Upper Limb Posture Estimation in Robotic and Virtual Reality-based Rehabilitation.

New motor rehabilitation therapies include virtual reality (VR) and robotic technologies. In limb rehabilitation, limb posture is required to (1) provide a limb realistic representation in VR games and (2) assess the patient improvement. When exoskeleton devices are used in the therapy, the measurements of their joint angles cannot be directly used to represent the posture of the patient limb, since the human and exoskeleton kinematic models differ. In response to this shortcoming, we propose a method to estimate the posture of the human limb attached to the exoskeleton. We use the exoskeleton joint angles measurements and the constraints of the exoskeleton on the limb to estimate the human limb joints angles. This paper presents (a) the mathematical formulation and solution to the problem, (b) the implementation of the proposed solution on a commercial exoskeleton system for the upper limb rehabilitation, (c) its integration into a rehabilitation VR game platform, and (d) the quantitative assessment of the method during elbow and wrist analytic training. Results show that this method properly estimates the limb posture to (i) animate avatars that represent the patient in VR games and (ii) obtain kinematic data for the patient assessment during elbow and wrist analytic rehabilitation

Alteration of the tree–soil microbial system triggers a feedback loop that boosts holm oak decline

In anthropic savanna ecosystems from the Iberian Peninsula (i.e. dehesa), complex interactions between climate change, pathogen outbreaks and human land use are presumed to be behind the observed increase in holm oak decline. These environmental disturbances alter the plant–soil microbial continuum, which can destabilize the ecological balance that sustains tree health. Yet, little is known about the underlying mechanisms, particularly the directions and nature of the causal–effect relationships between plants and soil microbial communities. In this study, we aimed to determine the role of plant–soil feedbacks in climate-induced holm oak decline in the Iberian dehesa. Using a gradient of holm oak health, we reconstructed key soil biogeochemical cycles mediated by soil microbial communities. We used quantitative microbial element cycling (QMEC), a functional gene-array-based high-throughput technique to assess microbial functional potential in carbon, nitrogen, phosphorus and sulphur cycling. The onset of holm oak decline was positively related to the increase in relative abundance of soil microbial functional genes associated with denitrification and phosphorus mineralization (i.e. nirS3, ppx and pqqC; parameter value: 0.21, 0.23 and 0.4; p < 0.05). Structural equation model (χ2 = 32.26, p-value = 0.73), moreover, showed a negative association between these functional genes and soil nutrient availability (i.e. mainly mineral nitrogen and phosphate). Particularly, the holm oak crown health was mainly determined by the abundance of phosphate (parameter value = 0.27; p-value < 0.05) and organic phosphorus (parameter value = −0.37; p-value < 0.5). Hence, we propose a potential tree–soil feedback loop, in which the decline of holm oak promotes changes in the soil environment that triggers changes in key microbial-mediated metabolic pathways related to the net loss of soil nitrogen and phosphorus mineral forms. The shortage of essential nutrients, in turn, affects the ability of the trees to withstand the environmental stressors to which they are exposed. Read the free Plain Language Summary for this article on the Journal blog. © 2023 The Authors. Functional Ecology published by John Wiley & Sons Ltd on behalf of British Ecological Society.This research has been mainly funded by the Spanish Government through the IBERYCA project (CGL2017‐84723‐P), its associated FPI scholarship BES‐2014‐067971 (ME‐V), the SMARTSOIL (PID2020‐113244GB‐C21) and SMARTHEALTH (PID2020‐113244GA‐C22) projects (both funded by MCIN/AEI/10.13039/501100011033). It has been further supported by the BC3 María de Maeztu excellence accreditation (MDM‐2017‐0714; the Spanish Government), by the BERC 2018–2021 and by the UPV/EHU‐GV IT‐1648‐22 (from the Basque Government). Additionally, this research was further supported through the grant Holistic management practices, modelling and monitoring for European forest soils—HoliSoils (EU Horizon 2020 Grant Agreement No 101000289) and the ‘Juan de la Cierva programme’ (MV; IJCI‐2017‐34640; the Spanish Government). We acknowledge the Nutrilab‐URJC (Mostoles, Spain) laboratory services for the soil chemical analyses and SGIker of UPV/EHU (Leioa, Spain) for the technical and staff support for the high‐throughput quantitative‐PCR analysis. We also thank the private owners of the dehesas for facilitating our access to their properties. We are thankful to Celia López‐Carrasco Fernández and the ‘Consejería de Agricultura, Medioambiente y Desarrollo rural de la Junta de Castilla‐La Mancha’ for all the logistical support. The ‘Tree’ icon by Hey Rabbit illustrator, from thenounproject.com were used to design the Graphical abstract. Open Access funding provided by the Univer

ReCROP: bioinocula and CROPping systems: an integrated biotechnological approach for improving crop yield, biodiversity and REsilience of Mediterranean agro-ecosystems

The Mediterranean economy is highly dependent on agriculture. However, agricultural sustainability and productivity in this region is under serious threat due to climate change and the depletion of water resources. This is worsened by poor management practices, such as the overuse of chemical fertilizers, pesticides, overgrazing and monoculture farming. Recent climate change models indicate that European and Northern African regions will undergo extreme climatic events throughout the year, this will negatively impact crop yield and productivity. Summer droughts and heat waves periods will increase for most parts of Europe, as well as short intense rain events. Preserving and improving productive agricultural land in this region is vital, especially through the application of sustainable soil and crop management practices that promote soil fertility and water conservation; this will improve resilience to degradation and to extreme climatic events. ReCROP is a European project that aims to identify sustainable and resilient agricultural production systems in the Mediterranean region through the combined use of biotechnological tools, such as bioinoculants, and environmentally friendly agronomic practices. ReCROP will assess different agroecosystems with key local crops (i.e vineyards, maize and aromatic/medicinal plants) of the Mediterranean region under field conditions to help improve crop resilience, yield, water conservation and soil health under the current scenario of climate change. Soil organisms play a key role in ecosystem processes, leading to essential soil functions and are used as bioindicators of soil quality. Their monitoring is crucial to assess the impact of beneficial agricultural practices on soil functioning. One of the goals of ReCROP will be to evaluate the beneficial impact of different agricultural practices on the structural and functional soil diversity at different levels of the soil food web. The macrofauna and mesofauna (i.e springtails and mites) as well as microbial biomass, activity and biodiversity of soil microbial communities (bacteria, archaea, fungi) will be monitored with a special effort to produce a multitaxa index of soil biological quality. This work will contribute to identify which practices are beneficial for the biodiversity of Mediterranean agricultural soils, thus providing resistance and resilience, in terms of soil functioning and against soil disturbances.info:eu-repo/semantics/publishedVersio

Effects of Vivifrail multicomponent intervention on functional capacity: a multicentre, randomized controlled trial

Background: physical exercise is an effective strategy for preserving functional capacity and improving the symptoms of frailty in older adults. In addition to functional gains, exercise is considered to be a cornerstone for enhancing cognitive function in frail older adults with cognitive impairment and dementia. We assessed the effects of the Vivifrail exercise intervention for functional capacity, cognition, and well-being status in community-dwelling older adults. Methods: in a multicentre randomized controlled trial conducted in three tertiary hospitals in Spain, a total of 188 older patients with mild cognitive impairment or mild dementia (aged >75 years) were randomly assigned to an exercise intervention (n = 88) or a usual-care, control (n = 100) group. The intervention was based on the Vivifrail tailored multicomponent exercise programme, which included resistance, balance, flexibility (3 days/week), and gait-retraining exercises (5 days/week) and was performed for three consecutive months (http://vivifrail.com). The usual-care group received habitual outpatient care. The main endpoint was change in functional capacity from baseline to 1 and 3 months, assessed with the Short Physical Performance Battery (SPPB). Secondary endpoints were changes in cognitive function and handgrip strength after 1 and 3 months, and well-being status, falls, hospital admission rate, visits to the emergency department, and mortality after 3 months. Results: the Vivifrail exercise programme provided significant benefits in functional capacity over usual-care. The mean adherence to the exercise sessions was 79% in the first month and 68% in the following 2 months. The intervention group showed a mean increase (over the control group) of 0.86 points on the SPPB scale (95% confidence interval [CI] 0.32, 1.41 points; P  0.05). Conclusions: the Vivifrail exercise training programme is an effective and safe therapy for improving functional capacity in community-dwelling frail/prefrail older patients with mild cognitive impairment or mild dementia and also seems to have beneficial effect on cognition, muscle function, and mood status.This study has been funded by a Gobierno de Navarra projectgrant and fondos FEDER (Resolución 426/2016, del 30 deseptiembre 28/16). Mikel Izquierdo is funded by a researchgrant PI17/01814 of the Ministerio de Economía, Industria yCompetitividad (ISCIII, FEDER)

A feasibility study for implementation 'Health Arcade': a study protocol for prototype of multidomain intervention based on gamification technologies in acutely hospitalized older patients

The aim of this article is to present the research protocol for a study that will evaluate the feasibility of implementation of Health Arcade prototype multidomain intervention based on physical and cognitive training using gamification technologies at improving care for older people hospitalized with an acute illness. A total of 40 older people will be recruited in a tertiary public hospital at Pamplona, Spain. The intervention duration will be four to nine consecutive days. Additionally, the patients will receive encouragement for maintaining active during hospital stay and for reducing sedentary time. Primary implementation-related outcomes will be the adherence to treatment (i.e., number of games and days completed during the intervention period), reaction or response time, and number of success and failures in each game per day. Secondary implementation-related outcomes will be self-perceived grade of difficulty, satisfaction, enjoyment per game and session, and self-perceived difficulties in handling the prototype hardware. Other health-related outcomes will also be assessed such as functional capacity in activities of daily living, mood status, quality of life, handgrip strength, physical activity levels, and mobility. The current study will provide additional evidence to support the implementation of multidomain interventions designed to target older persons with an acute illness based on friendly technology. The proposed intervention will increase accessibility of in-clinical geriatrics services, improve function, promote recovery of the health, and reduce economic costs.This study has been funded by a Gobierno de Navarra project grant (Resolucion 81E/2019, de 19 de junio). Expediente: 0011-1365-2019-000139; Sistema piloto de entrenamiento fisico multicomponente basado en tecnologias de gamificacion para la prevencion del deterioro funcional en ancianos hospitalizados 'HEALTH ARCADE'. N.M.-V. received funding from 'la Caixa' Foundation (ID 100010434), under agreement LCF/PR/PR15/51100006. R.R.-V. is funded in part by a Postdoctotal fellowship grant ID 420/2019 of the Universidad Publica de Navarra, Spain. A.G.-H. is a Miguel Servet Fellow (Instituto de Salud Carlos III -FSE, CP18/0150)

EUSKOOS (Basque Operational Oceanography System): an integrated approach to providing coastal and oceanic information

Peer Reviewe

Integrative assessment of in situ combined bioremediation strategies applied to remediate soils spilled with sewage sludges

Landfills and waste disposal sites in the Basque Country are summarized in the inventory of soils that either currently support or have supported potentially polluting activities or facilities (Law 4/2015). Notably, “Landfill 17,” located in Gernika-Lumo, has been receiving, for decades, sewage sludges from the local wastewater treatment plant (WWTP) as agricultural amendment. In order to decontaminate and recover soil functionality, a combination of bioremediation (which involved bioagumentation and phyto- and vermitechnologies) and complementary bioremediation strategy (i.e., promotion and maintenance of the native vegetation) was implemented in situ. Physicochemical and ecotoxicological characterization were achieved. Furthermore, an ecotoxicological assessment of the soils upon flora and fauna was carried out through the application of different bioassays and biomarkers. Additionally, an integrative biomarker response (IBR/n) index was calculated to provide a holistic view of the soil general status. Critical pollutants [Cd, Cr, Ni, Pb, benzo(a)pyrene, and dieldrin] were observed in most of the treated sites. Microbial parameters did not present remarkable differences among sites. However, plant indicators pointed the non-treated site (MN8) as the unhealthiest. This was also observed in earthworms’ immune system, where cytotoxicity appears when exposed to non-treated soils. In conclusion, this field study showed that the combination of bioaugmentation, phytoremediation with native species, and vermiremediation is highly useful in eliminating mixed contamination, improving soil health, and ultimately restoring ecosystem functionality and biodiversity

GFP-tagged multimetal-tolerant bacteria and their detection in the rhizosphere of white mustard

The introduction of rhizobacteria that tolerate heavy metals is a promising approach to support plants involved in phytoextraction and phytostabilisation. In this study, soil of a metal-mine wasteland was analyzed for the presence of metal-tolerant bacterial isolates, and the tolerance patterns of the isolated strains for a number of heavy metals and antibiotics were compared. Several of the multimetal-tolerant strains were tagged with a broad host range reporter plasmid (i.e. pPROBE-NT) bearing a green fluorescent protein marker gene (gfp). Overall, the metal-tolerant isolates were predominately Gram-negative bacteria. Most of the strains showed a tolerance to five metals (Zn, Cu, Ni, Pb and Cd), but with differing tolerance patterns. From among the successfully tagged isolates, we used the transconjugant Pseudomonas putida G25 (pPROBE-NT) to inoculate white mustard seedlings. Despite a significant decrease in transconjugant abundance in the rhizosphere, the gfp-tagged cells survived on the root surfaces at a level previously reported for root colonisers

Effect of Systemic Hypertension With Versus Without Left Ventricular Hypertrophy on the Progression of Atrial Fibrillation (from the Euro Heart Survey).

Hypertension is a risk factor for both progression of atrial fibrillation (AF) and development of AF-related complications, that is major adverse cardiac and cerebrovascular events (MACCE). It is unknown whether left ventricular hypertrophy (LVH) as a consequence of hypertension is also a risk factor for both these end points. We aimed to assess this in low-risk AF patients, also assessing gender-related differences. We included 799 patients from the Euro Heart Survey with nonvalvular AF and a baseline echocardiogram. Patients with and without hypertension were included. End points after 1 year were occurrence of AF progression, that is paroxysmal AF becoming persistent and/or permanent AF, and MACCE. Echocardiographic LVH was present in 33% of 379 hypertensive patients. AF progression after 1 year occurred in 10.2% of 373 patients with rhythm follow-up. In hypertensive patients with LVH, AF progression occurred more frequently as compared with hypertensive patients without LVH (23.3% vs 8.8%, p = 0.011). In hypertensive AF patients, LVH was the most important multivariably adjusted determinant of AF progression on multivariable logistic regression (odds ratio 4.84, 95% confidence interval 1.70 to 13.78, p = 0.003). This effect was only seen in male patients (27.5% vs 5.8%, p = 0.002), while in female hypertensive patients, no differences were found in AF progression rates regarding the presence or absence of LVH (15.2% vs 15.0%, p = 0.999). No differences were seen in MACCE for hypertensive patients with and without LVH. In conclusion, in men with hypertension, LVH is associated with AF progression. This association seems to be absent in hypertensive women

Progression From Paroxysmal to Persistent Atrial Fibrillation. Clinical Correlates and Prognosis

Objectives: We investigated clinical correlates of atrial fibrillation (AF) progression and evaluated the prognosis of patients demonstrating AF progression in a large population. Background: Progression of paroxysmal AF to more sustained forms is frequently seen. However, not all patients will progress to persistent AF. Methods: We included 1,219 patients with paroxysmal AF who participated in the Euro Heart Survey on AF and had a known rhythm status at follow-up. Patients who experienced AF progression after 1 year of follow-up were identified. Results: Progression of AF occurred in 178 (15%) patients. Multivariate analysis showed that heart failure, age, previous transient ischemic attack or stroke, chronic obstructive pulmonary disease, and hypertension were the only independent predictors of AF progression. Using the regression coefficient as a benchmark, we calculated the HATCH score. Nearly 50% of the patients with a HATCH score &gt;5 progressed to persistent AF compared with only 6% of the patients with a HATCH score of 0. During follow-up, patients with AF progression were more often admitted to the hospital and had more major adverse cardiovascular events. Conclusions: A substantial number of patients progress to sustained AF within 1 year. The clinical outcome of these patients regarding hospital admissions and major adverse cardiovascular events was worse compared with patients demonstrating no AF progression. Factors known to cause atrial structural remodeling (age and underlying heart disease) were independent predictors of AF progression. The HATCH score may help to identify patients who are likely to progress to sustained forms of AF in the near future. \ua9 2010 American College of Cardiology Foundation