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There is increasing evidence that T lymphocytes play a key role in controlling endogenous regeneration. Regeneration appears to be impaired in case of local accumulation of CD8+ effector T cells (T ), impairing endogenous regeneration by increasing a primary \"useful\" inflammation toward a damaging level. Thus, rescuing regeneration by regulating the heightened pro-inflammatory reaction employing regulatory CD4+ T (T ) cells could represent an immunomodulatory option to enhance healing. Hypothesis was that CD4+ T might counteract undesired effects of CD8+ T . Using adoptive T transfer, bone healing was consistently improved in mice possessing an inexperienced immune system with low amounts of CD8+ T . In contrast, mice with an experienced immune system (high amounts of CD8+ T ) showed heterogeneous bone repair with regeneration being dependent upon the individual T /T ratio. Thus, the healing outcome can only be improved by an adoptive T therapy, if an unfavorable T /T ratio can be reshaped; if the individual CD8+ T percentage, which is dependent on the individual immune experience can be changed toward a favorable ratio by the T transfer. Remarkably, also in patients with impaired fracture healing the T /T ratio was higher compared to uneventful healers, validating our finding in the mouse osteotomy model. Our data demonstrate for the first time the key-role of a balanced T /T response following injury needed to reach successful regeneration using bone as a model system. Considering this strategy, novel opportunities for immunotherapy in patients, which are at risk for impaired healing by targeting T cells and supporting T cells to enhance healing are possible.

The first offshore wind farm 'alpha ventus' in the German North Sea was constructed north east of Borkum Reef Ground approximately 45 km north off the German coast in 2008 and 2009 using percussive piling for the foundations of 12 wind turbines. Visual monitoring of harbour porpoises was conducted prior to as well as during construction and operation by means of 15 aerial line transect distance sampling surveys, from 2008 to 2010. Static acoustic monitoring (SAM) with echolocation click loggers at 12 positions was performed additionally from 2008 to 2011. SAM devices were deployed between 1 and 50 km from the centre of the wind farm. During aerial surveys, 18 600 km of transect lines were covered in two survey areas (10 934 and 11 824 km2) and 1392 harbour porpoise sightings were recorded. Lowest densities were documented during the construction period in 2009. The spatial distribution pattern recorded on two aerial surveys three weeks before and exactly during pile-driving points towards a strong avoidance response within 20 km distance of the noise source. Generalized additive modelling of SAM data showed a negative impact of pile-driving on relative porpoise detection rates at eight positions at distances less than 10.8 km. Increased detection rates were found at two positions at 25 and 50 km distance suggesting that porpoises were displaced towards these positions. A pile-driving related behavioural reaction could thus be detected using SAM at a much larger distance than a pure avoidance radius would suggest. The first waiting time (interval between porpoise detections of at least 10 min), after piling started, increased with longer piling durations. A gradient in avoidance, a gradual fading of the avoidance reaction with increasing distance from the piling site, is hence most probably a product of an incomplete displacement during shorter piling events.

Knowing the abundance of a population is a crucial component to assess its conservation status and develop effective conservation plans. For most cetaceans, abundance estimation is difficult given their cryptic and mobile nature, especially when the population is small and has a transnational distribution. In the Baltic Sea, the number of harbour porpoises (Phocoena phocoena) has collapsed since the mid‐20th century and the Baltic Proper harbour porpoise is listed as Critically Endangered by the IUCN and HELCOM; however, its abundance remains unknown. Here, one of the largest ever passive acoustic monitoring studies was carried out by eight Baltic Sea nations to estimate the abundance of the Baltic Proper harbour porpoise for the first time. By logging porpoise echolocation signals at 298 stations during May 2011–April 2013, calibrating the loggers’ spatial detection performance at sea, and measuring the click rate of tagged individuals, we estimated an abundance of 71–1105 individuals (95% CI, point estimate 491) during May–October within the population's proposed management border. The small abundance estimate strongly supports that the Baltic Proper harbour porpoise is facing an extremely high risk of extinction, and highlights the need for immediate and efficient conservation actions through international cooperation. It also provides a starting point in monitoring the trend of the population abundance to evaluate the effectiveness of management measures and determine its interactions with the larger neighboring Belt Sea population. Further, we offer evidence that design‐based passive acoustic monitoring can generate reliable estimates of the abundance of rare and cryptic animal populations across large spatial scales. One of the largest ever passive acoustic monitoring studies has been carried out by eight Baltic Sea nations to estimate the abundance of the critically endangered Baltic Proper harbour porpoise for the first time. By logging porpoise echolocation signals at 298 stations during May 2011–April 2013, calibrating the loggers’ spatial detection performance at sea, and measuring the click rate of tagged individuals, an abundance of 71–1105 individuals (95% CI, point estimate 491) was estimated during May–October within the population's proposed management border. The small abundance strongly supports that the Baltic Proper harbour porpoise is facing an extremely high risk of extinction, and highlights the need for immediate and efficient conservation actions through international cooperation.

A temporal and geographical analysis of echolocation activity can give insights into the behaviour of free-ranging harbour porpoises Phocoena phocoena. Seasonal and diel patterns in the presence and foraging activity of harbour porpoises were investigated based on a year-long passive acoustic monitoring data set recorded at 5 sites in the western Baltic Sea. Diel patterns in detection rates were found at 4 sites. A year-round rhythm in presence, however, was found at only 1 station, whereas the other 3 stations showed diel rhythms for 2 to 3 seasons. Three of the sites showed diel patterns in foraging sequences on a seasonal level, but no station showed such patterns for the complete year of investigation. Both diurnal and nocturnal patterns in harbour porpoise detections were observed, indicating that diel rhythmic behaviour is more complex than previously reported. In contrast, foraging behaviour showed only nocturnal rhythms. Owing to the limitations in passive acoustic monitoring, all categorized foraging sequences are a minimum estimate. Therefore, classified foraging sequences are most likely pelagic foraging, while bottom grubbing could have been missed. Differences in the occurrence of foraging sequences between station, season and time of day lead to the assumption that the long-term echolocation diel patterns of porpoises strongly depend on the temporal changes in food availability and composition within a certain habitat. Echolocation behaviour of foraging porpoises is strongly influenced by seasonally available prey resources, which require adaptive foraging strategies. Therefore, owing to seasonal variations, analyses of diel patterns need to be conducted over sufficiently long time periods and large geographic scales to allow generalized interpretation of the findings. Consequently, no general conclusion regarding diel rhythms in harbour porpoise echolocation was found. We hypothesize that porpoises in the study area alternate between foraging on benthic prey in shallow waters at daytime and in the pelagic in deeper waters at night.

To date, only limited results on the fatty composition in different tissues of the top predators in the Baltic Sea are available. In the current study, tissue samples of blubber, skeletal muscle, and liver from 8 harbour porpoise (Phocoena phocoena) and 17 grey seals (Halichoerus grypus) in the Baltic Sea off Mecklenburg-Western Pomerania were included in the investigation. While the total fatty acid content in liver and blubber tissue revealed no differences between both species, the total fatty acid content of muscle tissue was significantly differentand showed higher concentrations in harbour porpoise muscle compared with grey seals. The most abundant fatty acids in the blubber of grey seals and harbour porpoises (18:1cis-9, 16:1cis-9, 16:0 and 22:6n-3) were present in similar quantities and ratios to each other as known from other marine top predators. If future studies can show that differences in tissue fatty acid content are caused by variation in the nutritional status, and this may lead to the development of a more objective assessment of body condition in seals and porpoises recovered via stranding schemes.

Many animals alternate between different media, such as air and water, thanks to specific adaptations. Among birds, penguins ( Sphenisciformes ) have the most extreme morphological, physiological, and behavioural adaptations to their amphibious lifestyle. Their auditory perception of sound, potentially matching different impedances in air and under water, is largely unknown particularly in terms of whether their underwater adaptations may have affected their in-air hearing capacity. In this context, we investigated the hearing ability of four captive Humboldt penguins ( Spheniscus humboldti ) in air using psychophysical hearing tests. The 50% hit rate was found to be below 76 dB rms re 20 µPa between 0.250 kHz and 10 kHz, with most sensitive hearing at 2 kHz (mean threshold of 15.3 dB rms re 20 µPa). The four penguins showed large inter-individual variation in sensitivity at a given frequency but within a common audiogram shape. Despite the variability, penguins detected 0.250 kHz at comparably low sound levels (mean = 36.8 dB rms re 20 µPa) after a rapid decline of sensitivity at 0.500 kHz (mean = 64.1 dB rms re 20 µPa). This finding was unexpected, and it is therefore difficult to interpret whether it is an artefact of the methods or a biologically relevant finding. An extensive discussion is presented and suggests that this finding may be biologically relevant but would need further investigation to reveal the underlying mechanisms.

BackgroundE-scooters have emerged as a frequently used vehicle in German cities due to their high availability and easy access. However, investigations about the causes and mechanisms of E-scooter incidents and their trauma-specific consequences are rare.MethodsWe analysed all patients involved in E-scooter incidents from June to December 2019 who presented to four inner-city EDs in Berlin. The prospective data included patient-related and incident-related data, information on injury patterns and therapy, responses in a voluntary questionnaire concerning E-scooter use and general traffic experience.Results248 patients (129 males; median age 29 years (5–81)) were included: 41% were tourists and 4% were children. Most incidents (71%) occurred between July and September 2019, the majority occurring at weekends (58%). The injury pattern was mostly multifocal, affecting the lower (42%) and upper limbs (37%) and the head (40%). Traumatic brain injury was associated with alcohol consumption. Inpatient admission was recorded in 25%, surgery in 23%.ConclusionThis study has defined the incidence of injury related to E-scooter use in a major European city. Stricter laws governing the use of E-scooters, the wearing of helmets and technical modifications to the E-scooter platforms might decrease E-scooter-associated incidents and resulting injuries in the future.Trial registration numberGerman Clinical Trials Registry (DRKS00018061).

Odontocetes have evolved a rich diversity of prey- and habitat-specific foraging strategies, which allows them to feed opportunistically on locally and temporally abundant prey. While habitat-specific foraging strategies have been documented for some odontocete species, this is less known for the harbour porpoise (Phocoena phocoena). We collected multiple years of acoustic data using echolocation click loggers to analyse porpoise occurrence and buzzing behaviour, indicating feeding, in the German Wadden Sea (North Sea). Seasonal, diel and tidal effects were studied using Generalised Estimating Equations (GEE-GAMs). Locally season, time of day and tidal time significantly influenced the probability of porpoise detections and detection of foraging sequences (buzzes). Hunting strategies, and therefore frequency of buzzes, were likely affected by prey distribution and large differences between POD locations indicated that porpoises used highly specific behaviour adapted to tide and time of day to efficiently feed on the available prey. Strong seasonal and spatial variation in diel and tidal effects underline the importance of long-term observations. Studies on porpoise behaviour are often based on short-term observations and might rather reflect a seasonal than a general pattern. The results of this study show clearly that significant changes in porpoise behaviour can be found in short and long-term observations. Here some features are based on short term determinants and others are stable over years and care should be taken about drawing general conclusions based on local patterns. Highly variable spatio-temporal patterns indicate a high flexibility of porpoises in a highly variable environment and address a challenge for complex conservation management plans.

Theodolites and drones are key instruments for observing small whales in coastal areas. This study compared their performance while observing the harbour porpoise ( Phocoena phocoena ) in the western Baltic Sea. The methods were used simultaneously providing information on location, behaviour and group size during a field campaign in 2022. Theodolite observers were able to detect surfacing positions during 80.5% of porpoise sightings while a drone collected data during 50.7% of total sightings detected by plain eye. The drone footage quality was poor during 47.3% of these sightings. An in-depth analysis of 75:36 h of good quality footage resulted in 16:55 h (22.4%) of cetacean appearance. The determination of group size was significantly more precise using drone footage while the theodolite was more accurate in determining the start/end of a sighting. The accuracy of locations was modelled using the distance (D t-d ) between recorded theodolite and drone coordinates of the same surfacing porpoise. D t-d varied significantly based on the point quality. Sea state and porpoise to theodolite observer distance did not influence D t-d . Both methods complement each other and should ideally be used simultaneously to obtain both accurate and detailed information on harbour porpoises and other marine mammals during land-based observation studies.

IntroductionThe incidence of acetabular fractures has increased significantly in recent years due to demographic change. It can be divided into high-energy acetabular fractures primarily seen in adult patients versus geriatric patients mostly suffering from low-energy trauma. Historically, acetabular fractures have been treated either non-operatively or surgically following open reduction and internal fixation (ORIF), whereas nowadays total hip arthroplasty (THA) provides a true alternative. Aim of this study was to perform a systematic review on the outcome following THA in acute acetabulum fractures.MethodsPubMed/MEDLINE, Cochrane and Google databases were systematically searched on December 9, 2021. The key terms were [acetabular fracture] AND [[arthroplasty] OR [fixation]]. All retrospective and prospective original studies in English and German were analyzed the outcome following THA in acute acetabulum fractures were included.ResultsA total of 2459 studies were screened, which includes 15 studies that met the inclusion criteria with a total of 590 patients at a mean age of 61.3 years (SD 11.48). Most studies described good to excellent results. Especially, THA allows elderly patients quicker mobilization and rehabilitation as well as symptomatic relief, as compared to ORIF or non-operative treatment. Patients who underwent non-operative treatment showed better results compared to those who underwent ORIF initially.ConclusionIn acetabulum fractures, THA provides a good alternative with very good results when patients are carefully selected. Good to excellent outcomes are reported for both acute and delayed use of THA in elderly patients.Level of evidenceLevel 2, systematic review.