Hip fracture. Preliminary results supporting significative correlations between the psychological wellbeing of patients and their relative caregivers

Background and aim. Hip fracture is one of the major causes of loss of self-sufficiency in older patients. The associated caregiving rehabilitation task often falls to the lot of a member of the patient’s family. Our study aims at assessing the relationship between the psychological well-being of patients with hip fracture and their caregivers. Methods. The study was carried-out on 53 elderly patients with hip fracture and their primary caregivers. The Mini Mental State Examination (patient), Activities of Daily Living (patient), Instrumental Activities of Daily Living (patient), Geriatric Depression Scale (patient), Psychological General Well-Being Index (patient/caregiver) and the Caregiver Burden Inventory (caregiver) were administered to each participant. Results. The results revealed significant correlations between stress levels and the psychological well-being of hip-fracture patients and relative caregivers. In particular, the Caregiver Burden Inventory’s total score was negatively related to the patient’s Psychological General Well-Being Index score (p < 0.05) and with Anxiety (p < 0.05), Depressed Mood (p < 0.01), Positive Well-being (p < 0.05) and General Health (p < 0.05) subscale scores, as well as with the patient’s Activities of Daily Living (p < 0.05) score. Patients’ Psychological General Well-Being Index scores were related to the caregivers’ General Health subscale (p < 0.01), and negatively related to Caregiver Burden Inventory Time Dependence (p < 0.05) and Social Burden (p < 0.05) subscales, as well as with the Geriatric Depression Scale score (p < 0.05). Conclusion. A mutual relationship seems to exist between a patient’s psychological well-being and his/her caregiver’s burden. These findings highlight the importance of a bio-psychosocial approach to both patients and caregivers

Quantitative extensions of reaction systems based on SOS semantics

Reaction systems (RSs) are a successful natural computing framework inspired by chemical reaction networks. A RS consists of a set of entities and a set of reactions. Entities can enable or inhibit each reaction and are produced by reactions or provided by the environment. In this paper, we define two quantitative variants of RSs: the first one is along the time dimension, to specify delays for making available reactions products and durations to protract their permanency, while the second deals with the possibility to specify different concentration levels of a substance in order to enable or inhibit a reaction. Technically, both extensions are obtained by modifying in a modular way the Structural Operational Semantics (SOS) for RSs that was already defined in the literature. Our approach maintains several advantages of the original semantics definition that were: (1) providing a formal specification of the RS dynamics that enables the reuse of many formal analysis techniques and favours the implementation of tools, and (2) making the RS framework extensible, by adding or changing some of the SOS rules in a compositional way. We provide a prototype logic programming implementation and apply our tool to three different case studies: the tumour growth, the Th cell differentiation in the immune system and neural communication

The use of chest magnetic resonance imaging in interstitial lung disease: A systematic review

Thin-slices multi-detector computed tomography (MDCT) plays a key role in the differential diagnosis of interstitial lung disease (ILD). However, thin-slices MDCT has a limited ability to detect active inflammation, which is an important target of newly developed ILD drug therapy. Magnetic resonance imaging (MRI), thanks to its multi-parameter capability, provides better tissue characterisation than thin-slices MDCT. Our aim was to summarise the current status of MRI applications in ILD and to propose an ILD-MRI protocol. A systematic literature search was conducted for relevant studies on chest MRI in patients with ILD. We retrieved 1246 papers of which 55 original papers were selected for the review. We identified 24 studies comparing image quality of thin-slices MDCT and MRI using several MRI sequences. These studies described new MRI sequences to assess ILD parenchymal abnormalities, such as honeycombing, reticulation and ground-glass opacity. Thin-slices MDCT remains superior to MRI for morphological imaging. However, recent studies with ultra-short echo-time MRI showed image quality comparable to thin-slices MDCT. Several studies demonstrated the added value of chest MRI by using functional imaging, especially to detect and quantify inflammatory changes. We concluded that chest MRI could play a role in ILD patients to differentiate inflammatory and fibrotic changes and to assess efficacy of new ILD drugs

Annual to seasonal glacier mass balance in High Mountain Asia derived from Pl\ue9iades stereo images: examples from the Pamir and the Tibetan Plateau

\ua9 Copyright: Glaciers are crucial sources of freshwater in particular for the arid lowlands surrounding High Mountain Asia. To better constrain glacio-hydrological models, annual, or even better, seasonal information about glacier mass changes is highly beneficial. In this study, we evaluate the suitability of very-high-resolution Pl\ue9iades digital elevation models (DEMs) to measure glacier mass balance at annual and seasonal scales in two regions of High Mountain Asia (Muztagh Ata in Eastern Pamirs and parts of western Nyainq\ueantanglha, south-central Tibetan Plateau), where recent estimates have shown contrasting glacier behaviour. The average annual mass balance in Muztagh Ata between 2019 and 2022 was -0.07ĝ€\uaf\ub1ĝ€\uaf0.20ĝ€\uafmĝ€\uafw.e.ĝ€\uafa-1, suggesting the continuation of a recent phase of slight mass loss following a prolonged period of balanced mass budgets previously observed. The mean annual mass balance in western Nyainq\ueantanglha was highly negative for the same period (-0.60ĝ€\uaf\ub1ĝ€\uaf0.15ĝ€\uafmĝ€\uafw.e.ĝ€\uafa-1), suggesting increased mass loss rates compared to the approximately previous 5 decades. The 2022 winter (+0.13ĝ€\uaf\ub1ĝ€\uaf0.24ĝ€\uafmĝ€\uafw.e.) and summer (-0.35ĝ€\uaf\ub1ĝ€\uaf0.15ĝ€\uafmĝ€\uafw.e.) mass budgets in Muztagh Ata and western Nyainq\ueantanglha (-0.03ĝ€\uaf\ub1ĝ€\uaf0.27ĝ€\uafmĝ€\uafw.e. in winter; -0.63ĝ€\uaf\ub1ĝ€\uaf0.07ĝ€\uafmĝ€\uafw.e. in summer) suggest winter- and summer-accumulation-type regimes, respectively. We support our findings by implementing the Sentinel-1-based Glacier Index to identify the firn and wet-snow areas on glaciers and characterize the accumulation type. The good match between the geodetic and Glacier Index results supports the potential of very-high-resolution Pl\ue9iades data to monitor mass balance at short timescales and improves our understanding of glacier accumulation regimes across High Mountain Asia

Prevalence of Vertebral Fractures in Osteoporotic HIP Fractured Patients: The Focus Study

Osteoporosis is a multifactorial systemic skeletal disease, characterized by low bone mass and microarchitectural modifications of bone tissue, with a consequent increase in fragility fractures. Vertebral fractures are the most prevalent osteoporotic fractures and osteoporotic hip fractures are the most serious complication of osteoporosis resulting in increased mortality and high socio-economic cost. The coexistence of these two pathological conditions in elderly patients has been previously described, leading to even worse functional outcomes than each one alone. To determine the prevalence of vertebral fractures in osteoporotic hip fractured women and to evaluate the relationship between prevalence of vertebral fractures and pre-existing factors such us autonomy in daily life activity, quality of walking, numbers of falls, cognitive aspects and comorbidities. 946 osteoporotic hip fractured women aged more than 60 years and with an X-ray evaluation of spine were consecutively enrolled in 25 Orthopaedic, Physical Medicine and geriatric centers in Italy. After spine X-ray morphometry patients were divided in two groups: previous vertebral fracture (F) and no previous fracture (NF). Moreover anamnestic, demographical and outcome related data (ADL, IADL, CIRS, SPMSQ, FAC and RANKIN scale) were collected. Prevalent vertebral fractures were present in 502 (54%) patients. 119 (13.7%) patients had at least one severe fracture. The F compared to NF group showed statistically significant worse scores regarding the pre hip fracture values of RANKIN, CIRS, SPMSQ, IADL and the overall number of falls (p<0.001). Moreover the F group showed statistically significant lower values of serif 25(OH)D than NF group (p<.0.001). Previous Vertebral fractures in hip fractured patients are a common issue and negatively influence several functional and cognitive outcome measures in these patients

Hall Effect of Spin Waves in Frustrated Magnets

We examine a possible spin Hall effect for localized spin systems with no charge degrees of freedom. In this scenario, a longitudinal magnetic field gradient induces a transverse spin current carried by spin wave excitations with an anomalous velocity which is associated with the Berry curvature raised by spin chirality, in analogy with anomalous Hall effects in itinerant electron systems. Our argument is based on a semiclassical equations of motion applicable to general spin systems. Also, a microscopic model of frustrated magnets which exhibits the anamalous spin Hall effect is presented.Comment: 5 pages, title and presentation style are changed, accepted for publication in Phys. Rev. Let