De roddel domineert al maandenlang het nieuws en de echte vechtsportliefhebbers raken er maar niet over uitgesproken: een gevecht tussen MMA-vechter Conor McGregor en bokser Floyd Mayweather. Totaal ondenkbaar, want twee verschillende gevechtsdisciplines, maar tegelijkertijd ook heel logisch. Want deze 'Fight of the century' zou weleens diverse (media)records kunnen gaan breken.
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This study addresses the burgeoning global shortage of healthcare workers and the consequential overburdening of medical professionals, a challenge that is anticipated to intensify by 2030 [1]. It explores the adoption and perceptions of AI-powered mobile medical applications (MMAs) by physicians in the Netherlands, investigating whether doctors discuss or recommend these applications to patients and the frequency of their use in clinical practice. The research reveals a cautious but growing acceptance of MMAs among healthcare providers. Medical mobile applications, with a substantial part of IA-driven applications, are being recognized for their potential to alleviate workload. The findings suggest an emergent trust in AI-driven health technologies, underscored by recommendations from peers, yet tempered by concerns over data security and patient mental health, indicating a need for ongoing assessment and validation of these applications
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Objectives: Safe pharmaceutical care (PC) requires an interprofessional team approach, involving physicians, nurses and pharmacists. Nurses’ roles however, are not always explicit and clear, complicating interprofessional collaboration. The aim of this study is to describe nurses’ practice and interprofessional collaboration in PC, from the viewpoint of nurses, physicians and pharmacists. Design: A cross-sectional survey. Setting: The study was conducted in 17 European countries, each with their own health systems. Participants: Pharmacists, physicians and nurses with an active role in PC were surveyed. Main outcome measures: Nurses’ involvement in PC, experiences of interprofessional collaboration and communication and views on nurses’ competences. Results: A total of 4888 nurses, 974 physicians and 857 pharmacists from 17 European countries responded. Providing patient education and information (PEI), monitoring medicines adherence (MMA), monitoring adverse/therapeutic effects (ME) and prescribing medicines were considered integral to nursing practice by 78%, 73%, 69% and 15% of nurses, respectively. Most respondents were convinced that quality of PC would be improved by increasing nurses’ involvement in ME (95%), MMA (95%), PEI (91%) and prescribing (53%). Mean scores for the reported quality of collaboration between nurses and physicians, collaboration between nurses and pharmacists and interprofessional communication were respectively <7/10, ≤4/10, <6/10 for all four aspects of PC. Conclusions: ME, MMA, PEI and prescribing are part of nurses’ activities, and most healthcare professionals felt their involvement should be extended. Collaboration between nurses and physicians on PC is limited and between nurses and pharmacists even more.
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This paper aims to quantify the evolution of damage in masonry walls under induced seismicity. A damage index equation, which is a function of the evolution of shear slippage and opening of the mortar joints, as well as of the drift ratio of masonry walls, was proposed herein. Initially, a dataset of experimental tests from in-plane quasi-static and cyclic tests on masonry walls was considered. The experimentally obtained crack patterns were investigated and their correlation with damage propagation was studied. Using a software based on the Distinct Element Method, a numerical model was developed and validated against full-scale experimental tests obtained from the literature. Wall panels representing common typologies of house façades of unreinforced masonry buildings in Northern Europe i.e. near the Groningen gas field in the Netherlands, were numerically investigated. The accumulated damage within the seismic response of the masonry walls was investigated by means of representative harmonic load excitations and an incremental dynamic analysis based on induced seismicity records from Groningen region. The ability of this index to capture different damage situations is demonstrated. The proposed methodology could also be applied to quantify damage and accumulation in masonry during strong earthquakes and aftershocks too.
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In Nederland is er een groeiende behoefte aan collectieve huisvesting voor ouderen om de kloof tussen 'ageing in place' en institutionele zorgvoorzieningen te overbruggen. Participatie van ouderen in de concept- en ontwerpfase is belangrijk om het marktaanbod af te stemmen op de behoeften van (toekomstige) bewoners. Sociale ondernemers vinden het echter een uitdaging om ouderen te betrekken. Dit hoofdstuk verkent verschillende manieren waarop ouderen betrokken kunnen worden bij het ontwikkelen van nieuwe wooninitiatieven. De ladder van burgerparticipatie wordt hier gebruikt om verschillende rollen te verkennen die (toekomstige) bewoners zouden kunnen spelen met verschillende niveaus van invloed, van niet-participatie tot burgerkracht. Overwegingen voor betekenisvolle participatie worden besproken. Verder wordt een Nederlandse casestudy gepresenteerd waarin vastgoed werd getransformeerd op basis van de betrokkenheid van ouderen, die illustreert hoe door het gebruik van een innovatieve methode partnerschappen kunnen worden gevormd tussen (toekomstige) bewoners en besluitvormers. Dit hoofdstuk concludeert dat naast de huisvesting zelf, ook de gebouwde omgeving en de buitenomgeving in beschouwing moeten worden genomen om de leefomstandigheden van ouderen te verbeteren.
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The aim of this report is to give an overview of current state of the art in the occurrence and policies regarding affordable age-friendly and eco-friendly solutions in the partner countries. The report consists of the findings from the literature review, the comparative analysis and the reporting of good practices. It aims for the consortium as a whole to gain an understanding of the state of the art and on affordable age and eco-friendly solutions in partner countries and particularly the home and community fields, and to present that knowledge in the form of a written report. The literature review, the analysis of barriers and facilitators, and the survey on existing or even planning good practices in the project countries, will help the partners to build and update a strong knowledge base in these fields. To be closer to the practical issues that define the adaptability of eco and age-friendly solutions in community, the consortium decided to use mostly grey literature and websites for tools and advice, such as governmental pages. Common grey literature publication types include reports (annual, research, technical, project, etc.), working papers, government documents, white papers and evaluations, which will help all partners to reach conclusions around the common field between age and eco-friendly developments. Barriers and facilitators found in each project country will be used for stipulating the right consequence of actions needed, to propose a sound methodology that could – in combination with other actions and stakeholders – promote the implementation of age and eco-friendly principles into the public and private sphere of care for older people. Finally, the selection of good representative practices by each project country can be the basis for a report, and a publication, that depicts the level of maturity and progress of the notions of age-friendliness and eco-friendliness, as well as their impact on the care of older people.
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The design of healthcare facilities is a complex and dynamic process, which involves many stakeholders each with their own set of needs. In the context of healthcare facilities, this complexity exists at the intersection of technology and society because the very design of these buildings forces us to consider the technology–human interface directly in terms of living-space, ethics and social priorities. In order to grasp this complexity, current healthcare design models need mechanisms to help prioritize the needs of the stakeholders. Assistance in this process can be derived by incorporating elements of technology philosophy into existing design models. In this article, we develop and examine the Inclusive and Integrated Health Facilities Design model (In2Health Design model) and its foundations. This model brings together three existing approaches: (i) the International Classification of Functioning, Disability and Health, (ii) the Model of Integrated Building Design, and (iii) the ontology by Dooyeweerd. The model can be used to analyze the needs of the various stakeholders, in relationship to the required performances of a building as delivered by various building systems. The applicability of the In2Health Design model is illustrated by two case studies concerning (i) the evaluation of the indoor environment for older people with dementia and (ii) the design process of the redevelopment of an existing hospital for psychiatric patients.
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Deze publicatie is binnen het project 'nieuwe materialen' ontwikkeld en geeft informatie over nieuwe(re) roestvaste staalkwaliteiten, en is gericht op de verwerkers van dunne plaatmaterialen met dikten van 0,3 t/m ca. 3 mm. Een deel van de informatie is evenwel ook van toepassing voor andere plaatdikten en andere producten uit roestvast staal. In het kader van dit project zijn tevens uitgegeven: TI.04.18 'Hoge Sterkte Staal in dunne plaat en buis', TI.04.20 'Scheidingstechnieken voor dunne plaat en buis', TI.04.21 'Aluminium in dunne plaat en buis' en TI.04.22 'Ontwerpen van dunne plaat producten en de Eindige Elementen Methode.
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Deze publicatie is tot stand gekomen in het kader van een updateproject, waarbij een groot aantal technische voorlichtingspublicaties wordt aangepast aan de huidige stand der techniek. Hierbij heeft een nauwe samenwerking plaatsgevonden tussen de op de laatste pagina van deze publicatie vermelde partijen. Deze publicatie is een update van de publicatie "Construeren voor booglassen met robots" (VM 105, FME, 1997) en vormt samen met de publicaties "TI.07.39 - Eenvoudige mechanisatie bij het booglassen" en "TI.07.41 - Geavanceerde lasmechanisatie en sensoren", een overzicht met betrekking tot de automatisering van het lasproces. Al deze geupdate publicaties zijn, evenals de andere in dit updateproject vervaardigde en uitgegeven publicaties, als pdf-file vrij te downloaden vanaf de websites "www.verbinden-online.nl", "www.dunneplaat-online.nl" en via de websites van de deelnemende organisaties.
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