| {"segments": [{"id": 1, "seek": 2875, "start": 0.83, "end": 28.75, "text": " Bismillah wa salatu wa salam wa rahmatullahi wa barakatuh. Welcome again. Today we will talk about nutrition in the elderly. First of all, we will take some slides about nutrition in the elderly. 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So I will talk a little bit with you through how to do full play and to do good communication with others or with relatives. So let's take an example for Kamsa Ling. What is it? 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It is expected that in the year 2050, the studies, which are over 60 years, will be doubled. 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But some researches talk about the physical changes that happen among individuals as risk factors for malnutrition. 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One of the key determinants of health in a country is nutrition. 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Meaning, first of all, we have to ask for things called idea, expectation, and conscience.", "tokens": [961, 311, 1029, 796, 420, 1029, 264, 28009, 13, 19948, 11, 700, 295, 439, 11, 321, 362, 281, 1029, 337, 721, 1219, 1558, 11, 14334, 11, 293, 20537, 13], "avg_logprob": -0.5200520773728688, "compression_ratio": 1.2307692307692308, "no_speech_prob": 0.0, "words": [{"start": 824.14, "end": 824.56, "word": " Let's", "probability": 0.61395263671875}, {"start": 824.56, "end": 824.96, "word": " ask", "probability": 0.912109375}, {"start": 824.96, "end": 825.26, "word": " him", "probability": 0.68017578125}, {"start": 825.26, "end": 825.76, "word": " or", "probability": 0.73291015625}, {"start": 825.76, "end": 826.32, "word": " ask", "probability": 0.92431640625}, {"start": 826.32, "end": 827.06, "word": " the", "probability": 0.9091796875}, {"start": 827.06, "end": 827.88, "word": " companions.", "probability": 0.87744140625}, {"start": 830.06, "end": 830.86, "word": " Meaning,", "probability": 0.134765625}, {"start": 830.98, "end": 831.34, "word": " first", "probability": 0.6806640625}, {"start": 831.34, "end": 831.62, "word": " of", "probability": 0.37548828125}, {"start": 831.62, "end": 831.62, "word": " all,", "probability": 0.947265625}, {"start": 832.0, "end": 832.0, "word": " we", "probability": 0.86376953125}, {"start": 832.0, "end": 832.12, "word": " have", "probability": 0.199951171875}, {"start": 832.12, "end": 832.24, "word": " to", "probability": 0.97314453125}, {"start": 832.24, "end": 832.48, "word": " ask", "probability": 0.91845703125}, {"start": 832.48, "end": 832.72, "word": " for", "probability": 0.2235107421875}, {"start": 832.72, "end": 833.12, "word": " things", "probability": 0.373779296875}, {"start": 833.12, "end": 833.48, "word": " called", "probability": 0.306884765625}, {"start": 833.48, "end": 834.16, "word": " idea,", "probability": 0.5693359375}, {"start": 836.34, "end": 837.4, "word": " expectation,", "probability": 0.85302734375}, {"start": 838.4, "end": 838.54, "word": " and", "probability": 0.91357421875}, {"start": 838.54, "end": 839.2, "word": " conscience.", "probability": 0.412353515625}], "temperature": 1.0}, {"id": 32, "seek": 87524, "start": 850.54, "end": 875.24, "text": " concerning this problem. What he thinks, what's the expected, what's the reason for this problem. Then expectations. Expectations can come from above or from below. 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Here, it means, the patient here, we asked, what do you expect from us? Because if we did not ask, what do you expect from us? And we ended up with the communication, he was not satisfied, our consultation. Why? Because you did not ask, what do you want from me? 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Concern means fear. For example, if the patient is afraid of something, for example, if he thinks that there is a tumor in his brain, he will be afraid of going to the doctor. Here, we have to ask him about his concerns.", "tokens": [2743, 11, 456, 307, 746, 1219, 3136, 13, 18200, 1248, 1355, 4240, 13, 1171, 1365, 11, 498, 264, 4537, 307, 4638, 295, 746, 11, 337, 1365, 11, 498, 415, 7309, 300, 456, 307, 257, 22512, 294, 702, 3567, 11, 415, 486, 312, 4638, 295, 516, 281, 264, 4631, 13, 1692, 11, 321, 362, 281, 1029, 796, 466, 702, 7389, 13], "avg_logprob": -0.6951844301380095, "compression_ratio": 1.607361963190184, "no_speech_prob": 0.0, "words": [{"start": 907.82, "end": 908.26, "word": " Also,", "probability": 0.383544921875}, {"start": 908.46, "end": 908.5, "word": " there", "probability": 0.77587890625}, {"start": 908.5, "end": 908.54, "word": " is", "probability": 0.66796875}, {"start": 908.54, "end": 908.78, "word": " something", "probability": 0.48388671875}, {"start": 908.78, "end": 909.02, "word": " called", "probability": 0.865234375}, {"start": 909.02, "end": 909.72, "word": " concern.", "probability": 0.673828125}, {"start": 910.42, "end": 911.02, "word": " Concern", "probability": 0.5908203125}, {"start": 911.02, "end": 911.18, "word": " means", "probability": 0.260498046875}, {"start": 911.18, "end": 911.5, "word": " fear.", "probability": 0.6962890625}, {"start": 912.48, "end": 912.78, "word": " For", "probability": 0.28369140625}, {"start": 912.78, "end": 914.64, "word": " example,", "probability": 0.830078125}, {"start": 914.64, "end": 914.64, "word": " if", "probability": 0.64013671875}, {"start": 914.64, "end": 914.78, "word": " the", "probability": 0.279541015625}, {"start": 914.78, "end": 915.1, "word": " patient", "probability": 0.8740234375}, {"start": 915.1, "end": 916.0, "word": " is", "probability": 0.20751953125}, {"start": 916.0, "end": 918.28, "word": " afraid", "probability": 0.284912109375}, {"start": 918.28, "end": 919.46, "word": " of", "probability": 0.54150390625}, {"start": 919.46, "end": 920.24, "word": " something,", "probability": 0.399169921875}, {"start": 920.56, "end": 920.86, "word": " for", "probability": 0.1328125}, {"start": 920.86, "end": 921.06, "word": " example,", "probability": 0.91455078125}, {"start": 921.22, "end": 921.24, "word": " if", "probability": 0.2388916015625}, {"start": 921.24, "end": 921.66, "word": " he", "probability": 0.333251953125}, {"start": 921.66, "end": 924.46, "word": " thinks", "probability": 0.334716796875}, {"start": 924.46, "end": 924.86, "word": " that", "probability": 0.54443359375}, {"start": 924.86, "end": 925.08, "word": " there", "probability": 0.07568359375}, {"start": 925.08, "end": 925.08, "word": " is", "probability": 0.7431640625}, {"start": 925.08, "end": 925.08, "word": " a", "probability": 0.8232421875}, {"start": 925.08, "end": 925.2, "word": " tumor", "probability": 0.94873046875}, {"start": 925.2, "end": 925.5, "word": " in", "probability": 0.61767578125}, {"start": 925.5, "end": 925.64, "word": " his", "probability": 0.74072265625}, {"start": 925.64, "end": 925.98, "word": " brain,", "probability": 0.342041015625}, {"start": 926.44, "end": 926.74, "word": " he", "probability": 0.50048828125}, {"start": 926.74, "end": 926.9, "word": " will", "probability": 0.3056640625}, {"start": 926.9, "end": 926.9, "word": " be", "probability": 0.55224609375}, {"start": 926.9, "end": 927.22, "word": " afraid", "probability": 0.67626953125}, {"start": 927.22, "end": 927.42, "word": " of", "probability": 0.513671875}, {"start": 927.42, "end": 927.56, "word": " going", "probability": 0.09783935546875}, {"start": 927.56, "end": 927.84, "word": " to", "probability": 0.414306640625}, {"start": 927.84, "end": 927.84, "word": " the", "probability": 0.66162109375}, {"start": 927.84, "end": 927.84, "word": " doctor.", "probability": 0.716796875}, {"start": 930.54, "end": 931.04, "word": " Here,", "probability": 0.183349609375}, {"start": 931.28, "end": 931.28, "word": " we", "probability": 0.74169921875}, {"start": 931.28, "end": 931.36, "word": " have", "probability": 0.2081298828125}, {"start": 931.36, "end": 931.54, "word": " to", "probability": 0.96728515625}, {"start": 931.54, "end": 932.42, "word": " ask", "probability": 0.89208984375}, {"start": 932.42, "end": 932.64, "word": " him", "probability": 0.54931640625}, {"start": 932.64, "end": 932.82, "word": " about", "probability": 0.75537109375}, {"start": 932.82, "end": 934.2, "word": " his", "probability": 0.83056640625}, {"start": 934.2, "end": 934.86, "word": " concerns.", "probability": 0.873046875}], "temperature": 1.0}, {"id": 35, "seek": 96575, "start": 940.21, "end": 965.75, "text": " Then, we were told to listen to the patient very carefully and give him enough time. I told you before that Allah Almighty created us with two children and one tongue. So, the tongue should be less busy than the ears. 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Okay, when the pain came, what did you do?", "tokens": [2720, 1164, 11, 498, 264, 1947, 1053, 83, 390, 1417, 293, 321, 2351, 796, 5646, 11, 437, 307, 428, 1154, 11, 337, 1365, 11, 293, 415, 1409, 1417, 11, 293, 291, 458, 561, 567, 366, 1009, 19697, 293, 19697, 11, 293, 321, 366, 510, 11, 820, 321, 1261, 309, 490, 364, 1269, 1168, 281, 257, 5395, 1168, 30, 1033, 11, 562, 264, 1822, 1361, 11, 437, 630, 291, 360, 30], "avg_logprob": -0.6835387458263988, "compression_ratio": 1.6149732620320856, "no_speech_prob": 0.0, "words": [{"start": 968.71, "end": 969.09, "word": " Of", "probability": 0.350830078125}, {"start": 969.09, "end": 969.13, "word": " course,", "probability": 0.95263671875}, {"start": 969.29, "end": 969.33, "word": " if", "probability": 0.61376953125}, {"start": 969.33, "end": 969.33, "word": " the", "probability": 0.3525390625}, {"start": 969.33, "end": 969.83, "word": " patient", "probability": 0.5517985026041666}, {"start": 969.83, "end": 970.77, "word": " was", 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Here we start asking close questions. I will take an example of counseling. What is obesity? If we have a patient who is obese. How to do counseling for him? We told you about Shia counseling. 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Meaning, you talk to him and say, you have a problem, and so on and so forth. We can walk with you in non-pharmacological treatment. And we can walk with you, of course, if you are committed to non-pharmacological treatment. We can walk with you for a longer period of time, for example, three months, and see. 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Here, you have to assess in knowledge, beliefs, concerns, feelings, stages of change. In knowledge about his problem, ideas and expectations.", "tokens": [293, 718, 796, 4536, 365, 505, 11, 570, 415, 815, 406, 3241, 281, 747, 264, 3537, 13, 1692, 11, 291, 362, 281, 5877, 294, 3601, 11, 13585, 11, 7389, 11, 6640, 11, 10232, 295, 1319, 13, 682, 3601, 466, 702, 1154, 11, 3487, 293, 9843, 13], "avg_logprob": -0.40126329153142076, "compression_ratio": 1.4437086092715232, "no_speech_prob": 0.0, "words": [{"start": 1083.07, "end": 1083.41, "word": " and", "probability": 0.6552734375}, {"start": 1083.41, "end": 1083.67, "word": " let", "probability": 0.9443359375}, {"start": 1083.67, "end": 1083.91, "word": " him", "probability": 0.71630859375}, {"start": 1083.91, "end": 1084.49, "word": " decide", "probability": 0.91650390625}, {"start": 1084.49, "end": 1084.95, "word": " with", "probability": 0.58935546875}, {"start": 1084.95, "end": 1085.39, "word": " us,", "probability": 0.92041015625}, {"start": 1086.05, "end": 1086.25, "word": " because", "probability": 0.82958984375}, {"start": 1086.25, "end": 1086.51, "word": " he", "probability": 0.93212890625}, {"start": 1086.51, "end": 1086.65, "word": " may", "probability": 0.81396484375}, {"start": 1086.65, "end": 1086.87, "word": " not", "probability": 0.93798828125}, {"start": 1086.87, "end": 1087.25, "word": " accept", "probability": 0.89404296875}, {"start": 1087.25, "end": 1087.55, "word": " to", "probability": 0.89306640625}, {"start": 1087.55, "end": 1087.77, "word": " take", "probability": 0.8857421875}, {"start": 1087.77, "end": 1087.91, "word": " the", "probability": 0.3125}, {"start": 1087.91, "end": 1088.29, "word": " decision.", "probability": 0.436279296875}, {"start": 1090.99, "end": 1091.55, "word": " Here,", "probability": 0.57958984375}, {"start": 1091.83, "end": 1092.25, "word": " you", "probability": 0.931640625}, {"start": 1092.25, "end": 1092.57, "word": " have", "probability": 0.91162109375}, {"start": 1092.57, "end": 1092.79, "word": " to", "probability": 0.97265625}, {"start": 1092.79, "end": 1093.35, "word": " assess", "probability": 0.552734375}, {"start": 1093.35, "end": 1093.75, "word": " in", "probability": 0.41796875}, {"start": 1093.75, "end": 1094.17, "word": " knowledge,", "probability": 0.89599609375}, {"start": 1094.61, "end": 1095.57, "word": " beliefs,", "probability": 0.34765625}, {"start": 1095.95, "end": 1096.79, "word": " concerns,", "probability": 0.89013671875}, {"start": 1097.39, "end": 1098.57, "word": " feelings,", "probability": 0.8408203125}, {"start": 1099.09, "end": 1099.63, "word": " stages", "probability": 0.468505859375}, {"start": 1099.63, "end": 1100.13, "word": " of", "probability": 0.93603515625}, {"start": 1100.13, "end": 1101.07, "word": " change.", "probability": 0.888671875}, {"start": 1102.41, "end": 1102.77, "word": " In", "probability": 0.37060546875}, {"start": 1102.77, "end": 1103.01, "word": " knowledge", "probability": 0.8818359375}, {"start": 1103.01, "end": 1103.39, "word": " about", "probability": 0.81689453125}, {"start": 1103.39, "end": 1103.63, "word": " his", "probability": 0.89501953125}, {"start": 1103.63, "end": 1104.17, "word": " problem,", "probability": 0.525390625}, {"start": 1104.65, "end": 1105.17, "word": " ideas", "probability": 0.619140625}, {"start": 1105.17, "end": 1106.23, "word": " and", "probability": 0.377197265625}, {"start": 1106.23, "end": 1106.95, "word": " expectations.", "probability": 0.81494140625}], "temperature": 1.0}, {"id": 41, "seek": 113970, "start": 1112.6, "end": 1139.7, "text": " What do we do? We give advice on exercise. We talked about it in obesity. What is your exercise? Whether exercise is walking or stress exercise. We see what barriers prevent us from exercising.", "tokens": [708, 360, 321, 360, 30, 492, 976, 5192, 322, 5380, 13, 492, 2825, 466, 309, 294, 29744, 13, 708, 307, 428, 5380, 30, 8503, 5380, 307, 4494, 420, 4244, 5380, 13, 492, 536, 437, 13565, 4871, 505, 490, 27272, 13], "avg_logprob": -0.5133384030039717, "compression_ratio": 1.515625, "no_speech_prob": 0.0, "words": [{"start": 1112.6, "end": 1112.88, "word": " What", "probability": 0.2763671875}, {"start": 1112.88, "end": 1112.88, "word": " do", "probability": 0.412353515625}, {"start": 1112.88, "end": 1112.88, "word": " we", "probability": 0.9013671875}, {"start": 1112.88, "end": 1113.06, "word": " do?", "probability": 0.9501953125}, {"start": 1113.82, "end": 1114.14, "word": " We", "probability": 0.85791015625}, {"start": 1114.14, "end": 1114.2, "word": " give", "probability": 0.238037109375}, {"start": 1114.2, "end": 1114.82, "word": " advice", "probability": 0.80810546875}, {"start": 1114.82, "end": 1115.3, "word": " on", "probability": 0.51123046875}, {"start": 1115.3, "end": 1116.5, "word": " exercise.", "probability": 0.289794921875}, {"start": 1117.92, "end": 1118.84, "word": " We", "probability": 0.751953125}, {"start": 1118.84, "end": 1119.16, "word": " talked", "probability": 0.492919921875}, {"start": 1119.16, "end": 1119.5, "word": " about", "probability": 0.8759765625}, {"start": 1119.5, "end": 1119.7, "word": " it", "probability": 0.56494140625}, {"start": 1119.7, "end": 1119.94, "word": " in", "probability": 0.7138671875}, {"start": 1119.94, "end": 1120.48, "word": " obesity.", "probability": 0.51025390625}, {"start": 1121.34, "end": 1121.34, "word": " What", "probability": 0.7314453125}, {"start": 1121.34, "end": 1121.34, "word": " is", "probability": 0.400634765625}, {"start": 1121.34, "end": 1121.38, "word": " your", "probability": 0.4228515625}, {"start": 1121.38, "end": 1122.6, "word": " exercise?", "probability": 0.89306640625}, {"start": 1123.84, "end": 1124.5, "word": " Whether", "probability": 0.5576171875}, {"start": 1124.5, "end": 1125.48, "word": " exercise", "probability": 0.2978515625}, {"start": 1125.48, "end": 1125.66, "word": " is", "probability": 0.64111328125}, {"start": 1125.66, "end": 1126.5, "word": " walking", "probability": 0.8828125}, {"start": 1126.5, "end": 1127.66, "word": " or", "probability": 0.85107421875}, {"start": 1127.66, "end": 1128.14, "word": " stress", "probability": 0.46044921875}, {"start": 1128.14, "end": 1130.64, "word": " exercise.", "probability": 0.72900390625}, {"start": 1134.08, "end": 1135.28, "word": " We", "probability": 0.8330078125}, {"start": 1135.28, "end": 1135.62, "word": " see", "probability": 0.51611328125}, {"start": 1135.62, "end": 1136.24, "word": " what", "probability": 0.77392578125}, {"start": 1136.24, "end": 1137.88, "word": " barriers", "probability": 0.82568359375}, {"start": 1137.88, "end": 1138.68, "word": " prevent", "probability": 0.438720703125}, {"start": 1138.68, "end": 1139.02, "word": " us", "probability": 0.40283203125}, {"start": 1139.02, "end": 1139.12, "word": " from", "probability": 0.8408203125}, {"start": 1139.12, "end": 1139.7, "word": " exercising.", "probability": 0.85986328125}], "temperature": 1.0}, {"id": 42, "seek": 117523, "start": 1147.01, "end": 1175.23, "text": " Say that you are busy. Say to him, for example, when you go to work, instead of putting your car next to the door, leave it for a while and walk. Instead of going up the escalator, go up the stairs. When you go to university, go up and walk. And follow him up. 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Counseling. We give counseling to the patient at the stage of change. 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When you are ready, you can talk to him. If there is contemplation, then you can tell him how to decrease his weight. 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It changes its behavior. 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That's why I don't know what this morning is. Maintenance? We try to make him steady in these changes. We make his attitude change every morning. I get used to it, Alhamdulillah. 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When he finishes his meditation, we ask him if he has any questions. 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Or discuss with him the barriers to exercise. 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This is the frequency. We talked about the heart rate. We said that the heart rate should not be lower than what is expected. What is expected? 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Then, start with brisk walking for about at least 10 minutes. As we said, for those who can, they can divide their walking. Instead of walking continuously for 30 minutes, they walk 10, 10, 10. 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Tiredness is always due to exercise and being tired. I don't want to tell you that I walk at home. 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Here, they are meant to encourage him or her to continue. And here, to ask about barriers, discuss the limitations. 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