Background:Current technology innovations, such as wearables, have caused surprising reactions and feelings of deep connection to devices. Some researchers are calling mobile and wearable technologies cognitive prostheses, which are intrinsically connected to individuals as if they are part of the body, similar to a physical prosthesis. Additionally, while several studies have been performed on the phenomenology of receiving and wearing a physical prosthesis, it is unknown whether similar subjective experiences arise with technology.Objective:In one of the first qualitative studies to track wearables in a longitudinal investigation, we explore whether a wearable can be embodied similar to a physical prosthesis. We hoped to gain insights and compare the phases of embodiment (ie, initial adjustment to the prosthesis) and the psychological responses (ie, accept the prosthesis as part of their body) between wearables and limb prostheses. This approach allowed us to find out whether this pattern was part of a cyclical (ie, period of different usage intensity) or asymptotic (ie, abandonment of the technology) pattern.Methods:We adapted a limb prosthesis methodological framework to be applied to wearables and conducted semistructured interviews over a span of several months to assess if, how, and to what extent individuals come to embody wearables similar to prosthetic devices. Twelve individuals wore fitness trackers for 9 months, during which time interviews were conducted in the following three phases: after 3 months, after 6 months, and at the end of the study after 9 months. A deductive thematic analysis based on Murray’s work was combined with an inductive approach in which new themes were discovered.Results:Overall, the individuals experienced technology embodiment similar to limb embodiment in terms of adjustment, wearability, awareness, and body extension. Furthermore, we discovered two additional themes of engagement/reengagement and comparison to another device or person. Interestingly, many participants experienced a rarely reported phenomenon in longitudinal studies where the feedback from the device was counterintuitive to their own beliefs. This created a blurring of self-perception and a dilemma of “whom” to believe, the machine or one’s self.Conclusions:There are many similarities between the embodiment of a limb prosthesis and a wearable. The large overlap between limb and wearable embodiment would suggest that insights from physical prostheses can be applied to wearables and vice versa. This is especially interesting as we are seeing the traditionally “dumb” body prosthesis becoming smarter and thus a natural merging of technology and body. Future longitudinal studies could focus on the dilemma people might experience of whether to believe the information of the device over their own thoughts and feelings. These studies might take into account constructs, such as technology reliance, autonomy, and levels of self-awareness.
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From Springer description: "We present the design considerations of an autonomous wireless sensor and discuss the fabrication and testing of the various components including the energy harvester, the active sensing devices and the power management and sensor interface circuits. A common materials platform, namely, nanowires, enables us to fabricate state-of-the-art components at reduced volume and show chemical sensing within the available energy budget. We demonstrate a photovoltaic mini-module made of silicon nanowire solar cells, each of 0.5 mm2 area, which delivers a power of 260 μW and an open circuit voltage of 2 V at one sun illumination. Using nanowire platforms two sensing applications are presented. Combining functionalised suspended Si nanowires with a novel microfluidic fluid delivery system, fully integrated microfluidic–sensor devices are examined as sensors for streptavidin and pH, whereas, using a microchip modified with Pd nanowires provides a power efficient and fast early hydrogen gas detection method. Finally, an ultra-low power, efficient solar energy harvesting and sensing microsystem augmented with a 6 mAh rechargeable battery allows for less than 20 μW power consumption and 425 h sensor operation even without energy harvesting."
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Background To improve the quality of exercise-based cardiac rehabilitation (CR) in patients with coronary heart disease (CHD) the CR guideline from the Dutch Royal Society for Physiotherapists (KNGF) has been updated. This guideline can be considered an addition to the 2011 Dutch Multidisciplinary CR guideline, as it includes several novel topics. Methods A systematic literature search was performed to formulate conclusions on the efficacy of exercise-based interventions during all CR phases in patients with CHD. Evidence was graded (1–4) according the Dutch evidence-based guideline development (EBRO) criteria. In case of insufficient scientific evidence, recommendations were based on expert opinion. This guideline comprised a structured approach including assessment, treatment and evaluation. Results Recommendations for exercise-based CR were formulated covering the following topics: preoperative physiotherapy, mobilisation during the clinical phase, aerobic exercise, strength training, and relaxation therapy during the outpatient rehabilitation phase, and adoption and monitoring of a physically active lifestyle after outpatient rehabilitation. Conclusions There is strong evidence for the effectiveness of exercise-based CR during all phases of CR. The implementation of this guideline in clinical practice needs further evaluation as well as the maintenance of an active lifestyle after supervised rehabilitation. LinkedIn: https://www.linkedin.com/in/tinusjongert/
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Hoe wordt de breed geïmplementeerde mobiele technologie didactisch ingezet door leerkrachten en hoe kan deze inzet versterkt worden? Om op deze vragen antwoord te kunnen geven, hebben we een verkennend onderzoek uitgevoerd bij Atlant Basisonderwijs in de regio IJmond. Op basis van deze verkenning kunnen geïnformeerde beslissingen genomen worden ten aanzien van het ontwerpen, uitvoeren en evalueren van de innovatieve didactische inzet van mobiele technologie op de scholen die onder hetzelfde bestuur vallen. Het pedagogisch-didactisch model iPAC waarbij mobiel leren wordt ingezet ten behoeve van gepersonaliseerd leren, samenwerkend leren en authentieke leertaken, was bruikbaar om leerpraktijken te beschrijven. Vervolgens zijn we met focusgroepen in gesprek gegaan. In dit rapport zijn de bevindingen terug te lezen.
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Centraal staat de vraag van vijf basisscholen hoe de breed geïmplementeerde mobiele technologie didactisch wordt ingezet door leerkrachten en hoe deze inzet versterkt kan worden. Op basis van deze verkenning kunnen geïnformeerde beslissingen genomen worden ten aanzien van het ontwerpen, uitvoeren en evalueren van de innovatieve didactische inzet van mobiele technologie op de scholen. De huidige situatie is in kaart gebracht aan hand van de iPAC vragenlijst. Vervolgens zijn de resultaten besproken in focusgroepen met leerkrachten, leerlingen en de leidinggevenden. Uit het onderzoek blijkt dat de inzet op dit moment veelal gebonden is aan de gangbare onderwijsmethodesoftware, instructie van de leerkracht en voor het digitaal maken van verwerkingsopdrachten in het klaslokaal. Maar leerkrachten zien zeker meer kansen en benoemen in het rapport ondersteunende factoren.
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This study offers an overview of the natural development of the use of an activity tracker, as well as the relative importance of a range of determinants from literature. Decay is exponential but slower than may be expected from existing literature. Many factors have a small contribution to sustained use. The most important determinants are technical condition, age, user experience, and goal-related factors. This finding suggests that activity tracking is potentially beneficial for a broad range of target groups, but more attention should be paid to technical and user experience–related aspects of activity trackers.
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The studies in this thesis aim to increase understanding of the effects of various characteristics of scientific news about a common chronic disease, i.e., diabetes, on the cognitive responses (e.g., emotions, attitudes, intentions) of diabetes patients. The research questions presented in this thesis are guided by the Health Belief Model, a theoretical framework developed to explain and predict healthrelated behaviours based on an individual’s beliefs and attitudes. The model asserts that perceived barriers to a recommended health behavior, advantages of the behavior, self-efficacy in executing the behavior, and disease severity and personal susceptibility to the disease are important predictors of a health behavior. Communication is one of the cues to action (i.e., stimuli) that may trigger the decision-making process relating to accepting a medical or lifestyle recommendation.
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Relatief kleine, gespecialiseerde bedrijven in de maakindustrie hebben behoefte aan flexibele assemblageprocessen en productielogistiek. Digitalisering biedt veel mogelijkheden om productieprocessen efficiënter en duurzamer te maken, innovatieve producten te fabriceren en over te schakelen op andere businessmodellen. Dit moet dan wel werken voor kleine series en enkelstuks. ‘Kunnen wij het maken?’ verwijst naar onderliggende vragen over: ‘Hoe beheersen we risico’s in complexe maakprocessen?’, ‘Hoe werken we samen in de keten?’ en ‘Wat moeten huidige en toekomstige engineers weten over ‘Industry 4.0’ en circulaire maakindustrie?’. Bijgaand essay, in verkorte vorm uitgesproken als Intreerede, legt uit hoe de onderzoekers van Smart Sustainable Manufacturing aan de slag gaan om een antwoord te vinden op deze vragen, door middel van cocreatie met de beroepspraktijk en het onderwijs in het Re/manufacturing lab.
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From an evidence-based perspective, cardiopulmonary exercise testing (CPX) is a well-supported assessment technique in both the United States (US) and Europe. The combination of standard exercise testing (ET) [i.e. progressive exercise provocation in association with serial electrocardiograms (ECGs), haemodynamics, oxygen saturation, and subjective symptoms] and measurement of ventilatory gas exchange amounts to a superior method to: (i) accurately quantify cardiorespiratory fitness (CRF), (ii) delineate the physiologic system(s) underlying exercise responses, which can be applied as a means to identify the exercise-limiting pathophysiological mechanism(s) and/or performance differences, and (iii) formulate function-based prognostic stratification. Cardiopulmonary ET certainly carries an additional cost as well as competency requirements and is not an essential component of evaluation in all patient populations. However, there are several conditions of confirmed, suspected, or unknown aetiology where the data gained from this form of ET is highly valuable in terms of clinical decision making.1
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