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Het ontwerpen van een internationaal global health programma

Stel dat vijf mensen uit verschillende domeinen en met verschillende nationaliteiten samenwerken aan een praktijkopdracht in Den Haag. Eén van de groepsleden is Guido, een ICT-student uit Italië en een andere is Marie, verpleegkundedocent van de Academie voor Gezondheid van De Haagse Hogeschool (HHS). Verder zitten Jeremy, een Nederlandse student Voeding en Diëtetiek, Indy een internationale student Social Work uit India en Marja, de Finse gastdocente, in de projectgroep. Wanneer deze mensen, vanuit verschillende kennisdomeinen en met verschillende nationaliteiten samenwerken aan een echte praktijkopdracht kunnen ze niet alleen veel van elkaar leren, maar ook de beroepspraktijk een stapje verder helpen. In dit artikel wordt het ontwerp van een internationaal global health programma van De Haagse Hogeschool gepresenteerd, waarvan de pilot is afgerond. In april verscheen het artikel 'Het ontwerpen van een internationaal global health programma' in Onderwijs en gezondheidzorg, uitgave van het kennisplatform voor opleiders in de zorg, nummer 3, april 2014, zie www.onderwijsengezondheidszorg.nl

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Het ontwerpen van een internationaal global health programma

De Haagse Hogeschool wil haar studenten competenties laten verwerven om in een internationaal en cultureel gedifferentieerde omgeving te kunnen werken (HHS, 2013). De gezondheidszorg is immers geen nationaal geïsoleerd fenomeen meer (Van der Hulst, 2011). Globalisering dwingt ons tot het verbreden van onze blik en het aangaan van samenwerkingsrelaties om kennis en ervaringen uit te wisselen. Niet alleen met andere landen, maar ook binnen ons eigen land, omdat de huidige en toekomstige Nederlandse arbeidsmarkt steeds internationaler wordt. Voor de huidtherapeuten, diëtisten en verpleegkundigen van de Academie voor Gezondheid betekent dit bijvoorbeeld dat zij in toenemende mate zorg verlenen in een internationale context: met collega’s en patiënten uit verschillende landen en met een diversiteit van culturele achtergronden. Toekomstige diëtisten, huidtherapeuten en verpleegkundigen moeten daarom beschikken over de nodige competenties om in deze international omgeving te functioneren. Maar: hoe richt je het onderwijs zo in dat studenten werkelijk de gelegenheid krijgen deze competenties te ontwikkelen? In studiejaar 2013-2014 is de Academie voor Gezondheid gestart met een pilot voor het internationale programma ‘New Interconnected Citizens for Global Health’. Deze pilot wordt volgend jaar uitgebreid en vanaf studiejaar 2015-2016 volgen alle studenten van de academie dit programma. In dit artikel wordt ingegaan op hoe dit programma tot stand is gekomen, hoe het in de praktijk gestalte kreeg en is geëvalueerd. Wij besluiten het artikel met een vooruitblik op het volgend studiejaar. LinkedIn: https://www.linkedin.com/in/froukje-jellema-78733a63/ https://www.linkedin.com/in/anita-ham-53297921/ https://www.linkedin.com/in/dorien-voskuil-9b27b115/

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Transforming Healthcare: Integrating Positive Health Principles for Enhanced Wellbeing and Lifestyle Change

In November 2021, the Lecturer Position at Institutes (L.INT) professorship was established by Saxion and Medical Spectrum Twente and as partners physiotherapy practice Pro-F and the Thoracic Centre Twente, with Sandra van Hogen-Koster as a professor. With this, the first Dutch professorship that focuses on the ideas of Positive Health has been launched.

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Transforming Healthcare: Integrating Positive Health Principles for Enhanced Wellbeing and Lifestyle Change

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MillenniumDoen! and global citizenship

This study will examine whether voluntary work or an internship in a developing country contributes to the development of global citizenship among young people. For the purpose of this study, global citizenship will be defined as a combination of social awareness and possessing international competencies. For a period of four years, a group of 1000 participants between 14 and 25 years old was followed using online self-administered surveys, surveys conducted within the social environment and a smaller number of in-depth interviews. Data collection took place prior to an internship or voluntary work in a developing country, following their return, and six months after their return. Almost all of the international competencies that according to prior research are required to be able to function effectively when communicating with people from a different cultural background were found to have increased during their their stay abroad. Only reading and writing skills in the local language of the area were shown not to have improved. The greatest amount of improvement occurred in the area of intercultural competencies, namely attitude, knowledge, behaviour and skills. Following their stay abroad, the personal and social competencies of participants were also shown to have increased. Relatively speaking, their international professional and academic skills improved the least. Despite this, following the return from voluntary work or an internship in a developing country, a larger number of participants were shown to be exhibiting a socially responsible attitude with an understanding of interdependence, equality of all people and a shared responsibility for solving global issues, and expressed this more frequently in their behaviour. In addition, an increase in flexibility, cultural empathy, social initiative and emotional stability among participants was observed. What essentially characterises the participants according to the in-depth interviews is the ability they have developed to look through someone else’s eyes at their own culture and living conditions in the Netherlands and to use their improved self-confidence to live a more socially aware life and/or engage in international activities after their return from abroad.

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Dutch post-graduate training in Global Health and Tropical Medicine: a qualitative study on graduates’ perspectives

IntroductionThe Dutch Medical Doctor-Global Health (MD-GH) prepares to work in low-resource settings (LRS) by completing a hybrid postgraduate training program of 2 years and 9 months, with clinical and public health exposure in the Netherlands and a Global Health residency in LRS. The objectives of the program include acquiring clinical skills to work as a physician in a setting with different (often more severe) pathology and limited resources. In public health teaching, emphasis is given, among other, to adapting to a culturally different environment. After graduation, MD-GH work in a wide variety of countries and settings for variable time. As part of a curriculum review, this study examines MD-GHs' perception of the quality of the training program and provides recommendations for improvement.MethodsA qualitative study was performed. Thematic analysis was applied to semi-structured interviews with 23 MD-GH who graduated between 2017 and 2021.ResultsMD-GHs predominantly worked as clinicians; several were (also) involved in management or capacity building. The clinical training program adequately addressed general skills, but did not sufficiently prepare for locally encountered, often severe, pathology. During the training, adequate supervision with clear learning goals was found pivotal to a positive learning experience. Gaps included clinical training in Internal Medicine (particularly infectious diseases and non-communicable diseases) and Paediatrics. Public Health teaching as well as cultural awareness should be intensified and introduced earlier in the program. The Global Health residency was considered important, but tasks and learning outcomes varied. Teaching, supervision, and capacity building were considered increasingly important key elements of working in LRS. Consensus favoured the current duration of the training program without extension.DiscussionWhile the generalist nature of the MD-GH training was appreciated, the program would benefit from additional clinical training in infectious diseases, non-communicable diseases, and Paediatrics. Moving forward, emphasis should be placed on structured mentorship, enhanced public health teaching, and standardized residency programs with clearly delineated objectives to better equip MD-GH professionals for their multifaceted roles in LRS. Moreover, future revisions of the training program should incorporate the perspectives of host institutes in LRS and tailor the training needs.

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Dutch post-graduate training in Global Health and Tropical Medicine: a qualitative study on graduates’ perspectives

Personen 1

persoon

Eric Blaauw

Professor

Projecten 15

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ALGOL: Biocascading phytosterols from marine micro and macro algae, a feasibility study for biocircular economy

Micro and macro algae are a rich source of lipids, proteins and carbohydrates, but also of secondary metabolites like phytosterols. Phytosterols have important health effects such as prevention of cardiovascular diseases. Global phytosterol market size was estimated at USD 709.7 million in 2019 and is expected to grow with a CAGR of 8.7% until 2027. Growing adoption of healthy lifestyle has bolstered demand for nutraceutical products. This is expected to be a major factor driving demand for phytosterols. Residues from algae are found in algae farming and processing, are found as beachings and are pruning residues from underwater Giant Kelp forests. Large amounts of brown seaweed beaches in the province of Zeeland and are discarded as waste. Pruning residues from Giant Kelp Forests harvests for the Namibian coast provide large amounts of biomass. ALGOL project considers all these biomass residues as raw material for added value creation. The ALGOL feasibility project will develop and evaluate green technologies for phytosterol extraction from algae biomass in a biocascading approach. Fucosterol is chosen because of its high added value, whereas lipids, protein and carbohydrates are lower in value and will hence be evaluated in follow-up projects. ALGOL will develop subcritical water, supercritical CO2 with modifiers and ethanol extraction technologies and compare these with conventional petroleum-based extractions and asses its technical, economic and environmental feasibility. Prototype nutraceutical/cosmeceutical products will be developed to demonstrate possible applications with fucosterol. A network of Dutch and African partners will supply micro and macro algae biomass, evaluate developed technologies and will prototype products with it, which are relevant to their own business interests. ALGOL project will create added value by taking a biocascading approach where first high-interest components are processed into high added value products as nutraceutical or cosmeceutical.

Afgerond

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ALGOL: Biocascading phytosterols from marine micro and macro algae, a feasibility study for biocircular economy

Micro and macro algae are a rich source of lipids, proteins and carbohydrates, but also of secondary metabolites like phytosterols. Phytosterols have important health effects such as prevention of cardiovascular diseases. Global phytosterol market size was estimated at USD 709.7 million in 2019 and is expected to grow with a CAGR of 8.7% until 2027. Growing adoption of healthy lifestyle has bolstered demand for nutraceutical products. This is expected to be a major factor driving demand for phytosterols.Residues from algae are found in algae farming and processing, are found as beachings and are pruning residues from underwater Giant Kelp forests. Large amounts of brown seaweed beaches in the province of Zeeland and are discarded as waste. Pruning residues from Giant Kelp Forests harvests for the Namibian coast provide large amounts of biomass. ALGOL project considers all these biomass residues as raw material for added value creation.The ALGOL feasibility project will develop and evaluate green technologies for phytosterol extraction from algae biomass in a biocascading approach. Fucosterol is chosen because of its high added value, whereas lipids, protein and carbohydrates are lower in value and will hence be evaluated in follow-up projects. ALGOL will develop subcritical water, supercritical CO2 with modifiers and ethanol extraction technologies and compare these with conventional petroleum-based extractions and asses its technical, economic and environmental feasibility. Prototype nutraceutical/cosmeceutical products will be developed to demonstrate possible applications with fucosterol.A network of Dutch and African partners will supply micro and macro algae biomass, evaluate developed technologies and will prototype products with it, which are relevant to their own business interests. ALGOL project will create added value by taking a biocascading approach where first high-interest components are processed into high added value products as nutraceutical or cosmeceutical.

Afgerond

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Classification of Multiple Sclerosis (MS) and Healthy-Control blood samples using Transfer Learning

Multiple sclerosis (MS) is a severe inflammatory condition of the central nervous system (CNS) affecting about 2.5 million people globally. It is more common in females, usually diagnosed in their 30s and 40s, and can shorten life expectancy by 5 to 10 years. While MS is rarely fatal; its effects on a person's life can be profound, which signifies comprehensive management and support. Most studies regarding MS focus on how lymphocytes and other immune cells are involved in the disease. However, little attention has been given to red blood cells (erythrocytes), which might also be important in developing MS. Artificial intelligence (AI) has shown significant potential in medical imaging for analyzing blood cells, enabling accurate and efficient diagnosis of various conditions through automated image analysis. The project aims to implement an AI pipeline based on Deep Learning (DL) algorithms (e.g., Transfer Learning approach) to classify MS and Healthy Blood cells.

Lopend

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De Haagse Labs: versterken van regionale netwerkvorming

In De Haagse Hogeschool werken de lectoraten vanuit faculteiten, dicht bij het onderwijs, nauw samen in zeven kenniscentra. Deze kenniscentra zijn de verbinding tussen de regio, met zijn actuele thema’s (vaak gelinkt aan het missiegedreven innovatiebeleid van de overheid) en het onderwijs en onderzoek van de Haagse Hogeschool. De zeven kenniscentra van De Haagse Hogeschool zijn: Cybersecurity, Digital Operations & Finance, Global & Inclusive Learning, Global Governance, Health Innovation, Governance of Urban Transitions & Mission Zero. Deze kenniscentra zijn in opstartende fase en worden ondersteund door centrale diensten. De Haagse Hogeschool kiest voor versterking van de onderzoeksinfrastructuur die centraal staat in de kenniscentra: ‘de Haagse Labs’. Praktijkgericht onderzoek vindt in deze omgevingen plaats als een vervlechting van onderwijs (studenten en docenten), onderzoek, het werkveld en maatschappelijke partners. Sommige labs hebben een tijdelijk karakter, andere, zoals de hogeschool zelf, zijn continu een omgeving waarbinnen onderzoek gedaan wordt. De Haagse Labs zijn bij uitstek de plek waarin nauw samengewerkt wordt met andere hogescholen of kennisinstellingen (veelal zijn ze ontstaan uit een samenwerking zoals The Green Village, of het Basalt SmartLab). De keuze voor de Haagse Labs geeft verdieping aan regionale samenwerkingen en bijbehorende speerpunten. De huidige, meer informele inrichting, kan met behulp van Impuls 2020, verder structuur krijgen, leiden tot een betere kennisdeling tussen de kenniscentra heen en de regionale netwerkvorming versterken. Naast het formaliseren van ‘de Haagse Labs’ zetten we in op zichtbaarheid van de Hogeschool in de regio door te investeren in communicatie (denk bijvoorbeeld aan het opzetten van podcasts, en digitale middelen in Corona-tijd). Die profilering van ons onderzoek wordt verder ondersteunt door een traject rond visievorming en strategische positionering. De kenniscentra zullen begeleid worden om einde 2021 een visie te ontwikkelen met bijbehorende acties om de rol van de hogeschool in de regio te versterken.

Afgerond

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Employer Branding as a Powerful Tool for Employee Recruitment and Retention

In our increasingly global society, organizations face many opportunities in innovation, improved productivity and easy access to talent. At the same time, one of the greatest challenges, businesses experience nowadays, is the importance of social and/or human capital for their effectiveness and success (Backhaus and Tikoo, 2004; Mosley, 2007; Theurer et al., 2018; Tumasjan et al., 2020). High-quality employees are crucial to the competitive strength of an organization in the global economy, as these employees have a major influence on organizational reputation (Dowling at al., 2012). An important question is how, under these global circumstances, organizations and companies in the Netherlands can best be stimulated to attract and preserve social capital.Several studies have suggested the scarcity of talent and the crucial importance of gaining competitive advantage with recruitment communication to find the fit between personal and fundamental organizational characteristics and values for employees (Cable and Edwards, 2004; Bhatnagar and Srivastava, 2008; ManPower Group, 2014; European Communication Monitor (ECM), 2018). In order to become an employer of choice, organizations have to not only stand out from the crowd during the recruitment process but work on developing loyalty and a culture of trust in their relationship with employees (ECM, 2018). Employer Branding focuses on the process of promoting an organization, as the “employer of choice” to a desired target group, which an organization aims to attract and retain. This process encompasses building an identifiable and unique employer identity or, more specifically, “the promotion of a unique and attractive image” as an employer (Backhaus 2004, p. 117; Backhaus and Tikoo 2004, p. 502).One of the biggest challenges in the North of the Netherlands at the moment is the urgent need for qualified labor in the IT, energy and healthcare sectors and the excess supply of international graduates who are able to find a job in the North of the Netherlands (AWVN, 2019). Talent development, as part of the regional labor market and education policy, has been an important part of government programs and strategies in the region (VNO-NCW Noord, 2018). For instance, North Netherlands Alliance (SNN) signed a Northern Innovation Agenda for the 2014-2020 period. SNN encourages, facilitates and connects ambitions focused on the development of the Northern Netherlands. Also, the Social Economic council North Netherlands issued an advice on the labour market in the North Netherlands (SER Noord Nederland, 2017). Knowledge institutions also contribute through employability programs. Another example is the Regional Talent Agreement (Talent Akkoord) framework issued by the Groningen educational institutions, employers and employees’ organizations and regional authorities in which they jointly commit to recruiting, training, retaining and developing talent for the Northern labor market. Most of the hires with a maximum of five year of experience at companies are represented by millennials. To learn what values make an attractive brand for employees in the of the North of the Netherlands, we conducted a first study. When ranking the most important values of corporate culture which matter to young employees, they mention creative freedom, purposeful work, flexibility, work-life balance as well as personal development. Whereas attractive workplace and job security do not matter to such a degree. A positive work environment and a good relationship with colleagues are valued highly (Hein, 2019).To date, as far as we know, no other employer branding studies have been carried out for the North of the Netherlands. Further insight is needed into the role of employer branding as a powerful tool to retain talent in Northern industry in particular.The goal of this study is to provide a detailed analysis of the regional industry in the Northern Netherlands and contribute to: 1) the scientific body of knowledge about whether and how employer branding can strengthen the attractiveness of a regional industry in the labor market; 2) the application of this knowledge and insights by companies and governments in local policy development in the North of the Netherlands.

Afgerond

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Hoofdpunt: De potentie van een interactieve zorg-app ter ondersteuning van blended coaching naar optimaal functioneren met hoofdpijn en migraine

Dit project exploreert de potentie van een eHealth-gebaseerde hoofdpijnapp ‘Hoofdpunt’ voor fysiotherapeuten en hoofdpijnverpleegkundigen die patiënten met hardnekkige hoofdpijn of ernstige migraine ondersteunen bij het (weer) optimaal kunnen functioneren in hun dagelijkse leven. Het concept is gebaseerd op een recent ontwikkelde interactieve app die fysiotherapeuten ondersteunt bij blended coaching van rugpijnpatiënten naar eigen regie over leven met lage rugpijn. De inhoud van deze app is gestoeld op een cognitieve gedragstherapeutische benadering (de Acceptance and Commitment Therapy: ACT) die de persoonlijke situatie, wensen en klachten van de patiënten als uitgangspunt neemt bij blended coaching naar eigen regie. Eerstelijns fysiotherapeuten en hoofdpijnverpleegkundigen van hoofdpijncentra willen het potentieel van bovenstaand concept exploreren voor hun ondersteuning van patiënten met hardnekkige hoofdpijn of ernstige migraine. Een optimale benutting van app-technologie in combinatie met het ACT-concept draagt naar verwachting bij aan hun mogelijkheden om patiënten inzicht te verschaffen in factoren die de ‘uitlokkers’ van hoofdpijn en de hevigheid van symptomen beïnvloeden. Het belang daarvan is gelegen in de forse aanslag van ernstige hoofdpijn op de kwaliteit van leven. Migraine staat bijvoorbeeld op de tweede plaats van de Global Burden of Disease Study. De met hoofdpijn en migraine gemoeide kosten zijn hoog als gevolg van veelvuldig medicatiegebruik en hoog ziekteverzuim. Inzicht in beïnvloedende factoren stelt patiënten in staat om eigen regie en verantwoordelijkheid te nemen over het dagelijkse functioneren en kan aanvallen van hoofdpijn/migraine voorkomen en/of verzachten. De verwachting is dat medicatiegebruik en ziekteverzuim daardoor zullen afnemen. In dit project exploreren wij aan de hand van actieonderzoek de wensen en mogelijkheden van de ‘Hoofdpunt-app’ bij zorgprofessionals en patiënten. Het project is een voorbereiding op de evaluatie van de doelmatigheid van deze ondersteuning bij hoofdpijninterventie.

Afgerond

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HyTimeCIA: Hybridization and Time-Crystal Imprint of Allicin

The World Health Organization has pinpointed antimicrobial resistance (AMR) of increasing global concern, causing increased healthcare costs and threatening human health. Although AMR is a naturally occurring process, it is accelerated by misuse/overuse of antibiotics. Additionally, the development and production of antibiotics is becoming increasingly challenging and costly. These challenges underline the high demand for alternative microbial inhibitors (e.g. antibiotics) and their development. The chemical compound Allicin has been studied for its potential health benefits, including antimicrobial properties[1,2] and potential cardiovascular benefits[3]. It has been suggested that the antimicrobial effect of Allicin could be achieved indirectly by the imprint it leaves in surrounding water molecules, i.e. its hydration shell. Such imprints are known as time-crystals and possess unique properties. Since often biochemical reactions occur via water molecules and their hydrogen bonds, it is possible that a time-crystal imprint of a substance in water might have a similar effect as the substance itself, e.g. antimicrobial inhibition. A consortium of universities, knowledge institutes and companies was formed to test this hypothesis based on the antibacterial properties of Allicin, resulting in the project HyTimeCIA. The experiments involve attaching allicin onto a polymer surface (i.e. hybridization), thereby providing antibacterial properties. This surface is then exposed to bacteria to test the antimicrobial properties of the allicin/polymer surface. If proven feasible, HyTimeCIA could provide a novel alternative microbial inhibitor fixated to a surface, allowing for localized application of antibacterial effects and potentially reducing the requirement of antibiotics. This not only mitigates AMR, but also facilitates production of microbial inhibitors that are particularly difficult or expensive. From the partners perspective, HyTimeCIA provides opportunities for chemical-free alternative antimicrobial (water)treatment technology and gained knowledge on alternative microbial inhibitors, both aspects which are highly in demand due to AMR and antibiotic production challenges.

In voorbereiding

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Immersive Sustainable Food Experience Design

Our world is changing rapidly as a result of societal and technological developments that create new opportunities and challenges. Extended Realities (XR) could provide solutions for the problems the world is facing. In this project we apply these novel solutions in food and hospitality. It aims to tackle fundamental questions on how to stimulate a healthy and vital society that is based on a sustainable and innovative economy. This project aims to answer the question: How can Extended Reality (XR) technologies be integrated in the design of immersive food experiences to stimulate sustainable consumption behavior? A multidisciplinary approach, that has demonstrated its strength in the creative industry, will be applied in the hospitality and food sector. The project investigates implications and design considerations for immersion through XR technology that can stimulate sustainable consumption behavior. Based on XR prototypes, physiological data will be collected using biometric measuring devices in combination with self-reports. The effect of stimuli on sustainable consumption behavior during the immersive experience will be tested to introduce XR implementations that can motivate long-term behavioral change in food consumption. The results of the project contribute towards developing innovations in the hospitality sector that can tackle global societal challenges by exploiting the impact of new technology and understanding of consumer behavior to promote a healthy lifestyle and economy. Next to academic publications and conference contributions, the project will develop a handbook for hospitality professionals. It will outline steps and design criteria for the implementation of XR technologies to create immersive experiences that can stimulate sustainable consumption behavior. The knowledge generated in the project will contribute to the development of the curriculum at the Academy for Hotel and Facility at Breda University of Applied Sciences by introducing a technology-driven experience design approach for the course Sustainable Strategic Business Design.

Afgerond

Partijen 1

partij

Lectoraat Open Innovatie

Lectoraat, onderdeel van NHL Stenden Hogeschool

Producten 2.712

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Het ontwerpen van een internationaal global health programma

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Het ontwerpen van een internationaal global health programma

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