Extrusion of Different Plants into Fibre for Peat Replacement in Growing Media: Adjustment of Parameters to Achieve Satisfactory Physical Fibre-Properties

Peat is a highly contentious input in agriculture. Replacing or reducing peat by substitution with lignocellulosic biomass processed into fibre by twin-screw-extrusion could contribute to more sustainable agriculture with regard to horticultural production. Therefore, plant wastes including pruning from Olea europaea L. and Vitis spp. L., residues from perennial herbs like Salvia spp. L., Populus spp. L. and forest biomass were processed to fibre for peat replacement with a biomass extruder. The water-holding-capacity (WHC), particle-size-distribution and other physical fibre characteristics were determined and compared to peat. The specific energy demand during extrusion was measured for aperture settings from 6–40 mm. No fibre reached the 82% WHC of peat. At the setting of 20 mm of all materials investigated, Salvia performed best with a WHC of 53% and moderate specific energy demand (167 kWh tDM−1) followed by Olea europaea with a WHC of 43% and a low energy demand (93 kWh tDM−1). For Populus, opening the aperture from 20–40 mm decreased energy demand by 41% and WHC by 27%. The drying of biomass for storage and remoistening during extrusion increased the specific energy demand. Despite a lower WHC than peat, all investigated materials are suitable to replace peat in growing media regarding their physical properties

Bleeding risk assessment using whole blood impedance aggregometry and rotational thromboelastometry in patients following cardiac surgery

Excessive bleeding after cardiopulmonary bypass (CPB) is risk factor for adverse outcomes after elective cardiac surgery (ECS). Differentiating between patients who bleed due to surgical issues and those whose excessive chest tube output (CTO) is due to coagulopathy, remains challenging. Bedside suitable tests to identify hemostatic disturbances and predict excessive bleeding are desirable. The study sought to evaluate prediction of excessive bleeding after ECS using two bedside suitable devices for platelet function and viscoelastic blood clot properties assessment. We enrolled 148 patients (105 male and 43 female) undergoing ECS in a prospective observational study. Patients were characterized as bleeders if their 24 h CTO exceeded the 75th percentile of distribution. Multiple electrode aggregometry (MEA, with ASPI, ADP and the TRAP test) and rotational thromboelastometry (TEM, with ExTEM, HepTEM and FibTEM test), were performed at three time points: preoperatively (T1), during CPB (T2), and after protamine administration (T3). The primary endpoint was CTO and the secondary endpoint was administration of blood products, 30-day and 1 year mortality. The best predictors of increased bleeding tendency were the tests performed after protamine administration (T3). At T3, patients characterized as bleeders had significantly lower MEA ASPI (median, 14 vs. 27 AUC, p = 0.004) and ADP test values (median, 22 vs. 41 AUC, p = 0.002) as well as TEM values expressed in maximum clot firmness after 30 min (MCF 30) for ExTEM (53 vs. 56 mm, p = 0.005), HepTEM (48 vs. 52 mm, p = 0.003) and FibTEM (8 vs. 11 mm, p < 0.001) test. 24 h CTO inversely correlated with both the MEA (ASPI test: r = -0.236, p = 0.004; ADP test: r = -0.299, p < 0.001), and TEM MCF 30 (ExTEM: r = -0.295, p < 0.001; HepTEM: -0.329, p < 0.001; FibTEM: -0.377, p < 0.001) test values. Our study showed that MEA and TEM are useful methods for prediction of excessive bleeding after ECS. In order to prevent excessive postoperative CTO, hemostatic interventions with timely and targeted blood component therapy according to MEA and TEM results should be considered