A Wheelchair Design for the Elderly with Small Strength

2014 ◽  
Vol 590 ◽  
pp. 566-570
Author(s):  
Deng Chuan Cai

WHO reports the world population is rapidly ageing. The number of people aged 60 years and over is expected to 2 billion. The muscle strength of the elderly was decreased the ability of movement was therefore limited. Designing a facility to facilitate assist elderly for transportation is important and required. This study aims to propose a leverage wheelchair for the elderly. A serial design procedure including concept design, mechanism design, ergonomic design, and appearance design were performed in the study to create the new product. Finally, a leverage wheelchair was then proposed with following features: (1) the appearance of the leverage wheelchair demonstrated a powerful and friendly image; (2) the power transfer mechanism is designed with a power transfer mechanism which enables user to move wheelchair with a small strength; (3) the cover of the power transfer mechanism is an protection and visual element for the wheelchair; (4) the handlebar was designed with a power-saving mechanism to facilitate the elderly to move the wheelchair. It is also designed to assist user to stand up easily, (5) the handlebar was design at a position where the user can operate easily and comfortably; (6) a control button was deigned to control wheelchair going forward or backward; (7) the push handle was designed for fitting the hand of the caregiver. The results of design works, the methods and procedure used in this study can be a reference for product design and development.

2014 ◽  
Vol 590 ◽  
pp. 571-575
Author(s):  
Deng Chuan Cai

According to the report of WHO, the world population is rapidly ageing. Coming to the year of 2050, the proportion of the older population over 60 years will be 22%. The number of people aged 60 years and over is expected to 2 billion. Standing up movement is an important activity for human, because most activities in daily life are performed with standing position. The elderly with difficulty in standing up movement will strongly affect their daily activities. This study aims to propose an apparatus to assist standing up from sitting. A series of design methods and procedure including concept design, mechanism design, ergonomic design, and appearance design were performed in the study. Finally, an apparatus design was proposed with following features: (1) the appearance of the assistive device designed with an image of appetence; (2) a power-saving mechanism was designed which enabled users to elevate themselves easily; (3) a slow elevating mechanism was designed which enabled users to stand up slowly; (4) the of handlebar was operated at a position at elbow height which enabled users to exert maximum push force; (5) when the device elevated, the users enable to push maximum force to standing up; and (6) when the user was seated or absent for a long period, the handlebar can be located at a noninterference place. The results of design and the methods and procedure used in this study can be a reference for the product design.


2014 ◽  
Vol 590 ◽  
pp. 581-585 ◽  
Author(s):  
Deng Chuan Cai ◽  
Jian Fu Chen ◽  
Yen Wei Chang

Nowadays, the instant beverage has been a necessary for daily life. The chain stores of instant beverages are popular in recent years. The sales volume per year of instant beverages reaches to US$ 133 million in Taiwan. The reason of the prosperity of the beverages in Taiwan is that the beverages are able to be made according to custom’s needs. So that the beverage can be fit to the custom’s favorite and habit. Therefore, for the considerations of safety, sanitary, and consistent quality, an instant beverage maker is needed to be developed. This study applied a systematical design procedure to develop and design the beverage maker. Firstly, marketing and technical survey, user needs and ergonomic analysis, and materials and methods of beverages investigation are conducted to determine the design requirements and specification of the product. Secondly, a series of design processes are proceed to develop the product, among them are concept design, mechanism design, ergonomic design, appearance design, 3D modeling and model making and testing. Finally, a new product is designed with the following features: (1) the instant beverage can be produced to match the favorite and habit of the customs; (2) the beverage can be produced with a high quality and stability, (3) the beverage maker with automatic processing functions thus saving manpower and manufacturing time; (4) this product with a friendly interface thus facilitating users to operate and clean it easily; and (5) the appearance is appealed and has high-tech and professional image. The newly designed product can be sold in Taiwan and the international markets. The design process and results of the study can be used a reference for product design and development.


Cardiology ◽  
2021 ◽  
pp. 1-5
Author(s):  
Aharon Erez ◽  
Gregory Golovchiner ◽  
Robert Klempfner ◽  
Ehud Kadmon ◽  
Gustavo Ruben Goldenberg ◽  
...  

<b><i>Introduction:</i></b> In patients with atrial fibrillation (AF) at risk for stroke, dabigatran 150 mg twice a day (DE150) is superior to warfarin for stroke prevention. However, there is paucity of data with respect to bleeding risk at this dose in elderly patients (≥75 years). We aimed to evaluate the safety of DE150 in comparison to warfarin in a real-world population with AF and low bleeding risk (HAS-BLED score ≤2). <b><i>Methods:</i></b> In this prospective observational study, 754 consecutive patients with AF and HAS-BLED score ≤2 were included. We compared outcome of elderly patients (age ≥75 tears) to younger patients (age &#x3c;75 years). The primary end point was the combined incidence of all-cause mortality, stroke, systemic emboli, and major bleeding event during a mean follow-up of 1 year. <b><i>Results:</i></b> There were 230 (30%) elderly patients, 151 patients were treated with warfarin, and 79 were treated with DE150. Fifty-two patients experienced the primary endpoint during the 1-year follow-up. Among the elderly, at 1-year of follow-up, the cumulative event rate of the combined endpoint in the DE150 and warfarin was 8.9 and 15.9% respectively (<i>p</i> = 0.14). After adjustment for age and gender, patients who were treated with DE150 had a nonsignificant difference in the risk for the combined end point as patients treated with warfarin both among the elderly and among the younger population (HR 0.58, 95% C.I = 0.25–1.39 and HR = 1.12, 95% C.I 0.62–2.00, respectively [<i>p</i> for age-group-by-treatment interaction = 0.83). <b><i>Conclusions:</i></b> Our results suggest that Dabigatran 150 mg twice a day can be safely used among elderly AF patients with low bleeding risk.


2016 ◽  
Vol 2016 ◽  
pp. 1-13 ◽  
Author(s):  
Fereshte Sheybani ◽  
HamidReza Naderi ◽  
Sareh Sajjadi

The elderly comprise less than 13 percent of world population. Nonetheless, they represent nearly half of all hospitalized adults. Acute change in mental status from baseline is commonly seen among the elderly even when the main process does not involve the central nervous system. The term “geriatric syndrome” is used to capture those clinical conditions in older people that do not fit into discrete disease categories, including delirium, falls, frailty, dizziness, syncope, and urinary incontinence. Despite the growing number of elderly population, especially those who require hospitalization and the high burden of common infections accompanied by encephalopathy among them, there are several unresolved questions regarding the optimal management they deserve. The questions posed in this systematic review concern the need to rule out CNS infection in all elderly patients presented with fever and altered mental status in the routine management of febrile encephalopathy. In doing so, we sought to identify all potentially relevant articles using searches of web-based databases with no language restriction. Finally, we reviewed 93 research articles that were relevant to each part of our study. No prospective study was found to address how should AFE in the aged be optimally managed.


2013 ◽  
pp. 109-112
Author(s):  
Giuseppe Rossetti ◽  
Diana Solari ◽  
Maria Laura Rainoldi ◽  
Stefano Carugo

BACKGROUND High blood pressure is one of the most important cardiovascular risk factor and its incidence is continuously increasing: on 2025 1/3 of adult world population will suffer of it. Moreover, the therapy of elderly hypertension sufferer patient is still growing up in importance for the continuous increase of world population average life. With ageing, the cardiovascular system suffers neurohormonal and haemodinamic modifications which determine the onset of isolate systolic hypertension, which is characteristic of the elderly. This pathology results linked to a higher cardiovascular risk. AIM OF THE STUDY This review aims to analyze and evaluate present and future therapeutic opportunities about anti-hypertensive therapy in elderly people. DISCUSSION AND CONCLUSIONS Also in elderly people systolic blood pressure values must be lower than 150 mmHg, but it’s also important to maintain diastolic pressure not under 70 mmHg, to avoid phenomenons of cerebral and coronary hypo-perfusion (J curve). The benefits of an effective anti-hypertensive therapy are achieved thanks to both blood pressure lowering “per se” and to the decrease of cardiovascular mortality and morbility. Blood pressure control in the elderly is a hard challenge for the low compliance to the therapy, for the importance of the comorbidity and for the supplementary risk factors. ESH-ESC 2007 guidelines recommend for elderly highblood pressure sufferer patient the use first of all of calcium-antagonists and thiazides diuretics, and for second line ACE-inhibitors, ARB and beta-blockers. In several patients combinations of two or more drugs are necessary to obtain pressure control.


Author(s):  
Raditya Wratsangka ◽  
Rully Ayu Nirmalasari Haryadi Putri

Anemia is a global health problem with an extremely high prevalence and occurring in nearly 25% of the world population, particularly in the elderly group. Currently Indonesia is facing a rapid growth of the elderly population, with around 21 million elderly (8.2% of the total population), that is projected to increase to 33.7 million (11.8%) in the year 2025. Anemia in the elderly is frequently neglected, although the facts show that low hemoglobin concentration is an important marker of physiological decline and functional limitations. Although the factor of intrinsic aging may cause low hemoglobin concentration, anemia in the elderly is known to have a wide range w88ith regard to etiology, underlying disorders, and  possible mechanisms, such that it should be clinically followed up. Whatever its causes or underlying pathophysiological, anemia in the elderly has been proven to play a role in their morbidity and mortality, and may decrease their quality of life, that comprises all aspects of physical, mental, and social health, known as health-related quality of life (HRQoL). The impact of anemia on HRQoL has been studied in various populations, and most studies report the presence of an association between HRQoL and anemia in elderly individuals, which on the subscale level is particularly associated with physical health. Early diagnosis of anemia is important to prevent aggravation of the condition, to retard the progress of the disease, and to improve the health-related quality of life (HRQoL) of the patient. Prior to determining the treatment plan, the primary diagnosis and the comorbidities, especially treatable disorders, had better be identified first. The available data show that the overall prognosis will improve for anemia in patients with well-managed and corrected chronic disorders.


2021 ◽  
Author(s):  
Sergey S Mikhailov ◽  
Kirill L. Kozlov ◽  
Andrey N Shishkevich ◽  
Evgeniy Yu. Bessonov ◽  
Nikolai G. Lukjanov ◽  
...  

Alzheimer's disease and vascular dementia are important causes of cognitive decline in the elderly and senile. This problem is becoming increasingly important in connection with the general aging of the world population and an increase in the number of patients with concomitant pathology, among which arterial hypertension plays an important role. There are a number of studies proving the link between arterial hypertension in middle age and dementia in the elderly. It is hoped that the normalization of blood pressure among middle-aged people will reduce the incidence of cognitive dysfunction. It is also known that maintaining blood pressure at acceptable levels in elderly and old people can improve brain function and reduce the prevalence of dementia, but it is not entirely clear which blood pressure numbers are optimal.


2021 ◽  
Vol 50 (1) ◽  
pp. 79-88
Author(s):  
Nataša Egeljić-Mihailović ◽  
Jelena Pavlović ◽  
Nina Brkić-Jovanović ◽  
Dragana Milutinović

Modern society in recent decades is facing a large increase in the share of people over 65 in the total population. The research shows that the trend of increasing the number of the elderly is such that it is estimated that the share of people aged 65 and over in the world population will increase significantly (by 56%), from 901 million (12.3%) in 2015 to 1.4 billion (16.5%) in 2030. Nursing homes for the accommodation and care of the elderly are safe places that provide the elderly with reduced physical and other abilities and a life worthy of a human being. A wide field of interest for the research is the perception and experience of home care users about what a quality life in this environment could represent. As part of the quality of life assessment, different domains are assessed, and a certain degree of subjective assessment is included in the choice of quality of life domains. Given the demographic changes that have led to an aging population, as well as longer life expectancy, new measures of social and health policy towards the elderly are increasingly aimed at raising the quality of life of the elderly, while scientific research is increasingly focused on identifying factors that affect the quality of life of the elderly.


2021 ◽  
Vol 15 (5) ◽  
pp. 1599-1603
Author(s):  
Hossein Fallah ◽  
Jalil Nazari ◽  
Alireza Choobineh ◽  
Mohammad Ali Morowatisharifabad ◽  
Mohamad Asghari Jafarabadi

The aging trend of the world population has increased the number of elderly people. Older people prefer to spend most of their time at home. The problem is that today's homes are often unsuitable for the elderly and the disabled. Thus, problems of the current design approaches, which are based on percentiles as well as the tendency to involve the elderly and disabled people in society, have put the concept of inclusive design into consideration. Application of new design approaches, such as inclusive design allows designers to design products and services to meet the needs of a larger group of users regardless of their age and ability. Given the rapid aging of the world population, more research is needed to design specific products and environments for elderly people. Keywords: Home design, Aging, Ergonomics, Adaptation


2018 ◽  
pp. 1424-1439
Author(s):  
Philip Vance ◽  
Girijesh Prasad ◽  
Jim Harkin ◽  
Kevin Curran

Determining the location of individuals within indoor locations can be useful in various scenarios including security, gaming and ambient assisted living for the elderly. Healthcare services globally are seeking to allow people to stay in their familiar home environments longer due to the multitude of benefits associated with living in non-clinical environments and technologies to determine an individual's movements are key to ensuring that home emergencies are detected through lack of movement can be responded to promptly. This paper proposes a device-free localisation (DFL) system which would enable the individual to proceed with normal daily activities without the concern of having to wear a traceable device. The principle behind this is that the human body absorbs/reflects the radio signal being transmitted from a transmitter to one or more receiving stations. The proposed system design procedure facilitates the use of a minimum number of wireless nodes with the help of a principle component analysis (PCA) based intelligent signal processing technique. Results demonstrate that human detection and tracking are possible to within 1m resolution with a minimal hardware infrastructure.


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