INTRODUCTION: The aim of this study was to investigate reasons why people consulted an occupational therapist following cancer treatment, and to examine the outcome of occupational therapy interventions, in the context of multidisciplinary rehabilitation.METHODS: Data from 181 patients were collected retrospectively. The International Classification of Human Functioning and Health (ICF) was used to describe the reasons for occupational therapy consultation. Patients had completed the Canadian Occupational Performance Measurement (COPM) before and after the occupational therapy intervention. Change scores were calculated with a 95% confidence interval and a two-sided p-value obtained from a paired t-test.RESULTS: The reasons for occupational therapy consultation were predominantly within the ICF domain "Activities and Participation". On average, patients improved 3.0 points (95% CI 2.8-3.2) on the performance scale of the COPM, and 3.4 points (95% CI 3.2-3.7) on the satisfaction scale (both: p = <.001).CONCLUSION: The result of this study supports the added value of occupational therapy to cancer rehabilitation, and emphasise the positive effect of occupational therapy on everyday functioning. Controlled clinical studies are needed to strengthen the evidence.
Objective:The objective of this scoping review is threefold: (1) to describe outcomes of and determinants for physical functioning in pediatric intensive care unit (PICU) survivors evaluated during and/or after their PICU stay, (2) to provide an overview how physical functioning and its associated determinants in this population are reported, measured and classified in accordance with the International classification of Functioning, Disability and Health-Children and Youth framework (ICF-CY) components and (3) to synthesize key gaps in knowledge and research and clinical recommendations related to our review questions.Introduction:Optimal physical functioning in children is of major importance in their developmental trajectories and for the prevention and recovery of health problems across lifespan. PICU children are at high risk of poor physical functioning during and after critical illness. A recent overview of the literature, concerning evaluation of physical functioning in PICU survivors according to the ICF-CY components, is lacking. Inclusion criteria:This review includes empirical studies reporting outcomes and determinants of physical functioning in PICU survivors evaluated during and/or after PICU stay. All English language studies reporting empirical data will be included with no restrictions set on the types of study designs used.Methods:This review will be conducted in accordance with the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) statement. To locate studies eligible for inclusion, the electronic databases Pubmed, EMBASE, CINAHL and Cochrane Library will be searched from the earliest records to October 2019. Study selection will be performed by two independent reviewers. Covidence software will be used to screen titles and abstracts as well as the full-text of included studies. Data extraction will be conducted using a customized form. The extracted data will be presented in diagrammatic or tabular form with an accompanying narrative summary.
L2 pronunciation training should unequivocally be linked to complex daily life experiences (Derwing 2017). Each client comes from a different background, participates in a different environmental context and engages in different activities within those contexts (Threats 2008). This is a particularly challenging aspect in the L2 practice (Derwing 2017). The International Classification of Functioning, Disability and Health, also known as the ICF-Model (WHO 2001, 2013), offers a conceptual framework that acknowledges the intricate dimensions of human functioning and incorporates personal and contextual factors that can influence participation in daily live (Heerkens and de Beer 2007; Ma, Threats, and Worrall 2008). This paper provides an exploration of the application of this model to pronunciation and intelligibility difficulties in L2 learning. We apply the model to a specific L2 learner, Mahmout and demonstrate how its use allows for consideration of factors much broader than the phonological or phonetic challenges Mahmout faces. Mahmout must be able to generalize that what he has learned into functional communicative competences to improve his participation. The ICF-model (WHO 2001, 2013) is used globally in a broad array of healthcare professions, including Speech and Language Therapists (SLT’s). Yet, it is not a customary tool, nor probably an obvious one, used by L2-professionals (Blake and McLeod 2019). Of course, our goal is not to classify pronunciation problems of L2 learners as disabilities. The model proves a useful tool to view the individual L2 learner as a whole, and part of a larger system. It may allow L2 professionals to tailor their intervention to the individual’s needs and situation and will consequently be able to establish priorities in instruction to enable appropriate goal setting for each individual (Blake and McLeod 2019). It allows identification of influencing barriers or facilitating factors within the stagnation or improvement of pronunciation (Blake and McLeod 2019; Howe 2008).
In het ziekenhuis kan elke fout een leven kosten. Zo kan al een kleine bereidingsfout bij het klaarmaken van intraveneuze medicijnen (IV) leiden tot levensbedreigende omstandigheden voor de patiënt. Bereiding van dit type medicijnen gebeurt in de apotheek en op de verpleegafdeling. Met name op de verpleegafdeling is het een drukke en onvoorspelbare setting. Wereldwijd komen in deze setting ernstige bereidingsfouten nog te frequent voor. Om deze menselijke fouten te reduceren, wordt in deze KIEM aanvraag een proof-of-concept ‘slim oog’ ontwikkeld die vlak voor de toediening detecteert of de juiste dosis aanwezig is, of het type medicijn correct is en geen vervuiling aanwezig is. Het slimme oog maakt gebruik van hyperspectrale technologie en artificial intelligence, en is een samenwerking tussen de Computer Vision & Data Science afdeling van NHL Stenden Hogeschool, de automatische medicijncontrole specialist ZiuZ, en het Tjongerschans ziekenhuis. De unieke combinatie tussen nieuwe AI-technieken, hyperspectrale techniek en de toepassing op intraveneuze medicijnen is voor dit consortium technisch nieuw, en is nog niet eerder ontwikkeld voor de toepassing aan het bed of in de medicijnkamer op de verpleegafdeling. De onvoorspelbare setting en de urgentie aan het bed maakt dit onderzoek technisch uitdagend. Tevens moet het uiteindelijke device klein en draagbaar en snel werkzaam zijn. Om de grote verscheidenheid aan mogelijke gebruik scenario's en menselijke fouten te vangen in het algoritme, wordt een door NHLS ontwikkelde simulatie procedure gevolgd: met nabootsing van de praktijksituatie in samenwerking met zorgverleners, met opzettelijke fouten, en computer gegenereerde beeldmanipulatie. Het project zal geïntegreerd worden in het onderwijs volgens de design-based methode, met teams bestaande uit domein experts, bedrijven, docent-onderzoekers en studenten. Het uiteindelijke doel is om met een proof-of-concept aan-het-bed demonstrator een groot consortium van ziekenhuizen, ontwikkelaars en eindgebruikers enthousiast te maken voor een groter vervolgproject.
The textile industry faces a significant environmental challenge, annually generating 45 million tons of waste cotton textiles, of which 75% are incinerated or sent to landfills, causing environmental harm. Additionally, 67% of garments are made of plastic fibers, and when disposed of in landfills, 5% of them turn into microplastics that can end up on our plates. Chicfashic proposes an innovative biotech process to address these issues by recovering and recycling plastic fibers while transforming natural fibers into bio-based molecules. These molecules are then used as secondary raw materials to produce bio-based pigments for textiles. The project aims to optimize this process and test it on a larger scale with the assistance of HAN BioCentre. This initiative aligns with Dutch government and EU regulations mandating textile recycling by 2050. The technology used is patent pending and does not involve the use of toxic chemicals or the release of harmful wastewater or fumes, contributing to a shift towards a more circular and sustainable textile industry by reintegrating natural colorants into textile production.
