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1.
Sensors (Basel) ; 24(17)2024 Aug 30.
Article in English | MEDLINE | ID: mdl-39275533

ABSTRACT

The high cost and limited availability of home spirometers pose a significant barrier to effective respiratory disease management and monitoring. To address this challenge, this paper introduces a novel Venturi-based spirometer designed for home use, leveraging the Bernoulli principle. The device features a 3D-printed Venturi tube that narrows to create a pressure differential, which is measured by a differential pressure sensor and converted into airflow rate. The airflow is then integrated over time to calculate parameters such as the Forced Vital Capacity (FVC) and Forced Expiratory Volume in one second (FEV1). The system also includes a bacterial filter for hygienic use and a circuit board for data acquisition and streaming. Evaluation with eight healthy individuals demonstrated excellent test-retest reliability, with intraclass correlation coefficients (ICCs) of 0.955 for FVC and 0.853 for FEV1. Furthermore, when compared to standard Pulmonary Function Test (PFT) equipment, the spirometer exhibited strong correlation, with Pearson correlation coefficients of 0.992 for FVC and 0.968 for FEV1, and high reliability, with ICCs of 0.987 for FVC and 0.907 for FEV1. These findings suggest that the Venturi-based spirometer could significantly enhance access to spirometry at home. However, further large-scale validation and reliability studies are necessary to confirm its efficacy and reliability for widespread use.


Subject(s)
Equipment Design , Spirometry , Humans , Spirometry/instrumentation , Spirometry/methods , Vital Capacity/physiology , Forced Expiratory Volume/physiology , Adult , Male , Monitoring, Physiologic/instrumentation , Monitoring, Physiologic/methods , Reproducibility of Results , Respiratory Function Tests/instrumentation , Respiratory Function Tests/methods , Female
2.
J Neurol ; 271(10): 6573-6587, 2024 Oct.
Article in English | MEDLINE | ID: mdl-39240346

ABSTRACT

This study aims to review the proposed methodologies and reported performances of automated algorithms for seizure forecast. A systematic review was conducted on studies reported up to May 10, 2024. Four databases and registers were searched, and studies were included when they proposed an original algorithm for automatic human epileptic seizure forecast that was patient specific, based on intraindividual cyclic distribution of events and/or surrogate measures of the preictal state and provided an evaluation of the performance. Two meta-analyses were performed, one evaluating area under the ROC curve (AUC) and another Brier Skill Score (BSS). Eighteen studies met the eligibility criteria, totaling 43 included algorithms. A total of 419 patients participated in the studies, and 19442 seizures were reported across studies. Of the analyzed algorithms, 23 were eligible for the meta-analysis with AUC and 12 with BSS. The overall mean AUC was 0.71, which was similar between the studies that relied solely on surrogate measures of the preictal state, on cyclic distributions of events, and on a combination of these. BSS was also similar for the three types of input data, with an overall mean BSS of 0.13. This study provides a characterization of the state of the art in seizure forecast algorithms along with their performances, setting a benchmark for future developments. It identified a considerable lack of standardization across study design and evaluation, leading to the proposal of guidelines for the design of seizure forecast solutions.


Subject(s)
Algorithms , Seizures , Humans , Seizures/diagnosis , Electroencephalography/methods
3.
Sports Biomech ; : 1-12, 2024 Aug 27.
Article in English | MEDLINE | ID: mdl-39192555

ABSTRACT

We adapted the percentage intensity approach to monitor accelerations and decelerations allowing players' individualisation. Forty-two players were monitored during four microcycles via global navigation satellite system devices. Raw velocity and time data were collected to calculate acceleration and deceleration magnitudes according to specific starting speed intervals, and the efforts intensities were established as very low (<25% of the maximal effort), low (25-50%), moderate (50-75%) and high (>75%). Linear regressions and Pearson correlation (r) analysed the relationship between maximal efforts and starting speeds; additionally, mean paired differences compared efforts magnitudes between subsequent starting speed intervals. Most very low intensity accelerations (86%) and decelerations (79%) started from <5 km.h-1. Correlation between maximal efforts and starting speeds were r = -0.97 (p < .001) for acceleration, and r = -0.94 (p < .01) for deceleration. Maximal acceleration decreased as starting speed increases (very large effect sizes), but deceleration is less starting speed dependent (unclear to large effect sizes). This adaptation allows practitioners to individualise accelerations and decelerations classification during real-life scenarios, leading to a more precise training prescription. The very low intensity interval could be excluded to consider only relevant efforts. Maximal acceleration should be collected for each starting speed interval because accelerations are starting speed dependents.

4.
BMC Geriatr ; 24(1): 703, 2024 Aug 24.
Article in English | MEDLINE | ID: mdl-39182024

ABSTRACT

BACKGROUND: Monitoring the recovery trajectory during and after hospitalization can be a valuable method to observe whether additional care is needed to optimize recovery. Hand grip strength tests are commonly used to measure an individual's physical condition. Eforto® is a system to monitor hand grip strength and grip work as measures of recovery. We examined the feasibility of daily repeated hand grip tests measured with Eforto® in geriatric inpatients, during hospitalization and at home after discharge. METHODS: Geriatric inpatients (n = 191) were evaluated for grip strength and grip work with Eforto®, twice daily during their admission. We calculated attempt and success rates. Participants were divided into complete, high, moderate, and low attempt/success rate groups to study differences in patient characteristics. Reasons for non-attempt and unsuccessful tests were categorized and analyzed. Nine participants were interviewed about acceptability and user experience within the hospital setting. Four out of twenty participants accepted the invitation to continue the measurements after discharge at home for 4 weeks and were interviewed about acceptability and user experience. RESULTS: Across the 191 participants, the attempt rate was 85% and 86% of the attempted tests was successful. The main reasons for non-attempt were that the patient felt physically unwell (41%), and that the patient was otherwise engaged, for example receiving care or undergoing medical tests (40%). Measurements were unsuccessful mostly because of the patient not having enough strength to reach the 80% threshold needed for the grip work test (60%). Participants in the complete and high attempt/success rate groups had a shorter length of stay (p<0.05) and a lower mortality (p<0.05) than participants in the moderate/low groups. The interview data showed good acceptability and user experience during hospitalization. The acceptability was strengthened by experienced usefulness. Self-monitoring at home resulted in low inclusion rate (20%) and low success rate (25%), with the uncertain time after discharge from the hospital as the main barrier. CONCLUSIONS: For most patients, the tests were feasible in the supervised hospital setting. At-home testing with Eforto® is challenging, primarily because of the uncertain time after discharge from the hospital.


Subject(s)
Feasibility Studies , Geriatric Assessment , Hand Strength , Hospitalization , Humans , Male , Hand Strength/physiology , Female , Aged , Aged, 80 and over , Geriatric Assessment/methods , Patient Discharge
5.
Sensors (Basel) ; 24(16)2024 Aug 10.
Article in English | MEDLINE | ID: mdl-39204858

ABSTRACT

The aim of this work was to validate the measurements of three physiological parameters, namely, body temperature, heart rate, and peripheral oxygen saturation, captured with an out-of-the-lab device using measurements taken with clinically proven devices. The out-of-the-lab specialized device was integrated into a customized mHealth application, e-CoVig, developed within the AIM Health project. To perform the analysis, single consecutive measurements of the three vital parameters obtained with e-CoVig and with the standard devices from patients in an intensive care unit were collected, preprocessed, and then analyzed through classical agreement analysis, where we used Lin's concordance coefficient to assess the agreement correlation and Bland-Altman plots with exact confidence intervals for the limits of agreement to analyze the paired data readings. The existence of possible systematic errors was also addressed, where we found the presence of additive errors, which were corrected, and weak proportional biases. We obtained the mean overall agreement between the measurements taken with the novel e-CoVig device and the reference devices for the measured quantities. Although some limitations in this study were encountered, we present more advanced methods for their further assessment.


Subject(s)
Body Temperature , Heart Rate , Telemedicine , Humans , Telemedicine/instrumentation , Monitoring, Physiologic/instrumentation , Monitoring, Physiologic/methods , Heart Rate/physiology , Body Temperature/physiology , Oxygen Saturation/physiology
6.
Fish Physiol Biochem ; 2024 Jul 18.
Article in English | MEDLINE | ID: mdl-39020065

ABSTRACT

This study aimed to evaluate the effects of Protium heptaphyllum fruit essential oil (PHEO) on the physiology of silver catfish (Rhamdia quelen) during anesthesia and recovery, through studying echocardiograms, oxidative status, and metabolic parameters. Three experiments were performed: (1) 50 silver catfish juveniles were submitted to anesthesia and recovery tests with 300, 400, 500, 600, and 700 mg L-1 of PHEO. (2) Echocardiogram analysis was performed in anesthetized and non-anesthetized fish. (3) Biochemical parameters were evaluated at 0, 30, 60, and 120 min of recovery after being anesthetized for 3 min with 600 mg L-1 PHEO. Times to sedation and deep anesthesia were reduced with PHEO increasing concentrations. The echocardiogram showed a higher cardiac rate in anesthetized fish. Plasma glucose levels increased in control fish through recovery time, but anesthetized fish showed lower levels than controls at 120 min of recovery. Metabolic parameters such as plasma and hepatic glucose did not show changes considering the recovery time of up to 120 min. Hepatic glycogen, lactate, and triglycerides reduced their levels over recovery times. Fish anesthetized enhanced superoxide dismutase activity and thiobarbituric acid reactive substances levels but decreased reduced glutathione (GSH) levels at 30 min compared to controls. After 60 min, GSH values were significantly higher in anesthetized fish than in controls. These results suggest that PHEO at 600 mg L-1 is an effective anesthetic for the rapid handling of silver catfish, providing stable metabolic parameters and enhanced antioxidant responses during recovery. Echocardiogram analysis confirms the anesthetic effect, supporting PHEO as a viable and efficient option for fish anesthesia in aquaculture. The use of PHEO in aquaculture can enhance fish welfare by reducing stress during handling and transportation, potentially leading to improved growth, health, and survival rates.

7.
Biol Sport ; 41(3): 223-230, 2024 Jul.
Article in English | MEDLINE | ID: mdl-38952912

ABSTRACT

This study compared the most common absolute sprint threshold (> 25.2 km/h) with relative and individualized thresholds (> 70%, > 75%, > 80%, > 85% and > 90% of peak match speed). Twenty elite soccer players, competing in the first division of the Portuguese League, were monitored using GNSS equipment during thirty-four official matches. Peak match speed was retrieved as the individual maximal speed reached during the full season. Distances were registered when speed overcame the absolute and the relative thresholds. Mean ± SD of peak speeds and distances covered were calculated, and Pearson correlation (r) and mean paired differences were performed to analyze relationships and differences between thresholds. The peak match speed was 32.9 ± 1.4 km/h. Correlations between distances covered using the absolute and relative thresholds varied from very strong (> 70%: r = 0.84, p < .001; > 75%: r = 0.89, p < .001; and > 80%: r = 0.88, p < .001), strong (> 85%: r = 0.79, p < .001), to moderate (> 90%: r = 0.59, p < .001). Overall, the > 75% (ES: 0.23 [95% CI: 0.16, 0.31]) and the > 90% (ES: -1.65 [95%CI: -1.85, -1.48]) relative thresholds presented the smallest and largest differences, respectively, with the absolute threshold. Differences were also found when considering the playing positions. While the distances covered by central midfielders were similar between the absolute and > 80% thresholds (-0.03 [-0.16, 0.10]), fullbacks covered largely more distance -1.88 [-2.42 -1.50]) in the absolute threshold than in the > 80% threshold. The distances covered by players varied based on the selected threshold, affecting the distances covered by different playing positions. Being the highest speed threshold within displacements thresholds, the absolute sprint threshold showed greater similarity to lower rather than higher relative thresholds.

8.
Materials (Basel) ; 17(13)2024 Jul 04.
Article in English | MEDLINE | ID: mdl-38998386

ABSTRACT

A drawback of recycled mixtures containing reclaimed asphalt is their increased stiffness, further worsened by the accelerated aging of binders in extreme weather conditions. Previous studies have shown that while rejuvenating agents can mitigate some of these issues by improving flexibility and reducing brittleness, they often present challenges, such as performance variability and the potential for rutting. This study aims to develop an optimal blend of reclaimed bitumen, a rejuvenating agent, and pure bitumen to achieve rheological properties similar to a control 35/50 pen-grade bitumen for road paving. Hence, the rejuvenated binders comprised 30:70 blends of reclaimed asphalt bitumen and 50/70 pen-grade bitumen, adding 0.2% to 0.6% of a rejuvenating agent by mass of the reclaimed asphalt. Sample testing included conventional penetration grade, softening point, and viscosity tests, followed by dynamic shear rheometer tests under unaged, short-term, and long-term aging conditions. The results show that the binder blend with 0.4% rejuvenator closely resembles the rheological properties of 35/50 pen-grade bitumen. This blend exhibits a 20% to 55% stiffness reduction for recycled mixtures with 30% reclaimed asphalt. Notably, the rejuvenated binders exhibited a similar level of aging resistance to the control bitumen, with a marginal difference of less than 5% in aging ratios. Meanwhile, large strain amplitude tests showed the importance of defining maximum rejuvenating incorporation rates in recycled mixtures to avoid rutting problems, where binders with 0.4% rejuvenator doubled the rutting potential (Jnr values). This innovative study highlights the potential for enhancing recycled mixtures' performance by evaluating rejuvenated reclaimed binders' rheology subjected to different aging conditions, thus contributing to sustainability in pavement construction.

9.
Res Q Exerc Sport ; : 1-8, 2024 Jun 21.
Article in English | MEDLINE | ID: mdl-38905702

ABSTRACT

Purpose: This longitudinal study analyzed the relationship between players' physical (sprint distances, number of high-intensity accelerations and decelerations assessed with individual and relative thresholds) and technical (retrieved from SofaScore platform) performances during competition. Methods: Twenty elite players were monitored across a full season. Physical performances were monitored with GNSS devices, retrieving time (s), velocity (km.h-1) and distance (m). Sprint distances were calculated as > 80% of the match peak speed registered across the season. High-intensity accelerations and decelerations were calculated as >75% of the peak values registered across the season. Pearson (r) correlations (with 95% confidence intervals) were calculated to assess the relationship among different physical performance variables and between the physical and technical performance variables. Results: Sprint distances correlated with the number of ball touches (r = -0.36 [-0.49, -0.23], p < .001), accurate passes (r = -0.45 [-0.56, -0.32], p < .001), and dribble attempts (r = 0.30 [0.16, 0.43], p < .001). If players touched the ball more frequently and pass the ball more accurately, they covered shorter sprint distances. However, if players attempted more dribbles, they covered longer sprint distances. Conclusion: Practitioners can develop tactical strategies considering the relationship between sprint distances and technical variables such as ball touches, accurate passes, and dribble attempts.

10.
Fish Physiol Biochem ; 50(4): 1461-1481, 2024 Aug.
Article in English | MEDLINE | ID: mdl-38722480

ABSTRACT

This study evaluated the use of essential oil of Ocimum gratissimum (EOOG) for anesthesia and in transport of Colossoma macropomum. Experiment 1, Test 1, anesthesia induction and recovery times were determined using different EOOG concentrations (0, 20, 50, 100, 200, 300 mg L-1), with two size classes: Juveniles I (0.86 g) and Juveniles II (11.46 g) (independent tests in a completely randomized design). Based on the results of Test 1, in Test 2 Juveniles II were exposed to EOOG concentrations: 0, 20, 100 mg L-1. Tissue samples were collected immediately after induction and 1 h post-recovery, to assess oxidative status variables. Experiment 2, Juveniles I (0.91 g) and Juveniles II (14.76 g) were submitted to transport in water with different concentrations of EOOG (0, 5, 10 mg L-1) (independent tests in a completely randomized design). The effects on oxidative status variables were evaluated. Concentrations between 50 and 200 mg L-1 EOOG can be indicated for Juveniles I, while concentrations between 50 and 100 mg L-1 EOOG for Juveniles II. The concentration of 100 mg L-1 EOOG was able to prevent oxidative damage in the liver. In Experiment 2, the concentrations of 5 and 10 mg L-1 EOOG added to the transport water caused sedation for both studied size classes of juveniles and did not cause oscillations in water quality variables nor any mortality. The concentration of 10 mg L-1 EOOG improved the oxidative status. It can be concluded that EOOG can be used for anesthesia and transport of C. macropomum.


Subject(s)
Ocimum , Oils, Volatile , Animals , Oils, Volatile/pharmacology , Ocimum/chemistry , Oxidative Stress/drug effects , Characiformes , Anesthesia/veterinary , Liver/metabolism , Liver/drug effects
11.
Int J Mol Sci ; 25(9)2024 May 06.
Article in English | MEDLINE | ID: mdl-38732272

ABSTRACT

Lung branching morphogenesis relies on intricate epithelial-mesenchymal interactions and signaling networks. Still, the interplay between signaling and energy metabolism in shaping embryonic lung development remains unexplored. Retinoic acid (RA) signaling influences lung proximal-distal patterning and branching morphogenesis, but its role as a metabolic modulator is unknown. Hence, this study investigates how RA signaling affects the metabolic profile of lung branching. We performed ex vivo lung explant culture of embryonic chicken lungs treated with DMSO, 1 µM RA, or 10 µM BMS493. Extracellular metabolite consumption/production was evaluated by using 1H-NMR spectroscopy. Mitochondrial respiration and biogenesis were also analyzed. Proliferation was assessed using an EdU-based assay. The expression of crucial metabolic/signaling components was examined through Western blot, qPCR, and in situ hybridization. RA signaling stimulation redirects glucose towards pyruvate and succinate production rather than to alanine or lactate. Inhibition of RA signaling reduces lung branching, resulting in a cystic-like phenotype while promoting mitochondrial function. Here, RA signaling emerges as a regulator of tissue proliferation and lactate dehydrogenase expression. Furthermore, RA governs fatty acid metabolism through an AMPK-dependent mechanism. These findings underscore RA's pivotal role in shaping lung metabolism during branching morphogenesis, contributing to our understanding of lung development and cystic-related lung disorders.


Subject(s)
Energy Metabolism , Lung , Morphogenesis , Signal Transduction , Tretinoin , Animals , Tretinoin/metabolism , Tretinoin/pharmacology , Lung/metabolism , Lung/drug effects , Lung/embryology , Energy Metabolism/drug effects , Morphogenesis/drug effects , Signal Transduction/drug effects , Chick Embryo , Cell Proliferation/drug effects , Mitochondria/metabolism , Mitochondria/drug effects , Chickens
12.
Indian Heart J ; 76(3): 147-153, 2024.
Article in English | MEDLINE | ID: mdl-38609052

ABSTRACT

Heart failure (HF) is emerging as a major public health problem both in high- and low - income countries. The mortality and morbidity due to HF is substantially higher in low-middle income countries (LMICs). Accessibility, availability and affordability issues affect the guideline directed therapy implementation in HF care in those countries. This call to action urges all those concerned to initiate preventive strategies as early as possible, so that we can reduce HF-related morbidity and mortality. The most important step is to have better prevention and treatment strategies for diseases such as hypertension, ischemic heart disease (IHD), type-2 diabetes, and rheumatic heart disease (RHD) which predispose to the development of HF. Setting up dedicated HF-clinics manned by HF Nurses, can help in streamlining HF care. Subsidized in-patient care, financial assistance for device therapy, use of generic medicines (including polypill strategy) will be helpful, along with the use of digital technologies.


Subject(s)
Cardiology , Heart Failure , Societies, Medical , Humans , Heart Failure/therapy , Heart Failure/drug therapy , India/epidemiology , Pandemics , Consensus , Congresses as Topic , Morbidity/trends , Global Health
13.
Int. j interdiscip. dent. (Print) ; 17(1): 15-18, abr. 2024. tab, ilus
Article in English | LILACS | ID: biblio-1558089

ABSTRACT

Objective: To evaluate the progression of caries around orthodontic brackets after the enamel has been exposed to lacteal products containing probiotics. Methods: Orthodontic brackets were bonded to the enamel surfaces. The test specimens were randomly divided into six groups: G1-negative control; G2-positive control, exposed to culture environment only (without microorganisms); G3-exposed to the cariogenic environment and the fermented cow's milk without probiotic; G4-exposed to the cariogenic environment and fermented cow's milk with probiotic; G5-exposed to the cariogenic environment and yogurt without probiotic; and G6-exposed to the cariogenic environment and yogurt with probiotic. The groups were placed in brain heart infusion medium, supplemented with 2% sucrose and with 1x106 cells/ml of Streptococcus mutans and Streptococcus salivarius (ATCC). The Shapiro-Wilk, Levene, Student t, Kruskal-Wallis, and Mann-Whitney tests were used. Results: all groups exposed to the ATCC strains showed lower final microhardness, compared to the negative control (p0.05). Conclusions: Lacteal products are not able to prevent the progression of caries around orthodontic brackets.


Subject(s)
Humans , Orthodontic Brackets , Probiotics , Dairy Products , Dental Caries
14.
Sci Rep ; 14(1): 7872, 2024 04 03.
Article in English | MEDLINE | ID: mdl-38570536

ABSTRACT

Conventional snap fasteners used in clothing are often used as electrical connectors in e-textile and wearable applications for signal transmission due to their wide availability and ease of use. Nonetheless, limited research exists on the validation of these fasteners, regarding the impact of contact-induced high-amplitude artefacts, especially under motion conditions. In this work, three types of fasteners were used as electromechanical connectors, establishing the interface between a regular sock and an acquisition device. The tested fasteners have different shapes and sizes, as well as have different mechanisms of attachment between the plug and receptacle counterparts. Experimental evaluation was performed under static conditions, slow walking, and rope jumping at a high cadence. The tests were also performed with a test mass of 140 g. Magnetic fasteners presented excellent electromechanical robustness under highly dynamic human movement with and without the additional mass. On the other hand, it was demonstrated that the Spring snap buttons (with a spring-based engaging mechanism) presented a sub-optimal performance under high motion and load conditions, followed by the Prong snap fasteners (without spring), which revealed a high susceptibility to artefacts. Overall, this work provides further evidence on the importance and reliability of clothing fasteners as electrical connectors in wearable systems.


Subject(s)
Textiles , Wearable Electronic Devices , Humans , Reproducibility of Results , Electricity , Electric Conductivity
15.
Sensors (Basel) ; 24(5)2024 Mar 01.
Article in English | MEDLINE | ID: mdl-38475148

ABSTRACT

Ensuring precise angle measurement during surgical correction of orientation-related deformities is crucial for optimal postoperative outcomes, yet there is a lack of an ideal commercial solution. Current measurement sensors and instrumentation have limitations that make their use context-specific, demanding a methodical evaluation of the field. A systematic review was carried out in March 2023. Studies reporting technologies and validation methods for intraoperative angular measurement of anatomical structures were analyzed. A total of 32 studies were included, 17 focused on image-based technologies (6 fluoroscopy, 4 camera-based tracking, and 7 CT-based), while 15 explored non-image-based technologies (6 manual instruments and 9 inertial sensor-based instruments). Image-based technologies offer better accuracy and 3D capabilities but pose challenges like additional equipment, increased radiation exposure, time, and cost. Non-image-based technologies are cost-effective but may be influenced by the surgeon's perception and require careful calibration. Nevertheless, the choice of the proper technology should take into consideration the influence of the expected error in the surgery, surgery type, and radiation dose limit. This comprehensive review serves as a valuable guide for surgeons seeking precise angle measurements intraoperatively. It not only explores the performance and application of existing technologies but also aids in the future development of innovative solutions.


Subject(s)
Imaging, Three-Dimensional , Humans , Imaging, Three-Dimensional/methods , Fluoroscopy/methods , Surgery, Computer-Assisted/methods , Tomography, X-Ray Computed/methods
16.
Musculoskelet Sci Pract ; 71: 102943, 2024 06.
Article in English | MEDLINE | ID: mdl-38520876

ABSTRACT

INTRODUCTION: Cupping therapy is a widely used technique in Brazilian physical therapy for the treatment of musculoskeletal disorders. However, there is limited scientific evidence to support its effectiveness. OBJECTIVE: To investigate the profile, training, clinical practice, and scientific updates of Brazilian Physical Therapists who use cupping therapy as a therapeutic resource for musculoskeletal disorders. METHODS: A cross-sectional study was conducted through an online questionnaire, including 646 Physical Therapists who use cupping therapy in their practice. All data were analysed descriptively. RESULTS: Cupping therapy is a technique that has been widely adopted in clinical practice by Physical Therapists, particularly among young, female professionals who have recently graduated from private universities. The primary reason for interest in this technique among these Physical Therapists is the high demand from patients. Additionally, it is often used in conjunction with other manual therapeutic techniques. They identified easy access, low cost, and ease of use as the key factors that make cupping therapy an attractive option. However, a lack of high-quality scientific evidence, as described in the literature, was identified as a major barrier to its use. CONCLUSION: The Physical Therapists included in this study use cupping therapy in their clinical practice, relying heavily on their own experience and the preferences of their patients, rather than utilizing the third pillar of evidence-based practice, which is to rely on the best available evidence. This study suggests that these Physical Therapists are currently implementing a technique without current scientific recommendations for its use in the treatment of musculoskeletal disorders.


Subject(s)
Cupping Therapy , Musculoskeletal Diseases , Physical Therapists , Humans , Cross-Sectional Studies , Female , Brazil , Musculoskeletal Diseases/therapy , Male , Adult , Surveys and Questionnaires , Cupping Therapy/methods , Middle Aged
17.
Environ Pollut ; 346: 123688, 2024 Apr 01.
Article in English | MEDLINE | ID: mdl-38431247

ABSTRACT

One challenge of the citrus industry is the treatment and disposal of its effluents due to their high toxicity, substantial organic load, and consequent resistance to conventional biotechnological processes. This study introduces a novel approach, using electrochemical oxidation with a boron-doped diamond anode to efficiently remove organic compounds from biodegraded pulp wash (treated using the fungus Pleurotus sajor-caju.) The findings reveal that employing a current density of 20 mA cm-2 achieves notable results, including a 44.1% reduction in color, a 70.0% decrease in chemical oxygen demand, an 88.0% reduction in turbidity, and an impressive 99.7% removal of total organic carbon (TOC) after 6 h of electrolysis. The energy consumption was estimated at 2.93 kWh g-1 of removed TOC. This sequential biological-electrochemical procedure not only significantly reduced the mortality rate (85%) of Danio rerio embryos but also reduced the incidence of morphologically altered parameters. Regarding acute toxicity (LC50) of the residue, the process demonstrated a mortality reduction of 6.97% for D. rerio and a 40.88% lethality decrease for Lactuca sativa seeds. The substantial reduction in toxicity and organic load observed in this study highlights the potential applicability of combined biological and electrochemical treatments for real agroindustrial residues or their effluents.


Subject(s)
Diamond , Water Pollutants, Chemical , Diamond/chemistry , Water Pollutants, Chemical/analysis , Electrolysis/methods , Organic Chemicals , Electrodes , Oxidation-Reduction
18.
IEEE Trans Biomed Eng ; 71(7): 2243-2252, 2024 Jul.
Article in English | MEDLINE | ID: mdl-38376980

ABSTRACT

OBJECTIVE: This work explores Hall effect sensing paired with a permanent magnet, in the context of pulmonary rehabilitation exercise training. METHODS: Experimental evaluation was performed considering as reference the gold-standard of respiratory monitoring, an airflow transducer, and performance was compared to another wearable device with analogous usability - a piezoelectric sensor. A total of 16 healthy participants performed 15 activities, representative of pulmonary rehabilitation exercises, simultaneously using all devices. Evaluation was performed based on detection of flow reversal events and key respiratory parameters. RESULTS: Overall, the proposed sensor outperformed the piezoelectric sensor with a mean ratio, precision, and recall of 0.97, 0.97, and 0.95, respectively, against 0.98, 0.90, and 0.88. Evaluation regarding the respiratory parameters indicates an adequate accuracy when it comes to breath cycle, inspiration, and expiration times, with mean relative errors around 4% for breath cycle and 8% for inspiration/expiration times, despite some variability. Bland-Altman analysis indicates no systematic biases. CONCLUSION: Characterization of the proposed sensor shows adequate monitoring capabilities for exercises that do not rely heavily on torso mobility, but may present a limitation when it comes to activities such as side stretches. SIGNIFICANCE: This work provides a comprehensive characterization of a magnetic field-based respiration sensor, including a discussion on its robustness to different algorithm thresholds. It proves the viability of the sensor in a range of exercises, expanding the applicability of Hall effect sensors as a feasible wearable approach to real-time respiratory monitoring.


Subject(s)
Wearable Electronic Devices , Humans , Male , Adult , Female , Magnetic Fields , Monitoring, Physiologic/instrumentation , Monitoring, Physiologic/methods , Young Adult , Equipment Design , Signal Processing, Computer-Assisted/instrumentation
20.
Front Pharmacol ; 15: 1336878, 2024.
Article in English | MEDLINE | ID: mdl-38362154

ABSTRACT

Background: Pogostemon heyneanus leaves infusions are relevant in ethnopharmacology for treating colds, coughs, headaches, and asthma. Purpose: The essential oil chemical composition of a Pogostemon heyneanus specimen was monthly monitored from October 2021 to July 2022 to evaluate the climatic influences on its yield and chemical composition and antinociceptive, andanti-inflammatory properties. Methods: The leaves, collected monthly over a 10-month period, were submitted to hydrodistillation. The oils obtained were analyzed by gas chromatography coupled to a mass spectrometer and gas chromatography coupled to flame ionization detector. The P. heyneanus essential oil (PhEO) was tested in vivo to evaluate its peripheral analgesic actions through the abdominal writhing test induced by acetic acid, and peripheral analgesia by tail immersion. Neurogenic and inflammatory pain were evaluated by formalin test, and acute oral toxicity of the oil was also verified. Results: PhEO presented 27 chemical constituents with the highest predominance of patchoulol (43.6%-76.9%), α-bulnesene (0.2%-12.7%), α-guaiene (0.4%-8.9%), seychellene (3.8%-5.1%) and pogostol (0.0%-8.2%). The climatic parameters insolation, humidity, rainfall, and temperature did not influence the essential oil yield or the main chemical constituents, except for pogostol, which presented a strong (r = 0.73) and statistically significant (p < 0.05) correlation with temperature. PhEO did not display toxicity at the maximum 300 mg/kg dosage. The oil showed low peripheral and central analgesic action at 100 mg/kg, while in the neurogenic and inflammatory pain inhibition tests, no actions related to PhEO were observed. In the carrageenan-induced peritonitis test, PhEO did not reduce the migration of leukocytes to the peritoneal cavity compared to the control group. Conclusion: Pogostemon heyneanus is a resistant plant to seasonal influences and a source of patchoulol. Despite ethnopharmacological indications, no in-vivo biological activities such as neurogenic or inflammatory pain were identified in the present work. So, the low influence of the climatic parameters on chemical composition can infer that the low pharmacological activity is also not subject to climatic variations, that is, it does not change due to the climate.

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