Abstract from article: The Dutch healthcare system has changed towards a system of regulated competition to contain costs and to improve efficiency and quality of care. This paper provides: (1) a brief as-is overview of the changes for primary care, based on explorative literature reviews; (2) provides noteworthy remarks as for the way primary and secondary healthcare is organised; (3) an example of an E-health portal illustrating implemented processes within the Dutch context and (4) a proposed research agenda on various e-health topics. Noteworthy remarks are: (1) government, insurer, healthcare provider and patient are main actors within the Dutch healthcare system; (2) general practitioners (GP’s) are gatekeepers to secondary and other care providers; (3) the illustrated portal with a patient oriented design, provides access to applications implemented at care providers resulting in increased electronic availability and increased patient satisfaction; (4) a variety of fragmented information systems at health care providers exists, which leaves room for standardisation and increased efficiency. We end with suggestions for future research.
The application of DC grids is gaining more attention in office applications. Especially since powering an office desk would not require a high power connection to the main AC grid but could be made sustainable using solar power and battery storage. This would result in fewer converters and further advanced grid utilization. In this paper, a sustainable desk power application is described that can be used for powering typical office appliances such as computers, lighting, and telephones. The desk will be powered by a solar panel and has a battery for energy storage. The applied DC grid includes droop control for power management and can either operate stand-alone or connected to other DC-desks to create a meshed-grid system. A dynamic DC nano-grid is made using multiple self-developed half-bridge circuit boards controlled by microcontrollers. This grid is monitored and controlled using a lightweight network protocol, allowing for online integration. Droop control is used to create dynamic power management, allowing automated control for power consumption and production. Digital control is used to regulate the power flow, and drive other applications, including batteries and solar panels. The practical demonstrative setup is a small-sized desktop with applications built into it, such as a lamp, wireless charging pad, and laptop charge point for devices up to 45W. User control is added in the form of an interactive remote wireless touch panel and power consumption is monitored and stored in the cloud. The paper includes a description of technical implementation as well as power consumption measurements.
Climate change is undermining the importance and sustainability of cooperatives as important organizations in small holder agriculture in developing countries. To adapt, cooperatives could apply carbon farming practices to reduce greenhouse gas emissions and enhance their business by increasing yields, economic returns and enhancing ecosystem services. This study aimed to identify carbon farming practices from literature and investigate the rate of application within cooperatives in Uganda. We reviewed scholarly literature and assed them based on their economic and ecological effects and trade-offs. Field research was done by through an online survey with smallholder farmers in 28 cooperatives across 19 districts in Uganda. We identified 11 and categorized them under three farming systems: organic farming, conservation farming and integrated farming. From the field survey we found that compost is the most applied CFP (54%), crop rotations (32%) and intercropping (50%) across the three categorizations. Dilemmas about right organic amendment quantities, consistent supplies and competing claims of residues for e.g. biochar production, types of inter crops need to be solved in order to further advance the application of CFPs amongst crop cooperatives in Uganda.
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Recycling of plastics plays an important role to reach a climate neutral industry. To come to a sustainable circular use of materials, it is important that recycled plastics can be used for comparable (or ugraded) applications as their original use. QuinLyte innovated a material that can reach this goal. SmartAgain® is a material that is obtained by recycling of high-barrier multilayer films and which maintains its properties after mechanical recycling. It opens the door for many applications, of which the production of a scoliosis brace is a typical example from the medical field. Scoliosis is a sideways curvature of the spine and wearing an orthopedic brace is the common non-invasive treatment to reduce the likelihood of spinal fusion surgery later. The traditional way to make such brace is inaccurate, messy, time- and money-consuming. Because of its nearly unlimited design freedom, 3D FDM-printing is regarded as the ultimate sustainable technique for producing such brace. From a materials point of view, SmartAgain® has the good fit with the mechanical property requirements of scoliosis braces. However, its fast crystallization rate often plays against the FDM-printing process, for example can cause poor layer-layer adhesion. Only when this problem is solved, a reliable brace which is strong, tough, and light weight could be printed via FDM-printing. Zuyd University of Applied Science has, in close collaboration with Maastricht University, built thorough knowledge on tuning crystallization kinetics with the temperature development during printing, resulting in printed products with improved layer-layer adhesion. Because of this knowledge and experience on developing materials for 3D printing, QuinLyte contacted Zuyd to develop a strategy for printing a wearable scoliosis brace of SmartAgain®. In the future a range of other tailor-made products can be envisioned. Thus, the project is in line with the GoChem-themes: raw materials from recycling, 3D printing and upcycling.
De kunstgrasberg in Nederland is groeiende. In april 2019 hebben een aantal bedrijven, zijnde ketenpartners, de handen in een geslagen om dit te doen veranderen, en hebben GBN Artificial Grass Recycling (GBN-AGR) opgericht. Dit heeft in juni 2020 geresulteerd in een fabriek voor de recycling van de kunstgrasmatten. De eindproducten van deze fabriek zijn circulair grondstoffen zoals circulair zand, circulair SBR, circulair TPE en RTA. Deze grondstoffen worden op traditionele productiewijze in mallen geperst en waaruit rubbertegels, kantplanken, picknicksets worden vervaardigd. Gezien de hoeveelheid aan kunstgrasmatten is er behoefte vanuit de ketenpartners om meer en hoogwaardige producten te realiseren. In dit onderzoek wordt een verkenning gedaan naar de mogelijkheid om gerecycled kunstgras te gaan 3D printen. Zo dat er in de toekomst hoogwaardige en vernieuwde producten uit te vaardigen zijn. Ook zijn de huidige 3D printbedrijven nog niet bekend zijn met circulaire grondstoffen uit gerecycled kunstgras, aangezien het 3D printfilament daarvan nog niet voor handen is. Via materiaalonderzoek, ontwikkeling van 3D printfilament, testen van het filament wordt de eerste aanzet gegeven om tot een grondstof te komen die voor hoogwaardige producten kan worden ingezet. Tevens wordt een productontwerp voor een product gecreëerd. En wordt er een prototype, eventueel op schaal gefabriceerd met het 3D printfilament afkomst van de circulaire grondstoffen van het gerecycled kunstgras. Het einddoel is om de kunstgrasberg in Nederland te doen krimpen, door: - Aantoonbaar te maken aan de maakindustrie dat gerecycled kunstgras een basisgrondstof kan zijn voor producten. - 3D printen een productiemethode is dat voor bepaalde toepassingen voordelen kan hebben om hoogwaardige producten van gerecycled kunstgras mee te maken, naast de al bestaande traditionele productiemethoden.
Carboxylated cellulose is an important product on the market, and one of the most well-known examples is carboxymethylcellulose (CMC). However, CMC is prepared by modification of cellulose with the extremely hazardous compound monochloracetic acid. In this project, we want to make a carboxylated cellulose that is a functional equivalent for CMC using a greener process with renewable raw materials derived from levulinic acid. Processes to achieve cellulose with a low and a high carboxylation degree will be designed.
