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Summary: Background: Mobile health (mHealth) systems are a promising alternative for rehabilitation of hip fracture, addressing constrained healthcare resources. Half of older adults fails to recover their pre-fracture routines, which imposes a burden on caregivers. We aimed to test the effectiveness of the 3-month ActiveHip + mHealth intervention on physical and psychological outcomes of older adults with hip fracture and their family caregivers. Methods: In a multicentre open-label randomised controlled trial conducted across 3 hospitals in Andalusia (Spain), patients older than 65 with a hip fracture, who were previously independent and lacked cognitive impairment were recruited alongside with their caregivers. Participants were randomly allocated (1:1) to the intervention group (ActiveHip+) or control (usual care) group. The intervention group underwent a 12-week health education and tele-rehabilitation programme through the ActiveHip + mHealth intervention. The primary outcome, physical performance, was assessed using the Short Physical Performance Battery at three time points: at hospital discharge (baseline), 3-month after surgery (post intervention) and 1-year after surgery follow-up. Primary analyses of primary outcomes and safety data followed an intention-to-treat approach. This study is registered at ClinicalTrials.gov, NCT04859309. Findings: Between June 1st, 2021 and June 30th, 2022 data from 105 patients and their caregivers were analysed. Patients engaged in the ActiveHip + mHealth intervention (mean 7.11 points, SE 0.33) showed higher physical performance compared with patients allocated in the control group (mean 5.71 points, SE 0.32) at 3 months after surgery (mean difference in change from baseline 1.40 points, SE 0.36; puncorrected = 0.00011). These benefits were not maintained at 1-year after surgery follow-up (mean difference in change from baseline 0.19 points, SE 0.47; puncorrected = 0.68). No adverse events, including falls and refractures, were reported during the tele-rehabilitation sessions. At 3-months, the intervention group had 2 falls, compared to 4 in the control group, with no observed refractures. At the 1-year follow-up, the intervention group experienced 7 falls and 1 refracture, while the control group had 13 falls and 2 refractures. Interpretation: This study suggests that the ActiveHip + mHealth intervention may be effective for recovering physical performance in older adults with hip fracture. Importantly, the implementation of ActiveHip + into daily clinical practice may be feasible and has already been adopted in 18 hospitals, mostly in Spain but also in Belgium and Portugal. Thus, ActiveHip + could offer a promising solution when rehabilitation resources are limited. However, its dependence on caregiver support and the exclusion of participants with cognitive impairment makes it necessary to be cautious about its applicability. In addition, the non-maintenance of the effectiveness at 1-year follow-up highlights the need of refinement the ActiveHip + intervention to promote long-lasting behavioural changes. Funding: EIT Health and the Ramón y Cajal 2021 Excellence Research Grant action from the Spanish Ministry of Science and Innovation.

A conceptual design of coffee stem biomass gasification was developed using the Aspen Plus process simulator, which was analyzed based on energy criteria such as the lower heating value of the produced synthesis gas and cold gas efficiency. The results yielded a lower heating value of 5.07 kJ/MJ, with a cold gas efficiency of 77.45% and a yield of 2.75 kg gas/kg biomass, all operating under optimal conditions with studied parameters including an air-to-biomass ratio between 1.8 and 2.5, gasifying agent temperature of 260 °C, and biomass moisture content below 10%. A sensitivity analysis was conducted on the formation of the most important compounds for synthesis gas quality (H2, CO, CO2, H2O, CH4). This involved understanding the reactions occurring throughout the gasification reactor and evaluating process parameters such as feed moisture content, gasification section temperature, and the ratio between feed and gasifying agent flows to optimize the process with the aim of improving product quality and reducing residue formation. The simulation scheme was validated against experimental data, yielding results consistent with reality. This contributed valuable information towards process optimization for projects targeting the Colombian coffee sector, paving the way for future gasifier designs tailored to the quantity of raw material to be processed.

A conceptual design of coffee stem biomass gasification was developed using the Aspen Plus process simulator, which was analyzed based on energy criteria such as the lower heating value of the produced synthesis gas and cold gas efficiency. The results yielded a lower heating value of 5.07 kJ/MJ, with a cold gas efficiency of 77.45% and a yield of 2.75 kg gas/kg biomass, all operating under optimal conditions with studied parameters including an air-to-biomass ratio between 1.8 and 2.5, gasifying agent temperature of 260 °C, and biomass moisture content below 10%. A sensitivity analysis was conducted on the formation of the most important compounds for synthesis gas quality (H2, CO, CO2, H2O, CH4). This involved understanding the reactions occurring throughout the gasification reactor and evaluating process parameters such as feed moisture content, gasification section temperature, and the ratio between feed and gasifying agent flows to optimize the process with the aim of improving product quality and reducing residue formation. The simulation scheme was validated against experimental data, yielding results consistent with reality. This contributed valuable information towards process optimization for projects targeting the Colombian coffee sector, paving the way for future gasifier designs tailored to the quantity of raw material to be processed. [ABSTRACT FROM AUTHOR]

Objective Half of older adults undergoing hip surgery do not recover their previous functional status. mHealth is a promising tool for rehabilitating older adults after hip surgery. This study aimed to test the feasibility of the ActiveHip+ mHealth system in older adults after hip surgery. Methods Sixty-nine older adults who had undergone hip surgery and their family caregivers were recruited from hospitals in Spain and Belgium and used the ActiveHip+ mHealth system for 12 weeks. Assessments were made during hospital stay and 3 months after surgery. Feasibility assessment included: adoption (participation proportion), usage (access to the app), satisfaction with the app (Net Promoter Score) and user perception of the quality of the app (Mobile App Rating Scale). Clinical assessment included: patient-reported outcomes, such as functional status (Functional Independence Measure) and performance-based outcomes, such as physical fitness (Short Physical Performance Battery). Results The ActiveHip+ mHealth system obtained satisfactory feasibility results in both countries. In Spain, we observed 85% adoption, 64% usage, 8.86/10 in satisfaction with the app and 4.42/5 in perceived quality of the app. In Belgium, we observed 82% adoption, 84% usage, 5.16/10 in satisfaction with the app and 3.52/5 in app's perceived quality. The intervention had positive effects on levels of functional status, pain and physical fitness. Conclusions The ActiveHip+ mHealth system is a feasible tool to conduct the rehabilitation in older adults after hip surgery. Although the intervention seemed beneficial clinically, we do not recommend its implementation in clinical settings until appropriately designed randomised clinical trials confirm these results.

Introducción. Para lograr elevados niveles de producción con calidad y con una utilización eficiente de la materia prima, las industrias deben tener instalados sistemas de diagnóstico de fallos procesando la información obtenida por los sistemas de adquisición de datos y control. El funcionamiento de estos sistemas se ve afectado por el ruido, la pérdida de información en los canales de comunicación, la presencia de fallos no conocidos para el sistema de diagnóstico y en el caso de los sistemas de múltiples modos de operación, por los fallos que se producen en las transiciones entre modos estacionarios ya que los métodos de diagnóstico desarrollados para estos modos donde las variables mantienen valores estacionarios no son satisfactorios para la transición. Métodos. En el presente trabajo se presentan un grupo de nuevos paradigmas con propuestas de soluciones a estas problemáticas utilizando de manera efectiva herramientas de agrupamiento, algoritmos híbridos, métodos Kernel, manejo de datos, imputación y otras provenientes de la inteligencia computacional. Las propuestas realizadas son validadas con problemas de pruebas que son casos de estudio establecidos en la literatura científica que representan procesos químicos, sistemas electromecánicos y redes urbanas de distribución de agua. Resultados. Muestran la efectividad de las mismas y la posibilidad de que puedan aplicarse a procesos de diferentes tipos muy importantes para nuestro país en sus perspectivas de desarrollo, ahorro y cuidado del medio ambiente.

Introduction: Telerehabilitation has emerged in the last decade as a promising alternative to conduct the rehabilitation process at home. However, there are no studies testing the effects of telerehabilitation interventions for patients with hip fracture on quality of life nor psychological factors, whereas the evidence on fitness level is scarce. Thus, the aim of this study is to test the effects of the @ctivehip telerehabilitation program on the quality of life, psychological factors and fitness level of patients who had suffered a hip fracture. Methods: The present study is a non-randomized clinical trial that includes patients older than 65 years old with a hip fracture and their family caregivers (ClinicalTrials.gov; Identifier: NCT02968589). Per-protocol (64 participants) and intention-to-treat (71 participants) analyses were performed, the first being the main analysis. The intervention group received a home-based multidisciplinary telerehabilitation intervention, called @ctivehip, that lasted 12 weeks. The control group received the traditional care and rehabilitation provided by the Andalusian Public Health Care System. The outcomes measured were the patients' quality of life through the EuroQol Quality of Life Questionnaire (EQ-5D), physiological factors (anxiety and depression) using the Hospital Anxiety and Depression Scale (HADS) and the fitness level, assessed with the International Fitness Scale. Results: The quality of life of the telerehabilitation group increased, while the control group scored worsened at the 3-month follow-up (medium effect size: 0.66 SDs; p = 0.006). The telerehabilitation group demonstrated a greater decrease than the control group in the total HADS score (medium effect size: −0.50 SDs; p = 0.015). Lastly, the telerehabilitation group recovered a fitness level close to the pre-hip fracture in comparison with the control group (small effect size: 0.49 SDs; p = 0.022). Discussion: The @ctivehip telerehabilitation program seems to be a promising treatment to improve the quality of life and psychological factors (i.e. anxiety and depression) of older adults after a hip fracture, as well as to recover their previous fitness level. [ABSTRACT FROM AUTHOR]

Hip fracture results in an older person's loss of independence. Limited healthcare resources make mobile Health (mHealth) an alternative. Engaging key stakeholders in health technology development is essential to overcome existing barriers. The aim of this study was to establish perspectives of older adults with hip fracture, family caregivers and health professionals (stakeholders) on the development of a mHealth system. Qualitative study guided by user-centered design principles with focus groups to engage stakeholders during the development. Seven focus groups were conducted [older adults with hip fracture (n = 2), caregivers (n = 3), and health providers (n = 2)] with 45 participants (14 older adults, 21 caregivers and 10 health providers). Inclusion criteria were older adults ≥ 65 years who sustained a hip fracture in the previous 3 months; family caregiver of a person with hip fracture; and health providers with 2+ years of clinical experience working older adults with hip fracture. We followed standard methods for focus groups, including recording sessions, transcription and conducting an inductive content analysis. The same moderator, with clinical and research experience, conducted all focus groups. Three themes were generated to consider for a future mHealth intervention: (1) user-friendly design; (2) content to include recovery and prevention information; and (3) implementation factors. Our mHealth system was developed based on feedback from participants. Co-creating mHealth technology with stakeholders is essential for uptake and adherence. We provide an overview of the development of ActiveHip+, an mHealth system for the clinical care of older adults with hip fracture. Designing mHealth tools through a co-creation process with the main stakeholders is a way of facilitating the use of health information and communication technology, especially for older adults. Creating a user-friendly and intuitive mobile application is a critical point for a feasible implementation. Including relevant information about the entire process of a hip fracture recovery and an easy way of communicating with health providers are important aspects for patients and caregivers' support. [ABSTRACT FROM AUTHOR]

El objetivo de esta Nota Editorial es presentar a los lectores de De Computis, una revisión de las aportaciones que a la Historia de la Contabilidad han realizado los autores de la Península Ibérica en las dos últimas décadas. Con ello se pretende analizar el estado de la cuestión y proporcionar una base de datos a cuantos investigadores deseen adentrarse en este campo de la investigación contable. Los datos presentados han sido extraídos de la recopilación elaborada cada año, en el seno de la Comisión de Historia de la Contabilidad de AECA, para otorgar los Premios de Historia de la Contabilidad Enrique Fernández Peña. A partir de dicha recopilación, a su vez realizada mediante el análisis de los trabajos en revistas y encuentros más adelante mencionados, se ha elaborado una base de datos que proporciona la información atendiendo a diferentes criterios. Los criterios considerados han sido: Ámbito de la Historia de la Contabilidad en el que se han encuadrado; Periodo estudiado; Tipo de publicación; Idioma, el año de publicación; Género; Número de autores y si estos son ibéricos o no. Asimismo, se presenta la tendencia de estas variables, agrupadas en los cuatro quinquenios del periodo analizado. Esto es: 1998-2002; 2003-2007, 2008-2012 y 2013-2018.

Peach tree allergens are present in fruit, pollen, branches, and leaves, and can induce systemic, respiratory, cutaneous, and gastrointestinal symptoms. We studied the capacity of peach fruit/Pru p 1, Pru p 3, Pru p 4, Pru p 7 and peach pollen/Pru p 9 for inducing symptoms following oral or respiratory exposure in a large group of subjects. We included 716 adults (aged 21 to 83 y.o.) exposed to peach tree pollen and fruit intake in the study population. Participants completed a questionnaire and were skin tested with a panel of inhalant and food allergens, including peach tree pollen, Pru p 9 and peach fruit skin extract. Immunoglobulin E antibodies (SIgE) to Pru p 1, Pru p 3, Pru p 4 and Pru p 7 were quantified. Sensitised subjects underwent oral food challenge with peach fruit and nasal provocation test with peach tree pollen and Pru p 9. The prevalence of sensitisation to peach fruit was 5% and most of these had SIgE to Pru p 3, with a very low proportion to Pru p 4 SIgE and no SIgE to Pru p 1 and Pru p 7. In only 1.8%, anaphylaxis was the clinical entity induced. Cases with positive skin tests to peach and SIgE to Pru p 3 presented a good tolerance after oral challenge with peach fruit. The prevalence of skin sensitisation to peach tree pollen was 22%, with almost half recognising Pru p 9. This induced respiratory symptoms in those evaluated by nasal provocation. In a large population group exposed to peach fruit and peach tree pollen, most individuals were tolerant, even in those with SIgE to Pru p 3. A positive response to Pru p 9 was associated with respiratory allergy.

Background: Aggressive angiomyxoma is a rare entity within mesenchymal cell neoplasms, especially in pregnant women. Its main characteristic is the ability to infiltrate neighboring structures and to recur. Case Presentation: We present the case of a pregnant woman who debuted with a genital prolapse in the second trimester of pregnancy. She was diagnosed with bilateral ovarian teratomas and a pelvic mass of which the diagnosis could not be established until delivery. The route of delivery used was cesarean section since the genital prolapse behaved as a previous tumor. After the puerperium, the patient was referred for consultation to complete the study of the mass. The extension study was carried out with a negative result. The patient underwent surgery for tumor exeresis. Hormonal treatment was not administered according to the patient’s preferences. Conclusions: Aggressive angiomyxoma is a benign neoplasm that should be considered in the differential diagnosis of pelvic tumors in women. In pregnant women, the vaginal route of delivery is not contraindicated as long as the tumor does not obstruct the birth canal. The definitive treatment is surgery, preferably performed in a second stage after delivery.

The water loss detection and location problem has received great attention in recent years. In particular, data-driven methods have shown very promising results mainly because they can deal with uncertain data and the variability of models better than model-based methods. The main contribution of this work is an unsupervised approach to leak detection and location in water distribution networks. This approach is based on a zone division of the network, and it only requires data from a normal operation scenario of the pipe network. The proposition combines a periodic transformation and a data vector extension together with principal component analysis of leak detection. A reconstruction-based contribution index is used for determining the leak zone location. The Hanoi distribution network is employed as the case study for illustrating the feasibility of the proposal. Single leaks are emulated with varying outflow magnitudes at all nodes that represent less than 2.5% of the total demand of the network and between 3% and 25% of the node’s demand. All leaks can be detected within the time interval of a day, and the average classification rate obtained is 85.28% by using only data from three pressure sensors.