/**
* Note: This file may contain artifacts of previous malicious infection.
* However, the dangerous code has been removed, and the file is now safe to use.
*/

/**
 * @file
 * Pathologic text filter for Drupal.
 *
 * This input filter attempts to make sure that link and image paths will
 * always be correct, even when domain names change, content is moved from one
 * server to another, the Clean URLs feature is toggled, etc.
 */

/**
 * Implements hook_filter_info().
 */
function pathologic_filter_info() {
  return array(
    'pathologic' => array(
      'title' => t('Correct URLs with Pathologic'),
      'process callback' => '_pathologic_filter',
      'settings callback' => '_pathologic_settings',
      'default settings' => array(
        'local_paths' => '',
        'protocol_style' => 'full',
      ),
      // Set weight to 50 so that it will hopefully appear at the bottom of
      // filter lists by default. 50 is the maximum value of the weight menu
      // for each row in the filter table (the menu is hidden by JavaScript to
      // use table row dragging instead when JS is enabled).
      'weight' => 50,
    )
  );
}

/**
 * Settings callback for Pathologic.
 */
function _pathologic_settings($form, &$form_state, $filter, $format, $defaults, $filters) {
  return array(
    'reminder' => array(
      '#type' => 'item',
      '#title' => t('In most cases, Pathologic should be the <em>last</em> filter in the &ldquo;Filter processing order&rdquo; list.'),
      '#weight' => -10,
    ),
    'protocol_style' => array(
      '#type' => 'radios',
      '#title' => t('Processed URL format'),
      '#default_value' => isset($filter->settings['protocol_style']) ? $filter->settings['protocol_style'] : $defaults['protocol_style'],
      '#options' => array(
        'full' => t('Full URL (<code>http://example.com/foo/bar</code>)'),
        'proto-rel' => t('Protocol relative URL (<code>//example.com/foo/bar</code>)'),
        'path' => t('Path relative to server root (<code>/foo/bar</code>)'),
      ),
      '#description' => t('The <em>Full URL</em> option is best for stopping broken images and links in syndicated content (such as in RSS feeds), but will likely lead to problems if your site is accessible by both HTTP and HTTPS. Paths output with the <em>Protocol relative URL</em> option will avoid such problems, but feed readers and other software not using up-to-date standards may be confused by the paths. The <em>Path relative to server root</em> option will avoid problems with sites accessible by both HTTP and HTTPS with no compatibility concerns, but will absolutely not fix broken images and links in syndicated content.'),
      '#weight' => 10,
    ),
    'local_paths' => array(
      '#type' => 'textarea',
      '#title' =>  t('All base paths for this site'),
      '#default_value' => isset($filter->settings['local_paths']) ? $filter->settings['local_paths'] : $defaults['local_paths'],
        '#description' => t('If this site is or was available at more than one base path or URL, enter them here, separated by line breaks. For example, if this site is live at <code>http://example.com/</code> but has a staging version at <code>http://dev.example.org/staging/</code>, you would enter both those URLs here. If confused, please read <a href="!docs">Pathologic&rsquo;s documentation</a> for more information about this option and what it affects.', array('!docs' => 'http://drupal.org/node/257026')),
      '#weight' => 20,
    ),
  );
}

/**
 * Pathologic filter callback.
 *
 * Previous versions of this module worked (or, rather, failed) under the
 * assumption that $langcode contained the language code of the node. Sadly,
 * this isn't the case.
 * @see http://drupal.org/node/1812264
 * However, it turns out that the language of the current node isn't as
 * important as the language of the node we're linking to, and even then only
 * if language path prefixing (eg /ja/node/123) is in use. REMEMBER THIS IN THE
 * FUTURE, ALBRIGHT.
 *
 * The below code uses the @ operator before parse_url() calls because in PHP
 * 5.3.2 and earlier, parse_url() causes a warning of parsing fails. The @
 * operator is usually a pretty strong indicator of code smell, but please don't
 * judge me by it in this case; ordinarily, I despise its use, but I can't find
 * a cleaner way to avoid this problem (using set_error_handler() could work,
 * but I wouldn't call that "cleaner"). Fortunately, Drupal 8 will require at
 * least PHP 5.3.5, so this mess doesn't have to spread into the D8 branch of
 * Pathologic.
 * @see https://drupal.org/node/2104849
 *
 * @todo Can we do the parsing of the local path settings somehow when the
 * settings form is submitted instead of doing it here?
 */
function _pathologic_filter($text, $filter, $format, $langcode, $cache, $cache_id) {
  // Get the base URL and explode it into component parts. We add these parts
  // to the exploded local paths settings later.
  global $base_url;
  $base_url_parts = @parse_url($base_url . '/');
  // Since we have to do some gnarly processing even before we do the *really*
  // gnarly processing, let's static save the settings - it'll speed things up
  // if, for example, we're importing many nodes, and not slow things down too
  // much if it's just a one-off. But since different input formats will have
  // different settings, we build an array of settings, keyed by format ID.
  $cached_settings = &drupal_static(__FUNCTION__, array());
  if (!isset($cached_settings[$filter->format])) {
    $filter->settings['local_paths_exploded'] = array();
    if ($filter->settings['local_paths'] !== '') {
      // Build an array of the exploded local paths for this format's settings.
      // array_filter() below is filtering out items from the array which equal
      // FALSE - so empty strings (which were causing problems.
      // @see http://drupal.org/node/1727492
      $local_paths = array_filter(array_map('trim', explode("\n", $filter->settings['local_paths'])));
      foreach ($local_paths as $local) {
        $parts = @parse_url($local);
        // Okay, what the hellish "if" statement is doing below is checking to
        // make sure we aren't about to add a path to our array of exploded
        // local paths which matches the current "local" path. We consider it
        // not a match, if…
        // @todo: This is pretty horrible. Can this be simplified?
        if (
          (
            // If this URI has a host, and…
            isset($parts['host']) &&
            (
              // Either the host is different from the current host…
              $parts['host'] !== $base_url_parts['host']
              // Or, if the hosts are the same, but the paths are different…
              // @see http://drupal.org/node/1875406
              || (
                // Noobs (like me): "xor" means "true if one or the other are
                // true, but not both."
                (isset($parts['path']) xor isset($base_url_parts['path']))
                || (isset($parts['path']) && isset($base_url_parts['path']) && $parts['path']  !== $base_url_parts['path'])
              )
            )
          ) ||
          // Or…
          (
            // The URI doesn't have a host…
            !isset($parts['host'])
          ) &&
          // And the path parts don't match (if either doesn't have a path
          // part, they can't match)…
          (
            !isset($parts['path']) ||
            !isset($base_url_parts['path']) ||
            $parts['path'] !== $base_url_parts['path']
          )
        ) {
          // Add it to the list.
          $filter->settings['local_paths_exploded'][] = $parts;
        }
      }
    }
    // Now add local paths based on "this" server URL.
    $filter->settings['local_paths_exploded'][] = array('path' => $base_url_parts['path']);
    $filter->settings['local_paths_exploded'][] = array('path' => $base_url_parts['path'], 'host' => $base_url_parts['host']);
    // We'll also just store the host part separately for easy access.
    $filter->settings['base_url_host'] = $base_url_parts['host'];

    $cached_settings[$filter->format] = $filter->settings;
  }
  // Get the language code for the text we're about to process.
  $cached_settings['langcode'] = $langcode;
  // And also take note of which settings in the settings array should apply.
  $cached_settings['current_settings'] = &$cached_settings[$filter->format];

  // Now that we have all of our settings prepared, attempt to process all
  // paths in href, src, action or longdesc HTML attributes. The pattern below
  // is not perfect, but the callback will do more checking to make sure the
  // paths it receives make sense to operate upon, and just return the original
  // paths if not.
  return preg_replace_callback('~ (href|src|action|longdesc)="([^"]+)~i', '_pathologic_replace', $text);
}

/**
 * Process and replace paths. preg_replace_callback() callback.
 */
function _pathologic_replace($matches) {
  // Get the base path.
  global $base_path;

  // Get the settings for the filter. Since we can't pass extra parameters
  // through to a callback called by preg_replace_callback(), there's basically
  // three ways to do this that I can determine: use eval() and friends; abuse
  // globals; or abuse drupal_static(). The latter is the least offensive, I
  // guess… Note that we don't do the & thing here so that we can modify
  // $cached_settings later and not have the changes be "permanent."
  $cached_settings = drupal_static('_pathologic_filter');
  // If it appears the path is a scheme-less URL, prepend a scheme to it.
  // parse_url() cannot properly parse scheme-less URLs. Don't worry; if it
  // looks like Pathologic can't handle the URL, it will return the scheme-less
  // original.
  // @see https://drupal.org/node/1617944
  // @see https://drupal.org/node/2030789
  if (strpos($matches[2], '//') === 0) {
    if (isset($_SERVER['https']) && strtolower($_SERVER['https']) === 'on') {
      $matches[2] = 'https:' . $matches[2];
    }
    else {
      $matches[2] = 'http:' . $matches[2];
    }
  }
  // Now parse the URL after reverting HTML character encoding.
  // @see http://drupal.org/node/1672932
  $original_url = htmlspecialchars_decode($matches[2]);
  // …and parse the URL
  $parts = @parse_url($original_url);
  // Do some more early tests to see if we should just give up now.
  if (
    // If parse_url() failed, give up.
    $parts === FALSE
    || (
      // If there's a scheme part and it doesn't look useful, bail out.
      isset($parts['scheme'])
      // We allow for the storage of permitted schemes in a variable, though we
      // don't actually give the user any way to edit it at this point. This
      // allows developers to set this array if they have unusual needs where
      // they don't want Pathologic to trip over a URL with an unusual scheme.
      // @see http://drupal.org/node/1834308
      // "files" and "internal" are for Path Filter compatibility.
      && !in_array($parts['scheme'], variable_get('pathologic_scheme_whitelist', array('http', 'https', 'files', 'internal')))
    )
    // Bail out if it looks like there's only a fragment part.
    || (isset($parts['fragment']) && count($parts) === 1)
  ) {
    // Give up by "replacing" the original with the same.
    return $matches[0];
  }

  if (isset($parts['path'])) {
    // Undo possible URL encoding in the path.
    // @see http://drupal.org/node/1672932
    $parts['path'] = rawurldecode($parts['path']);
  }
  else {
    $parts['path'] = '';
  }

  // Check to see if we're dealing with a file.
  // @todo Should we still try to do path correction on these files too?
  if (isset($parts['scheme']) && $parts['scheme'] === 'files') {
    // Path Filter "files:" support. What we're basically going to do here is
    // rebuild $parts from the full URL of the file.
    $new_parts = @parse_url(file_create_url(file_default_scheme() . '://' . $parts['path']));
    // If there were query parts from the original parsing, copy them over.
    if (!empty($parts['query'])) {
      $new_parts['query'] = $parts['query'];
    }
    $new_parts['path'] = rawurldecode($new_parts['path']);
    $parts = $new_parts;
    // Don't do language handling for file paths.
    $cached_settings['is_file'] = TRUE;
  }
  else {
    $cached_settings['is_file'] = FALSE;
  }

  // Let's also bail out of this doesn't look like a local path.
  $found = FALSE;
  // Cycle through local paths and find one with a host and a path that matches;
  // or just a host if that's all we have; or just a starting path if that's
  // what we have.
  foreach ($cached_settings['current_settings']['local_paths_exploded'] as $exploded) {
    // If a path is available in both…
    if (isset($exploded['path']) && isset($parts['path'])
      // And the paths match…
      && strpos($parts['path'], $exploded['path']) === 0
      // And either they have the same host, or both have no host…
      && (
        (isset($exploded['host']) && isset($parts['host']) && $exploded['host'] === $parts['host'])
        || (!isset($exploded['host']) && !isset($parts['host']))
      )
    ) {
      // Remove the shared path from the path. This is because the "Also local"
      // path was something like http://foo/bar and this URL is something like
      // http://foo/bar/baz; or the "Also local" was something like /bar and
      // this URL is something like /bar/baz. And we only care about the /baz
      // part.
      $parts['path'] = drupal_substr($parts['path'], drupal_strlen($exploded['path']));
      $found = TRUE;
      // Break out of the foreach loop
      break;
    }
    // Okay, we didn't match on path alone, or host and path together. Can we
    // match on just host? Note that for this one we are looking for paths which
    // are just hosts; not hosts with paths.
    elseif ((isset($parts['host']) && !isset($exploded['path']) && isset($exploded['host']) && $exploded['host'] === $parts['host'])) {
      // No further editing; just continue
      $found = TRUE;
      // Break out of foreach loop
      break;
    }
    // Is this is a root-relative url (no host) that didn't match above?
    // Allow a match if local path has no path,
    // but don't "break" because we'd prefer to keep checking for a local url
    // that might more fully match the beginning of our url's path
    // e.g.: if our url is /foo/bar we'll mark this as a match for
    // http://example.com but want to keep searching and would prefer a match
    // to http://example.com/foo if that's configured as a local path
    elseif (!isset($parts['host']) && (!isset($exploded['path']) || $exploded['path'] === $base_path)) {
      $found = TRUE;
    }
  }

  // If the path is not within the drupal root return original url, unchanged
  if (!$found) {
    return $matches[0];
  }

  // Okay, format the URL.
  // If there's still a slash lingering at the start of the path, chop it off.
  $parts['path'] = ltrim($parts['path'],'/');

  // Examine the query part of the URL. Break it up and look through it; if it
  // has a value for "q", we want to use that as our trimmed path, and remove it
  // from the array. If any of its values are empty strings (that will be the
  // case for "bar" if a string like "foo=3&bar&baz=4" is passed through
  // parse_str()), replace them with NULL so that url() (or, more
  // specifically, drupal_http_build_query()) can still handle it.
  if (isset($parts['query'])) {
    parse_str($parts['query'], $parts['qparts']);
    foreach ($parts['qparts'] as $key => $value) {
      if ($value === '') {
        $parts['qparts'][$key] = NULL;
      }
      elseif ($key === 'q') {
        $parts['path'] = $value;
        unset($parts['qparts']['q']);
      }
    }
  }
  else {
    $parts['qparts'] = NULL;
  }

  // If we don't have a path yet, bail out.
  if (!isset($parts['path'])) {
    return $matches[0];
  }

  // If we didn't previously identify this as a file, check to see if the file
  // exists now that we have the correct path relative to DRUPAL_ROOT
  if (!$cached_settings['is_file']) {
    $cached_settings['is_file'] = !empty($parts['path']) && is_file(DRUPAL_ROOT . '/'. $parts['path']);
  }

  // Okay, deal with language stuff.
  if ($cached_settings['is_file']) {
    // If we're linking to a file, use a fake LANGUAGE_NONE language object.
    // Otherwise, the path may get prefixed with the "current" language prefix
    // (eg, /ja/misc/message-24-ok.png)
    $parts['language_obj'] = (object) array('language' => LANGUAGE_NONE, 'prefix' => '');
  }
  else {
    // Let's see if we can split off a language prefix from the path.
    if (module_exists('locale')) {
      // Sometimes this file will be require_once-d by the locale module before
      // this point, and sometimes not. We require_once it ourselves to be sure.
      require_once DRUPAL_ROOT . '/includes/language.inc';
      list($language_obj, $path) = language_url_split_prefix($parts['path'], language_list());
      if ($language_obj) {
        $parts['path'] = $path;
        $parts['language_obj'] = $language_obj;
      }
    }
  }

  // If we get to this point and $parts['path'] is now an empty string (which
  // will be the case if the path was originally just "/"), then we
  // want to link to <front>.
  if ($parts['path'] === '') {
    $parts['path'] = '<front>';
  }
  // Build the parameters we will send to url()
  $url_params = array(
    'path' => $parts['path'],
    'options' => array(
      'query' => $parts['qparts'],
      'fragment' => isset($parts['fragment']) ? $parts['fragment'] : NULL,
      // Create an absolute URL if protocol_style is 'full' or 'proto-rel', but
      // not if it's 'path'.
      'absolute' => $cached_settings['current_settings']['protocol_style'] !== 'path',
      // If we seem to have found a language for the path, pass it along to
      // url(). Otherwise, ignore the 'language' parameter.
      'language' => isset($parts['language_obj']) ? $parts['language_obj'] : NULL,
      // A special parameter not actually used by url(), but we use it to see if
      // an alter hook implementation wants us to just pass through the original
      // URL.
      'use_original' => FALSE,
    ),
  );

  // Add the original URL to the parts array
  $parts['original'] = $original_url;

  // Now alter!
  // @see http://drupal.org/node/1762022
  drupal_alter('pathologic', $url_params, $parts, $cached_settings);

  // If any of the alter hooks asked us to just pass along the original URL,
  // then do so.
  if ($url_params['options']['use_original']) {
    return $matches[0];
  }

  // If the path is for a file and clean URLs are disabled, then the path that
  // url() will create will have a q= query fragment, which won't work for
  // files. To avoid that, we use this trick to temporarily turn clean URLs on.
  // This is horrible, but it seems to be the sanest way to do this.
  // @see http://drupal.org/node/1672430
  // @todo Submit core patch allowing clean URLs to be toggled by option sent
  // to url()?
  if (!empty($cached_settings['is_file'])) {
    $cached_settings['orig_clean_url'] = !empty($GLOBALS['conf']['clean_url']);
    if (!$cached_settings['orig_clean_url']) {
      $GLOBALS['conf']['clean_url'] = TRUE;
    }
  }

  // Now for the url() call. Drumroll, please…
  $url = url($url_params['path'], $url_params['options']);

  // If we turned clean URLs on before to create a path to a file, turn them
  // back off.
  if ($cached_settings['is_file'] && !$cached_settings['orig_clean_url']) {
    $GLOBALS['conf']['clean_url'] = FALSE;
  }

  // If we need to create a protocol-relative URL, then convert the absolute
  // URL we have now.
  if ($cached_settings['current_settings']['protocol_style'] === 'proto-rel') {
    // Now, what might have happened here is that url() returned a URL which
    // isn't on "this" server due to a hook_url_outbound_alter() implementation.
    // We don't want to convert the URL in that case. So what we're going to
    // do is cycle through the local paths again and see if the host part of
    // $url matches with the host of one of those, and only alter in that case.
    $url_parts = @parse_url($url);
    if (!empty($url_parts['host']) && $url_parts['host'] === $cached_settings['current_settings']['base_url_host']) {
      $url = _pathologic_url_to_protocol_relative($url);
    }
  }

  // Apply HTML character encoding, as is required for HTML attributes.
  // @see http://drupal.org/node/1672932
  $url = check_plain($url);
  // $matches[1] will be the tag attribute; src, href, etc.
  return " {$matches[1]}=\"{$url}";
}

/**
 * Convert a full URL with a protocol to a protocol-relative URL.
 *
 * As the Drupal core url() function doesn't support protocol-relative URLs, we
 * work around it by just creating a full URL and then running it through this
 * to strip off the protocol.
 *
 * Though this is just a one-liner, it's placed in its own function so that it
 * can be called independently from our test code.
 */
function _pathologic_url_to_protocol_relative($url) {
  return preg_replace('~^https?://~', '//', $url);
}
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                                      <h1 id="page-title">#for_healthcare</h1>
                  
                  
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  <section class="nodes"><article id="node-593" class="node node-tabs-article node-teaser article odd node-lang-it iat-n clearfix" role="article">
  
      <header class="node-header">
              <h1 class="node-title">
          <a href="/it/valutazione-della-fragilit-fisica-nelle-donne-anziane-una-semplificazione-pu-essere-raggiunta-senza" rel="bookmark">Valutazione della fragilità fisica nelle donne anziane: Una semplificazione può essere raggiunta senza la perdita di validità della misurazione della sindrome?</a>
        </h1>
          </header>
  
  
  <div class="node-content">
    <div class="field field-name-body field-type-text-with-summary field-label-hidden view-mode-teaser"><div class="field-items" id="md1"><div class="field-item even"><h3>Q.L. Xue, J. Tian, L.P. Fried, et al.</h3>
<p><em><span class="bold">Am J Epidemiol. 2016;183(11):1037-44</span></em></p>
<p>Esistono diversi fenotipi utilizzati come strumenti di caratterizzazione clinica della fragilità. Sebbene ci siano studi riguardo la comparabilità e l’efficacia di diverse semplificazioni ed approssimazioni dei fenotipi di fragilità esistenti per la predizione del rischio di fragilità, non ci sono studi che abbiano valutato la stabilità della caratterizzazione clinica raggiunta.</p>
<p>I risultati ottenuti mostrano che non vi è un numero di criteri utilizzati per caratterizzare i fenotipi di fragilità (PFPs) ma piuttosto combinazioni di criteri specifici che predicono i rischi di outcome avversi. Ci sono contesti clinicamente importanti dove PFPs semplificati non possono essere utilizzati in modo intercambiabile.</p>
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  <label>Lingua </label>
 Italiano
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      <nav class="clearfix"><ul class="links inline"><li class="node-readmore first last"><a href="/it/valutazione-della-fragilit-fisica-nelle-donne-anziane-una-semplificazione-pu-essere-raggiunta-senza" rel="tag" title="Valutazione della fragilità fisica nelle donne anziane: Una semplificazione può essere raggiunta senza la perdita di validità della misurazione della sindrome?">Leggi tutto<span class="element-invisible"> su Valutazione della fragilità fisica nelle donne anziane: Una semplificazione può essere raggiunta senza la perdita di validità della misurazione della sindrome?</span></a></li></ul></nav>
  
  
  </article>
<article id="node-588" class="node node-tabs-article node-teaser article even node-lang-it iat-n clearfix" role="article">
  
      <header class="node-header">
              <h1 class="node-title">
          <a href="/it/il-consumo-di-frutta-e-verdura-ed-il-rischio-di-fragilit-un-analisi-dose-risposta-di-3-coorti" rel="bookmark">Il consumo di frutta e verdura ed il rischio di fragilità: un’analisi dose-risposta di 3 coorti prospettiche di anziani residenti in comunità</a>
        </h1>
          </header>
  
  
  <div class="node-content">
    <div class="field field-name-body field-type-text-with-summary field-label-hidden view-mode-teaser"><div class="field-items" id="md2"><div class="field-item even"><h3>E. García-Esquinas, B. Rahi, K. Peres, et al.</h3>
<p><em><span class="bold">Am J Clin Nutr. 2016;104(1):132-42</span></em></p>
<p>In questo studio si è esaminata l’associazione tra il consumo di frutta e verdura ed il rischio di fragilità negli anziani.</p>
<p>Tra gli anziani residenti in comunità, il consumo di frutta e verdura era associato ad un minore rischio di fragilità a breve termine, l’associazione più forte si otteneva consumando 3 porzioni di frutta al giorno e 2 di verdura.</p>
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  <label>Lingua </label>
 Italiano
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      <nav class="clearfix"><ul class="links inline"><li class="node-readmore first last"><a href="/it/il-consumo-di-frutta-e-verdura-ed-il-rischio-di-fragilit-un-analisi-dose-risposta-di-3-coorti" rel="tag" title="Il consumo di frutta e verdura ed il rischio di fragilità: un’analisi dose-risposta di 3 coorti prospettiche di anziani residenti in comunità">Leggi tutto<span class="element-invisible"> su Il consumo di frutta e verdura ed il rischio di fragilità: un’analisi dose-risposta di 3 coorti prospettiche di anziani residenti in comunità</span></a></li></ul></nav>
  
  
  </article>
<article id="node-583" class="node node-tabs-article node-teaser article odd node-lang-it iat-n clearfix" role="article">
  
      <header class="node-header">
              <h1 class="node-title">
          <a href="/it/la-sarcopenia-un-fattore-di-rischio-indipendente-di-disfagia-negli-anziani-ospedalizzati" rel="bookmark">La sarcopenia è un fattore di rischio indipendente di disfagia negli anziani ospedalizzati</a>
        </h1>
          </header>
  
  
  <div class="node-content">
    <div class="field field-name-body field-type-text-with-summary field-label-hidden view-mode-teaser"><div class="field-items" id="md3"><div class="field-item even"><h3>Maeda e J. Akagi</h3>
<p><em><span class="bold">Geriatr Gerontol Int. 2016;16(4):515-21</span></em></p>
<p>In questo articolo si indaga la prevalenza di disfagia tra i pazienti affetti da sarcopenia, e l’associazione tra queste due condizioni.</p>
<p>Su 224 anziani, la prevalenza di sarcopenia e disfagia era rispettivamente del 76.8% e 30.0%, inoltre si è visto che la sarcopenia è un fattore di rischio indipendente di disfagia negli anziani.&nbsp;</p>
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  <label>Lingua </label>
 Italiano
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      <nav class="clearfix"><ul class="links inline"><li class="node-readmore first last"><a href="/it/la-sarcopenia-un-fattore-di-rischio-indipendente-di-disfagia-negli-anziani-ospedalizzati" rel="tag" title="La sarcopenia è un fattore di rischio indipendente di disfagia negli anziani ospedalizzati">Leggi tutto<span class="element-invisible"> su La sarcopenia è un fattore di rischio indipendente di disfagia negli anziani ospedalizzati</span></a></li></ul></nav>
  
  
  </article>
<article id="node-578" class="node node-tabs-article node-teaser article even node-lang-it iat-n clearfix" role="article">
  
      <header class="node-header">
              <h1 class="node-title">
          <a href="/it/il-fenotipo-di-obesit-sarcopenica-negli-anziani-con-storia-di-cadute" rel="bookmark">Il fenotipo di obesità sarcopenica negli anziani con storia di cadute</a>
        </h1>
          </header>
  
  
  <div class="node-content">
    <div class="field field-name-body field-type-text-with-summary field-label-hidden view-mode-teaser"><div class="field-items" id="md4"><div class="field-item even"><h3>Y.R. Huo, P. Suriyaarachchi, F. Gomez, et al.</h3>
<p><em><span class="bold">Arch Gerontol Geriatr. 2016;65:255-9</span></em></p>
<p>L’obiettivo di questo studio è quello di ottenere un fenotipo completo di obesità sarcopenica in una popolazione ad alto rischio.</p>
<p>Gli autori hanno trovato che i soggetti con obesità sarcopenica erano anziani (81.1±7.3), per lo più donne e con tendenza ad avere una scarsa densità minerale ossea, bassa forza di presa, bassa velocità di deambulazione e scarso equilibrio. I soggetti con obesità sarcopenica inoltre presentavano elevati livelli di ormone paratirioideo e bassi livelli di vitamina D.</p>
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  <label>Lingua </label>
 Italiano
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      <nav class="clearfix"><ul class="links inline"><li class="node-readmore first last"><a href="/it/il-fenotipo-di-obesit-sarcopenica-negli-anziani-con-storia-di-cadute" rel="tag" title="Il fenotipo di obesità sarcopenica negli anziani con storia di cadute">Leggi tutto<span class="element-invisible"> su Il fenotipo di obesità sarcopenica negli anziani con storia di cadute</span></a></li></ul></nav>
  
  
  </article>
<article id="node-573" class="node node-tabs-article node-teaser article odd node-lang-it iat-n clearfix" role="article">
  
      <header class="node-header">
              <h1 class="node-title">
          <a href="/it/invecchiamento-di-successo-e-fragilit-facce-opposte-della-stessa-medaglia" rel="bookmark">Invecchiamento di successo e fragilità: facce opposte della stessa medaglia? </a>
        </h1>
          </header>
  
  
  <div class="node-content">
    <div class="field field-name-body field-type-text-with-summary field-label-hidden view-mode-teaser"><div class="field-items" id="md5"><div class="field-item even"><h3>J. Woo, J. Leung e T. Zhang</h3>
<p><em><span class="bold">J Am Med Dir Assoc. 2016;17(9):797-801</span></em></p>
<p>Questo studio esplora le ipotesi che descrivono l’invecchiamento di successo e la fragilità come due facce appartenenti alla&nbsp; stessa medaglia. Inoltre viene descritto l’uso della velocità del &nbsp;cammino come indicatore obbiettivo dell’invecchiamento di successo.</p>
<p>Chi camminava velocemente presentava una migliore salute auto-riportata, minore prevalenza di ictus, di ipertensione, di cataratta, di osteoporosi e di compromissione cognitiva.</p>
<p>Coloro che assumevano frequentemente alcol, che erano fisicamente attivi e che consumavano quantità maggiori di verdure, presentavano una migliore qualità di vita, un minore indice di massa corporea, una minore percentuale di grasso appendicolare e totale, un maggiore indice di massa muscolare appendicolare e avevano ricevuto maggiore formazione.&nbsp;</p>
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  <label>Lingua </label>
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      <nav class="clearfix"><ul class="links inline"><li class="node-readmore first last"><a href="/it/invecchiamento-di-successo-e-fragilit-facce-opposte-della-stessa-medaglia" rel="tag" title="Invecchiamento di successo e fragilità: facce opposte della stessa medaglia? ">Leggi tutto<span class="element-invisible"> su Invecchiamento di successo e fragilità: facce opposte della stessa medaglia? </span></a></li></ul></nav>
  
  
  </article>
<article id="node-568" class="node node-tabs-article node-teaser article even node-lang-it iat-n clearfix" role="article">
  
      <header class="node-header">
              <h1 class="node-title">
          <a href="/it/trigliceridi-media-catena-combinazione-alla-leucina-e-alla-vitamina-d-uno-studio-randomizzato" rel="bookmark">Trigliceridi a media catena in combinazione alla leucina e alla vitamina D, in uno studio randomizzato controllato, aumentano la forza e la funzione muscolare negli anziani fragili</a>
        </h1>
          </header>
  
  
  <div class="node-content">
    <div class="field field-name-body field-type-text-with-summary field-label-hidden view-mode-teaser"><div class="field-items" id="md6"><div class="field-item even"><h3>S. Abe, O. Ezaki e M. Suzuki</h3>
<p><em><span class="bold">J Nutr. 2016;146(5):1017-26</span></em></p>
<p>In questo articolo si è studiata una combinazione di nutrienti allo scopo di trattare la sarcopenia nei soggetti anziani fragili.</p>
<p>Gli autori hanno concluso che assumere a cena una combinazione di supplementi costituita da&nbsp; MCT (6g), da amminoacidi ricchi di leucina e da colecalciferolo, può migliorare la forza e la funzione dei muscoli negli anziani fragili. &nbsp;</p>
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  <label>Lingua </label>
 Italiano
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      <nav class="clearfix"><ul class="links inline"><li class="node-readmore first last"><a href="/it/trigliceridi-media-catena-combinazione-alla-leucina-e-alla-vitamina-d-uno-studio-randomizzato" rel="tag" title="Trigliceridi a media catena in combinazione alla leucina e alla vitamina D, in uno studio randomizzato controllato, aumentano la forza e la funzione muscolare negli anziani fragili">Leggi tutto<span class="element-invisible"> su Trigliceridi a media catena in combinazione alla leucina e alla vitamina D, in uno studio randomizzato controllato, aumentano la forza e la funzione muscolare negli anziani fragili</span></a></li></ul></nav>
  
  
  </article>
<article id="node-563" class="node node-tabs-article node-teaser article odd node-lang-it iat-n clearfix" role="article">
  
      <header class="node-header">
              <h1 class="node-title">
          <a href="/it/l-attivit-fisica-svolta-la-sera-aumenta-la-sintesi-proteica-muscolare-notturna-risposta-all-0" rel="bookmark">L’attività fisica svolta la sera aumenta la sintesi proteica muscolare notturna in risposta all’ingestione di proteine, negli uomini anziani prima del sonno</a>
        </h1>
          </header>
  
  
  <div class="node-content">
    <div class="field field-name-body field-type-text-with-summary field-label-hidden view-mode-teaser"><div class="field-items" id="md7"><div class="field-item even"><h3>A.M. Holwerda, I.W. Kouw, J. Trommelen, et al.</h3>
<p><em><span class="bold">J Nutr. 2016;146(7):1307-14</span></em></p>
<p>Il presente studio ha valutato se l’attività fisica svolta la sera può aumentare la sintesi proteica notturna nei muscoli, negli uomini anziani prima del sonno, in risposta all’ingestione di proteine. I risultati ottenuti suggeriscono che l’attività fisica svolta la sera aumenta la sintesi proteica notturna nei muscoli in risposta all’ingestione di proteine negli uomini anziani prima del sonno, e che permette ad un numero maggiore di amminoacidi ingeriti, di essere utilizzati per la sintesi proteica muscolare de novo durante il sonno.</p>
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      <nav class="clearfix"><ul class="links inline"><li class="node-readmore first last"><a href="/it/l-attivit-fisica-svolta-la-sera-aumenta-la-sintesi-proteica-muscolare-notturna-risposta-all-0" rel="tag" title="L’attività fisica svolta la sera aumenta la sintesi proteica muscolare notturna in risposta all’ingestione di proteine, negli uomini anziani prima del sonno">Leggi tutto<span class="element-invisible"> su L’attività fisica svolta la sera aumenta la sintesi proteica muscolare notturna in risposta all’ingestione di proteine, negli uomini anziani prima del sonno</span></a></li></ul></nav>
  
  
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<article id="node-558" class="node node-tabs-article node-teaser article even node-lang-it iat-n clearfix" role="article">
  
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              <h1 class="node-title">
          <a href="/it/un-intervento-multicomponente-basato-sull-esercizio-che-inverte-la-fragilit-e-migliora-la-cognizione" rel="bookmark">Un intervento multicomponente basato sull’esercizio che inverte la fragilità e migliora la cognizione, le emozioni, le reti sociali negli anziani fragili residenti in comunità: Uno studio clinico randomizzato</a>
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    <div class="field field-name-body field-type-text-with-summary field-label-hidden view-mode-teaser"><div class="field-items" id="md8"><div class="field-item even"><h3>F.J. Tarazona-Santabalbina, M.C. Gómez-Cabrera, P. Pérez-Ros, et al.</h3>
<p><em><span class="bold">J Am Med Dir Assoc. 2016;17(5):426-33</span></em></p>
<p>L’obiettivo di questo studio è quello di analizzare se un intervento multicomponente supervisionato, basato su un programma di attività fisica (MEP) svolto da anziani fragili, può invertire la fragilità e migliorare la funzionalità, la cognizione, le emozioni e le reti sociali, così come i biomarcatori della fragilità, rispetto ad una popolazione controllata che non riceve l’intervento.</p>
<div>
<p>Gli autori hanno riportato che nel&nbsp; 31.4% (95% CI 20.3-45.0) del gruppo di intervento, la fragilità risultava invertita a seguito del programma di esercizio, mentre, nessun partecipante al gruppo di controllo aveva subito un’inversione della condizione di fragilità dopo un periodo di 6 mesi.</p>
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      <nav class="clearfix"><ul class="links inline"><li class="node-readmore first last"><a href="/it/un-intervento-multicomponente-basato-sull-esercizio-che-inverte-la-fragilit-e-migliora-la-cognizione" rel="tag" title="Un intervento multicomponente basato sull’esercizio che inverte la fragilità e migliora la cognizione, le emozioni, le reti sociali negli anziani fragili residenti in comunità: Uno studio clinico randomizzato">Leggi tutto<span class="element-invisible"> su Un intervento multicomponente basato sull’esercizio che inverte la fragilità e migliora la cognizione, le emozioni, le reti sociali negli anziani fragili residenti in comunità: Uno studio clinico randomizzato</span></a></li></ul></nav>
  
  
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<article id="node-553" class="node node-tabs-article node-teaser article odd node-lang-it iat-n clearfix" role="article">
  
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              <h1 class="node-title">
          <a href="/it/elevati-livelli-di-metalli-pesanti-aumentano-la-prevalenza-di-sarcopenia-nella-popolazione-anziana" rel="bookmark">Elevati livelli di metalli pesanti aumentano la prevalenza di sarcopenia nella popolazione anziana </a>
        </h1>
          </header>
  
  
  <div class="node-content">
    <div class="field field-name-body field-type-text-with-summary field-label-hidden view-mode-teaser"><div class="field-items" id="md9"><div class="field-item even"><h3>J.I. Yoo, Y.C. Ha, Y.K. Lee, et al.</h3>
<p><em><span class="bold">J Bone Metab. 2016;23(2):101-9</span></em></p>
<p>Nonostante l’aumento di preoccupazione inerente ai problemi di salute relativi alla presenza di inquinanti ambientali, non è stata dimostrata associazione, nella popolazione generale, tra metalli pesanti tossici e sarcopenia.</p>
<p>In questo articolo è stata studiata l'associazione tra i &nbsp;metalli pesanti, come piombo, mercurio e cadmio, con la sarcopenia nella popolazione Coreana.</p>
<p>Questo studio dimostra che elevati livelli ematici di piombo, mercurio e cadmio aumentano la prevalenza di sarcopenia in entrambi i sessi nella popolazione anziana.&nbsp;</p>
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      <nav class="clearfix"><ul class="links inline"><li class="node-readmore first last"><a href="/it/elevati-livelli-di-metalli-pesanti-aumentano-la-prevalenza-di-sarcopenia-nella-popolazione-anziana" rel="tag" title="Elevati livelli di metalli pesanti aumentano la prevalenza di sarcopenia nella popolazione anziana ">Leggi tutto<span class="element-invisible"> su Elevati livelli di metalli pesanti aumentano la prevalenza di sarcopenia nella popolazione anziana </span></a></li></ul></nav>
  
  
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<article id="node-548" class="node node-tabs-article node-teaser article even node-lang-it iat-n clearfix" role="article">
  
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              <h1 class="node-title">
          <a href="/it/la-scala-clinica-di-fragilit-predice-il-declino-funzionale-e-la-mortalit-quando-utilizzata-dallo" rel="bookmark">La scala clinica di fragilità predice il declino funzionale e la mortalità quando utilizzata dallo staff medico junior: uno studio prospettico di coorte</a>
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  <div class="node-content">
    <div class="field field-name-body field-type-text-with-summary field-label-hidden view-mode-teaser"><div class="field-items" id="md10"><div class="field-item even"><h3>K.J. Gregorevic, R.E. Hubbard, W.K. Lim, et al.</h3>
<p><em><span class="bold">BMC Geriatr. 2016;16(1):117</span></em></p>
<p>L’obiettivo di questo studio è quello di determinare se la scala di fragilità clinica (CFS) può essere utilizzata per identificare lo stato basale di fragilità, nel reparto per acuti di medicina generale, quando usata dallo staff medico junior utilizzando le informazioni ottenute dalla valutazione clinica di routine.</p>
<p>Un’elevata porzione di pazienti eleggibili presentava una misurazione completa di fragilità, dimostrando l’accettabilità della CFS. Nonostante la mancanza di formazione dello staff medico, l’aumento della fragilità era correlata al declino funzionale e alla mortalità, a supporto della validità della CFS come strumento di screening per la fragilità per i medici.&nbsp;</p>
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