scholarly journals Expert System for Monitoring Elderly Health Using the Certainty Factor Method

SinkrOn ◽  
2020 ◽  
Vol 5 (1) ◽  
pp. 72
Author(s):  
Linda Marlinda ◽  
Widiyawati Widiyawati ◽  
Reni Widiastuti ◽  
Wahyu Indrarti
Keyword(s):  
Expert System ◽  
The Elderly ◽  
Certainty Factor ◽  
Hormone Production ◽  
The Social ◽  
Hereditary Factors ◽  
Elderly Health ◽  
Patient Families ◽  
Medical Teams ◽  
And Function

A person who is in the elderly phase will experience various decreases, ranging from decreased memory or senility, hormone production, skin elasticity, muscle mass, bone density, strength and function of body organs, and the immune system. As a result, it is difficult for the elderly or the elderly to fight against various kinds of disease-causing bacteria or viruses, comorbidities, and adaptation to the social environment. Due to the complexity of this health problem, improvements can not only be made in the aspect of health services but also improvements in the environment and engineering of population factors or hereditary factors, but it is necessary to pay attention to behavioral factors that have a considerable contribution to the emergence of health problems. This research uses the certainty factor (CF) method which can provide a measure of belief in a symptom as a measure of how much the value is in the later diagnosis. The purpose of making this expert system is so that patients, patient families, and medical teams can monitor the health of the elderly daily. The results of this study indicate that using the CF method has an accuracy rate of 91 percent for the prediction of patients who have cholesterol

scholarly journals PELATIHAN KADER KESEHATAN MENGENAI PENGELOLAAN KESEHATANLANSIA DI MASA PANDEMI COVID 19 SEBAGAI UPAYA MENINGKATKAN KESEHATAN LANSIA

2021 ◽  
Vol 2 (2) ◽  
pp. 70-77
Author(s):  
Nanik Dwi Astutik
Keyword(s):  
Elderly People ◽  
Health Management ◽  
The Elderly ◽  
World Health ◽  
Hormone Production ◽  
Elderly Health ◽  
The Government ◽  
Pass Through ◽  
Health Organization ◽  
And Function

The increasing number of elderly in quantity must get a great attention so that the elderly can pass through their old age successfully, and be able to maintain their health in the midst of the covid 19 pandemic.Tajinan Health Center already has an integrated service program (posyandu) for the elderly that is routinely held every month. However, the activity was temporarily suspended due to constraints on not being allowed to leave the house during Covid 19. Elderly people are among the vulnerable to contracting corona virus because at that age there is a decrease in hormone production and function of the body's organs. Even seniors who already have chronic diseases such as hypertension, diabetes and cancer are more susceptible to contracting due to declining immunity. According to a report issued by the World Health Organization (WHO), the highest death rate due to COVID-19 is the elderly over the age of 80. During the covid 19 period, cadres cannot accompany the elderly directly even though the elderly need to be given knowledge and assistance to be ready to face COVID 19. Elderly people are difficult to digest some of the appeals given by the government related to efforts to keep themselves from being exposed to the COVID-19 virus. The presence of cognitive impairment can make it difficult for the elderly to understand the reasons behind various precautions, such as why they should not leave the house, why they should wear masks, and so on. Therefore, the approach and way of communicating with the elderly needs a little adjustment. Based on the potential of elderly posyandu cadres and the assessment results that have been described, it is necessary to provide knowledge and understanding on elderly health management to improve the understanding of health cadres as an effort to improve the health of the elderly during the covid 19 pandemic.

scholarly journals Repercussions of hospitalization due to fall of the elderly: health care and prevention

2018 ◽  
Vol 71 (suppl 2) ◽  
pp. 763-769 ◽  
Author(s):  
Adriana Remião Luzardo ◽  
Newton Ferreira de Paula Júnior ◽  
Marcelo Medeiros ◽  
Paula Carolina Bejo Wolkers ◽  
Silvia Maria Azevedo dos Santos
Keyword(s):  
Public Hospital ◽  
The Elderly ◽  
Health Condition ◽  
Exploratory Research ◽  
Financial Cost ◽  
Thematic Content Analysis ◽  
The Social ◽  
Elderly Health ◽  
Elderly Caregivers ◽  
Depth Interviews

ABSTRACT Objective: To know the repercussions of the fall reported by the elderly and their caregiver during hospitalization in a public hospital in Florianópolis city from October to December 2014. Method: Exploratory research with a qualitative approach, conducted by depth interviews with 16 participants, the eight elderly were hospitalized for falls and eight elderly caregivers. Data analysis were performed through the Thematic Content Analysis. Results: It was evidenced the thematic axis: Faller Elderly supported by four thematic categories: Changes caused by Falls, I am a faller, I take care of me and Prevention of the Fall. The repercussions of the fall were evidenced in the impairment of the health condition, self-care and functional capacity. We observed the naturalization of the phenomenon and the passivity with the harmful consequences of the event. Final Considerations: The fall is valued the more negative its repercussion, such as the need for hospitalization and surgery. Managing the vulnerability of the elderly, especially in primary care, evaluating their comorbidities and their internal and external environment, will minimize unfavorable consequences and the social and financial cost of hospitalizations.

scholarly journals Identification and Prioritization of Effective Factors on the Social Health of the Elderly Using DEMATEL and ISM Methods

2021 ◽  
Vol 11 (3) ◽  
pp. 165-174
Author(s):  
Toktam Parvish ◽  
◽  
Hossein Behravan ◽  
Gholamreza Hasani Darmian ◽  
◽  
...  
Keyword(s):  
Social Development ◽  
Health Indicators ◽  
The Elderly ◽  
Social Health ◽  
Interpretive Structural Modeling ◽  
Factors Affecting ◽  
Effective Factors ◽  
The Social ◽  
Elderly Health ◽  
The Ideal

Background: The number of elderly people is growing continuously. These people are more vulnerable to social harm, such as loneliness, depression, etc, on the eve of aging. Therefore, it is important to promote their social health indicators as factors influencing social development. Generally, the interactions of various factors affect social health. Thus, this study aimed to identify, prioritize, and assess the extent of the interactions between the factors affecting the elderly’s social health. Methods: The present study applied a combinatory research method, including two sections of qualitative and quantitative. In the qualitative section, factors that affected the elderly’s social health were identified through the evaluation of 14 factors. In the quantitative section, the interpretive structural modeling and evaluation technique and decision-making test were used to evaluate factors and quantitatively analyze the relationships between factors, respectively. Besides, 12 experienced experts in the field of elderly health from the Deputy of Health of Khorasan Razavi province participated in this section. Results: The results showed that among the factors studied, socioeconomic status, social capital, residence (home shelter), social support, and environmental factors were effective factors on the social health of the elderly. Also, leisure time, lifestyle, and social vitality were identified as affected factors or effects. Conclusion: The researchers suggest that policymakers and specialists should consider prioritizing the causes and effects in the area of elderly’s social health and pay particular attention and focus on the effective factors. Proper planning will create the ideal conditions for older people, reduce the economic burden of old age, and enhance social development and advancement in different fields.

scholarly journals Increasing knowledge about nutrition and health in the elderly and cadres in Banguntapan Village, Bantul

2020 ◽  
Vol 3 (1) ◽  
pp. 1
Author(s):  
Mae Sri Hartati Wahyuningsih ◽  
Dwi Aris Agung Nugrahaningsih ◽  
Probosuseno Probosuseno
Keyword(s):  
Community Service ◽  
Descriptive Analysis ◽  
The Elderly ◽  
Age Group ◽  
Nutrition And Health ◽  
Health And Nutrition ◽  
The Social ◽  
Post Test ◽  
Elderly Health ◽  
Paired T Test

Increase the number of elderly is one of the social problems that require the attention of all involved parties. Health care efforts are now aimed at keeping the elderly healthy, active, independent, and productive socially and economically for themselves, their families and the community. Elderly is an age group where a person has experienced various decreases in body functions that can affect appetite, which ultimately leads to malnutrition. We designed community service-based study to increase the elderly health in the Banguntapan Village through increasing the awareness of the elderly about managing their health, the knowledge and skill to take care elderly of the families who have elderly on their care in Banguntapan Village. The method applied in this activity is counseling with pre-test and the first post-test and distribution pocket of about nutrition and elderly health. To be able to measure the retained knowledge after the activities, we also carried out the second post-test four weeks after the first meeting. The data were analyzed by descriptive analysis, and a paired t-test was performed to test the pre-test and post-test data. The total participants who participated in this activity were 144 people consisting of all cadres in Banguntapan Village, plus the elderly and families who have elderly in Karangbendo Hamlet. This research showed that there was an increase in knowledge about health and nutrition between the 1st pretest-posttest; between the 1st post-test and 2nd post-test; and between the second pretest and posttest (11.14; 14.86; 28.03)%. The counseling, discussion, and distribution of pocketbooks can increase the knowledge of the elderly, family and volunteer in Banguntapan and Karang Bendo Village.

scholarly journals Penerapan Metode Perbandingan Dempster-Shafer dengan Certainty Factor pada Aplikasi Sistem Pakar Deteksi Dini Penyakit Alzheimer pada Lansia Berbasis Web

2021 ◽  
Vol 5 (2) ◽  
pp. 144
Author(s):  
Mohamad Aldjawad ◽  
Septi Andryana ◽  
Andrianingsih Andrianingsih
Keyword(s):  
Expert System ◽  
Early Detection ◽  
The Elderly ◽  
Comparison Method ◽  
Certainty Factor ◽  
Web Based ◽  
Final Value ◽  
People With Dementia ◽  
Awareness Information ◽  
The Brain

Alzheimer's is a dementia disease associated with changes in protein in the brain. According to WHO, in 2010 there were 35.6 million people suffering from dementia. People with dementia are usually the elderly. Due to the lack of awareness, information, and knowledge about Alzheimer's disease, an expert system was created using the Dempster-Shafer comparison method with Certainty Factors to assist in early detection of the disease. The results of this study are, there is a final value of the diagnostic results using the Certainty Factor method of 56% while using the Dempster-Shafer method of 54.5%.Keywords:Alzheimer, Expert system, Dempster-Shafer, Certainty Factor, Web-Based.

Training of Mexican elders as health promoters: a qualitative study

2018 ◽  
Vol 34 (4) ◽  
pp. 735-750 ◽  
Author(s):  
María de la Luz Martínez-Maldonado ◽  
Consuelo Chapela ◽  
Víctor Manuel Mendoza-Núñez
Keyword(s):  
Intervention Program ◽  
Social Role ◽  
The Elderly ◽  
Health Programs ◽  
Interpretive Analysis ◽  
The Social ◽  
Elderly Health ◽  
Community Health Programs ◽  
Main Effects ◽  
The Impact

Abstract The purpose of the study was to analyze the repercussion of a training program in gerontological health promotion addressed to senior citizens in a rural area in Mexico. The impact of the program was examined at two levels: first, with regard to the development of specific practices relating to primary health care and to the actual implementation of community health programs and, second, through the interpretive analysis of bodily inscriptions in the participants. Results gave evidence of a gradual empowering process among the elderly health promoters who consistently developed a position of responsibility and autonomy regarding the control of their lives and, at the same time, an increasingly open critical attitude with regard to the social role ascribed to them by the community. Furthermore, the knowledge, sense of and meanings that operated on the significant practices of the participants were consistently determined by the extent of their social capital and habitus. It was important to note that the intervention research program did not lead to permanent changes in the participants’ habitus, whereas their main effects were associated to a greater consolidation of social support networks and to the acquisition of a salient position in their community given the symbolic cultural capital that represented having obtained an official certification. To conclude, a diversity of outcomes was evident in the participants as a result of the intervention program, depending on their personal biographies, social and cultural capitals, and on their particular positions within their community.

scholarly journals Creative communication in networking services as the social skill of geriatric pharmacist

2020 ◽  
Vol 11 (1) ◽  
pp. 933-941
Author(s):  
Yuhansyah Nurfauzi ◽  
Djoko Wahyono ◽  
Fita Rahmawati ◽  
Nanang Munif Yasin
Keyword(s):  
Social Skill ◽  
Clinical Skills ◽  
Controlled Trial ◽  
The Elderly ◽  
Visual Media ◽  
Qualitative Studies ◽  
The Social ◽  
Patient Families ◽  
Therapeutic Needs ◽  
Media And Communication

The geriatric pharmacist is one of the professions that play an important role in providing drug services to the elderly. As specialist pharmacists, they are expected to be not only rich in clinical skills but also have good social skills to understand and meet the therapeutic needs of patients. On the other hand, the community views that pharmacists are very accessible, and caregivers trust them as a link with the health care network. This study aims to describe the forms of creative communication of geriatric pharmacists in networking services. Four electronic databases (PUBMED, Science Direct, Scopus and Google Scholar) have been used to explore relevant research. The research articles reviewed were original articles that stated creative communication in networking as an idea of the pharmacist and the application in service by the pharmacist. The articles were selected with several inclusion criteria, namely published between 2000-2019, designed with Randomized Controlled Trial (RCT) and/or qualitative studies, in English, and containing ideas or communication activities by pharmacists in networking services for patients or collaborating with another stakeholder. Exclusion criteria were articles which are research protocols, do not mention communication activities and efforts in creating a service network clearly and articles that only examine and assess economic aspects. Search results on 421 articles produced 13 articles that met the criteria for review, 9 articles from RCT  and 4 articles from qualitative studies. Pharmacists can make oral, written and direct home visits when they provide advice. Pharmacists inform drugs through sign language, visual media and communication technology. Creative communication as a social skill plays an important role in networking services for doctors, nurses, patient families, caregivers and institutions related to services for the elderly.

scholarly journals Sistem Pakar Diagnosa Hipertiroid Menggunakan Certainty Factor dan Logika Fuzzy

2020 ◽  
Vol 2 (1) ◽  
pp. 57
Author(s):  
Rizkita Apriliana ◽  
Auli Damayanti ◽  
Asri Bekti Pratiwi
Keyword(s):  
Fuzzy Logic ◽  
Expert System ◽  
Thyroid Gland ◽  
Physiological Activity ◽  
Certainty Factor ◽  
Hormone Production ◽  
Excessive Sweating ◽  
Case Examples ◽  
Rule Composition ◽  
System Output

Hyperthyroidism is a condition when the function of thyroid gland becomes excessive. The excess function of thyroid gland increases thyroid hormone production which affect body metabolism and physiological activity. This study aims to make an expert system diagnose hyperthyroidism with certainty factor and fuzzy logic. The stages of the process of diagnosing hyperthyroidism including problem identification, needs analysis of symptoms and types of hyperthyroidism, determination of rules, system design, case examples implementation, system testing, and evaluation. Variables used were systolic blood pressure, triiodothyronine (T3) levels, thyroxine (T4) levels, thyroid stimulating hormones (TSH) levels, goiter, tremors, and excessive sweating. All variables are processed using fuzzy logic with fuzzyfication stages, rule determination, min implications, max rule composition, and defuzzyfication which then proceed with certainty factor with sequential CF and CF stages. The system output is diagnosis the condition of hyperthyroidism such as hyperthyroidism, subclinical hyperthyroidism, and normal accompanied by a certainty factor. Based on the evaluation result, the accuracy of the expert system according to expert diagnostics is 86.7%

Situsparu: Sistem Pakar Untuk Deteksi Penyakit Tuberkulosis Paru

2018 ◽  
Vol 10 (1) ◽  
pp. 41-47
Author(s):  
Ricky Surya ◽  
Dennis Gunawan
Keyword(s):  
Expert System ◽  
Tuberculosis Patient ◽  
The Body ◽  
Certainty Factor ◽  
Good Reliability ◽  
Delone And Mclean ◽  
The World ◽  
Index Terms ◽  
Manual Calculation ◽  
Tuberculosis Prevalence

Tuberculosis is an infectious disease caused by mycobacterium tuberculosis. It can affect some parts of the body: lungs, lymph nodes, intestines, kidneys, endometrium, bones, and brain. According to the survey of tuberculosis prevalence conducted by Republic of Indonesia Ministry of Health in 2013-2014, Indonesia was the second country in the world with the most case of tuberculosis. It makes Indonesia become a country with emergency in lungs tuberculosis. An expert system for lungs tuberculosis detection is built to help people detecting the possibility of suffering from lungs tuberculosis. Therefore, it is hoped that the lungs tuberculosis patient can have early treatment. Certainty factor is used to solve the uncertainty problem delivered by the doctor when examining the patient. Thus, certainty factor is an appropriate method to be used in the expert system for detecting certain disease. This method has been correctly implemented, proved by comparing system detection result to manual calculation result. The expert system has 81.25% accuracy, 83.49% success using DeLone and McLean model, and a cronbach alpha of 0.82 which indicates a good reliability based on the indicators used in the questionnaire. Index Terms— Certainty Factor, Disease Detection, Expert System, Pulmonary Tuberculosis, Situsparu

HUBUNGAN AKTIVITAS FISIK DENGAN FUNGSI KOGNITIF LANSIA DI PANTI WREDHA YAYASAN SOSIAL SALIB PUTIH SALATIGA

2019 ◽  
pp. 137-143
Author(s):  
Dennys Christovel Dese ◽  
Cahyo Wibowo
Keyword(s):  
Physical Activity ◽  
Cognitive Function ◽  
The Elderly ◽  
Moderate Physical Activity ◽  
Cross Sectional ◽  
Significance Level ◽  
The Social ◽  
Normal Cognitive Function ◽  
Intellectual Capacity ◽  
Independent Variable

Peningkatan jumlah lansia setiap tahunnya harus dijadikan perhatian, akibat adanya peningkatan jumlah lansia masalah yang dihadapi akan menjadi semakin kompleks, salah satunya adalah masalah yang berkaitan dengan gejala penuaan. Menurunnya kapasitas intelektual berhubungan erat dengan fungsi kognitif pada lansia. Aktivitas fisik diidentifikasi sebagai salah satu faktor yang mempengaruhi fungsi kognitif. Aktivitas fisik bermanfaat untuk lansia sebagai pencegahan dan demensia. Penelitian ini merupakan penelitian analitik observasional dengan menggunakan pendekatan cross sectional. Penelitian dilakukan di yayasan sosial Panti Wredha Salib Putih Salatiga pada bulan Juni 2018. Populasi dalam penelitian ini adalah lansia yang berumur ?60 tahun. Subjek pada penelitian ini berjumlah 16 responden. Variabel independen dalam penelitian ini adalah aktivitas fisik yang dinilai dengan menggunakan instrument GPAQ. Sedangkan variabel dependen dalam penelitian ini adalah fungsi kognitif yang dinilai dengan instrument MMSE. Terdapat 4 orang (25%) yang masuk dalam kategori fungsi kognitif normal dengan kategori aktifitas fisik sedang 1 orang dan aktifitas berat 3 orang, kemudian yang termasuk dalam kategori gangguan fungsi kognitif ringan sebanyak 11 orang (68,75%), dengan kategori aktifitas fisik sedang 8 orang dan aktifitas ringan 3 orang. Sedangkan yang termasuk dalam kategori gangguan fungsi kognitif berat, terdapat 1 orang (6,25%) dengan kategori aktifitasnya ringan. Taraf signifikansi antar variabel tingkat aktifitas fisik dan fungsi kognitif pada lansia adalah p=0.007 atau p<0,05, sehingga dapat disimpulkan ada  hubungan antara tingkat aktifitas fisik dengan fungsi kognitif pada lansia.   Increasing the number of elderly people every year should be a concern, due to an increase in the number of elderly problems faced will become increasingly complex, one of which is a problem related to the symptoms of aging. Decreased intellectual capacity is closely related to cognitive function in the elderly. Physical activity is identified as one of the factors that influence cognitive function. Physical activity is beneficial for the elderly as prevention and dementia. This study was an observational analytic study using a cross sectional approach. The study was conducted at the social foundation nursing home in the white cross in June 2018. The population in this study was elderly aged ≥60 years. The subjects in this study were 16 respondents. The independent variable in this study is physical activity that is assessed using the GPAQ instrument. While the dependent variable in this study was cognitive function which was assessed by the MMSE instrument. There are 4 people (25%) who fall into the category of normal cognitive function with moderate physical activity categories 1 person and heavy activities 3 people, then those included in the category of mild cognitive function disorders are 11 people (68.75%), with the category of physical activity being 8 people and 3 light activities. While those included in the category of severe cognitive function disorders, there is 1 person (6.25%) with a mild activity category. The significance level between the level of physical activity and cognitive function in the elderly is p = 0.007 or p <0.05, so it can be concluded that there is a relationship between the level of physical activity and cognitive function in the elderly.

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