scholarly journals Topology-Aware Optimisation of Vaccination Strategy for Minimising Virus Spreading

2021 ◽  
Author(s):  
Pietro Hiram Guzzi ◽  
Francesco Petrizzelli ◽  
Tommaso Mazza
Keyword(s):  
Healthcare Professionals ◽  
Vaccination Strategy ◽  
The Elderly ◽  
Production Rates ◽  
Contact Networks ◽  
Exposed Workers ◽  
Almost All ◽  
Short Time ◽  
Virus Spreading

Vaccination is currently the primary way for mitigating the COVID-19 outbreak without severe lockdown. Despite its importance, the available number of vaccines worldwide is insufficient, and the production rates are hard to be increased in a short time. Therefore, vaccination needs to follow strict prioritization criteria. In this regard, almost all countries have prioritized similar classes of exposed workers: healthcare professionals and the elderly obtaining to maximize the survival of patients and years of life saved. Nevertheless, the virus is currently spreading at high rates, and any prioritization criterion so far adopted did not show to account for the topology of the contact networks. We consider that a network in which nodes are people while the edges represent their contacts may model the virus's spreading efficiently. In such a model, it is already known that spreading may be efficiently stopped by disconnecting the network, i.e., by vaccinating more central or relevant nodes, therefore, eliminating "bridge edges". Consequently, we introduce such a model and discuss the use of a topology-aware versus an age-based vaccination strategy.

PHYSICOCHEMICAL AND MICROBIOLOGICAL EVALUATION OF HONEYS CONSUMED BY THE ELDERLY

2020 ◽  
Vol 5 ◽  
Author(s):  
Lusmarina Rodrigues Silva ◽  
Aline Marques Monte ◽  
Rafael Gomes Abreu Bacelar ◽  
Guilherme Antonio Silva Ribeiro ◽  
Aline Maria Dourado Rodrigues ◽  
...  
Keyword(s):  
Health Center ◽  
Reducing Sugars ◽  
The Elderly ◽  
Indicator Bacteria ◽  
Foreign Matter ◽  
Total Sugars ◽  
Significant Contamination ◽  
Almost All ◽  
Microbiological Analyses ◽  
Current Standards

Objective: to analyze physicochemical, microbiological and dirt parameters in marketed honeys, consumed by the elderly cared for at Integrated Health Center in Teresina, Piauí, Brazil. Method: the following analyses were performed: color, water activity, humidity, ash, pH, acidity, reducing sugars, total sugars, apparent sucrose and insoluble solids. Contamination indicator bacteria, mesophilic microorganisms, filamentous fungi and yeasts, as well as dirt and foreign matter, performed in the period from April to June 2016. Results: analyses of ash, pH, acidity and insoluble solids were outside current standards. Microbiological analyses did not present significant contamination. Also, analyses of dirt showed insect fragments, foreign matter in almost all the samples. Conclusion: parameters of ash, pH, acidity and insoluble solids, as well as dirt and foreign matter, indicated that the samples were not in accordance with current legislation. 

Strategies for Teaching Elders From a Human Development Perspective

1996 ◽  
Vol 22 (1) ◽  
pp. 47-52 ◽  
Author(s):  
JESSIE H. AHRONI
Keyword(s):  
Health Status ◽  
Human Development ◽  
Diabetes Education ◽  
The Elderly ◽  
Coping Resources ◽  
Healthcare Team ◽  
Bodily Function ◽  
Development And Aging ◽  
Almost All ◽  
Development Perspective

Diabetes is a disease that challenges all people to learn, change, and develop. Older people can be taught about diabetes from a human development perspective using Erikson's psychosocial theory of development. Developmental changes in appearance, bodily function, and health status confront almost all persons in later years. If an individual does not have coping resources or a history of successful coping, changes in health status during aging can constitute serious crises. It is important to look at and work with individuals from the context of their entire life cycle rather than in a fixed period of time. The diabetes healthcare team can make more effective use of the theories of human development and aging to enhance the effectiveness of diabetes education for the elderly.

Bariatric Surgery in the Elderly Patient: Safety and Short-time Outcome. A Case Match Analysis

2018 ◽  
Vol 29 (3) ◽  
pp. 1007-1011 ◽  
Author(s):  
Myrian Vinan-Vega ◽  
Tamara Diaz Vico ◽  
Enrique F. Elli
Keyword(s):  
Bariatric Surgery ◽  
Elderly Patient ◽  
Patient Safety ◽  
The Elderly ◽  
Match Analysis ◽  
Surgery In The Elderly ◽  
Short Time

scholarly journals Spatial Variation in General Medical Services Income in Dublin General Practitioners

2011 ◽  
Vol 2011 ◽  
pp. 1-5
Author(s):  
Conor Teljeur ◽  
Alan Kelly ◽  
Tom O'Dowd
Keyword(s):  
General Practitioners ◽  
Catchment Area ◽  
The Elderly ◽  
Medical Services ◽  
Practice Characteristics ◽  
Capitation Rate ◽  
Point Of Use ◽  
Economically Deprived ◽  
Almost All ◽  
Deprived Areas

The general medical services (GMS) scheme provides care free at the point of use for the 30% most economically deprived section of the population and the elderly. Almost all people of over-70-year olds are eligible for the GMS scheme potentially directing resources away from those most in need. The aim of this study is to analyse the relationship between practice GMS income and deprivation amongst Dublin-based general practitioners (GPs). The practice GMS income in Dublin was analysed in relation to practice characteristics including the number of GPs, catchment area population, proportion of over-70-year olds in the catchment area, catchment deprivation, number of GMS GPs within 2 km, and average GMS practice income within 2 km. Practice GMS income was highest in deprived areas but is also a valuable source of income in the least deprived areas. The capitation rate for over-70-year olds provides an incentive for GPs to locate in affluent areas and potentially directs resources away from those in greater need.

scholarly journals Bronchoscopy in COVID-19 patients: When, how and why. Experience in clinical practice

2021 ◽  
Vol 91 (2) ◽  
Author(s):  
Carmine Guarino ◽  
Cristiano Cesaro ◽  
Giuseppe Fiorentino ◽  
Francesco Rossi ◽  
Benedetto Maria Polverino ◽  
...  
Keyword(s):  
Respiratory Failure ◽  
Healthcare Professionals ◽  
Lung Damage ◽  
Operational Model ◽  
Technical Aspects ◽  
Airway Control ◽  
Technical Details ◽  
Virus Spreading ◽  
The Impact ◽  
Alveolar Capillary

Severe Acute Respiratory Syndrome due to Coronavirus-19 (SARS-CoV-2) is caused by combined alveolar-capillary lung damage, with bilateral pneumonia and thrombosis, which often causes respiratory failure. Proper COVID-19 management requires high skills in airway control and the need to perform aerosol-generating procedures such as bronchoscopy, which can increase the possibility of virus spreading among healthcare professionals. In an epidemiologically delicate moment, the multidisciplinary decision on “WHEN, HOW and WHY” to perform bronchoscopies minimizing the risk of COVID-19 transmission, represented a great challenge for all specialists engaged in bronchoscopic procedures. In this work authors want to share all technical aspects of 87 videobronchoscopies performed in confirmed or suspected COVID-19 patients, from 3rd to 6th January 2020, describing the reason, the organizational and operational model and patients characteristics. Was also evaluated the impact of high-risk procedures such as bronchoscopy on the personnel involved. The disclosure of all technical details, represents, in the opinion of the authors, an important contribution, capable of providing support to all physicians engaged in bronchoscopy procedures in confirmed or suspected COVID-19 patients.

scholarly journals Return to Exercise After Covid-19: Which One is the Best Strategy?

2021 ◽  
Vol 61 (2) ◽  
pp. 122-132
Author(s):  
Murat Erdoğan ◽  
Sevgi Sökülmez-Yildirim ◽  
Nasuh Evrim Acar ◽  
Okan Kamiş
Keyword(s):  
Individual Performance ◽  
Physical Distance ◽  
Personal Hygiene ◽  
Moderate Intensity ◽  
New Techniques ◽  
Recreational Athletes ◽  
Special Places ◽  
Almost All ◽  
Short Time ◽  
New Strategies

Summary Coronavirus (Covid-19), which began in China as of 2019 and spread to almost all over the world in a short time; has shown that we need to plan our life with new strategies as well as changing our current lifestyle today. While we must implement new ways to prevent against Covid-19 and maintaining our healthy lives, we must also design new strategies for returning to sports and physical activities. Therefore, the purpose of this study was to reveal the return strategies for professional and recreational athletes during the quarantine periods in light of evidences. In this regard, firstly we examined the existing literature regarding return strategies to sports. As a result, individual performance and personal hygiene conditions should be considered, and athletic performance should be preserved while keeping a physical distance from teammates and others. The use of masks in sports should be encouraged, but new techniques should be developed by investigating the effect on performance. Consequently, for healthy individuals, low to moderate intensity (not high-intensity) exercise may be beneficial and recommend. However, due to the risk of spreading (person-to-person or contaminated surfaces), exercise is recommended in special places with good ventilation and the use of personal types of equipment.

scholarly journals PROFILE OF DIABETIC KETOACIDOSIS PATIENTS AT REGIONAL PUBLIC HOSPITAL DR. SOETOMO IN 2017

2020 ◽  
Vol 8 (3) ◽  
pp. 301
Author(s):  
Desak Gde Ushadi Bulan Dewata ◽  
Hermina Novida ◽  
Aryati Aryati
Keyword(s):  
Diabetic Ketoacidosis ◽  
Public Hospital ◽  
Vital Signs ◽  
Blood Gas Analysis ◽  
The Elderly ◽  
Total Sample ◽  
Gas Analysis ◽  
Tract Infections ◽  
Almost All ◽  
Precipitating Factor

Background: Diabetic ketoacidosis (DKA) is one of many life-threatening complications of diabetes mellitus (DM), which is characterized by severe hyperglycemia, metabolic acidosis and ketonemia. This complication can eventually lead to coma and death if not treated properly. Purpose: The aim of this study is to describe the profile of the DKA patients who were at Regional Public Hospital (RSUD) Dr. Soetomo in 2017. Methods: This study was a descriptive study that used the medical record data of DKA patients who were at RSUD Dr. Soetomo in 2017. The study’s total sample size was 63 patients. The study’s variables were gender, age, type of DM, severity of DKA, precipitating factors, main complaints, vital signs, random plasma glucose level, electrolyte level, and blood gas analysis. The frequency, mean, and standard deviation were analyzed. Results: Most of the 63 DKA patients were female (66.67%), aged from 50–59 years (38.10%). The DKA cases being handled by the Dr. Soetomo Hospital were overwhelmingly of type 2 DM patients (88.89%). More than half the patients (58.73%) experienced severe DKA. Altered states of consciousness (46.03%) and shortness of breath (26.98%) were the most common main complains made by the DKA patients. Almost all patients experienced infection (88.89%) as the precipitating factor; the most common infections were sepsis (92.86%), pneumonia (30.36%), and urinary tract infections (23.21%). Two thirds of the patients (66.67%) had a length of stay of 0–7 days. About 57.14% of the DKA patients died while undergoing treatment. Conclusion: The number of severe DKA patients and the mortality rate in our study were higher than in other studies. Females and the elderly were more prone to DKA, and the most common precipitating factor was infection.

Recognizing Physical Activity of hospitalized Older People from Wearable Sensors Data using IoT

2022 ◽  
Vol 12 (1) ◽  
pp. 0-0
Keyword(s):  
Technical Assistance ◽  
Performance Metrics ◽  
Wearable Sensors ◽  
Critical Role ◽  
Elderly Person ◽  
The Elderly ◽  
Classification Algorithms ◽  
Complex Task ◽  
Almost All ◽  
Different Sources

The IoT is a new concept that provides a world where smart, connected, embedded systems operate, giving rise to the amount of data from different sources that are considered to have highly useful and valuable information. Data mining would play a critical role in creating smarter IoT. Traditional care of an elderly person is a difficult and complex task. The need to have a caregiver with the elderly person almost all the time drains the human and financial resources of the health care system. The emergence of Artificial intelligence has allowed the conception of technical assistance where it helps and reduces the time spent by the caregiver with the elderly person. This work aims to focus on analyzing techniques that are used for prediction purposes of falls in the elderly. We examine the applicability of three classification algorithms for IoT data. These algorithms are analyzed and a comparative study is undertaken to find the classifier that performs the best analysis on the dataset using a set of predefined performance metrics to compare the results of each classifier.

Learner Acceptance of Using Virtual Patient Encounters to Train Foreign Healthcare Professionals in Swedish

2017 ◽  
pp. 379-393
Author(s):  
Uno G. H. Fors ◽  
Olivier Courteille
Keyword(s):  
Learning Environments ◽  
Communication Skills ◽  
Healthcare Professionals ◽  
Virtual Patient ◽  
Patient Communication ◽  
Virtual Patients ◽  
Educational Value ◽  
Good Communication ◽  
Professional Needs ◽  
Almost All

Healthcare professionals need good communication skills to be able to communicate with patients. In such provider-patient communication, the professional needs to be well understood by the patient, but also be able to understand subtle parts of a medical history taking dialogue with worried, sick or mentally affected patients. Virtual Patients (VPs) – learning environments that simulate encounters between a patient and a physician – were used to prepare 26 immigrating professionals in Swedish for healthcare practitioners. The professionals were speaking nine different foreign languages and used two different VP systems to train patient communication. Almost all participants welcomed the use of VPs for training communication in healthcare Swedish and 19 of the 26 users indicated that they considered that VPs should be mandatory to use in future courses. Targeted individual training in provider-patient communication with Virtual Patients seems to be of great educational value and well accepted by immigrating healthcare professionals.

A Survey and Surveillance Issues in Smart Homes Environment for Assistive Living

Biometrics ◽  
2017 ◽  
pp. 1290-1309
Author(s):  
Ryan Patrick ◽  
Nikolaos Bourbakis
Keyword(s):  
Surveillance System ◽  
Healthcare Professionals ◽  
Smart Homes ◽  
The Elderly ◽  
Early Results ◽  
The Future ◽  
Familiar Environment ◽  
Assistive Living ◽  
Future Work ◽  
Abnormal Behaviors

A surveillance system for assisting the elderly in remaining independent in their familiar environment is one of the subjects interest in recent healthcare studies. When mature, it is expected that this system will have the ability to track objects that a resident may lose periodically, detect falls within the home, alert family members or healthcare professionals to abnormal behaviors. This paper addresses the early stages and issues of the development of such a system, the physical characteristics of the system that is being designed, early results, and guidance on the future work that will have to be completed in the future.

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