This research report contains the findings of an international study consisting of three online ‘living’ surveys. The surveys focused on how the COVID-19 pandemic has impacted sign language interpreters’ working practices, how this was experienced by them, and how digital disruption caused by the pandemic is impacting and innovating the sign language interpreting profession. The study was carried out between April 2020 and July 2020; the largest contingent of respondents over all three surveys were from the U.S., followed by the UK, the Netherlands, Germany, Finland and Belgium. Respondents commented that the crisis will probably accelerate the need for remote interpreting training in interpreter training programs. Another resurfacing issue was the perceived need for sign language interpreting students to have face-to-face practice and live mentoring. Respondents commented on what benefits they thought remote interpreting might bring to the table, both for themselves and for deaf people. In general, the most significant benefits that were mentioned were flexibility and the possibility to improve efficiency and availability of sign language interpreting services. Notwithstanding these benefits, a significant number of respondents claimed that remote interpreting is more stressful than face-to-face interpreting and requires a heavier cognitive load.
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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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Background: Remote coaching might be suited for providing information and support to patients with coronary artery disease (CAD) in the vulnerable phase between hospital discharge and the start of cardiac rehabilitation (CR).Objective: The goal of the research was to explore and summarize information and support needs of patients with CAD and develop an early remote coaching program providing tailored information and support.Methods: We used the intervention mapping approach to develop a remote coaching program. Three steps were completed in this study: (1) identification of information and support needs in patients with CAD, using an exploratory literature study and semistructured interviews, (2) definition of program objectives, and (3) selection of theory-based methods and practical intervention strategies.Results: Our exploratory literature study (n=38) and semistructured interviews (n=17) identified that after hospital discharge, patients with CAD report a need for tailored information and support about CAD itself and the specific treatment procedures, medication and side effects, physical activity, and psychological distress. Based on the preceding steps, we defined the following program objectives: (1) patients gain knowledge on how CAD and revascularization affect their bodies and health, (2) patients gain knowledge about medication and side effects and adhere to their treatment plan, (3) patients know which daily physical activities they can and can’t do safely after hospital discharge and are physically active, and (4) patients know the psychosocial consequences of CAD and know how to discriminate between harmful and harmless body signals. Based on the preceding steps, a remote coaching program was developed with the theory of health behavior change as a theoretical framework with behavioral counseling and video modeling as practical strategies for the program.Conclusions: This study shows that after (acute) cardiac hospitalization, patients are in need of information and support about CAD and revascularization, medication and side effects, physical activity, and psychological distress. In this study, we present the design of an early remote coaching program based on the needs of patients with CAD. The development of this program constitutes a step in the process of bridging the gap from hospital discharge to start of CR.
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The integration of renewable energy resources, controllable devices and energy storage into electricity distribution grids requires Decentralized Energy Management to ensure a stable distribution process. This demands the full integration of information and communication technology into the control of distribution grids. Supervisory Control and Data Acquisition (SCADA) is used to communicate measurements and commands between individual components and the control server. In the future this control is especially needed at medium voltage and probably also at the low voltage. This leads to an increased connectivity and thereby makes the system more vulnerable to cyber-attacks. According to the research agenda NCSRA III, the energy domain is becoming a prime target for cyber-attacks, e.g., abusing control protocol vulnerabilities. Detection of such attacks in SCADA networks is challenging when only relying on existing network Intrusion Detection Systems (IDSs). Although these systems were designed specifically for SCADA, they do not necessarily detect malicious control commands sent in legitimate format. However, analyzing each command in the context of the physical system has the potential to reveal certain inconsistencies. We propose to use dedicated intrusion detection mechanisms, which are fundamentally different from existing techniques used in the Internet. Up to now distribution grids are monitored and controlled centrally, whereby measurements are taken at field stations and send to the control room, which then issues commands back to actuators. In future smart grids, communication with and remote control of field stations is required. Attackers, who gain access to the corresponding communication links to substations can intercept and even exchange commands, which would not be detected by central security mechanisms. We argue that centralized SCADA systems should be enhanced by a distributed intrusion-detection approach to meet the new security challenges. Recently, as a first step a process-aware monitoring approach has been proposed as an additional layer that can be applied directly at Remote Terminal Units (RTUs). However, this allows purely local consistency checks. Instead, we propose a distributed and integrated approach for process-aware monitoring, which includes knowledge about the grid topology and measurements from neighboring RTUs to detect malicious incoming commands. The proposed approach requires a near real-time model of the relevant physical process, direct and secure communication between adjacent RTUs, and synchronized sensor measurements in trustable real-time, labeled with accurate global time-stamps. We investigate, to which extend the grid topology can be integrated into the IDS, while maintaining near real-time performance. Based on topology information and efficient solving of power flow equation we aim to detect e.g. non-consistent voltage drops or the occurrence of over/under-voltage and -current. By this, centrally requested switching commands and transformer tap change commands can be checked on consistency and safety based on the current state of the physical system. The developed concepts are not only relevant to increase the security of the distribution grids but are also crucial to deal with future developments like e.g. the safe integration of microgrids in the distribution networks or the operation of decentralized heat or biogas networks.
Bodemdichtheid is een belangrijk kwaliteitsaspect van bodemgezondheid. Verdichting in de ondergrond is wereldwijd een probleem in landbouwgronden door gebruik van zware landbouwmachines. In Nederland heeft circa 50% van de landbouwpercelen te maken met een zekere mate van verdichting onder de bouwvoor. Dit kan belemmerend zijn voor bodem-ecosysteemdiensten, zoals productiecapaciteit, waterbergend vermogen, waterkwaliteit (af- en uitspoeling van nutriënten en gewasbeschermingsmiddelen), koolstofopslag en bodembiodiversiteit. De conventionele meetmethode voor bodemdichtheid (bulkdichtheid) is tijdsintensief (circa 3-5 uur per meetlocatie) en vergt de nodige expertise en lab-faciliteiten. Daarom wordt deze meting zelden uitgevoerd en weten boeren, adviseurs en overheden niet hoe ernstig de situatie is. Hierdoor blijven maatregelen om bodemverdichting tegen te gaan onbenut. In een voorgaand KIEM-project is een proof-of-concept uitgevoerd met een nieuwe sensor (RhoC), waarmee in situ, in circa 10 minuten, een diepteprofiel van de bulkdichtheid kan worden gemeten tot 1,0 meter diepte. De eerste resultaten op lichte zavel en zandgrond zijn veelbelovend. Tegelijkertijd is de laatste jaren hard gewerkt aan een uniforme bodemkwaliteitsbeoordelingssystematiek waarin betrouwbare bulkdichtheid-metingen belangrijk zijn. Dit is aanleiding voor een uitgebreide validatie op meer grondsoorten en voor onderbouwing van de meerwaarde van deze sensormetingen t.a.v. advies en effectiviteit van bodembeheermaatregelen in de praktijk, inschatting van (koolstof-)voorraden in de bodem en (inter-)nationale monitoring van bodemgezondheid zoals beschreven in het voorgestelde EU Soil Monitoring and Resilience Directive. Focus van het onderzoek: • Inventarisatie van kritische grenswaarden van bulkdichtheid voor diverse bodem-ecosysteemdiensten; • Validatie van de RhoC-sensor op diverse grondsoorten in verschillende regio’s • Opschaling van puntmetingen naar perceel- en regionale schaal, i.c.m. andere sensoren en/of databases; • Regio-specifieke handelingsperspectieven (teeltmaatregelen) om bulkdichtheid en bodem-ecosysteemdiensten te verbeteren. Bij de uitvoering zullen honderden boeren worden betrokken bij veldwerk en kennisuitwisseling. De opgedane kennis wordt ingebed in de opleiding van (toekomstige) agrariërs en adviseurs. Resultaten zullen in wetenschappelijke publicaties worden vastgelegd.
Grid congestion has caused significant issues for many businesses and consumers, leading to pressing questions about potential expansion, the configuration of electrical infrastructure, opportunities to reduce energy usage, and the impacts of installing photovoltaic (PV) systems. This project is dedicated to developing a digital twin energy management system within an energy hub to enhance efficiency and sustainability. By integrating state-of-the-art digital twin technology with various energy systems, the project, led technically by HAN University of Applied Sciences and with security managed by Impact Iot Solutions, aims to optimize the management of diverse energy sources like solar panels, heat pumps, and storage systems. Central to our approach is ensuring that all data collected during the project, which includes system performance metrics but excludes any personal user information, is used responsibly and stored securely. Local storage at the energy hub allows real-time monitoring and data analysis, with secure remote access for project partners to facilitate collaboration. At the project's conclusion, non-sensitive data will be made publicly available on an open platform, promoting transparency and enabling further research and development by the broader community. This initiative not only seeks to improve energy management practices but also aims to serve as a model for future digital twin implementations in energy hubs worldwide. By focusing on innovation, privacy, and community engagement, the project represents a significant step forward in the integration of digital technologies into sustainable energy solutions.
Lectorate, part of HAS green academy
