How could the service delivery process of dynamic arm supports be optimized?

BACKGROUND: The service delivery process of dynamic arm support (DAS) is complex. Obtaining an optimal match between user and DAS depends on a variety of interrelated factors, different professionals are involved, and the market of available solutions is evolving. OBJECTIVE: To determine how the service delivery process of DAS could be optimized. METHODS: Interviews with DAS users that retrospectively focused on the experienced service delivery process, which was compared to the general Dutch prescription guideline. Results were presented in a focus group session to seven DAS consultants, and subsequently verified by a member-check. RESULTS: Sixteen people who considered the Gowing (a DAS new on the market) as a solution and seven DAS consultants participated. Aspects that can be optimized in the current service delivery process included an improved cooperation between clients, professionals and consultants, increased knowledge of DAS in professionals, an embedded user evaluation, and timely delivery. CONCLUSIONS: It is recommended that the service delivery process is optimized by developing a DAS specific prescription framework. The issues identified in this study should be addressed in this framework. For this additional knowledge on how to optimally match persons and DAS is needed

All the world's a screen.

Charlotte Gould and Paul Sermon developed and presented this collaborative new artwork entitled 'All the World's a Screen', a live interactive telecommunications performance, to link public audiences in Manchester and Barcelona. On the evening of Saturday 28th May 2011 participants at MadLab in Manchester's Northern Quarter and Hangar Artist Studios in Poblenou, Barcelona were joined together on screen for the first time to create their very own interactive generative cinema experience, complete with sets, costumes and props. Employing the scenography techniques of Alfred Hitchcock the artists created a miniature film set in which the remote audiences acted and directed their own movie, transporting participants into animated environments and sets where they created unique personalised narratives

Quality of collaboration and information handovers in palliative care: a survey study on the perspectives of nurses in the Southwest Region of the Netherlands

Background: When patients receiving palliative care are transferred between care settings, adequate collaboration and information exchange between health care professionals is necessary to ensure continuity, efficiency and safety of care. Several studies identified deficits in communication and information exchange between care settings. Aim of this study was to get insight in the quality of collaboration and information exchange in palliative care from the perspectives of nurses. Methods: We performed a cross-sectional regional survey study among nurses working in different care settings. Nurses were approached via professional networks and media. Respondents were asked questions about collaboration in palliative care in general and about their last deceased patient. Potential associations between quality scores for collaboration and information handovers and characteristics of respondents or patients were tested with Pearson’s chi-square test. Results: A total of 933 nurses filled in the questionnaire. Nurses working in nursing homes were least positive about inter-organizational collaboration. Forty-six per cent of all nurses had actively searched for such collaboration in the last year. For their last deceased patient, 10% of all nurses had not received the information handover in time, 33% missed information they needed. An adequate information handover was positively associated with timeliness and completeness of the information and the patient being well-informed, not with procedural characteristics. Conclusion: Nurses report that collaboration between care settings and information exchange in palliative care is suboptimal. This study suggests that health care organizations should give more attention to shared professionalization towards inter-organizational collaboration among nurses in order to facilitate high-quality palliative care

Suburban bliss or disillusionment: why do terrorists quit?

Security and Global Affair

Electromagnetic vertex function of the pion at T > 0

The matrix element of the electromagnetic current between pion states is calculated in quenched lattice QCD at a temperature of $T = 0.93 T_c$. The nonperturbatively improved Sheikholeslami-Wohlert action is used together with the corresponding ${\cal O}(a)$ improved vector current. The electromagnetic vertex function is extracted for pion masses down to $360 {\rm MeV}$ and momentum transfers $Q^2 \le 2.7 {\rm GeV}^2$.Comment: 17 pages, 8 figure

Single pulse versus pulse train cutaneous electrical stimulation during cold pressor test.

In the present study the effect of the cold pressor test (CPT) on the processing of electrical single pulses (SP) with changing amplitude and pulse trains (PT) with fixed amplitude was analysed using subjective pain ratings and evoked potentials. Healthy subjects were electrically stimulated at the left middle fingertip in a CPT and control protocol. In the CPT protocol the hand was immersed in water of 0-1°C; in the control protocol in water of 32°C. A total of 105 stimuli were applied in a protocol of five different stimulus amplitudes or number of pulses (NoP). The results showed a decrease of amplitude of EP wave components and decrease of subjective ratings by CPT, for both SP and PT. The relationship between NRS or EP amplitude and stimulus amplitude (SP) or NoP (PT) was unchanged by CPT

Hepatitis E virus sequences in swine related to sequences in humans, The Netherlands.

Hepatitis E virus (HEV), a major cause of viral hepatitis in much of the developing world, has recently been detected in swine in North America and Asia, raising concern about potential for zoonotic transmission. To investigate if HEV is commonly present in swine in the Netherlands, pooled stool samples from 115 swine farms and nine individual pigs with diarrhea were assayed by reverse transcription-polymerase chain reaction (RT-PCR) amplification. HEV RNA was detected by RT-PCR and hybridization in 25 (22%) of the pooled specimens, but in none of the individual samples. RT-PCR amplification products of open reading frames 1 and 2 were sequenced, and the results were compared with published sequences of HEV genotypes from humans and swine. HEV strains from swine in the Netherlands were clustered in at least two groups, together with European and American isolates from swine and humans. Our data show that HEV in swine in the Netherlands are genetically closely related to HEV isolates from humans. Although zoonotic transmission has not been proven, these findings suggest that swine may be reservoir hosts of HEV

Wat natuur de mens biedt : ecosysteemdiensten in Nederland

De natuur levert op een haast onmerkbare manier allerlei diensten aan de mens. Zo beschermen duinen ons land bijvoorbeeld tegen overstromingen en slaan bossen CO2 op. In Nederland zijn er diverse kansen om deze door de natuur geleverde diensten, of wel ecosysteemdiensten, te benutten. Om de discussie over ecosysteemdiensten, en de kansen die zij bieden, te stimuleren en te verdiepen heeft het Planbureau voor de Leefomgeving (PBL) samen met Wageningen UR een brochure uitgebracht. Deze biedt ook enkele aanknopingspunten voor het beleid