This publication has been realized on the occasion of the project FORMER WEST: Documents, Constellations, Prospects, a joint undertaking by BAK, basis voor actuele kunst, Utrecht and Haus der Kulturen der Welt (HKW),Berlin organized at HKW from 18–24 March 2013.
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Background: A quality improvement collaborative is an intensive project involving a combination of implementation strategies applied in a limited “breakthrough” time window. After an implementation project, it is generally difficult to sustain its success. In the current study, sustainability was described as maintaining an implemented innovation and its benefits over a longer period of time after the implementation project has ended. The aim of the study was to explore potentially promising strategies for sustaining the Enhanced Recovery After Surgery (ERAS) programme in colonic surgery as perceived by professionals, three to six years after the hospital had successfully finished a quality improvement collaborative. Methods: A qualitative case study was performed to identify promising strategies to sustain key outcome variables related to the ERAS programme in terms of adherence, time needed for functional recovery and hospital length of stay (LOS), as achieved immediately after implementation. Ten hospitals were selected which had successfully implemented the ERAS programme in colonic surgery (2006–2009), with success defined as a median LOS of 6 days or less and protocol adherence rates above 70%. Fourteen semi-structured interviews were held with eighteen key participants of the care process three to six years after implementation, starting with the project leader in every hospital. The interviews started by confronting them with the level of sustained implementation results. A direct content analysis with an inductive coding approach was used to identify promising strategies. The mean duration of the interviews was 37 minutes (min 26 minutes – max 51 minutes). Results: The current study revealed strategies targeting professionals and the organisation. They comprised internal audit and feedback on outcomes, small-scale educational booster meetings, reminders, changing the physical structure of the organisation, changing the care process, making work agreements and delegating responsibility, and involving a coordinator. A multifaceted self-driven promising strategy was applied in most hospitals, and in most hospitals promising strategies were suggested to sustain the ERAS programme. Conclusions: Joining a quality improvement collaborative may not be enough to achieve long-term normalisation of transformed care, and additional investments may be needed. The findings suggest that certain post-implementation strategies are valuable in sustaining implementation successes achieved after joining a quality improvement collaborative.
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As every new generation of civil aircraft creates more on-wing data and fleets gradually become more connected with the ground, an increased number of opportunities can be identified for more effective Maintenance, Repair and Overhaul (MRO) operations. Data are becoming a valuable asset for aircraft operators. Sensors measure and record thousands of parameters in increased sampling rates. However, data do not serve any purpose per se. It is the analysis that unleashes their value. Data analytics methods can be simple, making use of visualizations, or more complex, with the use of sophisticated statistics and Artificial Intelligence algorithms. Every problem needs to be approached with the most suitable and less complex method. In MRO operations, two major categories of on-wing data analytics problems can be identified. The first one requires the identification of patterns, which enable the classification and optimization of different maintenance and overhaul processes. The second category of problems requires the identification of rare events, such as the unexpected failure of parts. This cluster of problems relies on the detection of meaningful outliers in large data sets. Different Machine Learning methods can be suggested here, such as Isolation Forest and Logistic Regression. In general, the use of data analytics for maintenance or failure prediction is a scientific field with a great potentiality. Due to its complex nature, the opportunities for aviation Data Analytics in MRO operations are numerous. As MRO services focus increasingly in long term contracts, maintenance organizations with the right forecasting methods will have an advantage. Data accessibility and data quality are two key-factors. At the same time, numerous technical developments related to data transfer and data processing can be promising for the future.
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The in-depth assessment of the situation of the European textile and clothing sector is composed by six independent reports with a close focus on key aspects useful to understand the dynamics and the development of the textile and clothing industry, drivers of change – most notably the impact of the financial crisis – and identification of policy responses and best practices. This has been done in six specific tasks leading to the six reports: Task 1 Survey on the situation of the EU textile and clothing sector Task 2 Report on research and development Task 3 Report on SME situation Task 4 Report on restructuring Task 5 Report on training and Education Task 6 Report on innovation practices The aim of Task 1 was to provide insight into the trends and drivers of change in the Textile and Clothing (T&C hereafter) industry and to provide input to the remaining Tasks.
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Wind and solar power generation will continue to grow in the energy supply of the future, but its inherent variability (intermittency) requires appropriate energy systems for storing and using power. Storage of possibly temporary excess of power as methane from hydrogen gas and carbon dioxide is a promising option. With electrolysis hydrogen gas can be generated from (renewable) power. The combination of such hydrogen with carbon dioxide results in the energy carrier methane that can be handled well and may may serve as carbon feedstock of the future. Biogas from biomass delivers both methane and carbon dioxide. Anaerobic microorganisms can make additional methane from hydrogen and carbon dioxide in a biomethanation process that compares favourably with its chemical counterpart. Biomethanation for renewable power storage and use makes appropriate use of the existing infrastructure and knowledge base for natural gas. Addition of hydrogen to a dedicated biogas reactor after fermentation optimizes the biomethanation conditions and gives maximum flexibility. The low water solubility of hydrogen gas limits the methane production rate. The use of hollow fibers, nano-bubbles or better-tailored methane-forming microorganisms may overcome this bottleneck. Analyses of patent applications on biomethanation suggest a lot of freedom to operate. Assessment of biomethanation for economic feasibility and environmental value is extremely challenging and will require future data and experiences. Currently biomethanation is not yet economically feasible, but this may be different in the energy systems of the near future.
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The theoretical promises of quantum computing have been notoriously glorified by pop-science articles in recent years. The practical and feasible applications, however, are still scarce. This begs the question of what companies can do with this technology right now. At CGI, a proof of concept was developed to see how quantum computers could be integrated into existing enterprise software architectures.
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The in-depth assessment of the situation of the European textile and clothing sector is composed by six independent reports with a close focus on key aspects useful to understand the dynamics and the development of the textile and clothing industry, drivers of change – most notably the impact of the financial crisis – and identification of policy responses and best practices. This has been done in six specific tasks leading to the six reports: Task 1 Survey on the situation of the EU textile and clothing sector Task 2 Report on research and development Task 3 Report on SME situation Task 4 Report on restructuring Task 5 Report on training and Education Task 6 Report on innovation practices This present report of task 5 provides an in-depth analysis of what has been done in terms of VET developments over the last decade in three key TC regions in Europe. It investigates industry ‘s attitudes and practices, education and training changes, and eventually tries to identify how mismatches between skills supply and demand have been addressed there and could possibly be addressed in the future in other regions of Europe.
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The in-depth assessment of the situation of the European textile and clothing sector is composed by six independent reports with a close focus on key aspects useful to understand the dynamics and the development of the textile and clothing industry, drivers of change – most notably the impact of the financial crisis – and identification of policy responses and best practices. This has been done in six specific tasks leading to the six reports: Task 1 Survey on the situation of the EU textile and clothing sector Task 2 Report on research and development Task 3 Report on SME situation Task 4 Report on restructuring Task 5 Report on training and Education Task 6 Report on innovation practices. This final report draws on the key findings of each independent report, highlighting major conclusions in order to describe the situation of the textile and clothing industry and the way forward for the sector. In line with the terms of reference the findings in the six reports have been analysed in connection with the developments following the recommendations drafted by the High Level Group on textiles and clothing (further referred to as HLG), installed in 2004 as a response to the European Commission Communication of 29th of October 2003 on the textile and clothing industry. The HLG was composed of leading personalities representing stakeholders in the textiles and clothing industry and issued two reports entailing a vision and recommendations.
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This paper reviews the impact of the Covid-19 crisis on the global travel industry, drawing on a survey of businesses in the youth travel sector. It reviews the current and likely future impact of the crisis on different sectors of youth travel, and assesses the prospects for recovery
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Physical activity monitoring with wearable technology has the potential to support stroke rehabilitation. Little is known about how physical therapists use and value the use of wearable activity monitors. This cross-sectional study explores the use, perspectives, and barriers to wearable activity monitoring in day-to-day stroke care routines amongst physical therapists. Over 300 physical therapists in primary and geriatric care and rehabilitation centers in the Netherlands were invited to fill in an online survey that was developed based on previous studies and interviews with experts. In total, 103 complete surveys were analyzed. Out of the 103 surveys, 27% of the respondents were already using activity monitoring. Of the suggested treatment purposes of activity monitoring, 86% were perceived as useful by more than 55% of the therapists. The most recognized barriers to clinical implementation were lack of skills and knowledge of patients (65%) and not knowing what brand and type of monitor to choose (54%). Of the non-users, 79% were willing to use it in the future. In conclusion, although the concept of remote activity monitoring was perceived as useful, it was not widely adopted by physical therapists involved in stroke care. To date, skills, beliefs, and attitudes of individual therapists determine the current use of wearable technology.
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