Literature highlights the need for research on changes in lumbar movement patterns, as potential mechanisms underlying the persistence of low-back pain. Variability and local dynamic stability are frequently used to characterize movement patterns. In view of a lack of information on reliability of these measures, we determined their within- and between-session reliability in repeated seated reaching. Thirty-six participants (21 healthy, 15 LBP) executed three trials of repeated seated reaching on two days. An optical motion capture system recorded positions of cluster markers, located on the spinous processes of S1 and T8. Movement patterns were characterized by the spatial variability (meanSD) of the lumbar Euler angles: flexion–extension, lateral bending, axial rotation, temporal variability (CyclSD) and local dynamic stability (LDE). Reliability was evaluated using intraclass correlation coefficients (ICC), coefficients of variation (CV) and Bland-Altman plots. Sufficient reliability was defined as an ICC ≥ 0.5 and a CV < 20%. To determine the effect of number of repetitions on reliability, analyses were performed for the first 10, 20, 30, and 40 repetitions of each time series. MeanSD, CyclSD, and the LDE had moderate within-session reliability; meanSD: ICC = 0.60–0.73 (CV = 14–17%); CyclSD: ICC = 0.68 (CV = 17%); LDE: ICC = 0.62 (CV = 5%). Between-session reliability was somewhat lower; meanSD: ICC = 0.44–0.73 (CV = 17–19%); CyclSD: ICC = 0.45–0.56 (CV = 19–22%); LDE: ICC = 0.25–0.54 (CV = 5–6%). MeanSD, CyclSD and the LDE are sufficiently reliable to assess lumbar movement patterns in single-session experiments, and at best sufficiently reliable in multi-session experiments. Within-session, a plateau in reliability appears to be reached at 40 repetitions for meanSD (flexion–extension), meanSD (axial-rotation) and CyclSD.
MULTIFILE
The main research question in this chapter was: Which information problem solving skills are, according to the lecturers in the Bachelor of ICT, important for their students? Selecting items from a results list and judging the information on actuality, relevance and reliability were regarded as extremely important by most of the interviewed lecturers. All these sub-skills refer to the third criterion of the scoring rubric, the quality of the primary sources. As mentioned before, one of the NSE lecturers holds the opinion that students should improve their behaviour exactly on this point. Another sub-skill that is seen as very important by the interviewees is the analysis of information to be applied in the student’s own knowledge product. This refers to the fifth criterion of the rubric, the creation of new knowledge. The quality of primary sources and the creation of new knowledge criteria both bear extra weights in the grading process with the scoring rubric. A third criterion which also bears extra weight (‘orientation on the topic’) was mentioned as an important subskill by some interviewees but not as explicitly as the other two criterions. One of the facets of information problem solving that need improvement, according to one of the lecturers, is the reflection on the whole process to stimulate the anchoring of this mode of working. In the concept of information problem solving are higher order skills (orientation and question formulation, judging information and creation of new knowledge) distinguished from lower order skills (reference list, in-text citations, the selection of keywords and databases). Considering all results of this research, one can conclude that the importance of the higher order IPS skills – which refer to ‘learning to think’ (Elshout, 1990) – is recognised by most of the interviewed lecturers. The lower order skills are considered less important by most of them.
Objective: Despite the common occurrence of lower levels of physical activity and physical fitness in youth with spina bifida (SB) who use a wheelchair, there are very few tests available to measure and assess these levels. The purpose of this study was to determine reliability and the physiologic response of the 6-minute push test (6MPT) in youth with SB who self-propel a wheelchair. Methods: In this reliability and observational study, a sample of 53 youth with SB (5-19 years old; mean age = 13 years 7 months; 32 boys and 21 girls) who used a wheelchair performed 2 exercise tests: the 6MPT and shuttle ride test. Heart rate, minute ventilation, respiratory exchange ratio, and oxygen consumption were measured using a calibrated mobile gas analysis system and a heart rate monitor. For reliability, intraclass correlation coefficients (ICCs), SE of measurement, smallest detectable change for total covered distance, minute work, and heart rate were calculated. Physiologic response during the 6MPT was expressed as percentage of maximal values achieved during the shuttle ride test. Results: The ICCs for total distance and minute work were excellent (0.95 and 0.97, respectively), and the ICC for heart rate was good (0.81). The physiologic response during the 6MPT was 85% to 89% of maximal values, except for minute ventilation (70.6%). Conclusions: For most youth with SB who use a wheelchair for mobility or sports participation, the 6MPT is a reliable, functional performance test on a vigorous level of exercise. Impact: This is the first study to investigate physiologic response during the 6MPT in youth (with SB) who are wheelchair using. Clinicians can use the 6MPT to evaluate functional performance and help design effective exercise programs for youth with SB who are wheelchair using. Keywords: 6-minute push test; adolescent; disabled children; spinal diseases; wheelchairs.
The production, use, disposal and recovery of packaging not only generates massive volumes of waste, it also consumes raw materials, water and energy (Fitzpatrick et al. 2012). Simultaneously, consumers have shown an increasing interest in products incorporating sustainable and social attributes (Kletzan et al., 2006). As a result, environmentally friendly packaging, also called ecofriendly or sustainable packaging, has become mainstream. In this context, packaging is more than just ensuring the product's protection and easing transportation, it is also a communicative tool (Palmer, 2000) and it becomes associated with multiple drivers of the purchasing process. Consequently, companies face pressure to innovate responding to consumer demands, and focusing on sustainable solutions that reduce harmful materials and favour green alternatives for both, the product and the packaging. Although the above has triggered research on consumer choice for sustainable products and alternatives on sustainable packaging, the relation between sustainable packaging and consumer behaviour remains underexplored. This research unpacks this relationship, i.e., empirically verifies which dimensions (recyclability, biodegradability, reusability) of sustainable packaging are perceived and valued by consumers. Put differently, this research investigates consumer behaviour towards the functions of sustainable packaging in terms of product protection, convenience, reliability of information and promotion, and scrutinises the perceived credibility of the associated ethical responsibility claims. It aims to identify those packaging materials and/or sustainability characteristics perceived as more sustainable by consumers as well as the factors influencing actual consumer choice towards sustainable packaged products. We aim to gain more insights in the perceptual frame that different types of consumers apply when exposed to sustainable packaging. To this end, we will make use of revealed preference methods to measure consumer valuations of sustainable packaged products. This game-theoretic approach should provide a more complete depiction of consumers' perceptions and preferences.
Globalization has opened new markets to Small and Medium Enterprise (SMEs) and given them access to better suppliers. However, the resulting lengthening of supply chains has increased their vulnerability to disruptions. SMEs now recognize the importance of reliable and resilient supply chains to meet customer requirements and gain competitive advantage. Data analytics play a crucial role in developing the insights needed to identify and deal with disruptions. At the company level, this entails the development of data analytic capability, a complex socio-technical process consisting of people, technology, and processes. At the supply chain level, the complexity is compounded by the fact that multiple actors are involved, each with their own resources and capabilities. Each company’s data analytic capability, in combination with how they work together to share information and thus create visibility in the supply chain will affect the reliability and resilience of the supply chain. The proposed study therefore examines how SMEs can leverage data analytics in a way that fits with their available resources and capabilities to improve the reliability and resilience of their supply chain. The consortium for this project consists of Breda University of Applied Sciences (BUas), Logistics Community Brabant (LCB), Transport en Logistiek Nederland (TLN), Logistiek Digitaal, Kennis Transport, Smink and Devoteam. Together, the partners will develop a tool to benchmark SMEs’ progress towards developing data analytic capability that enhances the reliability of their supply chain. Interviews will be conducted with various actors of the supply chain to identify the enablers and inhibitors of using data analytics across the supply chain. Finally, the findings will be used to conduct action research with the two SMEs partners, Kennis and Smink to identify which technological tools and processes companies need to adopt to develop the use of data analytics to enhance their resilience in case of disruptions.
Globalization has opened new markets to Small and Medium Enterprise (SMEs) and given them access to better suppliers. However, the resulting lengthening of supply chains has increased their vulnerability to disruptions. SMEs now recognize the importance of reliable and resilient supply chains to meet customer requirements and gain competitive advantage. Data analytics play a crucial role in developing the insights needed to identify and deal with disruptions. At the company level, this entails the development of data analytic capability, a complex socio-technical process consisting of people, technology, and processes.At the supply chain level, the complexity is compounded by the fact that multiple actors are involved, each with their own resources and capabilities. Each company’s data analytic capability, in combination with how they work together to share information and thus create visibility in the supply chain will affect the reliability and resilience of the supply chain. The proposed study therefore examines how SMEs can leverage data analytics in a way that fits with their available resources and capabilities to improve the reliability and resilience of their supply chain.Collaborative partners:Logistics Community Brabant, Transport & Logistiek Nederlands (TLN), SMINK, Kennis Transport, Logistiek Digitaal, Devoteam.