BACKGROUND: Chronic musculoskeletal pain (CMP), Generalized Joint Hypermobility (GJH) and pain-related fear have influence on physical functioning in adolescents.AIM: to evaluate differences in physical functioning between adolescents with CMP, GJH or the combination of both, and in addition evaluate the potential contribution of pain-related fear.DESIGN: The design of this study was observational and cross-sectional.SETTING: The adolescents with CMP were recruited by a physician in rehabilitation medicine and measured in the university outpatient rehabilitation clinic (Adelante/Maastricht University Medical Center+, the Netherlands). The adolescents without CMP were recruited in the Southern area of the Netherlands and measured in the university outpatient rehabilitation clinic (Adelante/Maastricht University Medical Center+, the Netherlands).POPULATION: Four subgroups of adolescents were included; 21 adolescents with CMP without GJH, 9 adolescents with CMP and GJH, 51 adolescents without CMP without GJH, and 11 adolescents without CMP with GJH.METHODS: Outcome measures were muscle strength and endurance, motor performance, physical activity level, and pain-related fear. Hierarchical regression analyses were used to study differences in physical functioning and the contribution of pain-related fear in adolescents with/without CMP as well as with/without GJH.RESULTS: Adolescents with CMP had decreased muscle strength (P=0.01), endurance (P=0.02), and lower motor performance (P<0.01) compared to adolescents without CMP. Higher levels of pain-related fear were related to decreased muscle strength (P=0.01), endurance (P<0.01), and motor performance (P<0.01). No differences in physical functioning and pain-related fear between hypermobile and non-hypermobile adolescents with CMP were found.CONCLUSIONS: Adolescents with CMP had decreased muscle strength and motor performance associated with increased levels of pain-related fear compared to adolescents without CMP. The association of being hypermobile with physical functioning is not more pronounced in adolescents with CMP.CLINICAL REHABILITATION IMPACT: No differences were found in physical functioning and pain-related fear between hypermobile adolescents with CMP compared to non-hypermobile adolescents with CMP. Future rehabilitation treatment in hypermobile adolescents with CMP should also focus on psychological components, such as pain-related fear.
In Intellectual Output 1 of the SMILES project, researchers from Belgium (Flanders), Netherlands and Spain conducted desk research to describe the current developments for each country around disinformation, particularly those related to the Covid-19 pandemic. In part 2 of the research, they identified training initiatives, courses and media literacy training tools for each country that are specifically focused on the combat against or promotion of resistance to existing disinformation. Each identified activity or tool was characterised by a fixed set of characteristics (appendix 1). In the second stage of this research, some experts for each country were interviewed. Among other things, they were asked for recommendations and tips for interventions that will be developed in Intellectual Output 2 of the SMILES project. All research results were reported in separate country reports. This joint report lists the highlights of the separate country reports. It will end with recommendations for the interventions to be developed in Intellectual Output 2.
MULTIFILE
INTRODUCTION: To provide a state of the art on diagnostics, clinical characteristics, and treatment of paediatric generalised joint hypermobility (GJH) and joint hypermobility syndrome (JHS).METHOD: A narrative review was performed regarding diagnostics and clinical characteristics. Effectiveness of treatment was evaluated by systematic review. Searches of Medline and Central were performed and included nonsymptomatic and symptomatic forms of GJH (JHS, collagen diseases).RESULTS: In the last decade, scientific research has accumulated on all domains of the ICF. GJH/JHS can be considered as a clinical entity, which can have serious effects during all stages of life. However research regarding the pathological mechanism has resulted in new potential opportunities for treatment. When regarding the effectiveness of current treatments, the search identified 1318 studies, from which three were included (JHS: n = 2, Osteogenesis Imperfecta: n = 1). According to the best evidence synthesis, there was strong evidence that enhancing physical fitness is an effective treatment for children with JHS. However this was based on only two studies.CONCLUSION: Based on the sparsely available knowledge on intervention studies, future longitudinal studies should focus on the effect of physical activity, fitness, and joint stabilisation. In JHS and chronic pain, the effectiveness of a multidisciplinary approach should be investigated.
The textile industry is responsible for over 8% of global greenhouse gas emissions and 20% of the world’s wastewater, surpassing the emissions from international flights and shipping combined. In the European Union, textile purchases in 2020 led to around 270 kg of CO₂ emissions per person, yet only 1% of used clothing is recycled into new garments. The municipality of Groningen manages an estimated 950 kilotons of textile waste but is only able to collect, sort, and recycle 250 kilotons. To address these challenges, Textile Hub Groningen (THG) seeks to support small and medium-sized enterprises (SMEs) and stakeholders in creating circular textile value chains. However, designing circular value chains presents challenges, including conflicting interests, knowledge gaps on circular design principles, and inadequate tools for collaborative business model development. Potential stakeholders often find current tools too abstract and not conducive to collaboration, learning, or experimentation. As a result, circular value chains remain difficult to achieve from the perspective of individual stakeholders. Serious games have been employed to simulate and experiment with complex adaptive systems , . Research shows that well-designed playful learning enhances both learning and motivation, particularly when social elements are integrated . This project aims to answer the following research question: How can serious games be leveraged to design circular textile value chains in the region? The expected outcomes are: 1. Serious Game: Design, test, and deliver a serious game to facilitate the joint design of circular textile value chains. 2. Publications: Extract insights from the game’s design and evaluation, contributing to both academic and practical discussions. 3. Consortium for Follow-up: Mobilize partners and secure funding for future projects in related fields. Through game-based collaborative circular value chain and business model design experiences, this project overcomes barriers in designing viable circular value chains in the textile industry
The Hospitality, Tourism, Innovation & Technology Experts Network (HTIT-EN) is a pivotal initiative aimed at unlocking societal impact potential. The Dutch hospitality and tourism sector, which employs over half a million individuals and annually hosts more than 40 million guests, ranks as the Netherlands’ 8th largest economic sector. However, this sector faces numerous challenges, including the uncertain impact of emerging technologies and issues such as unethical behavior, workforce attrition, and staff shortages, which have been exacerbated by the COVID-19 pandemic. The advent of emerging technologies like service robots, immersive experiences, and artificial intelligence has brought the sector to a critical juncture. These innovations pose significant disruptions, challenging the traditional concept of hospitality and questioning the positive societal impact in terms of ethical considerations, inclusivity, affordability, and data privacy.Strategically positioned to address these challenges, HTIT-EN focuses on leveraging emerging technologies to create impactful scenarios and shape the future of hospitality and tourism. Our motivation stems from the sector’s societal importance and its continuous influence on our daily lives. By harnessing technology and innovation, we aim to tackle industry-specific issues and extend the positive societal impact to related human-centered service industries.The overarching mission of HTIT-EN is to empower the Dutch Hospitality and Tourism sector to serve as a driving force for technology-enabled societal impact. The primary objective is to align research activities and promote collaboration. Key objectives include bringing together leading professors specializing in technology-driven impact within the hospitality and tourism sector, initiating research projects in line with a shared research agenda and in collaboration with local and international industry partners, and collaboratively developing expertise in emerging technologies that empower the role of hospitality and tourism as catalysts for societal impact. This endeavor contributes to the development and acceleration of the Knowledge and Innovation Agenda (KIA) ‘Key technologies’ & ‘Digitalization’. The aim is to foster an excellent reputation for Dutch hospitality and tourism as a global leader in technology-driven societal impact.We have strong support from CELTH, the Centre of Expertise within the domain of leisure, tourism and hospitality for the overall ambitions of the research project.Societal issueThe HTIT-EN project bridges societal importance and cross-cutting issues in the tourism and hospitality sectors. It’s fueled by the ambition to leverage emerging technologies to tackle industry-specific challenges, including knowledge and skills gaps, labor shortages and replacements, and evolving consumer expectations.Benefit to societyThe platform brings together professors and researchers from MBO, HBO and WO knowledge institutes as well as diverse set of professional partners to stimulate collaboration, align research lines and establish joint a joint research agenda on how technology-driven impact may become a catalyst within hospitality and tourism.
HTIT-EN (Hospitality, Tourism, Innovation & Technology Experts Network) unites professors and researchers from five leading academies in hospitality and tourism (Hotelschool The Hague, Hotel Management School Maastricht / Zuyd, Breda University of Applied Sciences, Saxion Hogeschool, NHL Stenden). Our primary goal is to coordinate efforts in setting a joint research agenda, focused on the overall question: "How can the Dutch hospitality and tourism sector, which has a profound societal presence and encompasses a diverse range of workers and stakeholders, leverage its transversal character to generate extensive societal impact through the utilization of emerging technological innovations?" Early industry adoption of emerging technologies, including robotics, immersive experiences, and artificial intelligence, make hospitality and tourism ideal contexts to serve as a catalyst for innovation and societal impact. By integrating complementary expertise of the leading professors in areas like strategic foresight, disruptive transformations, technology management, and digital transformation and by engaging in collaboration with external knowledge institutions (MBO, HBO, WO), the Centre of Expertise Leisure, Tourism & Hospitality, business professionals, and industry associations, our vision is to acknowledge the hospitality and tourism industry as a dynamic basis for generating technology-driven, positive societal change. HTIT-EN's ultimate goal is to rise to the status of a globally renowned knowledge platform, specializing in technological innovation within the domain of hospitality and tourism, within the next 5 years. To achieve this aspiration, we are committed to fostering collaboration and aligning expertise across the participating institutions, as well as extending an invitation to additional partners from both the practical and academic fields related to this network. This collaborative effort will enable us to leverage each other’s expertise and resources and fully utilize the transversal characteristics of the Dutch tourism and hospitality industry, developing it to a catalyst for technology-driven innovation with wide and lasting societal implications across the Netherlands.
