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Harnessing innovation to help meet the needs of elders:field testing an electronic tool to streamline geriatric assessments across healthcare settings

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Family Medicine and Community Health 2024年第2期12卷 1-11页

作者： Limor Adler Zorian Radomyslsky Miri Mizrahi Reuveni Eduardo Schejter Ilan Yehoshua Yakov Segal sara Kivity Etti Naimi Mor Saban Maccabi Healthcare Services Tel AvivIsrael Department of Health system management Ariel UniversityArielIsrael Medical&Health Sciences Tel Aviv UniversityTel AvivIsrael

Background As populations age globally,effectively managing geriatric health poses challenges for primary *** geriatric assessments(CGAs)aim to address these challenges through multidisciplinary screening and coordinated care ***,most CGA tools and workflows have not been optimised for routine primary care *** This study aimed to evaluate the impact of a computerised CGA tool,called the Golden Age Visit,implemented in primary care in *** This study employed a quasiexperimental mixed-methods design to evaluate outcomes associated with the Golden Age electronic health assessment *** analysis used electronic medical records data from Maccabi Healthcare Services,the second largest health management organisation(HMO)in *** aged 75 and older were included in analyses from January 2017 to December 2019 and January 2021 to December *** patients,data were also collected on controls who did not participate in the Golden Age Visit programme during the same time period,to allow for comparison of *** physicians,qualitative data were collected via surveys and interviews with primary care physicians who used the Golden Age Visit SMARTEST e-assessment *** A total of 9022 community-dwelling adults aged 75 and older were included in the study:1421 patients received a Golden Age Visit CGA(intervention group),and 7601 patients did not receive the assessment(control group).After CGAs,diagnosis rates increased significantly for neuropsychiatric conditions and *** to physiotherapy,occupational therapy,dietetics and geriatric outpatient clinics also rose ***,no differences were found in rates of hip fracture or relocation to long-term care between *** among physicians(n=151)found high satisfaction with the *** Implementation of a large-scale primary care CGA programme was associated with improved diagnosis and management of geriatr

关键词： diagnosis routine Golden

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Thermo-Physical Potential of Recycled Banana Fibers for Improving the Thermal and Mechanical Properties of Biosourced Gypsum-Based Materials

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Journal of Renewable Materials 2024年第4期12卷 843-867页

作者： Youssef Maaloufa Soumia Mounir sara Ibnelhaj Fatima Zohra El Wardi Asma Souidi Yakubu Aminu Dodo Malika Atigui Mina Amazal Abelhamid Khabbazi Hassan Demrati Ahmed Aharoune National School of Architecture Agadir New ComplexIbn Zohr UniversityAgadirMorocco Energy Materials and Sustainable Development(EMDD)Center for WaterNatural ResourcesEnvironment and Sustainable Development(CERNE2D)Mohammed V UniversityRabatMorocco Thermodynamics and Energetics Laboratory Faculty of ScienceIbn Zohr UniversityAgadirMorocco Architectural Engineering Department Najran UniversityNajranSaudi Arabia The Centre of Scientific and Engineering Research Najran UniversityNajranSaudi Arabia Physics Department LPMAT LaboratoryFaculty of Sciences Ain ChockHassan II UniversityCasablancaMorocco

The development of bio-sourced materials is essential to ensuring sustainable construction;it is considered a locomotive of the green ***,it is an abundant material in our country,to which very little attention is being *** work aims to valorize the waste of the trunks of banana trees to be used in ***,the physicochemical properties of the fiber,such as the percentage of crystallization and its morphology,have been determined by X-ray diffraction tests and scanning electron microscopy to confirm the potential and the impact of the mode of drying on the quality of the banana fibers,with the purpose to promote the use of this material in ***,the results obtained with the gypsum matrix allowed us to note a preponderant improvement in the composite’s thermal properties thanks to the variation of the banana fiber ***,the impact of the nature of the banana fiber distribution(either fiber mixed in matrix or fiber series model)on the flexural and compressive strengths of the composites was *** results obtained indicate that the insulation gain reaches up to 40%.It depends on the volume fraction and type of distribution of the banana ***,the thermal inertia of the composites developed,represented by thermal diffusivity and thermal effusivity,was *** indicate a gain of 40%and 25%,respectively,in terms of thermal diffusivity and thermal effusivity of the developed composites compared to plaster *** the mechanical properties,the flexural strength depends on the percentage of the volume fraction of banana fibers used,and it can reach 20%more than the flexural strength of plaster;nevertheless,there is a significant loss in terms of the compressive strength of the studied *** results obtained are confirmed by the microstructure of the fiber *** fact,the morphology of the banana fibers was improved by the drying *** reduces the amorphous area an

关键词： Biosourced materials fiber banana flexural strength mechanical properties open-air drying plaster thermal properties waste management

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Peritoneo-Vaginal Leaks in Peritoneal Dialysis: A Report of 3 Cases

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Open Journal of Nephrology 2024年第2期14卷 176-184页

作者： Mariam Jdidou sara Elmakkoul Nabil Hmaidouch Naima Ouzeddoun Loubna Benamar Department of Nephrology Dialysis and Renal Transplantation Ibn Sina University Hospital Rabat Morocco

Introduction: Peritoneal dialysis (PD) is an extra-renal purification technique indicated for patients with end-stage kidney disease (ESKD). Although it has many advantages, it also has a number of complications, such as peritoneo-vaginal leakage of dialysate. Cases Reports: Three male patients, aged 70, 50 and 77 respectively, with ESKD were placed on PD. All three patients presented with inadequate drainage and the progressive appearance of bilateral hydrocele, which occurred one year (late leakage), two and four days (early leakage) respectively after the initiation of exchanges. The etiological investigation led to the conclusion of a peritoneo-vaginal leak associated with an inguinal hernia in only one case. The two cases of early leakage were treated by temporary suspension of PD, with a good response in one case and failure in the second, leading to hisdefinitive transfer to hemodialysis (HD);however, the hernia repair enabled immediate resumption of PD in the third patient. Discussion and Conclusion: Peritoneo-vaginal leakage is a rare mechanical complication in PD. The clinical examination plays an essential role in confirming the diagnosis and in the therapeutic decision. If the diagnosis is uncertain, or if there is a clinical need to show the anatomy of the leak, an imaging approach becomes desirable. This complication should not prevent the progression of PD in the management of patients with ESKD.

关键词： Peritoneal Dialysis Peritoneal Leakage Hernia-Peritoneal Scintigraphy

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Percutaneous nephrostomy versus ureteral stent in hydronephrosis secondary to obstructive urolithiasis:A systematic review and meta-analysis

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Asian Journal of Urology 2024年第2期11卷 261-270页

作者： Andreia Cardoso Aparício Coutinho Gonçalo Neto sara Anacleto Catarina Laranjo Tinoco Nuno Morais Mário Cerqueira-Alves Estevão Lima Paulo Mota Department of Urology Hospital de BragaBragaPortugal School of Medicine University of MinhoBragaPortugal Association(2CA-Braga).School of Medicine University of MinhoBragaPortugal

Objective: To assess if there is a preferable intervention between retrograde ureteral stent (RUS) and percutaneous nephrostomy (PCN) tube, in cases of upper urinary tract stone obstruction with complications requiring urgent drainage, by evaluating outcomes regarding urinary symptoms, quality of life (QoL), spontaneous stone passage, and length of hospital stays, since there is no literature stating the superiority of one modality over the ***: We searched MEDLINE and other sources for relevant articles in June 2019 without any date restrictions or filters applied. The selection was done first by the title and abstract screening and then by full-text assessment for eligibility. Only randomized controlled trials or cohort studies in patients with hydronephrosis secondary to obstructive urolithiasis that presented comparative data between PCN and RUS placement concerning at least one of the defined outcome measures were included. Lastly, MEDLINE database and PubMed platform were screened again using the same terms, from June 2019 until November ***: Of 556 initial articles, seven were included in this review. Most works were considered of moderate-to-high quality. Three studies regarding QoL showed a tendency against stenting, even though only one demonstrated statistically significant negative impact on overall health state. Two works reported significantly more post-intervention urinary symptoms in stenting patients. One article found that PCN is a significant predictor of spontaneous stone passage, when adjusted for stone size and location. Findings on length of hospital stays were not consistent among ***: PCN appears to be the intervention better tolerated, with less impact on the patient’s perceived QoL and less post-operative urinary symptoms, in comparison with RUS. Nevertheless, further studies with larger samples and a randomized controlled design are suggested.

关键词： Ureteral stent Percutaneous nephrostomy Obstructive urolithiasis Urinary symptoms Quality of life

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Nonlinear aspects of energy dissipation in wood-panel joints sara Casciati

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Earthquake Engineering and Engineering Vibration 2007年第4期6卷 259-268页

作者： sara Casciati ASTRA Dept. School of Architecture University of Catania at Siracusa 96100 Siracusa Italy

The joints connecting vertical and horizontal elements are the ＂weak link＂ in structural systems assembled from wood panels. If they are too weak, local failures may occur, resulting in performance that is significantly below expectations. If they are too resistant, the joints may be unable to dissipate energy during vibrations, thus possibly initiating a fast progressive failure. This paper re-processes and re-elaborates the results of shaking table tests previously carried out by the author and other co-workers. The goal is to assess the feasibility of a joint which is able to dissipate energy during vibration, without degrading the connection performance.

关键词： dynamic excitation energy dissipation wood panels joint monitoring system shaking table tests

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Seroprevalence Survey of HIV and Hepatitis B Virus and Behavioral Characteristics among Heavy Truck Drivers along Port Sudan-Khartoum Highways

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Open Journal of Medical Microbiology 2024年第1期14卷 11-22页

作者： sara S. Osman Adam A. Mattar Omnia M. Hamid Faculty of Public Health Alzaiem Alazhari University Khartoum Sudan Faculty of Medical Laboratory Sciences University of Medical Sciences & Technology Khartoum Sudan

The prevalence of human immunodeficiency virus (AIDS) and hepatitis B virus among heavy truck drivers and their assistants has been well documented globally in correlation with their behavioral characteristics. The present study aimed to screen for human immunodeficiency virus (HIV), hepatitis B virus (HBV), and behavioral characteristics among heavy truck drivers in Port Sudan. A cross-sectional study was conducted on 274 heavy truck drivers and their assistants who used the highway Port Sudan-Khartoum in Port Sudan city during 2019-2021. Data on behavioral characteristics and substance use habits were collected using a structured questionnaire, and an ELISA test was used to screen for HIV and HBV infections in the study participants. The chi-square test, odds ratio, and confidence intervals were used to find the association between behavioral characteristics and seropositive HIV/HBV. Of the 274 enrolled participants, the seroprevalence rates of HIV were 2.7% and HBV was 23.7%. Ninety-four (34.3%) of them had a history of high-risk sexual behavior outside of marriage;only two (0.7%) used condoms;14.2% of participants reported alcohol use;and 1.1% reported drug use. Univariate analysis revealed that having a sex history outside of marriage with ≥1 sex partner and never using a condom with a spouse or casual partner were significant risk factors for HIV and HBV among drivers. Fortunately, we found that most of the drivers reported low alcohol and drug use. Concerning this study, the seroprevalence of HIV and HBV is highly associated with a history of having sex outside of marriage and sexual behavior among truck drivers and assistances. Additional studies are needed to further investigate other STIs and behavioral characteristics associated with factors in truck drivers/assistance in different truck stop regions in Sudan.

关键词： Sexual Transmitted Infection Port Sudan Truck Drivers/Assistance

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Parallel Image Processing: Taking Grayscale Conversion Using OpenMP as an Example

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Journal of Computer and Communications 2024年第2期12卷 1-10页

作者： Bayan AlHumaidan Shahad Alghofaily Maitha Al Qhahtani sara Oudah Naya Nagy Department of Computer Science College of Computer Science & Information Technology Imam Abdulrahman Bin Faisal University Dammam Saudi Arabia

In recent years, the widespread adoption of parallel computing, especially in multi-core processors and high-performance computing environments, ushered in a new era of efficiency and speed. This trend was particularly noteworthy in the field of image processing, which witnessed significant advancements. This parallel computing project explored the field of parallel image processing, with a focus on the grayscale conversion of colorful images. Our approach involved integrating OpenMP into our framework for parallelization to execute a critical image processing task: grayscale conversion. By using OpenMP, we strategically enhanced the overall performance of the conversion process by distributing the workload across multiple threads. The primary objectives of our project revolved around optimizing computation time and improving overall efficiency, particularly in the task of grayscale conversion of colorful images. Utilizing OpenMP for concurrent processing across multiple cores significantly reduced execution times through the effective distribution of tasks among these cores. The speedup values for various image sizes highlighted the efficacy of parallel processing, especially for large images. However, a detailed examination revealed a potential decline in parallelization efficiency with an increasing number of cores. This underscored the importance of a carefully optimized parallelization strategy, considering factors like load balancing and minimizing communication overhead. Despite challenges, the overall scalability and efficiency achieved with parallel image processing underscored OpenMP’s effectiveness in accelerating image manipulation tasks.

关键词： Parallel Computing Image Processing OpenMP Parallel Programming High Performance Computing GPU (Graphic Processing Unit)

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Resilience to structural and molecular changes in excitatory synapses in the hippocampus contributes to cognitive function recovery in Tg2576 mice

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Neural Regeneration Research 2024年第9期19卷 2068-2074页

作者： Carolina Aguado sara Badesso JoséMartínez-Hernández Alejandro Martín-Belmonte Rocío Alfaro-Ruiz Miriam Fernández Ana Esther Moreno-Martínez Mar Cuadrado-Tejedor Ana García-Osta Rafael Luján Synaptic Structure Laboratory Instituto de Investigación en Discapacidades Neurológicas(IDINE)Department of Medical SciencesFacultad de MedicinaUniversidad de Castilla-La ManchaCampus BiosanitarioAlbaceteSpain Gene Therapy for Neurological Disease Program Center for Applied Medical Research(CIMA)University of NavarraInstituto de Investigación Sanitaria de Navarra(IdiSNA)PamplonaSpain Pharmacology Unit Department of Pathology and Experimental TherapeuticsFaculty of Medicine and Health SciencesInstitute of NeurosciencesUniversity of BarcelonaBarcelonaSpain Neuropharmacology and Pain Group Neuroscience ProgramInstitut d’InvestigacióBiomèdica de BellvitgeIDIBELLL’Hospitalet de LlobregatSpain Department of Pathology Anatomy and PhysiologySchool of MedicineUniversity of NavarraPamplonaSpain UniversitéGrenoble Alpes Grenoble Institut des NeurosciencesGrenobleFrance

Plaques of amyloid-β(Aβ)and neurofibrillary tangles are the main pathological characteristics of Alzheimer’s disease(AD).However,some older adult people with AD pathological hallmarks can retain cognitive *** the factors that lead to this cognitive resilience to AD offers promising prospects for identifying new therapeutic *** hypothesis focuses on the contribution of resilience to changes in excitatory synapses at the structural and molecular levels,which may underlie healthy cognitive performance in aged AD *** the Morris Water Maze test,we selected resilient(asymptomatic)and cognitively impaired aged Tg2576 *** the enzyme-linked immunosorbent assay showed similar levels of Aβ42 in both experimental groups,western blot analysis revealed differences in tau pathology in the pre-synaptic supernatant *** further investigate the density of synapses in the hippocampus of 16-18 month-old Tg2576 mice,we employed stereological and electron microscopic *** findings indicated a decrease in the density of excitatory synapses in the stratum radiatum of the hippocampal CA1 in cognitively impaired Tg2576 mice compared with age-matched resilient Tg2576 and non-transgenic ***,through quantitative immunoelectron microscopy in the hippocampus of impaired and resilient Tg2576 transgenic AD mice,we uncovered differences in the subcellular localization of glutamate ***,the density of GluA1,GluA2/3,and mGlu5 in spines and dendritic shafts of CA1 pyramidal cells in impaired Tg2576 mice was significantly reduced compared with age-matched resilient Tg2576 and non-transgenic ***,the density of GluA2/3 in resilient Tg2576 mice was significantly increased in spines but not in dendritic shafts compared with impaired Tg2576 and non-transgenic *** subcellular findings strongly support the hypothesis that dendritic spine plasticity and synaptic machinery in the hippocampus play cr

关键词： aging Alzheimer´s disease cognitive hippocampus immunoelectron microscopy resilience synapse

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Vulvar Swelling in a 12-Year-Old Girl: An Early Manifestation of Crohn’s Disease

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Case Reports in Clinical Medicine 2024年第7期13卷 219-226页

作者： Stefania Rendina Dolores Ferrara Rosanna Mamone sara Isoldi Massimo Zeccolini Francesco Esposito Department of Radiology Universit degli studi di Napoli Luigi Vanvitelli Naples Italy Department of Radiology A.O.R.N. Santobono-Pausilipon Children Hospital Naples Italy Pediatric Gastroenterology and Hepatology Unit Santobono-Pausilipon Childrens Hospital Naples Italy

Vulvar Crohn’s disease (VCD) is a rare complication of Crohn’s disease, especially in pediatric population. An early diagnosis can result difficult if the complication does not present in conjunction with the classic gastrointestinal symptoms that characterize this disease. In this study we present the case of a 12-year-old girl whose initial symptom of Crohn’s disease was a symptomatic vulvar swelling promoted by a rectovaginal fistula. We also provide an overview of Crohn’s disease and the vulvar changes found in the course of this disease.

关键词： Recto-Vaginal Fistula Vulvar Swelling Metastatic Crohn’s Disease

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Rethinking neurodegenerative diseases:neurometabolic concept linking lipid oxidation to diseases in the central nervous system

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Neural Regeneration Research 2024年第7期19卷 1437-1445页

作者： Steinunn sara Helgudóttir Anne Skøttrup Mørkholt Jacek Lichota Preben Bruun-Nyzell Mads Christian Andersen Nanna Marie Juhl Kristensen Amanda Krøger Johansen Mikela Reinholdt Zinn Hulda Maria Jensdóttir John Dirk Vestergaard Nieland 2N Pharma ApS NOVI Science ParkAalborgDenmark Molecular Pharmacology Group Department of Health Science and TechnologyAalborg UniversityAalborgDenmark

Currently,there is a lack of effective medicines capable of halting or reve rsing the progression of neurodegenerative disorde rs,including amyotrophic lateral sclerosis,Parkinson s disease,multiple sclerosis,or Alzheimer s *** the unmet medical need,it is necessary to reevaluate the existing para digms of how to to rget these *** considering neurodegenerative diseases from a systemic neurometabolic perspective,it becomes possible to explain the shared pathological *** innovative approach presented in this paper draws upon exte nsive research conducted by the authors and researchers *** this review,we highlight the importance of metabolic mitochondrial dysfunction in the context of neurodegenerative *** provide an overview of the risk factors associated with developing neurodegenerative disorders,including genetic,epigenetic,and environmental fa ***,we examine pathological mechanisms implicated in these diseases such as oxidative stress,accumulation of misfolded proteins,inflammation,demyelination,death of neurons,insulin resistance,dysbiosis,and neurotransmitter ***,we outline a proposal for the restoration of mitochondrial metabolism,a crucial aspect that may hold the key to facilitating curative therapeutic interventions for neurodegenerative disorders in forthcoming advancements.

关键词： brain disease carnitine palmitoyl transferase 1 epigenetics metabolism gut microbiome mitochondrial dysfunction neurodegeneration oxidative stress

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