Fall risk assessment in elderly with and without history of falls: kinematic gait analysis: a comparative study

Objectives: The objective of this research was to verify if there was a variation in the MFC (Minimum Foot Clearance) value among elderly with and without history of falls and, if there were any, verify which joint of the lower limb was responsible for that variation. It was also a main objective to verify if there was a correlation between the risk of falling, achieved through the Timed Up and Go Test (TUG), and the MFC variation. Material and Methods: The sample consisted of a total of 30 elderly who met the inclusion and exclusion criteria. These were divided into the group without history of falls (n=15) and into the group with history of falls (n=15). The MFC and the joint movement amplitudes of the hip, knee and ankle, of the dominant lower limb, were assessed using the Kinovea programme and for the risk of fall assessment it was used the TUG. Results: There were no statistically significant differences in the MFC and TUG values between the groups with and without history of falls. However, there is a decrease of the MFC value for the group with history of falls, being the ankle the joint that most contributed to the MFC variation in the group without history of falls, and the knee in the group with history of falls. About the relation between MFC and TUG, it was obtained a negative correlation (r=-0,269) but it was not significant (p=0,150). Conclusion: In our sample no significant differences in the MFC value were obtained between the group with history of falls and the group without history of falls. Besides the lack of significant differences in the MFC value it was determined the articulation of the lower limb responsible for its variation, and it has been found, although with a p>0,05, that for the group with no history of falls it was the ankle that more contributed to this variation and the knee to the group with history of falls. Concerning to the TUG and MFC value correlation it wasn’t significant. Thus, it was concluded that the TUG use is more effective and sensitive in predicting the risk of falling when compared with the kinematic analysis to obtain the MFC value and the joints amplitude

Fall risk assessment in elderly with and without history of falls: gait electromyographic analysis: a comparative study

Objectives: To determinate if there were differences in electromyography parameters of rectus anterior, biceps femoris, gluteus medius, soleus, gastrocnemius medialis and tibialis anterior muscles between group with and without history of falls during. Was analized the relationship between the levels of muscle activation and score in POMA (Performance-Oriented Mobility Assessment). Materials and Methods: This is a transversal, not experimental and comparative study. The sample was composed by 30 older adults, 15 with and 15 without history of falls. To collect the data of electromyography was used BIOPAC systems and followed the SENIAM guidelines. For the collection of kinematic data was used Kinovea program and for assess the risk of falling was applied POMA. Results: Individuals with history of falls present levels of muscle activity relatively to maximum voluntary contraction (MVC) higher in the dominant lower limb (right) compared to subjects without a history of falls, however these differences aren´t statistically significant (p>0,05). There is enormous variation between the sample in relation to phases of gait in which the muscles are more actives. The group with history of falls shows values lower than group without history of falls in POMA score, the difference is significant (p=0.001). The relationship between percentage of muscle activation and the values obtained in POMA not proved statistically significant (p>0,05). Conclusion: Although results obtained weren´t statistically significants, we can conclude that individuals with falls have higher levels of muscle activation relative to MVC that individuals without history of falls, it is believed that the changes are related to the development of strategies for increased stability during gait. There is considerable variability in phases in which the subjects engaged higher levels of muscle activation, which might occur due to task compensatory strategies or by the task have been made at speed of comfort for the individual. It follows that POMA is an instrument more sensitive and effective to identify the risk of falling in these individuals that the electromyographic analysis

Fall risk assessment in elderly with and without history of falls: strength analysis of lower limb: a comparative study

Objectives: The objective of this research was to analyse muscle performance criteria of the knee joints and ankle flexor and extensor muscles among elderly with and without history of falls. Material and methods: The sample was non-probabilistic, of convenience, comprising a total of 30 elderly (15 with history of falls and 15 without history of falls) who met the inclusion and exclusion criteria. Data were collected through a characterization questionnaire and through the Biodex System Isokinetic Dynamometer. The isokinetic assessment consisted in collecting the Peak Torque per unit of mass (N.m/BW) and ratio FlexorsCon/ExtensorsCon (%) of the knee joints and ankle flexor and extensor muscles, with 5 repetitions and the 60º/s angular speed. This collection has been made in both lower limbs. Results: The sample consisted of 30 individuals, 15 from the group without history of falls and 15 from the group with history of falls with average age of (69,17±4,77) years old. The muscle performance parameters were not significantly different between the groups (p>0,05). Conclusion: The group of elderly with history of falls showed lower Peak Torque numbers per unit of mass (N.m/BW) for the knee and ankle joint comparing with the group without history of falls. In present research also the values of the ratio flexorsCon/ExtensorsCon was analyzed weren't differences found in the knee and ankle joint. Although there are no statistically significant differences between results obtained, approach we believe it will be beneficial to include strengthening exercises for the flexors and extensors muscles of these joints, thereby contributing to the prevention of falls

Fall risk assessment in elderly with and without history of falls: relationship between disorders of balance, fear of falling and gait changes: a comparative study

Objectives: The aim of this study was to assess the changes that occur in the balance, fear of falling and kinematic parameters such as stride length, velocity and time support in elderly with and without a history of falling. Main objective was also to verify whether a relationship exists between changes in gait parameters evaluated, balance and fear of falling. Methods: The sample comprised 30 patients (15 with history of falls and 15 without a history of falls), which met the criteria for inclusion and exclusion. The kinematic evaluation was performed in the dominant leg, which was right in this sample. The stride length, speed and duration of support were assessed using the program Kinovea and for assessment of balance and fear of falling were assessed using the Berg Balance Scale and the Falls Efficacy Scale. Statistical analysis was performed with SPSS version 20. Results: There were no significant differences in the parameters analyzed, except for scores on the Berg Balance Scale (p=0.000) between groups with and without history of falls. However, there is a decrease in the length of the stride and duration of left leg support and the increased length of right leg support, the speed and the fear of falling. The relationship between the parameters obtained, there is only statistically significant result between speed and stride length (r=0.507, p=0.004) and between the score of the Berg Balance Scale and the stride length (r=0.393, p=0,032). Conclusion: Although not having obtained statistically significant results we can conclude that in elderly with a history of falls have changes in speed and stride length that can be related to balance disorders and the aging process itself. However, it is concluded that the use of the Berg Balance Scale is more responsive and effective in the detection of changes occurring in the individual after a fall, and subsequent evaluation of the risk of falling that performing a kinematic analysis

Long-Term Prognostic Impact of Right Ventricular Dysfunction in Patients with COVID-19

The characteristics and clinical course of hospitalized patients with coronavirus disease 2019 (COVID-19) have been widely described, while long-term data are still poor. The aim of this study was to evaluate the long-term clinical outcome and its association with right ventricular (RV) dysfunction in hospitalized patients with COVID-19. This was a prospective multicenter study of consecutive COVID-19 patients hospitalized at seven Italian Hospitals from 28 February to 20 April 2020. The study population was divided into two groups according to echocardiographic evidence of RV dysfunction. The primary study outcome was 1-year mortality. The propensity score matching was performed to balance for potential baseline confounders. The study population consisted of 224 patients (mean age 69 \ub1 14, male sex 62%); RV dysfunction was diagnosed in 63 cases (28%). Patients with RV dysfunction were older (75 vs. 67 years, p < 0.001), had higher prevenance of coronary artery disease (27% vs. 11%, p = 0.003), and lower left ventricular ejection fraction (50% vs. 55%, p <0.001). The rate of 1-year mortality (67% vs. 28%; p 64 0.001) was significantly higher in patients with RV dysfunction compared with patients without. After propensity score matching, patients with RV dysfunction showed a worse long-term survival (62% vs. 29%, p <0.001). The multivariable Cox regression model showed an independent association of RV dysfunction with 1-year mortality. RV dysfunction is a relatively common finding in hospitalized COVID-19 patients, and it is independently associated with an increased risk of 1-year mortality

Functional Characteristics and Coping Strategies among Rugby Athletes: A Cluster Analysis Approach

The developing domain of mental health in sports has gained much interest, acknowledging its pivotal role in athlete performance and well-being. The aim of this research is to provide a quantitative description concerning the levels of mental health, physical activity, cognitive fusion, cognitive flexibility, and coping strategies that characterize rugby athletes by using a data-driven approach. A total of 92 rugby athletes took part in this study and filled out a set of self-administered questionnaires. A correlational analysis showed that general well-being was positively associated with years spent playing rugby (r = 0.23) and coping mechanisms (r = 0.29). Athletes’ well-being was also negatively correlated with cognitive inflexibility (r = −0.41) and cognitive fusion (r = −0.39). A k-means cluster analysis identified two unique groups: group 1, characterized by higher levels of psychological well-being, lower levels of physical activity, greater cognitive flexibility, improved coping techniques, and reduced cognitive fusion, and group 2, which exhibits opposite characteristics. The discrepancies observed in psychological characteristics such as coping strategies, cognitive fusion, and cognitive inflexibility highlight their potential impact on the general health of rugby players. To comprehend the complex interplay between psychological and physical elements in rugby athletes, long-term studies with larger samples are crucial

Bronchopulmonary Dysplasia

Hospitalizations for respiratory syncytial virus bronchioliti

Hydraulic characterization of the full scale mock-up of the demo divertor outer vertical target

In the frame of the pre-conceptual design activities of the DEMO work package DIV-1 “Divertor Cassette Design and Integration” of the EUROfusion program, a mock-up of the divertor outer vertical target (OVT) was built, mainly in order to: (i) demonstrate the technical feasibility of manufacturing procedures; (ii) verify the hydraulic design and its capability to ensure a uniform and proper cooling for the plasma facing units (PFUs) with an acceptable pressure drop; and (iii) experimentally validate the computational fluid-dynamic (CFD) model developed by the University of Palermo. In this context, a research campaign was jointly carried out by the University of Palermo and ENEA to experimentally and theoretically assess the hydraulic performances of the OVT mock-up, paying particular attention to the coolant distribution among the PFUs and the total pressure drop across the inlet and outlet sections of the mock-up. The paper presents the results of the steady-state hydraulic experimental test campaign performed at ENEA Brasimone Research Center as well as the relevant numerical analyses performed at the Department of Engineering at the University of Palermo. The test facility, the experimental apparatus, the test matrix and the experimental results, as well as the theoretical model, its assumptions, and the analyses outcomes are herewith reported and critically discussed

Age estimation and growth of striped dolphins Stenella coeruleoalba stranded along the coasts of south-western Italy

The knowledge of demographic traits such as longevity, growth rates and age at sexual maturity is crucial for understanding the structure of a population in its natural environment and implementing appropriate strategies for its management and conservation. Based on counts of growth layer groups in sections of decalcified teeth using the paraffin technique, we estimated the age and growth of 25 individuals of striped dolphin (Stenella coeruleoalba) found dead stranded along the coast of Campania and Calabria (south Italy, central-western Mediterranean) from 2013 to 2018. Seven individuals, with TL of 100–110 cm, were calves under 1 year old. The oldest male and female individuals were 19 and 14 years old, respectively. Growth curve estimated using the Gompertz growth model (GGM) showed that in S. coeruleoalba male growth trajectories are partly in accordance with those reported in other studies on the same species from different Mediterranean areas. The high frequency (28%) of calves strongly suggests that females of this species use the marine area all around the south-western Italian coasts to give birth to their offspring. Furthermore, a comparison with the estimated age of striped dolphins from other Mediterranean marine areas shows that the longevity of the individuals examined in this study is much lower. Our study provides information toward understanding the demographic traits of S. coeruleoalba from Mediterranean Sea. The results reported here can be useful for future research aimed at understanding population structure, mortality patterns and the effects of anthropogenic activity on the survival of this species in this marine area

Hadron beam test of a scintillating fibre tracker system for elastic scattering and luminosity measurement in ATLAS

A scintillating fibre tracker is proposed to measure elastic proton scattering at very small angles in the ATLAS experiment at CERN. The tracker will be located in so-called Roman Pot units at a distance of 240 m on each side of the ATLAS interaction point. An initial validation of the design choices was achieved in a beam test at DESY in a relatively low energy electron beam and using slow off-the-shelf electronics. Here we report on the results from a second beam test experiment carried out at CERN, where new detector prototypes were tested in a high energy hadron beam, using the first version of the custom designed front-end electronics. The results show an adequate tracking performance under conditions which are similar to the situation at the LHC. In addition, the alignment method using so-called overlap detectors was studied and shown to have the expected precision.Comment: 12 pages, 8 figures. Submitted to Journal of Instrumentation (JINST