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Physical exercise induces acute psychophysiological responses leading to chronic adaptations when the exercise stimulus is applied repeatedly, at sufficient time periods, and with appropriate magnitude. To maximize long-term training adaptations, it is crucial to control and manipulate the external load and the resulting psychophysiological strain. Therefore, scientists have developed a theoretical framework that distinguishes between the physical work performed during exercise (i.e., external load/intensity) and indicators of the body's psychophysiological response (i.e., internal load/intensity). However, the application of blood flow restriction (BFR) during exercise with low external loads/intensities (e.g., ≤ 30% of the one-repetition-maximum, ≤ 50% of maximum oxygen uptake) can induce physiological and perceptual responses, which are commonly associated with high external loads/intensities. This current opinion aimed to emphasize the mismatch between external and internal load/intensity when BFR is applied during exercise. In this regard, there is evidence that BFR can be used to manipulate both external load/intensity (by reducing total work when exercise is performed to exhaustion) and internal load/intensity (by leading to higher physiological and perceptual responses compared to exercise performed with the same external load/intensity without BFR). Furthermore, it is proposed to consider BFR as an additional exercise determinant, given that the amount of BFR pressure can determine not only the internal but also external load/intensity. Finally, terminological recommendations for the use of the proposed terms in the scientific context and for practitioners are given, which should be considered when designing, reporting, discussing, and presenting BFR studies, exercise, and/or training programs. Key Points: The application of BFR during exercise with low external load/intensity can lead to internal responses that are commonly associated with high external load/intensity resulting in a discrepancy between the characteristics of exercise and the acute psychophysiological responses. The BFR pressure can be adjusted to increase the internal load/intensity (i.e., elevating physiological and perceptual responses) to intensify the exercise stimulus or to decrease the external load/intensity (e.g., reducing the number of repetitions when exercise is performed to exhaustion), which is of particular importance during musculoskeletal rehabilitation when high or cumulative low mechanical stress might be contraindicated. We encourage researchers to adapt their wording in the BFR literature accordingly, given that the extent of internal load/intensity during BFR exercise is determined by the interaction of several external exercise variables (e.g., external resistance, number of repetitions/cycles, cuff pressure) to specify the generated exercise stimulus (e.g., "low external load BFR walking", "low external load BFR resistance exercise"). [ABSTRACT FROM AUTHOR]

Purpose: Muscular strength loss and atrophy are postoperative complications. This systematic review with meta-analysis investigated the course of on knee extensor mass and strength from pre-surgery over total knee arthroplasty to rehabilitation and recovery. Methods: A systematic literature search was conducted in PubMed (Medline), Cochrane Library (CINAHL, Embase) and Web of Science (until 29th of June 2022). Main inclusion criteria were ≥ 1 preoperative and ≥ 1 measurement ≥ 3-months post-operation and ≥ 1 objective assessment of quadriceps strength, muscle mass or neuromuscular activity, measured at both legs. Studies were excluded if they met the following criteria: further impairment of treated extremity or of the contralateral extremity; further muscle affecting disease, or muscle- or rehabilitation-specific intervention. The Robins-I tool for non-randomized studies, and the Cochrane Rob 2 tool for randomized controlled studies were used for risk of bias rating. Pre-surgery, 3 months, 6 months and 1 year after surgery data were pooled using random effects meta-analyses (standardized mean differences, SMD, Hedge's g) in contrast to the pre-injury values. Results: 1417 studies were screened, 21 studies on 647 participants were included. Thereof, 13 were non-randomized controlled trails (moderate overall risk of bias in most studies) and 7 were randomized controlled trials (high risk of bias in at least one domain in most studies). Three (k = 12 studies; SMD = − 0.21 [95% confidence interval = − 0.36 to − 0.05], I2 = 4.75%) and six (k = 9; SMD = − 0.10 [− 0.28 to − 0.08]; I2 = 0%) months after total knee arthroplasty, a deterioration in the strength of the operated leg compared with the strength of the non-operated leg was observed. One year after surgery, the operated leg was stronger in all studies compared to the preoperative values. However, this increase in strength was not significant compared to the non-operated leg (k = 6, SMD = 0.18 [− 0.18 to 0.54], I2 = 77.56%). Conclusion: We found moderate certainty evidence that deficits in muscle strength of the knee extensors persist and progress until 3 months post-total knee arthroplasty in patients with end-stage knee osteoarthritis. Very low certainty evidence exists that preoperatively existing imbalance of muscle strength and mass in favor of the leg not undergoing surgery is not recovered within 1 year after surgery. [ABSTRACT FROM AUTHOR]

Copyright of Die Orthopädie is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Dengue viruses (DENVs) are mosquito-borne flaviviruses causing millions of human infections each year and pose a challenge for public health systems worldwide. Aedes aegypti is the principal vector species transmitting DENVs to humans. Controlling Ae. aegypti is difficult due to the abundance of breeding sites and increasing insecticide resistance in the vector populations. Developing new vector control strategies is critical for decreasing the disease burden. One potential approach is genetically replacing Ae. aegypti populations with vector populations highly resistant to DENV transmission. Here, we focus on an alternative strategy for generating dengue 2 virus (DENV-2) resistance in genetically-modified Ae. aegypti in which the mosquitoes express an inactive form of Michelob_x (Mx), an antagonist of the Inhibitor of Apoptosis (IAP), to induce apoptosis in those cells in which actively replicating DENV-2 is present. The inactive form of Mx was flanked by the RRRRSAG cleavage motif, which was recognized by the NS2B/NS3 protease of the infecting DENV-2 thereby releasing and activating Mx which then induced apoptosis. Our transgenic strain exhibited a significantly higher mortality rate than the non-transgenic control when infected with DENV-2. We also transfected a DNA construct containing inactive Mx fused to eGFP into C6/36 mosquito cells and indirectly observed Mx activation on days 3 and 6 post-DENV-2 infections. There were clear signs that the viral NS2B/NS3 protease cleaved the transgene, thereby releasing Mx protein into the cytoplasm, as was confirmed by the detection of eGFP expression in infected cells. The present study represents proof of the concept that virus infection can be used to induce apoptosis in infected mosquito cells. [ABSTRACT FROM AUTHOR]

Ethyl acetate is an important organic solvent and currently produced from fossil carbon resources. Microbial synthesis of this ester from sugar-rich waste could be an interesting alternative. Therefore, synthesis of ethyl acetate by Kluyveromyces marxinanus DSM 5422 from delactosed whey permeate (DWP) was studied in an aerated stirred bioreactor at 40 °C. DWP is mainly composed of residual lactose and minerals. The minerals inhibited yeast growth, as witnessed by an increased lag period, a reduced growth rate, and an extended process duration. All experiments were therefore carried out with diluted DWP. In a series of batch experiments, the pH of iron-deficient DWP medium varied between 4.8 and 5.9. The pH of the cultivation medium significantly influenced cell growth and product syntheses, with the highest ethyl acetate yield of 0.347 g g–1 and lowest by-product formation achieved at pH 5.1. It is likely that this effect is due to pH-dependent iron chelation, which affects the iron bioavailability and the intracellular iron content, thus affecting growth and metabolite synthesis. The viability of yeast cells was always high despite the harsh conditions in DWP medium, which enabled extended usage of the biomass in repeated-batch and fed-batch cultivations. These two culture techniques increased the volume of DWP processed per time by 32 and 84% for the repeated-batch and the fed-batch cultivation, respectively, without a drop of the ester yield. Key points: • Delactosed whey permeate was converted to ethyl acetate with a high rate and yield. • The formation of ethyl acetate in DWP medium at iron limitation is pH-dependent. • Highly active yeasts from batch processes enabled extension as fed and repeated batch. [ABSTRACT FROM AUTHOR]

Copyright of Arthroskopie is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Cyanobacteria are considered to be promising host organisms to perform whole-cell biotransformations and for the sustainable production of value-added compounds. However, for their commercial applications, scalable photobioreactors that allow high cell density cultivation, stable and long-term catalytic performance, and high product formation are necessary. Cyanobacterial biofilms in capillary reactors present a promising alternative to overcome some of these challenges. [ABSTRACT FROM AUTHOR]

The paper describes a long-term scheduling problem for thermal power plants and energy storages. In addition, renewable energy sources are integrated by considering the residual demand. Besides the classical minimization of the production costs, emission-related costs are taken into account. Thereby, emission costs are determined by market prices for CO 2 emission certificates (i.e., using the EU emissions trading system). For the proposed unit commitment problem with hydrothermal coordination for economic and emission control, an enhanced mixed-integer linear programming model is presented. Moreover, a new heuristic approach is developed, which consists of two solution stages. The heuristic first performs an isolated dispatching of thermal plants. Then, a re-optimization stage is included in order to embed activities of energy storages into the final solution schedule. The considered approach is able to find outstanding schedules for benchmark instances with a planning horizon of up to one year. Furthermore, promising results are also obtained for large-scale real-world electricity systems. For the German electricity market, the relationship of CO 2 certificate prices and the optimal thermal dispatch is illustrated by a comprehensive sensitivity analysis. [ABSTRACT FROM AUTHOR]

In this paper, we consider a long-term unit commitment problem with thermal and renewable energy sources, where system operating costs have to be minimized. The problem is enhanced by adding pumped storages, where water is stored in reservoirs, being turbinated or pumped up if it is beneficial in terms of reducing the operating costs. We present a tight mixed-integer linear programming model with a redefinition of decision variables and a reformulation of constraints, e.g., for the spinning reserve. The model serves as a basis for a new decomposition method, where fix-and-optimize schemes are used. In particular, a time-oriented, a unit-oriented, and a generic fix-and-optimize procedure are presented. A computational performance analysis shows that the mixed-integer linear model is efficient in supporting the solution process for small- and medium-scale instances. Furthermore, the fix-and-optimize procedures are able to tackle even large-scale instances. Particularly, problem instances with real-world energy demands, power plant-specific characteristics, and a one-year planning horizon with hourly time steps are solved to near-optimality in reasonable time. [ABSTRACT FROM AUTHOR]

Purpose: The tensiomyography (TMG) technique is increasingly used to determine muscle contractile properties in exercise and injury management. The present study investigated the informative value of TMG parameters in correlation with commonly used (creatine kinase, CK; myoglobin, Mb) and novel candidate biomarkers of muscle damage (heart-type fatty acid-binding protein, h-FABP; high-mobility group box 1, HMGB1).Methods: Ten untrained men performed 6 × 10 eccentric contractions of the elbow flexors at 110% of the concentric one repetition maximum. CK, Mb, h-FABP, HMGB1, arm circumference, pain and TMG data, including maximal displacement (Dm) and temporal outcomes as the contraction time (Tc), sustained time (Ts), delay time (Td), and relaxation time (Tr), were assessed pre-exercise, post-exercise, 20 min, 2 h and on the consecutive 3 days post-exercise.Results: CK and h-FABP significantly increased beginning at 24 h, Mb already increased at 2 h (p < 0.05). HMGB1 was only increased immediately post-exercise (p = 0.02). Tc and Td remained unchanged, whereas Ts and Tr were significantly slower beginning at 24 h (p < 0.05). Dm was decreased within the first 24 h and after 72 h (p < 0.01). The % change from pre-exercise correlated for Dm with CK, Mb, and h-FABP the highest at 48 h (r = - 0.95, - 0.87 and - 0.79; p < 0.01) and for h-FABP with CK and Mb the highest at 24 h (r = 0.96 and 0.94, for all p < 0.001).Conclusion: This study supports the correlation of TMG parameters with muscle damage markers after eccentric exercise. Therefore, TMG could represent a non-invasive and cost effective alternative to quantify the degree of muscle damage after exercise interventions. [ABSTRACT FROM AUTHOR]

Correction to: The course of knee extensor strength after total knee arthroplasty: a systematic review with meta-analysis and -regression The original article can be found online at https://doi.org/10.1007/s00402-022-04750-5. The study by Savkin et al. (2021) (reference #39) was not conducted in Belgium, as stated in the article, but in Türkiye. [Extracted from the article]

The correct placement of bandages for immobilization or a functional splint is an essential part of the conservative and postoperative treatment in hand surgery. The classical plaster cast is easy to model and inexpensive. This article gives an overview of the various types of plaster casts for immobilization in hand injuries. [ABSTRACT FROM AUTHOR]

Explantation of failed dental implants using a piezoelectric device may provide a viable treatment modality, especially for implants in precarious locations. The traditional mechanical procedures compared to piezosurgical technique for maxillary implant removal are described. Furthermore, the remaining bone on dental implants was analyzed by scanning electron microscopy (SEM) in order to semi-quantitatively evaluate the amount and structure. The piezoelectric device appears to be a valuable minimally invasive alternative if removal of dental implants is required. [ABSTRACT FROM AUTHOR]