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2022 ◽  
Vol 12 ◽  
Author(s):  
Contrada Marianna ◽  
Arcuri Francesco ◽  
Tonin Paolo ◽  
Pignolo Loris ◽  
Mazza Tiziana ◽  
...  

Introduction: Telerehabilitation (TR) is defined as a model of home service for motor and cognitive rehabilitation, ensuring continuity of care over time. TR can replace the traditional face-to-face approach as an alternative method of delivering conventional rehabilitation and applies to situations where the patient is unable to reach rehabilitation facilities or for low-income countries where outcomes are particularly poor. For this reason, in this study, we sought to demonstrate the feasibility and utility of a well-known TR intervention on post-stroke patients living in one of the poorest indebted regions of Italy, where the delivery of rehabilitation services is inconsistent and not uniform.Materials and Methods: Nineteen patients (13 male/6 female; mean age: 61.1 ± 8.3 years) with a diagnosis of first-ever ischemic (n = 14) or hemorrhagic stroke (n = 5), who had been admitted to the intensive rehabilitation unit (IRU) of the Institute S. Anna (Crotone, Italy), were consecutively enrolled to participate in this study. After the discharge, they continued the motor treatment remotely by means of a home-rehabilitation system. The entire TR intervention was performed (online and offline) using the Virtual Reality Rehabilitation System (VRRS) (Khymeia, Italy). All patients received intensive TR five times a week for 12 consecutive weeks (60 sessions, each session lasting about 1h).Results: We found a significant motor recovery after TR protocol as measured by the Barthel Index (BI); Fugl-Meyer motor score (FM) and Motricity Index (MI) of the hemiplegic upper limbs.Conclusions: This was the first demonstration that a well-defined virtual reality TR tool promotes motor and functional recovery in post-stroke patients living in a low-income Italian region, such as Calabria, characterized by a paucity of specialist rehabilitation services.


2021 ◽  
Vol 11 (3) ◽  
pp. 150-161
Author(s):  
Stefanus Setyo Wibagso ◽  
◽  
Ivana Celesta ◽  

In a nursing home, the elderly gets health services to support their daily life. These services are documented and reported periodically to elderly families. In addition to managing information about nursing services, there is other information that must also be managed properly to help the smooth operation of the nursing home. To support the information management process, reliable software is needed to have the functions and benefits that are in accordance with the needs. One of the supporting components that contribute to building good software is interface design. This study will discuss the design of nursing home service application interfaces that have fields, characteristics, and functions that are different from other fields, especially the field of special health services for the elderly. The purpose of this study is to provide an overview and insight to desktop, mobile, and web application developers regarding aspects of designing an interface that is acceptable to system users in nursing homes. This will certainly make it easier for developers to produce good and acceptable software. The design of the interface is carried out using the Human-Centered Design (HCD) method which applies a user-focused design approach so that it makes it easy to understand what their needs are. There are several stages in HCD, namely the stage of identifying and determining the context of the user (Understand and specifying the context of use), the stage of identifying user requirements (Specifying the user requirements), the stage of producing design solutions (Producing design solutions) and the stage of evaluating the design (Evaluating the design). This research produces an interactive and easy-to-use interface design because the testing process uses a prototype as a demonstration tool. The test results using the End User Computing Satisfaction (EUCS) method show that 88.25% of users are satisfied with the design made and in line with the needs of users in a nursing home.


2021 ◽  
Vol 30 (20) ◽  
pp. 1206-1207
Author(s):  
Joanne Hockley ◽  
Caroline Essenhigh

2021 ◽  
Author(s):  
Erna Haraldsdottir ◽  
Anna Lloyd ◽  
Fiona Cruickshank ◽  
Jackie Stone ◽  
Dot Partington
Keyword(s):  

2021 ◽  
pp. bmjsrh-2021-201259
Author(s):  
Terri-ann Thompson ◽  
Jane W Seymour ◽  
Catriona Melville ◽  
Zara Khan ◽  
Danielle Mazza ◽  
...  

BackgroundWhile abortion care is widely legal in Australia, access to care is often poor. Many Australians must travel long distances or interstate to access abortion care, while others face stigma when seeking care. Telehealth-at-home medical abortion is a potential solution to these challenges. In this study, we compared the experience of accessing an abortion via telehealth-at-home to accessing care in-clinic.MethodsOver a 20-month period, we surveyed patients who received medical abortion services at Marie Stopes Australia via the telehealth-at-home service or in-clinic. We conducted bivariate analyses to assess differences in reported acceptability and accessibility by delivery model.ResultsIn total, 389 patients were included in the study: 216 who received medical abortion services in-clinic and 173 through the telehealth-at-home service. Telehealth-at-home and in-clinic patients reported similarly high levels of acceptability: satisfaction with the service (82% vs 82%), provider interaction (93% vs 84%), and recommending the service to a friend (73% vs 72%). Only 1% of telehealth-at-home patients reported that they would have preferred to be in the same room as the provider. While median time between discovering the pregnancy to first contact with a clinic was similar between groups, median time from first contact to taking the first abortion medication was 7 days longer for telehealth-at-home patients versus in-clinic patients (14 days (IQR 9–21) vs 7 days (IQR 4–14); p<0.01).ConclusionThe telehealth-at-home medical abortion service has the potential to address some of the challenges with provision of abortion care in Australia.


Author(s):  
K. Jamiya Angel ◽  
G. Geetha Vaishnavi

Now the world is running under the influence of various applications of information technology. One of the most popular applications developed in IT is E-commerce. In present scenario, people are buried up in a heavy work culture, as everyone is engaged with busy schedules, and hectic tasks which make them deviate from family life. If any issues encounter unexpectedly, it distracts them and makes them choose over the work they have to accomplish primarily. It is important to manage both professional and family life. In such circumstances, every one of us would have fantasized about a kind of house which doesn’t have any leaks in pipes, if it doesn’t have any mess in fixing a furniture and a kind of house which never face any maintenance issues and every one of us have thought that a life would be much better if no point of issue arises in getting a service at your door step and if there is no mess in bargaining a labor for home service. In such situation’s E-Commerce plays a vital role in today’s life as it has so many advantages in our life because it makes convenient in daily life of the people. So, giving a thought to that aspect of life is to design and develop a system that provides many services at your doorstep in just one click. A System that provides variety of services like plumbers, repair persons, cleaners, electricians, painters, taxi service laundry and many more. To make it comfortable for all the users our system also provides a mobile environment which offers ease in accessing our services. A very simple process is carried out to book a service(s), and People can choose the service and get the service providers who are nearer to him and has highest rating. System is versatile as service can be booked from everywhere to anywhere you desire.


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