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Task-oriented training in rehabilitation after stroke : a systematic review

This paper is a report of a review conducted to provide an overview of the evidence in the literature on task-oriented training of stroke survivors and its relevance in daily nursing practice. Background: Stroke is the second leading cause of death and one of the leading causes of adult disability in the Western world. The use of neurodevelopmental treatment in the daily nursing care of stroke survivors does not improve clinical outcomes. Nurses are therefore exploring other forms of rehabilitation intervention, including task-oriented rehabilitation. Despite the growing number of studies showing evidence on task-oriented interventions, recommendations for daily nursing practice are lacking. A range of databases was searched to identify papers addressing taskoriented training in stroke rehabilitation, including Medline, CINAHL, Embase and the Cochrane Library of systematic reviews. Papers published in English between January 1996 and September 2007 were included. There were 42 papers in the final dataset, including nine systematic reviews. Review methods: The selected randomized controlled trials and systematic reviews were assessed for quality. Important characteristics and outcomes were extracted and summarized. Results: Studies of task-related training showed benefits for functional outcome compared with traditional therapies. Active use of task-oriented training with stroke survivors will lead to improvements in functional outcomes and overall healthrelated quality of life. Conclusion. Generally, task-oriented rehabilitation proved to be more effective. Many interventions are feasible for nurses and can be performed in a ward or at home. Nurses can and should play an important role in creating opportunities to practise meaningful functional tasks outside of regular therapy sessions.

Progress towards 4DHC in different national and regional contexts

Lessons learned on the progress towards 4th generation district heating (4DHC) are presented from 6 pilot implementation projects in the UK, Ireland, Belgium, France, and the Netherlands (HeatNet project). The pilots have implemented the infrastructure for district heating from various (waste) heat and renewable sources to reduce CO2 emissions. With the development of long term road maps, progress is made towards the role out of 4DHC in the regions. The pilots have a different level of experience with district heating and transnational learning is specifically addressed. Purpose of the evaluation of the pilots is to give local authorities insight into barriers and solutions and the way they are closely linked to stakeholders in their geographical, politicaland cultural context in NWE. To do this, the financial, regulatory and organisational barriers the pilots face and possible solutions that were shared between the pilots are analysed in the context of system innovation. Differences in national and regional contexts have been analysed to be able to generalise solutions to a level they can be used in a different context. We will confront the pilot’s development with best and worst practice from literature and score Key Success Factors.

Measuring the Dutch clothing mountain

Measuring the Dutch clothing mountain

This report aims at sharing knowledge relevant for sustainabili- ty-oriented studies and actions in the Dutch apparel sector, with a focus on clothing volumes. The apparel industry is said to be one of the most polluting at a global level; however, we nd that dis- cussions of its environmental challenges or the actions needed to tackle them are often based on super cial or unreliable information. This information is frequently disseminated by word of mouth and non-scienti c texts and nally accepted as valid. Moreover, some actors working on practice-based solutions for the environmen- tal challenges of the apparel industry build solutions and projects based on these ‘facts’. As a result, these actors risk focussing on topics that are not as critical or relevant as was originally thought. Clear, reliable data is needed to pinpoint the true challenges and bottlenecks within the fashion system.

Can design confront consumerism?

Irene Maldini’s PhD research discusses the quantity of clothing produced and consumed, its growth, and the environmental challenges associated with it. Moreover, Maldini examines how the field of design has reacted to this issue, reflecting critically on the gap between the expected and the actual effects of design strategies aimed at reducing clothing demand. Clothing personalization and durability have been central strategies to that end; however, this research points out that their expected effects are based on partial historical views and simplistic perspectives of clothing consumption. Therefore, the study proceeds in offering an alternative perspective on clothing consumption building on the systemic nature of the wardrobe.

FRP versus traditional strengthening on a typical mid-rise Turkish RC building

This paper investigates the limits and efficacies of the Fiber Reinforced Polymer (FRP) material for strengthening mid-rise RC buildings against seismic actions. Turkey, the region of the highest seismic risk in Europe, is chosen as the case-study country, the building stock of which consists in its vast majority of mid-rise RC residential and/or commercial buildings. Strengthening with traditional methods is usually applied in most projects, as ordinary construction materials and no specialized workmanship are required. However, in cases of tight time constraints, architectural limitations, durability issues or higher demand for ductile performance, FRP material is often opted for since the most recent Turkish Earthquake Code allows engineers to employ this advanced-technology product to overcome issues of inadequate ductility or shear capacity of existing RC buildings. The paper compares strengthening of a characteristically typical mid-rise Turkish RC building by two methods, i.e., traditional column jacketing and FRP strengthening, evaluating their effectiveness with respect to the requirements of the Turkish Earthquake Code. The effect of FRP confinement is explicitly taken into account in the numerical model, unlike the common procedure followed according to which the demand on un-strengthened members is established and then mere section analyses are employed to meet the additional demands.