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To evaluate the effect of leap motion controller based exergame therapy LMCBET on hand function, cognitive function and quality of life QoL in older adults. Thirty-two older adults who had adequate hand function, ability to follow commands, 24 points or more in the mini mental state examination MMSE were included and 30 were analyzed. Main outcome measures. Aging is a natural process from adulthood to death, associated with decline in body functions which results in metabolic based diseases while having a remarkable impact on activities of daily living ADL and quality of life QoL 1. The functional loss is mainly mediated by a decrease in sensory function, tendon reflexes, motor movements, cognitive function and result in fine and gross motor skill problems in ADL 2. Hand grip strength is the main indicator of upper extremity strength, guides in evaluating life independence and cognitive aging 3. The loss of two-way interaction between cognition and motor systems lead to disturbances in hand-eye coordination 4. Along with physiological changes and cognitive decline, unfavorable alterations in motor planning, muscular endurance, and coordination may become more prominent in aging individuals and subsequently affect ADL 4. However, the amount of ADL can be preserved by preventing the decrease in cognitive function 4 , 5. Depression, another common age-related condition, can be developed via the loss of social communication, decreased self-esteem and courage plus altered biologic or physical function which results in limitation of the daily activities 6. Due to decreased productivity and economic income, elderly starts dealing with the feel of uselessness which might result in isolated lifestyle or low attendance to the activities which causes other physical limitations in the long term 6. With an altered neurochemical changes in the brain and the prolonged burden of sleep deprivation, aged individuals seem more prone to depression compared to younger individuals in accordance with decline in cognitive and physical function 6. Based on this multifactorial disease feature, the rehabilitation process requires a multidisciplinary intervention as well as adapting medication usage, psychotherapy, cognitive approaches, social structure, self-confidence, nutritional support and most importantly, incorporating physical activity into daily routine 6. While an elderly with a depression is facing with decreased performance due to the laziness and loss of motivation in later stages of the disease, the rehabilitation approaches should mainly focus on improving the function, cognition, motivating the person for social life attendance by incorporating the family and friend support to the process 6.

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IEM helps government partners navigate the recovery process from beginning to end to build back stronger communities and be better prepared for the future. Effective, efficient delivery of economic and other assistance to individuals and communities in support of federal, state, local, tribal and territorial governments. IEM develops outcome-focused IT solutions for emergency management and disaster recovery; delivering powerful solutions that get the job done. Actionable and results-focused solutions to support the safety, security and protection challenges facing federal, state, local and territorial and tribal governments and the private sector. Improving preparedness and ensuring an effective response to public health incidents both man-made and natural. For nearly 40 years, IEM continues to develop strategies to create safer, more resilient communities and infrastructure. Addressing critical issues facing multimodal transportation planning, safety, and security for military, public and private entities. IEM works with government agencies and private sector organizations around the world to improve disaster preparedness, response, recovery and strengthen homeland defense, counter terrorism, public health, cybersecurity, and public agency performance.

Avcılar iem

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Acknowledgments We thank M. Hanson, J. A fantastic read. Pretty sure he will have a good read. An 8-week active washout period in which both groups resumed their usual physical activity routines and ADLs. You managed to hit the nail upon the highest and outlined out the whole thing without having side effect , people can take a signal. Zhang, T. Ghedin, and L. Thank you for the good writeup. Chen, Y.