Context-aware mobile app for the multidimensional assessment of the elderly,

Rural areas in Europe are presenting a decreasing population density and an increasing age index. These elders usually present multiple diseases that require complex tools to identify the exact cares that they need. Currently, different frameworks can evaluate their functional status and identify the required cares to maintain their Quality of Life, together with the associated cost to the health system. Nevertheless, these frameworks are usually questionnaires that have to be performed by already overloaded professionals. In this paper, we make use of mobile technologies to build a system capable of monitoring the activities of the elderly and analysing these data to assess their functional status. The experiments carried out show us that it correctly evaluates these patients and reduces the effort required by health professionals

A proposal of sensitive indicators of the rehabilitation nursing care of people in the surgical process, to be included in the ontology of aging

Given the complex surgical scenario observed today, it is necessary to change the urgent definition of a specific ontology, especially in terms of aging. The interventions of the Specialist Nurse in Rehabilitation Nursing to the person in the surgical process are primordial for the maintenance of the functional capacities, prevention of complications and impediment of incapacities. However, it is necessary to provide individualized and fostered care in a practice of excellence, and the consequent organized reading of records of an aging ontology for decision making on rehabilitation indicators. Method: a systematic review of the literature was carried out using the EBSCO host (MEDLINE with Full Text, CINAHL Plus with Full Text and MedicLatina), using the PI [C] O method, and 11 articles were selected. Results: 41 indicators were identified to be included in the ontology classes of aging: pain control, patient and family education, support and communication, reduction of postoperative complications, gain of functionality, restoration of physical function, mobility, multidisciplinary intervention and the frequency of interventions. Conclusion: it is considered that it was imperative to identify sensitive indicators for rehabilitation nursing care, based on scientific evidence and thus provide an opportunity for nurses to reflect on their daily practices and conduct their actions towards excellence in care, to propose a set of 41 classes internationally on the ontology of aging

Contributions to the ontology of aging, the sensitive indicators of rehabilitation nursing care, in terms of self-care, in people with respiratory disorders

With the increase in the average life expectancy, the appearance of chronic diseases and, in particular, in the respiratory forum and its disadvantages in the autonomy and self-care of patients, brought an important paradigm for health care and, in particular, rehabilitation nursing, with implications for the development of ontologies of aging. Thus, it is imperative to systematize them in scientifically measurable indicators to demonstrate the benefit that rehabilitation nursing brings to improve patients' quality of life, thus ensuring excellence. Each area of scientific health should contribute to the construction of aging ontology. Objective: to identify indicators sensitive to nursing care of rehabilitation, in terms of self-care, in relation to those with respiratory pathology, to be integrated into the ontology of aging. Methods: A systematic review of the literature was performed using the EBSCO (full-text MEDLINE, CINAHL, Full-Text Plus, British Nursing Index), using the PI [C] O method with 6 emergent articles. Results: A total of 20 indicators were identified, including: Ability to perform activities, increase physical and functional independence, symptom management, reduction of complications, increase in quality of life, which can be allocated as a proposal for classes of the aging ontology. Conclusion: Knowledge of indicators sensitive to nursing care recognition of the importance of rehabilitation nursing in increasing self-care and autonomy for people with respiratory pathology, and research in this area is fundamental for its effectiveness and efficiency, and its integration in the ontologies of aging is fundamental

Enriched elderly virtual profiles by means of a multidimensional integrated assessment platform

The pressure over Healthcare systems is increasing in most developed countries. The generalized aging of the population is one of the main causes. This situation is even worse in underdeveloped, sparsely populated regions like Extremadura in Spain or Alentejo in Portugal. The authors propose to use the Situational-Context, a technique to seamlessly adapt Internet of Things systems to the needs and preferences of their users, for virtually modeling the elderly. These models could be used to enhance the elderly experience when using those kind of systems without raising the need for technical skills or the costs of implementing such systems by the regional healthcare systems. In this paper, the integration of a multidimensional integrated assessment platform with such virtual profiles is presented. The assessment platform provides and additional source of information for the virtual profiles that is used to better adapt existing systems to the elders needs

Temperature Relaxation in Hot Dense Hydrogen

Temperature equilibration of hydrogen is studied for conditions relevant to inertial confinement fusion. New molecular-dynamics simulations and results from quantum many-body theory are compared with Landau-Spitzer (LS) predictions for temperatures T from 50 eV to 5000 eV, and densities with Wigner-Seitz radii r_s = 1.0 and 0.5. The relaxation is slower than the LS result, even for temperatures in the keV range, but converges to agreement in the high-T limit.Comment: 4 pages PRL style, two figure

Exploring DCO+^+ as a tracer of thermal inversion in the disk around the Herbig Ae star HD163296

We aim to reproduce the DCO$^+$ emission in the disk around HD163296 using a simple 2D chemical model for the formation of DCO$^+$ through the cold deuteration channel and a parametric treatment of the warm deuteration channel. We use data from ALMA in band 6 to obtain a resolved spectral imaging data cube of the DCO$^+$ $J$=3--2 line in HD163296 with a synthesized beam of 0."53$\times$ 0."42. We adopt a physical structure of the disk from the literature that reproduces the spectral energy distribution. We then apply a simplified chemical network for the formation of DCO$^+$ that uses the physical structure of the disk as parameters along with a CO abundance profile, a constant HD abundance and a constant ionization rate. Finally, from the resulting DCO$^+$ abundances, we calculate the non-LTE emission using the 3D radiative transfer code LIME. The observed DCO$^+$ emission is reproduced by a model with cold deuteration producing abundances up to $1.6\times 10^{-11}$. Warm deuteration, at a constant abundance of $3.2\times 10^{-12}$, becomes fully effective below 32 K and tapers off at higher temperatures, reproducing the lack of DCO$^+$ inside 90 AU. Throughout the DCO$^+$ emitting zone a CO abundance of $2\times 10^{-7}$ is found, with $\sim$99\% of it frozen out below 19 K. At radii where both cold and warm deuteration are active, warm deuteration contributes up to 20\% of DCO$^+$, consistent with detailed chemical models. The decrease of DCO$^+$ at large radii is attributed to a temperature inversion at 250 AU, which raises temperatures above values where cold deuteration operates. Increased photodesorption may also limit the radial extent of DCO$^+$. The corresponding return of the DCO$^+$ layer to the midplane, together with a radially increasing ionization fraction, reproduces the local DCO$^+$ emission maximum at $\sim$260 AU.Comment: 9 pages, 5 figures, accepted 7th July 201

Generating Posit-Based Accelerators With High-Level Synthesis

Recently, the posit number system has demonstrated a higher accuracy over standard floating-point arithmetic for many scientific applications. However, when it comes to implementing accelerators for these applications, the tool support for this arithmetic format is still missing, especially during the step. In this paper, we incorporate the posit data type into the high-level synthesis (HLS) design process, so that we can generate the implementation directly from a given behavioral specification, but using posit numbers instead of the classical floating-point notations. Our evaluations show that, even if posit-based circuits require more area than their floating-point counterparts, they offer higher accuracy when using the same bitwidth. For example, using posit arithmetic can reduce computation errors by about two orders of magnitude when compared to using standard floating-point numbers. Our approach also includes an alternative to mitigate the high overheads of the posits and broadening the potential use of this format. We also propose a hybrid scheme that uses posit numbers only in the private local memory, while the accelerator operates in the classic floating-point notation. This solution is useful when the designers want to optimize local memories and data transfers, but still use legacy high-level synthesis (HLS) tools that only support traditional floating-point notations

Shear wave elastography investigation of multifidus stiffness in individuals with low back pain

© 2019 Elsevier Ltd The purpose of this study was to investigate differences in passive muscular stiffness between the superficial multifidus (SM)and deep multifidus (DM), and to compare their passive and active stiffness in individuals with low back pain (LBP) and asymptomatic individuals. Fifteen LBP individuals and 15 asymptomatic individuals were recruited. Passive stiffness of the SM and DM was measured bilaterally using sheer wave elastography (SWE) with participants lying prone. Active stiffness was measured for the SM during trunk extension, and the contraction ratio was calculated. DM displayed higher passive muscular stiffness than SM in both the asymptomatic and LBP groups (14.41 ± 2.62 and 15.40 ± 2.77 kPa respectively; t = 7.765 and t = 3.864, p < 0.05). Individuals with LBP exhibited higher passive muscular stiffness of SM (LBP: 10.15 ± 4.21, asymptomatic: 6.84 ± 1.69 kPa; t = 3.002, p < 0.05)and a lower contraction ratio (LBP: 1.54 ± 0.47, asymptomatic: 2.65 ± 1.36 kPa; p < 0.05) compared to the asymptomatic group. The findings support a differentiation in passive muscular stiffness between SM and DM and provide evidence for an alteration in muscular stiffness at rest in individuals with LBP. The lower increase of muscular stiffness with contraction observed for those with LBP may reflect a deficit in activation of the multifidus