Search results for "Rail"

Implementación de un modelo de atención integral a residencias

2019

Introduction: La incidencia y la prevalencia de patologias cronicas son un reto para los sistemas de salud cuya progresion se preve que aumentara de forma simultanea al envejecimiento poblacional. Short description of practice change implemented: Se presenta un  Modelo de Atencion Integral a Residencias en el que, ademas de los  niveles asistenciales convencionales (residencias, atencion primaria y hospitalaria) se incorpora el soporte de la Unidad Domiciliaria de Atencion Integral a Residencias (UDAIR), como elemento clave para la continuidad de cuidados y la atencion integrada. Aim and theory of change: Los objetivos principales son mejorar la atencion de las personas que residen en insti…

Residential mobility as a cause and consequence of vulnerability among the elderly in Reunion Island

2021

Sur la base d’une revue de la littérature et d’un corpus de quatorze entretiens semi-directifs, l’objet de cet article est de mettre en relation les facteurs de vulnérabilité du territoire réunionnais, ceux des personnes âgées de ce département français d’outre-mer ainsi que ceux éventuellement issus d’une mobilité résidentielle. Pour cela, une analyse macroscopique et une analyse individuelle sont proposées autour des facteurs de vulnérabilité dans les registres économiques, sanitaires, sociaux et environnementaux. Ces deux niveaux d’analyse indiquent la nécessité d’une approche territoriale fine pour mieux comprendre la vulnérabilité des personnes âgées et ses liens avec la mobilité résid…

Assessing the Open Trenches in Screening Railway Ground-Borne Vibrations by Means of Artificial Neural Network

2009

Reducing ground borne vibrations in urban areas is a very challenging task in railway transportation. Many mitigation measures can be considered and applied; among these open trenches are very effective. This paper deals with the study of the effect, in terms of reduction of vertical and horizontal displacements and velocities, of the open trenches. 2D FEM simulations have been performed and several open trench configurations have been analysed varying the main geometric features such as width and depth, distance from the rail, thickness of the soil layer over the rigid bedrock, type of the ground, ratio between the depth of the trench, and the thickness of the soil layer. For quantifying t…

Study of the effectiveness of the open trenches in reducing railway ground-borne vibrations: sensitivity analysis of its geometric features using art…

2009

Integrative Clinical Research

2022

This book embraces a comprehensive range of research across several disciplines, providing insights and fresh perspectives on clinical topics, emphasizing the integrative medical approach. The book also addresses an increasing role of artificial intelligence in the development of clinical methodologies, research, and patient-oriented care. The authors share expertise and experience in rehabilitation medicine whose healing-effects particularly depend on the interaction between the therapist and patient. Chapters present novel approaches in manual rehabilitative therapy of common painful and disabling neuromuscular ailments, exemplified but not limited to low back pain and migraine. The myofa…

Reliability of Frail and Barthel Tests for Detecting Frailty in Palliative Oncological Patients in a Home Hospitalization Unit: A Comparative Study.

2022

Cancer is a condition that can increase the risk of frailty. In addition, palliative oncological patients in home hospitalization can find their activities of daily living affected. The main objective was to measure the degree of frailty in the oncological population in home hospitalization comparing Barthel and Frail-VIG Indexes. This is a descriptive cross-sectional study. A sample of oncological patients in home hospitalization (n = 50) that included 27 men and 23 women were recruited, and disability due to frailty was measured using the VIG frailty index and the Barthel scale for Activities of Daily Living (ADLs). Spearman’s correlation coefficients were categorized as weak (rs &l…

TRAIL acts synergistically with iron oxide nanocluster-mediated magneto- and photothermia

2019

International audience; Targeting TRAIL (Tumor necrosis factor (TNF)-Related Apoptosis-Inducing Ligand) receptors for cancer therapy remains challenging due to tumor cell resistance and poor preparations of TRAIL or its derivatives. Herein, to optimize its therapeutic use, TRAIL was grafted onto iron oxide nanoclusters (NCs) with the aim of increasing its pro-apoptotic potential through nanoparticle-mediated magnetic hyperthermia (MHT) or photothermia (PT). Methods: The nanovector, NC@TRAIL, was characterized in terms of size, grafting efficiency, and potential for MHT and PT. The therapeutic function was assessed on a TRAIL-resistant breast cancer cell line, MDA-MB-231, wild type (WT) or T…

Zespół słabości - wytyczne diagnostyki, terapii i prewencji

2017

Frailty syndrome is a state of decreased homeostatic capacity against stress. It is an independent risk factor for subsequent mortality, institutionalization, multimorbidity, falls, incontinence, and immobility. Frailty people have a significantly reduced quality of life, as well as being the largest users of health care services. Proven direct link between the increase in the number of people with the frailty syndrome and rising costs in the health and social care in spite of clearly progressive aging process and potential re�versibility of frailty, justifies the use of targeted interventions aimed at early diagnosis of frailty and to identify risk factors. General practitioners play a key…

Multidimensional instruments with an integral approach to identify frailty in community-dwelling people: protocol for a systematic psychometric review

2019

IntroductionAn increasing number of investigations highlight the complex nature of frailty; therefore, the use of multidimensional assessment instruments could be useful in clinical decision-making. Frail people are found mainly in the community setting which is why this is the ideal environment for early screening and intervention. For this purpose, it is necessary to have valid, time-effective and easy-to-use frailty assessment instruments. The aim of this review is to critically appraise, compare and summarise the quality of the measurement properties of all multidimensional instruments with an integral approach to identify frailty in community-dwelling people.Methods and analysisMedline…

An Immersive Motor Protocol for Frailty Rehabilitation

2019

Frailty is a pre-clinical condition that worsens physical health and quality of life. One of the most frequent symptoms of frailty is an increased risk of falling. In order to reduce this risk, we propose an innovative virtual reality motor rehabilitation program based on an immersive tool. All exercises will take place in the CAVE, a four-screen room with a stationary bike. The protocol will include two types of exercises for the improvement of balance: “Positive Bike” and “Avoid the Rocks.” We will choose evaluation scales related to the functional aspects and subjective perception of balance. Our aim is to prove that our innovative motor rehabilitation protocol is as effective as or more…