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How well did the healthcare system respond to the healthcare needs of older people with and without dementia during the COVID-19 pandemic : the perception of healthcare providers and older people from the SI4CARE Project in the ADRION Region
Stella Fragkiadaki, Dionysia Kontaxopolou, Darja Šemrov, Simon Colnar, Mitja Luštrek, Bojan Blažica, Vlado Dimovski, Sokratis G. Papageorgiou, 2023, izvirni znanstveni članek

Povzetek: One major challenge during the COVID-19 pandemic was the limited accessibility to healthcare facilities, especially for the older population. The aim of the current study was the exploration of the extent to which the healthcare systems responded to the healthcare needs of the older people with or without cognitive impairment and their caregivers in the Adrion/Ionian region. Data were collected through e-questionnaires regarding the adequacy of the healthcare system and were anonymously administered to older individuals and stakeholder providers in the following countries: Slovenia, Italy (Calabria), Croatia, Bosnia and Herzegovina, Greece, Montenegro, and Serbia. Overall, 722 older people and 267 healthcare stakeholders participated in the study. During the COVID-19 pandemic, both healthcare stakeholders and the older population claimed that the healthcare needs of the older people and their caregivers increased dramatically in all countries, especially in Italy (Calabria), Croatia and BiH. According to our results, countries from the Adrion/Ionian regions faced significant challenges to adjust to the special needs of the older people during the COVID-19 pandemic, which was possibly due to limited accessibility opportunities to healthcare facilities. These results highlight the need for the development of alternative ways of providing medical assistance and supervision when in-person care is not possible.
Ključne besede: healthcare system responses, COVID-19 pandemic, older people, cognitive impairment, dementia, caregivers, telemedicine, healthcare challenges, accessibility, Slovenia, Italy, Serbia, Croatia, Bosnia and Herzegovina, Greece, Montenegro
Objavljeno v DiRROS: 01.02.2023; Ogledov: 614; Prenosov: 263
.pdf Celotno besedilo (412,07 KB)
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Passive shoulder exoskeletons : more effective in the lab than in the field?
Sander De Bock, Jo Ghillebert, Renée Govaerts, Shirley A. Elprama, Uroš Marušič, Ben Serrien, An Jacobs, Joost Geeroms, Romain Meeusen, Kevin De Pauw, 2021, izvirni znanstveni članek

Povzetek: Shoulder exoskeletons potentially reduce overuse injuries in industrial settings including overhead work or lifting tasks. Previous studies evaluated these devices primarily in laboratory setting, but evidence of their effectiveness outside the lab is lacking. The present study aimed to evaluate the effectiveness of two passive shoulder exoskeletons and explore the transfer of laboratory-based results to the field. Four industrial workers performed controlled and in-field evaluations without and with two exoskeletons, ShoulderX and Skelex in a randomized order. The exoskeletons decreased upper trapezius activity (up to 46%) and heart rate in isolated tasks. In the field, the effects of both exoskeletons were less prominent (up to 26% upper trapezius activity reduction) while lifting windscreens weighing 13.1 and 17.0 kg. ShoulderX received high discomfort scores in the shoulder region and usability of both exoskeletons was moderate. Overall, both exoskeletons positively affected the isolated tasks, but in the field the support of both exoskeletons was limited. Skelex, which performed worse in the isolated tasks compared to ShoulderX, seemed to provide the most support during the in-field situations. Exoskeleton interface improvements are required to improve comfort and usability. Laboratory-based evaluations of exoskeletons should be interpreted with caution, since the effect of an exoskeleton is task specific and not all infield situations with high-level lifting will equally benefit from the use of an exoskeleton. Before considering passive exoskeleton implementation, we recommend analyzing joint angles in the field, because the support is inherently dependent on these angles, and to perform in-field pilot tests. This paper is the first thorough evaluation of two shoulder exoskeletons in a controlled and infield situation.
Ključne besede: assistive devices, exoskeletons, ergonomics, industrial plants, system validation
Objavljeno v DiRROS: 28.02.2022; Ogledov: 665; Prenosov: 495
.pdf Celotno besedilo (3,15 MB)
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Reduced parasympathetic reactivation during recovery from exercise in myalgic encephalomyelitis/chronic fatigue syndrome
Jessica Van Oosterwijck, Uroš Marušič, Inge De Wandele, Mira Meeus, Lorna Paul, Luc Lambrecht, Greta Moorkens, Lieven Danneels, Jo Nijs, 2021, izvirni znanstveni članek

Povzetek: Although autonomic nervous system (ANS) dysfunction in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) has been proposed, conflicting evidence makes it difficult to draw firm conclusions regarding ANS activity at rest in ME/CFS patients. Although severe exercise intolerance is one of the core features of ME/CFS, little attempts have been made to study ANS responses to physical exercise. Therefore, impairments in ANS activation at rest and following exercise were examined using a case-control study in 20 ME/CFS patients and 20 healthy people. Different autonomous variables, including cardiac, respiratory, and electrodermal responses were assessed at rest and following an acute exercise bout. At rest, parameters in the time-domain represented normal autonomic function in ME/CFS, while frequency-domain parameters indicated the possible presence of diminished (para)sympathetic activation. Reduced parasympathetic reactivation during recovery from exercise was observed in ME/CFS. This is the first study showing reduced parasympathetic reactivation during recovery from physical exercise in ME/CFS. Delayed HR recovery and/or a reduced HRV as seen in ME/CFS have been associated with poor disease prognosis, high risk for adverse cardiac events, and morbidity in other pathologies, implying that future studies should examine whether this is also the case in ME/CFS and how to safely improve HR recovery in this population.
Ključne besede: autonomic nervous system, autonomic function, electrodermal activity, electrocardiogram, heart rate, physical activity
Objavljeno v DiRROS: 20.10.2021; Ogledov: 887; Prenosov: 766
.pdf Celotno besedilo (4,50 MB)
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