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3D printing, upper extremity, rapid prototyping, patient-specific, and Medicine

Three-dimensional printing for medical applications in surgery of the upper extremity has gained in popularity as reflected by the increasing number of publications. This systematic review aims to provide an overview of the clinical use of 3D printing in upper extremity surgery. Methods: We searched the databases PubMed and Web of Science for clinical studies that described clinical application of 3D printing for upper extremity surgery including trauma and malformations. We evaluated study characteristics, clinical entity, type of clinical application, concerned anatomical structures, reported outcomes, and evidence level. Results: We finally included 51 publications with a total of 355 patients, of which 12 were clinical studies (evidence level II/III) and 39 case series (evidence level IV/V). The types of clinical applications were for intraoperative templates (33% of a total of 51 studies), body implants (29%), preoperative planning (27%), prostheses (15%), and orthoses (1%). Over two third of studies were linked to trauma-related injuries (67%). Conclusion: The clinical application of 3D printing in upper extremity surgery offers great potential for personalized approaches to aid in individualized perioperative management, improvement of function, and ultimately help to benefit certain aspects in the quality of life.

rare species, biodiversity, microhabitats, environmental determinants, Hydraulic engineering, TC1-978, Water supply for domestic and industrial purposes, and TD201-500

Understanding the drivers of species richness gradients is a central challenge of ecological and biodiversity research in freshwater science. Species richness along elevational gradients reveals a great variety of patterns. Here, we investigate elevational changes in species richness and turnover between microhabitats in near-natural spring habitats across Switzerland. Species richness was determined for 175 subsamples from 71 near-natural springs, and Poisson regression was applied between species richness and environmental predictors. Compositional turnover was calculated between the different microhabitats within single springs using the Jaccard index based on observed species and the Chao index based on estimated species numbers. In total, 539 diatom species were identified. Species richness increased monotonically with elevation. Habitat diversity and elevation explaining some of the species richness per site. The Jaccard index for the measured compositional turnover showed a mean similarity of 70% between microhabitats within springs, whereas the Chao index which accounts for sampling artefacts estimated a turnover of only 37%. Thus, the commonly applied method of counting 500 valves led to an undersampling of the rare species and might need to be reconsidered when assessing diatom biodiversity.

groundwater, stream, biodiversity, ecological status, conservation evaluation, algae, Hydraulic engineering, TC1-978, Water supply for domestic and industrial purposes, and TD201-500

Habitat alteration is one of the major drivers of species loss. Springs may be among the least affected aquatic habitats and are considered to be refugial habitats. Diatom assemblages were sampled from 74 Swiss springs comprising seven spring types over a wide altitudinal and ecological range as well as a wide range of anthropogenic modifications (alterations). Each spring was assigned to a five-point alteration scale, from natural to heavily altered. In total, 504 diatom species were recorded (not including 36 taxa that could not be identified to species level) from five microhabitats, and coded according to rarity and Red List status. The results of this extensive spring-habitat diatom survey were compared statistically with a large stream diatom dataset (DI-CH). The spring diatom microflora was more species rich and included more rare and/or threatened species than the stream microflora. The proportion of Red List species and rare species was highest in the DI-CH dataset, but the proportion of species with no Red List status and rare species was the highest in springs. Species richness, Red List status, and rarity were significantly related to the degree of spring alteration. This is consistent with the hypothesis that unaltered springs function as refuges for the Swiss fresh water microflora, and that they can be regarded as “least-impaired habitats”. These may be critically important for the conservation of the European freshwater diatom microflora.