Considering activity level propositions in the evaluation of forensic biology findings is becoming more common place. There are increasing numbers of publications demonstrating different transfer mechanisms that can occur under a variety of circumstances. Some of these publications have shown the possibility of DNA transfer from site to site on an exhibit, for instance as a result of packaging and transport. If such a possibility exists, and the case circumstances are such that the area on an exhibit where DNA is present or absent is an observation that is an important diagnostic characteristic given the propositions, then site to site transfer should be taken into account during the evaluation of observations. In this work we demonstrate the ways in which site to site transfer can be built into Bayesian networks when carrying out activity level evaluations of forensic biology findings. We explore the effects of considering qualitative vs quantitative categorisation of DNA results. We also show the importance of taking into account multiple individual’s DNA being transferred (such as unknown or wearer DNA), even if the main focus of the evaluation is the activity of one individual.
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Background: Although the timely involvement of trauma surgeons is widely accepted as standard care in a trauma center, there is an ongoing debate regarding the value of an on-site attending trauma surgeon compared to an on-call trauma surgeon. The aim of this study was to evaluate the effect of introducing an on-site trauma surgeons and the effect of their presence on the adherence to Advanced Trauma Life Support (ATLS) related tasks and resuscitation pace in the trauma bay. Methods: The resuscitations of severely injured (ISS > 15) trauma patients 1 month before and 1 month after the introduction of an on-site trauma surgeon were assessed using video analysis. The primary outcome was total resuscitation time. Second, time from trauma bay admission until tasks were performed, and ATLS adherence were assessed. Results: Fifty-eight videos of resuscitations have been analyzed. After the introduction of an on-site trauma surgeon, the mean total resuscitation time was 259 seconds shorter (p = 0.03) and seven ATLS related tasks (breathing assessment, first and second IV access, EKG monitoring and abdominal, pelvic, and long bone examination; were performed significantly earlier during trauma resuscitation (p ≤ 0.05). Further, we found a significant enhancement to the adherence of six ATLS related tasks (Airway assessment, application of a rigid collar, IV access; EKG monitoring, log roll, and pronouncing results of arterial blood gas analysis; p-value ≤0.05). Conclusion: Having a trauma surgeon on-site during trauma resuscitations of severely injured patients resulted in improved processes in the trauma bay. This demonstrates the need of direct involvement of trauma surgeons in institutions treating severely injured patients.
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In recent years, a step change has been seen in the rate of adoption of Industry 4.0 technologies by manufacturers and industrial organizations alike. This article discusses the current state of the art in the adoption of Industry 4.0 technologies within the construction industry. Increasing complexity in onsite construction projects coupled with the need for higher productivity is leading to increased interest in the potential use of Industry 4.0 technologies. This article discusses the relevance of the following key Industry 4.0 technologies to construction: data analytics and artificial intelligence, robotics and automation, building information management, sensors and wearables, digital twin, and industrial connectivity. Industrial connectivity is a key aspect as it ensures that all Industry 4.0 technologies are interconnected allowing the full benefits to be realized. This article also presents a research agenda for the adoption of Industry 4.0 technologies within the construction sector, a three-phase use of intelligent assets from the point of manufacture up to after build, and a four-staged R&D process for the implementation of smart wearables in a digital enhanced construction site.
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The pressure on the European health care system is increasing considerably: more elderly people and patients with chronic diseases in need of (rehabilitation) care, a diminishing work force and health care costs continuing to rise. Several measures to counteract this are proposed, such as reduction of the length of stay in hospitals or rehabilitation centres by improving interprofessional and person-centred collaboration between health and social care professionals. Although there is a lot of attention for interprofessional education and collaborative practice (IPECP), the consortium senses a gap between competence levels of future professionals and the levels needed in rehabilitation practice. Therefore, the transfer from tertiary education to practice concerning IPECP in rehabilitation is the central theme of the project. Regional bonds between higher education institutions and rehabilitation centres will be strengthened in order to align IPECP. On the one hand we deliver a set of basic and advanced modules on functioning according to the WHO’s International Classification of Functioning, Disability and Health and a set of (assessment) tools on interprofessional skills training. Also, applications of this theory in promising approaches, both in education and in rehabilitation practice, are regionally being piloted and adapted for use in other regions. Field visits by professionals from practice to exchange experiences is included in this work package. We aim to deliver a range of learning materials, from modules on theory to guidelines on how to set up and run a student-run interprofessional learning ward in a rehabilitation centre. All tested outputs will be published on the INPRO-website and made available to be implemented in the core curricula in tertiary education and for lifelong learning in health care practice. This will ultimately contribute to improve functioning and health outcomes and quality of life of patients in rehabilitation centres and beyond.
We zetten ons in voor de implementatie van het leefstijlprogramma ProMuscle in de keten van zorg voor (pre)kwetsbare 65-plussers in de regio Noord-Veluwe. Samen met betrokkenen, 65-plussers, zorg- en welzijnsprofessionals, beleidsmakers etc., ontwikkelen en evalueren we activiteiten die de implementatie van ProMuscle verbeteren.
MKB-bedrijven op het gebied van architectuur, gebiedsontwikkeling, ontwerp, digital design en technologie-ontwikkeling zien een nieuwe ‘markt’ ontstaan in de toenemende interesse voor de stedelijke commons. Dat zijn lokale gemeenschappen waarin mensen resources zoals energie, mobiliteit of woonruimte met elkaar delen en beheren, op een duurzame en pro-sociale manier. MKB-bedrijven zien kansen om in co-creatie met deze leefgemeenschappen nieuwe diensten en producten te ontwikkelen waarmee bewoners hun hulpbronnen gemeenschappelijk kunnen managen. MKB-bedrijven zien de ontwikkeling van stedelijke commons daarnaast als mogelijke oplossing voor urgente maatschappelijke vraagstukken en missies op het gebied van inclusieve woningbouw, duurzaamheid en de energietransitie. Voor het goed functioneren van de commons is een heldere articulatie en implementatie van hun onderliggende (maatschappelijke) waarden essentieel. Dit vraagt van MKB-bedrijven een zoektocht naar nieuwe manieren van gebieds- en technologie-ontwikkeling in samenwerking met bewoners. Een specifiek probleem daarbij betreft het vertalen van de commons-waarden naar een technologisch systeem dat het gezamenlijk beheer van hulpbronnen mogelijk maakt. Hiervoor wordt veel verwacht van digitale platformen en distributed ledgers technologies zoals de blockchain. Dit zijn databases die precies bijhouden wie wat bijdraagt en gebruikt. Ze koppelen zo’n boekhouding ook aan rechten, plichten en reputaties van de deelnemers. Bij de inrichting van zo’n systeem moeten ontwerpers steeds keuzes maken en rekening houden met spanningen tussen bijvoorbeeld privacy en transparantie, of individuele en collectieve belangen. In dit ontwerpproces stuiten MKBs op een kennishiaat. Hoe kunnen de onderliggende (maatschappelijke) waarden van commons-gemeenschappen 1) worden gearticuleerd en 2) vertaald naar een ontwerp voor de organisatie van een stedelijke commons met behulp van digitale platformen? Dit onderzoek verkent deze vragen in een fieldlab in Amersfoort, op twee ‘transfersites’ in Amsterdam en Birmingham, en met community of practice partners. Samen met hen worden een set design-principes en richtlijnen ontwikkeld voor het ontwerp van DLTs voor de stedelijke commons.
