Technologies for Wellbeing and Healthy Living

2014 ◽  
Vol 5 (1) ◽  
pp. 30-40
Author(s):  
Jochen Meyer

It is a strange paradox that the public is talking about health technology but cares more about disease technology: people address chronic diseases, people want to change unhealthy behaviors, people aim to help carers and nurses - but people hardly ever look at those who are and want to remain healthy. This is even stranger, as times of health outnumber periods of disease in most persons` lifetimes. Somewhat surprisingly, technology available today is not yet optimally suited to help staying healthy. The authors discuss challenges with respect to the adaption of health behavior models, long-term interaction, quality of data, design of devices, primary use of data, and life-long data. And the authors suggest understanding technical systems for wellbeing as navigational systems, guiding a person through life on a healthy path.

2020 ◽  
Author(s):  
Juqing Zhao ◽  
Pei Chen ◽  
Guangming Wan

BACKGROUND There has been an increase number of eHealth and mHealth interventions aimed to support symptoms among cancer survivors. However, patient engagement has not been guaranteed and standardized in these interventions. OBJECTIVE The objective of this review was to address how patient engagement has been defined and measured in eHealth and mHealth interventions designed to improve symptoms and quality of life for cancer patients. METHODS Searches were performed in MEDLINE, PsychINFO, Web of Science, and Google Scholar to identify eHealth and mHealth interventions designed specifically to improve symptom management for cancer patients. Definition and measurement of engagement and engagement related outcomes of each intervention were synthesized. This integrated review was conducted using Critical Interpretive Synthesis to ensure the quality of data synthesis. RESULTS A total of 792 intervention studies were identified through the searches; 10 research papers met the inclusion criteria. Most of them (6/10) were randomized trial, 2 were one group trail, 1 was qualitative design, and 1 paper used mixed method. Majority of identified papers defined patient engagement as the usage of an eHealth and mHealth intervention by using different variables (e.g., usage time, log in times, participation rate). Engagement has also been described as subjective experience about the interaction with the intervention. The measurement of engagement is in accordance with the definition of engagement and can be categorized as objective and subjective measures. Among identified papers, 5 used system usage data, 2 used self-reported questionnaire, 1 used sensor data and 3 used qualitative method. Almost all studies reported engagement at a moment to moment level, but there is a lack of measurement of engagement for the long term. CONCLUSIONS There have been calls to develop standard definition and measurement of patient engagement in eHealth and mHealth interventions. Besides, it is important to provide cancer patients with more tailored and engaging eHealth and mHealth interventions for long term engagement.


2007 ◽  
Vol 12 (1) ◽  
pp. 37-62 ◽  
Author(s):  
Paul Lambert ◽  
Kenneth Prandy ◽  
Wendy Bottero

This paper discusses long term trends in patterns of intergenerational social mobility in Britain. We argue that there is convincing empirical evidence of a small but steady linear trend towards increasing social mobility throughout the period 1800-2004. Our conclusions are based upon the construction and analysis of an extended micro-social dataset, which combines records from an historical genealogical study, with responses from 31 sample surveys conducted over the period 1963-2004. There has been much previous study of trends in social mobility, and little consensus on their nature. We argue that this dissension partly results from the very slow pace of change in mobility rates, which makes the time-frame of any comparison crucial, and raises important methodological questions about how long-term change in mobility is best measured. We highlight three methodological difficulties which arise when trying to draw conclusions over mobility trends - concerning the extent of controls for life course effects; the quality of data resources; and the measurement of stratification positions. After constructing a longitudinal dataset which attempts to confront these difficulties, our analyses provide robust evidence which challenges hitherto more popular, politicised claims of declining or unchanging mobility. By contrast, our findings suggest that Britain has moved, and continues to move, steadily towards increasing equality in the relationship between occupational attainment and parental background.


Author(s):  
J. García Hernanz ◽  
G. Morales-Alonso ◽  
G. Fernández Sánchez ◽  
E. Pilkington González ◽  
T. Sánchez Chaparro

Madrid Public Transport Company (EMT-Madrid) is a property of the Madrid City Council, and it provides the public buses service in the whole city. Madrid, as most of the big cities in the world, is facing problems related to high levels of urban pollution, which directly affects the health and life quality of their inhabitants. EMT, having a fleet of around 2000 buses, has an impact in the mentioned problem and in the global warming. With the Strategic Plan 2017-2020, many new buses will be acquired, resulting in a fleet of natural gas, hybrid and electric vehicles by the end of 2020. The present study has the goal of being the cornerstone of a future strategic plan of the company. To this end, both external and internal analyses of the company have been conducted, which support that the electrification of the whole fleet is the best option in the long term. Furthermore, a Benchmarking of the state of the public transport in other 25 cities and the technology used in them has been conducted. Last, a model that allows replicability of this strategic assessment is proposed, in order to help other Transport Companies and City Councils to decide which transport fleet is the best to implement in their cities depending on their necessities and resources.


Author(s):  
Ronald Collins ◽  
Wouter Gulden ◽  
Dan R. Brown

The traveling public generally recognizes the smoothness of a pavement as a major indicator of quality. A newly constructed pavement can have excellent materials, mix design, compaction, and so forth, but if the public considers the ride rough, the quality is considered poor. While continually striving to improve the quality of paving materials in mix designs, the Georgia Department of Transportation (GDOT) began an effort in 1968 to attain the ability to accurately measure the smoothness of a pavement so that this indicator of quality could be measured and specified during construction. GDOT has been using response-type smoothness-measurement systems in its construction specifications for acceptance of projects since 1972 and since 1979 for both rejection and acceptance. The evolution of the pavement smoothness-measuring program in Georgia, the program operating procedures, and the current smoothness specifications are described. The long-term benefits of smoothness specification for pavement construction are also discussed, as is GDOT's effort to replace the Mays Meter trailer systems currently used with South Dakota–type, laser-based road profilers.


SAGE Open ◽  
2016 ◽  
Vol 6 (4) ◽  
pp. 215824401667177 ◽  
Author(s):  
Jennifer Edgar ◽  
Joe Murphy ◽  
Michael Keating

Cognitive interviewing is a common method used to evaluate survey questions. This study compares traditional cognitive interviewing methods with crowdsourcing, or “tapping into the collective intelligence of the public to complete a task.” Crowdsourcing may provide researchers with access to a diverse pool of potential participants in a very timely and cost-efficient way. Exploratory work found that crowdsourcing participants, with self-administered data collection, may be a viable alternative, or addition, to traditional pretesting methods. Using three crowdsourcing designs (TryMyUI, Amazon Mechanical Turk, and Facebook), we compared the participant characteristics, costs, and quantity and quality of data with traditional laboratory-based cognitive interviews. Results suggest that crowdsourcing and self-administered protocols may be a viable way to collect survey pretesting information, as participants were able to complete the tasks and provide useful information; however, complex tasks may require the skills of an interviewer to administer unscripted probes.


2012 ◽  
Vol 1 (1) ◽  
pp. 46-50
Author(s):  
Xiao-xia Huang ◽  
Lei Yan ◽  
Shi-wen Wang

Abstract Objective To evaluate the effectiveness of Hemorrhagic Fever with Renal Syndrome (HFRS) bivalent vaccine in field. Methods The articles on effectiveness of HFRS bivalent vaccine were retrieved from Vip Database, China Journal Full-text Database, Wanfang database, China Hospital Knowledge Database, Chinese Biomedical Literature Database, MEDLINE and ProQuest. Two persons extracted data and evaluated the quality of data together for meta-analysis. Results Seven articles were included into the analysis, and two articles were random clinical trials, five were quasi-trials. Meta-analysis showed that the overall effectiveness of HFRS bivalent vaccine was 85% (95% confidence interval: 53%-95%) within one year after vaccination, and the effectiveness in two-dose recipients and three-dose recipients was 87% (95% confidence interval: 54%-96%) and 60%, respectively; it was 96% (95% confidence interval: 78%-99%) within 2-5 years after vaccination, and the effectiveness in two-dose recipients and three-dose recipients was 95% (95% confidence interval: 19%-100%) and 96% (95% confidence interval: 70%-99%), respectively; it was 100% (only one article included) within 6-9.6 years after vaccination. The effectiveness in two-dose recipients was 88% (95% confidence interval: 62%-96%) during 1-2.5 years after vaccination, and that in three-dose recipients was 94% (95% confidence interval: 70%-99%) during 1-5 years after vaccination. Conclusions HFRS bivalent vaccine is effective in field, and there is no difference between two-dose recipients and three-dose recipients. We should do some further studies on the long-term effectiveness of HFRS bivalent vaccine and on the age of vaccine reception.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Linhong Chen ◽  
Lu Zhang ◽  
Xiaocang Xu

Abstract Background The growing demand for LTC (Long-term care) services for disabled elderly has become a daunting task for countries worldwide, especially China, where population aging is particularly severe. According to CSY (China Statistical Yearbook,2019), the elderly aged 65 or above has reached 167 million in 2018, and the number of disabled elderly is as high as 54%. Germany and other countries have alleviated the crisis by promoting the public LTCI (Long-Term Care Insurance) system since the 1990s, while China’s public LTCI system formal pilot only started in 2016. Therefore, the development of the public LTCI system has gradually become a hot topic for scholars in various countries, including China. Methods This review has been systematically sorted the existing related literature to discuss the development of public LTCI (Long-Term Care Insurance)system form four aspects, namely, the comparison of public LTCI systems in different countries, the influence of public LTCI, challenge of public LTCI, and the relationship between public LTCI and private LTCI. We searched some databases including Web of Science Core Collection, Medline, SCOPUS, EBSCO, EMBASE, ProQuest and PubMed from January 2008 to September 2020. The quality of 38 quantitative and 21 qualitative articles was evaluated using the CASP(Critical Appraisal Skills Programme) critical evaluation checklist. Results The review systematically examines the development of public LTCI system from four aspects, namely, the comparison of public LTCI systems in different countries, the influence of public LTCI, the challenge of public LTCI, and the relationship between public LTCI and private LTCI. For example, LTCI has a positive effect on the health and life quality of the disabled elderly. However, the role of LTCI in alleviating the financial burden on families with the disabled elderly may be limited. Conclusion Some policy implications on the future development of China’s LTCI system can be obtained. For example, the government should fully consider the constraints such as price rise, the elderly disability rate, and the substantial economic burden. It also can strengthen the effective combination of public LTCI and private LTCI. It does not only help to expand the space for its theoretical research but also to learn the experiences in the practice of the LTCI system in various countries around the world. It will significantly help the smooth development and further promote the in-depth reform of the LTCI system in China.


2018 ◽  
Vol 21 ◽  
pp. S79
Author(s):  
P. Cubi-Molla ◽  
D.J. Mott ◽  
K. Shah ◽  
M. Herdman ◽  
Y. Summers ◽  
...  

Author(s):  
Bruno D'Onghia

- The success of the French nuclear program can suggest valuable lessons to Italy if she wants to come back to this technology: - nuclear is a choice of long-term that requires stable and long lasting strategies and does not tolerate "stop-and-go" and change of mind according to the pace of change of political majorities and governments; - in order to be competitive, a number of standardized reactors not too distant in time has to be realized; - the "country system" must be able to manage a complex industrial program, not in autarky, but in the framework of the single European market; - the public acceptance attitude should be developed and consolidated over time through the quality of industrial initiatives and demonstration of knowing how to achieve to announced targets; - the legal framework for the authorization process and the organization of the security authority should be guided by the international "best practices". The adoption of European standards and a European "design certification" should also be promoted.Key words: Nuclear energy, Edf strategies, nuclear waste.JEL classifications: G11, L20, L94


Author(s):  
Robert Pool

The past couple of decades have been a confusing, frustrating period for engineers. With their creations making the world an ever richer, healthier, more comfortable place, it should have been a time of triumph and congratulation for them. Instead, it has been an era of discontent. Even as people have come to rely on technology more and more, they have liked it less. They distrust the machines that are supposedly their servants. Sometimes they fear them. And they worry about the sort of world they are leaving to their children. Engineers, too, have begun to wonder if something is wrong. It is not simply that the public doesn’t love them. They can live with that. But some of the long-term costs of technology have been higher than anyone expected: air and water pollution, hazardous wastes, the threat to the Earth’s ozone layer, the possibility of global warming. And the drumbeat of sudden technological disaster over the past twenty years is enough to give anyone pause: Three Mile Island, Bhopal, the Challenger, Chernobyl, the Exxon Valdez, the downing of a commercial airliner by a missile from the U.S.S. Vincennes. Is it time to rethink our approach to technology? Some engineers believe that it is. In one specialty after another, a few prophets have emerged who argue for doing things in a fundamentally new way. And surprisingly, although these visionaries have focused on problems and concerns unique to their own particular areas of engineering, a single underlying theme appears in their messages again and again: Engineers should pay more attention to the larger world in which their devices will function, and they should consciously take that world into account in their designs. Although this may sound like a simple, even a self-evident, bit of advice, it is actually quite a revolutionary one for engineering. Traditionally, engineers have aimed at perfecting their machines as machines. This can be seen in the traditional measures of machines: how fast they are, how much they can produce, the quality of their output, how easy they are to use, how much they cost, how long they last.


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