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Sample records for breech delivery dutch

  1. Implementation of the external cephalic version in breech delivery. Dutch national implementation study of external cephalic version

    NARCIS (Netherlands)

    Vlemmix, F.; Rosman, A.N.; Fleuren, M.A.H.; Rijnders, M.E.B.; Beuckens, A.; Haak, M.C.; Akerboom, B.M.C.; Bais, J.M.J.; Kuppens, S.M.I.; Papatsonis, D.N.; Opmeer, B.C.; Post, J.A.M. van der; Mol, B.W.J.; Kok, M.

    2010-01-01

    Background: Breech presentation occurs in 3 to 4% of all term pregnancies. External cephalic version (ECV) is proven effective to prevent vaginal breech deliveries and therefore it is recommended by clinical guidelines of the Royal Dutch Organisation for Midwives (KNOV) and the Dutch Society for

  2. Implementation of the external cephalic version in breech delivery Dutch national implementation study of external cephalic version

    NARCIS (Netherlands)

    Vlemmix, Floortje; Rosman, Ageeth N.; Fleuren, Margot A. H.; Rijnders, Marlies E. B.; Beuckens, Antje; Haak, Monique C.; Akerboom, Bettina M. C.; Bais, Joke M. J.; Kuppens, Simone M. I.; Papatsonis, Dimitri N.; Opmeer, Brent C.; van der Post, Joris A. M.; Mol, Ben Willem J.; Kok, Marjolein

    2010-01-01

    ABSTRACT: BACKGROUND: Breech presentation occurs in 3 to 4 % of all term pregnancies. External cephalic version (ECV) is proven effective to prevent vaginal breech deliveries and therefore it is recommended by clinical guidelines of the Royal Dutch Organisation for Midwives (KNOV) and the Dutch

  3. Implementation of the external cephalic version in breech delivery. Dutch national implementation study of external cephalic version

    Directory of Open Access Journals (Sweden)

    Papatsonis Dimitri N

    2010-05-01

    Full Text Available Abstract Background Breech presentation occurs in 3 to 4% of all term pregnancies. External cephalic version (ECV is proven effective to prevent vaginal breech deliveries and therefore it is recommended by clinical guidelines of the Royal Dutch Organisation for Midwives (KNOV and the Dutch Society for Obstetrics and Gynaecology (NVOG. Implementation of ECV does not exceed 50 to 60% and probably less. We aim to improve the implementation of ECV to decrease maternal and neonatal morbidity and mortality due to breech presentations. This will be done by defining barriers and facilitators of implementation of ECV in the Netherlands. An innovative implementation strategy will be developed based on improved patient counselling and thorough instructions of health care providers for counselling. Method/design The ultimate purpose of this implementation study is to improve counselling of pregnant women and information of clinicians to realize a better implementation of ECV. The first phase of the project is to detect the barriers and facilitators of ECV. The next step is to develop an implementation strategy to inform and counsel pregnant women with a breech presentation, and to inform and educate care providers. In the third phase, the effectiveness of the developed implementation strategy will be evaluated in a randomised trial. The study population is a random selection of midwives and gynaecologists from 60 to 100 hospitals and practices. Primary endpoints are number of counselled women. Secondary endpoints are process indicators, the amount of fetes in cephalic presentation at birth, complications due to ECV, the number of caesarean sections and perinatal condition of mother and child. Cost effectiveness of the implementation strategy will be measured. Discussion This study will provide evidence for the cost effectiveness of a structural implementation of external cephalic versions to reduce the number of breech presentations at term. Trial

  4. Vaginal delivery of breech presentation.

    Science.gov (United States)

    Kotaska, Andrew; Menticoglou, Savas; Gagnon, Robert

    2009-06-01

    To review the physiology of breech birth; to discern the risks and benefits of a trial of labour versus planned Caesarean section; and to recommend to obstetricians, family physicians, midwives, obstetrical nurses, anaesthesiologists, pediatricians, and other health care providers selection criteria, intrapartum management parameters, and delivery techniques for a trial of vaginal breech birth. Trial of labour in an appropriate setting or delivery by pre-emptive Caesarean section for women with a singleton breech fetus at term. Reduced perinatal mortality, short-term neonatal morbidity, long-term infant morbidity, and short- and long-term maternal morbidity and mortality. Medline was searched for randomized trials, prospective cohort studies, and selected retrospective cohort studies comparing planned Caesarean section with a planned trial of labour; selected epidemiological studies comparing delivery by Caesarean section with vaginal breech delivery; and studies comparing long-term outcomes in breech infants born vaginally or by Caesarean section. Additional articles were identified through bibliography tracing up to June 1, 2008. The evidence collected was reviewed by the Maternal Fetal Medicine Committee of the Society of Obstetricians and Gynaecologists of Canada (SOGC) and quantified using the criteria and classifications of the Canadian Task Force on Preventive Health Care. This guideline was compared with the 2006 American College of Obstetrician's Committee Opinion on the mode of term singleton breech delivery and with the 2006 Royal College of Obstetrician and Gynaecologists Green Top Guideline: The Management of Breech Presentation. The document was reviewed by Canadian and International clinicians with particular expertise in breech vaginal delivery. The Society of Obstetricians and Gynaecologists of Canada. SUMMARY STATEMENTS: 1. Vaginal breech birth can be associated with a higher risk of perinatal mortality and short-term neonatal morbidity than

  5. Revisiting the mode of delivery and outcome of singleton breech ...

    African Journals Online (AJOL)

    Assisted vaginal breech delivery was associated wilh high rate of low Apgar score (score <7) at the 5th minute when compared 10 elective caesarean section (p = 0,000088). There was an increased rate of special care baby unit admission in the group that had assisted vaginal breech delivery than in those that had elective ...

  6. Breech at term--mode of delivery?

    DEFF Research Database (Denmark)

    Krebs, L; Langhoff-Roos, J; Weber, T

    1995-01-01

    : Register-based cohort study of all (n = 15718) singleton term breech deliveries of non-malformed infants in Denmark 1982-1990. Process and outcome measures: mode of delivery, gestational age, birth weight, congenital malformations, intrapartum death, Apgar scores and early neonatal death. RESULTS: A total...... of 3247 (20.7%) term infants were delivered vaginally, 7106 (45.3%) by elective and 5356 (34.1%) by emergency cesarean section. Infants delivered vaginally and by emergency cesarean section had significantly higher rates of mortality (intrapartum and early neonatal death) and morbidity (low Apgar scores...... that vaginal delivery is associated with increased mortality and morbidity. However, validation of data and additional information from the medical records are needed before a recommendation of whether selection of parturients, structure of perinatal care or professional skills need to be improved, or all...

  7. Changes in vaginal breech delivery rates in a single large metropolitan area.

    LENUS (Irish Health Repository)

    Hehir, Mark P

    2012-06-01

    Vaginal breech delivery rates have been accepted widely to be in decline and the Term Breech Trial (TBT) has recommended delivery of a breech-presenting infant by elective cesarean section delivery. Our aim was to examine the rate of vaginal delivery of term breech pregnancies in the 8 years before and after the publication of the TBT.

  8. Breech delivery at a University Hospital in Tanzania

    DEFF Research Database (Denmark)

    Högberg, Ulf; Claeson, Catrin; Krebs, Lone

    2016-01-01

    death (stillbirths + in-hospital neonatal deaths) and moderate asphyxia. Maternal outcomes, such as death, hemorrhage, and length of hospital stay, were also described. Results: The CD rate for breech presentation increased from 28 % in 1999 to 78 % in 2010. Perinatal deaths were associated with vaginal...... sound at admission, and absence of pregnancy-related complication as indication for CD. Of 2,765 mothers who had a breech delivery, 1,655 met the inclusion criteria. Analyses were stratified by mode of delivery, taking into account also other birth characteristics. The outcome measures were perinatal...... delivery (VD) (adjusted odds ratio (aOR) 6.2; 95 % confidence interval (CI) 3.0-12.6) and referral (aOR 2.1; 95 % CI 1.1-3.9), but not with parity, birth weight, or delivery year. Overall perinatal mortality was 5.8 % and this did not decline, due to an increase in stillbirths among vaginal breech...

  9. Outcome of Singleton Breech Delivery in Wesley Guild Hospital ...

    African Journals Online (AJOL)

    Context: Singleton breech delivery in many developing countries is often associated with poor reproductive outcome largely because of increased perinatal morbidity and mortality. Objective: The aim of this study is to evaluate the impact of antenatal care and delivery in a specialist care unit on fetal outcome in singleton ...

  10. Breech delivery at a University Hospital in Tanzania

    OpenAIRE

    H?gberg, Ulf; Claeson, Catrin; Krebs, Lone; Svanberg, Agneta Skoog; Kidanto, Hussein

    2016-01-01

    Background: There is a global increase in rates of Cesarean delivery (CD). A minor factor in this increase is a shift towards CD for breech presentation. The aim of this study was to analyze breech births by mode of delivery and investigate short-term fetal and maternal outcomes in a low-income setting. Methods: The study design was cross-sectional and the setting was Muhimbili National Hospital (MNH), Dar-es-Salaam, Tanzania. Subjects were drawn from a clinical database (1999-2010) using the...

  11. caesarean section in the management of singleton breech delivery ...

    African Journals Online (AJOL)

    J. Udoma, **A. D. Ekanem. Department 0f*()hstetrics andGynaecology, University ofUyo Teaching Hospital, UyoAkwa Ibom State w University afCalabar Teaching Hospital, Calabar, Nigeria . ABSTRACT,. Objective: To establish the role of Caesarean section in reducing perinatal mortality following singleton breech delivery ...

  12. Vaginal delivery versus cesarean section for term breech delivery

    Directory of Open Access Journals (Sweden)

    Babović Ivana

    2010-01-01

    Full Text Available Background/Aim. The optimal method of delivery for breech presentation at term still remains a matter of controversy. This is probably due to the fact that the skills of vaginal breech delivery are being lost. The aim of this study was to examine risk factors: mother's age, parity, labor's duration, estimated neonatal birth weight for the mode of breech presentation delivery at term as well as the influence of the delivery mode on neonatal outcome. Methods. A retrospective study of 401 terms (more than 37 week's gestation breech deliveries at the Institute of Gynecology and Obstetrics, Belgrade, from 2007 to 2008 was made. The following groups with respect to mode of delivery were included: the group I - vaginal delivery (VD in 139 patients; the group II - urgent cesarean section (UCS in 128 patients; and the group III - elective cesarean section (ECS in 134 patients. Mother's age, parity, duration of VD, neonatal birth weight (BW, the Apgar score at 5th minute, and duration of stay in a neonatal intensive care unit (NICU vere determined. Neonatal mortality and major neonatal morbidity were compared according to the route of delivery. Fetuses and neonates with hemolytic disease and fetal and neonatal anomalies were excluded from the study. For statistical analyses we performed Student's t test, χ2 likelihood ratio, Kruskall-Wallis test, Mann Whitney test, and ANOVA. Results. The mean age of patients in the group I was 28.29 ± 4.97 years, in the group II 29.68 ± 5.92 years and in the group III 30.06 ± 5.41 years. Difference in mother's age between the group I and III was significant (p = 0.022. In the group III there were 73.9% nuliparous similarly to the gropu II (73.4%. We performed ECS in 54.6% of the nuliparous older than 35 years, and 54.4% multiparous younger than 35 years were delivered by VD. The use of oxytocin for stimulation of vaginal labor was not associated with its duration (p = 0.706. Lowset maneuver was performed in 88.5% of

  13. Hypopituitarism in two brothers born by breech delivery.

    Science.gov (United States)

    del Rincón, J P; Lerman, I; Vázquez-Lamadrid, J; Gómez-Pérez, F J; Granados, J; Morales, J J; Mutchinick, O

    1999-01-01

    To describe two brothers with hypopituitarism who had been born by breech delivery and to discuss whether this condition corresponds to a familial form or to a pituitary stalk section as a result of the breech delivery. We present the clinical, biochemical, and magnetic resonance imaging (MRI) characteristics of two Mexican brothers, 19 and 21 years old, with hypopituitarism and a history of breech delivery. Physical examination of both patients showed short stature with normal body proportions, an obviously younger appearance than that expected for their chronologic age, high-pitched voice, irregularly positioned teeth, no axillary or pubic hair, and prepubertal genitalia. Biochemical testing showed low thyroxine and free thyroxine values with inadequate or normal thyrotropin, low basal testosterone, and mildly increased serum prolactin levels. Stimulation tests showed a normal and a delayed thyrotropin response to thyrotropin-releasing hormone, subnormal serum cortisol, considerably blunted growth hormone (GH) response to insulin-induced hypoglycemia, and absence of GH response to GH-releasing hormone in both cases. MRI showed an ectopic neuropituitary gland. In case 1, a caudal portion of a very thin pituitary stalk was observed, suggesting the preservation of a vascular component of the stalk. Because both parents of these brothers shared the major histocompatibility complex haplotype HLA-A*2301, B*3501, DRB1*0407, DQA1*03, DQB1*0201, consanguinity was suggested. The phenotype of these patients differs from that described in families with POU1F1 (Pit-1) and PROP1 mutations. These cases are most likely related to an autosomal recessive gene mutation that warrants further research. To our knowledge, this is the first report of hypopituitarism in two brothers born by breech delivery.

  14. A Rare Complication of a Vaginal Breech Delivery

    Directory of Open Access Journals (Sweden)

    H. C. Vergers-Spooren

    2011-01-01

    Full Text Available Rectal lesions without anal sphincter trauma in childbirth are only sporadically described in literature. We describe the case of a 29-year-old primigravida who delivered a child in frank breech presentation. During the second stage of labour a foot presented transanally through a rectal laceration with intact anal sphincters. The laceration was repaired immediately after delivery in theatre. Follow-up visits showed a properly cured laceration and no complaints of incontinence or foul discharge.

  15. Retention of Vaginal Breech Delivery Skills Taught in Simulation.

    Science.gov (United States)

    Stone, Heather; Crane, Joan; Johnston, Kathy; Craig, Catherine

    2018-02-01

    The optimal frequency of conducting simulation training for high-acuity, low-frequency events in obstetrics and gynaecology residency programs is unknown. This study evaluated retention over time of vaginal breech delivery skills taught in simulation, by comparing junior and senior residents. In addition, the residents' subjective comfort level to perform this skill clinically was assessed. This prospective cohort study included 22 obstetrics and gynaecology residents in a Canadian residency training program. Digital recordings were completed for pre-training, immediate post-training, and delayed (10-26 weeks later) post-training intervals of a vaginal breech delivery simulation, with skill assessment by a blinded observer using a binary checklist. Residents also completed questionnaires to assess their subjective comfort level at each interval. Junior and senior residents had significant improvements in vaginal breech delivery skills from the pre-training assessment to both the immediate post-training assessment (junior, P simulation 10-26 weeks later, although a decline in skills occurred over this time period. Comfort level was positively affected and retained. These results will aid in determining the frequency of simulation teaching for high-acuity, low-frequency events in a residency simulation curriculum. Copyright © 2018 Society of Obstetricians and Gynaecologists of Canada. Published by Elsevier Inc. All rights reserved.

  16. Elective cesarean delivery for term breech

    DEFF Research Database (Denmark)

    Krebs, Lone; Langhoff-Roos, Jens

    2003-01-01

    and anemia (RR 0.91; 95% CI 0.84, 0.97), and operations for wound infection (RR 0.69; 95% CI 0.57, 0.83) than emergency cesarean delivery. There was a higher rate of puerperal fever and pelvic infection (RR 1.20; 95% CI 1.11, 1.25) than for vaginal delivery. Thromboembolic disease occurred in 0.1% of women...... with cesarean delivery, and anal sphincter rupture occurred in 1.7% of women with vaginal delivery. Elective cesarean delivery was not associated with subsequent ectopic pregnancy, miscarriage, placental complications, uterine rupture, or adverse neonatal outcome. Women with elective cesarean delivery were more...... often delivered by elective cesarean in their second pregnancy, compared with women delivered vaginally (RR 1.25; 95% CI 1.21, 1.29). Elective cesarean delivery was associated with a lower rate of a subsequent delivery during the study period and a longer mean delivery interval than for vaginal delivery...

  17. Breech deliveries in Usmanu Danfodiyo University Teaching Hospital Sokoto, Northwestern Nigeria: A 10-year review

    Directory of Open Access Journals (Sweden)

    Karima Tunau

    2013-01-01

    Full Text Available Background: Breech delivery is a major issue in obstetric practice mainly because of the high perinatal morbidity and mortality associated with it. The aims of the study are to determine the prevalence management and perinatal outcome of singleton breech deliveries in our center. Materials and Methods: A retrospective study involving 395 singleton breech deliveries out of 24,160 deliveries conducted at the Usmanu Danfodiyo University Teaching Hospital Sokoto, Sokoto, over a 10-year (2001-2010 period. Results: The prevalence rate of singleton breech delivery was 1.7%. Breech deliveries occurred more in the primigravidae. Most babies (69.1% had vaginal delivery. There was a high caesarean section (CS rate of 30.9%. Babies delivered by CS had better Apgar scores than those delivered through the vagina (P < 0.05. The perinatal mortality rate in breech deliveries (410/1000 was significantly higher than that (101.5/10000 in their cephalic counterparts (P < 0.05. Similarly, perinatal deaths were more common in unbooked than in booked patients (P < 0.05. Conclusion: Breech delivery was frequent in the study population. Singleton breech delivered by CS had better outcome than those who were delivered through the vagina.

  18. Educational outcomes following breech delivery: a record-linkage study of 456947 children.

    Science.gov (United States)

    Mackay, Daniel F; Wood, Rachael; King, Albert; Clark, David N; Cooper, Sally-Ann; Smith, Gordon C S; Pell, Jill P

    2015-02-01

    Obstetric management of term breech infants changed dramatically following the Term Breech Trial which suggested increased serious neonatal morbidity following trial of labour. Short-term morbidity is a poor proxy of long-term neurological sequelae. We determined whether vaginal breech delivery was associated with educational outcomes. We linked three Scotland-wide administrative databases at an individual level: the ScotXed school census; Scottish Qualifications Authority (SQA) examination results; and Scottish Morbidity Record (SMR02) maternity database. The linkage provided information on singleton children, born at term, attending Scottish schools between 2006 and 2011. Of the 456 947 eligible children, 1574 (0.3%) had vaginal breech deliveries, 12 489 (2.7%) planned caesarean section for breech presentation and 442 090 (96.9%) vaginal cephalic deliveries. The percentage of term breech infants delivered vaginally fell from 23% to 7% among children who started school in 2006 and 2011, respectively. Of children born by vaginal breech delivery, 1.5% had a low 5-min Apgar score (≤3) compared with only 0.4% of those born by either breech caesarean section [adjusted odds ratio (OR) 6.16, 95% confidence interval (CI) 4.44-8.54, p<0.001] or cephalic vaginal delivery (adjusted OR 3.84, 95% CI 2.99-4.93, p<0.001). Children born by vaginal breech delivery had lower examination attainment than those born by either planned caesarean section for breech presentation (adjusted OR 1.16, 95% CI 1.02-1.32, p=0.020) or vaginal cephalic delivery (adjusted OR 1.14, 95% CI 1.01-1.28, p=0.029). Vaginal delivery of term breech infants was associated with lower examination attainment, as well as poorer Apgar scores, suggesting that the adverse effects are not just short-term. © The Author 2015; all rights reserved. Published by Oxford University Press on behalf of the International Epidemiological Association.

  19. Traumatic Distal Femoral Periostitis of the Newborn: A Breech Delivery Birth Injury

    Science.gov (United States)

    Rutherford, Yvonne; Fomufod, Antoine K.; Gopalakrishnan, Lalapet J.; Beeks, Earl C.

    1983-01-01

    Traumatic femoral epiphyseal periostitis is a rare complication of breech delivery by cesarean section. The clinical course and management of a case of distal femoral periostitis recently encountered by the authors is discussed. ImagesFigure 1 PMID:6644835

  20. ANAMNESTIC AND POPULATION CHARACTERISTICS OF THE BREECH DELIVERIES IN SUMADIJA REGION

    Directory of Open Access Journals (Sweden)

    Bozidar Jovanovic

    2008-04-01

    Full Text Available Breech presentation implies vertical position of the fetus, accounting for 3-4% of all monofetal deliveries. Perinatal morbidity and mortality are significantly higher in breech deliveries than in head presentation deliveries.The aim of the investigation was to examine the association between the anamnestic and population characteristics of the breech deliveries and the same characteristics in the head deliveries.Study group included 282 mothers who had breech deliveries and 282 mothers in control group who had head presentation deliveries. All the babies were delivered at the Clinic of Obstetrics and Gyneclogy Kragujevac.The population sample - the subject of the study encompassed mothers from Sumadija region with the center in Kragujevac as the capital and biggest city in the region.Distribution of probabilities according to profession or education of mothers was similar in both groups. The mean age of the mothers in both groups was 26.8 years. Significantly, the largest number of mothers from both groups was between 20 and 29 years of age, e.g. 70 %.With significantly high probability, the pregnancy progression in both groups was positive (85%, without maintaining pregnancy. The presence of associated disease was significantly higher, especially hypertension and diabetes in mothers who had breech deliveries compared to mothers who had head presentation deliveries.

  1. Morbidity and mortality associated with mode of delivery for breech periviable deliveries.

    Science.gov (United States)

    Tucker Edmonds, Brownsyne; McKenzie, Fatima; Macheras, Michelle; Srinivas, Sindhu K; Lorch, Scott A

    2015-07-01

    The purpose of this study was to estimate the odds of morbidity and death that are associated with cesarean delivery, compared with vaginal delivery, for breech fetuses who are delivered from 23-24 6/7 weeks' gestational age. We conducted a retrospective cohort study of state-level maternal and infant hospital discharge data that were linked to vital statistics for breech deliveries that occurred from 23-24 6/7 weeks' gestation in California, Missouri, and Pennsylvania from 2000-2009 (N = 1854). Analyses were stratified by gestational age (23-23 6/7 vs 24-24 6/7 weeks' gestation). Cesarean delivery was performed for 46% (335 fetuses) and 77% (856 fetuses) of 23- and 24-week breech fetuses. In multivariable analyses, overall survival was greater for cesarean-born neonates (adjusted odds ratio [AOR], 3.98; 95% confidence interval [CI], 2.24-7.06; AOR, 2.91; 95% CI, 1.76-4.81, respectively). When delivered for nonemergent indications, cesarean-born survivors were more than twice as likely to experience major morbidity (intraventricular hemorrhage, bronchopulmonary dysplasia, necrotizing enterocolitis, asphyxia composite; AOR, 2.83; 95% CI, 1.37-5.84; AOR, 2.07; 95% CI, 1.11-3.86 at 23 and 24 weeks' gestation, respectively). Among intubated neonates, despite a short-term survival advantage, there was no difference in survival to >6-month corrected age (AOR, 1.77; 95% CI, 0.83-3.74; AOR, 1.50; 95% CI, 0.81-2.76, respectively). There was no difference in survival for intubated 23-week neonates who were delivered by cesarean for nonemergent indications or cesarean-born neonates who weighed morbidity for breech periviable neonates. However, among intubated neonates, despite a short-term survival advantage, there was no difference in 6-month survival. Also, cesarean delivery did not increase survival for neonates who weighed morbidity, maternal morbidity, and implications for future pregnancies. Copyright © 2015 Elsevier Inc. All rights reserved.

  2. Breech at term--mode of delivery? A register-based study

    DEFF Research Database (Denmark)

    Krebs, L; Langhoff-Roos, J; Weber, Tom

    1995-01-01

    . Register-based cohort study of all (n = 15718) singleton term breech deliveries of non-malformed infants in Denmark 1982-1990. Process and outcome measures: mode of delivery, gestational age, birth weight, congenital malformations, intrapartum death, Apgar scores and early neonatal death. RESULTS. A total...... of 3247 (20.7%) term infants were delivered vaginally, 7106 (45.3%) by elective and 5356 (34.1%) by emergency cesarean section. Infants delivered vaginally and by emergency cesarean section had significantly higher rates of mortality (intrapartum and early neonatal death) and morbidity (low Apgar scores......) when compared to those delivered by elective cesarean section. In vaginal deliveries, parity was not correlated with outcome, but infants with a birth weight above 4000 grams had significantly higher rates of low Apgar scores. CONCLUSIONS. Register data on singleton term breech deliveries imply...

  3. Breech delivery at term in Denmark, 1982-92

    DEFF Research Database (Denmark)

    Krebs, L; Langhoff-Roos, J

    1999-01-01

    ,476) in Denmark, 1982-92, a review of medical records of all (n = 218) cases with Apgar score deaths and 412 controls, was performed. Planned vaginal delivery was associated with a 15 times greater risk of low Apgar score than elective Caesarean section...

  4. Breech at term--mode of delivery? A register-based study

    DEFF Research Database (Denmark)

    Krebs, L; Langhoff-Roos, J; Weber, Tom

    1995-01-01

    . Register-based cohort study of all (n = 15718) singleton term breech deliveries of non-malformed infants in Denmark 1982-1990. Process and outcome measures: mode of delivery, gestational age, birth weight, congenital malformations, intrapartum death, Apgar scores and early neonatal death. RESULTS. A total...... of 3247 (20.7%) term infants were delivered vaginally, 7106 (45.3%) by elective and 5356 (34.1%) by emergency cesarean section. Infants delivered vaginally and by emergency cesarean section had significantly higher rates of mortality (intrapartum and early neonatal death) and morbidity (low Apgar scores...... that vaginal delivery is associated with increased mortality and morbidity. However, validation of data and additional information from the medical records are needed before a recommendation of whether selection of parturients, structure of perinatal care or professional skills need to be improved, or all...

  5. Is routine caesarean section necessary for breech-breech and ...

    African Journals Online (AJOL)

    Objective: To determine if perinatal outcome is affected by the route of delivery in breech-breech and breech-transverse twin gestations. Design: Prospective observational study. Setting: Umtala General Hospital, a referral hospital for approximately 32 rural hospitals throughout the former Transkei. Subjects: Twin gestations ...

  6. Comparison of Apgar scores in breech presentations between vaginal and cesarean delivery.

    Science.gov (United States)

    Fajar, Jonny Karunia; Andalas, Mohd; Harapan, Harapan

    2017-01-01

    The mode of delivery in breech presentation (BP) is controversial. Several studies have reported the advantages and disadvantages of delivery mode in BP. The aim of this study was to compare the Apgar scores in BPs between vaginal and cesarean delivery. A retrospective study was conducted at Dr. Zainoel Abidin General Hospital from January 2010 to December 2012. Data on the mode of delivery and Apgar scores at 1 and 5 min for infants with a BP were extracted from the medical records. Logistic regression was employed to assess the correlation between mode of delivery and Apgar scores. In addition, a meta-analysis was conducted to summarize findings from other regions. A total of 205 (3.9%) BPs among 5252 deliveries between January 2010 and December 2012 were analyzed for this study. There were 26% (52 cases) vaginal and 74% (153 cases) cesarean deliveries. The mode of delivery for BP had a significant association with Apgar score at 1 min (odds ratio [OR] 95% confidence interval [CI] = 6.462 [2.476-16.870], P = 0.0001) and 5 min (OR 95% CI = 7.727 [1.416-42.175], P = 0.018). Our meta-analysis showed that the delivery mode had a significant association with Apgar score in BP (OR: 3.69; 95% CI: 2.18-6.26, P = 0.0001). There was a significant association between Apgar scores in BPs and mode of delivery. Our results suggest better outcomes for cesarean than vaginal delivery in BPs.

  7. Comparison of Apgar scores in breech presentations between vaginal and cesarean delivery

    Science.gov (United States)

    Fajar, Jonny Karunia; Andalas, Mohd; Harapan, Harapan

    2017-01-01

    Objective: The mode of delivery in breech presentation (BP) is controversial. Several studies have reported the advantages and disadvantages of delivery mode in BP. The aim of this study was to compare the Apgar scores in BPs between vaginal and cesarean delivery. Materials and Methods: A retrospective study was conducted at Dr. Zainoel Abidin General Hospital from January 2010 to December 2012. Data on the mode of delivery and Apgar scores at 1 and 5 min for infants with a BP were extracted from the medical records. Logistic regression was employed to assess the correlation between mode of delivery and Apgar scores. In addition, a meta-analysis was conducted to summarize findings from other regions. Results: A total of 205 (3.9%) BPs among 5252 deliveries between January 2010 and December 2012 were analyzed for this study. There were 26% (52 cases) vaginal and 74% (153 cases) cesarean deliveries. The mode of delivery for BP had a significant association with Apgar score at 1 min (odds ratio [OR] 95% confidence interval [CI] = 6.462 [2.476–16.870], P = 0.0001) and 5 min (OR 95% CI = 7.727 [1.416–42.175], P = 0.018). Our meta-analysis showed that the delivery mode had a significant association with Apgar score in BP (OR: 3.69; 95% CI: 2.18–6.26, P = 0.0001). Conclusions: There was a significant association between Apgar scores in BPs and mode of delivery. Our results suggest better outcomes for cesarean than vaginal delivery in BPs. PMID:28757760

  8. Time trend in the risk of delivery-related perinatal and neonatal death associated with breech presentation at term.

    Science.gov (United States)

    Pasupathy, Dharmintra; Wood, Angela M; Pell, Jill P; Fleming, Michael; Smith, Gordon C S

    2009-04-01

    To determine the factors associated with the risk of delivery-related perinatal and neonatal death among term infants presenting by the breech and the effect of changes in the mode of delivery on the overall rates of perinatal and neonatal mortality associated with breech presentation. We studied 32,776 singleton term infants presenting breech excluding anomalous and antepartum losses in Scotland between 1985 and 2004, using linked Scottish national registries of pregnancy outcome data and perinatal death data. The event was delivery-related perinatal and neonatal death (i.e. intrauterine fetal death during labour or death of infant in the first 4 weeks of life), subdivided according to intrapartum anoxia or mechanical cause of death. Analysis was by multivariate logistic regression. During the study period, the risk of delivery-related perinatal and neonatal death decreased by 72% (95% CI -1% to 93%), due to a 90% (95% CI 33-99%) reduction in anoxic or mechanical deaths. Both intrapartum (OR 0.16, 95% CI 0.02-0.75) and planned (OR 0.01, 95% CI 0.00-0.09) caesarean delivery were protective against anoxic or mechanical deaths and increased use of planned caesarean delivery accounted for 16% of the decline in anoxic and mechanical deaths over the study period. Increased use of planned caesarean delivery only partly explains the decline in delivery-related perinatal and neonatal death between 1985 and 2004 in Scotland.

  9. Delivery mode and neonatal outcome after a trial of external cephalic version (ECV): a prospective trial of vaginal breech versus cephalic delivery.

    Science.gov (United States)

    Reinhard, Joscha; Sänger, Nicole; Hanker, Lars; Reichenbach, Lena; Yuan, Juping; Herrmann, Eva; Louwen, Frank

    2013-04-01

    To examine the delivery mode and neonatal outcome after a trial of external cephalic version (ECV) procedures. This is an interim analysis of an ongoing larger prospective off-centre randomised trial, which compares a clinical hypnosis intervention against neuro-linguistic programming (NLP) of women with a singleton breech foetus at or after 37(0/7) (259 days) weeks of gestation and normal amniotic fluid index. Main outcome measures were delivery mode and neonatal outcome. On the same day after the ECV procedure two patients (2 %), who had unsuccessful ECVs, had Caesarean sections (one due to vaginal bleeding and one due to pathological CTG). After the ECV procedure 40.4 % of women had cephalic presentation (n = 38) and 58.5 % (n = 55) remained breech presentation. One patient remained transverse presentation (n = 1; 1.1 %). Vaginal delivery was observed by 73.7 % of cephalic presentation (n = 28), whereas 26.3 % (n = 10) had in-labour Caesarean sections. Of those, who selected a trial of vaginal breech delivery, 42.4 % (n = 14) delivered vaginally and 57.6 % (n = 19) delivered via Caesarean section. There is a statistically significant difference between the rate of vaginal birth between cephalic presentation and trial of vaginal breech delivery (p = 0.009), however, no difference in neonatal outcome was observed. ECV is a safe procedure and can reduce not only the rate of elective Caesarean sections due to breech presentation but also the rate of in-labour Caesarean sections even if a trial of vaginal breech delivery is attempted.

  10. Are intrapartum and neonatal deaths in breech delivery at term potentially avoidable?--a blinded controlled audit

    DEFF Research Database (Denmark)

    Krebs, Lone; Langhoff-Roos, Jens; Bødker, Birgit

    2002-01-01

    The aim of the study was to investigate whether deaths in term breech deliveries could have been avoided with improved care during pregnancy and delivery. All cases of intrapartum/early neonatal death of nonmalformed infants in breech presentation delivered at term in Denmark in the period 1982......-92 were studied. For each of the 12 deaths two controls matched by presentation and planned mode of delivery were selected. Eleven obstetricians assessed the care through narratives that ended when the infant was delivered to umbilicus and stated if the infant died, and whether the "possible death......" was potentially avoidable. The majority thought that 42% of cases and 9% of the controls had died. Antenatal and intrapartum care was suboptimal respectively in 17% and 25% of cases and 4% and 26% of controls. The assumed death was found to have been potentially avoidable in 58% of cases and 17% of controls. Care...

  11. Development and validation of an objective structured assessment of technical skill tool for the practice of breech presentation delivery.

    Science.gov (United States)

    Jordan, Alexis; Antomarchi, Julie; Bongain, André; Tran, Antoine; Delotte, Jérome

    2016-08-01

    To develop and test the validity of an Objective Structured Assessment of Technical Skills (OSATS) tool for breech presentation delivery. Monocentric prospective study conducted in the Department of Gynecology, Obstetrics, Fetal Medicine and Reproductive Medicine at the University Hospital of Nice. The study consisted of two parts, the development of the OSATS scoring system and its objective validation. Several experts in obstetrics from university hospital centers and private French hospitals were invited to participate in the development phase of the scoring system. For the validation phase, we formed a group of 20 novices and a group of 20 experts, who had to perform a breech presentation delivery on a simulator, according to a standardized scenario. Each participant was filmed and two experts would then evaluate their performance by viewing anonymized videos and using the OSATS score. The scores obtained by the expert group were significantly higher than those of the novice group, with a total score of 21.73/25 versus 6.95/25 (p skills using a simulator.

  12. Reducing the cesarean delivery rates for breech presentations: administration of spinal anesthesia facilitates manipulation to cephalic presentation, but is it cost saving?

    Science.gov (United States)

    2014-01-01

    Background External cephalic version (ECV) is infrequently performed and 98% of breech presenting fetuses are delivered surgically. Neuraxial analgesia can increase the success rate of ECV significantly, potentially reducing cesarean delivery rates for breech presentation. The current study aims to determine whether the additional cost to the hospital of spinal anesthesia for ECV is offset by cost savings generated by reduced cesarean delivery. Methods In our tertiary hospital, three variables manpower, disposables, and fixed costs were calculated for ECV, ECV plus anesthetic doses of spinal block, vaginal delivery and cesarean delivery. Total procedure costs were compared for possible delivery pathways. Manpower data were obtained from management payroll, fixed costs by calculating cost/lifetime usage rate and disposables were micro-costed in 2008, expressed in 2013 NIS. Results Cesarean delivery is the most expensive option, 11670.54 NIS and vaginal delivery following successful ECV under spinal block costs 5497.2 NIS. ECV alone costs 960.21 NIS, ECV plus spinal anesthesia costs 1386.97 NIS. The highest individual cost items for vaginal, cesarean delivery and ECV were for manpower. Expensive fixed costs for cesarean delivery included operating room trays and postnatal hospitalization (minimum 3 days). ECV with spinal block is cheaper due to lower expected cesarean delivery rate and its lower associated costs. Conclusions The additional cost of the spinal anesthesia is offset by increased success rates for the ECV procedure resulting in reduction in the cesarean delivery rate. PMID:24564984

  13. Review: Breech presentation: The controversy continues | Cluver ...

    African Journals Online (AJOL)

    For women with a baby with flexed thighs who progress appropriately in labour with descent and spontaneous birth of the breech, the likelihood of difficulty with the delivery is very small. If progress is not good, even at full cervical dilation, recourse to CS is a safer option than attempts at breech extraction. Training videos are ...

  14. Vaginal breech births in a hospital where caesarean section is ...

    African Journals Online (AJOL)

    SCIENTIFIC LETTER. Objectives. Caesarean section has become the preferred delivery method for breech presentation at Chris Hani Baragwanath Academic ... This study has shown that vaginal breech births continue to occur as unexpected events. ... descriptive study was to understand why and how vaginal breech.

  15. Comparison of Fetomaternal Outcome between 47 Deliveries Following Successful External Cephalic Version for Breech Presentation and 7456 Deliveries Following Spontaneous Cephalic Presentation.

    Science.gov (United States)

    de Gregorio, Nikolaus; Friedl, Thomas; Schramm, Amelie; Reister, Frank; Janni, Wolfgang; Ebner, Florian

    2017-08-25

    Achieving a cephalic position after a successful external cephalic version (ECV) is desired to result in delivery and fetal outcomes that are similar to those of deliveries following spontaneous cephalic presentation. We performed a retrospective cohort study including patients with successful ECV following fetal breech position (ECV cohort, n = 47) or with a singleton spontaneous cephalic pregnancy at ≥37 weeks of gestational age (control group, n = 7,456) attempting a vaginal delivery between 2010 and 2013 at the University Hospital Ulm. The mode of delivery and fetal outcome parameters were compared between these 2 groups using nonparametric statistics. ECV cohort and control group did not differ with respect to maternal age, parity, gestational age at birth, and fetal gender. There were no significant differences between the 2 groups with regard to all parameters indicating fetal outcome. However, the rate of cesarean sections was higher after successful ECV compared to spontaneous cephalic presentation (27.7 vs. 12.8%, OR 2.615). While vaginal delivery is less likely to happen after a successful ECV compared to spontaneous cephalic singleton pregnancies, fetal outcome parameters showed no difference between the 2 groups. Physicians should be counseling and encouraging women to attempt ECV, as it is a safe and effective procedure. © 2017 S. Karger AG, Basel.

  16. Breech presentation at term: morbidity and mortality according to the type of delivery at Port Royal Maternity hospital from 1993 through 1999.

    Science.gov (United States)

    Kayem, Gilles; Goffinet, François; Clément, Denis; Hessabi, Madieh; Cabrol, Dominique

    2002-05-10

    To compare neonatal morbidity and mortality at Port Royal Maternity between 1993 and 1999 for infants with a singleton breech presentation born after 37 weeks, according to planned mode of delivery. Retrospective study of 501 patients of whom vaginal delivery was planned in 322 (64%) or/and cesarean in 179 (36%). Severe neonatal morbidity was similar in the two groups (13/322, 4.0% versus 8/179, 4.5%; P=0.82); severe trauma morbidity was not significantly higher in the "planned vaginal delivery" group (3/322, 0.9% versus 1/179, 0.06%; P=0.16); there were no long-term sequelae. Mortality was not higher when vaginal delivery was planned. We have not found in this series any excess of morbidity or mortality attributable to vaginal delivery of breech presentations. This work does not indicate that we should change our obstetrical practice in the light of other recently-published studies.

  17. Breech presentation at a district level hospital in South Africa

    African Journals Online (AJOL)

    2009-03-05

    Mar 5, 2009 ... Conclusion: In a district hospital in South Africa, the mode of delivery for breech presentations is usually a planned Caesarean section. ..... Van Iddekinge B. Risk management: Planned vaginal breech delivery – should this be the mode of choice? The Obstetrician and Gynaecologist 2007;9:171–6. 6.

  18. Maternal and neonatal outcomes of vaginal breech delivery for singleton term pregnancies in a carefully selected Cameroonian population: a cohort study.

    Science.gov (United States)

    Dohbit, Julius Sama; Foumane, Pascal; Tochie, Joel Noutakdie; Mamoudou, Fadimatou; Temgoua, Mazou N; Tankeu, Ronni; Aletum, Veronica; Mboudou, Emile

    2017-11-22

    Vaginal breech delivery (VBD) is known to be associated with more perinatal and maternal complications. Very few studies on the subject have been carried out in poor-resource settings. The aim of this study was to determine maternal and neonatal outcomes in carefully selected cases of VBD for singleton term pregnancies in a tertiary centre in Cameroon. A retrospective cohort study. A tertiary hospital in Yaounde, Cameroon. Cases of VBD of newborns weighing 2500-3500 g were matched in a ratio of 1:4 to consecutive vaginal cephalic deliveries (VCDs) of newborns weighing 2500-3500 g over a 5-year period. Both groups were matched for maternal age and parity. We excluded cases of multiple gestations, footling breech, clinically inadequate maternal pelvis, preterm delivery, post-term pregnancies, fetal demise prior to the onset of labour, placenta praevia and fetal anomaly incompatible with vaginal delivery. Neonatal and maternal adverse outcomes of VBD observed till 6 weeks after delivery analysed using Bonferroni correction. Fifty-three (53) VBDs were matched against 212 VCD. Unlike women who had VCD, those who underwent VBD were more likely to have prolonged labour (OR 8.05; 95% CI 3.00 to 11.47; P<0.001), and their newborns were more likely to suffer from birth asphyxia (OR 10.24; 95% CI 4.92 to 21.31; P<0.001). The study infers a strong association between VBD of singleton term pregnancies and maternofetal morbidity when specific protocols are applied. This, however, failed to translate into higher differences in perinatal mortality. This finding does not discount the role of VBD in low-income countries, but we emphasise the need for specific precautions like close monitoring of labour and adequate anticipation for neonatal resuscitation in order to reduce these complications. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly

  19. The relation of breech presentation at term to cerebral palsy

    DEFF Research Database (Denmark)

    Krebs, L; Topp, M; Langhoff-Roos, J

    1999-01-01

    OBJECTIVE: To examine the relation between breech delivery and cerebral palsy, considering the influence of intrauterine growth, low Apgar score at birth, and mode of delivery. DESIGN: Register-based, case-control study. POPULATION: A cohort of infants with cerebral palsy born between 1979 and 1986...... in East Denmark, identified by linkage of the cerebral palsy register with the national birth register. Discharge letters from births of breech infants with cerebral palsy were reviewed. MAIN OUTCOME MEASURES: Presentation, mode of delivery, gestational age, birthweight, Apgar score, type of cerebral...... palsy, severity of handicap. RESULTS: Breech presentation at term was associated with a borderline significantly higher risk of cerebral palsy than vertex presentation (OR 1.56; 95% CI 0.9-2.4). Breech presentation infants more often had a lower Apgar score (

  20. The relation of breech presentation at term to epilepsy in childhood

    DEFF Research Database (Denmark)

    Krebs, Lone; Langhoff-Roos, Jens

    2006-01-01

    for epilepsy (OR: 1.2 [95% CI: 1.1, 1.3]). Breech infants with epilepsy were more often small for gestational age (9.7%) than breech infants without epilepsy (4.7%). Vaginal delivery was associated with low Apgar score, but mode of delivery and low Apgar score were not related to epilepsy. CONCLUSION...

  1. SINGLETON BREECH DELIVERIES IN IBADAN

    African Journals Online (AJOL)

    intrauterine deaths and congenital abnormalities, 524 of these cases were fully studied. Data was collected from the labour ward records, lying-in ward case records and in some cases, the. casefiles of those admitted to the Special Care Baby Unit (SCBU). For the purpose of this study a perinatal death is that of the fetus.

  2. Breech repositioning unresponsive to Webster technique: coexistence of oligohydramnios.

    Science.gov (United States)

    Roecker, Christopher B

    2013-06-01

    The purpose of this report is to describe the results of a pregnant woman demonstrating breech fetal presentation who was managed with Webster technique in the presence of oligohydramnios. A 23-year-old primigravida woman sought chiropractic care for the management of breech presentation and bilateral sacroiliac arthralgia at 34 weeks' gestation. Sacral manipulation and abdominal effleurage (Webster Technique) was used to address breech presentation and sacroiliac arthralgia for a total of 7 treatments over a 3 1/2-week duration. The patient's sacroiliac pain reduced from 8/10 to 3/10. However, breech presentation was unchanged at each treatment. At a scheduled prenatal surveillance during the 37th week of gestation, the midwife detected vaginal bleeding and reduced fundal height, which resulted in hospitalization, diagnosis of oligohydramnios, and an emergency cesarean delivery. For this particular patient, the breech presentation was not corrected using the Webster technique. Clinicians who use the Webster technique to manage breech fetal presentation should be aware of undiagnosed comorbidities as a complicating factor in clinical presentation. Screening for previously undiagnosed comorbidities, such as oligohydramnios, must be considered.

  3. Neonatal Outcome of Term Breech Births: A 15-Year Review at the ...

    African Journals Online (AJOL)

    was associated with significantly increased risk of perinatal death and neonatal morbidity. Keywords breech birth; vaginal delivery; cesarean section; perinatal mortality; Cameroon. 1 Introduction. Breech presentation occurs in about 3% of all term singleton pregnancies [5]. Compared with a fetus with cephalic pre- sentation ...

  4. Improving external cephalic version for foetal breech presentation

    Science.gov (United States)

    Zandstra, H.; Mertens, H.J.M.M.

    2013-01-01

    Objectives: If success rate of external cephalic version (ECV) increases, the rate of primary caesarean sections declines. The aims of this retrospective cohort study were to evaluate the ECV and to identify factors associated with the success rate of ECV for breech presentation at term. The second aim of this study was to analyse the outcome of labour of all patients with a foetus in breech near term. Methods: All women with a foetus in breech near or at term were included. Logistic regression analyses were performed to identify the association between patient characteristics and success rate of ECV. Results: The overall rate of successful ECV’s was 19%. Foetal and maternal complications after ECV were negligible. BMI, type of breech and amount of amniotic fluid were significantly correlated with a successful ECV. The rate of primary caesarean sections for the group of patients who underwent an ECV was lower than the rate in the group who did not (52.9% vs. 79.6%). The rate of spontaneous deliveries was increased after ECV (36% versus 12%). After successful ECV the rate of spontaneous deliveries was 75%; after unsuccessful ECV 26.8%. Conclusion: The overall rate of successful ECV was low (19%). BMI, type of breech and amount of amniotic fluid were significantly correlated with a successful ECV. The rate of primary caesarean sections was significantly lower in patients with ECV (52.9% versus 79.6%). The rate of spontaneous deliveries was significantly higher (36% versus 12%). PMID:24753933

  5. Pregnancy outcome in singleton term breeches from a referral ...

    African Journals Online (AJOL)

    There were no statistically significant differences in the perinatal mortality rates, congenital malformation rates and Apgar score of less than 7 at 5 minutes in babies born by AVBD and CS, (p>0.05). There was statistically significant difference in birth trauma (p<0.00001). Conclusion: Vaginal breech delivery is strongly ...

  6. Pregnancy outcome in singleton term breeches from a referral ...

    African Journals Online (AJOL)

    mortality rates, congenital malformation rates and Apgar score of less than 7 at 5 minutes in babies born by AVBD and CS, (p>0.05). There was statistically significant difference in birth trauma (p<0.00001). Conclusion: Vaginal breech delivery is strongly associated with birth trauma in our community. It is recommended.

  7. Cesarean Section and Right Femur Fracture: A Rare but Possible Complication for Breech Presentation

    Directory of Open Access Journals (Sweden)

    Giampiero Capobianco

    2013-01-01

    Full Text Available Background. The breech extraction of the fetus through the vagina has a greater risk of hip fracture compared with the extraction by abdominal route. Case. A 2390 g female infant was delivered at 39 weeks by elective cesarean section for breech presentation. The newborn sustained a fracture of the right femur. A simple immobilization of the limb in extension led to a complete healing of the fracture without sequelae. Conclusion. Caesarean delivery reduces the risk of causing a traumatic injury of the newborn compared to vaginal delivery, especially with breech presentation but does not eliminate this possible accidental complication.

  8. The influence of counseling on the mode of breech birth: A single-center observational prospective study in The Netherlands.

    Science.gov (United States)

    Abdessalami, Souhailla; Rota, Hanneke; Pereira, Gabriella Dias; Roest, Jan; Rosman, Ageeth N

    2017-12-01

    women in the Netherlands, with a fetus in breech presentation, are thoroughly counseled to make an informed choice for the mode of delivery. The aim of this study was to assess the influence of counseling techniques on women's choices for the mode of delivery and subsequently to compare fetal and maternal outcomes of vaginal breech birth versus planned caesarean section. we performed an observational prospective study. Data on breech deliveries were prospectively collected. We used ANOVA to identify variables influencing women's choice for the mode of delivery. the obstetric department of the Red Cross Hospital in Beverwijk, the Netherlands. women with a singleton gestation (>37 + 0 weeks) and a fetus in breech presentation were included. between January 2007 and December 2015 364 women were included. Counseling technique (p =mode of delivery. Of all included women 33% (N = 119) opted for a vaginal breech delivery and 52% (N = 190) opted for a planned cesarean section. 15% (N = 55) were unexpected breeches. Of the planned vaginal delivery group 66% (N = 79) delivered vaginal, whereas 99.5% (N = 189) of the women in the planned cesarean section group underwent a planned cesarean section. There were no significant differences in maternal and neonatal outcomes. women's choice on the mode of delivery and the eventual modus partus of fetuses in breech presentation is strongly influenced by the counseling technique. Vaginal breech birth in low-risk women is a safe option without long term morbidity in neonates. counselors should be aware of their influence on women's choice for mode of delivery in breech presentation. Counseling should be done using evidence based information. Copyright © 2017 Elsevier Ltd. All rights reserved.

  9. Contraindications for external cephalic version in breech position at term: A systematic review

    NARCIS (Netherlands)

    Rosman, A.N.; Guijt, A.; Vlemmix, F.; Rijnders, M.; Mol, B.W.J.; Kok, M.

    2013-01-01

    Objective. External cephalic version (ECV) is a safe and effective intervention that can prevent breech delivery, thus reducing the need for cesarean delivery. It is recommended in national guidelines. These guidelines also mention contraindications for ECV, and thereby restrict the application of

  10. Deliberate acquisition of competence in physiological breech birth: A grounded theory study.

    Science.gov (United States)

    Walker, Shawn; Scamell, Mandie; Parker, Pam

    2017-09-29

    Research suggests that the skill and experience of the attendant significantly affect the outcomes of vaginal breech births, yet practitioner experience levels are minimal within many contemporary maternity care systems. Due to minimal experience and cultural resistance, few practitioners offer vaginal breech birth, and many practice guidelines and training programmes recommend delivery techniques requiring supine maternal position. Fewer practitioners have skills to support physiological breech birth, involving active maternal movement and choice of birthing position, including upright postures such as kneeling, standing, squatting, or on a birth stool. How professionals learn complex skills contrary to those taught in their local practice settings is unclear. How do professionals develop competence and expertise in physiological breech birth? Nine midwives and five obstetricians with experience facilitating upright physiological breech births participated in semi-structured interviews. Data were analysed iteratively using constructivist grounded theory methods to develop an empirical theory of physiological breech skill acquisition. Among the participants in this research, the deliberate acquisition of competence in physiological breech birth included stages of affinity with physiological birth, critical awareness, intention, identity and responsibility. Expert practitioners operating across local and national boundaries guided less experienced practitioners. The results depict a specialist learning model which could be formalised in sympathetic training programmes, and evaluated. It may also be relevant to developing competence in other specialist/expert roles and innovative practices. Deliberate development of local communities of practice may support professionals to acquire elusive breech skills in a sustainable way. Copyright © 2017 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.

  11. Breech presentation and the cornual-fundal location of the placenta

    Science.gov (United States)

    Sekulić, Slobodan; Ilinčić, Marko; Radeka, Gordana; Novakov-Mikić, Aleksandra; Simić, Svetlana; Podgorac, Jelena; Keković, Goran

    2013-01-01

    Aim To investigate the association of cornual-fundal location of the placenta and breech presentation at term delivery. Methods This study was conducted at the Department of Obstetrics and Gynecology, Novi Sad, in 2011. The inclusion criteria were delivery at ≥37 weeks of gestation, singleton gestation, and cornual-fundal location of the placenta determined by ultrasonography at ≥37 weeks of gestation when 3/4 or more of the placenta was in the cornual-fundal region. Results Out of 2750 ultrasound examinations performed, 143 showed cornual-fundal location of the placenta (frequency 5.2%). Eighty six cases had cephalic presentation (60.14%) and 57 (39.86%) had breech presentation. Of the remaining cases with non- cornual-fundal location, 2585 had cephalic presentation and 22 (0.84%) had breech presentation. The difference in the frequency of breech presentation between the cornual-fundal and non-cornual-fundal groups was significant (χ2 = 77.78, P < 0.001). Conclusion Cornual-fundal location of the placenta may be an important clue in resolving the etiology of a number of cases of breech presentation at term delivery. PMID:23630148

  12. The Impact of an ECV Service is Limited by Antenatal Breech Detection: A Retrospective Cohort Study.

    Science.gov (United States)

    Hemelaar, Joris; Lim, Lee N; Impey, Lawrence W

    2015-06-01

    External cephalic version (ECV) reduces the chance of breech presentation at term birth and lowers the chance of a cesarean delivery. ECV services are now in place in many units in the United Kingdom but their effectiveness is unknown. The aim of this study was to investigate the reasons for breech presentation at term birth. We performed a retrospective cohort study of 394 consecutive babies who were in breech presentation at term birth in a large United Kingdom maternity unit that offers ECV. The cohort was analyzed over two time periods 10 years apart: 1998-1999 and 2008-2009. Only 33.8 percent of women had undergone a (failed) ECV attempt. This low proportion was mainly because breech presentation was not diagnosed antenatally (27.9%). Other contributing factors were: ECV not offered by clinicians (12.2%), ECV declined by women (14%), and contraindications to ECV (10.7%). Over the 10-year period, the proportion of breech presentations that were not diagnosed antenatally increased from 23.2 to 32.5 percent (p = 0.04), which constituted 52.8 percent of women who had not undergone an ECV attempt in 2008-2009. Failure of clinicians to offer ECV reduced from 21.6 to 3.0 percent (p = 0.0001) and the proportion of women declining ECV decreased from 19.1 to 9.0 percent (p = 0.005). Overall, ECV attempts increased from 28.9 to 38.5 percent (p = 0.05). Although ECV counseling, referral, and attempt rates have increased, failure to detect breech presentation antenatally is the principal barrier to successful ECV. Improved breech detection would have a greater impact than methods to increase ECV success rates. © 2015 Wiley Periodicals, Inc.

  13. Neonatal outcomes of preterm infants in breech presentation according to mode of birth in Canadian NICUs.

    Science.gov (United States)

    Lodha, Abhay; Zhu, Qiaohao; Lee, Shoo K; Shah, Prakesh S

    2011-03-01

    Many medical practitioners have adopted the practice of caesarean section for preterm infants in breech presentation based on term infant data. Some studies have highlighted deleterious effects on survival, such as intraventricular haemorrhage and periventricular leucomalacia, while others have reported no difference from the outcomes after vaginal delivery. To compare outcomes of preterm infants of ≤32 weeks' gestational age who were in breech position at the time of birth according to mode of birth in Canadian neonatal intensive care units (NICUs). 29 Canadian NICUs. Neonates admitted to participating NICUs in the Canadian Neonatal Network between 2003 and 2007 were included in this retrospective study. Infants who were in breech position at the time of birth were divided into two groups: vaginal birth (VB) and caesarean section (CS). Data on common neonatal outcomes were compared using univariate and multivariate logistic regression. Neonatal mortality and other neonatal morbidities. Of 3552 preterm infants in breech position at birth, 2937 (83%) were delivered by CS and 615 (17%) by VB. Multivariate regression analysis with adjustment for perinatal risk factors indicated that VB was associated with an increased risk of death (OR 1.7; 95% CI 1.3 to 2.3), chronic lung disease (OR 1.5; 95% CI 1.1 to 1.9) and severe retinopathy of prematurity (OR 1.6; 95% CI 1.1 to 2.3). Vaginal birth for preterm infants in breech presentation is possibly associated with a higher risk of adverse neonatal outcomes compared with caesarean birth in Canadian NICUs. It is not clear whether adverse outcomes are due to the mode of delivery or whether breech birth is associated with other risk factors, an issue that can only be resolved by a randomised controlled trial.

  14. A novel and dedicated multidisciplinary service to manage breech presentation at term; 3 years of experience in a tertiary care maternity unit.

    Science.gov (United States)

    Hickland, Patrick; Gargan, Phyl; Simpson, Jacquie; McCabe, Niamh; Costa, Janitha

    2017-08-09

    In order to provide uniform and unbiased multidisciplinary counselling on the options available, including vaginal breech delivery (VBD) and external cephalic version (ECV), the latter of which could then be performed, a weekly Breech Clinic was introduced to a tertiary care maternity unit in Northern Ireland in June 2013, replacing the traditional ECV Clinic introduced in June 2012. Retrospective data collection was undertaken using clinic proformas, Northern Ireland Maternity System data and case notes of women who attended the clinics (ECV and Breech) from June 2012 to May 2015. There were 434 referrals to the clinic over the 3-year period; 356 women attended. The proportion of women attending increased from 69% to 85% since the introduction of the Breech Clinic. Two hundred and thirty-two were deemed eligible and 179 of these underwent ECV after counselling. Although the proportion of women undergoing ECV decreased from 69% to 46%, 11 women opted for and achieved VBD during the 2 years of the Breech Clinic, compared with one woman in the year of the ECV Clinic. Seventy-one of the attempted ECVs were successful, with 61 women having a normal vaginal delivery. Notably, the success rate of ECV increased from 33% to 42%. The number of caesarean sections performed solely for breech at term decreased from 199 in the 12 months before the introduction of ECV clinic, to 188 during the ECV clinic, and 154 in the final 12 months of Breech Clinic. A dedicated service to counsel women on the management of breech presentation can decrease caesarean sections for breech presentation through increased uptake and success of ECV, and encouraging suitable women to opt for VBD when ECV is unsuccessful, contraindicated or declined.

  15. Brief report: a cost analysis of neuraxial anesthesia to facilitate external cephalic version for breech fetal presentation.

    Science.gov (United States)

    Carvalho, Brendan; Tan, Jonathan M; Macario, Alex; El-Sayed, Yasser Y; Sultan, Pervez

    2013-07-01

    In this study, we sought to determine whether neuraxial anesthesia to facilitate external cephalic version (ECV) increased delivery costs for breech fetal presentation. Using a computer cost model, which considers possible outcomes and probability uncertainties at the same time, we estimated total expected delivery costs for breech presentation managed by a trial of ECV with and without neuraxial anesthesia. From published studies, the average probability of successful ECV with neuraxial anesthesia was 60% (with individual studies ranging from 44% to 87%) compared with 38% (with individual studies ranging from 31% to 58%) without neuraxial anesthesia. The mean expected total delivery costs, including the cost of attempting/performing ECV with anesthesia, equaled $8931 (2.5th-97.5th percentile prediction interval $8541-$9252). The cost was $9207 (2.5th-97.5th percentile prediction interval $8896-$9419) if ECV was attempted/performed without anesthesia. The expected mean incremental difference between the total cost of delivery that includes ECV with anesthesia and ECV without anesthesia was $-276 (2.5th-97.5th percentile prediction interval $-720 to $112). The total cost of delivery in women with breech presentation may be decreased (up to $720) or increased (up to $112) if ECV is attempted/performed with neuraxial anesthesia compared with ECV without neuraxial anesthesia. Increased ECV success with neuraxial anesthesia and the subsequent reduction in breech cesarean delivery rate offset the costs of providing anesthesia to facilitate ECV.

  16. Comparing the Educational Readiness in Children with Breech Presentation Versus Cephalic Presentation

    Directory of Open Access Journals (Sweden)

    Batool Teimoori

    2013-02-01

    Full Text Available Background: Considering the fact that breech presentation is the most common abnormal presentation, the present paper compares the preparation of those people who had been born with breech and cephalic presentation. Materials and Methods: In this cross-sectional study we examines 1847 children in primary schools in Zahedan who had been born in 1994-1999; they were selected randomly from three elementary schools in Zahedan. Questionnaires were used to collect information and information about educational preparation of students were gathered using the standard and approved questionnaires by the Education Department of Iran archived in the patients’ profiles. To analyze the data, t-test and χ2 test had been used and p<0.05 was considered significant.Results: Out of the 1847 examined children , 1446 children (3.78% were male and 401 ones (7/21% were female. 1738 patients (94% had cephalic presentation (evident group and 109 (6% had breech presentation (cases. There was a significant statistical difference among the age averages of the mothers with the fetus presentation (p=0.001 and also among the average marks of the educational preparation of students and the fetus presentation (p=0.017 and children born with the breech presentation had higher scores in preparation. There was no significant difference between the mean score of the educational preparation and child delivery method (p=0.13.Conclusion: This study showed that school preparation scores, regardless of the mode of delivery, in breech presentation are higher than that in cephalic presentation.

  17. Supporting Women Planning a Vaginal Breech Birth: An International Survey.

    Science.gov (United States)

    Petrovska, Karolina; Watts, Nicole P; Catling, Christine; Bisits, Andrew; Homer, Caroline S E

    2016-12-01

    The aim of this study was to explore the experiences of women who planned a vaginal breech birth. An online survey was developed consisting of questions regarding women's experiences surrounding planned vaginal breech birth. The survey was distributed between April 2014 and January 2015 to closed membership Facebook groups that had a consumer focus on vaginal breech birth. In total, 204 unique responses to the survey were obtained from women who had sought the option of a vaginal breech birth in a previous pregnancy. Most women (80.8%) stated that they were happy with the birth choices they made, and a significant proportion (89.4%) would attempt a vaginal breech birth in subsequent pregnancies. Less than half of women were formally referred to a clinician skilled in vaginal breech birth when their baby was diagnosed breech (41.8%), while the remainder sourced a clinician themselves. Half of the women felt supported by their care provider (56.7%) and less than half (42.3%) felt supported by family and friends. The women who responded to this international survey sought the option of a vaginal breech birth, were subsequently happy with this decision, and would attempt a vaginal breech birth in their next pregnancy. Access to vaginal breech birth is important for some women; however, this choice may be challenging to achieve. Consistent information and support from clinicians is important to assist decision-making. © 2016 Wiley Periodicals, Inc.

  18. The purchasing of maintenance service delivery in the Dutch social housing sector : Optimising commodity strategies for delivering maintenance services to tenants

    NARCIS (Netherlands)

    Van Mossel, J.H.

    2008-01-01

    For housing associations, maintenance is an opportunity for high quality interaction with their tenants, and thus an opportunity for effectively influencing the quality of service delivery to tenants. Dutch housing associations have a market share of about one third of the entire Dutch housing

  19. Uptake of external cephalic version for term breech presentation: an Australian population study, 2002-2012.

    Science.gov (United States)

    Bin, Yu Sun; Roberts, Christine L; Nicholl, Michael C; Ford, Jane B

    2017-07-26

    The safety, efficacy, and cost-effectiveness of external cephalic version (ECV) for term breech presentation has been demonstrated. Clinical guidelines recommend ECV for all eligible women, but the uptake of this procedure in the Australian healthcare setting is unknown. This study aimed to describe ECV uptake in New South Wales, the most populous state of Australia, during 2002 to 2012. Data from routine hospital and birth records were used to identify ECVs conducted at ≥36 weeks' gestation. Women with ECV were compared to women who were potentially eligible for but did not have ECV. Eligibility for ECV was based on clinical guidelines. For those with ECV, birth outcomes following successful and unsuccessful procedures were examined. In N = 32,321 singleton breech pregnancies, 10.5% had ECV, 22.3% were ineligible, and 67.2% were potentially eligible but did not undergo ECV. Compared to women who were eligible but who did not attempt ECV, those who had ECV were more likely to be older, multiparous, overseas-born, public patients at delivery, and to deliver in tertiary hospitals in urban areas (p ECV smoked during pregnancy, fewer were morbidly obese, and fewer had a hypertensive disorder of pregnancy, compared to those who were eligible. Caesarean section occurred in 25.9% of successful compared to 95.6% of unsuccessful ECVs. Infant outcomes did not differ by ECV success. The majority of women with a breech presentation did not receive ECV. It is unclear whether this is attributable to issues with service provision or low acceptability among women. Policies to improve access to and information about ECV appear necessary to improve uptake among women with term breech presentation. Improved data collection around the diagnosis of breech presentation, ECV attempts, and outcomes may help to identify specific barriers to ECV uptake.

  20. Cost-effectiveness of external cephalic version for term breech presentation

    Directory of Open Access Journals (Sweden)

    Carvalho Brendan

    2010-01-01

    Full Text Available Abstract Background External cephalic version (ECV is recommended by the American College of Obstetricians and Gynecologists to convert a breech fetus to vertex position and reduce the need for cesarean delivery. The goal of this study was to determine the incremental cost-effectiveness ratio, from society's perspective, of ECV compared to scheduled cesarean for term breech presentation. Methods A computer-based decision model (TreeAge Pro 2008, Tree Age Software, Inc. was developed for a hypothetical base case parturient presenting with a term singleton breech fetus with no contraindications for vaginal delivery. The model incorporated actual hospital costs (e.g., $8,023 for cesarean and $5,581 for vaginal delivery, utilities to quantify health-related quality of life, and probabilities based on analysis of published literature of successful ECV trial, spontaneous reversion, mode of delivery, and need for unanticipated emergency cesarean delivery. The primary endpoint was the incremental cost-effectiveness ratio in dollars per quality-adjusted year of life gained. A threshold of $50,000 per quality-adjusted life-years (QALY was used to determine cost-effectiveness. Results The incremental cost-effectiveness of ECV, assuming a baseline 58% success rate, equaled $7,900/QALY. If the estimated probability of successful ECV is less than 32%, then ECV costs more to society and has poorer QALYs for the patient. However, as the probability of successful ECV was between 32% and 63%, ECV cost more than cesarean delivery but with greater associated QALY such that the cost-effectiveness ratio was less than $50,000/QALY. If the probability of successful ECV was greater than 63%, the computer modeling indicated that a trial of ECV is less costly and with better QALYs than a scheduled cesarean. The cost-effectiveness of a trial of ECV is most sensitive to its probability of success, and not to the probabilities of a cesarean after ECV, spontaneous reversion

  1. [Neonatal outcome after a planned vaginal breech birth: no association with parity or birth weight, but more birth injuries than in planned cesarean section].

    Science.gov (United States)

    Brouwer, W K; Veenstra van Nieuwenhoven, A L; Santema, J G

    2001-08-11

    To investigate if in a planned vaginal breech delivery parity or birthweight is associated with neonatal outcome. Retrospective analysis of local data from the National Obstetric Registration of the Netherlands. The study concerned outcomes of 516 births of singletons with breech presentation after pregnancies > 37 weeks in the period 1 January 1995 to 31 December 1999 at the Medical Centre Leeuwarden, the Netherlands; there were 448 planned vaginal breech deliveries. Nulliparous and multiparous were separately studied in four birthweight groups ( or = 4000 g). None of the neonates born by primary caesarean experienced birth trauma. In the group with planned vaginal breech delivery 2% of the neonates of nulliparous and 3% of multiparous mothers experienced neonatal morbidity. There was one case of perinatal mortality due to birth trauma (0.2%). The total perinatal morbidity was 6% with no differences between nulliparae and multiparae and between the birthweight groups. In nulliparous, the percentage of emergency caesarean sections rose from 20% in the or = 4000 g birthweight group. Following a planned vaginal breech delivery, no differences were observed in neonatal outcome between nulliparous and multiparous women and between the four birthweight groups. The extent to which the figures were influenced by the selection for primary caesarean section is not clear.

  2. Consequences of the term breech trial in Denmark

    DEFF Research Database (Denmark)

    Hartnack Tharin, J.E.; Krebs, L.; Rasmussen, S.

    2011-01-01

    Objective. To analyze the consequences of the handling of breech presentation in Denmark after publication of the Term Breech Trial (TBT). Design. Population-based retrospective cohort study. Settings. Data from the National Birth Registry and discharge letters from cases with perinatal death...

  3. Persistent Breech Presentation in a Bicornuate Uterus: A Case Report

    African Journals Online (AJOL)

    We report a case of persistent breech presentation in a primigravida with bicornuate uterus that was initially diagnosed by early ultrasound scan. Persistent breech presentation later in the pregnancy necessitated an elective caesarean section at term. The diagnosis was confirmed intraoperatively by exteriorizing the uterus.

  4. Factors associated with the success of external cephalic version (ECV) of breech presentation at term.

    Science.gov (United States)

    Obeidat, N; Lataifeh, I; Al-Khateeb, M; Zayed, F; Khriesat, W; Amarin, Z

    2011-01-01

    To evaluate the predictors of success of ECV for breech presentation at term. A retrospective study was conducted over a 3-year period from 2005-2007, where 101 patients who had singleton breech presentation at term were undergoing external cephalic version (ECV) after 37 weeks of gestation at two major teaching hospitals in the North of Jordan. Comparative analysis was made between the successful ECV and unsuccessful ECV groups. The collected data were analysed by using statistical analysis Sudent's t-test and Mann-Whitney test as appropriate and on discrete results chi square or Fisher's exact test when appropriate. The differences were considered significant at a p value of ECV success rate was 72.3%. Favourable factors for success were multiparity (95.5% vs 4.1%, p = 0.0001), flexed breeches (74% vs 26%, p = 0.002), posterior placenta (38.6% vs 16.4%, p = 0.0001) and anterior fetal back (53.4% vs 34.8%, p = 0.03). Once turned the babies remained cephalic until delivery. All the 28 cases who had failed ECV had caesarean section. Among those who had a successful external cephalic version, the incidence of intrapartum caesarean section was only 8.2% which was lower than that of the average of both units caesarean rate (28%). There were no complications related to the ECV procedure in the study. Multiparity, flexed breech, posterior placenta, and anterior foetal back were the most favourable factors for successful ECV in our study. Moreover, with careful evaluation of individual predictors patient selection and success rates can be optimised.

  5. The effects of the term breech trial on vaginal breech delivery 8 years on

    LENUS (Irish Health Repository)

    Hehir, MP

    2011-02-01

    Institute of Obstetricians & Gynaecologists, RCPI Four Provinces Meeting, Junior Obstetrics & Gynaecology Society Annual Scientific Meeting, Royal Academy of Medicine in Ireland Dublin Maternity Hospitals Reports Meeting, Nov 2011

  6. Fracture of the Femur of A Newborn after Cesarean Section for Breech Presentation and Fibroid Uterus :A Case Report and Literature Review

    Directory of Open Access Journals (Sweden)

    Ibrahima Farikou

    2014-01-01

    Full Text Available Introduction: The practice of cesarean section is known to decrease the occurrence of long bone fractures. We present here an unusual diaphyseal fracture of the femur of a newborn after cesarean section, the only case observed in our 14 years of practice. Case Report: The patient was a 3.4-kg female child born at 38 weeks of gestation. The mother was a primipara and aged 39 years. Ultrasound examination at 20th week revealed intrauterine fibroids with a breech presentation. Therefore, elective cesarean section was indicated. There was no apparent bone disorder that could predispose to sustain femur fracture. The fracture was treated successfully with a bilateral spica cast. The cesarean section was indicated in an aged primipara, bearer of uterine fibroids, and breech presentation. She had a good general health status, but her bone density was unknown since this examination is not routinely performed in our clinical settings in Africa. Conclusion: Elderly age, primipara status, presence of uterine fibroids, and breech presentation are usual indications for cesarean section. However, there are not many reports on femur fracture after cesarean section. Our present case suggests that despite the latest advances in delivery techniques, cesarean section for breech presentation predisposes the neonate to femoral fractures. Keywords: Femur fracture; Cesarean section; Fibroid; Breech presentation; Africa.

  7. Contraindications for external cephalic version in breech position at term: a systematic review.

    Science.gov (United States)

    Rosman, Ageeth N; Guijt, Aline; Vlemmix, Floortje; Rijnders, Marlies; Mol, Ben W J; Kok, Marjolein

    2013-02-01

    External cephalic version (ECV) is a safe and effective intervention that can prevent breech delivery, thus reducing the need for cesarean delivery. It is recommended in national guidelines. These guidelines also mention contraindications for ECV, and thereby restrict the application of ECV. We assessed whether the formulation of these contraindications in guidelines are based on empiric data. Systematic review. Pregnant women with a singleton breech presentation from 34 weeks. We searched the National Guideline Clearinghouse, the Cochrane Central Register of Controlled Trials, MEDLINE (1953-2009), EMBASE (1980-2009), TRIP database (until 2011), NHS (National Health Services, until 2011), Diseases database (until 2011) and NICE guidelines (until 2011) for existing guidelines on ECV and studied the reproducibility of the contraindications stated in the guidelines. Furthermore, we systematically reviewed the literature for contraindications and evidence on these contraindications. Contraindications of ECV. We found five guidelines mentioning 18 contraindications, varying from five to 13 per guideline. The contraindications were not reproducible between the guidelines with oligohydramnios as the only contraindication mentioned in all guidelines. The literature search yielded 60 studies reporting on 39 different contraindications, of which we could only assess evidence of six of them. The present study shows that there is no general consensus on the eligibility of patients for ECV. Therefore we propose to limit contraindications for ECV to clear empirical evidence or to those with a clear pathophysiological relevance. © 2012 The Authors Acta Obstetricia et Gynecologica Scandinavica© 2012 Nordic Federation of Societies of Obstetrics and Gynecology.

  8. The Effect of Variable Composition Equilibrium Thermochemistry in Constant Breech Pressure (CBP) Gun Simulations

    Science.gov (United States)

    2014-01-01

    The Effect of Variable Composition Equilibrium Thermochemistry in Constant Breech Pressure (CBP) Gun Simulations by Anthony J. Kotlar...Effect of Variable Composition Equilibrium Thermochemistry in Constant Breech Pressure (CBP) Gun Simulations Anthony J. Kotlar Weapons and...May 1995 4. TITLE AND SUBTITLE The Effect of Variable Composition Equilibrium Thermochemistry in Constant Breech Pressure (CBP) Gun Simulations 5a

  9. Choice of mode of delivery in a subsequent pregnancy after OASI: a survey among Dutch gynecologists.

    Science.gov (United States)

    Donners, Judith J A E; Kluivers, Kirsten B; de Leeuw, Jan W; van Dillen, Jeroen; van Kuijk, Sander M J; Weemhoff, Mirjam

    2017-10-01

    National and international guidelines do not provide clear recommendations on the mode of delivery in a subsequent pregnancy after obstetric anal sphincter injury (OASI). The aim of this study was to investigate the opinion of gynecologists in The Netherlands on this choice and the extent to which this choice is affected by the gynecologist's characteristics. Of 973 gynecologists sent a questionnaire seeking their opinion on the mode of delivery in 16 different case descriptions, 234 (24%) responded. Factors influencing the opinion of the respondents on the mode of delivery, the presence of anal symptoms, the degree of OASI and the characteristics of the respondents were analyzed by univariate and multivariate logistic regression analysis. Recommendations on the mode of delivery in a subsequent pregnancy after OASI showed considerable variation. The recommendations depended on (previous) symptoms and the degree of OASI. For gynecologists who based their recommendations on endoanal ultrasonography outcomes (7-20% depending on the case), the degree of OASI and severity of (previous) symptoms were less important. Gynecologists basing their recommendations on endoanal ultrasonography recommended a primary cesarean section less often. Gynecologist's characteristics (including years of experience, type of hospital and subspecialty) had a small effect on their recommendations on the mode of delivery. Due to lack of evidence, recommendations of gynecologists in The Netherlands on the mode of delivery in a subsequent pregnancy after OASI vary widely and depend on (previous) symptoms and the degree of OASI. Gynecologists who based their recommendations on endoanal ultrasonography outcomes recommended cesarean section less often.

  10. Relational coordination promotes quality of chronic care delivery in Dutch disease-management programs.

    Science.gov (United States)

    Cramm, Jane Murray; Nieboer, Anna Petra

    2012-01-01

    Previous studies have shown that relational coordination is positively associated with the delivery of hospital care, acute care, emergency care, trauma care, and nursing home care. The effect of relational coordination in primary care settings, such as disease-management programs, remains unknown. This study examined relational coordination between general practitioners and other professionals in disease-management programs and assessed the impact of relational coordination on the delivery of chronic illness care. Professionals (n = 188; response rate = 57%) in 19 disease-management programs located throughout the Netherlands completed surveys that assessed relational coordination and chronic care delivery. We used a cross-sectional study design. Our study demonstrated that the delivery of chronic illness care was positively related to relational coordination. We found positive relationships with community linkages (r = .210, p management support (r = .217, p management team members: practice nurses (M = 2.69 vs. 3.73; p management professionals with different disciplines is expected to improve chronic illness care delivery.

  11. Asthma and mode of birth delivery: A study in 5-year-old Dutch twins.

    NARCIS (Netherlands)

    van Beijsterveldt, C.E.M.; Boomsma, D.I.

    2008-01-01

    Several studies report caesarean section (CS) to be a risk factor for childhood asthma. We used data from a large cohort of 5-year-old twins to examine the relationship between mode of birth delivery and asthma. The extent to which an infant is exposed to maternal vaginal flora may protect against

  12. Term pregnancy in breech presentation in a unicornuate uterus: a ...

    African Journals Online (AJOL)

    Mullerian anomalies are rare and are associated with poor reproductive outcomes such as pregnancy wastage, preterm birth and malpresentation. This is a case report of an eighteen-year-old woman who presented at 38 weeks gestation in labour with the fetus in breech presentation. A caesarean section was performed, ...

  13. The fact and the fiction: A prospective study of internet forum discussions on vaginal breech birth.

    Science.gov (United States)

    Petrovska, Karolina; Sheehan, Athena; Homer, Caroline S E

    2017-04-01

    Women with a breech baby late in pregnancy may use the internet to gather information to assist in decision-making for birth. The aim of this study was to examine how women use English language internet discussion forums to find out information about vaginal breech birth and to increase understanding of how vaginal breech birth is perceived among women. A descriptive qualitative study of internet discussion forums was undertaken. Google alerts were created with the search terms "breech birth" and "breech". Alerts were collected for a one-year period (January 2013-December 2013). The content of forum discussions was analysed using thematic analysis. A total of 50 forum discussions containing 382 comments were collected. Themes that arose from the data were: Testing the waters-which way should I go?; Losing hope for the chance of a normal birth; Seeking support for options-who will listen to me?; Considering vaginal breech birth-a risky choice?; Staying on the 'safe side'-caesarean section as a guarantee; Exploring the positive potential for vaginal breech birth. Women search online for information about vaginal breech birth in an attempt to come to a place in their decision-making where they feel comfortable with their birth plan. This study highlights the need for clinicians to provide comprehensive, unbiased information on the risks and benefits of all options for breech birth to facilitate informed decision-making for the woman. This will contribute to improving the woman's confidence in distinguishing between "the fact and the fiction" of breech birth discussions online. Copyright © 2016 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.

  14. Good government and providential delivery. Representations of the 1672 and 1688/89 Orangist revolutions in Dutch sermons

    NARCIS (Netherlands)

    Wieldraaijer, M.H.

    2010-01-01

    This article focuses on the justifications of the Orangist revolutions of 1672 and 1688/89 in Dutch sermons. It argues that the representations of these revolutions were very similar. Both providential discourse and the notion of good government were significant themes in the accounts of the changes

  15. Breech preterm infants are at risk of developmental dysplasia of the hip.

    Science.gov (United States)

    Quan, Teddy; Kent, Alison L; Carlisle, Hazel

    2013-08-01

    There is uncertainty about the risk of developmental dysplasia of the hip (DDH) in breech preterm infants and therefore uncertainty about the benefits of using ultrasound screening in this population. The aim of this study was to determine if preterm infants born in the breech position are at risk of DDH. A retrospective audit of preterm and term infants born in the breech position was performed to determine the incidence of DDH. Group 1 included breech preterm infants (positive or negative for DDH. Three out of 129 (2.3%) preterm infants screened had DDH. For term infants, 3 out of 163 (1.8%) infants screened had DDH. The odds ratio for DDH in breech preterm infants compared with breech term infants was 1.27 (95% confidence interval 0.25 to 6.40). Preterm infants born in the breech position appear to have a similar incidence of DDH to term infants and thus require similar screening guidelines. © 2013 The Authors. Journal of Paediatrics and Child Health © 2013 Paediatrics and Child Health Division (Royal Australasian College of Physicians).

  16. Cheat Electricity? The Political Economy of Green Electricity Delivery on the Dutch Market for Households and Small Business

    Directory of Open Access Journals (Sweden)

    J. A. M. Hufen

    2016-12-01

    Full Text Available The European Commission’s renewable energy directive introduced a market-based Guarantees of Origin (GO-trade system that gives consumers the choice of buying “real” green energy. This has been successful, as the market share of Dutch households that buy green energy grew to 64% in 2015. However, societal organizations are dissatisfied with the green energy offered, categorizing it as “cheat” electricity. This article aims to solve this riddle of a successful product created under the GO-trade system but also heavily criticized. Research reveals a lively marketplace with buyers eager to buy green energy and energy producers offering a wide range of labels. Marketplace mechanisms are strongly influenced by political choices, and financial support for energy suppliers makes green energy a credible option. Societal groups, however, argue that the information provided is incomplete and misleading, that buying green energy does not impact positively on greenhouse gas reduction, and that better information and structural reform are required. The GO-trade system is strongly influenced by member states’ national energy politics. Societal organizations have helped to optimize the implementation of the GO-trade system in the Netherlands, but they are not expected to be able to support the creation of a level playing field in which an optimal GO-trade system will flourish.

  17. Twin vaginal delivery: innovate or abdicate.

    Science.gov (United States)

    Easter, Sarah Rae; Taouk, Laura; Schulkin, Jay; Robinson, Julian N

    2017-05-01

    Neonatal safety data along with national guidelines have prompted renewed interest in vaginal delivery of twins, particularly in the case of the noncephalic second twin. Yet, the rising rate of twin cesarean deliveries, coupled with the national decline in operative obstetrics, raises concerns about the availability of providers who are skilled in twin vaginal birth. Providers are key stakeholders for increasing rates of twin vaginal delivery. We surveyed a group of practicing obstetricians to explore potential barriers to the vaginal birth of twins with a focus on delivery of the noncephalic second twin. Among 107 responding providers, only 57% would deliver a noncephalic second twin by breech extraction. Providers who preferred breech extraction had a higher rate of maternal-fetal medicine subspecialty training (26.2% vs 4.3%; P30 sets of twins annually (57.4% vs 34.8%; P=.02). Most providers (54.2%) were familiar with the findings from the recent randomized trial that demonstrated the safety of twin vaginal birth. However, knowledge of the trial was not associated statistically with a preference for breech extraction (62.3% vs 43.5%; P=.05). Providers who preferred breech extraction were more likely to agree with recent society guidelines that encourage the vaginal birth of twins (86.9% vs 63.0%; Pinnovation. Without novel provider-focused strategies, we may relinquish passively the requisite skills for not only our patients but also for future generations of obstetricians. Copyright © 2017 Elsevier Inc. All rights reserved.

  18. Objective Evaluation of Subclass Characteristics on Breech Face Marks.

    Science.gov (United States)

    Riva, Fabiano; Hermsen, Rob; Mattijssen, Erwin; Pieper, Pascal; Champod, Christophe

    2017-03-01

    Subclass characteristics can be found on the breech face marks left on spent cartridge cases. Even if they are assumed to be rare and their reported number is small, they can potentially lead to false associations. Subclass characteristics have been studied empirically allowing examiners to recognize them and to understand in which conditions they are produced. Until now, however, their influence on the identification process has not been studied from a probabilistic point of view. In this study, we aim at measuring the effect of these features on the strength of association derived from examinations involving subclass characteristics. The study takes advantage of a 3D automatic comparison system allowing the calculation of likelihood ratios (LRs). The similarities between cartridge case specimens fired by thirteen S&W .40S&W Sigma pistols are quantified, and their respective LRs are computed. The results show that the influence of subclass characteristics on the LRs is limited, even when these features are prevalent among the potential sources considered in a case. We show that the proportion of firearms sharing subclass characteristics should be larger than 40% of the pool of potential firearms for the effect to be significant. © 2016 American Academy of Forensic Sciences.

  19. Bilateral Humerus and Right Femur Fracture in a Newborn after Cesarean Section for Breech Presentation in a Twin Pregnancy: A Very Rare Case Report

    Science.gov (United States)

    Rahul, P; Grover, Amit Rakesh; Ajoy, S M

    2017-01-01

    Introduction: The most common fractures during vaginal delivery occur in the clavicle, humerus, and femur. Cesarean section reduces the chances of a child having a birth injury. However, in some difficult extractions, long bone fractures may occur. Cesarean section further reduces the incidence of birth injuries, especially in a breech delivery. Maneuvers employed during cesarean section, energetic traction, improper uterine incisions, and contracted uterus may cause these injuries. In the medical literature, there are few articles highlighting the occurrence of long bone fractures during cesarean section. There has been no case reported with a combined bilateral humerus and femur fracture in the medical literature. Case Report: A 2-day-old neonate born after cesarean section for breech presentation in a twin pregnancy presented with restricted movements of both his arms and right leg. Infantogram revealed bilateral humerus and right femur fracture. Biochemical tests were normal, and there were no other findings on clinical examination. There was no evidence of child abuse or any positive family history. Child was splinted for 3 weeks. X-rays suggested good callus at the fracture site of the right femur and bilateral humerus fracture were united. Conclusion: To conclude, we would like to emphasize that long bone fractures can happen with cesarean section also. To prevent such untoward complications, during delivery of the baby the surgeon should be very careful, avoid energetic traction and should plan his incisions. Appropriate relaxation of the uterus must be achieved. Clavicles and other long bones should be palpated after a difficult delivery. However, it is important to note that long bone fractures in children heal rapidly without the need for any major intervention. PMID:28630830

  20. The effect of intra-uterine breech position on postnatal motor functions of the lower limbs

    NARCIS (Netherlands)

    Sival, D A; Prechtl, H F; Sonder, G H; Touwen, B C

    The effect of intra-uterine movement restriction on the development of motor functions was studied longitudinally by comparing infants born after uncomplicated breech position (n = 13) with control infants (vertex position, n = 5-10). Before birth, fetal leg posture was studied at regular intervals

  1. Long-term follow-up of cognitive outcome after breech presentation at birth

    DEFF Research Database (Denmark)

    Sørensen, Henrik Toft; Steffensen, Flemming Hald; Olsen, Jørn

    1999-01-01

    Studies of long-term consequences of birth in breech presentation are sparse. Therefore, we conducted a cohort study linking birth registry data with data collected during evaluation for military service in 4,298 conscripts born between 1973 and 1976. The cognitive functions were measured...

  2. Genetic relationships between dagginess, breech bareness, and wool traits in New Zealand dual-purpose sheep.

    Science.gov (United States)

    Pickering, N K; Blair, H T; Hickson, R E; Dodds, K G; Johnson, P L; McEwan, J C

    2013-10-01

    Genetic and phenotypic parameters were estimated for dagginess, breech, wool, and fiber traits from approximately 29,500 progeny born in 2009 and 2010 in New Zealand dual-purpose ram breeding sheep flocks. Dagginess is adherence of fecal matter to the wool, and this study investigates the genetic and phenotypic correlations between dagginess and breech and wool traits. Estimates for heritability were moderate (0.21 to 0.44) for the following traits: dag score at 3 and 8 mo (DAG3, DAG8), breech bareness, wool length, wool bulk (BULK), mean fiber diameter, mean fiber diameter SD, mean fiber diameter CV, curvature (CURV), weaning weight at 3 mo, and autumn BW. Heritability estimates for fleece weight at 12 mo and proportion of medullated fibers were high (0.49 and 0.53, respectively). Dag score at 3 mo and DAG8 had low genetic and phenotypic correlations with all traits. Breech bareness had positive genetic and phenotypic correlations with CURV and BULK and mostly negative genetic correlations with all other wool traits. In summary the quantity and attributes of wool were not primary causative factors in fecal accumulation, leaving fecal consistency and composition as the major factors.

  3. Ultrasound Examination for Infants Born Breech by Elective Cesarean Section With a Normal Hip Exam for Instability.

    Science.gov (United States)

    Pacana, Matthew J; Hennrikus, William L; Slough, Jennifer; Curtin, William

    2017-01-01

    Because of the risk of developmental dysplasia of the hip in infants born breech-despite a normal physical exam-the American Academy of Pediatrics (AAP) guidelines recommend ultrasound (US) hip imaging at 6 weeks of age for breech females and optional imaging for breech males. The purpose of this study is to report US results and follow-up of infants born breech with a normal physical exam. The electronic medical record for children born at 1 hospital from 2008 to 2011 was reviewed. Data were analyzed for sex, birth weight, breech position, birth order, ethnicity, US and x-ray results, follow-up, and cost. A total of 237 infants were born breech with a normal physical examination, all delivered by cesarean section. Of the infants, 55% were male and 45% female. About 151 breech infants (64%) with a normal Barlow and Ortolani exam had a precautionary hip US as recommended by the AAP performed at an average of 7 weeks of age. Eighty-six breech infants (35%) did not have an US and were followed clinically. Of the 151 infants that had an US, 140 (93%) were read as normal. None had a dislocated hip. Two patients had a normal physical exam but laxity on US. These 2 patients were the only infants treated in a Pavlik harness. A pediatric orthopaedic surgeon followed those with subtle US findings and no laxity until normal. The decision by the AAP to recommend US screening at 6 weeks of age for infants with a normal physical exam but breech position was based on an extensive literature review and expert opinion. Not all pediatricians are following the AAP guidelines. The decision to perform an US should be done on a case-by-case basis by the examining physician. A more practical, cost-effective strategy would be to skip the US if the physical exam is normal and simply obtain an AP pelvis x-ray at 4 months. Level III-this is a case-control study investigating the outcomes of infants on data drawn from the electronic medical record.

  4. Patients' and professionals' barriers and facilitators to external cephalic version for breech presentation at term, a qualitative analysis in the Netherlands

    NARCIS (Netherlands)

    Rosman, A.N.; Vlemmix, F.; Fleuren, M.A.H.; Rijnders, M.E.; Beuckens, A.; Opmeer, B.C.; Mol, B.W.J.; Zwieten, M.C.B. van; Kok, M.

    2014-01-01

    Objective: external cephalic version (ECV) is a relatively simple and safe manoeuvre and a proven effective approach in the reduction of breech presentation at term. There is professional consensus that ECV should be offered to all women with a fetus in breech presentation, but only up to 70% of

  5. Delivery presentations

    Science.gov (United States)

    ... is delivered under the pubic bone. After the shoulder, the rest of the body is usually delivered without a problem. Alternative Names Shoulder presentation; Malpresentations; Breech birth; Cephalic presentation; Fetal lie; ...

  6. Fear for external cephalic version and depression : Predictors of successful external cephalic version for breech presentation at term?

    NARCIS (Netherlands)

    Ciliacus, Emily; van der Zalm, Marieke; Truijens, Sophie E.; Hasaart, Tom H.; Pop, Victor J.; Kuppens, Simone M.

    2014-01-01

    Background Objective was to determine whether fear for external cephalic version (ECV) and depression are associated with the success rate of ECV in women with a breech presentation at term. Methods Prospective study conducted in the Catharina Hospital Eindhoven between October 2007 and May 2012.

  7. Fear for external cephalic version and depression: predictors of successful external cephalic version for breech presentation at term?

    Science.gov (United States)

    2014-01-01

    Background Objective was to determine whether fear for external cephalic version (ECV) and depression are associated with the success rate of ECV in women with a breech presentation at term. Methods Prospective study conducted in the Catharina Hospital Eindhoven between October 2007 and May 2012. Participants fulfilled The Edinburgh Depression Scale (EDS) questionnaire and expressed their degree of fear on a visual analogue scale from one to ten before ECV. Obstetric factors were evaluated as well. Primary outcome was the relation between psychological factors (fear for ECV and depression EDS scores) and ECV success rate. Secondary outcome was a possible relation between fear for ECV and increased abdominal muscle tension. Results The overall success rate was 55% and was significantly lower (p ECV and depression EDS-scores were not related with ECV success rate. Parity, placental location, BMI and engagement of the fetal breech were obstetric factors associated with ECV outcome. There was no relation between fear for ECV and abdominal muscle tone. Conclusion Fear for ECV and depression were not related with ECV success rate in this study. Engagement of the fetal breech was the most important factor associated with a successful ECV. Trial registration EBIS: The Eindhoven Breech Intervention Study, NCT00516555. PMID:24620740

  8. Fear for external cephalic version and depression: predictors of successful external cephalic version for breech presentation at term?

    Science.gov (United States)

    Ciliacus, Emily; van der Zalm, Marieke; Truijens, Sophie E; Hasaart, Tom H; Pop, Victor J; Kuppens, Simone M

    2014-03-12

    Objective was to determine whether fear for external cephalic version (ECV) and depression are associated with the success rate of ECV in women with a breech presentation at term. Prospective study conducted in the Catharina Hospital Eindhoven between October 2007 and May 2012. Participants fulfilled The Edinburgh Depression Scale (EDS) questionnaire and expressed their degree of fear on a visual analogue scale from one to ten before ECV. Obstetric factors were evaluated as well. Primary outcome was the relation between psychological factors (fear for ECV and depression EDS scores) and ECV success rate. Secondary outcome was a possible relation between fear for ECV and increased abdominal muscle tension. The overall success rate was 55% and was significantly lower (p Fear for ECV and depression EDS-scores were not related with ECV success rate. Parity, placental location, BMI and engagement of the fetal breech were obstetric factors associated with ECV outcome. There was no relation between fear for ECV and abdominal muscle tone. Fear for ECV and depression were not related with ECV success rate in this study. Engagement of the fetal breech was the most important factor associated with a successful ECV. The Eindhoven Breech Intervention Study, NCT00516555.

  9. Reverse breech extraction versus the standard approach of pushing the impacted fetal head up through the vagina in caesarean section for obstructed labour: A randomised controlled trial.

    Science.gov (United States)

    Nooh, Ahmed Mohamed; Abdeldayem, Hussein Mohammed; Ben-Affan, Othman

    2017-05-01

    The objective of this study was to assess effectiveness and safety of the reverse breech extraction approach in Caesarean section for obstructed labour, and compare it with the standard approach of pushing the fetal head up through the vagina. This randomised controlled trial included 192 women. In 96, the baby was delivered by the 'reverse breech extraction approach', and in the remaining 96, by the 'standard approach'. Extension of uterine incision occurred in 18 participants (18.8%) in the reverse breech extraction approach group, and 46 (47.9%) in the standard approach group (p = .0003). Two women (2.1%) in the reverse breech extraction approach group needed blood transfusion and 11 (11.5%) in the standard approach group (p = .012). Pyrexia developed in 3 participants (3.1%) in the reverse breech extraction approach group, and 19 (19.8%) in the standard approach group (p = .0006). Wound infection occurred in 2 women (2.1%) in the reverse breech extraction approach group, and 12 (12.5%) in the standard approach group (p = .007). Apgar score vagina.

  10. 'Burnout' among Dutch midwives.

    NARCIS (Netherlands)

    Bakker, R.H.C.; Groenewegen, P.P.; Jabaaij, L.; Meijer, W.; Sixma, H.; Veer, A. de

    1996-01-01

    OBJECTIVE: to determine the effect of workload on 'burnout' having considered work capacity. DESIGN: cross-sectional study. SETTING: Dutch community midwives in independent practice. PARTICIPANTS: 200 Dutch community midwives. MEASUREMENTS: three-week diary recordings, a questionnaire on practice

  11. A randomized trial of remifentanil for analgesia in external cephalic version for breech presentation.

    Science.gov (United States)

    Liu, Xiaohua; Xue, Aiqin

    2016-12-01

    Although external cephalic version (ECV) can be effective for correcting the fetus in a cephalic presentation, it may be painful for the mother. This study aimed to evaluate the efficacy and safety of remifentanil for pain relief during ECV in China. In all, 152 Chinese parturients with singleton breech presentation were randomly divided into 2 groups, each with 76 patients. All 152 patients were assigned to receive either remifentanil (infused at 0.1 μg/kg/min and demand boluses of 0.1 μg/kg) or saline placebo. The study was performed between January 2012 and December 2015. Outcome measurements included the Numerical Rating Pain Scale score (0-10) after ECV, success rate for ECV, and maternal satisfaction after ECV. Adverse events were also evaluated. The study was completed by 146 patients. Remifentanil showed greater efficacy than placebo in decreasing the pain score immediately after ECV (remifentanil 4.6 ± 2.6 vs placebo 6.5 ± 2.7; P ECV showed a significant difference between the 2 groups (remifentanil 56.5% vs placebo 39.5%; P = 0.04). Maternal satisfaction also showed a significant difference between the 2 groups (remifentanil 9.6 ± 1.4 vs placebo 6.4 ± 3.7; P ECV, and increasing maternal satisfaction during ECV, and is generally well-tolerated without additional adverse effects.

  12. Assessing Electronic Service Delivery in Municipalities

    NARCIS (Netherlands)

    Budding, G.; Faber, A.S.C.; Gradus, R.H.J.M.

    2017-01-01

    In the Netherlands, electronic service delivery has become an important issue in many municipalities. Using the Internet for service delivery is seen as an important element of e-government. Based on 2014-2016 panel-data of ICT service delivery for all Dutch municipalities, we show that there is a

  13. Facilitators and barriers to external cephalic version for breech presentation at term among health care providers in the Netherlands: A quantitative analysis

    NARCIS (Netherlands)

    Rosman, A.N.; Vlemmix, F.; Beuckens, A.; Rijnders, M.E.; Opmeer, B.C.; Mol, B.W.J.; Kok, M.; Fleuren, M.A.H.

    2014-01-01

    OBJECTIVE: guidelines recommend that external cephalic version (ECV) should be offered to all women with a fetus in breech presentation at term. However, only 50-60% of the women receive an ECV attempt. We explored the determinants (barriers and facilitators) affecting the uptake of the guidelines

  14. MOOC Introduction to Dutch

    NARCIS (Netherlands)

    den Hollander, Franciscus; Piersma, Kristien

    Interview met Margriet Hidding, Birgit Lijmbach en Jeroen van Engen, medewerkers van het Talencentrum en de makers van de Massive Open Online Course (MOOC) Introduction to Dutch over het grote succes van deze cursus

  15. DutchParl: A corpus of parliamentary documents in Dutch

    NARCIS (Netherlands)

    Marx, M.; Schuth, A.; Calzolari, N.; Choukri, K.; Maegaard, B.; Mariani, J.; Odijk, J.; Piperidis, S.; Rosner, M.; Tapias, D.

    2010-01-01

    A corpus called DutchParl is created which aims to contain all digitally available parliamentary documents written in the Dutch language. The first version of DutchParl contains documents from the parliaments of The Netherlands, Flanders and Belgium. The corpus is divided along three dimensions: per

  16. Cluster of Botulism among dutch tourists in Turkey, june 2008

    NARCIS (Netherlands)

    Swaan, C.M.; Ouwerkerk, van M.; Roest, H.I.J.

    2010-01-01

    In June 2008, three Dutch tourists participating in a mini-cruise in Turkey needed urgent repatriation for antitoxin treatment because of symptoms of botulism. Because there was a shortage of antitoxin in the Netherlands, an emergency delivery was requested from the manufacturer in Germany. An

  17. Effectiveness of nutrition education in Dutch primary schools

    NARCIS (Netherlands)

    Fries, M.C.E.

    2016-01-01

    “Nutrition education in Dutch primary schools” School-based nutrition education programmes have increasingly been used to teach children about nutrition and to provide them with the skills to make healthy food choices. As these programmes differ in content and delivery,

  18. Dutch School in Geneva

    CERN Multimedia

    2011-01-01

    The Dutch School in Geneva organizes Dutch education for children in the primary and secondary school. For the school year 2011-2012 the Dutch School in Geneva is looking for qualified part time teachers Dutch for the primary and secondary school. If you are interested, please send your application and curriculum vitae in Dutch by email to the NTC coordinator, Mrs. Anne Saeys (anne.saeys@free.fr). More info : www.ntcgeneve.info De vereniging Nederlandse Taal en Cultuur De Taalfontein, kortweg NTC Genève, is een oudervereniging, die tot doel heeft de Nederlandse taal en de Nederlandse en Vlaamse cultuur in de regio Genève te stimuleren. Dit geschiedt d.m.v. het organiseren van Nederlandse les voor leerlingen zowel in het basisonderwijs als het voortgezet onderwijs. Voor het volgende schooljaar zoekt NTC parttime docenten (M/V) vanaf 2 uur per week, zowel voor het Primair Onderwijs als voor het Voortgezet Onderwijs, met name voor de IB-opleiding. Voor het Primair Onderwijs dienen ge&...

  19. Dutch taboo norms

    NARCIS (Netherlands)

    S.A. Roest (Sander A.); T.A. Visser (Tessa A.); R. Zeelenberg (René)

    2017-01-01

    textabstractThis article provides norms for general taboo, personal taboo, insult, valence, and arousal for 672 Dutch words, including 202 taboo words. Norms were collected using a 7-point Likert scale and based on ratings by psychology students from the Erasmus University Rotterdam in The

  20. Dutch house price fundamentals

    NARCIS (Netherlands)

    Haffner, M.E.A.; de Vries, P.

    2009-01-01

    This paper discusses house price developments in the Netherlands, specifically focussing on the question whether current house prices in the Dutch owner-occupied market are likely to decrease. We analyse three aspects of the question based on a literature review: (1) whether there is a house price

  1. The Fine Dutch Tradition

    NARCIS (Netherlands)

    Hooimeijer, F.L.

    2012-01-01

    Publication of the exhibition and symposium on water adaptive urban planning and architecture in Bangkok. The Urban Fine Dutch Tradition is a dynamic tradition of making urban designs using the parameters of the natural system – incorperating in an efficient way the hydrological cycle, the soil and

  2. Dutch Building Decree

    NARCIS (Netherlands)

    Scholten, N.P.M.

    2000-01-01

    On the 1 October 1992 a change in the Dutch building legislation took effect: the revised Housing Act, the Building Decree and the technical documents related to this legislation came into force. This publication contains an English translation of the Building Decree. In order to give an idea of the

  3. Dutch surgery in Japan

    NARCIS (Netherlands)

    van Gulik, Thomas M.; Nimura, Yuji

    2005-01-01

    An isolation policy was adopted in feudal Japan from 1639 to 1853 owing to the fear of foreign influence. During those 200 years of isolation, all foreigners were withheld from the country with the exception of the Dutch, who were permitted to establish a trading post on a small island in the Bay of

  4. Survival of Dutch heathlands

    NARCIS (Netherlands)

    Diemont, W.H.

    1996-01-01

    OBJECTIVES OF THE THESIS

    Heathlands in The Netherlands are vanishing due to the invasion of trees. The transition from heathland to woodland in Dutch heathlands may either proceed directly or is preceded by the development of an intermediate grass heath. These changes are due to natural

  5. Adverse obstetric outcomes in pregnant women with uterine fibroids in China: A multicenter survey involving 112,403 deliveries.

    Directory of Open Access Journals (Sweden)

    Rong Zhao

    Full Text Available To estimate the association between uterine fibroids and adverse obstetric outcomes.This was a retrospective cross-sectional study of 112,403 deliveries from 14 provinces and 39 different hospitals in 2011 in mainland China. We compared pregnancy outcomes in women with and without uterine fibroids who underwent detailed second trimester obstetric ultrasonography during 18 to 22 weeks. Obstetric outcomes include cesarean delivery, breech presentation, preterm delivery, placenta previa, placental abruption, premature rupture of membranes and neonatal birthweight. Univariate analyses and multivariate logistic regression analyses were performed.Of 112,403 women who underwent routine obstetric survey, 3,012 (2.68% women were identified with at least 1 fibroid. By univariate and multivariate analyses, the presence of uterine fibroids was significantly associated with cesarean delivery (Adjusted odds radio [AOR] 1.8, 95% confidence interval [CI] 1.7-2.0, breech presentation (AOR 1.3, 95% CI 1.2-1.5 and postpartum hemorrhage (AOR 1.2, 95% CI 1.1-1.4. The size of uterine fibroids and location in uterus had important effect on the mode of delivery. The rates of PPH were significantly higher with increasing size of the uterine fibroid (P<0.001. And the location of fibroid (intramural, submucosal or subserosal also have a statistically significant impact on the risk of PPH (5.6% [subserosal] vs 4.7% [submucosal] vs 8.6% [intramural].Pregnant women with uterine fibroids are at increased risk for cesarean delivery, breech presentation and postpartum hemorrhage. And different characteristics of uterine fibroids affect obstetric outcomes through different ways. Such detailed information may be useful in risk-stratifying pregnant women with fibroids.

  6. Dutch ministerial visit

    CERN Multimedia

    2007-01-01

    Dutch Minister of Education, Culture and Science R. Plasterk (third from left) in the ATLAS cavern with NIKHEF Director F. Linde, CERN Chief Scientific Officer J. Engelen, Ambassador J. van Eenennaam, ATLAS Collaboration Spokesperson P. Jenni, Mission Representative G. Vrielink and ATLAS Magnet Project Leader H. ten Kate.Minister of Education, Culture and Science from the Kingdom of the Netherlands, Ronald Plasterk, visited CERN on 25th October. With Jos Engelen, CERN Scientific Director, as his guide he visited Point 1 of the LHC tunnel and ATLAS, where Nikhef (the national institute for subatomic physics, a Dutch government and university collaboration) constructed all 96 of the largest muon drift chambers in the barrel as well as parts of the magnet system, the inner detector, the DAQ and triggering. Overall the Netherlands contribute 4.5% to the annual CERN budget and the minister’s visit celebrated the contributions of the 79 ...

  7. Dutch taboo norms.

    Science.gov (United States)

    Roest, Sander A; Visser, Tessa A; Zeelenberg, René

    2017-04-13

    This article provides norms for general taboo, personal taboo, insult, valence, and arousal for 672 Dutch words, including 202 taboo words. Norms were collected using a 7-point Likert scale and based on ratings by psychology students from the Erasmus University Rotterdam in The Netherlands. The sample consisted of 87 psychology students (58 females, 29 males). We obtained high reliability based on split-half analyses. Our norms show high correlations with arousal and valence ratings collected by another Dutch word-norms study (Moors et al.,, Behavior Research Methods, 45, 169-177, 2013). Our results show that the previously found quadratic relation (i.e., U-shaped pattern) between valence and arousal also holds when only taboo words are considered. Additionally, words rated high on taboo tended to be rated low on valence, but some words related to sex rated high on both taboo and valence. Words that rated high on taboo rated high on insult, again with the exception of words related to sex many of which rated low on insult. Finally, words rated high on taboo and insult rated high on arousal. The Dutch Taboo Norms (DTN) database is a useful tool for researchers interested in the effects of taboo words on cognitive processing. The data associated with this paper can be accessed via the Open Science Framework ( https://osf.io/vk782/ ).

  8. Income smoothing by Dutch hospitals

    NARCIS (Netherlands)

    Boterenbrood, D.R.

    2014-01-01

    Research indicates that hospitals manage their earnings. However, these findings might be influenced by methodological issues. In this study, I exploit specific features of Dutch hospitals to study income smoothing while limiting these methodological issues. The managers of Dutch hospitals have the

  9. The Dutch surgical colorectal audit

    NARCIS (Netherlands)

    van Leersum, N. J.; Snijders, H. S.; Henneman, D.; Kolfschoten, N. E.; Gooiker, G. A.; ten Berge, M. G.; Eddes, E. H.; Wouters, M. W. J. M.; Tollenaar, R. A. E. M.; Bemelman, W. A.; van Dam, R. M.; Elferink, M. A.; Karsten, Th M.; van Krieken, J. H. J. M.; Lemmens, V. E. P. P.; Rutten, H. J. T.; Manusama, E. R.; van de Velde, C. J. H.; Meijerink, W. J. H. J.; Wiggers, Th; van der Harst, E.; Dekker, J. W. T.; Boerma, D.

    2013-01-01

    In 2009, the nationwide Dutch Surgical Colorectal Audit (DSCA) was initiated by the Association of Surgeons of the Netherlands (ASN) to monitor, evaluate and improve colorectal cancer care. The DSCA is currently widely used as a blueprint for the initiation of other audits, coordinated by the Dutch

  10. Vaginal delivery under caudal analgesia after caesarean section and other major uterine surgery.

    Science.gov (United States)

    Meehan, F P; Moolgaoker, A S; Stallworthy, J

    1972-06-24

    In the absence of a recurring indication for caesarean section vaginal delivery in subsequent pregnancy is a "trial of scar," with potentially serious implications for mother and baby. Labour under caudal analgesia was carefully supervised for 75 women with a surgically scarred uterus-due to lower segment section in 72, abdominal hysterotomy in one, and transcavity myomectomy in two. Every caesarean scar was assessed digitally during labour and every uterus was examined after delivery. Caudal analgesia provided a painless labour and delivery and made scar assessment easy. Controlled intravenous Syntocinon infusion was given to 25 patients. One scar dehiscence occurred early in labour and one in the second stage. Seventy mothers had 71 vaginal deliveries with one pair of twins and one breech. There was one stillbirth and no neonatal death. There were five repeat sections.

  11. Adverse obstetric outcomes in pregnant women with uterine fibroids in China: A multicenter survey involving 112,403 deliveries.

    Science.gov (United States)

    Zhao, Rong; Wang, Xin; Zou, Liying; Li, Guanghui; Chen, Yi; Li, Changdong; Zhang, Weiyuan

    2017-01-01

    To estimate the association between uterine fibroids and adverse obstetric outcomes. This was a retrospective cross-sectional study of 112,403 deliveries from 14 provinces and 39 different hospitals in 2011 in mainland China. We compared pregnancy outcomes in women with and without uterine fibroids who underwent detailed second trimester obstetric ultrasonography during 18 to 22 weeks. Obstetric outcomes include cesarean delivery, breech presentation, preterm delivery, placenta previa, placental abruption, premature rupture of membranes and neonatal birthweight. Univariate analyses and multivariate logistic regression analyses were performed. Of 112,403 women who underwent routine obstetric survey, 3,012 (2.68%) women were identified with at least 1 fibroid. By univariate and multivariate analyses, the presence of uterine fibroids was significantly associated with cesarean delivery (Adjusted odds radio [AOR] 1.8, 95% confidence interval [CI] 1.7-2.0), breech presentation (AOR 1.3, 95% CI 1.2-1.5) and postpartum hemorrhage (AOR 1.2, 95% CI 1.1-1.4). The size of uterine fibroids and location in uterus had important effect on the mode of delivery. The rates of PPH were significantly higher with increasing size of the uterine fibroid (Pobstetric outcomes through different ways. Such detailed information may be useful in risk-stratifying pregnant women with fibroids.

  12. Techniques for assisting difficult delivery at caesarean section.

    Science.gov (United States)

    Waterfall, Heather; Grivell, Rosalie M; Dodd, Jodie M

    2016-01-31

    Caesarean section involves making an incision in the woman's abdomen and cutting through the uterine muscle. The baby is then delivered through that incision. Difficult caesarean birth may result in injury for the infant or complications for the mother. Methods to assist with delivery include vacuum or forceps extraction or manual delivery utilising fundal pressure. Medication that relaxes the uterus (tocolytic medication) may facilitate the birth of the baby at caesarean section. Delivery of the impacted head after prolonged obstructed labour can be associated with significant maternal and neonatal complication; to facilitate delivery of the head the surgeon may utilise either reverse breech extraction or head pushing. To compare the use of tocolysis (routine or selective use) with no use of tocolysis or placebo and to compare different extraction methods at the time of caesarean section for outcomes of infant birth trauma, maternal complications (particularly postpartum haemorrhage requiring blood transfusion), and long-term measures of infant and childhood morbidity. We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (30 September 2015) and reference lists of retrieved studies. All published, unpublished, and ongoing randomised controlled trials comparing the use of tocolytic agents (routine or selective) at caesarean section versus no use of tocolytic or placebo at caesarean section to facilitate the birth of the baby. Use of instrument versus manual delivery to facilitate birth of the baby. Reverse breech extraction versus head pushing to facilitate delivery of the deeply impacted fetal head. Two review authors independently assessed trials for inclusion and risk of bias, extracted data and checked them for accuracy. Seven randomised controlled trials, involving 582 women undergoing caesarean section were included in this review. The risk of bias of included trials was variable, with some trials not adequately describing allocation or

  13. [German-speaking midwifes prefer vaginal mode of delivery to elective Caesarean].

    Science.gov (United States)

    Harder, U; Reutter, R; Luyben, A; Gross, M M

    2002-04-01

    Increasing ceasarean section rates are a world wide concern in obstetrics. One of the latest contributing factors is the elective caesarean section in uncomplicated singleton pregnancy at term. The preference for this mode of delivery was primarily brought forward by obstetric practitioners (Al Mufty, McCarthy, Fisk 1996). A questionnaire, which mainly aimed to ask germanspeaking midwifes in Austria, Germany and Switzerland about their personal choice of delivery mode, was included in one of the issues of the German-language midwifery journal "Die Hebamme". This questionnaire contained 5 half-closed/half open questions describing specific obstetric occurrences. The midwifes were asked to express their preferred mode of delivery and describe their reason for choosing. 446 questionnaires (12 %) were returned. The majority (100 %) of the german speaking midwifes preferred a normal vaginal delivery in an uncomplicated singleton pregnancy at term with a child in cephalic presentation. The rating was about the same (97 %) in the presence of general risk factors which don't indicate a primary caesarean section. Breech presentation and macrosomia are a matter of concern to the midwifes. Midwifes arguing for a first child in breech presentation or with macrosomia > 4.5 kg vote highly significantly more frequently for elective caesarean section than midwifes arguing for at least the second child. The first-rate reasons for the preference of vaginal delivery concern the natural and physiological way of delivery, the personal experience of delivery, the higher risks of caesarean section and the possibility of a later caesarean section in case of fetal distress during first or second stage of labour. Concerns are expressed about the maintenance of competence amongst practitioners, thus influencing the choice of mode of delivery in obstetrics.

  14. Local electronic service delivery: the variation explained?

    NARCIS (Netherlands)

    A.J.D. Dijkshoorn (Andres)

    2009-01-01

    textabstractIntroduction: In this paper, an overview will be given of the ongoing research into the variety in personalized electronic service delivery in Dutch municipalities. First, the motivation and theoretical background for this research will be discussed. Second, the design and used methods

  15. Opinion mining in Dutch Hansards

    NARCIS (Netherlands)

    Grijzenhout, S.; Jijkoun, V.; Marx, M.

    2010-01-01

    The question is addressed if opinion mining techniques can be successfully used to automatically retrieve political viewpoints in Dutch parliamentary publications. Two specific tasks are identified: automatically determining subjectivity in the publications and automatically determining the semantic

  16. Review: Internationalisation of Dutch SMEs

    OpenAIRE

    Jolanda Hessels; Nicolette Tiggeloove

    2009-01-01

    As globalisation increases so does the attention paid to the internationalisation of Dutch SMEs. The appearance of new players on the European market and on the world market means on the one hand that Dutch SMEs are being confronted with greater foreign competition on their domestic market. On the other hand, the same circumstances also create more opportunities for SMEs on foreign markets. This is reflected in the increasingly active role played by SMEs on foreign markets.

  17. Mode of delivery after successful external cephalic version: a systematic review and meta-analysis.

    Science.gov (United States)

    de Hundt, Marcella; Velzel, Joost; de Groot, Christianne J; Mol, Ben W; Kok, Marjolein

    2014-06-01

    To assess the mode of delivery in women after a successful external cephalic version by performing a systematic review and meta-analysis. We searched MEDLINE, Embase, ClinicalTrials.gov, Cumulative Index to Nursing and Allied Health Literature, and the Cochrane Library for studies reporting on the mode of delivery in women after successful external cephalic version at term and women with a spontaneous cephalic-presenting fetus. Two reviewers independently selected studies, extracted data, and assessed study quality. The association between mode of delivery and successful external cephalic version was expressed as a common odds ratio with a 95% confidence interval (CI). We identified three cohort studies and eight case-control studies, reporting on 46,641 women. The average cesarean delivery rate for women with a successful external cephalic version was 21%. Women after successful external cephalic version were at increased risk for cesarean delivery for dystocia (odds ratio [OR] 2.2, 95% CI 1.6-3.0), cesarean delivery for fetal distress (OR 2.2, 95% CI 1.6-2.9), and instrumental vaginal delivery (OR 1.4, 95% CI 1.1-1.7). Women who have had a successful external cephalic version for breech presentation are at increased risk for cesarean delivery and instrumental vaginal delivery as compared with women with a spontaneous cephalic presentation. Nevertheless, with a number needed to treat of three, external cephalic version still remains a very efficient procedure to prevent a cesarean delivery.

  18. Repairing the breech

    Directory of Open Access Journals (Sweden)

    Harry C. Boyte

    2012-04-01

    Full Text Available The main obstacle to genuine and productive partnerships between institutions of higher education and the professionals they prepare, on the one side, and communities, on the other, is a “knowledge war,” full of invisible hierarchies and exclusions, producing a hypercompetitive achievement culture. This knowledge war dramatically limits communities’ and citizens’ ability to act on the problems they face today. It also sharply erodes the power of higher education, professionals, and civic leaders to help shape the culture in democratic ways.We have to get beyond arrogant experts and aggrieved communities if we want to develop communities’ capacities to solve problems and also to generate a larger vision of a good society. Community is the living context for evaluating expert knowledge. But without engagement with other ways of knowing appeal to community knowledge can easily produce a Know-Nothing reaction to the larger world.If we are to build communities’ civic agency – capacities to work across differences to meet our common challenges – we need to democratize the politics of knowledge and end the knowledge war. This requires learning from effective community organizing the idea of “schools for public life,” where ordinary people develop skills, habits, and confidence of citizenship. It also means creating what might be called middle spaces, not owned by academics or professionals, but open to academic and scientific knowledge, where different ways of knowing and acting intermingle in creative ways. Middle spaces put science and academic knowledge in the mix, “on tap, not on top.” They also recognize the power and the limits of communal knowledge.Keywordscivic agency, cultural organizing, knowledge war

  19. [Low Apgar score in term newborn infants and delivery pattern].

    Science.gov (United States)

    Atanasova, V; Slavkova, N; Yonov, M; Valkova, A

    2012-01-01

    Examine the influence of delivery pattern over neonatal condition in the first minutes of life. We have studied 3624 term newborns of single pregnancies for period of 2 years in the city of Pleven. The patients were divided in 4 groups by the delivery pattern: vaginal delivery with head presentation (2497 infants), vaginal delivery with instrumental assist (45 infants), per vias naturales in breech presentation (44 infants), delivery via Caesarean section (1038 infants). According to our results the Apgar score differs itself from the pathology of a given newborn. Neonatal deaths are significantly higher in the newborns with low Apgar score than deaths in the general population. From all cases of low Apgar score without other clinical problems the highest is the percentage in the infants delivered via Caesarean section. The goal of the Apgar score is to focus attention on the infant's condition in the first few minutes of its life and the need of resuscitation. Low Apgar score is an important predictor of the newborn morbidity and death rate. The Apgar score alone is not a proof for intrapartal asphyxia and is not associated with long-term neurological damage.

  20. Re-Minding the Dutch

    Directory of Open Access Journals (Sweden)

    H. Pols

    2009-01-01

    Full Text Available Re-Minding the DutchVerward van Geest is commended because of its careful, balanced, detailed, meticulously researched, and comprehensive approach of the development of the psychiatric profession in the Netherlands. The authors relate Dutch developments to initiatives abroad, some of which were taken up by Dutch psychiatrists and developed further. The development of the extensive network of out-patient mental health facilities in particular, which makes the Dutch system stand apart from that of most others, receives a lot of attention. Unfortunately, the history of psychiatry in the former Dutch colonial empire is not covered. The study is applauded for providing a wealth of material that could give a new impulse to discussions about the nature of mental health in the Netherlands, such as the following: How are supply and demand in mental health care related to each other? Do individuals with a lower socio-economic status have adequate access to care? How did the relationship between biological, social, and psychological approaches to mental illness and individual distress change over time?

  1. Teaching the Dutch how to pronounce English

    NARCIS (Netherlands)

    Frans Hermans; Peter Sloep

    2015-01-01

    The Dutch overestimate their English speaking skills. Their pronunciation is not always convincing and certain pronunciation mistakes are easily recognised as being typical for Dutch speakers of English. Although intelligibility cannot exist without adequate pronunciation, teaching English

  2. Teaching the Dutch how to pronounce English

    NARCIS (Netherlands)

    Hermans, Frans; Sloep, Peter

    2018-01-01

    The Dutch overestimate their English speaking skills. Their pronunciation is not always convincing, and certain pronunciation mistakes are easily recognised as being typical for Dutch speakers of English. Although intelligibility cannot exist without adequate pronunciation, teaching English

  3. Dutch listeners' perception of Korean stop triplets

    NARCIS (Netherlands)

    Broersma, M.E.

    2009-01-01

    This study investigates Dutch listeners' perception of Korean stop triplets. Whereas Dutch distinguishes prevoiced and voiceless unaspirated stops, Korean distinguishes fortis, lenis, and aspirated stops. Here, perception of fortis, lenis, and aspirated bilabial (/pp/-/p/-/ph/), alveolar

  4. Discharge of a Pistol Out a Car Window with the Breech Within the Interior of the Car: Analysis of Gunshot Residue on a Car's Interior Surfaces.

    Science.gov (United States)

    Burnett, Bryan R; Lebiedzik, Jozef

    2017-05-01

    The defendant, the driver of the questioned car, allegedly extended his right arm over the passenger seat and fired a single shot from a 380 pistol out the passenger window with the pistol's breech within the car. A simulation of this shooting scenario using the same model car, but different year, was conducted to quantitate gunshot residue (GSR) contamination of interior surfaces within the car. The test car's dash and headliner/window frame above the pistol had the heaviest GSR contamination. The dash GSR from airborne deposition documents a firearm discharge within the vehicle. Transfer from GSR-contaminated hands or clothing to the dash is unlikely. The heavy GSR contamination of the headliner/window frame above the pistol likely documents the window from which the pistol was fired, but additional experiments are needed to verify. © 2016 American Academy of Forensic Sciences.

  5. Syntactic Atlas of the Dutch Dialects

    NARCIS (Netherlands)

    Barbiers, Sjef; Bennis, Hans; Vogelaer, De Gunther; Devos, Magda; Ham, van der Margreet

    2005-01-01

    Available in a Dutch and English Edition, the Syntactic Atlas of the Dutch Dialects (SAND) provides a detailed overview of the surprisingly rich syntactic variation found in 267 dialects of Dutch at the beginning of the 21th century. 200 full color maps show the geographic distribution of more than

  6. The role of women on Dutch farms

    NARCIS (Netherlands)

    Meulen, van der H.A.B.; Terluin, I.J.; Matser, I.A.

    2015-01-01

    In this paper an analysis is made of the contribution of women to labour input and management on Dutch farms. We used a written survey among the participants of the Dutch Farm Accountancy Data Network (FADN), in-depth interviews and a group discussion with farm women. Over half of the women on Dutch

  7. Dutch Batik Motifs: The Role of The Ruler and The Dutch Bussinesman

    OpenAIRE

    Asidigisianti Surya Patria

    2017-01-01

    Dutch Batik is the referent of batik which is made by European-Indo woman industry. It can be identified by the European pattern which is a bouquet. This research is aimed to describe the correlation between the development of Dutch Batik with the role of the Dutch government and the Dutch merchant. The library research was used during analyzing the role of the government and the merchant using the Talcott Parsons’ functional structure theory. The batik Dutch companies were commercial oriente...

  8. Problem behavior in Dutch preschoolers

    NARCIS (Netherlands)

    J.M. Koot (Hans)

    1993-01-01

    textabstractThe present study was an attempt to contribute to the standardized assessment and the study of prevalence of problem behavior in children 2- to 3-years old by means of empirically derived rating scales. The basic questions were: 1. What are the psychometric characteristics of the Dutch

  9. Automatic animacy classification for Dutch

    NARCIS (Netherlands)

    Bloem, J.; Bouma, G.

    2013-01-01

    We present an automatic animacy classifier for Dutch that can determine the animacy status of nouns -- how alive the noun's referent is (human, inanimate, etc.). Animacy is a semantic property that has been shown to play a role in human sentence processing, felicity and grammaticality. Although

  10. The Dutch Interbank Computer Network

    NARCIS (Netherlands)

    Michiels, E.F.

    1988-01-01

    At the end of 1980, a strategic decision was made by the Dutch banks and savings banks to commence the development of a Data Communications Infrastructure (DCI), to be used for a number of forthcoming interbank applications. It was agreed that this new data communications infrastructure should be

  11. Nitrification in Dutch heathland soils

    NARCIS (Netherlands)

    Boer, de W.

    1989-01-01

    This thesis is the result of a study on the production of nitrate in Dutch heathland soils. Most of the heathlands are located on acid, sandy soils. Therefore , it has dealt mainly with the occurrence, nature and mechanisms of nitrification in acid soils. In the Netherlands, the production

  12. Policy innovation in Dutch municipalities

    NARCIS (Netherlands)

    Jans, Wouter

    2015-01-01

    In this dissertation, the aim was to describe and explain differences among Dutch municipalities in their execution of innovative decentralized policies. We wanted to examine the validity of the decentralization-thesis - that in the development of local policies, local governments are responsive to

  13. Reforming Dutch Occupational Pension Schemes

    NARCIS (Netherlands)

    Bovenberg, A.L.; Gradus, R.H.J.M.

    2014-01-01

    Dutch occupational defined-benefit plans suffer from a number of serious weaknesses, including ambiguous ownership of the surplus, back-loading of benefits, and lack of tailor-made risk management. To address these weaknesses, we propose collective individual defined-contribution plans that are

  14. Reforming Dutch occupational pension schemes

    NARCIS (Netherlands)

    Gradus, R.H.J.M.; Bovenberg, A.L.

    2015-01-01

    In many countries, occupational plans are being reformed away from defined-benefit (DB) to defined-contribution (DC) designs. This paper explores the case of the Netherlands, which features a particularly high ratio of occupational pension assets to GDP. Dutch occupational DB plans suffer from a

  15. Remembering Dutch-Moluccan radicalism

    DEFF Research Database (Denmark)

    Marselis, Randi Lorenz

    2016-01-01

    This article examines memory politics in relation to radical actions of young Dutch-Moluccans, more specifically a train hijacking in 1977 at the village of De Punt in the Netherlands. The article examines how these historical events were remembered in the drama-documentary television film, De Punt...

  16. The dutch surgical colorectal audit

    NARCIS (Netherlands)

    Leersum, N.J. van; Snijders, H.S.; Henneman, D.; Kolfschoten, N.E.; Gooiker, G.A.; Berge, M.G. Ten; Eddes, E.H.; Wouters, M.W.; Tollenaar, R.A.E.M.; Bemelman, W.A.; Dam, R.M. van; Elferink, M.A.; Karsten, T.M.; Krieken, J.H. van; Lemmens, V.E.; Rutten, H.J.; Manusama, E.R.; Velde, C.J. van de; Meijerink, W.J.H.J.; Wiggers, T.; Harst, E. van der; Dekker, J.W.T.; Boerma, D.

    2013-01-01

    INTRODUCTION: In 2009, the nationwide Dutch Surgical Colorectal Audit (DSCA) was initiated by the Association of Surgeons of the Netherlands (ASN) to monitor, evaluate and improve colorectal cancer care. The DSCA is currently widely used as a blueprint for the initiation of other audits, coordinated

  17. Remembering Dutch-Moluccan radicalism

    DEFF Research Database (Denmark)

    Marselis, Randi Lorenz

    2016-01-01

    This article examines memory politics in relation to radical actions of young Dutch-Moluccans, more specifically a train hijacking in 1977 at the village of De Punt in the Netherlands. The article examines how these historical events were remembered in the drama-documentary television film, De Punt......, as well as in user-generated comments in an online discussion. The television film represented an inclusive memory culture that made room for the difficult memories of all parties involved, including the radicalised, young hijackers. Based on a multidimensional model of mass media reception, the analysis...... of the web debate examines how viewers reacted to this interpretation. The web debate functioned as a participatory forum, where collective and national memories and postcolonial history were intensely discussed, and the debate made room for some degree of reconciliation between viewers of Dutch...

  18. Use of External Cephalic Version and Amnioreduction in the Delivery of a Fetal Demise with Macrocephaly Secondary to Massive Intracranial Teratoma

    Directory of Open Access Journals (Sweden)

    Matthew J. Blitz

    2015-04-01

    Full Text Available Introduction - Congenital intracranial tumors are rare and often incidentally diagnosed on routine ultrasound. We report a case of a fetal demise with a massive intracranial teratoma at 25 weeks of gestation and the management of her delivery in the setting of macrocephaly, breech presentation, and polyhydramnios. Case - A 31-year-old G3P1011 woman at 25 weeks' gestation presented with a recent fetal demise and a fetal intracranial tumor first identified at 16 weeks' gestational age. The patient had declined termination of pregnancy. Biometry was consistent with 24 weeks' gestation, except for a head circumference of 394.4 mm consistent with 39 weeks' gestation. The fetus was in a breech presentation. An external cephalic version (ECV was successfully performed under epidural anesthesia and an amnioreduction was then performed to stabilize the fetal position. Immediate induction of labor and vaginal delivery followed. Discussion - ECV and amnioreduction may help facilitate delivery in cases of fetal demise complicated by macrocephaly, malpresentation, and polyhydramnios.

  19. The Dutch Euthanasia Act and related issues.

    Science.gov (United States)

    Legemaate, Johan

    2004-02-01

    In 2002 the Dutch Euthanasia Act came into force. This Act is the result of a lengthy developmental process. It codifies the requirements that have evolved in case law and medical ethics since 1973. Empirical data indicate that the Dutch euthanasia practice is stabilising. Euthanasia and assisted suicide occur in 2.7% of all deaths. Now that the Act has been passed, the focus is on improving the quality of medical decision-making. From an international perspective, the Dutch legislation is exceptional. However, it appears that other countries and international organisations are considering euthanasia legislation as well. It remains to be seen how influential the Dutch model will prove to be.

  20. Facilitators and barriers to external cephalic version for breech presentation at term among health care providers in the Netherlands: a quantitative analysis.

    Science.gov (United States)

    Rosman, Ageeth N; Vlemmix, Floortje; Beuckens, Antje; Rijnders, Marlies E; Opmeer, Brent C; Mol, Ben Willem J; Kok, Marjolein; Fleuren, Margot A H

    2014-03-01

    guidelines recommend that external cephalic version (ECV) should be offered to all women with a fetus in breech presentation at term. However, only 50-60% of the women receive an ECV attempt. We explored the determinants (barriers and facilitators) affecting the uptake of the guidelines among gynaecologists and midwives in the Netherlands. national online survey. the Netherlands. gynaecologists and midwives. in the online survey, we identified the determinants that positively or negatively influenced the professionals׳ adherence to three key recommendations in the guidelines: (a) counselling, (b) advising for ECV, (c) arranging an ECV. Determinants were identified in a previously performed qualitative study and were categorised into five underlying constructs; attitude towards ECV, professional obligation, outcome expectations, self-efficacy and preconditions for successful ECV. We performed a multivariate analysis to assess the importance of the different constructs for adherence to the guideline. 364 professionals responded to the survey. Adherence varied: 84% counselled, 73% advised, and 82% arranged an ECV for (almost) all their clients. Although 90% of respondents considered ECV to be an effective treatment for preventing caesarean childbirths, only 30% agreed that 'every client should undergo ECV'. Self-efficacy (perceived skills) was the most important determinant influencing adherence. self-efficacy appears to be the most significant determinant for counselling, advising and arranging an ECV. to improve adherence to the guidelines on ECV we must improve self-efficacy. Copyright © 2014. Published by Elsevier Ltd.

  1. Partnerships between Dutch municipalities and municipalities in countries of migration to the Netherlands; knowledge exchange and mutuality

    NARCIS (Netherlands)

    van Ewijk, E.; Baud, I.S.A.

    2009-01-01

    In recent years a growing number of Dutch municipalities have established relations with local governments in the countries of migration to the Netherlands (e.g. Turkey, Suriname and Morocco). In addition to strengthening local governance and improving service delivery in the partner municipalities,

  2. Dutch Batik Motifs: The Role of The Ruler and The Dutch Bussinesman

    Directory of Open Access Journals (Sweden)

    Asidigisianti Surya Patria

    2017-01-01

    Full Text Available Dutch Batik is the referent of batik which is made by European-Indo woman industry. It can be identified by the European pattern which is a bouquet. This research is aimed to describe the correlation between the development of Dutch Batik with the role of the Dutch government and the Dutch merchant. The library research was used during analyzing the role of the government and the merchant using the Talcott Parsons’ functional structure theory. The batik Dutch companies were commercial oriented. It is different from real Javanese batik which had a purpose to be worn by themselves. Dutch Batik was the expression of the idea and behavior of the Dutch who lived in Indonesia. They expressed their western by using the patterns that were shown in their batik.

  3. Patient safety in Dutch hospitals

    Directory of Open Access Journals (Sweden)

    Cordula Wagner

    2005-12-01

    Full Text Available

    In various studies outside the Netherlands, it has been shown that a substantial number of patients suffer from some kind of harm during their treatment in hospital. The incidence of these so-called adverse events varies between 2.9% and 16.6%; it is estimated that between over a quarter and a half of these are considered to be avoidable.

    Preventable adverse events can be considered to be a starting point for interventions to increase patient safety. In response to this, a study was initiated in Dutch hospitals investigating the nature and extent of adverse events and their causes. Lessons learnt will be discussed within the European Research Network on Quality in Health Care (ENQual, where researchers and policy makers come together to exchange knowledge and experiences. Two important goals of the Dutch study are to reach a consensus on basic concepts and to improve research methodology. An unintended event resulting in harm caused by healthcare is called an adverse event in international literature. Preventable adverse events are especially important for prevention, in these cases the harm can be attributed to unintended events in the care process, caused by insufficient action according to professional standards and failures within the care system. Most adverse events, caused as they may seem by human action or failing to act at first sight, are often partly caused by a care process that has not been properly organized. Uniform concepts are needed in order to facilitate European comparisons, which would allow, for example, the comparison of Dutch research results with those from other countries, and the identification of specific concepts. One of the six action areas of the WHO’s World Alliance for Patient Safety is the development of a ‘patient safety taxonomy’.

  4. The Dutch Female Board Index 2010

    NARCIS (Netherlands)

    Lückerath – Rovers, M.

    2010-01-01

    The Dutch Female Board Index 2010 shows for the fourth year a survey of female representation on the Executive Boards and Supervisory Boards of 99 Dutch NVs listed on Euronext Amsterdam. The companies were classified by the percentage of women in their joint Executive Board and Supervisory Board.

  5. Accurate stemming of Dutch for text classification

    NARCIS (Netherlands)

    Gaustad, T; Bouma, G; Theune, M; Nijholt, A; Hondorp, H

    2002-01-01

    This paper investigates the use of stemming for classification of Dutch (email) texts. We introduce a stemmer, which combines dictionary lookup (implemented efficiently as a finite state automaton) with a rule-based backup strategy and,how, that it outperforms the Dutch Porter stemmer in terms of

  6. Fourth Dutch Process Security Control Event

    NARCIS (Netherlands)

    Luiijf, H.A.M.; Zielstra, A.

    2010-01-01

    On December 1st, 2009, the fourth Dutch Process Control Security Event took place in Baarn, The Netherlands. The security event with the title ‘Manage IT!’ was organised by the Dutch National Infrastructure against Cybercrime (NICC). Mid of November, a group of over thirty people participated in the

  7. The Dutch Euthanasia Act and related issues

    NARCIS (Netherlands)

    Legemaate, Johan

    2004-01-01

    In 2002 the Dutch Euthanasia Act came into force. This Act is the result of a lengthy developmental process. It codifies the requirements that have evolved in case law and medical ethics since 1973. Empirical data indicate that the Dutch euthanasia practice is stabilising. Euthanasia and assisted

  8. Dutch Ships and Sailors Linked Data

    NARCIS (Netherlands)

    de Boer, Victor; Leinenga, Jurjen; Hoekstra, F.G.; van Rossum, Matthias; Mika, Peter; Tudorache, Tadia; Bernstein, Abraham

    2014-01-01

    We present the Dutch Ships and Sailors Linked Data Cloud. This heterogeneous dataset brings together four curated datasets on Dutch Maritime history as five-star linked data. The individual datasets use separate datamodels, designed in close collaboration with maritime historical researchers. The

  9. Dutch health care performance report 2008.

    NARCIS (Netherlands)

    Westert, G.P.; Berg, M.J. van den; Koolman, X.; Verkleij, H.

    2008-01-01

    This is the second national report on the performance of the Dutch health care system. Its focus is on quality, access and costs in 2006/7. The Dutch Health Care Performance Report presents a broad picture based on 110 indicators. Where possible, comparisons in time and between countries are

  10. Dutch novelists beyond ‘postmodern’ relativism

    NARCIS (Netherlands)

    Vaessens, T.

    2011-01-01

    In this article I will show how Dutch authors reoriented themselves from the late 1980s onwards in relation to the postmodern tradition they inherited. I will discuss the critique of postmodernism formulated by Dutch writers in the light of the following hypothesis. A new, late postmodern position

  11. Management of the Dutch development cooperation

    NARCIS (Netherlands)

    Janssen, Lodevicus Johannes Henricus

    2009-01-01

    There is reason for concern about the Dutch development cooperation. A survey of some aid evaluations of the Dutch Ministry of Foreign Affairs (MFA) showed that the aid results are limited and that the goals of the programs are not achieved. Management concerns using an organisation's resources to

  12. Sports participation of Dutch lower limb amputees

    NARCIS (Netherlands)

    Bragaru, Mihail; Meulenbelt, Hendrik; Dijkstra, Pieter U.; Geertzen, Jan H.B.; Dekker, Rienk

    2013-01-01

    Objective: To analyze sports participation of Dutch lower limb amputees and factors influencing sports participation. Study design: A cross-sectional survey was performed. Dutch lower limb amputees (N = 2039) were invited to participate in a postal survey addressing personal and amputation

  13. Sustainable entrepreneurship in the Dutch construction industry

    NARCIS (Netherlands)

    Woolthuis, R.J.K.

    2010-01-01

    This article discusses the strategies that sustainable entrepreneurs use to interact with their environment in the Dutch construction industry. The Dutch construction industry is under great pressure to move towards sustainability, and entrepreneurs are believed to be able to play a large role in

  14. Emphatic multiple negative expressions in Dutch

    NARCIS (Netherlands)

    Zeijlstra, H.

    2010-01-01

    Double Negation languages like Dutch and German still exhibit constructions, such as Dutch 'niemand niet' ‘nobody not’ or 'nooit geen' ‘nothing no’, that seem to have a Negative Concord reading. Since these constructions normally have an emphatic reading, they are called Emphatic Multiple Negative

  15. A countryside for all Dutch people

    NARCIS (Netherlands)

    Anja Steenbekkers; Carola Simon; Lotte Vermeij; Willem-Jan Spreeuwers

    2008-01-01

    Original title: Het platteland van alle Nederlanders. The Dutch countryside is changing rapidly. Recreation and nature development are gaining importance alongside traditional functions such as farming and providing a place to live. The Dutch government expresses its policy for a vital

  16. Seed bank characteristics of Dutch plant communities

    NARCIS (Netherlands)

    Bekker, RM; Schaminee, JHJ; Bakker, JP; Thompson, K

    With the recent appearances of a new and well-documented classification of the Dutch plant communities (Schaminee et al 1995a,b; 1996) and a database on the seed longevity of plant species of North West Europe (Thompson ct al. 1997a) it was possible to investigate patterns of seed longevity in Dutch

  17. Responses to Dutch-accented English

    NARCIS (Netherlands)

    Nejjari, W.; Gerritsen, M.; Haagen, M.J. van der; Korzilius, H.P.L.M.

    2012-01-01

    This paper reports on a study into the reactions of ‘native’ speakers of British English to Dutch-English pronunciations in the onset of a telephone sales talk. In an experiment 144 highly educated British professionals who were either familiar or not familiar with Dutch-accented English responded

  18. Nutrient cycling and foodwebs in Dutch estuaries

    NARCIS (Netherlands)

    Nienhuis, P.H.

    1993-01-01

    In this review several aspects of the functioning of the Dutch estuaries (Ems-Dollard, Wadden Sea, Oosterschelde, Westerschelde, Grevelingen and Veerse Meer) have been compared. A number of large European rivers (especially Rhine) have a prevailing influence on the nutrient cycling of most Dutch

  19. After Delivery

    Science.gov (United States)

    ... for Association Events Messaging Tools Recruiting Advocates Local Market Planning Training Webinars News & Events Advocacy News Call ... A Listen En Español After Delivery After your baby arrives, your body begins to recover from the ...

  20. Forceps Delivery

    Science.gov (United States)

    ... 2015. Related Signs of labor Forceps delivery About Advertisement Mayo Clinic does not endorse companies or products. ... a Job Site Map About This Site Twitter Facebook Google YouTube Pinterest Mayo Clinic is a not- ...

  1. Subjective oral health in Dutch adults

    OpenAIRE

    Verrips, G.H.W.; Schuller, A.A.

    2013-01-01

    Aim: To determine whether the subjective oral health (SOH) of the Dutch adult population was associated with clinical and demographic variables. Methods: A clinical examination was conducted in a sample of 1,018 people from the Dutch city of ‘s-Hertogenbosch. SOH was measured using the Dutch translation of the short form of the Oral Health Impact Profile (OHIP-NL14). Results: The average score on the OHIP-NL14 was 2.8 ± 5.9 and 51% of the respondents had a score of 0. Dental status was the mo...

  2. Converting Afrikaans to Dutch for technology recycling

    OpenAIRE

    Pilon, Suléne; van Huyssteen, Gerhard; Augustinus, Liesbeth

    2010-01-01

    HLT resource development for a resource scarce language (L2) can be expedited by recycling existing technologies for a closely related language (L1). To improve the success of L1 technologies on L2 data, one can convert L2 data to make it appear more L1-like. We explore this possibility by developing an Afrikaans-to-Dutch lexical conversion module and using it as pre-processing step before applying a Dutch part of speech tagger to Afrikaans data. The accuracy of the Dutch tagger increased ...

  3. A case against Dutch euthanasia.

    Science.gov (United States)

    Fenigsen, Richard

    1989-01-01

    The growing acceptance of voluntary active euthanasia by the Dutch is examined in relation to the plastic cards requesting active euthanasia carried by many people in The Netherlands, public opinion polls, and support by leading medical figures of the movement to legalize euthanasia. The author draws upon his experience as a hospital doctor to condemn the practice of active euthanasia, arguing that its voluntariness is often counterfeit and always questionable, that it is inseparable from overtly involuntary forms of euthanasia, and that its promise of sparing the sick person agony is false. "Voluntary" euthanasia also brings an ominous change in society because of the message it sends to the elderly and sick, the weak and the dependent; because the fallibility of medical judgments are inconsistent with the irreversibility of the act; and because the fallacious reasoning of the philosophy threatens to cause irreparable damage to the medical profession.

  4. The Southern Dutch dialect dictionaries | Kruijsen | Lexikos

    African Journals Online (AJOL)

    Keywords: lexicography, onomasiology, dialect geography, language variation, phonology, historical linguistics, dictionary, regional dictionary, word atlas, cartography, general vocabulary, agrarian terminology, terminology of traditional crafts, dialect, traditional dialect, flemish, brabant dialect, limburg dialect, dutch, the ...

  5. Subjective Oral Health in Dutch Adults

    Directory of Open Access Journals (Sweden)

    Gijsbert H.W. Verrips

    2013-05-01

    Full Text Available Aim: To determine whether the subjective oral health (SOH of the Dutch adult population was associated with clinical and demographic variables. Methods: A clinical examination was conducted in a sample of 1,018 people from the Dutch city of ‘s-Hertogenbosch. SOH was measured using the Dutch translation of the short form of the Oral Health Impact Profile (OHIP-NL14. Results: The average score on the OHIP-NL14 was 2.8 ± 5.9 and 51% of the respondents had a score of 0. Dental status was the most important predictor of SOH. Conclusions:  The SOH in the Dutch adult population was much better than in groups of adults in Australia, the United Kingdom and New Zealand. Nevertheless, there were important variations in SOH related to dental and socio-economic status.

  6. Delivery by Cesarean Section is not Associated With Decreased at-Birth Fracture Rates in Osteogenesis Imperfecta

    Science.gov (United States)

    Bellur, S; Jain, M; Cuthbertson, D; Krakow, D; Shapiro, JR; Steiner, RD; Smith, PA; Bober, MB; Hart, T; Krischer, J; Mullins, M; Byers, PH; Pepin, M; Durigova, M; Glorieux, FH; Rauch, F; Sutton, VR; Lee, B; Nagamani, SC

    2015-01-01

    Purpose Osteogenesis imperfecta (OI) predisposes to recurrent fractures. The moderate-to-severe forms of OI present with antenatal fractures and the mode of delivery that would be safest for the fetus is not known. Methods We conducted systematic analyses on the largest cohort of individuals (n=540) with OI enrolled to-date in the OI Linked Clinical Research Centers. Self-reported at-birth fracture rates were compared in individuals with OI types I, III, and IV. Multivariate analyses utilizing backward-elimination logistic regression model building were performed to assess the effect of multiple covariates including method of delivery on fracture-related outcomes. Results When accounting for other covariates, at-birth fracture rates did not differ based on whether delivery was by vaginal route or by cesarean section (CS). Increased birth weight conferred higher risk for fractures irrespective of the delivery method. In utero fracture, maternal history of OI, and breech presentation were strong predictors for choosing CS for delivery. Conclusion Our study, the largest to analyze the effect of various factors on at-birth fracture rates in OI shows that delivery by CS is not associated with decreased fracture rate. With the limitation that the fracture data were self-reported in this cohort, these results suggest that CS should be performed only for other maternal or fetal indications, but not for the sole purpose of fracture prevention in OI. PMID:26426884

  7. The Early External Cephalic Version (ECV) 2 Trial: an international multicentre randomised controlled trial of timing of ECV for breech pregnancies.

    Science.gov (United States)

    Hutton, E K; Hannah, M E; Ross, S J; Delisle, M-F; Carson, G D; Windrim, R; Ohlsson, A; Willan, A R; Gafni, A; Sylvestre, G; Natale, R; Barrett, Y; Pollard, J K; Dunn, M S; Turtle, P

    2011-04-01

    To investigate whether initiating external cephalic version (ECV) earlier in pregnancy might increase the rate of successful ECV procedures, and be more effective in decreasing the rate of non-cephalic presentation at birth and of caesarean section. An unblinded multicentred randomised controlled trial. A total of 1543 women were randomised from 68 centres in 21 countries. Women with a singleton breech fetus at a gestational age of 33(0/7) weeks (231 days) to 35(6/7) weeks (251 days) of gestation were included. Participants were randomly assigned to having a first ECV procedure between the gestational ages of 34(0/7) (238 days) and 35(6/7) weeks of gestation (early ECV group) or at or after 37(0/7) (259 days) weeks of gestation (delayed ECV group). The primary outcome was the rate of caesarean section; the secondary outcome was the rate of preterm birth. Fewer fetuses were in a non-cephalic presentation at birth in the early ECV group (314/765 [41.1%] versus 377/768 [49.1%] in the delayed ECV group; relative risk [RR] 0.84, 95% CI 0.75, 0.94, P=0.002). There were no differences in rates of caesarean section (398/765 [52.0%] versus 430/768 [56.0%]; RR 0.93, 95% CI 0.85, 1.02, P=0.12) or in risk of preterm birth (50/765 [6.5%] versus 34/768 [4.4%]; RR 1.48, 95% CI 0.97, 2.26, P=0.07) between groups. External cephalic version at 34-35 weeks versus 37 or more weeks of gestation increases the likelihood of cephalic presentation at birth but does not reduce the rate of caesarean section and may increase the rate of preterm birth. © 2011 The Authors BJOG An International Journal of Obstetrics and Gynaecology © 2011 RCOG.

  8. Ethnic identity, externalizing problem behaviour and the mediating role of self-esteem among Dutch, Turkish-Dutch and Moroccan-Dutch adolescents

    NARCIS (Netherlands)

    Wissink, I.B.; Deković, M.; Yağmur, S.; Stams, G.J.; de Haan, M.

    2008-01-01

    The present study examined whether self-esteem mediates the relationship between two aspects of ethnic identity (i.e. ethnic identity exploration and ethnic identity commitment-affirmation) and externalizing problem behaviour in Dutch, Turkish-Dutch and Moroccan-Dutch adolescents living in the

  9. Dutch voices: exploring the role of oral history in Dutch secondary history teaching

    NARCIS (Netherlands)

    Huijgen, Tim; Holthuis, Paul; Trškan, Danijela

    2016-01-01

    Oral history may enhance students’ historical content knowledge, historical reasoning competencies, and motivation to learn history. However, little is known regarding the role of oral history in Dutch history education. This study therefore explores the role of oral history in Dutch history

  10. Perceived antecedents of marital satisfaction among Turkish, Turkish-Dutch, and Dutch couples

    NARCIS (Netherlands)

    Celenk, O.; van de Vijver, F.J.R.

    2013-01-01

    We studied mainstream couples in The Netherlands and Turkey as well as Turkish-Dutch immigrant couples to address cultural factors associated with marital satisfaction. A total of 13 Turkish (mainstream couples living in Turkey), 19 Turkish-Dutch (Turkish immigrant couples living in The

  11. How do Turkish-Dutch Bilingual Children Interpret Pronouns and Reflexives in Dutch?

    NARCIS (Netherlands)

    van Koert, M.; Hulk, A.; Koeneman, O.; Weerman, F.; Cabrelli Amaro, J.; Judy, T.; Pascual y Cabo, D.

    2013-01-01

    This study compared the comprehension of Dutch reflexives (zichzelf 'SE-self') and pronouns (hem 'him') by Turkish-Dutch bilingual children (n=33) to the comprehension of English reflexives (himself) and pronouns (him) by Turkish-English bilingual children (n=39) documented by Marinis and

  12. Radioactivity in Dutch consumer products

    CERN Document Server

    Janssen, M P M

    2002-01-01

    This study took place within the framework of a general update of the average radiation dose for the Dutch population. It focuses on consumer products in which radionuclides have been intentionally incorporated and on radiation-emitting devices that can be supplied to members of the public without special surveillance. Eleven consumer products were studied in more detail. The radiation from these products determined 90% of the total collective dose due to consumer products in the Netherlands in 1988. Individual and collective doses are presented here for each product. The total collective dose has decreased from 130 personSv in 1988 to 4.6 personSv at present. This reduction was attributed to: a decrease in the number of radioactive products (gas mantles), lower estimates of the number of radioactive products present in the Netherlands thanks to new information (camera lenses, smoke detectors containing Ra-226), replacement of radioactive by non-radioactive products (gas mantles, dental protheses), and a lowe...

  13. Delivering planning objectives through regional-based land-use planning and land policy instruments: an assessment of recent experiences in the Dutch provinces

    NARCIS (Netherlands)

    van Straalen, F.M.; Janssen-Jansen, L.B.; van den Brink, A.

    2014-01-01

    This paper evaluates the extent to which the introduction of four new regional planning and land policy instruments in the Netherlands improves the delivery of regional planning objectives. On the basis of case-study research, we identify why and to what extent the Dutch regional authorities—the

  14. Delivering planning objectives through regional-based land-use planning and land policy instruments: an assessment of recent experiences in the Dutch provincies

    NARCIS (Netherlands)

    Straalen, van F.M.; Janssen-Jansen, L.B.; Brink, van den A.

    2014-01-01

    This paper evaluates the extent to which the introduction of four new regional planning and land policy instruments in the Netherlands improves the delivery of regional planning objectives. On the basis of case-study research, we identify why and to what extent the Dutch regional authorities—the

  15. Delivering planning objectives through regionalbased land-use planning and land policy instruments : An assessment of recent experiences in the Dutch provinces

    NARCIS (Netherlands)

    van Straalen, Fennie M.; Janssen-Jansen, Leonie B.; van den Brink, Adri

    2014-01-01

    This paper evaluates the extent to which the introduction of four new regional planning and land policy instruments in the Netherlands improves the delivery of regional planning objectives. On the basis of case-study research, we identify why and to what extent the Dutch regional authorities-the

  16. How to teach the Dutch to pronounce English

    NARCIS (Netherlands)

    drs. Frans Hermans; Prof. dr. Peter Sloep

    2015-01-01

    The Dutch overestimate their English speaking skills. Their pronunciation is not always convincing and certain pronunciation mistakes are easily recognised as being typical for Dutch speakers of English. Although intelligibility cannot exist without adequate pronunciation, teaching English

  17. Perceived antecedents of marital satisfaction among Turkish, Turkish-Dutch, and Dutch couples.

    Science.gov (United States)

    Celenk, Ozgur; van de Vijver, Fons J R

    2013-01-01

    We studied mainstream couples in The Netherlands and Turkey as well as Turkish-Dutch immigrant couples to address cultural factors associated with marital satisfaction. A total of 13 Turkish (mainstream couples living in Turkey), 19 Turkish-Dutch (Turkish immigrant couples living in The Netherlands), and 17 Dutch (mainstream couples living in The Netherlands) married dyads (total of 98 individuals) were independently interviewed about positive and negative characteristics of marriages, determinants of general marital satisfaction and dissatisfaction, spousal communication, marital conflict, and marital roles. Multivariate tests revealed ethnic group differences on all marriage-related domains except the conflict resolution strategies. However, univariate analyses showed differences in few themes within domains; main differences were assessed between the Turkish/Turkish-Dutch (who put more emphasis on children and economical aspects) and Dutch couples (who put more emphasis on behavior, and personality of the spouse, reciprocity, emotional sharing, and psychological roles). Turkish-Dutch couples were more similar to Turkish than to Dutch couples. Results were discussed in light of the socioeconomic development and cultural value theories, which are believed to provide a useful framework for understanding the role of culture in marital satisfaction.

  18. DNA barcoding of Dutch birds

    Directory of Open Access Journals (Sweden)

    Mansour Aliabadian

    2013-12-01

    Full Text Available The mitochondrial cytochrome c-oxidase subunit I (COI can serve as a fast and accurate marker for the identification of animal species, and has been applied in a number of studies on birds. We here sequenced the COI gene for 387 individuals of 147 species of birds from the Netherlands, with 83 species being represented by >2 sequences. The Netherlands occupies a small geographic area and 95% of all samples were collected within a 50 km radius from one another. The intraspecific divergences averaged 0.29% among this assemblage, but most values were lower; the interspecific divergences averaged 9.54%. In all, 95% of species were represented by a unique barcode, with 6 species of gulls and skua (Larus and Stercorariusat least one shared barcode. This is best explained by these species representing recent radiations with ongoing hybridization. In contrast, one species, the Lesser Whitethroat Sylvia curruca showed deep divergences, averaging 5.76% and up to 8.68% between individuals. These possibly represent two distinct taxa, S. curruca and S. blythi, both clearly separated in a haplotype network analysis. Our study adds to a growing body of DNA barcodes that have become available for birds, and shows that a DNA barcoding approach enables to identify known Dutch bird species with a very high resolution. In addition some species were flagged up for further detailed taxonomic investigation, illustrating that even in ornithologically well-known areas such as the Netherlands, more is to be learned about the birds that are present.

  19. War, Capital, and the Dutch State (1588-1795)

    NARCIS (Netherlands)

    Brandon, Pepijn

    In War, Capital, and the Dutch State (1588-1795), Pepijn Brandon traces the interaction between state and capital in the organisation of warfare in the Dutch Republic from the Dutch Revolt of the sixteenth century to the Batavian Revolution of 1795. Combining deep theoretical insight with a thorough

  20. Eumedion in the Dutch Corporate Governance and Sustainability Landscape

    NARCIS (Netherlands)

    Hermes, Niels; Hooghiemstra, Reggy; van Veen, Kees

    2016-01-01

    Eumedion is a Dutch foundation representing the interests of Dutch and foreign institutional investors with investments in Dutch listed companies. In particular, it represents the interests of these participants in the field of corporate governance and sustainability. The foundation was established

  1. Metrical Segmentation in Dutch: Vowel Quality or Stress?

    Science.gov (United States)

    Quene, Hugo; Koster, Mariette L.

    1998-01-01

    Examines metrical segmentation strategy in Dutch. The first experiment shows that stress strongly affects Dutch listeners' ability and speed in spotting Dutch monosyllabic words in disyllabic nonwords. The second experiment finds the same stress effect when only the target words are presented without a subsequent syllable triggering segmentation.…

  2. Prepayment Behavior of Dutch Mortgagors : An Empirical Analysis

    NARCIS (Netherlands)

    Charlier, E.; van Bussel, A.

    2001-01-01

    The booming Dutch mortgage market and the development of a promising secondary mortgage market in the Netherlands stress the need for an accurate mortgage prepayment model that incorporates typical Dutch market and contract characteristics.One of those typical Dutch features prescribes that each

  3. Dutch nature conservation objectives from a European perspective

    NARCIS (Netherlands)

    Bouwma, I.M.; Ozinga, W.A.; Sluis, van der T.; Griffioen, A.J.; Veen, van der M.; Knegt, de B.

    2013-01-01

    In Dutch policy the European importance of species and habitats is one of the reasons to decide if a species or habitat should become a target species for Dutch policy. This study reviews the different philosophies behind previous studies on the international or European importance of Dutch species

  4. TwNC: a Multifaceted Dutch News Corpus

    NARCIS (Netherlands)

    Ordelman, Roeland J.F.; de Jong, Franciska M.G.; van Hessen, Adrianus J.; Hondorp, G.H.W.

    2007-01-01

    This contribution describes the Twente News Corpus (TwNC), a multifaceted corpus for Dutch that is being deployed in a number of NLP research projects among which tracks within the Dutch national research programme MultimediaN, the NWO programme CATCH, and the Dutch-Flemish programme STEVIN. The

  5. A memory-based shallow parser for spoken Dutch

    NARCIS (Netherlands)

    Canisius, S.V.M.; van den Bosch, A.; Decadt, B.; Hoste, V.; De Pauw, G.

    2004-01-01

    We describe the development of a Dutch memory-based shallow parser. The availability of large treebanks for Dutch, such as the one provided by the Spoken Dutch Corpus, allows memory-based learners to be trained on examples of shallow parsing taken from the treebank, and act as a shallow parser after

  6. The Dutch 'Female Board Index 2009 : Female executive and non-executive directors on corporate boards of Dutch listed companies

    NARCIS (Netherlands)

    Lückerath – Rovers, M.

    2009-01-01

    The Dutch ‘Female Board Index 2009’ provides for the third year an overview of female representation on the Executive Boards and Supervisory Boards of 107 Dutch NV companies listed on Euronext Amsterdam. The study showed that in September 2009, 38 listed Dutch companies have one or more women on

  7. Patterns of transition. Female native Dutch and ethnic minority employment patterns in the Dutch labour market, 1991 and 2002

    NARCIS (Netherlands)

    Bevelander, P.; Groeneveld, S.M.

    2006-01-01

    This study analyses female native Dutch and ethnic minority employment patterns in the Dutch labour market. Focusing on life-course employment patterns, it aims to find out if native Dutch and ethnic minority women in the Netherlands have undergone a transition towards more labour market

  8. A ‘Dutch vision’ of Community Based Tourism: Dutch People in the Belgian Ardennes

    OpenAIRE

    Schmitz, Serge

    2013-01-01

    One theoretical recommendation to develop sustainable rural tourism is to base its development on local resources. This should embed the tourist activity into the local society, avoid easy relocalization of investment, and help to brand the destination. The Belgian Ardennes is a proximate recreational location for Dutch people. The paper lists the local resources that attract Dutch tourists and the ways in which regional and local authorities deal with this tourist development. Based on key a...

  9. Flexible benefit plans in Dutch organisations

    NARCIS (Netherlands)

    Hillebrink, C.

    2006-01-01

    Flexible benefit plans give employees a greater say over the composition of their benefits than traditional Dutch benefit plans. These arrangements developed in a time of further individualisation, increasing flexibility in the workplace, and a tight labour market in the Netherlands. By giving

  10. [Dutch language area definition of chronic fatigue].

    NARCIS (Netherlands)

    Korenromp, I.H.; Meeus, M.; Bleijenberg, G.

    2012-01-01

    Chronic fatigue is a frequent but unspecific characteristic of many diseases. However, a clear definition of 'chronic fatigue' is still lacking. The Flemish-Dutch Research Group - Chronic Fatigue (VNO-CHROVER) has taken the opportunity to formulate such a definition that can be widely applied. This

  11. Infrastructure protection in the Dutch financial sector

    NARCIS (Netherlands)

    van Oers, M.H.M.; Strous, L.; Berndsen, R.J.; Butts, J.; Shenoi, S.

    2012-01-01

    This paper presents a case study of critical infrastructure protection in the Dutch financial sector. The organizational structures are examined to discern the roles and functions that facilitate public-private cooperation. An assessment of the organizational structures is provided along with a

  12. Reforming Dutch substance abuse treatment services

    NARCIS (Netherlands)

    Schippers, Gerard M.; Schramade, Mark; Walburg, Jan A.

    2002-01-01

    The Dutch substance abuse treatment system is in the middle of a major reorganization. The goal is to improve outcomes by redesigning all major primary treatment processes and by implementing a system of regular monitoring and feedback of clinical outcome data. The new program includes implementing

  13. 200 years of Dutch transport policy

    NARCIS (Netherlands)

    Annema, J.A.; De Wee, G.P.

    2009-01-01

    In this paper eight stories are told about Dutch passenger transport history. The first story is from 1814 about building the first national paved road network suitable for stagecoaches; the last is from 1997 and is about the decision to construct a high speed rail link from Amsterdam to the

  14. Crisis, Inequality and Consumption - a Dutch Perspective

    NARCIS (Netherlands)

    Wahlen, S.

    2016-01-01

    Inequalities have been exacerbating in the Netherlands since the economic crisis hit ground in 2008, with poverty increasing substantially. The amount of the Dutch population living under the poverty line increased from 7,4 % in 2010 to 10,3 % in 2013. Different types of household are affected:

  15. Performance persistence of Dutch pension plans

    NARCIS (Netherlands)

    Huang, X.; Mahieu, R.J.

    2012-01-01

    This paper studies the investment performance of pension funds with a focus on their ability in implementing their intended investment strategy. We use a sample of Dutch industry-wide pension funds, which are obliged by law to report their investment performance according to the so-called z-score.

  16. Town and countryside in a Dutch perspective

    NARCIS (Netherlands)

    Kooij, P.

    2010-01-01

    Op 1 februari 2010 nam prof. dr. Pim Kooij afscheid als hoogleraar van de Rijksuniversiteit Groningen. Voor deze gelegenheid stelde hij het boek Town and countryside in a Dutch perspective samen, dat in de Historia Agriculturae reeks verscheen. Het bevat onder meer zijn afscheidsrede 'The Tiger and

  17. Missionary history of the Dutch Reformed Church

    African Journals Online (AJOL)

    Book Review http://www.hts.org.za doi:10.4102/hts.v67i3.1127. Missionary history of the Dutch Reformed Church. Book Title: Being missionary, being human ... Being missionary, being human is a must, especially for those with an interest in missiology. It not ... human condition' in Africa in the 21st Century – and remain 'to.

  18. Dutch Journalism in the Digital Age

    NARCIS (Netherlands)

    M.J. Kemman (Max); M. Kleppe (Martijn); B. Nieman; H.J.G. Beunders (Henri)

    2013-01-01

    textabstractWith an ever-growing supply of online sources, information to produce news stories seems to be one mouse click away. But in what way do Dutch journalists actually use computer-aided research tools? This article provides an inventory of the ways journalists use digital (re)sources and

  19. Differentiating indexation in Dutch pension funds

    NARCIS (Netherlands)

    Beetsma, R.M.W.J.; Bucciol, A.

    2011-01-01

    Funded social security programs are particularly vulnerable to economic and financial market shocks. As a consequence of the recent crisis, a large fraction of the Dutch pension funds had to submit restoration plans for the recovery of their buffers. Such plans will have to rely primarily on a mix

  20. A concise history of Dutch river floods

    NARCIS (Netherlands)

    Tol, R.S.J.; Langen, A.

    2000-01-01

    Based on a brief account of 1,000 years of river floods and flood management in the Dutch Rhine delta, it is argued that vulnerability to river floods depends on the complex interaction of economics, institutions, politics and, to a limited extent, climate. Response functions and thresholds for

  1. The Dutch 'Female Board Index' 2009

    NARCIS (Netherlands)

    Lückerath – Rovers, M.

    2009-01-01

    This report gives an overview of the presence of women in the Executive Board and Supervisory Board (together: 'the Board') of Dutch listed companies per September 2009. The companies have been ranked by the percentage women in the Board. A difference analysis has been made at personal level

  2. Proxy magnetometry with the Dutch Open Telescope

    NARCIS (Netherlands)

    Rutten, R.J.; Hammerschlag, R.H.; Sütterlin, P.; Bettonvil, F.C.M.

    1999-01-01

    Superb movies from the Dutch Open Telescope (DOT) on La Palma have proven the validity of the open concept of this innovative telescope for high-resolution imaging of the solar atmosphere. A five- camera speckle-burst registration system is being installed that should permit consistent and

  3. First Dutch Process Control Security Event

    NARCIS (Netherlands)

    Luiijf, H.A.M.

    2008-01-01

    On May 21st , 2008, the Dutch National Infrastructure against Cyber Crime (NICC) organised their first Process Control Security Event. Mrs. Annemarie Zielstra, the NICC programme manager, opened the event. She welcomed the over 100 representatives of key industry sectors. “Earlier studies in the

  4. Government as Electronic Publishers? The Dutch Case.

    Science.gov (United States)

    Bouwman, Harry; Nouwens, John

    1999-01-01

    Discussion of the accessibility of government information focuses on how the Dutch government has tried to improve accessibility in six particular cases of electronic publishing. Topics include public-private partnerships, technological barriers of accessibility, outsourcing, and decentralization. (Author/LRW)

  5. Investment decisions on Dutch dairy farms

    NARCIS (Netherlands)

    Ooms, D.L.; Gardebroek, C.

    2005-01-01

    In this research we estimate investment equations for both buildings and machinery for Dutch dairy farmers producing under a quota regime. In the investment equations the impact of capital adjustment costs and external finance costs is taken into account. Moreover, potential sample selection bias in

  6. Solar Magnetometry with the dutch open telescope

    NARCIS (Netherlands)

    Rutten, R.J.; Hammerschlag, R.H.; Sütterlin, P.; Bettonvil, F.C.M.; Zalm, E.B.J. van der

    2001-01-01

    The Dutch Open Telescope (DOT) has become op- erational at the Roque de los Muchachos Observa- tory on La Palma. The rst image sequences taken with this innovative telescope demonstrate its capa- bility for tomographic high-resolution imaging of the magnetic topology of the solar atmosphere up

  7. Introducing gaming simulation in the Dutch railways

    NARCIS (Netherlands)

    Meijer, S.

    2012-01-01

    Innovation in the Dutch railways in the domain of capacity management and traffic control is increasingly difficult to implement because of the large interconnectedness of all processes and separation into different institutions and organizations. Meanwhile there is a push for quality improvements

  8. Creating sport consumers in Dutch sport policy

    NARCIS (Netherlands)

    van der Roest, Jan Willem; Vermeulen, Jeroen; van Bottenburg, Maarten

    2015-01-01

    This article deals with the tension between the association logic and the market logic that appears in the domain of voluntary sport clubs (VSCs). We present a qualitative analysis of sport policy texts of fifteen Dutch national sport organizations (NSOs) and the national umbrella organization to

  9. Optimal Redesign of the Dutch Road Network

    NARCIS (Netherlands)

    Snelder, M.; Wagelmans, A.P.M.; Schrijver, J.M.; Van Zuylen, H.J.; Immers, L.H.

    2007-01-01

    The Dutch national road network has been developed over several decades. In the past, roads were constructed according to the then current spatial and transportation planning philosophies. Because the existing road network is a result of a long process of successive developments, the question can be

  10. Client acceptance decisions of Dutch auditing partners

    NARCIS (Netherlands)

    Wittek, Rafael; Zee, Theo van der; Mühlau, Peter

    2008-01-01

    A vignette study of 567 client acceptance decisions by 67 Dutch auditors showed that the prospect of acquiring additional assignments significantly increases the likelihood that auditing partners accept an audit assignment from a new client, thereby violating a rule of the auditing profession. Audit

  11. Question Answering for Dutch : Simple does it

    NARCIS (Netherlands)

    Hoekstra, A.H.; Hiemstra, Djoerd; van der Vet, P.E.; Huibers, Theo W.C.; Schobbens, Pierre-Yves; Vanhoof, Wim; Schwanen, Gabriel

    2006-01-01

    When people pose questions in natural language to search for information on the web, the role of question answering (QA) systems becomes important. In this paper the QAsystem simpleQA, capable of answering Dutch questions on which the answer is a person or a location, is described. The system's

  12. Prosody and sentence type in Dutch

    NARCIS (Netherlands)

    Heuven, van V.J.J.P.

    2017-01-01

    This article summarizes earlier research done on the prosodic marking of interrogativity and imperatives in Dutch on the basis of recorded speech from male and female speakers. The first part of this article compares statements (ST) and three types of question. The form of questions may differ in

  13. Topics in Corpus-Based Dutch Syntax

    NARCIS (Netherlands)

    Beek, Leonoor Johanneke van der

    2005-01-01

    In this dissertation, corpus data is applied in various kinds of linguistic analyses. The data serves as a source of examples and counterexamples in a theoretical linguistic analysis of the Dutch cleft construction, as the source of quantitative data in a probabilistic account of the dative

  14. The left and right periphery in Dutch

    NARCIS (Netherlands)

    de Vries, M.

    2009-01-01

    This article discusses the information-structural status and the syntax of left and right dislocation constructions in Dutch. Four orthogonal information-structural features are proposed, and their distribution is systematically investigated. Furthermore, it is argued that hanging topic left

  15. The Dutch vocational education and training system

    NARCIS (Netherlands)

    Verhagen, A.M.C.

    2014-01-01

    The Dutch educational system is highly stratified from secondary education onwards3, and this also applies to MBO. Each MBO course can be followed in two different learning pathways, called the vocationally educating learning pathway (beroepsopleidende leerweg: BOL) and the vocationally guiding

  16. Dutch aid to education and conflict

    NARCIS (Netherlands)

    Lopes Cardozo, M.T.A.; Novelli, M.

    2010-01-01

    This report focuses on developments in Dutch aid to education in conflict affected areas in the last decade, with a focus on the period 2007‐2010, when ex‐Minister for International Development, Koenders was in office. In this relatively brief time frame, Koenders prioritised development cooperation

  17. Innovation protection in the Dutch printing industry

    NARCIS (Netherlands)

    Mol, M.C.; Masurel, E.

    2014-01-01

    Although the scholarly attention for innovation by SMEs is beyond discussion, much of the protective behaviour of SMEs concerning their innovations is unknown. A survey was sent to 1,337 SMEs from the Dutch Printing Industry, containing questions on: the firm; the entrepreneur; and a recent product

  18. Cimate change impacts within the Dutch Caribbean

    NARCIS (Netherlands)

    Debrot, A.O.

    2016-01-01

    The most recent climate change predictions for the Caribbean region (2013/2014) by the Intergovernmental Panel on Climate Change (IPCC) are alarming and suggest that the islands of the Dutch Caribbean will go through profound environmental changes within the next century.

  19. Direct speech constructions in aphasic Dutch narratives

    NARCIS (Netherlands)

    Groenewold, Rimke; Bastiaanse, Roelien; Huiskes, Mike

    2013-01-01

    Background: Previous studies have shown that individuals with aphasia are usually able to produce direct reported speech constructions. So far these studies have mainly been conducted in English. The results show that direct speech is beneficial for aphasic speakers for various reasons. In Dutch the

  20. Governmental filtering of websites: The Dutch case

    NARCIS (Netherlands)

    Stol, W.PH.; Kaspersen, H.W.K.; Kerstens, J.; Leukfeldt, E.R.; Lodder, A.R.

    2009-01-01

    Following the example of Norway and other European Countries, such as Sweden and Denmark, in April 2007 the Dutch government started filtering and blocking web pages with child pornographic content. In this paper we present a research into the technological, legal and practical possibilities of this

  1. Dutch elm disease control: performance and costs

    Science.gov (United States)

    William N., Jr. Cannon; David P. Worley

    1976-01-01

    Municipal programs to suppress Dutch elm disease have had highly variable results. Performance as measured by tree mortality was unrelated to control strategies. Costs for control programs were 37 to 76 percent less than costs without control programs in the 15-year time-span of the study. Only those municipalities that conducted a high-performance program could be...

  2. Bruxism and associated factors among Dutch adolescents

    NARCIS (Netherlands)

    van Selms, M.K.A.; Visscher, C.M.; Naeije, M.; Lobbezoo, F.

    2013-01-01

    Objectives To assess the prevalence rates of self-reported sleep bruxism and awake bruxism and their associations with several demographical, exogenous, and psychosocial factors among Dutch adolescents. Methods In a cross-sectional questionnaire survey, 4285 questionnaires were completed, with an

  3. Ethical motivation of Dutch egg consumers

    NARCIS (Netherlands)

    Burrell, A.M.; Vrieze, G.

    2003-01-01

    This paper analyses a representative sample of 356 Dutch egg consumers in order to measure the extent to which ethical principles concerning the welfare of hens in different rearing systems are translated into egg purchasing intentions, and the extent to which declared intentions are expressed in

  4. Teleworking policies of organisations: the Dutch experience

    NARCIS (Netherlands)

    van Klaveren, M.; Tijdens, K.

    2003-01-01

    The over-all picture concerning the diffusion of telework stemming from research undertaken in 2000 and 2001 is rather negative. Teleworking policies of organisations hardly go beyond the minimal definition that we used in analyzing Dutch surveys from these years (organisations offering the

  5. Nocturia in the Dutch adult population.

    NARCIS (Netherlands)

    Dijk, L. van; Kooij, D.G.; Schellevis, F.G.

    2002-01-01

    Objective: To estimate the prevalence of nocturia in the Dutch adult population, its association with sociodemographic and health characteristics, and to assess problems experienced by persons with nocturia. Subjects and Methods: In spring 2001 a telephone survey was conducted among a representative

  6. Consumer price sensitivity in Dutch health insurance

    NARCIS (Netherlands)

    M. van Dijk (Machiel); M. Pomp (Marc); R.C.H.M. Douven (Rudy); T. Laske-Aldershof (Trea); F.T. Schut (Erik); W. de Boer (Willem); A. Boo (Anne)

    2008-01-01

    textabstractAim: To estimate the price sensitivity of consumer choice of health insurance firm. Method: Using paneldata of the flows of insured betweenpairs of Dutch sickness funds during the period 1993-2002, we estimate the sensitivity of these flows to differences in insurance premium. Results:

  7. Dutch diabetes prevalence estimates (DUDE-1)

    NARCIS (Netherlands)

    Kleefstra, Nanne; Landman, Gijsw. D.; Van Hateren, Kornelis J. J.; Meulepas, Marianne; Romeijnders, Arnold; Rutten, Guy E. H.; Klomp, Maarten; Houweling, Sebastiaan T.; Bilo, Henk J. G.

    2016-01-01

    Background: Recent decades have seen a constant upward projection in the prevalence of diabetes. Attempts to estimate diabetes prevalence rates based on relatively small population samples quite often result in underestimation. The aim of the present study was to investigate whether the Dutch

  8. Creating sport consumers in Dutch sport policy

    NARCIS (Netherlands)

    van der Roest, Jan Willem; Vermeulen, Jeroen; van Bottenburg, Maarten; LS Sportontw. & Managing Social Issues; UU LEG Research USG Public Matters Managing Social Issues; LS Management van Cultuur en Zingeving

    2014-01-01

    This article deals with the tension between the association logic and the market logic that appears in the domain of voluntary sport clubs (VSCs). We present a qualitative analysis of sport policy texts of fifteen Dutch national sport organizations (NSOs) and the national umbrella organization to

  9. The syntax of Dutch : The data set

    NARCIS (Netherlands)

    Broekhuis, H.

    2016-01-01

    Abstract: This article is a rejoinder to the various reviews of the Syntax of Dutch (2012-2016) that have appeared in this and earlier volumes of Nederlandse Taalkunde. It focuses especially on one recurring theme in these reviews: the use of introspection for collecting data. Although many

  10. Delinquent Behavior of Dutch Rural Adolescents

    NARCIS (Netherlands)

    Weenink, D.

    2011-01-01

    This article compares Dutch rural and non-rural adolescents’ delinquent behavior and examines two social correlates of rural delinquency: communal social control and traditional rural culture. The analyses are based on cross-sectional data, containing 3,797 participants aged 13–18 (48.7% females).

  11. Economic assessment of Dutch agricultural research

    NARCIS (Netherlands)

    Poppe, K.J.

    2008-01-01

    To cope with globalisation and other changes in the industry, in the last 20 years the Dutch Ministry of Agriculture has reorganised its system for education, extension and research considerably. It moved away from the concept of a linear process of innovation to that of an agro-innovation system.

  12. Competition in the Dutch consumer credit market

    NARCIS (Netherlands)

    Toolsema-Veldman, Linda

    2002-01-01

    This paper considers the degree of competitiveness of the Dutch consumer credit market. We use the well-known Bresnahan-Lau method that estimates a structural model consisting of a demand relation and a supply relation, based on aggregate data. The level of competition is derived from the estimated

  13. Competition in the Dutch consumer credit market

    NARCIS (Netherlands)

    Toolsema-Veldman, Linda

    2001-01-01

    This paper considers the degree of competitiveness of the Dutch consumer credit market. We use the well-known I Bresnahan-Lau method that estimates it structural model consisting of a demand relation and a supply relation, based on aggregate data. The level of compelition is derived from the

  14. Balance in competition in Dutch soccer

    NARCIS (Netherlands)

    Koning, Ruud H.

    2000-01-01

    In this paper, we estimate an ordered probit model for soccer results in The Netherlands. The result of a game is assumed to be determined by home advantage and quality differences of the opposing teams. The parameters of the model are used to assess whether competitive balance in Dutch professional

  15. UNICUM: a portal to Dutch academic heritage

    NARCIS (Netherlands)

    Reerink, H.

    2012-01-01

    The UNICUM development project, commissioned by the Academic Heritage Foundation (SAE), is being carried out by the five classic Dutch universities in 2010-11. UNICUM, short for ‘University Collections and University Museums’, has received a national government grant to create a digital portal to

  16. FIRM HOUSEHOLD INTERRELATIONSHIPS ON DUTCH DAIRY FARMS

    NARCIS (Netherlands)

    ELHORST, JP

    1994-01-01

    In this article an agricultural household model is developed in which production and consumption decisions are non-separable. On the basis of this model the importance of coupling production and consumption decisions is investigated for the Dutch dairy sector both before and after the introduction

  17. The Essential Guide to Dutch Music

    NARCIS (Netherlands)

    Klis, van der Jolande

    2000-01-01

    Of all the composers produced by the Netherlands, only two have achieved world renown: Jan Pieterszoon Sweelinck in the early seventeenth century and Louis Andriessen today. Nonetheless, so much more Dutch music is worthy of attention. For the first time ever, four centuries of composition in the

  18. Browsing for the National Dutch Video Archive

    NARCIS (Netherlands)

    Smeulders, A.W.M.; van Gemert, J.C.; Geusebroek, J.M.; Snoek, C.G.M.; Worring, M.

    2006-01-01

    Pictures have always been a prime carrier of Dutch culture. But pictures take a new form. We live in times of broad- and narrowcasting through Internet, of passive and active viewers, of direct or delayed broadcast, and of digital pictures being delivered in the museum or at home. At the same time,

  19. Partial word order freezing in Dutch

    NARCIS (Netherlands)

    Bouma, G.J.; Hendriks, P.

    2012-01-01

    Dutch allows for variation as to whether the first position in the sentence is occupied by the subject or by some other constituent, such as the direct object. In particular situations, however, this commonly observed variation in word order is ‘frozen’ and only the subject appears in first

  20. Dutch politicians' coping with terrorist threat

    NARCIS (Netherlands)

    Nijdam, Mirjam J.; Gersons, Berthold P. R.; Olff, Miranda

    2010-01-01

    The psychosocial effects of terrorist threat and close protection have never been studied systematically in political leaders. We conducted a study among 12 Dutch politicians and their partners who were living under terrorist threat and close protection in the aftermath of two political murders.

  1. Dutch hi-tech companies exhibit at CERN

    CERN Multimedia

    Roberto Cantoni

    2010-01-01

    Twenty-seven Dutch companies will present the state of the art of their technological developments at the industrial exhibition Holland @ CERN from 8 to 11 November. The exhibition is designed to help strengthen the ties between fundamental science and Dutch industry.   The exhibition, supported by the Dutch Ministry of Economic Affairs and organised by the Netherlands National Institute for Subatomic Physics (Nikhef), in cooperation with the Foundation for Fundamental Research on Matter (FOM), the FOM Institute for Plasma Physics Rijnhuizen, and Dutch Scientific, an association of manufacturers of scientific equipment, will be held in the Main Building from 8 to11 November. “The last Holland @ CERN exhibition took place fifteen years ago”, says Robert Klöpping from Nikhef, Dutch Industrial Liaison Officer for CERN and Purchasing Advisor for Grenoble ESRF. “This kind of event is very important for Dutch industry as it allows us to show what Dutch companies c...

  2. Diffusion of electronic service delivery innovations: the case of e-policing

    NARCIS (Netherlands)

    E.H. Korteland (Evelien); V.J.J.M. Bekkers (Victor)

    2009-01-01

    textabstractThis article examines the diffusion and adoption process of an electronic service delivery innovation, which can be seen as an example of e-policing – called SMS-alert – among Dutch police forces. Important is not only to pay attention to the question how an innovation has spread - and

  3. Predictors of Cephalic Vaginal Delivery Following External Cephalic Version: An Eight-Year Single-Centre Study of 447 Cases

    Directory of Open Access Journals (Sweden)

    Natalie Kew

    2017-01-01

    Full Text Available Introduction. Our study aims to investigate and evaluate (1 rates of success of ECV for breech presentation at term at the Royal Women’s Hospital in comparison to international standards; (2 mode of delivery following ECV; (3 factors influencing success rates of ECV at the Royal Women’s Hospital. Methods. An audit of all women who underwent ECV between the years 2007 and 2014 at the Royal Women’s Hospital as public patients was completed. Data parameters were collected from paper and electronic patient files at the Women’s Hospital. Data was collected to analyse the effect of the following parameters on ECV success and birth outcome: age, parity, gestational age, BMI, AFI, and tocolytic use. These parameters were analysed to determine their effect on ECV outcome and birth outcome. Results. The Women’s Hospital, Melbourne, has an ECV success rate of approximately 37%. Of the patients undergoing ECV, 29% proceeded to normal vaginal delivery. Predictors of successful ECV included low BMI, multiparity, and AFI more than 16 (P<0.05. The only predictor of cephalic vaginal delivery following ECV was multiparity. Negative predictors of cephalic delivery were low AFI and nulliparity. Conclusions. The success rate of ECV at the Women’s Hospital, Melbourne, is in line with global standards.

  4. Nasometry normative data for young Dutch children.

    Science.gov (United States)

    Van der Heijden, P; Hobbel, H H F; Van der Laan, B F A M; Korsten-Meijer, A G W; Goorhuis-Brouwer, S M

    2011-03-01

    Hypernasality is a common problem in cleft care. It should be treated before the age of six, because of the impact it can have on speech sound development in young children. An objective method of nasalance evaluation is nasometry. To decide whether a nasometer test result is normal or abnormal, normative data and cut off points are needed. Normative data for children are not available for every language and age. For Dutch children two sets of Dutch speech stimuli, the Van Zundert sentences or the Moolenaar-Bijl, sentences, are often used in the diagnostic process for hypernasality. Primary goal of this study is to determine normative data and cut off points for two sets of Dutch speech stimuli for Dutch children from four to six years of age. Secondary is to compare those two sets of oral sentences. Children without clefts were recruited from schools. According to their teachers their speech was normal. They were tested with the nasometer with the two sets of speech stimuli. The set from Van Zundert has oral and oronasal sentences, the Moolenaar-Bijl set only has oral sentences. 118 children were recruited. Out of these children, 55 produced recording samples which were suitable for analysis. There were no significant differences between age groups or gender. The two different sets of speech stimuli used were significantly different, but the confidence intervals overlapped. Normal nasalance scores of the tested sentences are between 3 and 19% for oral sentences and between 17 and 37% for oronasal sentences. The Moolenaar-Bijl speech sentences are preferred to evaluate hypernasality in young Dutch children, because of the shortness and intelligibility. Normative nasalance scores are applicable to the whole group of children from four to six years of age. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

  5. Dyslexia and early intervention: what did we learn from the Dutch Dyslexia Programme?

    Science.gov (United States)

    van der Leij, Aryan

    2013-11-01

    Part of the Dutch Dyslexia Programme has been dedicated to early intervention. The question of whether the genetically affected learning mechanism of children who are at familial risk (FR) of developing dyslexia could be influenced by training phoneme awareness and letter-sound associations in the prereading phase was investigated. The rationale was that intervention studies reveal insights about the weaknesses of the learning mechanisms of FR children. In addition, the studies aimed to gather practical insights to be used in the development of a system of early diagnosis and prevention. Focused on the last period of kindergarten before formal reading instruction starts in Grade 1, intervention methods with comparable samples and designs but differences in delivery mode (use of computer or manual), tutor (semi-professional or parent), location (at school or at home), and additional practices (serial rapid naming or simple word reading) have been executed to test the hypothesis that the incidence and degree of dyslexia can be reduced. The present position paper summarizes the Dutch Dyslexia Programme findings and relates them to findings of other studies. It is discussed that the Dutch studies provide evidence on why prevention of dyslexia is hard to accomplish. It is argued that effective intervention should not only start early but also be adapted to the individual and often long-lasting educational needs of children at risk of reading failure. Copyright © 2013 John Wiley & Sons, Ltd.

  6. Do Dutch doctors communicate differently with immigrant patients than with Dutch patients?

    Science.gov (United States)

    Meeuwesen, Ludwien; Harmsen, Johannes A M; Bernsen, Roos M D; Bruijnzeels, Marc A

    2006-11-01

    The aim of this study was to gain deeper insight into relational aspects of the medical communication pattern in intercultural consultations at GP practices in the Netherlands. We ask whether there are differences in the verbal interaction of Dutch GPs with immigrant and Dutch patients. Data were drawn from 144 adult patient interviews and video observations of consultations between the patients and 31 Dutch GPs. The patient group consisted of 61 non-Western immigrants (Turkish, Moroccan, Surinamese, Antillean, Cape Verdian) and 83 Dutch participants. Affective and instrumental aspects of verbal communication were assessed using Roter's Interaction Analysis System (RIAS). Patients' cultural background was assessed by ethnicity, language proficiency, level of education, religiosity and cultural views (in terms of being more traditional or more modern). Consultations with the non-Western immigrant patients (especially those from Turkey and Morocco) were well over 2 min shorter, and the power distance between GPs and these patients was greater when compared to the Dutch patients. Major differences in verbal interaction were observed on the affective behavior dimensions, but not on the instrumental dimensions. Doctors invested more in trying to understand the immigrant patients, while in the case of Dutch patients they showed more involvement and empathy. Dutch patients seemed to be more assertive in the medical conversation. The differences are discussed in terms of patients' ethnic background, cultural views (e.g. practicing a religion) and linguistic barriers. It is concluded that attention to cultural diversity does matter, as this leads to different medical communication patterns. A two-way strategy is recommended for improving medical communication, with implications for both doctor and patient behavior.

  7. Cluster of botulism among Dutch tourists in Turkey, June 2008.

    Science.gov (United States)

    Swaan, C M; van Ouwerkerk, I M; Roest, H J

    2010-04-08

    In June 2008, three Dutch tourists participating in a mini-cruise in Turkey needed urgent repatriation for antitoxin treatment because of symptoms of botulism. Because there was a shortage of antitoxin in the Netherlands, an emergency delivery was requested from the manufacturer in Germany. An outbreak investigation was initiated into all nine cruise members, eight of whom developed symptoms. C. botulinum type B was isolated in stool culture from four of them. No other patients were notified locally. Food histories revealed locally purchased unprocessed black olives, consumed on board of the ship, as most likely source, but no left-overs were available for investigation. C. botulinum type D was detected in locally purchased canned peas, and whilst type D is not known to be a cause of human intoxication, its presence in a canned food product indicates an inadequate preserving process. With increasing tourism to areas where food-borne botulism is reported regularly special requests for botulism antitoxin may become necessary. Preparing an inventory of available reserve stock in Europe would appear to be a necessary and valuable undertaking.

  8. More on Dutch English ... please? : a study of request performance by Dutch native speakers, English native speakers and Dutch learners of English

    NARCIS (Netherlands)

    Hendriks, B.C.

    2002-01-01

    The purpose of the study is to investigate similarities and differences in the use of politeness strategies in formulating requests between Dutch learners of English, native speakers of Dutch and native speakers of English. A second objective was to gain more insights into the influence of

  9. Price competition among Dutch sickness funds

    OpenAIRE

    Varkevisser, Marco; Geest, Stéphanie

    2003-01-01

    textabstractIn general, competition enhances efficiency. On the market for health insurance free market competition, however, has unwanted side-effects. The existence of asymmetrical information can lead to adverse selection and cream skimming. Adequate risk-adjustment removes the incentives for cream skimming and balances the negative consequences of adverse selection. In an attempt to enhance efficiency, the Dutch government in 1992 introduced price competition between social health insurer...

  10. The Relational Turn in Dutch Administrative Law

    OpenAIRE

    Lukas Van den Berge

    2017-01-01

    textabstractThe structure of national continental systems of administrative law is typically determined by the classical notions of strict legal verticality and the undivided public interest. In the present era of individualization, privatization, decentralization and internationalization, these notions have come under increasing pressure. This article presents an analysis of Dutch administrative law as a case in point. How may a stable and legitimate system of judicial review of government a...

  11. Extraction in Dutch with Lexical Rules

    CERN Document Server

    Rentier, G

    1994-01-01

    Unbounded dependencies are often modelled by ``traces'' (and ``gap threading'') in unification-based grammars. Pollard and Sag, however, suggest an analysis of extraction based on lexical rules, which excludes the notion of traces (P&S 1994, Chapter 9). In parsing, it suggests a trade of indeterminism for lexical ambiguity. This paper provides a short introduction to this approach to extraction with lexical rules, and illustrates the linguistic power of the approach by applying it to particularly idiosyncratic Dutch extraction data.

  12. The supervisory boards of large Dutch companies

    OpenAIRE

    Wooldridge, Frank

    2007-01-01

    A summary of reforms relating to the appointment and function of supervisory boards in large private and public companies, and amendments to Dutch law governing employee participation. Article by Dr Frank Wooldridge published in Amicus Curiae - Journal of the Society for Advanced Legal Studies. The Journal is produced by the Society for Advanced Legal Studies at the Institute of Advanced Legal Studies, University of London.

  13. Fine-grained Dutch named entity recognition

    OpenAIRE

    Desmet, Bart; Hoste, Veronique

    2014-01-01

    This paper describes the creation of a fine-grained named entity annotation scheme and corpus for Dutch, and experiments on automatic main type and subtype named entity recognition. We give an overview of existing named entity annotation schemes, and motivate our own, which describes six main types (persons, organizations, locations, products, events and miscellaneous named entities) and finer-grained information on subtypes and metonymic usage. This was applied to a one-million-word subset o...

  14. The Dutch Claustrophobia Questionnaire: psychometric properties and predictive validity.

    Science.gov (United States)

    Van Diest, Ilse; Smits, Dirk; Decremer, Davina; Maes, Lori; Claes, Laurence

    2010-10-01

    Fear of suffocation and fear of restriction are thought to underlie claustrophobia and can be assessed with the Claustrophobia Questionnaire (CLQ; Radomsky et al., 2001). A first study tested the psychometric properties of a Dutch version of the CLQ. Students (N=363) completed a Dutch translation of the CLQ and a set of other questionnaires assessing other specific fears, anxiety or depression. Results confirmed the two-factor structure and showed that the Dutch version of the CLQ has good psychometric properties. A second study tested the predictive validity of the Dutch CLQ. Participants (N=23) were exposed each to nine claustrophobic situations with elements of suffocation, restriction or both. The Dutch CLQ was found to be a significant predictor of fear and respiratory reactivity during claustrophobic exposure. It can be concluded that the Dutch version of the CLQ is a reliable and valid instrument to assess claustrophobic fear. Copyright 2010 Elsevier Ltd. All rights reserved.

  15. Sports participation of Dutch lower limb amputees.

    Science.gov (United States)

    Bragaru, Mihai; Meulenbelt, Henk E J; Dijkstra, Pieter U; Geertzen, Jan H B; Dekker, Rienk

    2013-12-01

    To analyze sports participation of Dutch lower limb amputees and factors influencing sports participation. A cross-sectional survey was performed. Dutch lower limb amputees (N = 2039) were invited to participate in a postal survey addressing personal and amputation characteristics, physical limitations, sports participation, skin problems, and prosthesis use. Only data concerning personal and amputation characteristics together with the data concerning sports participation were used for this study. Of the 816 questionnaires received, 780 were suitable for statistical analysis. The mean age of the participants was 59.6 years (SD 14.8), 62% were men and 27% of the amputations was due to vascular diseases or diabetes. Only 15% of all respondents participate in sports at least 5 hours a month. Smoking (odds ratio: 0.55), an age older than 60 (odds ratio: 0.97 per year), and a vascular cause of amputation (odds ratio: 0.42) were negatively associated with sports participation. Less than 15% of the Dutch lower limb amputees participate in sports at least 5 hours per month. Older age, smoking and a vascular cause of amputation have a negative influence on the sports participation of these individuals.

  16. Civil Society or Democracy? A Dutch Paradox

    Directory of Open Access Journals (Sweden)

    Remieg Aerts

    2010-01-01

    Full Text Available Since the 1990s, research has been carried out worldwide into the relationship between ‘civil society’ (an organised, self-aware society and the formation of democracy. Dutch historians have to date shown little interest in this field of research, although the case of the Netherlands is an interesting one, both historically and in terms of current affairs. This article makes a case for the relevance of Dutch history to the debate on civil society in relation to three points. Firstly, where civil society is a phenomenon of the eighteenth and above all the nineteenth centuries, the society of the Republic demonstrates that a corporatist order can show characteristics of a civil society. Secondly, the factor of religion can be an important element in the promotion of social commitment. Thirdly, Dutch history flags up a paradox: it seems that a highly developed, civil society can rather limit than promote the need for political democracy and the recognition of an independent political sphere.

  17. Predictors of Cephalic Vaginal Delivery Following External Cephalic Version: An Eight-Year Single-Centre Study of 447 Cases.

    Science.gov (United States)

    Kew, Natalie; DuPlessis, Jacobus; La Paglia, Domenic; Williams, Katherine

    2017-01-01

    Introduction. Our study aims to investigate and evaluate (1) rates of success of ECV for breech presentation at term at the Royal Women's Hospital in comparison to international standards; (2) mode of delivery following ECV; (3) factors influencing success rates of ECV at the Royal Women's Hospital. Methods. An audit of all women who underwent ECV between the years 2007 and 2014 at the Royal Women's Hospital as public patients was completed. Data parameters were collected from paper and electronic patient files at the Women's Hospital. Data was collected to analyse the effect of the following parameters on ECV success and birth outcome: age, parity, gestational age, BMI, AFI, and tocolytic use. These parameters were analysed to determine their effect on ECV outcome and birth outcome. Results. The Women's Hospital, Melbourne, has an ECV success rate of approximately 37%. Of the patients undergoing ECV, 29% proceeded to normal vaginal delivery. Predictors of successful ECV included low BMI, multiparity, and AFI more than 16 (P ECV was multiparity. Negative predictors of cephalic delivery were low AFI and nulliparity. Conclusions. The success rate of ECV at the Women's Hospital, Melbourne, is in line with global standards.

  18. Biomechanical pregnant pelvic system model and numerical simulation of childbirth: impact of delivery on the uterosacral ligaments, preliminary results.

    Science.gov (United States)

    Lepage, J; Jayyosi, C; Lecomte-Grosbras, P; Brieu, M; Duriez, C; Cosson, M; Rubod, C

    2015-04-01

    We created a pregnant woman pelvic model to perform a simulation of delivery to understand the pathophysiology of urogenital prolapse by studying the constraints on the pelvic components (muscles, ligaments, pelvic organs) during childbirth. These simulations will also provide valuable tools to understand and teach obstetrical mechanics. We built a numerical model of the pelvic system from a term pregnant woman, using the finite element method on a mesh built from magnetic resonance images of a nulliparous pregnant woman. Mechanical properties of pelvic tissues already determined by the team were adapted to account for pregnancy. The system allows delivery to be simulated. When a fetal head at the 50th percentile for the term goes through the pelvic system, uterosacral ligaments undergo a deformation of around 30 %. Uterosacral ligaments are the major pelvic sustaining structures, their lesion may be a potential cause of urogenital prolapse. We built a model of childbirth as a function of pregnancy term by varying volumes of fetal head and uterus. The impact on uterosacral ligaments is higher when the fetal head is larger. Our modelling is rather complete considering that it involves many organs including ligaments. It allows us to analyse the effect of childbirth on uterosacral ligaments and to understand how they impact on pelvic statics. First results are promising, but optimisation and future simulations will be needed. We also plan to simulate various delivery scenarios (cephalic, breech presentation, instrumental extraction), which will be useful to study perineal lesions and also to teach obstetrical mechanics.

  19. The Dutch province Noord-Holland monitors energy efficiency of houses; Noord-Holland controleert woningen op energiezuinigheid

    Energy Technology Data Exchange (ETDEWEB)

    Verhoeven, E. [DWA installatie- en energieadvies, Bodegraven (Netherlands)

    2009-07-15

    Upon delivery some new houses turn out to be less energy efficient than intended in the design. Sometimes they don't even meet the requirements of the Buildings Decree. In order to prevent such errors in the future, the Dutch province of Noord-Holland decided to thoroughly check the dwellings at random and to disseminate the results to the market as feedback. [Dutch] Nieuwbouwwoningen blijken bij oplevering nogal eens minder energiezuinig te zijn dan in het ontwerp was bedoeld. Soms voldoen ze zelfs niet aan het Bouwbesluit. Om deze misstanden in de toekomst zoveel mogelijk te voorkomen, kiest Noord-Holland ervoor steekproefsgewijs woningen grondig te controleren en de resultaten terug te koppelen naar de markt.

  20. Predictors of successful external cephalic version and assessment of success for vaginal delivery.

    Science.gov (United States)

    Salzer, Liat; Nagar, Ran; Melamed, Nir; Wiznitzer, Arnon; Peled, Yoav; Yogev, Yariv

    2015-01-01

    To identify predictors of successful external cephalic version (ECV) and to compare delivery outcome between women who had a successful ECV and women with spontaneous vertex presentation. A retrospective cohort study of all women who underwent ECV in a single tertiary medical center between 2007 and 2011. Delivery outcome was compared between women who underwent a trial of vaginal delivery following successful ECV with that of a control group in a 2:1 ratio. Multivariate analysis was used to identify predictors of successful ECV. Overall 287 were eligible for the study group. Of these 130 (45.3%) had a successful ECV. Polyhydramnios was the strongest factor associated with successful ECV (OR=3.1, 95%-CI 1.4-7.2), followed by transverse lie (versus breech presentation, OR=2.6, 95%-CI 1.2-6.7) and a posterior placenta (OR=1.7, 95%-CI 1.1-3.9), while nulliparity was associated with a lower likelihood of successful ECV (OR=0.4, 95%-CI 0.2-0.6). Women who had a successful ECV and underwent a trial of labor were more likely to deliver by operative vaginal delivery (OVD) (OR=1.8, 95%-CI 1.2-3.6), mainly due to a higher rate of prolonged 2nd, but were not at an increased risk for CS (OR=0.9, 95%-CI 0.4-2.4). Counselling to women prior to ECV should address the likelihood of success based on the predicting factors described above, as well as the increased risk for OVD in the case of successful ECV.

  1. Compliance of Dutch orthopedic departments with national guidelines on thromboprophylaxis. A survey of Dutch orthopedic thromboprohylaxis

    NARCIS (Netherlands)

    Ettema, Harmen B.; Hoppener, Marnix R.; Henny, Christiaan P.; Büller, Harry R.; Verheyen, Cees C. P. M.

    2005-01-01

    All 110 Dutch orthopedic departments were sent a survey on perioperative thromboprophylaxis protocols, and 79% responded. After hip and knee replacements, all used pharmacological thromboprophylaxis: a low-molecular weight heparin (LMWH) in 87% of departments, which was most often combined with

  2. Work engagement among Dutch dental hygienists.

    Science.gov (United States)

    Buunk-Werkhoven, Yvonne A B; Hollaar, Vanessa R Y; Jongbloed-Zoet, Corrie

    2014-01-01

    The aim of this study was to investigate the level of work engagement among Dutch dental hygienists. A total of 1,520 questionnaires were randomly distributed to the members of the Dutch Dental Hygienists' Association (Nederlandse Vereniging van Mondhygiënisten). The questionnaire consisted of the short form Utrecht Work Engagement Scale, a hypothesized three-factor structure of work engagement (Vigor, Dedication, and Absorption). Participants ranked statements about how they felt at work on 7-point rating scales (0 = never to 6 = always). From a sample of 490 dental hygienists (32 percent) with a mean age of 38.2 years [standard deviation (SD) = 10.1], the mean level of work engagement was 4.77 (SD = 0.90). The mean score on the dimension of Vigor was 4.74 (SD = 0.74), Dedication was 5.08 (SD = 0.89), and Absorption was 4.48 (SD = 1.12). A significant correlation was found between the dimension Absorption and age (r = -0.11, P work engagement. Many dental hygienists experienced high levels of well-being at work at least once a week, with some reporting high levels of well-being on a daily basis. Only a small percentage of dental hygienists reported experiencing very low levels of well-being at work. Dental hygienists also reported significantly higher scores for work engagement and the three dimensions as compared with the manual norms based on a variety of professions. Finally, dental hygienists had higher scores on these questionnaires compared with Dutch dentists. © 2014 American Association of Public Health Dentistry.

  3. Sustainable Entrepreneurship in the Dutch Construction Industry

    Directory of Open Access Journals (Sweden)

    Rosalinde J.A. Klein Woolthuis

    2010-02-01

    Full Text Available This article discusses the strategies that sustainable entrepreneurs use to interact with their environment in the Dutch construction industry. The Dutch construction industry is under great pressure to move towards sustainability, and entrepreneurs are believed to be able to play a large role in this transition by introducing new products and new business practices. But how can entrepreneurs prosper in an environment that is not geared up towards such a change? And which strategies do they use to bend conditions in their favor? In this article we make use of the Market and System Failure Framework to analyze the pressures that entrepreneurs are confronted with when introducing sustainable innovations. We recognize that these pressures can be seen as bottlenecks, but that market and system failures can also create entrepreneurial opportunities. We interviewed 16 entrepreneurs in the Dutch construction industry to determine the influences they experienced from their environment and the strategies they use to deal with these. We conclude that we can distinguish between system building and following entrepreneurs, where the former aims to build a new system to challenge the old one, whereas the latter rather makes use of existing structures to build a business. We find that both strategies can be successful and that overall, the entrepreneurs confirm the belief that sustainability on people, planet and transparency aspects, can contribute very well to the long term profitability of the businesses the entrepreneurs are running. These in-depth insights into the influences from the context on the one hand, and the entrepreneurs’ strategic reactions on the other hand, contribute to our understanding of the interactions between entrepreneurs and the system context. This can help us to more effectively stimulate and support innovating entrepreneurs to contribute to the transition towards sustainability.

  4. One Probe - Two Goals : Aspects of agreement in Dutch dialects

    NARCIS (Netherlands)

    Koppen, Marjo van

    2005-01-01

    In Dutch dialects, verbs and complementizers can bear different morphological affixes depending on which nominal element they agree with in their local syntactic domain. For instance, in a dialect such as tegelen Dutch, the complementizer agrees with the first conjunct of a coordinated subject,

  5. Living Arrangement and University Choice of Dutch Prospective Students

    NARCIS (Netherlands)

    Florax, R.J.G.M.; Sa, C.; Rietveld, P.

    2012-01-01

    Sá C., Florax R. J. G. M. and Rietveld P. Living arrangement and university choice of Dutch prospective students, Regional Studies. The nature of university choice and living-arrangement decisions of Dutch prospective students is analysed. A random utility maximization nested logit model of

  6. EFL Academic writing. What should Dutch business communication students learn?

    NARCIS (Netherlands)

    Meurs, Frank van; Hendriks, B.C.; Planken, B.C.; Barasa, S.N.; Groot, E.B. de; Nederstigt, U.

    2016-01-01

    Many Dutch university students are expected to read and write academic research papers in English. In this article, we discuss a number of areas of EFL academic writing that are relevant for first-year Dutch business communication students. These students need to become familiar with quantitative

  7. Automatic word sense disambiguation for Dutch using dependency information

    NARCIS (Netherlands)

    Haagsma, Hessel

    2015-01-01

    An automatic word sense disambiguation system utilizing dependency information is implemented using existing language resources for Dutch (Lassy, Alpino, Cornetto) and tested on a subset of DutchSemCor. The disambiguation method used largely follows the method first proposed by Lin (1997). It

  8. The Dutch ‘Female Board Index’ 2008

    NARCIS (Netherlands)

    Lückerath – Rovers, M.

    2009-01-01

    The Dutch ‘Female Board Index 2008’ provides for the second year an overview of female representation on the Board of Directors and Supervisory Boards of 113 Dutch NV companies listed on Euronext Amsterdam. The companies are ranked according to the percentage of women present on their combined Board

  9. Agrammatic Sentence Production: Is Verb Second Impaired in Dutch?

    Science.gov (United States)

    Kok, Peter; Kolk, Herman; Haverkort, Marco

    2006-01-01

    This study investigates effects of verb movement in nine Dutch-speaking agrammatic aphasics. According to linguistic theory, in verb second languages such as Dutch and German, the verb remains in its clause-final base position in embedded clauses, whereas it moves to second position in main clauses. In recent linguistic accounts of agrammatic…

  10. Mainstream and alternative sources of finance in Dutch agriculture

    NARCIS (Netherlands)

    Meulen, van der H.A.B.; Asseldonk, van M.A.P.M.

    2017-01-01

    In this paper mainstream and alternative sources of finance in
    Dutch agriculture is analysed. Dutch farmers make use of
    different sources of finance whereby bank loans continue to
    serve as the major source of debt financing. The average bank
    loan was approximately 740,000 euro per

  11. Collusion in the Dutch construction industry: an industrial organization perspective

    NARCIS (Netherlands)

    Doree, Andries G.

    2004-01-01

    Several investigations by parliament, cabinet, justice and antitrust authorities have shown a widespread use of cartels and structural bid rigging within the Dutch construction industry. The reputation of the Dutch construction industry has been dented with both the general public and clients. As a

  12. Proceedings of the 17th Dutch Testing Day: Testing Evolvability

    NARCIS (Netherlands)

    Stoelinga, Mariëlle Ida Antoinette; Timmer, Mark; Unknown, [Unknown

    These are the postproceedings of 17th Dutch Testing Day, held on the 29th of November 2011 at the - recently completely renovated - campus of the University of Twente. These postproceedings cover a selection of the material presented during the Dutch Testing Day. The synergy between academic and

  13. Brominated flame retardants in Dutch North Sea surface sediments

    NARCIS (Netherlands)

    Klamers, H.J.C.; Villerius, L.A.; Leonards, P.E.G.; Bakker, J.F.

    2001-01-01

    Brominated flame retardants (BFR) concentrations were determined in the fine fraction (<63?m) of 10 surface sediments located in the southern part of the Dutch section of the North Sea Continental Shelf. Concentrations generally decreased with increasing distance from the Dutch shore. Highest

  14. The future of the Dutch egg processing industry

    NARCIS (Netherlands)

    Tacken, G.M.L.; Cotteleer, G.; Horne, van P.L.M.

    2003-01-01

    This research examines the competitiveness of the Dutch egg products industry, as well as the consequences of tightening up the laws concerning layer poultry on the competitive position of the Dutch egg production industry. A tightening of the laws has, in fact, the effect of raising the production

  15. Cost efficiency of waste management in Dutch municipalities

    NARCIS (Netherlands)

    de Groot, Hans; van Heezik, A.; Hollanders, D.; Felsö, F.

    2011-01-01

    This paper analyses the cost efficiency of waste management of Dutch municipalities. For the first time stochastic frontier analysis is applied to Dutch data, employing recent multi-year data (2005-2008). The preliminary findings confirm earlier results on the importance for cost efficiency of

  16. Patient participation in collective healthcare decision making: the Dutch model

    NARCIS (Netherlands)

    van de Bovenkamp, H.; Trappenburg, M.J.|info:eu-repo/dai/nl/111650836; Grit, K.

    2010-01-01

    Objective To study whether the Dutch participation model is a good model of participation. Background Patient participation is on the agenda, both on the individual and the collective level. In this study, we focus on the latter by looking at the Dutch model in which patient organizations are

  17. Speech Recognition Issues for Dutch Spoken Document Retrieval

    NARCIS (Netherlands)

    Ordelman, Roeland J.F.; van Hessen, Adrianus J.; de Jong, Franciska M.G.; Matousek, Vaclav; Mautner, Pavel; Moucek, Roman; Tauser, Karel

    2001-01-01

    In this paper, ongoing work on the development of the speech recognition modules of a multimedia retrieval environment for Dutch is described. The work on the generation of acoustic models and language models along with their current performance is presented. Some characteristics of the Dutch

  18. Intelligibility of native and non-native Dutch Speech

    NARCIS (Netherlands)

    Wijngaarden, S.J. van

    2001-01-01

    The intelligibility of speech is known to be lower if the speaker is non-native instead of native for the given language. This study is aimed at quantifying the overall degradation due to limitations of non-native speakers of Dutch, specifically of Dutch-speaking Americans who have lived in the

  19. The impact of microgeneration upon the Dutch balancing market

    NARCIS (Netherlands)

    Van der Veen, R.A.C.; De Vries, L.J.

    The share of microgeneration (power generation at the level of households and small businesses) in the Dutch electricity system continues to grow. Over time, this development may pose a threat to the reliability and efficiency of the Dutch electricity balancing market. We investigated possible

  20. Agri-environmental policies and Dutch dairy farmers' responses

    NARCIS (Netherlands)

    Samson, Gerlinda Sabrina

    2017-01-01

    This thesis focuses on analysing the Dutch dairy farmer behaviour in a changing political environment. The general objective of this research is to analyse the responses of Dutch dairy farmers in the situation of a changing agricultural and environmental policy context (i.e. changes in the subsidy

  1. The price of oil dependency: Dutch disease in Russian regions

    NARCIS (Netherlands)

    Oomes, N.; Ponamorenko, O.

    2015-01-01

    This paper investigates the extent to which the Russian economy suffers from Dutch Disease, and to what extent oil-dependent Russian regions are more prone to the symptoms. We first summarize the main Dutch Disease model and its key predictions. We subsequently test these predictions and find

  2. Achieving preferred customer status in the Dutch plastics recycling ...

    African Journals Online (AJOL)

    [CC BY 4.0] (http://creativecommons.org/licenses/by/4.0). Introduction. The past ... Achieving preferred customer status in the Dutch plastics recycling industry. Klaes Eringa*1 and ... The aim of this research is to gain insight into the aspects and processes in the Dutch plastic recycling industry which might lead to a preferred ...

  3. The impact of microgeneration upon the Dutch balancing market

    NARCIS (Netherlands)

    Van der Veen, R.A.C.; De Vries, L.J.

    2009-01-01

    The share of microgeneration (power generation at the level of households and small businesses) in the Dutch electricity system continues to grow. Over time, this development may pose a threat to the reliability and efficiency of the Dutch electricity balancing market. We investigated possible

  4. The Batavian Revolution: typical French, typical Dutch or typical Atlantic

    NARCIS (Netherlands)

    Jourdan, A.

    2007-01-01

    With the exception of Simon Schama's monograph on Dutch Patriots and French 'Liberators', the Batavian Revolution (1795-1806) has usually been interpreted as French-inspired and thus as 'alien' to the Netherlands. The original Dutch revolutionary achievements are underestimated as are those in the

  5. Patient participation in collective healthcare decision making: the Dutch model

    NARCIS (Netherlands)

    van de Bovenkamp, H.M.; Trappenburg, M.J.; Grit, K.J.

    2010-01-01

    Objective  To study whether the Dutch participation model is a good model of participation. Background  Patient participation is on the agenda, both on the individual and the collective level. In this study, we focus on the latter by looking at the Dutch model in which patient organizations are

  6. Continuous morbidity registration at Dutch sentinel stations, 2004.

    NARCIS (Netherlands)

    Bartelds, A.I.M.

    2004-01-01

    NIVEL’s CMR sentinel stations constitute a representative group of 66 Dutch GPs in 50 practices. Their patient population accounts for some 1% of the Dutch population and is distributed across the country in both urban and rural areas. These sentinel GPs report on a weekly or annual basis about the

  7. Continuous morbidity registration sentinel at Dutch sentinel stations, 2003.

    NARCIS (Netherlands)

    Bartelds, A.I.M.

    2004-01-01

    NIVEL’s CMR sentinel stations constitute a representative group of 66 Dutch GPs in 50 practices. Their patient population accounts for some 1% of the Dutch population and is distributed across the country in both urban and rural areas. These sentinel GPs report on a weekly or annual basis about the

  8. Dutch Gender in Specific Language Impairment and Second Language Acquisition

    Science.gov (United States)

    Orgassa, Antje; Weerman, Fred

    2008-01-01

    In this article we compare five groups of learners acquiring Dutch gender as marked on determiners and adjectival inflection. Groups of L1 (first language) children and L1-SLI (first-language specific-language-impairment) children are compared to three Turkish-Dutch L2 (second language) groups: adult L2, child L2 and child L2-SLI. Overall, our…

  9. Decreasing the overall environmental impact of the Dutch diet

    NARCIS (Netherlands)

    Kramer, Gerard F.H.; Tyszler, Marcelo; Veer, van 't Pieter; Blonk, Hans

    2017-01-01

    Objective: To find diets optimised on nutrition and environmental impact close to the current Dutch diet and to identify the most effective and acceptable options for mitigating environmental impact. Design: Linear programming was used to optimise diets of Dutch men and women aged 9–69 years,

  10. E-survey on venous leg ulcer among Dutch dermatologists

    NARCIS (Netherlands)

    S.W.I. Reeder (Suzan); K.P. de Roos; R.J.M. Vogels (R. J M); H.A.M. Neumann (Martino)

    2013-01-01

    textabstractAim: To get insight into the frequency of venous leg ulceration in the Dutch dermatologic practice, and into how this profession treats this disease. Design: Material and Methods: An e-survey was conducted. To all Dutch dermatologists and residents dermatology an email was sent with an

  11. Labour Market Segmentation: An Investigation into the Dutch Hospitality Industry

    NARCIS (Netherlands)

    A. Bispo

    2007-01-01

    textabstractAlmost 42,000 establishments, over 310,000 employees and approximately 13 billion Euro annual turnover (including VAT). This, in a nutshell, captures the Dutch hospitality industry in 2005. The aim of this study is to examine the functioning of the labour market in the Dutch hospitality

  12. Evaluation of the Dutch subsurface geoportal: What lies beneath?

    NARCIS (Netherlands)

    Lance, K.T.; Georgiadou, Y.; Bregt, A.K.

    2011-01-01

    This paper focuses on a geoportal from a “what lies beneath” perspective. It analyses processes of budgeting, planning, monitoring, performance measurement, and reporting of the national initiative titled Digital Information of the Dutch Subsurface (known by its Dutch acronym, DINO). The study is

  13. Dutch gender in specific language impairment and second language acquisition

    NARCIS (Netherlands)

    Orgassa, A.; Weerman, F.

    2008-01-01

    In this article we compare five groups of learners acquiring Dutch gender as marked on determiners and adjectival inflection. Groups of L1 (first language) children and L1-SLI (first-language specific-language-impairment) children are compared to three Turkish-Dutch L2 (second language) groups:

  14. Extending ellipsis research : The acquisition of sluicing in Dutch

    NARCIS (Netherlands)

    Lindenbergh, Charlotte; van Hout, Angeliek; Hollebrandse, Bartjan

    We investigated the acquisition of sluicing, i.e. sentence ellipsis, in Dutch to assess if Dutch preschool children are able to produce and comprehend sluicing sentences in an adult-like way. While other types of ellipsis have been intensively studied in language acquisition, sluicing has received

  15. Being in Balance: Economic Efficiency in the Dutch Power Market

    NARCIS (Netherlands)

    C. Huurman; R. Huisman (Ronald)

    2004-01-01

    textabstractIn this paper, we examine economic efficiency in the Dutch power market, an important pillar for successful creation of a competitive and non-discriminatory free power market. We examine historical time series of prices and volumes on the Dutch balancing market where energy companies are

  16. Deviating Trends in Dutch Life Expectancy : Explanation and Projection

    NARCIS (Netherlands)

    F. Peters (Frederick)

    2015-01-01

    markdownabstractAbstract After almost two decades of slower improvement and partly even stagnating progress, Dutch life expectancy increased substantially since 2002. Although such a positive development represents a great societal advancement it also poses a financial burden for the Dutch

  17. Creating an Information Retrieval test corpus for Dutch

    NARCIS (Netherlands)

    Hiemstra, Djoerd; van Leeuwen, D.A.; Theune, M.; Theune, Mariet; Nijholt, Antinus; Nijholt, A.; Hondorp, G.H.W.; Hondorp, H.

    2002-01-01

    This paper describes the first large-scale evaluation of information retrieval systems using Dutch documents and queries. We describe in detail the characteristics of the Dutch test data, which is part of the official CLEF multilingual test corpus, and give an overview of the experimental results of

  18. Enhancing historical reasoning: a key topic in Dutch history education

    NARCIS (Netherlands)

    van Boxtel, C.; van Drie, J.

    2009-01-01

    The number of Dutch studies on the learning and teaching of history has increased substantially in the last ten years. Enhancing historical reasoning is a key topic in Dutch research on history education. This paper discusses recent and current empirical studies in the Netherlands on methods to

  19. Lexical borrowing by Khoekhoegowab from Cape Dutch and Afrikaans

    African Journals Online (AJOL)

    The present article instantiates types of lexical borrowing from Afrikaans and Dutch in Namibian Khoekhoegowab (also known as “Nama”/“Damara”), but occasionally also refers to borrowings in the opposite direction. Where evidence allows, loans are traced back beyond Afrikaans to the era of Cape Dutch and ...

  20. Dutch Private International Law – Overview 1998-August 2002

    NARCIS (Netherlands)

    X.E. Kramer (Xandra)

    2002-01-01

    textabstractThis article provides an overview of the most important developments in Dutch private international law during the period January 1998-August 2002. The stormy codification of Dutch pri-vate international law in separate acts during the 1990’s was in a slower pace continued in the year

  1. Seasonal variation in the Dutch bovine raw milk composition

    NARCIS (Netherlands)

    Heck, J.M.L.; Valenberg, van H.J.F.; Dijkstra, J.; Hooijdonk, van A.C.M.

    2009-01-01

    In this study, we determined the detailed composition of and seasonal variation in Dutch dairy milk. Raw milk samples representative of the complete Dutch milk supply were collected weekly from February 2005 until February 2006. Large seasonal variation exists in the concentrations of the main

  2. Productivity and quality of Dutch hospitals during system reform

    NARCIS (Netherlands)

    B.M. van Ineveld (Martin); J.M. van Oostrum (Jeroen); R. Vermeulen (Roel); A. Steenhoek (Adri); J.J. van de Klundert (Joris)

    2016-01-01

    markdownabstractThis study addresses the productivity of Dutch hospitals since the start of the health systems reform in 2005. We consider DEA based measures, which include efficiency and quality for the complete set of Dutch hospitals and present cross-sectional and longitudinal analysis. In

  3. Lion and dragon: four centuries of Dutch-Vietnamese relations

    NARCIS (Netherlands)

    Kleinen, J.; van der Zwan, B.; Moors, H.; van Zeeland, T.

    2008-01-01

    Dutch-Vietnamese relations go back as far as the beginning of the seventeenth century. For a long time, relations between the Dutch lion and the Vietnamese dragon have been fragile and even violent. Although the relations were not continuously bad, they remained distant rather than warm. Today

  4. Exercise training programs in Dutch cardiac rehabilitation centres

    NARCIS (Netherlands)

    Vromen, T.; Spee, R. F.; Kraal, J. J.; Peek, N.; van Engen-Verheul, M. M.; Kraaijenhagen, R. A.; Gijsbers, H. J. H.; Kemps, H. M. C.

    2013-01-01

    To assess methods for determination of exercise intensity, and to investigate practice variation with respect to the contents, volume and intensity of exercise training programs in Dutch cardiac rehabilitation (CR) centres. A paper questionnaire was sent to all Dutch CR centres, consisting of 85

  5. Ethnic inequalities in patient safety in Dutch hospital care

    NARCIS (Netherlands)

    van Rosse, F.

    2015-01-01

    This thesis shows the first results of Dutch studies on the relation between ethnicity and patient safety. We used mixed methods to identify patient safety outcomes and patient safety risks in a cohort study in 4 urban hospitals among 763 Dutch patients and 576 ethnic minority patients. In a record

  6. Physical activity among Dutch workers-differences between occupations

    NARCIS (Netherlands)

    Proper, K.I.; Hildebrandt, V.H.

    2006-01-01

    Objective.: This study describes the total physical activity and the contribution of work to total physical activity among Dutch workers. The study was conducted in the Netherlands in the years 2000-2002. Methods.: 2,417 respondents of a cross-sectional survey representing the Dutch adult working

  7. Dutch children’s acquisition of verbal and adjectival inflection

    NARCIS (Netherlands)

    Polišenská, D.

    2010-01-01

    This book presents a study of the acquisition of verbal and adjectival agreement inflection in typically developing, monolingual Dutch children. The author shows that Dutch children correctly inflect verbs for person and number with both existing and non-existing verbs from the age of three onward.

  8. Landscape painting adding a cultural value to the Dutch countryside

    NARCIS (Netherlands)

    Bos, Ernst

    2015-01-01

    This article argues that cultural values should be included in policy making for the Dutch countryside. Since the sixteenth century the Dutch landscape has been a valued subject for art painters. This inheritance offers our rural areas a unique cultural value. This article focuses on the region

  9. Templer's Death Anxiety Scale revisited: The Dutch version.

    NARCIS (Netherlands)

    Hoogstraten, J.; Koele, P.; van der Laan, J.

    1998-01-01

    Presented and analysed a Dutch version of Templer's Death Anxiety Scale, and explored further the scale's factor structure. Ss were 179 Dutch freshmen in psychology who filled out the scale during a group test-session. Mean scale scores, standard deviations, and internal consistency were comparable

  10. Regulating the Dutch pharmaceutical market: improving efficiency or controlling costs?

    NARCIS (Netherlands)

    Wolf, de P.; Brouwer, W.B.F.; Rutten, F.H.

    2005-01-01

    In this paper, we describe the Dutch pharmaceutical market, which is heavily regulated by the government. Through the regulation of prices and promoting prudent use, the Dutch government tries to bring down the cost of pharmaceuticals, which increases every year at a higher rate than total health

  11. Dutch space; interview with Arnaud de Jong, CEO

    NARCIS (Netherlands)

    De Jong, A.; Wink, J.; Sabbapathy, R.

    2014-01-01

    Dutch Space, the largest space company in the Netherlands and part of Airbus Defence and Space, appointed a new CEO last year. The Leonardo Times sat down with the CEO Arnaud de Jong for an interview. We discuss his career, developments in Dutch Space, his take on competition in the commercial space

  12. Perspectives on Salutogenesis of Scholars Writing in Dutch

    NARCIS (Netherlands)

    Vaandrager, L.; Koelen, M.; Dieleman, F.

    2017-01-01

    It is quite uncommon in The Netherlands to publish in Dutch so most publications about salutogenesis are in English. However, we identified 19 publications written in Dutch. These are publications in the field of development psychology, workplace health, mental health, medicine, care for people with

  13. English spelling performance of Dutch grammar school students

    NARCIS (Netherlands)

    Hoeijmakers, M.; de Bree, E.; Keijzer, M.

    2013-01-01

    The present study investigates English spelling performance of Dutch grammar school students to establish whether Dutch grammar school students are able to spell words differing in complexity, as well as whether they are sensitive to the information available in the spellings (phonological,

  14. Predicting naming latencies for action pictures: Dutch norms

    NARCIS (Netherlands)

    Shao, Z.; Roelofs, A.P.A.; Meyer, A.S.

    2014-01-01

    The present study provides Dutch norms for age of acquisition, familiarity, imageability, image agreement, visual complexity, word frequency, and word length (in syllables) for 124 line drawings of actions. Ratings were obtained from 117 Dutch participants. Word frequency was determined on the basis

  15. A portal to Dutch academic heritage: www.academischecollecties.nl

    NARCIS (Netherlands)

    Reerink, H.

    2012-01-01

    The UNICUM development project, commissioned by the Dutch Academic Heritage Foundation (SAE), has been carried out by the five classic Dutch universities in 2010-12. UNICUM, short for ‘University Collections and University Museums’, has received a national government grant to create a digital portal

  16. A portal to Dutch academic heritage: www.academischecollecties.nl

    NARCIS (Netherlands)

    Reerink, H.

    2012-01-01

    The UNICUM development project, commissioned by the Dutch Academic Heritage Foundation Stichting Academisch Erfgoed (SAE), has been carried out by the five classic Dutch universities in 2010- 2012. UNICUM, short for ‘University Collections and University Museums’, has received a national government

  17. National Identification of Dutch Youth: An Exploratory Study

    Science.gov (United States)

    Oppenheimer, Louis

    2011-01-01

    246 Dutch participants aged 8, 10, 12, 14, and 16 years were presented with the Strength of Identification Scale (SoIS; Barrett, 2007) and the National Identity scale based on Cultural and Historical achievements (NICH; derived from the NATID, Keillor & Hult, 1999). The study aimed to examine the extent and nature of Dutch children and…

  18. The Dutch Are Missing in the American Curriculum

    Science.gov (United States)

    Claunch, Ann

    2009-01-01

    The Dutch are missing in any U.S. history textbook, in the content standards, and in the nationally endorsed curriculum. Outside of New York State history classes, there is almost no mention of the Dutch influence in early 17th-century America. Fleeting references to the Netherlands as a staging area for the Pilgrims' famous "Mayflower"…

  19. Neural correlates of Dutch Verb Second in speech production

    NARCIS (Netherlands)

    den Ouden, Dirk-Bart; Hoogduin, Hans; Stowe, Laurie A.; Bastiaanse, Roelien

    Dutch speakers with agrammatic Broca's aphasia are known to have problems with the production of finite verbs in main clauses. This performance pattern has been accounted for in terms of the specific syntactic complexity of the Dutch main clause structure, which requires an extra syntactic operation

  20. Dutch City Network feeds the Innovation of Urban Agriculture

    NARCIS (Netherlands)

    Jansma, J.E.; Veen, E.J.; Kop, van de P.J.; Eijk, van O.N.M.

    2015-01-01

    Since 2010, the Dutch City Network on Urban Agriculture (Stedennetwerk in Dutch), has linked up civil servants of fourteen cities in order to see opportunities, share knowledge and solve issues on urban agriculture in their cities. Though it started as an internally focused network for civil

  1. Rational pharmacotherapy in The Netherlands : formulary management in Dutch hospitals

    NARCIS (Netherlands)

    Fijn, R; de Jong-van den Berg, LTW; Brouwers, JRBJ

    A survey regarding the management of rational pharmacotherapy was conducted among all Dutch general hospitals in 1998. The response was 99% (n = 120). The presence of a drugs and therapeutics committee and antibiotic policies in Dutch general hospitals appears independent of hospital

  2. Sex differences among recipients of benzodiazepines in Dutch general practice.

    NARCIS (Netherlands)

    Waals, F.W. van der; Mohrs, J.; Foets, M.

    1993-01-01

    Objective: To analyse sex differences among recipients of benzodiazepines in Dutch general practice. Design-Study of consultations and associated interventions as recorded in the Dutch national survey of general practice. Setting: Practices of 45 general practitioners monitored during 1 April to 30

  3. Risks of radicalization among Turkish-Dutch young adults?

    NARCIS (Netherlands)

    R.H.J.M. Staring (Richard)

    2014-01-01

    markdownabstract__Abstract__ Young adults heading for Syria to join the jihad and the safety risks associated with their return are currently a topic of debate in the Netherlands and in many other European countries. Around 120 Dutch citizens have gone abroad to join the jihad and the Dutch

  4. Cod avoidance techniques for the Dutch and Belgian fishing fleets

    NARCIS (Netherlands)

    Marlen, van B.; Polet, H.; Quirijns, F.J.

    2012-01-01

    Fisheries managers go to great lengths to reduce cod catches in the North Sea, aiming for recovery of the cod stock. The Dutch government asked IMARES to provide an overview of all measures that are in place in various countries around the North Sea for reducing cod catches. The Dutch fisheries

  5. A probabilistic analysis of the Dutch lotto

    OpenAIRE

    Ruud H. Koning; Vermaat, Thijs

    2002-01-01

    The size of the jackpot of the American powerball lottery that fell in August 2001 has generated a lot of interest in the probability of winning a lottery, both in the United States and elsewhere. Many people dream of becoming rich in a single moment. We calculate the probabilities of winning prizes, and the expected pay-off of the Dutch Lotto. We also address an important issue: are the numbers and color drawn truly random? We analyze draws of the Lotto from 1974 onwards. It is impractical t...

  6. Question Answering for Dutch: Simple does it

    OpenAIRE

    Hoekstra, A.H.; Hiemstra, Djoerd; van der Vet, P.E.; Huibers, Theo W.C.; Schobbens, Pierre-Yves; Vanhoof, Wim; Schwanen, Gabriel

    2006-01-01

    When people pose questions in natural language to search for information on the web, the role of question answering (QA) systems becomes important. In this paper the QAsystem simpleQA, capable of answering Dutch questions on which the answer is a person or a location, is described. The system's algorithm does not use a lot of complex NLP-techniques, but instead uses the magnitude of and redundancy on the World Wide Web to its advantage. The system has been evaluated on the DISEQuA corpus and ...

  7. The greenhouse challenge dialogues, decisions and delivery

    Energy Technology Data Exchange (ETDEWEB)

    Veer, Jeroen van der [Royal Dutch/Shell Group (Netherlands)

    1999-07-01

    Even though it believes that more research is needed to increase understanding of the scientific, social and economic aspects of the challenge of climate change, the Royal Dutch/Shell Group of Companies supports the concept of prudent precautionary measures to limit greenhouse gas emissions. The outcome of Kyoto was the first step along a long road. The next step should be a broad dialogue enabling governments to benefit from a wide range of informed input as they seek to find the right framework to stimulate the delivery of cost-effective solutions to their emissions targets. Shell companies believe that, to be successful, this framework should be market-driven. They are eager to play a proactive role in facing the issues arising from the greenhouse gas challenge. Their approach, based on a technology vision, constant improvement and creative innovation, aims to provide solutions which are profitable for the producer, affordable for the customer and beneficial for the environment. (Author)

  8. The Dutch 'Female Board Index' 2008 : Feamle executive and non-executive directors on corporate boards of Dutch listed companies

    NARCIS (Netherlands)

    M. Lückerath-Rovers (Mijntje)

    2009-01-01

    textabstractThe Dutch ‘Female Board Index 2008’ provides for the second year an overview of female representation on the Board of Directors and Supervisory Boards of 113 Dutch NV companies1 listed on Euronext Amsterdam. The companies were classified according to the percentage of women present on

  9. Between local governments and communities : Knowledge exchange and mutual learning in Dutch-Moroccan and Dutch-Turkish municipal partnerships

    NARCIS (Netherlands)

    van Ewijk, E.

    2013-01-01

    This PhD dissertation focuses on mutual learning processes of governmental and non-governmental actors involved in Dutch-Moroccan and Dutch-Turkish municipal partnerships in the period 2007-2011. These partnerships aim at strengthening local governance in Morocco and Turkey as well as in the

  10. Between local governments and communities: Knowledge exchange and mutual learning in Dutch-Moroccan and Dutch-Turkish municipal partnerships

    NARCIS (Netherlands)

    van Ewijk, E.

    2013-01-01

    This PhD dissertation focuses on mutual learning processes of governmental and non-governmental actors involved in Dutch-Moroccan and Dutch-Turkish municipal partnerships in the period 2007-2011. These partnerships aim at strengthening local governance in Morocco and Turkey as well as in the

  11. Learning styles of Chinese and Dutch students compared within the context of Dutch higher education in life sciences

    NARCIS (Netherlands)

    Biemans, H.J.A.; Mil, van M.

    2008-01-01

    This study investigated the extent to which the learning styles of Chinese students differ from those of Dutch students. The study was conducted within the context of Englishlanguage Bachelor of Science programmes thatWageningen University offers together with China Agricultural University to Dutch

  12. Disentangling an Invisible Trade : state interventions in Dutch and Dutch-Curaçaoan single-mother families

    NARCIS (Netherlands)

    Verhallen, T.L.

    2015-01-01

    The doctoral thesis sheds light on the interactional and institutional processes through which child welfare and child protection practices are delivered to fifteen Dutch and fifteen Dutch-Curaçaoan single-mother families with multiple problems in the Netherlands in order to reveal structures of

  13. Nutritional status and food consumption in 10-11 year old Dutch boys (Dutch Nutrition Surveillance System)

    NARCIS (Netherlands)

    Poppel, G.van.; Schneijder, P.; Löwik, M.R.H.; Schrijver, J.; Kok, F.J.

    1991-01-01

    As part of the Dutch Nutrition Surveillance System, cardiovascular risk factors and food consumption (24 h recall) as well as haematological, Fe and vitamin status (A, B6, C) were assessed in 126 Dutch boys aged 10-11 years (response 71%). Body mass index (BMI) and the sum of four skinfolds were

  14. The Relational Turn in Dutch Administrative Law

    Directory of Open Access Journals (Sweden)

    Lukas Van den Berge

    2017-02-01

    Full Text Available The structure of national continental systems of administrative law is typically determined by the classical notions of strict legal verticality and the undivided public interest. In the present era of individualization, privatization, decentralization and internationalization, these notions have come under increasing pressure. This article presents an analysis of Dutch administrative law as a case in point. How may a stable and legitimate system of judicial review of government actions take shape that responds to its modern context of ‘horizontalization’ and ‘fragmentation’, but still remains connected to its classical ideals of abstract right and the common good? In search for answers, this article first provides a theoretical and historical account of Dutch administrative law’s basic fundaments. Then, it presents an analysis of its recent ‘relational turn’, drifting away from its classical ‘autonomous’ focus on the lawful distribution of rights and goods among all members of society towards a modern ‘relational’ conception of administrative law that primarily concentrates on the settling of disputes between concrete parties. Ultimately, it proposes a way forward in which the ‘autonomous’ notions of legal verticality and the undivided common interest are still taken into consideration – embedded, to be sure, within a ‘relational’ and ‘pluralist’ theory of public law that acknowledges the ‘horizontalized’ and ‘fragmentized’ social and institutional context that it is supposed to regulate.

  15. Procedural Justice in Dutch Administrative Court Proceedings

    Directory of Open Access Journals (Sweden)

    André Verburg

    2014-11-01

    Full Text Available In this paper we discuss recent developments in administrative court proceedings in the Netherlands, called the New Approach. Along with developments leading to the New Approach, it became clear that the insights from research on procedural justice deserve particular attention. The goals of the judge's actions in this respect are both that the proceedings are fair and just and that parties perceive the way they are being treated during proceedings as fair and just.Within the New Approach we discern five procedural justice elements: (1 respect, (2 voice and due consideration, (3 some influence on how proceedings will continue, (4 an explanation of how the proceedings will continue and (5 direct interpersonal contact.The introduction of the New Approach shows two important bottlenecks in Dutch administrative court proceedings, which are (i the possible or supposed collision between legally right outcomes and  procedural justice and (ii the lack of uniformity and predictability.Although what we describe and discuss in this paper focuses on the Dutch situation, many of these considerations apply to administrative court proceedings in other countries. The themes and difficulties that face the administrative law judge seem to be common to many countries.

  16. Assisted Vaginal Delivery

    Science.gov (United States)

    ... prescription. If sitting is uncomfortable, sit on a pillow. There also are special cushions that may be ... vagina. Cesarean Delivery: Delivery of a baby through surgical incisions made in the mother’s abdomen and uterus. ...

  17. Rhythms and rhymes of life : music and identification processes of Dutch-Moroccan youth

    NARCIS (Netherlands)

    Gazzah, Miriam

    2008-01-01

    Rhythms and Rhymes of Life: Music and Identification Processes of Dutch-Moroccan Youth is a comprehensive anthropological study of the social significance of music among Dutch-Moroccan youth. In the Netherlands, a Dutch-Moroccan music scene has emerged, including events and websites. Dutch-Moroccan

  18. GOING DUTCH WHY THE DUTCH DO NOT SPEND 2% GDP ON DEFENSE

    Science.gov (United States)

    2017-04-06

    AIR WAR COLLEGE AIR UNIVERSITY “GOING DUTCH” WHY THE DUTCH DO NOT SPEND 2% GDP ON DEFENSE by Boudewijn A. Roddenhof, Lieutenant Colonel...Course and his awards include the Combat Badge and 20-year service Officer’s Cross. Lieutenant Colonel Roddenhof is currently a student at the Air...percent GDP mark for Defense spending and, despite its pledge at the 2014 NATO summit in Wales, has shown no movement to meet the 2% guideline by 2024

  19. Differential relationships between language skills and working memory in Turkish-Dutch and native-Dutch first-graders from low-income families.

    Science.gov (United States)

    Bosman, Anna M T; Janssen, Marije

    2017-01-01

    In the Netherlands, Turkish-Dutch children constitute a substantial group of children who learn to speak Dutch at the age of four after they learned to speak Turkish. These children are generally academically less successful. Academic success appears to be affected by both language proficiency and working memory skill. The goal of this study was to investigate the relationship between language skills and working memory in Turkish-Dutch and native-Dutch children from low-income families. The findings revealed reduced Dutch language and Dutch working-memory skills for Turkish-Dutch children compared to native-Dutch children. Working memory in native-Dutch children was unrelated to their language skills, whereas in Turkish-Dutch children strong correlations were found both between Turkish language skills and Turkish working-memory performance and between Dutch language skills and Dutch working-memory performance. Reduced language proficiencies and reduced working-memory skills appear to manifest itself in strong relationships between working memory and language skills in Turkish-Dutch children. The findings seem to indicate that limited verbal working-memory and language deficiencies in bilingual children may have reciprocal effects that strongly warrants adequate language education.

  20. Personality dimensions and their relationship with job satisfaction amongst Dutch nurse anaesthetists.

    Science.gov (United States)

    Meeusen, V C H; Brown-Mahoney, C; van Dam, K; van Zundert, A A J; Knape, J T A

    2010-07-01

    This study investigates the relationship between personality dimensions and job satisfaction. The shortage of nurses, and those voluntarily leaving their jobs, continues to be a problem affecting the delivery of healthcare all over the world, including anaesthesia. If it is found that nurse anaesthetists with certain personality types have high levels of job satisfaction, the information may be helpful for the retention of nurse anaesthetists. A questionnaire was distributed amongst Dutch nurse anaesthetists. Factor and multiple regression analyses were performed to reveal personality dimensions and their impact on job satisfaction. Nine hundred and twenty-three questionnaires were completed and analysed (46% response rate). Two personality dimensions -'easy going' and 'orderly'- explained 3.5% of the variance in job satisfaction. Personality dimensions as measured with the Myers-Briggs Type Indicator (MBTI) are only minimally relevant in predicting job satisfaction amongst Dutch nurse anaesthetists. Before using personality traits as a selection tool for retaining employees, it is important to understand the relationship of particular personalities to job satisfaction; it is also important to know which combination of personality traits is likely to create a highly cohesive work group.

  1. Young Asian Dutch constructing Asianness: Understanding the role of Asian popular culture

    OpenAIRE

    Kartosen, R.A.

    2016-01-01

    This doctoral thesis is about young Asian Dutch, panethnic Asian identities and identifications, and Asian/Asian Dutch popular culture. It addresses several pressing questions, including: why do young Asian Dutch, who were born and/or raised in the Netherlands, identify as Asian and construct Asian identities? What is the content or meaning of these Asian identities and identifications young Asian Dutch imagine? And how do these relate to young Asian Dutch’ Dutch and homeland identities and i...

  2. Psychometric Properties of the Dutch Rosenberg Self-Esteem Scale

    Directory of Open Access Journals (Sweden)

    Erik Franck

    2008-01-01

    Full Text Available Interest in self-esteem has been fuelled by the suggestion that level of self-esteem is associated with psychological well-being. In the present study, we translated the Rosenberg Self-Esteem Scale (RSES into the Dutch language and evaluated its psychometric properties in a sample of 442 adults. The results of both exploratory and confirmatory factor analyses confirmed that a single-factor solution provides the best fit. In addition, the Dutch RSES showed high internal consistency as well as high congruent validity. Overall, these findings support the usefulness of the Dutch RSES as a measure for global self-esteem.

  3. UAV Delivery Monitoring System

    Directory of Open Access Journals (Sweden)

    San Khin Thida

    2018-01-01

    Full Text Available UAV-based delivery systems are increasingly being used in the logistics field, particularly to achieve faster last-mile delivery. This study develops a UAV delivery system that manages delivery order assignments, autonomous flight operation, real time control for UAV flights, and delivery status tracking. To manage the delivery item assignments, we apply the concurrent scheduler approach with a genetic algorithm. The present paper describes real time flight data based on a micro air vehicle communication protocol (MAVLink. It also presents the detailed hardware components used for the field tests. Finally, we provide UAV component analysis to choose the suitable components for delivery in terms of battery capacity, flight time, payload weight and motor thrust ratio.

  4. The Syntactic Atlas of the Dutch Dialects

    Directory of Open Access Journals (Sweden)

    Sjef Barbiers

    2007-04-01

    Full Text Available This paper discusses some of the advantages and disadvantages of the various choices we had to make in order to realize the Syntactic Atlas of the Dutch Dialects (SAND in a relatively short period. The idea is that by presenting the SAND in this way, we enable the ScanDiaSyn project and other new dialect syntax projects to profit from our experience in a similar enterprise. The presentation and explicitation of the choices we had to make, the problems we had to face and the mistakes we have made will not necessarily be the same choices, problems, and mistakes that will arise in the Scandinavian project, but it might give an indication of where problems may be expected and how mistakes may be prevented.

  5. Historical floods in the Dutch Rhine Delta

    Directory of Open Access Journals (Sweden)

    R. Glaser

    2003-01-01

    Full Text Available Historical records provide direct information about the climatic impact on society. Especially great natural disasters such as river floods have been for long attracting the attention of humankind. Time series for flood development on the Rhine branches Waal, Nederrijn/Lek and IJssel in the Dutch Rhine Delta are presented in this paper. In the case of the Waal it is even possible to compare historical flood frequencies based on documentary data with the recent development reconstructed from standardized instrumental measurements. In brief, we will also discuss various parameters concerning the structure of the flood series and the "human dimension" of natural disaster, i.e. the vulnerability of society when facing natural disasters.

  6. [Dutch language area definition of chronic fatigue].

    Science.gov (United States)

    Korenromp, Ingrid H E; Meeus, Mira; Bleijenberg, Gijs

    2012-01-01

    Chronic fatigue is a frequent but unspecific characteristic of many diseases. However, a clear definition of 'chronic fatigue' is still lacking. The Flemish-Dutch Research Group - Chronic Fatigue (VNO-CHROVER) has taken the opportunity to formulate such a definition that can be widely applied. This definition is not only beneficial to researchers conducting, reporting and comparing scientific studies on chronic fatigue in diverse patient populations, but also to clinicians of various disciplines in order to improve patient care. VNO-CHROVER proposes to define chronic fatigue as 'a self-reported reduction of physical and/or mental well-being that persists longer than 6 months and is manifested as exhaustion by which one fails to function at the desired level.'

  7. Consumer price sensitivity in Dutch health insurance.

    Science.gov (United States)

    van Dijk, Machiel; Pomp, Marc; Douven, Rudy; Laske-Aldershof, Trea; Schut, Erik; de Boer, Willem; de Boo, Anne

    2008-12-01

    To estimate the price sensitivity of consumer choice of health insurance firm. Using paneldata of the flows of insured between pairs of Dutch sickness funds during the period 1993-2002, we estimate the sensitivity of these flows to differences in insurance premium. The price elasticity of residual demand for health insurance was low during the period 1993-2002, confirming earlier findings based on annual changes in market share. We find small but significant elasticities for basic insurance but insignificant elasticities for supplementary insurance. Young enrollees are more price sensitive than older enrollees. Competition was weak in the market for health insurance during the period under study. For the market-based reforms that are currently under way, this implies that measures to promote competition in the health insurance industry may be needed.

  8. Bruxism and associated factors among Dutch adolescents.

    Science.gov (United States)

    van Selms, Maurits K A; Visscher, Corine M; Naeije, Machiel; Lobbezoo, Frank

    2013-08-01

    To assess the prevalence rates of self-reported sleep bruxism and awake bruxism and their associations with several demographical, exogenous, and psychosocial factors among Dutch adolescents. In a cross-sectional questionnaire survey, 4285 questionnaires were completed, with an about equal gender distribution and with ages ranging from 10 to 22 years. In the group of 4235 12- to 18-year-old adolescents, sleep bruxism had a reported prevalence of 14.8% and awake bruxism of 8.7%. Logistic regression analyses revealed that sleep bruxism was associated with female gender [OR = 1.49 (95% CI = 1.23-1.81)], pain or tense feeling in the jaws upon awakening in the morning [OR = 1.47 (95% CI = 1.17-1.86)], clicking joint sounds [OR = 1.31 (95% CI = 1.03-1.65)], stress [OR = 1.25 (95% CI = 1.00-1.55)], and depressive mood [OR = 1.35 (95% CI = 1.10-1.65)]. Awake bruxism was associated with orofacial pain [OR = 1.49 (95% CI = 1.16-1.91)], clicking joint sounds [OR = 1.50 (95% CI = 1.13-1.98)], scraping joint sounds [OR = 2.03 (95% CI = 1.21-3.37)], stress [OR = 1.36 (95% CI = 1.03-1.78)], depressive mood [OR = 1.82 (95% CI = 1.42-2.35)], and smoking [OR = 1.42 (95% CI = 1.06-1.89)]. Sleep bruxism and awake bruxism are common conditions among Dutch adolescents, with self-reported prevalence rates that are slightly higher than those derived from most large-scale studies on adults. Several predictor variables were found to be exclusively associated with either form of bruxism, corroborating the common suggestion that both circadian manifestations are, at least in part, different entities. © 2012 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  9. Defining and describing birth centres in the Netherlands - a component study of the Dutch Birth Centre Study.

    Science.gov (United States)

    Hermus, M A A; Boesveld, I C; Hitzert, M; Franx, A; de Graaf, J P; Steegers, E A P; Wiegers, T A; van der Pal-de Bruin, K M

    2017-07-03

    freestanding and alongside birth centres. Birth centres varied in their reason for establishment and their characteristics. Twenty-three Dutch birth centres were identified and divided into three different types based on location according to the situation in September 2013. Birth centres differed in their reason for establishment, facilities, philosophies, staffing and service delivery.

  10. Book Review: Qualitative-Quantitative Analyses of Dutch and ...

    African Journals Online (AJOL)

    Abstract. Book Title: Qualitative-Quantitative Analyses of Dutch and Afrikaans Grammar and Lexicon. Book Author: Robert S. Kirsner. 2014. John Benjamins Publishing Company ISBN 9789027215772, price ZAR481.00. 239 pages ...

  11. Explaining purchases of organic meat by Dutch consumers

    NARCIS (Netherlands)

    Verhoef, PC

    2005-01-01

    This study investigates the impact of economic and marketing variables ( quality, price, and distribution), emotions ( fear, empathy, and guilt), social norms, and environment-related variables ( environmental concern, green behaviour, and perceived consumer effectiveness) on Dutch consumers'

  12. Developmental prediction model for early alcohol initiation in Dutch adolescents

    NARCIS (Netherlands)

    Geels, L.M.; Vink, J.M.; Beijsterveldt, C.E.M. van; Bartels, M.; Boomsma, D.I.

    2013-01-01

    Objective: Multiple factors predict early alcohol initiation in teenagers. Among these are genetic risk factors, childhood behavioral problems, life events, lifestyle, and family environment. We constructed a developmental prediction model for alcohol initiation below the Dutch legal drinking age

  13. The Dutch Twin Register: Growth data on Weight and Height

    NARCIS (Netherlands)

    Boomsma, D.I.; Orlebeke, J.F.; van Baal, G.C.M.

    1992-01-01

    As part of a longitudinal developmental study of newborn and young Dutch twins, data on weight and height are collected. Birth weight and height are available for 3275 pairs; data on growth, for 1390 pairs.

  14. Factors related to innovative output in the Dutch agrifood industry

    NARCIS (Netherlands)

    Batterink, M.H.; Wubben, E.F.M.; Omta, S.W.F.

    2006-01-01

    The present study assessed the factors related to innovative output in the Dutch agrifood industry, a scale-intensive, supplierdominated industry. We concentrated on explanatory variables related to cooperation, information sources, innovation objectives, obstacles to innovation, and innovation

  15. Aspirations and occupational achievements of Dutch fathers and mothers

    NARCIS (Netherlands)

    van der Horst, Mariska; van der Lippe, Tanja; Kluwer, Esther

    2014-01-01

    Purpose - To investigate how work and family aspirations relate to occupational achievements and gender differences herein. Design/methodology/approach - Using data from 2009 we examined the relationship between career and childrearing aspirations and occupational achievements of Dutch parents.

  16. An outsider's view of Dutch euthanasia policy and practice.

    Science.gov (United States)

    Cohen-Almagor, R

    2001-01-01

    This article provides a critical analysis of Dutch euthanasia policy and practice. The research benefited from twenty-eight interviews conducted in the Netherlands during the summer of 1999 with some of the leading figures who dictate the decision-making process and take an active part in the debates. The discussion begins with a review of the two major Dutch reports on euthanasia and the conflicting views and interpretations offered by the literature. Next, I provide some data about the interviews, and then analysis indicating that the Dutch Guidelines on the policy and practice of euthanasia do not provide ample mechanisms against abuse. I argue that the Dutch Guidelines are insufficient, do not provide adequate control over the practice of euthanasia, and that the entire policy should be revised and made more coherent and more comprehensive.

  17. Contested evidence : A Dutch reimbursement decision taken to court

    NARCIS (Netherlands)

    Moes, F.; Houwaart, E.; Delnoij, D.; Horstman, K.

    2017-01-01

    This paper examines a remarkable lawsuit in health care rationing. The Patients Association for Interstitial Cystitis sued the Dutch National Health Care Institute for alleged misconduct against Interstitial Cystitis patients, as the Institute decided that bladder instillations with chondroitin

  18. Suicide Mortality, Suicidal Ideation and Psychological Problems in Dutch Anaesthesiologists

    NARCIS (Netherlands)

    Liem, M.C.A.; Liem, A.L.; Dongen, van E.P.A.; Carels, I.C.; Egmond, van M.; Kerkhof, A.J.F.M.

    2015-01-01

    Previous studies reveal an elevated suicide rate for anaesthesiologists. We sought to examine anaesthesiologist suicide mortality and its underlying explanatory factors. Two studies were conducted in order to establish the suicide mortality figures among Dutch anaesthesiologists and to investigate

  19. HOW to Differentiate Dutch Elm Disease from Elm Phloem Necrosis

    Science.gov (United States)

    Lester Paul Gibson; Arthur R. Hastings; Leon A. LeMadeliene

    1981-01-01

    Dutch elm disease (DED) and elm phloem necrosis are the two most serious diseases of elm in the United States (Figs. 1 and 2). Most native species of elm are susceptible to both diseases. Dutch elm disease is caused by a fungus, Ceratocystis u1mi (Buisman) C. Moreau, and is transmitted by two species of elm bark beetles-the smaller European elm bark beetle, Scolytus...

  20. Productivity and quality of Dutch hospitals during system reform

    OpenAIRE

    van Ineveld, Martin; van Oostrum, Jeroen; Vermeulen, Roel; Steenhoek, Adri; van de Klundert, Joris

    2015-01-01

    markdownabstractThis study addresses the productivity of Dutch hospitals since the start of the health systems reform in 2005. We consider DEA based measures, which include efficiency and quality for the complete set of Dutch hospitals and present cross-sectional and longitudinal analysis. In particular, we consider how hospital efficiency has developed. As the reform created an environment of regulated competition, we pay special attention to relative efficiency. Our results suggest that the...

  1. Dutch professional language usage and problems of translation into Czech

    OpenAIRE

    Fialová, Eva

    2011-01-01

    Dutch Professional Language Usage and Problems of Translation into Czech Abstract This thesis analyzes the Dutch technical language with a focus on the legal language. The first part is devoted to general problems of translation and translation of the technical language, including theoretical elaboration on terminology and equivalence. After that the thesis deals with specific problems of the translation of the legal language. Next part of the thesis is devoted to a linguistic analysis of the...

  2. Bioadhesive delivery systems for mucosal vaccine delivery.

    Science.gov (United States)

    Baudner, Barbara C; O'Hagan, Derek T

    2010-12-01

    Mucosal vaccine delivery potentially induces mucosal as well as systemic immune responses and may have advantages particularly for optimal protection against pathogens that infect the host through mucosal surfaces. However, the delivery of antigens through mucosal membranes remains a major challenge due to unfavorable physiological conditions (pH and enzymes) and significant biological barriers, which restrict the uptake of antigens. To improve mucosal vaccine delivery, the use of bioadhesive delivery systems offers numerous advantages, including protection from degradation, increasing concentration of antigen in the vicinity of mucosal tissue for better absorption, extending their residence time, and/or targeting them to sites of antigen uptake. Although some bioadhesives have direct immune stimulating properties, it appears most likely that successful mucosal vaccination will require the addition of vaccine adjuvants for optimal immune responses, particularly if they are to be used in an unprimed population. Thus, complex vaccine formulations and delivery strategies have to be carefully designed to appropriately stimulate immune response for the target pathogen. In addition, careful consideration is needed to define the "best" route for mucosal immunization for each individual pathogen.

  3. Dutch word stress as pronounced by Indonesian students

    Directory of Open Access Journals (Sweden)

    Lilie M. Roosman

    2009-10-01

    Full Text Available This study focuses on the way in which the Dutch monophthongal vowels are pronounced by Indonesian students. To investigate whether Indonesian students realize the Dutch vowels correctly, especially when they are stressed, I analysed duration and quality of stressed and unstressed Dutch vowels. Measurements were done on the duration and the formant frequencies of the vowels spoken by Indonesian students and by native speakers of Dutch as well. Statistical analysis showed that in general the differences in duration between vowels spoken by the Indonesian students and by the native speakers were not significant. However, the effect of stress on the lengthening of the vowels was stronger for the Indonesian students than for the native speakers. In addition, statistical analysis of the formant frequencies confirmed that the non-native speakers realized the Dutch vowels slightly differently from the Dutch native speakers. The Indonesian students pronounced the stressed vowels more clearly than their unstressed counterparts; yet their vowel diagram is smaller than the vowel diagram of the native speakers.

  4. Project delivery system (PDS)

    CERN Document Server

    2001-01-01

    As business environments become increasingly competitive, companies seek more comprehensive solutions to the delivery of their projects. "Project Delivery System: Fourth Edition" describes the process-driven project delivery systems which incorporates the best practices from Total Quality and is aligned with the Project Management Institute and ISO Quality Standards is the means by which projects are consistently and efficiently planned, executed and completed to the satisfaction of clients and customers.

  5. Verbal short-term memory and vocabulary development in monolingual Dutch and bilingual Turkish-Dutch preschoolers

    OpenAIRE

    Messer, M.H.

    2010-01-01

    With increasing immigration, bilingualism has become part and parcel of the everyday lives of many children. Although research indicates that under favourable circumstances bilingual children can become balanced bilinguals, especially immigrant children seem to have difficulty coping with the language of schooling. In the current thesis, 67 Turkish-Dutch immigrant children and 72 Dutch native speakers were followed during their kindergarten years and tested at 4, 5 and 6 years of age. For mos...

  6. Persistent Identifiers for Dutch cultural heritage institutions

    Science.gov (United States)

    Ras, Marcel; Kruithof, Gijsbert

    2016-04-01

    Over the past years, more and more collections belonging to archives, libraries, media, museums, and knowledge institutes are being digitised and made available online. These are exciting times for ALM institutions. They are realising that, in the information society, their collections are goldmines. Unfortunately most heritage institutions in the Netherlands do not yet meet the basic preconditions for long-term availability of their collections. The digital objects often have no long lasting fixed reference yet. URL's and web addresses change. Some digital objects that were referenced in Europeana and other portals can no longer be found. References in scientific articles have a very short life span, which is damaging for scholarly research. In 2015, the Dutch Digital Heritage Network (NDE) has started a two-year work program to co-ordinate existing initiatives in order to improve the (long-term) accessibility of the Dutch digital heritage for a wide range of users, anytime, anyplace. The Digital Heritage Network is a partnership established on the initiative of the Ministry of Education, Culture and Science. The members of the NDE are large, national institutions that strive to professionally preserve and manage digital data, e.g. the National Library, The Netherlands Institute for Sound and Vision, the Netherlands Cultural Heritage Agency, the Royal Netherlands Academy of Arts and Sciences, the National Archive of the Netherlands and the DEN Foundation, and a growing number of associations and individuals both within and outside the heritage sector. By means of three work programmes the goals of the Network should be accomplished and improve the visibility, the usability and the sustainability of digital heritage. Each programme contains of a set of projects. Within the sustainability program a project on creating a model for persistent identifiers is taking place. The main goals of the project are (1) raise awareness among cultural heritage institutions on the

  7. [Dutch computer domestication, 1975-1990].

    Science.gov (United States)

    Veraart, Frank

    2008-01-01

    A computer seems an indispensable tool among twenty-first century households. Computers however, did not come as manna from heaven. The domestication and appropriation of computers in Dutch households was a result of activities by various intermediary actors. Computers became household commodities only gradually. Technophile computer hobbyists imported the first computers into the Netherlands from the USA, and started small businesses from 1975 onwards. They developed a social network in which computer technology was made available for use by individuals. This network extended itself via shops, clubs, magazines, and other means of acquiring and exchanging computer hard- and software. Hobbyist culture established the software-copying habits of private computer users as well as their ambivalence to commercial software. They also made the computer into a game machine. Under the impulse of a national policy that aimed at transforming society into an 'Information Society', clubs and other actors extended their activities and tailored them to this new agenda. Hobby clubs presented themselves as consumer organizations and transformed into intermediary actors that filled the gap between suppliers and a growing group of users. They worked hard to give meaning to (proper) use of computers. A second impulse to the increasing use of computers in the household came from so-called 'private-PC' projects in the late 1980s. In these projects employers financially aided employees in purchasing their own private PCs'. The initially important intermediary actors such as hobby clubs lost control and the agenda for personal computers was shifted to interoperability with office equipment. IBM compatible PC's flooded the households. In the household the new equipment blended with the established uses, such as gaming. The copying habits together with the PC standard created a risky combination in which computer viruses could spread easily. New roles arose for intermediary actors in guiding

  8. UNICUM: a Portal to Dutch Academic Heritage

    Directory of Open Access Journals (Sweden)

    Henriette Reerink

    2012-01-01

    Full Text Available The UNICUM development project, commissioned by the Academic Heritage Foundation (SAE, is being carried out by the five classic Dutch universities in 2010–11. UNICUM, short for ‘University Collections and University Museums’, has received a national government grant to create a digital portal to Dutch academic heritage. The portal will present both academic archives and museum and library collections. Images, collection metadata and items can be found on one site. The UNICUM idea is inspired by the Online Archive California. The project is important because it crosses the traditional sector boundaries between museums, libraries and archives, it creates awareness of the opportunities this cross-sectoral approach offers, and it retains the context of — and the relation between — objects within collections as a whole. Moreover, the joint effort brings to light the importance of creating metadata according to international standards to stimulate re-use and exchange of content. In addition, UNICUM has to be regarded as a technical project in which multi-level descriptions will be presented and browsed in a structured way (collections linked to objects and archives linked to separate documents. After the project is finished, the focus will shift to generating content. UNICUM aims to create structured and integrated access to academic heritage by: using international standards (CCO, CDWA Lite, Dublin Core to stimulate exchange of metadata; examining the potential of EAD as an exchange standard for (non-archival collections and for structuring related items; determining a common method and creating an input module for registration at collection level; formulating ‘Best Practice Guidelines’ for registration of material at collection and item level; choosing available and established thesauri which comprise all aspects of the future content; developing an integrated format for thematic and highlight descriptions; focusing on the

  9. Prediction of preterm delivery

    NARCIS (Netherlands)

    Wilms, F.F.

    2014-01-01

    Preterm delivery is in quantity and in severity an important issue in the obstetric care in the Western world. There is considerable knowledge on maternal and obstetric risk factors of preterm delivery. Of the women presenting with preterm labor, the majority is pregnant with a male fetus and in

  10. [The moon and delivery].

    Science.gov (United States)

    Romero Martínez, Jorge; Guerrero Guijo, Inmaculada; Artura Serrano, Antonio

    2004-11-01

    In different cultures and mythologies, the moon is related with fertility, pregnancy and delivery. Professional obstetricians also notice an increase in care demands on the days when the moon is full. Many studies have been made which try to correlate delivery processes to the phases of the moon with contradictory results. The authors plan to try to find any basis in fact which support these popular beliefs and to discover if lunar phases bear an influence on the distribution of deliveries. They carried out a descriptive transversal study on a total of 1715 unassisted deliveries over the course of ten complete lunar cycles. The authors have carried out a descriptive and inferential analysis, a one way ANOVA and a Kruskal Wallis test on their three data bases which are general, primipara and multipara in which they contemplated the total number of deliveries per phase, the mean of each phase, as well as the central day in each phase of the lunar cycle. The differences found in the distribution of deliveries over the four lunar phases, along with the comparison of the means and the comparison of the number of deliveries on the central day in each phase are not statistically significant. The different phases in the lunar cycle and especially the full moon do not appear to have any influence over the distribution of deliveries in this study.

  11. Global Delivery Models

    DEFF Research Database (Denmark)

    Manning, Stephan; Larsen, Marcus M.; Bharati, Pratyush

    2013-01-01

    This article examines antecedents and performance implications of global delivery models (GDMs) in global business services. GDMs require geographically distributed operations to exploit both proximity to clients and time-zone spread for efficient service delivery. We propose and empirically show...

  12. Job resources in Dutch dental practice.

    Science.gov (United States)

    Gorter, R C; te Brake, J H M; Eijkman, M A J; Hoogstraten, Joh

    2006-02-01

    To develop an instrument measuring job resources among dentists, and to assess the relative importance of these resources and relate them to job satisfaction. 848 Dutch general dental practitioners (GDPs) received a questionnaire to monitor work experiences, including the Dentists' Experienced Job Resources Scale (DEJRS, 46 items, score range: 1 (not satisfying) to 5 (very satisfying), and the Dentist Job Satisfaction Scale (DJSS, 5 items, Cronbach's alpha = 0.85). A total of 497 (58.6%) dentists responded. Factor analysis (PCA) on the DEJRS resulted in 8 factors (Cronbach's alpha: 0.75 > alpha Entrepreneurship (M = 3.55, sd = 0.9); Material Benefits (M = 3.05, sd = 0.7); and Professional Contacts (M = 3.03, sd = 0.7). MANOVA indicated gender differences on: (Long-term) Patient Results (F(1,548) = 10.428, p = .001), and Patient Care (F(1,548) = 11.036, p r < 0.88. All subscales show a positive correlation with the DJSS. The DEJRS is a valuable and psychometrically sound instrument to monitor job resources as experienced by GDPs. Dentists report immediate results and aesthetics, and long-term results of working with patients to be the most rewarding aspects. All job resources showed a positive correlation with job satisfaction. The discussion includes conjecture that stimulating a greater awareness of job resources serves a major role in burnout prevention.

  13. Evaluation of the angled Episcissors-60® episiotomy scissors in spontaneous vaginal deliveries

    Directory of Open Access Journals (Sweden)

    Patel RP

    2014-07-01

    Full Text Available Rajnish P Patel,1,2 Sunita M Ubale21Suyog Women's Hospital, 2Rajiv Gandhi Medical College, Thane, IndiaBackground: Obstetric anal sphincter injuries (OASIs are the leading cause of anal incontinence in women. Episiotomies with a postdelivery suture angle of less than 30° to the midline are more likely to injure the anal sphincter directly, while those with a suture angle of more than 60° are associated with increased incidence of OASIs, as they do not relieve the pressure on the perineum. A safe zone of 40°–60° has been proposed. Recently, two new types of episiotomy scissors (Episcissors-60® Straight version and angled version were introduced to ensure a standardized cutting angle of 60° to the midline. We audited our results with the angled Episcissors-60 in spontaneous vaginal deliveries. Materials and methods: Consecutive patients delivering in two private maternity hospitals in Thane, India undergoing clinically indicated episiotomies were included. Only patients delivering spontaneously were included. The scissors were introduced vaginally at crowning, and aligned to orient the guide limb vertically from the posterior fourchette to the anus. While a single cut was preferred, a stagger cut was needed for some women. Postdelivery angles were measured by placing a protractor transparency on the perineum after delivery and marking the angle with an indelible ink pen. Per rectal examination was performed prior to suturing to detect OASIs. Results: A total of 25 women underwent clinically indicated episiotomies. Of these, 16 women were nulliparous, eight women were para 1, and one woman was a para 2. One woman had a vaginal breech delivery (para 2, and the rest were cephalic vertex deliveries. The average age was 27 (range 20–35 years. The median birth weight was 2,800 g (standard deviation 312 g, interquartile range 2,500–3,000 g. The median postdelivery suture angle of the episiotomy was 50° (standard deviation 3.5

  14. Ibsen in Dutch theatres and the sustainability of Nora

    Directory of Open Access Journals (Sweden)

    Janke Klok

    2015-05-01

    Full Text Available In this article I reflect on Ibsen's laborious road to the Dutch stages to display the reciprocal influence between innovating theatre plays and the process of a modernizing society. In doing this I take into account insights from translation theory and the thinking on cultural mediation, whereby cultural transmission is seen as a way of interacting: the receiving culture’s receptivity towards new ideas and new forms is crucial for the space available for innovative literature from abroad. Tracking Ibsen on the Dutch stages shows a wavelike movement. Research into the reception of Ibsen supports the claim by the Dutch author Ina Boudier-Bakker (1875-1966 who used the late first staging of Ibsen's A Doll's House (1889 to illustrate the Amsterdam and Dutch conservatism with regard to gender roles and avant-garde art. Prior to 1890 the Netherlands lagged behind other European countries. With the Dutch production of A Doll’s House a new era arrives.After a flying start and a growing appreciation for Ibsen as a social reformer, particularly concerning entrenched (gender conventions, Dutch critics in the period 1930-1970, do not seem to be able to place Ibsen’s plays. A qualitative analysis of the revival by way of the jubilee performance Ghosts in 1956, shows that Dutch audiences hold off a contemporary debate by focusing on geographical and ethnographical distance. It indicates that in the fifties this audience was intellectually and artistically conservative. Tracking Ibsen on the stages after 1970 shows us the current multicultural society; it shows us a renewed interest in his female characters, which culminates with Nora. It shows us an increasing number of women directors in Dutch theatres, also in advanced theatre school performances. Present-day Dutch theatres and their audiences seem to be mostly interested in Ibsen’s theatre women, be it his female characters or the relatively new phenomenon of women directing his plays. Their

  15. Saudi Arabia

    African Journals Online (AJOL)

    Summary. Objective: To compare the pregnancy outcome in women with singleton breech presentation at term delivered by caesarean section (CS) and vaginal breech delivery. Design: A retrospective study. Setting: Abha Maternity hospital, Saudi Arabia. Material and Methods: 573 women with singleton breech.

  16. Safety assessment of subconjunctivally implanted devices containing latanoprost in Dutch-belted rabbits.

    Science.gov (United States)

    Jessen, Bart A; Shiue, Michael H I; Kaur, Harjeet; Miller, Paul; Leedle, Robert; Guo, Hong; Evans, Mark

    2013-01-01

    Latanoprost is used for the treatment of an increased intraocular pressure (IOP) to prevent the progression of glaucoma. Since the lack of compliance with topical ocular dosing may compromise efficacy, alternate methods of delivery are being sought. A 9-month study was conducted to assess the safety and tolerability of latanoprost-containing subconjunctivally implanted devices. Dutch-belted rabbits were implanted subconjunctivally with up to 5 placebo or drug-loaded devices containing from 50 to 180 μg of latanoprost per device. Study assessment consisted of irritation scoring, clinical signs, ophthalmic exams, IOP, electroretinography (ERG), ocular histology of cohorts at 3 and 9 months postimplantation, and systemic exposure to latanoprost acid. The implants were well tolerated, with minimal-to-mild clinical and microscopic ocular findings attributable to either the placebo or drug-loaded devices. Mild conjunctival congestion persisted through week 13 of the study and tended to correlate with the number of devices and presence of drug. Ophthalmic examinations revealed no effects beyond conjunctival surface hyperemia. No effects on the IOP, corneal thickness, or ERG parameters were observed. The lack of changes in the IOP was expected due to the known lack of the IOP-lowering effects in rabbits from latanoprost. Microscopically, implants at the 3-month necropsy were associated with subconjunctival tissue cavities (containing the implants), fibrous encapsulation, and an infiltrate of lymphocytes and macrophages, sometimes as multinucleate cells, into the subconjunctival implant cavity. The drug-containing implants were often associated with inflammatory cell infiltrates, including heterophils (neutrophils), within the implant subconjunctival cavities and adjacent to the implant sites. At the 9-month necropsy, heterophils were no longer common among the inflammatory cell infiltrates; macrophages and lymphocytes persisted; most of the biodegradable implants were

  17. Hypothermia and acute alcohol intoxication in Dutch adolescents : The relationship between core and outdoor temperatures

    NARCIS (Netherlands)

    Schreurs, Claire J.; Van Hoof, Joris J.; van der Lely, Nico

    2017-01-01

    Purpose: To investigate hypothermia and its potential association with core and outdoor temperatures in adolescents suffering from acute alcohol intoxication. Methods: Data were derived from the Dutch Pediatric Surveillance System, which monitors alcohol intoxication among all Dutch adolescents.

  18. Dutch health websites and their ability to inform people with low health literacy

    NARCIS (Netherlands)

    Meppelink, C.S.; van Weert, J.C.M.; Brosius, A.; Smit, E.G.

    2017-01-01

    Objective To evaluate whether Dutch online health information (OHI) generally reflects message elements that support information processing and understanding among people with low health literacy. Methods We content-analyzed one hundred Dutch webpages about Ebola, fibromyalgia, ALS, losing weight,

  19. Articulations of identity and distinction: The meanings of language in Dutch popular music

    OpenAIRE

    Hoeven, Arno; Janssen, Susanne; Driessen, Simone

    2015-01-01

    markdownabstractOn the basis of interviews with music audiences, heritage practitioners, and cultural industry workers, this article explores how language use in Dutch popular music relates to local and historically situated taste patterns and music practices. Most popular music in the Netherlands is sung in English, Dutch, or dialects of the Dutch language. We discuss how these languages are used in Dutch popular music as an expression of cultural taste, cultural identities, and local herita...

  20. Nicolaes Tulp and the golden age of the Dutch Republic.

    Science.gov (United States)

    Simpson, Donald

    2007-12-01

    In the seventeenth century, Holland and the allied provinces of the northern Netherlands won final independence from their Spanish overlords and formed a worldwide economic empire. Dutch ships dominated the seas from the Caribbean to Japan and reconnoitred the coasts of Australia and New Zealand. Dutch society was cosmopolitan and supported great painters, philosophers and scientists. In these astonishing years, the physician Nicolaes Tulp [1593-1674] practised medicine in Amsterdam and, in 1641, published a book of his medical observations. This book ran into many editions; the Cowlishaw collection contains one of the last, dated 1716. Tulp is best known as the chief figure in a famous painting by Rembrandt, but his book has been studied by medical historians as a source of early descriptions of cranial surgery, spina bifida, vesical calculi, beriberi and many other conditions. The book is also a mirror of Dutch society in a great period in European history.

  1. Variation in the realization of /εi/ by Dutch youngsters : from local urban dialects to emerging ethnolects?

    NARCIS (Netherlands)

    Hinskens, F.L.M.P.; van Meel, Linda; van Hout, Roeland

    2014-01-01

    How do speakers of current Turkish and Moroccan ethnolects of Dutch deal with phonemes that do not exist in their heritage languages and that are at the same time subject to pronounced regional and social variation in the Dutch speech community at large, such as the Dutch diphthong /εi/? This

  2. Basso continuo sources from the Dutch Republic c. 1620-c1790

    NARCIS (Netherlands)

    Cok, Kathryn Meriel

    2011-01-01

    The results presented in this dissertation demonstrate the generous contribution that the Dutch Republic has made to the genre of basso continuo, including a survey of twenty-six Dutch sources from the 17th and 18th centuries. Focus has been made on the written record of the practice in the Dutch

  3. Early career burnout among Dutch nurses: A process captured in a Rasch model

    NARCIS (Netherlands)

    Vos, J.A. de; Brouwers, A.; Schoot, T.; Pat-El, R.; Verboon, P.; Näring, G.W.B.

    2016-01-01

    This study investigates burnout among Dutch nursing graduates as a process by testing a sequential-developmental model. A sample of 237 respondents was recruited from a population of Dutch early career nurses. Burnout was measured with the Dutch version of the Maslach Burnout Inventory Human

  4. Early career burnout among Dutch nurses : A process captured in a Rasch model

    NARCIS (Netherlands)

    de Vos, Jan Alexander; Brouwers, Andre; Schoot, Tineke; Pat-El, Ron; Verboon, Peter; Näring, Gerard

    2016-01-01

    This study investigates burnout among Dutch nursing graduates as a process by testing a sequential-developmental model. A sample of 237 respondents was recruited from a population of Dutch early career nurses. Burnout was measured with the Dutch version of the Maslach Burnout Inventory Human

  5. Word order and finiteness in Dutch and English Broca's and Wernicke's aphasia

    NARCIS (Netherlands)

    Bastiaanse, R

    The effect of two linguistic factors in Broca's and Wernicke's aphasia was examined using Dutch and English subjects. Three tasks were used to test (1) the comprehension and (2) the construction of sentences, where verbs (in Dutch) and verb arguments (in Dutch and English) are in canonical versus

  6. N-best: The Northern- and Southern-Dutch Benchmark Evaluation of Speech recognition Technology

    NARCIS (Netherlands)

    Kessens, J.M.; Leeuwen, D.A. van

    2007-01-01

    In this paper, we describe N-best 2008, the first Large Vocabulary Speech Recognition (LVCSR) benchmark evaluation held for the Dutch language. Both the accent as spoken in the Netherlands (Northern-Dutch) and in Belgium (Southern-Dutch or Flemish), will be evaluated. The evaluation tasks are

  7. The Allocation of Tasks and Competencies in Dutch Water Management : Discussions, developments and present state

    NARCIS (Netherlands)

    Mostert, E.

    This report discusses subsidiarity in Dutch water management and forms the Dutch contribution to the Water 21 Phase II report on subsidiarity. Rather than discussing the Dutch interpretations of the concept (the concept is used almost exclusively in relation to the European Union), this report

  8. Survival of stroke patients after introduction of the 'Dutch Transmural Protocol TIA/CVA'

    NARCIS (Netherlands)

    de Weerd, Leonie; Groenhof, Feikje; Kollen, Boudewijn J.; van der Meer, Klaas

    2013-01-01

    Background: Earlier research showed that healthcare in stroke could be better organized, aiming for improved survival and less comorbidity. Therefore, in 2004 the Dutch College of General Practitioners (NHG) and the Dutch Association of Neurology (NVN) introduced the 'Dutch Transmural Protocol

  9. Access to physiotherapy after Dutch reimbursement changes in the period 2004–2005.

    NARCIS (Netherlands)

    Swinkels, I.; Leemrijse, C.; Veenhof, C.; Bakker, D. de

    2006-01-01

    Background: Physiotherapy plays an important role in Dutch primary care. In 2005, 17% of the Dutch people contacted a physiotherapist. To deal with rising health care expenditures, Dutch government has decided to change public insurance coverage for physiotherapy. Until 2004, people with public

  10. Do Dutch nutrition and dietetics students meet nutritional requirements during education?

    NARCIS (Netherlands)

    Joke J. van de Kruk; Dr Harriët Jager-Wittenaar; Roos M.B. Nieweg; Dr. C.P. van der Schans

    2014-01-01

    OBJECTIVES: To compare the dietary intakes of Dutch nutrition and dietetics students with the Dutch RDA and the Dutch National Food Consumption Survey (DNFCS), and to assess whether dietary intake changes during education. DESIGN: Cross-sectional and longitudinal research (2004-2010). SETTING:

  11. The marine mammals of the Dutch Caribbean: a comparison between EEZ sectors, contrasts and concerns

    NARCIS (Netherlands)

    Debrot, A.O.; Witte, R.H.; Scheidat, M.

    2011-01-01

    We here provide a synoptic overview and preliminary update of the marine mammals of the Dutch Caribbean EEZ based on 279 cetacean sighting and stranding records. The Dutch Caribbean EEZ is composed of two distinct sectors. One is centered around the leeward Dutch islands of Aruba, Bonaire and

  12. The effects of the Dutch museum pass on museum visits and museum revenues

    NARCIS (Netherlands)

    van der Werff, S.; Koopmans, C.; Boyer, C.

    2014-01-01

    The Dutch museum pass gives unlimited access for a year to most major Dutch museums and around the half of all Dutch museums for a fixed fee. The fee revenues are distributed among participating museums in proportion to the amount of visits by pass holders and their ticket prices. In this paper, it

  13. Post-MSc technological design (PDEng) traineeships by Dutch universities of technology catalyse industrial innovation

    NARCIS (Netherlands)

    Swinkels, P.L.J.

    2015-01-01

    The two-year post-MSc technological design traineeships organized by the Dutch Universities of Technology, and leading to the Professional Doctorate in Engineering (PDEng) degree, are still going strong after 28 years of existence. In 1986 the Dutch government and the Dutch industry - both aiming to

  14. Young Asian Dutch constructing Asianness: Understanding the role of Asian popular culture

    NARCIS (Netherlands)

    Kartosen, R.A.

    2016-01-01

    This doctoral thesis is about young Asian Dutch, panethnic Asian identities and identifications, and Asian/Asian Dutch popular culture. It addresses several pressing questions, including: why do young Asian Dutch, who were born and/or raised in the Netherlands, identify as Asian and construct Asian

  15. Challenging Dutch Holocaust Education: Towards a Curriculum Based on Moral Choices and Empathetic Capacity

    Science.gov (United States)

    Boersema, Jacob R.; Schimmel, Noam

    2008-01-01

    We analyse the way in which the Holocaust is taught in The Netherlands, with an emphasis on critically examining the content of secondary school textbooks used to teach Dutch students about the history of the Holocaust. We also interview Dutch educators, government officials and academics about the state of Dutch Holocaust education. Our findings…

  16. Generating generosity. Financing poor relief through charitable collections in Dutch towns, c. 1600-1800

    NARCIS (Netherlands)

    Teeuwen, N.M.

    2014-01-01

    The early modern Dutch welfare system has often been described as relatively generous and efficient. Not only foreigners visiting the Dutch Republic, but also present-day historians have asserted that the Dutch, together with their English neighbours, stood out in early modern Europe in terms of

  17. Breastfeeding After Cesarean Delivery

    Science.gov (United States)

    ... Stages Listen Español Text Size Email Print Share Breastfeeding After Cesarean Delivery Page Content Article Body A ... delivered vaginally. It is especially important to begin breastfeeding as soon as you are able and to ...

  18. The regulation of euthanasia: how successful is the Dutch system?

    OpenAIRE

    den Hartogh, G.; Youngner, S.J.; Kimsma, G.K.

    2012-01-01

    Euthanasia and physician-assisted suicide have been legal in the Netherlands since 1984, first by judicial legislation and since 2002 by statute, if enacted by a doctor who meets a number of requirements of due care and makes it possible to assess whether he or she met them. How successful is this Dutch model? The answer to that question of course depends on what we understand "success" to mean. In this chapter, I will try to assess the extent to which the Dutch model is successful on its own...

  19. Transdermal Spray in Hormone Delivery

    African Journals Online (AJOL)

    market for the delivery system and ongoing development of transdermal sprays for hormone delivery. Keywords: Transdermal, Delivery systems, ... delivery compared with gels, emulsions, patches, and subcutaneous implants. Among .... In a safety announcement, the US Food and. Drug Administration (FDA) warned that ...

  20. Spains Dramatic Conquest of the Dutch Republic. Rodenburgh as a Literary Mediator of Spanish Culture

    Directory of Open Access Journals (Sweden)

    Tim Vergeer

    2016-12-01

    Full Text Available Theodore Rodenburgh was in an exceptional position to become a literary mediator of Spanish poetics. He introduced the comedia nueva in the Dutch Republic at the beginning of the seventeenth century. This article investigates specifically how Rodenburgh dealt with Lope de Vega’s poetics, transforming them to make them fit the Dutch literary tradition. Through translation, adaptation and acculturation, the Iberian comedias became Dutch tragicomedies, plays that would become most popular in the Dutch Republic. Rodenburgh’s endeavours mark the initial phase of the transfer of the comedia nueva to the Dutch Republic.

  1. Kijkwijzer: The Dutch rating system for audiovisual productions

    NARCIS (Netherlands)

    Valkenburg, P.M.; Beentjes, J.W.J.; Nikken, P.; Tan, E.S.H.

    2002-01-01

    Kijkwijzer is the name of the new Dutch rating system in use since early 2001 to provide information about the possible harmful effects of movies, home videos and television programs on young people. The rating system is meant to provide audiovisual productions with both age-based and content-based

  2. Dutch higher education and Chinese students in the Netherlands

    NARCIS (Netherlands)

    Hong, T.M.; Pieke, F.N.; Steehouder, L.; Veldhuizen, van J.L.

    2017-01-01

    The number of Chinese students in the Dutch higher education sector has grown rapidly. In 2014 the number of Chinese BA and MA students reached 4638, or about 7 percent of the population of international students in the Netherlands. The number of formally employed PhD students in that year was 427.

  3. The development of rhythmic preferences by Dutch-learning infants

    NARCIS (Netherlands)

    Keij, B.M.; Kager, R.W.J.

    2016-01-01

    In this chapter the early acquisition of word stress is discussed. This study is aimed at examining rhythmic preferences for either strong-weak or weak-strong stress patterns of Dutch-learning infants between 4 and 8 months of age. It is complementary to previous rhythmic preference studies

  4. Explaining e-business adoption - Innovation & entrepreneurship in Dutch SMEs

    NARCIS (Netherlands)

    van der Veen, M.

    2005-01-01

    Explaining e-business adoptionThis dissertation deals with the explanation of e-business adoption in Dutch small and medium sized enterprises. The adoption of e-business plays an important part in making existing business more efficient and effective. Moreover, it is a tool for business development

  5. The racial discourse and the Dutch Reformed Church: Looking ...

    African Journals Online (AJOL)

    The discourse between the Dutch Reformed Church (DRC) and race is a difficult and intense one. The aim of this article is to give a descriptive-empirical description of the relationship between the DRC and race by using the Church Mirror surveys. An altered social distance scale is used to measure church acceptance.

  6. Rethinking the Dutch Innovation Agenda: Management and Organization Matter Most

    NARCIS (Netherlands)

    H.W. Volberda (Henk); F.A.J. van den Bosch (Frans)

    2004-01-01

    textabstractIn this essay, we challenge the present dominant emphasis in the Dutch Innovation Debate on the creation of technological innovations, the focus on a few core technologies, and the allocation of more financial resources. We argue that managerial capabilities and organizing principles for

  7. Monitoring of cod catches in Dutch otter trawls and seines

    NARCIS (Netherlands)

    Kraan, M.L.; Uhlmann, S.S.; Machiels, M.A.M.; Overzee, van H.M.J.; Helmond, van A.T.M.

    2013-01-01

    This report presents the results of the Dutch Cod Monitoring Project in the bottom trawls and seines (TR), that was carried out in 2011 and 2012. The monitoring project was set up to monitor the cod catches in the different TR gears in order to have better and more detailed information of the catch

  8. Web 2.0 in Dutch Higher Education

    NARCIS (Netherlands)

    Westera, Wim

    2009-01-01

    Westera, W. (2008). Web 2.0 in Dutch Higher Education. In J. Armstrong & T. Franklin (Eds.), A Review of Current and Developing International Practice in the Use of Social Networking (Web 2.0) in Higher Education (pp. 61-71). Bristol: Clex.

  9. Modes of Governance in the Dutch Social Housing Sector

    NARCIS (Netherlands)

    Ruys, P.H.M.; Bruil, J.; Dix, H.G.

    2007-01-01

    Abstract: We describe and analyze five consecutive modes of governance in the Dutch social housing sector. We compare these institutional forms with the five policy values that the sector was assumed to realize. For that purpose we propose and use a new, analytical framework based on a separation

  10. Relative Age Effects in Dutch Adolescents : Concurrent and Prospective Analyses

    NARCIS (Netherlands)

    Jeronimus, Bertus F.; Stavrakakis, Nikolaos; Veenstra, Rene; Oldehinkel, Albertine J.

    2015-01-01

    The literature on relative age position effects is rather inconsistent. In this study we examined intra-classroom age position (or relative age) effects on Dutch adolescents' school progress and performance (as rated by teachers), physical development, temperamental development (fear and

  11. Survival to late dementia in Dutch nursing home patients.

    NARCIS (Netherlands)

    Koopmans, R.T.C.M.; Ekkerink, J.L.P.; Weel, C. van

    2003-01-01

    OBJECTIVES: To investigate the determinants of survival to late dementia in Dutch nursing home patients. DESIGN: Observational analysis of a cohort of patients with a prospective follow-up. SETTING: Psychogeriatric nursing home "Joachim en Anna" in Nijmegen, the Netherlands. PARTICIPANTS: Dementia

  12. Asset management strategies and sustainability in Dutch social housing

    NARCIS (Netherlands)

    Nieboer, N.E.T.

    2004-01-01

    With 35% of the total housing stock in the Netherlands (Ministry of VROM, 2004), the social rented sector plays an important role in Dutch housing, and its management can be of great importance to the success or failure of sustainability programs. Although sustainable building has been high on the

  13. Two Profiles of the Dutch High Performing Employee

    Science.gov (United States)

    de Waal, A. A.; Oudshoorn, Michella

    2015-01-01

    Purpose: The purpose of this study is to explore the profile of an ideal employee, to be more precise the behavioral characteristics of the Dutch high-performing employee (HPE). Organizational performance depends for a large part on the commitment of employees. Employees provide their knowledge, skills, experiences and creativity to the…

  14. Style Analysis and Performance Evaluation of Dutch Mutual Funds

    NARCIS (Netherlands)

    Ter Horst, J.R.; Nijman, T.E.; de Roon, F.A.

    1998-01-01

    In this paper we show how style analysis of mutual funds can be used to circumvent the problem of self-reported investment styles, and to improve relative performance evaluation. Subsequently, we relate style analysis to performance evaluation and present results on the performance of Dutch mutual

  15. CEDAR: The Dutch Historical Censuses as Linked Open Data

    NARCIS (Netherlands)

    Meroño-Peñuela, A.; Ashkpour, A.; Guéret, Christophe Dominique Marie; Schlobach, S.

    2015-01-01

    In this document we describe the CEDAR dataset, a five-star Linked Open Data representation of the Dutch historical censuses, conducted in the Netherlands once every 10 years from 1795 to 1971. We produce a linked dataset from a digitized sample of 2,288 tables. The dataset contains more than 6.8

  16. Attitudes of Dutch pig farmers towards animal welfare

    NARCIS (Netherlands)

    Huik, van M.M.; Bock, B.B.

    2007-01-01

    Purpose ¿ The purpose of this paper is to provide insights into the rationale of Dutch pig farmers concerning animal welfare and animal-friendly production. It aims to show the interrelations between farmers' production logic, their ideas about good farming and animal welfare and the characteristics

  17. Autosomal recessive inheritance of goiter in Dutch goats

    NARCIS (Netherlands)

    Kok, K.; van Dijk, J. E.; Sterk, A.; Baas, F.; van Ommen, G. J.; de Vijlder, J. J.

    1987-01-01

    The inheritance of congenital goiter due to a thyroglobulin synthesis defect in a strain of Dutch goats has been studied by Mendelian and biochemical methods. Mendelian analysis of 301 matings, resulting in 591 kids, showed an autosomal recessive mode of inheritance. A restriction fragment length

  18. Portrayal of Canada in the Dutch print media

    NARCIS (Netherlands)

    d'Haenens, L.S.J.; Bosman, J.A.M.

    2003-01-01

    This article is devoted to the nature of recent news coverage of Canada in the on-line versions of eight Dutch newspapers. The research literature points to five recurrent frames in news reporting: conflict, human interest, economic impact, morality, and responsibility. Our central research question

  19. Benchmarking in the Dutch waste-water treatment sector

    NARCIS (Netherlands)

    Admiraal, R.J.; van Helden, G.J.

    The Dutch water boards have recently completed a performance measurement and evaluation project for waste-water treatment. This Project was intended to strengthen the boards' accountability to their stakeholders and to identify starting Points for Performance improvement. The Balanced Scorecard was

  20. An applied general equilibrium model for Dutch agribusiness policy analysis

    NARCIS (Netherlands)

    Peerlings, J.

    1993-01-01

    The purpose of this thesis was to develop a basic static applied general equilibrium (AGE) model to analyse the effects of agricultural policy changes on Dutch agribusiness. In particular the effects on inter-industry transactions, factor demand, income, and trade are of

  1. Can the Dutch meet their own retirement expenditure goals?

    NARCIS (Netherlands)

    de Bresser, Jochem; Knoef, Marike

    2015-01-01

    Population aging and the poor performance of financial markets during recent years put the sustainability of pension arrangements in many Western countries under pressure. In order to investigate whether the Dutch will be able to cope with possible cutbacks in the generosity of pensions, we analyze

  2. Sexual harassment during clinical clerkships in Dutch medical schools

    NARCIS (Netherlands)

    Rademakers, J.J.D.J.M.; Muijsenbergh, M.E.T.C. van den; Slappendel, G.; Lagro-Janssen, A.L.M.; Borleffs, J.C.C.

    2008-01-01

    Context Sexual harassment of medical students has been the focus of many international studies. Prevalence rates from 18% to over 60% have been reported. However, a Dutch study at Nijmegen Medical School found the prevalence rate to be lower (13.3% in the total group; 20% among female students

  3. Sexual harassment during clinical clerkships in Dutch medical schools.

    NARCIS (Netherlands)

    Rademakers, J.J.D.J.M.; Muijsenbergh, M.E.T.C. van den; Slappendel, G.; Lagro-Janssen, A.L.M.; Borleffs, J.C.C.

    2008-01-01

    CONTEXT: Sexual harassment of medical students has been the focus of many international studies. Prevalence rates from 18% to over 60% have been reported. However, a Dutch study at Nijmegen Medical School found the prevalence rate to be lower (13.3% in the total group; 20% among female students

  4. Accounting for hybridity: Accrual budgeting in the Dutch central government

    NARCIS (Netherlands)

    Mol, Nico P.; de Kruijf, J.A.M.

    2003-01-01

    In the Dutch central government (following countries like New Zealand, Australia and the UK) a system of resource budgeting is being developed as a substitute for its present dual system of cash/commitment budgeting for core departments and accrual accounting for executive agencies. Advocates of

  5. Risk assessment and treatment in Dutch forensic psychiatry

    NARCIS (Netherlands)

    de Ruiter, C.; Hildebrand, M.

    2007-01-01

    The Dutch Code of Criminal Law has a special measure for defendants who are considered to have diminished responsibility for their offence on account of a serious mental disorder. This is known as the TBS order. The TBS is directed at changing the offender's recidivism risk by means of forensic

  6. Flexible labour strategy in the Dutch automotive industry

    NARCIS (Netherlands)

    van Riemsdijk, Maarten; de Leede, Jan

    2001-01-01

    Labour flexibility is a major way for companies to become more flexible. Why companies use flexible labour relations varies widely per industry. We assess the development of labour flexibility within the Dutch automotive industry. Four cases, together representing the production chain, are

  7. Dutch business opportunities in the Turkish biodiesel sector

    NARCIS (Netherlands)

    Wiersinga, R.C.; Elbersen, H.W.; Yilmaz, G.

    2009-01-01

    To research possibilities for Dutch businesses to be involved in the Turkish biodiesel sector, a short literature study and unstructured interviews with sector stakeholders were performed. Turkey is interested to develop its biofuel sector particularly to improve its security of energy supply, more

  8. Purchase of Catastrophe Insurance by Dutch Dairy and Arable Farmers

    NARCIS (Netherlands)

    Ogurtsov, V.; Asseldonk, van M.A.P.M.; Huirne, R.B.M.

    2009-01-01

    This article analyzed the impact of risk perception, risk attitude, and other farmer personal and farm characteristics on the actual purchase of catastrophe insurance by Dutch dairy and arable farmers. The specific catastrophe insurance types considered were hail–fire–storm insurance for buildings,

  9. Measuring structural (un)safety in the Dutch building industry

    NARCIS (Netherlands)

    Terwel, K.C.; Waarts, P; E Rademaeker, de

    2010-01-01

    The last 10 years the Dutch Building Industry was shocked by several major accidents. In 2001 the steel structure of a theatre in Hoorn collapsed during erection. No one was hurt, because it collapsed during the night. In 2002 part of the parking deck of a hotel collapsed just some time after a

  10. Dutch Jewry during the Emancipation Period (1787 - 1815)

    NARCIS (Netherlands)

    Michman, Jozeph

    1995-01-01

    By the end of the eighteenth century, the Dutch Jews enjoyed complete freedom of religion, but economic discrimination left the majority of them penniless. Moreover, a bitter conflict broke out between the enlightened and the orthodox Jews, leading to a fierce controversy and the foundation of a

  11. Tackling the problem of overweight and obesity : the Dutch approach

    NARCIS (Netherlands)

    Renders, Carry M; Halberstadt, Jutka; Frenkel, Carolien S; Rosenmöller, Paul; Seidell, Jacob C; Hirasing, Remy A

    OBJECTIVE: The aim of this article is to share the Dutch experience of a nation-wide approach to reduce the prevalence of overweight and obesity. This is an practice example of national health policy. METHODS: The Ministry of Health facilitates three complementary initiatives to tackle overweight

  12. Military flight through time; 20th lustrum Dutch Military Aviation

    NARCIS (Netherlands)

    Hosseini, S.; Scholtes, A.

    2013-01-01

    This year marks the 100th anniversary of Dutch military aviation. Quite a number of aircraft have made their entry and served the Netherlands throughout the past couple of years. The 20th Aviation Department of the VSV ‘Leonardo da Vinci’ takes special interest in this lustrum celebration and

  13. Dutch digital breast cancer screening: implications for breast cancer care

    NARCIS (Netherlands)

    Timmers, Johanna M.; den Heeten, Gerard J.; Adang, Eddy M.; Otten, Johannes D.; Verbeek, André L.; Broeders, Mireille J.

    2012-01-01

    Background: In comparison to other European population-based breast cancer screening programmes, the Dutch programme has a low referral rate, similar breast cancer detection and a high breast cancer mortality reduction. The referral rate in the Netherlands has increased over time and is expected to

  14. Developing a Service Improvement System for the National Dutch Railways

    NARCIS (Netherlands)

    Verhoef, Peter C.; Heijnsbroek, Martin; Bosma, Joost

    2017-01-01

    Customer satisfaction is essential for public and railway services, because firms in these industries have contracts with governments requiring them to achieve specific customer satisfaction targets. In this paper, we describe a National Dutch Railways project in which we identify the major

  15. In search of religious elements in the Dutch nature policy

    NARCIS (Netherlands)

    Jansen, Peter; Stoep, Van Der Jan; Keulartz, Jozef; Jochemsen, Henk

    2016-01-01

    The way people or organizations describe or depict nature conveys their view of nature. In the Dutch discourse, views of nature are mostly conceived as socio-cultural constructs regarding the character, value, and appreciation of nature. Views of nature tell us how we perceive nature and how we want

  16. Emerging memory : photographs of colonial atrocity in Dutch cultural remembrance

    NARCIS (Netherlands)

    Bijl, P.A.L.|info:eu-repo/dai/nl/304822892

    2011-01-01

    Emerging Memory is about cultural memory in the Netherlands of a military expedition in the Dutch East Indies in 1904, during which the colonial army made photographs of the massacred inhabitants of several villages on the island of Sumatra. Over the past century, as this study shows, these

  17. Entrepreneurial innovation in chains and networks in Dutch greenhouse horticulture

    NARCIS (Netherlands)

    Pannekoek, L.; Kooten, van O.; Kemp, R.G.M.; Omta, S.W.F.

    2005-01-01

    This paper focuses on the critical success factors in entrepreneurial innovation, and the role of cooperation with chain partners, knowledge institutions and colleague firms in the Dutch glasshouse industry. This industry, typified by a large number of family-owned entrepreneurial firms, is

  18. Half a Century of Islamic Education in Dutch Schools

    Science.gov (United States)

    Ter Avest, K. H.; Rietveld-van Wingerden, M.

    2017-01-01

    During the second half of the twentieth century, faithful followers of non-Western religions immigrated into Western European countries. Their children were a challenge for the respective educational system in the host countries. In the Dutch context, the educational system consists of public and private schools in which religion is the most…

  19. Photographs in Dutch History Textbooks: Quantity, type and educational use

    NARCIS (Netherlands)

    M. Kleppe (Martijn)

    2010-01-01

    textabstractThis article demonstrates a media scientific approach by studying the use of photographs in Dutch History textbooks for High School pupils in the period 1970 – 2000. The quantity of photos has been determined as well as the types of pictures and its use as educational tool. Results show

  20. Adding Value by FM and CREM in Dutch hospitals

    NARCIS (Netherlands)

    van der Voordt, D.J.M.; Prevosth, J.; van der Zwart, J.

    2012-01-01

    Purpose: To explore if and how Dutch hospital managers steer on adding value by well-considered Facility Management (FM) and Corporate Real Estate Management (CREM), which values are leading, and how adding value is being translated into concrete interventions. Methodology: In addition to a review

  1. Recent Dutch and Belgian approaches to ethnicity in Africa

    NARCIS (Netherlands)

    Schilder, K.; Binsbergen, W.M.J.

    1993-01-01

    This article is an editorial introduction to the five contributions to a two-day Dutch-Belgian workshop on ethnicity in Africa (Leiden, The Netherlands, December 1991) selected for publication in the present issue of 'Afrika Focus'. It highlights various aspects of the study of ethnicity which

  2. Driving during alcohol hangover among dutch professional truck drivers

    NARCIS (Netherlands)

    Verster, Joris C; Van Der Maarel, Martin A; McKinney, Adele; Olivier, Berend; De Haan, Lydia

    2014-01-01

    OBJECTIVES: Alcohol hangover may impair potentially dangerous daily activities such as driving a car or operating heavy machinery. The purpose of the present study was to determine (1) whether driving during alcohol hangover is a problem of concern among professional Dutch truck drivers and (2) to

  3. Safety effects of bicycle facilities: The Dutch experience.

    NARCIS (Netherlands)

    Wegman, F.C.M.

    1988-01-01

    General characteristics of bicycle and moped use, including safety aspects of cycling and moped riding, in the Netherlands, are presented. The Dutch governmental policy regarding safety of cyclists and moped riders is explained. The results of evaluations concerning the safety of cycle lanes and

  4. Characteristics, expectations and needs of the dutch endometriosis society members

    NARCIS (Netherlands)

    Roos-Eysbouts, Y.K.; Bie-Rocks, B. De; Dijk, J. van; Nap, A.W.

    2015-01-01

    Background/Aim Study Question: Endometriosis is associated with a significant reduction in the quality of life and higher depression and anxiety rates. The Dutch Endometriosis Society (ES) was founded to increase the recognition and knowledge in patients and health care professionals, stimulate

  5. LIQUIDITY AND BUSINESS INVESTMENT - EVIDENCE FROM DUTCH PANEL-DATA

    NARCIS (Netherlands)

    VANEES, H

    1994-01-01

    Several recent studies have focused on the impact of liquidity on business investment. We analyze the relevance of this approach for The Netherlands. It turns out that the impact of internal funds on Dutch business investment is relatively strong. With respect to the use of criteria to classify

  6. Dutch Lifelong learning : A Policy Perspective bringing together parallel Worlds

    NARCIS (Netherlands)

    van Dellen, Teije; Klercq, Jumbo; Buiskool, Bert-Jan

    Lifelong learning has never been an integral part of the Dutch educational culture. Nevertheless, nowadays yearly many adults (about 17.8% in 2015) are after either or not finishing initial education in some respect emergently participating in (continuing) second, third or more learning paths

  7. Cross-cultural training for Dutch expatriates going to India

    NARCIS (Netherlands)

    Zolingen, S.J. van; Essers, C.; Vermeer, L.

    2012-01-01

    The aim of this study is to gain insight into the challenges encountered by Dutch expatriates during their stay in India and into how Cross-Cultural Training (CCT) can be improved to help them handle these challenges adequately. For this explorative, in-depth study, CCT was split into five areas:

  8. Positive Positive Law: a Dworkinian Move in Dutch Environmental Law

    NARCIS (Netherlands)

    Borgers, H.; van der Heijden, J.

    2012-01-01

    This paper starts with the practice of spatial development, and with legal practice, to come up with three reasons why a new environmental act is necessary. The Dutch legislature is working on that these years and in its commission we’ve been looking for change within environmental law. Our first

  9. "Modern" Governance and Codes of Conduct in Dutch Higher Education

    Science.gov (United States)

    de Boer, Harry; Goedegebuure, Leo

    2007-01-01

    As one of the first countries in Europe to do so, The Netherlands moved towards a new relationship between the state and the higher education institutions in the mid-1980s. Autonomy, quality and accountability were key considerations in this move. In 2006 the Dutch government proposed another radical innovation in its approach to higher education…

  10. Differentiating indexation in Dutch pension funds [revised version

    NARCIS (Netherlands)

    Beetsma, R.M.W.J.; Bucciol, A.

    2011-01-01

    Funded social security programs are particularly vulnerable to economic and financial market shocks. As a consequence of the recent crisis, a large fraction of the Dutch pension funds had to submit restoration plans for the recovery of their buffers. Such plans will have to rely primarily on a mix

  11. The colonial 'civilizing process' in Dutch Formosa 1624-1662

    NARCIS (Netherlands)

    Chiu, Hsin-hui

    2007-01-01

    This is a study of the colonial ‘civilizing process’ in Dutch Formosa (Present-day Taiwan) between 1624 and 1662. Drawing inspiration from Norbert Elias, this study stresses on ‘the colonial “civilizing process” ’ which is applied to the inexorable process of retreat from the era of ‘Aboriginal

  12. The Sectoral Innovation System of the Dutch Vegetable Breeding Industry

    NARCIS (Netherlands)

    Liu, Z.; Jongsma, M.A.; Huang, Caicheng; Dons, J.J.M.; Omta, S.W.F.

    2015-01-01

    In a number of studies, the Dutch vegetable breeding industry has been described as a highly innovative sector, but the root causes for its innovativeness have not yet been analysed systematically. In order to understand the factors that affect innovation and business performance, the Sectoral

  13. Changing public space. The recent redevelopment of Dutch city squares

    NARCIS (Netherlands)

    van Melik, R.G.

    2008-01-01

    Public spaces in Dutch city centres are increasingly subject to facelifts. The car parking that dominated city squares until the 1980s has been removed and replaced by modern street furniture, city stages, and an abundance of sidewalk caf鳮 At the same time, public spaces are more controlled by

  14. The dynamics of skill mismatches in the Dutch labour market

    NARCIS (Netherlands)

    Groot, Wim; Maassen van den Brink, Henriette

    2003-01-01

    We use two waves of a Dutch longitudinal survey to analyze the dynamics of overeducation. It is found that the dynamics in overeducation are high. Only a small fraction of workers are long-term overeducated. Job to job mobility seems to act as a way out of overeducation, internal mobility within the

  15. Quality management systems and clinical outcomes in Dutch nursing homes.

    NARCIS (Netherlands)

    Wagner, C.; Klein Ikkink, K.; Wal, G. van der; Spreeuwenberg, P.; Bakker, D.H. de; Groenewegen, P.P.

    2006-01-01

    The objective of the article is to explore the impact quality management systems and quality assurance activities in nursing homes have on clinical outcomes. The results are based on a cross-sectional study in 65 Dutch nursing homes. The management of the nursing homes as well as the residents (N =

  16. Quality management systems and clinical outcomes in Dutch nursing homes

    NARCIS (Netherlands)

    Wagner, Cordula; Klein Ikkink, Karen; Wal, Gerrit van der; Spreeuwenberg, Peter; Bakker, Dinny Herman de; Groenewegen, Peter Paulus

    2006-01-01

    The objective of the article is to explore the impact quality management systems and quality assurance activities in nursing homes have on clinical outcomes. The results are based on a cross-sectional study in 65 Dutch nursing homes. The management of the nursing homes as well as the residents (N=

  17. Changes in the professional domain of Dutch dental hygienists

    NARCIS (Netherlands)

    Jerkovic, K.; van Offenbeek, M.A.; Slot, D.E.; van der Schans, C.P.

    2010-01-01

    Objective:  This study’s purpose was to compare the scope of practice of Dutch dental hygienists educated through a two- or three-year curriculum (‘old curriculum dental hygienists’ [OCDHs]) with that of hygienists educated through a new extended four-year curriculum leading to a bachelor’s degree

  18. Job satisfaction and job content in Dutch dental hygienists

    NARCIS (Netherlands)

    Jerkovic, K.; van Offenbeek, M.A.G.; van der Schans, C.P.

    Objectives: This study compares the scope of practice of Dutch dental hygienists (DHs) educated through a 2- or 3-year curriculum ('old-style DHs') with that of hygienists educated through a new extended 4-year curriculum leading to a bachelor's degree ('new-style DHs'), with the aim to investigate

  19. Changes in the professional domain of Dutch dental hygienists

    NARCIS (Netherlands)

    Jerkovic, K.; van Offenbeek, M. A. G.; Slot, D. E.; van der Schans, C. P.

    2010-01-01

    Objective: This study's purpose was to compare the scope of practice of Dutch dental hygienists educated through a two- or three-year curriculum ('old curriculum dental hygienists' [OCDHs]) with that of hygienists educated through a new extended four-year curriculum leading to a bachelor's degree

  20. Mapping the accrual anomaly in the Dutch stock market

    NARCIS (Netherlands)

    Hoefsloot, P.; Georgakopoulos, G.; Sotiropoulos, I.; Galanou, A.

    2012-01-01

    This paper investigates the existence of the accrual anomaly on the Dutch stock market. We find statistical evidence to accept that the cash flow component of current earnings is significantly more persistent than the accrual component of current earnings. When applying a trading strategy a

  1. The Dutch sentinel practice network: relevance for public health policy.

    NARCIS (Netherlands)

    Bartelds, A.I.M.; Fracheboud, J.; Zee, J. van der

    1989-01-01

    The Dutch sentinal practice network: relevance for public health policy, considers the now 20-year history of the Continuous Morbidity Registration Sentinel Stations the Netherlands. The book consists of two parts. In the first part general aspects are discussed: the origin of the project at the end

  2. The Dutch Crisis and Recovery Act: Economic Recovery and Legal ...

    African Journals Online (AJOL)

    Jonathan

    had a rather "soft" legal status. In the explanatory memorandum that accompanies the Dutch Constitution and in the literature, it is argued that one of the functions of. Article 21 is to prevent the government from reducing the standard of environmental protection. 50. On the contrary, the provision rather aims at a constant ...

  3. The Dutch revolt and Catholic exile in Reformation Europe

    NARCIS (Netherlands)

    Janssen, G.H.

    2014-01-01

    The Dutch revolt of the sixteenth century sparked one of the largest refugee crises of Reformation Europe. This book explores the flight, exile and eventual return of Catholic men and women during the war. By mapping the Catholic diaspora across northern Europe, Geert H. Janssen explains how exile

  4. Improved Collaborative Transport Planning at Dutch Logistics Service Provider Fritom

    NARCIS (Netherlands)

    Buijs, Paul; Lopez Alvarez, Jose Alejandro; Veenstra, Marjolein; Roodbergen, Kees Jan

    2016-01-01

    We study the collaborative transport planning for two autonomous business units of Fritom, a Dutch logistics service provider. This difficult planning problem does not fit any existing type of vehicle routing problem proposed in the academic literature; therefore, we define a new problem class, the

  5. Usage-Based Approaches to Dutch : Lexicon, grammar, discourse

    NARCIS (Netherlands)

    Verhagen, Arie; Weijer, Jeroen van de

    2003-01-01

    This volume brings together six papers by linguistic specialists who not only share an interest in Dutch, but also the ambition to account for characteristics of the linguistic system and for linguistic usage with the same conceptual tools, and the conviction that the analysis of actual language

  6. The Dutch Perspective on NATO Development during the Korean War

    Science.gov (United States)

    2012-06-08

    World War II. After Japanese occupation of Indonesia an uprising started against the restoration of Dutch rule. In order to deal with the nationalist...Union used a different interpretation of terminology like democracy, friendly, and fascism . Apart from the different interpretation the Soviet Union...

  7. The Dutch system of legal protection in public procurement procedures

    NARCIS (Netherlands)

    van Heeswijck, Arthur

    2015-01-01

    The legal protection of entrepreneurs in public procurement procedures has been a point of concern to the European Union legislator, leading to the adoption of well-known the Remedies Directives. This article examines the conformity of the Dutch system of judicial protection in the procurement field

  8. Online public response to Dutch news about money laundering

    NARCIS (Netherlands)

    Veul, Romy; van Charldorp, T.C.|info:eu-repo/dai/nl/298815532; Soudijn, Melvin

    2016-01-01

    In this paper we analyze how Dutch Public Prosecution’s press releases about money laundering and underground banking are received by producers and consumers of online news reports. First we take a closer look at how journalists (re)framed six official press releases in 75 news reports. It turns out

  9. Plural religious beliefs: A Comparison between the Dutch and white ...

    African Journals Online (AJOL)

    Does this plurality of beliefs exist in the minds of people in the Netherlands and in South Africa? Together with this we explore the relationship between church involvement and plural religious beliefs in both countries. We have found a sharp contrast between the Dutch and a sample of church-going white South Africans ...

  10. The Dutch Healthy Diet Index : development, evaluation, and application

    NARCIS (Netherlands)

    Lee, van L.

    2014-01-01

    The Dutch Healthy Diet index – Development, Evaluation, and Application Linde van Lee Abstract Background: Dietary indices evaluate the conformity of an individual’s diet with pre-defined standards. Generally, dietary guidelines are used

  11. Personality and Dutch emigrants' reactions to acculturation strategies

    NARCIS (Netherlands)

    Bakker, Winny; Van der Zee, Karen; Van Oudenhoven, Jan Pieter

    2006-01-01

    This experimental questionnaire study examined individual differences in affective and normative reactions to acculturation strategies. A sample of 265 Dutch emigrants with a dual cultural background read scenarios describing the experiences of an emigrant. Eight (4 x 2) different scenario versions

  12. Secondary traumatization in partners and parents of Dutch peacekeeping soldiers.

    NARCIS (Netherlands)

    Dirkzwager, A.J.E.; Bramsen, I.; Ader, H.; Ploeg, H.M. van der

    2005-01-01

    This study examines secondary traumatization among 708 partners and 332 parents of Dutch peacekeepers (i.e., personnel who participated in military actions implemented by international organizations such as the United Nations). Partners or parents of peacekeepers with 4 levels of posttraumatic

  13. Secondary traumatization in partners and parents of Dutch peacekeeping soldiers

    NARCIS (Netherlands)

    Dirkzwager, A.J.E.; Bramsen, I.; Adèr, H.J.; Ploeg, van der H.M.

    2005-01-01

    This study examines secondary traumatization among 708 partners and 332 parents of Dutch peacekeepers (i.e., personnel who participated in military actions implemented by international organizations such as the United Nations). Partners or parents of peacekeepers with 4 levels of posttraumatic

  14. Dutch Elm Disease (DED) and the American Elm (Pest Alert)

    Science.gov (United States)

    USDA Forest Service

    1999-01-01

    For decades the American elm was one of our most treasured trees, gracing streets and parks of many cities with beautiful form and dense foliage. The American elm was particularly well suited to urban sites because it grows quickly, is long-lived, and is tolerant of compacted soils and air pollution. However, in most communities Dutch elm disease (DED) killed a...

  15. Thorbecke Revisited : The Role of Doctrinaire Liberalism in Dutch Politics

    NARCIS (Netherlands)

    Drentje, Jan

    2011-01-01

    Thorbecke Revisited: The Role of Doctrinaire Liberalism in Dutch Politics In the political history of the nineteenth century Thorbecke played a crucial role. As the architect of the 1848 liberal constitutional reform he led three cabinets. In many ways he dominated the political discourse during the

  16. A comparison between Dutch and German retail price-setting

    NARCIS (Netherlands)

    R.G.J. den Hertog; A.R. Thurik (Roy)

    1995-01-01

    textabstractThis article examines the differences between Dutch and German retail price setting. The study is based on an econometric approach in the sense that the estimates of the coefficients of a one-equation model explaining retail profit margins are compared. Extensive datasets are used for

  17. Supervisory governance: The case of the Dutch Consumer Authority

    NARCIS (Netherlands)

    Heldeweg, Michiel A.

    2006-01-01

    This article concerns the impact of the Regulation on consumer protection cooperation, especially with regard to the introduction of a public law supervisory authority, on the primarily civil law and self-regulatory Dutch concept of supervision and enforcement in consumer law. The response to this

  18. Early finiteness in German and Dutch child language

    NARCIS (Netherlands)

    Winkler, S.

    2009-01-01

    The acquisition of finiteness is one of the most studied phenomena in both first and second language development. Within a functional framework, Dimroth et al. (2003) suggest that German and Dutch children follow a uniform acquisition path in the development of the target-like expression of

  19. Assimilating jews in Dutch nation-building: the missing 'pillar'

    NARCIS (Netherlands)

    Knippenberg, H.

    2002-01-01

    Until the Second World War the Netherlands housed a Jewish minority, which varied from 1.4% to 2.2% of the Dutch population in the 1800-1940 period. In this paper an analysis is made of their numerical development and geographical distribution based on census data, and of the consequences of the

  20. Exploring EFL Literature Approaches in Dutch Secondary Education

    Science.gov (United States)

    Bloemert, Jasmijn; Jansen, Ellen; van de Grift, Wim

    2016-01-01

    There is an increasing awareness that the inclusion of literature in foreign language (FL) curricula can be beneficial to language learners. Especially, the move towards integrated language and literature curricula is gaining ground. In this study we investigated the way English as a foreign language (EFL) is approached in Dutch secondary…

  1. Perceived Immune Status and Sleep : A Survey among Dutch Students

    NARCIS (Netherlands)

    Donners, Anouk A M T; Tromp, Marilou D P; Garssen, Johan; Roth, Thomas; Verster, Joris C

    2015-01-01

    Reduced immune functioning may have a negative impact on sleep and health, and vice versa. A survey among Dutch young adults (18-35 years old) was administered to collect information on perception of reduced immunity and its relationship to sleep disorders, sleep duration, and quality. Sleep

  2. An empirical analysis of capital structure decisions in Dutch firms

    NARCIS (Netherlands)

    de Jong, A.

    1999-01-01

    This Ph.D. thesis investigates capital structure decisions in Dutch firms. Firms are faced with the choice from a variety of sources of financing for the funding of their activities. These choices determine the firms' capital structures. Building on the well known theorems of Modigliani and Miller,

  3. Breakpoint or Binder : Religious Engagement in Dutch Civil Society

    NARCIS (Netherlands)

    dr. Gürkan Çelik

    2013-01-01

    Civil society as a social sphere is constantly subjected to change. Using the Dutch context, this article addresses the question whether religiously inspired engagement is a binder or a breakpoint in modern societies. The author examines how religiously inspired people in the Netherlands involve

  4. Energy productivity growth in the Dutch Greenhouse Industry

    NARCIS (Netherlands)

    Oude Lansink, A.G.J.M.; Ondersteijn, C.J.M.

    2006-01-01

    Profitability of Dutch greenhouse firms is largely dependent on energy costs, and policy makers focus on reducing the use of energy by these firms. This article uses Russell measures of TE to develop indicators of energy productivity growth. Results show that energy productivity grew by 2.8%

  5. Dietary patterns and survival in older Dutch women.

    NARCIS (Netherlands)

    Waijers, Patricia M C M; Ocké, Marga C; Rossum, Caroline T M van; Peeters, Petra H M; Bamia, Christina; Chloptsios, Yiannis; Schouw, Yvonne T van der; Slimani, Nadia; Bueno-de-Mesquita, H Bas

    2006-01-01

    BACKGROUND: The need to gain insight into prevailing eating patterns and their health effects is evident. OBJECTIVE: This study aimed to identify dietary patterns and their relation to total mortality in older Dutch women. DESIGN: A principal component analysis of 22 food groups was used to identify

  6. Jesuits, propaganda and faith healing in the Dutch Republic

    NARCIS (Netherlands)

    de Waardt, J.H.M.

    2009-01-01

    In the 1570s the structure of the Catholic Church had collapsed in the Dutch Republic, but soon after 1580 a process of reconstruction set in. At first exorcism and other types of faith healing were deployed by both secular and regular Catholic clergy. In time the secular clergy became less willing

  7. Aperture increase options for the Dutch Open Telescope

    NARCIS (Netherlands)

    Hammerschlag, R.H.|info:eu-repo/dai/nl/304844098; Bettonvil, F.C.M.|info:eu-repo/dai/nl/304846228; Jägers, A.P.L.|info:eu-repo/dai/nl/341554367; Rutten, R.J.|info:eu-repo/dai/nl/074143662

    2007-01-01

    This paper is an invitation to the international community to participate in the usage and a substantial upgrade of the Dutch Open Telescope on La Palma (DOT, http://dot.astro.uu.nl). We first give a brief overview of the approach, design, and current science capabilities of the DOT. It became a

  8. Alliances in the Dutch BeweegKuur lifestyle intervention

    NARCIS (Netherlands)

    Hartog-van den Esker, den F.G.; Wagemakers, A.; Vaandrager, L.; Dijk, van M.; Koelen, M.A.

    2014-01-01

    Objective: BeweegKuur (Exercise Therapy) is a Dutch lifestyle programme in which participants are referred by a general practitioner (GP) to a lifestyle advisor. To support participants, regional and local alliances are established. The present study explored the successes and challenges associated

  9. Determinants of Dutch parents' decisions to vaccinate their child

    NARCIS (Netherlands)

    Paulussen, T.G.W.; Hoekstra, F.; Lanting, C.I.; Buijs, G.B.; Hirasing, R.A.

    2006-01-01

    This study examines the factors that influence parents' decisions to have their children vaccinated under the Dutch National Immunisation Programme. A computer questionnaire was sent to 500 parents in 1999 (the response rate was 98.2%). The intention to vaccinate was most strongly determined by

  10. Sex differences in risk taking behavior among Dutch cyclists

    NARCIS (Netherlands)

    Cobey, Kelly D.; Stulp, Gert; Laan, Freek; Buunk, Abraham P.; Pollet, Thomas V.

    2013-01-01

    The majority of research examining sex differences in risk-taking behavior focuses on overt physical risk measures in which failed risk attempts may result in serious injury or death. The present research describes sex differences in patterns of risk taking in day-to-day behavior among Dutch

  11. Jean Desmet and the Early Dutch Film Trade

    NARCIS (Netherlands)

    Blom, Ivo

    2003-01-01

    Since 1957 the Film Museum in Amsterdam has been in possession of the Desmet Collection which contains the estate of the Dutch cinema owner and film distributor Jean Desmet (1875-1956). The collection comprises almost nine hundred European and American films in all genres, a collection of publicity

  12. Measurement of Tear Production in English Angora and Dutch Rabbits.

    Science.gov (United States)

    Rajaei, Seyed Mehdi; Rafiee, Siamak Mashhady; Ghaffari, Masoud Selk; Masouleh, Mohammad N; Jamshidian, Mahmoud

    2016-03-01

    The purpose of this study was to establish normal values for tear production tests in different breeds of domestic rabbits. Healthy adult rabbits (n = 60; 120 eyes) of 2 different breeds (English angora and Dutch; n = 15 of each sex and breed) were used in this study. Tear production was measured by using the 1-min Schirmer tear test (STT), phenol red thread test (PRTT), and endodontic absorbent paper point tear test (EAPTT). In addition, horizontal palpebral fissure length was evaluated as a measure of ocular adnexal dimensions. Tear production (mean ± 1 SD) in English angora rabbits was 5.4 ± 1.6 mm/min according to the STT, 25.0 ± 2.7 mm in 15 s for the PRTT, and 18.8 ± 2.1 mm/min by the EAPTT; in Dutch rabbits, these values were 4.6 ± 1.2 mm/min, 23.6 ± 2.3 mm in 15 s, and 16.9 ± 1.7 mm/min, respectively. Only the EAPTT revealed a significant difference in tear production between English Angora and Dutch rabbits. These results provide reference values for tear production in English Angora and Dutch rabbits according to 3 different quantitative tear film assessment methods.

  13. The Dutch are in the Self Quantification game

    NARCIS (Netherlands)

    Dr. Martijn de Groot; Mariia Stolyga

    2015-01-01

    The Quantified Self Institute (QSI) in Groningen is keeping a close eye on the global self-tracking culture to identify and assess major trends in this domain. How will the future of wearable tech look? Can self-tracking change the Dutch healthcare system? Dr. Martijn de Groot, a medical biologist

  14. Alliances in the Dutch BeweegKuur Lifestyle Intervention

    Science.gov (United States)

    den Hartog, Franciska; Wagemakers, Annemarie; Vaandrager, Lenneke; van Dijk, Marieke; Koelen, Maria A.

    2014-01-01

    Objective: BeweegKuur (Exercise Therapy) is a Dutch lifestyle programme in which participants are referred by a general practitioner (GP) to a lifestyle advisor. To support participants, regional and local alliances are established. The present study explored the successes and challenges associated with collaboration processes in local BeweegKuur…

  15. Attitudes toward Lesbians and Gays among American and Dutch Adolescents

    Science.gov (United States)

    Collier, Kate L.; Horn, Stacey S.; Bos, Henny M. W.; Sandfort, Theo G. M.

    2014-01-01

    Attitudes toward lesbians and gays vary across national populations, and previous research has found relatively more accepting attitudes in the Netherlands as compared to the U.S. In this study, we compared beliefs about and attitudes toward lesbians and gays in samples of Dutch and American heterosexual adolescents, utilizing survey data from 1,080 American adolescents (mean age = 15.86 years) attending two schools and from 1,391 Dutch adolescents (mean age = 16.27 years) attending eight schools. Findings indicated the Dutch participants were more tolerant of lesbians and gays, after adjusting for the gender, age, and racial/ethnic minority status of the participants. However, between-country differences were attenuated by accounting for the beliefs about lesbians and gays that participants used to justify their attitudes. American participants were more likely to justify their attitudes using beliefs related to social norms and religious opposition, while the Dutch participants were more likely to justify their attitudes using beliefs related to individual rights and the biological/genetic basis of homosexuality. The results suggest that the relative importance of particular beliefs about lesbians and gays to attitudes at the group level may be context-dependent but also that certain beliefs are salient to attitudes across national contexts. PMID:24512056

  16. The 2015 Dutch food-based dietary guidelines

    NARCIS (Netherlands)

    Kromhout, D.; Spaaij, C.J.K.; Goede, de J.; Weggemans, R.M.; Brug, Johannes; Geleijnse, Johanna M.; Goudoever, van Johannes B.; Hoes, Arno W.; Hopman, Maria T.E.; Iestra, Jolein A.; Mensink, Ronald P.; Pijl, Hanno; Romijn, Johannes A.; Schols, Annemie M.W.J.; Seidell, Jaap C.; Veer, van 't Pieter; Visser, Marjolein; Zwietering, Marcel H.

    2016-01-01

    The objective of this study was to derive food-based dietary guidelines for the Dutch population. The dietary guidelines are based on 29 systematic reviews of English language meta-analyses in PubMed summarizing randomized controlled trials and prospective cohort studies on nutrients, foods and

  17. The 2015 Dutch food-based dietary guidelines

    NARCIS (Netherlands)

    Kromhout, D; Spaaij, C J K; de Goede, J; Weggemans, R M; Iestra, JA; Hoes, Arno W.

    The objective of this study was to derive food-based dietary guidelines for the Dutch population. The dietary guidelines are based on 29 systematic reviews of English language meta-analyses in PubMed summarizing randomized controlled trials and prospective cohort studies on nutrients, foods and food

  18. The Dutch national food consumption survey 2003. Methodological issues

    NARCIS (Netherlands)

    Ocké, M.C.; Hulshof, K.F.A.M.; Rossum, C.T.M. van

    2005-01-01

    Background: Dietary monitoring is an important tool for food policy evaluation and development. The methodologies of previous Dutch surveys were less optimal for answering current food policy questions. Aim and method: In order to gain experiences with a new approach, in 2003 a food consumption

  19. Sick leave analysis among self-employed Dutch farmers

    NARCIS (Netherlands)

    Hartman, E.; Oude Vrielink, H.H.E.; Huirne, R.B.M.; Metz, J.H.M.

    2003-01-01

    Background Agriculture is one of the most physically demanding and risky industries. Aim The objective of this study was to provide baseline data on the diagnoses, occurrence and duration of sick leave of self-employed Dutch farmers. Method A database of 22807 sick leave claims of 12627 farmers

  20. Beyond Dutch borders: a nation in times of Europeanisation

    NARCIS (Netherlands)

    Doomernik, J.

    2014-01-01

    Each categorization in population statistics has a bias. Sometimes they deflate and sometimes they expand populations that merit public policy concern. This article discusses the political consequences of policy choices in that respect: notably by the example of Dutch population statistics and the