Feature Papers "Age-Friendly Cities & Communities: State of the Art and Future Perspectives"

The "Age-Friendly Cities & Communities: States of the Art and Future Perspectives" publication presents contemporary, innovative, and insightful narratives, debates, and frameworks based on an international collection of papers from scholars spanning the fields of gerontology, social sciences, architecture, computer science, and gerontechnology. This extensive collection of papers aims to move the narrative and debates forward in this interdisciplinary field of age-friendly cities and communities

Independent Aging with the Help of Smart Technology:Investigating the Acceptance of Ambient Assisted Living Technologies

Who takes care of our older adults? According to the European Union, smart technologies that support independent living and active aging, introduced as ‘Ambient Assisted Living’ (AAL), are the future for our aging population. Promises of AAL include saving long-term care costs, improving the quality of care, unburdening family caregivers, and increasing the older adults’ independence and overall quality of life. While the policy enthusiasm for AAL technology is high, it is unclear if the potential users of AAL are willing to embrace AAL technologies in their daily lives. This dissertation addressed this issue by focusing on the perspective of older adults and their caregivers. Using a combination of qualitative and quantitative approaches, we developed a comprehensive and theoretically grounded understanding of how and why users perceive AAL technologies in a certain way. Important factors that drive or hinder the acceptance were identified. These insights resulted in a model of AAL acceptance that was validated in a representative sample (n = 1296) of the Dutch older adult population. This dissertation contributes to a more user-driven approach in AAL research and development and has important implications for researchers, developers and policy makers alike. We hope that our results will guide future research efforts, design and policy directions in the AAL field

Development and feasibility testing of a webpage-based diabetes education in adolescents with type 1 diabetes mellitus in China

Aim: This study aimed to develop a diabetes mellitus educational material specifically for 10-19-year adolescents with type 1 diabetes mellitus (T1DM) based on the health belief model, and to develop webpages for adolescents to study the material.Background: More than 1.11 million children and adolescents (<20 years) worldwide were diagnosed with T1DM in 2019, which has increased by approximately 3% every year in the last few decades. China is fourth for prevalence of adolescents with T1DM. Suboptimal diabetes management causes acute and chronic complications, as well as psychosocial disorders. However, adolescents do not achieve optimal diabetes management of T1DM. Education is the key to successful diabetes management, which could also maximise the effectiveness of diabetes treatment and the advances in diabetes management and technology. Nevertheless, limited diabetes education resources are available and tested scientifically in China. Existing diabetes materials are difficult for adolescents to read because of medical terms without appropriate explanation. In addition, there are no diabetes educational materials specifically for children or adolescents.Methods: A feasibility testing study was conducted to test if the research design was feasible, including the development of the type 1 diabetes educational material, the development of the webpages, selection and translation of the outcome scales, and recruitment and retention of participants.Results: 1) The type 1 diabetes educational material was developed for adolescents aged 10-19 years, translated and assessed to have good readability by adolescents and good content validity by experts; 2) The webpages were developed and assessed by participants to have good to excellent usability; 3) A type 1 diabetes knowledge scale (T1DK) with 12 items was developed for adolescents. Another three scales already validated included self-efficacy, adherence and webpage usability. The four scales were translated and tested with good readability in adolescents and content validity in experts. 4) In this feasibility study, 16 adolescents registered the webpages and six completed fully.Conclusion: It is feasible to develop type 1 diabetes educational material with good readability and content validity in China. The webpages were rated as good to excellent with respect to usability. Outcome scales had good readability and content validity. However, there was low feasibility at the data collection stage because of the lower recruitment and retention rates. Four strategies will be implemented to improve the recruitment and retention rates in future: involvement of patients’ doctors or nurses; combination of several recruitment methods; regular and continuing contact with participants, and appropriate funding and incentives to participate.In the future, a pilot with a large enough sample size will be conducted to test the new recruitment and retention strategies, and reliability and construct validity of the four scales. Subsequently, an effectiveness study will be conducted to test the effects of the web-based educational material on diabetes knowledge, self-efficacy and adherence among adolescents

The student-produced electronic portfolio in craft education

The authors studied primary school students’ experiences of using an electronic portfolio in their craft education over four years. A stimulated recall interview was applied to collect user experiences and qualitative content analysis to analyse the collected data. The results indicate that the electronic portfolio was experienced as a multipurpose tool to support learning. It makes the learning process visible and in that way helps focus on and improves the quality of learning. © ISLS.Peer reviewe

Neurology of Covid-19

The authors will present a comprehensive account of the neurological aspects of SARS-CoV-2 infection. The aim is to provide a practical clinical book which will serve as a guide for clinicians from all specialties involved in the management of COVID-19 patients. The authors share the extensive clinical experience gained in major hospitals in Lombardy, the first European region to face the COVID-19 emergency in 2020. All are recognized international experts in their respective fields and have been involved in the management of COVID-19 cases from the very beginning of the Italian SARS-CoV-2 outbreak. The text begins with a description of pathobiological and pathophysiological aspects related to the involvement of the nervous system, moving on to the discussion of the neurological complications observed in COVID-19 patients; these range from central to peripheral symptoms, and can occur in the acute or post-acute phases of the disease. Further topics are: neuropathology, seizures and EEG, neuroimaging, delirium, encephalomyelitis, stroke, psychopathology and psychiatry, neuropsychology and cognitive impairment, neuromuscu-lar disorders, and the impact of COVID-19 on other pre-existing neurological disorders. In addi-tion, the book will discuss the new developments in teleneurology approaches, which have been a direct response to the ongoing pandemic. Finally, the possible neurological complications of the COVID-19 vaccines and the neurological complications in children will be considered.Each chapter will present a critical review of the existing literature concerning the specific subject matter, followed by practical clinical recommendations, as well as personal considerations based on the experience gained by each author during the course of the COVID-19 pandemic. Neurology of COVID-19 will be an original and innovative reference book for clinicians of all the specialties involved in the management of patients with SARS-CoV-2 infection.illustrato

A Systematic Review and Meta-Analysis of the Incidence of Injury in Professional Female Soccer

The epidemiology of injury in male professional football is well documented and has been used as a basis to monitor injury trends and implement injury prevention strategies. There are no systematic reviews that have investigated injury incidence in women’s professional football. Therefore, the extent of injury burden in women’s professional football remains unknown. PURPOSE: The primary aim of this study was to calculate an overall incidence rate of injury in senior female professional soccer. The secondary aims were to provide an incidence rate for training and match play. METHODS: PubMed, Discover, EBSCO, Embase and ScienceDirect electronic databases were searched from inception to September 2018. Two reviewers independently assessed study quality using the Strengthening the Reporting of Observational Studies in Epidemiology statement using a 22-item STROBE checklist. Seven prospective studies (n=1137 professional players) were combined in a pooled analysis of injury incidence using a mixed effects model. Heterogeneity was evaluated using the Cochrane Q statistic and I2. RESULTS: The epidemiological incidence proportion over one season was 0.62 (95% CI 0.59 - 0.64). Mean total incidence of injury was 3.15 (95% CI 1.54 - 4.75) injuries per 1000 hours. The mean incidence of injury during match play was 10.72 (95% CI 9.11 - 12.33) and during training was 2.21 (95% CI 0.96 - 3.45). Data analysis found a significant level of heterogeneity (total Incidence, X2 = 16.57 P < 0.05; I2 = 63.8%) and during subsequent sub group analyses in those studies reviewed (match incidence, X2 = 76.4 (d.f. = 7), P <0.05; I2 = 90.8%, training incidence, X2 = 16.97 (d.f. = 7), P < 0.05; I2 = 58.8%). Appraisal of the study methodologies revealed inconsistency in the use of injury terminology, data collection procedures and calculation of exposure by researchers. Such inconsistencies likely contribute to the large variance in the incidence and prevalence of injury reported. CONCLUSIONS: The estimated risk of sustaining at least one injury over one football season is 62%. Continued reporting of heterogeneous results in population samples limits meaningful comparison of studies. Standardising the criteria used to attribute injury and activity coupled with more accurate methods of calculating exposure will overcome such limitations

Neurology of Covid-19

The authors will present a comprehensive account of the neurological aspects of SARS-CoV-2 infection. The aim is to provide a practical clinical book which will serve as a guide for clinicians from all specialties involved in the management of COVID-19 patients. The authors share the extensive clinical experience gained in major hospitals in Lombardy, the first European region to face the COVID-19 emergency in 2020. All are recognized international experts in their respective fields and have been involved in the management of COVID-19 cases from the very beginning of the Italian SARS-CoV-2 outbreak. The text begins with a description of pathobiological and pathophysiological aspects related to the involvement of the nervous system, moving on to the discussion of the neurological complications observed in COVID-19 patients; these range from central to peripheral symptoms, and can occur in the acute or post-acute phases of the disease. Further topics are: neuropathology, seizures and EEG, neuroimaging, delirium, encephalomyelitis, stroke, psychopathology and psychiatry, neuropsychology and cognitive impairment, neuromuscu-lar disorders, and the impact of COVID-19 on other pre-existing neurological disorders. In addi-tion, the book will discuss the new developments in teleneurology approaches, which have been a direct response to the ongoing pandemic. Finally, the possible neurological complications of the COVID-19 vaccines and the neurological complications in children will be considered.Each chapter will present a critical review of the existing literature concerning the specific subject matter, followed by practical clinical recommendations, as well as personal considerations based on the experience gained by each author during the course of the COVID-19 pandemic. Neurology of COVID-19 will be an original and innovative reference book for clinicians of all the specialties involved in the management of patients with SARS-CoV-2 infection.Publishe