Welcome visitors and authors. We are now working on improving our management and quality. We invite authors and reviewers from around the world to contribute in the discipline of Internal Medicine. Editor in Chief Prof. I Made Bakta, Sp. Journal Manager dr.
|Published (Last):||22 May 2019|
|PDF File Size:||18.31 Mb|
|ePub File Size:||18.23 Mb|
|Price:||Free* [*Free Regsitration Required]|
Our society needs more heroes who are scientists, researchers, and engineers. As the life expectancy rises, Indonesia is facing the problem of increasing number of elderly people. The status quo is either taking care of the elderly at home or admitting them into nursing homes. The idea of nursing homes is still considered as a taboo by the general population and is financially costly. Adult Day Centers ADCs is seen as an alternative to counter the problems and help sustain the physical function of the elderly, thus their quality of life.
The study is a literature review of various journals retrieved from Google Scholar with keywords of. It eliminates the stress of caregivers, decreased service time and minimizes the risk of falling, all three are found in home care services. Furthermore, ADCs encourages caregivers-recipients relationship. ADCs is an alternative which the Government needs to provide in order to maintain the quality of life of the increasing elderly population through sustaining physical function.
Since the population of elderly people is ever growing, the Government has to come up with a solution on how to care for the elderly in order to provide a good quality of life despite all the problems that they are having. Nowadays, there is a debate on how. They can get along with their peers in various activities designed to sustain their physical function.
The purpose of this study is to compare and determine which care is most the most efficient and effective model and to give. The problem with informal caregivers is the huge tendency to be overload and develop stress. Compared to the caregivers in ADCs, informal caregivers have higher.
Since they grow up in the same era, there are more things they can relate to. Psychologically, the more things they have in common, the stronger bond they form.
Generation gap is minimized or even. In addition, elderly people living at home have a high prevalence towards bad lifestyle which includes, but are not limited to smoking, alcohol consumption, fast. As seen in Figure 1, there are Approximately The prevalence of physical inability in the group is As a result of.
In a study, health status and physical function status are shown to be the most important factors in the quality of life. The better the health status and physical function of a person, the better their quality of life is. Social networking and relationship. Furthermore, a study conducted in proves that social model, now provided by the ADCs, affects the physical function and health status. Home care services do not have social programs such as that of the ADCs. Schmitt et al. This means that ADCs suits the need and intention of the elderly people found in the interview.
In the same interview, the caregivers pointed out how they can also socialize with other caregivers. In addition to peer-to-peer communication, the ADCs act.
An elderly person can discuss new topics and recent issues with their caregivers. As proven in how they embrace. The various activities that the elderly can participate in ADCs are important in training and maintaining their physical function. The activities involve outdoor activities, which main purpose is to sustain the physical function of the elderly.
Many elderly people acknowledge the significance of physical activity to have a healthy life. However, they dislike the idea of doing so. In a home care service, the ignorance of physical activities is not resisted enough, that the elderly can skip doing it. There is simply no other motivation to do so.
The living environment of the elderly is also very important. It is proven that elderly who spend their time in ADCs perceived lessened impact of physical and emotional.
Since the elderly people spend only a few hours a day in the ADC, the caregivers cannot watch the elderly people all the. Medical students can also take part in the caring of the elderly.
However, higher education of the subject is rarely available. A third alternative is to provide Adult Day Center ADC , which is asserted to provide solutions to problems posed by the.
This is a burden of the productive population in a country. Since the ADCs serves as a day care center for elderly people, the role of families at home are is effectively diminished but simply decreased. Firstly, ADCs rebutted.
The reason why this study excludes nursing home is that because the idea of nursing home is not widely accepted by the population. In order to prove the hypothesis, we did a literature review of international journals. The search engine we use is Google Scholar with inclusion and exclusion criteria mentioned earlier in the methods.
From the literature review, the. The score. They score an average in medication taking, laundry and financial handling. References 1. Cromwell, D. The performance of instrumental activities of daily living scale in screening for cognitive impairment in elderly community residents. Molzahn, A. Quality of life associated with adult day centers. Journal of Gerontological Nursing, 35 8 , 37— Morris, S.
Journal of Health and Social Behavior, 37 1 , 91— Schmitt, E. The Gerontologist, 50 4 , — Table 2. The IADL table of the study shows high score of the elderly. Stroke is an age related-disease. As the number of geriatric population and their life expectancy increase, therefore the stroke probability will also increases. From the current method of health care, the mortality number caused by stroke might decrease but the patient disability post-stroke still occurred.
To obtain optimum recovery, intensive, and focus rehabilitation is needed. Due to this fact, the 21st century has currently offered robotics exoskeleton as a new method of rehabilitation for disabled post stroke patient that can fulfill the current needs in health care. The objectives of the study are to find the effectiveness and safety of robotic exoskeleton rehabilitation in post stroke geriatric patient.
The study was conducted by systematic review, obtaining a total of 25 literatures journals. Inclusion of the journals was the one conducting a research about geriatric, post-stroke, rehabilitation post-stroke and robotic exoskeleton.
From the literature collected, we could see the study of robotic exoskeleton to be used as a physical rehabilitation in upper limb and lower limb incl.
The study conducted showing result that robotic exoskeleton in physical rehabilitation is acceptable to be used as a rehabilitation property algorithms program success , cause a significant motoric improvement in patients improvement in Jerk, strength, velocity, and motoric assessment chart , and also safely no adverse effect occurred used. Keywords: geriatric, robotic exoskeleton, post-stroke, physical rehabilitation. Other than disability, depression might also occur post-stroke, that is mainly caused by patient disability to afford activity of daily living and also a decrease in life quality.
Current Management. The prove that stroke health care has been improved can be seen through the mortality rates that have been decreasing although a large number of patients still remain disabled regardless of the time that has elapsed post-stroke. Veerbeek et al. Robotics Exoskeleton Design The design and program of the robotic exoskeleton are vital to enhance and optimize the quality and efficiency of the robotic exoskeleton.
Several things that are. Manto, ; Milot et al. The assessment was takenbefore and after training period with a 3-month follow-up evaluation session. While the multi joint robotic training consisted of 40 minutes of computerized games simulating functional activities catching a baseball, driving a motor cycle, shooting targets, dropping marbles down a pegged board, playing air hockey, making an omelet, dunking a.
A trained physical therapist supervised each training session. A pressure powered arm robotic exoskeleton named. The signals will be able to detect medical abnormalities, recruitment. Electrodes were positioned over the border of the distal third of the muscle halfway between the innervations zone and the distal tendon parallel to the muscle fibers according to SENIAM guidelines.
Anklebot Training Result Roy et al. The ankle rehabilitations program included 7 participants Age: Task difficulty was adjusted to ankle range of motion, with robotic assistance decreased incrementally across training. The robotic exoskeleton system comprises two subsystems for cybernic voluntary control CVC and cybernic autonomous control CAC. The CAC mode utilizes voluntary weight shift to initiate gait cycles and then provides predefined movements.
While gait in the CVC mode continuously use input from voluntarily activated gait muscles to provide. For the reward mechanism, it works by dividing subjects into 2 groups, high reward and low reward. The high-rewards group receives.
Progeria syndrome: A case report
Progeria is characterized by clinical features that mimic premature ageing. Although the mutation responsible for this syndrome has been deciphered, the mechanism of its action remains elusive. Progeria research has gained momentum particularly in the last two decades because of the possibility of revealing evidences about the ageing process in normal and other pathophysiological conditions. Various experimental models, both in vivo and in vitro , have been developed in an effort to understand the cellular and molecular basis of a number of clinically heterogeneous rare genetic disorders that come under the umbrella of progeroid syndromes PSs.
Jurnal Penyakit Dalam Indonesia
Progeria is a rare and peculiar combination of dwarfism and premature aging. The incidence is one in several million births. It occurs sporadically and is probably an autosomal recessive syndrome. Though the clinical presentation is usually typical, conventional radiological and biochemical investigations help in confirming the diagnosis.
Progeria: A rare genetic premature ageing disorder