Niederrhein University of Applied Sciences
Krefeld, Germany
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The aim of this systematic review with meta-analysis was to investigate if using textured or other types of stimulating insoles improve gait characteristics and balance/postural control in patients with multiple sclerosis and Parkinson's disease. Primary outcomes for balance were the center of pressure (CoP) displacement and CoP velocity/sway rate. Primary outcomes for gait were the cadence, velocity, and step length. Standardized mean differences (SMD) were used to verify the efficacy of wearing the insoles on gait and balance outcome measures. Study quality was evaluated using the checklist of the CONSORT- Statement. Six studies were included in the review. Five studies had low methodological quality, scoring <17/37 on the checklist, one study had moderate methodological quality, scoring 27/37 on the checklist. Due to designs of the included studies, only immediate effects could be calculated. Among the primary outcome measures cadence, gait velocity and step length, there was no evidence of an effect of using textured/stimulating insoles compared with the respective control condition (Totals: SMD −0.09, 95% CI −0.35 to 0.16; SMD 0.18, 95% CI −0.17 to 0.53; SMD −0.13, 95% CI −0.31 to 0.05). Furthermore, among the primary outcome measures CoP displacement and CoP velocity, no evidence of an effect was found as well (Subtotals multiple sclerosis: SMD 0.07, 95% CI −0.15 to 0.28; SMD −0.08, 95% CI −0.55 to 0.39). Therefore, using textured or other types of stimulating insoles for the treatment of balance and gait impairments in patients with multiple sclerosis and Parkinson's disease seem to have no effect. © 2016 Elsevier B.V.

Agency: European Commission | Branch: H2020 | Program: CSA | Phase: PHC-34-2014 | Award Amount: 939.72K | Year: 2015

ASSESS CT will contribute to better semantic interoperability of eHealth services in Europe, in order to optimise care and to minimise harm in delivery of care. In a joint one-year effort, the ASSESS CT consortium will investigate the fitness of the clinical terminology SNOMED CT as a potential standard for EU-wide eHealth deployments, scrutinising clinical, technical, financial, and organisational aspects. Unbiased towards SNOMED CT adoption, the ASSESS CT project will employ established evaluation approaches from social science. It will scrutinise adoption against two alternative scenarios: to abstain from actions at the EU level, or to devise an EU-wide semantic interoperability framework without SNOMED CT. ASSESS CT will review the current state of SNOMED CT through survey and focus group, regarding its use by IHTSDO members and the fulfilment of semantic interoperability use cases, the relationship with EU-wide recommendations, known technical and organisational drawbacks, and maintenance of the terminology. A series of studies using sampled clinical data will provide new evidence about conceptual and term coverage for selected languages, as well as technical fitness in manual and automated semantic annotation scenarios. The consortium will also analyse the impact of SNOMED CT adoption from a socio-economic viewpoint, encompassing management, business, organisational, and governance aspects. Validation of all working tasks, both political and domain-specific, will be secured through four large workshops with a list of distinguished experts assembled in an Expert Panel, Committee of MS Representatives, and national focus groups. Sufficient budget is reserved, also for coordination across the parallel H2020 Call PHC34 projects. Concrete strategy recommendations will be delivered to both MS, the EC, and SDOs about how SNOMED CT can scale up successful adoption and contribute to building a EU eHealth Interoperability Framework.

Abdel-Wahab M.,Robert Gordon University | Vogl B.,Niederrhein University of Applied Sciences
Construction Management and Economics | Year: 2011

Productivity is a key driver for economic growth and prosperity in any country. The pursuit of productivity growth requires an understanding of the factors affecting productivity. The trend of productivity growth, along with the possible factors underlying such growth across Europe, the US and Japan, is thus examined. In particular, there is a focus on comparing the productivity performance of the construction sector to that of other industries. Using the recently released EU KLEMS 1 database, 2 a growth accounting framework was adopted to assess the contribution of the following factors to productivity growth (during 1971-2005): capital, labour quality and total factor productivity (TFP). It was found that there is a general slowdown in labour productivity growth in total industries including construction across major OECD countries, with the exception of the UK. The differences in labour productivity growth between construction and total industries can be largely explained by construction's poor TFP performance. With the exception of the UK, TFP negatively contributed to labour productivity growth in the period 1990-2005, suggesting that the industry has become less efficient in combining the factors of production. That phenomenon seems to be consistent across all selected countries and warrants further investigation. Indeed a better understanding of the factors underlying productivity growth in OECD countries is a prerequisite for effective intervention of policy makers to support sustained productivity growth. © 2011 Taylor & Francis.

Renkens W.,Renkens Consulting | Kyosev Y.,Niederrhein University of Applied Sciences
Textile Research Journal | Year: 2011

Warp knitted fabrics are widely used in medical and technical applications, as well as for clothing textiles. To predict their properties, it is useful to have knowledge about the yarn geometry and the yarn interactions within these fabrics. The geometrical modelling of warp knitted structures from single bed knitting machines is documented in the literature. This text concentrates on a computation of the geometry of warp knitted structures, which have complex 3D forms or which are draped over similar ones. The topological information about the structure produced on the machine, is used to create the basic geometry of this structure. After creating the basic geometry, it is transferred to a 3D deformed state of the relaxed fabric. The paper starts with a short overview of the research papers about simulation of warp knitted structures. General theoretical remarks about the transformation from basic structure to 3D structure are given. Examples of spacer fabric with constant or non-constant thickness and tubular fabrics are included. All the results concentrate on the topological representation of the geometry and at this stage do not take into account the influence of internal and external forces exerted on the fabric. © The Author(s) 2010.

Ellinger S.,Niederrhein University of Applied Sciences
Current Opinion in Clinical Nutrition and Metabolic Care | Year: 2016

PURPOSE OF REVIEW: The purpose of review is to provide an overview on specific nutrients which play an important role in bowel wound healing, and to judge the efficacy of supplementation to derive recommendations for clinical practice. RECENT FINDINGS: Glutamine, arginine, butyrate, ω-3 fatty acids, nucleotides, and several micronutrients are involved in bowel wound healing. However, with regard to clinical trials, the efficacy of supplementation of specific nutrients on bowel wound healing in patients with inflammatory bowel diseases has not been clarified yet. In patients undergoing colon surgery, sufficient evidence exists that the perioperative supply of an enteral immunomodulating formula enriched with arginine, nucleotides, and ω-3 fatty acids may improve intestinal wound healing, considering the lower risk of wound infections, wound dehiscence, and intra-abdominal abscess. SUMMARY: Even if a range of nutrients are involved in bowel wound healing, only perioperative supply of an enteral immunomodulating formula to cancer patients undergoing colon surgery, can be recommended. Further randomized controlled trials are needed to elucidate the efficacy of individual nutrients on intestinal wound healing. Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.

Neu C.,Niederrhein University of Applied Sciences
Geographische Rundschau | Year: 2011

Demographic change and cash-strapped public coffers have brought about diverse changes in the public provision of infrastructure at the municipal level. Peripheral rural regions are confronted by numerous challenges due to the conversion and dismantling of public infrastructure: schools are being closed and public transportation services reduced to the bussing of school children. Rural populations are already feeling the negative impacts: reduced quality of life, and for many, reduced access to infrastructure services in the areas of health, education, and public transport. These developments in rural regions should not, however, be viewed in isolation; they are evidence of the broader transformation of the welfare state. In this situation, citizens are being expected to take on a new level of personal responsibility-for their personal well-being, for their retirement, or for the neighborhood and community in which they live. To stop rural areas from being increasingly cut off and isolated, new priorities need to be set to increase the quality of life and establish new forms of cooperation between the state, the market, and the citizens themselves. Changes making infrastructure provision more flexible should no longer be understood purely as cost-cutting measures, but as a possible means of developing needs-based, demand-oriented services (e.g., schools, public transport). Actually new forms of rural corner shops were established. These multifunctional stores do not just sell food and beverages; they offer also a wide range of services like stamps and an ATM to increase quality of life in remote areas. Moreover such shops are a means to empower the rural community to stay autonomous and to participate in municipal life. As long as citizen engagement is misunderstood solely as a stopgap to take the place of disappearing government services, an active civic society will have no potential to develop. If citizens are to be encouraged to take on a more active role at the municipal level, it will be essential to provide them with the legal and financial resources they need, and to grant them explicit decision-making powers.

Strehmel V.,Niederrhein University of Applied Sciences
Chemie-Ingenieur-Technik | Year: 2011

Ionic liquids are discussed as new solvents for synthesis and modification of polymers. Polymerizations occuring by radical, ionic, complex coordinative or enzymatic mechanism, ring opening polymerizations, group transfer polymerizations, and polycondensations have been successfully carried out in ionic liquids. Polymer analogous reactions using either natural or synthetic polymers dissolved in ionic liquids result in modification of the polymer structure, and therefore, in variation of the polymer properties. Ionic liquids bearing polymerizable functional groups are interesting monomers for manufacturing of new polymer materials. Potential application fields include batteries, materials for separation processes in analytical chemistry up to coatings with antimicrobial effects. Copyright © 2011 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

Niederrhein University of Applied Sciences | Date: 2011-06-06

A device and method for qualitatively and/or quantitatively detecting Legionella in water or aqueous solutions comprising at least one inlet for introducing a sample volume into a filtration cell, a filtration device, a device for separating immunomagnetically bonded Legionella, a detection cell, a device for transferring immunomagnetically bonded Legionella into the detection cell, a device for exciting a fluorescence of Legionella having fluorescent marking, and a detector unit for detecting the fluorescence of Legionella having fluorescent marking is provided. The microorganisms present in a sample volume can be filtered out of the sample volume by means of the filtration device in the filtration cell, immunomagnetic compounds for selectively marking Legionella can be introduced into the retentate of the filtration cell, and the immunomagnetically bonded Legionella can be separated from other microorganisms by means of the device and transferred into the detection cell by means of a transfer device.

Niederrhein University of Applied Sciences | Date: 2010-05-20

A method for producing electroluminescent textiles and to electroluminescent textiles produced accordingly is provided. A layer arrangement (10) of an electroluminescent textile comprises a textile substrate (1), a protective layer (2), a first transparent conductive layer or front electrode (3), a light-emitting layer (4), a dielectric layer (5), a second conductive layer or back electrode (6), a conductive rail (7), and a cover layer (8). As associated method is further provided.

Bendt E.,Niederrhein University of Applied Sciences
IOP Conference Series: Materials Science and Engineering | Year: 2016

The presentation wants to show what kind of problems fashion and textile designers are facing in 3D-knitwear design, especially regarding fashionable flat-knit styles, and how they can use different kinds of techniques and processes to generate new types of 3D-designs and structures. To create really new things we have to overcome standard development methods and traditional thinking and should start to open our minds again for the material itself to generate new advanced textile solutions. This paper mainly introduces different results of research projects worked out in the master program "Textile Produkte" during lectures in "Innovative Product Design" and "Experimental Knitting". © Published under licence by IOP Publishing Ltd.

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