2012 Edition boosted by

INNO4AGEING is a XISCAT Network event

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INNO4AGEINGThe international meeting point

of Active Ageing in Catalonia

2012 Edition boosted by

INNO4AGEING is a XISCAT Network event

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INNO4AGEING IS A TWO-DAY CONGRES RECOGNIZED AS EU INITIATIVE SUPPORTING THE EUROPEAN YEAR FOR ACTIVE AGEING AND SOLIDARITY BETWEEN GENERATIONS

With a strong focus on improving senior's health and wellbeing through the analysis, debates and scientific and business networking based on innovations in Hospitals activity, it highlights

cutting-edge technology and results on Ambient Assisted Living (AAL), Chronicity, Telemedicine, Rehabilitation, and Information and Communications Technology (ICT) in Health.

INNO4AGEING IS A XISCAT NETWORK EVENT IMPULSING THE INTERNATIONALITY OF THE INNOVATION BASED ON MEDICAL ACTIVITY FOR CATALAN TERRITORY

Located at Vilanova i la Geltrú, hosted by Fundació ABAT (XISCAT member at Garraf) and co-organized together with Parc de Salut (Catalan Innovation Hub on medical devices and health).

Learn more about it on www.parcdesalut.com/ageing

2012 Edition boosted by

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HIGH-VALUE ON INNOVATION AT AGEING TAKE-CARE AND TREATMENTS ON GARRAF

2012 Edition boosted by

INNO4AGEING is a XISCAT Network event

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XISCAT, the largest national Hospital, Medical & Socio-sanitary Centers Network

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2012 Edition boosted by Supported by

1. Mechatronics based rehabilitation at home

2. The educational & training needs of a group of careers of elderly people in Osona

3. Nutritional intake & cognitive status in nursing

4. The experience of functional autonomy loss in elderly people: The disregarded voices

5. Decision support system (DDS) for risk assessment in low impact femoral fractures

6. Portable and adaptable BELT

7. Neurosciences Research Cluster of Excellence

8. NeuroRescue

9. VTT Active Ageing Forum

10. i-salut a casa

11. Leading innovative Health Solutions: pectus UP Surgery Kit

12. HELP: Home-based Empowered Living for Parkinson’s disease patients

13. eCAALYX. Enhanced Complete Ambient Assisted Living Experiment

SUMMARY

May 1st 2010 - October 31st 2011

Mechatronics based Rehabilitation at Home

Lead ParticipantFontys University of Applied Sciences (School of Engineering, Mechatronics Department) - North Brabant (NL) Contact: Mr. Johan Vlugter (j.vlugter@fontys.nl)

ParticipantsTechnical University of Catalonia-Industrial Equipment Design Center (CDEI-UPC) - Catalonia (ES)University of Brescia (Laboratory of Mechatronics, Faculty of Engineering) - Lombardy (IT) University of West Bohemia (Faculty of Applied Sciences, Department of Cybernetics) - South West Bohemia (CZ)Upper Austria University of Applied Sciences Research & Development - Upper Austria (AT)

Companies & InstitutionsFOCAL Meditech B.V. - North Brabant (NL) Fitland - North Brabant (NL) Zuidzorg Foundation - North Brabant (NL)Privamed Inc. - South West Bohemia (CZ)

Project dataDuration 18 months, (May 1st 2010 - October 31st 2011) Budget: € 458.384,-ERDF funding € 369.551,30Website www.mrh-project.eu

About Innovation 4 WelfareAcross Europe economic and demographic development pose new challenges in health related issues: a general tendency to prioritize on health and safety, the strong increase in welfare-related diseases and the increased need for (home) care for the ageing population, are causing health care costs to increase rapidly. Innovative solutions are necessary to meet these challenges and to avoid health care becoming unaffordable.

Changing health needs are also an opportunity. It is an attractive target area for developing innovative new technologies and applications. Innovation 4 Welfare aims to stimulate the development of health related innovations. It is a four year mini-programme co-funded by the European Regional Development Fund (Interreg IVC) and has six partners throughout Europe. These partner regions exchange good practices, execute new innovation projects and try to influence regional policies by stimulating innovation in the field of health and safety. ( www.innovation4welfare.eu)

Partner regionsInnovation 4 Welfare involves partners from six regions across Europe Catalonia - Spain ACC1ÓLombardy - Italy CESTEC

Upper Austria - Austria TMGTartu - Estonia Tartu Science ParkSouth West Bohemia - Czech Republic RERA

Addressed needsAgainst the background of increasing numbers of elderly people living longer (double ageing) and growing impor-tance of chronic diseases like diabetes (welfare diseases), continuing the increase of quality, access and efficiency of healthcare is considered one of the largest challenges in all Regions of the European Community.There is a clear understanding that better healthcare and quality of life in general can be achieved for people suffering from chronic diseases or disabilities through technological innovation initiated in particular by SME’s.Increasing numbers of (elderly) people need long term rehabilitation due to some disease or trauma. With execution of this project the participants aim to address societal, economical, medical and technological needs and challenges connected to the increasing demand of a high quality and high volume of affordable rehabilitation

Mechatronics based

Turning welfare challenges into business opportunities

North Brabant - the Netherlands Province of North Brabant

services to elderly and/or chronically ill people.Today therapy is offered to a patient by a therapist (usually one on one) in healthcare centres or at the patient’s private home.

the years, travelling to a health centre will often be difficult, time consuming and expensive.

of home bound patients will inevitably increase making the future of therapy at home on a ‘one on one’ basis an almost unsustainable service.

a considerable impact on the daily routine of the patient, as planning is and will be mainly based on the schedules of the relative decreasing number therapists available.

Activities for physiotherapy can be very roughly divided into:

a body part and the therapist or a mechanical device counteracts it. With equipment available at healthcare centres a limited number of these treatments can be executed autonomously. The equipment commercially available to therapists today is still basically of mecha-nical nature, with some added electronic (recording) functionalities. More complex exercises are performed manually by the therapist on the patient.

(moves the body part) and the patient should to some extend and ability counteract the imposed movement. In general this type of exercises is fully manually applied ‘one on one’ to the patient by the therapist.

Rehabilitation treatments must be performed in many cases with considerable accuracy over longer periods of time to be effective and are therefore strenuous, labour intensive and expensive. Overall effectiveness and efficiency of therapy today still depends almost solely on the (manual) skills and experience of the therapist.

There is an eminent need to address the growing demand of rehabilitation services, for the European Regions to be able to sustain in future years at least an acceptable but preferably an enhanced level of these services for the elderly and /or chronically ill people.

ApproachThe basic approach of this project is to investigate the increase of overall quality, efficiency and effectiveness of physiotherapy to be achievable by introducing mechat-ronics based rehabilitation equipment designed for the use by patients at home under (remote) supervision by therapists and medical specialists and thus reducing the number of repetitive visits to or from therapists.

Main activitiesThe MRH project will focus on five main issues:1. The present developments in rehabilitation2. The success factors of a MRH application3. The business opportunities for a MRH application4. The design and development of MRH applications5. The steps to be taken to make MRH applications

a success

At least five pilot applications will be developed to demonstrate the results of the studies. The results will be presented and discussed at five international meetings. The overall results will be used to compose a ‘white book’ on the MRH concept.

OutputThe MRH subproject aims to develop a ‘white book’ on the different aspects of rehabilitation at home based on Mechatronics. Input for this white book will be obtained by consultation and by own research, and will be made available for regional policymakers, companies and authorities providing health and social care.

Rehabilitation at Home

Turning welfare challenges into business opportunities

Subproject participants

Mechatronics based Rehabilitation at Home

CataloniaTechnical University of Catalonia

Universitat Politècnica Catalunya (UPC)

Centre de Disseny d’Equipaments Industrials (CDEI)

Llorens Artigues 4-6, Edif U Planta O

08028 Barcelona, Spain

Contact: Sònia Llorens i Cervera Ilorens@cdei.upc.edu

Website: www.cdei.upc.edu/index-en.php

LombardyUniversity of Brescia

Università degli Studi di Brescia (Unibs)

Piazza del Mercato, 15

25121 Brescia, Italy

Contact: Antonio Visioli antonio.visioli@ing.unibs.it

Website: http://www.unibs.it/on-line/ateneo/Home.html

North-Brabant (SLP)Fontys University of Applied Sciences

Fontys Hogescholen (Fontys)

Rachelsmolen 1

5612 MA Eindhoven, The Netherlands

Contact: Johan Vlugter J.Vlugter@fontys.nl

Website: www.fontys.edu

South West BohemiaUniversity of West Bohemia

Západočeská univerzita v Plzni

Univerzitni 8

306 14 Plzeň, Czech Republic

Contact: Jaroslav Sobota jsobota@kky.zcu.cz

Website: http://www.zcu.cz/en/

Upper AustriaUpper Austria University of Applied Sciences

Fachhochschule Oberöstereich (FHOO)

Granisonstraße 21

4020 Linz, Austria

Contact: Andreas Schrempf andreas.schrempf@fh-linz.at

Website: http://www.fh-ooe.at/

The educational and training needs of a group of carers of elderly people in Osona

Vall Mayans, M.* *Departament Salut i Acció Social

Facultat de Ciències de la Salut i el Benestar (FCSB)- UNIVERSITAT DE VIC (Barcelona)

OBJECTIVES - To describe the functions of the carers of institutionalised elderly people - To develop and validate an instrument to analyse the tasks performed by the carers

- To draw conclusions about the training needs of the Study Group (SG) and develop a training proposal

Design: qualitative and descriptive study or diagnostic evaluation based on an analysis of the tasks performed by the SG: information obtained from in-depth interviews, Residential Care Home records, field observations based on a protocol and a checklist, fieldwork diary and documentary material. Study period: 2009-2011. Subjects and area studied: carers of the elderly in a formal setting; immigrant workers of varying age,

status, socioeconomic status, gender, and level of training/education, etc.; staff without managerial responsibilities in privately owned or 3rd sector Residential Care Homes that are partly funded by the Generalitat de Catalunya; in Osona.

..

RESULTS

CONCLUSIONS

MATERIAL AND METHODS

View of the managers of the Residential Care Homes:

Participants: 9 (64.3%) / 14 (100%)

1st interview: the carers have training needs

2nd interview: validated the classification of tasks and make suggestions regarding the training of the SG

SG Interview: Profile

Participants: 44 (100%)→ women (89%) aged between 19 and 56 (20-49) arrived in Spain between 1971 and 2008 without Spanish nationality, but with a Residence Permit (80%) educated to secondary level with little experience of caring for the elderly before starting their current job

The SG feel they need training in: (approx. %)

PERSONAL HYGIENE ___________ 32% ROOM TIDYING ___________ 32% TOILETING ________________ 86.5% NUTRITION AND FEEDING ________________ 59% PUTTING TO BED ________________ 29.5% RECORD KEEPING ___________ 91% MOVING THE ELDERLY PERSON _________ 41% NURSING CARE __________________ 86.4% PERSONAL RELATIONS ___________ 70.5% MEDICATION ___________ 70.5% CLEANING/IRONING/OTHER TASKS ______ 15.9% MEETINGS ___________ 43.2% ONGOING IN-HOUSE TRAINING __________ 93.2% OTHER ________________ 59.1%

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Direct observation of the SG:

N = 6 (2 mornings + 2 afternoons + 2 nights, ≠ Homes → sample of approx. 13.5%), for 6–11½ hours (= length of shift) tasks performed: 132 / 220 (60% approx.), mainly priority and secondary

time and staff are confirmed as insufficient to perform all the validated tasks many aspects of the work could be improved

Triangulation

The quality of the work of the SG needs to be improved by the suggested training

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the capacities and skills the immigrant carers have are sufficient to cover some of the needs of the elderly residents the carers feel they need to learn: to do some tasks, to improve others and to extend their skills, even in areas outside their professional responsibilities to facilitate the learning of the SG, it is proposed that a training programme should be developed, using methods appropriate for adult learners who have

some experience, once their specific educational and training needs have been evaluated

UNIVERSITAT DE VIC

Nutritional intake and cognitive status in nursing home residentsMARÍA ESPERANZA DUDET CALVO esperanza.dudet@uvic.cat

Department of Health and Social ActionFaculty of Health Sciences and Welfare – University of Vic (Barcelona)

Introduction: Malnutrition is a common problem in nursing homes,and an inadequate nutrition can contribute to cognitive impairment.The aim of this study was to determine the nutritional intake profile ofnursing home residents, related to cognitive status.

Methodology: A cross-sectional study was performed in 36 elderly (10men and 26 women) institutionalized in a nursing home. Cognitivestatus was determined using the Mini Mental State Examination(MMSE), nutritional status whit the Mini Nutritional Assessment (MNA),and nutritional intake using double weight dietary record for three days.

Results: All residents showed excessive intake of saturated fatty acids

and deficient in energy, carbohydrates, -linolenic acid,docosahexaenoic acid, fibre, riboflavin, niacin, folic acid, vitamins B6, Dand E, calcium, magnesium, iron, zinc, iodine, sodium and copper.Cognitively normal elderly showed better scores in Mini Mental StateExamination (21.7 ± 4.7 vs 16.8 ± 5.2, p = 0.037), and higher intake oftotal fatty acids (36.0 4.0 vs 31.3 5.0, p = 0. 54; 36.0 4.0 vs 34.8

3.7, p = 0.094), monounsaturated fatty acids (14.0 ± 2.1 vs 11.3 ±2.7, p = 0.042), polyunsaturated fatty acids (5.2 ± 1.2 vs 3.8 ± 1.1, p =0.058), fibre (14.2 ± 4.5 vs 7.6 ± 4.2, p = 0.005), folic acid (173.6 ±51.6 vs 101.2 ± 41.5, p = 0.013), vitamin C (116.5 ± 60.0 vs 89.2 ±47.2 vs 66.8 ± 39.4, p = 0.051), vitamin E (3.7 ± 1.3 vs 2.4 ± 1.4, p =0.065), iodine (67.7 ± 12.7 vs 48.1 ± 20.5, p = 0.067) and copper

(926.5 ± 409.9 vs 783.6 ± 623.7 vs 499.8 ± 256.2, p = 0.044) thatcognitive impaired elderly.

Conclusions: A higher intake of total fatty acids, monounsaturatedand polyunsaturated fatty acids, fibre, folic acid, vitamins C and E,iodine and copper could contribute to better cognitive function. Allresidents, regardless of their cognitive status, conducted a nutritionallyunbalanced and deficient diet.

Key words: nutritional intake, nutritional status, cognitive status,nursing home elderly.

Abstract

Introduction

One of the health policy from WHO to promote active aging is to reduce the riskfactors related to the causes of major diseases, and to increase factors thatprotect health; nutrition / feeding is one of the factors to address.

Malnutrition is a common health problem in nursing homes. Cognitiveimpairment / dementia is one of the features that characterize the profile ofinstitutionalized elderly in these centres. Cognitive decline may be attributable,in part, to inadequate nutrition. Considering all these factors, we carried outthis study in order to know the nutritional intake profile of nursing homeresidents, based on cognitive status.

ResultsTable 1. Baseline characteristics of study sample based on cognitive status.

(CIND: cognitive impairment no dementia; MNA: Mini Nutritional Assessment; MMSE: Mini Mental State Examination).(1) Satisfactory nutritional status: 24 points; Risk of malnutrition: 17 – 23.5 points; Malnutrition: < 17 points.(2) Normality vs CIND p = 0.000; Normality vs Dementia p = 0.000; CIND vs Dementia p = 0.035.

Table 2. Energy and nutrients intake based on cognitive status.

Normality(n = 8)

CIND(n = 12)

Dementia(n = 16) p Reference values

Age (years) 89.0 4.8 84.7 7.9 84.7 6.2 NSWomen (%) 62.5 83.3 68.8 NSMNA (nº points) 21.7 4.7^ 16.8 5.2^ 17.6 2.8 0.037 (1)MMSE (nº points) 26.6 2.9^* 15.7 4.5^ 10.1 7.1* (2) 23: cognitive impairment

Normality(n = 8)

CIND(n = 12)

Dementia(n = 16) p Reference values

Energy (kcal) 1622.0 281.5 1445.0 416.4 1359.6 263.1 NS 2100 1700P t i (%) 14 5 2 3 15 6 3 1 17 1 3 5 NS 12 17

Nursing elderly

Methodology

1. A higher intake of total fatty acids, monounsaturated andpolyunsaturated fatty acids, fibre, folic acid, vitamins C and E,iodine and copper could contribute to better cognitive function.

2. All residents, regardless of their cognitive status, conducted anutritionally unbalanced and deficient diet, suggesting that supplyand/or food intake were insufficient.

3. Although there is no consensus in the scientific evidence, thenutritional profile of the dietary intake observed in all residentscould be a risk factor for cognitive decline.

4. An improvement of food intake may have a beneficial effect notonly on the overall nutritional status but also in cognitive function.

5. To improve dietary intake, in addition to offering healthy menu, isnecessary to control and stimulate food intake.

6. Food education workshops for residents and family, and theirparticipation in choosing the menu, could be a strategy tostimulate food intake.

Conclusions

Bibliography(1) OMS. Envejecimiento activo: un marco político. Rev Esp Geriatr Gerontol 2002; 37(S2): 74-105; (2) Milà R. et al. Prevalencia de malnutrición en la población anciana española: una revisión sistemática. Med Clin 2012; 139(11):502 – 508; (3) Reuss JM.Atención nutricional en residencias geriátricas. En: Gómez-Candela C, Reuss JM. Manual de recomendaciones nutricionales en pacientes geriátricos. Barcelona, Novartis Consumer Health 2004: p. 285 – 293; (4) Arbonés G. et al. Nutrición yrecomendaciones para personas mayores. Grupo de trabajo “Salud pública” de la Sociedad Española de Nutrición (SEN). Nutr Hosp 2003; 18: 109-137; (5) Smith PJ. et al. Diet and neurocognition: review of evidence and methodological considerations.Curr Aging Sci 2010: 3(1): 57-66; (6) Solfrizzi V. et al. Dietary fatty acids in dementia and predementia syndromes: epidemiological evidence and possible underlying mechanism. Ageing Res Rev 2010; 9(2): 184-199; (7) Morris MS. The role of B vitamins inpreventing and treating cognitive impairment and decline. Adv Nutr 2012; 3(6): 801-812; (8) Solfrizzi V. et al. Mediterranean diet in predementia and dementia syndromes. Curr Alzheimer Res 2011; 8(5): 520-54.

(CIND: cognitive impairment no dementia; SFA: saturated fatty acids; MUFA: monounsaturated fatty acids; PUFA: polyunsaturated fatty acids).(1) Normality vs CIND p = 0.054; Normality vs Dementia p = 0.094.

Proteins (%) 14.5 2.3 15.6 3.1 17.1 3.5 NS 12 – 17Carbohydrates (%) 49.6 2.9 53.3 6.9 48.2 6.3 NS 55 – 75 Fat (%) 36.0 4.0^* 31.3 5.0^ 34.8 3.7* (1) 30 – 35SFA (%) 12.2 2.0 11.5 2.9 12.6 1.9 NS < 7 – 10MUFA (%) 14.0 2.1^ 11.3 2.7^ 12.5 2.2 0.042 > 13PUFA (%) 5.2 1.2^ 3.8 1.1^ 4.4 1.4 0.058 < 10α-linolenic acid (g) 0.47 0.19 0.37 0.15 0.37 0.16 NS 2Docosahexaenoic acid (g) 0.11 0.15 0.09 0.10 0.04 0.06 NS 0.2Cholesterol (mg) 310.2 190.0 249.8 132.8 292.8 119.6 NS < 300Fibre (g) 14.2 4.5* 10.2 4.7 7.6 4.2* 0.005 20 – 30 Thiamine (mg) 1.09 0.22 1.04 0.58 1.22 0.68 NS 1.2 1.1Riboflavin (mg) 1.11 0.34 1.12 0.27 1.18 0.29 NS 1.3 1.2Niacin (mg) 12.3 4.4 11.0 3.7 11.6 3.5 NS 16 15Vitamin B6 (mg) 1.25 0.36 0.97 0.36 1.07 0.35 NS 1.4 1.2Folic acid (mcg) 173.6 51.6* 139.5 71.4 101.2 41.5* 0.013 400Cobalamin (mcg) 3.6 2.0 3.1 1.0 3.4 1.6 NS 3Vitamin C (mg) 116.5 60.0 89.2 47.2 66.8 39.4 0.051 100

Vitamin A (mcg) 1417.3 996.1 811.2 604.8 1303.7 773.6 NS 1000 800

Vitamin D (mcg) 3.7 4.6 2.0 1.8 1.9 1.8 NS 10 – 15Vitamin E (mg) 3.7 1.3^ 2.4 1.4^ 2.9 1.0 0.065 12 – 15 11 – 15Calcium (mg) 762.4 254.8 671.9 200.2 678.9 214.2 NS 1000Magnesium (mg) 187.6 33.5 155.0 51.8 150.7 37.9 NS 420 350Phosphorus (mg) 928.7 233.1 836.7 192.3 857.0 189.8 NS 700Iron (mg) 8.4 1.4 7.4 2.9 7.1 2.2 NS 10Zinc (mg) 6.6 1.4 6.0 2.6 5.7 1.5 NS 10 7Iodine (mcg) 67.7 12.7 48.1 20.5 59.4 28.3 0.067 150Selenium (mcg) 62.4 17.2 55.3 27.3 45.6 21.7 NS 55Copper (mcg) 926.5 409.9 783.6 623.7 499.8 256.2 0.044 1500 – 3000Sodium (mg) 1455.7 364.4 1131.1 392.5 1191.3 409.9 NS 2500 – 5000Potassium (mg) 1958.9 351.4 1641.1 412.0 1672.5 348.6 NS 1600 – 2000

51 residents

No informed consent: 4

Death: 1

Physical deterioration very advanced: 5

Intake outside the residence: 2

Aggressiveness: 3

36 residents(10 men + 26 women)

Cognitive status: Mini Mental State Examination (MMSE)

Nutritional status: Mini Nutritional Assessment (MNA)

Nutritional intake: dietary record by double weight program Dietsource 2.0(3 days: 2 working + 1 holiday)

Statistical analysis: SPSS vs 11.0

Mean ± DE; Tukey-honestly and Kruskal-Wallis

RESULTS

ABSTRACT

ANNA BONAFONT I CASTILLO

anna.bonafont@uvic.cat

METHODOLOGY

Interpretatitive constructivist paradigm. Case Study

Individuals aged over 70 years old with mild or moderate loss of functional autonomy, who live at home and who have preserved cognitive skils

4 people (71-94 years old)

2 Men 2 Women

Semi-structured in-depth interview

REFERENCES

(1) Anaut, M. (2010) La relation de soin dans le cadre de la résilience. Informations Sociales (2) Anaut, M (2005) Regards sur la résilience et la singularité des situations de handicap. Reliance, 16; (3)

Baltes, P.B. (1997) On the incomplete architecture of human ontogeny: Selection, optimization and compensation as foundation of developmental theory. American Psychologist, 52; (4) Cyrulnik, B. (2005)

Résilience des sujets âgées. Synapse, juin; (5) De Tychey, C. (2001) Surmonter l’adversité: les fondements dynamiques de la résilience. Cahiers de Psychologie Clínique, 16; (6) Ennuyer, B. (2004) Les

malentendus de la dépendance. Paris: Dunod; (7) Galende, E. (2004) « Subjetividad y resiliencia: del azar y la complejidad » A: Melillo, A et al, Resiliencia y subjetividad. Buenos Aires: Paidos; (8)Ribes,

G. (2006) Résilience et viellissement. Reliance 21; (9) Zurkefeld, R. et al (2007) Desarrollo resiliente y redes vinculares. Congreso de Psiquiatría. De Mar del Plata.

σ

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Note: The representation of the FE mesh and the colorization under stress do not represent real cases. They are purely representative for the methodology.

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Decision Support System (DSS) for Risk Assessment in Low-Impact Femoral Fractures

Bosch J1, Idelsohn S2, Montesinos J1, Koch MA2.

1Althaia, Xarxa Assistencial Universitaria de Manresa, F.P. Manresa, Spain 2Fundació CTM Centre Tecnològic, Manresa, Spain

References: (1) N Engl J Med 2008;358(14):1474-1482 (2)N Engl J Med 2007;357(18):1799-1809. (3) JAMA 2001;285(21):2736-2742. (4) Rev Esp Geriatr Gerontol 2007;42:135-141. (5) JAMA 2009;302(8):883-889 (6) CMAJ 2009;DOI:10.1503/cmaj.091212 (7) Clinic Rev Bone Miner Metab; DOI 10.1007/s12018-009-9054-6 (8) Clinical Decision Support Systems: Theory and Practice, Springer-Verlag New York, Inc., Secaucus, NJ, 1998 (9) Med Eng Phys 2003;25:781-787

FundacióParc deSalut

· Exchange of best practices in Neurosciences· International collaboration of companies and academics· Development of innovative clusters

NeuroRescue

NEUROsciences RESearch Clusters of Excellence

Supported by the EC's Regions of Knowledge Programme

www.neurorescue.eu

Follow NeuroRescue

VTT Active Ageing Forum

ActiveAgeing@vtt.fi

www.vtt.fi

WHAT ARE WE AIMING AT? To improve the quality of life of people of third age (55+) by means of ICT services. Trends: 1) Individualism 2) Forever young 3) Brain training 4) Travelling & Seasonal Migration 5) Grey Panthers at Work Offerings: 1) Tackle the trends with new uses for

technologies 2) Introduce service solutions for

active ageing 3) Bring value for clients and ’worth’

to users 4) Create new business possibilities

Value for clients/stakeholders: • knowledge pool on ageing users & technology • direct communication with end-users • synergy in the network • end user empowerment What and how? • adopting new Human-Driven design models & methods (e.g. empowering design practices, co-innovation tools, IHME – innovation and co-creation spaces, ethical design) • see-try-think-share; win-win • user studies, Life-Based Design • design & innovation workshops • concept design & (agile)prototyping • evaluation of prototypes, products & services • B2C & B2B Contacts: Veikko Ikonen Veikko.ikonen@vtt.fi Jaana Leikas Jaana.Leikas@vtt.fi

QBSTIC Salut i Tecnologia S.L hola@isalutacasa.com iSalutacasa.com

24/365

Outcome for patient?

Being at home, his known and natural environment

Advanced identification of unbalances

Reduction of emergencies

Reduction of adverse effects

Improvement of life quality

Low cost vs better effectiveness: patient’s active role with self-care

Opportunities and benefits:

More autonomy and psychological comfort for the patient and familyMore autonomy and psychological comfort for the patient and family

Increasing physical activity and healthIncreasing physical activity and health

Alternative to senior residence – staying at homeAlternative to senior residence – staying at home

Cost-Effective solution: Prevention improvement and health cost reduction

Cost-Effective solution: Prevention improvement and health cost reduction

Home nurse services and telemonitoring

Abstract

Telemonitoring technology to improve health careservices for chronic patients at home, with specialfocus on elderly and vulnerable people.Telemonitoring, either for health care professionals(nurse and general practitioners GP) or for patientself-measurements, consisting on respiratory-rate,heart-rate, blood pressure, oxygen saturation,weight, body temperature, electrocardiograph andblood glucose measurements. Additionally, thepatients will complete a qualitative symptomquestionnaire daily using the telemonitoring system.The system generates automatic alarms, based onthe defined intelligence and individual thresholds,shown at the dashboard and sent by mail and SMSto the nurse or GP responsible. Regular telephonecalls and visits are defined under the Nurse CarePlan for the patient (Pla de Cures d’Infermeria PCI).Telemonitoring ubiquitous intervention aimed athome care patients with heart failure (HF), chroniclung disease (CLD) –such chronic obstructivepulmonary disease (COPD), asthma and otherrespiratory conditions-, diabetis, hypertension(HTN) and fragile patients.Telemonitoring combined with home nurse servicesis the alternative mode of health care provision formedically unstable elderly patients, who bear a highdegree of physical and functional deterioration andalso often with high degree of dependency.

Careline@PRO: Telemonitoring system for the professionals. Managing multiple patientsassigned to different health care professionals (nurse and GP).

Careline@HOME: Telemonitoring system for the patient at home. Gives to the patient theability to measure its biometric parameters and provide qualitative symptom feedback in adaily basis to nurse and GP.

Complex patient

High risk patient

Stable chronic patient

Healthy patient

Case manag.

Case manag.

Disease management

Disease management

Disease self-controlDisease self-control

Health prevention and promotion

Health prevention and promotion

Telemonitoring technology for home health care services

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Personalized

Remote managementReal Time

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Ventura Medical Technologies is a com-pany focused on the development of inno-vative products and methods for providing integral solutions of multi-technological engineering to the ideas from the profes-sionals of the health sector.

never stop innovating

Obstetric materialDevelopment of an obstetric pro-

duct to facilitate the birth process

and avoid complications, using

new material and improving the

current technique.

Head office

Ventura Medical Technologies, SLLa Roca del Vallès (Spain)

Ctra. de Valldeoriolf, km 0.2

08430 La Roca del Vallès

Barcelona (Spain)

Telephone: +34 93 870 49 39

Fax: +34 93 879 17 27

info@venturamedicaltechnologies.com

www.venturamedicaltechnologies.com

Production plants:

Baldomero Ventura, SL

La Roca del Vallès (Spain)

Ctra. de Valldeoriolf, km 0.2

08430 La Roca del Vallès

Barcelona (Spain)

Telephone: +34 93 870 49 39

Fax: +34 93 879 17 27

BVentura Corp. Houston

Houston (Texas/USA)

9407 New Century Drive

Pasadena, Houston

77507 Texas

Telephone: +1 281 474 13 82

Fax: +1 281 474 13 96

BVentura Corp. Suzhou

Suzhou (China)

146 Putian Road

Suzhou Industrial Park

Jiangsu, P.R. China

Telephone: +86 186 625 280 12

X-Ray MachineRadiodiagnostic machines for the

oncology sector that make ima-

ges available during intervention,

reducing surgical invasion of the

patient, surgery time and making

the job easier for professionals.

Osteosynthesis deviceNew device and surgery kit that

allows the development of a mi-

nimally invasive procedure and

solves a lot of the existing pro-

blems of the products.

Oncological markerDevelopment of a device that will

show oncologists, radiologists

and surgeons the correct outline

of patients’ tumours.

INNOVATION + BUSINESS FOCUS = SUCCES

OurProducts

Contactus!

Improvements in rehabilitation and neurorehabilitation Technological and clinical innovation of the technologies

applied in situations involving disability (rehabilitation

and neurorehabilitation) that favour personal indepen-

dence, patient motivation and respond to the demands

of technological change.

Pectus UP Surgery Kitthe solution for Pectus Excavatum

HELP: “Home-based Empowered Living forParkinson’s disease patients”

Jaume Romagosa and Joan Cabestany Technical Research Centre for the Dependency Care and Autonomous Living– CETpD / Technical University of Catalunya—UPC

Objectives

Parkinson Disease

The HHELP project (Home-based Empowered living for Parkinson's Disease Patients) aims at developing a comprehensive system able to administer drug therapy in either continuous or on-demand basis in order to manage disease progression and to mitigate Parkinson's disease symptoms.

This project will be developed in a user-oriented way; thus, involving the users during the whole lifetime of the project. It is important to remark that HELP users are not only patients, but also medical doctors, relatives, nurses, etc. That is: each and every actor involved in the care process.

Inertial Sensor

Accelerometers, gyroscopes and magnetometers transducers capture physical signals produced by the body motions; the sensor processes these signals in order to extract spatio-temporal properties of the patient’s motions i.e., patient’s postures, energy expenditure and detection of daily living activities. These variables are constantly sent to the gateway as controller’s inputs to ensure a treatment consequent with the motor needs of the patients [3]. An internal communication module is also required to establish constant information exchange with the gateway/controller.

Involved Partners

Bibliography

Parkinson’s disease (PD) is a pathology that is thought to affect more than four million people world-wide. It is the fourth most frequent disorder of the nervous system, after epilepsy, brain vascular disease and Alzheimer. The average age at diagnosis is 60 years. Given the rapidly advancing aging population, PD is becoming a major public health issue in Europe [1].

One of the consequences of chronic diseases (e.g. Parkinson´s disease) in elderly people is the limitation of their motion capacity and a straightforward lack of physical activity. This lost of autonomy has a direct impact on the quality of life of the elders and their caregivers [2].

Germany

Italy

Spain

Israel

[1] Poto nik J (European Commissioner for Science and Research), A focus on Parkinson's disease and the European Society, 1st European Brain Policy Forum, Brussels, 27.2.2008.

[2] Foerster,F. et al, Detection of posture and motion by accelerometry: A validation study in ambulatory monitoring. CHB, vol 15, 1999.

System Components

About CETpD The TTechnical Research Centre for Dependency Care and Autonomous Living (CETpD) is an applied research and technology transfer centre created for the Universitat Politècnica de Catalunya and the Fundació Hospital Comarcal Sant Antoni Abat on behalf of the Consorci de Servei a les Persones de Vilanova i la Geltrú, with the aim of covering the demand for research and development in the field of Geriatrics, Ambient Intelligence, Assistive Robotics and User Experience Technologies.

The CCETpD has a team of highly qualified researchers with proven professional experience, skilled technicians and research fellows. This team includes specialists in electronics, computational intelligence, telecommunications, psychology, gerontology, medicine and behavior sciences, who are skilled at performing interdisciplinary work.

The CCETpD carries out important applied research work and innovation focused on socially relevant developments, especially on technologies and systems designed to enhance independent living of elderly and disabled people.

HELP presents an innovative a comprehensive care approach to face PD, in order to maximize the adherence to the treatment. The system is composed of four main elements:

An inertial sensor, located on the belt of the patient extracting information about the patient’s physical activity (movement), in order to infer drug needs.

A portable subcutaneous pump dynamically delivering medication to the patient.

A non-invasive intraoral continuous drug delivery device.

A blood pressure monitor to supervise the patient’s overall health condition.

A mobile gateway in charge of the management of the network through wireless access.

[3] A. Rodríguez-Molinero, D.A. Pérez-Martínez, A. Català, J. Cabestany, Treatment of Parkinson’s disease could be regulated by movement sensors: Subcutaneous infusion of varying apomorphine doses according to the intensity of motor activity, Medical Hypotheses, V.72 N.4, Elsevier, 2009, pp 430-433.

Inertial Sensor

We constructed a wearable electronic device, the inertial sensor, able to measure inertial properties of motion: it captures the acceleration produced on its own spatial frame G = [gx,gy,gz], and the angle of rotation of the sagittal plane (frontal rotation).

68 70 72 74 76 78 80 82 84

-5

0

5

10

Acceleration values while standing, walking and seating

Time (s)

Acc

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atio

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2012 Edition boosted by

INNO4AGEING is a XISCAT Network event

Supported by

COORGANIZERS OF THE INNO4AGEING 2012 EDITION

PARC DE SALUT is conceived for the medical and health research as well and innovation. It carryout activities with a high value on knowledge aimed at improving the health and wellbeing.These activities are focused on different areas: Training, Research, Innovation and High value-added services. Its Non-profit Private Foundation, supported by the Health Department ofCatalan Government acting as Innovation Hub on Medical Technology and Health solutions, itcoordinates XISCAT Network.

FUNDACIÓ ABAT is a Non-profit Private Foundation providing health and social services sincefourteenth century and XISCAT Member. Becoming foundation in 1913, since 2004 it has taken astrategy of engagement in research, development and innovation (RDI), in the welfare of theelderly and currently developing and managing research and innovation project on behalf ofcompanies providing health and social services: The Garraf Health Consortium (CSG), the AltPenedès Health Consortium (CSAP) and the Consortium for Service to the People (CSP).

INNO4AGEING 2012 EDITIONSPECIAL ACKNOWLEDGEMENT FOR THEIR CONTRIBUTION

The main organizers of INNO4AGEING would like to acknowledge the valuable role of their partners

in the 2012 Edition

www.parcdesalut.com/ageing