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Urban Harvest + Approach for 0-impact Built Environments, Case Kerkrade West
Rovers, Ronald,Rovers, Vera,Leduc, Wouter,Gommans, Leo,Sap, Herwin,Van Kann, Ferry Sustainable Building Research Center 2011 International journal of sustainable building tech Vol.2 No.2
The need to restructure our society into a sustainable society has been recognised by many, though a clear direction and ambition in this process usually fails. At the Research Institute for the Built Environment of Tomorrow, RiBuilT, the definition of a sustainable society has been summarised as the 'Concept of O': O for a circular approach of resource management, and 0 (zero) for 0-impacts of our activities; 0-energy, 0-materials, 0-water, 0-landuse and 0-air (pollution). In order to apply this approach to existing urban environments, the Urban Harvestplus approach was developed. This paper will analyse the first test results of the actual implementation of this approach on the Dutch district of Kerkrade West. The pilot on Kerkrade West shows that even when the production of resources is maximised and the demand for them will be drastically reduced, it will still be hard to achieve the 0-impact state. We need new and more innovative solutions to actually make it happen. However, the Urban Harvestplus approach proved to be a straight forward approach in getting closer to the zero-impact situation. It also clarified the interaction between resources and made clear that resource cycles should never be considered on their own, but always in relation to each other to avoid sub-optimisation. Many questions and areas are left for further research, but we believe Urban Harvest-plus represents a strong basis to depart from.
Towards 0-impact Buildings and Built Environments: Review of the SB10 Conference Western Europe
Rovers, Ronald Sustainable Building Research Center 2011 International journal of sustainable building tech Vol.2 No.2
The SB10 Conference Western Europe chose a challenging theme: towards 0-impact buildings and built environments. Looking back at the event which took place from the 11th up to the 13th of October in Maastricht, Heusden-Zolder, Liege and Aachen, we can conclude that this has been taken up very well by the 190 participants. The limits and ambitions were pushed, both by keynote speakers and paper authors. Most papers included the 0- ambition in their paper, and the authors explored the consequences of such ambition. Sometimes leading to lively discussions during and after presentations. The organization of the conference by Zuyd university, Cedubo, Haute Ecole de la Province de Liege and Fachhochschule Aachen was an inspiration to organize the conference itself in the four different cities in the Euregion.
Rovers, Ronald Sustainable Building Research Center 2010 International journal of sustainable building tech Vol.1 No.2
The attention paid to climate change due to energy consumption from fossil fuels leaves unaddressed other issues that might even be more threatening to global welfare. First of all we have the global depletion of fossil fuels. This, and the related economic effects, can put the world in direct disorder and leave many areas and cities without (a distribution of) resources (energy but also food). The second issue is that of materials. Many materials also face shortages or depletion and a transition to renewable source materials is just as urgently needed as are renewable energy sources. In both cases, depletion is the issue that must be tackled and which automatically will require us to develop a resource management structure that can be maintained in future. Such an approach will require the treatment of resources in a closed loop related to the time frame of use. The questions that should be addressed in this context are: How would a closed loop approach for the building sector look like? How could we assess building performance in this closed loop approach?
Cho, Y.,Cole, R.,Ikaga, T.,Larsson, N.,Moro, A.,Rovers, R.,Shin, S. Sustainable Building Research Center 2010 International journal of sustainable building tech Vol.1 No.1
The purpose of the discussion is to enhance the understanding of importance of sustainable development in the industry and to expand the international relation on the technology of sustainable architecture. The theme of SB10 SEOUL conference, "Sustainable Building Assessment Technology and Strategies for Higher Education" is selected to expand the knowledge of the current condition and the direction of future in sustainable building assessment technology.
Lara Burg,Maite Timmermans,Maaike van der Aa,Dorry Boll,Koen Rovers,Ignace de Hingh,Anne van Altena 대한부인종양학회 2020 Journal of Gynecologic Oncology Vol.31 No.5
Objective: Peritoneal metastases (PM) are a challenge in gynecological cancers, but itsappearance has never been described in a population-based study. Therefore, we describe theincidence of PM and identify predictors that increase the probability of peritoneal spread. Methods: All ovarian, endometrial and cervical cancer patients diagnosed in the Netherlandsbetween 1989 and 2015 were identified from the Netherlands Cancer Registry and stratifiedfor PM. Crude and age-adjusted incidence over time was calculated. Independent predictorsfor PM were identified using uni- and multivariable analyses. Results: The 94,981 patients were diagnosed with ovarian, endometrial or cervicalcancer and respectively 61%, 2% and 1% presented with PM. Predictors for PM in ovariancancer were: age between 50 and 74 years (odds ratio [OR]=1.19; 95% confidence interval[CI]=1.08–1.32), other distant metastases (OR=1.25; 95% CI=1.10–1.41), poor differentiationgrade (OR=2.00; 95% CI=1.73–2.32) and serous histology. Predictors in endometrial cancerwere lymph node metastases (OR=2.32; 95% CI=1.65–3.26), other distant metastases(OR=1.38; 95% CI=1.08–1.77), high-grade tumors (OR=1.95; 95% CI=1.38–2.76) and clearcell (OR=1.49; 95% CI=1.04–2.13) or serous histology (OR=2.71; 95% CI=2.15–3.42). Incervical cancer, the risk is higher in adenocarcinoma than in squamous cell carcinoma(OR=4.92; 95% CI=3.11–7.79). Conclusion: PM are frequently seen in patients with ovarian cancer. In endometrial andcervical cancer PM are rare. Histological subtype was the strongest predictive factor for PMin all 3 cancers. Better understanding of predictive factors for PM and thus the biologicalbehavior is of paramount importance.
Song, Kyu-Dong,Cole, Raymond J.,Golden, Jay S.,Rovers, Ronald,Shin, Sung-Woo Sustainable Building Research Center 2010 International journal of sustainable building tech Vol.1 No.2
The purpose of the discussion is to enhance the understanding of importance of sustainable development in the industry and to expand the international relation on the technology of sustainable architecture. The theme of SB10 SEOUL conference, "Sustainable Building Assessment Technology and Strategies for Higher Education" is selected to expand the knowledge of the current condition and the direction of sustainable building assessment technology in the future.
Schizophrenia, Depression, and Sleep Disorders: Their Traditional Oriental Medicine Equivalents
Bosch, P.,de Rover, P.,Staudte, H.,Lim, S.,van den Noort, M. Elsevier Science B.V., Amsterdam 2015 JOURNAL OF ACUPUNCTURE AND MERIDIAN STUDIES Vol.8 No.1
Psychiatric disorders can be described and treated from both a Western (allopathic) and an Eastern perspective, which should be taken into account when conducting research. Patients with schizophrenia or depression are likely to be undergoing Western treatment when they are referred to an acupuncturist for (add-on) treatment, and knowledge of both types of treatments is necessary to integrate them successfully. In this study, the different Traditional Oriental Medicine (TOM) diagnostic patterns in patients with a Western diagnosis of schizophrenia, depression, or sleep disorders are described from a literature and a clinical perspective. The data on 30 depression and 30 schizophrenia patients from a German study are presented. Our results show that if a psychiatric group, sorted in accordance to Western diagnostic principles, is diagnosed on the basis of TOM diagnostic patterns, it can be categorized into different groups of patients with psychiatric disorders; this finding has far-reaching consequences in scientific research on acupuncture. Moreover, we found a high prevalence of sleep disorders in patients with both schizophrenia and depression, which could be explained from the perspective of a TOM diagnostic pattern. Finally, we discuss sleep quality as a treatment objective that may play a crucial role in mediating acupuncture-induced treatment effects in patients with schizophrenia and depression.
Schizophrenia, Depression, and Sleep Disorders: Their Traditional Oriental Medicine Equivalents
Peggy Bosch,Peter de Rover,Heike Staudte,임사비나,Maurits van den Noort 사단법인약침학회 2015 Journal of Acupuncture & Meridian Studies Vol.8 No.1
Psychiatric disorders can be described and treated from both a Western (allopathic) and an Eastern perspective, which should be taken into account when conducting research. Patients with schizophrenia or depression are likely to be undergoing Western treatment when they are referred to an acupuncturist for (add-on) treatment, and knowledge of both types of treatments is necessary to integrate them successfully. In this study, the different traditional Oriental medicine (TOM) diagnostic patterns in patients with a Western diagnosis of schizophrenia, depression, or sleep disorders are described from a literature and a clinical perspective. The data on 30 depression and 30 schizophrenia patients from a German study are presented. Our results show that if a psychiatric group, sorted in accordance to Western diagnostic principles, is diagnosed on the basis of TOM diagnostic patterns, it can be categorized into different groups of patients with psychiatric disorders; this finding has far-reaching consequences in scientific research on acupuncture. Moreover, we found a high prevalence of sleep disorders in patients with both schizophrenia and depression, which could be explained from the perspective of a TOM diagnostic pattern. Finally, we discuss sleep quality as a treatment objective that may play a crucial role in mediating acupuncture-induced treatment effects in patients with schizophrenia and depression.
The Conversion Rate of Bipolar Hemiarthroplasty after a Hip Fracture to a Total Hip Arthroplasty
Sulaiman Alazzawi,Walter B Sprenger De Rover,James Brown,Ben Davis 대한정형외과학회 2012 Clinics in Orthopedic Surgery Vol.4 No.2
Background: Bipolar hip hemiarthroplasty is used in the management of fractures of the proximal femur. The dual articulation iscited as advantageous in comparison to unipolar prostheses as it decreases acetabular erosion, has a lower dislocation rates andis easier to convert to a total hip arthroplasty (THA) should the need arise. However, these claims are debatable. Our study examinesthe rate of conversion of the bipolar hemiarthroplasty to THA and the justifi cation for using it on the basis of future conversionto THA. Methods: All cases of bipolar hemiarthroplasty performed in our unit for hip fractures over a 9-year period (1999-2007) were reviewed. Medical notes and radiographs of all patients were reviewed, and all surviving patients that were contactable received atelephone follow-up. Results: Of all 164 patients reviewed with a minimum of 1 year from date of surgery, 4 patients had undergone a conversion oftheir bipolar prosthesis to THA. Three conversions were performed for infection, dislocation, and fracture. Only one (0.6%) conversionwas performed for groin pain. Conclusions: Our study show that bipolar hemiarthroplasties for hip fractures have a low conversion rate to THAs and this iscomparable to the published conversion rate of unipolar hemiarthroplasties.