Day 1 :
- Geriatrics and Gerontology
Session Introduction
Hitoshi Matsuyama
Nagoya University, Japan
Title: Designing Elderly Monitoring System by Fall Detection Method Using Inertial Sensor of Walking Stick
Biography:
Aoshima, Kaneko, and Matsuyama have entered the graduate school of engineering at Nagoya University and then joined the DII collaborative program at the university, which is the doctoral program for world-leading smart education. Aoshima is majoring in electronic engineering and studying defects inside semiconductor formed by radiation. Kaneko is majoring in mechanical engineering and studying Micro-Total Analysis Systems based on MEMS techniques. Matsuyama is majoring in information engineering and studying activity recognition using video and wearable sensors. They are collaborating in the DII program and working to develop products.
Abstract:
The number of old parents left in rural areas is increasing due to the diversification of lifestyles and outflow of their children into the city. Therefore, we need techniques and tools for monitoring the living conditions of the elderly even if they are away from their parents to protect them from health risks, especially falls, one of the most serious risks. Until now, sensors built in smartphones were generally used for fall detection. On the other hand, although smartphones are widely used by the elderly, they often go out without their smartphones. Therefore, we focused on walking sticks because the elderly people at a level that needs to be monitored when going out have a high carrying rate of walking sticks, and started to work on developing a fall detection method using stick attached by sensors. As the preliminary research, we attach a wearable sensor to the stick and collect acceleration and angular velocity data of activities. The fall and other anomalous activities are detected by stick fall recognition. Therefore, we develop the stick fall recognition method using Random Forest Classifier with sliding window metrics and signal processing. Adopting the developed recognition system, we design the monitoring system over the elderly and other people using walking sticks. The system collects the sensor data, uploads them to the server and after the analysis of the activities, it provides alert to the recipient such as children via the smartphone app when anomalous activities of the people using sticks occur.
Amani Ali Babgi
Johns Hopkins Aramco Healthcare, Saudi Arabia
Title: Analysis of Do Not Resuscitate Order (DNR) & Allow Natural Death (AND) Practice in Saudi Arabia: Experience of Two Major Centers
Biography:
Dr. Babgi is a clinician specialized in palliative care, nursing education for over 20 years. She has qualification in research and biostatistics. Worked a nurse clinician and pallaitive care coordinator. She is one of the pioneers in palliaitve care in Saudi Arabia. She had many clinical a admin positions in clinical settings and academia. Has been a dean of College of Nursing and Medical sciences at Fakeeh Medical College, Saudi Arabia. Currently, works as the Director of Clinical Practice Education and Research in Johns Hopkins Aramco Healthcare, Dhahran , saudi Arabia. Has conducted many courses, and has many publication, and presented in national and international symposiums and conferences. She serves in multiple Institutional Review Board as a member as well as IRB Co-Chair previously
Abstract:
Ryoon Wha Kang
Basingstoke and North Hampshire Hospital, UK
Title: “Mind that ceiling!†A Junior Doctor’s Perspective on Ceilings of Care, Evolving Decisions for Elderly Patients
Biography:
Dr Ryoon Wha Kang has completed her Bachelor of Medicine and Bachelor of Surgery and Bachelor of Science in Physiology from University College London. She has completed Foundation Training, comprising of various rotations in medical, surgical and community-based specialties, in Nottingham City Hospital and Lincoln County Hospital. She has presented in regional and national conferences and won the best poster presentation award on two occasions. She has published a paper as a second author in reputed journal and served as a regional teaching coordinator for medical students. She is currently a Core Medical Trainee in Basingstoke Hospital.
Abstract:
Sepsis is a reversible cause of death. Ceilings of care should be set in advance for patients, but it should be an evolving discussion between all those involved. The objective of this clinical case report is to highlight the importance of identifying reversible causes in the elderly with multiple co-morbidities and empowering junior doctors to re-visit decisions made and escalate swiftly and appropriately. An 84 year-old white female presented with 2 days of right calf erythema and right iliac fossa tenderness. Symptoms occurred following laceration of her right leg. She became unwell with nausea and vomiting. Abdominal computed tomography revealed reactive lymphadenopathy and blood cultures grew Group A Streptococci. On admission to the ward, the patient agreed not to be resuscitated nor be admitted to the High Dependency/Intensive Care Unit. She remained hypotensive despite 3 litres of intravenous crystalloid fluids. She maintained mental capacity and said “do whatever is best for me.” With this, the junior doctor altered the recorded ceilings of care, referred to the intensivists for consideration of inotropic support. After 24 hours of intensive care, the patient was successfully stepped down to continue treatment for cellulitis on the ward until discharge home. If the admission to the intensive care unit was delayed (due to senior doctors unavailable whilst attending emergencies) or cancelled due to the previously stated “ward base care only,” the patient would have had a significantly different outcome. Decisions regarding ceilings of care should be re-evaluated on a regular basis to accommodate individual clinical pictures.
Obydul Hoq
Hamdard University Bangladesh, Dhaka, Bangladesh
Title: Livelihood pattern of elderly street beggar in Dhaka city
Biography:
Dr. Md. Obydul Hoq has completed his Bachelor degree at the age of 23 years from Government Unani and Ayurvedic Medical College , Dhaka Bangladesh. He also completed MSS in social welfare specialization in gerontology and geriatric welfare (GGW) from University of Dhaka. He also running his M.Phil degree at University of Dhaka. He is a Lecturer of Hamdard University Bangladesh. He has published 13 papers in reputed journals
Abstract:
Begging is one of the major social problems. There are some certain changes as the result of urbanization. The people used to beg as they are losing the social security‟s following the breaking up of the joint family. The begging has expanded all around in Bangladesh. The beggars are in bus, markets, roads, houses in different places. General objective of the study was to know the situation of the old aged people engaged in bagging in Dhaka city. Specific objectives were to know the family background of the aged-beggars, to understand the socio-economic factors those are responsible for old age begging and to know the quality of life/ life style of old age street beggars. It was a qualitative study has used to explore causation in order to find situation of the old age beggars and their condition, situation as well. After analyzing the cases, it is seen that the majority are in begging because of they are not having assets and income securities. The male cases are widower, females are widow or abandoned. Some issues are also serious including the medical, food and habitat which are very important indeed. Every older person wants to be active in later life. By which he or she takes a part of development for the country and nation everyone should be aware to fulfill their daily needs. We should take some necessary steps in individuals, family, society, country as well globally for the well being of elderly street beggar in various places.