Effect of intra-articular platelet-rich plasma or hyaluronic acid on limb function recovery in dogs with TPLO for cranial cruciate ligament rupture: a randomised controlled trial

OBJECTIVES

This study aimed to investigate the recovery of limb function following a single intra-articular injection of platelet-rich plasma or hyaluronic acid in dogs with cranial cruciate ligament rupture treated with tibial plateau levelling osteotomy compared to dogs receiving no injection intraoperatively.

MATERIALS AND METHODS

Sixty-two dogs with cranial cruciate ligament rupture, body weights of 20 to 40 kg, and no other orthopaedic conditions were enrolled in this prospective, randomised, double-blind, controlled study at the small animal clinic at LMU Munich. All dogs underwent tibial plateau levelling osteotomy. Based on random allocation, they received either a single intra-articular injection of platelet-rich plasma, hyaluronic acid or no injection intraoperatively. Gait analysis, clinical examinations, radiography of the stifle joint for osteoarthritis progression and two validated owner questionnaires were compared among groups at three timepoints postoperatively (6 weeks, 3 and 6 months). Limb function was primarily assessed by measuring the ground reaction forces.

RESULTS

At all times postoperatively, no differences were observed among groups regarding clinical examinations, osteoarthritis score values, ground reaction forces or owner questionnaires. All dogs showed significant improvement in limb function clinically, in all ground reaction forces and in the validated questionnaires. Osteoarthritis progressed minimally during rechecks in all dogs regardless of the additional injection or not.

CLINICAL SIGNIFICANCE

All dogs treated with tibial plateau levelling osteotomy for cranial cruciate ligament rupture showed improvements in limb function. No additive effect on faster recovery was demonstrated with the additional intra-articular injection of platelet-rich plasma or hyaluronic acid. Addition of platelet-rich plasma/hyaluronic acid injections during tibial plateau levelling osteotomy is unnecessary considering the lack of benefit observed up to 6 months postoperatively.

Increasing Interoperability between Digital Twin Standards and Specifications: Transformation of DTDL to AAS

Although standards and specifications for digital twins aim to create interoperability in Industry 4.0, each standard has its own goals, focuses and representations for digital twins. This paper examines an approach to increasing interoperability between established digital twin specifications by transformation. Accordingly, several specifications are presented and requirements for transformation are examined. Following the feasibility analysis, a mapping between the Digital Twin Definition Language (DTDL) and Asset Administration Shell (AAS) was created. To examine the feasibility of this approach, the transformation was implemented and tested for a physical asset. This paper demonstrates that a generic mapping between DTDL and AAS can be applied for transformation in use cases where DTDL models are provided while AAS is required.

On the Role of Digital Twins in Data Spaces

Industry 4.0 supports the vision of networked machines in decentralized production plants across the value chain. Hence, it requires highly connected partners exchanging relevant data about products, processes, and production resources. This paper proposes the usage of data spaces and digital twins to enable this Industry 4.0 vision and investigates the building blocks to realize a data space for Industry 4.0, e.g., the integration of digital twins inside the data space based upon the latest specification of the Industry 4.0 Asset Administration Shell. A prototypical implementation shows the feasibility of storing product carbon footprints inside a digital twin and sharing it over a data space with other partners.

Conebeam CT as an Additional Tool in Digital Subtraction Myelography for the Detection of Spinal Lateral Dural Tears

Lateral dural tears as a cause spontaneous intracranial hypotension occur in ∼20% of patients. Common imaging modalities for their detection are lateral decubitus digital subtraction myelography or dynamic CT myelography. Reports on the use of conebeam CT are scarce. We show 3 patients in whom the targeted use of conebeam CT during digital subtraction myelography was helpful in confirming the site of the leak.

Open-Source Implementations of the Reactive Asset Administration Shell: A Survey

The use of open-source software is crucial for the digitalization of manufacturing, including the implementation of Digital Twins as envisioned in Industry 4.0. This research paper provides a comprehensive comparison of free and open-source implementations of the reactive Asset Administration Shell (AAS) for creating Digital Twins. A structured search on GitHub and Google Scholar was conducted, leading to the selection of four implementations for detailed analysis. Objective evaluation criteria were defined, and a testing framework was created to test support for the most common AAS model elements and API calls. The results show that all implementations support at least a minimal set of required features while none implement the specification in all details, which highlights the challenges of implementing the AAS specification and the incompatibility between different implementations. This paper is therefore the first attempt at a comprehensive comparison of AAS implementations and identifies potential areas for improvement in future implementations. It also provides valuable insights for software developers and researchers in the field of AAS-based Digital Twins.

[IQWiG's methods for the cost-benefit assessment : Comparison with an international reference scenario]

Standardization of international health economic guidelines has been repeatedly requested. In this context, an international reference case was proposed, which constitutes an agreed approach for the key elements of health economic evaluation including study perspective, comparators, source of effectiveness data, role of modeling, main (economic) outcome, source of utilities, characterizing uncertainty. It is, however, questionable whether such a reference scenario can reasonably be applied across all health care systems. Our analysis pursues the question to which degree the Institute for Quality and Efficiency in Health Care's (Institut für Qualität und Wirtschaftlichkeit im Gesundheitswesen, IQWiG) "General methods for evaluating the relation between cost and benefit" comply with the key elements of the reference case. In case of divergences, they will be described and discussed in light of the German social legislation and in consideration of current scientific evidence. In conclusion, the analysis revealed that IQWiG complied with the reference case in almost all aspects. Differences were found only with respect to the choice of main (economic) outcome and the source of utilities. These differences seem justified and well explained in the context of the German social legislation as well as in view of the weaknesses of the quality-adjusted life year (QALY) concept.

Anionic- and lipophilic-mediated surface binding inhibitors of human leukocyte elastase

We report the synthesis of a series of diphenylmethane-based oligomers containing anionic and lipophilic functionalities that are potent inhibitors of human leukocyte elastase (HLE). The enzyme inhibition is regulated by the size of the oligomer, as well as, the number of charges. Lipophilicity is an important element in determining potency and specificity against other basic enzymes. Compounds whose scaffolds contain three phenoxyacetic acid groups and three alkyl ethers are competitive and specific inhibitors of HLE with Ki = 20 nM. The mechanism of action of this class of compounds is believed to involve multidendate interactions with the surface of HLE near the active site which prevents substrate access to the catalytic site.

Skylight and aerosol in Thailand during the dry winter season

Solar and skylight measurements were made in southern Thailand from late February to early April of 1969. The aerosol optical density (basis 10) was rather large, ranging from 0.07 to 0.28 at lambda0.5 microm and varied with about lambda(-2) in the range 0.5 < lambda < 1.6 microm. The skylight scattering phase function was relatively flat and showed little spectral dependence. The log aerosol size distribution seems close to r(-4). The origin of the turbid low level air from the South China Sea and Philippine Sea poses the question of the nature of the aerosol.

Aroser Messungen des Ozongehalts der unteren Troposphäre und sein Jahresgang

Messungen des Ozongehalts in Arosa (1860m ü.M.), durchgeführt seit März 1950 mit dem Gerät von Ehmert,werden diskutiert. Mit Ausnahme von Stau-Wetterlagen können die (Spitzen-)Werte als orographisch unbeeinflußt und damit für die freie Troposphäre repräsentativ angesehen werden. Auf der Rückseite von Kaltluftvorstößen werden in der Regel die höchsten Werte gemessen, in tropischer Luft die niedrigsten.

Es ergibt sich ein ausgesprochener Jahresgang: Dem geringsten Ozongehalt im Winter folgt rasche Auffüllung der Westdrift mit Ozon von Februar bis April (Maximalwert etwa 80 γO3/m 3 .

Die mit Dobson-Spektralphotometer gemessenen täglichen Werte des Gesamtozons über Arosa sind beigefügt.