Background: Osteoarthritis is a major public health concern. Despite existing evidence-based treatment options, the health care situation remains unsatisfactory. Digital care options, especially when combined with in-person sessions, seem to be promising. Objective: The aim of this study was to investigate the needs, preconditions, barriers, and facilitators of blended physical therapy for osteoarthritis. Methods: This Delphi study consisted of interviews, an online questionnaire, and focus groups. Participants were physical therapists, patients with hip and/or knee osteoarthritis with or without experience in digital care, and stakeholders of the health care system. In the first phase, interviews were conducted with patients and physical therapists. The interview guide was based on the Consolidated Framework For Implementation Research. The interviews focused on experiences with digital and blended care. Furthermore, needs, facilitators, and barriers were discussed. In the second phase, an online questionnaire and focus groups served the process to confirm the needs and collect preconditions. The online questionnaire contained statements drawn by the results of the interviews. Patients and physical therapists were invited to complete the questionnaire and participate in one of the three focus groups including (1) patients; (2) physical therapists; and (3) a patient, a physical therapist, and stakeholders from the health care system. The focus groups were used to determine concordance with the results of the interviews and the online questionnaire. Results: Nine physical therapists, seven patients, and six stakeholders confirmed that an increase of acceptance of the digital care part by physical therapists and patients is crucial. One of the most frequently mentioned facilitators was conducting regular in-person sessions. Physical therapists and patients concluded that blended physical therapy must be tailored to the patients' needs. Participants of the last focus group stated that the reimbursement of blended physical therapy needs to be clarified. Conclusions: Most importantly, it is necessary to strengthen the acceptance of patients and physical therapists toward digital care. Overall, fo
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This report was produced within the framework of the RAAK PRP project ‘Veiligheid op de werkvloer’. Personal protective equipment (PPE) is used on a daily basis by millions of people all over the EU, voluntarily or as a result of EU legislation. In this report we deal specifically with the textile/garment aspects of PPE. In this context we must consider the fact that PPE encompasses a huge area with hundreds of different applications of materials and systems tuned to specific needs;from a materials point of view it represents a complex area due to the large diversity of labour conditions. Textiles and clothing represent an area where PPE is an important area of attention. On a global scale it is an area of much research. Safety and comfort are becoming more and more important and these aspects must be in balance. Uncomfortable systems will not be used and put safe working at risk. Thus there is a continuous need for technological innovation to improve the effectiveness of PPE systems. Specialization and specific combinations aimed at use under well-defined conditions contributes to finding a good balance between comfort and safety. The design of products, taking into account the individual needs represent an area of intensive research: Safety directed ‘fashion design’.The ultimate goal is the development of proactive systems by which workers (but capital goods as well) are optimally protected. There is also a lot of attention for maintenance and cleaning since protective functions may deteriorate as a result of cleaning processes. Another important point is standardization because producers need directions for product development and supply of goods. In our overview we make a distinction between static and dynamic systems. Static systems provide passive protection, simply by being a part of an equipment that separates the worker from the danger zone. Dynamic systems are more ‘intelligent’ because these can react to stimuli and subsequently can take action. These dynamic systems use sensors, communication technology and actuators. From this research the following may be concluded: 1. Safety is obtained by choice of materials for a textile construction, including the use of coatings with special properties, application of specific additives and he use of special designed fibre shapes. 2. The architecture and ultimate construction and the combinations with other materials result in products that respond adequately. This is of great importance because of the balance comfort – safety. But a lot can be improved in this respect. 3. Insight in human behaviour, ambient intelligence and systems technology will lead to new routes for product development and a more active approach and higher levels of safety on the work floor. Consequently there is a lot of research going on that is aimed at improved materials and systems. Also due to the enormous research area of smart textiles a lot of development is aimed at the integration of new technology for application in PPE. This results in complex products that enhance both passive and active safety. Especially the commissioners, government and industry, must pay a lot of attention to specifying the required properties that a product should meet under the specific conditions. This has a cost aspect as well because production volumes are usually not that large if for small groups of products specific demands are defined. We expect that through the technology that is being developed in the scope of mass customization production technologies will be developed that allows production at acceptable cost, but still aimed at products that have specific properties for unique application areas. Purchasing is now being practiced through large procurements. We must than consider the fact that specification takes place on the basis of functionality. In that case we should move away from the current cost focus but the attention should shift towards the life cycle
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‘The network is everlasting’ wrote Robert Filliou and George Brecht in 1967, a statement that, at first glance, still seems to be true of today’s world. Yet there are also signs that the omnipresence of networks is evolving into another reality. In recent times, the limits of networks rather than their endless possibilities have been brought into focus. Ongoing media debates about hate speech, fake news, and algorithmic bias swirl into a growing backlash against networks. Perhaps it is time to reconsider the contemporary reach and relevance of the network imaginary.Accompanying transmediale 2020 End to End’s exhibition ‘The Eternal Network’, this collection gathers contributions from artists, activists, and theorists who engage with the question of the network anew. In referencing Filliou’s eternal notion, the exhibition and publication project closes the loop between pre- and post-internet imaginaries, opening up possible futures with and beyond networks. This calls many of the collection’s authors to turn to instances of independent and critical net cultures as historical points of inspiration for rethinking, reforming, or refuting networks in the present.---The Eternal Network: Vom Enden und Werden der NetzkulturDEUTSCHE FASSUNG:„Das Netzwerk wird es ewig geben“, schrieben Robert Filliou und George Brecht 1967 – eine Aussage, die auf den ersten Blick auch heute noch zuzutreffen scheint. Doch gibt es auch Anzeichen, dass die Allgegenwärtigkeit von Netzwerken eine andere W irklichkeit hervorbringt. Mittlerweile rückt die Endlichkeit von Netzwerken – anstatt deren endlose Möglichkeiten – in den Fokus; davon zeugen die anhaltenden Mediendebatten über Hassrede, Fake News und algorithmischer Diskriminierung. Vielleicht ist es an der Zeit, die aktuelle Reichweite und Relevanz des Netzwerks neu zu betrachten.Begleitend zur Ausstellung „Das ewige Netzwerk“ der transmediale 2020 End to End versammelt dieser Band Beiträge von Künstler*innen, Aktivist*innen und Theoretiker* innen, die sich neu mit der Frage des Netzwerks beschäftigen. Ausstellung und Publikation beziehen sich auf Fillious Konzept von der Ewigkeit des Netzwerks. Sie verbinden dabei die Vorstellungswelten, die zeitlich vor der Entwicklung des Internets entstanden sind, mit jenen, die darauf folgten. So eröffnen sie mögliche Zukünfte mit und jenseits von Netzwerken. Viele Autor*innen in diesem Band lassen sich dabei von historischen Momenten der unabhängigen und kritischen Netzkulturen inspirieren, um Netzwerke der Gegenwart neu zu denken, sie zu reformieren oder anzufechten.
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