Voor u ligt de voorlichtingspublicatie "weerstandlassen". Dit blad is een update van het NIL-voorlichtingsblad "Dunne plaat weerstandlassen" dat in 1987 is opgesteld als onderdeel van het gelijknamige onderzoeksproject dat uitgevoerd is onder supervisie van het Nederlands Instituut voor lastechniek. Daar er in de periode tussen verschijning van de eerste uitgave en nu een aantal belangrijke ontwikkelingen op het gebied van het weerstandlassen is geweest, was een aanpassing aan de huidige stand der techniek noodzakelijk. Het NIMR (Netherlands Intitute of Metals Research) inmiddels opererend onder de naam M2i (Materials innovation institute) heeft geld ter beschikking gesteld om deze nieuwe publicatie te laten opstellen en aan te passen aan de stand der techniek. De FME heeft de coördinatie daarvan op zich genomen en voor de aanpassing van de inhoud van deze voorlichtingspublicatie het NIL ingeschakeld. Op de websites www.dunneplaat-online.nl en www.verbinden-online.nl die in het kader van andere projecten zijn ontwikkeld, is op het gebied van dunne plaat bewerking en verbindingstechnieken een groot aantal publicaties vrij te downloaden (waaronder ook deze publicatie). De oude voorlichtingspublicatie vormt de basis van deze update, zodat verwijzingen naar geraadpleegde literatuur aanvullend aan de oude publicatie zijn.
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De eerste uitgave van deze publicatie is in 1996 samengesteld door de werkgroep "Buigen van dunne plaat" en geeft gerichte theoretische en praktische informatie ten behoeve van respectievelijk de gebruikers van het buigproces, geïnteresseerden in dit proces, technische cursussen en opleidingen. In 2009 is deze publicatie aangepast aan de huidige stand der techniek. De inhoud van deze publicatie behandelt de aspecten welke voor het vormgeven van plaat door middel van buigen van belang zijn. De achterin toegevoegde supplementen over materialen en over machines en gereedschappen geven processpecifieke informatie over de desbetreffende onderwerpen. In de voorlichtingspublikaties VM 111 "Materialen" en VM 112 "Machines en gereedschappen" worden de algemene gegevens over deze onderwerpen behandeld.
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Objective: This exploratory study investigated to what extent gait characteristics and clinical physical therapy assessments predict falls in chronic stroke survivors. Design: Prospective study. Subjects: Chronic fall-prone and non-fall-prone stroke survivors. Methods: Steady-state gait characteristics were collected from 40 participants while walking on a treadmill with motion capture of spatio-temporal, variability, and stability measures. An accelerometer was used to collect daily-life gait characteristics during 7 days. Six physical and psychological assessments were administered. Fall events were determined using a “fall calendar” and monthly phone calls over a 6-month period. After data reduction through principal component analysis, the predictive capacity of each method was determined by logistic regression. Results: Thirty-eight percent of the participants were classified as fallers. Laboratory-based and daily-life gait characteristics predicted falls acceptably well, with an area under the curve of, 0.73 and 0.72, respectively, while fall predictions from clinical assessments were limited (0.64). Conclusion: Independent of the type of gait assessment, qualitative gait characteristics are better fall predictors than clinical assessments. Clinicians should therefore consider gait analyses as an alternative for identifying fall-prone stroke survivors.
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The background and purpose of this paper is to investigate adherence, exercise performance levels and associated factors in head and neck cancer (HNC) patients participating in a guided home-based prophylactic exercise program during and after treatment [swallowing sparing intensity modulated radiation therapy (SW-IMRT)]. Fifty patients were included in the study. Adherence was defined as the percentage of patients who kept up exercising; exercise performance level was categorized as low: ≤1, moderate: 1–2, and high: ≥2 time(s) per day, on average. Associations between 6- and 12-week exercise performance levels and age, gender, tumour site and stage, treatment, intervention format (online or booklet), number of coaching sessions, and baseline HNC symptoms (EORTC-QLQ-H&N35) were investigated. Adherence rate at 6 weeks was 70% and decreased to 38% at 12 weeks. In addition, exercise performance levels decreased over time (during 6 weeks: 34% moderate and 26% high; during 12 weeks: 28% moderate and 18% high). The addition of chemotherapy to SW-IMRT [(C)SW-IMRT] significantly deteriorated exercise performance level. Adherence to a guided home-based prophylactic exercise program was high during (C)SW-IMRT, but dropped afterwards. Exercise performance level was negatively affected by chemotherapy in combination with SW-IMRT.
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The aim of the research reported in this thesis was to gain knowledge about the implementation of evidence‐based practice (EBP) in nursing to find a way to integrate shared decision making (SDM) with EBP in a chronic care environment in nursing, and to develop a strategy for an integrated approach of EBP and SDM in daily nursing practice in the individual aftercare for cancer survivors.
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The aim of this study was to identify expert perception on which features are important for the effectiveness of physical activity–related apps for participation in individual, recreational sports. This study was part of a research project 'For everyone an app?!'.
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Background: A large number of people participate in individual or unorganized sports on a recreational level. Furthermore, many participants drop out because of injury or lowered motivation. Potentially, physical activity–related apps could motivate people during sport participation and help them to follow and maintain a healthy active lifestyle. It remains unclear what the quality of running, cycling, and walking apps is and how it can be assessed. Quality of these apps was defined as having a positive influence on participation in recreational sports. This information will show which features need to be assessed when rating physical activity–related app quality. Objective: The aim of this study was to identify expert perception on which features are important for the effectiveness of physical activity–related apps for participation in individual, recreational sports. Methods: Data were gathered via an expert panel approach using the nominal group technique. Two expert panels were organized to identify and rank app features relevant for sport participation. Experts were researchers or professionals in the field of industrial design and information technology (technology expert panel) and in the field of behavior change, health, and human movement sciences who had affinity with physical activity–related apps (health science expert panel). Of the 24 experts who were approached, 11 (46%) agreed to participate. Each panel session consisted of three consultation rounds. The 10 most important features per expert were collected. We calculated the frequency of the top 10 features and the mean importance score per feature (0-100). The sessions were taped and transcribed verbatim; a thematic analysis was conducted on the qualitative data. Results: In the technology expert panel, applied feedback and feedforward (91.3) and fun (91.3) were found most important (scale 0-100). Together with flexibility and look and feel, these features were mentioned most often (all n=4 [number of experts]; importance scores=41.3 and 43.8, respectively). The experts in the health science expert panels a and b found instructional feedback (95.0), motivating or challenging (95.0), peer rating and use (92.0), motivating feedback (91.3), and monitoring or statistics (91.0) most important. Most often ranked features were monitoring or statistics, motivating feedback, works good technically, tailoring starting point, fun, usability anticipating or context awareness, and privacy (all n=3-4 [number of experts]; importance scores=16.7-95.0). The qualitative analysis resulted in four overarching themes: (1) combination behavior change, technical, and design features needed; (2) extended feedback and tailoring is advised; (3) theoretical or evidence base as standard; and (4) entry requirements related to app use. Conclusions: The results show that a variety of features, including design, technical, and behavior change, are considered important for the effectiveness of physical activity–related apps by experts from different fields of expertise. These insights may assist in the development of an improved app rating scale.
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Social media platforms such as Facebook, YouTube, and Twitter have millions of users logging in every day, using these platforms for commu nication, entertainment, and news consumption. These platforms adopt rules that determine how users communicate and thereby limit and shape public discourse.2 Platforms need to deal with large amounts of data generated every day. For example, as of October 2021, 4.55 billion social media users were ac tive on an average number of 6.7 platforms used each month per internet user.3 As a result, platforms were compelled to develop governance models and content moderation systems to deal with harmful and undesirable content, including disinformation. In this study: • ‘Content governance’ is defined as a set of processes, procedures, and systems that determine how a given platform plans, publishes, moder ates, and curates content. • ‘Content moderation’ is the organised practice of a social media plat form of pre-screening, removing, or labelling undesirable content to reduce the damage that inappropriate content can cause.
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Hoofdstuk 2 gaat over peer en professionele online support voor ouders bij het opvoeden. In totaal bevat het boek 31 hoofdstukken over sociaal netwerken, geschreven door tientallen onderzoekers wereldwijd.
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Marine spatial planning (MSP) was developed as a place-based, integrated marine governance approach to address sectoral and fragmented management issues and has seen significant evolvement over the past two decades. MSP has rapidly become the most commonly endorsed management regime for sustainable development in the marine environment, with initiatives being implemented across multiple regions of the globe. Despite its broad and growing acceptance and use, there are several key challenges that remain, both conceptual and practical, that are negatively impacting the realization of MSP’s potential. These include institutional shortcomings, the exclusion of stakeholders, a failure to account for the human and social dimensions of marine regions, the marginalization of different types of knowledge, and the growing need to adapt to global environmental change. Although studies have examined the emergence of MSP in different geographical and institutional contexts, there is a lack of comparative analysis of how initiatives are progressing and if the foundational aims of MSP are being achieved. There is a need to analyze the degree to which MSP initiatives are responding to the environmental challenges that they have been set up to tackle and, as marine plans are setting out long-term visions for marine management, to understand if current initiatives are fit for purpose. This article responds to these concerns and reviews the evolution of MSP within 12 regional ocean areas. We utilize the term regional ocean areas to illustrate the geographical spread of MSP, with examinations conducted of the approach to MSP that specific nations within each of the 12 chosen clusters have followed. By critically assessing how MSP is progressing, it is possible to shed light on the opportunities and challenges that are facing current initiatives. This can help to reveal learning lessons that can inform future MSP systems and guide initiatives along more sustainable pathways.
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