ePhysio: A Wearables-Enabled Platform for the Remote Management of Musculoskeletal Diseases

Technology advancements in wireless communication and embedded computing are fostering their evolution from standalone elements to smart objects seamlessly integrated in the broader context of the Internet of Things. In this context, wearable sensors represent the building block for new cyber-physical social systems, which aim at improving the well-being of people by monitoring and measuring their activities and provide an immediate feedback to the users. In this paper, we introduce ePhysio, a large-scale and flexible platform for sensor-assisted physiotherapy and remote management of musculoskeletal diseases. The system leverages networking and computing tools to provide real-time and ubiquitous monitoring of patients. We propose three use cases which differ in scale and context and are characterized by different human interactions: single-user therapy, indoor group therapy, and on-field therapy. For each use case, we identify the social interactions, e.g., between the patient and the physician and between different users and the performance requirements in terms of monitoring frequency, communication, and computation. We then propose three related deployments, highlighting the technologies that can be applied in a real system. Finally, we describe a proof-of-concept implementation, which demonstrates the feasibility of the proposed solution.

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Natural Disasters: Causes, Consequences and Its Preventive Role in Sustainable Development

International Journal of Indian Psychology ◽

10.25215/0303.066 ◽

2016 ◽

Vol 3 (3) ◽

Author(s):

Rayees Ibrahim Lone ◽

Dr. S. Subramani

Keyword(s):

Natural Disasters ◽

Human Activities ◽

Large Scale ◽

Forest Cover ◽

Social Systems ◽

Geographical Location ◽

Well Being ◽

Ice Caps ◽

The Earth ◽

Living Organisms

Disaster is defined as a crisis situation causing wide spread damage which far exceeds our ability to recover. Disaster is a sudden, calamitous event bringing great damage, loss, destruction and devastation to life and property. The damage caused by disaster is immeasurable and varies with the geographical location, climate and the type of the earth surface. Natural disasters are relatively sudden and cause large scale, widespread death, loss of property and disturbance to social systems and life over which people have a little or no control. Thus, any event can be classed as disaster when the magnitude of destruction and damage caused by it is very high. Communities will always face natural hazards, but today’s disasters are often generated by, or at least exacerbated by, human activities. At the most dramatic level, human activities are changing the natural balance of the earth, interfering as never before with the atmosphere, the oceans, the polar ice caps, the forest cover and the natural pillars that make our world a liveable home. But we are also putting ourselves in harm’s way in less visible ways. This paper seeks to determine the natural disasters, causes and consequences and its prevention. Nature is bountiful full of resources used by the living organisms use for their survival and well-being. But nature has its own control systems. Resources used up are replenished excesses are checked, all naturally through the biogeochemical cycles, the food chains and webs and other natural phenomena. Thus equilibrium is maintained in nature. This is called ecological balance and has in recent times been disturbed by human activities.

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189 A SIMULATION WITH NO PARTICIPANTS ONLY CO-FACULTY: USING SIMULATION FOR SYSTEMS INTEGRATION ON THE LARGE SCALE

International Journal of Healthcare Simulation ◽

10.54531/jbxj4450 ◽

2021 ◽

Author(s):

Katie L Howie ◽

Daniel Hufton ◽

Nathan Oliver ◽

Omair Malik ◽

Kathryn Twentyman

Keyword(s):

System Integration ◽

Large Scale ◽

Systems Integration ◽

Well Being ◽

Short Report ◽

System Testing ◽

Immediate Feedback ◽

Quality Healthcare ◽

Paediatric Hospital ◽

Large Scale Simulation

The large-scale relocation of a paediatric hospital is a significant undertaking. New environments change the system, and ways of working must adapt to maintain quality healthcare. There are risks to patients and staff well-being, with high anxiety around change. There is evidence for the efficacy of simulation as a tool for safe training and rehearsal of staff and teams [1] but less so on such a large scale. Simulation for many is still perceived as a test of performance and a threat. We connected with the international simulation community to design a hospital-wide programme of Patient Environment Simulations for Systems Integration (PESSI). This paper outlines challenges in establishing buy-in from stakeholders and departments, developing a framework for implementation and our reflections on delivery of large-scale simulation activities to assist a hospital move.How can simulation-based methodology be used to support clinical departments on a large scale to adapt/integrate/prepare in moving to a brand-new hospital?Collaboration with authors of PEARLS for system integration use [1], using it as the main framework for delivery and structure of PESSI. Stages of delivery were: pre-phase work, system testing day, debrief/reflection and evaluation. Immediate feedback of enjoyment and learning was collated from all participants. Three-month post-move feedback is planned to review ongoing impact/behaviour change plus analysis of safety incidents.Pre-phase work involved meeting stakeholders and establishing aims of testing. Ward managers were key departmental links, meeting with members of PESSI to plan scenarios. System testing days involved familiarizing themselves with the environment, followed by ‘day in the life’ simulations with a representation of the whole team. All participants were called ‘co-faculty’ and knew exactly what would happen. Debrief involved facilitated conversations with the whole team describing reactions, and deeper analysis of the key events, with concerted efforts by facilitators to give a balanced approach of positives and challenges. A short report was given back to the department detailing the findings teams would need solutions to. Solutions from simulation were implemented prior to the move, increasing staff confidence, with many feeling PESSI played a major role in feeling prepared for the new site. The PESSI framework is being utilized in adult services and we hope to publish our methodology to share with the wider simulation community.

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Immigrant Youth in Germany

European Psychologist ◽

10.1027/1016-9040/a000154 ◽

2013 ◽

Vol 18 (3) ◽

pp. 158-168 ◽

Cited By ~ 28

Author(s):

Emily Frankenberg ◽

Katharina Kupper ◽

Ruth Wagner ◽

Stephan Bongard

Keyword(s):

School System ◽

Large Scale ◽

Age Groups ◽

Well Being ◽

Ethnic Discrimination ◽

Emotional And Behavioral Problems ◽

Sociocultural Adaptation ◽

Age Related ◽

German School ◽

Transcultural Adaptation

This paper reviews research on young migrants in Germany. Particular attention is given to the question of how Germany’s history of migration, immigration policies, and public attitude toward migrants influence the transcultural adaptation of children and adolescents from different ethnic backgrounds. We combine past research with the results of new empirical studies in order to shed light on migrants’ psychological and sociocultural adaptation. Studies comparing young migrants and their German peers in terms of psychological well-being, life satisfaction, and mental health outcome suggest higher rates of emotional and behavioral problems among migrants of most age groups. With regard to adolescent populations between the ages of 14 and 17 years, however, the existence of differences between migrants and natives appears to be less clear. Research has also yielded inconsistent findings regarding the time trajectory of transcultural adaptation among adolescents. The coincidence of acculturation and age-related change is discussed as a possible source of these inconsistencies. Further, we provide an overview of risk and protective factors such as conflicting role expectations and ethnic discrimination, which may cause heightened vulnerability to adverse adaptation outcomes in some groups. Large-scale studies have repeatedly shown migrants of all age groups to be less successful within the German school system, indicating poor sociocultural adaptation. Possible explanations, such as the idiosyncrasies of the German school system, are presented. Our own studies contribute to the understanding of young migrants’ adaptation process by showing that it is their orientation to German culture, rather than the acculturation strategy of integration, that leads to the most positive psychological and sociocultural outcomes. The paper concludes by discussing implications for future cross-cultural research on young migrants and by suggesting recommendations for multicultural policies.

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Psychosocial Consequences of Body Weight and Obesity

The Oxford Handbook of Integrative Health Science ◽

10.1093/oxfordhb/9780190676384.013.15 ◽

2018 ◽

pp. 274-286

Author(s):

Deborah Carr ◽

Vera K. Tsenkova

Keyword(s):

Body Weight ◽

Interpersonal Relationships ◽

Large Scale ◽

Well Being ◽

The United States ◽

Overweight And Obesity ◽

The Body ◽

Integrative Health ◽

Psychosocial Consequences ◽

Adults And Children

The body weight of U.S. adults and children has risen markedly over the past three decades. The physical health consequences of obesity are widely documented, and emerging research from the Midlife in the United States study and other large-scale surveys reveals the harmful impact of obesity on adults’ psychosocial and interpersonal well-being. This chapter synthesizes recent research on the psychosocial implications of body weight, with attention to explanatory mechanisms and subgroup differences in these patterns. A brief statistical portrait of body weight is provided, documenting rates and correlates of obesity, with a focus on race, gender, and socioeconomic status disparities. The consequences of body weight for three main outcomes are described: institutional and everyday discrimination, interpersonal relationships, and psychological well-being. The chapter concludes with a discussion of the ways that recent integrative health research on the psychosocial consequences of overweight and obesity inform our understanding of population health.

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Leisure Time Sports Activities and Life Satisfaction: Deeper Insights Based on a Representative Survey from Germany

Applied Research in Quality of Life ◽

10.1007/s11482-020-09866-7 ◽

2020 ◽

Author(s):

Michael Mutz ◽

Anne K. Reimers ◽

Yolanda Demetriou

Keyword(s):

Life Satisfaction ◽

Large Scale ◽

Leisure Time ◽

Organizational Context ◽

Experimental Studies ◽

Well Being ◽

Activity Level ◽

Leisure Satisfaction ◽

General Life Satisfaction ◽

Sports Activities

Abstract Observational and experimental studies show that leisure time sporting activity (LTSA) is associated with higher well-being. However, scholars often seem to assume that 1) LTSA fosters “general” life satisfaction, thereby ignoring effects on domain satisfaction; 2) the effect of LTSA on well-being is linear and independent of a person’s general activity level; 3) the amount of LTSA is more important than the repertoire of LTSA, i.e. the number of different activities; 4) all kinds of LTSA are equal in their effects, irrespective of spatial and organisational context conditions. Using data from the German SALLSA-Study (“Sport, Active Lifestyle and Life Satisfaction”), a large-scale CAWI-Survey (N = 1008) representing the population ≥ 14 years, the paper takes a closer look on these assumptions. Findings demonstrate that LTSA is associated with general life satisfaction and domain-specific satisfaction (concerning relationships, appearance, leisure, work and health), but that the relationship is most pronounced for leisure satisfaction. Associations of sport with life satisfaction, leisure satisfaction and subjective health are non-linear, approaching an injection point from which on additional LTSA is no longer beneficial. Moreover, findings lend support to the notion that diversity in LTSA matters, as individuals with higher variation in sports activities are more satisfied. Finally, results with regard to spatial and organizational context suggest that outdoor sports and club-organized sports have additional benefits.

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Psychiatric disorders in China: strengths and challenges of contemporary research and clinical services

Psychological Medicine ◽

10.1017/s0033291721002816 ◽

2021 ◽

pp. 1-14

Author(s):

Xiao Chang ◽

Qiyong Gong ◽

Chunbo Li ◽

Weihua Yue ◽

Xin Yu ◽

...

Keyword(s):

Psychiatric Disorders ◽

Disease Burden ◽

Large Scale ◽

Well Being ◽

Research Quality ◽

Psychiatric Research ◽

Clinical Services ◽

Contributing Factors ◽

Brain Functions ◽

Neuroscience Research

Abstract China accounts for 17% of the global disease burden attributable to mental, neurological and substance use disorders. As a country undergoing profound societal change, China faces growing challenges to reduce the disease burden caused by psychiatric disorders. In this review, we aim to present an overview of progress in neuroscience research and clinical services for psychiatric disorders in China during the past three decades, analysing contributing factors and potential challenges to the field development. We first review studies in the epidemiological, genetic and neuroimaging fields as examples to illustrate a growing contribution of studies from China to the neuroscience research. Next, we introduce large-scale, open-access imaging genetic cohorts and recently initiated brain banks in China as platforms to study healthy brain functions and brain disorders. Then, we show progress in clinical services, including an integration of hospital and community-based healthcare systems and early intervention schemes. We finally discuss opportunities and existing challenges: achievements in research and clinical services are indispensable to the growing funding investment and continued engagement in international collaborations. The unique aspect of traditional Chinese medicine may provide insights to develop a novel treatment for psychiatric disorders. Yet obstacles still remain to promote research quality and to provide ubiquitous clinical services to vulnerable populations. Taken together, we expect to see a sustained advancement in psychiatric research and healthcare system in China. These achievements will contribute to the global efforts to realize good physical, mental and social well-being for all individuals.

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Tourist Mental Health Drives Destination Choice, Marketing, and Matching

Journal of Travel Research ◽

10.1177/00472875211011548 ◽

2021 ◽

pp. 004728752110115

Author(s):

Mary-Ann Cooper ◽

Ralf Buckley

Keyword(s):

Mental Health ◽

Large Scale ◽

Well Being ◽

Destination Choice ◽

Destination Marketing ◽

Health Maintenance ◽

Nature Tourism ◽

Tourism Destinations ◽

Tourism Enterprises ◽

Health And Well Being

Leisure tourism, including destination choice, can be viewed as an investment in mental health maintenance. Destination marketing measures can thus be analyzed as mental health investment prospectuses, aiming to match tourist desires. A mental health framework is particularly relevant for parks and nature tourism destinations, since the benefits of nature for mental health are strongly established. We test it for one globally iconic destination, using a large-scale qualitative approach, both before and during the COVID-19 pandemic. Tourists’ perceptions and choices contain strong mental health and well-being components, derived largely from autonomous information sources, and differing depending on origins. Parks agencies emphasize factual cognitive aspects, but tourism enterprises and destination marketing organizations use affective approaches appealing to tourists’ mental health.

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The Impact of SARS-CoV-2 (COVID-19) and its Lockdown Measures on the Mental and Functional Health of Older Individuals

Psychiatric Quarterly ◽

10.1007/s11126-021-09943-6 ◽

2021 ◽

Author(s):

Maria Chiara Fastame ◽

Ilaria Mulas ◽

Valeria Putzu ◽

Gesuina Asoni ◽

Daniela Viale ◽

...

Keyword(s):

Cognitive Decline ◽

Wearable Sensors ◽

Well Being ◽

Functional Health ◽

Cognitive Deterioration ◽

Older Individuals ◽

Physical And Mental Health ◽

Psychological Well Being ◽

The Impact ◽

Healthy Participants

AbstractThe effect of the COVID-19 on the physical and mental health of Italian older individuals displaying signs of cognitive deterioration has not been deeply investigated. This longitudinal study examined the impact of COVID-19 lockdown measures on the psychological well-being and motor efficiency of a sample of Italian community-dwellers with and without cognitive decline. Forty-seven participants underwent instrumental gait analysis performed in ecological setting using wearable sensors, and completed a battery of tasks assessing cognitive functioning and psychological well-being, before and after the full lockdown due to the COVID-19 spreading. A series of Multivariate Analyses of Variance (MANOVAs) documented that the superior gait performance of the cognitively healthy participants exhibited before the COVID-19 spread, vanished when they were tested at the end of the lockdown period. Moreover, before the outbreak of the COVID-19, cognitively healthy participants and those with signs of cognitive decline reported similar levels of psychological well-being, whereas, after the lockdown, the former group reported better coping, emotional competencies, and general well-being than the participants displaying signs of cognitive decline. In conclusion, the full COVID-19 outbreak had a significant impact on the mental and motor functioning of older individuals with and without signs of cognitive deterioration living in Italy.

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Understanding what matters most to patients in acute care in seven countries, using the flash mob study design

BMC Health Services Research ◽

10.1186/s12913-021-06459-4 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Eva S. van den Ende ◽

◽

Bo Schouten ◽

Marjolein N. T. Kremers ◽

Tim Cooksley ◽

...

Keyword(s):

Acute Care ◽

Patient Perspective ◽

Large Scale ◽

Healthcare Professionals ◽

Well Being ◽

Good Health ◽

Care Needs ◽

Patient Centred Care ◽

Trial Register ◽

What Matters

Abstract Background Truly patient-centred care needs to be aligned with what patients consider important, and is highly desirable in the first 24 h of an acute admission, as many decisions are made during this period. However, there is limited knowledge on what matters most to patients in this phase of their hospital stay. The objective of this study was to identify what mattered most to patients in acute care and to assess the patient perspective as to whether their treating doctors were aware of this. Methods This was a large-scale, qualitative, flash mob study, conducted simultaneously in sixty-six hospitals in seven countries, starting November 14th 2018, ending 50 h later. One thousand eight hundred fifty adults in the first 24 h of an acute medical admission were interviewed on what mattered most to them, why this mattered and whether they felt the treating doctor was aware of this. Results The most reported answers to “what matters most (and why)?” were ‘getting better or being in good health’ (why: to be with family/friends or pick-up life again), ‘getting home’ (why: more comfortable at home or to take care of someone) and ‘having a diagnosis’ (why: to feel less anxious or insecure). Of all patients, 51.9% felt the treating doctor did not know what mattered most to them. Conclusions The priorities for acutely admitted patients were ostensibly disease- and care-oriented and thus in line with the hospitals’ own priorities. However, answers to why these were important were diverse, more personal, and often related to psychological well-being and relations. A large group of patients felt their treating doctor did not know what mattered most to them. Explicitly asking patients what is important and why, could help healthcare professionals to get to know the person behind the patient, which is essential in delivering patient-centred care. Trial registration NTR (Netherlands Trial Register) NTR7538.

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Xylanolytic Bacillus species for xylooligosaccharides production: a critical review

Bioresources and Bioprocessing ◽

10.1186/s40643-021-00369-3 ◽

2021 ◽

Vol 8 (1) ◽

Author(s):

Rozina Rashid ◽

Muhammad Sohail

Keyword(s):

Large Scale ◽

Extracellular Enzymes ◽

Membrane Separation ◽

Well Being ◽

Bacillus Species ◽

Scale Production ◽

Food Ingredients ◽

Large Scale Production ◽

Wide Range ◽

Biological Impacts

AbstractThe capacity of different Bacillus species to produce large amounts of extracellular enzymes and ability to ferment various substrates at a wide range of pH and temperature has placed them among the most promising hosts for the industrial production of many improved and novel products. The global interest in prebiotics, for example, xylooligosaccharides (XOs) is ever increasing, rousing the quest for various forms with expanded productivity. This article provides an overview of xylanase producing bacilli, with more emphasis on their capacity to be used in the production of the XOs, followed by the purification strategies, characteristics and application of XOs from bacilli. The large-scale production of XOs is carried out from a number of xylan-rich lignocellulosic materials by chemical or enzymatic hydrolysis followed by purification through chromatography, vacuum evaporation, solvent extraction or membrane separation methods. Utilization of XOs in the production of functional products as food ingredients brings well-being to individuals by improving defense system and eliminating pathogens. In addition to the effects related to health, a variety of other biological impacts have also been discussed.

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