Discussion paper: Disability and poverty reduction strategies: How to ensure that access of persons with disabilities to decent and productive work is part of the PRSP process

[Excerpt] In 1999, the IMF and the World Bank launched the Poverty Reduction Strategy Paper (PRSP) approach to poverty reduction in low-income countries in order to ensure that concessional funding through the IMF’s Poverty Reduction and Growth Facility (PRGF) and the World Bank Group’s IDA, as well as debt relief under the HIPC (Highly Indebted Poor Countries) Initiative address poverty reduction more effectively. At present, nearly 70 low income countries are engaged in the formulation of national PRSPs that, once approved by the World Bank and IMF Boards, become the basis of concessional assistance from the two institutions

New mode of care. Value and limit of the person-centered care planning for people with mental disability

Riassunto L'enorme aumento delle persone con disabilità mentali e intellettuali in tutto il mondo e la capacità di difesa raggiunta da questi pazienti, culminata nella Convenzione sui diritti delle persone con disabilità (CRPD), hanno comportato cambiamenti nel modo in cui i relativi affari servizi Pubblici. In particolare, negli ultimi decenni, molti paesi hanno esaminato come fornire una persona con disabilità un funzionamento sociale accettabile, migliorare il benessere, secondo i principi di equità, solidarietà e partecipazione. È nato un nuovo modello politico e socio-sanitario, chiamato "welfare community", gli utenti sono protagonistidel loro progetto sanitario e le risorse messe in atto assumono un carattere di investimento sulla comunità e il suo sviluppo economico. La personalizzazione dei servizi sociali e sanitari è anche garantita in molti paesi come una "nuova modalità di cura", necessaria in forme diverse a seconda dell'aspetto finanziario e dei destinatari. Il presente articolo è una rassegna narrativa che esamina e sintetizza la ricerca internazionale e il materiale non di ricerca per esaminare le diverse strategie di implementazione della personalizzazione in diversi paesi,con particolare attenzione all'Italia, nel tentativo di fornire chiarezza concettuale su questo argomento in termini di opportunità e insidie

Adaptive dashboard for IoT environments: application for senior residences

Les tableaux de bord sont de puissants outils électroniques qui peuvent fournir des informations exploitables et utiles pour une intervention rapide et une prise de décision éclairée. Ils peuvent être particulièrement bénéfiques pour favoriser un vieillissement en bonne santé en fournissant aux professionnels de la santé un aperçu en un coup d'œil des conditions du patient (par exemple, les personnes âgées). Alors que la population des personnes âgées augmente dans plusieurs pays, dont le Canada, un grand nombre d'entre eux seront forcés de déménager dans des résidences pour personnes âgées pour des raisons telles que la fragilité, la démence ou le sentiment de solitude. Cette population importante de personnes âgées augmentera la charge de travail des infirmières et des professionnels de la santé travaillant dans ces lieux, en raison du fait que les personnes âgées ont besoin de visites fréquentes et d'une surveillance en raison de leur état de santé. Ce problème a le potentiel de mettre plus de pression sur le système de santé déjà tendu dans les prochaines années. La pénurie d'infirmières et de main-d'œuvre rend la situation plus grave, en particulier dans les pays développés. Il faudrait donc prendre des initiatives pour soutenir les soignants de ces résidences. Le tableau de bord peut jouer un rôle clé pour aider les professionnels de la santé dans leurs tâches car il peut fournir des informations en un coup d'œil et en temps réel sur la situation actuelle. De nos jours, avec les progrès technologiques dans les dispositifs de détection et l'infrastructure IoT ainsi qu'un accès Internet élargi, la surveillance des patients à distance est devenue une option réalisable. Par ailleurs, en utilisant un tableau de bord, les professionnels de la santé peuvent visualiser les informations collectées à distance pour surveiller les personnes âgées vivant dans des résidences, ce qui fera gagner un temps considérable aux professionnels de la santé et les aidera à servir plus de patients. Cependant, il est important de considérer que les résidences pour personnes âgées accueillent généralement un grand nombre de résidents et les professionnels de la santé qui les desservent. Chaque professionnel de la santé est motivé par certains objectifs et exécute des tâches précises selon des priorités différentes. Cette différence change la façon dont chaque fournisseur de soins de santé utilisera le tableau de bord, car ils ont besoin d'informations qui les aident dans leurs tâches principales. Les informations qu'un groupe de professionnels de la santé trouve bénéfiques peuvent ne pas être utiles pour un autre groupe. Ainsi, la méthode de visualisation utilisée pour un individu peut ne pas être significative pour un autre. Par conséquence, les informations doivent être présentées de manière personnalisée et adaptée à un utilisateur ciblé. Il est important de souligner que la visualisation appropriée des informations dans les tableaux de bord est un facteur clé pour offrir une valeur réelle aux utilisateurs. Cette diversité de besoins, de préférences et de priorités doit être prise en compte tout au long de l'élaboration du tableau de bord. En raison de la diversité des rôles et des intérêts existant dans les résidences pour personnes âgées, et compte tenu du coût élevé du développement du tableau de bord, il est très difficile de développer des tableaux de bord séparés pour chaque partie. Cependant, les solutions existantes dans la littérature sont développées à l'aide de méthodes statiques et se concentrent sur la satisfaction des besoins d'un groupe particulier. Ces approches limitent les capacités des tableaux de bord existants à s'adapter aux besoins des différentes personnes. Dans cette étude, nous présentons AMI-Dash comme une tentative de réalisation d'une solution de tableau de bord qui permet une conception dynamique et une visualisation appropriée des informations pour plusieurs groupes. Notre solution vise à fournir les bonnes informations aux bonnes personnes en minimisant le temps nécessaire pour fournir un tableau de bord aux professionnels la santé, afin de les aider dans l'exercice de leurs fonctions en accédant à des informations exploitables. Nous avons également évalué notre solution sous deux aspects : l'évaluation de l'interaction homme-machine et l'évaluation technique. Le résultat de notre évaluation montre que la solution proposée peut satisfaire à la fois les exigences de l'utilisateur final et les exigences techniques tout en maintenant un haut niveau de satisfaction.Abstract: Dashboards are powerful electronic tools that can provide actionable insights for timely intervention and wise decision-making. They can be particularly beneficial to support healthy aging by providing healthcare professionals with at-a-glance overview of health conditions of patients (e.g., older adults). As the population of older adults is increasing in several countries including Canada, a large number of them will be forced to move to Senior Residences due to reasons like frailty, dementia or loneliness. This swelled senior population will increase the workload of nurses and health professionals working in these places, due to the fact that older adults need frequent visits and monitoring because of their health condition. This issue has the potential to put more pressure on the already stretched healthcare system in the next years. The situation is aggravated when it is coincided with the shortage of nurses and workforce especially in developed countries. Therefore, initiative should be taken to support healthcare professionals in these residences. Dashboard can play a key role to support healthcare professionals in their tasks as it can provide real-time information about the current situation in more helpful visualization form. Nowadays, with technological advancements in sensing devices and IoT infrastructure along with broadened internet access, remote patient monitoring has become a feasible option. By utilizing a dashboard, healthcare professionals can visualize information collected remotely to monitor patients/ older adults living in senior residences, which will save a considerable time of healthcare professionals and support them to serve more patients. However, it is important to consider that senior residences usually host a large number of older adults and healthcare professionals that serve them. Each healthcare professional is driven with certain goals, and they have different tasks and priorities. This difference, change how each healthcare professional will utilize the dashboard, as they need information that helps them in their main tasks. The information that a group of healthcare professionals find beneficial might not be useful for another group, and the visualization method used for an individual might not be meaningful for another. Therefore, information should be presented in a personalized way to the targeted user. It is important to emphasize that appropriate visualization of interesting information, in dashboards is a key factor to deliver real value to dashboard users. Due to the variety of roles and interests that exists in senior residences, and considering high development cost of a dashboard, developing separate dashboards for each party is not only difficult but also time consuming. Still, existing solutions in the literature are developed using static methods and they focused on satisfying the needs of a particular group in their domain. These approaches limited the capabilities of existing dashboards to adapt to the needs of different people. We argue that dashboard has to be tailored in order to address the diversity in needs, preferences and priorities of healthcare professionals. In this study we introduce AMI-Dash as an attempt to achieve a dashboard solution that allows dynamic design and information visualization. Our solution focused on providing the right information to the right people while minimizing the time required to deliver a dashboard to health professionals, so that supporting them in performing their duties by accessing timely and actionable information. We also evaluated our proposed solution from two aspects: Human-Computer Interaction Evaluation and Technical Evaluation. The result of our evaluation shows that proposed solution can satisfy both end-user and technical requirements while maintaining a high-level of satisfaction among users

Medthings AS – a break-through innovation with the handling of medication

Master’s in Applied and Commercial Biotechnology. Inland Norway University of Applied Sciences, Faculty of Applied Ecology, Agriculture Sciences and Biotechnology.Patients depend on medicines to maintain health, prevent illness, manage chronic ailments and treat/improve disease conditions. However, there are growing reports indicating the misuse of medicines (not taken on time, skipped dosage, irregular or improper dosage) causing a great deal of challenge to the health sector. The major challenge lies with the elderly people (above 75 years) who often tends to forget their medications or are not adhered to it. At present, changing demography with a high number of elderly people and providing them quality health services is the biggest challenge. People aged 80 years or over use an average of 5.8 prescription drugs per person. The global spending on medicine reached 1.2 trillion U.S. dollars in 2018 and is set to exceed 1.5 trillion dollars by 2023, while the global automatic pill dispenser machine market accounted for 1,755 million dollars in 2016 and is estimated to reach 3,023 million dollars by 2023. Studies suggests that 25% of the emergency rooms are alone filled with patients taking wrong medications making it the cause of majority of the deaths and involving an expenditure of $10.30 billion annually. Several losses of life can be avoided if intake of medicine can be controlled. In addition, there is a huge medicine wastage due to unused/expired or skipped dosage. In 2019, Swedish pharmacies collected over 1,300 tonnes of medicinal residues (Wallêr, 2019), affecting the economy and well and the nature. Medicine management plays a very vital role in order to ensure the correct intake of medicine. Several approaches, from nurses to automated robots have been sought to ensure the correct use of medicines but none of them have been able to turn out completely effective. The variety of automated pill dispensers in the market with multiple functionality and features lack one thing or the other. Although every dispenser is produced with the aim of dispensing the correct medicine at the correct time with accurate dose, it fails to ensure whether the medicine is actually taken or just thrown away. This thesis was written with a purpose to investigate the specific needs for medicine management using Mobili 1) and to suggest a market entry strategy for it in the Swedish market. Several articles and literature reviews were considered to gather background knowledge on this issue and some primary data were collected through personal communications with 10 concerned persons. Furthermore, business analysis tools were also used to study the market and the target customers and to know about the competitors. Overall, an image that despite a hefty number of pill dispensers in the market, the exact number of them used at present and their comparison based on the price was not clear. An important finding was that although not quite great, but still there is possibility of entrance and success for Mobili with the target group of people above 75 years with chronic ailment and multi drugs prescriptions, or young age group with daily supplement intake having a busy schedule requiring reminder. Although there was a conflict of thoughts on the benefits and trustworthiness of the pill dispensers, yet the literature suggested that the elderlies are quite familiar with the technology and the health professionals also praise such automated pill dispensers. 1) An innovative and modern pill dispenser system produced by Medthings AS, Norwa

A transformation grammar-based methodology for housing rehabilitation: meeting contemporary functional and ICT requirements

This research starts from the premise that the future of the real estate market in Portugal will require the rehabilitation of existing residential areas in order to respond to new life-styles and dwelling requirements that have emerged in an era in which information plays a structuring role in society. The goal of this research is the definition of design guidelines and a rehabilitation methodology to support architects involved in the process of adapting existing dwellings, allowing them to balance sustainability requirements and economic feasibility with new dwelling trends such as the incorporation and updating of Information Communication and Automation Technologies and the need to solve emerging conflicts affecting the use of space prompted by the introduction of new functions associated with such technologies. In addition to defining a general methodology applicable to all the building types, the study focuses on a specific type, called “rabo-de-bacalhau” (“cod-tail”), built in Lisbon between 1945 and 1965 for which a specifc methodology has been generated. Both shape grammar and space syntax were used as part of the rehabilitation methodology as tools to identify and encode the principles and rules behind the adaptation of existing houses to new requirements.FCT PhD Gran

Rescaling Social Welfare Policies in Italy. National report

Downloadable at: http://www.euro.centre.org/rescalingDocuments/files/Italy.pd

Indoor Environment Quality and Health in Energy-Efficient Buildings

This Special Issue addresses a topic that is of great relevance as, nowadays, in developed countries, individuals spend most of their time indoors and, depending on each person, the presence at home ranges between 60% and 90% of the day, with 30% of that time spent sleeping. Considering these data, indoor residential environments have a direct influence on human health, especially considering that, in developing countries, significant levels of indoor pollution make housing unsafe, having an impact on the health of inhabitants. Therefore, housing is a key health factor for people all over the world, and various parameters, such as air quality, ventilation, hygrothermal comfort, lighting, physical environment, and building efficiency, can contribute to healthy architecture, as well as to the conditions that can result from the poor application of these parameters. The articles in this Special Issue thus address issues concerning indoor environmental quality (IEQ), which is described, more simply, as the conditions inside a building. This includes air quality, but also access to daylight and views, pleasant acoustic conditions, and occupant control over lighting and thermal comfort. IEQ also includes the functional aspects of the space, such as whether the layout provides easy access to tools and people when needed and whether there is sufficient space for the occupants. Building managers and operators can increase building occupant satisfaction by considering all aspects of IEQ rather than focusing on temperature or air quality alone