UNASSIGNED: Peripheral nerve injury is a recognized complication after reverse shoulder arthroplasty (RSA) that has mainly been studied at the level of the brachial plexus and its proximal branches. However, the impact of RSA on distal peripheral nerves and the influence of elbow and wrist position is not known. This cadaveric study aimed to analyze the effect of RSA implantation and upper limb position on tension in the distal median and radial nerves. The hypothesis was that RSA increased distal nerve tension, which could be further affected by elbow and wrist position.
UNASSIGNED: 12 upper limbs in 9 full fresh-frozen cadavers were dissected. Nerve tension was measured in the median nerve at the level of the proximal arm, elbow, and distal forearm, and in the radial nerve at the level of the elbow, using a customized three-point tensiometer. Measurements were carried out before and after RSA implantation, using a semi-inlay implant (Medacta, Castel San Pietro, Switzerland). Two different configurations were tested, using the smallest and largest available implant sizes. Three upper-limb key positions were considered (plexus at risk, plexus relief, and neutral), from which the effect of elbow and wrist position was further tested.
UNASSIGNED: RSA implantation significantly increased median and radial nerve tension throughout the upper limb. The distal nerve segments were particularly dependent on elbow and wrist position. The plexus at risk position induced the most tension in all nerve segments, especially with the large implant configuration. On the other hand, the plexus relief position induced the least amount of tension. Flexing the elbow was the most efficient way to decrease nerve tension in all tested nerve segments and key positions. Wrist flexion significantly decreased nerve tension in the median nerve, whereas wrist extension decreased tension in the radial nerve.
UNASSIGNED: RSA significantly increases tension in the median and radial nerves and makes them more susceptible to wrist and elbow positioning. The mechanism behind distal peripheral neuropathy after RSA may thus result from increased compression of tensioned nerves against anatomical fulcrums rather than nerve elongation alone. Elbow flexion was the most effective way to decrease nerve tension, while elbow extension should be avoided when implanting the humeral component. Further studies are needed to assess the ulnar nerve.

Amphiphilic fluorocarbon substances are a trending topic of research due to their wide range of applications accompanied by an alarming environmental and health impact. In order to predict their fate in the environment, use them more economically, develop new water treatment methods, etc., a better understanding of their physicochemical behavior is required. Their hydrophobicity in water/oil systems is particularly sensitive to one key thermodynamic parameter: the free energy of transfer of a perfluoromethylene group from oil to water. However, for the -CF2- moiety, the transfer energy values reported in the literature vary by more than ±25%. Due to the exponential relationship between this energy and the adsorption constants or the partition coefficients, such an uncertainty can lead to orders of magnitude error in the predicted distribution of fluorinated species. We address this problem by presenting an experimental determination of the hydrophobic effect of a -CF2- moiety with a greater certainty than currently available. The transfer energy is determined by measuring the interfacial tension of water|hexane for aqueous solutions of short-chained fluorotelomer alcohols. The obtained results for the free energy of transfer of a -CF2- moiety from oil to water are 1.68±0.02×RT0, 1.75±0.02×RT0, and 1.88±0.02×RT0 at 288.15 K, 293.15 K, and 303.15 K, respectively.

Peat-based casings have been used for button mushroom (Agaricus bisporus) cultivation for decades but there is environmental pressure to find sustainable alternatives. This work aimed to characterise the physicochemical properties of peat and peat-substituted casings and to determine their influence on mushroom cropping to enable alternatives to be identified. British milled peat and German wet-dug peat casings produced smaller mushrooms than Irish wet-dug peat casing although yield was unaffected. Substitution of milled or wet-dug peat casings with 25% v/v bark, green waste compost or spent mushroom casing, except Irish wet-dug peat casing with spent peat mushroom casing, caused reductions in mushroom yield and/or size. These poorer results of casings compared with Irish wet-dug peat casing corresponded with lower water retention volumes at matric potential (Ψm) -15 kPa but not after drainage from saturation or at -1 kPa. Air-filled porosity (17-22% v/v), compacted bulk density after drainage (670-800 g L-1) and electrical conductivity (0.30-0.54 mS cm-1) of casings were unrelated to their mushroom cropping performance. In-situ casing measurements with electronic tensiometers confirmed laboratory casing physical analysis: at the same casing Ψm, Irish wet-dug peat casing had a higher water content than German wet-dug peat casing and produced larger mushrooms for the same yield. Solid-state foam-based tensiometers were more robust than water-filled tensiometers but they did not detect the full decrease in casing Ψm during a flush of mushrooms. The results indicate that if sustainable materials are to replace wet-dug peat casing with the same mushroom yield and size quality performance, they should have equivalent water retention volumes at Ψm -15 kPa. Measurement of casing Ψm with electronic tensiometers to control mushroom crop irrigation should assist in this transition.

The optimal method for achieving proper graft tension during patellofemoral ligament reconstruction is a topic of debate. In the past, a digital tensiometer was used to simulate the knee structure, and a tension of approximately 2N was identified as suitable for restoring the patellofemoral track. However, it is unclear whether this tension level is sufficient during the actual surgery. The objective of this study was to verify the efficacy of graft tension using a digital tensiometer for medial patellofemoral ligament (MPFL) reconstruction and to conduct a mid-term follow-up.
The study enrolled 39 patients who had experienced recurrent patellar dislocation. Preoperative computed tomography scans and X-rays confirmed patellar instability, patellar tilt angle patellar congruence angle and the history of dislocation and patellar apprehension test. Knee function was evaluated using preoperative and postoperative Lysholm and Kujala scores.
The study included 39 knees, comprising 22 females and 17 males, with an average age of 21.10 ± 7.26. The patients were followed up for at least 24 months through telephone or face-to-face questionnaires. All patients had a preoperative history of ≥2 patellar dislocations, none of which were surgically treated. During surgery, all patients underwent isolated MPFL reconstruction and lateral retinacula release. The mean Kujala and Lysholm scores were 91.28 ± 4.90 and 90.67 ± 5.15, respectively. The mean PTA and PCA were 11.5 ± 2.63 and 2.38 ± 3.58, respectively. The study found that a tension of approximately 27.39 ± 5.57N (14.3-33.5N) was required to restore the patellofemoral track in patients with recurrent patellar dislocation. No patients required reoperation during the follow-up period. Overall, 36 out of 39 patients (92.31%) reported no pain when completing daily activities at the last follow-up.
In conclusion, a tension level of approximately 27.39 ± 5.57N is necessary to restore normal patellofemoral relationships during clinical practice, which indicates that using a tension of 2N is too low. The use of a tensiometer during patellofemoral ligament reconstruction is a more accurate and reliable surgical procedure for treating recurrent patellar dislocation.

Although many unsaturated soil experiments have successfully delivered positive outcomes, most studies just concisely illustrated sensor techniques, because their main objectives focused on bridging research gaps. Inexperienced research fellows might rarely follow up those techniques, so they could encounter very trivial and skill-demanding difficulties, undermining the quality of experimental outcomes. With a motivation to avoid those, this work introduces technical challenges in applying three sensor techniques: high precision tensiometer, spatial time-domain reflectometry (spatial TDR) and digital bench scales, which were utilized to measure three fundamental variables: soil suction, moisture content and accumulative outflow. The technical challenges are comprehensively elaborated from five aspects: the functional mechanism, assembling/manufacturing approaches, installation procedure, simultaneous data-logging configurations and post data/signal processing. The conclusions drawn in this work provide sufficient technical details of three sensors in terms of the aforementioned five aspects. This work aims to facilitate any new research fellows who carry out laboratory-scale soil column tests using the three sensors mentioned above. It is also expected that this work will salvage any experimenters having troubleshooting issues with those sensors and help researchers bypass those issues to focus more on their primary research interests.

Tailings dams are large, often self-contained, storage facilities of mine residue. On self-contained tailings dams the tailings material itself is used to raise the containment embankments holding newly deposited residue. To develop the necessary strength, it is essential that material must dry out sufficiently. Despite substantial advancements in the field of instrumentation, these parameters are rarely measured on tailings dams and their evolution over time is poorly understood. Understanding the role of pore water suction and water content evolution over time can benefit from the installation of sensors and data acquisition systems (DAQ) capable of continuously monitoring these parameters. Such monitoring remains difficult and expensive owing to the challenges of measuring negative water pressures and the often-remote locations and harsh operating environments typical of mining operations. This paper describes the development, testing and validation of a low-cost DAQ for the measurement of the unsaturated pore pressure regime in a platinum tailings dam located in the Limpopo province of South Africa. The Tailings Dam DAQ (referred to as TD-DAQ) is designed to measure the negative pore pressure, moisture content and temperature in fine-grained material over extended periods of time. These measurements are stored on the DAQ and transmitted in parallel using new wireless network communications technologies (Sigfox) suited to remote, battery powered applications. The successful deployment of the TD-DAQ presents a real-time, low-cost instrumentation solution to improve the efficiency of condition monitoring of tailings storage facilities, contributing to a reduction in the probability of failure events.

After surgery, around 35% of patients experience problems of excessive scarring, causing disfiguring and impaired function. An incision placed in the wrong direction causes unnecessary skin tension on the wound, resulting in increased collagen disposition and potentially hypertrophic scars. Currently, skin tension lines are used for incision planning. However, these lines are not universal and are a static representation of the skin tension that is in fact under influence of muscle action. By designing a new skin force measurement device the authors intend to make research on dynamic skin characteristics possible and to objectify incision planning and excision closure planning. The device applies a known compressive force to the skin in standardized directions and measures the displacement of the skin. This allows users to measure the skin reaction force in response to compression and to determine the optimal incision line or best wound closure direction. The device has an accuracy of 96% and a sensitivity of < 0.01 mm. It is compact, works non-invasively and standardizes measurement directions and is therefore an improvement over previously designed skin tensiometers.

The desire of improving various processes like enhanced oil recovery (EOR), water treatment technologies, biomass extraction, organic synthesis, carbon capture etc. in which conventional surfactants have been traditionally utilized; prompted various researchers to explore the self-assembly and aggregation behavior of different kinds of surface-active molecules. Ionic liquids (ILs) with long alkyl chain present in their structure constitute the advantageous properties of surfactant and ILs, hence termed as surface-active ionic liquids (SAILs). The addition of ILs and SAILs significantly influence the surface-activity and aggregation behavior of industrially useful conventional surfactants. After a brief review of ILs, SAILs and surfactants, the prime focus is made on analyzing the self-assembly of SAILs and the mixed micellization behavior of conventional surfactants with different ILs.

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OBJECTIVE: To evaluate intercompartmental load intraoperatively with a sensor after conventional gap balancing with a tensiometer during total knee arthroplasty (TKA).
METHODS: Fifty sensor-assisted TKA procedures were performed prospectively between August and September 2018 with a cruciate-retaining prosthesis. After applying a modified measured resection technique, conventional balancing between resected surfaces was achieved. The equal and rectangular flexion-extension gaps were confirmed using a tensiometer at 90° and 5°-7° (due to posterior tibial slope) of knee flexion. Then, the load distribution was evaluated intraoperatively with a sensor placed on trial implants in the positions of knee flexion (90° flexion) and extension (10° flexion).
RESULTS: The proportion of coronal load imbalance (medial load - lateral load ≥  ± 15 lb) was 56% in extension and 32% in flexion (p = 0.023). The proportion of sagittal load imbalance (extension load - flexion load ≥  ± 15 lb) was 36% in the medial compartment and 4% in the lateral compartment (p < 0.001). An additional procedure for load balancing was performed in 74% of knees.
CONCLUSIONS: Coronal and sagittal load imbalances existed as determined by the sensor even after the achievement of appropriate conventional gap balance. The additional rebalancing procedure was performed for balanced loads in 74% of the knees after conventional balancing. The use of an intraoperative load sensor offers the advantage of direct evaluation of the load on TKA implants.
METHODS: IV.