Background The gait modification strategies Trunk Lean and Medial Thrust have been shown to reduce the external knee adduction moment (EKAM) in patients with knee osteoarthritis which could contribute to reduced progression of the disease. Which strategy is most optimal differs between individuals, but the underlying mechanism that causes this remains unknown. Research question Which gait parameters determine the optimal gait modification strategy for individual patients with knee osteoarthritis? Methods Forty-seven participants with symptomatic medial knee osteoarthritis underwent 3-dimensional motion analysis during comfortable gait and with two gait modification strategies: Medial Thrust and Trunk Lean. Kinematic and kinetic variables were calculated. Participants were then categorized into one of the two subgroups, based on the modification strategy that reduced the EKAM the most for them. Multiple logistic regression analysis with backward elimination was used to investigate the predictive nature of dynamic parameters obtained during comfortable walking on the optimal modification gait strategy. Results For 68.1 % of the participants, Trunk Lean was the optimal strategy in reducing the EKAM. Baseline characteristics, kinematics and kinetics did not differ significantly between subgroups during comfortable walking. Changes to frontal trunk and tibia angles correlated significantly with EKAM reduction during the Trunk Lean and Medial Thrust strategies, respectively. Regression analysis showed that MT is likely optimal when the frontal tibia angle range of motion and peak knee flexion angle in early stance during comfortable walking are high (R2Nagelkerke = 0.12). Significance Our regression model based solely on kinematic parameters from comfortable walking contained characteristics of the frontal tibia angle and knee flexion angle. As the model explains only 12.3 % of variance, clinical application does not seem feasible. Direct assessment of kinetics seems to be the most optimal strategy for selecting the most optimal gait modification strategy for individual patients with knee osteoarthritis.
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Author supplied: A manufacturing process can be described by a sequence or combination of production steps. Based on this approach a manufacturing system has been developed that is capable to produce several different products in parallel. A batch size of one unit is possible and the production is pull-driven. The manufacturing system is based on agent technology and a special so-called product agent collects information about the assembly process. This agent will be connected to the actual product and can guide the disassembly process at the end of the products life. The agent will show the inverse steps to be taken to take a product apart. This approach can be used in the agent based manufacturing process described in this paper but the concept can also be used for other manufacturing systems. The paper discusses the possibilities as well as the restrictions of the method proposed here.
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De laatste decennia is tijd een strategische concurrentiefactor geworden in de maakindustrie (Demeter, 2013; Godinho Filho et al., 2017a; Gromova, 2020). Naast tijdige levering verwacht de klant ook keuze, maatwerk, hoge kwaliteit en een lage prijs (Siong et al., 2018; Suri, 2020). Om de door de klant gewenste korte doorlooptijd te kunnen realiseren en daarbij ook te voldoen aan zijn andere eisen, zijn flexibiliteit en aanpassingsvermogen essentieel geworden (Godinho Filho et al., 2017b; Siong et al., 2018). Quick Response Manufacturing (QRM) heeft als doel de doorlooptijd te verkorten in productieomgevingen die gekenmerkt worden door een hoge variëteit in producten en maatwerk (Suri, 2020; Siong et al., 2018). QRM kent zijn oorsprong begin jaren negentig van de vorige eeuw (Suri, 2020) en vertoont sterke gelijkenis met lean manufacturing. Het verschil met lean manufacturing is echter dat QRM zich richt op bedrijven in een omgeving met veel productvariatie. Daarnaast heeft QRM nieuwe elementen toegevoegd, zoals Paired-cell Overlapping Loops of Cards with Authorization (POLCA) en Manufacturing Critical Path Time’ (MCT)’ (Godinho Filho et al., 2017b).
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Relatief kleine, gespecialiseerde bedrijven in de maakindustrie hebben behoefte aan flexibele assemblageprocessen en productielogistiek. Digitalisering biedt veel mogelijkheden om productieprocessen efficiënter en duurzamer te maken, innovatieve producten te fabriceren en over te schakelen op andere businessmodellen. Dit moet dan wel werken voor kleine series en enkelstuks. ‘Kunnen wij het maken?’ verwijst naar onderliggende vragen over: ‘Hoe beheersen we risico’s in complexe maakprocessen?’, ‘Hoe werken we samen in de keten?’ en ‘Wat moeten huidige en toekomstige engineers weten over ‘Industry 4.0’ en circulaire maakindustrie?’. Bijgaand essay, in verkorte vorm uitgesproken als Intreerede, legt uit hoe de onderzoekers van Smart Sustainable Manufacturing aan de slag gaan om een antwoord te vinden op deze vragen, door middel van cocreatie met de beroepspraktijk en het onderwijs in het Re/manufacturing lab.
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Muscle fiber-type specific expression of UCP3-protein is reported here for the firts time, using immunofluorescence microscopy
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Despite the efforts of governments and firms, the construction industry is trailing other industries in labour productivity. Construction companies are interested in increasing their labour productivity, particularly when demand grows and construction firms cope with labour shortages. Off-site construction has proved to be a favourable policy to increase labour productivity. However, a complete understanding of the factors affecting construction labour productivity is lacking, and it is unclear which factors are influenced by off-site construction. This study developed a conceptual model describing how 15 factors influence the construction process and make a difference in labour productivity between off-site and on-site construction. The conceptual model shows that all 15 factors affect labour productivity in three ways: through direct effects, indirect effects and causal loops. The model is a starting point for further research to determine the impact of off-site construction on labour productivity.
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From the conference paper : "The authors examined how to improve the total (onsite and offsite) labour productivity of production and assembling of fast retrofitting concepts in the Netherlands. The authors analysed the collected data of two NetZero energy renovations in which the initial process were quite traditional. In the first case the labour productivity can increase spectacularly by prefabricating the roof. In the second case the providers modernized the process by working in multi-disciplinary teams. No evidence have been found that working in a multi-disciplinary team can increase the labour productivity but the time for realization did decrease."
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geen samenvatting beschikbaar
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We review the current body of academic literature concerning gamification of production and logistics. The findings indicate that production execution and control has been addressed most often in the current body of literature, which consists mostly of design research. Objectives and goals, points, achievements, multimedial feedback, metaphorical/fictional representations, and levels and progress are currently most often employed gamification affordances on this field. The research has focused on examining or considering motivation, enjoyment and flow as the main psychological outcomes of gamification in the given context, while individual performance and efficiency are the most commonly examined or suggested behavioral/organizational impacts. Future studies should employ more rigorous study designs and firmly ground the discussions in organization theory.
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This chapter explains in brief what is needed to achieve more sustainable manufacturing processes. It develops both aspects of sustainable, economic, and technical feasibility with most focus on the latter. Remanufacturing processes are described together with relevant factors that enhance their effectivity and efficiency. An overview is given of what kind of shopfloor innovations are required in the near future and some suggestions on how digital and other Industry 4.0 technologies could help to move toward circular manufacturing.
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