Background: Frailty is a geriatric syndrome characterized by increased individual vulnerability with an increase in both dependence and mortality when exposed to external stressors. The use of Frailty Indices in routine clinical practice is limited by several factors, such as the cognitive status of the patient, times of consultation, or lack of prior information from the patient.
Objectives: In this study, we propose the generation of an objective measure of frailty, based on the signal from hand grip strength (HGS).
Around 20-30% of Fibromyalgia patients modify their dietary habits after diagnosis, including avoiding certain food groups such as cereals. In this systematic review, we used the PRISMA guidelines to select the main studies that have evaluated the effectiveness of restrictive diets, including elimination and vegetarian diets, in patients with Fibromyalgia. Data on vegetarian/vegan diets are more consistent than data on elimination diets due to higher quality and better results of the published studies.
View Article and Find Full Text PDFIn the present study, principal component analysis (PCA) is used to investigate the processes controlling groundwater salinity in the Mewat (Nuh) district, Haryana, India. Twenty groundwater samples were collected from salinity-affected areas in the March-April months of years 2018 and 2019 and were analyzed for chemical variables pH, EC, Ca, Mg, Na, K, [Formula: see text], Cl, SO, [Formula: see text], TDS, and total hardness. Three principal components were selected based on the eigen value, which explains 79.
View Article and Find Full Text PDFObjective: The purpose of this study was to evaluate the effectiveness of a 12-week multicomponent treatment based on pain neuroscience education, therapeutic exercise, cognitive behavioral therapy, and mindfulness-in addition to treatment as usual-compared with treatment as usual only in patients with fibromyalgia.
Methods: This randomized controlled trial involved a total of 272 patients who were randomly assigned to either multicomponent treatment (n = 135) or treatment as usual (n = 137). The multicomponent treatment (2-hour weekly sessions) was delivered in groups of 20 participants.
A recent study (FIBROWALK has supported the effectiveness of a multicomponent treatment based on pain neuroscience education (PNE), exercise therapy (TE), cognitive behavioral therapy (CBT), and mindfulness in patients with fibromyalgia. The aim of the present RCT was: (a) to analyze the effectiveness of a 12-week multicomponent treatment (nature activity therapy for fibromyalgia, NAT-FM) based on the same therapeutic components described above plus nature exposure to maximize improvements in functional impairment (primary outcome), as well as pain, fatigue, anxiety-depression, physical functioning, positive and negative affect, self-esteem, and perceived stress (secondary outcomes), and kinesiophobia, pain catastrophizing thoughts, personal perceived competence, and cognitive emotion regulation (process variables) compared with treatment as usual (TAU); (b) to preliminarily assess the effects of the nature-based activities included (yoga, Nordic walking, nature photography, and Shinrin Yoku); and (c) to examine whether the positive effects of TAU + NAT-FM on primary and secondary outcomes at post-treatment were mediated through baseline to six-week changes in process variables. A total of 169 FM patients were randomized into two study arms: TAU + NAT-FM vs.
View Article and Find Full Text PDFSci Total Environ
August 2020
With increasing population and human intervention on the natural environment, hazards are a growing threat, coming in many forms, including floods, droughts, soil erosion, and water pollution. A key approach to mitigate hydrological disaster risk at the community level is informed planning with decision support systems. The literature shows emerging efforts on multi-hazard decision support systems for hydrological disasters and demonstrates the need for an engaging, accessible, and collaborative serious game environment facilitating the relationship between the environment and communities.
View Article and Find Full Text PDFThe paper presents a web-based application developed as a medium for executing a serious game to enhance multi-jurisdictional collaborative planning and decision making for mitigation of multiple hazards related to water (i.e., floods, soil erosions, water quality).
View Article and Find Full Text PDFSediment accumulation at culverts involves large-scale and interlinked environmental processes that are difficult to address with experimental or physical modeling methods. This article presents an alternative data-driven investigation for shedding insights into these processes. Accordingly, a web-based geovisual analytics application, the IowaDOT platform, was developed, which allows users to explore the complex processes associated with the sediment deposition at culverts.
View Article and Find Full Text PDFThe present study was designed in the context of the uncertain circumstances related to the best therapeutic option for ridge preservation. The research aimed to investigate the quality of early healing processes developed in the former sockets preserved with a collagen matrix alone or associated with a bone substitute in comparison with naturally-healed sockets, using an animal model previously validated. In both quadrants of the mandible of two dogs, the distal sockets of the second and fourth premolars served as experimental sites.
View Article and Find Full Text PDFA low-cost, noninvasive, three-dimensional (3D), particle tracking velocimetry system was designed and built to investigate particle movement in match-index-refraction porous media. Both a uniform load of the glass beads of the same diameter and a binary load of the glass beads of two diameters were used. The purpose of the experiments is to study the effect of the two loads on the trajectories, velocity distribution, and spreading of small physical particles.
View Article and Find Full Text PDFAseptic loosening from polyethylene wear debris is the leading cause of failure for metal-on-polyethylene total hip implants. Third-body debris ingress to the bearing space results in femoral head roughening and acceleration of polyethylene wear. How third-body particles manage to enter the bearing space between the closely conforming articulating surfaces of the joint is not well understood.
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