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Reviewing the landscape of the decision-making process for pain assessment and management for people living with dementia:A systematic review
No full textAIM: To understand the steps in the decision-making process regarding pain assessment and management for people living with dementia from the perspectives and experiences of people with dementia, formal and informal carers.METHODS: A systematic review was conducted. Seven English databases were searched, including PubMed, Psychological Information Database, Cochrane Library, Scopus, Cumulative Index of Nursing and Allied Health Literature, Web of Science, and ProQuest, using synonyms and derivatives for "dementia", "cognitive impairment", "pain", "pain assessment", "pain management", "decision", "decision support", and "decision-making".RESULTS: Twenty-eight studies fulfilled the eligibility criteria. Pain assessment and management in dementia are complex, successive, and collaborative processes carried out by different individuals over a period based on one's understanding of the person with dementia but with high uncertainty. Pain assessment involves a certain degree of guesswork, while pain management is a trial-and-error process.CONCLUSION: More pragmatic approaches are needed to overcome challenges, including uncertainty and decisional conflicts.</p
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No full textMark Sekuur verlangt terug naar witte winters en jaren waarin het warmterecord niet werd verbroken
Development and validation of the PACPN:Parents’ Attitudes Towards Crying Pediatricians and pediatric Nurses questionnaire
Get PDFCrying by healthcare professionals in the medical setting is a common but understudied phenomenon. We aimed to develop a questionnaire which measures the attitudes of parent towards crying pediatricians and pediatric nurses. We assessed reliability and validity in a group of parents of children who are living with, have died from or survived a life-limiting or life-threatening-condition. The development of the PACPN was based on modification of an existing questionnaire and expert input. In a cross-sectional-design, we assessed reliability and validity for both pediatricians and pediatric nurses. Dimensionality was assessed using principal component analysis (PCA). Cronbach’s alphas were calculated for each subscale. For construct validity, participants were asked to rate an additional question regarding the goal to measure parents’ attitudes towards crying pediatricians/pediatric nurses. We hypothesized that a higher score would have a strong positive correlation with the total score of the PACPN. At the end of the questionnaire, participants were asked to rate and comment the completeness. The developed 25-item questionnaire was completed by 116 parents. The PCA revealed two dimensions: (1) family’s circumstances; (2) personal circumstances of the pediatrician/pediatric nurse. Internal consistency was good (pediatricians,.81–.93; pediatric nurses,.83–.93). The hypothesis regarding construct validity was confirmed (Spearman’s rho =.71–.75). The completeness score was 7.7 (min–max 1–10, SD = 1.51). Conclusion: The PACPN showed good internal consistency and some degree of construct validity. We assume that by adding some items with nuance to the situation and the degree of crying the completeness of the questionnaire will improve. (Table presented.
Low-cost chronobiological monitoring: A tested IoT-enabled diagnostic tool in tropical and Antarctic environments
No full textLight intensity and spectral composition notably impact the human circadian rhythm. The human body is a physiological system that regulates its sleep-awake cycle through a constant rhythm of light and darkness. For a long time, the lighting research field has been concerned with understanding this circadian rhythm to improve people's quality of life. To better understand the influence of light on the human circadian rhythm, a remote monitoring device was developed that reliably measures the light spectrum and human circadian rhythm in different environments, including Antarctica and a tropical location study. The designed apparatus aims to facilitate the comprehension of the impact of light on the human circadian rhythm and provide accessible measurements through cost-effective tools. Results show that the developed monitoring prototype can collect and transmit environmental and human data. Therefore, the low-cost equipment developed can be reproduced and used by research institutions to collect data in different environments and improve the understanding of the influence of light on human activities. The cross-sectional analysis of the collected data revealed evidence of the significant influence of light on regulating the human circadian rhythm in tropical and Antarctica case studies. The collected information makes it possible to predict human reactions to the light environment, correlate these responses with seasonal periods, and comprehend how various forms of artificial and natural light interact with individuals and their living spaces. This prototype offers a non-invasive tool for assessing sleep quality and daytime activities, providing knowledge of how lighting conditions can impact overall well-being
Samen leren, samen niet-weten:Over de helpende kracht van onderzoekend vermogen
Get PDFWelke expertise hebben lerarenopleiders nodig om met situaties van niet-weten om te gaan? Hoe kunnen zij hun onderzoekend vermogen hierbij inzetten en versterken? Deze vragen staan centraal in de workshop waarbij we als lerarenopleiders met elkaar aan de slag gaan over eigen situaties van niet-weten en eigen onderzoekend vermogen.In welke omgeving een lerarenopleider ook werkt, er zullen zich altijd onderwijssituaties voordoen waar het niet direct duidelijk is hoe je het beste kunt handelen om het gewenste resultaat te bereiken. Hoe handel je vanuit woorden én daden, hoe neem je als lerarenopleider de regie en toon je leiderschap? Wij noemen dit ‘situaties van niet-weten’ (Munneke, 2024). Er ontstaan situaties van ‘niet-weten’, waar de juiste handelingskennis niet voorhanden is. Wat weet of kan ik nog niet? Hoe kan ik deze (handelings)kennis op een passende manier verkrijgen en vertalen naar mijn dagelijkse praktijk?Onderzoekend vermogen helpt lerarenopleiders om regie te nemen en situaties van niet-weten te analyseren en de kennis te creëren die nodig is. In deze workshop gaan deelnemers concreet aan de slag aan de hand van situaties van niet-weten uit hun eigen praktijk. Tijdens de workshop krijgen ze handvatten om met deze situaties om te gaan en hun onderzoekend vermogen in te zetten
Polyhydroxyalkanoate (PHA) production by thermophilic Caldimonas thermodepolymerans comb. nov. from xylan
Get PDFFor the future circular economy, renewable carbon feedstocks manifest considerable promise for synthesizing sustainable and biodegradable polyhydroxyalkanoate (PHA). In this study, 16 wt% and 30 wt% PHA (cell dry weight) are respectively produced by thermophilic Caldimonas thermodepolymerans from beechwood xylan and wheat arabinoxylan as the sole carbon source. Moreover, an in silico study of the potential xylan-degrading proteins was conducted using proteome sequencing and CAZyme specialized bioinformatic tools. This study demonstrates the feasibility of utilizing complex polysaccharide substrates for PHA biosynthesis, thereby potentially eliminate additional processing steps and reducing overall production costs for sustainable plastic
More than meets the eye: phenomenological insights into the functioning of people with lipoedema
No full textPurpose: The aim of this study was to explore the functioning of people with lipoedema from their perspective. Methods: This was a qualitative study following a phenomenological perspective using individual in-depth interviews with a convenience sample of 13 Dutch people with lipoedema. The data were analysed by using an interpretative phenomenological approach. Results: Two overarching group experiential themes (GETs) were identified: (1) “physical complaints are only a part of their problems”, and (2) “longing for improved appearance and functioning”. The GETs were composed of the following subordinate GETs: “disproportionate functioning of the lower body”, “navigating daily life with lipoedema”, “coping with uncertainty”, “the toll of shame and stigmatization”, “consequences of a very negative self-image”, “desire for change and improved appearance and functioning”, and “an ongoing journey of acceptance”. Conclusions: Participants experience that physical complaints affect daily activities, but with adequate adaptability, participation issues are relatively limited. Instead, shame about their appearance and (fear of) stigmatization mainly leads to social avoidance. Additionally, participants long for freedom to do what they want, wear what they want, and desire a different appearance. Therefore, the experienced level of acceptance of the condition is context- and situation-dependent and not straightforward, which is complicated by the burden of knowing that the condition is chronic
Ministerium Multiplex
No full textDe helft van de patiënten met een chronische ziekte die de huisarts be-zoekt heeft meer dan één aandoening. Dat zijn jaarlijks meer dan tweemiljoen mensen in de Nederlandse huisartsenpraktijk, zo blijkt uit hetNivel-rapport ‘Goede zorg voor mensen met multimorbiditeit’ (2021
De AI-verordening voor de land- en tuinbouw
Get PDFKunstmatige intelligentie (AI) wordt steeds vaker toegepast in uiteenlopende sectoren, waaronder de land- en tuinbouw. De Europese Commissie publiceerde in 2024 de definitieve versie van de AI-verordening, een van de eerste uitgebreide wettelijke regelingen voor AI-systemen. Deze regelgeving zal directe gevolgen hebben voor ontwikkelaars en aanbieders van AI-systemen in de agrarische sector, die zich aan de voorschriften van de verordening moeten houden. Het doel van dit afstudeeronderzoek is om inzicht te geven in de voor deze aanbieders relevante vereisten uit de AI-verordening en een be-roepsproduct te ontwikkelen dat deze informatie op een toegankelijke manier presenteert.Disclaimer:De afstudeeropdracht wordt uitgevoerd door een vierdejaarsstudent in het kader van zijn/haar afstuderen bij het Instituut voor Rechtenstudies. De student levert een juridisch beroepsproduct op en doet daartoe onderzoek. De student wordt tijdens de uitvoering van zijn/haar afstudeeropdracht begeleid door een afstudeercoach. De inspanningen van de student en de afstudeercoach zijn erop gericht om een zo goed mogelijk beroepsproduct op te leveren. Dit moet opgevat worden als een product van een (vierdejaars)student en niet van een juridische professional. Mocht ondanks de geleverde inspanningen de informatie of de inhoud van het beroepsproduct onvolledig en/of onjuist zijn, dan kunnen de Hanzehogeschool Groningen, het Instituut voor Rechtenstudies, individuele medewerkers en de student daarvoor geen aansprakelijkheid aanvaarden
Low-cost Sensor Solution for Performance Monitoring of Construction Vehicles Using Location and Vibration Data
No full textWhile modern construction vehicles often come equipped with proprietary telematic systems, a substantial portion of the global construction fleet consists of older machines that lack any form of digital monitoring. The exact share is unknown, but in many companies, legacy equipment still plays a critical role in daily operations. This gap limits the ability to track performance, optimize usage, or assess environmental impact. In response, this study presents a proof of concept for a low-cost, low-maintenance, plug-and-play solution designed to monitor the operational behaviour of such vehicles. The system combines a modular hardware unit with integrated Global Navigation Satellite System (GNSS) and accelerometers to capture data such as location, motion patterns, activity cycles, and engine RPM. All processing is performed locally on an edge device, eliminating the need for centralized computation or cloud connectivity. The goal is to provide a scalable and accessible tool for construction companies to better understand and manage their fleets, with future potential to link activity data to fuel consumption and emissions