Het doel van het onderzoek is om te bepalen welke voordelen de fusie van PET-CT en MRI-CT hebben in het voorbereidingstraject van de behandeling van de gynaecologische patiënt met radiotherapie ten opzichte van CT alleen. Hierbij is gekeken naar voordelen met betrekking tot intekenen van doelvolumina en risico organen, effecten op intekenvariaties en ook de effecten op het bestralingsplan. Vooral MRI blijkt nuttig te zijn voor de intekening van lymfeklieren, het gebruik van PET in combinatie met CT laat een afname van het doelvolume zien van de primaire tumor. Bij het maken van het bestralingsplan wordt het gebruik van één van beide modaliteiten daarom aanbevolen.
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Lectorale rede bij de aanvaarding van het ambt van lector Medische Technologie Medische Technologie is een zeer breed begrip dat reikt van infuuspompen tot operatierobots tot lineaire versnellers, et cetera. In het vorige hoofdstuk is al uit de doeken gedaan waar het lectoraat Medische Technologie zich specifiek op richt: medische beeldvorming, radiotherapie en ICT in de zorg. Dat is bij elkaar een zeer breed vakgebied waarvan het lectoraat niet alle facetten kan bestrijken. Daarom richt het lectoraat zich op ontwikkelingen op die terreinen die belangrijke veranderingen in het werkproces teweeg kunnen brengen. Dat zijn de onderwerpen die van belang zijn voor de toekomstige Zorgprofessional 2.0. Hieronder worden de verschillende vakgebieden nader geïntroduceerd en er worden een aantal voor de Zorgprofessional 2.0 belangrijke historische trends beschreven. Samenvattend kan gesteld worden dat het lectoraat Medische Technologie zich heeft ontwikkeld van een specialistisch op radiotherapie gericht lectoraat, naar een breder op medische beeldvorming, radiotherapie, ICT in de zorg en eHealth georiënteerd lectoraat dat op diverse, met name gezondheidszorggerelateerde, terreinen een bijdrage levert aan de opleidingen van Hogeschool Inholland. De bijdrage van het lectoraat Medische Technologie heeft daarbij als doel afstudeerders van diverse studierichtingen op te leiden tot wat in deze rede wordt aangeduid met Zorgprofessional 2.0. Hiermee wordt in deze rede een beroepsbeoefenaar bedoeld die openstaat voor (ICT/technische) innovatie, die zorgconsumenten daarover kan adviseren en die innovatie in de beroepspraktijk weet te implementeren. Praktijkgericht onderzoek speelt daarbij een centrale rol: het draagt bij aan de onderzoekende blik van de Zorgprofessional 2.0, aan het up-to-date houden van de kennis van docenten en studenten en aan de verbinding met het werkveld.
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Ingezonden artikel in MEMO RAD: dit artikel is een samenvatting van afstudeeronderzoek dat de eerste auteur heeft uitgevoerd ter afronding van de bachelor opleiding Medisch Beeldvorming en Radiotherapeutische Technieken aan de hogeschool Inholland.
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INTRODUCTION: In patients with cancer, low muscle mass has been associated with a higher risk of fatigue, poorer treatment outcomes, and mortality. To determine body composition with computed tomography (CT), measuring the muscle quantity at the level of lumbar 3 (L3) is suggested. However, in patients with cancer, CT imaging of the L3 level is not always available. Thus far, little is known about the extent to which other vertebra levels could be useful for measuring muscle status. In this study, we aimed to assess the correlation of the muscle quantity and quality between any vertebra level and L3 level in patients with various tumor localizations.METHODS: Two hundred-twenty Positron Emission Tomography (PET)-CT images of patients with four different tumor localizations were included: 1. head and neck ( n = 34), 2. esophagus ( n = 45), 3. lung ( n = 54), and 4. melanoma ( n = 87). From the whole body scan, 24 slices were used, i.e., one for each vertebra level. Two examiners contoured the muscles independently. After contouring, muscle quantity was estimated by calculating skeletal muscle area (SMA) and skeletal muscle index (SMI). Muscle quality was assessed by calculating muscle radiation attenuation (MRA). Pearson correlation coefficient was used to determine whether the other vertebra levels correlate with L3 level. RESULTS: For SMA, strong correlations were found between C1-C3 and L3, and C7-L5 and L3 ( r = 0.72-0.95). For SMI, strong correlations were found between the levels C1-C2, C7-T5, T7-L5, and L3 ( r = 0.70-0.93), respectively. For MRA, strong correlations were found between T1-L5 and L3 ( r = 0.71-0.95). DISCUSSION: For muscle quantity, the correlations between the cervical, thoracic, and lumbar levels are good, except for the cervical levels in patients with esophageal cancer. For muscle quality, the correlations between the other levels and L3 are good, except for the cervical levels in patients with melanoma. If visualization of L3 on the CT scan is absent, the other thoracic and lumbar vertebra levels could serve as a proxy to measure muscle quantity and quality in patients with head and neck, esophageal, lung cancer, and melanoma, whereas the cervical levels may be less reliable as a proxy in some patient groups.
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Luchtbevochtiging is een specifiek onderdeel in de luchtbehandeling en kent een brede toepassing binnen de zorghuisvesting, met name in ziekenhuizen maar ook in de langdurige zorg. Echter, luchtbevochtiging zoals met de huidige technologie gerealiseerd is een energie-intensief proces. Deze opvallende constatering, en de wens voor duurzamere vormen van bevochtiging vormen de aanleiding om te onderzoeken wat de noodzaak van bevochtiging is en of er goede alternatieven zijn voor bevochtiging waarbij gebruik gemaakt kan worden van hernieuwbare energie in plaats van fossiele brandstoffen.
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The recycling of post consumer cotton textile waste is highly requested, due to the high environmental impact of cotton production. Often cotton is mixed in blends with polyethylene terephthalate (PET). For the generation of high value products from recycled cotton, it essential that PET is separated from the cotton first. In this contribution, the depolymerization of PET in cotton / PET blend is investigated for the separation of PET from cotton fibers. Ionic liquids and NaOH are used as catalysts for the depolymerization reaction in ethylene glycol (glycolysis). It will be shown that ionic liquids have no significant influence on the conversion of PET. However, 99% conversion is achieved in this process with 2 w/w % NaOH as catalyst. This enables the selective depolymerization of PET in presence of cotton and gives rise to an easy separation of cotton from cotton / PET blends.Paper for the 14th World Textile Conference, May 26th-28th2014, Bursa, Turkey.
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Hospitalisation is stressful for children. Play material is often offered for distraction and comfort. Weexplored how contact with social robot PLEO could positively affect a child’s well-being. To this end, we performed a multiple case study on the paediatric ward of two hospitals. Child life specialists offered PLEO as a therapeutic activity to children in a personalised way for a well-being related purpose in three to five play like activity sessions during hospital visits/stay. Robot–child interaction was observed; care professionals, children and parents were interviewed. Applying direct content analysis revealed six categories of interest: interaction with PLEO, role of the adults, preferences for PLEO, PLEO as buddy, attainment of predetermined goal(s) and deployment of PLEO. Four girls and five boys, aged 4–13, had PLEO offered as a relief from stress or boredom or for physical stimulation. All but one started interacting with PLEO and showed behaviours like hugging, caring or technical exploration, promoting relaxation, activation and/or making contact. Interaction with PLEO contributed to achieving the well-being related purpose for six of them. PLEO was perceived as attractive to elicit play. Although data are limited, promising results emerge that the well-being of hospitalised children might be fostered by a personalised PLEO offer.
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Synthetic fibers, mainly polyethylene terephthalate (PET), polyamide (PA), polyacrylonitrile (PAN) and polypropylene (PP), are the most widely used polymers in the textile industry. These fibers surpass the production of natural fibers with a market share of 54.4%. The advantages of these fibers are their high modulus and strength, stiffness, stretch or elasticity, wrinkle and abrasion resistances, relatively low cost, convenient processing, tailorable performance and easy recycling. The downside to synthetic fibers use are reduced wearing comfort, build-up of electrostatic charge, the tendency to pill, difficulties in finishing, poor soil release properties and low dyeability. These disadvantages are largely associated with their hydrophobic nature. To render their surfaces hydrophilic, various physical, chemical and bulk modification methods are employed to mimic the advantageous properties of their natural counterparts. This review is focused on the application of recent methods for the modification of synthetic textiles using physical methods (corona discharge, plasma, laser, electron beam and neutron irradiations), chemical methods (ozone-gas treatment, supercritical carbon dioxide technique, vapor deposition, surface grafting, enzymatic modification, sol-gel technique, layer-by-layer deposition of nano-materials, micro-encapsulation method and treatment with different reagents) and bulk modification methods by blending polymers with different compounds in extrusion to absorb different colorants. Nowadays, the bulk and surface functionalization of synthetic fibers for various applications is considered as one of the best methods for modern textile finishing processes (Tomasino, 1992). This last stage of textile processing has employed new routes to demonstrate the great potential of nano-science and technology for this industry (Lewin, 2007). Combination of physical technologies and nano-science enhances the durability of textile materials against washing, ultraviolet radiation, friction, abrasion, tension and fading (Kirk–Othmer, 1998). European methods for application of new functional finishing materials must meet high ethical demands for environmental-friendly processing (Fourne, 1999). For this purpose the process of textile finishing is optimized by different researchers in new findings (Elices & Llorca, 2002). Application of inorganic and organic nano-particles have enhanced synthetic fibers attributes, such as softness, durability, breathability, water repellency, fire retardancy and antimicrobial properties (Franz, 2003; McIntyre, 2005; Xanthos, 2005). This review article gives an application overview of various physical and chemical methods of inorganic and organic structured material as potential modifying agents of textiles with emphasis on dyeability enhancements. The composition of synthetic fibers includes polypropylene (PP), polyethylene terephthalate (PET), polyamides (PA) or polyacrylonitrile (PAN). Synthetic fibers already hold a 54% market share in the fiber market. Of this market share, PET alone accounts for almost 50% of all fiber materials in 2008 (Gubitz & Cavaco-Paulo, 2008). Polypropylene, a major component for the nonwovens market accounts for 10% of the market share of both natural and synthetic fibers worldwide (INDA, 2008 and Aizenshtein, 2008). It is apparent that synthetic polymers have unique properties, such as high uniformity, mechanical strength and resistance to chemicals or abrasion. However, high hydrophobicity, the build-up of static charges, poor breathability, and resistant to finishing are undesirable properties of synthetic materials (Gubitz & Cavaco-Paulo, 2008). Synthetic textile fibers typically undergo a variety of pre-treatments before dyeing and printing is feasible. Compared to their cotton counterparts, fabrics made from synthetic fibers undergo mild scouring before dyeing. Nonetheless, these treatments still create undesirable process conditions wh
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