Kyoko Jansson
I am working for realizing an advanced home healthcare platform to prolong better and healthy life using digital solutions for the elderly and intensive care.
Location Gothenburg, Sweden
Activity
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Kyoko Jansson made a comment
Thank you for all lectures at the Taipei Medical University facultiy team. I hope we could gather all elements to implement solutions that meet users' needs and pains! There are many other stage-of-the-arts solutions everywhere.
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Kyoko Jansson made a comment
There are many challenges to consider before launching a wearable deviceö. As we often forget performing implementation research, we could make "lean" development and get users involved from the scratch!
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Kyoko Jansson made a comment
The patient centric care system should give each patient the choice of treatment, technology etc, with enough consultation.
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In Japan, the doctors provide all patient's information in written and take time to explain the condition, alternative treatment options, diagrams, and even the slides/CD and potential disease development. Everyting is open to the patients.
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Kyoko Jansson made a comment
The current devices and technologies could be useful for 5-10 years later. In the Week 1, we discussed 28% of elderly over 65 have health apps on their smart phones. But we must remeber not everyone and no elderly would like to do a complicated rehabilitaion using VR or AR. Bear in mind "Wear patient's shoes",
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Kyoko Jansson made a comment
Small, cost effective and longer battery life span are all keys to succeed for the home usage.
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Kyoko Jansson made a comment
I think measuring and combining multiple parameters should be important. I was also amazed to see the bleating collecting device placing on the mobile phones can detect different types of diseases or symptoms.
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I saw the gamification tools some time ago. There were 20 companies gathered to work on a game for rehabilitaion purpose of the stroke. A patient can take an apple from a tree and place it on the basket. Each day practice the patient gradually picks more apples every day. Dr. Lin's training is much simple and easily monitor how far and fast the patient arm can...
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Kyoko Jansson made a comment
I am wondering how these watch-shape IoT device show accuracy. If the life-threatning signs are timely transmitted to the caregivers? There are many fall detection devices, however, unfortunately the ambulance or any helpers arrive at, the elderly is already fallen "after incident" detection. We must remember that "isolation" problem has not properly been...
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In Europe, not known the exact numbers, there will be less elderly use smartphone health apps. They may have smart phones but they do not use it as we use on a daily basis. The all apps are developed by the young developers. The functionalities should be simple and easily to understand.
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This could be rather difficult as you must accumulate quite a few factors around the person. I would like to see the evidence-based data that could be useful how specific groups of people could be cured by a number of activities, behavioral changes. Addressing to the sleeping disorders is challenging!
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Kyoko Jansson made a comment
I am belonging to a book club consisting international women in all ages. It was really sad to see a lady started forgetting, repeating as symptoms of demential. Eventually, she could not recognize me or anyone.
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Kyoko Jansson made a comment
Yes, I am also pleased to join this course. Thank you very much Dr. Ke, great lectures! I am really looking forward to learning the week 2.
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Kyoko Jansson made a comment
I learned that there are two types of RFID active and passive depending on the battery is equpped or not. Also, there are different speed to trasmit the large amount of data with or without compression of the original size of data. There are shortcomings and strenghts in these three types of WiFi, 11n, 11ac, 11ac. The distance between the data object and the...
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Kyoko Jansson made a comment
We have installed a motion camera at home which detects some movement and start recording. Then, we could see who and when visits home while we are away.
Also, there is a distance blood presure detection sensor that is useful when you take a bath/shower. If the air tempreture is significantly different inside of the bathroom and outside of the bathroom,... -
Kyoko Jansson made a comment
We would like to learn how we could make a user friendly electronic appliance. Very interesting and glad to get know this course. We are working on a biosensor and we always listen to the elderly users' reqirements and preferences.
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Kyoko Jansson made a comment
Humid sensor, temperature, blood sugur, very basic ECG, EMG could be maasured? Apple Watch now equips UWB Radar to detect objects? Are they checking the distance between the user and the certain object? (I have not used any Apple products).
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Kyoko Jansson made a comment
autonomic dysreflexia may be an overflow. The person does not feel any sensation (or urgency) and accumulates urine more than 500 ml. The bladder wall may become flappy. But also automatically urinate (as no feeling urgency).
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Dear Fiona,
Thank you very much for thorough explanation. Then, I fully understand that the ladies have been worried about if someone could see a large pad from the clothing and if it would be enough to absorb dribbling during they are out. It is really annoying if people have OAB Wet.
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Kyoko Jansson made a comment
Less than 100 ml is acceptable. When there are 250 ml or more PVR, it is the time to monitor and deterime what is the cause. 400 ml is a fatal and those people must be treated immediately.
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Kyoko Jansson made a comment
It is really sad and I cannot imagine how Fiona felt distressed and upset. I was surprised to know that the UK medical service is similar to the one in Sweden. If you have underactive bladder and PVR with more than 400ml, you must be treated within 2 hours as there is no medicines or surgical treatment to treat them with flappy bladder muscles caused by...
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Kyoko Jansson made a comment
I wonder if OAB wet case, how much is various sized wet.... does Joyce needs to wear a large pads which can be seen out of her clothes? Does anyone know? The other source (Ian Milton) shows that 50% of people are not seeking for help. We may need to learn basic knwolege on bladder function and dysfunction so we see the early signs and can seek for the medical...
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Kyoko Jansson made a comment
She must rush to the rest room but often she passes out urine before reaching to the rest room She feels urgency and frequency so it is an overactive bladder. But also she finds sometime she could not pass out only few drops so she might experience a UAB as well. It is devastating if she stops going dancing and closes the doors to the new friendship which...
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Kyoko Jansson made a comment
Nocturia is terrible and my mother often gets up during the night twice and goes to toilet. Therefore, she sleeps very close to the toilet. Several elderly have nocturia and they have a sleeping problems because of it.
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Kyoko Jansson made a comment
We are developing a tiny wearable scanner and we would like to listen to the real patients' voices and how we could address their problems, singal timing and so on. I do not encounter anyone who is suffering from UI, OAB or LUTS. Maybe they are not talking loudly about their problems. It is really appreciated to listen to their stories.
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Kyoko Jansson made a comment
It is useful to understand how bladder control, nervous pathways and muscles are related. It is, however, very difficult to remember and understand the terms for non-medical people.
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Kyoko Jansson made a comment
We learn the skills to be continent. This is depending on how adults teach babies or young children to be continent and toilet functioning. In Japan most of children can at least give a signal to visit toilet as most of nursery is open for small babies and the experts are always there to assist and teach them. In Sweden there is no learning at the nursery...
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Kyoko Jansson made a comment
The first week, I learned how to promote continence and fundermental problems from the real person's stories. Also I am glad and I am learning from other learners who are medical professionals. Thank you again and look forward to learning on the week 2.
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Kyoko Jansson made a comment
There is associations such as ACA over the world. There is one in Japan. They said nowadays the patients with incontinence can freely talk and come to the association for an advice. I do not think most of poeople seek for advice. They change jobs and stay home depressed. They think being incontinence and any leakage are very humiliated and embarrassed....
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Dear Fiona, Thank you so much for quick clarification. We talk about wearable scanning on PVR and fluidity. We often recieve "doubt on the figures" from municipality officials and investors that the number of people suffered, UI 423 million, OAB546 million and LUTS 2.3 billion are questionable. It is astonishing numbers and hope I could learn what exactly...
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Promoting continence would be the best way for everyone's safe hygiene and active life. It was so sad to learn that the bladder disorder dominates some women's daily life. I am not a medical professional and would like to learn more of these stimulating devices - SNS and TTNS.
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Kyoko Jansson made a comment
OAB is a part of stress urinary incontinence? The unumber of people who are suffereing or not noticing by LUTS is enormous. Urgency is related to the bladder smooth muscle problem or injuries.
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It says if your accented speech is not as an intelligibility, it may be negatively perceived by the listeners. I have been living and working in many different countries, this negative evaluation is depending on the listeners…. If the audience with global working experience may evaluate them differently than the one who have lived/worked in only one or two...
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Kyoko Jansson made a comment
I am using my own identity but also I understand ”credibility”. If you continuously speak with a heavy accent, the statement or message is less credible to the audience….. very sadly it is true.
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It is funny but at the same time it is a lesson. I met quite a few people as native English speakers understand or try to guess all different types of English accent and pronunciation. However, I also met a few those never trust and listen to the people with special accents. I hope everyone like Jackie to try to understand how we work hard to learn and speak...
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Kyoko Jansson made a comment
Great to review these skill families. Still my focus is effective communication in the digital world.
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Kyoko Jansson replied to Ha Hang
I am in digital health without AI. Yes, it would be good to use Embedded AI to provide more personalized support!
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Kyoko Jansson made a comment
Apply WeQ is rather difficult but communication, building relation and interacting with others are essential.
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Kyoko Jansson made a comment
The above says that we do not need to have all skills but each skill is connected to anohter. Very interesting.
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Kyoko Jansson made a comment
Every skill in six skill families is important for starding a business and looking for a future job!
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AI comes into our daily lives without noticing. We have done test driving driver-less bus in Janauary 2018. Coming back to the week 1, we may learn more on human behaviors and ”empathy” and how we can face confused customers and how to satisfy them. I am pretty behind of all technological development.....
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It is scared to learn that 75% jobs are supplanted by AI but 60 million new jobs created because of AI. I think it is already seen but we should focus on more education and its program. In Sweden the text books have been reused for more 10 years. Some experts say, for example history does not change therefore it is Ok to use the same text books for 20 years....
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Kyoko Jansson made a comment
We can focus on more on judgement and analytical skills. We may possibly skip lots of mandatory routines.
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Kyoko Jansson made a comment
With AI, there may reduce the wastage (efficient production) significantly.
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Kyoko Jansson made a comment
I recently noticed that the human customer services clerks have a narrowed areas of knowledge and we received some answers and forwarded the calls to another. I think these mandate questions were answered by AI and at an expected circumstances ”empathy and supportive” tasks can be done by the experienced clerk – for example, suddenly a child traveller lost...
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Kyoko Jansson made a comment
It would be great we do not need to do manual simulation.
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Kyoko Jansson made a comment
Science & Engineering and lite Management and Leadership.
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Kyoko Jansson made a comment
If the deep learning is further advanced in the near future and many routine jobs are replaced by AI, it is still a human surpervision needed to overlook and make a final judgement.
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Kyoko Jansson made a comment
I strongly agree her and her cousin. We will reduce significantly the repeated and mandate tasks but we could use our brain more efficiently to make a critical judgement.
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Kyoko Jansson made a comment
AI is already with us just we do not recognize it. (but not in all industires)
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Region Västbotten in Sweden is the leader in the healthcare sector. They have introduced the citizens in the remote areas to access quickly the primary care. In two years ago, they already said that they could use drone to deliver medicines to the elderly in the remote areas, which is resulted by deep learning. . AI in elderly care – detecting abnormal sign...
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Kyoko Jansson made a comment
Even though AI detects the early stage of cancer or any symptom, the medical institution does not have any available processes, treatments, MRI, endoscopes or surgeries m.m. and patients must wait for 90 days to the first contact with an available medical stuff…. It does not help it.
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Kyoko Jansson replied to Kyoko Jansson
Thank you!
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Kyoko Jansson made a comment
I am still wondering how much data you should collect and input into the machines that could detect, sense, and act as human-like decision?
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Kyoko Jansson made a comment
I have heard the professions such as accountants and lawyers may be somewhat supplanted by AI in the future. These are complicated work - requires human intelligence, so they cannot be? However, I assume that we need human superiors to make the final decisions. Or AI takes over eveything?
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Kyoko Jansson made a comment
AI can detect a tiny first stage cancer from the image in a speedy manner and a doctor can diagnose it. That is the greater benefit. I am still uncertain of driver-less car. It might encounter the pattern which has not been learned before.
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Kyoko Jansson made a comment
I cannot agree the better customer experience. It only achieves the corporate's side efficiency and reduction of staffing costs. Some chatbot can understand several users' conversations and interupt through useful suggestions. However, most of helpdesk function at airlines or ticketing services or any other customer services, sadly the level of servics is very...
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Kyoko Jansson made a comment
ECG patterns are different according to individuals. AI can learn and recognize individual differences from the ptterns and open the doors for you.
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Kyoko Jansson made a comment
Chatbot... for example airline chatting. However, eventually, they could not understand complex questions so usually it says, call the number xxx. Also minimising the time at the clinic and allocating the right doctors, there is an AI questionaires before visiting the clinics.
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Kyoko Jansson made a comment
This journey reminds me of Internet. ALPA Net was introduced by Roberts in 1970s but no one believed it. It took while until it was widely adopted.
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Kyoko Jansson made a comment
In 2003, a Japanese telcom operator made a film Vision 2010 that visualized how our life in 2010 would be. On video, there were facial recognition, hologram, virtual personal assistant and the virtual human could do everything for you on your behalf. You could enjoy playing golf with friends elsewhere on the globe. At that time, we have never talked of...
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Kyoko Jansson made a comment
Hi everyone, I am excited to learn new skills and knowlege. I am participating from Sweden. At work we talk of, i.e. "let's use embedded AI" but honestly I am not fully understandind how it helps.
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Kyoko Jansson made a comment
After you completed exercises (thousand errors) and came back to the lectures here. I understood much better how to apply all commands as well as string, integer, conversions,m.m.
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Kyoko Jansson replied to Kyoko Jansson
Thank you very much for your comment and all advice given. The brain does not work at all during tied evening.
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Kyoko Jansson made a comment
To be honest, the exercises are very tricky. As Chuck suggested, I use text writer and Python 3 to enter codes: This works better. I am still learning and still confusing. Hope everything is clear at the later stage.
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Kyoko Jansson made a comment
This is much confusing then the 2.3.
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Kyoko Jansson made a comment
I could not fix it last night and in this morning, I finally get a grade! Tough; nearly give up!
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Kyoko Jansson made a comment
I got the point!
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Kyoko Jansson replied to Stephen Catto
Thank you, I will try. I made thousand errors.
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Kyoko Jansson made a comment
It is a golden-age history. I did not know AOL and Netscape relation. The interview took quite long hours (see the window the sky turns to purple) as she might have lots to share with us.
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Kyoko Jansson made a comment
It says it is easy and for everyone. I am totally new to programming so the previous exercise for me is confusing and a magic! txt.??? why it comes up a story! etc..... I hope my confusion will be solved later stage!
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Kyoko Jansson made a comment
amazing.... but still not completely understood logic.
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Kyoko Jansson made a comment
It may be very simple exercise but it is very much understandable and important one as one small spelling mistakes Phython completely lost!
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Kyoko Jansson made a comment
I used my own car at Suzuka Circuit. It would have been much better result if I could use my friend's lux car!!!
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We have used type writers and memo system instead of today's mailings.
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Kyoko Jansson made a comment
Amazing and inspired person! Own experienced deep pains become everyone's solution.
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Kyoko Jansson made a comment
Now I am convinced to be a teacher of Python in Japanese or Swedish children!
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Kyoko Jansson made a comment
I have learned a lot on the matters within urinary and bowel dysfunction, causes and treatment etc. Thank you very much for all faculty and professors. Especially, Fiona Saunders, thank you very much. Your video and episode of your mother encouraged me to work hard on the portable product. I must also say that the healthcare system and insurance system...
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When I launched a product that is not depending on catheter or adult diapers and which is free from infection, the municipalities and governmental institution said it would be difficult to test or do a pilot as this is an ethic problems. The patients would like to discuss and seek for help, but the health professional were not willingly to discuss the...
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Kyoko Jansson made a comment
It is the best that the care person knows when they should attend the patients for toilet function and the patients are aware i.e. the amount of retention of urine to detect the dysfunction at the early stage. The patients and the elderly would like to do their toilet function by themselves at the correct place not in the absorbent pads. That brings risks of...
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I searched the Japan-based NPO where the patients and the elderly could discuss their episodes with experts and seek for professional help. There is an NPO that could assist "members" what to do or where they should address their problems. I think it would be helpful if the patients could anonymously communicate with the continence professionals. (apps without...
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The model works well if the patients understand their role and self-management care system.
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Kyoko Jansson made a comment
About one and a half year ago, I participated in the governmental needs analysis practice to discuss on how we could improve homecare system including care person’s visit frequency and tasks in Sweden. Their daily jobs are tough and limit to 10-15 min per visit. They do not have time to talk to the patients and stay for toilet function after the meal....
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Here, culture plays a special role. The different products are provided and accepted by the users in the different countries. In Japan, the suppliers are most concerned on the risk of infection by catheterization and unchanged absorbent aids and offer alternative product independent on absorbent aids. However, these products are not well accepted by the EU...
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Kyoko Jansson made a comment
The elderly at care home or at home receive absorbent aids from the municipalities where they live. Each municipality gets these products free-of-charge from the county council to which they are belonging. To my surprise, the municipality experts do not know the monthly and per product costs of containment aids. The caregivers prefer to use absorbent aids to...
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Kyoko Jansson made a comment
Do we have a common place everyone who might or have bladder or bowel dysfunction come, disclose and communicate/share with the others or the health professionals? The place where we may check and see the alternative solutions, such as exercising, medication or ES or other medical devices?
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Kyoko Jansson made a comment
It is important to discuss on the matters with the family members while we are healthy.
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Kyoko Jansson made a comment
Signage or animation display in front of toilet door may work?
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Kyoko Jansson made a comment
I searched transcutaneous tibial nerve stimulation. Amazing it reduces significantly the day-time frequency and urgency. I can see the pictures that shows the electrodes are made of normal plastic pads (smaller area than the ones we can see the pads for shoulder-ache electric stimulation. If we use fabric (woven of conductive fabric) or cheaper ag-coil, the...
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Kyoko Jansson made a comment
As Lisa mentioned below, it is difficult to place TAPs at home if a patient needs an assistance for his/her toilet function. The analysis shows home patients would like to do "toilet function" by themselves in correct time not using pads. The home helpers may visit at the breakfast time but they will not stay more than 15 min every visit. I think habit...
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Kyoko Jansson made a comment
It is mentioned that alcohol has both diuretic and a sedative effects. Can we recommend the patients with underactive bladder or difficulties to pass urine to have a small amount of alcohol?
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Kyoko Jansson made a comment
The diet change such as taking more vegetables and fruits gives more continued effects than being depending on laxatives such as magmitt?
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Kyoko Jansson made a comment
I do not know whether such kind of education and educational groups exist in the countries I live. (Sweden and Japan) It is important to include "education sessions - necessary exercises and all related problems that might happen later stage" for all pregnant women. At home care or institutional care, all care persons have tough jobs so they let the patients...
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Kyoko Jansson made a comment
I hope these evidence-based education programs are carried out to all countries and patients get the right treatment at the early stage. Do you think non-invasive portable scanner is useful?
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Kyoko Jansson made a comment
The thorough analysis on the three day dairy helps a lot to understand each patient's specific patterns and make treatment plan in addition to 60-120 min assessment.
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Kyoko Jansson made a comment
Regretfully, I cannot answer this as I am not working in clinics or hospitals or home healthcare.
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Kyoko Jansson made a comment
Max functional bladder capacity and average voiding volume. These two are difficult to collect. A Japanese firm launched a few years ago a functional toilet with urine volume calculator (class 1) but this has not yet arrived to everyone's home. A few Asian companies have introduced automatic urine and excretion collection instruments for bed-ridden patients....
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Kyoko Jansson made a comment
She has a stress- and infection- related OAB that might have been developed during her first childbirth. The checklist really helps to diagnose and make a treatment plan.
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Kyoko Jansson made a comment
Do we need to get the precise information, i.e., "the residual urine is 422 ml after voiding...." or is it enough to get info, for example, there are often remaining urine more than 200 ml at the first stage, for example at home?
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Kyoko Jansson made a comment
I think it is also important of the timing and the right place/tools of assessment.