Subsurface Equilibrium: Transformation towards synergy in construction of urban systems

By jointly approaching the challenges we face – such as ongoing urbanization, climate change, energy transition and the introduction of new mobility such as automated and electric vehicles – urban areas can be made more resilient. Thesubsurface of the city can play a central role in this, for instance by using space made available by a different use of infrastructure for the ecological and functional improvement of the city. In order to combine ecosystem services, climate and urban systems in a single design that accounts for the dynamics of the subsurface, it must be seen as an integral element of spatial planning and design. Based on this idea this exploratory research was done into the effect of ‘soil first’ on three urban typologies. What is the design potential of these typologies, assuming a circular construction of the public space and a healthy soil? The result is a six step approach in which the city can become more healthy is regard to global challenges and respecting the soil as main carrier

Subsurface Equilibrium: Transformation towards synergy in construction of urban systems

By jointly approaching the challenges we face – such as ongoing urbanization, climate change, energy transition and the introduction of new mobility such as automated and electric vehicles – urban areas can be made more resilient. Thesubsurface of the city can play a central role in this, for instance by using space made available by a different use of infrastructure for the ecological and functional improvement of the city. In order to combine ecosystem services, climate and urban systems in a single design that accounts for the dynamics of the subsurface, it must be seen as an integral element of spatial planning and design. Based on this idea this exploratory research was done into the effect of ‘soil first’ on three urban typologies. What is the design potential of these typologies, assuming a circular construction of the public space and a healthy soil? The result is a six step approach in which the city can become more healthy is regard to global challenges and respecting the soil as main carrier.Environmental Technology and DesignUrban Desig

Healthcare recommendations from the personalised ict supported service for independent living and active ageing (PERSSILAA) study

In the face of demographic ageing European healthcare providers and policy makers are recognising an increasing prevalence of frail, community-dwelling older adults, prone to adverse healthcare outcomes. Prefrailty, before onset of functional decline, is suggested to be reversible but interventions targeting this risk syndrome are limited. No consensus on the definition, diagnosis or management of pre-frailty exists. The PERsonalised ICT Supported Service for Independent Living and Active Ageing (PERSSILAA) project (2013-2016 under Framework Programme 7, grant #610359) developed a comprehensive Information and Communication Technologies (ICT) supported platform to screen, assess, manage and monitor pre-frail community-dwelling older adults in order to address pre-frailty and promote active and healthy ageing. PERSSILAA, a multi-domain ICT service, targets three pre-frailty: nutrition, cognition and physical function. The project produced 42 recommendations across clinical (screening, monitoring and managing of pre-frail older adults) technical (ICT-based innovations) and societal (health literacy in older adults, guidance to healthcare professional, patients, caregivers and policy makers) areas. This paper describes the 25 healthcare related recommendations of PERSSILAA, exploring how they could be used in the development of future European guidelines on the screening and prevention of frailty

ICT-Supported Interventions Targeting Pre-frailty: Healthcare Recommendations from the Personalised ICT Supported Service for Independent Living and Active Ageing (PERSSILAA) Study

Part of the Communications in Computer and Information Science book series (CCIS, volume 869)As society ages, healthcare systems are preparing for an increasing prevalence of frail, co-morbid and older community-dwellers at risk of adverse outcomes including falls, malnutrition, hospitalisation, institutionalisation and death. Early intervention is desirable and pre-frailty, before onset of functional decline, may represent a suitable transition stage to target, albeit evidence for reversibility and appropriate interventions are limited. No consensus on the definition, diagnosis or management of pre-frailty exists. This work describes 25 healthcare related findings from the recently completed PERsonalised ICT Supported Service for Independent Living and Active Ageing (PERSSILAA) project, funded under the 2013–2016 European Union Framework Programme 7 (grant #610359). PERSSILAA developed a comprehensive Information and Communication Technologies (ICT)-supported platform to screen, assess, intervene and then monitor community-dwellers in two regions (Enschede in the Netherlands and Campania in Italy) in order to address pre-frailty and promote active and healthy ageing, targeting three important pre-frailty subdomains: nutrition, cognition and physical function. Proposed definitions of pre-frailty, ICT-based approaches to screen and monitor for the onset of frailty and targeted management strategies employing technology across these domains are described. The potential of these 25 healthcare recommendations in the development of future European guidelines on the screening and prevention of frailty is explored.PERSSILAA (PERsonalised ICT Supported Service for Independent Living and Active Ageing) from the European Community’s Seventh Framework Programme under grant agreement (FP7-ICT- 610359). Tânia Gonçalves Albuquerque acknowledges her PhD grant (SFRH/BD/99718/2014) funded by FCT, FSE and MECinfo:eu-repo/semantics/publishedVersio

ICT-supported interventions targeting pre-frailty: Healthcare recommendations from the personalised ICT supported service for independent living and active ageing (PERSSILAA) study

As society ages, healthcare systems are preparing for an increasing prevalence of frail, co-morbid and older community-dwellers at risk of adverse outcomes including falls, malnutrition, hospitalisation, institutionalisation and death. Early intervention is desirable and pre-frailty, before onset of functional decline, may represent a suitable transition stage to target, albeit evidence for reversibility and appropriate interventions are limited. No consensus on the definition, diagnosis or management of pre-frailty exists. This work describes 25 healthcare related findings from the recently completed PERsonalised ICT Supported Service for Independent Living and Active Ageing (PERSSILAA) project, funded under the 2013–2016 European Union Framework Programme 7 (grant #610359). PERSSILAA developed a comprehensive Information and Communication Technologies (ICT)-supported platform to screen, assess, intervene and then monitor community-dwellers in two regions (Enschede in the Netherlands and Campania in Italy) in order to address pre-frailty and promote active and healthy ageing, targeting three important pre-frailty subdomains: nutrition, cognition and physical function. Proposed definitions of pre-frailty, ICT-based approaches to screen and monitor for the onset of frailty and targeted management strategies employing technology across these domains are described. The potential of these 25 healthcare recommendations in the development of future European guidelines on the screening and prevention of frailty is explored