Objectives:This study aimed to explore the dignity and related factors among older adults in long-term care facilities.Methods:Cross-sectional data were obtained from a sample of 253 Chinese older adults dwelling in l...Objectives:This study aimed to explore the dignity and related factors among older adults in long-term care facilities.Methods:Cross-sectional data were obtained from a sample of 253 Chinese older adults dwelling in long-term care facilities.Dignity among older adults was measured using the Dignity Scale,and its potential correlates were explored using multiple linear regressions.Results:Results showed that the total score of the Dignity Scale is 151.95±11.75.From high to low,the different factors of dignity among older adults in long-term care facilities were as follows:caring factors(4.83±0.33),social factors(4.73±0.41),psychological factors(4.66±0.71),value factors(4.56±0.53),autonomous factors(4.50±0.57),and physical factors(4.38±0.55).A higher score of the Dignity Scale was associated with higher economic status,fewer chronic diseases,less medication,better daily living ability and long-time lived in cities.Conclusion:Older adults with low economic status,more chronic diseases,and poor daily living ability,taking more medications,or the previous residence in rural areas seem to be most at low-level dignity in long-term care facilities and thus require more attention than their peers.展开更多
The present research intends to address in a comprehensive, transversal, and interdisciplinary manner the chronic patient management process in the research project named ＂PRO DOMO SUD＂ in order to identify operatio...The present research intends to address in a comprehensive, transversal, and interdisciplinary manner the chronic patient management process in the research project named ＂PRO DOMO SUD＂ in order to identify operational inefficiencies, thus demonstrating that these are largely attributable to incurred costs and, thus, evaluate possible solutions for providing effective and appropriate responses by healthcare and social services. Can patients/older people be treated, monitored, and managed successfully with mobile and wearable technologies？ The project involved three different groups of patients/participants： Patients with heart failure shock in ＂Home Monitoring Scenario＂; Patients with different pathologies in ＂Virtual Ward Scenario＂; Patients with limited mobility due to Neurological and Orthopaedic disease in ＂Rehabilitation Scenario＂. Due to the complexity of the issue, the methodological approach adopted must be multidimensional and interdisciplinary, addressing the complexity of the chronic patient from all viewpoints, not reducing it, yet analysing, understanding, rearranging, and managing it in an organic manner. The three different scenarios were allowed to identify several impacts on organizational and clinic management of chronic diseases, the tests showed significant improvements in quality of life of patients enrolled in the project. The data deriving from the three scenario demonstrate that wearable divide and ICT, in general, can empower both patients and physician personnel allowing them to be active part in the chronic disease management process. The PRO DOMO SUD experience derived from the Living Lab, this is a new paradigm for industrial research and development activities which allows the final users to actively collaborate with the designers and technicians in the development and test of new products and services aimed to them. The Living Labs stimulate social innovation by transferring research results from the closed industrial laboratory towards real life contexts where citizens and users become co-developers.展开更多
This paper starts from the analysis of how Alan Turing proceeded to build the notion of computability in his famous 1936 text ＂On computable numbers, with an application to the Entscheidungsproblem＂. Looking in deta...This paper starts from the analysis of how Alan Turing proceeded to build the notion of computability in his famous 1936 text ＂On computable numbers, with an application to the Entscheidungsproblem＂. Looking in detail at his stepwise construction, which starts from the materialities to achieve a satisfactory level of abstraction, it is considered how his way of doing mathematics was one that constructs mathematical knowledge by evading a definite separation between matter and form; in this way, making the world and language come together. Following the same line of reasoning, it is argued in this paper that the abstract and the concrete, the deduction and the induction, the technical and the social as well as the objective and the subjective are unthinkable as pure entities. By considering the controversies and discussions from the mid-nineteenth century until now, it is shown that local （social） elements necessarily participate in what is usually considered ＂technical content＂ or ＂objectivity＂. While Alan Turing was a precursor of what today might be said to be an ＂anthropological approach to mathematical culture＂, unveiling and reviving approaches that enable the axis of authority for mathematics, logic and computing to be shifted, he also opened different paths for the construction of a variety of mathematical knowledge as well.展开更多
基金This work was supported by the Health Commission of Zhejiang Province(Grant number 2018KY544,2018).
文摘Objectives:This study aimed to explore the dignity and related factors among older adults in long-term care facilities.Methods:Cross-sectional data were obtained from a sample of 253 Chinese older adults dwelling in long-term care facilities.Dignity among older adults was measured using the Dignity Scale,and its potential correlates were explored using multiple linear regressions.Results:Results showed that the total score of the Dignity Scale is 151.95±11.75.From high to low,the different factors of dignity among older adults in long-term care facilities were as follows:caring factors(4.83±0.33),social factors(4.73±0.41),psychological factors(4.66±0.71),value factors(4.56±0.53),autonomous factors(4.50±0.57),and physical factors(4.38±0.55).A higher score of the Dignity Scale was associated with higher economic status,fewer chronic diseases,less medication,better daily living ability and long-time lived in cities.Conclusion:Older adults with low economic status,more chronic diseases,and poor daily living ability,taking more medications,or the previous residence in rural areas seem to be most at low-level dignity in long-term care facilities and thus require more attention than their peers.
文摘The present research intends to address in a comprehensive, transversal, and interdisciplinary manner the chronic patient management process in the research project named ＂PRO DOMO SUD＂ in order to identify operational inefficiencies, thus demonstrating that these are largely attributable to incurred costs and, thus, evaluate possible solutions for providing effective and appropriate responses by healthcare and social services. Can patients/older people be treated, monitored, and managed successfully with mobile and wearable technologies？ The project involved three different groups of patients/participants： Patients with heart failure shock in ＂Home Monitoring Scenario＂; Patients with different pathologies in ＂Virtual Ward Scenario＂; Patients with limited mobility due to Neurological and Orthopaedic disease in ＂Rehabilitation Scenario＂. Due to the complexity of the issue, the methodological approach adopted must be multidimensional and interdisciplinary, addressing the complexity of the chronic patient from all viewpoints, not reducing it, yet analysing, understanding, rearranging, and managing it in an organic manner. The three different scenarios were allowed to identify several impacts on organizational and clinic management of chronic diseases, the tests showed significant improvements in quality of life of patients enrolled in the project. The data deriving from the three scenario demonstrate that wearable divide and ICT, in general, can empower both patients and physician personnel allowing them to be active part in the chronic disease management process. The PRO DOMO SUD experience derived from the Living Lab, this is a new paradigm for industrial research and development activities which allows the final users to actively collaborate with the designers and technicians in the development and test of new products and services aimed to them. The Living Labs stimulate social innovation by transferring research results from the closed industrial laboratory towards real life contexts where citizens and users become co-developers.
文摘This paper starts from the analysis of how Alan Turing proceeded to build the notion of computability in his famous 1936 text ＂On computable numbers, with an application to the Entscheidungsproblem＂. Looking in detail at his stepwise construction, which starts from the materialities to achieve a satisfactory level of abstraction, it is considered how his way of doing mathematics was one that constructs mathematical knowledge by evading a definite separation between matter and form; in this way, making the world and language come together. Following the same line of reasoning, it is argued in this paper that the abstract and the concrete, the deduction and the induction, the technical and the social as well as the objective and the subjective are unthinkable as pure entities. By considering the controversies and discussions from the mid-nineteenth century until now, it is shown that local （social） elements necessarily participate in what is usually considered ＂technical content＂ or ＂objectivity＂. While Alan Turing was a precursor of what today might be said to be an ＂anthropological approach to mathematical culture＂, unveiling and reviving approaches that enable the axis of authority for mathematics, logic and computing to be shifted, he also opened different paths for the construction of a variety of mathematical knowledge as well.
