scholarly journals Developing a Microcomputer Based Automated Testing System for use with Psychogeriatric Patients

1986 ◽  
Vol 10 (11) ◽  
pp. 309-312 ◽  
Author(s):  
A. C. Carr ◽  
R. T. Woods ◽  
B. J. Moore
Keyword(s):  
Video Games ◽  
Elderly Patients ◽  
Elderly People ◽  
Psychological Assessment ◽  
Psychiatric Patients ◽  
Automated Testing ◽  
Testing System ◽  
Current Generation ◽  
Patient Interviews ◽  
Patient Interview

Microcomputers are increasingly being used in psychiatry for a variety of purposes. When used in computer-patient ‘interviews’ they have generally proved acceptable—indeed popular—with psychiatric patients. Automated psychological assessment is one form of computer-patient interview that is attracting much interest. Some of the early applications were with elderly patients. Kendrick has expressed doubts regarding this application with the current generation of elderly people, suggesting that their relative unfamiliarity with computers and video games might cause difficulties.

The Effect of Cognitive Remediation Therapy on Social Skills in Institutionalized Elderly Patients with Schizophrenia

2017 ◽  
Vol 12 (3) ◽  
pp. 182-186 ◽  
Author(s):  
Fatemeh Mohammadi ◽  
Yadollah Abolfathi Momtaz ◽  
Seyedeh Ameneh Motalebi ◽  
Shahnaz Boosepasi
Keyword(s):  
Social Skills ◽  
Elderly Patients ◽  
Behavioral Problems ◽  
Psychiatric Patients ◽  
Intervention Group ◽  
Cognitive Remediation ◽  
Control Group ◽  
Cognitive Remediation Therapy ◽  
Chi Square ◽  
Institutionalized Elderly

Background: There are limited scientific investigations on cognitive remediation in elderly patients with schizophrenia. The present study was aimed to examine the efficacy of cognitive remediation therapy on social skills in institutionalized elderly patients with schizophrenia. Methods: The study employed a randomized clinical trial. A total of 60 institutionalized elderly patients with schizophrenia from Razi Psychiatric Hospital, Tehran were selected and randomly allocated into two equal groups (control and intervention). The intervention group attended to cognitive remediation therapy for 8 weeks. The Evaluation of Living Skills Scale for psychiatric patients was used for data collection. The Chi Square, independent and paired t-tests using SPSS, version 22, were employed to analyze the data. Results: The mean age of 60 elderly patients participated in the study was 65.25 &#177; 4.19 years. No significant differences were found between two groups at baseline. However, independent t-tests showed significant differences between the intervention and the control group in social skills after implementation of intervention. Additionally, the results of paired t-tests revealed significant improvements in intervention group on communication skills (t=5.50, p<0.001), behavioral problems with others (t=5.44, p<0.001), and self-care (t=4.70, p<0.001). No significant differences were observed from pretest to post test in control group. Conclusion: The results of the present study may support the efficacy of cognitive remediation therapy on social skills of elderly patients with schizophrenia.

Association Between Awareness of Informal Caregivers and Falls in Elderly Patients with Uncontrolled Diabetes Mellitus

2020 ◽  
Vol 13 (1) ◽  
pp. 658-666
Author(s):  
Tossapon Chamnankit ◽  
Parichat Ong-artborirak ◽  
Jukkrit Wangrath
Keyword(s):  
Diabetes Mellitus ◽  
Elderly Patients ◽  
Elderly People ◽  
Informal Caregivers ◽  
Multivariable Analysis ◽  
P Value ◽  
Uncontrolled Diabetes ◽  
Risk Of Falls ◽  
The Mean ◽  
Falls In Elderly

Background: Elderly people with uncontrolled diabetes mellitus (DM) are at risk of falls, which can lead to injury and disability. Not much is known of informal caregivers’ awareness of falls in elderly patients with DM. Objective: This study aims to identify an association between caregiver’s awareness and falls in elderly patients with DM. Methods: A total of 136 pairs of DM patients and their respective family caregivers were recruited from a clinical service center at Chiang Mai University, Thailand. The questionnaire regarding the caregiver’s awareness of the risk of falls in elderly patients was given via a face-to-face interview. Each elderly patient was asked about their history of falls in the prior year, and the risk of falls was assessed by Time Up & Go (TUG) test. Logistic regression analysis was performed to determine association. Results: The mean age of the DM patients was 65.7 years. Sixty-two patients (45.6%) had fallen at least once in the prior year. The mean TUG test result was 12.67±1.83 second. Most caregivers demonstrated a high level of awareness regarding the risk of falls in elderly patients. The results of the multivariable analysis showed that three variables – balance problems, risk of falls assessed by TUG test, and scores of caregiver’s awareness of risk of falls – were significantly related to falls in the previous year among elderly patients with DM (p-value<0.05). Conclusion: The caregivers’ awareness of fall risk may influence fall occurrence among older adults with DM. An intervention program to improve awareness among informal caregivers should be considered for fall prevention in elderly people.

scholarly journals Decreasing Use of Chemotherapy in Older Patients With Stage III Colon Cancer Irrespective of Comorbidities

2019 ◽  
Vol 17 (9) ◽  
pp. 1089-1099 ◽  
Author(s):  
Viola Walter ◽  
Daniel Boakye ◽  
Janick Weberpals ◽  
Lina Jansen ◽  
Walter E. Haefeli ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Elderly Patients ◽  
Old Age ◽  
Population Based ◽  
Stage Iii ◽  
Stage Iii Colon Cancer ◽  
Patient Interviews ◽  
Chemotherapy Administration ◽  
Hospital Factors ◽  
Chemotherapeutic Treatment

Background: Chemotherapy underuse in elderly patients (aged ≥75 years) with colon cancer has been reported in previous studies. However, these studies were mostly registry-based and limited in their potential to consider underlying reasons of such undertreatment. This study aimed to evaluate patient and hospital determinants of chemotherapeutic treatment in patients with stage III colon cancer, with a particular focus on age and underlying reasons for nontreatment of elderly patients. Methods: A total of 629 patients with stage III colon cancer who were diagnosed in 2003 through 2012 and recruited into a population-based study in the Rhine-Neckar region of Germany were included. Information on sociodemographic and lifestyle factors, comorbidities, and treatment was collected from patient interviews and physicians. Patient (with an emphasis on age) and hospital factors were evaluated for their associations with administration of adjuvant chemotherapy overall and of oxaliplatin specifically using multivariable logistic regression. Results: Administration of chemotherapy decreased from 94% in patients aged 30 to 64 years to 51% in those aged ≥75 years. A very strong decline in chemotherapy use with age persisted even after comprehensive adjustment for multiple patient factors—including comorbidities—and hospital factors and was also seen among patients without any major comorbidities. Between 2005 and 2008, and 2009 and 2012, chemotherapy administration in patients aged ≥75 years decreased from 60% to 41%. Among chemotherapy recipients, old age was also strongly associated with higher odds of nonadministration of oxaliplatin. The 2 most commonly reported reasons for chemotherapy nonreceipt among the study population were patient refusal (30%) and old age (24%). Conclusions: Age was the strongest predictor of chemotherapy underuse, irrespective of comorbidities and even in patients without comorbidities. Such underuse due just to older age in otherwise healthy patients deserves increased attention in clinical practice to ensure that elderly patients also get the best possible care. Patients’ refusal as the most frequent reason for chemotherapy nonreceipt also warrants further investigation to exclude misinformation as underlying cause.

scholarly journals How nurses' attire affects elderly psychiatric patients' ability to recognise them

1998 ◽  
Vol 22 (4) ◽  
pp. 236-238
Author(s):  
Hugh Joseph McCreedy ◽  
Peter William Bentham
Keyword(s):  
Elderly Patients ◽  
Test Score ◽  
Psychiatric Patients ◽  
Mental Test ◽  
Mental Test Score ◽  
Abbreviated Mental Test

The ability of elderly patients to identify a nurse wearing a uniform as opposed to mufti was investigated together with the effect of administrator attire on the Abbreviated Mental Test score (AMT). Thirty-six out of 71 patients identified a nurse wearing mufti increasing to 59/71 when wearing uniform (P < 0.005). Patients rated by a uniformed nurse had significantly higher mean AMT scores (6.1) than when rated by a nurse in mufti (5.6) (P < 0.01), and this also had a significant effect on the sensitivity in predicting an organic diagnosis.

FEATURES OF PERICARDIAL DISEASES IN ELDERLY PERSONS (LITERATURE REVIEW)

2021 ◽  
pp. 245-250
Author(s):  
Н.Ю. Шимохина ◽  
М.М. Петрова
Keyword(s):  
Risk Factors ◽  
Myocardial Infarction ◽  
Elderly Patients ◽  
Elderly People ◽  
Malignant Neoplasms ◽  
Elderly Persons ◽  
Limited Data ◽  
Pericardial Diseases ◽  
Inflammatory Drugs ◽  
European Society Of Cardiology

В рекомендациях Европейского общества кардиологов (ESC), выпущенных в 2015 г., представлены ограниченные данные о ведении пожилых пациентов с перикардитом. У лиц пожилого возраста высока вероятность наличия таких факторов риска перикардита, как злокачественные новообразования или почечная недостаточность. Трудности диагностики заболеваний перикарда могут возникнуть в группе пожилых пациентов с сопутствующей ИБС и развитием острого инфаркта миокарда. В терапии перикардита у пожилых пациентов в первую очередь используют нестероидные противовоспалительные препараты, предпочтительно аспирин. Лицам пожилого возраста не рекомендован прием индометацина. Сложности медикаментозного лечения могут быть связаны с полипрагмазией и когнитивными нарушениями у пожилых пациентов с коморбидными заболеваниями. Прогноз в группе пациентов старше 60 лет, перенесших перикардит, менее благоприятен в сравнении с более молодыми лицами. The recommendations of the European Society of Cardiology (ESC), released in 2015, provide limited data on the management of elderly patients with pericarditis. Elderly people are more likely to have pericarditis risk factors such as malignant neoplasms or renal failure. Difficulties in diagnosing pericardial diseases may occur in a group of elderly patients with concomitant coronary heart disease and the development of acute myocardial infarction. In the treatment of pericarditis in elderly patients, non-steroidal anti-inflammatory drugs, preferably aspirin, are primarily used. Elderly people are not recommended taking indomethacin. Difficulties of drug treatment may be associated with polypharmacy and cognitive impairment in elderly patients with comorbid diseases. The prognosis in the group of patients older than 60 who have undergone pericarditis is less favorable in comparison with younger persons.

The Persuasive Language of Action

2014 ◽  
pp. 113-129
Author(s):  
Martin van Velsen
Keyword(s):  
Video Games ◽  
Digital Video ◽  
Meaning Making ◽  
Role Playing ◽  
Human Experience ◽  
Digital Rhetoric ◽  
Current Generation ◽  
Role Playing Games ◽  
Body Of Knowledge

Besides the visual splendor pervasive in the current generation of digital video games, especially those where players roam simulated landscapes and imaginary worlds, few efforts have looked at the resources available to embed human meaning into a game's experience. From the art of persuasion to the mechanics of meaning-making in digital video games and table-top role playing games, this chapter investigates the changes and new opportunities available that can extend our understanding of digital rhetoric. Starting with a breakdown of the role of choice, workable models from psychology and the untapped body of knowledge from table-top role playing games are shown to allow game designers to enrich their products with a deeper human experience.

Flip-Game Engineering and Technology Methodology

2019 ◽  
pp. 77-109 ◽  
Author(s):  
Milagros Huerta Gómez de Merodio ◽  
Juan Manuel Dodero ◽  
Nestor Mora Núñez ◽  
José Mª Portela Núñez
Keyword(s):  
Video Games ◽  
Experimental Evaluation ◽  
Serious Games ◽  
Flipped Classroom ◽  
Control Group ◽  
Current Generation ◽  
Engineering Studies ◽  
Engineering And Technology ◽  
Teaching Learning ◽  
Experimental Group

Flip-GET has been developed with the objective of optimizing engineering practicals. The innovative element of this methodology is the use of serious games, as a complement to the flipped classroom method, in the teaching-learning process of engineering studies. This methodology uses serious games to take advantage of the capacity of motivation that video games have for the current generation of students, who have been involved with digital content, software, and electronic devices. This methodology has been evaluated using the method of case studies and by an experimental evaluation carried out in different stages, each of which has been developed during an academic course. In the experimental evaluation of the methodology, the control group carried out the practicals dividing the students into subgroups, without using the Flip-GET methodology, while the experimental group performed them with the methodology.

A Novel Automated Testing System for a Reflection-type Vector Modulator

2014 ◽  
Vol 13 (15) ◽  
pp. 2475-2481
Author(s):  
Qin Zheng ◽  
Yongheng Shang ◽  
Zhiyu Wang ◽  
Jiarui Liu ◽  
Min Zhou ◽  
...  
Keyword(s):  
Automated Testing ◽  
Testing System ◽  
Vector Modulator

Diagnosis of depression in elderly patients

2000 ◽  
Vol 6 (1) ◽  
pp. 49-56 ◽  
Author(s):  
Mavis Evans ◽  
Pat Mottram
Keyword(s):  
Elderly Patients ◽  
Older People ◽  
Life Events ◽  
Health Professionals ◽  
Pathological Process ◽  
Diagnostic Process ◽  
Cognitive Deterioration ◽  
Normal Reaction ◽  
Current Generation ◽  
Diagnostic Difficulties

Depression in old age is a pathological process, not a normal reaction to growing older. The majority of people cope with ageing, and many feel happy and fulfilled. However, there is a bias among health professionals and the community in general to accept lower functioning and more symptoms in older people (Alexopoulos, 1992). Depression tends to be denied by the current generation of elderly people, many of whom were raised in an atmosphere where showing feelings was discouraged, and this adds to diagnostic difficulties. Comorbid medical conditions, the tendency of patients to somatise, cognitive deterioration, and multiple life events, often of loss (e.g. bereavement, retirement, moving to smaller housing), all further complicate the diagnostic process.

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