102 research outputs found

    AN EXPLORATORY SECONDARY DATA ANALYSIS OF THE IMPACT OF HETEROGENEITY ON ASSISTIVE TECHNOLOGY TO REDUCE SAFETY AND WANDERING RISKS FOR PEOPLE WITH DEMENTIA LIVING AT HOME

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    Introduction: There is an acknowledged gap between the potential and achieved benefit of assistive technology in the care of people with dementia. In order to make better use of this resource, this research aimed to investigate the heterogeneity of population characteristics of people with dementia living at home who have safety and wandering risks and how this is related to assistive technology recommended and installed to meet their needs. Methods: This research consisted of two studies; a systematic review and secondary data analysis. Initially, published quantitative data describing the needs of people with dementia living at home was subjected to meta-analysis in order to explore the prevalence of needs reported by people with dementia and their caregivers and associated heterogeneity. Following univariate analyses, ordinal models were developed using secondary data which described the needs of people with dementia, and their level of wandering and safety risk, to explore the relationship between needs and risks in this population. The possibility of grouping participants according to data describing multiple needs, predisposing characteristics and enabling resources was investigated using cluster analysis. Associations between these groups and recommended and installed Assistive Technology were investigated. Results: Prevalence estimates for twenty-four needs reported by people with dementia and their caregivers were provided for the first time. Heterogeneity was associated with the person reporting the needs and age of onset. Level of need was often not recorded in the dataset indicating limited assessment. Wandering risks were shown to be associated with posture and mobility, routine and cognition needs, whilst safety risks were associated with posture and mobility, and problem-solving needs. Partitioning Around Medoids cluster analysis demonstrated that robust clustering solutions could be created from data describing participants. Clustering solutions were then validated through exploring their association with recommended and installed Assistive Technology data and the published literature. Caregiver support and living situation impact Assistive Technology installed for people with dementia. Discussion: This research advances understanding of the impact that needs, safety and wandering risks, caregiver support and the living situation of the person with dementia have on variation in the assistive technology interventions recommended and installed for people with dementia. Results have implications for needs assessment and for the tailoring of Assistive Technology for this population. Keywords: dementia, assistive technology, community dwelling, meta-analysis, cluster analysis, ordinal regression, wandering, safety, risk, needs

    Living with early-onset dementia

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    Data and the city – accessibility and openness. a cybersalon paper on open data

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    This paper showcases examples of bottom–up open data and smart city applications and identifies lessons for future such efforts. Examples include Changify, a neighbourhood-based platform for residents, businesses, and companies; Open Sensors, which provides APIs to help businesses, startups, and individuals develop applications for the Internet of Things; and Cybersalon’s Hackney Treasures. a location-based mobile app that uses Wikipedia entries geolocated in Hackney borough to map notable local residents. Other experiments with sensors and open data by Cybersalon members include Ilze Black and Nanda Khaorapapong's The Breather, a "breathing" balloon that uses high-end, sophisticated sensors to make air quality visible; and James Moulding's AirPublic, which measures pollution levels. Based on Cybersalon's experience to date, getting data to the people is difficult, circuitous, and slow, requiring an intricate process of leadership, public relations, and perseverance. Although there are myriad tools and initiatives, there is no one solution for the actual transfer of that data

    Landscaping the subject: Virtuality, embodiment, and the discourse of the interface

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    This thesis examines the linear perspective interface as a key technology in the staging of Western subjectivity, and the body and 'nature' as critical terms in the description of the subject and its environment. It examines three historical moments in the discourse of the interface - Brunelleschi's perspective demonstration, eighteenth century landscape gardening, and the present-day virtual reality interface - and shows how, in each case, the discourse of the interface insists on a distance between the subject and its perceived environment. In this visualist paradigm, the body and nature are framed as excessive - uninvolved in the constitution of subjectivity. This is also the framework assumed by Lacan in his description of the subject. Though this distinction may work in theory, in practice it is impossible to sustain - a fact that is made explicit in the eighteenth-century landscape garden. Focusing not only on the landscape view, but on the enclosed sections of the garden between the views, this thesis investigates the complex involvement of representation and the carnal body in the construction of the subject and (its) nature. Here, the relation of the subject to the anamorphic image becomes important. Against the distance and disembodiment implied in the perspectival view, the anamorphic relation is one of embodiment and proximity - suggesting that phenomenology, rather than psychoanalysis, is the most effective approach to the discourse of the interface and its subject. This hypothesis is developed through an examination of the virtual reality interface. The latter both assumes and exceeds a/the actively viewing subject, foregrounding the ontological complexity of subjectivity and the failure of theory to fully describe or prescribe it. Psychoanalytic models in particular fail to address interfaced being as embodied being. The notion of 'anamorphic subjectivity' - interfaced being as a multistable condition of technological embodiment - is put forward as a possible alternative to perspectival models

    Aftershocks: Globalism and the Future of Democracy [ISSEI – XVI International Conference]

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    This digital publication consists of a selection of 56 papers presented at the 16th International Conference of the International Society for the Study of European Ideas (ISSEI), held at the University of Zaragoza, 2-5 July 2019, the general theme of which was ‘Aftershocks: Globalism and the Future of Democracy’. Sponsored by The Aragonese Association of Sociology, the conference was well-attended – 170 participants from 28 countries met to discuss a wide variety of topics in 29 workshops. The feedback we received from participants confirmed that they had greatly enjoyed the venue of the conference, that they appreciated the warm welcome they had received and the congenial social atmosphere and opportunity to attend workshops on subjects that were not only in their own field of expertise. No one, of course, could have predicted that our world – our work and life as individuals, as communities and as nations – would change so suddenly and radically eighteen months after the conference, with the rapid and devastating spread of the Convid-19 pandemic. The current deepening global crisis along with the challenge of climate change and growing international tensions are a stark reminder of how vulnerable our societies, our civilization, and our species are. The shocks and aftershocks of these crises are felt today in every corner of the world and in every aspect of our global and local economies, and most obviously in the sociopolitical arena. As several of the conference workshops on the multiple crises Europe and the world face today – from the migrant crisis to the rise of populism and deepening inequality between rich and poor – showed – and as the Covid-19 pandemic has so cruelly brought home to us – we simply cannot take the achievements of human civilization for granted and must find ways to meet the fundamental social and political needs of human beings not only in our own neighborhoods, cities and countries, but ultimately in the world as a whole: their living conditions, livelihoods, social services, education and healthcare, human rights and political representation. Several of the workshops, as I mentioned, directly addressed these issues and emphasized the need for building social resilience based on tolerance, solidarity and equity. This too is why, as academics, we should continue to initiate and engage in collective reflection and debate on how to foster and strengthen human communities and human solidarity. Finally, I want to thank the participants and workshop chairs for their contribution to the success of the conference. It was a pleasure for me to work with the university organizing team and with ISSEI’s team in bringing this about, and I am particularly proud that my university and the city of Zaragoza hosted this conference
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