Lagere ammoniakemissie bij stalen roosters

Door de roosterbalk smaller te maken is een grotere mestdoorlaat mogelijk. Dit is alleen mogelijk met andere materialen zoals staal

Klauwgezondheid op stalen roosters ook goed

Bij de standaard uitvoering blijft er veel mest aan de roosterbalken hangen waardoor de emissie hoog is. Door de roosterbalk smaller te maken wordt de mestdoorlaat vergroot en zou de ammoniakemissie lager kunnen zijn

Reallocating resources to focused factories: a case study in chemotherapy

This study investigates the expected service performance associated with a proposal to reallocate resources from a centralized chemotherapy department to a breast cancer focused factory. Using a slotted queueing model we show that a decrease in performance is expected and calculate the amount of additional resources required to offset these losses. The model relies solely on typical outpatient scheduling system data, making the methodology easy to replicate in other outpatient clinic settings. Finally, the paper highlights important factors to consider when assigning capacity to focused factories. These considerations are generally relevant to other resource allocation decisions

Reallocating resources to focused factories: a case study in chemotherapy

This study investigates the expected service performance associated with a proposal to reallocate resources from a centralized chemotherapy department to a breast cancer focused factory. Using a slotted queueing model we show that a decrease in performance is expected and calculate the amount of additional resources required to offset these losses. The model relies solely on typical outpatient scheduling system data, making the methodology easy to replicate in other outpatient clinic settings. Finally, the paper highlights important factors to consider when assigning capacity to focused factories. These considerations are generally relevant to other resource allocation decisions

An exact approach for relating recovering surgical patient workload to the master surgical schedule

No other department influences the workload of a hospital more than the Department of Surgery and in particular, the activities in the operating room. These activities are governed by the master surgical schedule (MSS), which states which patient types receive surgery on which day. In this paper we describe an analytical approach to project the workload for downstream departments based on this MSS. Specifically the ward occupancy distributions, patient admission/discharge distributions, and the distributions for ongoing interventions/treatments is computed. Recovering after surgery requires the support of multiple departments, such as nursing, physiotherapy, rehabilitation and long term care. With our model, managers from these departments can determine their workload by aggregating tasks associated with recovering surgical patients. The model, which supported the development of a new MSS at the Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital, provides the foundation for a decision support tool to relate downstream hospital departments to the operating room

Beter werken

Veehouderijbedrijven worden steeds groter en de hoeveelheid beschikbare arbeid neemt af. Naast het uitbesteden van bepaalde taken aan de loonwerker, kan de veehouder zélf ook tijd winnen door efficiënter te werken

Vrij of eenrichtingsverkeer bij de melkrobot

In 1995 is op de Waiboerhoeve een onderzoek gedaan naar twee basisvormen van stallayout. De eerste vorm is vrij koeverkeer; de dieren kunnen vrij door de stal lopen zoals gebruikelijk is. De tweede vorm is éénrichtingverkeer, waarbij de dieren alleen vanuit het liggedeelte via de melkrobot naar het voerhek mogen. Uit de proef bleek dat zowel vrij als eenrichtingverkeer mogelijk is

Accentuating patient values in shared decision-making:A mixed methods development of an online value clarification tool and communication training in the context of early phase clinical cancer trials

Objective: In the shared decision-making (SDM) process for potential early phase clinical cancer trial participation, value clarification is highly recommended. However, exploration and discussion of patient values between patients and oncologists remains limited. This study aims to develop an SDM-supportive intervention, consisting of a preparatory online value clarification tool (OnVaCT) and a communication training. Methods: The OnVaCT intervention was developed and pilot-tested by combining theoretical notions on value clarification, with interview studies with patients and oncologists, focus groups with patient representatives and oncologists, and think aloud sessions with patients, following the Medical Research Council (MRC) framework for complex interventions. These human-centered methodologies enabled a user-centered approach at every step of the development process of the intervention. Results: This study shows relevant patient values and oncologists’ perspectives on value exploration and discussion in daily practice. This has been combined with theoretical considerations into the creation of characters based on real-life experiences of patients in the OnVaCT, and how the tool is combined with a communication training for oncologists to improve SDM

Aanwenden van mengmest met de sleepvoetenmachine

De sleepvoetenmachine is een nieuwe machine waarmee de mest in strookjes tussen het gras op de grond wordt gelegd. De eerste metingen wijzen op een grote vermindering van de ammoniakvervluchtiging ten opzichte van het breedwerpig verspreiden van de mest met een ketsplaat