9 research outputs found

    Architectural Practice Supporting Sustainability Transitions in the Built Environment

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    Abstract Transitions towards sustainability are urgently needed to address the environmental and societal challenges on a global scale. This article applies concepts used in sustainability transition studies – niches and transition experiments – to architectural practice. A tentative evaluative scheme developed by Luederitz et al [1] is used in this article to analyse how transition experiments in architectural practice can be designed and performed to support sustainability transitions in the built environment. Three practice-led transition experiments addressing resource efficiency and frugality, reuse of materials, user involvement in design, self-building, etc. are analysed. The article concludes by discussing implications of using a transition experiment approach in architectural practice.</jats:p

    Developments in European Ecodesign Policy and the Prospects for Design for Sustainable Practices

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    European ecodesign policy is currently bringing material resource efficiency into focus. This paper explores how and to what extent policy addresses sustainable consumption-related issues, and what the consequences may be for the future role of design in supporting sustainable everyday consumption. How will policy help and hinder designers and others in creating change? The paper focuses on the prospects for practice-oriented design, which sees resource consumption as happening in and for the sake of social practices. It first introduces design for sustainable practices as currently explored in academia, highlighting features that distinguish it from ecodesign. Secondly, it turns to policy to describe and assess relevant instruments and envisaged changes. Based on that, and informed by practice theory and literature on the impact of policy on innovation, it discusses the potential impact of ecodesign policy on the prospects for design for sustainable practices. Finally, the paper turns the question around and asks what a practice-oriented policy might look like.Design EngineeringIndustrial Design Engineerin

    Technology and relational trust in care interactions

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    Arthroscopic surgical procedures versus sham surgery for patients with femoroacetabular impingement and/or labral tears: study protocol for a randomized controlled trial (HIPARTI) and a prospective cohort study (HARP)

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    Study Design Study protocol for a randomized controlled trial and a prospective cohort. Background The number of arthroscopic surgical procedures for patients with femoroacetabular impingement syndrome (FAIS) has significantly increased worldwide, but high-quality evidence of the effect of such interventions is lacking. Objectives The primary objective will be to determine the efficacy of hip arthroscopic procedures compared to sham surgery on patient-reported outcomes for patients with FAIS (HIP ARThroscopy International [HIPARTI] Study). The secondary objective will be to evaluate prognostic factors for long-term outcome after arthroscopic surgical interventions in patients with FAIS (Hip ARthroscopy Prospective [HARP] Study). Methods The HIPARTI Study will include 140 patients and the HARP Study will include 100 patients. The international Hip Outcome Tool-33 will be the primary outcome measure at 1 year. Secondary outcome measures will be the Hip disability and Osteoarthritis Outcome Score, Arthritis Self-Efficacy Scale, fear of movement (Tampa Scale of Kinesiophobia), Patient-Specific Functional Scale, global rating of change score, and expectations. Other outcomes will include active hip range of motion, hip muscle strength tests, functional performance tests, as well as radiological assessments using radiographs and magnetic resonance imaging. Conclusion To determine the true effect of surgery, beyond that of placebo, double-blinded placebo-controlled trials including sham surgery are needed. The HIPARTI Study will direct future evidence-based treatment of FAIS. Predictors for long-term development and progression of degenerative changes in the hip are also needed for this young patient group with FAIS; hence, responders and nonresponders to treatment could be determined.</p

    Arthroscopic surgical procedures versus sham surgery for patients with femoroacetabular impingement and/or labral tears: study protocol for a randomized controlled trial (HIPARTI) and a prospective cohort study (HARP)

    No full text
    Study Design Study protocol for a randomized controlled trial and a prospective cohort. Background The number of arthroscopic surgical procedures for patients with femoroacetabular impingement syndrome (FAIS) has significantly increased worldwide, but high-quality evidence of the effect of such interventions is lacking. Objectives The primary objective will be to determine the efficacy of hip arthroscopic procedures compared to sham surgery on patient-reported outcomes for patients with FAIS (HIP ARThroscopy International [HIPARTI] Study). The secondary objective will be to evaluate prognostic factors for long-term outcome after arthroscopic surgical interventions in patients with FAIS (Hip ARthroscopy Prospective [HARP] Study). Methods The HIPARTI Study will include 140 patients and the HARP Study will include 100 patients. The international Hip Outcome Tool-33 will be the primary outcome measure at 1 year. Secondary outcome measures will be the Hip disability and Osteoarthritis Outcome Score, Arthritis Self-Efficacy Scale, fear of movement (Tampa Scale of Kinesiophobia), Patient-Specific Functional Scale, global rating of change score, and expectations. Other outcomes will include active hip range of motion, hip muscle strength tests, functional performance tests, as well as radiological assessments using radiographs and magnetic resonance imaging. Conclusion To determine the true effect of surgery, beyond that of placebo, double-blinded placebo-controlled trials including sham surgery are needed. The HIPARTI Study will direct future evidence-based treatment of FAIS. Predictors for long-term development and progression of degenerative changes in the hip are also needed for this young patient group with FAIS; hence, responders and nonresponders to treatment could be determined
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