How Knowing Who, Where and When Can Change Health Care Delivery

Author(s):  
William D. Kearns ◽  
James L. Fozard ◽  
Rosemarie S. Lamm

Everything that happens to a person during their lifetime happens in the context of place, and the movements made by the person through and within that place. Persons begin life with a birthplace; they remember exactly where they were when they first laid eyes on their true love, the street address of their first home, etc. New research suggests that changes in movement patterns which occur in home and public spaces may be significant indicators of declining mental and physical health. In this chapter the authors discuss efforts to measure natural human movement, present a novel technique that uses a referential grid system to study the relationship of movement to health changes. The authors then present several syndromes whose understanding may be increased by a more thorough analysis of movement. They conclude with a discussion of how location aware technologies can play a role in identifying problems and solutions in the design of living spaces for the elderly.

2018 ◽  
Vol 212 ◽  
pp. 04005
Author(s):  
Andrey Bolshakov

Space is the main material with which the architect works. The space organized by the means of architecture is an art environment for the life of society. With many aspects of the organization of space, which are studied in the literature, the problem of their assembly and integration remains unsolved. The paper proposes a method of assembling spatial representations in architecture-the correlation of the spatial lattice and the factors of its form-formation, considered in the system, i.e. together. The approach is that in a broad overview of the world architecture, both in its theory and in practice, from historical to modern, examples of modification of spatial grids under the influence of one or a group of dominant factors are revealed. As a result, provisions on the relationship of the geometry of spatial grids with the following factors have been revealed: publicity and privacy; architectonics, the influence of the lattice on the differentiation of the streams of human movement; the architecture’s ability to carry a message; navigation properties, evaluation of connectivity and centrality of places in the spatial lattice; evaluation of the quality of the composition through the identification of ways of order and randomness in the elements of the spatial lattice. The results of the work can be used both for theoretical understanding of the architectural space in the study and design of architecture, and in architectural education.


2014 ◽  
Vol 9 (1-2) ◽  
pp. 102-140 ◽  
Author(s):  
Ritika Ganguly

This paper takes an ethnographic look at laboratory discourses and procedures in the scientific construction of contemporary ayurvedic research in India. It opens up for analysis an experiment in a ‘transdisciplinary’ research laboratory that seeks to understand the methodological and epistemic logic of ayurvedic pharmacology with the help of research methodologies specific to modern Science. In doing so, this paper unravels the various meanings that Science has for its different stakeholders. I examine—as participant, observer, and trainee—a ‘Sensory Analysis’ experiment conducted by scientists at a pharmacology and pharmacognosy laboratory for ayurvedic medicine in Bangalore. Postcolonial science studies have analysed the ways in which discourses of science lead to new knowledges and technologies as well as new ways of organising traditional medical knowledge. Yet the processes that reconcile traditional and modern methodologies of pharmacological and pharmacognostic research have received less attention. The experiment that I am discussing here revisits the ayurvedic doctrine of savours and qualities to standardise not only the parameters indicating the nature of a drug, but also standardise the human body itself as a tool to develop a specific ayurvedic methodology. I argue that in its association with the laboratory and the experimental method, the pursuit of ‘open-minded’dravyaguṇaresearch conceptualises new research in Ayurveda in terms of the right tools, simplifies complex knowledge, and reorganises the relationship of modern ayurvedic research with classical scientific thought.


2017 ◽  
Vol 20 ◽  
Author(s):  
Berta Ausín ◽  
Manuel Muñoz ◽  
Ana Belén Santos-Olmo ◽  
Eloísa Pérez-Santos ◽  
Miguel A. Castellanos

AbstractThe MentDis_ICF65+ Project is an epidemiological study of mental disorders in people 65 to 85 years old in several European cities, including Madrid. Its aim is to determine the lifetime, 12-month, and 1-month prevalence of the main mental disorders in the elderly. The relationship of age and sex with each mental disorder was examined. The sample was collected through random sampling of people over 65 in Madrid, and consisted of 555 persons between 65 and 85 years old. The CIDI65+ was administered. Estimates of prevalence and odds ratios (OR) were made using sample frequencies and according to sex and age. Excluding nicotine dependence, 40.12% of the sample was found to have suffered a mental disorder at some time in their lives, 29.89% in the past year, and 17.70% were currently suffering from a mental disorder. The disorders with the highest prevalence rates were anxiety disorders, alcohol-related disorders, and mood disorders. Elderly women had a higher risk of suffering an anxiety disorder (OR men/women 0.42; CI 0.25–0.68) with a significance level of p < .001, while elderly men were more affected by any substance-related disorder (OR men/women 3.96; CI 1.62–11.07) with a significance level of p < .001. Each disorder’s prevalence decreased with age (OR 65–74/75–85, 1.85; CI 1.25–2.75) with a significance level of p < .01. Results show higher prevalence rates than previous studies reported. The main implications of this study, and the need to adapt mental health services for people over 65, are highlighted.


2005 ◽  
Vol 46 (5) ◽  
pp. 643 ◽  
Author(s):  
Bon Nyeo Koo ◽  
Sun Jun Bai ◽  
Yang-Sik Shin ◽  
Woo Chang Lee

1981 ◽  
Vol 2 (2) ◽  
pp. 157-173 ◽  
Author(s):  
Eunice Boyer

In a sample of 414 residents of public housing for the elderly, health perception is significantly lower among Black residents than among Whites. The relationship of health perception to several measures of objective health status, to cultural background, to social participation, and to morale is analyzed separately for the two ethnic groups. The relationship of measures of health to health perception is more direct among Whites than among Blacks, except for an Index of Daily Well-Being, in which the relationship is similar for both groups. Social participation also influences health perception. With Blacks, participation in church-related activities is the most direct influence. While health perception is related to morale, life orientation (an index of morale) is higher for Blacks than for Whites. The implications for health education professionals seem to lie in the lack of direct links between objective measures of health and self-perception of health for Blacks. The need for health education, so that there may be a realistic appraisal of one's own health condition, is shown here. The relatively low educational level of many older citizens, especially elderly Blacks, suggests that newspaper releases are not an adequate tool for health education for the elderly.


2009 ◽  
Vol 137 (12) ◽  
pp. 1684-1686 ◽  
Author(s):  
C. TERROSI ◽  
G. Di GENOVA ◽  
B. MARTORELLI ◽  
M. VALENTINI ◽  
M. G. CUSI

SUMMARYRespiratory syncytial virus (RSV) has been demonstrated to cause substantial disease in elderly and immunocompromised subjects. The relationship of serum antibody to RSV infection and the risk of infection in elderly subjects is controversial, thus we evaluated the presence of neutralizing antibodies to RSV in healthy people of different age groups and the correlation with viral protection. Baseline blood samples from 197 subjects aged 20–80 years were analysed for the presence of anti-RSV antibodies either by indirect immunofluorescence and microneutralization test. The percentage of people who had neutralizing antibodies to RSV was significantly higher (P=0·001) in the youngest group (92·51%) compared to the frail group (36·21%). The RSV antibody level tends to wane in some older people; this factor could determine proneness to RSV re-infections in the elderly who are at a greater risk of developing severe respiratory disease.


Author(s):  
Muhammad Hassan Arshad ◽  
Maha Mohammad Yusr Othman ◽  
Maruf Gbadebo Salimon

The small and medium-sized enterprises (SMEs) plays a crucial part in country’s economic growth and a key contributor in country’s GDP. In Pakistan SMEs hold about 90 percent of the total business. The performance of SMEs depends upon many factors. The main purpose of this research is to examine the relationship between Entrepreneurial Orientation and Market Orientation with SME’s Performance in Pakistan Conclusively, this study proposes a new research direction and proposition development to inspect the relationship among the variables in Pakistan’s SMEs context.


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