Background: The immunization uptake rates in Pakistan are much lower than desired. Major reasons include lack of awareness, parental forgetfulness regarding schedules, and misinformation regarding vaccines. In light of the COVID-19 pandemic and distancing measures, routine childhood immunization (RCI) coverage has been adversely affected, as caregivers avoid tertiary care hospitals or primary health centers. Innovative and cost-effective measures must be taken to understand and deal with the issue of low immunization rates. However, only a few smartphone-based interventions have been carried out in low- and middle-income countries (LMICs) to improve RCI. Objective: The primary objectives of this study are to evaluate whether a personalized mobile app can improve children’s on-time visits at 10 and 14 weeks of age for RCI as compared with standard care and to determine whether an artificial intelligence model can be incorporated into the app. Secondary objectives are to determine the perceptions and attitudes of caregivers regarding childhood vaccinations and to understand the factors that might influence the effect of a mobile phone–based app on vaccination improvement. Methods: A mixed methods randomized controlled trial was designed with intervention and control arms. The study will be conducted at the Aga Khan University Hospital vaccination center. Caregivers of newborns or infants visiting the center for their children’s 6-week vaccination will be recruited. The intervention arm will have access to a smartphone app with text, voice, video, and pictorial messages regarding RCI. This app will be developed based on the findings of the pretrial qualitative component of the study, in addition to no-show study findings, which will explore caregivers’ perceptions about RCI and a mobile phone–based app in improving RCI coverage. Results: Pretrial qualitative in-depth interviews were conducted in February 2020. Enrollment of study participants for the randomized controlled trial is in process. Study exit interviews will be conducted at the 14-week immunization visits, provided the caregivers visit the immunization facility at that time, or over the phone when the children are 18 weeks of age. Conclusions: This study will generate useful insights into the feasibility, acceptability, and usability of an Android-based smartphone app for improving RCI in Pakistan and in LMICs.
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This booklet contains the analyses and designs that were produced by international teams of students, designers and researchers on the revitalization of public space in the district of Kerkrade – West (Limburg, the Netherlands) in December 2017 during the International Design Workshop (re)CYCLE LIMBURG 2. It was partially built on knowledge, experiences and ideas from the preceding workshop in December 2016. The outcomes of the workshop are mainly presented in the form of drawings, maps, schemes, collages, artistic impressions etc. Both workshops were framed in the interdisciplinary project Kerkrade-West of Zuyd UAS and its Research Centre for Smart Urban ReDesign (SURD).
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Overbruggend sociaal kapitaal door middel van sport: Een exploratief onderzoek naar (het verbeteren van) inter-etnische contacten bij twee voetbalverenigingen in Nederland In Nederland staat de sociale integratie van minderheden de laatste jaren ter discussie. Gebeurtenissen uit het verleden, zoals de moord op politicus Pim Fortuyn en publicist Theo van Gogh, en meer recent de opmars van internationale organisaties als Islamitische Staat (IS), hebben grote impact op het maatschappelijke debat in Nederland. Desalniettemin is het geloof in de sociaal integratieve functie van sport in Nederland niet afgenomen. Van sport, en dan vooral van sportdeelname binnen verenigingsverband, wordt verwacht dat het een positieve bijdrage levert aan de sociale cohesie en sociale integratie van minderheden. Uit onderzoek weten we al langer dat beleidsmakers de sociaal integratieve functie van sport overschatten. Sport is geen wondermiddel. Sport brengt mensen samen, maar kan mensen ook uitsluiten door het samenbrengen van gelijkgestemden. In dit artikel verkennen we of (en hoe) sport, en dan met name voetbal, kan leiden tot overbruggend sociaal kapitaal (“bridging social capital”), ondanks dat mensen vooral sporten met gelijkgestemden. We baseren onze resultaten op enquêtes en een beperkt aantal aanvullende interviews bij twee voetbalverenigingen in de stad Utrecht. We concluderen dat ondanks dat sport segregatie bevordert, er binnen sportverenigingsverband een ontwikkeling is van sociale inclusie en interetnische contacten. Het onderzoek geeft aan dat extra voorwaarden kunnen worden gecreëerd om begrip en onderling respect te vergroten
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By use of a literature review and an environmental scan four plausible future scenarios will be created, based on the research question: How could the future of backpack tourism look like in 2030, and how could tourism businesses anticipate on the changing demand. The scenarios, which allow one to ‘think out of the box’, will eventually be translated into recommendations towards the tourism sector and therefore can create a future proof company strategy.
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This overview can be regarded as an atlas or travel guide with which the reader can follow a route along the various professorships. Chapter 2 centres on the professorships that are active in the field of Service Economy. Chapter 3 is dedicated to the professorships that are focussed on the field of Vital Region. Chapter 4 describes the professorships operating in the field of Smart Sustainable Industries. Chapter 5 deals with the professorships that are active in the field of the institution-wide themes of Design Based Education and Design Based Research. Lastly, in Chapter 6 we make an attempt to discover one or more connecting themes or procedures in the approach of the various professorships. This publication is not intended to give a definitive answer to the question as to what exactly NHL Stenden means by the concept of Design Based Research. The aim of this publication is to get an idea of everything that is happening in the NHL Stenden professorships and to pique one’s curiosity to find out more.
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A local operating theater ventilation device to specifically ventilate the wound area has been developed and investigated. The ventilation device is combined with a blanket which lies over the patient during the operation. Two configurations were studied: Configuration 1 where HEPA-filtered air was supplied around and parallel to the wound area and Configuration 2 where HEPA-filtered air was supplied from the top surface of the blanket, perpendicular to the wound area. A similar approach is investigated in parallel for an instrument table. The objective of the study was to verify the effectiveness of the local device. Prototype solutions developed were studied experimentally (laboratory) and numerically (CFD) in a simplified setup, followed by experimental assessment in a full scale mock-up. Isothermal as well as non-isothermal conditions were analyzed. Particle concentrations obtained in proposed solutions were compared to the concentration without local ventilation. The analysis procedure followed current national guidelines for the assessment of operating theater ventilation systems, which focus on small particles (<10 mm). The results show that the local system can provide better air quality conditions near the wound area compared to a theoretical mixing situation (proof-of-principle). It cannot yet replace the standard unidirectional downflow systems as found for ultraclean operating theater conditions. It does, however, show potential for application in temporary and emergency operating theaters
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Network Applied Design Research (NADR) made an inventory of the current state of Circular Design Research in the Netherlands. In this publication, readers will find a summary of six promising ‘gateways to circularity’ that may serve as entry points for future research initiatives. These six gateways are: Looped Systems; Extension of Useful Lifetime; Servitisation; New Materials and Production Techniques; Information Technology and Digitization; and Creating Public and Industry Awareness. The final chapter offers an outlook into topics that require more profound examination. The NADR hopes that this publication will serve as a starting point for discussions among designers, entrepreneurs, and researchers, with the goal of initiating future collaborative projects. It is the NADR's belief that only through intensive international cooperation, we can contribute to the realization of a sustainable, circular, and habitable world.
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In een hybride virtueel klaslokaal (HVC) zijn docenten en/of studenten zowel fysiek als digitaal synchroon bij een onderwijsonderdeel aanwezig. De online studenten danwel docenten kunnen thuis zijn, of bevinden zich bijvoorbeeld in een authentiek werksituatie of ergens in het buitenland. Hybride virtuele klaslokalen zijn ontworpen om studenten op locatie en studenten op afstand aan elkaar te verbinden. De fysieke en digitale onderwijsactiviteiten lopen synchroon aan elkaar. Het kan daarmee ook digitaal aanschuifonderwijs genoemd worden. Wat zijn de voordelen van het HVC? Wanneer gebruik je het en wanneer gebruik je het niet? Op welke manier gebruik je het dan en welke consequenties heeft dit voor het didactische repertoire? Welke technische opstellingen horen hierbij? Het lectoraat Teaching Learning & Technology heeft onderzoek gedaan naar de inzet van HVC in het onderwijs en vanuit interviews met docenten en ondersteuners praktische handvaten ontwikkeld op zowel didactisch als technisch niveau. Deze zijn te lezen in het onderzoeksrapport.
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In een door het lectoraat Revalidatie uitgevoerd onderzoek bij jongeren met niet aangeboren hersenletsel (NAH) hebben veertien studenten van de Academie voor Gezondheid geparticipeerd. Bij jongeren hebben zij, twee jaar na het oplopen van hersenletsel door een ongeval of hersenaandoening, tijdens een huisbezoek, verschillende vragenlijsten over sociaal-maatschappelijke participatie afgenomen. In de periode voorjaar 2010 tot najaar 2012 zijn in vier wervingsrondes hoofdfase studenten via drie methoden geworven voor participatie in het NAH-onderzoek. In dit artikel worden werkwijze werving, voorbereiding en begeleiding van de studenten beschreven. De voorbereiding bestond uit informatieverstrekking en training. De begeleiding vond plaats in de vorm van supervisie. Studenten kwamen in dit onderzoek rechtstreeks en intensief met deelnemers in contact. Bij dit contact worden (beroeps)competenties op de proef gesteld: in vele opzichten een belangrijke aanvulling op hun opleiding. De belangrijkste aanbeveling is, dat studentenparticipatie in praktijkgericht onderzoek goed voorbereid en ondersteund moet worden en aanzienlijk makkelijker verloopt als dit onderdeel is van het curriculum van de opleiding. Ook zal participeren in analyse en verwerking van de onderzoeksgegevens naast dataverzameling meerwaarde voor de student hebben. ABSTRACT Fourteen students of the Academy of Health participated in a research about the social impact of acquired brain injury (ABI) in adolescents. This research was performed by the research group Rehabilitation. The students conducted several questionnaires about social functioning while visiting the adolescents with ABI at home, two years after the youths had suffered from brain injury, through accident or brain illness. During four selection rounds that took place between Spring 2010 and Autumn 2012, students were recruited by three methods to participate in the data collection of the ABI research. This article describes methods of recruitment, preparation and supervision of the selected students. The preparation consisted of education and training. The supervision consisted of feedback and encouragement. Students were in direct and intensive contact with participants during this research. Their (professional) competencies were therefore put to the test and in many respects this was an important addition to their education. The most important recommendation is that student participation be properly prepared and supported in practically oriented research and be a much more integrated component of the programme curriculum. In addition to data collection, participation in the analysis and processing of research data will also be of added value for the student.
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