Background Movement behaviors (i.e., physical activity levels, sedentary behavior) in people with stroke are not self-contained but cluster in patterns. Recent research identified three commonly distinct movement behavior patterns in people with stroke. However, it remains unknown if movement behavior patterns remain stable and if individuals change in movement behavior pattern over time. Objectives 1) To investigate the stability of the composition of movement behavior patterns over time, and 2) determine if individuals change their movement behavior resulting in allocation to another movement behavior pattern within the first two years after discharge to home in people with a first-ever stroke. Methods Accelerometer data of 200 people with stroke of the RISE-cohort study were analyzed. Ten movement behavior variables were compressed using Principal Componence Analysis and K-means clustering was used to identify movement behavior patterns at three weeks, six months, one year, and two years after home discharge. The stability of the components within movement behavior patterns was investigated. Frequencies of individuals’ movement behavior pattern and changes in movement behavior pattern allocation were objectified. Results The composition of the movement behavior patterns at discharge did not change over time. At baseline, there were 22% sedentary exercisers (active/sedentary), 45% sedentary movers (inactive/sedentary) and 33% sedentary prolongers (inactive/highly sedentary). Thirty-five percent of the stroke survivors allocated to another movement behavior pattern within the first two years, of whom 63% deteriorated to a movement behavior pattern with higher health risks. After two years there were, 19% sedentary exercisers, 42% sedentary movers, and 39% sedentary prolongers. Conclusions The composition of movement behavior patterns remains stable over time. However, individuals change their movement behavior. Significantly more people allocated to a movement behavior pattern with higher health risks. The increase of people allocated to sedentary movers and sedentary prolongers is of great concern. It underlines the importance of improving or maintaining healthy movement behavior to prevent future health risks after stroke.
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The retirement phase is an opportunity to integrate healthy (nutrition/exercise) habits into daily life. We conducted this systematic review to assess which nutrition and exercise interventions most effectively improve body composition (fat/muscle mass), body mass index (BMI), and waist circumference (WC) in persons with obesity/overweight near retirement age (ages 55–70 y). We conducted a systematic review and network meta-analysis (NMA) of randomized controlled trials, searching 4 databases from their inception up to July 12, 2022. The NMA was based on a random effects model, pooled mean differences, standardized mean differences, their 95% confidence intervals, and correlations with multi-arm studies. Subgroup and sensitivity analyses were also conducted. Ninety-two studies were included, 66 of which with 4957 participants could be used for the NMA. Identified interventions were clustered into 12 groups: no intervention, energy restriction (i.e., 500–1000 kcal), energy restriction plus high-protein intake (1.1–1.7 g/kg/body weight), intermittent fasting, mixed exercise (aerobic and resistance), resistance training, aerobic training, high protein plus resistance training, energy restriction plus high protein plus exercise, energy restriction plus resistance training, energy restriction plus aerobic training, and energy restriction plus mixed exercise. Intervention durations ranged from 8 wk to 6 mo. Body fat was reduced with energy restriction plus any exercise or plus high-protein intake. Energy restriction alone was less effective and tended to decrease muscle mass. Muscle mass was only significantly increased with mixed exercise. All other interventions including exercise effectively preserved muscle mass. A BMI and/or WC decrease was achieved with all interventions except aerobic training/resistance training alone or resistance training plus high protein. Overall, the most effective strategy for nearly all outcomes was combining energy restriction with resistance training or mixed exercise and high protein. Health care professionals involved in the management of persons with obesity need to be aware that an energy-restricted diet alone may contribute to sarcopenic obesity in persons near retirement age.This network meta-analysis is registered at https://www.crd.york.ac.uk/prospero/ as CRD42021276465.
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The aim of this constructive study was to develop model-based principles to provide guidance to managers and policy makers when making decisions about team size and composition in the context of home healthcare. Six model-based principles were developed based on extensive data analysis and in close interaction with practice. In particular, the principles involve insights in capacity planning, travel time, available effective capacity, contract types, and team manageability. The principles are formalized in terms of elementary mathematical models that capture the essence of decision-making. Numerical results based on real-life scenarios reveal that efficiency improves with team size, albeit more prominently for smaller teams due to diminishing returns. Moreover, it is demonstrated that the complexity of managing and coordinating a team becomes increasingly more difficult as team size grows. An estimate for travel time is provided given the size and territory of a team, as well as an upper bound for the fraction of full-time contracts, if split shifts are to be avoided. Overall, it can be concluded that an ideally sized team should serve (at least) around a few hundreds care hours per week.
It is known that several bacteria in sewage treatment plants can produce attractive quantities of biodegradable polymers within their cell walls (up to 80% of the cell weight). These polymers may consist of polyhydroxyalkanoates (PHA), a bioplastic which exhibits interesting characteristics like excellent biodegradation, low melting point and good environmental footprint. PHA bioplastics or PHBV are still quite expensive because cumbersome downstream processing steps of the PHAcontaining bacteria are needed before PHA can be applied in products. In this proposal, the consortium investigates the possibilities for eliminating these expensive and environmentally intensive purification steps, and as a result contribute to speeding up the up-take of PHA production of residual streams by the market. The objective of the project is to investigate the possibilities of direct extrusion of PHAcontaining bacteria and the application opportunities of the extruded PHA. The consortium of experienced partners (Paques Biomaterials, MAAN Group, Ecoras and CoEBBE) will investigate and test the extrusion of different types of PHA-containing biomass, and analyse the products on composition, appearance and mechanical properties. Moreover, the direct extrusion process will be evaluated and compared with conventional PHA extraction and subsequent extrusion. The expected result will be a proof of principle and provide an operational window for the application of direct extrusion with PHA-containing biomass produced using waste streams, either used as such or in blends with purified PHA. Both the opportunities of the direct extrusion process itself as well as the application opportunities of the extruded PHA will be mapped. If the new process leads to a cheaper, more environmentally friendly produced and applicable PHA, the proof of principle developed by the consortium could be the first step in a larger scale development that could help speeding up the implementation of the technology for PHA production from residual streams in the market.
Introduction The research group Biobased Resources & Energy (BRE) of Avans focusses on recovery of valuable building blocks from low-value solid and liquid residual streams from agriculture, households and industries. For the valorisation of these residual streams, BRE looks into different biological, chemical and mechanical processes. One of the main issues in the utilisation of residual streams is economic feasibility and the recovery of multiple resources from one residual stream. Using membrane technologies in combination with biological, chemical and/or mechanical processes could offer great opportunities. Central Research Question What is the applicability of membrane technologies for valorisation of different residual streams and is it possible to integrate membrane technology in current and new biorefining projects of research group BRE: Set-up In order to reach the goal of this postdoc, 4 research questions will be answered using literature search, experimentation and modelling: 1) What membrane methods are currently (commercially) available to enhance the results of current projects in research group BRE? 2) What are the essential technical parameters for membrane separation and how can these be optimized? 3) What is the economic impact of using membrane technology in recovery of valuable building blocks from residual streams? 4) What are the effects of using membranes instead of or complementary to currently used methods on the sustainability of valorisation of residual streams? Cooperation The postdoc and the research group BRE want to extend the contact and research cooperation with (regional) businesses and (applied) universities and support and facilitate the introduction and further development of membrane technologies in the curriculum of different Avans study programmes. This will be done via internships, minor projects (together with businesses) and development of study material for courses and trainings.
Due to the exponential growth of ecommerce, the need for automated Inventory management is crucial to have, among others, up-to-date information. There have been recent developments in using drones equipped with RGB cameras for scanning and counting inventories in warehouse. Due to their unlimited reach, agility and speed, drones can speed up the inventory process and keep it actual. To benefit from this drone technology, warehouse owners and inventory service providers are actively exploring ways for maximizing the utilization of this technology through extending its capability in long-term autonomy, collaboration and operation in night and weekends. This feasibility study is aimed at investigating the possibility of developing a robust, reliable and resilient group of aerial robots with long-term autonomy as part of effectively automating warehouse inventory system to have competitive advantage in highly dynamic and competitive market. To that end, the main research question is, “Which technologies need to be further developed to enable collaborative drones with long-term autonomy to conduct warehouse inventory at night and in the weekends?” This research focusses on user requirement analysis, complete system architecting including functional decomposition, concept development, technology selection, proof-of-concept demonstrator development and compiling a follow-up projects.
