OBJECTIVE: To develop evidence-based recommendations for effective and safe diagnostic assessment and intervention strategies for the physiotherapy treatment of patients in intensive care units.METHODS: We used the EBRO method, as recommended by the 'Dutch Evidence Based Guideline Development Platform' to develop an 'evidence statement for physiotherapy in the intensive care unit'. This method consists of the identification of clinically relevant questions, followed by a systematic literature search, and summary of the evidence with final recommendations being moderated by feedback from experts.RESULTS: Three relevant clinical domains were identified by experts: criteria to initiate treatment; measures to assess patients; evidence for effectiveness of treatments. In a systematic literature search, 129 relevant studies were identified and assessed for methodological quality and classified according to the level of evidence. The final evidence statement consisted of recommendations on eight absolute and four relative contra-indications to mobilization; a core set of nine specific instruments to assess impairments and activity restrictions; and six passive and four active effective interventions, with advice on (a) physiological measures to observe during treatment (with stopping criteria) and (b) what to record after the treatment.CONCLUSIONS: These recommendations form a protocol for treating people in an intensive care unit, based on best available evidence in mid-2014.
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Sustainability and economic growth—the integration and balance of social, environmental, and economic needs—is a salient concern for sustainable development and social well-being. By focusing on a sustainable innovation project, we explore how entrepreneurial ecosystems become sustainable entrepreneurial ecosystems and investigate the interactions of entrepreneurial actors. We conducted an inductive, single-case study of a specific collaborative innovation project in the denim industry specialized in a specific geographic location. From our data, we show that the presence of four conditional aspects foster sustainable entrepreneurial ecosystems. These include sustainability orientation of actors, recognition of sustainable opportunities and resource mobilization, collaborative innovation of sustainability opportunities, and markets for sustainable products. We make two observations that contribute to the literature. First, we see that in a sustainable entrepreneurial ecosystem, entrepreneurial experimentation is a highly interdependent and interactive process. Second, we see that recognition of sustainable opportunities is distributed among different actors in the ecosystem. Our findings also have implications for practitioners and policy-makers.
In this paper we describe the development of a training for crisis communication professionals, the ‘Discourse Analytical Glasses’(DAG). The DAG training was developed based on the results of three discursive studies on social media discussions about crisis situations. In the training, participants gain insight into the discursive activities that were demonstrated to be particularly relevant in these discussions: rumour construction and mobilization. The training aims to increase the crisis communication professional’s sensitivity for the way language is used on social media and help them to formulate appropriate and timely reactions during crises causing social anxiety in the public domain. In dit artikel beschrijven we de ontwikkeling van een training voor professionals in crisiscommunicatie, de ‘Discoursanalytische Bril’ (DAB). De DAB werd ontwikkeld op basis van resultaten van drie studies naar discussies op sociale media over crisis situaties. In de training krijgen de deelnemers inzicht in de discursieve activiteiten die relevant zijn in deze discussies: geruchtvorming en mobilisatie. De training heeft als doel de interactionele gevoeligheid van de communicatieprofessional te verhogen, zodat deze opmerkt hoe taal wordt gebruikt op sociale media. Ook helpt de training de communicatieprofessional om tijdig passende reacties te formuleren tijdens crises die sociale onrust in het publieke domein veroorzaken.
The bio-transition will require mass mobilization of biomass for industrial feedstock, of which lignocellulose from agricultural residues is a promising sustainable source. Agricultural lignocellulosic residues (ALR) are available in varying densities across the EU and offer an opportunity to improve environmental outcomes in agriculture as well as in refining. While technologies are emerging, the future demands of industry for ALR are not understood, limiting the ability of biomass intermediaries to develop a supply chain. This project is a collaboration of Looop, BioGrowth Development (BD), and MNEXT, with the aim to quantify and characterize ALR in the EU and match it to expected demand from the refining industry. The spatial distribution of ALR, as well as the technical requirements of refineries, are critical components to developing a sustainable supply chain. Looop aspires to create circularity between ALRs and industry, and together with the biomass consulting experience of BD have approached MNEXT to leverage their knowledge of biorefinery applications. The focus of the project is to spatially model ALR availability across the EU and identify locations where mobilizing biomass for biorefining is most feasible according to technical, environmental, and logistical considerations. The one-year collaboration enables sufficient mapping, modeling, and exploration of parameters, with a focus on creating results applicable to a wide range of future scenarios. The project makes use of academic and industry knowledge to both create industry solutions and establish a starting point for further research.
Het publieke debat over issues in de huidige samenleving vindt permanent plaats. Publieke debatten kennen een golfbeweging en veranderen soms in een crisis. De gedigitaliseerde samenleving maakt de reactie van organisaties op issues vele malen ingewikkelder. In dit project staat de vraag centraal hoe communicatieprofessionals van publieke organisaties beter kunnen omgaan met publicitaire golfbewegingen van voortdurend debat, regelmatige issues en incidentele crises. Dit onderzoek is medegefinancierd door Regieorgaan SIA onderdeel van de Nederlandse Organisatie voor Wetenschappelijk Onderzoek (NWO) Doel In dit project bekijken we de online geruchtvorming en mobilisatie en de wijze waarop overheden hier mee omgaan. Het doel van het onderzoeksproject is: om inzicht te krijgen in organisatorische, interactionele, taalkundige aspecten van issuemanagement om bruikbare interventies te ontwikkelen Resultaten Het resultaat is een breed toepasbare aanpak voor communicatie bij issues die spelen in publieke organisaties. Deze aanpak wordt vertaald in een toolbox voor communicatieprofessionals en studenten communicatie. Inzichten laten nu al zien dat de data uit de 2 casussen informatie opleveren over framing vanuit de gemeenschap; de organisatie van de communicatie (Doen de juiste mensen de juiste dingen?) en inzichten óver de geruchtvorming. Het lectoraat heeft daarvoor een instrument ontwikkeld waarmee je patronen in online conversaties kunt ontdekken. Dit instrument hebben we ‘BEP’ genoemd. BEP staat voor Birds Eye Perspective. Het perspectief helpt die conversaties en eventueel daaropvolgende interacties op waarde te schatten. Je kunt inzichten uit BEP gebruiken om bewuster te zijn van de gevoeligheden en weerstanden in gesprekken die gaande zijn en aan te sluiten op wat leeft in het publieke debat. Dit stelt je in staat om in gesprek te blijven én de stap te kunnen maken naar een anticiperende communicatiestrategie.) Opgeleverde producten: Bekijk het ontwikkelde instrument via: https://husite.nl/bep/ Bekijk de slotsessie brochure Looptijd 01 februari 2021 - 01 april 2023 Aanpak In drie rondes worden vijf door de praktijkpartners ingebrachte cases onderzocht. De inzichten uit de eerste casus worden meegenomen in de volgende ronde, de gehanteerde methode blijft hetzelfde. Er wordt een combinatie gemaakt van interactieanalyse van: Online en offline data Interviews met professionals Focusgroepen met burgers. In de laatste ronde van het project worden de ontwikkelde inzichten gedeeld in de praktijk, het onderzoeksveld en het onderwijs. Voor de zomer 2021 worden 2 casussen geanalyseerd. de Schoorlse Duinen (waar bomenkap tot heftige speculaties in de media leidt) en het onderhoud aan bruggen (zoals de weg over de Merwedebrug die plots gesloten moest worden). Begin juni vindt het eerste ‘Vakgesprek’ plaats met het newsroomteam van Rijkswaterstaat, en afgevaardigden uit het beroepenveld: (beroepsvereniging Logeion, Academie voor Overheidscommunicatie), onze Communicatie-opleiding, én lectoren Cok Bakker (HU) en Els van der Pool (HAN). Annette Klarenbeek leidt het gesprek. Bekijk dit document dat een overzicht geeft van de aanpak en methodes in het project Studenten gezocht! Gedurende het project kunnen studenten een bijdrage leveren. Communicatiestudenten die betrokken willen zijn bij het vinden van innovatieve oplossingen voor issuemanagement in de gedigitaliseerde samenleving kunnen contact opnemen. Extra informatie Congres beroepspraktijk Training: Monitoring mobilization: A discursive psychological analysis of online mobilizing practices. Sneijder, P., Stinesen, B., Harmelink, M. & Klarenbeek, A The Discourse Analytical Glasses (DAG) Hoofdstuk wetenschappelijk handboek: Sneijder, P., Baukje, S., Harmelink, M. & Klarenbeek, A. (n.d.). The discourse of social movements: online mobilising practices for collective action. In: Demasi, Mirko A., Burke, Shani, Tileagă, Cristian (Eds.) (Scheduled for publication, 2021). Political Communication: Discursive Perspectives. (K/P
The admission of patients to intensive care units (ICU) is sometimes planned after a large operation. However, most admissions are acute, because of life-threatening infections or trauma as a result of accidents. Their stay can last from a couple of days to a couple of weeks. ICU patients are often in pain, in fragile health condition, and connected to various devices such as a ventilator, intravenous drip, and monitoring equipment. The resulting lack of mobilization, makes patients lose 1-3% of muscle power for each day they are in the ICU. Within 2 weeks, patients can lose up to 50% of their muscle mass. Early mobilization of ICU patients reduces their time on a respirator and their hospital length of stay. Because of this, ICUs have started early mobilization physical therapy. However, there is a lack of solutions for patients that properly handle fear of movement, are sufficiently personalized to the possibilities and needs of the individual and motivate recurring use in this context. Meanwhile, various technological advances enable new solutions that might bring benefits for this specific use case. Hospitals are experimenting with screens and projections on walls and ceilings to improve their patients’ stay. Standalone virtual reality and mixed reality headsets have become affordable, available and easy to use. In this project, we want to investigate: How can XR-technologies help long-stay ICU patients with early mobilization, with specific attention to the issues of fear of movement, personalization to the individual’s possibilities, needs and compliance over multiple sessions? The research will be carried out in co-creation with the target group and will consist of a state-of-the-art literature review and an explorative study.
