properties of the steel-coating system were evaluated by Area Specific Resistance measurement. The results confirm that Mn–Cu–Fe oxides exhibit higher conductivity and lower TEC than Mn–Co oxide. Based on the obtained results, it might be concluded that the proposed coatings are a promising alternative to coatings that contain cobalt

Small Wind Turbines: Specification, Design, and Economic Evaluation

In this work, we consider various aspects of small wind turbines’ (SWTs) design and operation. First, an extensive literature study is presented by considering SWTs specification, market statistics, the smart grid, and the prosumer concepts as well as the most important parameters affecting the efficiency of wind turbines. Then, both the literature review and series of coupled numerical simulations investigating impact of the chosen design solutions on small wind turbine operation are performed. It allowed objective evaluation of different design approaches, which in turn enabled the systematic identification of actual limitations as well as the opportunities for specific design solutions of SWTs: horizontal axis wind turbines (HAWTs) and vertical axis wind turbines (VAWTs); the rotor position in relation to the tower (upwind vs. downwind); and diffusor-augmented wind turbine (DAWT). Additionally, an economic evaluation is carried with the use of an advanced numerical Weather Research & Forecasting (WRF) model. It is shown that auxiliary power generation using privately owned SWTs can be an economically viable option. Finally, a set of design goals for future SWTs is formulated based on the performed numerical analyses

Clarity of law requirement regarding European Union law

Jasność uznaje się za jedną z cech dobrego prawa. Dotychczasowe opracowania poświęcone postulatowi jasności prawa koncentrują się na prawie krajowym. Niniejszy artykuł jest próbą odniesienia tego postulatu do wielojęzycznego i wielokulturowego prawa Unii Europejskiej. Prawo jasne to takie, które jest zrozumiałe i precyzyjne. Choć nie jest możliwe, by było ono całkowicie jasne, to prawodawca powinien starać się, by prawo było tak jasne, jak to możliwe, ponieważ takie prawo chroni istotne wartości i umożliwia osiąganie istotnych celów, m.in. służy efektywności i pewności prawa. Jednym z zasadniczych warunków jasności prawa jest odpowiedni język tekstów aktów normatywnych – zarówno ich słownictwo, jak i składnia. Dlatego aby prawo było jasne, prawodawca powinien m.in. przestrzegać określonych reguł dotyczących językowych aspektów tworzenia prawa. Również prawo Unii Europejskiej powinno być jasne. Wielojęzyczny i wielokulturowy porządek prawny Unii Europejskiej różni się jednak od krajowych porządków prawnych, w tym porządków wielojęzycznych, dlatego sposoby zapewniania jasności prawa europejskiego różnią się częściowo od tych stosowanych w krajowych porządkach prawnych. Dotyczy to przede wszystkim języka tekstów aktów normatywnych. Stosowanie nowych, europejskich terminów prawnych jest uzasadnione i służy zapewnieniu prawu Unii Europejskiej jasności, nawet jeśli początkowo może się to wydawać nieoczywiste. Nowa, europejska, składnia tekstów aktów normatywnych Unii Europejskiej nie jest natomiast uzasadniona. Aby zapewnić jasność prawa, prawodawca unijny powinien przestrzegać tych samych reguł składniowych, co prawodawca krajowy.Clarity is one of the basic traits of good law. So far, theory of law has focused on the clarity of law requirement only with reference to national legal orders. The article tries to apply this requirement to multilingual and multicultural European Union legal order. Clear law is understandable and precise. Although it is not possible to make law completely clear, the legislator should try to make it as clear as possible since such law protects important values and enables to achieve important goals, for instance it makes law more efficient and certain. One of the crucial prerequisites for clear law is appropriate language of the texts of legal acts. It concerns both vocabulary and syntax of these texts. Therefore, in order to make law clear, the legislator should follow specific rules regarding linguistic aspects of lawmaking. European Union law should be clear as well. Since European Union multilingual and multicultural legal order is different from national legal orders, including the multilingual ones, the methods of making European Union law clear are partly different from those applied in national legal orders. It concerns, above all, the language of texts of European Union legal acts. The use of new, European, legal terms is justified and helps make European Union law clear, even though this does not have to seem evident. In contrast to the new vocabulary, the new, European, syntax of texts of European Union legal acts is not justified. In order to make law clear, the European Union legislator should follow the same syntactic rules as the national legislator

Effect of Functionalization of Reduced Graphene Oxide Coatings with Nitrogen and Sulfur Groups on Their Anti-Corrosion Properties

Electrophoretic production of anticorrosion carbonaceous coatings on copper could be successfully performed by anodic oxidation of negatively charged graphene platelets suspended in an aqueous solution. The various platelets were synthesized by Hummer’s method followed by a hydrothermal reduction in the presence of NH4SCN which was expected to substitute some parts of graphene structure with nitrogen and sulfur groups. X-ray photoelectron spectroscopy analysis confirmed that the graphene precursors, as well as the coatings, contained typical nitrogen groups, such as pyridinic and pyrrolic, and sulfur groups, such as thiol, thiophene, or C-SO2. However, due to oxidation during deposition, the qualitative and quantitative composition of the graphene coatings changed relative to the composition of the precursors. In particular, the concentration of nitrogen and sulfur dropped and some thiophene groups were oxidized to C-SO2. Studies showed the functionalized coatings had a uniform, defect-free, hydrophobic, more adhesive surface than nonmodified films. The corrosion measurements demonstrated that these coatings had better protective properties than the ones without these heteroatoms. This behavior can be assigned to the catalytic activity of nitrogen towards oxidation of C-SO2 groups to C-SO3H with oxygen

Laser-Assisted Synthesis and Oxygen Generation of Nickel Nanoparticles

Nowadays, more than ever, environmental awareness is being taken into account when it comes to the design of novel materials. Herein, the pathway to the creation of a colloid of spherical, almost purely metallic nickel nanoparticles (NPs) through pulsed laser ablation in ethanol is presented. A complex description of the colloid is provided through UV-vis spectroscopy and dynamic light scattering analysis, ensuring insight into laser-induced nanoparticle homogenization and size-control of the NPs. The transmission electron spectroscopy revealed spherical nanoparticles with a narrow size distribution, whereas the energy-dispersive X-ray spectroscopy accompanied by the X-ray photoelectron spectroscopy revealed their metallic nature. Furthermore, an example of the application of the colloidal nanoparticles is presented, where a quick, five-min ultrasound modification results in over an order of magnitude higher current densities in the titania-based electrode for the oxygen evolution reaction

The Effect of Titanium Oxyfluoride Morphology on Photocatalytic Activity of Fluorine-Doped Titanium(IV) Oxide

Titanium oxyfluoride (TiOF2) is a metastable product that can be obtained in a fluorine-rich environment. This material can also be a valuable precursor in the synthesis of titanium(IV) oxide (TiO2). However, the effect of TiOF2 morphology on the physicochemical properties of TiO2 has not been studied so far. In this work, single-phase TiOF2 was prepared by a solvothermal method. The as-synthesized samples exhibited a variety of morphologies, including different shapes and crystallite sizes. These materials were characterized by X-ray diffraction (XRD), scanning electron microscopy (SEM) combined with energy-dispersive X-ray spectroscopy (EDS), surface area measurements, thermal gravimetric analysis (TGA) and UV–vis diffuse reflectance spectroscopy (DR/UV–vis). Furthermore, TiOF2 samples were used as precursors in the synthesis of fluorine-doped titanium(IV) oxide and applied in photocatalytic phenol degradation under UV-vis light. The experiments showed that the crystallite size of the precursor, as well as the number of fluoride ions used in the synthesis, were the predominant factors that affected the photocatalytic activity of the final photocatalyst