Resurrecting the nepeš

2021 ◽  
Vol 75 (3) ◽  
pp. 207-215
Author(s):  
Jim Wright
Keyword(s):  
Human Life ◽  
Design Environments ◽  
Care Facilities ◽  
Memory Care ◽  
Past Life ◽  
Special Diets

Our culture’s approach to dementia typically focuses on preserving the person as they once were. Mental exercises, special diets, and entire memory care facilities are designed to maintain the “previous person.” As important as this is to family and friends, it can be challenging and burdensome to the person who is living with dementia, a person who may not recall, or want to recall, their past life. This essay asserts that the emphasis on maintaining the previous person (and the resultant de-emphasis on honoring the new person) often results from a belief in our innate permanence, particularly the belief in our immortal, immutable soul. Because of this insistence on innate immortality, we tend to undervalue those who fail to live up to the expectations of permanence. The author calls for a renewed emphasis on nepeš, ancient Israel’s concept of the mortal, fleeting human life. By acknowledging our impermanence, we may be able to better identify with and value those who live with dementia and design environments that honor and enable people who are becoming someone new.

scholarly journals SPIRITUAL CIRCLE IN MURSHID AND PURE RELATION SURGERY

2018 ◽  
Vol 3 (1) ◽  
pp. 59-97
Author(s):  
Ahmad Syatori
Keyword(s):  
Social Life ◽  
Role Models ◽  
Role Model ◽  
Human Life ◽  
Strong Relationship ◽  
Soap Opera ◽  
Spiritual Life ◽  
Social Attraction ◽  
Past Life ◽  
The Relationship

In this journal contains a description of the explanation of the relationship (relationship) between someone who plays himself as a teacher spiritual guide (Murshid) with other people who act as followers (Disciples). The second role is certainly not a role in the theater or soap opera shows that we watch on television, but it is a concrete manifestation on the real stage of life. In the tradition sosial urf social-attraction there are life phenomena that are very unique and interesting to study and examine in depth. Because in this phenomenon there is a mirror of human life, which between one another has a very strong relationship and attachment between them. This relationship can be intensively interwoven both physically and mentally which is implemented directly in religious spiritual life and social life. From each of them there were those who became role models who were very adhered to and respected, namely a murshid teacher. While others become followers who are very obedient and loyal, namely a student. The closeness of the relationship between murshid and students is part of an inseparable relationship. Both are bound and related to each other. Each of them takes care and maintains each other. This kind of life portrait is a picture of past life in the time of the Prophet and his companions. Where the Prophet's figure was his capacity as a figure who became uswah (role model) for his companions whose capacity was a loyal follower of the Prophet. This paper aims to reveal the pact around the scope of life in the circle of social-spiritual life played by God's chosen servants.

scholarly journals Development of Healthcare Kiosk for Checking Heart Health

2016 ◽  
Vol 3 (2) ◽  
Author(s):  
Riyanto Sigit ◽  
Zainal Arief ◽  
Mochamad Mobed Bachtiar
Keyword(s):  
Health Care ◽  
Heart Disease ◽  
Heart Diseases ◽  
Human Life ◽  
Health Care Facilities ◽  
Filter Method ◽  
Heart Health ◽  
Care Facilities ◽  
Artificial Neural Network Method

The main problem encountered nowadays in the health field, especially in health care is the growing number of population and the decreasing health facilities. In this regard, healthcare kiosk is used as an alternative to the health care facilities. Heart disease is a dangerous one which could threaten human life. Many people have died due to heart disease and the surgery itself is still very expensive. To analyze heart diseases, doctor usually takes a video of the heart movement using ultrasound equipment to distinguish between normal and abnormal case. The results of analysis vary depending on the accuracy and experience of each doctor so it is difficult to determine the actual situation. Therefore, a method using healthcare kiosk to check the heart health is needed to help doctor and improve the health care facilities. The aim of this research is to develop healthcare kiosk which can be used to check the heart health. This research method is divided into three main parts: firstly, preprocessing to clarify the quality of the image.In this section, the writers propose a Median High Boost Filter method which is a combined method of Median Filtering and High Boost Filtering. Secondly, segmentation is used to obtain local cavities of the heart. In this part, the writers propose using Triangle Equation that is a new method to be developed. Thirdly, classification using Partial Monte Carlo method and artificial neural network method; these methods are used to measure the area of the heart cavity and discover the possibility of cardiac abnormalities. Methods for detecting heart health are placed in the kiosk. Therefore, it is expected to facilitate and improve the healthcare facilities.Keywords: Healthcare kiosk, heart health, reprocessing, segmentation, classification.

scholarly journals Reduction of Time on the Ground Related to Real-Time Video Detection of Falls in Memory Care Facilities: Observational Study (Preprint)

2020 ◽  
Author(s):  
Eleonore Bayen ◽  
Shirley Nickels ◽  
Glen Xiong ◽  
Julien Jacquemot ◽  
Raghav Subramaniam ◽  
...  
Keyword(s):  
Observational Study ◽  
Real Time ◽  
Computer Applications ◽  
Time Zone ◽  
Risk Of Death ◽  
Wide Range ◽  
Care Facilities ◽  
Memory Care ◽  
Secure Networks ◽  
Facility Staff

BACKGROUND Lying on the floor for a long period of time has been described as a critical determinant of prognosis following a fall. In addition to fall-related injuries due to the trauma itself, prolonged immobilization on the floor results in a wide range of comorbidities and may double the risk of death in elderly. Thus, reducing the length of Time On the Ground (TOG) in fallers seems crucial in vulnerable individuals with cognitive disorders who cannot get up independently. OBJECTIVE This study aimed to examine the effect of a new technology called SafelyYou Guardian (SYG) on early post-fall care including reduction of Time Until staff Assistance (TUA) and TOG. METHODS SYG uses continuous video monitoring, artificial intelligence, secure networks, and customized computer applications to detect and notify caregivers about falls in real time while providing immediate access to video footage of falls. The present observational study was conducted in 6 California memory care facilities where SYG was installed in bedrooms of consenting residents and families. Fall events were video recorded over 10 months. During the baseline installation period (November 2017 to December 2017), SYG video captures of falls were not provided on a regular basis to facility staff review. During a second period (January 2018 to April 2018), video captures were delivered to facility staff on a regular weekly basis. During the third period (May 2018 to August 2018), real-time notification (RTN) of any fall was provided to facility staff. Two digital markers (TUA, TOG) were automatically measured and compared between the baseline period (first 2 months) and the RTN period (last 4 months). The total number of falls including those happening outside of the bedroom (such as common areas and bathrooms) was separately reported by facility staff. RESULTS A total of 436 falls were recorded in 66 participants suffering from Alzheimer disease or related dementias (mean age 87 years; minimum 65, maximum 104 years). Over 80% of the falls happened in bedrooms, with two-thirds occurring overnight (8 PM to 8 AM). While only 8.1% (22/272) of falls were scored as moderate or severe, fallers were not able to stand up alone in 97.6% (247/253) of the cases. Reductions of 28.3 (CI 19.6-37.1) minutes in TUA and 29.6 (CI 20.3-38.9) minutes in TOG were observed between the baseline and RTN periods. The proportion of fallers with TOG >1 hour fell from 31% (8/26; baseline) to zero events (RTN period). During the RTN period, 76.6% (108/141) of fallers received human staff assistance in less than 10 minutes, and 55.3% (78/141) of them spent less than 10 minutes on the ground. CONCLUSIONS SYG technology is capable of reducing TOG and TUA while efficiently covering the area (bedroom) and time zone (nighttime) that are at highest risk. After 6 months of SYG monitoring, TOG was reduced by a factor of 3. The drastic reduction of TOG is likely to decrease secondary comorbid complications, improve post-fall prognosis, and reduce health care costs.

scholarly journals Parallel Progress in Perceived Age and Life Expectancy

2019 ◽  
Vol 75 (2) ◽  
pp. 333-339 ◽  
Author(s):  
Ulrich K Steiner ◽  
Lisbeth A Larsen ◽  
Kaare Christensen
Keyword(s):  
Life Expectancy ◽  
Human Life ◽  
Biological Age ◽  
Life Expectancy At Birth ◽  
Biomarkers Of Aging ◽  
Younger Age ◽  
Past Life ◽  
Age Perception ◽  
Length Of Life ◽  
Facial Images

Abstract Background Human life expectancy continues to rise in most populations. This rise not only leads to longer lives but also is accompanied by improved health at a given age, that is, recent cohorts show a reduction of biological age for a given chronological age. Despite or even because of the diversity of biomarkers of aging, an accurate quantification of a general shift in biological age across time has been challenging. Methods Here, we compared age perception of facial images taken in 2001 over a decade and related these changes in age perception to changes in life expectancy. Results We show that age perception changes substantially across time and parallels the progress in life expectancy. In 2012, people aged more than 70 years needed to look 2.3 years younger to be rated the same age as in 2002. Conclusions Our results suggest that age perception reflects the past life events better than predicts future length of life, that is, it is written in your face how much you have aged so far. We draw this conclusion as age perception among elderly individuals paralleled changes in life expectancy at birth but not changes in remaining life expectancies. We suggest that changes in age perception should be explored for younger age classes to inform on aging processes, including whether aging is delayed or slowed with increasing life expectancy.

scholarly journals Parallel progress in perceived age and life expectancy

2017 ◽  
Author(s):  
Ulrich K. Steiner ◽  
Lisbeth Aagaard Larsen ◽  
Kaare Christensen
Keyword(s):  
Life Expectancy ◽  
Human Life ◽  
Biological Age ◽  
Life Expectancy At Birth ◽  
Biomarkers Of Aging ◽  
Younger Age ◽  
Past Life ◽  
Perceived Age ◽  
Age Perception ◽  
Length Of Life

SummaryHuman life expectancy continues to rise in most populations. This rise not only leads to longer lives but is also accompanied by improved health at a given age, i.e. we see a reduction of biological age for a given chronological age in recent cohorts. Despite or even because of the diversity of biomarkers of aging, an accurate quantification of a general shift in biological age across time has been challenging. By comparing age perception of images taken in 2001 over a decade, we show that age perception changes substantially across time and parallels the progress in life expectancy. In 2012, people aged 70+ needed to look 2.3 years younger to be rated the same age as in 2002. Our results further suggest that age perception reflects the past life events better than predicts future length of life, i.e. it is written in your face how much you have aged so far, but does not predict well how fast you will age in the future. We draw this conclusion since age perception among elderly paralleled changes in life expectancy at birth but not changes in remaining life expectancies. We illustrate advantages of perceived age as a biomarker of aging and suggest that changes in age perception should be explored for younger age classes to inform on aging processes, including whether aging is delayed or slowed with increasing life expectancy.

scholarly journals Software Engineering in Healthcare

2021 ◽  
Vol 9 (11) ◽  
pp. 326-328
Author(s):  
Archit Gupta
Keyword(s):  
Software Engineering ◽  
Data Science ◽  
Human Life ◽  
Health Care Facilities ◽  
Computing Power ◽  
Wide Range ◽  
Care Facilities ◽  
Software Engineers ◽  
Patients Experience ◽  
Patient Centric

Abstract: As technology is advancing and affecting every phase of human life, health care facilities are also getting improved with the introduction of new advanced, customized, and patient-centric approaches in software engineering. Engineers all around the world are working to create unique and efficient ways for the prevention and early detection of diseases along with improving the patients’ experience while using these technologies. With the gain in computing power and access to a wide range of software, software engineers are working on technologies such as Big Data, AI, Data Science, and Cybersecurity to improve the existing methodologies and pave the way for patient-centric approaches and knowledge translation.

scholarly journals Reduction of Time on the Ground Related to Real-Time Video Detection of Falls in Memory Care Facilities: Observational Study

10.2196/17551 ◽  
2021 ◽  
Vol 23 (6) ◽  
pp. e17551
Author(s):  
Eleonore Bayen ◽  
Shirley Nickels ◽  
Glen Xiong ◽  
Julien Jacquemot ◽  
Raghav Subramaniam ◽  
...  
Keyword(s):  
Observational Study ◽  
Real Time ◽  
Computer Applications ◽  
Time Zone ◽  
Risk Of Death ◽  
Wide Range ◽  
Care Facilities ◽  
Memory Care ◽  
Secure Networks ◽  
Facility Staff

Background Lying on the floor for a long period of time has been described as a critical determinant of prognosis following a fall. In addition to fall-related injuries due to the trauma itself, prolonged immobilization on the floor results in a wide range of comorbidities and may double the risk of death in elderly. Thus, reducing the length of Time On the Ground (TOG) in fallers seems crucial in vulnerable individuals with cognitive disorders who cannot get up independently. Objective This study aimed to examine the effect of a new technology called SafelyYou Guardian (SYG) on early post-fall care including reduction of Time Until staff Assistance (TUA) and TOG. Methods SYG uses continuous video monitoring, artificial intelligence, secure networks, and customized computer applications to detect and notify caregivers about falls in real time while providing immediate access to video footage of falls. The present observational study was conducted in 6 California memory care facilities where SYG was installed in bedrooms of consenting residents and families. Fall events were video recorded over 10 months. During the baseline installation period (November 2017 to December 2017), SYG video captures of falls were not provided on a regular basis to facility staff review. During a second period (January 2018 to April 2018), video captures were delivered to facility staff on a regular weekly basis. During the third period (May 2018 to August 2018), real-time notification (RTN) of any fall was provided to facility staff. Two digital markers (TUA, TOG) were automatically measured and compared between the baseline period (first 2 months) and the RTN period (last 4 months). The total number of falls including those happening outside of the bedroom (such as common areas and bathrooms) was separately reported by facility staff. Results A total of 436 falls were recorded in 66 participants suffering from Alzheimer disease or related dementias (mean age 87 years; minimum 65, maximum 104 years). Over 80% of the falls happened in bedrooms, with two-thirds occurring overnight (8 PM to 8 AM). While only 8.1% (22/272) of falls were scored as moderate or severe, fallers were not able to stand up alone in 97.6% (247/253) of the cases. Reductions of 28.3 (CI 19.6-37.1) minutes in TUA and 29.6 (CI 20.3-38.9) minutes in TOG were observed between the baseline and RTN periods. The proportion of fallers with TOG >1 hour fell from 31% (8/26; baseline) to zero events (RTN period). During the RTN period, 76.6% (108/141) of fallers received human staff assistance in less than 10 minutes, and 55.3% (78/141) of them spent less than 10 minutes on the ground. Conclusions SYG technology is capable of reducing TOG and TUA while efficiently covering the area (bedroom) and time zone (nighttime) that are at highest risk. After 6 months of SYG monitoring, TOG was reduced by a factor of 3. The drastic reduction of TOG is likely to decrease secondary comorbid complications, improve post-fall prognosis, and reduce health care costs.

Certain uncertainties: Modes of patient safety in healthcare

2012 ◽  
Vol 42 (5) ◽  
pp. 732-752 ◽  
Author(s):  
Sonja Jerak-Zuiderent
Keyword(s):  
Primary Care ◽  
Patient Safety ◽  
General Practitioners ◽  
Human Life ◽  
Clinical Work ◽  
Ethnographic Research ◽  
Out Of Hours ◽  
Georges Canguilhem ◽  
Care Facilities ◽  
Continuous Stream

The safety movement in healthcare approaches patient safety mainly by reducing uncertainty to prevent possible errors. This article is concerned with how this approach relates to other modes of conceptualising patient safety. Following the work of Georges Canguilhem, I argue that, depending on how we conceptualise knowing, acting and error, a different mode of patient safety is possible: one that involves ‘living with uncertainty’. Through ethnographic research on daily clinical work in Dutch primary care facilities, I show that the assumption that clinical work can be made safe by reducing errors not only is problematic, it also creates new forms of ‘unsafety’. My observations at general practitioners’ out-of-hours service units and other primary care facilities display a ‘continuous stream of knowing and acting’ in which care professionals adopt specific practices that avoid contradictions between uncertainty and safety. Although these practices differed in the various locations I studied, there were some common dimensions of ‘living with uncertainty’. By problematising the conceptions of safety and errors as antonyms I suggest that a reappraisal is in order, particularly of the notion of errors in healthcare. Keeping and protecting room for errors in a situated way is crucial for knowing and acting in a field riddled with uncertainty and dealing with human life.

Positive Social Interaction by Spatial Design: A Systematic Review of Empirical Literature in Memory Care Facilities for People Experiencing Dementia

2019 ◽  
Vol 32 (9) ◽  
pp. 949-961 ◽  
Author(s):  
Farhana Ferdous
Keyword(s):  
Social Interaction ◽  
Interior Design ◽  
Geographic Location ◽  
Empirical Literature ◽  
Term Care ◽  
Spatial Design ◽  
Care Facilities ◽  
Memory Care ◽  
Positive Social Interaction ◽  
Design Characteristics

Objective: The objective of this review is to outline a comprehensive set of possible design interventions focusing on spatial and environmental design factors influencing positive social interaction, which is one of the key aspects of quality of life (QoL) in long-term care facilities (LTCFs). Methods: This systematic literature review synthesized research evidence from seven databases (after the year 2000) spanning medical and health literature, environmental psychology, architecture, interior design, and evidence-based design literature. Results: The key spatial design characteristics of the facilities shown to affect positive social interaction were as follows: (a) The Physical Environment and Setting; (b) Accessibility, Legibility, and Layout; (c) Social Environment and Network; and (d) Staff–Resident Ratio and Care Philosophy. Conclusion: Several critical spatial design features of the facilities were identified. Spatial design interventions could influence the design decisions for future care facilities and provide designers the guidelines that are generalizable regardless of geographic location of the LTCF.

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