scholarly journals A web-based application for estimating energy requirements in elderly patients

2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
Dario Gregori ◽  
Giulia Lorenzoni ◽  
Corrado Lanera ◽  
Honoria Ocagli
Keyword(s):  
Systematic Review ◽  
Elderly Patients ◽  
Indirect Calorimetry ◽  
Gold Standard ◽  
Web Application ◽  
The Elderly ◽  
Energy Requirements ◽  
Predictive Equation ◽  
Web Based ◽  
The Web

AbstractElderly patients are at risk of malnutrition and need an appropriate assessment of energy requirements. In the clinical setting, predictive equations are widely used to estimate the Resting Energy Expenditure (REE). Although easy to use, these equations are not always validated in the elderly and, even if validated, they often provide different outputs of energy requirements for the same subject. The aim of the present work is to develop a web-based application helping clinicians in finding out the most appropriate equation for estimating the REE for each subject. The web-based application is based on a systematic review of the equations for the estimation of REE in the elderly. The systematic review was carried out on PubMed and Scopus following the PRISMA guidelines. Studies in subjects older than 65 years of age that tested the performance of a predictive equation for the estimation of REE vs. a gold standard (indirect calorimetry or doubly labeled water) were included in the review. Studies performed in critically ill elderly patients were excluded. The initial search identified 2035 studies. The final review included 50 studies. Included studies were mainly observational, conducted in healthy elderly subjects enrolled in the outpatient setting, and using indirect calorimetry as the gold standard. The 50 studies included in the review corresponded to 189 different equations. Several parameters were included in the equations, and they can be divided as following: anthropometric characteristics, body composition parameters, environmental measures, laboratory tests, the presence of comorbidities, and physical activity frequency. The equations retrieved were tested on a sample of 88 subjects aged > 65 years enrolled in an Italian nursing home. Based on the systematic review and the pilot testing of the equations, it has been developed a web application (http://r-ubesp.dctv.unipd.it:3838/equationer) that allows for the estimation of REE using the equation most appropriate according to the subject's characteristic and parameters available. The assessment of the energy requirements in the elderly is crucial for the management of nutritional problems in this population group since nutritional problems are related to worse health outcomes. The present study showed a wide use of different type of equations for the estimation of REE in the elderly highlighting the need of choosing the most appropriate predictive equation according to the subject characteristics and health status. The web application will help clinicians in doing that.

scholarly journals Energy Requirement Equations in Elderly Patients: A Systematic Review (P01-002-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Dario Gregori ◽  
Honoria Ocagli ◽  
Corrado Lanera ◽  
Giulia Lorenzoni
Keyword(s):  
Systematic Review ◽  
Elderly Patients ◽  
Indirect Calorimetry ◽  
Gold Standard ◽  
Web Application ◽  
The Elderly ◽  
Energy Requirements ◽  
Elderly Subjects ◽  
Predictive Equation ◽  
Healthy Elderly

Abstract Objectives Elderly patients are at risk of malnutrition and need an appropriate assessment of energy requirements. In the clinical setting, predictive equations are widely used to estimate the Resting Energy Expenditure (REE). Although easy to use, these equations are not always validated for the elderly and, even if validated, they often provide different outputs of energy requirements for the same subject. This study aimed at doing a systematic review of the equations for the estimation of REE in the elderly with the final aim of developing a web-based application helping clinicians in finding out the most appropriate equation for estimating the REE for each subject. Methods The systematic review was carried out using PubMed and Scopus following PRISMA guidelines. Studies in subjects older than 65 years of age, testing the performance of a predictive equation for the estimation of REE vs. a gold standard (indirect calorimetry or doubly labeled water) were included in the review. Studies performed in critically ill elderly patients were excluded. Results The initial search identified 2035 studies. The final review included 50 studies. Included studies were mainly observational, conducted in healthy elderly subjects enrolled in the outpatient setting, and using indirect calorimetry as gold standard. The 50 studies included in the review corresponded to 189 different equations. Several parameters were included in the equations and they can be divided as following: anthropometric characteristics, body composition parameters, environmental measures, laboratory tests, presence of comorbidities, and physical activity frequency. Conclusions The assessment of the energy requirements in the elderly is crucial for the management of nutritional problems in this population group since nutritional problems are related to worse health outcomes. The present study showed a wide use of different type of equations for the estimation of REE in the elderly highlighting the need of choosing the most appropriate predictive equation according to the subject characteristics and health status. The web application that is currently under development will help clinicians in doing that. Funding Sources Unit of Biostatistics, Epidemiology and Public Health, University of Padova, Padova, Italy.

Web-based interventions aimed at improving the mental health effects of home caregivers for dementia: Meta-analysis (Preprint)

2019 ◽  
Author(s):  
Hui Feng ◽  
Yinan Zhao ◽  
Mingyue Hu ◽  
Hengyu Hu ◽  
Hui Li ◽  
...  
Keyword(s):  
Mental Health ◽  
Meta Analysis ◽  
The Elderly ◽  
Anxiety Symptoms ◽  
Average Score ◽  
Physical And Mental Health ◽  
Web Based ◽  
Negative Results ◽  
Cochrane Database ◽  
The Web

BACKGROUND Dementia is one of the major cause of disability and dependency among the elderly worldwide, and there are general psychological distresses among caregivers in dementia, such as depression and anxiety symptoms. The physical and mental health of the caregiver is a prerequisite and a promise to help the elderly stay alive and promote health. Web-based interventions can provide for a more convenient and efficient support and education, OBJECTIVE The purpose of this study was to examine the effect of internet-based interventions on mental health outcomes of family caregivers with dementia, and exploring which components of the web-based interventions play an important role.which are likely to reduce caregivers’ negative outcomes associated with care. METHODS A comprehensive literature search was conducted on PubMed, Embase, PsycINFO, Cochrane Database and CINAHL by using relevant terms such as web-based and caregiver as keywords, covering all studies published before June 2018. Two reviewers independently reviewed all published abstracts, according to the established inclusion and exclusion criteria ，we extracted the information about participants, interventions and results, respectively, and reviewed the quality of articles on the methods of randomized trials using the approach recommended by the Cochrane Handbook for systematic review for intervention. RESULTS A total of 815 caregivers participated in 6 articles, and 4 of the studies use depression as an outcome, according to the research after different interventions based on network after the intervention, depression scores average drop of 0.23 (95%CI -0.38 to -0.07, p<0.01), 2 studies show caregivers anxiety symptoms, the average score for anxiety dropped by 0.32 points (95% CI -0.50 to -0.14, p< 0.01), but in terms of coping, pain and stress, the web-based interventions have shown a poor effect. On the whole, the addition of professional psychological support on the basis of education can improve mental health of carers. CONCLUSIONS Internet-based interventions were generally effective in reducing anxiety and depression in dementia carers, although negative results were found in some studies. But in terms of burden and stress, further research is needed.

scholarly journals An Improved Method for Multi-Lingual News Feed Application

2019 ◽  
Vol 9 (1) ◽  
pp. 6758-6760
Keyword(s):  
User Interface ◽  
Web Application ◽  
New Technologies ◽  
National Language ◽  
The Internet ◽  
Improved Method ◽  
Daily News ◽  
Web Based ◽  
Local Newspaper ◽  
The Web

In the present era, the internet and new technologies are changing the information behavior of news reader .Instead of reading a copy of the local newspaper or watching the scheduledevening news, people increasingly turn to the internet for daily news updates. A Multi-Lingual news feed application is aimed at developing a web based application named multilingual news feed app. This Application deals with the user who wants to read news from the web application. User can select different countries in which a user is interested, the latest news will be fetched from the selected country. The news will be fetched and displayed based on the country selected in its own national language & the news is categorized into 7 different categories. A user can select any category which they are looking for. When you are done selecting the country & category, then the page will automatically refresh and the news will be displayed on MultiLingual news feed application. This application also supports translation and the news can be translated into any language. This application is fully responsive and has a good-looking user interface. The users will find this application much interesting for reading the news articles.

scholarly journals Displaced olecranon fractures in the elderly: outcomes after non-operative treatment – a narrative review

2020 ◽  
Vol 5 (7) ◽  
pp. 391-397
Author(s):  
Olga D. Savvidou ◽  
Panagiotis Koutsouradis ◽  
Angelos Kaspiris ◽  
Leon Naar ◽  
George D. Chloros ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Elderly Patients ◽  
Operative Treatment ◽  
Treatment Option ◽  
Gold Standard ◽  
Elderly Population ◽  
Standard Of Care ◽  
The Elderly ◽  
Small Series ◽  
Olecranon Fractures

Operative treatment with tension band wiring or plate is the gold standard of care for displaced olecranon fractures. In elderly patients, multiple comorbidities combine with increased intraoperative risks, and postoperative complications may yield poor results. There are small series in the literature that show promising results with non-operative treatment. Non-operative treatment may provide reasonable function and satisfaction in the elderly population and could be considered as a treatment option in this group, especially for those with comorbidities, to avoid postoperative complications and the need for re-operation. Cite this article: EFORT Open Rev 2020;5:391-397. DOI: 10.1302/2058-5241.5.190041

scholarly journals The Role of Spinal Orthoses in Osteoporotic Vertebral Fractures of the Elderly Population (Age 60 Years or Older): Systematic Review

2020 ◽  
pp. 219256822094803
Author(s):  
Barry Ting Sheen Kweh ◽  
Hui Qing Lee ◽  
Terence Tan ◽  
Joost Rutges ◽  
Travis Marion ◽  
...  
Keyword(s):  
Systematic Review ◽  
Elderly Patients ◽  
Vertebral Fractures ◽  
Postural Stability ◽  
Elderly Population ◽  
The Elderly ◽  
Functional Improvement ◽  
Osteoporotic Vertebral Fractures ◽  
Spinal Orthoses

Study Design: Systematic review. Objective: Spinal orthoses have been generally used in the management of osteoporotic vertebral fractures in the elderly population with purported positive biomechanical and functional effects. To our knowledge, this is the first systematic review of the literature examining the role of spinal orthoses in osteoporotic elderly patients who sustain low energy trauma vertebral fractures. Methods: A systematic literature review adherent to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines was conducted. Methodical searches utilizing MEDLINE, EMBASE, Google Scholar, and Cochrane Databases was performed. Results: Of the 2019 articles initially retrieved, 7 published articles (4 randomized controlled trials and 3 prospective cohort studies) satisfied the inclusion criteria. Five studies reported improvement in quantitative measurements of spinal column stability when either a rigid or semirigid orthosis was used, while 1 study was equivocal. The studies also showed the translation of biomechanical benefit into significant functional improvement as manifested by improved postural stability and reduced body sway. Subjective improvement in pain scores and quality of life was also noted with bracing. Conclusion: The use of spinal orthoses in neurologically intact elderly patients aged 60 years and older with osteoporotic compression vertebral fractures results in improved biomechanical vertebral stability, reduced kyphotic deformity, enhanced postural stability, greater muscular strength and superior functional outcomes.

scholarly journals Cross Site Scripting Attacks in Web-Based Applications

2018 ◽  
Vol 1 (2) ◽  
pp. 25-35
Author(s):  
Aliga Paul Aliga ◽  
Adetokunbo MacGregor John-Otumu ◽  
Rebecca E Imhanhahimi ◽  
Atuegbelo Confidence Akpe
Keyword(s):  
Web Application ◽  
Web Applications ◽  
Learning Ability ◽  
Security Risk ◽  
Web Application Security ◽  
Web Based ◽  
Architectural Framework ◽  
Self Learning ◽  
Cross Site ◽  
The Web

Web-based applications has turn out to be very prevalent due to the ubiquity of web browsers to deliver service oriented application on-demand to diverse client over the Internet and cross site scripting (XSS) attack is a foremost security risk that has continuously ravage the web applications over the years. This paper critically examines the concept of XSS and some recent approaches for detecting and preventing XSS attacks in terms of architectural framework, algorithm used, solution location, and so on. The techniques were analysed and results showed that most of the available recognition and avoidance solutions to XSS attacks are more on the client end than the server end because of the peculiar nature of web application vulnerability and they also lack support for self-learning ability in order to detect new XSS attacks. Few researchers as cited in this paper inculcated the self-learning ability to detect and prevent XSS attacks in their design architecture using artificial neural networks and soft computing approach; a lot of improvement is still needed to effectively and efficiently handle the web application security menace as recommended.

scholarly journals Prosedur efektif pengembangan aplikasi basis data

2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Zulkarnaen Hatala
Keyword(s):  
Web Application ◽  
Specific Requirement ◽  
Application System ◽  
Web Based ◽  
Database Application ◽  
Server Side ◽  
The Right ◽  
Client Side ◽  
The Web

Abstract—Efficient and quick procedure to build a web application is presented. The steps are intended to build a database application system with hundreds of tables. The procedure can minimize tasks needed to write code and doing manual programming line by line. The intention also to build rapidly web-based database application. In this method security concerning authentification and authorization already built in ensuring the right and eligible access of the user to the system. The end result is ready to use the web-based 3-tier application. Moreover, the application is still flexible to be customized and to be enhanced to suit more specific requirement in part of each module of the software both the server-side and client-side programming codes. Abstrak—Pada penelitian kali ini diusulkan prosedur cepat dan efisien pengembangan aplikasi basis data menggunakan generator aplikasi. Bertujuan untuk meminimalisir penulisan bahasa pemograman. Keuntungan dari prosedur ini adalah bisa digunakan untuk mengembangkan aplikasi basis data secara cepat terutama dengan sistem basis data yang terdiri dari banyak tabel. Hak akses dan prosedur keamanan standar telah disediakan sehingga setiap user terjamin haknya terhadap entitas tertentu di basis data. Hasil generasi adalah aplikasi basis data berbasis web yang siap pakai. Sistem aplikasi yang terbentuk masih sangat lentur untuk untuk dilakukan penyesuaian setiap komponen aplikasi baik di sisi server maupun di sisi client.

scholarly journals Analisis Keamanan Sistem Informasi Berbasis Website Dengan Metode Open Web Application Security Project (OWASP) Versi 4: Systematic Review

2020 ◽  
Vol 5 (2) ◽  
pp. 185
Author(s):  
Anggi Elanda ◽  
Robby Lintang Buana
Keyword(s):  
Systematic Review ◽  
Information System ◽  
Web Application ◽  
Web Server ◽  
Security Level ◽  
Web Application Security ◽  
Web Based ◽  
Non Profit ◽  
Application Security

Abstract -- OWASP (Open Web Application Security Project) version 4 issued by a non-profit organization called owasp.org which is dedicated to the security of web-based applications. This systematic review is intended to review whether the Open Web Application Security Project (OWASP) method is widely used to detect security in a website-based Information System. In this systematic review, we review 3 literature from several publisher sources and make a comparison regarding OWASP version 4 results and the security level of a web server from the publisher's source.Keywords— OWASP, Website Vulnerability, Website Security Detection

scholarly journals Orthogeriatrics in Italy: the Gruppo Italiano di Ortogeriatria (GIOG) audit on hip fractures in the elderly

2018 ◽  
Vol 4 (2) ◽  
Author(s):  
Amedeo Zurlo ◽  
Giuseppe Bellelli
Keyword(s):  
Hip Fracture ◽  
Observational Study ◽  
Elderly Patients ◽  
The Elderly ◽  
Study Group ◽  
Web Based ◽  
Italian Study ◽  
Multicenter Observational Study ◽  
Functional Deficit ◽  
High Prevalence

The Gruppo Italiano di Ortogeriatria (GIOG) is an Italian study group promoted by three Italian Scientific Geriatric Societies with the aim of disseminating orthogeriatric methodology in Italy. In 2015 it has supported a multicenter web-based audit to collect data on functioning of Italian orthogeriatrics. The study, still ongoing, has enrolled until now 2577 cases of elderly patients undergoing surgery for hip fracture from 14 Italian orthogeriatric units. The population in question consists of markedly elderly and frail subjects, due to high prevalence of pre-existing functional deficit conditions, but it is also clinically complex; the most frequent fracture is intertrochanteric and the most performed surgery approach is intramedullary nail. This is the largest multicenter observational study conducted so far in Italy on elderly patients with hip fracture.

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