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Effects of a WhatsApp-Assisted Health Educational Intervention for Cardiac Rehabilitation: A Randomized Controlled Clinical Trial Protocol. Whats 辅助健康教育干预对心脏康复的影响:随机对照临床试验方案》。
IF 2.4 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-04-19 DOI: 10.3390/mps7020035
A.M. Jácome-Hortúa, Zully Rocio Rincon-Rueda, Diana C. Sanchez-Ramirez, A. Angarita-Fonseca
Although the effectiveness of cardiac rehabilitation (CR) programs in secondary prevention is well-recognized, there is a lack of studies exploring the potential of mobile health to enhance educational interventions within CR. The objective is to assess the impact of a structured WhatsApp-assisted health educational intervention, in conjunction with the usual care, compared to the usual care alone among participants enrolled in a CR program. The trial will recruit 32 participants enrolled in a CR program, who will be randomly assigned to a structured WhatsApp-assisted health educational intervention plus usual care or usual care alone group. The intervention will span 4 weeks, with assessments at baseline, 4 weeks, and 3, 6, and 12 months. The primary outcome measure is the cardiovascular risk factors knowledge score. Secondary outcomes include physical activity levels, anxiety and depression, and quality of life. Expected results include improved knowledge of cardiovascular risk factors, increased physical activity levels, and better mental health outcomes in the intervention group. Additionally, an enhancement in the overall quality of life is anticipated. These findings are expected to underscore the value of integrating mHealth with traditional CR methods, potentially shaping future approaches in chronic disease management and prevention.
虽然心脏康复(CR)项目在二级预防方面的有效性已得到广泛认可,但目前还缺乏探索移动医疗在加强 CR 教育干预方面潜力的研究。本试验的目的是评估结构化 Whats 辅助健康教育干预与常规护理相结合对参加心脏康复计划的参与者的影响,并与单纯的常规护理进行比较。该试验将招募 32 名参加 CR 项目的参与者,他们将被随机分配到结构化 WhatsApp 辅助健康教育干预加常规护理组或仅常规护理组。干预将持续 4 周,并在基线、4 周、3、6 和 12 个月时进行评估。主要结果是心血管风险因素知识得分。次要结果包括体育锻炼水平、焦虑和抑郁以及生活质量。预期结果包括:干预组对心血管风险因素的认识有所提高,体育锻炼水平有所提高,心理健康状况有所改善。此外,预计整体生活质量也会提高。这些研究结果有望强调移动保健与传统 CR 方法相结合的价值,并有可能塑造未来的慢性病管理和预防方法。
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引用次数: 0
Financial Toxicity in Renal Patients (FINTORE) Study: A Cross-Sectional Italian Study on Financial Burden in Kidney Disease-A Project Protocol. 肾病患者财务毒性(FINTORE)研究:意大利肾病患者经济负担横断面研究--项目协议》。
IF 2.4 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-04-14 DOI: 10.3390/mps7020034
Rossella Siligato, G. Gembillo, E. Di Simone, Alessio Di Maria, Simone Nicoletti, L. Scichilone, Matteo Capone, Francesca Maria Vinci, M. Bondanelli, Cristina Malaventura, A. Storari, Domenico Santoro, M. Di Muzio, S. Dionisi, Fabio Fabbian
Financial toxicity (FT) refers to the negative impact of health-care costs on clinical conditions. In general, social determinants of health, especially poverty, socioenvironmental stressors, and psychological factors, are increasingly recognized as important determinants of non-communicable diseases, such as chronic kidney disease (CKD), and their consequences. We aim to investigate the prevalence of FT in patients at different stages of CKD treated in our universal health-care system and from pediatric nephrology, hemodialysis, peritoneal dialysis and renal transplantation clinics. FT will be assessed with the Patient-Reported Outcome for Fighting Financial Toxicity (PROFFIT) score, which was first developed by Italian oncologists. Our local ethics committee has approved the study. Our population sample will answer the sixteen questions of the PROFFIT questionnaire, seven of which are related to the outcome and nine the determinants of FT. Data will be analyzed in the pediatric and adult populations and by group stratification. We are confident that this study will raise awareness among health-care professionals of the high risk of adverse health outcomes in patients who have both kidney disease and high levels of FT. Strategies to reduce FT should be implemented to improve the standard of care for people with kidney disease and lead to truly patient-centered care.
财务毒性(FT)是指医疗费用对临床状况的负面影响。一般来说,健康的社会决定因素,尤其是贫困、社会环境压力和心理因素,越来越被认为是慢性肾脏病(CKD)等非传染性疾病及其后果的重要决定因素。我们的目标是调查在我国全民医疗保健系统中接受治疗的不同阶段的慢性肾脏病患者以及来自儿科肾病、血液透析、腹膜透析和肾移植诊所的患者中 FT 的流行率。FT将通过 "患者报告抗经济毒性结果"(PROFFIT)评分进行评估,该评分由意大利肿瘤专家首次提出。我们当地的伦理委员会已经批准了这项研究。我们的样本将回答 PROFFIT 问卷中的 16 个问题,其中 7 个问题与财务毒性的结果有关,9 个问题与财务毒性的决定因素有关。我们将对儿科和成人人群的数据进行分析,并按组别进行分层。我们相信,这项研究将提高医疗保健专业人员对同时患有肾病和高 FT 水平的患者不良健康后果高风险的认识。应实施降低 FT 的策略,以提高肾病患者的护理标准,实现真正以患者为中心的护理。
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引用次数: 0
Research and Simulation on the Development of a Hydraulic Prop Support System of Powered Roof Support to Increase Work Safety. 关于开发动力屋顶支撑液压支柱支撑系统以提高工作安全性的研究与仿真。
IF 2.4 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-04-11 DOI: 10.3390/mps7020033
Beata Borska, D. Szurgacz
The underground mining environment is currently based on technology that uses mainly analogue sensors in machine and equipment control systems. The primary machine performing the most important functions in a mining system is the powered roof support. In order for it to work properly, it is important that it achieves the required power. To ensure this, it is necessary to continuously and precisely monitor the pressure in the under-piston space of the prop. Due to the extreme environmental conditions, pressure sensors should have high sensitivity, large transmission capacity, small size and light weight. To achieve these requirements, the authors of the article propose to implement a monitoring system based on photonics technology. To achieve this goal, several studies were carried out. The range of these studies included simulations, bench tests and tests under real conditions. The obtained test results showed the possibility of developing the control system for the powered roof support, the additional function to supercharge power. Based on the analysis of the obtained test results, assumptions were developed for the development of a power charging system with monitoring sensors. Based on the guidelines obtained from the research results, thedevelopment of the above prototype based on photonics technology is proposed.
目前,地下采矿环境所采用的技术主要是在机器和设备控制系统中使用模拟传感器。在采矿系统中执行最重要功能的主要机器是动力顶板支架。为了使其正常工作,必须获得所需的功率。为确保这一点,有必要持续、精确地监控推进器活塞下空间的压力。由于环境条件极端恶劣,压力传感器应具有灵敏度高、传输容量大、体积小和重量轻等特点。为了达到这些要求,文章作者建议采用基于光子技术的监测系统。为实现这一目标,作者开展了多项研究。这些研究的范围包括模拟、工作台测试和真实条件下的测试。所获得的测试结果表明,有可能为动力屋顶支架开发出控制系统,该系统还具有增压功能。根据对所得测试结果的分析,为开发带有监控传感器的动力充电系统提出了假设。根据从研究成果中获得的指导方针,提出了基于光子技术开发上述原型的建议。
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引用次数: 0
Optimization of the Amplification of Equine Muscle-Derived Mesenchymal Stromal Cells in a Hollow-Fiber Bioreactor. 优化中空纤维生物反应器中马肌肉间充质基质细胞的扩增。
IF 2.4 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-04-02 DOI: 10.3390/mps7020032
Julien Duysens, Hélène Graide, A. Niesten, A. Mouithys-Mickalad, Justine Ceusters, Didier Serteyn
The main causes of mortality in horses are the gastrointestinal pathologies associated with septic shock. Stem cells have shown, through systemic injection, a capacity to decrease inflammation and to regenerate injured tissue faster. Nevertheless, to achieve this rapid and total regeneration, systemic injections of 1 to 2 million cells per kilogram of body weight must be considered. Here, we demonstrate for the first time the feasibility and expansion capacity of equine muscle-derived mesenchymal stromal cells (mdMSCs) in a functionally closed, automated, perfusion-based, hollow-fiber bioreactor (HFBR) called the Quantum™ Cell Expansion System (Terumo Blood and Cell Technologies). This feature greatly increases the number of generated cells with a surface area of 1.7 m2. The expansion of mdMSCs is very efficient in this bioreactor. The maximum expansion generated twenty times more cells than the initial seeding in nine days. The best returns were observed with an optimal seeding between 10 and 25 million mdMSCs, using the Bull's eye loading method and with a run duration between 7 and 10 days. Moreover, all the generated cells kept their stem properties: the ability to adhere to plastic and to differentiate into chondroblasts, osteoblasts and adipocytes. They also showed the expression of CD-44 and CD-90 markers, with a positive rate above 93%, while CD-45 and MHCII were non-expressed, with a positive rate below 0.5%. By capitalizing on the scalability, automation and 3D culture capabilities of the Quantum™, it is possible to generate large quantities of high-quality equine mdMSCs for gastrointestinal disorders and other clinical applications.
马匹死亡的主要原因是与脓毒性休克相关的胃肠道病变。干细胞通过全身注射已显示出减少炎症和加快受伤组织再生的能力。然而,要实现这种快速和全面的再生,必须考虑每公斤体重注射 100 万到 200 万个干细胞。在这里,我们首次证明了马肌肉间充质基质细胞(mdMSCs)在功能封闭、自动化、基于灌流的中空纤维生物反应器(HFBR)(名为量子™细胞扩增系统(Terumo Blood and Cell Technologies))中的可行性和扩增能力。这一功能大大增加了表面积为 1.7 平方米的细胞生成数量。在这种生物反应器中,mdMSCs 的扩增非常有效。最大扩增量在九天内产生的细胞数是初始播种的二十倍。在使用牛眼装载法和 7 至 10 天的运行持续时间时,最佳播种量为 1,000 万至 2,500 万 mdMSCs,观察到了最佳收益。此外,所有生成的细胞都保持了干细胞的特性:能够粘附在塑料上,并分化成软骨母细胞、成骨细胞和脂肪细胞。它们还显示出 CD-44 和 CD-90 标记的表达,阳性率超过 93%,而 CD-45 和 MHCII 则没有表达,阳性率低于 0.5%。利用 Quantum™ 的可扩展性、自动化和三维培养能力,可以为胃肠疾病和其他临床应用生成大量高质量的马 mdMSCs。
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引用次数: 0
Assessing Stress Induced by Fluid Shifts and Reduced Cerebral Clearance during Robotic-Assisted Laparoscopic Radical Prostatectomy under Trendelenburg Positioning (UroTreND Study). 评估在 Trendelenburg 体位下进行机器人辅助腹腔镜根治性前列腺切除术时体液移动和脑通透性降低引起的压力(UroTreND 研究)。
IF 2.4 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-04-01 DOI: 10.3390/mps7020031
Tobias Peschke, M. Feuerecker, Daniel Siegl, Nathalie Schicktanz, Christian Stief, Peter Zu Eulenburg, A. Choukér, Judith-Irina Buchheim
In addition to general anesthesia and mechanical ventilation, robotic-assisted laparoscopic radical prostatectomy (RALP) necessitates maintaining a capnoperitoneum and placing the patient in a pronounced downward tilt (Trendelenburg position). While the effects of the resulting fluid shift on the cardiovascular system seem to be modest and well tolerated, the effects on the brain and the blood-brain barrier have not been thoroughly investigated. Previous studies indicated that select patients showed an increase in the optic nerve sheath diameter (ONSD), detected by ultrasound during RALP, which suggests an elevation in intracranial pressure. We hypothesize that the intraoperative fluid shift results in endothelial dysfunction and reduced cerebral clearance, potentially leading to transient neuronal damage. This prospective, monocentric, non-randomized, controlled clinical trial will compare RALP to conventional open radical prostatectomy (control group) in a total of 50 subjects. The primary endpoint will be the perioperative concentration of neurofilament light chain (NfL) in blood using single-molecule array (SiMoA) as a measure for neuronal damage. As secondary endpoints, various other markers for endothelial function, inflammation, and neuronal damage as well as the ONSD will be assessed. Perioperative stress will be evaluated by questionnaires and stress hormone levels in saliva samples. Furthermore, the subjects will participate in functional tests to evaluate neurocognitive function. Each subject will be followed up until discharge. Conclusion: This trial aims to expand current knowledge as well as to develop strategies for improved monitoring and higher safety of patients undergoing RALP. The trial was registered with the German Clinical Trials Register DRKS00031041 on 11 January 2023.
除了全身麻醉和机械通气外,机器人辅助腹腔镜前列腺癌根治术(RALP)还需要保持腹膜帽,并让病人明显向下倾斜(特伦德伦堡体位)。虽然由此产生的体液转移对心血管系统的影响似乎不大,且耐受性良好,但对大脑和血脑屏障的影响尚未得到深入研究。之前的研究表明,在 RALP 期间,超声波检测到部分患者的视神经鞘直径(ONSD)增大,这表明颅内压升高。我们推测,术中液体转移会导致内皮功能障碍和脑清除率降低,从而可能导致一过性神经元损伤。这项前瞻性、单中心、非随机对照临床试验将比较 RALP 和传统开放式根治性前列腺切除术(对照组),共有 50 名受试者参加。主要终点是使用单分子阵列(SiMoA)检测围手术期血液中神经丝轻链(NfL)的浓度,作为神经元损伤的测量指标。作为次要终点,还将评估内皮功能、炎症和神经元损伤的其他各种标记物以及 ONSD。围手术期压力将通过问卷调查和唾液样本中的压力激素水平进行评估。此外,受试者还将参加功能测试,以评估神经认知功能。每位受试者都将接受随访直至出院。研究结论该试验旨在扩展现有知识,并制定相关策略,以改善对接受 RALP 治疗的患者的监控,提高其安全性。该试验已于 2023 年 1 月 11 日在德国临床试验注册中心 DRKS00031041 注册。
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引用次数: 0
Diverting the Use of Hand-Operated Tablet Press Machines to Bioassays: A Novel Protocol to Test 'Waste' Insoluble Shell Matrices. 将手动压片机转用于生物测定:测试 "废弃 "不溶性贝壳基质的新方案。
IF 2.4 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-04-01 DOI: 10.3390/mps7020030
Camille Lutet-Toti, Marie Da Silva Feliciano, Nelly Debrosse, Jérôme Thomas, Laurent Plasseraud, Frédéric Marin
To mineralize their shells, molluscs secrete a complex cocktail of proteins-collectively defined as the calcifying shell matrix-that remains occluded in the exoskeleton. Nowadays, protein extracts from shells are recognized as a potential source of bioactive substances, among which signalling molecules, bactericides or protease inhibitors offer the most tangible perspectives in applied sciences, health, and aquaculture. However, one technical obstacle in testing the activity of shell extracts lies in their high insolubility. In this paper, we present a protocol that circumvents this impediment. After an adapted shell protein extraction and the production of two organic fractions-one soluble, one insoluble-we employ a hand-operated tablet press machine to generate well-calibrated tablets composed of 100% insoluble shell matrix. FT-IR monitoring of the quality of the tablets shows that the pressure used in the press machine does not impair the molecular properties of the insoluble extracts. The produced tablets can be directly tested in different biological assays, such as the bactericidal inhibition zone assay in Petri dish, as illustrated here. Diverting the use of the hand-operated tablet press opens new perspectives in the analysis of insoluble shell matrices, for discovering novel bioactive components.
为了使贝壳矿化,软体动物会分泌一种复杂的鸡尾酒蛋白质--统称为钙化贝壳基质--这种蛋白质一直被封闭在外骨骼中。如今,从贝壳中提取蛋白质已被视为生物活性物质的潜在来源,其中信号分子、杀菌剂或蛋白酶抑制剂为应用科学、健康和水产养殖提供了最切实的前景。然而,测试贝壳提取物活性的一个技术障碍在于其高度不溶性。在本文中,我们提出了一种规避这一障碍的方案。在对贝壳蛋白质进行提取并生产出两种有机组分(一种可溶,一种不溶)后,我们使用手动压片机生产出由 100% 不溶性贝壳基质组成的校准良好的片剂。对片剂质量的傅立叶变换红外光谱监测表明,压片机使用的压力不会损害不溶性提取物的分子特性。生产出的药片可直接进行不同的生物检测,如培养皿中的杀菌抑菌区检测,如图所示。改用手动压片机为分析不溶性贝壳基质、发现新型生物活性成分开辟了新的前景。
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引用次数: 0
Correction: Kharb et al. A Genotype-Independent, Simple, Effective and Efficient in Planta Agrobacterium-Mediated Genetic Transformation Protocol. Methods Protoc. 2022, 5, 69 更正:Kharb et al. A Genotype-Independent, Simple, Effective and Efficient in Planta Agrobacterium-Mediated Genetic Transformation Protocol.Methods Protoc.2022, 5, 69
IF 2.4 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-03-27 DOI: 10.3390/mps7020029
P. Kharb, Rinku Chaudhary, Narendra Tuteja, P. Kaushik
Additional Affiliation(s): Updated Affiliation [...]
其他所属单位:更新所属单位[......]
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引用次数: 0
Imaging Flow Cytometry: Development, Present Applications, and Future Challenges 成像流式细胞仪:发展、当前应用和未来挑战
IF 2.4 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-03-23 DOI: 10.3390/mps7020028
Savvas Dimitriadis, L. Dova, Ioannis Kotsianidis, E. Hatzimichael, Eleni Kapsali, G. Markopoulos
Imaging flow cytometry (ImFC) represents a significant technological advancement in the field of cytometry, effectively merging the high-throughput capabilities of flow analysis with the detailed imaging characteristics of microscopy. In our comprehensive review, we adopt a historical perspective to chart the development of ImFC, highlighting its origins and current state of the art and forecasting potential future advancements. The genesis of ImFC stemmed from merging the hydraulic system of a flow cytometer with advanced camera technology. This synergistic coupling facilitates the morphological analysis of cell populations at a high-throughput scale, effectively evolving the landscape of cytometry. Nevertheless, ImFC’s implementation has encountered hurdles, particularly in developing software capable of managing its sophisticated data acquisition and analysis needs. The scale and complexity of the data generated by ImFC necessitate the creation of novel analytical tools that can effectively manage and interpret these data, thus allowing us to unlock the full potential of ImFC. Notably, artificial intelligence (AI) algorithms have begun to be applied to ImFC, offering promise for enhancing its analytical capabilities. The adaptability and learning capacity of AI may prove to be essential in knowledge mining from the high-dimensional data produced by ImFC, potentially enabling more accurate analyses. Looking forward, we project that ImFC may become an indispensable tool, not only in research laboratories, but also in clinical settings. Given the unique combination of high-throughput cytometry and detailed imaging offered by ImFC, we foresee a critical role for this technology in the next generation of scientific research and diagnostics. As such, we encourage both current and future scientists to consider the integration of ImFC as an addition to their research toolkit and clinical diagnostic routine.
成像流式细胞仪(ImFC)是细胞仪领域的一项重大技术进步,它有效地融合了流式分析的高通量能力和显微镜的详细成像特性。在我们的全面综述中,我们从历史的角度描绘了 ImFC 的发展历程,重点介绍了它的起源和当前的技术水平,并预测了未来可能取得的进展。ImFC 的起源源于将流式细胞仪的液压系统与先进的摄像技术相结合。这种协同耦合促进了高通量规模的细胞群形态分析,有效地改变了流式细胞仪的面貌。然而,ImFC 的实施也遇到了一些障碍,特别是在开发能够管理其复杂数据采集和分析需求的软件方面。ImFC 生成的数据规模大、复杂程度高,因此有必要开发新型分析工具,以有效管理和解释这些数据,从而让我们能够充分释放 ImFC 的潜力。值得注意的是,人工智能(AI)算法已开始应用于 ImFC,为增强其分析能力带来了希望。人工智能的适应性和学习能力可能会被证明对从 ImFC 生成的高维数据中进行知识挖掘至关重要,从而有可能实现更准确的分析。展望未来,我们预计 ImFC 不仅会成为研究实验室不可或缺的工具,也会成为临床环境不可或缺的工具。鉴于 ImFC 将高通量细胞测量和详细成像技术独特地结合在一起,我们预计这项技术将在下一代科学研究和诊断中发挥关键作用。因此,我们鼓励当前和未来的科学家们考虑将 ImFC 整合到他们的研究工具包和临床诊断常规中。
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引用次数: 0
Indirect Measurement of Variables in a Heterogeneous Reaction for Biodiesel Production 间接测量用于生物柴油生产的异构反应中的变量
IF 2.4 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-03-23 DOI: 10.3390/mps7020027
Ana Paloma González-García, L. Díaz-Jiménez, Padmasree K. Padmadas, Salvador Carlos-Hernández
This research focuses on the development of a state observer for performing indirect measurements of the main variables involved in the soybean oil transesterification reaction with a guishe biochar-based heterogeneous catalyst; the studied reaction takes place in a batch reactor. The mathematical model required for the observer design includes the triglycerides’ conversion rate, and the reaction temperature. Since these variables are represented by nonlinear differential equations, the model is linearized around an operation point; after that, the pole placement and linear quadratic regulator (LQR) methods are considered for calculating the observer gain vector L(x). Then, the estimation of the conversion rate and the reaction temperature provided by the observer are used to indirectly measure other variables such as esters, alcohol, and byproducts. The observer performance is evaluated with three error indexes considering initial condition variations up to 30%. With both methods, a fast convergence (less than 3 h in the worst case) of the observer is remarked.
本研究的重点是开发一种状态观测器,用于间接测量大豆油与桂舍生物炭基异相催化剂进行酯交换反应时涉及的主要变量;所研究的反应在间歇式反应器中进行。观测器设计所需的数学模型包括甘油三酯的转化率和反应温度。由于这些变量由非线性微分方程表示,因此需要围绕一个操作点对模型进行线性化;然后,考虑采用极点放置和线性二次调节器 (LQR) 方法计算观测器增益向量 L(x)。然后,利用观测器提供的转化率和反应温度估计值来间接测量其他变量,如酯类、酒精和副产品。考虑到初始条件变化高达 30%,观测器的性能通过三个误差指标进行了评估。通过这两种方法,观测器的收敛速度很快(最差情况下不到 3 小时)。
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引用次数: 0
The Frailty Reduction via Implementation of Exercise, Nutrition, and Deprescribing (FRIEND) Trial: Study Protocol and Recruitment Results. 通过实施运动、营养和处方减少虚弱(FRIEND)试验:研究方案和招募结果。
IF 2.4 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-03-22 DOI: 10.3390/mps7020026
Michael Inskip, Carolina Almendrales Rangel, Chidiamara Maria Njoku, Fiona Barnett, Isabel Shih, Leonie O'Neill, Maria A Fiatarone Singh, Trinidad Valenzuela

Introduction: Virtually all adults in aged care facilities are frail, a condition which contributes to falls, cognitive decline, hospitalisation, and mortality. Polypharmacy, malnutrition, sedentariness, and sarcopenia are risk factors amenable to intervention. The Asia-Pacific Frailty Management Guidelines recommend anabolic exercise and the optimisation of medications and nutrition. However, no study has evaluated this best practice intervention triad in aged care.

Methods: The Frailty Reduction via the Implementation of Exercise, Nutrition, and Deprescribing (FRIEND) Trial (ANZCTR No.ACTRN12622000926730p) is a staged 6-month translational trial evaluating resident outcomes, staff/caregiver knowledge, and institutional implementation in a Townsville aged care facility. Residents received high-intensity resistance exercise and balance training and medication and nutrition optimisation co-implemented by investigators (exercise physiologist, geriatrician, pharmacist, and nutritionist) and facility staff. Staff and caregivers completed comprehensive education modules and training. We report the trial protocol and recruitment results.

Results: 29 residents (21 female, age: 88.6 ± 6.3 years) were recruited. At baseline, the residents were frail (frailty scale nursing home (FRAIL-NH); 6.3 ± 2.4/14), cognitively impaired (Montreal Cognitive Assessment; 13.8 ± 6.8/30), functionally impaired (Short Physical Performance Battery; 4.9 ± 3.1/12, 6 min walk distance; 222.2 ± 104.4 m), and were prescribed numerous medications (15.5 ± 5.9). Two residents died and one withdrew before the intervention's commencement. Thirty family members and 19 staff (carers, allied health assistants, nurse managers, registered nurses, lifestyle-leisure officers, kitchen/hospitality staff, and senior leadership) were recruited to receive frailty education modules.

Conclusions: The FRIEND trial is currently being implemented with results expected in mid-2024. This is the first trial to evaluate the implementation of the best practice frailty guidelines including anabolic exercise and medication/nutritional optimisation in residential aged care.

简介几乎所有入住老年护理机构的成年人都很虚弱,这种情况会导致跌倒、认知能力下降、住院和死亡。多药治疗、营养不良、久坐不动和肌肉疏松症是可以干预的风险因素。亚太地区虚弱管理指南》建议进行同化运动,并优化药物和营养。然而,目前还没有研究对老年护理中的这三重最佳干预措施进行评估:通过实施运动、营养和处方减少虚弱(FRIEND)试验(ANZCTR No.ACTRN12622000926730p)是一项为期 6 个月的阶段性转化试验,目的是评估汤斯维尔一家老年护理机构的居民结果、员工/护理人员知识以及机构实施情况。研究人员(运动生理学家、老年病学家、药剂师和营养学家)和养老机构员工共同为住院患者提供高强度阻力运动和平衡训练以及药物和营养优化服务。工作人员和护理人员完成了全面的教育模块和培训。我们报告了试验方案和招募结果。结果:共招募了 29 名住院患者(21 名女性,年龄:88.6 ± 6.3 岁)。基线时,住院者身体虚弱(虚弱程度量表疗养院(FRAIL-NH);6.3 ± 2.4/14),认知能力受损(蒙特利尔认知评估;13.8 ± 6.8/30),功能受损(短期体能测试;4.9 ± 3.1/12,6 分钟步行距离;222.2 ± 104.4 米),并服用多种药物(15.5 ± 5.9)。干预开始前,两名住院患者死亡,一名住院患者退出。招募了 30 名家庭成员和 19 名员工(护理人员、专职医疗助理、护士经理、注册护士、生活休闲官员、厨房/招待人员和高层领导)接受虚弱教育模块:FRIEND试验目前正在实施中,预计将于2024年中期得出结果。这是首个评估虚弱最佳实践指南(包括同化运动和药物/营养优化)在养老院中实施情况的试验。
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引用次数: 0
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