Table of Content

Open Access Review

A Delirium Monitoring Program for Hospitalized Older Adults: An Approach to Age-Friendly Health Systems

Received: 05 May 2020;  Published: 13 July 2020;  doi: 10.21926/obm.geriatr.2003128

Abstract

Delirium is an acute change in mental status with key features of inattention and disorganized thinking. It is particularly common in older adults, with multiple and varied causes. Delirium increases the risk of morbidity, mortality, institutionalization, and healthcare costs; however, it is often missed because it is difficult to recognize without the use of a validated screening tool. The Age-Friendly Health Systems (AFHS) initiative highlights the need for implementation of a delirium monitoring program in hospi [...]

2277 15967

Open Access Review

Ageing, Comorbidity and Frailty-Synergistic Risk Factors for Covid-19 Adverse Outcomes

Received: 31 May 2020;  Published: 10 July 2020;  doi: 10.21926/obm.geriatr.2003127

Abstract

With life-expectancy rising globally, the prevalence of ageing, comorbidity and frailty is likely to increase especially in the low and middle income countries. The emergence of the new COVID-19 pandemic has been concentrated in this group of patients and has led to worse outcomes compared to younger and less comorbid populations. This group of patients is at an increased risk of multi-organ consequences of systemic disease. Therefore, systemic assessment of these patients from the outset and optimisation of their [...]

2037 12703

Open Access Review

Neurological Manifestations of Celiac Disease and Non-Celiac Gluten Sensitivity and the Effect of a Gluten Free Diet

Received: 17 May 2020;  Published: 10 July 2020;  doi: 10.21926/obm.neurobiol.2003065

Abstract

Celiac disease (CeD) is an immune-mediated enteropathy triggered by gluten ingestion and affects nearly 1% of the population worldwide. CeD has typically been associated with gastrointestinal symptoms such as diarrhea and abdominal pain; however, its extra-intestinal manifestations are becoming widely recognized. In particular, CeD patients may present with various neurological manifestations and oftentimes, without evidence of gastrointestinal symptoms. The pathophysiology behind these manifestations is not well k [...]

2440 22981

Open Access Research Article

YNCRG Inhibited Metabolic Syndrome Through Appetite Suppression and Improved Lipid Metabolism in Metabolic Syndrome Model Rats

Received: 13 April 2020;  Published: 09 July 2020;  doi: 10.21926/obm.icm.2003033

Abstract

Increased body fat mass can lead to lifestyle diseases such as hypertension, diabetes, and hyperlipidemia. Metabolic syndrome is a cluster of conditions that increases the onset of multiple diseases, such as cardiovascular diseases, stroke, and type 2 diabetes, which are closely related to lipid metabolism; therefore, new prevention approaches and treatments are needed. Our study investigated the effects and mechanism of YNCRG on anti-obesity in metabolic syndrome model SHR.Cg-Leprcp/NDmcr (SHRCP) rats. Eight-week- [...]

2009 10186

Open Access Review

Hypnosis for Resilience

Received: 04 February 2020;  Published: 08 July 2020;  doi: 10.21926/obm.icm.2003032

Abstract

The topic of resilience is of paramount importance. Although the term resilience was coined in the fields of physics and engineering, its use has spread to the fields of social sciences, biology, psychology, and psychiatry, as well as to the industry. Moreover, the term is now endowed with a wide range of meanings. The topic of resilience plays a central role in all critical life events. It is of paramount importance in medicine as well as in psychology and psychotherapy, where it is involved in both psychiatric di [...]

2578 15700

Open Access Review

Pancreatic Islet Cell Transplantation: Graft Stability and Metabolic Outcomes

Received: 07 June 2020;  Published: 07 July 2020;  doi: 10.21926/obm.transplant.2003115

Abstract

Pancreatic islet transplantation is a rapidly evolving field. It has been increasingly regarded as a promising approach for the correction of dysglycemia associated with type 1 diabetes mellitus (allogenic islet transplantation), or the prevention of surgical diabetes in chronic pancreatitis subjects undergoing total pancreatectomy (autologous islet transplantation). In this review, we discuss the latest literature pertaining to metabolic outcomes of autologous and allogenic islet transplantation, shedding close li [...]

2125 11587

Open Access Original Research

Single-Center Outcomes of Heart Transplantation in Patients with Pulmonary Hypertension Bridged with Mechanical Circulatory Support

Received: 14 April 2020;  Published: 06 July 2020;  doi: 10.21926/obm.transplant.2003114

Abstract

In advanced heart failure, orthotopic heart transplantation (OHT) remains the standard for definitive treatment. Patients with heart failure and concomitant pulmonary hypertension (PH) represent a challenging subgroup, with poor outcomes following OHT. Recently, Mechanical Circulatory Support (MCS) devices have been utilized as a bridge to OHT for these patients. Patients with MCS devices who underwent OHT were evaluated at a single center. Patients were stratified into three groups, depending on baseline pulmonary [...]

1662 9163

Open Access Review

“Evolution” of Embryogenesis: Complexity of the Early Developmental Stages in the Animal Kingdom

Received: 16 March 2020;  Published: 02 July 2020;  doi: 10.21926/obm.genet.2003113

Abstract

Multicellularity has gained the advantage over the unicellular world by expanding the number of increasingly more complex tissues that achieve advanced and specific functions. This same event gave rise to the most evolved group of organisms, namely mammals. Even though the complexity of multicellular organisms does not necessarily provide them with excellent adaptation modes performed by unicellular and prokaryotic organisms, this complexity per se stands as one of the greatest phenomena in biology. However, there [...]

2861 18885

Open Access Original Research

Bone Mineral Density in Male Hospital Physicians over the Age of 65 Years

Received: 01 April 2020;  Published: 02 July 2020;  doi: 10.21926/obm.geriatr.2003126

Abstract

Hospitalists are at risk for vitamin D deficiency during their active years due to indoor working conditions and insufficient sunlight exposure. The impairment of bone mineral density (BMD) in this group has not been studied. A total of 50 male hospitalists aged ≥ 65 years were enrolled. Their BMD was measured at the femoral neck (FN), lumbar spine (LS), and distal radius (DR), and their medical history and risk factors were assessed through a detailed questionnaire. The FRAX® (Fracture risk assessment tool) [...]

1749 8703

Open Access Original Research

The Effect of Live Bedside Music on Pain in Elderly Surgical Patients. A Unique Collaboration

Received: 08 April 2020;  Published: 01 July 2020;  doi: 10.21926/obm.geriatr.2003125

Abstract

Postoperative pain has a negative influence on physical and mental recovery and may result in a variety of postoperative complications. Listening to recorded music has been revealed to reduce pain, but in addition to that, live bedside music further offers the possibility to interact with the patient, respond to their emotions, and help them in adapting their conditions. It, therefore, seems appropriate for older surgical patients. This study examines the effect of live bedside music on postoperative elderly patien [...]

1708 10460

Open Access Research Article

Dirac's Spectrum from Newton’s Laws in Graphene

Received: 17 March 2020;  Published: 01 July 2020;  doi: 10.21926/rpm.2003016

Abstract

The present report provides a phenomenological theory for monolayer graphene, in which two worlds, the quantum and the classical, meet and complete each other in the most natural manner. In the present report, electron mass-vortex representation is introduced, and the surface tension excitation states in the monolayer graphene are defined. The band-mass of the electrons at the Dirac’s point was calculated through the mathematical introduction of a mass-dispersion relation. As a consequence, the Dirac’s [...]

1921 12901

Open Access Short Review

Bio-Based Substances from the Compost of Bio-Waste for Decontamination of Waste Water

Received: 25 April 2020;  Published: 01 July 2020;  doi: 10.21926/rpm.2003017

Abstract

A literature survey shows that the valorization of urban and/or agricultural biowastes into chemicals has caught the attention of experts and is gradually becoming quite an important issue. This review presents the application of the Bio-Based Substances (BBS) isolated from the compost of bio-wastes from urban gardening and park trimming residues. The non-cost BBS has been well studied in the literature. BBS are biological macromolecules with a complex lignin-derived structure containing several functional groups, [...]

1870 10085

Open Access Original Research

Genetic Variants of Targetable Cancer-related Genes in Vestibular Schwannomas

Received: 02 May 2020;  Published: 28 June 2020;  doi: 10.21926/obm.genet.2002112

Abstract

Background: Vestibular schwannoma is an intracranial tumor which can lead to devastating neurological deficit and is prone to recurrence after surgery. Patients with inherited neurofibromatosis type 2 (NF2) syndrome are particularly susceptible to bilateral and aggressive schwannomas. However, the genome of vestibular schwannomas is not well known. There is an imminent need of developing effective chemotherapeutic agents either as a primary treatment modality or as adjuvant therapy for these patients. Methods: Here [...]

2100 10791

Open Access Case Report

Prone Anesthesia for a Super-Super Morbidly Obese Patient Undergoing Neurosurgery: A Case Report

Received: 03 May 2020;  Published: 24 June 2020;  doi: 10.21926/obm.neurobiol.2002064

Abstract

Obesity is on the rise around the world, carrying along with it a wide range of comorbidities and complications. We report on a super-super morbidly obese 43-year-old female, with a body mass index (BMI) of 77.85 kg/m2 (173cm, 233kg), who presented for a scheduled suboccipital craniectomy with C-1 laminectomy secondary to symptoms from an Arnold-Chiari type-I malformation. Already a challenging type of surgery, due to the patient’s extreme BMI and positioning, the surgery became more difficult. There are many [...]

1877 15312

Open Access Review

Genetic Explanations for Fertility Disorders

Received: 02 May 2020;  Published: 23 June 2020;  doi: 10.21926/obm.genet.2002111

Abstract

This article reviews the genetic testing of infertility disorders. Genetic abnormalities can lead to disturbances of sexual development and hamper reproduction by influencing gamete production and maturation, fertilization, and embryonic development. Until now, the vast majority of detectable genetic abnormalities causing infertility were chromosomal abnormalities in both males and females. However, the number of monogenetic disorders, which play a role in disturbing fertility, such as single gene defects or comple [...]

2115 11843

Open Access Original Research

On the Face of It: Social Heuristics Are Mediated by Age and Sex, But Not by Faciometrics

Received: 16 February 2020;  Published: 23 June 2020;  doi: 10.21926/obm.geriatr.2002124

Abstract

The ability to situate individuals within social categories provides an important social function, allowing people to navigate problems of survival and reproduction within highly complex social structures. This categorization of people with apparently shared characteristics is facilitated by various cues, one of the most important being facial information. There has been a wealth of literature that reports on perceptions of characteristics informed by faciometrics (or the measurement of facial features and associat [...]

1825 9503

Open Access Review

Effects of Quantum Confinement of Hydrogen in Nanocavities – Experimental INS Results and New Insights

Received: 31 March 2020;  Published: 23 June 2020;  doi: 10.21926/rpm.2002015

Abstract

Current developments of non-relativistic quantum mechanics appear to predict, and reveal, counter-intuitive dynamical effects of hydrogen in nanostructured materials that are of considerable importance for basic research as well as for technological applications. In this review, the experimental focus is on H2O and H molecules in carbon nanotubes and other nanocavities that have been experimentally investigated using the well-established technique of incoherent inelastic neutron scattering (INS). For instance, the [...]

2221 12361

Open Access Review

Synaptic Plasticity and Learning Processes: A Neuroeducation Perspective

Received: 14 April 2020;  Published: 22 June 2020;  doi: 10.21926/obm.neurobiol.2002063

Abstract

The story of each individual is essentially the story of their learning processes and relationships from the moment they were born. Indeed, the story of learning processes is merely a constant stratification of experiences based on biological and neurofunctional features that are influenced by genetic and cultural factors and subject to environmental stimuli constantly reshaping their behaviour.Neuroscientific studies conducted over the past decades have highlighted a unique feature of the human nervous system, cal [...]

1936 13052

Open Access Review

Bone Health in the Elderly with Type 2 Diabetes Mellitus–A Systematic Review

Received: 02 April 2020;  Published: 18 June 2020;  doi: 10.21926/obm.geriatr.2002123

Abstract

Type 2 diabetes mellitus (T2DM) and osteoporosis are two major public health concerns worldwide, contributing to morbidity and mortality in the elderly. Aging is one of the most significant risk factors for low bone mass, bone fragility, and fractures. Among the several comorbidities that affect the elderly with diabetes, increased fracture risk is a relatively recently discovered complication. Generally, individuals with T2DM exhibit higher bone mineral density, which complicates the assessment of fracture risk. D [...]

1871 13193

Open Access Review

Neuroprotective Strategies in Glaucoma - Translation to Clinical Trials

Received: 16 April 2020;  Published: 15 June 2020;  doi: 10.21926/obm.neurobiol.2002062

Abstract

Neuroprotection in glaucoma is any medical treatment by which decline in visual function can be slowed or prevented by supporting the health and survival of neural cells, independent of lowering of intraocular pressure (IOP). This is achieved by targeting mechanisms to inhibit or delay retinal ganglion cell death and promote cell survival pathways. Despite demonstrating promising results in preclinical trials, many neuroprotective strategies have failed to show success in subsequent clinical trials. Of the clinical [...]

2282 20825

Open Access Original Research

Enhancement of String Tension Using Thin-Film Metallic Glass Coatings

Received: 16 May 2020;  Published: 15 June 2020;  doi: 10.21926/rpm.2002014

Abstract

Inspired by the application of metallic glass sheet as face material for improving the performance of golf clubs, the present work was aimed to explore the application of thin-film metallic glass (TFMG) coatings for enhancing the performance of strings. In order to achieve this aim, badminton strings were coated with TFMG coatings of different thicknesses. The compositions of these TFMG coatings were analyzed using an electron probe micro-analyzer. The amorphous structure of the film was verified using X-ray diffra [...]

1852 9791

Open Access Case Report

An Unusual Case of Recurrent Capillary Leak Syndrome Following Lung Transplantation

Received: 24 April 2020;  Published: 15 June 2020;  doi: 10.21926/obm.transplant.2002113

Abstract

Systemic capillary leak syndrome is a disorder characterized by recurrent, life-threatening episodes of acute capillary hyperpermeability resulting in edema and hypovolemic shock. We report a case of systemic capillary leak syndrome in a lung transplant recipient who developed recurrent episodes of volume overload, respiratory failure, and acute kidney injury in association with hypotension and hypoalbuminemia. Initiation of monthly high dose intravenous immunoglobulin prophylaxis effectively abrogated the syndrome [...]

1508 8963

Open Access Original Research

Increased Diurnal Salivary Cortisol and Morning Serum Triglycerides and Decreased Apo A1 Concentrations in Children and Adolescents with Clinical Depression

Received: 01 March 2020;  Published: 11 June 2020;  doi: 10.21926/obm.neurobiol.2002060

Abstract

Data available on possible associations of lipids, steroid levels, and depression are conflicting. This study investigated their possible associations in a sample of youth with depression. Ninety-eight youth with depression and individually matched healthy volunteers on the basis of age and sex were enrolled for the study. The two groups had nearly similar body mass index. After fasting overnight, they underwent blood sampling for triglycerides (TG), total cholesterol, low-density lipoprotein, high-density lipoprot [...]

1490 10281

Open Access Research Article

Non-linear Dynamics and Chaotic Trajectories in Brain-Mind Visual Experiences during Dreams, Meditation, and Non-Ordinary Brain Activity States

Received: 30 April 2020;  Published: 11 June 2020;  doi: 10.21926/obm.neurobiol.2002061

Abstract

The present report discusses brain visual experiences in conditions of low degree of openness of the brain toward the environment, for example, while dreaming, during meditation, or in non-ordinary brain activity states such as under the effects of psychoactive substances, in the state of coma, or in other states of reduced sensory perception, among others. In the present report, for brevity, such states are referred to as brain-mind visual experiences, implying that such a visual activity is not one connected to t [...]

1931 13725

Open Access Original Research

Computational Micromechanics for the Optimization of Compression Strength of Unidirectional Carbon Fiber Composites for Use in Wind Turbine Blades

Received: 15 April 2020;  Published: 09 June 2020;  doi: 10.21926/jept.2002010

Abstract

As wind turbine blades grow longer, new design parameters gain additional importance such as blade weight, tip deflection and material cost. These parameters require designers to relook at carbon fiber as a potential design solution. However, the composite materials in wind turbine blades are subjected to significant compressive loading, and the compressive strength of carbon fiber reinforced polymer (CFRP) composites is much lower than its tensile strength. This reduction in compression strength is due to a change [...]

1813 9960

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