AGEING AND AGEING CITIES: HEALTHY AND FUNCTIONAL

By 2050, 70% of the population will live in cities. The majority of the persons living in cities will be 60 plus years old. Ageing cities demands for cities environments to adapt to an ageing population. Modern cities though, don’t anticipate fast enough and in an adequate manner to face the challenges due to population-related transitions. Modifying and adapting the built environment with a focus on the aged population could help to support older people facing functional and cognitive decline

The effect of indoor air quality in Dutch higher education classrooms on students' health and performance

Teachers and students need good learning environments to perform well. In this study it is pre-supposed that the spatial properties of classrooms can contribute to the quality of the educational process. Thermal, acoustic and visual conditions and indoor air quality (IAQ) may be extremely powerful in order to support the in-class tasks of teachers and students. But what are the optimal conditions? And do schools provide optimal indoor 2019 ISES ISIAQ Joint Annual Meeting – Abstracts | 362 environmental conditions? Research shows that adequate ventilation and thermal comfort in classrooms could improve academic performance of students. However, different studies also suggest that poor indoor environmental quality in classrooms are common and, in some cases, even unhealthy. This study investigates the relationship between indoor air quality (IAQ), perceived indoor air quality (PIAQ) and building-related symptoms of students in university classrooms via subjective assessment and objective measurement. This study was carried out in 59 classrooms of a university of applied sciences in the northern part of the Netherlands during heatingseason. Responses from 366 students were obtained through a questionnaire. Results shows that carbon dioxide concentrations (CO2) exceed minimum Dutch guidelines in 36% of the observed classrooms. Moreover, after a 40 minute class this raised to 45% of the observed classes. Poor IAQ can affect teachers and students level of attention, cause arousal and increase the prevalence of building-related symptoms. A significant correlation was found between CO2 concentrations and PIAQ and between PIAQ and the ability to concentrate, tiredness and dry skin. The research findings imply that increased CO2 concentrations will affect the PIAQ of students and may cause inability to concentrate, increased tiredness and dry skin. These building-related symptoms can cause distraction and affect the academic performance of students negatively. It is highly recommended to improve IAQ in classrooms by offering better indoor environmental conditions through reducing CO2 concentrations

The influence of indoor air quality in classrooms on the short-term academic performance of students in higher education; a field study during a regular academic course

The indoor air quality (IAQ) in classrooms in higher education can influence in-class activities positively. In this context, the actual IAQ and students’ perceived IAQ (PIAQ), perceived cognitive performance (PCP), and short-term academic performance (SAP) were examined in two identical classrooms during regular academic courses. During the lecture, key performance indicators (KPI) for the IAQ, i.e. carbon dioxide concentration, particulate matter 2.5, and total volatile organic compounds, were measured. After the lecture, responses of 163 students were collected with a validated self-composed questionnaire and a cognitive test, which covered topics discussed during the lecture. A significant association between the IAQ KPI and the PIAQ was found (p < .000). The PIAQ significantly predicted the PCP (p < .05) and the PCP significantly predicted the SAP score (p < .01). These results indicate that the IAQ in classrooms is associated with the PIAQ and PCP, and therefore is associated with students’ SAP.publishedVersio

The influence of indoor air quality in classrooms on the short-term academic performance of students in higher education; a field study during a regular academic course

The indoor air quality (IAQ) in classrooms in higher education can influence in-class activities positively. In this context, the actual IAQ and students’ perceived IAQ (PIAQ), perceived cognitive performance (PCP), and short-term academic performance (SAP) were examined in two identical classrooms during regular academic courses. During the lecture, key performance indicators (KPI) for the IAQ, i.e. carbon dioxide concentration, particulate matter 2.5, and total volatile organic compounds, were measured. After the lecture, responses of 163 students were collected with a validated self-composed questionnaire and a cognitive test, which covered topics discussed during the lecture. A significant association between the IAQ KPI and the PIAQ was found (p < .000). The PIAQ significantly predicted the PCP (p < .05) and the PCP significantly predicted the SAP score (p < .01). These results indicate that the IAQ in classrooms is associated with the PIAQ and PCP, and therefore is associated with students’ SAP.publishedVersio

Games to support teaching clinical reasoning in health professions education:a scoping review

INTRODUCTION: Given the complexity of teaching clinical reasoning to (future) healthcare professionals, the utilization of serious games has become popular for supporting clinical reasoning education. This scoping review outlines games designed to support teaching clinical reasoning in health professions education, with a specific emphasis on their alignment with the 8-step clinical reasoning cycle and the reflective practice framework, fundamental for effective learning.METHODS: A scoping review using systematic searches across seven databases (PubMed, CINAHL, ERIC, PsycINFO, Scopus, Web of Science, and Embase) was conducted. Game characteristics, technical requirements, and incorporation of clinical reasoning cycle steps were analyzed. Additional game information was obtained from the authors.RESULTS: Nineteen unique games emerged, primarily simulation and escape room genres. Most games incorporated the following clinical reasoning steps: patient consideration (step 1), cue collection (step 2), intervention (step 6), and outcome evaluation (step 7). Processing information (step 3) and understanding the patient's problem (step 4) were less prevalent, while goal setting (step 5) and reflection (step 8) were least integrated.CONCLUSION: All serious games reviewed show potential for improving clinical reasoning skills, but thoughtful alignment with learning objectives and contextual factors is vital. While this study aids health professions educators in understanding how games may support teaching of clinical reasoning, further research is needed to optimize their effective use in education. Notably, most games lack explicit incorporation of all clinical reasoning cycle steps, especially reflection, limiting its role in reflective practice. Hence, we recommend prioritizing a systematic clinical reasoning model with explicit reflective steps when using serious games for teaching clinical reasoning.</p

Filtration &amp; Energy:Is demand controlled filtration in cleanrooms interesting from an energy point-of-view

Ten behoeve van de luchtkwaliteit worden grote ventilatiedebieten gehanteerd in cleanrooms; dit vaak 24/7. Om het energiegebruik te reduceren zijn mogelijkheden onderzocht om het debiet te reduceren bij gelijkblijvende prestaties op luchtkwaliteitgebied; nachtreductie, sturing op deeltjesconcentratie en op basis van bezetting. Metingen zijn uitgevoerd en simulaties zijn ingezet om de mogelijkheden te beoordelen. Uit de metingen en simulaties blijkt dat voor de onderzochte farmaceutische cleanrooms tot 90% energiebesparing mogelijk is. Overdimensionering en beperkt gebruikt zijn de oorzaak hiervan. Sturing op bezetting wordt als meest praktisch en effectief beoordeeld voor de onderzochte situaties.Dutch: De noodzaak van grote debieten in cleanrooms is mede afhankelijk van het type gebruik (de belasting) en de tijdsduur. Resultaat op dit moment is echter dat, bijvoorbeeld, een GMP B ruimte tot meer dan 25 keer meer energie gebruikt dan een niet-geclassificeerde ruimte [2]. Of het gehanteerde ventilatievoud daarbij representatief is? Dat is vaak nog een vraag. In de ontwerpfase is het veelal nog onduidelijk wat de exacte belasting (deeltjesproductie) zal zijn [3]. Als ontwerper zullen dan normaal gesproken, en noodgedwongen, wat zekerheden worden ingebouwd ten aanzien van de capaciteit

The TeleTriageTeam, Offering Continuity of Personalized Care Through Telemedicine:Development and Evaluation

BACKGROUND: The COVID-19 pandemic taught us how to rethink care delivery. It catalyzed creative solutions to amplify the potential of personnel and facilities. This paper presents and evaluates a promptly introduced triaging solution that evolved into a tool to tackle the ever-growing waiting lists at an academic ophthalmology department, the TeleTriageTeam (TTT). A team of undergraduate optometry students, tutor optometrists, and ophthalmologists collaborate to maintain continuity of eye care. In this ongoing project, we combine innovative interprofessional task allocation, teaching, and remote care delivery.OBJECTIVE: In this paper, we described a novel approach, the TTT; reported its clinical effectiveness and impact on waiting lists; and discussed its transformation to a sustainable method for delivering remote eye care.METHODS: Real-world clinical data of all patients assessed by the TTT between April 16, 2020, and December 31, 2021, are covered in this paper. Business data on waiting lists and patient portal access were collected from the capacity management team and IT department of our hospital. Interim analyses were performed at different time points during the project, and this study presents a synthesis of these analyses.RESULTS: A total of 3658 cases were assessed by the TTT. For approximately half (1789/3658, 48.91%) of the assessed cases, an alternative to a conventional face-to-face consultation was found. The waiting lists that had built up during the first months of the pandemic diminished and have been stable since the end of 2020, even during periods of imposed lockdown restrictions and reduced capacity. Patient portal access decreased with age, and patients who were invited to perform a remote, web-based eye test at home were on average younger than patients who were not invited.CONCLUSIONS: Our promptly introduced approach to remotely review cases and prioritize urgency has been successful in maintaining continuity of care and education throughout the pandemic and has evolved into a telemedicine service that is of great interest for future purposes, especially in the routine follow-up of patients with chronic diseases. TTT appears to be a potentially preferred practice in other clinics and medical specialties. The paradox is that judicious clinical decision-making based on remotely collected data is possible, only if we as caregivers are willing to change our routines and cognitions regarding face-to-face care delivery.</p