The municipality of Apeldoorn had polled the interest among its private home-owners to turn their homes energy neutral. Based on the enthusiastic response, Apeldoorn saw the launch of the Energy Apeldoorn (#ENEXAP) in 2011. Its goal was to convert to it technically and financially possible for privately owned homes to be refurbished and to energy neutral, taking the residential needs and wishes from occupants as the starting point. The project was called an Expedition, because although the goal was clear, the road to get there wasn’t. The Expedition team comprised businesses, civil-society organisations, the local university of applied sciences, the municipality of Apeldoorn, and of course, residents in a central role. The project was supported by Platform31, as part of the Dutch government’s Energy Leap programme. The #ENEXAP involved 38 homes, spread out through Apeldoorn and surrounding villages. Even though the houses were very diverse, the group of residents was quite similar: mostly middle- aged, affluent people who highly value the environment and sustainability. An important aspect of the project was the independent and active role residents played. In collaboration with businesses and professionals, through meetings, excursions, workshops and by filling in a step- by-step plan on the website, the residents gathered information about their personal situation, the energy performance of their home and the possibilities available for them to save and generate energy themselves. Businesses were encouraged to develop an integrated approach for home-owners, and consortia were set up by businesses to develop the strategy, products and services needed to meet this demand. On top of making minimal twenty from the thirty-eight houses in the project energy neutral, the ultimate goal was to boost the local demand for energy- neutral refurbishment and encourage an appropriate supply of services, opening up the (local) market for energy neutral refurbishment. This paper will reflect on the outcomes of this collective in the period 2011-2015.
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BACKGROUND: It is generally unknown to what extent organ transplant recipients can be physically challenged. During an expedition to Mount Kilimanjaro, the tolerance for strenuous physical activity and high-altitude of organ transplant recipients after various types of transplantation was compared to non-transplanted controls.METHODS: Twelve organ transplant recipients were selected to participate (2 heart-, 2 lung-, 2 kidney-, 4 liver-, 1 allogeneic stem cell- and 1 small bowel-transplantation). Controls comprised the members of the medical team and accompanying family members (n = 14). During the climb, cardiopulmonary parameters and symptoms of acute mountain sickness were recorded twice daily. Capillary blood analyses were performed three times during the climb and once following return.RESULTS: Eleven of the transplant participants and all controls began the final ascent from 4700 meters and reached over 5000 meters. Eight transplant participants (73%) and thirteen controls (93%) reached the summit (5895m). Cardiopulmonary parameters and altitude sickness scores demonstrated no differences between transplant participants and controls. Signs of hyperventilation were more pronounced in transplant participants and adaptation to high-altitude was less effective, which was related to a decreased renal function. This resulted in reduced metabolic compensation.CONCLUSION: Overall, tolerance to strenuous physical activity and feasibility of a high-altitude expedition in carefully selected organ transplant recipients is comparable to non-transplanted controls.
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Zijn we te laat? Deze vraag drong zich op aan journalist en schrijver Frank von Hebel tijdens zijn reis naar Spitsbergen. Hij nam deel aan de SEES-expeditie (Scientific Expedition Edgeøya Svalbard) op het expeditieschip Ortelius. Onder leiding van het Arctisch Centrum van de Rijksuniversiteit Groningen onderzochten vijftig wetenschappers de gevolgen van klimaatverandering voor de wereld van gletsjers, toendra’s en ijsberen.Spitsbergen is het snelst opwarmende gebied ter wereld. Het kwik stijgt er elke tien jaar gemiddeld met een graad Celcius. Von Hebel zag met eigen ogen hoe de beschaving zich meer en meer opdringt aan het ooit ongerepte landschap dat in 1596 werd ontdekt door Willem Barentsz. De gletsjers trekken zich met schrikbarende snelheid terug, de permafrost slinkt zienderogen en jaarlijks haalt men 20.000 kilo afval van de stranden. Zelfs de Wereldzadenbank kwam door smeltwater even blank te staan. Maar ook onze eigen geschiedenis dreigt door de opwarming van de aarde letterlijk en figuurlijk weg te spoelen. Expeditie Spitsbergen neemt de lezer mee in de bijzondere wereld van deze archipel en maakt duidelijk dat klimaatverandering een veelkoppig monster zal zijn.
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