In dit artikel wordt een classificatieschema gepresenteerd waarmee veranderingen aan informatiesystemen, die beslissingen uitvoeren, kunnen worden getypeerd. Hierbij wordt een onderscheid gemaakt tussen de moeite van de wijziging voor de interne organisatie en de klant.

Many attempts in measuring the pulse and potential of a creative city have been undertaken during the last decade or so. Popular notions like Creative City or Creative Class were coined and catered for policy-makers and urban developers, which try to explain how to create and retain prosperity and affluence …

Three ideas are central to this booklet. First, the teaching/learning process is seen as a multi-modal form of teaching/learning. A form of learning that is distributed over the entire body: a living process that requires a bodily attentiveness and dynamical attunement of both teacher and pupil. Second, …

Background: Activity trackers can potentially stimulate users to increase their physical activity behavior. The aim of this study was to examine the reliability and validity of ten consumer activity trackers for measuring step count in both laboratory and free-living conditions. Method: Healthy adult …

Cardiovascular disease is an important cause of disability in activities of daily living (ADL) through its effect on physical functioning. However, it is unclear whether subclinical vascular abnormalities and rate of change in subclinical vascular abnormalities is also associated with an impaired physical …

Ultrasonic Verification is a new method for the monitoring large surface areas of CFRP by ultrasound with few sensors. The echo response of a transmitted pulse through the structure is compared with the response of an earlier obtained reference signal to calculate a fidelity parameter.

The observed persistent soft X-ray spectra (0.5 - 10 keV) of anomalous Xray pulsars (AXPs) can be explained by the magnetar model (Woods and Thompson et al., 2002 [3]) where the emission is powered by the decay of an extreme high magnetic eld ( 1014 G). Because these spectra are relatively soft, measurements …

Background: Patients with Senning repair for complete transposition of the great arteries (d-TGA) show an impaired exercise tolerance. Our aim was to investigate changes in exercise capacity in children, adolescents and adults with Senning operation. Methods: Peak oxygen uptake (peak VO2), oxygen pulse …

OBJECTIVE: Juvenile dermatomyositis (DM) is an inflammatory myopathy in which the immune system targets the microvasculature of the skeletal muscle and skin, leading to significant muscle weakness and exercise intolerance, although the precise etiology is unknown. The goal of this study was to investigate …

STUDY OBJECTIVE: Endotracheal suctioning in intubated patients is routinely applied in most ICUs but may have negative side effects. We hypothesised that on-demand minimally invasive suctioning would have fewer side effects than routine deep endotracheal suctioning, and would be comparable in duration …