How are service users instructed to measure home furniture for provision of minor assistive devices?

Purpose: Measurements play a vital role in providing devices that meet the individual needs of users. There is increasing evidence of devices being abandoned. The reasons for this are complex but one key factor that plays a role in non-use of equipment is the lack of fit between the device, environment and person. In addition, the abandonment of devices can be seen as a waste of public money. The aim of this paper is to examine the type, the readability, and the content of existing guidance in relation to measuring home furniture. Method: An online national survey involving health and social care trusts in the UK. We conducted a synthesis of leaflets associated with measurement of furniture to identify existing guidance. The content and readability of this guidance was then evaluated. Results: From the 325 responses received, 64 therapists reported using guidance. From the 13 leaflets that were analyzed, 8 leaflets were found to meet Level 3 Adult Literacy Standards (age 9-11). There were differences in the way in which the measurement of furniture items occurred within the leaflets with no measurement guidance reported for baths. Conclusion: There is a need to standardise guidance to ensure that measurements are reliable.The authors would like to acknowledge the UK Occupational Therapy Foundation (UKOTRF), which funded and supported the project and all participants in the survey for their time and effort in our work

Case histories of infectious disease management in developing countries: Phnom Penh and Kabul As doenças infecciosas nos países em desenvolvimento: Phnom Penh e Cabul

Healthcare in developing countries is affected by severe poverty, political instability and diseases that may be of lesser importance in industrialized countries. The aim of this paper was to present two cases and histories of physicians working in hospitals in developing countries and to discuss the opportunities for clinical investigation and collaboration. Cases of patients in Phnom Penh, Cambodia, with histoplasmosis, cryptococcal meningitis, crusted scabies, cerebral lesions and human immunodeficiency virus and of patients in Kabul, Afghanistan, with liver cirrhosis, nephrotic syndrome and facial ulcer are discussed. Greater developmental support is required from industrialized nations, and mutually beneficial cooperation is possible since similar clinical problems exist on both sides (e.g. opportunistic cardiovascular infections). Examples for possible support of hospital medicine include physician interchange visits with defined objectives (e.g. infection control or echocardiography training) and collaboration with clinical investigations and projects developed locally (e.g. epidemiology of cardiovascular diseases or nosocomial bloodborne infections).<br>A assistência à saúde em países em desenvolvimento é afetada pela pobreza extrema, instabilidade política e doenças que podem ter menor importância em países industrializados. O objetivo deste trabalho foi apresentar dois casos e histórias de médicos que trabalham em hospitais de países em desenvolvimento e discutir as oportunidades de investigação clínica e cooperação. São discutidos casos de pacientes em Phnom Penh, no Camboja, com histoplasmose, meningite criptocócica, sarna, lesões cerebrais e vírus da imunodeficiência humana, e de pacientes em Kabul, no Afeganistão, com cirrose hepática, síndrome nefrótica e úlcera facial. Maior apoio ao desenvolvimento por parte dos países desenvolvidos é essencial, e uma cooperação mutuamente benéfica é possível, visto que problemas clínicos similares existem em ambos os lados (p. ex. infecções cardiovasculares oportunistas). Exemplos para possível apoio à medicina hospitalar incluem intercâmbio de médicos para visitas com objetivos definidos (p. ex. controle de infecção ou treinamento em ecocardiografia) e colaboração com investigações clínicas e projetos desenvolvidos localmente (p. ex. epidemiologia de doenças cardiovasculares ou infecções hospitalares causadas por via sanguínea)

Are Digital Twins Becoming Our Personal (Predictive) Advisors?:‘Our Digital Mirror of Who We Were, Who We Are and Who We Will Become’

In this paper we look at the notion of a Digital Twin and what it could entail for an aging population. A Digital Twin refers to a digital replica of potential and actual physical assets (physical twin), processes, people, places, systems and devices that can be used for various purposes. Today’s evolution of smart devices, mobile application used in different domains, could be ways of nurturing a Digital Twin. Moreover, these smart device and mobile applications are often equipped with NUI’s (Natural User Interfaces), which make them more affordable for an aging population in terms of usability. In this paper we focus on the affordance and appropriation of these assistive digital technologies. We first do a literature review on related work on ‘Aging in Place’ in combination with ‘Digital Twin’ theory. Furthermore, we conducted in-depth qualitative interviews with boomers (1946–1964) 60+ and 70+, mixed gender and mixed education, but predominately higher educated boomers living in Belgium. In addition we conducted in-depth interviews with stakeholders active in a medical environment.</p