De Boer Research Articles

Refractive blur’s influence on discomfort glare perception from white LED headlights at night

This study examined the effects of refractive blur on discomfort perception caused by peripheral glare from white LED passing (low)-beam headlights at night. The study compared two levels of binocular blur (+0.50 diopter [D] and +1.00D) against a baseline of optimal refractive correction. Thirty participants (mean age 21.3±1.6 years; range 20–24 years) simulating a driving position assessed discomfort from glare sources (headlights of oncoming vehicles) located at 40 and 20 m distances using the de Boer scale. The study found that, with a blur of +0.50D, discomfort glare from white LED headlights did not significantly differ from the baseline regarding de Boer scores. However, with a blur of +1.00D, de Boer scores significantly decreased, indicating increased discomfort glare compared with the baseline for all distances (P=0.004). These results suggest that refractive blur may contribute to an increased perception of discomfort glare during nighttime driving.

Drying Kinetics and Sorption Isotherms of Biocomposite Materials: Experimental Investigation and Modeling Analysis.

Modern materials science has made significant progress in creating new materials and processes for waste recovery. One such advancement involves the development of a new porous composite material made from clay and an environmentally sustainable eggshell powder. In this study, the dynamic behavior of water vapor during desorption and adsorption processes within this composite material was investigated. The moisture diffusivity coefficient was determined within the clay/eggshell powder composite material. The drying kinetic data were analyzed using various models such as Newton, Page, and Wan and Singh. The static gravimetric vapor adsorption/desorption experiments were conducted at different temperatures (30, 40, 50, 60, and 70 °C) to depict the material's capacity for absorbing and releasing moisture over time. The experimental isotherm data were fitted using different mathematical models (Guggenheim, Anderson, and De Boer, Peleg, Adam and Shove, Oswin, and Modified Henderson). The findings suggest that integrating eggshell powder with clay can significantly influence the behavior and characteristics of the resultant material. The combination of eggshell powder and clay reduces moisture sorption and accelerates the drying process. Consequently, this affects the porosity, permeability, and response to humidity changes.

Physical Properties of Selected Fruit Fibre and Pomace in the Context of Their Sustainable Use for Food Applications

Pomace, a waste product, generates a huge problem in the fruit and vegetable industry. Numerous studies prove that pomace and fibre are valuable sources of many nutrients. Due to their properties, their popularity is growing in many industries. Water vapour isotherms and kinetics were determined for selected fruit fibre and pomace. The activity and water content, colour, apparent and bulk density, and material structure were also investigated. In addition, the thermal stability of the tested fibres and pomace was examined. Fibre and pomace from chokeberries, apples and currants were used in the research. The determined kinetic curves proved that apple fibre absorbed more water vapour. The isotherms were found to have a shape characteristic of type III sorption isotherms. The Guggenheim–Anderson–de Boer model (GAB) described experimental data for sorption isotherms well (taking an RMS value of less than 10% as a good fit of the model to the sorption data). Thermogravimetric analysis showed good thermal stability, and all analysed fruit fibre and pomace showed similar behaviour in the three main stages of weight loss. The results suggest that the analysed waste materials can be used for different applications, including flour replacements for food products or filling materials in edible packaging films.

A visualized and bibliometric analysis of cancer vocational rehabilitation research using CiteSpace

BACKGROUND: There are numerous publications on cancer vocational rehabilitation, visual techniques can help medical researchers and social workers be more familiar with the state of this field. OBJECTIVE: To summarize cancer vocational rehabilitation research, we applied visualized and bibliometric analysis to enable medical workers and social workers to identify evolving patterns of knowledge among articles and research trends, understand the current research status of vocational rehabilitation of cancer, and carry out further research on hot topics. METHODS: Based on a review of 933 papers on cancer vocational rehabilitation published in the Web of Science Core Collection, this study used Citespace software to systematically and objectively describe cancer vocational rehabilitation. RESULTS: Since 2003, the field of cancer vocational rehabilitation began to sprout. The most published and most cited country, institution, author and cited journal were the United States, University of Amsterdam, Angela G. E. M. de Boer, and Psycho-Oncology, respectively. The three most frequently cited keywords were breast cancer, quality of life and cancer survivor. The three keywords with the largest spike in citations were cohort, absence and symptom. Conducting randomized controlled trials or prospective cohort studies to help cancer survivors return to work, and using qualitative methods to understand the vocational rehabilitation experiences or perceptions of cancer survivors or medical staff are hotspots in this field. CONCLUSIONS: Cancer vocational rehabilitation has attracted the attention of researchers all over the world. Future studies may focus on other cancer types and explore more high quality interventions.

Pengukuran Kinerja Supply Chain Otak-Otak Bandeng Menggunakan Supply Chain Operation Reference (SCOR) dan Analytical Hierarchy Process (AHP)

The supply chain is one of the things that plays a role in business continuity. Not only in large-scale industries, a small and medium SME also needs to pay attention to the supply chain so that the business can develop and be sustainable. Supply chain performance measurement needs to be done to measure and evaluate supply chain performance that is currently ongoing. Supply chain operation reference and Analytical Hierarchy Process are used in creating performance measurement models. There are 29 validated Key peformance Indicators to create hierarchical models which are then normalized snorm de boer and AHP in determining weights with Expert choice 11. The measurement of supply chain performance in milkfish SMEs bu afifah obtained 64 meaning average or average with an indicator range between 50-70. In addition, the attribute that has the greatest influence weight is plan with a value of 0.302, then source with a value of 0.246, make with a value of 0.168, deliver with a value of 0.119, return with a value of 0.084 and enable with a value of 0.080

Osmotic Dehydration Model for Sweet Potato Varieties in Sugar Beet Molasses Using the Peleg Model and Fitting Absorption Data Using the Guggenheim-Anderson-de Boer Model.

This study investigates the applicability of the Peleg model to the osmotic dehydration of various sweet potato variety samples in sugar beet molasses, addressing a notable gap in the existing literature. The osmotic dehydration was performed using an 80% sugar beet molasses solution at temperatures of 20 °C, 35 °C, and 50 °C for periods of 1, 3, and 5 h. The sample-to-solution ratio was 1:5. The objectives encompassed evaluating the Peleg equation's suitability for modeling mass transfer during osmotic dehydration and determining equilibrium water and solid contents at various temperatures. With its modified equation, the Peleg model accurately described water loss and solid gain dynamics during osmotic treatment, as evidenced by a high coefficient of determination value (r2) ranging from 0.990 to 1.000. Analysis of Peleg constants revealed temperature and concentration dependencies, aligning with previous observations. The Guggenheim, Anderson, and de Boer (GAB) model was employed to characterize sorption isotherms, yielding coefficients comparable to prior studies. Effective moisture diffusivity and activation energy calculations further elucidated the drying kinetics, with effective moisture diffusivity values ranging from 1.85 × 10-8 to 4.83 × 10-8 m2/s and activation energy between 7.096 and 16.652 kJ/mol. These findings contribute to understanding the complex kinetics of osmotic dehydration and provide insights into the modeling and optimization of dehydration processes for sweet potato samples, with implications for food processing and preservation methodologies.

Flow Structure Of A Heterogeneous Seagrass Canopy

Seagrass canopies are widely recognized for their ecosystem services (Barbier et al., 2011) including flow and wave attenuation (Ondiviela et al., 2014), sediment stabilization (De Boer, 2007), carbon sequestration (Duarte & Krause-Jensen, 2017) and nutrient deposition (Gacia et al., 2002). Over the past decades, various studies have delved into the modifications imparted by a seagrass canopy under both unidirectional and oscillatory flow at various scales. However, until recently, the majority of studies have either reported on or modeled seagrass canopies without considering the heterogeneity of species within a single canopy. While simplified prototype models offer valuable insights into system dynamics, they can introduce biases, potentially leading to the reduction or amplification of relevant physical processes (Tinoco et al., 2020). For instance, the study by Weitzman et al. (2015) emphasized the significance of considering vertical heterogeneity in a canopy. They noted that the presence of an understory can modulate near-bed flow processes differently, with flow attenuation significantly increased due to the understory's presence. However, embedded physical mechanisms and quantitative limitations in ecosystem functioning and services are only little understood. Such a knowledge gap is pointed out in the recent review by Risandi et al. (2023) regarding field studies of seagrass meadows in Indonesia. Only few studies explore the interaction between such a heterogeneous canopy (Short et al., 2011) and hydrodynamics despite the abundance of seagrass species in the region (McKenzie et al., 2020). Through physical modeling of four different species of seagrass this study aims to improve the understanding of flow structure modulated by a heterogeneous canopy under unidirectional currents at full scale.

Intact DNA Repair in Differentiated Cardiomyocytes Is Essential for Maintaining Cardiac Function in Response to Pressure Overload in Mice

Introduction: DNA in every cell is continuously damaged and DNA repair mechanisms are essential for protection against DNA damage-induced aging-related diseases. For example, deficient repair of endogenously generated DNA damage in mice with cardiomyocyte-restricted inactivation of Xpg, is associated with progressive heart failure (de Boer et al. Aging Cell 2023). Here we tested the hypothesis that unrepaired DNA damage in differentiated cardiomyocytes increases cardiac vulnerability in response to hemodynamic overload. Methods: At 8 weeks of age, αMHC-Xpgc/- and control (Ctrl) mice were subjected to pressure overload by mild transverse aortic constriction (TAC). Eight weeks after TAC, left ventricular (LV) function was assessed using echocardiography and hemodynamic measurements, followed by histological and molecular analyses. Results: Cardiomyocyte-restricted inactivation of Xpg resulted in systolic as well as diastolic LV dysfunction. TAC-induced LV hypertrophy was similar in both groups (Ctrl 38%; αMHC-Xpgc/- 34%). In Ctrl mice, LV hypertrophy was accompanied by minimal LV dilation and only modest changes in systolic and diastolic LV function. Conversely, TAC in αMHC-Xpgc/- produced severe LV dilation and dysfunction and resulted in overt backward failure, demonstrated by marked increases in LV end-diastolic pressure, left atrial weight and lung fluid weight. These changes were accompanied by further increases in the expression levels of the hypertrophic marker genes atrial natriuretic peptide and beta-myosin heavy chain. Moreover, lectin staining revealed a decrease in capillary density and TUNEL staining revealed further elevated levels of myocardial apoptosis in αMHC-Xpgc/--TAC mice as compared to Ctrl-TAC mice. In addition, a significant increase of myocardial collagen content was observed in αMHC-Xpgc/--TAC but not in Ctrl-TAC mice. Conclusion: Cardiomyocyte-restricted loss of DNA repair protein Xpg increases cardiac vulnerability to develop heart failure in response to pressure-overload. These findings underscore the importance of genomic stability for maintenance of cardiac function, not only under basal conditions, but also during increased cardiac loading conditions. Supported by the Dutch Heart Foundation [Grants 2017B018-ARENA-PRIME; 2021B008-RECONNEXT]. This is the full abstract presented at the American Physiology Summit 2024 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.

Impact of maltodextrin, egg white protein addition and microwave-assisted foam mat drying on drying kinetics, microstructures, physicochemical and quality attributes of jackfruit juice powder

This study aimed to analyze the effect of maltodextrin and egg white protein addition on the physicochemical, functional, microstructures, and drying characteristics of microwave-assisted foam mat-dried (MFD) jackfruit juice powders. A microwave intensity of 1 W/g was employed to obtain optimal yield and high quality of the powders. The concentration of maltodextrin influenced the drying rate of the jackfruit juice powders, with higher concentrations resulting in a faster drying rate. The data obtained from Microwave-assisted foam mat drying of the jackfruit juice powder data were best fitted by the Page and Logarithmic kinetic models. The moisture content of the jackfruit powders ranged from 1.323 ± 0.75 g/100 g (w.b.) to 1.712 ± 0.72 g/100 g (w.b.). Powders produced at higher maltodextrin/egg white protein ratios exhibited superior flowability, lower cohesiveness, smoother and smaller particle sizes, but degraded color quality. The maltodextrin concentration significantly influences the antioxidant properties of the powders. The water sorption of jackfruit juice powder was determined, and the findings showed a good fit with the Guggenheim–Anderson–de Boer (GAB) model.

Complexity of Supersymmetric Systems and the Cohomology Problem

We consider the complexity of the local Hamiltonian problem in the context of fermionic Hamiltonians with N=2 supersymmetry and show that the problem remains QMA-complete. Our main motivation for studying this is the well-known fact that the ground state energy of a supersymmetric system is exactly zero if and only if a certain cohomology group is nontrivial. This opens the door to bringing the tools of Hamiltonian complexity to study the computational complexity of a large number of algorithmic problems that arise in homological algebra, including problems in algebraic topology, algebraic geometry, and group theory. We take the first steps in this direction by introducing the k-local Cohomology problem and showing that it is QMA1-hard and, for a large class of instances, is contained in QMA. We then consider the complexity of estimating normalized Betti numbers and show that this problem is hard for the quantum complexity class DQC1, and for a large class of instances is contained in BQP. In light of these results, we argue that it is natural to frame many of these homological problems in terms of finding ground states of supersymmetric fermionic systems. As an illustration of this perspective we discuss in some detail the model of Fendley, Schoutens, and de Boer consisting of hard-core fermions on a graph, whose ground state structure encodes l-dimensional holes in the independence complex of the graph. This offers a new perspective on existing quantum algorithms for topological data analysis and suggests new ones.

Halal Supply Chain Performance Measurement with Supply Chain Operations Reference Approach

Bakso Mantul is a household industry produces ready-to-eat packaged frozen meatballs with sales areas in South Sumatra, Indonesia. The absence of halal certification of the products failed the business to get benefit of increasing income and consumer’s trust. The obligation to certify halal products is based on the Law of the Republic of Indonesia No. 33 of 2014. The preparation and performance measurement of halal supply chain management implemented by Micro, Small, and Medium Enterprises (MSMEs) could support to obtain the certification. The purpose of the study is to prepare Key Performance Indicators (KPIs) using Supply Chain Operations Reference (SCOR) as a form of standardization. SCOR could be used to maintain the products’ halal quality and measure the performance of all halal supply chain activities in the cycle view push process. From the validation results carried out by internal and external respondents of MSMEs, 12 KPIs obtained are considered valid and could be used to measure the performance of halal supply chain. From the measurement, a value of 50.78 is still categorized as average based on the Snorm De Boer system. The KPI analysis using the Traffic Light System (TLS) shows that seven KPIs are satisfying, four are not satisfactory, and one is marginal.

Effect of Heat Treatment on Hygroscopicity of Chinese Fir (Cunninghamia lanceolata [Lamb.] Hook.) Wood

Chinese fir (Cunninghamia lanceolata [Lamb.] Hook.) is a widely planted species of plantation forest in China, and heat treatment can improve its dimensional stability defects and improve its performance. The wood samples were heat-treated at various temperatures (160, 180, 200, and 220 °C) for 2 h. To clarify the effect of heat treatment on wood hygroscopicity, the equilibrium moisture content (EMC) was measured, the moisture adsorption and desorption rates were determined, the hygroscopic hysteresis was examined, and the Guggenheim, Anderson, and de Boer (GAB) model was fitted to the experimental data. The moisture absorption isotherms of all samples belonged to the Type II adsorption isotherm, but the shape of the desorption isotherm was more linear for heat-treated wood samples, especially when the heat treatment temperature was higher. According to the results analyzed with ANOVA, there were significant differences in equilibrium moisture content between the control samples and the heat-treated samples under the conditions of 30%, 60%, and 95% relative humidity (RH, p < 0.05), and the results of multiple comparisons were similar. The decrease in hygroscopicity was more pronounced in wood treated at higher temperatures. The EMC of the 160–220 °C heat-treated samples of the control samples was 14.00%, 22.37%, 28.95%, and 39.63% lower than that of the control sample at 95% RH. Under low RH conditions (30%), water is taken up mainly via monolayer sorption, and multilayer sorption gradually predominates over monolayer sorption with the increase in RH. The dynamic vapor sorption (DVS) analysis indicated that the heat-treated wood revealed an increase in isotherm hysteresis, which was due to the change in cell wall chemical components and microstructure caused by heat treatment. In addition, the effective specific surface area of wood samples decreased significantly after heat treatment, and the change trend was similar to that of equilibrium moisture content.

Properties, Structure, and Acceptability of Innovative Legume-Based Biscuits with Alternative Sweeteners.

The effects of legume incorporation and sweetener substitution on the quality characteristics of innovative biscuits were investigated. The wheat flour was substituted with chickpea and lentil flour at ratios ranging from 0 to 30% legume to whole-meal dicoccum wheat flour. The sugar was substituted by oligofructose at 50 and 100% levels. The quality characteristics, including physicochemical properties (moisture content, water activity, and color), sorption characteristics, structural and textural properties, and sensory properties, were significantly affected by the substitutions. Sorption phenomena were excellently described by the Guggenheim, Anderson, and de Boer (GAB) model, while its parameters were affected by substitutions. Scanning electron microscopy revealed a porous structure with starch granules embedded within the protein matrix, showing restricted gelatinization and keeping largely their form. The incorporation of legume flour increased the biscuit density, hardness, and spread ratio and decreased the color of the products. Furthermore, principal component analysis (PCA) analysis of instrumental and sensory characteristics showed that texture and sweetness were the key quality characteristics for product acceptance. It was found that highly acceptable legume-based biscuits with alternative sweeteners can be produced, with 50% oligofructose substitution and legume flour incorporation (chickpea or lentil) up to 30%.

Comparison of phase diagrams of H2O, D2O, and inert substances

The phase diagrams for the light H2O, heavy D2O water, and inert substances (Ne, Ar, Kr, and Xe) have been compared. A method of choosing the starting point for entropy and internal energy was proposed. It allowed testing the principle of corresponding states using caloric variables. In the given coordinates of temperature, pressure, and chemical potential, the water isotopologues form one group of substances and have similar phase diagrams. The inert substances in the same coordinates form another group of substances with similar phase diagrams. The phase diagrams for inert Ne with significant de Boer quantum parameters differ to a certain extent from the phase diagrams of other inert substances.

Equating extrapolate dictionaries for massless scattering

We study features of celestial CFT correlation functions when the bulk theory is itself a CFT. We show that conformal inversions in the bulk map boost eigenstates to shadow transformed boost eigenstates. This is demonstrated explicitly for the wavefunctions of free massless scalars, and finds interesting applications to building extrapolate dictionaries. Because inversions exchange null infinity and the light cone of the origin, one finds a relation between the massless extrapolate dictionary — involving correlators of operators inserted along null infinity — and the slice-by-slice extrapolate dictionary recently studied by Sleight and Taronna starting from the hyperbolic foliation of de Boer and Solodukhin. Namely, boundary correlators of Sleight and Taronna coincide with celestial amplitudes of shadow transformed boost eigenstates. These considerations are unified by lifting celestial correlators to the Einstein cylinder. This also sheds new light on the extraction of the \U0001d446-matrix from the flat limit of AdS/CFT.

Activation of the erythropoietin system in exhaustively exercise muscle relates to ACE gene polymorphism-modulated metabolic signalling and mitochondrial transcript expression

Introduction
 Introduction A fall in muscle oxygen saturation is a potent activator of mitochondrial biogenesis in exercised skeletal muscle which is subject to the training-modulated influence of the insertion/deletion polymorphism of the angiotensin converting enzyme gene (ACE-I/D; Gasser et al 2022) and may involve paracrine erythropoietin (EPO) signaling (Desplanches et al 2014, Nijholt et al 2021). We tested the hypothesis that erythropoietin expression and signaling in fatiguingly exercised muscle would correspond to the expression of hypoxia-regulated mitochondrial genes and altered metabolic signaling and would be subject to a genetic influence by ACE-I/D.
 Methods
 Methods 22 healthy, male white Caucasian men (27.0 +/- 1.4 years; BMI 23.6 +/- 0.6 kg m-2) completed a session of fatiguing one-legged exercise in the fasted state. Microbiopsies were collected from m. vastus lateralis of the non-exercised leg immediately before exercise, and ½, 3, and 8 hours thereafter from the exercising leg. Levels of the hypoxia-regulated cytochrome c oxidase subunit 4 isoforms 1 and 2 (COX4I1 and COX4I2), ACE and EPO transcript, glycogen concentration in m. vastus lateralis, the ACE-I/D genotype and aerobic fitness state were assessed as described (Desplanches et al 2014; Gasser et al 2022). EPO protein concentration and phosphorylation of intracellular transducers of EPO signaling were quantified in muscle homogenates with validated enzyme-linked immune sorbent and a phospho-kinase assays. Effects and Pearson correlations were assessed with analysis of variance and declared significant at p < 0.05.
 Results
 One-legged exercise produced metabolic fatigue as indicated by the voluntary cessation of exercise and a reduced glycogen concentration in m. vastus lateralis in all subjects ½ hour after exercise (-0.044 mg mg-1). Concomitantly, EPO protein levels were 4-fold lowered; and subsequently increased 3-8 hours after cessation of exercise alike EPO transcripts levels.
 Aerobically fit ACE I-allele carriers demonstrated a sparing of muscle glycogen, exaggerated EPO transcript response, and higher phosphorylation levels of EPO signal transducers [STAT5a-Y694 (+31%), STAT5b-Y699 (+40%)]. The phosphorylation level of the metabolic signal transducer AMPKa2-T172 correlated to EPO transcript levels 3 hours post exercise (r = 0.61). EPO protein levels correlated to ACE and COX4I2 transcript levels (r = -0.79; -0.54).
 Discussion
 The findings highlight that a paracrine loop of metabolically-regulated EPO signaling exists in exercised human skeletal muscle which variability is associated with the ACE-I/D gene polymorphism in fair correspondence with a mitochondrial marker of local hypoxia.
 References
 Desplanches, D., Amami, M., Mueller, M., Hoppeler, H., Kreis, R., & Flück, M. (2014). Hypoxia refines plasticity of mitochondrial respiration to repeated muscle work. European Journal of Applied Physiology, 114, 405-417. https://doi.org/10.1007/s00421-013-2783-8
 Gasser, B., Franchi, M. V., Ruoss, S., Frei, A., Popp, W. L., Niederseer, D., Catuogno, S., Frey, W. O., & Flück, M. (2022). Accelerated muscle deoxygenation in aerobically fit subjects during exhaustive exercise is associated with the ACE insertion allele. Frontiers in Sports and Active Living, 4, Article 814975. https://doi.org/10.3389/fspor.2022.814975
 Nijholt, K. T., Meems, L. M. G., Ruifrok, W. P. T., Maass, A. H., Yurista, S. R., Pavez-Giani, M. G., Mahmoud, B., Wolters, A. H. G., van Veldhuisen, D. J., van Gilst, W. H., Silljé, H. H. W., de Boer, R. A., & Westenbrink, B. D. (2021). The erythropoietin receptor expressed in skeletal muscle is essential for mitochondrial biogenesis and physiological exercise. Pflügers Archiv - European Journal of Physiology, 473, 1301-1313. https://doi.org/10.1007/s00424-021-02577-4

WITHDRAWN: Comparative Analysis of Asphaltene Deposition Methods : Stability indices, Stability plots, and Equation of state

Asphaltene deposition is one of the major problems that hinder hydrocarbon production. It can occur anywhere between the reservoir and the surface. Therefore, it is imperative that there be a procedure for minimizing the deposition of asphaltene in the production flow lines. There are several screening criteria that can be considered to determine the asphaltene deposition. This research will conduct a comprehensive study on different methodologies to determine the stability of asphaltene: the first category is the stability criteria using indices such as: the colloidal instability index (CII), the colloidal stability index (CSI), the stability index (SI), and the asphaltene stability predicting model (ANJIS). These four methods are used to predict the stability of asphaltene using SARA analysis. The fifth one is called modified CII which uses the compositions analysis of reservoir fluids, instead of SARA analysis, to determine the stability of asphaltene. The second method uses SARA Analysis to predict the stability via plots such as: Stankiewics plot (SP), De Boer plot, Sepulveda stability criterion (SCP). The third method is using compositional analysis of reservoir fluids and the equation of state model to predict the asphaltene onset pressure (AOP). In the last method Soave Redlich Kwong (SRK) equation of state model was used to predict asphaltene precipitations.In this work, a dataset of 166 was created which includes reservoir information, depth, compositional analysis, and SARA analysis. These data are used to study the potential of asphaltene deposition at the reservoir level. It was found that the stability criteria using indices and plots shows discrepancy in the results. The only two methods that show all the datasets are stable are the modified CII and the EOS model. As far as predicting asphaltene stability is concerned, the EOS method, based on compositional analysis and the thermodynamic model, appears to be the most reliable and trustworthy method. The other methods presented are observational rather than thermodynamic. Using these criteria is intended as a quick and fast estimate of the stability potential of asphaltene, not for planning or management of asphaltene deposition issues.

Can locking plate fixation and free Vascularised fibular transfer with skin island achieve good functional outcome in the treatment of large bone defects of Tibia ? A study of 26 cases

BackgroundDespite the availability of multiple treatment options, management of tibial bone loss continues to be a challenge. Free vascularized fibula graft (FVFG) with a skin paddle offers better advantages over the other methods. We aimed to study the functional outcomes and QALY of patients with large tibial bone defects following FVFG with a locking plate. Materials and MethodsWe analyzed 26 consecutive patients with large tibial bone defects treated by free vascularized fibular graft (FVFG) and stabilization using a long locking plate between 2009 and 2018. All were followed up for a mean period of 42 months (24 to 120 months). Bony union, graft hypertrophy, and complications such as stress fracture and infections were assessed. Multivariate regression analysis was performed to identify any association between demographic factors, injury characteristics, treatment-related factors, and fibular hypertrophy. Additionally, The EQ-5D quality-of-life (QOL) indices were obtained using the SF-12 score to evaluate the patients' overall quality of life. ResultsThe mean age of the patients at the time of presentation was 36.26 yrs (range, 18–60 years). The cause of bone loss was open injury in 16 patients and infected nonunion in 10 patients. Complete union was achieved in 25 patients (96 %) without any requirement of additional surgical procedures. The mean union time of the graft was 4.04 months (range, 3–6 months). The mean fibular hypertrophy calculated by De Boer index was 0.61 %, 11 %, 28.24 % and 52.52 % at 3,6 months and 1 and 2 years respectively. Patients with metaphyseal bone loss have significant fibular hypertrophy. Participants in our study experienced a quality of life equivalent to 0.88 (range 0.79–0.99) of perfect health. ConclusionsFVFG with skin paddle and LCP fixation for massive tibial bone loss achieved satisfactory outcome and QALY even in the challenging healthcare environment of South India, a developing country.It maintains alignment, promotes graft hypertrophy, and prevents stress fractures. Level of evidenceLevel 4 Level of clinical careLevel I Tertiary trauma centre

Supply chain performance analysis using the SCOR method

The current era of globalization requires companies to meet market demands in order to get the right tactics or strategy. This research was conducted at PT. Budi Starch & Sweetener has several obstacles in carrying out its supply chain activities such as delivery delays, supply uncertainty and problems in the production process. So, measuring Supply Chain performance is very important so that companies can know the extent of Supply Chain performance achieved by the company. Supply chain performance measurement is carried out using the Supply Chain Operations Reference (SCOR) method with the Key Performance Indicator (KPI) validation phase, calculation of actual KPI values, and weighting of metrics for each level using the Analytical Hierarchy Process (AHP) method. After processing the data, the result was that 16 performance indicators were selected from a total of 36 performance indicators. To determine the main criteria and priorities, performance indicators are weighted using the AHP method. The calculation result of the total performance value is 76,41, so the performance measurement at PT. Budi Starch & Sweetener Tbk is included in the good scale. However, the results of data processing of actual values which were then normalized to Snorm De Boer still contained 5 indicators which showed a value of less than 90 and required improvement, namely accuracy of estimates, raw material planning, on-time delivery performance by suppliers, compliance with production schedules, and number of problems. machine. It is hoped that companies can issue appropriate policies regarding of these five performance indicators, so that the level of achievement of Supply Chain Management (SCM) targets in companies can be further increased.

Efficient and cost-effective adsorbent brick sand nanoparticles used for removal of heavy metals

ABSTRACT We are introducing cost effective, easily available brick sand nano-particles (BSNP) (44.208 nm) as an adsorbent in batch process for removal of heavy toxic metals such as Pb, Cd, and Cr from aqueous solution. We used two types of adsorbents, one is acid treated BSNP and other one is untreated BSNP, and investigated adsorbent properties with function of contact time, temperature, and pH. The efficiency or performance of adsorbent was characterized by AAS for percentage of removal from solution, EDS for elemental analysis to confirm the metals adsorption. The Langmuir, Freundlich, Temkin, Hill De Boer, Elovich, and Redlich-Peterson adsorption isotherms were studies to find out the quality of the adsorbent. At 5.68 to 7.6 pH, the maximum removal percentages of Pb, Cd, and Cr were 97% from the aqueous solution. The temperatures at 40℃ to 60℃, the Pb, Cd, and Cr experiments were carried out at their highest possible percentages (98%). The reaction process was pseudo-second order model and several thermodynamic factors, including Intraparticle diffusion, Elovich kinetic model, Boyd kinetic model, activation energy, Gibbs free energy, enthalpy change, and entropy change ensured the adsorbent efficiency of brick sand nanoparticles. The results of present research indicated that Brick Sand Nano-Particles (BSNP) may play a vital role as a cost-effective, efficient, and easily available adsorbent for the removal of Pb, Cd, and Cr from wastewater.