Better health and ambient assisted living (AAL) from a global, regional and local economic perspective

Assisting technologies aim to provide more support in the meeting of one's daily needs and the preservation of one's autonomy and quality of life. Continual developments in medicine, medical equipment, nursing and medical care are assumed to lead to new types of care being created. A high degree of social and economic relevance has been attributed to assisting technologies, as well as information and communication systems, by scientists and politicians alike, particularly in connection with the development, promotion and organization of so-called senior-friendly environments and with ambient assisted living (AAL). Here the focus is especially upon the aged of the future, their specific demands and resources, which these technologies should be able to serve while adhering to their individual requirements. These new technologies can also be extremely relevant to people surrounding the elderly. They can make a considerable difference to the way in which people are able to live together for example by assisting the nursing care provided by close relatives and they may represent new opportunities to the providers of outpatient and inpatient nursing and medical care. -- Assistierende Technologien sollen der besseren Unterstützung bei der Deckung von Bedürfnissen des täglichen Lebens und zur Erhaltung von Selbständigkeit und Lebensqualität dienen. Es ist davon auszugehen, dass durch die kontinuierliche Entwicklung in der Medizin, der Medizintechnik sowie assistierender Technologien in der medizinischen und pflegerischen Versorgung neue Versorgungsmöglichkeiten geschaffen werden. Insbesondere im Zusammenhang mit der Entwicklung, der Förderung und der Ausgestaltung sogenannter altersgerechter Lebenswelten bzw. eines ambient assisted living (AAL) wird den unterstützenden Technologien und Informations- und Kommunikationstechniken von wissenschaftlicher und politischer Seite eine hohe gesellschaftliche und wirtschaftliche Relevanz zugewiesen. Im Fokus stehen dabei vor allem die zukünftigen Älteren und ihre spezifischen Bedarfe und Ressourcen, die diese Technologien ihren individuellen Bedürfnissen entsprechend nutzen können sollen. Derartige Techniken können aber auch für Personen aus dem sozialen Umfeld der Älteren von hoher Relevanz sein. So können diese die Gestaltung des Zusammenlebens erheblich ändern - beispielsweise durch die Unterstützung bei der pflegerischen Versorgung durch Angehörige - und beispielsweise den Anbietern im Bereich der gesundheitlichen und pflegerischen ambulanten und stationären Versorgung neue Möglichkeiten der Versorgung bieten.

Human experience in the natural and built environment : implications for research policy and practice

22nd IAPS conference. Edited book of abstracts. 427 pp. University of Strathclyde, Sheffield and West of Scotland Publication. ISBN: 978-0-94-764988-3

Social, environmental and psychological factors associated with objective physical activity levels in the over 65s

Objective: To assess physical activity levels objectively using accelerometers in community dwelling over 65 s and to examine associations with health, social, environmental and psychological factors. Design: Cross sectional survey. Setting: 17 general practices in Scotland, United Kingdom. Participants: Random sampling of over 65 s registered with the practices in four strata young-old (65–80 years), old-old (over 80 years), more affluent and less affluent groups. Main Outcome Measures: Accelerometry counts of activity per day. Associations between activity and Theory of Planned Behaviour variables, the physical environment, health, wellbeing and demographic variables were examined with multiple regression analysis and multilevel modelling. Results: 547 older people (mean (SD) age 79(8) years, 54% female) were analysed representing 94% of those surveyed. Accelerometry counts were highest in the affluent younger group, followed by the deprived younger group, with lowest levels in the deprived over 80 s group. Multiple regression analysis showed that lower age, higher perceived behavioural control, the physical function subscale of SF-36, and having someone nearby to turn to were all independently associated with higher physical activity levels (R2 = 0.32). In addition, hours of sunshine were independently significantly associated with greater physical activity in a multilevel model. Conclusions: Other than age and hours of sunlight, the variables identified are modifiable, and provide a strong basis for the future development of novel multidimensional interventions aimed at increasing activity participation in later life.Publisher PDFPeer reviewe

Smart Housing: Technology to Aid Aging in Place - New Opportunities and Challenges

We are at the threshold of a great change in architectural design. With cheaper and more ubiquitous computing, ?smart? spaces and responsive environments are increasingly becoming plausible and affordable. Are we as architects prepared? Can the profession of architecture respond to current computing technologies? Most critics agree that one of the first (most important) problems that ?smart? homes will help to address is that of spiraling costs of elderly healthcare and care giving. But what is the problem with healthcare? Even if there is a problem, the rural home is different from an urban home. Will the technologies that are designed for the urban home work in a rural setting? What are the differences between urban and rural healthcare models? In this thesis, we address the above questions through research of current problems and models of rural healthcare and through a documentation of studies and reports published over the last decade. This research helps us to understand if architecture can really augment healthy aging in rural home settings. In conclusion, we will examine the role of architecture (and architects) in the context of ubiquitous computing and ?smart? spaces in rural areas and propose a possible solution for this problem

Russia's social protection malaise : key reform priorities as a response to the present crisis

This report focuses on changes in the social protection system to lessen the social impact of the economic crisis that confronts the Russian Federation today. The report is not comprehensive and covers exclusively the crisis-related issues. It addresses the key challenges of 1) coping with income decline and increasing poverty; 2) offsetting the consequences of reduced public expenditure in the social sectors; 3) targeting and delivering social assistance and benefits; and 4) improving the functioning of labor markets. It also deals with selected aspects of emergency assistance. Finally, it identifies possible areas for World Bank support.Poverty Assessment,Rural Poverty Reduction,Services&Transfers to Poor,Safety Nets and Transfers,Environmental Economics&Policies

Evaluation of MS kinect for elderly meal intake monitoring

Any form of eating disorder is detrimental for health. Having an eating disorder increases the risks for chronic diseases and general morbidity, leading to several health problems such as obesity, hypertension and cardio-vascular diseases. The risk is greater for elderly people, as ageing submits the body to several functional changes that affect health and nutrition conditions. Automatic monitoring systems can help to prevent these risks by supporting people to maintain appropriate eating behaviours. Ageing services based on ICT assistive services are increasing as a result of the awareness of the growing socio-economic relevance of this issue, especially when we consider the rural and very sparsely-populated areas. In order to assess these requirements, systems should be automatic, non-intrusive and low cost. This paper presents an evaluation test of the Microsoft Kinect sensor for monitoring older people's meal intake, with the aim of contributing to the development of an automatic diet monitoring system.The authors thank the FEUP – Faculdade de Engenharia da Universidade do Porto through the Project I-City for Future Mobility: NORTE-07-0124-FEDER-000064, and European Project FP7 - Future Cities: FP7-REGPOT-2012-2013-1

The effect of short-term changes in air pollution on respiratory and cardiovascular morbidity in Nicosia, Cyprus.

Presented at the 6th International Conference on Urban Air Quality, Limassol, March, 2007. Short-paper was submitted for peer-review and appears in proceedings of the conference.This study investigates the effect of daily changes in levels of PM10 on the daily volume of respiratory and cardiovascular admissions in Nicosia, Cyprus during 1995-2004. After controlling for long- (year and month) and short-term (day of the week) patterns as well as the effect of weather in Generalized Additive Poisson models, some positive associations were observed with all-cause and cause-specific admissions. Risk of hospitalization increased stepwise across quartiles of days with increasing levels of PM10 by 1.3% (-0.3, 2.8), 4.9% (3.3, 6.6), 5.6% (3.9, 7.3) as compared to days with the lowest concentrations. For every 10μg/m3 increase in daily average PM10 concentration, there was a 1.2% (-0.1%, 2.4%) increase in cardiovascular admissions. With respects to respiratory admissions, an effect was observed only in the warm season with a 1.8% (-0.22, 3.85) increase in admissions per 10μg/m3 increase in PM10. The effect on respiratory admissions seemed to be much stronger in women and, surprisingly, restricted to people of adult age