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  • 1.
    Andersson, Jonas E
    KTH, School of Architecture and the Built Environment (ABE), Architecture, Architectural Design.
    Arkitektur og sociale idealer for plejekraevende og svage aeldre2015In: In press: In press / [ed] Rostgaard, T.; Jensen, P.H., Aalborg: Aalborg Universitetsforlag, 2015Chapter in book (Other academic)
  • 2.
    Andersson, Jonas E
    KTH, School of Architecture and the Built Environment (ABE), Architecture, Architectural Design.
    Arkitekturens betydelse för hemlikhet i särskilt boende2012In: Äldres boende: Forskningsperspektiv i Norden / [ed] Marianne Abramsson, Catharina Nord, Lund: Studentlitteratur, 2012, 1, p. 219-246Chapter in book (Other academic)
  • 3.
    Andersson, Jonas E
    KTH, School of Architecture and the Built Environment (ABE), Architecture, Architectural Design.
    Calamities and controversies around resilient architecture for ageing: life course perspective on an exemplary Swedish residential care home2014In: / [ed] Padam, K.; Silik, K., 2014Conference paper (Other academic)
    Abstract [en]

    Age is a delicate matter, but the Swedish welfare state is ageing and has an increasingly larger propor-tion of elderly people, about 19 per cent (Sweden Statistics, 2014). Since the election campaign in 2006, the matter of appropriate housing and caregiving for older frail persons has been a reoccurring item on the political agenda. Governmental delegations and programmes have ventured out into the great unknown territory of architectural experiences and age-related problems. However, one existing residential care home, in the following RCH, pops up as an exemplary and universal model for architec-ture and the frail ageing process, the residential care home of Vigs Ängar.Initiated as a mutual initiative in the early 1990s, between a local anthroposophical interest group and the municipality of Ystad, Sweden, its creation and existence describe a troublesome tension between legal frameworks, managerial systems for eldercare, facility management and idealistic visions for fu-ture-oriented caregiving. Despite a 20 year existence, this exemplary model has resulted in few similar facilities, both architecture-wise and eldercare-wise. Instead, a large number of national and interna-tional study visits have turned the building along with caregiving into an open smorgasbord consisting of architectural elements or therapeutic approaches, subject to free sampling and tasting. To some extent, the anthroposophical label has clouded the resilient approach in architectural design and care-giving for the frail stages in life.The focus of this paper was to go behind semantics and unravel the generating images that constitute the fundamental reason for the exemplary status of the RCH in question. Critical analysis has been applied as a research method in order to scrutinize documents and drawings that originate from the design process. Random conversations and interviews with various informants associated with the RCH, among which the architect, have been executed over the period 2007-2013. This study suggests that the key factor in this successful realization of an RCH is the solid idea for a resilient architecture. This idea encompasses both ephemeral and tangible experiences of space that structure both the older person’s quality in life as well as the individual staff member’s satisfaction with the work envi-ronment. In that sense, the RCH of Vigs Ängar is more of a spatial sensation than an anthroposophical epiphany.

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    JEAndersson140930
  • 4.
    Andersson, Jonas E
    KTH, School of Architecture and the Built Environment (ABE), Architecture, Architectural Design.
    Compact living or space for ageing comfortably: Contemporary architectural thinking for the Nordic frail ageing process2014Other (Other (popular science, discussion, etc.))
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    JEAnderssonNKG2014-140526
  • 5.
    Andersson, Jonas E
    KTH, School of Architecture and the Built Environment (ABE), Architecture, Architectural Design.
    Den boende i centrum vid utformning av god arkitektur vid demensproblem2014Other (Other (popular science, discussion, etc.))
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    JEAnderssonTI141029
  • 6.
    Andersson, Jonas E
    KTH, School of Architecture and the Built Environment (ABE), Architecture, Architectural Design.
    Försök till jämförande analys: mätbara och omätbara värden i kvalitet2014Other (Other (popular science, discussion, etc.))
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    JEAnderssonVA141204
  • 7.
    Andersson, Jonas E
    KTH, School of Architecture and the Built Environment (ABE), Architecture, Architectural Design.
    Goda boendemiljöer med vård och omsorg: för det sköra åldrandet2014Conference paper (Other (popular science, discussion, etc.))
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    JEAnderssonTI20140205
  • 8.
    Andersson, Jonas E
    KTH, School of Architecture and the Built Environment (ABE), Architecture, Architectural Design.
    Hemmets ytterligheter på ålderns höst: ett värdigt hem i två perspektiv2014Other (Other (popular science, discussion, etc.))
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    JEAnderssonJ140411
  • 9.
    Andersson, Jonas E
    KTH, School of Architecture and the Built Environment (ABE), Architecture, Architectural Design.
    Hur kan man skapa den bästa miljön på ett äldreboende? Hur kan man förvandla det institutionella intrycket till en miljö som man kan trivas som hemma i?: Byggandet av framtidssäkra äldreboenden och exempel på evidensbaserad design2012Conference paper (Other (popular science, discussion, etc.))
    Abstract [sv]

    Hur kan man skapa den bästa miljön på ett äldreboende? Hur kan man förvandla det institutionella intrycket till en miljö som man kan trivas som hemma i? / How to create the best possible environment for frail older people in residential housing? How to convert the institutional impression to an environment in which you experience homelikeness?: Byggandet av framtidssäkra äldreboenden och exempel på evidensbaserad design. / The building of future-oriented residential housing and examples of evidence-based design.

  • 10.
    Andersson, Jonas E
    KTH, School of Architecture and the Built Environment (ABE), Architecture, Architectural Design.
    Nordisk omsorg för äldre: en förebild för Spanien?2012In: Ä : en tidning för Riksföreningen sjuksköterskan inom äldrevård : geriatriker, dietister inom geriatrik samt alla professioner runt den äldre patienten, ISSN 2001-1164, no 2, p. 76-79Article in journal (Other (popular science, discussion, etc.))
    Abstract [sv]

    Befolkningsprognoser framtill 2060 visar på en förändring i sammansättningen av befolkningen, där antalet personer i arbetsförålder minskar medan andelen äldre personer med ett möjligt ökande behov av omsorg och vård ökar. Det är ett pågående fenomen att andelen personer 65 år och äldre i befolkningen ökar i de flesta länder. I Europa intar Grekland, Italien och Tyskland tätplatserna med 19-20 procent av befolkningen. Sverige ligger på en fjärde plats med 18 procent. Övriga europeiska länder ligger några procentenheter lägre, mellan 11 till 17 procent, och de följer de förberedelser som de fyra länderna i täten vidtar på tröskeln till ett samhälle som karakteriseras av en stor andel personer i de övre åldersgrupperna. Ett sådant land är Spanien, där gruppen äldre personer 65 år och uppåt uppgår till ca 17 procent av befolkningen. Den demografiska förändringen i Spanien kommer att bli större än de prognoser som görs för Sverige: beroendeförhållandet (antal äldre person jämfört med personer i arbetsförålder) år 2050 uppskattas till 58,7 i Spanien mot 41,9 i Sverige.

  • 11.
    Andersson, Jonas E
    KTH, School of Architecture and the Built Environment (ABE), Architecture, Architectural Design.
    Stödjande arkitektur för sköra äldre: Arkitekttävlingar som medel2012In: Vigs Ängars diskussionsseminarium 2012, Köpingebro, 2012Conference paper (Other (popular science, discussion, etc.))
  • 12.
    Andersson, Jonas E
    KTH, School of Architecture and the Built Environment (ABE), Architecture, Architectural Design.
    Vision eller verklighet?: Arkitektur för sköra äldre i praktiken2012In: Omsorg: Nordisk tidsskrift for Palliativ Medisin, ISSN 0800-7489, Vol. 4, p. 46-51Article in journal (Refereed)
    Abstract [sv]

    Denmark, Norway and Sweden are entering the graying society. The demographic situation creates new demands on buildings, infrastructure and services. The number of residential homes is increasing, especially for older persons with a dementia diagnosis. This is a type of public building that is regulated by programming documents that eventually will define the residential environment. This article is based on a survey of 78 architectural competitions from the period of 2000 to 2012. The competition documentation of nine Nordic competitions has been analyzed by use of close reading and drawing analysis. This study suggests that there is a gap between reality and visions. Despite research-based guidelines, the architecture of contemporary residential care homes relies on universal qualities that are associated with the home environment rather than with the particular conditions of this housing that integrates home in a care environment. A multidisciplinary approach, however, is desirable inorder to create appropriate and sustainable environments for frail older people.

  • 13.
    Andersson, Jonas E
    et al.
    KTH, School of Architecture and the Built Environment (ABE), Architecture, Architectural Design. Statens Byggeforskningsinstitut, SBi, Aalborg Universitet, Danmark.
    Rönn, Magnus
    KTH, School of Architecture and the Built Environment (ABE), Architecture, Architectural Design.
    Arkitektur för Bo bra på äldre dar: tre tävlingar i Burlöv, Gävle och Linköping2013Report (Other academic)
    Abstract [en]

    The Swedish governmental two year program “Growing old, Living well” was launched in 2010 with the specific intent to create innovation regarding housing for both able and frail older people. The program has been administered by the Swedish Institute for Assistive Technology (SIAT), which has diffused the allocation of 50 million Swedish crowns into various projects and studies about housing for the ageing generation. Sweden is entering the ageing country in which the group of people aged 65 years and above attains approximately 19 per cent. Apart from regular case studies on different phenomena that occur in relation to older people and housing, the Swedish government designated the architectural competition as an instrument for renewing contemporaneous thinking about ordinary and special housing for older people. National architecture competitions have been used to define space for dependent persons. These competitions have preceded reforms of the social act. In a parallel track, local architecture competitions have resulted in new housing for older people who still able reside within the stock of ordinary housing.

     

    According to the SIAT, a total of 18 municipalities requested information about the conditions and possibilities for acquiring finical support for the organization of architecture competitions or studies about housing for senior citizen. Of these, seven applied for funding to organize competitions, but five local organizers were granted funding. Later, two municipalities suspended their competitions due to unforeseen obstacles. The program has resulted in three architectural competitions. The objective for these competitions has been to infuse creative thinking and future-oriented solutions concerning housing for the older people. The present study will shed light on how a municipal actor works with these matters and will supply a time estimate for such a planning process. The study focuses on the three municipal architectural competitions and the two pilot studies that were used as supplementary source of information regarding housing preferences. Supplemented by written documentation, the process of realizing an architecture competition or a pilot study has been reconstructed as to its dynamics. The methodology includes an inventory of competitions, case studies, document review and interviews of key-persons. By use of the competition documentation and the pilot studies, 74 informants were possible to delimit as to their participation in the process.

     

    The decisive reason for why the governmental program Growing Older - Living Well didn’t get a better response from the municipalities lies in the timetable for the national initiative. The governmental program was not coordinated with municipal planning processes for housing. Only municipals that already started their planning could consider organizing competitions. The competitions were organized as invited competitions with a prequalification procedure. Prequalification is a selection procedure used early in the competition process to identify suitable candidates for the following design phase. Three to four teams of architects have been invited to develop design proposals. Based on the study, a set comprising of thirty detailed conclusions can be made about the municipal competitions that were arranged with support from the governmental program. However, they all converge into an overarching conclusion that states the direct link between the wording of the competition brief and the participating architects’ inclination to rethink the design task in a fundamental or moderate approach. The study concludes that the better the arranger prepare the competition brief, the more accurately will the participating architects convert this text into future-oriented architecture for older people that is active on a comprehensive level as well as on the detailed level one.

  • 14.
    Bamzar, Roya
    et al.
    KTH, School of Architecture and the Built Environment (ABE), Urban Planning and Environment, Urban and Regional Studies.
    Ceccato, Vania
    KTH, School of Architecture and the Built Environment (ABE), Urban Planning and Environment, Urban and Regional Studies.
    The regional ecology of elderly falls in Sweden2016In: GeoJournal, ISSN 0343-2521, E-ISSN 1572-9893, Vol. 81, no 1, p. 23-36Article in journal (Refereed)
    Abstract [en]

    The study assesses exploratory the geography of the elderly fall in Sweden in relation to the ecology of the socio-demographic characteristics of the Swedes older population. Kendall Test is used to measure the association between elderly fall rates and demographic, socio-economic characteristics of the population, costs of elderly care and accessibility measures at county level. Results show a number of significant associations: high rates of the elderly fall are associated with high cost of the elderly care but also low rate of elderly fall and good accessibility to basic services (e.g., grocery store, health care and cash machines). The articles finalizes with reflections of the results and suggestions for future research.

  • 15. Berrada, Dounia
    et al.
    Romero, Mario
    Georgia Institute of Technology, US.
    Abowd, Gregory
    Blount, Marion
    Davis, John
    Automatic Administration of the Get Up and Go Test2007In: HealthNet'07: Proceedings of the 1st ACM SIGMOBILE International Workshop on Systems and Networking Support for Healthcare and Assisted Living Environments, ACM Digital Library, 2007, p. 73-75Conference paper (Refereed)
    Abstract [en]

    In-home monitoring using sensors has the potential to improve the life of elderly and chronically ill persons, assist their family and friends in supervising their status, and provide early warning signs to the person's clinicians. The Get Up and Go test is a clinical test used to assess the balance and gait of a patient. We propose a way to automatically apply an abbreviated version of this test to patients in their residence using video data without body-worn sensors or markers.

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    fulltext
  • 16.
    Frennert, Susanne
    et al.
    KTH, School of Engineering Sciences in Chemistry, Biotechnology and Health (CBH), Biomedical Engineering and Health Systems, Technology in Health Care.
    Östlund, Britt
    KTH, School of Engineering Sciences in Chemistry, Biotechnology and Health (CBH), Biomedical Engineering and Health Systems, Technology in Health Care.
    How Do Older People Think and Feel About Robots in Health- and Elderly Care?2019In: Inclusive Robotics for a Better Society: Selected Papers from INBOTS Conference 2018, 16-18 October, 2018, Pisa, Italy / [ed] José L. Pons, Springer International Publishing , 2019, Vol. 25, p. 167-174Conference paper (Refereed)
    Abstract [en]

    This extended abstract is a report on older people’s perception of interactive robots in health- and elderly care. A series of focus groups was conducted. In total 31 older people participated. The majority of the participants viewed interactive robots in health- and elderly care as an asset but they also voiced concerns regarding reliability, practical handling, costs and fear of mechanical care.

  • 17.
    Hadi, Hanan
    KTH, School of Engineering Sciences in Chemistry, Biotechnology and Health (CBH), Biomedical Engineering and Health Systems.
    Health Data Exchange during Transfer of Multi-morbid Elderly2023Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    This project aimed to enhance communication and collaboration among care providers in Stockholm Region and Stockholm Municipality by analyzing health data in various medical record systems and identifying the data that needs to be shared to support elderly individuals with multi-morbidity. Interviews with health experts, caregivers, and policymakers, as well as a literature review, were conducted to gather data.

    The findings indicated that caring for multi-morbid elderly individuals poses many challenges, including managing multiple chronic conditions, the risk of adverse drug interactions, physical and emotional burden, reduced functional ability, social isolation, and economic consequences. A holistic approach to care is needed, including coordinating care across multiple specialities, addressing social and psychological factors, and providing support for caregivers. Additionally, health data sharing could help with the challenges of ageing and multi-morbidity, but barriers to accessing relevant health data exist. The barriers include a lack of measurement values, different systems used in different healthcare facilities, outdated systems and a large amount of health data existing as free-text notes which make it difficult to extract useful information.

    Therefore, new HIE solutions are needed to improve patient safety and better integrate existing systems. Future work should focus on improving the accessibility and usability of health data, addressing security and privacy issues, and promoting standardization and interoperability.

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    fulltext
  • 18.
    Larsson, Tore
    KTH, School of Technology and Health (STH), Centres, Centre for Health and Building, CHB.
    Future ways of distributing care and personal services2015In: The Gerontologist, ISSN 0016-9013, E-ISSN 1758-5341, Vol. 55, p. 171-171Article in journal (Other academic)
  • 19. Muuraiskangas, S.
    et al.
    Merilahti, J.
    Immonen, M.
    Hedman, Anders
    KTH, School of Computer Science and Communication (CSC), Media Technology and Interaction Design, MID.
    Hallberg, J.
    Motivational strategy for a cognitive endurance mHealth application2015In: IISA 2015 - 6th International Conference on Information, Intelligence, Systems and Applications, IEEE conference proceedings, 2015, article id 7388089Conference paper (Refereed)
    Abstract [en]

    Dementia has become a prevalent problem with our aging population. Dementia is threat to our independence because our independence relies on our cognitive performance. Cognitive performance declines as the years advance but it can and should be nurtured to keep it at sufficient functional level. Even though mobile technology has potential to be the desired low-cost and effective means to healthy living, it requires the driving force, motivation, to actually get the person to the destination. In this paper we present a motivational strategy for mHealth (mobile health) application for cognitive endurance.

  • 20.
    Siegbahn, Malin
    et al.
    Karolinska Inst, Dept Clin Sci Intervent & Technol, Div Ear Nose & Throat Dis, Stockholm, Sweden.;Karolinska Univ Hosp, Med Unit Ear Nose Throat & Hearing, Stockholm, Sweden..
    Engmer Berglin, Cecilia
    Karolinska Inst, Dept Clin Sci Intervent & Technol, Div Ear Nose & Throat Dis, Stockholm, Sweden.;Karolinska Univ Hosp, Med Unit Ear Nose Throat & Hearing, Stockholm, Sweden..
    Moreno, Rodrigo
    KTH, School of Engineering Sciences in Chemistry, Biotechnology and Health (CBH), Biomedical Engineering and Health Systems, Medical Imaging.
    Automatic segmentation of the core of the acoustic radiation in humans2022In: Frontiers in Neurology, E-ISSN 1664-2295, Vol. 13, article id 934650Article in journal (Refereed)
    Abstract [en]

    IntroductionAcoustic radiation is one of the most important white matter fiber bundles of the human auditory system. However, segmenting the acoustic radiation is challenging due to its small size and proximity to several larger fiber bundles. TractSeg is a method that uses a neural network to segment some of the major fiber bundles in the brain. This study aims to train TractSeg to segment the core of acoustic radiation. MethodsWe propose a methodology to automatically extract the acoustic radiation from human connectome data, which is both of high quality and high resolution. The segmentation masks generated by TractSeg of nearby fiber bundles are used to steer the generation of valid streamlines through tractography. Only streamlines connecting the Heschl's gyrus and the medial geniculate nucleus were considered. These streamlines are then used to create masks of the core of the acoustic radiation that is used to train the neural network of TractSeg. The trained network is used to automatically segment the acoustic radiation from unseen images. ResultsThe trained neural network successfully extracted anatomically plausible masks of the core of the acoustic radiation in human connectome data. We also applied the method to a dataset of 17 patients with unilateral congenital ear canal atresia and 17 age- and gender-paired controls acquired in a clinical setting. The method was able to extract 53/68 acoustic radiation in the dataset acquired with clinical settings. In 14/68 cases, the method generated fragments of the acoustic radiation and completely failed in a single case. The performance of the method on patients and controls was similar. DiscussionIn most cases, it is possible to segment the core of the acoustic radiations even in images acquired with clinical settings in a few seconds using a pre-trained neural network.

  • 21. Skedung, L.
    et al.
    El Rawadi, C.
    Arvidsson, M.
    Farcet, C.
    Luengo, G. S.
    Breton, L.
    Rutland, Mark W.
    KTH, School of Engineering Sciences in Chemistry, Biotechnology and Health (CBH), Chemistry, Surface and Corrosion Science. RISE Research Institutes of Sweden, Bioscience and Materials, Stockholm, Sweden.
    Mechanisms of tactile sensory deterioration amongst the elderly2018In: Scientific Reports, E-ISSN 2045-2322, Vol. 8, no 1, article id 5303Article in journal (Refereed)
    Abstract [en]

    It is known that roughness-smoothness, hardness-softness, stickiness-slipperiness and warm-cold are predominant perceptual dimensions in macro-, micro- and nano- texture perception. However, it is not clear to what extent active tactile texture discrimination remains intact with age. The general decrease in tactile ability induces physical and emotional dysfunction in elderly, and has increasing significance for an aging population. We report a method to quantify tactile acuity based on blinded active exploration of systematically varying micro-textured surfaces and a same-different paradigm. It reveals that elderly participants show significantly reduced fine texture discrimination ability. The elderly group also displays statistically lower finger friction coefficient, moisture and elasticity, suggesting a link. However, a subpopulation of the elderly retains discrimination ability irrespective of cutaneous condition and this can be related to a higher density of somatosensory receptors on the finger pads. Skin tribology is thus not the primary reason for decline of tactile discrimination with age. The remediation of cutaneous properties through rehydration, however leads to a significantly improved tactile acuity. This indicates unambiguously that neurological tactile loss can be temporarily compensated by restoring the cutaneous contact mechanics. Such mechanical restoration of tactile ability has the potential to increase the quality of life in elderly.

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