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Book
Prevention and Management of Frailty
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ISBN: 303655372X 3036553711 Year: 2022 Publisher: MDPI - Multidisciplinary Digital Publishing Institute

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Abstract

It is important to prevent and manage the frailty of the elderly because their muscle strength and physical activity decrease in old age, making them prone to falling, depression, and social isolation. In the end, they need to be admitted to a hospital or a nursing home. When successful aging fails and motor ability declines due to illness, malnutrition, or reduced activity, frailty eventually occurs. Once frailty occurs, people with frailty do not have the power to exercise or the power to move. The functions of the heart and muscles are deteriorated more rapidly when they are not used. Consequently, frailty goes through a vicious cycle. As one’s physical fitness is deteriorated, the person has less power to exercise, poorer cognitive functions, and inferior nutrition intake. Consequently, the whole body of the person deteriorates. Therefore, in addition to observational studies to identify risk factors for preventing aging, various intervention studies have been conducted to develop exercise programs and apply them to communities, hospitals, and nursing homes for helping the elderly maintain healthy lives. Until now, most aging studies have focused on physical frailty. However, social frailty and cognitive frailty affect senile health negatively just as much as physical frailty. Nevertheless, little is known about social frailty and cognitive frailty. This special issue includes original experimental studies, reviews, systematic reviews, and meta-analysis studies on the prevention of senescence (physical senescence, cognitive senescence, social senescence), high-risk group detection, differentiation, and intervention.

Keywords

Public health & preventive medicine --- brain stimulation --- dementia --- meta-analysis --- naming --- primary progressive aphasia --- qualitative evaluation --- cognitive function --- data mining --- Parkinson’s disease with mild cognitive impairment --- random forest --- neuropsychological test --- motoric cognitive risk syndrome --- fall --- gait speed --- three-item recall --- older adults --- mixing ability --- color-changing chewing gum --- frailty --- cross-sectional study --- spousal concordance --- aging --- aged --- accidental falls --- pain --- mild cognitive impairment --- depressive symptoms --- frailty profiles --- latent class analysis --- quality of life --- perceived health --- frailty syndrome --- physiotherapy --- exercise --- mood --- BDI --- STAI --- SWLS --- muscle strength --- community-dwelling older adults --- physical frailty --- prevalence --- risk factors --- non-robust --- FRAIL scale --- Tilburg Frailty Indicator --- determinants --- community-based --- sleep quality --- middle-aged and older adults --- SUNFRAIL --- psychometric properties --- screening tool --- social isolation --- social networks --- social support --- social participation --- Parkinson’s disease dementia --- instrumental activities of daily living --- clinical dementia rating --- convergence rate --- neuropsychological tests --- neuropsychiatric symptoms --- explainable artificial intelligence --- machine learning --- stacking ensemble --- Self-Rating Anxiety Scale --- multiple risk factors --- fall assessment sheet --- elderly patients --- hospitalization --- risk management --- driving cessation --- meaningful activities --- psychosomatic functions --- physical functional performance --- nursing homes --- physical fitness --- gait analysis --- indicators --- screening --- artificial intelligence --- healthcare --- frail --- Baduanjin --- strength training --- endurance training --- Explainable Artificial Intelligence


Book
Nutrition, Diet Quality, Aging and Frailty
Authors: ---
ISBN: 3036560661 3036560653 Year: 2022 Publisher: Basel MDPI - Multidisciplinary Digital Publishing Institute

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Abstract

In the last century, the average life expectancy at birth increased from roughly 45 years in the early 1900s to more than 80 years of age at present. However, living longer is often related to different levels of frailty. There is no curative treatment for frailty—the interventions that have been described as effective to slow or delay the onset of frailty are physical activity and nutritional interventions. Maintaining adequate nutrition status is important to reduce the risk of chronic diseases, many of which are age-related. On the other hand, frailty itself may have a negative effect on eating and, thus, on the nutritional status. This Special Issue, "Nutrition, Diet Quality, Aging and Frailty", addresses the existing knowledge on nutrition regarding the causative factors of frailty and disease due to aging, i.e., strategies for delaying the pathological effects of aging. It consists of twelve peer-reviewed papers covering original research, protocol development, methodological studies, narrative or systematic reviews, and meta-analyses, to better understand these complex relationships.


Book
Nutrition, Diet and Healthy Aging
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Year: 2022 Publisher: Basel MDPI Books

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Over the last 100 years, the numerous advances in science, the improved sanitary conditions and a decline in poverty have led to an increase in life expectancy. As a result, in the coming years, the number of over-65s will triple, and the over-80s will be the fastest growing portion of the population.However, an increased lifespan is associated with an increase in chronic diseases, such as cardiovascular disease, diabetes, cancer, sarcopenia, and degenerative disorders. Therefore, ideally, increased lifespan should be associated to a better healthspan, which is the period one individual is living in good health.Based on evidence that aging is a multifaceted phenomenon, resulting from one or more failures at the molecular, cellular, physiologic, and functional levels, age-related diseases are difficult therapeutic targets.Data on the correlation between the quality of one’s diet and life expectancy, and the application of calorie restriction regimens, or of micronutrients, antioxidants and functional foods in the diet make nutrition, together with exercise, a natural weapon to combat age-related diseases and improve healthspan.

Keywords

community-dwelling --- elderly --- exercise --- frailty --- intervention --- multi-component --- nutrition education --- randomized controlled trial --- hyperglycemia --- anthocyanins --- endothelial dysfunction --- vasodilation --- energy intake --- memory impairment --- carbohydrates --- sugar --- older adults --- sarcopenia --- muscle mass --- muscle strength --- nutrition --- food frequency questionnaire --- dietary patterns --- reduced rank regression --- community-dwelling older people --- Mediterranean diet --- frailty index --- trajectory --- performance --- nutritional status --- vitamin D --- protein --- vitamin E --- tocotrienol --- metabolites --- obesity --- mice --- inflammation --- diet --- food consumption --- cognition --- cognitive domains --- MCI subtypes --- China --- telomere --- carbohydrate --- NHANES --- antioxidant --- legume --- potato --- seafood --- elderly people --- health --- non-communicable diseases --- malnutrition --- Mexico --- MNA --- MHAS --- healthy aging --- dietary diversity --- physical functional limitation --- comorbidity --- psychological stress --- food restriction --- gut hormones --- hypothalamic neuropeptides and obesity --- aging --- life-span --- health-span --- calorie restriction --- calorie restriction mimetic --- resveratrol --- experimental models --- inflammaging --- probiotics --- healthy older subjects --- dietary pattern --- food variety score --- preterm --- breast milk --- fortification --- neurodevelopment --- n/a


Book
Nutrition, Diet and Healthy Aging
Authors: ---
Year: 2022 Publisher: Basel MDPI Books

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Abstract

Over the last 100 years, the numerous advances in science, the improved sanitary conditions and a decline in poverty have led to an increase in life expectancy. As a result, in the coming years, the number of over-65s will triple, and the over-80s will be the fastest growing portion of the population.However, an increased lifespan is associated with an increase in chronic diseases, such as cardiovascular disease, diabetes, cancer, sarcopenia, and degenerative disorders. Therefore, ideally, increased lifespan should be associated to a better healthspan, which is the period one individual is living in good health.Based on evidence that aging is a multifaceted phenomenon, resulting from one or more failures at the molecular, cellular, physiologic, and functional levels, age-related diseases are difficult therapeutic targets.Data on the correlation between the quality of one’s diet and life expectancy, and the application of calorie restriction regimens, or of micronutrients, antioxidants and functional foods in the diet make nutrition, together with exercise, a natural weapon to combat age-related diseases and improve healthspan.

Keywords

Research & information: general --- Biology, life sciences --- Food & society --- community-dwelling --- elderly --- exercise --- frailty --- intervention --- multi-component --- nutrition education --- randomized controlled trial --- hyperglycemia --- anthocyanins --- endothelial dysfunction --- vasodilation --- energy intake --- memory impairment --- carbohydrates --- sugar --- older adults --- sarcopenia --- muscle mass --- muscle strength --- nutrition --- food frequency questionnaire --- dietary patterns --- reduced rank regression --- community-dwelling older people --- Mediterranean diet --- frailty index --- trajectory --- performance --- nutritional status --- vitamin D --- protein --- vitamin E --- tocotrienol --- metabolites --- obesity --- mice --- inflammation --- diet --- food consumption --- cognition --- cognitive domains --- MCI subtypes --- China --- telomere --- carbohydrate --- NHANES --- antioxidant --- legume --- potato --- seafood --- elderly people --- health --- non-communicable diseases --- malnutrition --- Mexico --- MNA --- MHAS --- healthy aging --- dietary diversity --- physical functional limitation --- comorbidity --- psychological stress --- food restriction --- gut hormones --- hypothalamic neuropeptides and obesity --- aging --- life-span --- health-span --- calorie restriction --- calorie restriction mimetic --- resveratrol --- experimental models --- inflammaging --- probiotics --- healthy older subjects --- dietary pattern --- food variety score --- preterm --- breast milk --- fortification --- neurodevelopment --- community-dwelling --- elderly --- exercise --- frailty --- intervention --- multi-component --- nutrition education --- randomized controlled trial --- hyperglycemia --- anthocyanins --- endothelial dysfunction --- vasodilation --- energy intake --- memory impairment --- carbohydrates --- sugar --- older adults --- sarcopenia --- muscle mass --- muscle strength --- nutrition --- food frequency questionnaire --- dietary patterns --- reduced rank regression --- community-dwelling older people --- Mediterranean diet --- frailty index --- trajectory --- performance --- nutritional status --- vitamin D --- protein --- vitamin E --- tocotrienol --- metabolites --- obesity --- mice --- inflammation --- diet --- food consumption --- cognition --- cognitive domains --- MCI subtypes --- China --- telomere --- carbohydrate --- NHANES --- antioxidant --- legume --- potato --- seafood --- elderly people --- health --- non-communicable diseases --- malnutrition --- Mexico --- MNA --- MHAS --- healthy aging --- dietary diversity --- physical functional limitation --- comorbidity --- psychological stress --- food restriction --- gut hormones --- hypothalamic neuropeptides and obesity --- aging --- life-span --- health-span --- calorie restriction --- calorie restriction mimetic --- resveratrol --- experimental models --- inflammaging --- probiotics --- healthy older subjects --- dietary pattern --- food variety score --- preterm --- breast milk --- fortification --- neurodevelopment


Book
Ischemic Heart Disease in the Context of Different Comorbidities
Authors: --- ---
ISBN: 3036558098 3036558101 Year: 2022 Publisher: Basel MDPI - Multidisciplinary Digital Publishing Institute

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Abstract

Ischemic heart disease is a cardiovascular condition with very high prevalence worldwide and a major source of morbidity and mortality, especially in the geriatric population. The management of coronary artery disease is one that requires high-level expertise. The presence of comorbidities, usually multiple at advanced ages, makes the diagnosis and therapy very challenging. In this setting, the effort of a multidisciplinary team is urgently needed to achieve integrated management of these cases, being the only one capable of leading to the best results for the patient.The purpose of this reprint is to bring together the experience of specialists in treating ischemic heart disease in the presence of major related conditions that require particular modulations of diagnostic and therapeutic interventions. The chapters address difficult areas of interference between ischemic heart disease and frailty, cancer, liver diseases, inflammatory bowel disease and the new SARS-CoV-2 infection. Special consideration is granted to cardiac remodeling and progression to heart failure. Niche topics such as acute coronary syndromes triggered by carbon monoxide poisoning are present as well. The book also contains a particularly interesting chapter dedicated to the genetic substrate of ischemic heart disease, which once again emphasizes the need for a multidisciplinary team approach to this disease.We consider the reprint an excellent source of information for medical practitioners who have to solve complex cases of ischemic heart disease.


Book
Recent Advances in Clinical Nutrition in Stroke Rehabilitation
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Year: 2022 Publisher: Basel MDPI - Multidisciplinary Digital Publishing Institute

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Stroke is a common cause of death and disability worldwide. Malnutrition is prevalent in stroke rehabilitation patients, and has serious negative effects on outcomes. In addition, there is growing interest in new concepts related to malnutrition, such as sarcopenia, frailty, cachexia, chronic inflammation, dysphagia, and oral problems, all of which contribute to a poor prognosis. Therefore, it is necessary to assess nutritional status early and, if needed, provide appropriate nutritional interventions to improve patient outcomes. A multidisciplinary approach is strongly recommended in this setting; as such, high-quality clinical evidence regarding clinical nutrition in stroke rehabilitation is needed. This reprint updates our knowledge of clinical nutrition for stroke patients and includes interesting studies on topics including nutrition and weight management in the early stages of stroke, the relationship between frailty and improved physical function, weight gain by providing stored energy, physical activity and diet quality, L-carnitine and cognitive levels, and the prediction of stroke prognosis using temporal muscles. The Guest Editor hopes that this reprint will help provide clinicians with up-to-date knowledge of nutritional management in stroke rehabilitation.


Book
Recent Advances in Clinical Nutrition in Stroke Rehabilitation
Author:
Year: 2022 Publisher: Basel MDPI - Multidisciplinary Digital Publishing Institute

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Abstract

Stroke is a common cause of death and disability worldwide. Malnutrition is prevalent in stroke rehabilitation patients, and has serious negative effects on outcomes. In addition, there is growing interest in new concepts related to malnutrition, such as sarcopenia, frailty, cachexia, chronic inflammation, dysphagia, and oral problems, all of which contribute to a poor prognosis. Therefore, it is necessary to assess nutritional status early and, if needed, provide appropriate nutritional interventions to improve patient outcomes. A multidisciplinary approach is strongly recommended in this setting; as such, high-quality clinical evidence regarding clinical nutrition in stroke rehabilitation is needed. This reprint updates our knowledge of clinical nutrition for stroke patients and includes interesting studies on topics including nutrition and weight management in the early stages of stroke, the relationship between frailty and improved physical function, weight gain by providing stored energy, physical activity and diet quality, L-carnitine and cognitive levels, and the prediction of stroke prognosis using temporal muscles. The Guest Editor hopes that this reprint will help provide clinicians with up-to-date knowledge of nutritional management in stroke rehabilitation.


Book
Recent Advances in Clinical Nutrition in Stroke Rehabilitation
Author:
Year: 2022 Publisher: Basel MDPI - Multidisciplinary Digital Publishing Institute

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Abstract

Stroke is a common cause of death and disability worldwide. Malnutrition is prevalent in stroke rehabilitation patients, and has serious negative effects on outcomes. In addition, there is growing interest in new concepts related to malnutrition, such as sarcopenia, frailty, cachexia, chronic inflammation, dysphagia, and oral problems, all of which contribute to a poor prognosis. Therefore, it is necessary to assess nutritional status early and, if needed, provide appropriate nutritional interventions to improve patient outcomes. A multidisciplinary approach is strongly recommended in this setting; as such, high-quality clinical evidence regarding clinical nutrition in stroke rehabilitation is needed. This reprint updates our knowledge of clinical nutrition for stroke patients and includes interesting studies on topics including nutrition and weight management in the early stages of stroke, the relationship between frailty and improved physical function, weight gain by providing stored energy, physical activity and diet quality, L-carnitine and cognitive levels, and the prediction of stroke prognosis using temporal muscles. The Guest Editor hopes that this reprint will help provide clinicians with up-to-date knowledge of nutritional management in stroke rehabilitation.

Keywords

Research & information: general --- Biology, life sciences --- energy intake --- home-discharge --- activity of daily living --- stroke --- l-carnitine --- hemodialysis --- vascular dementia --- diffusion tensor imaging --- diffusion kurtosis imaging --- neurite orientation dispersion and density imaging --- stroke patient --- Charlson Comorbidity Index --- World Health Organization Disability Assessment Schedule II --- international physical activity questionnaire --- Dietary Approaches to Stop Hypertension Quality --- health literacy --- International Classification of Diseases --- health-related behaviors --- Vietnam --- stored energy --- body weight gain --- skeletal muscle mass gain --- malnutrition --- aggressive rehabilitation nutrition --- sarcopenia --- SARC-F score --- disability --- malnutrition risks --- convalescent rehabilitation --- body weight --- functional recovery --- nutritional management --- frailty --- muscle volume --- nutritional status --- prognostic factor --- skeletal muscle mass --- temporal muscle thickness --- energy intake --- home-discharge --- activity of daily living --- stroke --- l-carnitine --- hemodialysis --- vascular dementia --- diffusion tensor imaging --- diffusion kurtosis imaging --- neurite orientation dispersion and density imaging --- stroke patient --- Charlson Comorbidity Index --- World Health Organization Disability Assessment Schedule II --- international physical activity questionnaire --- Dietary Approaches to Stop Hypertension Quality --- health literacy --- International Classification of Diseases --- health-related behaviors --- Vietnam --- stored energy --- body weight gain --- skeletal muscle mass gain --- malnutrition --- aggressive rehabilitation nutrition --- sarcopenia --- SARC-F score --- disability --- malnutrition risks --- convalescent rehabilitation --- body weight --- functional recovery --- nutritional management --- frailty --- muscle volume --- nutritional status --- prognostic factor --- skeletal muscle mass --- temporal muscle thickness


Book
Management of Degenerative Cervical Myelopathy and Spinal Cord Injury
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ISBN: 3036556265 3036556257 Year: 2022 Publisher: Basel MDPI - Multidisciplinary Digital Publishing Institute

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The present Special Issue is dedicated to presenting current research topics in DCM and SCI in an attempt to bridge gaps in knowledge for both of the two main forms of SCI. The issue consists of fourteen studies, of which the majority were on DCM, the more common pathology, while three studies focused on tSCI. This issue includes two narrative reviews, three systematic reviews and nine original research papers. Areas of research covered include image studies, predictive modeling, prognostic factors, and multiple systemic or narrative reviews on various aspects of these conditions. These articles include the contributions of a diverse group of researchers with various approaches to studying SCI coming from multiple countries, including Canada, Czech Republic, Germany, Poland, Switzerland, United Kingdom, and the United States.


Book
Urological Cancer 2021
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Year: 2022 Publisher: MDPI - Multidisciplinary Digital Publishing Institute

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Cancer of the urological sphere is a disease continuously increasing in numbers in the statistics of tumor malignancies in Western countries. Although this fact is mainly due to the contemporary increase of life expectancy of the people in these geographic areas, many other factors do contribute as well to this growth. Urological cancer is a complex and varied disease of different organs and mainly affects the male population. In fact, kidney, prostate, and bladder cancer are regularly included in the top-ten list of the most frequent neoplasms in males in most statistics. The female population, however, has also increasingly found itself affected by renal and bladder cancer in the last decade. Considering these altogether, urological cancer is a problem of major concern in developed societies. This Topic Issue of Cancers intends to shed some light into the complexity of this field and will consider all useful and appropriate contributions that scientists and clinicians may provide to improve urological cancer knowledge for patients’ benefit. The precise identification of the molecular routes involved, the diagnostic pathological criteria in the grey zones, the dilemma of T1G3 management, and the possible treatment options between superficial, nonmuscle-invasive and muscle-invasive diseases will be particularly welcomed in this Issue.

Keywords

Research. --- Chemistry. --- bladder cancer --- radiotherapy --- radiosensitisation --- molecular subtypes --- preclinical studies --- bladder cancer cell lines --- latent cancer --- prostate cancer --- autopsy --- prognostic index --- prediction model --- mortality --- screening trial --- renal cell carcinoma --- PD-1 --- PD-L1 --- biomarkers --- immune checkpoint inhibitors --- prostatic neoplasms --- positron-emission tomography --- decision making --- tumor thrombus --- metastasectomy --- postoperative complications --- oncological outcomes --- radical cystectomy --- AHNAK2 --- prognosis --- dog --- comparative oncology --- inflammation --- prostatic atrophy --- preneoplastic lesion --- biomarker --- urine --- machine learning --- TRIPOD --- liquid biopsy --- glutaminase --- immunohistochemistry --- in situ methods --- prostate --- PSMA-RLT --- 177Lu-PSMA --- PSA --- mCRPC --- urinary bladder neoplasms --- Bacillus Calmette-Guérin (BCG) --- immunotherapy --- divergent differentiation --- variant morphology --- survival --- stereotactic body radiotherapy --- frail patients --- cancer --- metastasis --- genomic analysis --- microenvironment --- tumor ecology --- game theory --- fluorescence confocal microscopy --- prostate biopsy --- ablation margins --- focal therapy --- sphingosine 1-phosphate receptor 1 --- bladder carcinoma --- cell migration --- epithelial-mesenchymal transition --- FTY-720 --- OIP5 --- papillary renal cell carcinoma --- PLK1 --- tumorigenesis --- therapy --- image-guided --- magnetic resonance imaging --- ultrasonography --- biopsy --- abiraterone --- enzalutamide --- docetaxel --- novel hormonal therapies --- comparative effectiveness --- real-world treatment pattern --- metastatic prostate cancer --- epiplakin --- diagnosis --- advanced urothelial carcinoma --- immune checkpoint inhibitor --- prognostic --- tumour mutational board --- genomic signatures --- ctDNA --- inflammatory indices --- urothelial carcinoma --- frailty --- prognostic factor --- psoas muscle --- Hounsfield units --- bladder cancer --- radiotherapy --- radiosensitisation --- molecular subtypes --- preclinical studies --- bladder cancer cell lines --- latent cancer --- prostate cancer --- autopsy --- prognostic index --- prediction model --- mortality --- screening trial --- renal cell carcinoma --- PD-1 --- PD-L1 --- biomarkers --- immune checkpoint inhibitors --- prostatic neoplasms --- positron-emission tomography --- decision making --- tumor thrombus --- metastasectomy --- postoperative complications --- oncological outcomes --- radical cystectomy --- AHNAK2 --- prognosis --- dog --- comparative oncology --- inflammation --- prostatic atrophy --- preneoplastic lesion --- biomarker --- urine --- machine learning --- TRIPOD --- liquid biopsy --- glutaminase --- immunohistochemistry --- in situ methods --- prostate --- PSMA-RLT --- 177Lu-PSMA --- PSA --- mCRPC --- urinary bladder neoplasms --- Bacillus Calmette-Guérin (BCG) --- immunotherapy --- divergent differentiation --- variant morphology --- survival --- stereotactic body radiotherapy --- frail patients --- cancer --- metastasis --- genomic analysis --- microenvironment --- tumor ecology --- game theory --- fluorescence confocal microscopy --- prostate biopsy --- ablation margins --- focal therapy --- sphingosine 1-phosphate receptor 1 --- bladder carcinoma --- cell migration --- epithelial-mesenchymal transition --- FTY-720 --- OIP5 --- papillary renal cell carcinoma --- PLK1 --- tumorigenesis --- therapy --- image-guided --- magnetic resonance imaging --- ultrasonography --- biopsy --- abiraterone --- enzalutamide --- docetaxel --- novel hormonal therapies --- comparative effectiveness --- real-world treatment pattern --- metastatic prostate cancer --- epiplakin --- diagnosis --- advanced urothelial carcinoma --- immune checkpoint inhibitor --- prognostic --- tumour mutational board --- genomic signatures --- ctDNA --- inflammatory indices --- urothelial carcinoma --- frailty --- prognostic factor --- psoas muscle --- Hounsfield units

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