Fall prevention intervention technologies: A conceptual framework and survey of the state of the art

In recent years, an ever increasing range of technology-based applications have been developed with the goal of assisting in the delivery of more effective and efficient fall prevention interventions. Whilst there have been a number of studies that have surveyed technologies for a particular sub-domain of fall prevention, there is no existing research which surveys the full spectrum of falls prevention interventions and characterises the range of technologies that have augmented this landscape. This study presents a conceptual framework and survey of the state of the art of technology-based fall prevention systems which is derived from a systematic template analysis of studies presented in contemporary research literature. The framework proposes four broad categories of fall prevention intervention system: Pre-fall prevention; Post-fall prevention; Fall injury prevention; Cross-fall prevention. Other categories include, Application type, Technology deployment platform, Information sources, Deployment environment, User interface type, and Collaborative function. After presenting the conceptual framework, a detailed survey of the state of the art is presented as a function of the proposed framework. A number of research challenges emerge as a result of surveying the research literature, which include a need for: new systems that focus on overcoming extrinsic falls risk factors; systems that support the environmental risk assessment process; systems that enable patients and practitioners to develop more collaborative relationships and engage in shared decision making during falls risk assessment and prevention activities. In response to these challenges, recommendations and future research directions are proposed to overcome each respective challenge.The Royal Society, grant Ref: RG13082

How a Diverse Research Ecosystem Has Generated New Rehabilitation Technologies: Review of NIDILRR’s Rehabilitation Engineering Research Centers

Over 50 million United States citizens (1 in 6 people in the US) have a developmental, acquired, or degenerative disability. The average US citizen can expect to live 20% of his or her life with a disability. Rehabilitation technologies play a major role in improving the quality of life for people with a disability, yet widespread and highly challenging needs remain. Within the US, a major effort aimed at the creation and evaluation of rehabilitation technology has been the Rehabilitation Engineering Research Centers (RERCs) sponsored by the National Institute on Disability, Independent Living, and Rehabilitation Research. As envisioned at their conception by a panel of the National Academy of Science in 1970, these centers were intended to take a “total approach to rehabilitation”, combining medicine, engineering, and related science, to improve the quality of life of individuals with a disability. Here, we review the scope, achievements, and ongoing projects of an unbiased sample of 19 currently active or recently terminated RERCs. Specifically, for each center, we briefly explain the needs it targets, summarize key historical advances, identify emerging innovations, and consider future directions. Our assessment from this review is that the RERC program indeed involves a multidisciplinary approach, with 36 professional fields involved, although 70% of research and development staff are in engineering fields, 23% in clinical fields, and only 7% in basic science fields; significantly, 11% of the professional staff have a disability related to their research. We observe that the RERC program has substantially diversified the scope of its work since the 1970’s, addressing more types of disabilities using more technologies, and, in particular, often now focusing on information technologies. RERC work also now often views users as integrated into an interdependent society through technologies that both people with and without disabilities co-use (such as the internet, wireless communication, and architecture). In addition, RERC research has evolved to view users as able at improving outcomes through learning, exercise, and plasticity (rather than being static), which can be optimally timed. We provide examples of rehabilitation technology innovation produced by the RERCs that illustrate this increasingly diversifying scope and evolving perspective. We conclude by discussing growth opportunities and possible future directions of the RERC program

Advances in Genomic Discovery and Implications for Personalized Prevention and Medicine: Estonia as Example.

The current paradigm of personalized medicine envisages the use of genomic data to provide predictive information on the health course of an individual with the aim of prevention and individualized care. However, substantial efforts are required to realize the concept: enhanced genetic discoveries, translation into intervention strategies, and a systematic implementation in healthcare. Here we review how further genetic discoveries are improving personalized prediction and advance functional insights into the link between genetics and disease. In the second part we give our perspective on the way these advances in genomic research will transform the future of personalized prevention and medicine using Estonia as a primer

Exploring Factors Influencing Nursing Engagement in 4Ms Initiatives on an Inpatient Older Adult Unit

Background: The older adult population is growing, and these individuals often have health challenges that require complex nursing care. On an older adult unit in Tennessee, a 4Ms (What Matters, Medication, Mentation, and Mobility) Age-Friendly care initiative was implemented to improve care and outcomes. Early data showed inconsistent nursing engagement with 4Ms initiatives and qualitative data on engagement factors was needed to increase nursing support and improve patient outcomes. Purpose: Therefore, this scholarly project explored factors influencing nursing staff engagement with the 4Ms initiative on an older adult unit. Methods: Nurses and care partners (n = 14) from the older adult unit participated in qualitative, individual, semi-structured interviews. Responses were analyzed using descriptive analytics, open coding, and thematic development. CFIR (Consolidated Framework for Implementation Research) and 4Ms framework supported the project. Results: Themes identified: patient complexity, culture, 4Ms barriers, and 4Ms facilitators. Mobility and Mentation were often highlighted by nursing staff as Ms affected by patient complexity such as communication, increased time, and risk; however, culture remained positive. Some barriers identified were communication and risk of Mobility, difficulty with outside staff engagement, and staffing. Some 4Ms facilitators identified were integration into care, access to tools, and impact on patient care. Conclusion: Nursing experiences with 4Ms was better understood and opportunities to improve nurse engagement were identified. Next steps include development of undergraduate nursing clinical rotations pairing nursing students with an older adult patient to support staff and increase 4Ms competency, training nursing staff to use mobility scores to reduce perceived risk and increase confidence in Mobility, and training travel nurses on 4Ms to improve care and engagement

Sun Devils Together: Breaking Stigmas on Student Homelessness

abstract: In universities, such as Arizona State, students are becoming homeless at an alarming rate. These homeless ASU students are often invisible, as seen through the lack of information on who they are and what resources the university has developed to help them. Typically, students arrive at university campuses with most of the resources required for them to pursue a degree. However, several economic factors such as unemployment or financial instability can impact these resources which influence students ability to stay enrolled in classes. This feature is reflected in the well understood concept of the starving student. Despite this paradigm, the fact remains that students under this stress are attending classes and are under financial stress to do so while being unable to meet their basic needs. These intertwined elements result in ASU students becoming exposed to cyclical needs-insecurities including homelessness. Therefore, the team decided to develop a project called Sun Devils Together which addresses the needs of ASUs students facing homelessness and overall aims to help increase the accessibility of available resources through reducing the silo effect that occurs due to lack of communication between different departments and increases faculty, staff, and student awareness regarding the issue. In order to achieve this, the team has collaborated with the Assistant Dean of Students to produce a training module for ASU faculty, professional staff, and students. The team is contributing information to the creation of a new website that will have all the resources available to students in one place. In addition, the team will create a coded pamphlet with a map of resources that will be given out to different departments around campus that students may potentially reach out to for help while informing those departments regarding the existence of other departments that work towards the same cause

Building Leadership Relationships Online

J. Mike FinneganLEAD 212: Introduction to Leadership Concepts, is the first course associated with the popular Leadership Studies minor held in the Staley School of Leadership Studies at Kansas State University. As a program built around the leadership premise that leadership is a relationship, in-person courses emphasize student engagement amongst each other and with instructors. The COVID-19 pandemic forced courses initially held in-person to be shifted to online platforms only, creating significant challenges. A literature review exploring the importance of teacher-student relationships in higher education, online learning in higher education, and a glimpse into emerging literature on the effects of education caused by COVID-19 share information that be influential in future adaptations of online courses. Studies exposing the need for educators to provide extensive personal and academic care and strategies for approachability connected closely with the positive impact that both learning communities and peer mentors can have on student satisfaction (Denzine & Pulos 2000) (Hurd & Stein 2004) (Kuh et al. 2008). Online platforms are increasingly important in creating space for social engagement in online courses, as well as the various roles that instructors must take on (Salmon 2000). Additionally, personal accounts based on experience as a class leader for the spring 2020 LEAD 212 create a foundation for supplemental material to provide future class leaders in preparation for another semester of online leadership curriculum

A New Clinical Model for Primary Care: A Critical Component of Healthcare Innovation Zones

The overall aim of this research and design project is to develop a primary care setting that responds to the current changes in the healthcare system and accommodates predicted developments in the future. It takes advantage of opportunities created by the Affordable Care Act and initiatives started under the new Center for Medicare and Medicaid Innovation. One of these includes the creation of Healthcare Innovation Zones as a way to bring integrative, comprehensive health services to a wider population through the network of a teaching hospital, physicians, and other clinical entities. The proposed ambulatory care setting is a model for this clinical entity conceived to reconsider critical components of a Healthcare Innovation Zone. Through the process of literature review and case study analysis, existing problems and evolving trends in both the healthcare and architectural contexts were identified. Following this process, guidelines were developed that outline architectural design criteria fundamental to this proposed type of primary care clinical entity; these include gradient zones, transparency, simplified circulation, modular planning, pod groupings, open team hubs, standardized care rooms, and transformable space. A model program and site selection criteria are also developed that incorporate elements critical to defining a Healthcare Innovation Zone and completing one within the specific context of downtown Winston-Salem, North Carolina. The new model will represent an innovative but attainable design that places the patient at the center of a collaborative network of care providers affiliated with Wake Forest Baptist Medical Center. The spirit of collaboration is intended to bring together the public, patients, providers, and medical students as all users of the space take part in educational experiences. Unlike traditional outpatient clinics, this new setting is conceived as a highly accessible, integrated part of people\u27s overall lifestyle, merging public, educational, and medical spheres. The facility will function as a support center to informed, active patients and caring, proactive providers who are concerned with preventive measures and comprehensive management, rather than merely reactive treatment. It will be engaged and complimented by forward-thinking individuals who stand at the forefront of developing new practices and technologies to improve the individual\u27s lifestyle. The center has the potential to become a replicable model that other communities could adopt to further a primary care revolution and ensure higher-quality healthcare to the greater society

A science mapping approach based review of construction safety research

This study adopted a three-step holistic review approach consisting of bibliometric review, scientometric analysis, and in-depth discussion to gain a deeper understanding of the research development in construction safety. Focusing on a total of 513 journal articles published in Scopus, the influential journals, keywords, scholars, and articles in the domain of construction safety were analyzed

Health Care Equity Through Intelligent Edge Computing and Augmented Reality/Virtual Reality: A Systematic Review

Intellectual capital is a scarce resource in the healthcare industry. Making the most of this resource is the first step toward achieving a completely intelligent healthcare system. However, most existing centralized and deep learning-based systems are unable to adapt to the growing volume of global health records and face application issues. To balance the scarcity of healthcare resources, the emerging trend of IoMT (Internet of Medical Things) and edge computing will be very practical and cost-effective. A full examination of the transformational role of intelligent edge computing in the IoMT era to attain health care equity is offered in this research. Intelligent edge computing-aided distribution and collaborative information management is a possible approach for a long-term digital healthcare system. Furthermore, IEC (Intelligent Edge Computing) encourages digital health data to be processed only at the edge, minimizing the amount of information exchanged with central servers/the internet. This significantly increases the privacy of digital health data. Another critical component of a sustainable healthcare system is affordability in digital healthcare. Affordability in digital healthcare is another key component of a sustainable healthcare system. Despite its importance, it has received little attention due to its complexity. In isolated and rural areas where expensive equipment is unavailable, IEC with AR / VR, also known as edge device shadow, can play a significant role in the inexpensive data collection process. Healthcare equity becomes a reality by combining intelligent edge device shadows and edge computing