New Telerehabilitation Services for the Elderly

2013 ◽  
pp. 109-132 ◽  
Author(s):  
António Teixeira ◽  
Carlos Pereira ◽  
Miguel Oliveira e Silva ◽  
Joaquim Alvarelhão ◽  
Anabela G. Silva ◽  
...  
Keyword(s):  
Older People ◽  
User Interfaces ◽  
Multimodal Interaction ◽  
The Elderly ◽  
Ease Of Use ◽  
Preliminary Evaluation ◽  
Age Group ◽  
Additional Information ◽  
Age Related ◽  
First Results

The world’s population is getting older with the percentage of people over 60 increasing more rapidly than any other age group. Telerehabilitation may help minimise the pressure this puts on the traditional healthcare system, but recent studies showed ease of use, usability, and accessibility as unsolved problems, especially for older people who may have little experience or confidence in using technology. Current migration towards multimodal interaction has benefits for seniors, allowing hearing and vision problems to be addressed by exploring redundancy and complementarity of modalities. This chapter presents and contextualizes work in progress in a new telerehabilitation service targeting the combined needs of the elderly to have professionally monitored exercises without leaving their homes with their need regarding interaction, directly related to age-related effects on, for example, vision, hearing, and cognitive capabilities. After a brief general overview of the service, additional information on its two supporting applications are presented, including information on user interfaces. First results from a preliminary evaluation are also included.

scholarly journals Age-Related Changes in the 25-Hydroxyvitamin D Versus Parathyroid Hormone Relationship Suggest a Different Reason Why Older Adults Require More Vitamin D

2003 ◽  
Vol 88 (1) ◽  
pp. 185-191 ◽  
Author(s):  
Reinhold Vieth ◽  
Yasmin Ladak ◽  
Paul G. Walfish
Keyword(s):  
Older Adults ◽  
Vitamin D ◽  
Secondary Hyperparathyroidism ◽  
Age Groups ◽  
The Elderly ◽  
Age Group ◽  
Hydroxyvitamin D ◽  
Age Related ◽  
25 Hydroxyvitamin D ◽  
The Relationship

Vitamin D requirements are thought to vary with age, but there is little comparative evidence for this. One goal in establishing a vitamin D requirement is to avoid secondary hyperparathyroidism. We studied 1741 euthyroid, thyroid clinic outpatients without evidence of calcium abnormalities, ranging in age from 19 to 97 yr, whose serum and urine had been analyzed for calcium, vitamin D, and parathyroid status. We found no effect of age on the 25-hydroxyvitamin D [25(OH)D] concentration associated with specific vitamin D intakes, and there was no relationship between 25(OH)D and 1,25hydroxyvitamin D [1,25(OH)2D]. In every age group, serum 1,25(OH)2D declined with increasing creatinine (P < 0.001). What changed with age included creatinine, which correlated with 25(OH)D (r = 0.146, P < 0.001) only in the youngest age group (19–50 yr) but not in the older age groups (P > 0.1). Creatinine did not correlate with PTH in the youngest age group, but the relationship became significant as age increased (e.g. for the elderly, r = 0.365, P < 0.001). Linear regression of log PTH vs. log 25(OH)D agreed with the natural shape of the relationship observed with scatterplot smoothing, and this showed no plateau in PTH as 25(OH)D increased. We compared PTH concentrations among age groups, based on 20 nmol/liter increments in 25(OH)D. Mean PTH in adults older than 70 yr was consistently higher than in adults younger than 50 yr (P < 0.05 by ANOVA and Dunnett’s t test). PTH levels of the elderly who had 25(OH)D concentrations greater than 100 nmol/liter matched PTH of younger adults having 25(OH)D concentrations near 70 nmol/liter. This study shows that all age groups exhibit a high prevalence of 25(OH)D insufficiency and secondary hyperparathyroidism. Older adults are just as efficient in maintaining 25(OH)D, but they need more vitamin D to produce the higher 25(OH)D concentrations required to overcome the hyperparathyroidism associated with their diminishing renal function.

The aging eye

2006 ◽  
Vol 16 (2) ◽  
pp. 125-139 ◽  
Author(s):  
John J Ah-Chan ◽  
Susan Downes
Keyword(s):  
Older People ◽  
Visual Impairment ◽  
Physical Disability ◽  
Elderly Population ◽  
Systemic Disease ◽  
The Elderly ◽  
Vision Impairment ◽  
Age Related Macular Degeneration ◽  
Visual Rehabilitation ◽  
Age Related

Age has been identified as the single most impor-tant demographic predictor of blindness and visual impairment. Visual impairment is the second most prevalent physical disability in the elderly population. The prevalence of blindness and visual impairment after 60 years of age increases significantly. Furthermore, the number of older people with functional vision impairment is expected to double in the next decade. Visual impairment in the elderly population is commonly due either to localized ocular pathology (cataracts, glaucoma and age-related macular degeneration) or systemic disease with associated ocular or visual pathway involvement (hypertension, diabetes and cerebrovascular disease). Physicians involved in the care of older people play a crucial role in the recognition, prevention and management of morbidity related to visual impairment in this population. Timely screening, referral, intervention and visual rehabilitation is thought to be capable of reducing new blindness and visual impairment by at least one-third.

scholarly journals Public Policies, Gaps and Digital Literacy of the Elderly People

2020 ◽  
Vol 12 (1) ◽  
pp. 137-158
Author(s):  
Carolina Riveros ◽  
Ángela Arenas ◽  
Marcela Castro ◽  
Maximiliano Olivares
Keyword(s):  
Older People ◽  
Digital Divide ◽  
Elderly People ◽  
Digital Literacy ◽  
Public Policies ◽  
The Elderly ◽  
Age Group ◽  
Current Development ◽  
Educational Levels ◽  
Access Policies

Purpose ”“ In the current development of Chilean society there is a profound socio-demographic transformation, which implies an advanced aging of the population. Methodology ”“ According to the 2017 Census, 17.7 percent - equivalent to 1,586,634 women - are 60 years of age or older, while men in the same age group account for 14.7 percent (1,263,537). This age group constitutes an enormous challenge for the design of public policies. Findings ”“ It is necessary to generate access policies that take into account the different educational levels of older people in order to overcome the digital divide, as well as incentives for skills and competencies in the various uses and benefits currently provided by ICTs.

THE PROBLEMS OF OLDER PEOPLE AND DIRECTIONS OF MEDICAL, SOCIAL AND PSYCHOLOGICAL SUPPORT DURING THE COVID-19 PANDEMIC

2021 ◽  
pp. 679-693
Author(s):  
Т.В. Решетова ◽  
Е.С. Лаптева ◽  
В.В. Лукашкова ◽  
А.В. Решетов
Keyword(s):  
Older People ◽  
Psychosocial Support ◽  
Negative Impact ◽  
The Elderly ◽  
Psychological Support ◽  
Age Group ◽  
Psychosomatic Disorders ◽  
Support Organization ◽  
Psychopathological Disorders ◽  
Support Methods

В обзорной статье рассмотрены медицинские, психологические и социальные проблемы людей пожилого возраста в связи с пандемией. Продемонстрировано негативное влияние хронического стресса на формирование психопатологических расстройств (тревога, астения, паника, когнитивная дисфункция). На основании результатов собственного клинического опыта лечения и психологической коррекции этих психопатологических расстройств у людей старшего поколения, переживавших пандемию, а также по итогам аналогичных результатов других исследователей в разных странах, проведён анализ методов психологической поддержки при различных психопатологических расстройствах у пожилых людей. На основании результатов собственных исследований в период пандемии выявлено увеличение частоты астении и психосоматических расстройств у пациентов. Представлены алгоритмы дифференциальной диагностики и лечения астении в рамках постковидного синдрома. Описаны особенности опыта самоизоляции для пожилых людей в разных странах, проанализированы причины психической дезадаптации, формирования аддикций. Продемонстрированы алгоритм и итоги психологической поддержки, оказанной людям старшего поколения в формате работы организации социально-психологической помощи. The review article examines the medical, psychological and social problems that older people face due to the pandemic. The article contains the analysis of the mortality rate in the older age group in different countries. It also demonstrates the negative impact of the pandemic stress on the formation of psychopathological disorders (anxiety, asthenia, panic, cognitive dysfunction). The authors carried out an analysis of psychological support methods for various psychopathological disorders among the elderly, based on both the results of their own clinical experience in the treatment and psychological correction of the disorders of older people experiencing the pandemic, and similar results of other researches in other countries. The results of the presented research during the pandemic suggest that the frequency of asthenia and psychosomatic disorders in patients was increased. The paper presents algorithms for the differential diagnosis and treatment of asthenia as part of the post-covid syndrome. The article contains an objective scientific and practical assessment of the experience of self-isolation for the elderly, as well as the analysis of the reasons for mental maladjustment and the formation of addictions. The algorithm and the results of psychological support, provided to older people by a psychosocial support organization, are demonstrated.

Pemeriksaan Mukoskeletal pada Lansia di Desa Widodomartani, Ngemplak, Sleman, D.I Yogyakarta

2020 ◽  
Vol 3 (1) ◽  
pp. 10
Author(s):  
Naomi Nisari Rosdewi ◽  
Theresia Puspitawati ◽  
Herta Meisatama
Keyword(s):  
Life Expectancy ◽  
Older People ◽  
Elderly People ◽  
Old Age ◽  
The Elderly ◽  
Age Group

Increased Life Expectancy has an impact on increasing the number of elderly people. Older people are part of a society that cannot be solved in our lives. Widodomartani Village, Ngemplak Subdistrict, Sleman DIY is one of the villages that has a high number of elderly people. Some of them still remain productive in their old age. This needs to be maintained and improved, considering that the elderly are the age group that is susceptible to disease. Promotive and preventive efforts are very important to do to improve the health of the elderly and to increase family expectations.Keywords: mucoskeletal, elderly, examination

scholarly journals Contradictions and tensions in the employment of older persons in modern Russia

2021 ◽  
pp. 107-119
Author(s):  
Irina L. Sizova ◽  
Natalia S. Orlova
Keyword(s):  
Older People ◽  
Labour Market ◽  
Older Workers ◽  
The Elderly ◽  
Federal State ◽  
Russian Society ◽  
Theoretical Concepts ◽  
Age Related ◽  
Labour Potential ◽  
Systematic Professional Development

The article identifies the main contradictions and tensions in the work and employment of older people in the modern Russian economy. On the basis of current theoretical concepts and discussions, the definition of older workers is given and the key problems in their employment are identified on the basis of Federal State Statistic Servece and research results. The main contradictions are primarily related to doubts about the possibility of fully using the labour potential of older people in the modern economy and the recognition of the need for this. In addition, Russian society still continues to be dominated by stereotypes regarding older generations of workers and, in particular, the elderly. In the labour market, they are clearly manifested in the difficulties of employment after the age of 45 and in their segregation into the sector of low-paid and unattractive work. As the age increases, the position of a person in the labour market deteriorates, and the retirement age for many people who are still actually healthy and fully able-bodied becomes a marker of liberation from the compulsions and discrimination of the Russian labour and employment system. For the majority of people who retire, the main factor that keeps them at work is only income, which, in combination with a pension, allows them to lead a normal lifestyle. In this context, education focused on the needs of age-related workers is of particular importance. The situation is such that, on the one hand, it is necessary to implement programs of retraining and systematic professional development of employees at older ages, and, on the other hand, this goal is useless due to the lack of motivation on the part of the employees themselves.

scholarly journals Age separation dramatically reduces COVID-19 mortality rate in a computational model of a large population

2020 ◽  
Author(s):  
Liron Mizrahi ◽  
Shani Stern
Keyword(s):  
Elderly Population ◽  
Large Population ◽  
Age Groups ◽  
The Elderly ◽  
Mortality Rates ◽  
Social Connections ◽  
Age Group ◽  
Efficient Treatment ◽  
Age Related ◽  
Total Death

AbstractCOVID-19 pandemic has caused a global lock down in many countries throughout the world. Faced with a new reality, and until a vaccine or efficient treatment is found, humanity must figure out ways to keep economy going on one hand, yet keep the population safe on the other hand, especially those that are susceptible to this virus. Here we use a network simulation, with parameters that were drawn from what is known about the virus, to explore 5 different scenarios of partial lock down release. We find that separating age groups by reducing interactions between age groups, protects the general population and reduces mortality rates. Furthermore, addition of new connections within the same age group to compensate for the lost connections outside the age group, still has a strong beneficial influence and reduces the total death toll by 66%. While complete isolation from society may be the most protective scenario for the elderly population, it would have an emotional and possibly cognitive impact that might outweigh its benefit. We therefore propose creating age-related social recommendations or even restrictions, thereby allowing social connections but still strong protection for the older population.

LIFE PLANNING AT OLDER AGE AND ITS INFLUENCE ON SELF-LIMITING ATTITUDES AND PRACTICES OF THE OLDER GENERATION

2020 ◽  
Vol 15 (5) ◽  
pp. 15-34
Author(s):  
L.V. KOLPINA ◽  
◽  
I.V. BOYARINOVA ◽  
Keyword(s):  
Older People ◽  
The Elderly ◽  
Older Age ◽  
The Self ◽  
Life Stages ◽  
Age Group ◽  
Attitudes And Practices ◽  
Life Planning ◽  
Retrospective View ◽  
Planning Factor

The purpose of the research is to study the influence of the life planning factor of representatives of the older age group on their self-limiting attitudes and practices. The article examines the influence of the planning factor on the self-limiting attitudes and practices of the older generation. The planning factor is presented in two options: planning of life at old age, carried out during the previous life stages (retrospective view), as well as actual planning by older people of their future for different periods. As a result of a study carried out on the basis of a questionnaire survey of the population aged 60 years and over (2019), it was found that the first type of planning has a very contradictory impact on the attitudes and practices of older people, while the second is definitely positive. It is also substantiated that life planning determines, first of all, a lower degree of interiorization of negative gerontostereotypes (thereby providing internal conditions for the implementation of a wider range of practices). However, if the limitations in the life practices of older people are determined from the outside (negative gerontostereotypes and attitudes of people reference for the elderly), then there is no statistically significant relationship between the values of (non) implementation of these practices and the planning factor.

scholarly journals A Usability Evaluation Experiment of 3D User Interfaces for Elderly

2019 ◽  
Vol 11 (3) ◽  
pp. 28-38
Author(s):  
Manoela Rogofski Brum Postal ◽  
Rafael Rieder
Keyword(s):  
User Interfaces ◽  
Well Being ◽  
The Elderly ◽  
Usability Evaluation ◽  
Ease Of Use ◽  
Support Tools ◽  
Cognitive Activities ◽  
Points Of View ◽  
3D User Interface ◽  
3D User Interfaces

Health professionals have used 3D user interfaces as support tools for the elderly rehabilitation, offering fun and beneficial resources for the practice of physical and cognitive activities to them. In this context, it is necessary to establish mechanisms to evaluate the usability of these interfaces, in order to achieve a balance between functionality, ease of use and sense of well-being. The aim of this study is to report a usability evaluation experiment of a virtual reality game developed specifically to elderly people, as a means to identify the needs of this public regarding 3D user interface evaluation. An initial methodology was tested exploring two points of view in the game, and its results showed that it was adequate for seniors. However, it was noted the need to include training periods and an evaluation with a heterogeneous group of seniors to consolidate and optimize the proposed approach, as well as readjust the instruments used.

scholarly journals Shelter from the cytokine storm: pitfalls and prospects in the development of SARS-CoV-2 vaccines for an elderly population

2020 ◽  
Vol 42 (5) ◽  
pp. 619-634 ◽  
Author(s):  
Annalisa Ciabattini ◽  
Paolo Garagnani ◽  
Francesco Santoro ◽  
Rino Rappuoli ◽  
Claudio Franceschi ◽  
...  
Keyword(s):  
Older People ◽  
Elderly Population ◽  
Vaccine Development ◽  
The Elderly ◽  
Cytokine Storm ◽  
Pharmacological Treatments ◽  
Vaccine Response ◽  
Vaccine Responses ◽  
Correlates Of Protection ◽  
Age Related

AbstractThe SARS-CoV-2 pandemic urgently calls for the development of effective preventive tools. COVID-19 hits greatly the elder and more fragile fraction of the population boosting the evergreen issue of the vaccination of older people. The development of a vaccine against SARS-CoV-2 tailored for the elderly population faces the challenge of the poor immune responsiveness of the older population due to immunosenescence, comorbidities, and pharmacological treatments. Moreover, it is likely that the inflammaging phenotype associated with age could both influence vaccination efficacy and exacerbate the risk of COVID-19-related “cytokine storm syndrome” with an overlap between the factors which impact vaccination effectiveness and those that boost virulence and worsen the prognosis of SARS-CoV-2 infection. The complex and still unclear immunopathological mechanisms of SARS-CoV-2 infection, together with the progressive age-related decline of immune responses, and the lack of clear correlates of protection, make the design of vaccination strategies for older people extremely challenging. In the ongoing effort in vaccine development, different SARS-CoV-2 vaccine candidates have been developed, tested in pre-clinical and clinical studies and are undergoing clinical testing, but only a small fraction of these are currently being tested in the older fraction of the population. Recent advances in systems biology integrating clinical, immunologic, and omics data can help to identify stable and robust markers of vaccine response and move towards a better understanding of SARS-CoV-2 vaccine responses in the elderly.

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