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Sample records for dutch national implementation

  1. 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

  2. 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 Obs

  3. The new opt-out Dutch National Breast Implant Registry - Lessons learnt from the road to implementation.

    Science.gov (United States)

    Rakhorst, Hinne A; Mureau, Marc A M; Cooter, Rodney D; McNeil, John; van Hooff, Miranda; van der Hulst, René; Hommes, Juliette; Hoornweg, Marije; Moojen-Zaal, Laura; Liem, Patricia; Mathijssen, Irene M J

    2017-10-01

    An estimated 1-3% of all women in the Netherlands carry breast implants. Since the introduction five decades ago, problems with a variety of breast implants have emerged with direct consequences for the patients' health. Plastic surgeons worldwide reacted through campaigning for auditing on long-term implant quality, surgeon performance, and institutional outcomes in implant registries. Especially, the PIP implant scandal of 2010 demonstrated the paucity of epidemiological data and uncovered a weakness in our ability to even 'track and trace' patients. In addition, a recent report of the Dutch Institute of National Health showed a lack of compliance of 100% of breast implant producers to CE requirements. These arguments stress the need for an independent implant registry. Insufficient capture rates or dependence from the implant producers made the variety of national and international patient registries unreliable. The Dutch Breast Implant Registry (DBIR) is unique because it is an opt-out registry without the need for informed consent and thus a high capture rate. Furthermore, an estimated 95% of breast implants are implanted by board-certified plastic surgeons. Funding was received from a non-governmental organisation to increase the quality of health care in the Netherlands, and maintenance is gathered by 25 euros per implant inserted. This article describes the way the Dutch have set up their system, with special attention to the well-known hurdles of starting a patient registry. Examples include: funding, medical ethical issues, opt out system, benchmarking, quality assurance as well as governance and collaboration. The Dutch consider their experience and data shareware for others to be used globally to the benefit of patient safety and quality improvement. Copyright © 2017 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

  4. The Implementation of the AIFMD in Dutch Tax Law

    NARCIS (Netherlands)

    Vermeulen, H.; Elink Schuurman, J.H.

    2014-01-01

    In this article, the authors explain the amendments to Dutch tax law as a result of the recent implementation of the Alternative Investment Fund Managers Directive. Changes were made to the Dutch Corporate Income Tax Act, the Dutch Dividend Withholding Tax Act and the Dutch General Tax Act. Given th

  5. The Implementation of the AIFMD in Dutch Tax Law

    NARCIS (Netherlands)

    Vermeulen, H.; Elink Schuurman, J.H.

    2014-01-01

    In this article, the authors explain the amendments to Dutch tax law as a result of the recent implementation of the Alternative Investment Fund Managers Directive. Changes were made to the Dutch Corporate Income Tax Act, the Dutch Dividend Withholding Tax Act and the Dutch General Tax Act. Given th

  6. Land use and cover change as an overarching topic in the Dutch National Research Programme on Global Air Pollution and Climate Change : issues for implementation

    NARCIS (Netherlands)

    Fresco, L.O.; Berg, van den M.M.; Zeijl-Rozema, van A.E.

    1996-01-01

    The integration study 'Land Use and Cover Change as an overarching topic in the Dutch National Research Programme on Global Air Pollution and Climate Change (NRP)' aims at identifying research fields in which the NRP can contribute most effectively to the international scientific know-how

  7. Anti-nationalist nationalism: The paradox of Dutch national identity

    NARCIS (Netherlands)

    Kešić, J.; Duyvendak, J.W.

    2016-01-01

    Academic research on contemporary Dutch nationalism has mainly focused on its overt, xenophobic and chauvinist manifestations, which have become normalised since the early 2000s. As a result, less radical, more nuanced versions of Dutch nationalism have been overlooked. This article attempts to fill

  8. Integrating care by implementation of bundled payments: results from a national survey on the experience of Dutch dietitians

    Science.gov (United States)

    Tol, J.; Swinkels, I.C.S.; Struijs, J.N.; Veenhof, C.; de Bakker, D.H

    2013-01-01

    Introduction In the Netherlands, bundled payments were introduced as part of a strategy to redesign chronic care delivery. Under this strategy new entities of health care providers in primary care are negotiating with health insurers about the price for a bundle of services for several chronic conditions. This study evaluates the level of involvement of primary health care dietitians in these entities and the experienced advantages and disadvantages. Methods In August 2011, a random sample of 800 Dutch dietitians were invited by email to complete an online questionnaire (net response rate 34%). Results Two-thirds participated in a diabetes disease management programme, mostly for diabetes care, financed by bundled payments (n=130). Positive experiences of working in these programmes were an increase in: multidisciplinary collaboration (68%), efficiency of health care (40%) and transparency of health care quality (25%). Negative aspects were an increase in administrative tasks (61%), absence of payment for patients with comorbidity (38%) and concerns about substitution of care (32%). Discussion/conclusion Attention is needed for payment of patients with co- or multi-morbidity within the bundled fee. Substitution of dietary care by other disciplines needs to be further examined since it may negatively affect the quality of treatment. Task delegation and substitution of care may require other competencies from dietitians. Further development of coaching and negotiation skills may help dietitians prepare for the future. PMID:24399924

  9. Integrating care by implementation of bundled payments: results from a national survey on the experience of Dutch dietitians

    Directory of Open Access Journals (Sweden)

    Jacqueline Tol

    2013-12-01

    Full Text Available Introduction: In the Netherlands, bundled payments were introduced as part of a strategy to redesign chronic care delivery. Under this strategy new entities of health care providers in primary care are negotiating with health insurers about the price for a bundle of services for several chronic conditions. This study evaluates the level of involvement of primary health care dietitians in these entities and the experienced advantages and disadvantages.Methods: In August 2011, a random sample of 800 Dutch dietitians were invited by email to complete an online questionnaire (net response rate 34%.Results: Two-thirds participated in a diabetes disease management programme, mostly for diabetes care, financed by bundled payments (n=130. Positive experiences of working in these programmes were an increase in: multidisciplinary collaboration (68%, efficiency of health care (40% and transparency of health care quality (25%. Negative aspects were an increase in administrative tasks (61%, absence of payment for patients with comorbidity (38% and concerns about substitution of care (32%.Discussion/conclusion: Attention is needed for payment of patients with co- or multi-morbidity within the bundled fee. Substitution of dietary care by other disciplines needs to be further examined since it may negatively affect the quality of treatment. Task delegation and substitution of care may require other competencies from dietitians. Further development of coaching and negotiation skills may help dietitians prepare for the future.

  10. Integrating care by implementation of bundled payments: results from a national survey on the experience of Dutch dietitians

    Directory of Open Access Journals (Sweden)

    Jacqueline Tol

    2013-12-01

    Full Text Available Introduction: In the Netherlands, bundled payments were introduced as part of a strategy to redesign chronic care delivery. Under this strategy new entities of health care providers in primary care are negotiating with health insurers about the price for a bundle of services for several chronic conditions. This study evaluates the level of involvement of primary health care dietitians in these entities and the experienced advantages and disadvantages. Methods: In August 2011, a random sample of 800 Dutch dietitians were invited by email to complete an online questionnaire (net response rate 34%. Results: Two-thirds participated in a diabetes disease management programme, mostly for diabetes care, financed by bundled payments (n=130. Positive experiences of working in these programmes were an increase in: multidisciplinary collaboration (68%, efficiency of health care (40% and transparency of health care quality (25%. Negative aspects were an increase in administrative tasks (61%, absence of payment for patients with comorbidity (38% and concerns about substitution of care (32%. Discussion/conclusion: Attention is needed for payment of patients with co- or multi-morbidity within the bundled fee. Substitution of dietary care by other disciplines needs to be further examined since it may negatively affect the quality of treatment. Task delegation and substitution of care may require other competencies from dietitians. Further development of coaching and negotiation skills may help dietitians prepare for the future.

  11. Monitoring activities in the Dutch National Air Quality Monitoring Network in 2000 and 2001

    NARCIS (Netherlands)

    Elzakker BG van; LLO

    2001-01-01

    The Dutch National Air Quality Monitoring Network (LML in Dutch) is one of the responsibilities of the Air Research Laboratory of the National Institute of Public Health and the Environment. The main objectives of the LML are to monitor ambient air quality, facilitate implementation of air quality

  12. Monitoring activities in the Dutch National Air Quality Monitoring Network in 2000 and 2001

    NARCIS (Netherlands)

    Elzakker BG van; LLO

    2001-01-01

    The Dutch National Air Quality Monitoring Network (LML in Dutch) is one of the responsibilities of the Air Research Laboratory of the National Institute of Public Health and the Environment. The main objectives of the LML are to monitor ambient air quality, facilitate implementation of air quality s

  13. Research paper 2000-B-6: adjustments in the Dutch domestic waste incineration sector in the context of the European directive 89/429/EEC. A case study on national implementation, environmental effectiveness, allocative efficiency, productive efficiency and administrative costs

    Energy Technology Data Exchange (ETDEWEB)

    Lulofs, K. [Twente Univ., Center for Clean Technology and Environmental Policy, Enschede (Netherlands)

    2000-07-01

    Within the context of the IMPOL project several fields of European environmental policy are studied on aspects as national implementation and environmental and efficiency outcomes. For the IMPOL project a case study was done on the transformation of the Dutch sector of domestic waste incineration in the context of the European Directive Directives 89/369/EEC and 89/429/ EEC. The case study was done and indicators for environmental effectiveness, allocative efficiency, productive efficiency and administrative costs were chosen in line with a document to coordinate the efforts in the four IMPOL countries. The European Directives 89/369/EEC and 89/429/ EEC regulate Plants for Domestic waste Incineration on the emissions of several pollutants. These emissions are relevant for air quality in general, acidification and the spreading of toxic substances. In the empirical part of this report emphasis is laid on 'existing' incineration plants, being permitted before 1990. In chapter 2 of this report the implementation of the directives 89/369/EEC and 89/429/EEC in the Netherlands is described. In section 2.1 already existing 'older' Dutch policy and regulation is presented. In paragraph 2.2 the integration of the European Directives into Dutch national law is described. In chapter 2.3 the efforts and outcomes on monitoring and enforcement are presented. Chapter 3 goes into the environmental effectiveness. Section 3.1 describes the abatement performance of the whole municipal waste incineration sector during the period of research. Section 3.2 goes into factors that explain the environmental outcomes. Within the IMPOL research-team the decision was taken to concentrate on a number of pollutants of existing waste incinerators. In section 3.3 the data for the existing incinerators are given. In chapter 4 the allocative efficiency of adjustments is elaborated. In section 4.1 the abatement patterns of existing municipal waste incineration plants are presented

  14. Research paper 2000-B-4: adjustments in the Dutch electricity producing sector in the context of the European directive 88/609/EEC: a case study on national implementation, environmental effectiveness, allocative efficiency, productive efficiency and administrative costs

    Energy Technology Data Exchange (ETDEWEB)

    Lulofs, K. [Twente Univ., Center for Clean Technology and Environmental Policy, Enschede (Netherlands)

    2000-07-01

    Within the context of the IMPOL project several fields of European environmental policy are studied on aspects as national implementation and environmental and efficiency outcomes. For the IMPOL project a case study was done on the transformation of the Dutch electricity sector in the context of the European Directive 88/609/EEC. The indicators used in this report for environmental effectiveness, allocative efficiency, productive efficiency and administrative costs were chosen in line with a coordinating document (Eames, 1999). The European Directive 88/609/EEC regulates Large Combustion Plants on their SO{sub 2} and NO{sub x} emissions. These emissions are relevant for air quality and for the acidification problem. In the empirical part of this report emphasis is laid on the power plants as a specific sub-group of the large combustion plants. The report starts in chapter 2 with a description of the Dutch policy on acidification and regulation that existed when 88/609/EEC was issued. This way it is clarified that the formal implementation of the European Directive was done in the Netherlands with very little effort. In section 2.4 some major information on the structure of the electricity production sector is given as well as some insights into developments. In section 2.5 details on a covenant to reduce emissions from power plants is given. The electricity sector and the government agreed upon this document as a binding agenda for change. In section 2.6 information on monitoring and enforcement is given. In chapter 3, the environmental outcomes are discussed. First the emissions of all large combustion plants are presented in time series. Within the IMPOL research-team the decision was taken to concentrate on the SO{sub 2} emissions of power plants. Therefore, secondly the SO{sub 2} emissions of the power plants and the individual power plants are presented. This opens the possibility for an analysis of the found decrease of SO{sub 2} emissions. In section 3.3 the

  15. Requests for euthanasia in general practice before and after implementation of the Dutch Euthanasia Act.

    Science.gov (United States)

    van Alphen, Jojanneke E; Donker, Gé A; Marquet, Richard L

    2010-04-01

    The Netherlands was the first country in the world to implement a Euthanasia Act in 2002. It is unknown whether legalizing euthanasia under strict conditions influences the number and nature of euthanasia requests. To investigate changes in the number of, and reasons for, requests for euthanasia in Dutch general practice after implementation of the Euthanasia Act. Retrospective dynamic cohort study comparing 5 years before (1998-2002) and 5 years after (2003-2007) implementation of the Act. Standardised registration forms were used to collect data on requests for euthanasia via the Dutch Sentinel Practice Network. This network of 45 general practices is nationally representative by age, sex, geographic distribution, and population density. The mean annual incidence of requests before implementation amounted to 3.1/10,000 and thereafter to 2.8/10,000 patients. However, trends differed by sex. The number of requests by males decreased significantly from 3.7/10,000 to 2.6/10,000 (P = 0.008); the requests by females increased non-significantly from 2.6/10,000 to 3.1/10,000. Before and after implementation, cancer remained the major underlying disease for requesting euthanasia: 82% versus 77% for men; 73% versus 75% for females. Pain was a major reason for a request, increasing in the period before implementation (mean 27%), but declining in the period thereafter (mean 22%). Loss of dignity became a less important reason after implementation (from 18% to 10%, P = 0.04), predominantly due to a marked decrease in the number of females citing it as a reason (from 17% to 6%, P = 0.02). There was no increase in demand for euthanasia after implementation of the Euthanasia Act. Pain as a reason for requesting euthanasia showed an increasing trend before implementation, but declined thereafter. Loss of dignity as a reason declined, especially in females.

  16. Requests for euthanasia in general practice before and after implementation of the Dutch Euthanasia Act

    Science.gov (United States)

    van Alphen, Jojanneke E; Donker, Gé A; Marquet, Richard L

    2010-01-01

    Background The Netherlands was the first country in the world to implement a Euthanasia Act in 2002. It is unknown whether legalising euthanasia under strict conditions influences the number and nature of euthanasia requests. Aim To investigate changes in the number of, and reasons for, requests for euthanasia in Dutch general practice after implementation of the Euthanasia Act. Design of study Retrospective dynamic cohort study comparing 5 years before (1998–2002) and 5 years after (2003–2007) implementation of the Act. Method Standardised registration forms were used to collect data on requests for euthanasia via the Dutch Sentinel Practice Network. This network of 45 general practices is nationally representative by age, sex, geographic distribution, and population density. Results The mean annual incidence of requests before implementation amounted to 3.1/10 000 and thereafter to 2.8/10 000 patients. However, trends differed by sex. The number of requests by males decreased significantly from 3.7/10 000 to 2.6/10 000 (P = 0.008); the requests by females increased non-significantly from 2.6/10 000 to 3.1/10 000. Before and after implementation, cancer remained the major underlying disease for requesting euthanasia: 82% versus 77% for men; 73% versus 75% for females. Pain was a major reason for a request, increasing in the period before implementation (mean 27%), but declining in the period thereafter (mean 22%). Loss of dignity became a less important reason after implementation (from 18% to 10%, P = 0.04), predominantly due to a marked decrease in the number of females citing it as a reason (from 17% to 6%, P = 0.02). Conclusion There was no increase in demand for euthanasia after implementation of the Euthanasia Act. Pain as a reason for requesting euthanasia showed an increasing trend before implementation, but declined thereafter. Loss of dignity as a reason declined, especially in females. PMID:20353671

  17. The Dutch GOCE National User Group-Fact Sheet

    Science.gov (United States)

    Koop, R.; Visser, P.; Selig, A.; Ambrodius, B.

    2004-06-01

    Dutch groups and persons have been participating in GOCE activities from the early days of the project till now and are planning to stay involved until the goals of the mission will be realized. The activities, that actually go back all the way to the first ideas of the ARISTOTELES mission, have been evolving over many aspects of the mission, from instrument simulation via data processing to user applications. The groups now involved can rely on a long lasting expertise in the respective fields of interest: space geodesy, orbital mechanics, space research and technology, oceanography and geodynamics. In the context of GOCE, but also in related fields, the participating Dutch groups have established both national and international cooperation and reputation.

  18. The systematic implementation of Acceptance & Commitment Therapy (ACT) in Dutch multidisciplinary chronic pain rehabilitation

    NARCIS (Netherlands)

    Trompetter, H.R.; Schreurs, Karlein Maria Gertrudis; Heuts, Peter H.T.G.; Vollenbroek-Hutten, Miriam Marie Rosé

    2014-01-01

    Objective This study evaluates the implementation of Acceptance & Commitment Therapy (ACT) in Dutch chronic pain rehabilitation centers. Changes in multidisciplinary professionals’ self-perceived competencies in working with ACT were evaluated and corroborated with patients’ ratings of treatment

  19. Manual to proposed Dutch implementation of OSPAR's risk-based approach to the management of produced water discharges

    NARCIS (Netherlands)

    Vries, de P.; Tamis, J.E.

    2014-01-01

    This manual is intended to assist operators on the Dutch Continental Shelf in the application of the Dutch implementation of the risk-based approach (RBA). In essence all oil and gas platforms on the Dutch Continental Shelf (DCS) have to go through the risk management cycle at least once, where the

  20. The cachet dilemma: ritual and agency in new Dutch nationalism

    NARCIS (Netherlands)

    Verkaaik, O.

    2010-01-01

    In 2006, the Dutch government introduced a naturalization ceremony for foreigners wishing to become Dutch citizens. Local bureaucrats who organize the ceremony initially disapproved of the measure as symbolic of the neonationalist approach to migration. I analyze how their criticism is undermined in

  1. Alcoholic beverage preference and diet in a representative Dutch population: the Dutch national food consumption survey 2007-2010.

    Science.gov (United States)

    Sluik, D; van Lee, L; Geelen, A; Feskens, E J

    2014-03-01

    The habitual consumption of a specific type of alcoholic beverage may be related to the overall dietary pattern. The objective of this cross-sectional study was to investigate associations between alcoholic beverage preference and dietary intake in The Netherlands. A total of 2100 men and women from the Dutch National Food Consumption Survey 2007-2010 were studied. A general questionnaire assessed alcoholic beverage preference and two non-consecutive 24-h dietary recalls assessed overall diet. Mean nutrient and food group intakes, and adherence to the 2006 Dutch dietary guidelines across categories of alcoholic beverage preference were compared and adjusted for age, sex, body mass index (BMI), education, smoking, physical activity, energy intake and frequency and absolute alcohol consumption. Largest differences in dietary habits were detected between persons who preferred wine and those who preferred beer. Persons with a beer preference had a higher absolute intake of meat, soft drinks, margarine and snacks. In contrast, persons with a wine preference had a higher absolute consumption of healthy foods. However, after multiple adjustments, wine consumers still consumed less energy and more vegetables and fruit juices compared with beer consumers. Adherence to the Dutch dietary guidelines did not differ between preference categories after multiple adjustments. In this cross-sectional analysis in a representative sample of the Dutch population, a beer preference was associated with less healthy dietary behaviour, especially compared with wine preference. However, these differences were largely explained by other socio-demographic and lifestyle factors. These results suggest that alcoholic beverage preference may not be independently related to diet.

  2. 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

  3. National (Dis)identification and Ethnic and Religious Identity : A Study Among Turkish-Dutch Muslims

    NARCIS (Netherlands)

    Verkuyten, Maykel; Yildiz, Ali Aslan

    2007-01-01

    National (dis)identification is examined in three studies among Turkish-Dutch Muslim participants. In explaining national (dis)identification, the first study focuses on ethnic identity, the second on ethnic and religious identity, and the third on three dimensions of religious identity. Many

  4. Technology for transparency: The case of the web-based Dutch national health portal

    NARCIS (Netherlands)

    Ossebaard, Hans Cornelis; van Gemert-Pijnen, Julia E.W.C.; Seydel, E.R.

    2012-01-01

    Against a backdrop of New Public Management and healthcare system reform the Dutch Ministry of Health commissioned the National Institute for Public Health and the Environment (RIVM) to develop, host and manage an online public national health and care portal. The portal aims to facilitate consumer

  5. Globalisation of the National Judiciary and the Dutch Constitution

    Directory of Open Access Journals (Sweden)

    Elaine Mak

    2013-03-01

    Full Text Available This article examines the changing practices of the Dutch highest courts, the Hoge Raad and the Afdeling bestuursrechtspraak van de Raad van State, under the influence of globalisation, and the constitutional implications of this development. The increasing intertwinement of legal systems and the increasing possibilities for judges to interact with courts in foreign jurisdictions have stimulated the consideration of foreign legislation and case law in judicial decision-making in individual cases. An empirical study clarifies how the Dutch judges perceive the usefulness of legal comparisons in this context and how foreign law is used in deliberations and judgments. The constitutional implications of the changing practices of the courts are analysed in light of three aspects of the constitutional normative framework for judicial decision-making: the democratic justification of judicial decisions; legal tradition and the nature of cases; and the effectiveness and efficiency of judicial decision-making.

  6. Do general practitioners adhere to the guideline on infectious conjunctivitis? Results of the Second Dutch National Survey of General Practice

    Science.gov (United States)

    Rietveld, Remco P; ter Riet, Gerben; Bindels, Patrick JE; Schellevis, François G; van Weert, Henk CPM

    2007-01-01

    Background In 1996 the guideline 'The Red Eye' was first published by the Dutch College of General Practitioners. The extent to which general practitioners adhere to this guideline is unclear. Recently, data on the management of infectious conjunctivitis by general practitioners became available from the Second Dutch National Survey of General Practice. We measured the age-specific incidence of infectious conjunctivitis, described its management by Dutch general practitioners, and then compared these findings with the recommendations made in the guideline. Methods In 2001, over a 12-month period, data from all patient contacts with 195 general practitioners were taken from electronic medical records. Registration was episode-oriented; all consultations dealing with the same health problem were grouped into disease episodes. Data concerning all episodes of infectious conjunctivitis (ICPC-code F70 and sub codes) were analysed. Results Over one year, 5,213 new and recurrent episodes of infectious conjunctivitis were presented to general practitioners from a population of N = 375,899, resulting in an overall incidence rate of 13.9 per 1000 person-years, varying from more than 80/1000 py in children up to one-year old, to less than 12/1000 py in children over the age of 4. Topical ophthalmic ointments were prescribed in 87% of the episodes, of which 80% was antibiotic treatment. Fusidic acid gel was most frequently prescribed (69%). In most episodes general practitioners did not adhere to the guideline. Conclusion In 2001, the management of infectious conjunctivitis by Dutch general practitioners was not in accordance with the recommendations of the consensus-based guideline published five years previously, despite its wide distribution. In 2006 this guideline was revised. Its successful implementation requires more than distribution alone. Probably the most effective way to achieve this is by following a model for systemic implementation. PMID:17868475

  7. Do general practitioners adhere to the guideline on infectious conjunctivitis? Results of the Second Dutch National Survey of General Practice

    Directory of Open Access Journals (Sweden)

    Schellevis François G

    2007-09-01

    Full Text Available Abstract Background In 1996 the guideline 'The Red Eye' was first published by the Dutch College of General Practitioners. The extent to which general practitioners adhere to this guideline is unclear. Recently, data on the management of infectious conjunctivitis by general practitioners became available from the Second Dutch National Survey of General Practice. We measured the age-specific incidence of infectious conjunctivitis, described its management by Dutch general practitioners, and then compared these findings with the recommendations made in the guideline. Methods In 2001, over a 12-month period, data from all patient contacts with 195 general practitioners were taken from electronic medical records. Registration was episode-oriented; all consultations dealing with the same health problem were grouped into disease episodes. Data concerning all episodes of infectious conjunctivitis (ICPC-code F70 and sub codes were analysed. Results Over one year, 5,213 new and recurrent episodes of infectious conjunctivitis were presented to general practitioners from a population of N = 375,899, resulting in an overall incidence rate of 13.9 per 1000 person-years, varying from more than 80/1000 py in children up to one-year old, to less than 12/1000 py in children over the age of 4. Topical ophthalmic ointments were prescribed in 87% of the episodes, of which 80% was antibiotic treatment. Fusidic acid gel was most frequently prescribed (69%. In most episodes general practitioners did not adhere to the guideline. Conclusion In 2001, the management of infectious conjunctivitis by Dutch general practitioners was not in accordance with the recommendations of the consensus-based guideline published five years previously, despite its wide distribution. In 2006 this guideline was revised. Its successful implementation requires more than distribution alone. Probably the most effective way to achieve this is by following a model for systemic implementation.

  8. What makes a nationalist? Nationalism in the Dutch press coverage of Macedonia, 1991-1995

    NARCIS (Netherlands)

    Duynen, Michel van

    2014-01-01

    abstractThis article sheds light on the use of the words ‘nationalism’, ‘nationalist(s)’ and ‘nationalistic’in the news coverage of three Dutch newspapers about Macedonia during the breakup of Yugoslavia. A review of 280 newspaper articles shows that nationalism is often associated with extremism an

  9. Great narratives or isolated statements? History in the Dutch national museums (1800-1887)

    NARCIS (Netherlands)

    E. Bergvelt

    2011-01-01

    This essay asks why the Dutch national museums did not offer any coherent historical narratives in the nineteenth century, but only isolated objects that were not set into the context of a coherent narrative. After some preliminary remarks, I will give a summary of how the theme of history was appro

  10. Genetically modified organisms in food and feed : annual report 2010 of the Dutch National Reference Laboratory

    NARCIS (Netherlands)

    Scholtens-Toma, I.M.J.; Molenaar, B.; Zaaijer, S.; Voorhuijzen, M.M.; Prins, T.W.; Kok, E.J.

    2011-01-01

    This is the annual report of the Dutch National Reference Laboratory (NRL) for Genetically Modified Food and Feed (RIKILT - Institue of Food Safety). The report gives an overview of the NRL activities carried out in 2010. In 2010 RIKILT participated in one ring trial for inter laboratory validation

  11. Genetically modified organisms in food and feed : annual report of the Dutch National Reference Laboratory

    NARCIS (Netherlands)

    Scholtens-Toma, I.M.J.; Molenaar, B.; Zaaijer, S.; Voorhuijzen, M.M.; Prins, T.W.; Kok, E.J.

    2012-01-01

    This is the annual report of the Dutch National Reference Laboratory (NRL) for Genetically Modified Food and Feed (RIKILT - Institute of Food Safety). The report gives an overview of the NRL activities carried out in 2011. In 2011 both RIKILT and the Routine Field Laboratory of the Netherlands Food

  12. What makes a nationalist? Nationalism in the Dutch press coverage of Macedonia, 1991-1995

    NARCIS (Netherlands)

    Duynen, Michel van

    2014-01-01

    abstractThis article sheds light on the use of the words ‘nationalism’, ‘nationalist(s)’ and ‘nationalistic’in the news coverage of three Dutch newspapers about Macedonia during the breakup of Yugoslavia. A review of 280 newspaper articles shows that nationalism is often associated with extremism

  13. Developing a national performance indicator framework for the Dutch health system.

    NARCIS (Netherlands)

    Asbroek, A.H.A. ten; Arah, O.A.; Geelhoed, J.; Custers, J.; Delnoij, D.M.; Klazinga, N.S.

    2004-01-01

    Objective. To report on the first phase of the development of a national performance indicator framework for the Dutch health system. Methods. In January 2002, we initiated an informed interactive process with the intended users-policymakers at the Ministry of Health, Welfare and Sport—and academics

  14. Socio-economic status, dietary intake and 10 y trends: The Dutch National Food Consumption Survey

    NARCIS (Netherlands)

    Hulshof, K.F.A.M.; Brussaard, J.H.; Kruizinga, A.G.; Telman, J.; Löwik, M.R.H.

    2003-01-01

    Objective: To study differences in dietary intake between adults with different socioeconomic status (SES) and trends over time. Design: Cross-sectional study based on data of three Dutch National Food Consumption Surveys (DNFCS-1 1987/88; DNFCS-2 1992; DNFCS-3 1997/98), obtained from a panel by a

  15. The primacy of parliamentary proceedings. The members of the first Dutch National Assembly and the Dagverhaal

    NARCIS (Netherlands)

    J. Oddens

    2013-01-01

    In the age of the Dutch Republic, both political authors and the public lacked detailed information on the behaviour of political figures, because decision-making took place on a level to which neither groups had direct access. This often led writers who aimed at a national audi­ence to represent po

  16. Weather conditions and voter turnout in Dutch national parliament elections, 1971-2010

    NARCIS (Netherlands)

    Eisinga, R.N.; Grotenhuis, H.F. te; Pelzer, B.J.

    2012-01-01

    While conventional wisdom assumes that inclement weather on election day reduces voter turnout, there is remarkably little evidence available to support truth to such belief. This paper examines the effects of temperature, sunshine duration and rainfall on voter turnout in 13 Dutch national

  17. The primacy of parliamentary proceedings. The members of the first Dutch National Assembly and the Dagverhaal

    NARCIS (Netherlands)

    Oddens, J.

    2013-01-01

    In the age of the Dutch Republic, both political authors and the public lacked detailed information on the behaviour of political figures, because decision-making took place on a level to which neither groups had direct access. This often led writers who aimed at a national audi­ence to represent po

  18. Great narratives or isolated statements? History in the Dutch national museums (1800-1887)

    NARCIS (Netherlands)

    Bergvelt, E.

    2012-01-01

    This essay asks why the Dutch national museums did not offer any coherent historical narratives in the nineteenth century, but only isolated objects that were not set into the context of a coherent narrative. After some preliminary remarks, I will give a summary of how the theme of history was appro

  19. Guidance document for setting an Acute Reference Dose in Dutch national pesticide evaluations

    NARCIS (Netherlands)

    Raaij MTM van; CSR

    2001-01-01

    This report describes a proposal for the procedures for setting an Acute Reference Dose (ARfD) for pesticides evaluated in the Netherlands. This deals with both evaluations on the national level (on behalf of the Dutch Board for the Authorisation of Pesticides (CTB)) and evaluations at the European

  20. Demands of proper administrative conduct A research project into the ombudsprudence of the Dutch National Ombudsman

    NARCIS (Netherlands)

    Langbroek, P.M.; Rijpkema, P.

    2006-01-01

    In this article we explain and summarize a research project on the content and development of principles of proper administrative conduct as operated in complaints proceedings before the Dutch National Ombudsman and some local Ombudsman institutions. It shows how the project evolved into mainly a pr

  1. Preparing the Dutch delta for future droughts: model based support in the national Delta Programme

    Science.gov (United States)

    ter Maat, Judith; Haasnoot, Marjolijn; van der Vat, Marnix; Hunink, Joachim; Prinsen, Geert; Visser, Martijn

    2014-05-01

    Keywords: uncertainty, policymaking, adaptive policies, fresh water management, droughts, Netherlands, Dutch Deltaprogramme, physically-based complex model, theory-motivated meta-model To prepare the Dutch Delta for future droughts and water scarcity, a nation-wide 4-year project, called Delta Programme, is established to assess impacts of climate scenarios and socio-economic developments and to explore policy options. The results should contribute to a national adaptive plan that is able to adapt to future uncertain conditions, if necessary. For this purpose, we followed a model-based step-wise approach, wherein both physically-based complex models and theory-motivated meta-models were used. First step (2010-2011) was to make a quantitative problem description. This involved a sensitivity analysis of the water system for drought situations under current and future conditions. The comprehensive Dutch national hydrological instrument was used for this purpose and further developed. Secondly (2011-2012) our main focus was on making an inventory of potential actions together with stakeholders. We assessed efficacy, sell-by date of actions, and reassessed vulnerabilities and opportunities for the future water supply system if actions were (not) taken. A rapid assessment meta-model was made based on the complex model. The effects of all potential measures were included in the tool. Thirdly (2012-2013), with support of the rapid assessment model, we assessed the efficacy of policy actions over time for an ensemble of possible futures including sea level rise and climate and land use change. Last step (2013-2014) involves the selection of preferred actions from a set of promising actions that meet the defined objectives. These actions are all modeled and evaluated using the complex model. The outcome of the process will be an adaptive management plan. The adaptive plan describes a set of preferred policy pathways - sequences of policy actions - to achieve targets under

  2. Possibilities of implementation of bioavailability methods for organic contaminants in the Dutch Soil Quality Assessment Framework.

    Science.gov (United States)

    Brand, Ellen; Lijzen, Johannes; Peijnenburg, Willie; Swartjes, Frank

    2013-10-15

    In the Netherlands, risk assessment of contaminated soils is based on determining the total contaminant concentration. If this measured soil concentration exceeds the Soil Quality Standards (SQS) a higher tier risk evaluation must be performed. Experiences from the field have given rise to the perception that performing risk evaluations based on (measured) total concentrations may lead to an inaccurate assessment of the actual risks. Assuming that only the bioavailable fraction is capable of exerting adverse effects in the soil ecosystem, it is suggested, that by taking bioavailability into account in a (higher tier) risk evaluation, a more effect-based risk assessment can be performed. Bioavailability has been a subject of research for several decades. However up to now bioavailability has not been implemented in the Dutch Soil Quality Assessment Framework. First actions were taken in the Netherlands to determine whether the concept of bioavailability could be implemented in the risk assessment of contaminated soils and to find out how bioavailability can become part of the Dutch Soil Quality Assessment Framework. These actions have led to a concrete proposal for implementation of bioavailability methods in the risk assessment of organic contaminants in soils. This paper focuses on the chemical prediction of bioavailability for ecological risk assessment of contaminated soils.

  3. Results of a survey on the implementation of diagnostic reference levels for X-rays among Dutch hospitals.

    Science.gov (United States)

    Bijwaard, Harmen; Valk, Doreth; de Waard-Schalkx, Ischa

    2015-04-01

    Diagnostic reference levels (DRLs) for medical x-ray procedures are being implemented currently in the Netherlands. By order of the Dutch Healthcare Inspectorate, a survey has been conducted among 20 Dutch hospitals to investigate the level of implementation of the Dutch DRLs in current radiological practice. It turns out that hospitals are either well underway in implementing the DRLs or have already done so. However, the DRLs have usually not yet been incorporated in the QA system of the department nor in the treatment protocols. It was shown that the amount of radiation used, as far as it was indicated by the hospitals, usually remains below the DRLs. A procedure for comparing dose levels to the DRLs has been prescribed but is not always followed in practice. This is especially difficult in the case of children, as most general hospitals receive few children.

  4. INDIGENOUS LANGUAGE IMPLEMENTATION AND NATION ...

    African Journals Online (AJOL)

    NGOZI

    language teaching and use in the early child education stages can enhance nation building. .... Experience. 48 the second language learners (L2) and a multilingual nation. Is it ... banish the indigenous cultures and languages, but to erect a ...

  5. Specifying information needs for Dutch national policy evaluation

    NARCIS (Netherlands)

    Timmerman, J.G.; Beinat, E.; Termeer, C.J.A.M.; Cofino, W.P.

    2010-01-01

    There is mutual dissatisfaction among policy makers and monitoring specialists about producing what is considered useful information for policy development, implementation and evaluation. Insufficient or inappropriate communication between information users and producers is considered to be a main

  6. The systematic implementation of acceptance & commitment therapy (ACT) in Dutch multidisciplinary chronic pain rehabilitation.

    Science.gov (United States)

    Trompetter, Hester R; Schreurs, Karlein M G; Heuts, Peter H T G; Vollenbroek-Hutten, Miriam M

    2014-08-01

    This study evaluates the implementation of Acceptance & Commitment Therapy (ACT) in Dutch chronic pain rehabilitation centers. Changes in multidisciplinary professionals' self-perceived competencies in working with ACT were evaluated and corroborated with patients' ratings of treatment adherence. To inform subsequent implementation efforts, relevant determinants of implementation success were monitored and the relationship with self-perceived competencies over time was explored. Data was gathered from 111 professionals, 9 managers and 79 patients using questionnaires at the start (T0), halfway (T1) and end (T2) of implementation, and at the end of treatment. All professionals adhered to ACT, improved significantly in self-perceived competencies over time and rated competence in working with ACT ≥ adequate at T2. Determinants of success were evaluated extremely positive by professionals and management. Professionals' self-perceived competencies at T2 were most strongly related to ratings of more workload (b=-.43), and experienced difficulties in working with ACT (b=-.38) at T0 and T1. Multidisciplinary chronic pain rehabilitation professionals rated their improvement in working with ACT positively during the implementation period. Impeding and facilitating factors were explored successfully. A multi-faceted, long-term, educational, train-the-trainer approach may help to guide systematic changes in multidisciplinary treatment. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  7. Imagining the Nation in the Classroom: Belonging and Nationness in the Dutch Caribbean

    Directory of Open Access Journals (Sweden)

    Yvon van der Pijl

    2015-04-01

    Full Text Available This Exploration focuses on ideologies of belonging and feelings of nationness on the Dutch Caribbean islands of Sint Maarten and Sint Eustatius. The new constitutional framework that came into effect within the Kingdom of the Netherlands on 10 October 2010 conferred a new political status to these islands, thereby affecting the complexity of political subjectivity, nationness and belonging within the context of Caribbean nonsovereignty. The article presents primary schools as important ethnographic sites to study the (reconstruction of ideologies of belonging and senses of nationness. Here susceptible minds can be moulded into internalizing ideologies, through which children might be socialized into dividing their fellow citizens or citizens-to-be into those who belong and those who do not. Preliminary to extensive ethnographic field research, the authors assume transmigrancy and diasporic religion respectively as central features that might challenge current fictions of modern secular sovereignty.Resumen: Imaginando la nación en la clase: Pertenencia y nacionidad en el Caribe NeerlandésEsta Exploración se enfoca en las ideologías de pertenencia y en los sentimientos de nacionidad (nationness en las islas caribeñas holandesas de Sint Maarten y Sint Eustatius. El nuevo marco constitucional que entró en vigor en el Reino de los Países Bajos el 10 de octubre de 2010 confirió un nuevo estatus político a estas islas, con lo cual afectó a la complejidad de la subjetividad política, de la nacionidad y de la pertenencia en el contexto de la no soberanía caribeña. Este artículo presenta las escuelas de primaria como lugares etnográficos relevantes para estudiar la (reconstrucción de las ideologías de pertenencia y los sentimientos de nacionidad. En las aulas se pueden moldear las mentes susceptibles para que interioricen ideologías, a través de las cuales se podría socializar a los niños para que dividan a sus conciudadanos o a los

  8. [The Dutch National Colesterol Test: participants mainly healthy].

    Science.gov (United States)

    Deutekom, M; Aziz, Y; van Dis, I; Stronks, K; Bossuyt, P M M

    2008-11-01

    To determine, in people who participated in the Netherlands Heart Foundation's National Cholesterol Test in supermarkets, risk factors for cardiovascular disease and expectations concerning the test result using a questionnaire, and to compare their cholesterol levels with reference values. Descriptive study and questionnaire survey. Participants who underwent the National Cholesterol Test in 9 supermarkets during the summer of 2007 were invited to complete a short questionnaire about risk factors for cardiovascular disease and expectations concerning the test result. Statements about the intention to change behaviour were offered, and the measured total cholesterol level was recorded. The average age of the 684 respondents was 57 years (SD: 16); 72% were female. Participants had on average a lower risk of cardiovascular disease than the general population; they suffered less frequently from diabetes, hypertension and being overweight, and smoked less. The measured cholesterol level was 5.0-6.5 mmol/l in 37% and > 6.5 mmoll in 11%. Elevated cholesterol levels were less common in this group than in the general population. The intention to change behaviour was substantial. The results of this study showed that the National Cholesterol Test reached relatively many healthy, somewhat worried people. The intention to change behaviour was substantial.

  9. What makes a nationalist? Nationalism in the Dutch press coverage of Macedonia, 1991-1995

    OpenAIRE

    Duynen, Michel van

    2014-01-01

    abstractThis article sheds light on the use of the words ‘nationalism’, ‘nationalist(s)’ and ‘nationalistic’in the news coverage of three Dutch newspapers about Macedonia during the breakup of Yugoslavia. A review of 280 newspaper articles shows that nationalism is often associated with extremism and violence, and is selectively linked to specific national groups and movements.Drawing upon the social-scientific term ‘banal nationalism’, this study argues that the selectiveuse of words associa...

  10. National Authentication Framework Implementation Study

    Science.gov (United States)

    2009-12-01

    mapped to the user at the SP end. b. Criterion #2 In terms of criteron 2, for the Centralized Model, the use of a global identifier may require a...PPI to map currently-existing IDs with SPs to the new global identifier. The nature of the Federated Model supports this requirement organically...at 10 cm. Large-scale implementations include the Octopus Card in Hong Kong and the Ezylink card in Singapore. While the cost of a contactless smart

  11. An Assessment of Deltaplan: The Dutch National Preservation Strategy

    Directory of Open Access Journals (Sweden)

    Gerrit de Bruin

    2004-11-01

    Full Text Available I am very pleased to be here in this beautiful city, standing before colleagues and friends from the Library sector. In my opinion there are only emotional borders between Libraries, Museums and Archives. In a way we all are facing the same problems, challenges and obligations: ie, how to continue to build and preserve large collections and enhance their accessibility. So I prefer to speak of Institutions, which are helping to preserve the cultural heritage. In my lecture I will tell you about Deltaplan - its successes and its qualified successes. And I also want to tell you about the effects of Deltaplan on the institutions involved. Furthermore, I will tell you something of my own experiences collected during Deltaplan. Owing to the constraints of space, this is, of necessity, a selective appraisal. Libraries where excluded from Deltaplan. They got there own kind of plan in the Metamorfoze project, an initiative of the Netherlands Ministry of Education, Culture and Science and is coordinated by the National Preservation Office of the Netherlands of the Koninklijke Bibliotheek, the National Library of the Netherlands. Documents in archives, objects of art in museums and monuments are threatened by a silent decay. This decay is partly caused by air pollution, light, temperature and relative humidity; fungi, insects and rodents also play their parts; and last but not least by people consulting the original documents or books. Before Deltaplan there were conservation backlogs and no effective management strategies to clear them. Moreover, there were insufficient staff and resources across the sector. Also there were cataloguing backlogs, particularly in the museums. In addition the repositories were inadequate and no proper air conditioning had been installed. Restoration was the common policy in place, to restore materials item by item. As a result there was no overarching conservation plan or policy across the sector, a singular lack of

  12. The dissemination and implementation of national asthma ...

    African Journals Online (AJOL)

    The dissemination and implementation of national asthma guidelines in South ... This article describes the methodology of Outcome Mapping and illustrates this in ... in their own settings. South African Family Practice Vol. 49 (5) 2007: pp. 5-8 ...

  13. Cross-sectional study on factors hampering implementation of measles pre- and postexposure measures in Dutch hospitals during the 2013-2014 measles outbreak

    NARCIS (Netherlands)

    Fievez, L.C.R.; Wong, A.; Ruijs, W.L.M.; Meerstadt-Rombach, F.S.; Timen, A.

    2017-01-01

    BACKGROUND: This study examined adherence to national recommendations on measles pre- and postexposure measures, including immunization of health care workers (HCWs) in Dutch hospitals, during a national outbreak of measles in The Netherlands. This study also investigated which hospital

  14. News media coverage of euthanasia: a content analysis of Dutch national newspapers.

    Science.gov (United States)

    Rietjens, Judith A C; Raijmakers, Natasja J H; Kouwenhoven, Pauline S C; Seale, Clive; van Thiel, Ghislaine J M W; Trappenburg, Margo; van Delden, Johannes J M; van der Heide, Agnes

    2013-03-06

    The Netherlands is one of the few countries where euthanasia is legal under strict conditions. This study investigates whether Dutch newspaper articles use the term 'euthanasia' according to the legal definition and determines what arguments for and against euthanasia they contain. We did an electronic search of seven Dutch national newspapers between January 2009 and May 2010 and conducted a content analysis. Of the 284 articles containing the term 'euthanasia', 24% referred to practices outside the scope of the law, mostly relating to the forgoing of life-prolonging treatments and assistance in suicide by others than physicians. Of the articles with euthanasia as the main topic, 36% described euthanasia in the context of a terminally ill patient, 24% for older persons, 16% for persons with dementia, and 9% for persons with a psychiatric disorder. The most frequent arguments for euthanasia included the importance of self-determination and the fact that euthanasia contributes to a good death. The most frequent arguments opposing euthanasia were that suffering should instead be alleviated by better care, that providing euthanasia can be disturbing, and that society should protect the vulnerable. Of the newspaper articles, 24% uses the term 'euthanasia' for practices that are outside the scope of the euthanasia law. Typically, the more unusual cases are discussed. This might lead to misunderstandings between citizens and physicians. Despite the Dutch legalisation of euthanasia, the debate about its acceptability and boundaries is ongoing and both sides of the debate are clearly represented.

  15. Implementing a National Qualifications Framework in Lithuania

    Science.gov (United States)

    Tutlys, Vidmantas; Spudyte, Irma

    2011-01-01

    The design of the national qualifications framework (NQF) in Lithuania started in 2006. The NQF was officially approved by the government decree in May 2010. This article explores the influence of the processes of institutional change on the reform of the national system of qualifications in Lithuania through the implementation of the NQF, looking…

  16. Implementation of simulation in surgical practice: minimally invasive surgery has taken the lead: the Dutch experience.

    Science.gov (United States)

    Schreuder, Henk W R; Oei, Guid; Maas, Mario; Borleffs, Jan C C; Schijven, Marlies P

    2011-01-01

    Minimal invasive techniques are rapidly becoming standard surgical techniques for many surgical procedures. To develop the skills necessary to apply these techniques, box trainers and/or inanimate models may be used, but these trainers lack the possibility of inherent objective classification of results. In the past decade, virtual reality (VR) trainers were introduced for training minimal invasive techniques. Minimally invasive surgery (MIS) is, by nature, very suitable for this type of training. The specific psychomotor skills and eye-hand coordination needed for MIS can be mastered largely using VR simulation techniques. It is also possible to transfer skills learned on a simulator to real operations, resulting in error reduction and shortening of procedural operating time. The authors aim to enlighten the process of gaining acceptance in the Netherlands for novel training techniques. The Dutch Societies of Surgery, Obstetrics and Gynecology, and Urology each developed individual training curricula for MIS using simulation techniques, to be implemented in daily practice. The ultimate goal is to improve patient safety. The authors outline the opinions of actors involved, such as different simulators, surgical trainees, surgeons, surgical societies, hospital boards, government, and the public. The actual implementation of nationwide training curricula for MIS is, however, a challenging step.

  17. Governing climate change in Dutch cities: anchoring local climate strategies in organisation, policy and practical implementation

    NARCIS (Netherlands)

    Exter, den R.; Lenhart, J.L.; Kern, K.

    2015-01-01

    Although Dutch cities were among the forerunners in local climate policy, a systematic overview on climate mitigation and adaptation policy is still missing. This study aims to fill this gap by analysing 25 Dutch cities using indicators for the level of anchoring in policy, organisation and

  18. Implementation of the Dutch National Patient Safety Programme (VMS Veiligheidsprogramma): evaluation research in Dutch hospitals. Summary.

    NARCIS (Netherlands)

    Blok, C. de; Koster, E.; Schilp, J.; Wagner, C.

    2013-01-01

    Veel ziekenhuizen zijn op de goede weg, wel zijn er verschillen tussen ziekenhuisafdelingen in de implementatie van de thema’s uit het VMS Veiligheidsprogramma. Ziekenhuizen zijn niet even ver met alle tien de thema’s, wat betekent dat niet alle richtlijnen in dezelfde mate worden gevolgd. Dat blijk

  19. Best Practice Guidelines for the Use of Next-Generation Sequencing Applications in Genome Diagnostics : A National Collaborative Study of Dutch Genome Diagnostic Laboratories

    NARCIS (Netherlands)

    Weiss, Marjan M.; Van der Zwaag, Bert; Jongbloed, Jan D. H.; Vogel, Maartje J.; Bruggenwirth, Hennie T.; Deprez, Ronald H. Lekanne; Mook, Olaf; Ruivenkamp, Claudia A. L.; van Slegtenhorst, Marjon A.; van den Wijngaard, Arthur; Waisfisz, Quinten; Nelen, Marcel R.; van der Stoep, Nienke

    2013-01-01

    Next-generation sequencing (NGS) methods are being adopted by genome diagnostics laboratories worldwide. However, implementing NGS-based tests according to diagnostic standards is a challenge for individual laboratories. To facilitate the implementation of NGS in Dutch laboratories, the Dutch Societ

  20. Weather conditions and political party vote share in Dutch national parliament elections, 1971-2010.

    Science.gov (United States)

    Eisinga, Rob; Te Grotenhuis, Manfred; Pelzer, Ben

    2012-11-01

    Inclement weather on election day is widely seen to benefit certain political parties at the expense of others. Empirical evidence for this weather-vote share hypothesis is sparse however. We examine the effects of rainfall and temperature on share of the votes of eight political parties that participated in 13 national parliament elections, held in the Netherlands from 1971 to 2010. This paper merges the election results for all Dutch municipalities with election-day weather observations drawn from all official weather stations well distributed over the country. We find that the weather parameters affect the election results in a statistically and politically significant way. Whereas the Christian Democratic party benefits from substantial rain (10 mm) on voting day by gaining one extra seat in the 150-seat Dutch national parliament, the left-wing Social Democratic (Labor) and the Socialist parties are found to suffer from cold and wet conditions. Cold (5°C) and rainy (10 mm) election day weather causes the latter parties to lose one or two parliamentary seats.

  1. Implementation of PATHS through dutch municipal health services: A quasi-experiment

    NARCIS (Netherlands)

    Goossens, F.X.; Gooren, E.M.J.C.; Castro, B.O.de; Overveld, K.W.van; Buijs, G.J.; Monshouwer, K.; Onrust, S.A.; Paulussen, T.G.W.M.

    2012-01-01

    Only a limited number of effectiveness studies have been performed to study the benefits of efficacious behavior problems prevention programs for children when implemented through national health service systems. This study uses a quasi-experimental design to test the effectiveness of the school-bas

  2. RUSSIAN GOVERNMENTAL INDUSTRIAL POLICY IMPLEMENTATION OPTIONS: SEARCHING FOR THE WAY OF RECOVERY FROM “DUTCH DISEASE”

    Directory of Open Access Journals (Sweden)

    Sergey Kapkanshchikov

    2012-01-01

    Full Text Available Based on the market failure theory the author argues that market mechanism is unable to undertake solid structural change in the national economics concluding that establishment of the governmental industrial policy is necessary. Mechanism of the “Dutch disease” with its local implications is disclosed. On the basis of comparison of various industrial policy scenarios appropriate for the Russian economics the author defines the most suitable one.

  3. Bring up the Children: National and Religious Identity and Identification in Dutch Children's Historical Novels 1848-c.1870

    Science.gov (United States)

    Parlevliet, Sanne

    2014-01-01

    Historical fiction is a powerful way of transmitting national history to later generations. It emerged in the nineteenth century as a means of building identity and fostering solidarity. This article investigates Dutch historical novels for children. First, it explores the relation between educational ideas and historical novels for children,…

  4. Adherence by midwives to the Dutch national guidelines on threatened miscarriage in general practice: a prospective study.

    NARCIS (Netherlands)

    Fleuren, M.; Grol, R.; Haan, M. de; Wijkel, D.; Oudshoorn, C.

    1997-01-01

    Objective: To determine the feasibility for midwives to adhere to Dutch national guidelines on threatened miscarriage in general practice. Design: Prospective recording of appointments by midwives who agreed to adhere to the guidelines on threatened miscarriage. Interviews with the midwives after th

  5. Weather conditions and voter turnout in Dutch national parliament elections, 1971-2010.

    Science.gov (United States)

    Eisinga, Rob; Te Grotenhuis, Manfred; Pelzer, Ben

    2012-07-01

    While conventional wisdom assumes that inclement weather on election day reduces voter turnout, there is remarkably little evidence available to support truth to such belief. This paper examines the effects of temperature, sunshine duration and rainfall on voter turnout in 13 Dutch national parliament elections held from 1971 to 2010. It merges the election results from over 400 municipalities with election-day weather data drawn from the nearest weather station. We find that the weather parameters indeed affect voter turnout. Election-day rainfall of roughly 25 mm (1 inch) reduces turnout by a rate of one percent, whereas a 10-degree-Celsius increase in temperature correlates with an increase of almost one percent in overall turnout. One hundred percent sunshine corresponds to a one and a half percent greater voter turnout compared to zero sunshine.

  6. Weather conditions and voter turnout in Dutch national parliament elections, 1971-2010

    Science.gov (United States)

    Eisinga, Rob; Te Grotenhuis, Manfred; Pelzer, Ben

    2012-07-01

    While conventional wisdom assumes that inclement weather on election day reduces voter turnout, there is remarkably little evidence available to support truth to such belief. This paper examines the effects of temperature, sunshine duration and rainfall on voter turnout in 13 Dutch national parliament elections held from 1971 to 2010. It merges the election results from over 400 municipalities with election-day weather data drawn from the nearest weather station. We find that the weather parameters indeed affect voter turnout. Election-day rainfall of roughly 25 mm (1 inch) reduces turnout by a rate of one percent, whereas a 10-degree-Celsius increase in temperature correlates with an increase of almost one percent in overall turnout. One hundred percent sunshine corresponds to a one and a half percent greater voter turnout compared to zero sunshine.

  7. ISO 14001 IMPLEMENTATION AT A NATIONAL LABORATORY.

    Energy Technology Data Exchange (ETDEWEB)

    BRIGGS,S.L.K.

    2001-06-01

    After a tumultuous year discovering serious lapses in environment, safety and health management at Brookhaven National Laboratory, the Department of Energy established a new management contract. It called for implementation of an IS0 14001 Environmental Management System and registration of key facilities. Brookhaven Science Associates, the managing contractor for the Laboratory, designed and developed a three-year project to change culture and achieve the goals of the contract. The focus of its efforts were to use IS0 14001 to integrate environmental stewardship into all facets of the Laboratory's mission, and manage its programs in a manner that protected the ecosystem and public health. A large multidisciplinary National Laboratory with over 3,000 employees and 4,000 visiting scientists annually posed significant challenges for IS0 14001 implementation. Activities with environmental impacts varied from regulated industrial waste generation, to soil activation from particle accelerator operations, to radioactive groundwater contamination from research reactors. A project management approach was taken to ensure project completion on schedule and within budget. The major work units for the Environmental Management System Project were as follows: Institutional EMS Program Requirements, Communications, Training, Laboratory-wide Implementation, and Program Assessments. To minimize costs and incorporate lessons learned before full-scale deployment throughout the Laboratory, a pilot process was employed at three facilities. Brookhaven National Laboratory has completed its second year of the project in the summer of 2000, successfully registering nine facilities and self-declaring conformance in all remaining facilities. Project controls, including tracking and reporting progress against a model, have been critical to the successful implementation. Costs summaries are lower than initial estimates, but as expected legal requirements, training, and assessments are key

  8. Quality systems in Dutch health care institutions.

    NARCIS (Netherlands)

    Casparie, A.F.; Sluijs, E.M.; Wagner, C.; Bakker, D.H. de

    1997-01-01

    The implementation of quality systems in Dutch health care was supervised by a national committee during 1990-1995. To monitor the progress of implementation a large survey was conducted in the beginning of 1995. The survey enclosed all subsectors in health care. A postal questionnaire-derived fr

  9. All EU-citizens are equal but some enjoy more rights than others : Exploring Rights of Dutch Nationals under European Immigration Rules

    NARCIS (Netherlands)

    Oosterom-Staples, H.

    2014-01-01

    This contribution explores the position of Dutch nationals who wish to be reunited with their family members in the Netherlands, by addressing the cause of this differential treatment under EU law, in particular the exceptions to the rule created by the CJ EU. How have the Dutch authorities responde

  10. All EU-citizens are equal but some enjoy more rights than others : Exploring Rights of Dutch Nationals under European Immigration Rules

    NARCIS (Netherlands)

    Oosterom-Staples, H.

    2014-01-01

    This contribution explores the position of Dutch nationals who wish to be reunited with their family members in the Netherlands, by addressing the cause of this differential treatment under EU law, in particular the exceptions to the rule created by the CJ EU. How have the Dutch authorities responde

  11. First cannabis use: does onset shift to younger ages? Findings from 1988 tot 2003 from the Dutch National School Survey on Substance Use

    NARCIS (Netherlands)

    Monshower, K.; Smit, H.F.E.; De Graaf, R.; Vollebergh, w.

    2005-01-01

    Aims To investigate the hypothesis that changes in cannabis prevalence among Dutch secondary school students (aged 12-17 years) were paralleled by shifts in the age of Krst cannahis use. Design and participants Data were derived from five waves (1988. 1992. 1996.1999 and 2003) of the Dutch National

  12. Cross-national comparison of capitation funding: the American, British and Dutch experience.

    Science.gov (United States)

    Persaud, D; Narine, L

    1999-05-01

    In this paper we review the performance of the capitation payment systems of three countries--the Adjusted Average Per Capita Cost (AAPCC) system used in the United States to reimburse Health Maintenance Organizations (HMOs) for insuring Medicare recipients, a somewhat similar system in the Netherlands which reimburses third-party payers for insuring the entire population and a weighted system utilized in Britain for regional funding. Our review revealed significant problems with the current version of the AAPCC formula as there is evidence of the biased selection of beneficiaries and actual losses to Medicare through its use. Furthermore, several studies show that the demographic adjusters utilized in the AAPCC formula are extremely poor predictors of future healthcare utilization relative to the potential of direct and indirect health status measures. The Dutch experience with capitated funding has been similar to that of the United States. While Dutch researchers have built on the work of their American counterparts they acknowledge that further work is needed before a fully functional system is implemented. Britain's weighted system has fulfilled its original mandate to redistribute healthcare resources based on population need but recent changes giving increased influence to age weighting could reverse some of these gains. A number of proposed improvements to these risk adjustment problems were reviewed including the development of diagnostic cost groups, the coexisting hierarchical conditions model and the use of community-rated high-risk pooling. The findings from this study can help others narrow the alternatives they need to consider when thinking of introducing capitation funding or refining already existing systems.

  13. Participation in national celebrations and commemorations: The role of socialization and nationalism in the Dutch context.

    Science.gov (United States)

    Lubbers, Marcel; Meuleman, Roza

    2016-01-01

    National celebrations and commemorations are believed to increase national cohesion. It is unknown however who participates in these activities. In this contribution, we address to what extent socialization by the parents and school, and integration into religious intermediary groups affect participation in national celebrations and commemorations. With the strong reference to the relevance of the nation in national days, we also hypothesize about the association between nationalist attitudes and national day participation. We chose the Netherlands as test case, with its institutionalized national days to remember war victims, to celebrate freedom and to celebrate the Monarchy. Relying on a national survey (LISS; N = 4559), our findings show that the transmission of parental behaviours is crucial for taking part in national celebrations and commemorative events. Schooling and integration in religious groups only affect specific forms of national celebrations and commemorations. In line with US based research on flagging the Stars and Stripes, we find that national day participation in this European country is affected by patriotic attitudes rather than by chauvinistic attitudes.

  14. The Dutch 'Focus on Strength' intervention study protocol : programme design and production, implementation and evaluation plan

    NARCIS (Netherlands)

    Ten Hoor, G A; Kok, G; Rutten, G M; Ruiter, R A C; Kremers, S P J; Schols, Annemie; Plasqui, G

    2016-01-01

    BACKGROUND: Overweight youngsters are better in absolute strength exercises than their normal-weight counterparts; a physiological phenomenon with promising psychological impact. In this paper we describe the study protocol of the Dutch, school-based program 'Focus on Strength' that aims to improve

  15. Reasons for contract changes in implementing Dutch transportation infrastructure projects: An empirical exploration

    NARCIS (Netherlands)

    S. Verweij (Stefan); I.F. van Meerkerk (Ingmar); I.A. Korthagen (Iris)

    2015-01-01

    markdownabstract__Abstract__ An important contributor to cost overruns of infrastructure projects is contract changes after the construction contract has been concluded. Using mainly descriptive statistics and non-parametric tests, real project data were analyzed from forty-five Dutch

  16. What factors increase Dutch child health care professionals' adherence to a national guideline on preventing child abuse and neglect?

    Science.gov (United States)

    Konijnendijk, Annemieke A J; Boere-Boonekamp, Magda M; Fleuren, Margot A H; Haasnoot, Maria E; Need, Ariana

    2016-03-01

    Guidelines to support health care professionals in early detection of, and responses to, suspected Child Abuse and Neglect (CAN) have become increasingly widely available. Yet little is known about professionals' adherence to these guidelines or the determinants that affect their uptake. This study used a cross-sectional design to assess the adherence of Dutch Child Health Care (CHC) professionals to seven key activities described in a national guideline on preventing CAN. This study also examined the presence and strengths of determinants of guideline adherence. Online questionnaires were filled in between May and July 2013 by 164 CHC professionals. Adherence was defined as the extent to which professionals performed each of seven key activities when they suspected CAN. Thirty-three determinants were measured in relation to the guideline, the health professional, the organisational context and the socio-political context. Bivariate and multivariate regression analyses tested associations between determinants and guideline adherence. Most of the responding CHC professionals were aware of the guideline and its content (83.7%). Self-reported rates of full adherence varied between 19.5% and 42.7%. Stronger habit to use the guideline was the only determinant associated with higher adherence rates in the multivariate analysis. Understanding guideline adherence and associated determinants is essential for developing implementation strategies that can stimulate adherence. Although CHC professionals in this sample were aware of the guideline, they did not always adhere to its key recommended activities. To increase adherence, tailored interventions should primarily focus on enhancing habit strength.

  17. What is the degree of innovation routinely implemented in Dutch radiotherapy centres? A multicentre cross-sectional study.

    Science.gov (United States)

    Jacobs, Maria; Boersma, Liesbeth; Dekker, Andre; Bosmans, Geert; van Merode, Frits; Verhaegen, Frank; de Ruysscher, Dirk; Swart, Rachelle; Kengen, Cindy; Lambin, Philippe

    2016-11-01

    To study the implementation of innovation activities in Dutch radiotherapy (RT) centres in a broad sense (product, technological, market and organizational innovations). A descriptive cross-sectional study was conducted in 15 Dutch RT centres. A list of innovations implemented from 2011 to 2013 was drawn up for each centre using semi-structured interviews. These innovations were classified into innovation categories according to previously defined innovation indicators. Where applicable, each innovation was rated by each centre on the effort required to implement it and on its expected effects, to get an impression of how far reaching and radical the innovations were and to be able to compare the number of innovations between centres. The participating RT centres in the Netherlands implemented 12 innovations per year on average (range 5-25); this number was not significantly different for academic (n = 13) or non-academic centres (n = 10). Several centres were dealing with the same innovations at the same time. The average required effort and expected output did not differ significantly between product, technological and organizational innovation or between academic and non-academic centres. The number of innovations observed per centre varied across a large range, with a large overlap in terms of the type of innovations that were implemented. Registering innovations using the innovation indicators applied in our study would make it possible to improve collaboration between centres, e.g. with common training modules, to avoid duplication of work. Advances in knowledge: This study is the first of its kind investigating innovation implementation in RT in a broad sense.

  18. What is the degree of innovation routinely implemented in Dutch radiotherapy centres? A multicentre cross-sectional study

    Science.gov (United States)

    Boersma, Liesbeth; Dekker, Andre; Bosmans, Geert; van Merode, Frits; Verhaegen, Frank; de Ruysscher, Dirk; Swart, Rachelle; Kengen, Cindy; Lambin, Philippe

    2016-01-01

    Objective: To study the implementation of innovation activities in Dutch radiotherapy (RT) centres in a broad sense (product, technological, market and organizational innovations). Methods: A descriptive cross-sectional study was conducted in 15 Dutch RT centres. A list of innovations implemented from 2011 to 2013 was drawn up for each centre using semi-structured interviews. These innovations were classified into innovation categories according to previously defined innovation indicators. Where applicable, each innovation was rated by each centre on the effort required to implement it and on its expected effects, to get an impression of how far reaching and radical the innovations were and to be able to compare the number of innovations between centres. Results: The participating RT centres in the Netherlands implemented 12 innovations per year on average (range 5–25); this number was not significantly different for academic (n = 13) or non-academic centres (n = 10). Several centres were dealing with the same innovations at the same time. The average required effort and expected output did not differ significantly between product, technological and organizational innovation or between academic and non-academic centres. Conclusion: The number of innovations observed per centre varied across a large range, with a large overlap in terms of the type of innovations that were implemented. Registering innovations using the innovation indicators applied in our study would make it possible to improve collaboration between centres, e.g. with common training modules, to avoid duplication of work. Advances in knowledge: This study is the first of its kind investigating innovation implementation in RT in a broad sense. PMID:27660890

  19. History as a money launderer? The Dutch and their national history.

    NARCIS (Netherlands)

    Megens, Catharina

    2012-01-01

    The article analyses the importance of historiography for the construction of cultural identity and hence discusses the Dutch canon. This master narrative offers an overview of Dutch history and culture on the basis of 50 subjects. The list was drawn at the insistence of politicians to counter the d

  20. Genetically modified organisms in food and feed : annual report 2012 of the Dutch National Reference Laboratory

    NARCIS (Netherlands)

    Scholtens-Toma, I.M.J.; Molenaar, B.; Zaaijer, S.; Prins, T.W.; Kok, E.J.

    2013-01-01

    This is the annual report of the Dutch Reference Laboratory (NRL) for Genetically Modified Food and Feed (RIKILT Wageningen UR). The report gives an overview of the NRL activities carried out in 2012. In 2012 the two Dutch Official Laboratories participated in several proficiency tests with good res

  1. National prestige and economic interest : Dutch diplomacy toward Japan 1850-1863

    NARCIS (Netherlands)

    Kogure, Minori

    2008-01-01

    This thesis discusses Dutch diplomacy with respect to Japan in the period 1850-1863, predominantly on the basis of Dutch primary sources that were not widely known or not published until present. The political and economical importance of the Netherlands East Indies made Asian Affairs always essenti

  2. History as a money launderer? The Dutch and their national history.

    NARCIS (Netherlands)

    Megens, Catharina

    2012-01-01

    The article analyses the importance of historiography for the construction of cultural identity and hence discusses the Dutch canon. This master narrative offers an overview of Dutch history and culture on the basis of 50 subjects. The list was drawn at the insistence of politicians to counter the d

  3. Challenges of Implementing Iranian National Laboratory Standards

    Directory of Open Access Journals (Sweden)

    S Mahdavi

    2013-01-01

    Full Text Available After four years of publishing the Iranian National Laboratory Standard and following a strategic plan to implement its requirements, it was decided to review the taken actions, evaluating the achievements and the failures, as well as analyzing the gaps and planning the interventional activities to resolve the problems. A thorough evaluation revealed that the progress of implementation process varies considerably in different provinces, as well as in laboratories in different public and private sectors. Diversity and heterogeneousity of laboratories throughout the country is one of unresolvable problems. Although we encounter shortage of resources in the country, improper allocation or distribution of resources and budgets make the problems more complicated. Inadequacy of academic training in laboratory sciences has resulted in necessity of holding comprehensive post-graduate training courses. Revising academic curriculum of laboratory sciences could be mostly helpful, moreover there should be organized, training courses with pre-determined practical topics. providing specific technical guidelines, to clarify the required technical details could temporarily fill the training gaps of laboratory staff. Inadequate number of competent auditors was one of the difficulties in universities. Another important challenge returns to laboratory equipment, developing the national controlling system to manage the laboratory equipment in terms of quality and accessibility has been planned in RHL. At last cultural problems and resistance to change are main obstacles that have reduced the pace of standardization, it needs to rationalize the necessity of establishing laboratory standards for all stakeholders.

  4. Challenges of implementing Iranian national laboratory standards.

    Science.gov (United States)

    Safadel, N; Dahim, P; Anjarani, S; Rahnamaye Farzami, M; Samiee, S Mirab; Amini, R; Farsi, Sh; Mahdavi, S; Khodaverdian, K; Rashed Marandi, F

    2013-01-01

    After four years of publishing the Iranian National Laboratory Standard and following a strategic plan to implement its requirements, it was decided to review the taken actions, evaluating the achievements and the failures, as well as analyzing the gaps and planning the interventional activities to resolve the problems. A thorough evaluation revealed that the progress of implementation process varies considerably in different provinces, as well as in laboratories in different public and private sectors. Diversity and heterogeneousity of laboratories throughout the country is one of unresolvable problems. Although we encounter shortage of resources in the country, improper allocation or distribution of resources and budgets make the problems more complicated. Inadequacy of academic training in laboratory sciences has resulted in necessity of holding comprehensive post-graduate training courses. Revising academic curriculum of laboratory sciences could be mostly helpful, moreover there should be organized, training courses with pre-determined practical topics. providing specific technical guidelines, to clarify the required technical details could temporarily fill the training gaps of laboratory staff. Inadequate number of competent auditors was one of the difficulties in universities. Another important challenge returns to laboratory equipment, developing the national controlling system to manage the laboratory equipment in terms of quality and accessibility has been planned in RHL. At last cultural problems and resistance to change are main obstacles that have reduced the pace of standardization, it needs to rationalize the necessity of establishing laboratory standards for all stakeholders.

  5. Adaptation of a difficult-to-manage asthma programme for implementation in the Dutch context: a modified e-Delphi.

    Science.gov (United States)

    Honkoop, Persijn J; Pinnock, Hilary; Kievits-Smeets, Regien M M; Sterk, Peter J; Dekhuijzen, P N Richard; In 't Veen, Johannes C C M

    2017-02-09

    Patients with difficult-to-manage asthma represent a heterogeneous subgroup of asthma patients who require extensive assessment and tailored management. The International Primary Care Respiratory Group approach emphasises the importance of differentiating patients with asthma that is difficult to manage from those with severe disease. Local adaptation of this approach, however, is required to ensure an appropriate strategy for implementation in the Dutch context. We used a modified three-round e-Delphi approach to assess the opinion of all relevant stakeholders (general practitioners, pulmonologists, practice nurses, pulmonary nurses and people with asthma). In the first round, the participants were asked to provide potentially relevant items for a difficult-to-manage asthma programme, which resulted in 67 items. In the second round, we asked participants to rate the relevance of specific items on a seven-point Likert scale, and 46 items were selected as relevant. In the third round, the selected items were categorised and items were ranked within the categories according to relevance. Finally, we created the alphabet acronym for the categories 'the A-I of difficult-to-manage asthma' to resonate with an established Dutch 'A-E acronym for determining asthma control'. This should facilitate implementation of this programme within the existing structure of educational material on asthma and chronic obstructive pulmonary disease (COPD) in primary care, with potential for improving management of difficult-to-manage asthma. Other countries could use a similar approach to create a locally adapted version of such a programme.

  6. The National Tuberculosis Programme and its implementation.

    Science.gov (United States)

    Banerji, D

    1995-01-01

    India has formulated a nationally applicable, socially acceptable, and epidemiologically effective National Tuberculosis Program (NTP), which served as an example for many other countries. In the 1940s, the New Delhi Tuberculosis Center pioneered organized domiciliary treatment of TB cases; the Union Mission Tuberculosis Sanatorium, Madanapalle, had started conducting epidemiological surveys in the late 1930s; the 1954-56 national sample survey of TB is still considered a classic; and this was followed by outstanding longitudinal surveys and epidemiological studies demonstrating that BCG does not provide protection to adults against TB. Halfdan Mahler joined P.V. Benjamin in launching the National BCG Campaign in the 1950s. India demonstrated in the 1950s that home treatment of patients is as efficacious as sanatorium treatment. The National Tuberculosis Institute was set up in 1959 with the specific mandate of making TB services available to larger masses of people. Social science data were also collected to show that TB patients were seeking help from health institutions; they helped diagnose patients in remote rural areas, they proved that the TB program had to be part of the general health services, and they demonstrated the epidemiological potential of a felt-need oriented TB program. The NTP diagnosed TB cases in rural institutions by sputum examination and treated them with chemotherapy. The Tuberculosis Center at district headquarters (DTC) was responsible for providing training to health workers, keeping track of all TB cases and referring them. By 1983-84, the NTP program had been implemented in 353 districts and during that year 1,308,880 cases were treated. Nevertheless, hundreds of thousands of infectious patients are not treated because health authorities put priority on child immunization and are preoccupied with malaria and family planning. The indifference of the bureaucracy and public health leadership is to be blamed for thousands of TB deaths

  7. Implementation of quality of life monitoring in Dutch routine care of adolescents with type 1 diabetes: appreciated but difficult.

    Science.gov (United States)

    Eilander, Minke; de Wit, Maartje; Rotteveel, Joost; Maas-van Schaaijk, Nienke; Roeleveld-Versteegh, Angelique; Snoek, Frank

    2016-03-01

    Monitoring quality of life (QoL) improves well-being and care satisfaction of adolescents with type 1 diabetes. We set out to evaluate the implementation of the program DAWN (Diabetes Attitudes Wishes and Needs) MIND-Youth (Monitoring Individual Needs in Young People With Diabetes) (DM-Y), in which Dutch adolescents' QoL is assessed with the MIND Youth Questionnaire (MY-Q) and its outcomes are discussed. Successful implementation of DM-Y warrants close study of experienced barriers and facilitators as experienced by diabetes care teams as well as adolescents and parents. The study was conducted in 11 self-selected Dutch pediatric diabetes clinics. A mixed methods approach was used. Ten diabetes teams (26 members) were interviewed; 36 team members, 29 adolescents, and 66 parents completed an online survey. Two of 10 teams successfully implemented DM-Y. Whereas 92% of teams valued DM-Y as a useful addition to routine care, most clinics were not able to continue because of logistical problems (lack of time and manpower). Still, all teams had the ambition to make DM-Y integral part of routine care in the nearby future. Seventy-nine percentage of the parents and 41% of the adolescents appreciated the usage of MY-Q, same percentage of adolescents neutral. DM-Y is highly appreciated by teams, as well as adolescents and parents, but for most clinics it is difficult to implement. More effort should be paid to resolve logistic problems in order to facilitate dissemination of DM-Y in care nationwide. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  8. 77 FR 35471 - National Environmental Policy Act Implementation

    Science.gov (United States)

    2012-06-13

    ... Federal Railroad Administration National Environmental Policy Act Implementation AGENCY: Federal Railroad...) or environmental impact statement (EIS) under the National Environmental Policy Act (NEPA). FRA's... National Environmental Policy Act (Nov. 23, 2010), FRA consulted with CEQ prior to publishing this...

  9. The Katayama syndrome; an outbreak in Dutch tourists to the Omo National Park, Ethiopia.

    Science.gov (United States)

    Zuidema, P J

    1981-03-01

    The Katayama syndrome, the early stage of schistosomal disease, occurs 3 to 6 weeks after infection. The main symptoms are fever, urticaria, oedema and general malaise. Eosinophilia is a constant finding. The syndrome developed in a group of Dutch tourists after a visit in early November 1975 to the Omo National Park, southwest Ethiopia. Eight out of 10 infected persons became clinically ill. The incubation period varied from 4 to 41 days with a mean of 26 days. Pyrexia occurred in 6 patients, usually associated with headache and muscle pains; only to one patient the fever lasted for more than two weeks. Fever followed by oedema was present in one patient. Two patients were afebrile, one suffered from urticaria, the other from general malaise. Two visitors remained asymptomatic, but the results of serological tests showed that they were also infected. The liver function was disturbed in one patient during the febrile period and further deteriorated during treatment with niridazole. S. mansoni eggs were detected in small numbers in two patients, 6 months and 19 months after infection. Obviously the tourists harboured few adult worms. They probably had been infected by few cercariae; the possibility that they were infected by cercariae of a S. mansoni strain not well adapted to man was considered.

  10. 78 FR 34177 - Implementation of the 2008 National Ambient Air Quality Standards for Ozone: State Implementation...

    Science.gov (United States)

    2013-06-06

    ... the 2008 National Ambient Air Quality Standards for Ozone: State Implementation Plan Requirements... Ambient Air Quality Standards for Ozone: State Implementation Plan Requirements AGENCY: Environmental... 2008 ozone national ambient air quality standards (NAAQS) (the ``2008 ozone NAAQS'') that...

  11. ExternE National Implementation Finland

    Energy Technology Data Exchange (ETDEWEB)

    Pingoud, K.; Maelkki, H.; Wihersaari, M.; Pirilae, P. [VTT Energy, Espoo (Finland); Hongisto, M. [Imatran Voima Oy, Vantaa (Finland); Siitonen, S. [Ekono Energy Ltd, Espoo (Finland); Johansson, M. [Finnish Environment Institute, Helsinki (Finland)

    1999-07-01

    ExternE National Implementation is a continuation of the ExternE Project, funded in part by the European Commission's Joule III Programme. This study is the result of the ExternE National Implementation Project for Finland. Three fuel cycles were selected for the Finnish study: coal, peat and wood-derived biomass, which together are responsible for about 40% of total electricity generation in Finland and about 75% of the non-nuclear fuel based generation. The estimated external costs or damages were dominated by the global warming (GW) impacts in the coal and peat fuel cycles, but knowledge of the true GW impacts is still uncertain. From among other impacts that were valued in monetary terms the human health damages due to airborne emissions dominated in all the three fuel cycles. Monetary valuation for ecosystem impacts is not possible using the ExternE methodology at present. The Meri-Pori power station representing the coal fuel cycle is one of the world's cleanest and most efficient coal-fired power plants with a condensing turbine. The coal is imported mainly from Poland. The estimated health damages were about 4 mECU/kWh, crop damages an order of magnitude lower and damages caused to building materials two orders of magnitude lower. The power stations of the peat and biomass fuel cycles are of CHP type, generating electricity and heat for the district heating systems of two cities. Their fuels are of domestic origin. The estimated health damages allocated to electricity generation were about 5 and 6 mECU/kWh, respectively. The estimates were case-specific and thus an generalisation of the results to the whole electricity generation in Finland is unrealistic. Despite the uncertainties and limitations of the methodology, it is a promising tool in the comparison of similar kinds of fuel cycles, new power plants and pollution abatement technologies and different plant locations with each other. (orig.)

  12. Implementing Human Resources Management (HRM) within Dutch VET schools: Examining the fostering and hindering factors

    NARCIS (Netherlands)

    Runhaar, P.R.; Sanders, K.

    2013-01-01

    Vocational Education and Training (VET) Institutions face serious challenges, like the implementation of competence-based education and upcoming teacher shortages, which urge them to implement Human Resources Management policy and practices (HRM). The implementation of HRM, however, often stagnates.

  13. 78 FR 34964 - Implementation of the 2008 National Ambient Air Quality Standards for Ozone: State Implementation...

    Science.gov (United States)

    2013-06-11

    ... AGENCY 40 CFR Parts 50, 51, 70 and 71 Implementation of the 2008 National Ambient Air Quality Standards... proposed rule ``Implementation of the 2008 National Ambient Air Quality Standards for Ozone: State... proposed rulemaking proposes to implement the 2008 ozone national ambient air quality standards...

  14. National And European Law: Problem Of Implementation

    Directory of Open Access Journals (Sweden)

    Olga M. Mesheriakova

    2014-09-01

    Full Text Available Present article is devoted to one of the main problems for all integration communities –problem of implementation of the integration law norms in the national legal system of member states. Author, on the example of certain member states of the European Union considers mechanism of the European Union law action in it's member states. In the article constitutional norms of the number of member states which set a ratio of the national and European laws are analyzed. According to the principle of competence giving, member states voluntary transfer part of the competence to the European Union. Competences which are transferred to the member states are the competences of the European Union. In the course of research author investigates opinions of scientists and analyze regulations. Author pays separate attention to the question of the European Union creation. For example, author notes that consideration by the Federal Constitutional Court in Karlsruhe of the question of compliance of the Treaty to the Constitution of Germany became neither more nor less a most important milestone on the way of Treaty on the European Union ratification by Germany. In the decision on this matter Court defined a number of reference points for the purpose of possible excise if the European integration elimination out of those limits which are set for the government of Germany by its Constitution. The decision of the Constitutional Court of Germany though meant approval of the Treaty on the European Union in the political sense, it was nevertheless unambiguously directed against broad interpretation and federalist vision of the European integration. It is obvious that states, on the basis of constitutional norms may leave contracts that are burdensome for them. It concerns not only international treaties, but also Treaties of the European Union.

  15. Adaptation of a difficult-to-manage asthma programme for implementation in the Dutch context: a modified e-Delphi

    Science.gov (United States)

    Honkoop, Persijn J; Pinnock, Hilary; Kievits-Smeets, Regien M M; Sterk, Peter J; Dekhuijzen, P N Richard; in ’t Veen, Johannes C C M

    2017-01-01

    Patients with difficult-to-manage asthma represent a heterogeneous subgroup of asthma patients who require extensive assessment and tailored management. The International Primary Care Respiratory Group approach emphasises the importance of differentiating patients with asthma that is difficult to manage from those with severe disease. Local adaptation of this approach, however, is required to ensure an appropriate strategy for implementation in the Dutch context. We used a modified three-round e-Delphi approach to assess the opinion of all relevant stakeholders (general practitioners, pulmonologists, practice nurses, pulmonary nurses and people with asthma). In the first round, the participants were asked to provide potentially relevant items for a difficult-to-manage asthma programme, which resulted in 67 items. In the second round, we asked participants to rate the relevance of specific items on a seven-point Likert scale, and 46 items were selected as relevant. In the third round, the selected items were categorised and items were ranked within the categories according to relevance. Finally, we created the alphabet acronym for the categories ‘the A–I of difficult-to-manage asthma’ to resonate with an established Dutch ‘A–E acronym for determining asthma control’. This should facilitate implementation of this programme within the existing structure of educational material on asthma and chronic obstructive pulmonary disease (COPD) in primary care, with potential for improving management of difficult-to-manage asthma. Other countries could use a similar approach to create a locally adapted version of such a programme. PMID:28184039

  16. Improvements in the quality of co-ordination of nursing care following implementation of the Resident Assessment Instrument in Dutch nursing homes.

    NARCIS (Netherlands)

    Achterberg, W.P.; Holtkamp, C.C.M.; Kerkstra, A.; Pot, A.M.; Ooms, M.E.; Ribbe, M.W.

    2001-01-01

    Aim: To study the effect of implementation of the Resident Assessment Instrument (RAI) on the quality of co-ordination of nursing care in Dutch nursing homes. Background: The Resident Assessment Instrument (RAI) was designed to improve the quality of care and quality of life in nursing homes. Until

  17. Implementation of flow cytometry in the diagnostic work-up of myelodysplastic syndromes in a multicenter approach : Report from the Dutch Working Party on Flow Cytometry in MDS

    NARCIS (Netherlands)

    Westers, Theresia M.; van der Velden, Vincent H. J.; Alhan, Canan; Bekkema, Roelof; Bijkerk, Andre; Brooimans, Rik A.; Cali, Claudia; Drager, Angelika M.; de Haas, Valerie; Homburg, Christa; Kuiper-Kramer, P. (Ellen) A.; Leenders, Marije; Lommerse, Ingrid; Marvelde, Jeroen G. te; van der Molen-Sinke, Joke K.; Moshaver, Bijan; Mulder, Andre B.; Preijers, Frank W. M. B.; Schindhelm, Roger K.; van der Sluijs, Alita; van Wering, Elisabeth R.; Westra, August H.; van de Loosdrecht, Arjan A.; de Jong, A.

    2012-01-01

    Flow cytometry (FC) is recognized as an important tool in the diagnosis of myelodysplastic syndromes (MDS) especially when standard criteria fail. A working group within the Dutch Society of Cytometry aimed to implement FC in the diagnostic work-up of MDS. Hereto, guidelines for data acquisition, an

  18. The Dutch implementation of the Data Retention Directive : On the storage and use of telephone and internet traffic data for crime investigation purposes

    NARCIS (Netherlands)

    Odinot, G.; Jong, D. de; Bokhorst, R.J.; Poot, C.J. de

    2014-01-01

    The Dutch implementation of the Data Retention Directive was adopted on the 1st of September, 2009. The main reason for the storage of call detail records of telephone and internet traffic data is its potential in the aid of the investigation and prosecution of serious crimes. However the fact that

  19. Improvements in the quality of co-ordination of nursing care following implementation of the Resident Assessment Instrument in Dutch nursing homes.

    NARCIS (Netherlands)

    Achterberg, W.P.; Holtkamp, C.C.M.; Kerkstra, A.; Pot, A.M.; Ooms, M.E.; Ribbe, M.W.

    2001-01-01

    Aim: To study the effect of implementation of the Resident Assessment Instrument (RAI) on the quality of co-ordination of nursing care in Dutch nursing homes. Background: The Resident Assessment Instrument (RAI) was designed to improve the quality of care and quality of life in nursing homes. Until

  20. ICT Implementation Framework for Integrated National Security ...

    African Journals Online (AJOL)

    PROF. OLIVER OSUAGWA

    2015-12-01

    Dec 1, 2015 ... The role of Information, Communication and Multimedia Technology in the management of national security ... Consequently, the paper will propose a new Integrated National .... areas of the National Space Programme (NSP).

  1. Energie Efficiency Directive. Article 7. Dutch implementation; Energie Efficiency Directive. Artikel 7. Nederlandse invulling

    Energy Technology Data Exchange (ETDEWEB)

    Daniels, B.; Gerdes, J.; Boonekamp, P.; Kroon, P.; Stutvoet-Mulder, K.; Tigchelaar, C.; Wetzels, W. [ECN Beleidsstudies, Petten (Netherlands)

    2013-12-15

    Article 7 of the recently adopted Energy Efficiency Directive (EED) obliges the EU member states to achieve 1.5% yearly efficiency improvements during the period 2014-2020, culminating in a cumulative savings target. This report describes the way the Netherlands intends to meet the article 7 obligations, as requested by the European Commission. The EED offers the member states various degrees of freedom with regard to the definition of the target and the way it is met. Hence, this report addresses the choices of the Netherlands and their consequences for the Dutch target and the realised energy savings. A broad-lined description of the choices and overall results is complemented by extensive annexes that offer technical descriptions and detailed numbers [Dutch] Dit rapport beschrijft de manier waarop Nederland aan haar doelstelling voor artikel 7 van de Energy Efficiency Directive (EED) denkt te voldoen. Het is gebaseerd op de interpretaties en keuzes die de Nederlandse overheid heeft gemaakt. Artikel 7 van de Energy Efficiency Directive verplicht Nederland tot het realiseren van een efficiencyverbetering van 1,5% per jaar in de periode 2014-2020, als cumulatieve doelstelling. Voor Nederland betekent dit - rekening houdend met de vrijheidsgraden van de EED - een doelstelling van minimaal 482 PJ besparing op het finaal energiegebruik. Nederland verwacht een cumulatieve besparing te bereiken tussen de 387 en 562 PJ in finale termen, waarvan 87 tot 186 PJ door nieuw beleid. Dit nieuwe beleid bestaat uit de overeengekomen beleidsmaatregelen uit het recente Energieakkoord dat onder regie van de Sociaal Economische Raad (SER) is gesloten. Het kabinet heeft dit akkoord mede ondertekend.

  2. A comparison of radiation doses of radiology procedures to Diagnostic Reference Levels (DRLs) in Dutch hospitals

    NARCIS (Netherlands)

    Geert de Vries; Harmen Bijwaard

    2015-01-01

    De ECR 2015 vond plaats van 4 tot 8 maart in Wenen A study of the Dutch National Institute for Public Health and the Environment (RIVM) showed in 2013 that many Dutch hospitals were still struggling with the practical implementation of DRLs. To promote their use, to help hospitals with their impleme

  3. Implementing Human Resources Management (HRM) within Dutch VET Institutions: Examining the Fostering and Hindering Factors

    Science.gov (United States)

    Runhaar, Piety; Sanders, Karin

    2013-01-01

    Vocational Education and Training (VET) Institutions face serious challenges, like the implementation of competence-based education and upcoming teacher shortages, which urge them to implement Human Resources Management policy and practices (HRM). The implementation of HRM, however, often stagnates. This paper describes a qualitative study--in…

  4. Implementing Human Resources Management (HRM) within Dutch VET Institutions: Examining the Fostering and Hindering Factors

    Science.gov (United States)

    Runhaar, Piety; Sanders, Karin

    2013-01-01

    Vocational Education and Training (VET) Institutions face serious challenges, like the implementation of competence-based education and upcoming teacher shortages, which urge them to implement Human Resources Management policy and practices (HRM). The implementation of HRM, however, often stagnates. This paper describes a qualitative study--in…

  5. Impact of National Culture Dimensions on Scrum Implementations

    OpenAIRE

    Zhao, Chengqian

    2015-01-01

    Context. Scrum is one of the most common used Agile method. It is based on empiricism. Scrum only provides a framework but the detailed implementations in practice are very different. and the environment has a big influence on it. National culture is proven to have an impact on Agile methodology. The implementation of Scrum practices should be influenced by national culture as well. Objectives. This paper reveals the relationship between national culture and Scrum implementation. It explores ...

  6. Total, Free, and Added Sugar Consumption and Adherence to Guidelines: The Dutch National Food Consumption Survey 2007-2010.

    Science.gov (United States)

    Sluik, Diewertje; van Lee, Linde; Engelen, Anouk I; Feskens, Edith J M

    2016-01-28

    A high sugar intake is a subject of scientific debate due to the suggested health implications and recent free sugar recommendations by the WHO. The objective was to complete a food composition table for added and free sugars, to estimate the intake of total sugars, free sugars, and added sugars, adherence to sugar guidelines and overall diet quality in Dutch children and adults. In all, 3817 men and women (7-69 years) from the Dutch National Food Consumption Survey 2007-2010 were studied. Added and free sugar content of products was assigned by food composition tables and using labelling and product information. Diet was assessed with two 24-h recalls. Diet quality was studied in adults with the Dutch Healthy Diet-index. Total sugar intake was 22% Total Energy (%TE), free sugars intake 14 %TE, and added sugar intake 12 %TE. Sugar consumption was higher in children than adults. Main food sources of sugars were sweets and candy, non-alcoholic beverages, dairy, and cake and cookies. Prevalence free sugar intake sugar guidelines, although adherent adults had a higher intake of dietary fiber and vegetables. Adherence to the WHO free sugar guidelines of children. Adherence to the added and free sugar guidelines was not strongly associated with higher diet quality in adults.

  7. Total, Free, and Added Sugar Consumption and Adherence to Guidelines: The Dutch National Food Consumption Survey 2007–2010

    Science.gov (United States)

    Sluik, Diewertje; van Lee, Linde; Engelen, Anouk I.; Feskens, Edith J. M.

    2016-01-01

    A high sugar intake is a subject of scientific debate due to the suggested health implications and recent free sugar recommendations by the WHO. The objective was to complete a food composition table for added and free sugars, to estimate the intake of total sugars, free sugars, and added sugars, adherence to sugar guidelines and overall diet quality in Dutch children and adults. In all, 3817 men and women (7–69 years) from the Dutch National Food Consumption Survey 2007–2010 were studied. Added and free sugar content of products was assigned by food composition tables and using labelling and product information. Diet was assessed with two 24-h recalls. Diet quality was studied in adults with the Dutch Healthy Diet-index. Total sugar intake was 22% Total Energy (%TE), free sugars intake 14 %TE, and added sugar intake 12 %TE. Sugar consumption was higher in children than adults. Main food sources of sugars were sweets and candy, non-alcoholic beverages, dairy, and cake and cookies. Prevalence free sugar intake sugar guidelines, although adherent adults had a higher intake of dietary fiber and vegetables. Adherence to the WHO free sugar guidelines of children. Adherence to the added and free sugar guidelines was not strongly associated with higher diet quality in adults. PMID:26828518

  8. 77 FR 2514 - National Ocean Council-National Ocean Policy Draft Implementation Plan

    Science.gov (United States)

    2012-01-18

    ... national economy, and are essential to public health and national security. The draft Implementation Plan... decision-making, and improved sharing of data and technology. For each action, the Implementation...

  9. Risk analysis and user satisfaction after implementation of computerized physician order entry in Dutch hospitals

    NARCIS (Netherlands)

    van der Veen, Willem; de Gier, Han J. J.; van der Schaaf, Tjerk; Taxis, Katja; van den Bemt, Patricia M. L. A.

    2013-01-01

    Background Computerized physician order entry (CPOE) in hospitals is widely considered to be important for patient safety, but implementation is lagging behind and user satisfaction is often low. Risk analysis methods may improve the implementation process and thus user satisfaction. Objective The a

  10. Evaluation of early implementations of antibiotic stewardship program initiatives in nine Dutch hospitals

    NARCIS (Netherlands)

    van Limburg, Maarten; Sinha, Bhanu; Lo-Ten-Foe, Jerome R; van Gemert-Pijnen, Julia Ewc

    2014-01-01

    BACKGROUND: Antibiotic resistance is a global threat to patient safety and care. In response, hospitals start antibiotic stewardship programs to optimise antibiotic use. Expert-based guidelines recommend strategies to implement such programs, but local implementations may differ per hospital. Earlie

  11. Evaluation of early implementations of antibiotic stewardship program initiatives in nine Dutch hospitals

    NARCIS (Netherlands)

    Limburg, van Maarten; Sinha, Bhanu; Lo-Ten-Foe, Jerome R.; Gemert-Pijnen, van Julia E.W.C.

    2014-01-01

    Background Antibiotic resistance is a global threat to patient safety and care. In response, hospitals start antibiotic stewardship programs to optimise antibiotic use. Expert-based guidelines recommend strategies to implement such programs, but local implementations may differ per hospital. Earlier

  12. Evaluation of early implementations of antibiotic stewardship program initiatives in nine Dutch hospitals

    NARCIS (Netherlands)

    van Limburg, Maarten; Sinha, Bhanu; Lo-Ten-Foe, Jerome R; van Gemert-Pijnen, Julia Ewc

    2014-01-01

    BACKGROUND: Antibiotic resistance is a global threat to patient safety and care. In response, hospitals start antibiotic stewardship programs to optimise antibiotic use. Expert-based guidelines recommend strategies to implement such programs, but local implementations may differ per hospital. Earlie

  13. News media coverage of euthanasia: a content analysis of Dutch national newspapers.

    NARCIS (Netherlands)

    Rietjens, J.A.C.; Raijmakers, N.J.H.; Kouwenhoven, P.S.C.; Seale, C.; Thiel, G.J.M.W. van; Trappenburg, M.; Delden, J.J.M. van; Heide, A. van der

    2013-01-01

    Background: The Netherlands is one of the few countries where euthanasia is legal under strict conditions. This study investigates whether Dutch newspaper articles use the term ‘euthanasia’ according to the legal definition and determines what arguments for and against euthanasia they contain. Metho

  14. News media coverage of euthanasia: a content analysis of Dutch national newspapers.

    NARCIS (Netherlands)

    Rietjens, J.A.C.; Raijmakers, N.J.; Kouwenhoven, P.S.C.; Seale, C.; van Thiel, G.J.M.W.; Trappenburg, M.J.; van Delden, J.J.M.; van der Heide, A.

    2013-01-01

    Background The Netherlands is one of the few countries where euthanasia is legal under strict conditions. This study investigates whether Dutch newspaper articles use the term ‘euthanasia’ according to the legal definition and determines what arguments for and against euthanasia they contain. Method

  15. News media coverage of euthanasia: a content analysis of Dutch national newspapers.

    NARCIS (Netherlands)

    Rietjens, J.A.C.; Raijmakers, N.J.H.; Kouwenhoven, P.S.C.; Seale, C.; Thiel, G.J.M.W. van; Trappenburg, M.; Delden, J.J.M. van; Heide, A. van der

    2013-01-01

    Background: The Netherlands is one of the few countries where euthanasia is legal under strict conditions. This study investigates whether Dutch newspaper articles use the term ‘euthanasia’ according to the legal definition and determines what arguments for and against euthanasia they contain. Metho

  16. News media coverage of euthanasia: a content analysis of Dutch national newspapers

    NARCIS (Netherlands)

    Rietjens, J.A.C.; Raijmakers, N.J.H.; Kouwenhoven, P.S.C.; Seale, C.; van Thiel, G.J.M.W.; Trappenburg, M.; van Delden, J.J.M.; van der Heide, A.

    2013-01-01

    Background: The Netherlands is one of the few countries where euthanasia is legal under strict conditions. This study investigates whether Dutch newspaper articles use the term ‘euthanasia’ according to the legal definition and determines what arguments for and against euthanasia they contain. Metho

  17. Quality indicators for the hospital transfusion chain : A national survey conducted in 100 dutch hospitals

    NARCIS (Netherlands)

    Zijlker-Jansen, Pauline Y.; Janssen, M. P.; van Tilborgh-de Jong, A. J W; Schipperus, M. R.; Wiersum-Osselton, J. C.

    2015-01-01

    Background: The 2011 Dutch Blood Transfusion Guideline for hospitals incorporates seven internal quality indicators for evaluation of the hospital transfusion chain. The indicators aim to measure guideline compliance as shown by the instatement of a hospital transfusion committee and transfusion saf

  18. Fructose consumption in the Netherlands: the Dutch national food consumption survey 2007-2010

    NARCIS (Netherlands)

    Sluik, D.; Engelen, A.I.P.; Feskens, E.J.M.

    2015-01-01

    Background/objectives: Despite the worldwide scientific and media attention, the actual fructose consumption in many non-US populations is not clear. The aim of this study was to estimate the fructose consumption and its main food sources in a representative sample of the general Dutch population. S

  19. Quality and cost of healthcare : A cross-national comparison of American and Dutch attitudes

    NARCIS (Netherlands)

    Lindenthal, J.J.; Lako, C.J.; van der Waal, M.A.E.; Tijmstra, T.; Andela, M.; Schneider, Mareleyn

    Objective: To compare attitudes of consumers in America and Holland toward the quality and cost of healthcare. Study Design: Data were derived from one American (n = 466) and two Dutch (n = 260, n = 1629) surveys. Patients and Methods: Questionnaires were completed by respondents. Pairwise

  20. News media coverage of euthanasia: A content analysis of Dutch national newspapers

    NARCIS (Netherlands)

    J.A.C. Rietjens (Judith); N.J.H. Raijmakers (Natasja); P.S.C. Kouwenhoven (Pauline); C. Seale (Clive); G.J.M.W. van Thiel (Ghislaine); M.J. Trappenburg (Margo); J.J.M. van Delden (Johannes); A. van der Heide (Agnes)

    2013-01-01

    textabstractBackground: The Netherlands is one of the few countries where euthanasia is legal under strict conditions. This study investigates whether Dutch newspaper articles use the term euthanasia according to the legal definition and determines what arguments for and against euthanasia they cont

  1. News media coverage of euthanasia: a content analysis of Dutch national newspapers.

    NARCIS (Netherlands)

    Rietjens, J.A.C.; Raijmakers, N.J.; Kouwenhoven, P.S.C.; Seale, C.; van Thiel, G.J.M.W.; Trappenburg, M.J.|info:eu-repo/dai/nl/111650836; van Delden, J.J.M.; van der Heide, A.

    2013-01-01

    Background The Netherlands is one of the few countries where euthanasia is legal under strict conditions. This study investigates whether Dutch newspaper articles use the term ‘euthanasia’ according to the legal definition and determines what arguments for and against euthanasia they contain. Method

  2. News media coverage of euthanasia: a content analysis of Dutch national newspapers

    NARCIS (Netherlands)

    Rietjens, J.A.C.; Raijmakers, N.J.H.; Kouwenhoven, P.S.C.; Seale, C.; van Thiel, G.J.M.W.; Trappenburg, M.; van Delden, J.J.M.; van der Heide, A.

    2013-01-01

    Background: The Netherlands is one of the few countries where euthanasia is legal under strict conditions. This study investigates whether Dutch newspaper articles use the term ‘euthanasia’ according to the legal definition and determines what arguments for and against euthanasia they contain. Metho

  3. Trauma team activation varies across Dutch emergency departments: a national survey

    NARCIS (Netherlands)

    Egberink, Rolf; Otten, Harm-Jan; IJzerman, Maarten Joost; van Vugt, Arie B.; Doggen, Catharina Jacoba Maria

    2015-01-01

    Background Tiered trauma team response may contribute to efficient in-hospital trauma triage by reducing the amount of resources required and by improving health outcomes. This study evaluates current practice of trauma team activation (TTA) in Dutch emergency departments (EDs). Methods A survey was

  4. Educational Differences in Adolescents' Sexual Health : A Pervasive Phenomenon in a National Dutch Sample

    NARCIS (Netherlands)

    De Graaf, Hanneke; Vanwesenbeeck, Wilhelmina; Meijer, Suzanne

    2015-01-01

    Educational level is strongly associated with age of first intercourse and risk of unintended pregnancies. This study examined these associations in a large representative sample of Dutch adolescents and also included associations of educational level with other sexual health aspects. Adolescents ag

  5. Quality and cost of healthcare : A cross-national comparison of American and Dutch attitudes

    NARCIS (Netherlands)

    Lindenthal, J.J.; Lako, C.J.; van der Waal, M.A.E.; Tijmstra, T.; Andela, M.; Schneider, M.

    1999-01-01

    Objective: To compare attitudes of consumers in America and Holland toward the quality and cost of healthcare. Study Design: Data were derived from one American (n = 466) and two Dutch (n = 260, n = 1629) surveys. Patients and Methods: Questionnaires were completed by respondents. Pairwise compariso

  6. Trauma team activation varies across Dutch emergency departments: a national survey

    NARCIS (Netherlands)

    Egberink, Rolf; Otten, Harm-Jan; IJzerman, Maarten J.; Vugt, van Arie B.; Doggen, Carine J.M.

    2015-01-01

    Background Tiered trauma team response may contribute to efficient in-hospital trauma triage by reducing the amount of resources required and by improving health outcomes. This study evaluates current practice of trauma team activation (TTA) in Dutch emergency departments (EDs). Methods A survey w

  7. News media coverage of euthanasia: A content analysis of Dutch national newspapers

    NARCIS (Netherlands)

    J.A.C. Rietjens (Judith); N.J.H. Raijmakers (Natasja); P.S.C. Kouwenhoven (Pauline); C. Seale (Clive); G.J.M.W. van Thiel (Ghislaine); M.J. Trappenburg (Margo); J.J.M. van Delden (Johannes); A. van der Heide (Agnes)

    2013-01-01

    textabstractBackground: The Netherlands is one of the few countries where euthanasia is legal under strict conditions. This study investigates whether Dutch newspaper articles use the term euthanasia according to the legal definition and determines what arguments for and against euthanasia they cont

  8. News media coverage of euthanasia: a content analysis of Dutch national newspapers

    NARCIS (Netherlands)

    Rietjens, J.A.C.; Raijmakers, N.J.H.; Kouwenhoven, P.S.C.; Seale, C.; van Thiel, G.J.M.W.; Trappenburg, M.; van Delden, J.J.M.; van der Heide, A.

    2013-01-01

    Background: The Netherlands is one of the few countries where euthanasia is legal under strict conditions. This study investigates whether Dutch newspaper articles use the term ‘euthanasia’ according to the legal definition and determines what arguments for and against euthanasia they contain.

  9. News media coverage of euthanasia: A content analysis of Dutch national newspapers

    NARCIS (Netherlands)

    J.A.C. Rietjens (Judith); N.J.H. Raijmakers (Natasja); P.S.C. Kouwenhoven (Pauline); C. Seale (Clive); G.J.M.W. van Thiel (Ghislaine); M.J. Trappenburg (Margo); J.J.M. van Delden (Johannes); A. van der Heide (Agnes)

    2013-01-01

    textabstractBackground: The Netherlands is one of the few countries where euthanasia is legal under strict conditions. This study investigates whether Dutch newspaper articles use the term euthanasia according to the legal definition and determines what arguments for and against euthanasia they

  10. News media coverage of euthanasia: a content analysis of Dutch national newspapers.

    NARCIS (Netherlands)

    Rietjens, J.A.C.; Raijmakers, N.J.; Kouwenhoven, P.S.C.; Seale, C.; van Thiel, G.J.M.W.; Trappenburg, M.J.|info:eu-repo/dai/nl/111650836; van Delden, J.J.M.; van der Heide, A.

    2013-01-01

    Background The Netherlands is one of the few countries where euthanasia is legal under strict conditions. This study investigates whether Dutch newspaper articles use the term ‘euthanasia’ according to the legal definition and determines what arguments for and against euthanasia they contain.

  11. News media coverage of euthanasia: a content analysis of Dutch national newspapers.

    NARCIS (Netherlands)

    Rietjens, J.A.C.; Raijmakers, N.J.H.; Kouwenhoven, P.S.C.; Seale, C.; Thiel, G.J.M.W. van; Trappenburg, M.; Delden, J.J.M. van; Heide, A. van der

    2013-01-01

    Background: The Netherlands is one of the few countries where euthanasia is legal under strict conditions. This study investigates whether Dutch newspaper articles use the term ‘euthanasia’ according to the legal definition and determines what arguments for and against euthanasia they contain.

  12. Fructose consumption in the Netherlands: the Dutch national food consumption survey 2007-2010

    NARCIS (Netherlands)

    Sluik, D.; Engelen, A.I.P.; Feskens, E.J.M.

    2015-01-01

    Background/objectives: Despite the worldwide scientific and media attention, the actual fructose consumption in many non-US populations is not clear. The aim of this study was to estimate the fructose consumption and its main food sources in a representative sample of the general Dutch population.

  13. Biotechnology: A Dutch perspective

    NARCIS (Netherlands)

    Van Apeldoorn, J.H.F.

    1981-01-01

    Biotechnology: a Dutch Perspective assesses the future potential of biotechnology in the Netherlands. It has been published in English because it is felt that the Dutch case could be of relevance to other industrialised nations. Although the report is aimed primarily at policy planners and decision

  14. Biotechnology: A Dutch perspective

    NARCIS (Netherlands)

    Van Apeldoorn, J.H.F.

    1981-01-01

    Biotechnology: a Dutch Perspective assesses the future potential of biotechnology in the Netherlands. It has been published in English because it is felt that the Dutch case could be of relevance to other industrialised nations. Although the report is aimed primarily at policy planners and decision

  15. Hybrid practices as a means to implement quality improvement: A comparative qualitative study in a Dutch and Swedish hospital.

    Science.gov (United States)

    Quartz-Topp, Julia; Sanne, Johan M; Pöstges, Heide

    2016-11-15

    Managers and scholars commonly perceive resistance from professionals as hampering the implementation of quality improvement (QI) and refer to the incompatibility of clinical and managerial approaches to QI as a reason. Yet a growing body of research indicates that, in practice, these two approaches rather blend into hybrid practices that embody different types of QI-related knowledge and values. This opens up a new perspective on implementation challenges that moves attention away from resistance against managerial QI toward difficulties for clinicians to draw together different types of knowledge and values within their clinical work. So far, little is known about how managers can support clinicians to generate hybrid QI practices. The aim of this study was to deepen our understanding of how managers can support the generation of hybrid practices that help clinicians to integrate QI into their everyday work. We draw on comparative qualitative research including 21 semistructured interviews, documentary analysis, and participant observation that we conducted in one Dutch and one Swedish hospital over a period of 8 months in 2011/2012. Hospital managers designed hybrid forums, tools, and professional roles in order to facilitate the integration of different QI practices, knowledge, and values. This integration generated new hybrid practices and an infrastructure for QI that has potential to support clinicians in their efforts to align different demands. New opportunities to implement QI emerge when we change the implementation problem from clinical resistance to the need of support for clinicians to develop hybrid QI practices. Hospital managers then have to intentionally organize for the generation of hybrid practices by designing, for example, hybrid forums, tools, and professional roles that integrate different knowledge and values in a nonhierarchical way.

  16. Objectives for an internship internal medicine : from the Dutch Blueprint (Raamplan 1994) to implementation into a practical logbook

    NARCIS (Netherlands)

    Raghoebar-Krieger, HMJ; Sleijfer, DT; Kreeftenberg, HG; Hofstee, WKB; Bender, W

    1999-01-01

    Background: The Dutch Blueprint 1994 (Raamplan 1994) describes the objectives of undergraduate medical education. The Blueprint, developed in order to improve medical education in the Netherlands, is accepted by all Dutch medical schools and has been legislated Aim: Translation of global objectives

  17. News media coverage of euthanasia: A content analysis of Dutch national newspapers

    OpenAIRE

    Rietjens, J.A.C.; Raijmakers, N.J.H.; Kouwenhoven, P.S.C.; Seale, C; Thiel, G.J.M.W. van; Trappenburg, M; van Delden, J.J.M.; Heide, A. van der

    2013-01-01

    © 2013 Rietjens et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0),which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Background: The Netherlands is one of the few countries where euthanasia is legal under strict conditions. This study investigates whether Dutch newspaper articles use t...

  18. Compliance of disease awareness campaigns in printed Dutch media with national and international regulatory guidelines.

    Directory of Open Access Journals (Sweden)

    Teresa Leonardo Alves

    Full Text Available BACKGROUND: The European legislation prohibits prescription-only medicines' advertising but allows pharmaceutical companies to provide information to the public on health and diseases, provided there is no direct or indirect reference to a pharmaceutical product. Various forms of promotion have become increasingly common in Europe including "disease-oriented" campaigns. OBJECTIVES: To explore examples of disease awareness campaigns by pharmaceutical companies in the Netherlands, by assessing their compliance with the World Health Organization (WHO Ethical Criteria for medicinal drug promotion and the Dutch guidelines for provision of information by pharmaceutical companies. METHODS: Materials referring to health/disease and treatments published in the most widely circulated newspapers and magazines were collected from March to May 2012. An evaluation tool was developed based on relevant underlying principles from the WHO ethical criteria and Dutch self-regulation guidelines. Collected disease awareness advertisements were used to pilot the evaluation tool and to explore the consistency of information provided with the WHO and Dutch criteria. FINDINGS: Eighty materials met our inclusion criteria; 71 were published in newspapers and 9 in magazines. The large majority were news items but 21 were disease awareness advertisements, of which 5 were duplicates. Fifteen out of the 16 disease awareness campaigns were non-compliant with current guidelines mainly due to lack of balance (n = 12, absence of listed author and/or sponsor (n = 8, use of misleading or incomplete information (n = 5 and use of promotional information (n = 5. None mentioned a pharmaceutical product directly. CONCLUSION: Disease Awareness Campaigns are present in Dutch printed media. Although no brand names were mentioned, the lack of compliance of disease awareness campaigns with the current regulations is alarming. There were information deficiencies and evidence of information

  19. National Infrastructure Maintenance Strategy and its implementation

    CSIR Research Space (South Africa)

    Wall, K

    2008-10-01

    Full Text Available The National Infrastructure Maintenance Strategy (NIMS) was approved by Cabinet in 2006. This Strategy sets overarching policy for sector-based initiatives and describes the framework for a coordinated programme of actions. It is an essential part...

  20. Requests for euthanasia in general practice before and after implementation of the Dutch Euthanasia Act.

    NARCIS (Netherlands)

    Alphen, J.E. van; Donker, G.A.; Marquet, R.L.

    2010-01-01

    The Netherlands was the first country in the world to implement a Euthanasia Act in 2002. It is unknown whether legalising euthanasia under strict conditions influences the number and nature of euthanasia requests. AIM: To investigate changes in the number of, and reasons for, requests for euthanasi

  1. Light rail implementation: Success and failure aspects of Dutch light rail projects

    NARCIS (Netherlands)

    Van Oort, N.; Van der Bijl, R.; Roeske, R.

    2015-01-01

    Light rail has been successfully implemented in many urban regions worldwide. Although light rail has been a proven transport concept in many cities, there is much debate on the (societal) cost-benefit ratio of these systems. In addition to the success stories, several light rail projects were not t

  2. Outcomes of a systematically designed strategy for the implementation of sex education in Dutch secondary schools

    NARCIS (Netherlands)

    Wiefferink, C.H.; Poelman, J.; Linthorst, M.; Vanwesenbeeck, I.; Wijngaarden, J.C.M. van; Paulussen, T.G.W.M.

    2005-01-01

    This study examines the effects of a systematically designed innovation strategy on teachers' implementation of a sex education curriculum and its related determinants. A quasi-experimental group design was used to assess the effectiveness of the innovation strategy. Teachers filled in questionnaire

  3. Assessing the impact of cancer among Dutch non-Hodgkin lymphoma survivors compared with their American counterparts: a cross-national study.

    Science.gov (United States)

    Oerlemans, Simone; Smith, Sophia K; Crespi, Catherine M; Zimmerman, Sheryl; van de Poll-Franse, Lonneke V; Ganz, Patricia A

    2013-06-01

    To understand cultural differences in the impact of cancer (IOC) by (i) performing an independent psychometric evaluation of the Dutch version of the Impact of Cancer Scale version 2 (IOCv2) in a non-Hodgkin lymphoma (NHL) sample and (ii) examining differences between Dutch and American NHL survivors in perceived IOC and identifying associations with socio-demographic and clinical characteristics. Data collected from 491 Dutch and 738 American NHL survivors were used in this study. IOCv2 responses were obtained from all survivors; the Dutch survivors also completed the European Organization for Research and Treatment of Cancer Quality of Life Core questionnaire, which measures quality of life. Exploratory factor analysis of the Dutch version yielded a factor solution similar to the American structure but with some subscales merging into single factors. Internal consistency was good; Cronbach's alpha was 0.88 for the Positive and 0.94 for the Negative summary scales. Large differences were observed between survivors, whereby Dutch survivors reported fewer Positive (Δ -0.4, p impacts of cancer independent of socio-demographic and clinical characteristics. Similar impact domains of the IOCv2 were observed in the Dutch sample, providing evidence that IOCv2 scales measure common and important survivor concerns across two different Western nations. Higher positive impacts for US survivors might be explained by more personal control and availability of supportive services. Future research should focus on determinants of the IOC in both Dutch and American survivors to gain better understanding of the factors that might improve it and suggest how health care may be modified toward that end. Copyright © 2012 John Wiley & Sons, Ltd.

  4. Total, Free, and Added Sugar Consumption and Adherence to Guidelines: The Dutch National Food Consumption Survey 2007–2010

    Directory of Open Access Journals (Sweden)

    Diewertje Sluik

    2016-01-01

    Full Text Available A high sugar intake is a subject of scientific debate due to the suggested health implications and recent free sugar recommendations by the WHO. The objective was to complete a food composition table for added and free sugars, to estimate the intake of total sugars, free sugars, and added sugars, adherence to sugar guidelines and overall diet quality in Dutch children and adults. In all, 3817 men and women (7–69 years from the Dutch National Food Consumption Survey 2007–2010 were studied. Added and free sugar content of products was assigned by food composition tables and using labelling and product information. Diet was assessed with two 24-h recalls. Diet quality was studied in adults with the Dutch Healthy Diet-index. Total sugar intake was 22% Total Energy (%TE, free sugars intake 14 %TE, and added sugar intake 12 %TE. Sugar consumption was higher in children than adults. Main food sources of sugars were sweets and candy, non-alcoholic beverages, dairy, and cake and cookies. Prevalence free sugar intake <10 %TE was 5% in boys and girls (7–18 years, 29% in women, and 33% in men. Overall diet quality was similar comparing adults adherent and non-adherent to the sugar guidelines, although adherent adults had a higher intake of dietary fiber and vegetables. Adherence to the WHO free sugar guidelines of <5 %TE and <10 %TE was generally low in the Netherlands, particularly in children. Adherence to the added and free sugar guidelines was not strongly associated with higher diet quality in adults.

  5. Implementation of the Brazilian national repository

    Energy Technology Data Exchange (ETDEWEB)

    Tello, Cledola Cassia Oliveira de, E-mail: tellocc@cdtn.br [Centro de Desenvolvimento da Tecnologia Nuclear (CDTN/CNEN-MG), Belo Horizonte, MG (Brazil)

    2013-07-01

    Ionizing radiation in Brazil is used in electricity generation, medicine, industry, agriculture and for research and development purposes. All these activities can generate radioactive waste. At this point, in Brazil, the use of nuclear energy and radioisotopes justifies the construction of a national repository for radioactive wastes of low and intermediate-level. According to Federal Law No. 10308, Brazilian National Commission for Nuclear Energy (CNEN) is responsible for designing and constructing the intermediate and final storages for radioactive wastes. Additionally, a restriction on the construction of Angra 3 is that the repository is under construction until its operation start, attaining some requirements of the Brazilian Environmental Regulator (IBAMA). The RBMN Project (Repository for Low and Intermediate-Level Radioactive Wastes) aims at the implantation of a National Repository for disposal of low and intermediate-level of radiation wastes. This Project has some aspects that are unique in the Brazilian context, especially referring to the time between its construction and the end of its institutional period. This time is about 360 years, when the area will be released for unrestricted uses. It means that the Repository must be safe and secure for more than three hundred years, which is longer than half of the whole of Brazilian history. This aspect is very new for the Brazilian people, bringing a new dimension to public acceptance. Another point is this will be the first repository in South America, bringing a real challenge for the continent. The current status of the Project is summarized. (author)

  6. National Streamflow Information Program: Implementation Status Report

    Science.gov (United States)

    Norris, J. Michael

    2009-01-01

    The U.S. Geological Survey (USGS) operates and maintains a nationwide network of about 7,500 streamgages designed to provide and interpret long-term, accurate, and unbiased streamflow information to meet the multiple needs of many diverse national, regional, state, and local users. The National Streamflow Information Program (NSIP) was initiated in 2003 in response to Congressional and stakeholder concerns about (1) the decrease in the number of operating streamgages, including a disproportionate loss of streamgages with a long period of record; (2) the inability of the USGS to continue operating high-priority streamgages in an environment of reduced funding through partnerships; and (3) the increasing demand for streamflow information due to emerging resource-management issues and new data-delivery capabilities. The NSIP's mission is to provide the streamflow information and understanding required to meet national, regional, state, and local needs. Most of the existing streamgages are funded through partnerships with more than 850 other Federal, state, tribal, and local agencies. Currently, about 90 percent of the streamgages send data to the World Wide Web in near-real time (some information is transmitted within 15 minutes, whereas some lags by about 4 hours). The streamflow information collected at USGS streamgages is used for many purposes: *In water-resource appraisals and allocations - to determine how much water is available and how it is being allocated; *To provide streamflow information required by interstate agreements, compacts, and court decrees; *For engineering design of reservoirs, bridges, roads, culverts, and treatment plants; *For the operation of reservoirs, the operation of locks and dams for navigation purposes, and power production; *To identify changes in streamflow resulting from changes in land use, water use, and climate; *For streamflow forecasting, flood planning, and flood forecasting; *To support water-quality programs by allowing

  7. Reasons for accepting or declining Down syndrome screening in Dutch prospective mothers within the context of national policy and healthcare system characteristics : a qualitative study

    NARCIS (Netherlands)

    Crombag, Neeltje M T H; Boeije, Hennie; Iedema-Kuiper, Rita; Schielen, Peter C J I; Visser, Gerard H A; Bensing, Jozien M

    2016-01-01

    BACKGROUND: Uptake rates for Down syndrome screening in the Netherlands are low compared to other European countries. To investigate the low uptake, we explored women's reasons for participation and possible influences of national healthcare system characteristics. Dutch prenatal care is characteris

  8. The impact of national culture in MNC's home country on the strategy making process in their overseas subsidiaries: a comparison between Dutch and Japanese companies in Thailand

    NARCIS (Netherlands)

    Meekanon, K.

    2002-01-01

    The main purpose of this dissertation is to understand that the national cultures of MNCs' home countries play an important role in determining the SMPs in their overseas subsidiaries. To attain this purpose, a comparison between Dutch and Japanese

  9. Reasons for accepting or declining Down syndrome screening in Dutch prospective mothers within the context of national policy and healthcare system characteristics : a qualitative study

    NARCIS (Netherlands)

    Crombag, Neeltje M T H; Boeije, Hennie; Iedema-Kuiper, Rita; Schielen, Peter C J I; Visser, Gerard H A; Bensing, Jozien M

    2016-01-01

    BACKGROUND: Uptake rates for Down syndrome screening in the Netherlands are low compared to other European countries. To investigate the low uptake, we explored women's reasons for participation and possible influences of national healthcare system characteristics. Dutch prenatal care is characteris

  10. Reasons for accepting or declining Down syndrome screening in Dutch prospective mothers within the context of national policy and healthcare system characteristics: a qualitative study.

    NARCIS (Netherlands)

    Crombag, N.M.T.H.; Boeije, H.; Iedema-Kuiper, R.; Schielen, P.C.J.I.; Visser, G.H.A.; Bensing, J.M.

    2016-01-01

    Background Uptake rates for Down syndrome screening in the Netherlands are low compared to other European countries. To investigate the low uptake, we explored women’s reasons for participation and possible influences of national healthcare system characteristics. Dutch prenatal car

  11. Implementing and Evaluating the National Healthy School Program in England

    Science.gov (United States)

    Wicklander, Molly K.

    2006-01-01

    The purpose of this article is to trace development of the National Healthy School Program (NHSP) from a global concept to implementation at the local school level in England with a view toward clarifying and, more importantly, determining if implementation is proceeding as planned, as evidenced by the presence of process evaluation. The NHSP is…

  12. Implementing a lessons learned process at Sandia National Laboratories

    Energy Technology Data Exchange (ETDEWEB)

    Fosshage, Erik D.; Drewien, Celeste A.; Eras, Kenneth; Hartwig, Ronald Craig; Post, Debra S.; Stoecker, Nora Kathleen

    2016-01-01

    The Lessons Learned Process Improvement Team was tasked to gain an understanding of the existing lessons learned environment within the major programs at Sandia National Laboratories, identify opportunities for improvement in that environment as compared to desired attributes, propose alternative implementations to address existing inefficiencies, perform qualitative evaluations of alternative implementations, and recommend one or more near-term activities for prototyping and/or implementation. This report documents the work and findings of the team.

  13. 76 FR 9981 - National Environmental Policy Act Implementing Procedures

    Science.gov (United States)

    2011-02-23

    ... Part 1021 RIN 1990-AA34 National Environmental Policy Act Implementing Procedures AGENCY: Office of the... amendments to its regulations governing compliance with the National Environmental Policy Act (NEPA), made... Rulemaking Comments, Office of NEPA Policy and Compliance (GC-54), U.S. Department of Energy,...

  14. Ingredients for a Dutch radon action plan, based on a national survey in more than 2500 dwellings.

    Science.gov (United States)

    Smetsers, R C G M Ronald; Blaauboer, R O Roelf; Dekkers, S A J Fieke

    2016-12-01

    A new Euratom directive demands that Member States establish a national action plan for indoor radon. Important requirements are a national reference level for the radon concentration in dwellings, actions to identify dwellings with radon concentrations that might exceed this reference level and the encouragement of appropriate measures to reduce the radon concentrations in dwellings where these are high. This paper provides ingredients and recommendations for a national action plan for radon in dwellings, applicable to the Netherlands. The approach presented here, which may serve as a model for other countries or regions with a comparatively favourable indoor radon situation, is based on the analysis of radon data from a national survey in more than 2500 Dutch dwellings, built since 1930. The annual average activity concentration of radon in dwellings in the Netherlands equals 15.6 ± 0.3 Bq m(-3). The 50th and 95th percentiles were found to be 12.2 and 38.0 Bq m(-3), respectively. In 0.4 per cent of the dwellings we found values above 100 Bq m(-3). Radon concentrations showed correlations with type of dwelling, year of construction, ventilation system, soil type and smoking behaviour of inhabitants. The survey data suggest that it is feasible for the Netherlands to adopt a national reference level for radon in dwellings of 100 Bq m(-3), in line with recommendations by WHO and ICRP. We were able to predict dwellings with a moderate probability for radon concentrations above 100 Bq m(-3) by applying a combination of three selection criteria: location, type of dwelling and manner of ventilation. Of the existing 6.2 million dwellings in the Netherlands (built since 1930), approximately 23-24 thousand are suspected to exceed this level. Some 80% of these are found in the group of naturally ventilated single-family dwellings in either the southern part of Limburg (approx. 13 thousand) or the Meuse-Rhine-Waal river delta (approx. six thousand). This selected

  15. Prevalence of STI related consultations in general practice: results from the second Dutch National Survey of General Practice

    Science.gov (United States)

    van Bergen, Jan EAM; Kerssens, Jan J; Schellevis, Francois G; Sandfort, Theo G; Coenen, Ton J; Bindels, Patrick J

    2006-01-01

    Background The role of the GP in the care of sexually transmitted infections (STIs) is unclear. Aim We studied the prevalence of STI related consultations in Dutch general practice in order to obtain insight into the contribution of the GP in STI control. Design of study A descriptive study. Setting The study took place within the framework of the second Dutch National Survey of General Practice in 2001, a large nationally representative population-based survey. Method During 1 year, data of all patient contacts with the participating GPs were recorded in electronic medical records. Contacts for the same health problem were clustered into disease episodes and their diagnosis coded according to the International Classification of Primary Care. All STI and STI related episodes were analysed. Results In total, 1 524 470 contacts of 375 899 registered persons in 104 practices were registered during 1 year and 2460 STI related episodes were found. The prevalence rate of STI was 39 per 10 000 persons and of STI/HIV related questions 23 per 10 000. More than half of all STIs were found in highly urbanised areas and STIs were overrepresented in deprived areas. Three quarters of all STIs diagnosed in the Netherlands are made in general practice. An important number of other reproductive health visits in general practice offer opportunities for meaningful STI counselling and tailored prevention. Discussion GPs contribute significantly to STI control, see the majority of patients with STI related symptoms and questions and are an important player in STI care. In particular, GPs in urban areas and inner-city practices should be targeted for accelerated sexual health programmes. PMID:16464323

  16. 78 FR 68811 - National Advisory Committee for Implementation of the National Forest System Land Management...

    Science.gov (United States)

    2013-11-15

    ... Management Planning Rule AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The National Advisory Committee for Implementation of the National Forest System Land Management Planning Rule will meet... the National Forest System Land Management Planning Rule. The purpose of this meeting is to...

  17. 78 FR 46565 - National Advisory Committee for Implementation of the National Forest System Land Management...

    Science.gov (United States)

    2013-08-01

    ... Management Planning Rule AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The National Advisory Committee for Implementation of the National Forest System Land Management Planning Rule will meet... of the National Forest System Land Management Planning Rule. The purpose of this meeting is...

  18. Evaluation of a large scale implementation of disease management programmes in various Dutch regions: a study protocol

    Directory of Open Access Journals (Sweden)

    Bal Roland A

    2011-01-01

    Full Text Available Abstract Background Disease management programmes (DMPs have been developed to improve effectiveness and economic efficiency within chronic care delivery by combining patient-related, professional-directed, and organisational interventions. The benefits of DMPs within different settings, patient groups, and versions remain unclear. In this article we propose a protocol to evaluate a range of current DMPs by capturing them in a single conceptual framework, employing comparable structure, process, and outcome measures, and combining qualitative and quantitative research methods. Methods To assess DMP effectiveness a practical clinical trial will be conducted. Twenty-two disease management experiments will be studied in various Dutch regions consisting of a variety of collaborations between organisations and/or professionals. Patient cohorts include those with cardiovascular diseases, chronic obstructive pulmonary disease, diabetes, stroke, depression, psychotic diseases, and eating disorders. Our methodological approach combines qualitative and quantitative research methods to enable a comprehensive evaluation of complex programmes. Process indicators will be collected from health care providers' data registries and measured via physician and staff questionnaires. Patient questionnaires include health care experiences, health care utilisation, and quality of life. Qualitative data will be gathered by means of interviews and document analysis for an in depth description of project interventions and the contexts in which DMPs are embedded, and an ethnographic process evaluation in five DMPs. Such a design will provide insight into ongoing DMPs and demonstrate which elements of the intervention are potentially (cost-effective for which patient populations. It will also enable sound comparison of the results of the different programmes. Discussion The study will lead to a better understanding of (1 the mechanisms of disease management, (2 the

  19. Evaluation of a large scale implementation of disease management programmes in various Dutch regions: a study protocol.

    Science.gov (United States)

    Lemmens, Karin M M; Rutten-Van Mölken, Maureen P M H; Cramm, Jane M; Huijsman, Robbert; Bal, Roland A; Nieboer, Anna P

    2011-01-10

    Disease management programmes (DMPs) have been developed to improve effectiveness and economic efficiency within chronic care delivery by combining patient-related, professional-directed, and organisational interventions. The benefits of DMPs within different settings, patient groups, and versions remain unclear. In this article we propose a protocol to evaluate a range of current DMPs by capturing them in a single conceptual framework, employing comparable structure, process, and outcome measures, and combining qualitative and quantitative research methods. To assess DMP effectiveness a practical clinical trial will be conducted. Twenty-two disease management experiments will be studied in various Dutch regions consisting of a variety of collaborations between organisations and/or professionals. Patient cohorts include those with cardiovascular diseases, chronic obstructive pulmonary disease, diabetes, stroke, depression, psychotic diseases, and eating disorders. Our methodological approach combines qualitative and quantitative research methods to enable a comprehensive evaluation of complex programmes. Process indicators will be collected from health care providers' data registries and measured via physician and staff questionnaires. Patient questionnaires include health care experiences, health care utilisation, and quality of life. Qualitative data will be gathered by means of interviews and document analysis for an in depth description of project interventions and the contexts in which DMPs are embedded, and an ethnographic process evaluation in five DMPs. Such a design will provide insight into ongoing DMPs and demonstrate which elements of the intervention are potentially (cost)-effective for which patient populations. It will also enable sound comparison of the results of the different programmes. The study will lead to a better understanding of (1) the mechanisms of disease management, (2) the feasibility, and cost-effectiveness of a disease management

  20. The Dutch implementation of the Data Retention Directive: On the storage and use of telephone and internet traffic data for crime investigation purposes

    OpenAIRE

    Odinot, G.; DE JONG, D.; Bokhorst, R.J.; Poot, C.J. de

    2014-01-01

    The Dutch implementation of the Data Retention Directive was adopted on the 1st of September, 2009. The main reason for the storage of call detail records of telephone and internet traffic data is its potential in the aid of the investigation and prosecution of serious crimes. However the fact that this data has to be stored for a certain period of time is a recurring point of debate. There is a need both in the Netherlands and at European level (EU 18620/11) for a clearer understanding of ho...

  1. 168 Indigenous Language Implementation and Nation Building: The ...

    African Journals Online (AJOL)

    levels as a medium of instruction, the English language continues to dominate our ... schools in Ado-Ekiti, and the challenges of indigenous language policy implementation in. Nigerian .... Multilingualism is a purely socio-linguistic and socio- .... nation state if Nigerians, in addition to their mother tongue, learn to speak two of ...

  2. The distribution of spiders and Harvestmen (Chelicerata) in the Dutch National Park "De Hoge Veluwe"

    NARCIS (Netherlands)

    Hammen, van der L.

    1983-01-01

    A preliminary study is made of the distribution of Araneida and Opilionida (Chelicerata) in a National Park in The Netherlands. Special attention is paid to the influence of vegetation structure on the distribution of the spiders.

  3. The distribution of spiders and Harvestmen (Chelicerata) in the Dutch National Park "De Hoge Veluwe"

    NARCIS (Netherlands)

    Hammen, van der L.

    1983-01-01

    A preliminary study is made of the distribution of Araneida and Opilionida (Chelicerata) in a National Park in The Netherlands. Special attention is paid to the influence of vegetation structure on the distribution of the spiders.

  4. Quality indicators for pharmaceutical care: a comprehensive set with national scores for Dutch community pharmacies.

    Science.gov (United States)

    Teichert, Martina; Schoenmakers, Tim; Kylstra, Nico; Mosk, Berend; Bouvy, Marcel L; van de Vaart, Frans; De Smet, Peter A G M; Wensing, Michel

    2016-08-01

    Background The quality of pharmaceutical care in community pharmacies in the Netherlands has been assessed annually since 2008. The initial set has been further developed with pharmacists and patient organizations, the healthcare inspectorate, the government and health insurance companies. The set over 2012 was the first set of quality indicators for community pharmacies which was validated and supported by all major stakeholders. The aims of this study were to describe the validated set of quality indicators for community pharmacies and to report their scores over 2012. In subanalyses the score development over 5 years was described for those indicators, that have been surveyed before and remained unchanged. Methods Community pharmacists in the Netherlands were invited in 2013 to provide information for the set of 2012. Quality indicators were mapped by categories relevant for pharmaceutical care and defined for structures, processes and dispensing outcomes. Scores for categorically-measured quality indicators were presented as the percentage of pharmacies reporting the presence of a quality aspect. For numerical quality indicators, the mean of all reported scores was expressed. In subanalyses for those indicators that had been questioned previously, scores were collected from earlier measurements for pharmacies providing their scores in 2012. Multilevel analysis was used to assess the consistency of scores within one pharmacy over time by the intra-class correlation coefficient (ICC). Results For the set in 2012, 1739 Dutch community pharmacies (88 % of the total) provided information for 66 quality indicators in 10 categories. Indicator scores on the presence of quality structures showed relatively high quality levels. Scores for processes and dispensing outcomes were lower. Subanalyses showed that overall indicators scores improved within pharmacies, but this development differed between pharmacies. Conclusions A set of validated quality indicators provided

  5. Explaining implementation behaviour of the National Incident Management System (NIMS).

    Science.gov (United States)

    Jensen, Jessica; Youngs, George

    2015-04-01

    This paper explains the perceived implementation behaviour of counties in the United States with respect to the National Incident Management System (NIMS). The system represents a massive and historic policy mandate designed to restructure, standardise and thereby unify the efforts of a wide variety of emergency management entities. Specifically, this study examined variables identified in the NIMS and policy literature that might influence the behavioural intentions and actual behaviour of counties. It found that three key factors limit or promote how counties intend to implement NIMS and how they actually implement the system: policy characteristics related to NIMS, implementer views and a measure of local capacity. One additional variable-inter-organisational characteristics-was found to influence only actual behaviour. This study's findings suggest that the purpose underlying NIMS may not be fulfilled and confirm what disaster research has long suggested: the potential for standardisation in emergency management is limited. © 2015 The Author(s). Disasters © Overseas Development Institute, 2015.

  6. 77 FR 50985 - National Advisory Committee for Implementation of the National Forest System Land Management...

    Science.gov (United States)

    2012-08-23

    ... Management Planning Rule AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The National Advisory Committee for Implementation of the National Forest System Land Management Planning Rule will meet... Forest System Land Management Rule. The meeting is open to the public. The purpose of the meeting is...

  7. 78 FR 23219 - National Advisory Committee for Implementation of the National Forest System Land Management...

    Science.gov (United States)

    2013-04-18

    ... Management Planning Rule AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The National Advisory Committee for Implementation of the National Forest System Land Management Planning Rule will meet... Land Management Planning Directives. DATES: The meeting will be held on May 7-9, 2013, from 8:30...

  8. 78 FR 34034 - National Advisory Committee for Implementation of the National Forest System Land Management...

    Science.gov (United States)

    2013-06-06

    ... Management Planning Rule AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The National Advisory Committee for Implementation of the National Forest System Land Management Planning Rule will meet... Management Planning Directives. The meeting is also open to the public. DATES: The meeting will be held,...

  9. Third Dutch Process Security Control Event

    NARCIS (Netherlands)

    Luiijf, H.A.M.

    2009-01-01

    On June 4th, 2009, the third Dutch Process Control Security Event took place in Amsterdam. The event, organised by the Dutch National Infrastructure against Cybercrime (NICC), attracted both Dutch process control experts and members of the European SCADA and Control Systems Information Exchange (Eur

  10. Manual for national implementation of the Chemical Weapons Convention

    Energy Technology Data Exchange (ETDEWEB)

    Kellman, B. [DePaul Univ., Chicago, IL (United States); Tanzman, E.A.; Gualtieri, D.S.; Grimes, S.W. [Argonne National Lab., IL (United States)

    1993-12-01

    The Convention on the Prohibition on the Development, Production, Stockpiling and Use of Chemical Weapons and on their Destruction, opened for signature, January 13, 1993, in Paris, France (CWC), is an unprecedented multilateral effort to eradicate an entire category of weapons of mass destruction and assure their continued absence through international verification. The CWC has been signed by over 150 nations, and is expected to enter into force in 1995. With its far-reaching system to verify compliance, the CWC presages a new foundation for international security based neither on fear nor on trust, but on the rule of law. A central feature of the CWC is that it requires each State Party to take implementing measures to make the Convention operative. The CWC goes beyond all prior arms control treaties in this regard. For this approach to succeed, and to inspire the eradication of other categories of mass destruction weaponry, coordination and planning are vital to harmonize CWC national implementation among States Parties. This Manual for National Implementation of the Chemical Weapons Convention is designed to assist States Parties, duly taking into account the distinctive aspects of their legal systems, in maximizing CWC enforcement consistent with their national legal obligations.

  11. Antibiotics in Dutch general practice: nationwide electronic GP database and national reimbursement rates.

    NARCIS (Netherlands)

    Akkerman, A.E.; Kuyvenhoven, M.M.; Verheij, T.J.M.; Dijk, L. van

    2008-01-01

    PURPOSE: In order to assess whether different databases generate information which can be reliable compared with each other, this study aimed to assess to which degree prescribing rates for systemic antibiotics from a nationwide electronic general practitioner (GP) database correspond with national

  12. Climate changes Spatial Planning Introduction to the Dutch national research programme

    NARCIS (Netherlands)

    Veraart, J.A.; Brinkman, S.; Klostermann, J.E.M.; Kabat, P.

    2007-01-01

    Dealing with climate change and climate variability is one of the largest challenges for the coming years, both on a national and global scale. The Intergovernmental Panel on Climate Change (IPCC) presents increasing evidence of impacts of climate change and suggests that most of the warming observe

  13. Cross-national comparison of prescribing patterns in Australian and dutch nursing homes

    NARCIS (Netherlands)

    Taxis, Katja; Kochen, Sjoerd; Geerens, Sanne; Wouters, Hans; Boersma, Froukje; Maring, Jan G.; Mulder, Hans; Pavlovic, Jugoslav; Stevens, Gerard; McLachlan, Andrew J.; Pont, Lisa

    2014-01-01

    Background: Prescribing quality is a major issue in nursing home patients. Few cross-national comparisons of prescribing patterns have been carried out in this population. Objectives: To compare prevalence of medication use in nursing home patients between Australia and The Netherlands. Methods: An

  14. 77 FR 47862 - National Environmental Policy Act: Implementing Procedures; Addition to Categorical Exclusions...

    Science.gov (United States)

    2012-08-10

    ... Office of the Secretary National Environmental Policy Act: Implementing Procedures; Addition to... Final National Environmental Policy Act Implementing Procedures. SUMMARY: This notice announces the addition of a new categorical exclusion under the National Environmental Policy Act (NEPA) to be...

  15. 78 FR 44485 - Implementation of the 2008 National Ambient Air Quality Standards for Ozone: State Implementation...

    Science.gov (United States)

    2013-07-24

    ... AGENCY 40 CFR Parts 50, 51, 70 and 71 Implementation of the 2008 National Ambient Air Quality Standards... on this rulemaking, contact Dr. Karl Pepple, Office of Air Quality Planning and Standards, U.S... Stackhouse, Office of Air Quality Planning and Standards, U.S. Environmental Protection Agency, by phone...

  16. Reduction of car use: instruments of national and local policies—a Dutch perspective

    OpenAIRE

    Priemus, H.

    1995-01-01

    The use of cars has positive and negative effects. The advantages of driving accrue largely to the driver, and the disadvantages to others. The negative external effects of driving, which encroach on the sustainabiity of the community, yield sufficient arguments for restricting car use. In this contribution attention is focused on what instruments can be used by national and local governments to promote a reduction of car use. Income growth, demographic developments, and social - cultural fac...

  17. Scripts of Sexual Desire and Danger in US and Dutch Teen Girl Magazines: A Cross-National Content Analysis.

    Science.gov (United States)

    Joshi, Suchi P; Peter, Jochen; Valkenburg, Patti M

    2011-04-01

    The aim of this comparative quantitative content analysis was to investigate how US and Dutch teen girl magazines cover sexual desire (i.e., sexual wanting, and pleasure) and sexual danger (i.e., sexual risk, and negative physical/health consequences of sex). Relying on the sexual scripts framework and Hofstede's cultural dimension of masculinity/femininity, we examined (a) how the coverage varied for boys and girls, (b) how it differed between the United States and the Netherlands, and (c) how gender differences varied by country. The sample comprised 627 sex-related feature stories from all 2006-2008 issues of three US (i.e., Seventeen, CosmoGirl! United States edition, and Teen) and three Dutch teen girl magazines (i.e., Fancy, CosmoGirl! Netherlands edition, and Girlz!). Overall, sexual wanting occurred more frequently in the US magazines than in the Dutch magazines. In the US coverage, boys' sexual wanting received more attention than girls' sexual wanting, whereas in the Dutch coverage sexual wanting was depicted equally often for boys and girls. The depiction of sexual pleasure did not vary by gender in either country, but was generally more visible in the Dutch magazines than in the US magazines. Sexual risks and the negative consequences of sex were associated with girls more than with boys, and were primarily depicted in the US magazines rather than in the Dutch magazines.

  18. Colloquial Dutch.

    Science.gov (United States)

    Bloomfield, Leonard

    This course in colloquial Dutch was originally prepared for use by American Armed Forces personnel who needed to develop a working command of the spoken language in a short period of time. Thirty-one lessons, based on activities common to Dutch culture, are contained in the text. Each lesson provides three parallel columns of sentences: the…

  19. Colloquial Dutch.

    Science.gov (United States)

    Bloomfield, Leonard

    This course in colloquial Dutch was originally prepared for use by American Armed Forces personnel who needed to develop a working command of the spoken language in a short period of time. Thirty-one lessons, based on activities common to Dutch culture, are contained in the text. Each lesson provides three parallel columns of sentences: the…

  20. Implementation of climate policy within Dutch municipalities. State-of-the-art in the second half of 2009; Invulling van het klimaatbeleid binnen Nederlandse gemeenten. Stand van zaken tweede helft 2009

    Energy Technology Data Exchange (ETDEWEB)

    Zwang, J.W.; Westerink, C.M.; Verhagen, R.

    2009-12-15

    In the period September and October 2009 a survey was held among Dutch municipalities to establish to what extent they expect to meet the local and national climate targets and to find out if municipalities feel that the government should take further action to realize the national climate targets. [Dutch] In de periode september en oktober 2009 is een enquete gehouden onder gemeenten om te bepalen in hoeverre zij verwachten de eigen en landelijke klimaatdoelstellingen te kunnen realiseren en om te bepalen of gemeenten vinden dat de Rijksoverheid meer actie moet ondernemen om de landelijke klimaatdoelstellingen gerealiseerd te krijgen.

  1. The New Dutch Waterline

    NARCIS (Netherlands)

    Verschuure, G.A.

    2015-01-01

    Nowadays, heritage is shifting towards a more structural approach, focusing on the urban landscape in which the intangible or the narrative of the place is used more often. The New Dutch Waterline is an example of this changing focus. This national transformation process (1999-now) led to high profi

  2. Dutch Culture Overseas

    NARCIS (Netherlands)

    Gouda, Frances

    1995-01-01

    Why were citizens of a small and politically insignificant European nation like the Netherlands able to represent as natural and normal their paternalistic dominance over ancient civilizations in places such as Java and Bali? How did 'ethical' twentieth century residents of the Dutch East Indies see

  3. The New Dutch Waterline

    NARCIS (Netherlands)

    Verschuure, G.A.

    2015-01-01

    Nowadays, heritage is shifting towards a more structural approach, focusing on the urban landscape in which the intangible or the narrative of the place is used more often. The New Dutch Waterline is an example of this changing focus. This national transformation process (1999-now) led to high

  4. National Evaluation of Title III Implementation: Report on State and Local Implementation. Appendix G: Data Collection Instruments

    Science.gov (United States)

    Tanenbaum, Courtney; Boyle, Andrea; Soga, Kay; Le Floch, Kerstin Carlson; Golden, Laura; Petroccia, Megan; Toplitz, Michele; O'Day, Jennifer; Taylor, James

    2012-01-01

    This appendix presents the data collection instruments used for the "National Evaluation of Title III Implementation: Report on State and Local Implementation" study. The purpose of this study is not to monitor Title III implementation, but to describe the implementation of Title III in states and school districts across the country. The…

  5. Development and implementation of a lifestyle intervention to promote physical activity and healthy diet in the Dutch general practice setting: the BeweegKuur programme

    Directory of Open Access Journals (Sweden)

    de Vries Nanne K

    2010-05-01

    Full Text Available Abstract Background The number of patients with diabetes is increasing. BeweegKuur (Dutch for 'Exercise Therapy' is a Dutch lifestyle intervention which aims to effectively and feasibly promote physical activity and better dietary behaviour in primary health care to prevent diabetes. Methods The goal of this paper is to present the development process and the contents of the intervention, using a model of systematic health promotion planning. The intervention consists of a 1-year programme for diabetic and prediabetic patients. Patients are referred by their general practitioner (GP to a lifestyle advisor (LSA, usually the practice nurse or a physiotherapist. Based on specific inclusion criteria and in close collaboration with the patient, an individual exercise programme is designed and supervised by the LSA. This programme can be attended at existing local exercise facilities or (temporarily under the supervision of a specialized exercise coach or physiotherapist. All participants are also referred to a dietician and receive diet-related group education. In the first pilot year (2008, the BeweegKuur programme was implemented in 7 regions in the Netherlands (19 GP practices and health centres, while 14 regions (41 GP practices and health centres participated during the second year. The aim is to implement BeweegKuur in all regions of the Netherlands by 2012. Discussion The BeweegKuur programme was systematically developed in an evidence- and practice-based process. Formative monitoring studies and (controlled effectiveness studies are needed to examine the diffusion process and the effectiveness and cost-effectiveness of the intervention.

  6. Exploring determinants of completeness of implementation and continuation of a Dutch school-based healthy diet promotion programme

    NARCIS (Netherlands)

    Bessems, K.M.H.H.; Assema, P. van; Vries, N.K. de; Paulussen, T.W.G.M.

    2014-01-01

    Strategies to promote implementation of school-based health promotion (HP) programmes should be designed to suit determinants of implementation and continuation. This study explored determinants of completeness of teachers' implementation of a healthy diet promotion programme and of their intention

  7. 76 FR 81911 - National Advisory Committee for Implementation of the National Forest System Land Management...

    Science.gov (United States)

    2011-12-29

    ... Management Planning Rule AGENCY: USDA Forest Service. ACTION: Notice of intent to establish an advisory... Advisory Committee for Implementation of the National Forest System Land Management Planning Rule... System Land Management Planning Rule (Planning Rule). The Committee is necessary and in the...

  8. 75 FR 733 - Implementation of the Executive Order, ``Classified National Security Information''

    Science.gov (United States)

    2010-01-05

    ... December 29, 2009 Implementation of the Executive Order, ``Classified National Security Information... entitled, ``Classified National Security Information'' (the ``order''), which substantially advances my... Information Security Oversight Office (ISOO) a copy of the department or agency regulations implementing...

  9. The Fiscal Compact: Europe’s Not Always Able to Speak German: On the Dutch Implementing Act and the Hazardous Interpretation of Article 3(2) Fiscal Compact

    NARCIS (Netherlands)

    Reestman, J.H.

    2013-01-01

    Fiscal Compact: duty to implement balanced budget rule, automatic correction mechanism and independent budget supervisor in national law - The Netherlands: Act on sustainable government finances - Act does not bind the (budget) legislature - Conformity with the implementation duty in Article 3(2) Fi

  10. Design of the Dutch Obesity Intervention in Teenagers (NRG-DOiT): systematic development, implementation and evaluation of a school-based intervention aimed at the prevention of excessive weight gain in adolescents

    OpenAIRE

    Brug Johannes; Visscher Tommy LS; Kremers Stef PJ; Chin A Paw Marijke JM; Singh Amika S; van Mechelen Willem

    2006-01-01

    Abstract Background Only limited data are available on the development, implementation, and evaluation processes of weight gain prevention programs in adolescents. To be able to learn from successes and failures of such interventions, integral written and published reports are needed. Methods Applying the Intervention Mapping (IM) protocol, this paper describes the development, implementation, and evaluation of the Dutch Obesity Intervention in Teenagers (DOiT), a school-based intervention pr...

  11. Long-term follow-up on effectiveness and safety of etanercept in juvenile idiopathic arthritis : the Dutch national register

    NARCIS (Netherlands)

    Prince, F H M; Twilt, M; ten Cate, R; van Rossum, M A J; Armbrust, W; Hoppenreijs, E P A H; van Santen-Hoeufft, M; Koopman-Keemink, Y; Wulffraat, N M; van Suijlekom-Smit, L W A

    2009-01-01

    OBJECTIVE: We undertook an observational study to obtain a complete overview of the long-term effectiveness and safety of etanercept in patients with different juvenile idiopathic arthritis (JIA) subtypes. METHODS: At baseline we collected patient and disease characteristics of all Dutch patients wi

  12. Long-term follow-up on effectiveness and safety of etanercept in juvenile idiopathic arthritis : the Dutch national register

    NARCIS (Netherlands)

    Prince, F. H. M.; Twilt, M.; ten Cate, R.; van Rossum, M. A. J.; Armbrust, Wineke; Hoppenreijs, E. P. A. H.; van Santen-Hoeufft, M.; Koopman-Keemink, Y.; Wulffraat, N. M.; van Suijlekom-Smit, L. W. A.

    2009-01-01

    Objective: We undertook an observational study to obtain a complete overview of the long-term effectiveness and safety of etanercept in patients with different juvenile idiopathic arthritis (JIA) subtypes. Methods: At baseline we collected patient and disease characteristics of all Dutch patients wi

  13. Long-term follow-up on effectiveness and safety of etanercept in juvenile idiopathic arthritis: the Dutch national register

    NARCIS (Netherlands)

    Prince, F.H.M.; Twilt, M.; ten Cate, R.; van Rossum, M.A.J.; Armbrust, W.; Hoppenreijs, E.P.A.H.; van Santen-Hoeufft, M.; Koopman-Keemink, Y.; Wulffraat, N.M.; van Suijlekom-Smit, L.W.A.

    2009-01-01

    OBJECTIVE: We undertook an observational study to obtain a complete overview of the long-term effectiveness and safety of etanercept in patients with different juvenile idiopathic arthritis (JIA) subtypes. METHODS: At baseline we collected patient and disease characteristics of all Dutch patients wi

  14. Impetigo: incidence and treatment in Dutch general practice in 1987 and 2001: results from two national surveys.

    NARCIS (Netherlands)

    Koning, S.; Mohammedamin, R.S.A.; Wouden, J.C. van der; Suijlekom-Smit, L.W.A. van; Schellevis, F.G.; Thomas, S.

    2006-01-01

    Background: Impetigo is a common skin infection in children. The epidemiology is relatively unkown, and the choice of treatment is subject to debate. Objective: The objective of our study was to determine the incidence and treatment of impetigo in Dutch general practice, and to assess trends between

  15. Scripts of sexual desire and danger in US and Dutch teen girl magazines: a cross-national content analysis

    NARCIS (Netherlands)

    Joshi, S.P.; Peter, J.; Valkenburg, P.M.

    2011-01-01

    The aim of this comparative quantitative content analysis was to investigate how US and Dutch teen girl magazines cover sexual desire (i.e., sexual wanting, and pleasure) and sexual danger (i.e., sexual risk, and negative physical/health consequences of sex). Relying on the sexual scripts framework

  16. Scripts of sexual desire and danger in US and Dutch teen girl magazines: a cross-national content analysis

    NARCIS (Netherlands)

    Joshi, S.P.; Peter, J.; Valkenburg, P.M.

    2011-01-01

    The aim of this comparative quantitative content analysis was to investigate how US and Dutch teen girl magazines cover sexual desire (i.e., sexual wanting, and pleasure) and sexual danger (i.e., sexual risk, and negative physical/health consequences of sex). Relying on the sexual scripts framework

  17. Executive Order 12941 Implementation at the Oak Ridge National Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    Hunt, R.J.; Kroon, R.J.; Shaffer, K.E.

    1998-08-01

    Congress enacted the Earthquake Hazards Reduction Act of 1977 (Public Law 95-124, as amended) to reduce risks to life and property from future earthquakes in the US. To implement the provisions of the Act, the Interagency Committee on Seismic Safety in Construction (ICSSC) was chartered. Approximately thirty Federal agencies, including the Department of Energy (DOE), participate in the ICSSC. The ICSSC is chaired by the National Institute of Standards (NIST) which also provides the technical secretariat. EO 12941, Seismic Safety of Existing Federally Owned or Leased Buildings, were prepared and issued by the ICSSC to reduce the vulnerability to buildings owned or leased by agencies or departments for Federal use. This report documents the implementation of EO 12941 at the Oak Ridge National Laboratory (ORNL) in Oak Ridge, Tennessee. ORNL is managed and operated by Lockheed Martin Energy Research, Inc. (LMER) for the DOE-Oak Ridge Operations Office (DOE-ORO). The ORNL building inventory includes buildings that are physically located at ORNL, East Tennessee Technology Park (ETTP), and the Oak Ridge Y-12 Plant. This report addresses buildings physically located at the ORNL plant site. ORNL buildings located at ETTP and Y-12 plant sites will be included in the EO 12941 implementation reports for those sites. The scope of this effort included revising the building inventory for ORNL that was prepared prior to the development of the DOE management plan, evaluating owned buildings not exempt from the requirements of EO 12941, estimating the costs associated with the rehabilitation of vulnerable non-exempt buildings, and preparing this report in the TR-17 prescribed format (CNPE 1996). These activities were performed in accordance with the DOE management plan and as applicable, Phase I - Screening Guidelines To Determine The Structures Exempt From Executive Order 12941 (CNPE 1995).

  18. Idaho National Laboratory Site Long-Term Stewardship Implementation Plan

    Energy Technology Data Exchange (ETDEWEB)

    B. E. Olaveson

    2006-07-27

    The U.S. Department of Energy has established long-term stewardship programs to protect human health and the environment at sites where residual contamination remains after site cleanup. At the Idaho National Laboratory Site, Comprehensive Environmental Response, Compensation, and Liability Act (CERLA) long-term stewardship activities performed under the aegis of regulatory agreements, the Federal Facility Agreement and Consent Order for the Idaho National Laboratory, and state and federal requirements are administered primarily under the direction of the Idaho Cleanup Project. It represents a subset of all on-going environmental activity at the Idaho National Laboratory Site. This plan provides a listing of applicable CERCLA long-term stewardship requirements and their planned and completed implementation goals. It proffers the Long-Term Stewardship Environmental Data Warehouse for Sitewide management of environmental data. This plan will be updated as needed over time, based on input from the U.S. Department of Energy, its cognizant subcontractors, and other local and regional stakeholders.

  19. Understanding implementation: the case of a computerized physician order entry system in a large Dutch university medical center.

    NARCIS (Netherlands)

    J.E.C.M. Aarts (Jos); H. Doorewaard (Hans); M. Berg (Marc)

    2004-01-01

    textabstractMost studies of the impact of information systems in organizations tend to see the implementation process as a "rollout" of technology, as a technical matter removed from organizational dynamics. There is substantial agreement that the success of implementing informatio

  20. Implementing business continuity effectively within the UK National Health Service.

    Science.gov (United States)

    Roberts, Patrick; Molyneux, Helen

    2010-11-01

    Whereas major incident planning is very well established within National Health Service (NHS) organisations in the UK, business continuity management (BCM) planning, in many cases, is a relatively new activity; however, a combination of factors including the emergence of H1N1 influenza, has led to growing interest in the subject. This paper draws on both the personal experience of the authors and published research in relevant fields to make a number of specific recommendations about the effective implementation of BCM within NHS organisations. These include the need to define the BCM project properly; conduct a thorough business impact analysis considering 'back office' as well as clinical activities; define suitable command and control arrangements with clear delegated authority; and support plan development with appropriate training.

  1. Manual conflict observation technique DOCTOR (Dutch Objective Conflict Technique for Operation and Research)

    NARCIS (Netherlands)

    Kraay, J.H.; Horst, A.R.A. van der; Oppe, S.

    2013-01-01

    The translation has been made for the purpose of a training in Bangladesh. The Dutch foundation Safe Crossings has initiated in 2012 a programme for infrastructural speed reducing measures on national highways in Bangladesh. A pilot project on 3 locations is being implemented in cooperation with nat

  2. Should implementation intentions interventions be implemented in obesity prevention: the impact of if-then plans on daily physical activity in Dutch adults.

    NARCIS (Netherlands)

    E. Vet (Emely); A. Oenema (Anke); P. Sheeran (Paschal); J. Brug (Hans)

    2009-01-01

    textabstractBackground Forming implementation intentions (specifying when, where and how to act) has been proposed as a potentially effective and inexpensive intervention, but has mainly been studied in controlled settings for straightforward behaviors. Purpose To examine if forming implementation i

  3. Spoken Dutch.

    Science.gov (United States)

    Bloomfield, Leonard

    This course in spoken Dutch is intended for use in introductory conversational classes. The book is divided into five major parts, each containing five learning units and one unit devoted to review. Each unit contains sections including (1) basic sentences, (2) word study and review of basic sentences, (3) listening comprehension, and (4)…

  4. Spoken Dutch.

    Science.gov (United States)

    Bloomfield, Leonard

    This course in spoken Dutch is intended for use in introductory conversational classes. The book is divided into five major parts, each containing five learning units and one unit devoted to review. Each unit contains sections including (1) basic sentences, (2) word study and review of basic sentences, (3) listening comprehension, and (4)…

  5. Implementation of integrated care for diabetes mellitus type 2 by two Dutch care groups : A case study

    NARCIS (Netherlands)

    Busetto, Loraine; Luijkx, Katrien; Huizing, Anna; Vrijhoef, H.J.M.

    2015-01-01

    Background Even though previous research has demonstrated improved outcomes of integrated care initiatives, it is not clear why and when integrated care works. This study aims to contribute to filling this knowledge gap by examining the implementation of integrated care for type 2 diabetes by two Du

  6. Implementing the national AIGA flash flood warning system in France

    Science.gov (United States)

    Organde, Didier; Javelle, Pierre; Demargne, Julie; Arnaud, Patrick; Caseri, Angelica; Fine, Jean-Alain; de Saint Aubin, Céline

    2015-04-01

    The French national hydro-meteorological and flood forecasting centre (SCHAPI) aims to implement a national flash flood warning system to improve flood alerts for small-to-medium (up to 1000 km2) ungauged basins. This system is based on the AIGA method, co-developed by IRSTEA these last 10 years. The method, initially set up for the Mediterranean area, is based on a simple event-based hourly hydrologic distributed model run every 15 minutes (Javelle et al. 2014). The hydrologic model ingests operational radar-gauge rainfall grids from Météo-France at a 1-km² resolution to produce discharges for successive outlets along the river network. Discharges are then compared to regionalized flood quantiles of given return periods and warnings (expressed as the range of the return period estimated in real-time) are provided on a river network map. The main interest of the method is to provide forecasters and emergency services with a synthetic view in real time of the ongoing flood situation, information that is especially critical in ungauged flood prone areas. In its enhanced national version, the hourly event-based distributed model is coupled to a continuous daily rainfall-runoff model which provides baseflow and a soil moisture index (for each 1-km² pixel) at the beginning of the hourly simulation. The rainfall-runoff models were calibrated on a selection of 700 French hydrometric stations with Météo-France radar-gauge reanalysis dataset for the 2002-2006 period. To estimate model parameters for ungauged basins, the 2 hydrologic models were regionalised by testing both regressions (using different catchment attributes, such as catchment area, soil type, and climate characteristic) and spatial proximity techniques (transposing parameters from neighbouring donor catchments), as well as different homogeneous hydrological areas. The most valuable regionalisation method was determined for each model through jack-knife cross-validation. The system performance was then

  7. Implementation of a national electronic reporting system in Lithuania.

    Science.gov (United States)

    Domeika, M; Kligys, G; Ivanauskiene, O; Mereckiene, J; Bakasenas, V; Morkunas, B; Berescianskis, D; Wahl, T; Stenqvist, K

    2009-04-02

    Electronic reporting systems improve the quality and timeliness of the surveillance of communicable diseases. The aim of this paper is to present the process of the implementation and introduction of an electronic reporting system for the surveillance of communicable diseases in Lithuania. The project which started in 2002 was performed in collaboration between Lithuania and Sweden and was facilitated by the parallel process of adapting the surveillance system to European Union (EU) standards. The Lotus-based software, SmittAdm, was acquired from the Department of Communicable Diseases Control and Prevention of Stockholm County in Sweden and adopted for Lithuania, resulting in the Lithuanian software, ULISAS. A major advantage of this program for Lithuania was the possibility to work offline. The project was initiated in the two largest counties in Lithuania where ULISAS had been installed and put in use by January 2005. The introduction was gradual, the national level was connected to the system during late 2005, and all remaining counties were included during 2006 and 2007. The reporting system remains to be evaluated concerning timeliness and completeness of the surveillance. Further development is needed, for example the inclusion of all physicians and laboratories and an alert system for outbreaks. The introduction of this case-based, timely electronic reporting system in Lithuania allows better reporting of data to the European Centre for Disease Prevention and Control (ECDC) and the World Health Organization (WHO) compared to the former reporting system with paper-based, aggregated data.

  8. RDA Implementation at the National Autonomous University of Mexico

    Directory of Open Access Journals (Sweden)

    Filiberto Felipe Martínez Arellano

    2017-04-01

    Full Text Available The Universidad Nacional Autónoma de México (UNAM [National Autonomous University of Mexico] is the largest and most important educational institution in Mexico and Latin America. It serves more than 340,000 graduate, bachelor and high school students. It offers 41 graduate programs and 118 undergraduate ones. Moreover, the Biblioteca Nacional de México (BNM [National Library of Mexico] is into the UNAM structure, playing the role of safeguarding and preserving the bibliographical memory of Mexico, which is integrated by more than 1,250,000 books and documents that are sheltered into this library. Moreover, the Sistema Bibliotecario y de Información de la UNAM (SIBIUNAM [UNAM Library and Information System] is composed of 135 libraries with a collection of approximately 1,700.000 book titles and 6,000.000 volumes, which is coordinated by the Dirección General de Bibliotecas de la UNAM [UNAM General Directorate of Libraries]. Additionally, in the UNAM organization is placed the Instituto de Investigaciones Bibliotecológicas y de la Información (IIBI [Institute of Research in Library and Information Sciences], where theoretical and applied research projects are carried out in several research areas, being one of them the information organization, and within this one, cataloging standards are approached. This article addresses the challenges that the adoption of the new RDA cataloging standard has represented for these three UNAM organizations, as well as the actions developed in each one of them. The Biblioteca Nacional México (BNM experiences on RDA implementation are shared. Some problematic situations, as well as the solution for these ones, are presented. It is also included the BNM participation in forums, to communicate the work that was done on cataloging using the new code. It also is addressed the updating and training of staff, participation in cooperative cataloging programs and the RDA analysis in work teams, as well as the

  9. 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 ac

  10. Cost-effectiveness of a multifaceted implementation strategy for the Dutch multidisciplinary guideline for nonspecific low back pain: design of a stepped-wedge cluster randomised controlled trial.

    Science.gov (United States)

    Suman, Arnela; Schaafsma, Frederieke G; Elders, Petra J M; van Tulder, Maurits W; Anema, Johannes R

    2015-05-31

    Low back pain (LBP) is one of the most prevalent and expensive health care problems in industrialised countries. LBP leads to high health care utility and productivity losses; leaving the individual, the employer, and society with substantial costs. To improve the care for LBP patients and reduce the high societal and financial burden of LBP, in 2010 the 'Multidisciplinary care guideline for nonspecific low back pain' was developed in the Netherlands. The current paper describes the design of a study aiming to evaluate the (cost-) effectiveness of a multifaceted strategy to implement this guideline. In a cluster-randomised controlled trial, the (cost-) effectiveness of a multifaceted implementation strategy will be compared to passive guideline dissemination. Using a stepped-wedge approach, participating general practitioners, physiotherapists, and occupational physicians are allocated into clusters and will attend a multidisciplinary continuing medical education training session. The timing these clusters receive the training is the unit of randomisation. LBP patients visiting the participating health care providers are invited to participate in the trial and will receive access to a multimedia intervention aimed at improving beliefs, cognitions, and self-management. The primary outcome measure of this study is patient back beliefs. Secondary outcome measures on patient level include pain, functional status, quality of life, health care utility, and productivity losses. Outcome measures on professional level include knowledge and attitude towards the guideline, and guideline adherence. A process evaluation for the implementation strategy will be performed among the health care providers and the patients. Furthermore, a qualitative subgroup analysis among patients with various ethnic backgrounds will be performed. This study will give insight into the (cost-) effectiveness of a multifaceted implementation strategy for the Dutch multidisciplinary guideline for non

  11. Marine Corps Installations National Capital RegionRegional Contracting Office Generally Implemented Recommendations

    Science.gov (United States)

    2016-07-29

    Corps Installations National Capital Region–Regional Contracting Office Generally Implemented Recommendations J U LY 2 9 , 2 0 1 6 Report No...Installations National Capital Region–Regional Contracting Office Generally Implemented Recommendations Objective We determined whether the Marine...Corps Regional Contracting Office–National Capital Region implemented the recommendations in Report No. DODIG-2015-095, “Small Business Contracting

  12. 77 FR 26314 - National Environmental Policy Act: Implementing Procedures; Addition to Categorical Exclusions...

    Science.gov (United States)

    2012-05-03

    ... Office of the Secretary National Environmental Policy Act: Implementing Procedures; Addition to..., (703) 390-6470. SUPPLEMENTARY INFORMATION: Background The National Environmental Policy Act (NEPA.... Dated: April 20, 2012. Willie R. Taylor, Director, Office of Environmental Policy and...

  13. 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 ...

  14. 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

  15. National health insurance policy in Nepal: challenges for implementation

    Directory of Open Access Journals (Sweden)

    Shiva Raj Mishra

    2015-08-01

    Full Text Available The health system in Nepal is characterized by a wide network of health facilities and community workers and volunteers. Nepal's Interim Constitution of 2007 addresses health as a fundamental right, stating that every citizen has the right to basic health services free of cost. But the reality is a far cry. Only 61.8% of the Nepalese households have access to health facilities within 30 min, with significant urban (85.9% and rural (59% discrepancy. Addressing barriers to health services needs urgent interventions at the population level. Recently (February 2015, the Government of Nepal formed a Social Health Security Development Committee as a legal framework to start implementing a social health security scheme (SHS after the National Health Insurance Policy came out in 2013. The program has aimed to increase the access of health services to the poor and the marginalized, and people in hard to reach areas of the country, though challenges remain with financing. Several aspects should be considered in design, learning from earlier community-based health insurance schemes that suffered from low enrollment and retention of members as well as from a pro-rich bias. Mechanisms should be built for monitoring unfair pricing and unaffordable copayments, and an overall benefit package be crafted to include coverage of major health services including non-communicable diseases. Regulations should include such issues as accreditation mechanisms for private providers. Health system strengthening should move along with the roll-out of SHS. Improving the efficiency of hospital, motivating the health workers, and using appropriate technology can improve the quality of health services. Also, as currently a constitution drafting is being finalized, careful planning and deliberation is necessary about what insurance structure may suit the proposed future federal structure in Nepal.

  16. TwNC: a Multifaceted Dutch News Corpus

    NARCIS (Netherlands)

    Ordelman, Roeland; Jong, de Franciska; Hessen, van Arjan; Hondorp, Hendri

    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 de

  17. National ownership in the implementation of global climate policy in Uganda

    DEFF Research Database (Denmark)

    Olsen, K.H.

    2006-01-01

    This article explores the history, from a developing country perspective, of how external interventions to implement global policies on the Climate Convention and the Clean Development Mechanism (CDM) have been integrated into national development policy frameworks in the period 1990-2005. The main...... first. Against this background, Uganda's policy response to climate change is reviewed. National climate policies are found not to exist, and the implementation of global policies is not integrated into national policy frameworks, partly due to conflicting national and global priorities. Given limited...... national awareness and the fact that climate policy is marginal compared to other national interests in Uganda, the experiences with donor support for the implementation of global climate policy nationally are analysed. This article demonstrates that neither national policies nor national management...

  18. 3 CFR - Implementation of the Executive Order, “Classified National Security Information”

    Science.gov (United States)

    2010-01-01

    ... 3 The President 1 2010-01-01 2010-01-01 false Implementation of the Executive Order, âClassified National Security Informationâ Presidential Documents Other Presidential Documents Memorandum of December 29, 2009 Implementation of the Executive Order, “Classified National Security Information” Memorandum for the Heads of Executive Departments...

  19. Remote age verification to prevent underage alcohol sales. First results from Dutch liquor stores and the economic viability of national adoption.

    Science.gov (United States)

    van Hoof, Joris J; van Velthoven, Ben C J

    2015-04-01

    Alcohol consumption among minors is a popular topic in the public health debate, also in the Netherlands. Compliance with the legal age limits for selling alcohol proves to be rather low. Some Dutch liquor stores (outlets with an exclusive license to sell off-premise drinks with 15% alcohol or more) have recently adopted a remote age verification system. This paper discusses the first results of the use of the system. We use data from 67 liquor stores that adopted Ageviewers, a remote age verification system, in 2011. A remote validator judges the customer's age using camera footage and asks for an ID if there is any doubt. The system then sends a signal to the cash register, which approves or rejects the alcohol purchase. From the 367346 purchase attempts in the database, 8374 were rejected or aborted for age-related reasons. This figure amounts to an average ratio of 1.12 underage alcohol purchase attempts per sales day in each participating liquor store. Scaling up to a national level, the figures suggest at least 1 million underage alcohol purchase attempts per year in Dutch liquor stores. Underage alcohol purchases can be prevented by the nationwide adoption of remote age verification. However, given the lax enforcement of the age limits by the government, adopting such a system on a voluntary basis is generally not in the economic interest of the liquor stores. Obligatory installation of the system in off-premise alcohol outlets may pass a social cost-benefit test if certain conditions are fulfilled. Copyright © 2014 Elsevier B.V. All rights reserved.

  20. Civil Defence and National Security: Composition and Implementation Model in National Defence

    Directory of Open Access Journals (Sweden)

    Mr. Muradi

    2017-01-01

    Full Text Available Civil Defense is inherent part of every citizen in many countries anywhere in the world, which differ only in the implementation of the program. The difference depends on the threat level and needs of each country in mobilizing citizens. However, the Civil Defense’s Governance which involvement of citizens is already regulated in a number of regulations and legislation, but as one part of an integrated program linked to the involvement of citizens in the framework of national defense, civil defense program is not enough to have its own laws. So that when applied in the form of operational, interpretation of these programs tend to be not in tune and even have precisely the opposite perspective between the state and citizens. This paper argued that the Civil Defense program is part of an integrated governance program of national security. Therefore, the state should be required to ensure that the program of Civil Defense goes well. This paper is also offer the composition and program models associated with the Civil Defense, Conscription Program (draftee and Reserve Component. The argument of this paper is that the Civil Defense Program is a linear and continuous with Conscription and Reserves Programs.

  1. Dutch audiology.

    Science.gov (United States)

    Grobben, L M; van Ligtenberg, C L

    1977-01-01

    In the Netherlands audiological care is given at different stages. An attempt is made to screen the hearing of all Dutch babies between the ages of 8 and 12 months. At the age of 4 or over, general audiological care is given by the school medical service; referral is first to a family doctor, who may refer to an otolaryngologist. Curative medical care (examination and therapy) is the province of the family doctor and the otolaryngologist. Otolaryngologists and pediatricians can refer patients to one of 19 Audiological Centers distributed around the country, where a number of workers in different disciplines cooperate for habilitation and rehabilitation. These may include an otolaryngologist in charge, a psychologist, a speech and hearing therapist, an audiologist (usually a physicist or university-trained engineer), social worker, technician, ortho-pedagogue, audiology assistant, and teacher. There are at the moment 25 schools for the hard of hearing and 5 institutes for the deaf. These are often found in conjunction with Audiological Centers, the latter providing paramedical assistance to the pupils by agreement. Finally, the Dutch Organization for Preventive Medicine works to prevent hearing loss in noisy industries.

  2. The Spatial Development Framework for Implementation of National ...

    African Journals Online (AJOL)

    kagoyire

    methodology for the NUP implementation in Rwanda. ..... economic growth which is sustainable and guided by green economic criteria, whereby urban .... In this meeting also the next step was conceptually presented (A5), the SMCE analysis.

  3. A concept for a decision support system based on practical experiences from a national disease emergency. The Dutch experience.

    Science.gov (United States)

    Crauwels, A P; de Koning, R; Nielen, M; Elbers, A R; Dijkhuizen, A A; Tielen, M J

    2001-01-01

    In 1997-1998, the Netherlands experienced a large epidemic of classical swine fever (CSF). The magnitude of this epidemic stressed the role information systems could play in supporting the management during an eradication campaign. The enforcement of an eradication strategy can become very complicated, especially with large epidemics, due to time pressure and many different procedures that have to be executed at the same time. The application of comprehensive information systems may result in more control over the process and in a relief of the operational management. After a brief description of the Dutch epidemic the authors provide an overview and the general application of four different types of information systems, classified as decision support systems. The application of these information systems in animal disease control is illustrated by providing concepts for a system architecture for transaction processing, management and executive information support and decision support. The application of a data warehouse as part of this systems architecture is explained. The eradication of CSF from the Netherlands was complicated by several factors. It is important to notice that information systems cannot prevent these factors. However, information systems can support disease control authorities in controlling these factors.

  4. A Concept for a Decision Support System Based on Practical Experiences from a National Disease Emergency The Dutch Experience

    Directory of Open Access Journals (Sweden)

    Dijkhuizen AA

    2001-03-01

    Full Text Available In 1997–1998, the Netherlands experienced a large epidemic of classical swine fever (CSF. The magnitude of this epidemic stressed the role information systems could play in supporting the management during an eradication campaign. The enforcement of an eradication strategy can become very complicated, especially with large epidemics, due to time pressure and many different procedures that have to be executed at the same time. The application of comprehensive information systems may result in more control over the process and in a relief of the operational management. After a brief description of the Dutch epidemic the authors provide an overview and the general application of four different types of information systems, classified as decision support systems. The application of these information systems in animal disease control is illustrated by providing concepts for a system architecture for transaction processing, management and executive information support and decision support. The application of a data warehouse as part of this systems architecture is explained. The eradication of CSF from the Netherlands was complicated by several factors. It is important to notice that information systems cannot prevent these factors. However, information systems can support disease control authorities in controlling these factors.

  5. Haemorrhagia post partum; an implementation study on the evidence-based guideline of the Dutch Society of Obstetrics and Gynaecology (NVOG) and the MOET (Managing Obstetric Emergencies and Trauma-course) instructions; the Fluxim study

    Science.gov (United States)

    2010-01-01

    Background One of the most important causes of maternal mortality and severe morbidity worldwide is post partum haemorrhage (PPH). Factors as substandard care are frequently reported in the international literature and there are similar reports in the Netherlands. The incidence of PPH in the Dutch population is 5% containing 10.000 women a year. The introduction of an evidence-based guideline on PPH by the Dutch society of Obstetrics and Gynaecology (NVOG) and the initiation of the MOET course (Managing Obstetrics Emergencies and Trauma) did not lead to a reduction of PPH. This implies the possibility of an incomplete implementation of both the NVOG guideline and MOET-instructions. Therefore, the aim of this study is to develop and test a tailored strategy to implement both the NVOG guideline and MOET-instructions Methods/Design One step in the development procedure is to evaluate the implementation of the guideline and MOET-instructions in the current care. Therefore measurement of the actual care will be performed in a representative sample of 20 hospitals. This will be done by prospective observation of the third stage of labour of 320 women with a high risk of PPH using quality indicators extracted from the NVOG guideline and MOET instructions. In the next step barriers and facilitators for guideline adherence will be analyzed by performance of semi structured interviews with 30 professionals and 10 patients, followed by a questionnaire study among all Dutch gynaecologists and midwives to quantify the barriers mentioned. Based on the outcomes, a tailored strategy to implement the NVOG guideline and MOET-instructions will be developed and tested in a feasibility study in 4 hospitals, including effect-, process- and cost evaluation. Discussion This study will provide insight into current Dutch practice, in particular to what extent the PPH guidelines of the NVOG and the MOET-instructions have been implemented in the actual care, and into the barriers and

  6. Haemorrhagia post partum; an implementation study on the evidence-based guideline of the Dutch Society of Obstetrics and Gynaecology (NVOG and the MOET (Managing Obstetric Emergencies and Trauma-course instructions; the Fluxim study

    Directory of Open Access Journals (Sweden)

    Grol Richard P

    2010-01-01

    Full Text Available Abstract Background One of the most important causes of maternal mortality and severe morbidity worldwide is post partum haemorrhage (PPH. Factors as substandard care are frequently reported in the international literature and there are similar reports in the Netherlands. The incidence of PPH in the Dutch population is 5% containing 10.000 women a year. The introduction of an evidence-based guideline on PPH by the Dutch society of Obstetrics and Gynaecology (NVOG and the initiation of the MOET course (Managing Obstetrics Emergencies and Trauma did not lead to a reduction of PPH. This implies the possibility of an incomplete implementation of both the NVOG guideline and MOET-instructions. Therefore, the aim of this study is to develop and test a tailored strategy to implement both the NVOG guideline and MOET-instructions Methods/Design One step in the development procedure is to evaluate the implementation of the guideline and MOET-instructions in the current care. Therefore measurement of the actual care will be performed in a representative sample of 20 hospitals. This will be done by prospective observation of the third stage of labour of 320 women with a high risk of PPH using quality indicators extracted from the NVOG guideline and MOET instructions. In the next step barriers and facilitators for guideline adherence will be analyzed by performance of semi structured interviews with 30 professionals and 10 patients, followed by a questionnaire study among all Dutch gynaecologists and midwives to quantify the barriers mentioned. Based on the outcomes, a tailored strategy to implement the NVOG guideline and MOET-instructions will be developed and tested in a feasibility study in 4 hospitals, including effect-, process- and cost evaluation. Discussion This study will provide insight into current Dutch practice, in particular to what extent the PPH guidelines of the NVOG and the MOET-instructions have been implemented in the actual care, and into

  7. Monitoring NSL. Progress of the Dutch National Air Quality Cooperation Programme (NSL). State of affairs 2012; Monitoringsrapportage NSL. Stand van zaken 2012 Nationaal Samenwerkingsprogamma Luchtkwaliteit

    Energy Technology Data Exchange (ETDEWEB)

    Van Zanten, M.C.; Wesseling, J.; Mooibroek, D.; Van Alphen, A.; Nguyen, L. [Rijksinstituut voor Volksgezondheid en Milieu RIVM, Bilthoven (Netherlands); Groot Wassink, H.; Verbeek, C. [InfoMil, Agentschap NL, Den Haag (Netherlands)

    2012-11-15

    The National Air Quality Cooperation Programme (NSL) has been created to facilitate improvements in air quality in the Netherlands and to ensure that the Netherlands meets the respective deadlines set for compliance to EU limit values for particulate matter (PM10) and nitrogen dioxide (NO2). Local, regional and national authorities work together within the framework of this programme to ensure that these goals will be met. A monitoring programme has been put in place to monitor progress and, if necessary, to enable timely modifications to the programme. The annual results of the monitoring programme have been bundled together by the Monitoring Bureau (collaboration between RIVM and the InfoMil Knowledge Centre) into the 2012 progress report [Dutch] Om de luchtkwaliteit te verbeteren is het Nationaal Samenwerkingsprogramma Luchtkwaliteit (NSL) opgezet. Hierin werken de Rijksoverheid en decentrale overheden samen om te zorgen dat Nederland overal tijdig aan de grenswaarden voor fijn stof en stikstofdioxide zal voldoen. Om de voortgang van dit verbeterprogramma te volgen en tijdig eventuele extra maatregelen te kunnen nemen, is aan het NSL een monitoringsprogramma verbonden. De uitvoering van de monitoring is neergelegd bij Bureau Monitoring, een samenwerkingsverband tussen het RIVM en Kenniscentrum InfoMil.

  8. Prescription in Dutch general practice.

    NARCIS (Netherlands)

    Dijk, L. van

    2006-01-01

    The second Dutch National Survey of General Practice (DNSGP-2) has combined registration data on morbidity and prescription, making it possible to unravel diagnosis-specific prescription behaviour of general practitioners(GPs). Prescription rates for different disorders vary considerably, especially

  9. First cannabis use: does onset shift to younger ages? Findings from 1988 to 2003 from the Dutch National School Survey on Substance Use

    NARCIS (Netherlands)

    Monshouwer, K.; Smit, H.F.E.; Graaf, de R.; Os, van J.; Vollebergh, W.A.

    2005-01-01

    AIMS: To investigate the hypothesis that changes in cannabis prevalence among Dutch secondary school students (aged 12-17 years) were paralleled by shifts in the age of first cannabis use. DESIGN AND PARTICIPANTS: Data were derived from five waves (1988, 1992, 1996, 1999 and 2003) of the Dutch Natio

  10. Do individual characteristics matter? The quality of work during the implementation of a workflow management system in a Dutch social insurance company.

    NARCIS (Netherlands)

    Waal, B.M.E. de; Breman, P.; Batenburg, R.

    2012-01-01

    Do individual characteristics influence how the quality of work is related to the use of a workflow management system (WFM) in a Dutch social insurance organisation? This key question is addressed in this paper. Building upon DeLone and McLean’s model, we investigated the effects of gender, age, edu

  11. Do individual characteristics matter? The quality of work during the implementation of a workflow management system in a Dutch social insurance company

    NARCIS (Netherlands)

    Waal, Benny de; Breman, Paul; Batenburg, Ronald

    2012-01-01

    Do individual characteristics influence how the quality of work is related to the use of a workflow management system (WFM) in a Dutch social insurance organisation? This key question is addressed in this paper. Building upon DeLone and McLean’s model, we investigated the effects of gender, age, edu

  12. Politics of belonging, from national to personal: The political framing of 'Dutch' identity and ethnic minority citizens

    NARCIS (Netherlands)

    Slootman, M.; Duyvendak, J.W.; Stokes-DuPass, N.; Fruja, R.

    2016-01-01

    Why do nations still matter in citizenship studies? In this chapter, we explore this question from an individual, lived, perspective and argue that the macro-level of the nation-state is very relevant for citizens who are seen as ethnic and religious minorities. Using the case of the Netherlands, we

  13. Categorical and dimensional psychopathology in Dutch and US offspring of parents with bipolar disorder : A preliminary cross-national comparison

    NARCIS (Netherlands)

    Mesman, Esther; Birmaher, Boris B.; Goldstein, Benjamin I.; Goldstein, Tina; Derks, Eske M.; Vleeschouwer, Marloes; Hickey, Mary Beth; Axelson, David; Monk, Kelly; Diler, Rasim; Hafeman, Danella; Sakolsky, Dara J.; Reichart, Catrien G.; Wals, Marjolein; Verhulst, Frank C.; Nolen, Willem A.; Hillegers, Manon H. J.

    2016-01-01

    Objective: Accumulating evidence suggests cross-national differences in adults with bipolar disorder (BD), but also in the susceptibility of their offspring (bipolar offspring). This study aims to explore and clarify cross-national variation in the prevalence of categorical and dimensional psychopat

  14. Images of Dutchness : Popular Visual Media, the Emergence of National Clichés and the Creation of Supposed Common Knowledge about the Netherlands and the Dutch (1800-1914)

    NARCIS (Netherlands)

    Dellmann, S.

    2015-01-01

    This dissertation investigates the function of images in the production of supposed common knowledge and the emergence of clichéd images about the Netherlands and the Dutch in the long nineteenth century. It explains which images communicated an idea of “Dutchness” and why they were able of doing so

  15. Images of Dutchness : Popular Visual Media, the Emergence of National Clichés and the Creation of Supposed Common Knowledge about the Netherlands and the Dutch (1800-1914)

    NARCIS (Netherlands)

    Dellmann, S.

    2015-01-01

    This dissertation investigates the function of images in the production of supposed common knowledge and the emergence of clichéd images about the Netherlands and the Dutch in the long nineteenth century. It explains which images communicated an idea of “Dutchness” and why they were able of doing

  16. [From national strategic plans to operational implementation: opportunities and risks].

    Science.gov (United States)

    Etchepare, M

    2013-01-01

    Currently, all countries in Africa are - to various degrees - involved in reform and planning programs, either because they chose to or at the behest of international institutions working with them. Here we present an operational definition of a strategic plan and then analyze the factors that promote and constrain the planning process and the implementation of the plan thus developed.

  17. Rehabilitation Counseling Practicum: A National Survey of Design and Implementation

    Science.gov (United States)

    Dalgin, Rebecca Spirito; Bruch, Lori A.; Barber, Gerianne

    2010-01-01

    This national study documents current processes and practices used in the master's level rehabilitation counseling practicum such as type of supervision provided, training setting, activities related to rehabilitation skill development, written documentation used during practicum, and use of microskills training. Results are described in relation…

  18. Implementation of the NCI’s National Clinical Trials Network

    Science.gov (United States)

    NCI is launching a new clinical trials research network intended to improve treatment for the more than 1.6 million Americans diagnosed with cancer each year. The new system, NCI’s National Clinical Trials Network (NCTN), will facilitate the rapid initia

  19. Implementation of the Brazilian National Repository - RBMN Project - 13008

    Energy Technology Data Exchange (ETDEWEB)

    Cassia Oliveira de Tello, Cledola [CDTN - Center for Development of Nuclear Technology, Av. Presidente Antonio Carlos, 6.627 - Campus UFMG - Pampulha, CEP 31270-901 - Belo Horizonte - MG (Brazil)

    2013-07-01

    Ionizing radiation in Brazil is used in electricity generation, medicine, industry, agriculture and for research and development purposes. All these activities can generate radioactive waste. At this point, in Brazil, the use of nuclear energy and radioisotopes justifies the construction of a national repository for radioactive wastes of low and intermediate-level. According to Federal Law No. 10308, Brazilian National Commission for Nuclear Energy (CNEN) is responsible for designing and constructing the intermediate and final storages for radioactive wastes. Additionally, a restriction on the construction of Angra 3 is that the repository is under construction until its operation start, attaining some requirements of the Brazilian Environmental Regulator (IBAMA). Besides this NPP, in the National Energy Program is previewed the installation of four more plants, by 2030. In November 2008, CNEN launched the Project RBMN (Repository for Low and Intermediate-Level Radioactive Wastes), which aims at the implantation of a National Repository for disposal of low and intermediate-level of radiation wastes. This Project has some aspects that are unique in the Brazilian context, especially referring to the time between its construction and the end of its institutional period. This time is about 360 years, when the area will be released for unrestricted uses. It means that the Repository must be safe and secure for more than three hundred years, which is longer than half of the whole of Brazilian history. This aspect is very new for the Brazilian people, bringing a new dimension to public acceptance. Another point is this will be the first repository in South America, bringing a real challenge for the continent. The current status of the Project is summarized. (authors)

  20. [Environmental Assessment for Implementation of a Light Goose Hunting Plan for Squaw Creek National Wildlife Refuge

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The U.S. Fish and Wildlife Service is proposing to implement a light goose hunting plan on Squaw Creek National Wildlife Refuge. This plan discusses the following;...

  1. Design and implementation of speed humps: supplement to national guidelines for traffic calming

    CSIR Research Space (South Africa)

    Emslie, I

    1997-03-01

    Full Text Available This report presents guidelines to assist local authorities and traffic engineers with a uniform approach to the implementation of speed humps. It is recommended that these guidelines be read in conjunction with The National Guidelines for Traffic...

  2. Young adults awareness of HPV and vaccine acceptance after introduction of the HPV vaccine in the Dutch national vaccination program

    NARCIS (Netherlands)

    Schmeink, C.E.; Gosens, K.C.; Melchers, W.J.G.; Massuger, L.F.A.G.; Bekkers, R.L.M.

    2011-01-01

    PURPOSE: To investigate the effect of implementation of the HPV vaccine on HPV knowledge and HPV vaccine acceptance. METHODS: From June until December 2009 in Nijmegen, the Netherlands, 698 male and female students aged 18-25 years were recruited and interviewed about HPV, cervical carcinoma and HPV

  3. Young adults awareness of HPV and vaccine acceptance after introduction of the HPV vaccine in the Dutch national vaccination program

    NARCIS (Netherlands)

    Schmeink, C.E.; Gosens, K.C.; Melchers, W.J.G.; Massuger, L.F.A.G.; Bekkers, R.L.M.

    2011-01-01

    PURPOSE: To investigate the effect of implementation of the HPV vaccine on HPV knowledge and HPV vaccine acceptance. METHODS: From June until December 2009 in Nijmegen, the Netherlands, 698 male and female students aged 18-25 years were recruited and interviewed about HPV, cervical carcinoma and HPV

  4. Reasons for accepting or declining Down syndrome screening in Dutch prospective mothers within the context of national policy and healthcare system characteristics: a qualitative study.

    Science.gov (United States)

    Crombag, Neeltje M T H; Boeije, Hennie; Iedema-Kuiper, Rita; Schielen, Peter C J I; Visser, Gerard H A; Bensing, Jozien M

    2016-05-26

    Uptake rates for Down syndrome screening in the Netherlands are low compared to other European countries. To investigate the low uptake, we explored women's reasons for participation and possible influences of national healthcare system characteristics. Dutch prenatal care is characterised by an approach aimed at a low degree of medicalisation, with pregnant women initially considered to be at low risk. Prenatal screening for Down syndrome is offered to all women, with a 'right not to know' for women who do not want to be informed on this screening. At the time this study was performed, the test was not reimbursed for women aged 35 and younger. We conducted a qualitative study to explore reasons for participation and possible influences of healthcare system characteristics. Data were collected via ten semi-structured focus groups with women declining or accepting the offer of Down syndrome screening (n = 46). All focus groups were audio- and videotaped, transcribed verbatim, coded and content analysed. Women declining Down syndrome screening did not consider Down syndrome a condition severe enough to justify termination of pregnancy. Young women declining felt supported in their decision by perceived confirmation of their obstetric caregiver and reassured by system characteristics (costs and age restriction). Women accepting Down syndrome screening mainly wanted to be reassured or be prepared to care for a child with Down syndrome. By weighing up the pros and cons of testing, obstetric caregivers supported young women who accepted in the decision-making process. This was helpful, although some felt the need to defend their decision to accept the test offer due to their young age. For some young women accepting testing, costs were considered a disincentive to participate. Presentation of prenatal screening affects how the offer is attended to, perceived and utilised. By offering screening with age restriction and additional costs, declining is considered the

  5. Diabetes MILES – The Netherlands: rationale, design and sample characteristics of a national survey examining the psychosocial aspects of living with diabetes in Dutch adults

    Directory of Open Access Journals (Sweden)

    Nefs Giesje

    2012-10-01

    Full Text Available Abstract Background As the number of people with diabetes is increasing rapidly worldwide, a more thorough understanding of the psychosocial aspects of living with this condition has become an important health care priority. While our knowledge has grown substantially over the past two decades with respect to the physical, emotional and social difficulties that people with diabetes may encounter, many important issues remain to be elucidated. Under the umbrella of the Diabetes MILES (Management and Impact for Long-term Empowerment and Success Study International Collaborative, Diabetes MILES – The Netherlands aims to examine how Dutch adults with diabetes manage their condition and how it affects their lives. Topics of special interest in Diabetes MILES - The Netherlands include subtypes of depression, Type D personality, mindfulness, sleep and sexual functioning. Methods/design Diabetes MILES – The Netherlands was designed as a national online observational study among adults with diabetes. In addition to a main set of self-report measures, the survey consisted of five complementary modules to which participants were allocated randomly. From September to October 2011, a total of 3,960 individuals with diabetes (40% type 1, 53% type 2 completed the battery of questionnaires covering a broad range of topics, including general health, self-management, emotional well-being and contact with health care providers. People with self-reported type 1 diabetes (specifically those on insulin pump therapy were over-represented, as were those using insulin among respondents with self-reported type 2 diabetes. People from ethnic minorities were under-represented. The sex distribution was fairly equal in the total sample, participants spanned a broad age range (19–90 years, and diabetes duration ranged from recent diagnosis to living with the condition for over fifty years. Discussion The Diabetes MILES Study enables detailed investigation of the

  6. Implementation of Strategies to Leverage Public and Private Resources for National Security Workforce Development

    Energy Technology Data Exchange (ETDEWEB)

    None

    2009-04-01

    This report documents implementation strategies to leverage public and private resources for the development of an adequate national security workforce as part of the National Security Preparedness Project (NSPP), being performed under a U.S. Department of Energy (DOE)/National Nuclear Security Administration (NNSA) grant. There are numerous efforts across the United States to develop a properly skilled and trained national security workforce. Some of these efforts are the result of the leveraging of public and private dollars. As budget dollars decrease and the demand for a properly skilled and trained national security workforce increases, it will become even more important to leverage every education and training dollar. This report details some of the efforts that have been implemented to leverage public and private resources, as well as implementation strategies to further leverage public and private resources.

  7. Design and Implementation of the Australian National Data Service

    Directory of Open Access Journals (Sweden)

    Andrew Treloar

    2009-06-01

    Full Text Available Normal 0 This paper will describe the genesis and realisation of the Australian National Data Service (ANDS. It will commence by outlining the context within which ANDS was conceived, both in the international research and Australian research support domains. It will then describe the process that brought about the ANDS vision and the principles that informed the realisation of that vision. The paper will then outline each of the four ANDS programs (Developing Frameworks, Providing Utilities, Seeding the Commons, and Building Capabilities while also discussing particular items of note about the approach ANDS is taking. The paper concludes by briefly examining related work in the UK and US.

  8. Promulgation and Implementation of National Standard on Diamond Grading

    Institute of Scientific and Technical Information of China (English)

    2004-01-01

    @@ With the development of the diamond market, a revision of the national standard, Diamond Grading, formulated in 1996, was promulgated on July 1, 2003 and became effective since Nov. 1, 2003.The revision was formulated based upon GB/T16554-1996, GB/T18303 and a large amount of domestic and international data and information to serve the purpose of improving the technical standard of diamond grading, accelerating the domestic market′s entry the international diamond market as well as protecting the basic interests of diamond traders and all customers.

  9. [Not every delirium protocol in Dutch hospitals is up-to-date: evaluation of the implementation of the new delirium guideline].

    Science.gov (United States)

    Kentin, Z H A; Dautzenberg, P L J; Boelens, H M; de Rooij, S E J A; van Munster, B C

    2016-01-01

    To describe the extent to which the essential changes in the new Dutch delirium guideline for adults and the elderly, published in April 2014, have been incorporated in local hospital protocols, so as to estimate the consequences this could have for patients. Quantitative study. Dutch hospital protocols were collected for two periods: before (September to December 2012) and after publication of the guideline (March to July 2015). Protocols were compared with respect to basic delirium care (screening, diagnostic approach, therapy and follow-up care) and organisation of care. Of the 80 Dutch hospitals approached, we were able to include 57 (71%) protocols in this study. 16 hospitals (28%) had adapted their protocols to the new guideline. Screening for the risk of delirium using the questions from the Dutch safety management system (Veiligheidsmanagementsysteem) was described in 29 (51%) of the protocols. Use of the Delirium Observation Screening Scale was reported in 52 (91%) protocols. A policy of moderation regarding antipsychotic therapy was described in 12 of 53 (23%) protocols, but in 21/53 (40%) the haloperidol dosages were higher than advised by the guideline. Follow-up care is described in 40 (70%) of the protocols. Organisation of delirium care, for example restriction of consultation of an expert to complex cases, was advised in 33/57 (58%) protocols. 15 months after publication, only just over a quarter of the protocols incorporated the guideline. In terms of the treatment of patients with delirium, this may have led to unnecessary treatment with antipsychotics. Furthermore, basic delirium care is apparently still not considered as the responsibility of every medical specialist in the hospital.

  10. The world's tallest nation has stopped growing taller: The height of Dutch children from 1955 to 2009

    NARCIS (Netherlands)

    Schönbeck, Y.; Talma, H.; Dommelen, P. van; Bakker, B.; Buitendijk, S.E.; Hirasing, R.A.; Buuren, S. van

    2013-01-01

    Background: Records show that mean height in The Netherlands has increased since 1858. This study looks at whether this trend in the world's tallest nation is continuing. We consider the influence of the geographical region, and of the child and parental education, on changes in height.Methods:We

  11. Elements of Sustainable Development. Contents and backgrounds of policy scenario III in the Dutch National Environmental Policy Plan

    NARCIS (Netherlands)

    Maas RJM

    1991-01-01

    The report "Concern for Tomorrow - a National Environmental survey 1985-2010" (RIVM, 1989) lead to the conclusion that traditional environmental policy measures were insulfficient to combine further growth of production and consumption with the realisation of a 70-90% reduction goal, which

  12. The Information Marketing Concept and the Implementation of National Information Policy (NIP) in Zambia.

    Science.gov (United States)

    Lundu, Maurice C.

    This paper describes the purpose of a national information policy in general, the process that led to the formation of such a policy in Zambia, and the requirements for its successful implementation. Particular attention is paid to the concept of information marketing. It is argued that such a concept would be an implementation requirement if…

  13. Implementation of an Integrated Information Management System at the National Library of Wales: A Case Study

    Science.gov (United States)

    Evans, Manon Foster; Thomas, Sian

    2007-01-01

    Purpose: This paper aims to describe the experiences of the National Library of Wales in implementing an integrated information management system. Design/methodology/approach: Discusses the stages involved in the procurement process, data migration and general system implementation. Findings: Emphasises the need for a well-prepared yet flexible…

  14. 77 FR 16471 - Pipeline Safety: Implementation of the National Registry of Pipeline and Liquefied Natural Gas...

    Science.gov (United States)

    2012-03-21

    ...: Implementation of the National Registry of Pipeline and Liquefied Natural Gas Operators AGENCY: Pipeline and... registry of pipeline and liquefied natural gas operators. This notice provides updates to the information... and liquefied natural gas (LNG) operators. New operators use the national registry to obtain...

  15. 78 FR 44138 - National Environmental Policy Act; Implementing Procedures; Addition of Categorical Exclusion for...

    Science.gov (United States)

    2013-07-23

    ... SECURITY Coast Guard National Environmental Policy Act; Implementing Procedures; Addition of Categorical... Property Disposal under the National Environmental Policy Act (NEPA). This CATEX amends the United States... Environmental Policy Act (NEPA). Recently, Congress passed two pieces of legislation that directly authorize...

  16. 78 FR 39307 - National Environmental Policy Act: Implementing Procedures; Addition to Categorical Exclusions...

    Science.gov (United States)

    2013-07-01

    ...; FXFR13360900000-134-FF09F14000] National Environmental Policy Act: Implementing Procedures; Addition to... Environmental Policy Act (NEPA) for the U.S. Fish and Wildlife Service. The proposed categorical exclusion...-877-8339. SUPPLEMENTARY INFORMATION: Background Under the National Environmental Policy Act (42...

  17. 78 FR 50079 - National Environmental Policy Act: Implementing Procedures; Addition to Categorical Exclusions...

    Science.gov (United States)

    2013-08-16

    ... Office of the Secretary National Environmental Policy Act: Implementing Procedures; Addition to... proposed categorical exclusion under the National Environmental Policy Act (NEPA) for the U.S. Fish and... 12, 2013. Willie R. Taylor, Director, Office of Environmental Policy and Compliance. BILLING...

  18. Integrating care by implementation of bundled payments: results from a national survey on the experience of Dutch dietitians.

    NARCIS (Netherlands)

    Tol, J.; Swinkels, I.C.S.; Struijs, J.N.; Veenhof, C.; Bakker, D.H. de

    2013-01-01

    Introduction: In the Netherlands, bundled payments were introduced as part of a strategy to redesign chronic care delivery. Under this strategy new entities of health care providers in primary care are negotiating with health insurers about the price for a bundle of services for several chronic cond

  19. Integrating care by implementation of bundled payments: results from a national survey on the experience of Dutch dietitians.

    NARCIS (Netherlands)

    Tol, J.; Swinkels, I.C.S.; Struijs, J.N.; Veenhof, C.; Bakker, D.H. de

    2013-01-01

    Introduction: In the Netherlands, bundled payments were introduced as part of a strategy to redesign chronic care delivery. Under this strategy new entities of health care providers in primary care are negotiating with health insurers about the price for a bundle of services for several chronic

  20. '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

  1. Wilderness - between the promise of hell and paradise: A cultural-historical exploration of a Dutch National Park

    Science.gov (United States)

    Koen Arts; Anke Fischer; Rene van der Wal

    2011-01-01

    ‘Wilderness' is often seen as an ideal state in contemporary debates on ecological restoration. This paper asks what is left of ‘wilderness' in present-day Western Europe and explores this question by drawing on a case study of the Hoge Veluwe National Park in the Netherlands. An overview of intellectual histories of wilderness ideas is used as a backdrop to...

  2. Internationalisation of Dutch SMEs

    OpenAIRE

    Jolanda Hessels

    2005-01-01

    Whereas the Dutch business sector as a whole is among the largest exporters, importers and foreign direct investors, Dutch SMEs, as compared to SMEs from other European countries, occupy a position in the middle with respect to the share of enterprises that export, import or invest abroad. In the coming years an increase in the international involvement of Dutch SMEs is expected. In this report the following subjects are adressed: Overview of the internationalisation of Dutch SME's, the inter...

  3. 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...

  4. Dutch for Reading Knowledge

    NARCIS (Netherlands)

    van Baalen, C.; Blom, F.R.E.; Hollander, I.

    2012-01-01

    This first Dutch for Reading Knowledge book on the market promotes a high level of reading and translation competency by drawing from Dutch grammar, vocabulary and reading strategies, and providing many translation "shortcuts" and tips when tackling complex texts in Dutch. Aimed at students, researc

  5. Implementing CRM System in a Global Organization National vs. Organizational Culture

    DEFF Research Database (Denmark)

    Frygell, Linda; Hedman, Jonas; Carlsson, Sven

    2017-01-01

    This paper presents a longitudinal case study of a multi-national company’s Customer Relationship Management implementation in China, Poland, Russia, Middle East, Dubai, Pakistan, Iran, Korea and Japan. Although the cooperation has extensive experience in implementing systems in its different...... global subsidiaries, and has planned the implementation well, the implementation was not a complete success. The study has identified that the cultural factor are important, but not stressed enough in the current CRM literature. Understanding the difference between the organizational culture in which...

  6. Implementing CRM System in a Global Organization National vs. Organizational Culture

    DEFF Research Database (Denmark)

    Frygell, Linda; Hedman, Jonas; Carlsson, Sven

    2017-01-01

    This paper presents a longitudinal case study of a multi-national company’s Customer Relationship Management implementation in China, Poland, Russia, Middle East, Dubai, Pakistan, Iran, Korea and Japan. Although the cooperation has extensive experience in implementing systems in its different...... global subsidiaries, and has planned the implementation well, the implementation was not a complete success. The study has identified that the cultural factor are important, but not stressed enough in the current CRM literature. Understanding the difference between the organizational culture in which...

  7. Dutch Logbooks

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Nineteenth century ship logbooks imaged by KNMI (Royal Netherlands Meteorological Institute) in 2006 as part of the RECLAIM (RECovery of Logbooks and International...

  8. Preferred providers and the credible commitment problem in health insurance: first experiences with the implementation of managed competition in the Dutch health care system.

    Science.gov (United States)

    Boonen, Lieke H H M; Schut, Frederik T

    2011-04-01

    We investigate the impact of the transition towards managed competition in the Dutch health care system on health insurers' contracting behaviour. Specifically, we examine whether insurers have been able to take up their role as prudent buyers of care and examine consumers' attitudes towards insurers' new role. Health insurers' contracting behaviour is investigated by an extensive analysis of available information on purchasing practices by health insurers and by interviews with directors of health care purchasing of the four major health insurers, accounting for 90% of the market. Consumer attitudes towards insurers' new role are investigated by surveys among a representative sample of enrollees over the period 2005-2009. During the first four years of the reform, health insurers were very reluctant to engage in selective contracting and preferred to use 'soft' positive incentives to encourage preferred provider choice rather than engaging in restrictive managed care activities. Consumer attitudes towards channelling vary considerably by type of provider but generally became more negative in the first two years after the reform. Insurers' reluctance to use selective contracting can be at least partly explained by the presence of a credible-commitment problem. Consumers do not trust that insurers with restrictive networks are committed to provide good quality care. The credible-commitment problem seems to be particularly relevant to the Netherlands, since Dutch enrollees are not used to restrictions on provider choice. Since consumers are quite sensitive to differences in provider quality, more reliable information about provider quality is required to reduce the credible-commitment problem.

  9. The making of Dutch flower culture: Auctions, networks, and aesthetics

    OpenAIRE

    2014-01-01

    Centered around five inquiries, this thesis uses several concepts to analyze Dutch horticulture and FloraHolland Aalsmeer: moral economy, commodity, world system, networks, horticulture, aesthetics, masculinity, cooperative, and the market. It explores how Dutch horticulture was and is embedded in national planning, policy, infrastructure, and aesthetics, both in the early stages of Dutch horticulture in the seventeenth century, with its environment of an emerging consumer culture and commodi...

  10. National study of an early parenting intervention: implementation differences on parent and child outcomes: parenting program implementation.

    Science.gov (United States)

    Nicholson, Jan M; Berthelsen, Donna; Williams, Kate E; Abad, Vicky

    2010-12-01

    Sing & Grow is a 10-week group music therapy intervention to promote positive parenting and child development for marginalized parents of birth to 3-year-old children. This paper examined whether changes from pre to post intervention varied according to implementation site, when the intervention was taken to scale nationally. Outcomes for 850 participants were compared for the site where the program was first established against three new locations; one site where implementation processes were more favorable relative to the other two sites. Overall, the findings provided only limited support for differential outcomes by site of implementation. Participants showed significant improvements in parent-reported parenting and child outcomes from pre to post that were similar across all sites. For clinician-reported outcomes, improvements over time were generally greater in the original site and the well-supported site compared to the sites where there were more implementation difficulties. These differences were partly accounted for by differences in the characteristics of participants receiving programs in different sites and differences in the clinicians' ratings of program quality and the levels of support and training provided. However, confounding by the source of measurement requires cautious interpretation of clinician data. This study further highlights the potential for music therapy as an early parenting intervention, and the need for more rigorous evaluations in this field.

  11. Violence Prevention in Austrian Schools: Implementation and Evaluation of a National Strategy

    Directory of Open Access Journals (Sweden)

    Christiane Spiel

    2012-12-01

    Full Text Available A qualitative study of Austria’s national strategy against violence in the public school system introduced in 2008. The national strategy developed by researchers consists of six activity domains with specific goals and projects defined for each. The evaluation (1 analyzes how the realized projects contributed to the six activity domains, (2 evaluates the national strategy at a general level, and (3 provides future recommendations. Eight members of the steering committee were interviewed at two points in the implementation process. The systematic interviews were coded according to the goals of the activity domains. According to the interviewees most of the projects have been satisfactorily implemented. Networking and cooperation with the different actors in the field of violence prevention and cooperation among steering committee members have been improved. However, the national strategy has not achieved the intended public recognition. The lessons learned from the evaluation and its results are discussed.

  12. Building Nation-Wide Information Infrastructures in Healthcare through Modular Implementation Strategies

    DEFF Research Database (Denmark)

    Aanestad, Margunn; Jensen, Tina Blegind

    2011-01-01

    and Lyytinen, to contrast the organization and implementation strategies of the two projects. Our findings highlight how implementation strategies differ with respect to how stakeholders are mobilized. We argue that the realization of nation-wide IIs for healthcare not only requires a gradual transition......Initiatives that seek to realize the vision of nation-wide information infrastructures (II) in healthcare have often failed to achieve their goals. In this paper, we focus on approaches used to plan, conduct, and manage the realization of such visions. Our empirical material describes two Danish...... initiatives, where a national project failed to deliver interoperable Electronic Patient Record (EPR) systems while a small, local solution grew and now offers a nation-wide solution for sharing patient record information. We apply II theory, specifically the five design principles proposed by Hanseth...

  13. 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 ex

  14. 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 ex

  15. 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 ex

  16. 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

  17. 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

  18. 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 ex

  19. The implementation of the Directive on the Application of Patients' Rights in Cross-border Healthcare in the Netherlands.

    Science.gov (United States)

    Bongers, L M H; Townend, D M R

    2014-03-01

    This article discusses the significance of the Directive 2011/24/EU on the application of patients' rights in cross-border healthcare for the protection of individual patients' rights in the Netherlands by describing how its provisions are implemented in Dutch health law. The responsible Dutch authorities take the view that most of the Directive's provisions and requirements are covered in existing Dutch law. Implementation of the Directive would only require adaptations to national legislation with regard to the establishment of a national contact point for cross-border healthcare and the recognition of medical prescriptions issued in another Member State. This article looks into the question of how far the Dutch law meets the requirements of the Directive in relation to the individual patients' rights addressed in this special issue of the European Journal of Health Law.

  20. Design of the Dutch Obesity Intervention in Teenagers (NRG-DOiT: systematic development, implementation and evaluation of a school-based intervention aimed at the prevention of excessive weight gain in adolescents

    Directory of Open Access Journals (Sweden)

    Brug Johannes

    2006-12-01

    Full Text Available Abstract Background Only limited data are available on the development, implementation, and evaluation processes of weight gain prevention programs in adolescents. To be able to learn from successes and failures of such interventions, integral written and published reports are needed. Methods Applying the Intervention Mapping (IM protocol, this paper describes the development, implementation, and evaluation of the Dutch Obesity Intervention in Teenagers (DOiT, a school-based intervention program aimed at the prevention of excessive weight gain. The intervention focussed on the following health behaviours: (1 reduction of the consumption of sugar-sweetened beverages, (2 reduction of energy intake derived from snacks, (3 decrease of levels of sedentary behaviour, and (4 increase of levels of physical activity (i.e. active transport behaviour and sports participation. The intervention program consisted of an individual classroom-based component (i.e. an educational program, covering 11 lessons of both biology and physical education classes, and an environmental component (i.e. encouraging and supporting changes at the school canteens, as well as offering additional physical education classes. We evaluated the effectiveness of the intervention program using a randomised controlled trial design. We assessed the effects of the intervention on body composition (primary outcome measure, as well as on behaviour, behavioural determinants, and aerobic fitness (secondary outcome measures. Furthermore, we conducted a process evaluation. Discussion The development of the DOiT-intervention resulted in a comprehensive school-based weight gain prevention program, tailored to the needs of Dutch adolescents from low socio-economic background.

  1. Drug and Therapeutics (D & T) committees in Dutch hospitals : a nation-wide survey of structure, activities, and drug selection procedures

    NARCIS (Netherlands)

    Fijn, R; Brouwers, JRBJ; Knaap, RJ; De Jong-Van den Berg, LTW

    1999-01-01

    Aims To determine structure, activities and drug selection processes used by Dutch hospital drug and therapeutics (D & T) committees. Methods A pretested structured survey questionnaire based on the Australian process and impact indicators, previous research, and consultation of professionals was de

  2. Incidence rates and management of urinary tract infections among children in Dutch general practice: results from a nation-wide registration study.

    NARCIS (Netherlands)

    Kwok, W.Y.; Kwaadsteniet, M.C. de; Harmsen, M.; Suijlekom-Smit, L.W. van; Schellevis, F.G.; Wouden, J.C. van der

    2006-01-01

    BACKGROUND: We aimed to investigate incidence rates of urinary tract infections in Dutch general practice and their association with gender, season and urbanisation level, and to analyse prescription and referral in case of urinary tract infections. METHOD: During one calendar year, 195 general prac

  3. Incidence rates and management of urinary tract infections among children in Dutch general practice: results from a nation-wide registration study.

    NARCIS (Netherlands)

    Kwok, W.Y.; Kwaadsteniet, M.C.E. de; Harmsen, M.; Suijlekom-Smit, L.W.A. van; Schellevis, F.G.; Wouden, J.C. van der

    2006-01-01

    Background: We aimed to investigate incidence rates of urinary tract infections in Dutch general practice and their association with gender, season and urbanisation level, and to analyse prescription and referral in case of urinary tract infections. Method: During one calendar year, 195 general prac

  4. Remote age verification to prevent underage alcohol sales. First results from Dutch liquor stores and the economic viability of national adoption

    NARCIS (Netherlands)

    Hoof, van J.J.; Velthoven, Ben C.J.

    2015-01-01

    Objectives Alcohol consumption among minors is a popular topic in the public health debate, also in the Netherlands. Compliance with the legal age limits for selling alcohol proves to be rather low. Some Dutch liquor stores (outlets with an exclusive license to sell off-premise drinks with 15% alcoh

  5. A comparison of thermal treatment processes for hazardous waste : Strategic EIA for the Dutch national hazardous waste management plan 1997- 2007

    NARCIS (Netherlands)

    Tukker, A.

    1999-01-01

    This paper (the second in a series of three) compares incineration options for hazardous waste with LCA. Provided that acceptance criteria are met with regard to metals, PAHs and chlorine, Dutch Municipal Solid Waste Incinerators (MSWIs) appeared to be preferable above rotary kilns since they have a

  6. CROSS-NATIONAL VALIDITY OF DIMENSIONS OF FAMILY FUNCTIONING - 1ST EXPERIENCES WITH THE DUTCH VERSION OF THE MCMASTER FAMILY ASSESSMENT DEVICE (FAD)

    NARCIS (Netherlands)

    WENNIGER, WFMDB; HAGEMAN, WJJM; ARRINDELL, WA

    1993-01-01

    The present study describes the first psychometric findings obtained in The Netherlands with the Dutch version of the Family Assessment Device (FAD) which was originally developed in the Anglo-American cultural context. In a sample of community volunteers, confirmatory analysis (multiple-group metho

  7. A comparison of thermal treatment processes for hazardous waste : Strategic EIA for the Dutch national hazardous waste management plan 1997- 2007

    NARCIS (Netherlands)

    Tukker, A.

    1999-01-01

    This paper (the second in a series of three) compares incineration options for hazardous waste with LCA. Provided that acceptance criteria are met with regard to metals, PAHs and chlorine, Dutch Municipal Solid Waste Incinerators (MSWIs) appeared to be preferable above rotary kilns since they have a

  8. Incidence rates and management of urinary tract infections among children in Dutch general practice: results from a nation-wide registration study.

    NARCIS (Netherlands)

    W.Y. Kwok (Wing-Yee); M.C. Kwaadsteniet (Marjolein); M. Harmsen (Mirjam); L.W.A. van Suijlekom-Smit (Lisette); F.G. Schellevis (François); J.C. van der Wouden (Hans)

    2006-01-01

    textabstractBACKGROUND: We aimed to investigate incidence rates of urinary tract infections in Dutch general practice and their association with gender, season and urbanisation level, and to analyse prescription and referral in case of urinary tract infections. METHOD: During one calendar year, 195

  9. Direct and indirect nitrous oxide emissions from agricultural soils, 1990 - 2003. Background document on the calculation method for the Dutch National Inventory Report

    NARCIS (Netherlands)

    Hoek KW van der; Schijndel MW van; Kuikman PJ; MNP; Alterra; LVM

    2007-01-01

    Since 2005 the Dutch method to calculate the nitrous oxide emissions from agricultural soils has fully complied with the Intergovernmental Panel on Climate Change (IPCC) Good Practice Guidelines. In order to meet the commitments of the Convention on Climate Change and the Kyoto Protocol, nitrous oxi

  10. Remote age verification to prevent underage alcohol sales. First results from Dutch liquor stores and the economic viability of national adoption

    NARCIS (Netherlands)

    van Hoof, Joris Jasper; Velthoven, Ben C.J.

    2015-01-01

    Objectives Alcohol consumption among minors is a popular topic in the public health debate, also in the Netherlands. Compliance with the legal age limits for selling alcohol proves to be rather low. Some Dutch liquor stores (outlets with an exclusive license to sell off-premise drinks with 15%

  11. Origin of the Dutch coastal landscape. Long-term landscape evolution of the Netherlands during the Holocene, described and visualized in national, regional and local palaeogeographical map series

    NARCIS (Netherlands)

    Vos, P.C.

    2015-01-01

    The topic of this thesis is the Origin of the Dutch coastal landscapes during the Holocene. The landscape evolution is visualized in a series of palaeogeographical maps, and the driving mechanisms behind the environmental changes are discussed. The practice to make palaeogeographical map reconstruct

  12. 78 FR 16825 - Approval of Air Quality Implementation Plans; Navajo Nation; Regional Haze Requirements for...

    Science.gov (United States)

    2013-03-19

    ... AGENCY 40 CFR Part 49 Approval of Air Quality Implementation Plans; Navajo Nation; Regional Haze Requirements for Navajo Generating Station; Extension of Comment Period AGENCY: Environmental Protection Agency... receive heightened protection. NGS is subject to the BART requirement of the CAA and the Regional Haze...

  13. 78 FR 58987 - Approval of Air Quality Implementation Plans; Navajo Nation; Regional Haze Requirements for...

    Science.gov (United States)

    2013-09-25

    ... AGENCY 40 CFR Part 49 Approval of Air Quality Implementation Plans; Navajo Nation; Regional Haze Requirements for Navajo Generating Station; Extension of Public Comment Period AGENCY: Environmental Protection... subject to the BART requirement of the CAA and the Regional Haze Rule (RHR) based on its age and its...

  14. 78 FR 41012 - Approval of Air Quality Implementation Plans; Navajo Nation; Regional Haze Requirements for...

    Science.gov (United States)

    2013-07-09

    ... AGENCY 40 CFR Part 49 Approval of Air Quality Implementation Plans; Navajo Nation; Regional Haze Requirements for Navajo Generating Station; Extension of Public Comment Period AGENCY: Environmental Protection... Congress to receive heightened protection. NGS is subject to the BART requirement of the CAA and the...

  15. Acute pulmonary admissions following implementation of a national workplace smoking ban.

    LENUS (Irish Health Repository)

    Kent, Brian D

    2012-09-01

    The implementation of workplace smoking bans has contributed to a significant reduction in the incidence of acute coronary syndrome admissions, but their influence on adult acute pulmonary disease admissions is unclear. We sought to assess the impact of a national smoking ban on nationwide admissions of individuals of working age with acute pulmonary illness.

  16. Evaluation of an Implementation Model : A National Investigation of VA Residential Programs

    NARCIS (Netherlands)

    Cook, Joan M.; Dinnen, Stephanie; Coyne, James C.; Thompson, Richard; Simiola, Vanessa; Ruzek, Josef; Schnurr, Paula P.

    2015-01-01

    This national investigation utilizes qualitative data to evaluate an implementation model regarding factors influencing provider use of two evidence-based treatments for posttraumatic stress disorder (PTSD). Semi-structured qualitative interviews with 198 mental health providers from 38 Department o

  17. 77 FR 38463 - Implementation of National Organic Program (NOP); Sunset Review (2012) Amendments to Pectin on...

    Science.gov (United States)

    2012-06-28

    ...: The Organic Foods Production Act of 1990 (OFPA) (7 U.S.C. 6501-6522) authorizes the establishment of... / Thursday, June 28, 2012 / Rules and Regulations#0;#0; ] DEPARTMENT OF AGRICULTURE Agricultural Marketing Service 7 CFR Part 205 Implementation of National Organic Program (NOP); Sunset Review (2012)...

  18. Evaluation of an Implementation Model : A National Investigation of VA Residential Programs

    NARCIS (Netherlands)

    Cook, Joan M.; Dinnen, Stephanie; Coyne, James C.; Thompson, Richard; Simiola, Vanessa; Ruzek, Josef; Schnurr, Paula P.

    2015-01-01

    This national investigation utilizes qualitative data to evaluate an implementation model regarding factors influencing provider use of two evidence-based treatments for posttraumatic stress disorder (PTSD). Semi-structured qualitative interviews with 198 mental health providers from 38 Department o

  19. Mexico’s National Cancer Control Plan: From Development to Implementation

    Science.gov (United States)

    The National Cancer Institute and the Center for Global Health have had a long-standing and successful partnership with INCan, and at their request are identifying new or enhanced ways to provide technical support by way of resources, training, and collaborative programs to facilitate the implementation of the NCCP.

  20. Good Practice in Designing and Implementing National Monitoring Systems for Adaptation to Climate Change

    DEFF Research Database (Denmark)

    Naswa, Prakriti; Trærup, Sara Lærke Meltofte; Bouroncle, Claudia

    In this report, we identify, analyse and compare international good practices in the design and implementation of national monitoring and evaluating indicator systems for climate change adaptation. This first chapter provides an introduction to the context and key terminology in the domain...

  1. The Implementation of IGE: 1973-1974. A Final Report to the National Institute of Education.

    Science.gov (United States)

    Wisconsin Univ., Madison. Research and Development Center for Cognitive Learning.

    This report, in addition to being a final report for an NIE grant awarded to the Wisconsin Research and Development Center for Cognitive Learning, summarizes the strategies, efforts, and results of implementing Individually Guided Education (IGE) nationally since 1971. Chapter 2 of this report (Chapter 1 is an introduction.) briefly describes the…

  2. Value Added Models and the Implementation of the National Standards of K-12 Physical Education

    Science.gov (United States)

    Seymour, Clancy M.; Garrison, Mark J.

    2017-01-01

    The implementation of value-added models of teacher evaluation continue to expand in public education, but the effects of using student test scores to evaluate K-12 physical educators necessitates further discussion. Using the five National Standards for K-12 Physical Education from the Society of Health and Physical Educators America (SHAPE),…

  3. Cyber security awareness toolkit for national security: an approach to South Africa's cyber security policy implementation

    CSIR Research Space (South Africa)

    Phahlamohlaka, LJ

    2011-05-01

    Full Text Available The aim of this paper is to propose an approach that South Africa could follow in implementing its proposed cyber security policy. The paper proposes a Cyber Security Awareness Toolkit that is underpinned by key National Security imperatives...

  4. Implementing China`s Agenda 21: From National Strategy to Local Actions

    Energy Technology Data Exchange (ETDEWEB)

    Gan, Lin

    1998-12-01

    This report analyses the process of adaptation of the Chinese governmental policy in response to sustainable development. It reviews the historical roots from which response to sustainable development arises. By examining the policy-making and implementation processes of China`s Agenda 21, the author studies (1) the dynamic forces that contribute to the establishment of the national and regional Agenda 21 and the relationships between different institutional preferences, arrangements and their obstacles, (2) the driving forces that pro-active responses to implement Agenda 21 projects, and the role of local governments in the process, (3) the relationship between international environmental aid and national capacity building for the environment, (4) the obstacles and conflicting interests that limit the implementation of Agenda 21 and sustainable development in China. 22 refs., 2 tabs.

  5. 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

  6. 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

  7. 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"…

  8. Between prohibition and legalization : The Dutch experiment in drug policy

    NARCIS (Netherlands)

    Leuw, Ed.; Haen Marshall, I.

    1994-01-01

    This book gives an account of the national Dutch drug control strategy. Many researches in this field are described. Most of the chapters touch, in one way or another, on one of three key questions: (1) how is Dutch drug policy different from that of other countries; (2) how is the increasing intern

  9. A Dutch Achievement Testing Program for Guidance and Program Evaluation.

    Science.gov (United States)

    Wijnstra, Johan M.

    1984-01-01

    The Eindtoets Basisonderwijs (final primary school test) is a Dutch national achievement test taken annually by 90,000 pupils. This article overviews the Dutch educational system and describes this testing program, emphasizing test equating methods. Evaluation findings from 1980 and resulting changes in test content and evaluation reports are also…

  10. 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 us

  11. 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

  12. Dutch archaeology and National Socialism

    NARCIS (Netherlands)

    Eickhoff, M.; Schlanger, N; Nordbladh, J

    2008-01-01

    Ukraine once was home to the largest population of Jews in the Russian Empire, and on the eve of the Nazi invasion of the USSR in 1941 it was the largest Jewish community in Europe. As such, Ukraine was one of the most important centers of Jewish life destroyed during the Holocaust. Between 1941 and

  13. Dutch archaeology and National Socialism

    NARCIS (Netherlands)

    Eickhoff, M.; Schlanger, N; Nordbladh, J

    2008-01-01

    Ukraine once was home to the largest population of Jews in the Russian Empire, and on the eve of the Nazi invasion of the USSR in 1941 it was the largest Jewish community in Europe. As such, Ukraine was one of the most important centers of Jewish life destroyed during the Holocaust. Between 1941 and

  14. External costs related to power production technologies. ExternE national implementation for Denmark

    Energy Technology Data Exchange (ETDEWEB)

    Schleisner, L.; Sieverts Nielsen, P.

    1997-12-01

    The objective of the ExternE National Implementation project has been to establish a comprehensive and comparable set of data on externalities of power generation for all EU member states and Norway. The tasks include the application of the ExternE methodology to the most important fuel cycles for each country as well as to update the already existing results; to aggregate these site- and technology-specific results to more general figures. The current report covers the results of the national implementation for Denmark. Three different fuel cycles have been chosen as case studies. These are fuel cycles for an offshore wind farm and a wind farm on land, a decentralised CHP plant based on natural gas and a decentralised CHP plant based on biogas. The report covers all the details of the application of the methodology to these fuel cycles aggregation to a national level. (au) EU-JOULE 3. 59 tabs., 25 ills., 61 refs.

  15. National Implementation of an Evidence-Based HIV Prevention and Reproductive Health Program for Bahamian Youth.

    Science.gov (United States)

    Knowles, Valerie; Kaljee, Linda; Deveaux, Lynette; Lunn, Sonja; Rolle, Glenda; Stanton, Bonita

    2012-01-01

    A wide range of behavioral prevention interventions have been demonstrated through longitudinal, randomized controlled trials to reduce sexual risk behaviors. Many of these interventions have been made available at little cost for implementation on a public health scale. However, efforts to utilize such programs typically have been met with a range of problems to be addressed, leading to the recognition that new processes must be identified and integrated into the emerging field of implementation science. A randomized, controlled trial conducted among Bahamian grade six students attending fifteen elementary schools found the sexual risk-reduction intervention "Focus on Youth in the Caribbean (FOYC) and Caribbean Informed Parents and Children Together (CImPACT)" to be effective through three years of follow-up. Based on these results, the Bahamian Ministry of Education decided to implement FOYC-CImPACT throughout all government grade six classes in The Bahamas. This manuscript describes the considerations, approaches, and actions taken regarding national implementation of this evidence-based intervention. The implementation process included active data-gathering, observation and feedback components to inform subsequent intervention phases. This manuscript reviewed the success and challenges to date within this framework and described changes made to enable next stages of the national implementation effort.

  16. Building a house on shifting sand: methodological considerations when evaluating the implementation and adoption of national electronic health record systems

    National Research Council Canada - National Science Library

    Takian, Amirhossein; Petrakaki, Dimitra; Cornford, Tony; Sheikh, Aziz; Barber, Nicholas

    2012-01-01

    .... Critical reflections on these complexities in the light of experience of undertaking the first national, longitudinal, and sociotechnical evaluation of the implementation and adoption of England's...

  17. 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:

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

    NARCIS (Netherlands)

    Kruk, Joke J. van de; Jager-Wittenaar, Harriët; Nieweg, Roos M.B.; Schans, Cees van der

    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: Da

  19. Returning birth: the politics of midwifery implementation on First Nations reserves in Canada.

    Science.gov (United States)

    Olson, Rachel; Couchie, Carol

    2013-08-01

    to explore the role of midwives in the implementation of an elective birthing programme in one remote First Nation community in Canada, and to identify current barriers and challenges to the practice of midwifery in these settings the study is a multisited ethnography based on 15 months of fieldwork in Manitoba, Canada. Thirty-nine individual qualitative, semi-structured interviews were completed. The data from the interviews were coded into themes and presented in the paper. the study focuses on one First Nation community and their process of implementation of midwifery services. This case study is used to address broader themes of midwifery and policy at a national level. participants included Aboriginal midwives from across Canada, policy makers from provincial and federal jurisdictions, medical professionals involved in Aboriginal health care, Aboriginal political leadership, and Aboriginal women and their families. national policy and issues of jurisdiction among levels of government were shown to be a barrier to midwifery implementation. the current policy of evacuation in most Aboriginal communities does not effectively address the Millennium Development Goal of having a skilled birth attendant at every birth. The role of midwifery is central to the process of returning birth to Aboriginal communities, and steps must be taken at both the policy and clinical level to ensure that midwifery implementation and education can become an option for all Aboriginal communities in Canada. when considering midwifery implementation in communities, midwives must engage in both political and clinical negotiations to ensure their ability to practice effectively. Understanding the complexity of the policy discourse, along with the place of midwifery within the existing clinical guidelines is integral to the success of this process. Copyright © 2012 Elsevier Ltd. All rights reserved.

  20. National implementation of a mental health service model: A survey of Crisis Resolution Teams in England.

    Science.gov (United States)

    Lloyd-Evans, Brynmor; Paterson, Bethan; Onyett, Steve; Brown, Ellie; Istead, Hannah; Gray, Richard; Henderson, Claire; Johnson, Sonia

    2017-01-11

    In response to pressures on mental health inpatient beds and a perceived 'crisis in acute care', Crisis Resolution Teams (CRTs), acute home treatment services, were implemented nationally in England following the NHS Plan in the year 2000: an unprecedentedly prescriptive policy mandate for three new types of functional community mental health team. We examined the effects of this mandate on implementation of the CRT service model. Two hundred and eighteen CRTs were mapped in England, including services in all 65 mental health administrative regions. Eighty-eight percent (n = 192) of CRT managers in England participated in an online survey. CRT service organization and delivery was highly variable. Nurses were the only professional group employed in all CRT staff teams. Almost no teams adhered fully to government implementation guidance. CRT managers identified several aspects of CRT service delivery as desirable but not routinely provided. A national policy mandate and government guidance and standards have proved insufficient to ensure CRT implementation as planned. Development and testing of resources to support implementation and monitoring of a complex mental health intervention is required.

  1. '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 an

  2. Implementation of a treat-to-target strategy in very early rheumatoid arthritis: results of the Dutch Rheumatoid Arthritis Monitoring remission induction cohort study

    NARCIS (Netherlands)

    Vermeer, M.; Kuper, H.H.; Hoekstra, M.; Haagsma, C.J.; Posthumus, M.D.; Brus, H.L.; Riel, P.L. van; Laar, M.A. van der

    2011-01-01

    OBJECTIVE: Clinical remission is the ultimate therapeutic goal in rheumatoid arthritis (RA). Although clinical trials have proven this to be a realistic goal, the concept of targeting at remission has not yet been implemented. The objective of this study was to develop, implement, and evaluate a tre

  3. Implementation & Analysis of Integrated Utility System in Developing Nation like India

    Directory of Open Access Journals (Sweden)

    Rajan Gupta

    2016-07-01

    Full Text Available Public utility systems are prevalent around the world but are struggling in developing nations like India to work efficiently. Integration of different utilities can be a possible solution on the technology front, so that more requests can be handled with lesser problems. This study provides the implementation design and benefits of an already proposed integration system by the same authors. It is found that Data Storage, Access Time, Transaction Cost, security cost and server’s busy time can become more effective if the implementation of integration system can be put in place. The working prototype is based on three utilities (Gas, Power & Water of Delhi-NCR, India.

  4. 28 CFR Appendix A to Part 61 - Bureau of Prisons Procedures Relating to the Implementation of the National Environmental Policy Act

    Science.gov (United States)

    2010-07-01

    ... the Implementation of the National Environmental Policy Act A Appendix A to Part 61 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) PROCEDURES FOR IMPLEMENTING THE NATIONAL ENVIRONMENTAL POLICY... of the National Environmental Policy Act 1. Authority: (CEQ Regulations) NEPA, the...

  5. Plan for the design, development, and implementation, and operation of the National Water Information System

    Science.gov (United States)

    Edwards, M.D.

    1987-01-01

    The Water Resources Division of the U.S. Geological Survey is developing a National Water Information System (NWIS) that will integrate and replace its existing water data and information systems of the National Water Data Storage and Retrieval System, National Water Data Exchange, National Water-Use Information, and Water Resources Scientific Information Center programs. It will be a distributed data system operated as part of the Division 's Distributed Information System, which is a network of computers linked together through a national telecommunication network known as GEONET. The NWIS is being developed as a series of prototypes that will be integrated as they are completed to allow the development and implementation of the system in a phased manner. It also is being developed in a distributed manner using personnel who work under the coordination of a central NWIS Project Office. Work on the development of the NWIS began in 1983 and it is scheduled for completion in 1990. This document presents an overall plan for the design, development, implementation, and operation of the system. Detailed discussions are presented on each of these phases of the NWIS life cycle. The planning, quality assurance, and configuration management phases of the life cycle also are discussed. The plan is intended to be a working document for use by NWIS management and participants in its design and development and to assist offices of the Division in planning and preparing for installation and operation of the system. (Author 's abstract)

  6. China National Unified System for Certification on Information Security Products Entering the Stage of Implementation

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

    @@ Recently, China National Administrative Committee for Certification on Information Security Products was officially established,symbolizing that the established national unified system for certification on information security products has entered the stage of implementation. Director of General Administration of Quality Supervision,Inspection and Quarantine of P. R.China (AQSIQ) Li Changjiang, Director of Certification and Accreditation Administration of P. R. China(CNCA) Wang Fengqing and Vice Director of the State Council Office for informationization work Qu Weizhi addressed at the establishing meeting.

  7. European Environmental law in the Dutch Polder

    NARCIS (Netherlands)

    Gronden, J.W. van de

    2000-01-01

    This article which is based on my (Dutch) Ph.D. thesis De implementatie van het EG-milieurecht door Nederlandse decentrale overheden (Deventer, 1998) focuses on the role the decentralized authorities have in implementation of EC environmental law in the Netherlands. Decentralized authorities must ob

  8. 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 l

  9. Performance Persistence of Dutch Pension Funds

    NARCIS (Netherlands)

    Huang, Xiaohong; Mahieu, Ronald

    2010-01-01

    This paper studies the investment performance of pension funds with a focus on their ability in implementing the 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. The z-score

  10. European Environmental law in the Dutch Polder

    NARCIS (Netherlands)

    Gronden, J.W. van de

    2000-01-01

    This article which is based on my (Dutch) Ph.D. thesis De implementatie van het EG-milieurecht door Nederlandse decentrale overheden (Deventer, 1998) focuses on the role the decentralized authorities have in implementation of EC environmental law in the Netherlands. Decentralized authorities must ob

  11. Analysis of National Forest Programs for REDD+ Implementation in six South and Southeast Asia countries

    Energy Technology Data Exchange (ETDEWEB)

    Mohammed, A.J.; Inoue, M.; Shivakoti, G.P.; Nath, T.K.; Jashimuddin, M.; Zoysa, M.D.; Kaskoyo, H.; Pulhin, J.M.; Peras, R.J.

    2016-07-01

    Aim of the study. To facilitate REDD+ implementation and identify relevant attributes for robust REDD+ policies, this study evaluated and synthesized information from national forest programs in South and Southeast Asian countries. Area of study: Data was collected from six countries: Sri Lanka, Indonesia, Bangladesh, Philippines, India and Thailand. Methods: The data sources for the evaluation was an in-depth desk review of relevant documents and focus group discussion among experts from each study country. Main Results: We found out that diverse factors may influence program feasibility and the ability to achieve ‘triple benefits’: the nature of the forest targeted by the policy, the characteristics of the population affected by the policy, attributes of the policy instrument and the different actors involved. Research highlights: We argue that national policies and programs targeted for REDD+ implementation should focus on the identified features to achieve REDD+ goals. (Author)

  12. The Development of e-tutorial on Implementation National Curriculum 2013 for Mathematics Teacher

    Science.gov (United States)

    Roza, Yenita; Satria, Gita; Nur Siregar, Syarifah

    2017-06-01

    Curriculum 2013 is the new national Curriculum in Indonesia that is targeted to be used in all Indonesian schools in 2019. At this time the teacher training continues but the number and locations of teachers very diffuse and time constraints to be an obstacle for the government to be able to conduct training for teachers. This research resulted in the e-tutorial which is designed for mathematics teachers in studying the process of Curriculum implementation. This product will assist the government in accelerating the preparation of teachers in implementation of Curriculum 2013. This e-tutorial contains the dynamics of Curriculum development, learning model, learning assessment, lesson plan, curriculum stages of implementation and government regulation that is relevant to the implementation of Curriculum 2013. The product development started with a needs analysis through discussions with mathematics teachers about their difficulties in the implementation of the Curriculum 2013. This e-tutorial was developed using Application of Adobe Director 11. This paper discusses the results of need analysis, process development and results of product revisions made based on input from teachers during the FGD. From the discussion, it can be concluded that this e-tutorial easily understood by teachers and help them to understand the implementation of Curriculum 2013

  13. Implementation of the knowledge economy paradigm in the strategy of national economy development

    OpenAIRE

    Dmytro Lukianenko; Olga Lukianenko; Olexandra Doroshenko

    2013-01-01

    This paper studies the knowledge economy paradigm and the factors of its influence on the development of national economies in the context of transformation of the global competitive environment. It has been methodologically identified the basic categories and concepts concerning the determination of key factors and parameters of modern economic systems. It has been proved through the example of South Korea that implementation of the knowledge economy paradigm in long-term strategies initiate...

  14. Implementing a national Scottish digital health & wellbeing service at scale: a qualitative sudy of stakeholders' views

    OpenAIRE

    Agbakoba, Ruth; McGee-Lennon, Marilyn; Bouamrane, Matt-Mouley; Watson, Nicholas; Mair, Frances

    2015-01-01

    Digital technologies are being used as part of international efforts to revolutionize healthcare in order to meet increasing demands such as the rising burden of chronic disease and ageing populations. In Scotland there is a government push towards a national service (Living It Up) as a single point of reference where citizens can access information, products and services to support their health and wellbeing. The aim of the study is to examine implementation issues including the challenges o...

  15. Assessment of required resources for implementation of national breast cancer screening program in Serbia

    Directory of Open Access Journals (Sweden)

    Majstorović Nemanja

    2014-01-01

    Full Text Available Introduction. High values of standardized mortality and morbidity rates of standardized cancer mortality in Serbia, especially colorectal, cervical and breast cancer led to creation of national programs for their early detection and engagement of the international support for their implementation. Objective. Assessment of required resources (time, personnel, financial to implement the National program for screening of breast cancer in the Republic of Serbia. Methods. Three possible scenarios have been prepared (optimistic, realistic and pessimistic based on the expected coverage by screening of women aged 45 to 69 years, and time, personnel and financial feasibility estimates were made for a two-year screening cycle. Results. Time aspect of feasibility even under conditions of “relaxation” of the assumption on the number of working days during the year did not question feasibility of any of the scenarios. Personnel feasibility is only possible in the pessimistic scenario, while the financial feasibility only makes sense in optimistic scenario as the least unfavorable solution due to economies of scale. Conclusion. Establishment of the initial base of skilled radiologists and radiology technicians and the system for their continuous medical education as well as allocation of specific MoH budget line for screening program expenditures, along with donated mammographs and good organization and coordination, may provide unobstructed implementation of the National program for early detection of breast cancer in the Republic of Serbia.

  16. Viewpoint – Why Has the South African National Water Act Been so Difficult to Implement?

    Directory of Open Access Journals (Sweden)

    Barbara Schreiner

    2013-06-01

    Full Text Available The South African National Water Act (Act 36 of 1998 was hailed by the international water community as one of the most progressive pieces of water legislation in the world, and a major step forward in the translation of the concept of integrated water resources management (IWRM into legislation. It has been widely quoted and referred to, and a number of countries ranging from China to Zambia have used it as an example in the revision of their own water legislation. And yet, 15 years down the line, implementation of the act has been only partially successful. In a number of critical aspects, implementation has, in fact, been weak. This paper sets out some personal reflections on the challenges facing the implementation of this remarkable piece of legislation and on the failure to achieve the initial high ambitions within the South African water sector. Through this process, it may be that there are lessons for other countries and for South Africa itself as it continues to face the challenge of implementation of the National Water Act (NWA.

  17. Impact on cardiovascular disease events of the implementation of Argentina's national tobacco control law.

    Science.gov (United States)

    Konfino, Jonatan; Ferrante, Daniel; Mejia, Raul; Coxson, Pamela; Moran, Andrew; Goldman, Lee; Pérez-Stable, Eliseo J

    2014-03-01

    Argentina's congress passed a tobacco control law that would enforce 100% smoke-free environments for the entire country, strong and pictorial health warnings on tobacco products and a comprehensive advertising ban. However, the Executive Branch continues to review the law and it has not been fully implemented. Our objective was to project the potential impact of full implementation of this tobacco control legislation on cardiovascular disease. The Coronary Heart Disease (CHD) Policy Model was used to project future cardiovascular events. Data sources for the model included vital statistics, morbidity and mortality data, and tobacco use estimates from the National Risk Factor Survey. Estimated effectiveness of interventions was based on a literature review. Results were expressed as life-years, myocardial infarctions and strokes saved in an 8-year-period between 2012 and 2020. In addition we projected the incremental effectiveness on the same outcomes of a tobacco price increase not included in the law. In the period 2012-2020, 7500 CHD deaths, 16 900 myocardial infarctions and 4300 strokes could be avoided with the full implementation and enforcement of this law. Annual per cent reduction would be 3% for CHD deaths, 3% for myocardial infarctions and 1% for stroke. If a tobacco price increase is implemented the projected avoided CHD deaths, myocardial infarctions and strokes would be 15 500, 34 600 and 11 900, respectively. Implementation of the tobacco control law would produce significant public health benefits in Argentina. Strong advocacy is needed at national and international levels to get this law implemented throughout Argentina.

  18. Evaluation of transition in Dutch senior secondary vocational education

    NARCIS (Netherlands)

    Lazonder, A.W.; Jong, F.P.C.M. de

    1999-01-01

    Survey responses from 55 Dutch agricultural vocational schools show that administrators believe that transition, the ability of students to change between training modes or qualification levels easily, has enhanced the flexibility of the qualification system developed under recent national reforms.

  19. Stakeholders' Perception on National Heatwave Plans and Their Local Implementation in Belgium and The Netherlands.

    Science.gov (United States)

    van Loenhout, Joris Adriaan Frank; Rodriguez-Llanes, Jose Manuel; Guha-Sapir, Debarati

    2016-11-10

    National heatwave plans are aimed at reducing the avoidable human health consequences due to heatwaves, by providing warnings as well as improving communication between relevant stakeholders. The objective of this study was to assess the perceptions of key stakeholders within plans in Belgium and The Netherlands on their responsibilities, the partnerships, and the effectiveness of the local implementation in Brussels and Amsterdam. Key informant interviews were held with stakeholders that had an important role in development of the heatwave plan in these countries, or its implementation in Brussels or Amsterdam. Care organisations, including hospitals and elderly care organisations, had a lack of familiarity with the national heatwave plan in both cities, and prioritised heat the lowest. Some groups of individuals, specifically socially isolated individuals, are not sufficiently addressed by the current national heatwave plans and most local plans. Stakeholders reported that responsibilities were not clearly described and that the national plan does not describe tasks on a local level. We recommend to urgently increase awareness on the impact of heat on health among care organisations. More emphasis needs to be given to the variety of heat-risk groups. Stakeholders should be involved in the development of updates of the plans.

  20. 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

  1. 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 Du

  2. The Dutch archival act and harmonisation

    NARCIS (Netherlands)

    Havermans, J.B.G.A.

    2010-01-01

    ln 1993, the first document on indoor air quality parameters was presented to improve the storage conditions for archival records. Since 1995, these recommendations were included in the Dutch Archival Act. The conditions were based on international and national studies, presented by Vosteen for the

  3. IMPLEMENTATION OF SERIOUS GAMES INSPIRED BY BALURAN NATIONAL PARK TO IMPROVE STUDENTS’ CRITICAL THINKING ABILITY

    Directory of Open Access Journals (Sweden)

    P. D. A. Putra

    2016-04-01

    Full Text Available The purpose of this study is to implement Baluran National Park-based Serious Game to enhance the students' creative thinking skill and motivation to learn. The subject of the study were 60 students of SMP Negeri 1 Asembagus, Situbondo regency. The sample was divided into three groups. Two groups were chosen as experimental classes and the other group as the control class. Both of the experimental groups were given treatment using serious game based on Baluran National Park. The instruments used were observation sheet, pre-test, and post-test. Baluran National Parks-based serious game was effective in improving the students' creative thinking skill and motivation to learn science subjects.

  4. IMPLEMENTATION OF SERIOUS GAMES INSPIRED BY BALURAN NATIONAL PARK TO IMPROVE STUDENTS’ CRITICAL THINKING ABILITY

    Directory of Open Access Journals (Sweden)

    P. D. A. Putra

    2016-04-01

    Full Text Available The purpose of this study is to implement Baluran National Park-based Serious Game to enhance the students' creative thinking skill and motivation to learn. The subject of the study were 60 students of SMP Negeri 1 Asembagus, Situbondo regency. The sample was divided into three groups. Two groups were chosen as experimental classes and the other group as the control class. Both of the experimental groups were given treatment using serious game based on Baluran National Park. The instruments used were observation sheet, pre-test, and post-test. Baluran National Parks-based serious game was effective in improving the students' creative thinking skill and motivation to learn science subjects.

  5. The Politico-Economic Challenges of Ghana’s National Health Insurance Scheme Implementation

    Directory of Open Access Journals (Sweden)

    Adam Fusheini

    2016-09-01

    Full Text Available Background National/social health insurance schemes have increasingly been seen in many low- and middle-income countries (LMICs as a vehicle to universal health coverage (UHC and a viable alternative funding mechanism for the health sector. Several countries, including Ghana, have thus introduced and implemented mandatory national health insurance schemes (NHIS as part of reform efforts towards increasing access to health services. Ghana passed mandatory national health insurance (NHI legislation (ACT 650 in 2003 and commenced nationwide implementation in 2004. Several peer review studies and other research reports have since assessed the performance of the scheme with positive rating while challenges also noted. This paper contributes to the literature on economic and political implementation challenges based on empirical evidence from the perspectives of the different category of actors and institutions involved in the process. Methods Qualitative in-depth interviews were held with 33 different category of participants in four selected district mutual health insurance schemes in Southern (two and Northern (two Ghana. This was to ascertain their views regarding the main challenges in the implementation process. The participants were selected through purposeful sampling, stakeholder mapping, and snowballing. Data was analysed using thematic grouping procedure. Results Participants identified political issues of over politicisation and political interference as main challenges. The main economic issues participants identified included low premiums or contributions; broad exemptions, poor gatekeeper enforcement system; and culture of curative and hospital-centric care. Conclusion The study establishes that political and economic factors have influenced the implementation process and the degree to which the policy has been implemented as intended. Thus, we conclude that there is a synergy between implementation and politics; and achieving UHC under

  6. The Politico-Economic Challenges of Ghana’s National Health Insurance Scheme Implementation

    Science.gov (United States)

    Fusheini, Adam

    2016-01-01

    Background: National/social health insurance schemes have increasingly been seen in many low- and middle-income countries (LMICs) as a vehicle to universal health coverage (UHC) and a viable alternative funding mechanism for the health sector. Several countries, including Ghana, have thus introduced and implemented mandatory national health insurance schemes (NHIS) as part of reform efforts towards increasing access to health services. Ghana passed mandatory national health insurance (NHI) legislation (ACT 650) in 2003 and commenced nationwide implementation in 2004. Several peer review studies and other research reports have since assessed the performance of the scheme with positive rating while challenges also noted. This paper contributes to the literature on economic and political implementation challenges based on empirical evidence from the perspectives of the different category of actors and institutions involved in the process. Methods: Qualitative in-depth interviews were held with 33 different category of participants in four selected district mutual health insurance schemes in Southern (two) and Northern (two) Ghana. This was to ascertain their views regarding the main challenges in the implementation process. The participants were selected through purposeful sampling, stakeholder mapping, and snowballing. Data was analysed using thematic grouping procedure. Results: Participants identified political issues of over politicisation and political interference as main challenges. The main economic issues participants identified included low premiums or contributions; broad exemptions, poor gatekeeper enforcement system; and culture of curative and hospital-centric care. Conclusion: The study establishes that political and economic factors have influenced the implementation process and the degree to which the policy has been implemented as intended. Thus, we conclude that there is a synergy between implementation and politics; and achieving UHC under the NHIS

  7. Differences in health and taste attitudes and reported behaviour among Finnish, Dutch and British consumers: a cross-national validation of the Health and Taste Attitude Scales (HTAS).

    Science.gov (United States)

    Roininen, K; Tuorila, H; Zandstra, E H; de Graaf, C; Vehkalahti, K; Stubenitsky, K; Mela, D J

    2001-08-01

    The Health and Taste Attitude Scales (HTAS) developed by Roininen, Lähteenmäki and Tuorila in 1999 measure the importance of health and taste aspects of foods in the food choice process. These multi-item scales consist of sets of statements, ranging from "strongly disagree" to "strongly agree", which further divide into three Health (General health interest, Light product interest and Natural product interest) and three Taste (Craving for sweet foods, Using food as a reward and Pleasure) sub-scales. Finnish (N=467), Dutch (N=477), and British (N=361) respondents completed a questionnaire which contained four components: the HTAS, a separate "paper and pencil task" of choosing a food for a snack; pleasantness, healthiness and frequency of consumption of eight foods; and the Restraint Eating Scale of the Dutch Eating Behaviour Questionnaire (DEBQ). The latter three components were included in order to validate various aspects of the HTAS. The factor structure of HTAS was found to be equal in all three countries. However, there were some minor differences in factor loadings among countries, e.g. the Natural product interest and Pleasure sub-scale items had lower factor loadings in the UK than in Finland and The Netherlands. Finnish respondents had the most positive attitude towards light products. Dutch and British respondents scored higher on all Taste sub-scales than their Finnish counterparts. Respondents' health-related attitudes were good predictors of their "healthy food choices" in the snack task and self-reported consumption. Two of the Taste sub-scales (Craving for sweet foods and Using food as a reward) predicted well respondents' self-reported consumption of, for example, full-fat chocolate bars. All the Health and two of the Taste sub-scales proved to be useful tools for characterizing consumer attitudes within and between countries.

  8. 40 CFR 142.19 - EPA review of State implementation of national primary drinking water regulations for lead and...

    Science.gov (United States)

    2010-07-01

    ... national primary drinking water regulations for lead and copper. 142.19 Section 142.19 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS (CONTINUED) NATIONAL PRIMARY DRINKING... implementation of national primary drinking water regulations for lead and copper. (a) Pursuant to the...

  9. An Approach for a National eHealth Implementation – the Case of Modular Interactive Tiles for Rehabilitation

    DEFF Research Database (Denmark)

    Lund, Henrik Hautop; Jensen, Line Steiness Dejnbjerg; Ssessanga, Yusuf

    2015-01-01

    and energy efficient technology which can be set up and used anywhere and anytime. We have formed a national partnership for sustainable implementation, comprising a governmental representative, national hospital, national health university department, regional hospitals, Living Labs and NGOs performing......, the partners contextualise the eHealth solution to fit the needs in urban, rural and deep rural areas....

  10. 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

  11. How smart is smart? Theoretical and empirical considerations on implementing smart city objectives – a case study of Dutch railway station areas

    NARCIS (Netherlands)

    de Wijs, Lisanne; Witte, Patrick; Geertman, Stan

    2016-01-01

    The current widespread attention on the concept of smart city in both policy and practice has stimulated academic discussion regarding the scope and applicability of this concept. An important question is whether cities and regions are truly advanced in implementing the concept in their policies and

  12. How smart is smart? Theoretical and empirical considerations on implementing smart city objectives – a case study of Dutch railway station areas

    NARCIS (Netherlands)

    de Wijs, Lisanne; Witte, Patrick; Geertman, Stan

    2016-01-01

    The current widespread attention on the concept of smart city in both policy and practice has stimulated academic discussion regarding the scope and applicability of this concept. An important question is whether cities and regions are truly advanced in implementing the concept in their policies and

  13. Making educational reforms practical for teachers : using a modular, success-oriented approach to make a context-based educational reform practical for implementation in Dutch biology education

    NARCIS (Netherlands)

    Dam, Michiel

    2014-01-01

    For a successful implementation of an educational reform, teachers need to regard the proposal as being practical. I used a modular, success-oriented approach to make a context-based reform practical for implemtentation in Duthc biology education. educational reform, modular, teachers, biology, succ

  14. Implementation of patient education at first and second dispensing of statins in Dutch community pharmacies: the sequel of a cluster randomized trial.

    Science.gov (United States)

    Van de Steeg-van Gompel, Caroline H P A; Wensing, Michel; De Smet, Peter A G M

    2011-11-16

    As a result of the previous part of this trial, many patients with cardiovascular disease were expected to receive a statin for the first time. In order to provide these patients with comprehensive information on statins, as recommended by professional guidance, education at first and second dispensing of statins had to be implemented. This study was designed to assess the effectiveness of an intensive implementation program targeted at pharmacy project assistants on the frequency of providing education at first dispensing (EAFD) and education at second dispensing (EASD) of statins in community pharmacies. The participating community pharmacies were clustered on the basis of local collaboration, were numbered by a research assistant and subsequently an independent statistician performed a block randomization, in which the cluster size (number of pharmacies in each cluster) was balanced. The pharmacies in the control group received a written manual on the implementation of EAFD and EASD; the pharmacies in the intervention group received intensive support for the implementation. The impact of the intensive implementation program on the implementation process and on the primary outcomes was examined in a random coefficient logistic regression model, which took into account that patients were grouped within pharmacy clusters. Of the 37 pharmacies in the intervention group, 17 pharmacies (50%) provided EAFD and 12 pharmacies (35.3%) provided EASD compared to 14 pharmacies (45.2%, P = 0.715) and 12 pharmacies (38.7%, P = 0.899), respectively, of the 34 pharmacies in the control group. In the intervention group a total of 72 of 469 new statin users (15.4%) received education and 49 of 393 patients with a second statin prescription (12.5%) compared to 78 of 402 new users (19.4%, P = 0.944) and 35 of 342 patients with a second prescription (10.2%, P = 0.579) in the control group. The intensive implementation program did not increase the frequency of providing EAFD and EASD

  15. Implementation of patient education at first and second dispensing of statins in Dutch community pharmacies: the sequel of a cluster randomized trial

    Science.gov (United States)

    2011-01-01

    Background As a result of the previous part of this trial, many patients with cardiovascular disease were expected to receive a statin for the first time. In order to provide these patients with comprehensive information on statins, as recommended by professional guidance, education at first and second dispensing of statins had to be implemented. This study was designed to assess the effectiveness of an intensive implementation program targeted at pharmacy project assistants on the frequency of providing education at first dispensing (EAFD) and education at second dispensing (EASD) of statins in community pharmacies. Methods The participating community pharmacies were clustered on the basis of local collaboration, were numbered by a research assistant and subsequently an independent statistician performed a block randomization, in which the cluster size (number of pharmacies in each cluster) was balanced. The pharmacies in the control group received a written manual on the implementation of EAFD and EASD; the pharmacies in the intervention group received intensive support for the implementation. The impact of the intensive implementation program on the implementation process and on the primary outcomes was examined in a random coefficient logistic regression model, which took into account that patients were grouped within pharmacy clusters. Results Of the 37 pharmacies in the intervention group, 17 pharmacies (50%) provided EAFD and 12 pharmacies (35.3%) provided EASD compared to 14 pharmacies (45.2%, P = 0.715) and 12 pharmacies (38.7%, P = 0.899), respectively, of the 34 pharmacies in the control group. In the intervention group a total of 72 of 469 new statin users (15.4%) received education and 49 of 393 patients with a second statin prescription (12.5%) compared to 78 of 402 new users (19.4%, P = 0.944) and 35 of 342 patients with a second prescription (10.2%, P = 0.579) in the control group. Conclusion The intensive implementation program did not increase the

  16. Implementation of patient education at first and second dispensing of statins in Dutch community pharmacies: the sequel of a cluster randomized trial

    Directory of Open Access Journals (Sweden)

    Van de Steeg-van Gompel Caroline HPA

    2011-11-01

    Full Text Available Abstract Background As a result of the previous part of this trial, many patients with cardiovascular disease were expected to receive a statin for the first time. In order to provide these patients with comprehensive information on statins, as recommended by professional guidance, education at first and second dispensing of statins had to be implemented. This study was designed to assess the effectiveness of an intensive implementation program targeted at pharmacy project assistants on the frequency of providing education at first dispensing (EAFD and education at second dispensing (EASD of statins in community pharmacies. Methods The participating community pharmacies were clustered on the basis of local collaboration, were numbered by a research assistant and subsequently an independent statistician performed a block randomization, in which the cluster size (number of pharmacies in each cluster was balanced. The pharmacies in the control group received a written manual on the implementation of EAFD and EASD; the pharmacies in the intervention group received intensive support for the implementation. The impact of the intensive implementation program on the implementation process and on the primary outcomes was examined in a random coefficient logistic regression model, which took into account that patients were grouped within pharmacy clusters. Results Of the 37 pharmacies in the intervention group, 17 pharmacies (50% provided EAFD and 12 pharmacies (35.3% provided EASD compared to 14 pharmacies (45.2%, P = 0.715 and 12 pharmacies (38.7%, P = 0.899, respectively, of the 34 pharmacies in the control group. In the intervention group a total of 72 of 469 new statin users (15.4% received education and 49 of 393 patients with a second statin prescription (12.5% compared to 78 of 402 new users (19.4%, P = 0.944 and 35 of 342 patients with a second prescription (10.2%, P = 0.579 in the control group. Conclusion The intensive implementation program

  17. A qualitative study of the anticipated barriers and facilitators to the implementation of a lifestyle intervention in the Dutch construction industry.

    Science.gov (United States)

    Tonnon, S C; Proper, K I; van der Ploeg, H P; Westerman, M J; Sijbesma, E; van der Beek, A J

    2014-12-23

    Lifestyle interventions have proven effective for lowering a cardiovascular risk profile by improving lifestyle behaviors, blood glucose and blood cholesterol levels. However, implementation of lifestyle interventions is often met with barriers. This qualitative study sought to determine anticipated barriers and facilitators to the nationwide implementation of an effective lifestyle intervention in the construction industry in the Netherlands. Prior to implementation, focus groups were held with 8 lifestyle counselors and semi-structured interviews with 20 employees of the construction industry, 4 occupational physicians, 4 medical assistants, and 1 manager of an occupational health service. The transcripts were coded by two coders and analyzed by constant comparison. Hypothetical employee willingness to sign up for the intervention was facilitated by a high level of perceived risk, perceived added value of the intervention, and perceived social support. It was hampered by a preference for independence and perceived interference with their work. All professionals named a lack of time as an anticipated barrier to implementation. Lifestyle counselors suggested several strategies to improve the proficiency of their counseling technique, such as training in small groups and a continuous stream of employee referrals. Occupational physicians thought they would be hampered in screening employees and referring them to a lifestyle counselor by the perception that addressing employee lifestyles was not their task, and by a counter-productive relationship with other stakeholders. The manager addressed financial incentives and a good intervention fit with the current approach of the OHS. The findings suggest that employees can be motivated to sign up for a lifestyle intervention by tailoring the implementation strategy to various subgroups within the target group. Occupational physicians can be motivated to refer employees for the intervention by making a referral personally

  18. MOOC Introduction to Dutch

    NARCIS (Netherlands)

    den Hollander, Franciscus; Piersma, Kristien

    2015-01-01

    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

  19. The Dutch surgical colorectal audit.

    Science.gov (United States)

    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

    2013-10-01

    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 Institute for Clinical Auditing (DICA). This article illustrates key elements of the DSCA and results of three years of auditing. Key elements include: a leading role of the professional association with integration of the audit in the national quality assurance policy; web-based registration by medical specialists; weekly updated online feedback to participants; annual external data verification with other data sources; improvement projects. In two years, all Dutch hospitals participated in the audit. Case-ascertainment was 92% in 2010 and 95% in 2011. External data verification by comparison with the Netherlands Cancer Registry (NCR) showed high concordance of data items. Within three years, guideline compliance for diagnostics, preoperative multidisciplinary meetings and standardised reporting increased; complication-, re-intervention and postoperative mortality rates decreased significantly. The success of the DSCA is the result of effective surgical collaboration. The leading role of the ASN in conducting the audit resulted in full participation of all colorectal surgeons in the Netherlands. By integrating the audit into the ASNs' quality assurance policy, it could be used to set national quality standards. Future challenges include reduction of administrative burden; expansion to a multidisciplinary registration; and addition of financial information and patient reported outcomes to the audit data. Copyright © 2013 Elsevier Ltd. All rights reserved.

  20. Oak Ridge National Laboratory's Preparations for Additional Protocol Implementation

    Energy Technology Data Exchange (ETDEWEB)

    McCowan, Janie [ORNL; Cain, Ronald A [ORNL

    2009-01-01

    The United States Additional Protocol (AP) with the International Atomic Energy Agency (IAEA) entered into force (EIF) January 6, 2009. In anticipation of the EIF, the Department of Energy (DOE) National Nuclear Security Administration Office of International Regimes and Agreements (NA-243) began the initial DOE AP data call on November 3, 2008. This paper describes the Oak Ridge National Laboratory's (ORNL's) preparation, organization, and development efforts to successfully implement the AP and complete the AP data call. ORNL had 35 days to identify declarable activities and finalize the declaration line items (DLIs) for submission to NA-243. To be able to respond within the required time frame, many preparation activities at ORNL were necessary, such as determining the AP coordinator (APC) and team roles; conducting site awareness training; creating the ORNL Standards-Based Management System (SBMS) procedure Reporting of Nuclear Fuel Cycle Activities; training personnel; and defining site implementation software tools. Identifying, updating, compiling, reviewing, and submitting the DLIs to NA-243 were all critical activities for successfully implementing the AP and completing the AP data call at ORNL.

  1. Implementing genomics and pharmacogenomics in the clinic: The National Human Genome Research Institute's genomic medicine portfolio.

    Science.gov (United States)

    Manolio, Teri A

    2016-10-01

    Increasing knowledge about the influence of genetic variation on human health and growing availability of reliable, cost-effective genetic testing have spurred the implementation of genomic medicine in the clinic. As defined by the National Human Genome Research Institute (NHGRI), genomic medicine uses an individual's genetic information in his or her clinical care, and has begun to be applied effectively in areas such as cancer genomics, pharmacogenomics, and rare and undiagnosed diseases. In 2011 NHGRI published its strategic vision for the future of genomic research, including an ambitious research agenda to facilitate and promote the implementation of genomic medicine. To realize this agenda, NHGRI is consulting and facilitating collaborations with the external research community through a series of "Genomic Medicine Meetings," under the guidance and leadership of the National Advisory Council on Human Genome Research. These meetings have identified and begun to address significant obstacles to implementation, such as lack of evidence of efficacy, limited availability of genomics expertise and testing, lack of standards, and difficulties in integrating genomic results into electronic medical records. The six research and dissemination initiatives comprising NHGRI's genomic research portfolio are designed to speed the evaluation and incorporation, where appropriate, of genomic technologies and findings into routine clinical care. Actual adoption of successful approaches in clinical care will depend upon the willingness, interest, and energy of professional societies, practitioners, patients, and payers to promote their responsible use and share their experiences in doing so.

  2. Dissemination and Implementation Research Funded by the US National Institutes of Health, 2005–2012

    Directory of Open Access Journals (Sweden)

    Mindy Tinkle

    2013-01-01

    Full Text Available Dissemination and implementation (D&I research is a growing area of science focused on overcoming the science-practice gap by targeting the distribution of information and adoption of interventions to public health and clinical practice settings. This study examined D&I research projects funded under specific program announcements by the US National Institutes of Health (NIH from 2005 to 2012. The authors described the projects’ D&I strategies, funding by NIH Institute, focus, characteristics of the principal investigators (PIs and their organizations, and other aspects of study design and setting. Results showed 46 R01s, 6 R03s, and 24 R21s funded totaling $79.2 million. The top funders were the National Cancer Institute and the National Institute of Mental Health, together providing 61% of funding. The majority of PIs were affiliated with Schools of Medicine or large, nonprofit research organizations and think tanks. Only 4% of projects were to PIs with appointments at Schools of Nursing, with 7% of the funding. The most commonly funded projects across all of the studies focused on cancer control and screening, substance abuse prevention and treatment, and mental health services. Typically implemented in community and organizational settings, D&I research provides an excellent opportunity for team science, including nurse scientists and interdisciplinary collaborators.

  3. Finnish national roadmap for the implementation of the environmental technologies action plan for the European Union

    Energy Technology Data Exchange (ETDEWEB)

    Salminen, M.

    2006-07-01

    In January 2004, the European Commission launched the Environmental Technologies Action Plan (ETAP). ETAP rests on a broad definition of environmental technology, embracing all technologies which prove less harmful to the environment than their alternatives. In the spring of 2005, the revised EU Competitive Strategy set greater challenges than before for environmental technology. This so-called 'Lisbon Strategy,' and the EU's Economic and Employment policy guidelines which enlarge on it, focus on the importance of innovativeness and efficient use of resources as a competitive factor throughout the EU. When submitting national reports in conjunction with the Lisbon Strategy, member states also report annually on ETAP's progress at national level. Finland's national implementation of ETAP is coordinated by the Ministry of Trade and Industry with help from an ad hoc group consisting of representatives from other ministries, funding bodies, industrial organisations and research institutions. The Ministry of the Environment is responsible for the EU-level co-ordination of preparatory work related to measures involved in ETAP implementation. This National Roadmap has been drawn up by the Ministry of Trade and Industry and processed by the national ETAP ad hoc group, and a draft of it has been posted for public comment on the Ministry of Trade and Industry's website. Regional players were also heard during the preparations. The document defines national goals and actions connected with promoting environmental technologies. All actions described have either been recently implemented, are in progress or are planned. The challenges presented are matched with ideas which are 'common property' about how environmental technologies should be promoted, the cases mentioned describing Finnish best practices in this regard. Resource and energy efficiency, as well as environmental benignity, have traditionally constituted the basis of new

  4. Design and implementation of a national public health surveillance system in Jordan.

    Science.gov (United States)

    Sheikhali, Sami Adel; Abdallat, Mohammed; Mabdalla, Sultan; Al Qaseer, Bashir; Khorma, Rania; Malik, Mamunur; Profili, Maria Cristina; Rø, Gunnar; Haskew, John

    2016-04-01

    Understanding and improving the health status of communities depend on effective public health surveillance. Adoption of new technologies, standardised case definitions and clinical guidelines for accurate diagnosis, and access to timely and reliable data, remains a challenge for public health surveillance systems however and existing public health surveillance systems are often fragmented, disease specific, inconsistent and of poor quality. We describe the application of an enterprise architecture approach to the design, planning and implementation of a national public health surveillance system in Jordan. This enabled a well planned and collaboratively supported system to be built and implemented using consistent standards for data collection, management, reporting and use. The system is case-based and integrated and employs mobile information technology to aid collection of real-time, standardised data to inform and improve decision-making at different levels of the health system.

  5. Estimating the costs of implementing the rotavirus vaccine in the national immunisation programme

    DEFF Research Database (Denmark)

    Madsen, Lizell B; Ustrup, Marte; Hansen, Kristian S

    2014-01-01

    in the national immunisation programme of a low-income country. Furthermore, the aim was to examine the relative contribution of different components to the total cost. METHODS: Following the World Health Organization guidelines, we estimated the resource use and costs associated with rotavirus vaccine......OBJECTIVES: Worldwide, rotavirus infections cause approximately 453,000 child deaths annually. Two licensed vaccines could be life- and cost-saving in low-income countries where the disease burden is highest. The aim of our study was to estimate the total cost of implementing the rotavirus vaccine...... implementation, using Malawi as a case. The cost analysis was undertaken from a governmental perspective. All costs were calculated for a 5-years period (2012-2016) and discounted at 5%. The value of key input parameters was varied in a sensitivity analysis. RESULTS: The total cost of rotavirus vaccine...

  6. Options for sampling and stratification for national forest inventories to implement REDD+ under the UNFCCC

    Directory of Open Access Journals (Sweden)

    Maniatis Danae

    2010-12-01

    Full Text Available Abstract Background Developing countries that are willing to participate in the recently adopted (16th Session of the Conference of Parties (COP in Cancun mitigation mechanism of Reducing emissions from Deforestation and Forest Degradation - and the role of conservation, sustainable management of forests and enhancement of forest carbon stocks (REDD+ - will have to establish a national forest monitoring system in order to assess anthropogenic forest-related greenhouse gas emissions by sources and removals by sinks. Such a system should support the Measurement, Reporting and Verification (MRV requirement of the United Nations Framework Convention on Climate Change (UNFCCC as the REDD+ mechanism is results-based. A national forest inventory (NFI is one potential key component of such an MRV system. Following the Decision adopted during the 15th Session of the COP in Copenhagen, the most recent Intergovernmental Panel on Climate Change (IPCC Guidance and Guidelines should be used as a basis for estimating anthropogenic forest-related greenhouse gas emissions by sources and removals by sinks and changes in forest carbon stocks and area. Results First, we present the key indispensable elements of the IPCC Guidance and Guidelines that have been developed to fulfil the UNFCCC reporting requirements. This is done in order to set the framework to develop the MRV requirement in which a NFI for REDD+ implementation could be developed. Second, within this framework, we develop and propose a novel scheme for the stratification of forest land for REDD+. Finally, we present some non-exhaustive optional elements within this framework that a country could consider to successfully operationalise and implement its REDD+ NFI. Conclusion Evidently, both the methodological guidance and political decisions on REDD+ under the UNFCCC will continue to evolve. Even so, and considering that there exists decades of experience in setting up traditional NFIs, developing a NFI

  7. Options for sampling and stratification for national forest inventories to implement REDD+ under the UNFCCC.

    Science.gov (United States)

    Maniatis, Danae; Mollicone, Danilo

    2010-12-27

    Developing countries that are willing to participate in the recently adopted (16th Session of the Conference of Parties (COP) in Cancun) mitigation mechanism of Reducing emissions from Deforestation and Forest Degradation - and the role of conservation, sustainable management of forests and enhancement of forest carbon stocks (REDD+) - will have to establish a national forest monitoring system in order to assess anthropogenic forest-related greenhouse gas emissions by sources and removals by sinks. Such a system should support the Measurement, Reporting and Verification (MRV) requirement of the United Nations Framework Convention on Climate Change (UNFCCC) as the REDD+ mechanism is results-based. A national forest inventory (NFI) is one potential key component of such an MRV system. Following the Decision adopted during the 15th Session of the COP in Copenhagen, the most recent Intergovernmental Panel on Climate Change (IPCC) Guidance and Guidelines should be used as a basis for estimating anthropogenic forest-related greenhouse gas emissions by sources and removals by sinks and changes in forest carbon stocks and area. First, we present the key indispensable elements of the IPCC Guidance and Guidelines that have been developed to fulfil the UNFCCC reporting requirements. This is done in order to set the framework to develop the MRV requirement in which a NFI for REDD+ implementation could be developed. Second, within this framework, we develop and propose a novel scheme for the stratification of forest land for REDD+. Finally, we present some non-exhaustive optional elements within this framework that a country could consider to successfully operationalise and implement its REDD+ NFI. Evidently, both the methodological guidance and political decisions on REDD+ under the UNFCCC will continue to evolve. Even so, and considering that there exists decades of experience in setting up traditional NFIs, developing a NFI that a country may use to directly support REDD

  8. Implementing preventive chemotherapy through an integrated National Neglected Tropical Disease Control Program in Mali.

    Directory of Open Access Journals (Sweden)

    Massitan Dembélé

    Full Text Available BACKGROUND: Mali is endemic for all five targeted major neglected tropical diseases (NTDs. As one of the five 'fast-track' countries supported with the United States Agency for International Development (USAID funds, Mali started to integrate the activities of existing disease-specific national control programs on these diseases in 2007. The ultimate objectives are to eliminate lymphatic filariasis, onchocerciasis and trachoma as public health problems and to reduce morbidity caused by schistosomiasis and soil-transmitted helminthiasis through regular treatment to eligible populations, and the specific objectives were to achieve 80% program coverage and 100% geographical coverage yearly. The paper reports on the implementation of the integrated mass drug administration and the lessons learned. METHODOLOGY/PRINCIPAL FINDINGS: The integrated control program was led by the Ministry of Health and coordinated by the national NTD Control Program. The drug packages were designed according to the disease endemicity in each district and delivered through various platforms to eligible populations involving the primary health care system. Treatment data were recorded and reported by the community drug distributors. After a pilot implementation of integrated drug delivery in three regions in 2007, the treatment for all five targeted NTDs was steadily scaled up to 100% geographical coverage by 2009, and program coverage has since been maintained at a high level: over 85% for lymphatic filariasis, over 90% for onchocerciasis and soil-transmitted helminthiasis, around 90% in school-age children for schistosomiasis, and 76-97% for trachoma. Around 10 million people have received one or more drug packages each year since 2009. No severe cases of adverse effects were reported. CONCLUSIONS/SIGNIFICANCE: Mali has scaled up the drug treatment to national coverage through integrated drug delivery involving the primary health care system. The successes and lessons

  9. National technology needs assessment for the preparation and implementation of climate change action plans

    Energy Technology Data Exchange (ETDEWEB)

    Berkel, C.W.M. van; Blonk, T.J.; Westra, C.A.

    1996-12-31

    In the United National Framework Convention on Climate Change (FCCC) it is recognised that developed countries have a responsibility in assisting developing countries and countries in economic transition in building a national capacity for the development, acquisition and transfer of Climate-related Technologies (CTs). Such assistance is most likely to be successful once it is tailored to the results of a sound assessment of the country`s development needs and once the results of this assessment have been endorsed by the most important stakeholders in the country. Recent insight in the opportunities and constraints for National (technology) Needs Assessments (NNAs) as planning tool for both capacity building and technology transfer regarding Environmentally Sound Technologies (ESTs) is applied here to propose a participatory Climate Change Action Planning (CCAP) process. This participatory planning process is thought to serve the dual objective of defining a national Climate Change Action Plan (CCAP) while at the same time contributing to the creation of a broad supportive basis for its acceptance and implementation among stakeholders in the developing country.

  10. External costs related to power production technologies. ExternE national implementation for Denmark

    Energy Technology Data Exchange (ETDEWEB)

    Schleisner, L.; Sieverts Nielsen, P. [eds.

    1997-12-01

    The objective of the ExternE National Implementation project has been to establish a comprehensive and comparable set of data on externalities of power generation for all EU member states and Norway. The tasks include the application of the ExternE methodology to the most important fuel cycles for each country as well as to update the already existing results, to aggregate these site- and technology-specific results to more general figures. The current report covers the detailed information concerning the ExternE methodology. Importance is attached to the computer system used in the project and the assessment of air pollution effects on health, materials and ecological effects. Also the assessment of global warming damages are described. Finally the report covers the detailed information concerning the national implementation for Denmark for an offshore wind farm and a wind farm on land, a decentralised CHP plant based on natural gas and a decentralised CHP plant base on biogas. (au) EU-JOULE 3. 79 tabs., 11 ills., 201 refs.

  11. 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

  12. 78 FR 40635 - Delegation of Authority to the Southern Ute Indian Tribe To Implement and Enforce National...

    Science.gov (United States)

    2013-07-08

    ... sections 111(c)(1) and 112(l), as amended, authorize EPA to delegate authority to any state or tribal... AGENCY 40 CFR Part 60, 61, and 63 Delegation of Authority to the Southern Ute Indian Tribe To Implement... authority to implement and enforce National Emissions Standards for Hazardous Air Pollutants (NESHAP) and...

  13. 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&...

  14. A National Implementation Project to Prevent Catheter-Associated Urinary Tract Infection in Nursing Home Residents.

    Science.gov (United States)

    Mody, Lona; Greene, M Todd; Meddings, Jennifer; Krein, Sarah L; McNamara, Sara E; Trautner, Barbara W; Ratz, David; Stone, Nimalie D; Min, Lillian; Schweon, Steven J; Rolle, Andrew J; Olmsted, Russell N; Burwen, Dale R; Battles, James; Edson, Barbara; Saint, Sanjay

    2017-08-01

    Catheter-associated urinary tract infection (UTI) in nursing home residents is a common cause of sepsis, hospital admission, and antimicrobial use leading to colonization with multidrug-resistant organisms. To develop, implement, and evaluate an intervention to reduce catheter-associated UTI. A large-scale prospective implementation project was conducted in community-based nursing homes participating in the Agency for Healthcare Research and Quality Safety Program for Long-Term Care. Nursing homes across 48 states, Washington DC, and Puerto Rico participated. Implementation of the project was conducted between March 1, 2014, and August 31, 2016. The project was implemented over 12-month cohorts and included a technical bundle: catheter removal, aseptic insertion, using regular assessments, training for catheter care, and incontinence care planning, as well as a socioadaptive bundle emphasizing leadership, resident and family engagement, and effective communication. Urinary catheter use and catheter-associated UTI rates using National Healthcare Safety Network definitions were collected. Facility-level urine culture order rates were also obtained. Random-effects negative binomial regression models were used to examine changes in catheter-associated UTI, catheter utilization, and urine cultures and adjusted for covariates including ownership, bed size, provision of subacute care, 5-star rating, presence of an infection control committee, and an infection preventionist. In 4 cohorts over 30 months, 568 community-based nursing homes were recruited; 404 met inclusion criteria for analysis. The unadjusted catheter-associated UTI rates decreased from 6.78 to 2.63 infections per 1000 catheter-days. With use of the regression model and adjustment for facility characteristics, the rates decreased from 6.42 to 3.33 (incidence rate ratio [IRR], 0.46; 95% CI, 0.36-0.58; P < .001). Catheter utilization was 4.5% at baseline and 4.9% at the end of the project. Catheter

  15. Implementation of the Spanish National Enhanced Recovery Program (ERAS) in Bariatric Surgery: A Pilot Study.

    Science.gov (United States)

    Ruiz-Tovar, Jaime; Royo, Pablo; Muñoz, José L; Duran, Manuel; Redondo, Elisabeth; Ramirez, Jose M

    2016-12-01

    The essence of Enhanced Recovery After Surgery (ERAS) programs is the multimodal approach, and many authors have demonstrated safety and feasibility in fast track bariatric surgery. According to this concept, a multidisciplinary ERAS program for bariatric surgery has been developed by the Spanish fast track group (ERAS Spain). The aim of this study was to analyze the initial implementation of this Spanish National ERAS protocol in bariatric surgery. A multicentric prospective pilot study was performed, including 125 consecutive patients undergoing bariatric surgery at 3 Spanish hospitals between January and June 2015, after the Spanish National ERAS protocol in bariatric surgery. Compliance with the protocol, morbidity, mortality, hospital stay, and readmission were evaluated. Bariatric techniques performed included 68 Roux-en-Y gastric bypass (54.4%) and 57 laparoscopic sleeve gastrectomy (45.6%) cases. All surgeries were laparoscopically performed with conversion in only 1 case (0.8%). Median postoperative pain evaluated by visual analogic scale 24 hours after surgery was 2 (range, 0 to 5). Postoperative nausea or vomiting appeared in 7 patients (5.6%). Complications appeared in 6 patients (4.8%). The reoperation rate was 4%. The mortality rate was 0.8%. The median hospital stay was 2 days (range, 2 to 10 d) and readmission rate was 2.4%. The compliance of all the items of the protocol was achieved in 78.4% of the patients. The Spanish National ERAS protocol is a safe issue with a high implementation rate. It can be recommended to establish this protocol to other institutions.

  16. Implementation of a national reference laboratory for Buruli ulcer disease in Togo.

    Directory of Open Access Journals (Sweden)

    Marcus Beissner

    Full Text Available BACKGROUND: In a previous study PCR analysis of clinical samples from suspected cases of Buruli ulcer disease (BUD from Togo and external quality assurance (EQA for local microscopy were conducted at an external reference laboratory in Germany. The relatively poor performance of local microscopy as well as effort and time associated with shipment of PCR samples necessitated the implementation of stringent EQA measures and availability of local laboratory capacity. This study describes the approach to implementation of a national BUD reference laboratory in Togo. METHODOLOGY: Large scale outreach activities accompanied by regular training programs for health care professionals were conducted in the regions "Maritime" and "Central," standard operating procedures defined all processes in participating laboratories (regional, national and external reference laboratories as well as the interaction between laboratories and partners in the field. Microscopy was conducted at regional level and slides were subjected to EQA at national and external reference laboratories. For PCR analysis, sample pairs were collected and subjected to a dry-reagent-based IS2404-PCR (DRB-PCR at national level and standard IS2404 PCR followed by IS2404 qPCR analysis of negative samples at the external reference laboratory. PRINCIPAL FINDINGS: The inter-laboratory concordance rates for microscopy ranged from 89% to 94%; overall, microscopy confirmed 50% of all suspected BUD cases. The inter-laboratory concordance rate for PCR was 96% with an overall PCR case confirmation rate of 78%. Compared to a previous study, the rate of BUD patients with non-ulcerative lesions increased from 37% to 50%, the mean duration of disease before clinical diagnosis decreased significantly from 182.6 to 82.1 days among patients with ulcerative lesions, and the percentage of category III lesions decreased from 30.3% to 19.2%. CONCLUSIONS: High inter-laboratory concordance rates as well as case

  17. Using Implementation and Program Theory to Examine Communication Strategies in National Wildlife Federation's Backyard Wildlife Habitat Program

    Science.gov (United States)

    Palmer, Dain; Dann, Shari L.

    2004-01-01

    Our evaluative approach used implementation theory and program theory, adapted from Weiss (1998) to examine communication processes and results for a national wildlife habitat stewardship education program. Using a mail survey of 1427 participants certified in National Wildlife Federation's (NWF) Backyard Wildlife Habitat (BWH) program and a study…

  18. A New Dutch Spelling Guide.

    Science.gov (United States)

    Kruyt, J. G.; van Sterkenburg, P. G. J.

    This paper describes the development of two new corpus-based Dutch spelling guides using language data gathered by the Institute for Dutch Lexicology, a research institute subsidized by the Dutch and Belgian governments. The guides were produced in 1990 and 1995. The guides are based on two earlier ones, published in 1866 and 1954, but attempt to…

  19. Implementation of computerized physician order entry in National Guard hospitals: Assessment of critical success factors

    Directory of Open Access Journals (Sweden)

    Majid M Altuwaijri

    2011-01-01

    Full Text Available Objective: The purpose of this study is to describe the needs, process and experience of implementing a computerized physician order entry (CPOE system in a leading healthcare organization in Saudi Arabia. Materials and Methods: The National Guard Health Affairs (NGHA deployed the CPOE in a pilot department, which was the intensive care unit (ICU in order to assess its benefits and risks and to test the system. After the CPOE was implemented in the ICU area, a survey was sent to the ICU clinicians to assess their perception on the importance of 32 critical success factors (CSFs that was acquired from the literature. The project team also had several meetings to gather lessons learned from the pilot project in order to utilize them for the expansion of the project to other NGHA clinics and hospitals. Results: The results of the survey indicated that the selected CSFs, even though they were developed with regard to international settings, are very much applicable for the pilot area. The top three CSFs rated by the survey respondents were: The "before go-live" training, the adequate clinical resources during implementation, and the ordering time. After the assessment of the survey and the lessons learned from the pilot project, NGHA decided that the potential benefits of the CPOE are expected to be greater the risks expected. The project was then expanded to cover all NGHA clinics and hospitals in a phased approach. Currently, the project is in its final stages and expected to be completed by the end of 2011. Conclusion: The role of CPOE systems is very important in hospitals in order to reduce medication errors and to improve the quality of care. In spite of their great benefits, many studies suggest that a high percentage of these projects fail. In order to increase the chances of success and due to the fact that CPOE is a clinical system, NGHA implemented the system first in a pilot area in order to test the system without putting patients at

  20. The implementation of research recommendations at the Walter Sisulu National Botanical Garden

    Directory of Open Access Journals (Sweden)

    Martie Mearns

    2009-09-01

    of the ideals of environmental conservation after their visit to the garden. Secondly, the study determined the spatial preferences of visitors to the garden which was thirdly correlated to the time that they spent at each area. A number of recommendations were made and a comparative study followed twelve years after the initial study in which the implementation of the resultant findings was determined through observation and a comparison of information pamphlets and garden layout maps. It was found that large-scale changes took place in line with the recommendations made after the initial study. These included the demolition of unsuccessful theme gardens and their replacement by topical theme gardens such as water-wise gardens and a garden that attracts butterflies and birds. The educational function of the Walter Sisulu National Botanical Garden was greatly improved by adding more information plaques throughout the garden, a new interpretative centre and many additional information pamphlets that had been absent during the initial study. Major structural changes were made, such as the building of an amphitheatre which reduced the negative impact of noise and disturbance surrounding the nests of the Verreaux’s eagles that breed successfully in the garden. The changes undertaken at the garden show innovative improvements in line with the con servation principles outlined by the South African National Biodiversity Institute (SANBI. The evidence of the implementation of research recommendations from the initial study could play a direct role in improving the visitor experience, which would facilitate the economic viability of the Walter Sisulu National Botanical Garden in its endeavours to reach its conservation goals. Further research is suggested to continuously determine the areas of preference of visitors in the evolving landscape of the garden to ensure renewed interest of visitors to the garden. If botanical gardens want to succeed in their goal to increase

  1. The implementation of research recommendations at the Walter Sisulu National Botanical Garden

    Directory of Open Access Journals (Sweden)

    Martie Mearns

    2009-09-01

    of the ideals of environmental conservation after their visit to the garden. Secondly, the study determined the spatial preferences of visitors to the garden which was thirdly correlated to the time that they spent at each area. A number of recommendations were made and a comparative study followed twelve years after the initial study in which the implementation of the resultant findings was determined through observation and a comparison of information pamphlets and garden layout maps. It was found that large-scale changes took place in line with the recommendations made after the initial study. These included the demolition of unsuccessful theme gardens and their replacement by topical theme gardens such as water-wise gardens and a garden that attracts butterflies and birds. The educational function of the Walter Sisulu National Botanical Garden was greatly improved by adding more information plaques throughout the garden, a new interpretative centre and many additional information pamphlets that had been absent during the initial study. Major structural changes were made, such as the building of an amphitheatre which reduced the negative impact of noise and disturbance surrounding the nests of the Verreaux’s eagles that breed successfully in the garden. The changes undertaken at the garden show innovative improvements in line with the con servation principles outlined by the South African National Biodiversity Institute (SANBI. The evidence of the implementation of research recommendations from the initial study could play a direct role in improving the visitor experience, which would facilitate the economic viability of the Walter Sisulu National Botanical Garden in its endeavours to reach its conservation goals. Further research is suggested to continuously determine the areas of preference of visitors in the evolving landscape of the garden to ensure renewed interest of visitors to the garden. If botanical gardens want to succeed in their goal to increase

  2. Implementation of the rio conventions in framework of national sustainable development policy in Ukraine

    Directory of Open Access Journals (Sweden)

    L.V. Zharova

    2014-09-01

    Full Text Available The aim of the article. In the article the national regulatory and legal framework for environmental economics and various bylaws and regulations in the area of environmental protection and sustainable management of natural resources were analyzed. The analysis of laws and regulations concerning the environmental economics was aligned along the following main axes representing key activity areas, such as strategic planning, technical regulation, economic situation and macroeconomic forecasting, trade development, financial policy, cooperation between Ukraine and European Union. Grounded, that a major strength in the technical and financial regulation area is the presence of a suite of regulations concerning the nature reserves and protected areas and natural resource cadastres that can be adapted to meet modern needs, as well as legislated sanctions that are in place to prosecute environmental law offenders. The strengths and opportunities for enhancing the capacity for implementing the Rio Conventions were summarized. The results of the analysis. The analysis of gaps allowed to mark out gaps threatening the implementation process; gaps undermining the efficiency of sectoral policy; options to overcome these obstacles; progress achieved to address the identified gaps. Authors grounded that Ukraine has an extensive suite of environmental laws and regulations and at the same time, the level of implementation of the Rio Conventions can be described as insufficient due to objective and subjective factors, which detailed described in the paper. The researchers underlined that legislative reform should involve systemic changes in the legislation including general and specialized measures. General measures are those that aim to change the system of environmental legislation in general, while specialized measures focus on the improvement of specific laws and regulations that form part of this system. Conclusions concerned the range of general measures

  3. Implementation of the 7th edition AJCC staging system: Effects on staging and survival for pT1 melanoma. A Dutch population based study.

    Science.gov (United States)

    Oude Ophuis, Charlotte M C; Louwman, Marieke W J; Grünhagen, Dirk J; Verhoef, Kees; van Akkooi, Alexander C J

    2017-04-15

    In the 7(th) edition of the AJCC staging system, the mitotic rate criterion replaced Clark level to increase correct classification of high-risk thin melanoma patients (pT1B). Additionally, sentinel node biopsy (SNB) was recommended for nodal staging of pT1B melanomas. The aim of this article was to evaluate the effects on pT1 substaging and clinical implications in the national pT1 melanoma population. All pT1 melanomas diagnosed in the Netherlands between 2003 and 2014 were selected from the Netherlands Cancer Registry (IKNL). Patients were stratified by cohort according to AJCC edition: (1) 2003-2009 (6(th) ) and (2) 2010-2014 (7(th) ). Relative survival was calculated to estimate melanoma-specific survival. A total of 29.546 pT1 melanoma patients were included. The pT1b proportion increased from 10.1% in Cohort 1 to 21.5% in Cohort 2. The proportion of performed SNBs per cohort increased: for pT1b melanomas alone from 4.5% to 13.0%. SNB positivity rate decreased from 10.5% to 8.8% for the entire pT1 population, and for pT1b melanomas from 11.3% to 8.6%. At 5 years, the relative survival rate was similar for pT1a and pT1b in both cohorts, namely, pT1a 100% vs pT1b 97% (Cohort 1), and pT1a 100% vs pT1b 98% (Cohort 2). The 7(th) edition of the AJCC staging system has caused an increased number of patients to undergo SNB, without an increase in SNB positivity rate. Survival between pT1 subgroups remains similar. The mitotic rate criterion for pT1b classification and the recommendation to perform SNB for pT1b melanomas should be reconsidered. © 2017 UICC.

  4. Incidence rates and management of urinary tract infections among children in Dutch general practice: results from a nation-wide registration study

    Science.gov (United States)

    Kwok, Wing-Yee; de Kwaadsteniet, Marjolein CE; Harmsen, Mirjam; van Suijlekom-Smit, Lisette WA; Schellevis, François G; van der Wouden, Johannes C

    2006-01-01

    Background We aimed to investigate incidence rates of urinary tract infections in Dutch general practice and their association with gender, season and urbanisation level, and to analyse prescription and referral in case of urinary tract infections. Method During one calendar year, 195 general practitioners in 104 practices in the Netherlands registered all their patient contacts. This study was performed by the Netherlands Institute for Health Services Research (NIVEL) in 2001. Of 82,053 children aged 0 to 18 years, the following variables were collected: number of episodes per patient, number of contacts per episode, month of the year in which the diagnosis of urinary tract infection was made, age, gender, urbanisation level, drug prescription and referral. Results The overall incidence rate was 19 episodes per 1000 person years. The incidence rate in girls was 8 times as high as in boys. The incidence rate in smaller cities and rural areas was 2 times as high as in the three largest cities. Throughout the year, incidence rates varied with a decrease in summertime for children at the age of 0 to 12 years. Of the prescriptions, 66% were in accordance with current guidelines, but only 18% of the children who had an indication were actually referred. Conclusion This study shows that incidence rates of urinary tract infections are not only related to gender and season, but also to urbanisation. General practitioners in the Netherlands frequently do not follow the clinical guidelines for urinary tract infections, especially with respect to referral. PMID:16584577

  5. Incidence rates and management of urinary tract infections among children in Dutch general practice: results from a nation-wide registration study

    Directory of Open Access Journals (Sweden)

    Schellevis François G

    2006-04-01

    Full Text Available Abstract Background We aimed to investigate incidence rates of urinary tract infections in Dutch general practice and their association with gender, season and urbanisation level, and to analyse prescription and referral in case of urinary tract infections. Method During one calendar year, 195 general practitioners in 104 practices in the Netherlands registered all their patient contacts. This study was performed by the Netherlands Institute for Health Services Research (NIVEL in 2001. Of 82,053 children aged 0 to 18 years, the following variables were collected: number of episodes per patient, number of contacts per episode, month of the year in which the diagnosis of urinary tract infection was made, age, gender, urbanisation level, drug prescription and referral. Results The overall incidence rate was 19 episodes per 1000 person years. The incidence rate in girls was 8 times as high as in boys. The incidence rate in smaller cities and rural areas was 2 times as high as in the three largest cities. Throughout the year, incidence rates varied with a decrease in summertime for children at the age of 0 to 12 years. Of the prescriptions, 66% were in accordance with current guidelines, but only 18% of the children who had an indication were actually referred. Conclusion This study shows that incidence rates of urinary tract infections are not only related to gender and season, but also to urbanisation. General practitioners in the Netherlands frequently do not follow the clinical guidelines for urinary tract infections, especially with respect to referral.

  6. ANALYSIS OF THE IMPLEMENTATION OF THE NATIONAL ROMA INTEGRATION STRATEGY 2012-2020

    Directory of Open Access Journals (Sweden)

    Mercedes Nicolás Lizama

    2016-07-01

    Full Text Available This article aims to provide a contribution to the process of implementation of the National Roma Integration Strategy 2012-2020 and the impact on improving discrimination and social inclusion of this group. Four years have passed since its launch and, pending the evaluation report that will be made at the end of 2016, the forecast based on interim reports by the European Commission, the Spanish Government and Roma organizations such as FSG, it is not satisfactory enough. The areas related to education, employment, housing and discrimination remain being the least advanced. Despite the existence of improvements, they still need to intensify the efforts to combat discrimination and improve the integration of Roma population.

  7. A Case for Implementation of Citizen Centric National Identity Management Systems

    DEFF Research Database (Denmark)

    Adjei, Joseph K.

    of national IdMS, using a qualitative case study research approach. Empirical data were gathered in Ghana through a combination of quasi-statistical survey and problem structuring methodology. The study shows that effective IdMS depend on efficient civil registration systems, user involvement......Commercial transactions and social interactions increasingly rely on effective exchange of personal identity information, which has become an integral part of modern business models. However, the use of personal information raises societal concerns about security and privacy, as well as the level...... of trust in transacting parties. Policy makers are therefore trying to implement identity policies to prevent identity abuses, promote the seamless flow of business transactions, and provide citizens the ability to exercise informational self-determination. Previously, the design of identity management...

  8. Implementation of the knowledge economy paradigm in the strategy of national economy development

    Directory of Open Access Journals (Sweden)

    Dmytro Lukianenko

    2013-08-01

    Full Text Available This paper studies the knowledge economy paradigm and the factors of its influence on the development of national economies in the context of transformation of the global competitive environment. It has been methodologically identified the basic categories and concepts concerning the determination of key factors and parameters of modern economic systems. It has been proved through the example of South Korea that implementation of the knowledge economy paradigm in long-term strategies initiated and supported by the state provides new opportunities of socio-economic progress. The basic problems of innovation-driven development of Ukraine’s economy through an assessment of its readiness to transition to the knowledge economy, compared with South Korea. The latter’s experience, despite the objective limitations, is regarded as an example of strategic success in formation of a creative innovation system.

  9. National Provider Identifier (NPI) planning and implementation fundamentals for providers and payers.

    Science.gov (United States)

    Pickens, Scott; Solak, Jamie

    2005-01-01

    Federal HIPAA legislation mandates that the National Provider Identifier (NPI) be fully implemented across all healthcare entities between May 2005 and May 2007, or 2008 for small payers. Starting May 2005, healthcare providers will be eligible to obtain an NPI and use these numbers to submit claims or conduct other transactions specified by HIPAA. By 2007, the NPI must be used in connection with the electronic transactions identified in HIPAA. Today, individual payers assign unique identification numbers to healthcare providers, and, in most cases, payers assign multiple identification numbers to healthcare providers and their "subparts." As a result, providers have multiple payer-specific identification numbers. The NPI is a unique, 10-digit federal healthcare provider identification number that will be used by all healthcare providers and payers and other healthcare entities involved in administrative and financial transactions associated with health service events and related activities. This article will use software and data experts' knowledge as well as the authors' NPI implementation readiness assessment work to review the impact to both payers and providers, including hospitals, clinics, and other service entities. The authors will suggest planning, budgeting, architecting, and data management solutions for payers and providers to achieve the optimal administrative simplification goals intended by the NPI, without compromising data integrity and interoperability objectives across the service spectrum of the healthcare enterprise.

  10. Utilization Of IEC By Middle Level Health Personnel In The Implementation Of National Nutrition Programmes

    Directory of Open Access Journals (Sweden)

    Saibaba A

    1999-01-01

    Full Text Available Research question: Extent of utilization of the information, Education and Communication (IEC components in the implementation of national nutrition programmes by middle level health personnel. Objectives: (i To assess the knowledge of paramedics with regard to nutrition concepts and programmes and also (ii to find out the current level of utilization of IEC inputs in the delivery of nutrition programmes. Study design: Cross- sectional, questionnaire survey. Setting: Regional Training Centres for Male and Female Health Workers located in the State of Andha Pradesh, India. Sample size: A total of 211 in â€" service trainees. Participants: Multipurpose Health Assistants (Male an Female, Multipurpose Health Supervisor (Male and Female and Multipurpose Health Extension Officers. Study Variables: Socio- economic, health enhancing lifestyles, nutrition knowledge, mass media and small media utilization. Statistical analysis : Percent frequencies and mean scores with standard deviation, correlations. Results: Middle level health personnel scored well in nutrition knowledge. But their utilization of IEC tools in programme implementation and community education was not satisfactory. Use of print and broadcast media to update their nutrition knowledge was poor. A significant correlation was observed among variables like nutrition knowledge, mass media and small media utilization.

  11. Implementing a National Scottish Digital Health & Wellbeing Service at Scale: A Qualitative Study of Stakeholders' Views.

    Science.gov (United States)

    Agbakoba, Ruth; McGee-Lennon, Marilyn; Bouamrane, Matt-Mouley; Watson, Nicholas; Mair, Frances

    2015-01-01

    Digital technologies are being used as part of international efforts to revolutionize healthcare in order to meet increasing demands such as the rising burden of chronic disease and ageing populations. In Scotland there is a government push towards a national service (Living It Up) as a single point of reference where citizens can access information, products and services to support their health and wellbeing. The aim of the study is to examine implementation issues including the challenges or facilitators which can help to sustain this intervention. We gathered data in three ways: a) participant observation to gain an understanding of LiU (N=16); b) in-depth interviews (N=21) with stakeholders involved in the process; and c) analysis of documentary evidence about the progress of the implementation (N=45). Barriers included the need to "work at risk" due to delays in financing, inadequate infrastructure and skill-set deficiencies, whilst facilitators included trusted relationships, champions and a push towards normalisation. The findings suggest that a Scottish ehealth service is achievable but identifies key considerations for future large scale initiatives.

  12. A Framework for Implementing the National Diabetes Prevention Program in Los Angeles County.

    Science.gov (United States)

    Mosst, Jennifer T; DeFosset, Amelia; Gase, Lauren; Baetscher, Laura; Kuo, Tony

    2017-08-24

    Preventing type 2 diabetes is a public health priority in the United States. An estimated 86 million Americans aged 20 years or older have prediabetes, 90% of whom are unaware they have it. The National Diabetes Prevention Program (NDPP) has the potential to reduce the incidence of type 2 diabetes; however, little is known about the best way to institutionalize such a program in a jurisdiction with a racially/ethnically diverse population. The objective of this study was to develop a practice-grounded framework for implementing the NDPP in Los Angeles County. In 2015, the Los Angeles County Department of Public Health (LACDPH) partnered with Ad Lucem Consulting to conduct a 3-stage formative assessment that consisted of 1) in-depth interviews with key informants representing community-based organizations to learn about their experiences implementing the NDPP and similar lifestyle-change programs and 2) 2 strategic planning sessions to obtain input and feedback from the Los Angeles County Diabetes Prevention Coalition. LACDPH identified core activities to increase identification of people with type 2 diabetes and referral and enrollment of eligible populations in the NDPP. We worked with LACDPH and key informants to develop a 3-pronged framework of core activities to implement NDPP: expanding outreach and education, improving health care referral systems and protocols, and increasing access to and insurance coverage for NDPP. The framework will use a diverse partner network to advance these strategies. The framework has the potential to identify people with prediabetes and to expand NDPP among priority populations in Los Angeles County and other large jurisdictions by using a diverse partner network.

  13. Ranking Dutch Economists

    NARCIS (Netherlands)

    van Ours, J.C.; Vermeulen, F.M.P.

    2007-01-01

    This paper ranks Dutch economists using information about publications and citations. Rankings involve the aggregation of several performance dimensions. Instead of using a cardinal approach, where each dimension is weighted based on impact factors of journals for example, we use an ordinal approach

  14. Revisiting the Dutch hypothesis

    NARCIS (Netherlands)

    Postma, Dirkje S.; Weiss, Scott T.; van den Berge, Maarten; Kerstjens, Huib A. M.; Koppelman, Gerard H.

    The Dutch hypothesis was first articulated in 1961, when many novel and advanced scientific techniques were not available, such as genomics techniques for pinpointing genes, gene expression, lipid and protein profiles, and the microbiome. In addition, computed tomographic scans and advanced analysis

  15. Survival of Dutch heathlands.

    NARCIS (Netherlands)

    Diemont, W.H.

    1996-01-01

    OBJECTIVES OF THE THESISHeathlands 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 succession in

  16. Dutch Vegetation Database (LVD)

    NARCIS (Netherlands)

    Hennekens, S.M.

    2011-01-01

    The Dutch Vegetation Database (LVD) hosts information on all plant communities in the Netherlands. This substantial archive consists of over 600.000 recent and historic vegetation descriptions. The data provide information on more than 85 years of vegetation recording in various habitats covering te

  17. 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

  18. 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 b

  19. 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

  20. Dutch Arthurian literature

    NARCIS (Netherlands)

    Besamusca, A.A.M.

    2006-01-01

    Ironically, the currently flourishing study of Arthurian literature in the Low Countries had a false start, as L.G. Visscher’s 1838 publication of Ferguut, the thirteenth-century Middle Dutch rendition of Guillaume le Clerc’s Fergus, was full of flaws.1 The many inaccuracies in this first complete e

  1. Electronic implementation of national nursing standards--NANDA, NOC and NIC as an effective teaching tool.

    Science.gov (United States)

    Allred, Sharon K; Smith, Kevin F; Flowers, Laura

    2004-01-01

    With the increased interest in evidence-based medicine, Internet access and the growing emphasis on national standards, there is an increased challenge for teaching institutions and nursing services to teach and implement standards. At the same time, electronic clinical documentation tools have started to become a common format for recording nursing notes. The major aim of this paper is to ascertain and assess the availability of clinical nursing tools based on the NANDA, NOC and NIC standards. Faculty at 20 large nursing schools and directors of nursing at 20 hospitals were interviewed regarding the use of nursing standards in clinical documentation packages, not only for teaching purposes but also for use in hospital-based systems to ensure patient safety. A survey tool was utilized that covered questions regarding what nursing standards are being taught in the nursing schools, what standards are encouraged by the hospitals, and teaching initiatives that include clinical documentation tools. Information was collected on how utilizing these standards in a clinical or hospital setting can improve the overall quality of care. Analysis included univariate and bivariate analysis. The consensus between both groups was that the NANDA, NOC and NIC national standards are the most widely taught and utilized. In addition, a training initiative was identified within a large university where a clinical documentation system based on these standards was developed utilizing handheld devices.

  2. [Design and Implementation of the Data Collection Tools for National Mental Health Survey of Colombia, 2015].

    Science.gov (United States)

    Rodriguez, Viviana; Moreno, Socorro; Camacho, Jhon; Gómez-Restrepo, Carlos; de Santacruz, Cecilia; Rodriguez, Maria Nelcy; Tamayo Martínez, Nathalie

    2016-12-01

    Population surveys on mental health are performed as part of the inputs required for the creation, implementation and evaluation of policies related to mental health, worldwide, and as an initiative of the World Health Organisation (WHO). was held The fourth National Survey of Mental Health (ENSM 2015) was carried out during the first half of 2015 on a representative sample of 2,727 children between 7 and 11 years of age, 1,754 adolescents, and 10, 870 adults who were selected throughout the country. To describe the selection and definition of the tools used to measure mental health (including social cognition and violence), problems, mental disorders, and the evaluation of health states, as well as to describe the process used to develop the data collection tools finally used. The measurement of mental disorders in children was performed using the Diagnostic Interview Schedule for Children (DISC), and the Composite International Diagnostic Interview (CIDI) was used for adolescents and adults. For the remaining components evaluated in the survey, a search was conducted on the tools used at a national and international level. The selection of the toos used for the evaluation was based on the questions made by each tool, as well as the scientific validity that could be obtained from the results. In some cases the complete tool (as published) was used, in other cases the tools were constructed unifying parts of different ones, or questions were written based on the concepts or characteristics to be measured. Subsequently, a validation of content, concept and semantic of every tool was carried out, including the CIDI and DISC. The resulting tools were used on a group of people with different characteristics. It was noted that further clarification was necessary for some people to fully understand what was being asked. Because the collection of all the information in the survey would be computer assisted, a stream format was generated to guide the implementation in

  3. Operation and performance of a National Monitoring Network for Radioactivity in Food

    NARCIS (Netherlands)

    Brandhoff, P.N.; Bourgondiën, van M.J.; Onstenk, C.G.M.; Vos van Avezathe, A.; Peters, R.J.B.

    2016-01-01

    In the Netherlands, the EU-mandated nationwide monitoring programme and emergency response plan for radioactivity in food is implemented by RIKILT (the Dutch institute for food safety) by means of the National Monitoring Network for Radioactivity in Food (LMRV). The LMRV consists of 48 individual

  4. The making of a nation-wide campaign fighting the nursing caries

    NARCIS (Netherlands)

    Sanden-Stoelinga, van M.S.E.; Koelen, M.A.; Hielkema-de Meij, J.E.

    2003-01-01

    Although, in the Netherlands, the fight against tooth decay has been successful over the past decades, in 1994, the incidence of nursing caries made the Ivory Cross*, the Dutch National Association for the Promotion of Oral Hygiene, decide to develop and implement a campaign to address the

  5. Operation and performance of a National Monitoring Network for Radioactivity in Food

    NARCIS (Netherlands)

    Brandhoff, P.N.; Bourgondiën, van M.J.; Onstenk, C.G.M.; Vos van Avezathe, A.; Peters, R.J.B.

    2016-01-01

    In the Netherlands, the EU-mandated nationwide monitoring programme and emergency response plan for radioactivity in food is implemented by RIKILT (the Dutch institute for food safety) by means of the National Monitoring Network for Radioactivity in Food (LMRV). The LMRV consists of 48 individual

  6. Lean implementation in primary care health visiting services in National Health Service UK.

    Science.gov (United States)

    Grove, A L; Meredith, J O; Macintyre, M; Angelis, J; Neailey, K

    2010-10-01

    This paper presents the findings of a 13-month lean implementation in National Health Service (NHS) primary care health visiting services from May 2008 to June 2009. Lean was chosen for this study because of its reported success in other healthcare organisations. Value-stream mapping was utilised to map out essential tasks for the participating health visiting service. Stakeholder mapping was conducted to determine the links between all relevant stakeholders. Waste processes were then identified through discussions with these stakeholders, and a redesigned future state process map was produced. Quantitative data were provided through a 10-day time-and-motion study of a selected number of staff within the service. This was analysed to provide an indication of waste activity that could be removed from the system following planned improvements. The value-stream map demonstrated that there were 67 processes in the original health visiting service studied. Analysis revealed that 65% of these processes were waste and could be removed in the redesigned process map. The baseline time-and-motion data demonstrate that clinical staff performed on average 15% waste activities, and the administrative support staff performed 46% waste activities. Opportunities for significant waste reduction have been identified during the study using the lean tools of value-stream mapping and a time-and-motion study. These opportunities include simplification of standard tasks, reduction in paperwork and standardisation of processes. Successful implementation of these improvements will free up resources within the organisation which can be redirected towards providing better direct care to patients.

  7. Economics of forest and forest carbon projects. Translating lessons learned into national REDD+ implementation

    Energy Technology Data Exchange (ETDEWEB)

    Zaballa Romero, M.; Traerup, S.; Wieben, E.; Ravnkilde Moeller, L.; Koch, A.

    2013-01-15

    The financial implications of implementing a new forest management paradigm have not been well understood and have often been underestimated. Resource needs for e.g., stakeholder consultation, capacity building and addressing the political economy are seldom fully accounted for in the resource needs estimates put forward in connection to REDD+. This report investigates the economics of implementing forest and REDD+ projects through eight case studies from Africa, Latin America and Asia, analyzing real forest and REDD+ investments. The report is part of efforts to share financial experiences and lessons learned with policymakers, project developers and stakeholders, with the objective to inform forest project and strategy development. It presents experiences and advice on the risks, costs and revenues of forest projects, thereby informing not only the development of future REDD+ initiatives but also the testing of advanced market commitments as a finance option for sustainable forest management. The findings in the report underline the fact that only through sound and transparent financial information will forest projects and national forest initiatives become interesting for private financial institutions and comparable with other investment opportunities. It is therefore important to include robust analysis of the operations business case and its financial attractiveness to commercial investors, early in the design process. As for the economics of forest and forest carbon projects, it appears that REDD+ payments alone, especially at current prices, will not deliver the revenues that cover all expenses of transparent and long-term mitigation of forest carbon emissions. Instead the findings underline the importance of building up forest operations which effectively manages risk and delivers several revenue streams. These findings are aligned with the advocacy efforts of UNEP and the UN-REDD Programme on multiple benefits and the combination of various funding and

  8. Haemorrhagia post partum; an implementation study on the evidence-based guideline of the Dutch Society of Obstetrics and Gynaecology (NVOG) and the MOET (Managing Obstetric Emergencies and Trauma-course) instructions; the Fluxim study.

    NARCIS (Netherlands)

    Hermens, R.P.M.G.; Middeldorp, J.M.; Kremer, J.A.M.; Marcus, M.A.; Wouters, M.G.A.J.; Grol, R.P.T.M.; Lotgering, F.K.; Scheepers, H.C.J.; Woiski, M.D.

    2010-01-01

    BACKGROUND: One of the most important causes of maternal mortality and severe morbidity worldwide is post partum haemorrhage (PPH). Factors as substandard care are frequently reported in the international literature and there are similar reports in the Netherlands. The incidence of PPH in the Dutch

  9. Synkinesis assessment in facial palsy: validation of the Dutch Synkinesis Assessment Questionnaire

    NARCIS (Netherlands)

    Kleiss, I.J.; Beurskens, C.H.G.; Stalmeier, P.F.M.; Ingels, K.J.A.O.; Marres, H.A.M.

    2016-01-01

    The objective of this study is to validate an existing health-related quality of life questionnaire for patients with synkinesis in facial palsy for implementation in the Dutch language and culture. The Synkinesis Assessment Questionnaire was translated into the Dutch language using a forward-backwa

  10. Developing an environmental performance standard for the materials in buildings for the Dutch Building Decree

    NARCIS (Netherlands)

    Scholten, N.P.M.; Groot-Van Dam, A. de; Kortman, J.G.M.; Huppes, G.; Ven, B. van der; Schuurmans, A.; Anink, D.

    2001-01-01

    After consulting the building industry the Dutch government decided in February 1998 to implement sustainability requirements in the Dutch Building Decree by the year 2001. Part of these requirements will be the material-based environmental performance of a building, mepb.. An energy performance

  11. Cross-language switching in stop consonant perception and production by Dutch speakers of english

    NARCIS (Netherlands)

    Flege, J.E.; Eefting, W.

    1987-01-01

    Voiceless /p,t,k/ are implemented as aspirated stops in English, but as unaspirated stops in Dutch. We examined identification of a voice onset time (VOT) continuum ranging from /da/ to /ta/ in two language “sets” designed to induce native Dutch subjects to perceive the stimuli as if they were liste

  12. Implementing SLMTA in the Kenya National Blood Transfusion Service: lessons learned

    Directory of Open Access Journals (Sweden)

    Eric N. Wakaria

    2017-02-01

    Full Text Available Background: The Kenya National Blood Transfusion Service (KNBTS is mandated to provide safe and sufficient blood and blood components for the country. In 2013, the KNBTS National Testing Laboratory and the six regional blood transfusion centres were enrolled in the Strengthening Laboratory Management Toward Accreditation (SLMTA programme. The process was supported by Global Communities with funding from the United States Centers for Disease Control and Prevention.Methods: The SLMTA implementation at KNBTS followed the standard three-workshop series, on-site mentorships and audits. Baseline, midterm and exit audits were conducted at the seven facilities, using a standard checklist to measure progress. Given that SLMTA was designed for clinical and public health laboratories, key stakeholders, guided by Global Communities, tailored SLMTA materials to address blood transfusion services, and oriented trainers, auditors and mentors on the same.Results: The seven facilities moved from an average of zero stars at baseline to an average of three stars at the exit audit. The average baseline audit score was 38% (97 points, midterm 71% (183 points and exit audit 79% (205 points. The Occurrence Management and Process Improvement quality system essential had the largest improvement (at 67 percentage points, from baseline to exit, whereas Facilities and Safety had the smallest improvement (at 31 percentage points.Conclusion: SLMTA can be an effective tool for preparing a blood transfusion service for accreditation. Key success factors included customising SLMTA to blood transfusion activities; sensitising trainers, mentors and auditors on operations of blood transfusion service; creating SLMTA champions in key departments; and integrating other blood transfusion-specific accreditation standards into SLMTA.

  13. Implementation of Quality Assurance and Quality Control Measures in the National Phenology Database

    Science.gov (United States)

    Gerst, K.; Rosemartin, A.; Denny, E. G.; Marsh, L.; Barnett, L.

    2015-12-01

    The USA National Phenology Network (USA-NPN; www.usanpn.org) serves science and society by promoting a broad understanding of plant and animal phenology and the relationships among phenological patterns and environmental change. The National Phenology Database has over 5.5 million observation records for plants and animals for the period 1954-2015. These data have been used in a number of science, conservation and resource management applications, including national assessments of historical and potential future trends in phenology, regional assessments of spatio-temporal variation in organismal activity, and local monitoring for invasive species detection. Customizable data downloads are freely available, and data are accompanied by FGDC-compliant metadata, data-use and data-attribution policies, and vetted documented methodologies and protocols. The USA-NPN has implemented a number of measures to ensure both quality assurance and quality control. Here we describe the resources that have been developed so that incoming data submitted by both citizen and professional scientists are reliable; these include training materials, such as a botanical primer and species profiles. We also describe a number of automated quality control processes applied to incoming data streams to optimize data output quality. Existing and planned quality control measures for output of raw and derived data include: (1) Validation of site locations, including latitude, longitude, and elevation; (2) Flagging of records that conflict for a given date for an individual plant; (3) Flagging where species occur outside known ranges; (4) Flagging of records when phenophases occur outside of the plausible order for a species; (5) Flagging of records when intensity measures do not follow a plausible progression for a phenophase; (6) Flagging of records when a phenophase occurs outside of the plausible season, and (7) Quantification of precision and uncertainty for estimation of phenological metrics

  14. The costs, effects and cost-effectiveness of counteracting overweight on a population level. A scientific base for policy targets for the Dutch national plan for action.

    NARCIS (Netherlands)

    Bemelmans, W.; Baal, van P.; Wendel-Vos, G.C.W.; Schuit, J.; Feskens, E.J.M.; Ament, A.; Hoogenveen, R.

    2008-01-01

    Objectives. To gain insight in realistic policy targets for overweight at a population level and the accompanying costs. Therefore, the effect on overweight prevalence was estimated of large scale implementation of a community intervention (applied to 90% of general population) and an intensive life

  15. Dutch perfusion incident survey.

    Science.gov (United States)

    Groenenberg, Ingrid; Weerwind, Patrick W; Everts, Peter A M; Maessen, Jos G

    2010-09-01

    Cardiopulmonary bypass procedures remain complex, involving many potential risks. Therefore, a nationwide retrospective study was conducted to gain insight into the number of incidents and accidents in Dutch adult perfusion practice. An anonymous postal survey (85 questions about hardware, disposables, fluids and medication, air emboli, anticoagulation, practice, and safety measures) was sent to all Dutch perfusionists involved in adult cardiovascular perfusion during 2006 and 2007. To guarantee complete anonymity, respondents were asked to return the survey to a notary who discarded personal information. The net response rate was 72% and covered 23,500 perfusions. Individual respondents performed 240 ± 103 perfusions during the 2-year study period and had 13.8 ± 8.7 years of practical experience. The incident rate was 1 per 15.6 perfusions and the adverse event rate was 1 per 1,236 perfusions. The three most reported incidents were: (1) persistent inability to raise the activated coagulation time above 400s during perfusion (184 incidents); (2) an allergic or anaphylactic reaction to drugs, fluids, or blood products (114 incidents); and (3) clotting formation in the extracorporeal circuit (74 incidents). Furthermore, pre-bypass safety measures showed no statistically significant association with the reported incidents. In comparison with data from the recent literature, the reported number of incidents is high. Nevertheless, the adverse outcome rate is well matched to other published surveys. The relatively high response rate conveys the impression that the Dutch perfusionist is vigilant and willing to report incidents. Hence, a web-based Dutch perfusion incident registration system is recommended.

  16. Survival of Dutch heathlands.

    OpenAIRE

    Diemont, W.H.

    1996-01-01

    OBJECTIVES OF THE THESISHeathlands 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 succession in the absence of management. In addition to the absence of management atmospheric pollution i.e. increased inputs of nitrogen has accelerated the replacement of heather heath by grass heath.The main...

  17. DUTCH R&B

    Institute of Scientific and Technical Information of China (English)

    2004-01-01

    <正>I have forgotten who had said: "Music has no boundary." In the Netherlands, we met with the four boys of the bandRe-Play by accident. As we talked about the "Tornado," they,who were grown up in the Netherlands, sang it in the Dutchlanguage. We felt very surprised.It was the year of 1994 when four guys from Rotterdam,the Netherlands, decided to take part in a Dutch singing contest,

  18. Guidelines for Hanford Site implementation of the National Environmental Policy Act

    Energy Technology Data Exchange (ETDEWEB)

    King, S.E.

    1989-03-01

    The National Environmental Policy Act (NEPA) environmental review process is mandatory for federal agencies. Understanding and complying with NEPA is extremely important to successfully planning and implementing programs at the Hanford Site. This report is intended to help planners and decision makers understand NEPA by describing the NEPA process as it is outlined in NEPA, in regulations, and in guidance information. The requirements and guidance documents that set forth the NEPA process are discussed. Some of the major NEPA concepts and issues are also addressed. This report is intended to be used as a general road map through the maze of NEPA requirements and guidance to ensure that Hanford Site activities are conducted in compliance with NEPA. Enhanced knowledge of the NEPA process is expected to increase the ability of the Hanford Site to work with regulators, interested parties and the public to ensure that the potential environmental impacts of DOE activities are fully considered at the Hanford Site. In addition, an enhanced understanding of NEPA will help project and program managers to integrate NEPA compliance requirements with program planning. 43 refs., 6 figs., 3 tabs.

  19. Digital data acquisition system implementation at the National Superconducting Cyclotron Laboratory

    Science.gov (United States)

    Prokop, C. J.; Liddick, S. N.; Abromeit, B. L.; Chemey, A. T.; Larson, N. R.; Suchyta, S.; Tompkins, J. R.

    2014-03-01

    A Digital Data Acquisition System (DDAS) composed of 16-channel FPGA-programmable modules running 12-bit 100 Mega-Samples Per Second (MSPS) ADCs has been implemented on three different experimental arrays at the National Superconducting Cyclotron Laboratory (NSCL) encompassing charged particle spectroscopy, high and low energy-resolution photon detection, and neutron time-of-flight measurements. DDAS has increased the experimental capabilities of each array by providing energy and time measurements with nearly zero dead-time, low energy thresholds, and large dynamic range. The performance of the DDAS Analog-to-Digital Converters (ADC)s was characterized, and energy and time resolutions were compared with traditional analog systems. We have demonstrated a 14- to 15-bit peak-sensing equivalent resolution when applied to semiconductor detectors and 500 ps time resolution for LaBr3 detectors measuring coincident radiation with signal amplitudes of ≈13% of the input range of the ADC. Details regarding the operation of the system at NSCL including digital filtering, triggering, clock distribution, and event-building are discussed along with applications to selected detector systems.

  20. Digital data acquisition system implementation at the National Superconducting Cyclotron Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    Prokop, C.J., E-mail: prokop@nscl.msu.edu [National Superconducting Cyclotron Laboratory, Michigan State University, East Lansing, MI 48824 (United States); Department of Chemistry, Michigan State University, East Lansing, MI 48824 (United States); Liddick, S.N., E-mail: liddick@nscl.msu.edu [National Superconducting Cyclotron Laboratory, Michigan State University, East Lansing, MI 48824 (United States); Department of Chemistry, Michigan State University, East Lansing, MI 48824 (United States); Abromeit, B.L., E-mail: abromeit@nscl.msu.edu [National Superconducting Cyclotron Laboratory, Michigan State University, East Lansing, MI 48824 (United States); Chemey, A.T., E-mail: chemeyal@nscl.msu.edu [National Superconducting Cyclotron Laboratory, Michigan State University, East Lansing, MI 48824 (United States); Larson, N.R., E-mail: larson@nscl.msu.edu [National Superconducting Cyclotron Laboratory, Michigan State University, East Lansing, MI 48824 (United States); Department of Chemistry, Michigan State University, East Lansing, MI 48824 (United States); Suchyta, S., E-mail: suchyta@nscl.msu.edu [National Superconducting Cyclotron Laboratory, Michigan State University, East Lansing, MI 48824 (United States); Department of Chemistry, Michigan State University, East Lansing, MI 48824 (United States); Tompkins, J.R., E-mail: tompkins@nscl.msu.edu [National Superconducting Cyclotron Laboratory, Michigan State University, East Lansing, MI 48824 (United States)

    2014-03-21

    A Digital Data Acquisition System (DDAS) composed of 16-channel FPGA-programmable modules running 12-bit 100 Mega-Samples Per Second (MSPS) ADCs has been implemented on three different experimental arrays at the National Superconducting Cyclotron Laboratory (NSCL) encompassing charged particle spectroscopy, high and low energy-resolution photon detection, and neutron time-of-flight measurements. DDAS has increased the experimental capabilities of each array by providing energy and time measurements with nearly zero dead-time, low energy thresholds, and large dynamic range. The performance of the DDAS Analog-to-Digital Converters (ADC)s was characterized, and energy and time resolutions were compared with traditional analog systems. We have demonstrated a 14- to 15-bit peak-sensing equivalent resolution when applied to semiconductor detectors and 500 ps time resolution for LaBr{sub 3} detectors measuring coincident radiation with signal amplitudes of ≈13% of the input range of the ADC. Details regarding the operation of the system at NSCL including digital filtering, triggering, clock distribution, and event-building are discussed along with applications to selected detector systems.

  1. Organizational learning in the implementation and adoption of national electronic health records: case studies of two hospitals participating in the National Programme for Information Technology in England.

    Science.gov (United States)

    Takian, Amirhossein; Sheikh, Aziz; Barber, Nicholas

    2014-09-01

    To explore the role of organizational learning in enabling implementation and supporting adoption of electronic health record systems into two English hospitals. In the course of conducting our prospective and sociotechnical evaluation of the implementation and adoption of electronic health record into 12 "early adopter" hospitals across England, we identified two hospitals implementing virtually identical versions of the same "off-the-shelf" software (Millennium) within a comparable timeframe. We undertook a longitudinal qualitative case study-based analysis of these two hospitals (referred to hereafter as Alpha and Omega) and their implementation experiences. Data included the following: 63 in-depth interviews with various groups of internal and external stakeholders; 41-h on-site observation; and content analysis of 218 documents of various types. Analysis was both inductive and deductive, the latter being informed by the "sociotechnical changing" theoretical perspective. Although Alpha and Omega shared a number of contextual similarities, our evaluation revealed fundamental differences in visions of electronic health record and the implementation strategy between the hospitals, which resulted in distinct local consequences of electronic health record implementation and impacted adoption. Both hospitals did not, during our evaluation, see the hoped-for benefits to the organization as a result of the introduction of electronic health record, such as speeding-up tasks. Nonetheless, the Millennium software worked out to be easier to use at Omega. Interorganizational learning was at the heart of this difference. Despite the turbulent overall national "roll out" of electronic health record systems into the English hospitals, considerable opportunities for organizational learning were offered by sequential delivery of the electronic health record software into "early adopter" hospitals. We argue that understanding the process of organizational learning and its

  2. Nederlab: Towards a Single Portal and Research Environment for Diachronic Dutch Text Corpora

    NARCIS (Netherlands)

    Brugman, Hennie; Reynaert, Martin; van der Sijs, N.; van Stripriaan, René; Tjong Kim Sang, E.; van den Bosch, Antal

    2016-01-01

    The Nederlab project aims to bring together all digitized texts relevant to the Dutch national heritage, the history of the Dutch language and culture (circa 800 – present) in one user friendly and tool enriched open access web interface. This paper describes Nederlab halfway through the project

  3. Nederlab : Towards a Single Portal and Research Environment for Diachronic Dutch Text Corpora

    NARCIS (Netherlands)

    Brugman, Hennie; Reynaert, Martin; van der Sijs, Nicoline; van Stipriaan, Rene; Tjong Kim Sang, Erik; van den Bosch, Antal; Calzolari,

    The Nederlab project aims to bring together all digitized texts relevant to the Dutch national heritage, the history of the Dutch language and culture (circa 800 – present) in one user friendly and tool enriched open access web interface. This paper describes Nederlab halfway through the project

  4. The Position of Geotechnical Engineering and Risk Management in Dutch Higher Education

    NARCIS (Netherlands)

    Broere, W.; Van Dalen, J.; Van der Schrier, J.

    2015-01-01

    As part of the Dutch national research program GeoImpuls an inventory has been made of the state of the education at Dutch institutes of higher education and post-graduate education in so far as this education concerns geotechncial engineering and geotechnical risk management. Significant difference

  5. Description and earlier quality review of the Dutch educational system (primary and secondary education)

    NARCIS (Netherlands)

    Scheerens, Jaap; Scheerens, J; Luyten, H.; van Ravens, J.

    2011-01-01

    The chapter starts out with a brief overview of the structure of the Dutch education system. As compared to other national educational systems the Dutch secondary school system is strongly differentiated, featuring several separate school categories and sub-categories. Next, attention is paid to oth

  6. A model of enteric fermentation in dairy cows to estimate methane emission for the Dutch National Inventory Report using the IPCC Tier 3 approach

    NARCIS (Netherlands)

    Bannink, A.; Schijndel, van M.W.; Dijkstra, J.

    2011-01-01

    The protocol for the National Inventory of agricultural greenhouse gas emissions in The Netherlands includes a dynamic and mechanistic model of animal digestion and fermentation as an Intergovernmental Panel on Climate Change (IPCC) Tier 3 approach to estimate enteric CH4 emission by dairy cows. The

  7. Implementation of a nation-wide automated auditory brainstem response hearing screening programme in neonatal intensive care units

    NARCIS (Netherlands)

    Straaten, H.L.M. van; Hille, E.T.M.; Kok, J.H.; Verkerk, P.H.; Baerts, W.; Bunkers, C.M.; Smink, E.W.A.; Elburg, R.M. van; Kleine, M.J.K. de; Ilsen, A.; Maingay-Visser, A.P.G.F.; Vries, L.S. de; Weisglas-Kuperus, N.

    2003-01-01

    Aim: As part of a future national neonatal hearing screening programme in the Netherlands, automated auditory brainstem response (AABR) hearing screening was implemented in seven neonatal intensive care units (NICUs). The objective was to evaluate key outcomes of this programme: participation rate,

  8. 75 FR 33611 - Implementing the National Broadband Plan by Empowering Consumers and the Smart Grid: Data Access...

    Science.gov (United States)

    2010-06-14

    ... Implementing the National Broadband Plan by Empowering Consumers and the Smart Grid: Data Access, Third Party... governments, to report on state efforts to enact Smart Grid privacy and data collection policies. The request... detailed energy information in electronic form--including real-time information from smart meters...

  9. 75 FR 52857 - National Endowment for the Humanities Implementation of OMB Guidance on Drug-Free Workplace...

    Science.gov (United States)

    2010-08-30

    ... make no substantive change in NEH's policy or procedures for drug-free workplace. DATES: This final... any unintended changes this action makes in NEH policies and procedures for drug-free workplace. All... Implementation of OMB Guidance on Drug-Free Workplace Requirements AGENCY: National Endowment for the Humanities...

  10. Children's Rights and Educational Policy in Europe: The Implementation of the United Nations Convention on the Rights of the Child

    Science.gov (United States)

    Lundy, Laura

    2012-01-01

    This article aims to shed light on the impact of the United Nations Convention on the Rights of the Child (CRC) on education policy in Europe. The findings are based on a documentary analysis of the published reports of the Committee on the Rights of the Child (the Committee) on the implementation of the education rights in the CRC in every EU…

  11. OISE/UT Evaluation of the Implementation of the National Literacy and Numeracy Strategies. Second Annual Report. Watching & Learning 2.

    Science.gov (United States)

    Earl, Lorna; Levin, Ben; Leithwood, Ken; Fullan, Michael; Watson, Nancy

    This, the second of three annual reports by the Ontario Institute for Studies in Education (OISE), continues to track central policy and developments in the implementation of the British National Literacy and Numeracy Strategies (NLS and NNS). The report considers value for money in their funding and on the perception and experience of the…

  12. Children's Rights and Educational Policy in Europe: The Implementation of the United Nations Convention on the Rights of the Child

    Science.gov (United States)

    Lundy, Laura

    2012-01-01

    This article aims to shed light on the impact of the United Nations Convention on the Rights of the Child (CRC) on education policy in Europe. The findings are based on a documentary analysis of the published reports of the Committee on the Rights of the Child (the Committee) on the implementation of the education rights in the CRC in every EU…

  13. Strict environmental liability and NGO [non-governmental organisation] damages and enforcement claims: a Dutch and international law perspective

    Energy Technology Data Exchange (ETDEWEB)

    Betlem, G. [University of Exeter (United Kingdom)

    2001-11-01

    The European Commission's 2000 White Paper on Environmental Liability identifies two main functions for civil liability in the context of environmental protection. In addition to compensation for damage to the environment, civil liability is perceived as a tool for the enforcement of EC (public) environmental law. Private actors at the national level are considered to carry out watchdog functions in addition to the Commission at Community level. One way in which non-governmental organisations (NG0s) involved with environmental protection have been recognised by both Dutch and international law is by entitling them to claim the costs of pollution prevention measures. This possibility is included in definition of compensable loss rather than as a separate remedy explicitly made available to NGOs. Insofar as enforcement actions are concerned, a Dutch case against the State is examined in order to identify the legal issues relevant to successful enforcement actions at national level This case is an illustration of the role NGOs can play in using civil liability actions in the context of environmental law. Notable here is what form of injunctive relief is available under Dutch law against the State. The possibilities of ordering the State to comply with a duty to implement a directive are considered. (author)

  14. The Dutch dominant perspective on water: risks and opportunities involved.

    Science.gov (United States)

    Offermans, Astrid; Valkering, Pieter; Vreugdenhil, Heleen; Wijermans, Nanda; Haasnoot, Marjolijn

    2013-01-01

    To implement or continue water management strategies social support is needed. Social support highly depends on people's perspectives on water. However, these perspectives are not static and may change over time leading to changes in social support for strategies. Therefore, sustainable water management strategies should be robust. Robust strategies are able to cope with changing social and environmental developments. Lacking robustness runs the risk of losing social support, which may force policymakers into sudden or expensive measures. We use the Perspectives Method to analyze the present Dutch policy perspective and the dominant perspective on water among Dutch water professionals, by respectively studying the Dutch Delta report and questionnaire outputs and distinguishing between Hierarchical, Egalitarian, Individualistic and Fatalistic perspectives. A comparison between the policy and professional perspective shows similarities and differences. Topics regarding drought, water supply, and waters' relation to spatial planning need serious reconsideration to guarantee enough present and future social support to implement the measures suggested in the policy report.

  15. Building a house on shifting sand: methodological considerations when evaluating the implementation and adoption of national electronic health record systems

    Directory of Open Access Journals (Sweden)

    Takian Amirhossein

    2012-04-01

    Full Text Available Abstract Background A commitment to Electronic Health Record (EHR systems now constitutes a core part of many governments’ healthcare reform strategies. The resulting politically-initiated large-scale or national EHR endeavors are challenging because of their ambitious agendas of change, the scale of resources needed to make them work, the (relatively short timescales set, and the large number of stakeholders involved, all of whom pursue somewhat different interests. These initiatives need to be evaluated to establish if they improve care and represent value for money. Methods Critical reflections on these complexities in the light of experience of undertaking the first national, longitudinal, and sociotechnical evaluation of the implementation and adoption of England’s National Health Service’s Care Records Service (NHS CRS. Results/discussion We advance two key arguments. First, national programs for EHR implementations are likely to take place in the shifting sands of evolving sociopolitical and sociotechnical and contexts, which are likely to shape them in significant ways. This poses challenges to conventional evaluation approaches which draw on a model of baseline operations → intervention → changed operations (outcome. Second, evaluation of such programs must account for this changing context by adapting to it. This requires careful and creative choice of ontological, epistemological and methodological assumptions. Summary New and significant challenges are faced in evaluating national EHR implementation endeavors. Based on experiences from this national evaluation of the implementation and adoption of the NHS CRS in England, we argue for an approach to these evaluations which moves away from seeing EHR systems as Information and Communication Technologies (ICT projects requiring an essentially outcome-centred assessment towards a more interpretive approach that reflects the situated and evolving nature of EHR seen within

  16. Developing Leadership in Managers to Facilitate the Implementation of National Guideline Recommendations: A Process Evaluation of Feasibility and Usefulness

    Directory of Open Access Journals (Sweden)

    Malin Tistad

    2016-08-01

    Full Text Available Background: Previous research supports the claim that managers are vital players in the implementation of clinical practice guidelines (CPGs, yet little is known about interventions aiming to develop managers’ leadership in facilitating implementation. In this pilot study, process evaluation was employed to study the feasibility and usefulness of a leadership intervention by exploring the intervention’s potential to support managers in the implementation of national guideline recommendations for stroke care in outpatient rehabilitation. Methods: Eleven senior and frontline managers from five outpatient stroke rehabilitation centers participated in a fourmonth leadership intervention that included workshops, seminars, and teleconferences. The focus was on developing knowledge and skills to enhance the implementation of CPG recommendations, with a particular focus on leadership behaviors. Each dyad of managers was assigned to develop a leadership plan with specific goals and leadership behaviors for implementing three rehabilitation recommendations. Feasibility and usefulness were explored through observations and interviews with the managers and staff members prior to the intervention, and then one month and one year after the intervention. Results: Managers considered the intervention beneficial, particularly the participation of both senior and frontline managers and the focus on leadership knowledge and skills for implementing CPG recommendations. All the managers developed a leadership plan, but only two units identified goals specific to implementing the three stroke rehabilitation recommendations. Of these, only one identified leadership behaviors that support implementation. Conclusion: Managers found that the intervention was delivered in a feasible way and appreciated the focus on leadership to facilitate implementation. However, the intervention appeared to have limited impact on managers’ behaviors or clinical practice at the

  17. National Weather Service (NWS) Implementation of the Hydrologic Ensemble Forecast Service

    Science.gov (United States)

    Hartman, R. K.; Fresch, M. A.; Wells, E.

    2015-12-01

    Operational hydrologic forecasters as well as the communities that they serve have long recognized the value of including uncertainty in hydrologic projections. While single value (deterministic) forecasts are easy to understand and link to specific mitigation actions, the potential for using modern risk management strategies is very limited. This is particularly evident at lead times beyond a few days when forecast skill may be low but the value (and costs) of mitigation actions may be quite high. Based on nearly ten years of research and development, the NWS's National Water Center (NWC, formerly the Office of Hydrologic Development) implemented and evaluated the Hydrologic Ensemble Forecast Service (HEFS, see Demargne et al. 2014 Brown et al., 2013, Brown et al., 2014a/b/c). The HEFS provides hydrologic forecasts that reflect the total uncertainty, including that contributed by the meteorological forcing and the hydrologic modeling. The HEFS leverages the skill in weather and climate forecasts to produce ensemble forecasts of precipitation, temperature and streamflow at forecast lead times ranging from one hour to one year. The resulting ensembles represent a rich dataset from which a wide variety of risk-based decision support information can be derived. The NWS River Forecast Centers (RFCs) are starting to incorporate the Hydrologic Ensemble Forecast Service (HEFS,) into their routine operations. In 2012, five (of thirteen) RFCs began running and testing HEFS in an experimental mode. In 2015, HEFS was deployed (including training and software support) to the eight remaining RFCs. Currently, all RFCs are running the HEFS every day in real-time for an increasing number of forecast locations. Eventually, forecasts from the HEFS will be integrated into the warning/hazard services at the NWS Weather Forecast Offices (WFOs). This contribution describes the HEFS framework, the development and deployment strategy, and the operational plans for HEFS going forward.

  18. Implementing the Corrective Action Management Unit at Sandia National Laboratories, New Mexico

    Energy Technology Data Exchange (ETDEWEB)

    MOORE,DARLENE R.; SCHRADER,SCOTT A.; KING,GABRIEL G.; CORMIER,JOHN

    2000-01-26

    In September 1997, following significant public and regulator interaction, Sandia Corporation (Sandia) was granted a Resource Conservation and Recovery Act (RCRA) and Hazardous Solid Waste Amendment (HSWA) permit modification allowing construction and operation of a Correction Action Management Unit (CAMU). The CAMU follows recent regulatory guidance that allows for cost-effective, expedient cleanup of contaminated sites and management of hazardous remediation wastes. The CAMU was designed to store, treat, and provide long-term management for Environmental Restoration (ER) derived wastes. The 154 square meter CAMU site at Sandia National Laboratories, New Mexico (SNL/NM), includes facilities for storing bulk soils and containerized wastes, for treatment of bulk soils, and has a containment cell for long-term disposition of waste. Proposed treatment operations include soil washing and low temperature thermal desorption. The first waste was accepted into the CAMU for temporary storage in January 1999. Construction at the CAMU was completed in March 1999, and baseline monitoring of the containment cell has commenced. At completion of operations the facility will be closed, the waste containment cell will be covered, and long-term post-closure monitoring will begin. Sandia's CAMU is the only such facility within the US Department of Energy (DOE) complex. Implementing this innovative approach to ER waste management has required successful coordination with community representatives, state and federal regulators, the DOE, Sandia corporate management, and contractors. It is expected that cost savings to taxpayers will be significant. The life-cycle CAMU project cost is currently projected to be approximately $12 million.

  19. Knowledge, attitudes and use of the guidelines for the treatment of moderate to severe plaque psoriasis among Dutch dermatologists.

    NARCIS (Netherlands)

    Wakkee, M.; Lugtenberg, M.; Spuls, P.I.; Jong, E.M.G.J. de; Thio, H.B.; Westert, G.P.; Nijsten, T.

    2008-01-01

    BACKGROUND: In 2003, the Dutch psoriasis guidelines were among the first evidence-based medicine guidelines in dermatology. Although pivotal, the implementation of dermatological guidelines has not been assessed. OBJECTIVES: To evaluate various aspects that affect implementation of clinical guidelin

  20. Dutch wastes in figures. Data 2006-2010; Nederlands afval in cijfers. Gegevens 2006-2010

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2013-02-15

    The progress of the implementation of the National Waste Management Plan 2009-2021 (LAP2) is presented in two separate reports: this monitoring report, with detailed justification of the numerical monitoring, and the progress report LAP, containing a representation of the implementation of the LAP and the state of affairs with regard to the policy objectives set out in the LAP [Dutch] De voortgang van de uitvoering van het Landelijk afvalbeheerplan 2009-2021 (LAP2) wordt gepresenteerd in twee afzonderlijke rapportages: deze monitoringrapportage, met in detail een verantwoording van de getalsmatige monitoring, en de voortgangsrapportage LAP, met daarin een weergave van de uitvoering van het LAP en de stand van zaken met betrekking tot de in het LAP gestelde beleidsdoelen.

  1. Dutch house price fundamentals

    OpenAIRE

    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 bubble ready to burst; (2) whether house prices will decline in response to the credit crisis that started in 2007; and (3) whether it is likely that house prices will decrease as a result of reform...

  2. Soil processes as a guiding principle in precision agriculture : a case study for Dutch arable farming

    NARCIS (Netherlands)

    Alphen, van J.

    2002-01-01

    The fact that conventional agricultural practices have many detrimental effects is widely acknowledged (Rabbinge, 1997). To mitigate these effects, Dutch policy makers have implemented environmental laws that are essentially based on characteristic indicators for groundwater quality. This

  3. Dynamics in National Agri-environmental Policy implementation under Changing EU Policy Priorities: does one size fit all?

    DEFF Research Database (Denmark)

    Vesterager, Jens Peter; Frederiksen, Pia; Kristensen, Søren Bech Pilgaard

    2016-01-01

    directiveobjectives nationally in the future. In this paper, we first investigate the dynamics in the implementationof national Agri-Environmental Schemes (AES) through changes in (i) AES policy objectives over time,(ii) administrative implementation structures, and (iii) administrative policy decision structures...... in theNetherlands, Denmark, Greece, Austria and Romania. Second, we examine the extent to which variousfactors have influenced the development of national policies over time. The study identifies developmentbased on the theory of ‘process of institutional change’, i.e. we qualitatively estimate the costs...... and trans-formation, which are characteristic of the national responses to changing AEP at the EU level. We discussAES dynamics; whether policy content or structures should be in focus for future policy design and theimplications of these findings for the future role of AEP in fulfilling environmental...

  4. Development of the Concept and Implementation of National Forest Programs with Reference to Croatia

    Directory of Open Access Journals (Sweden)

    Marko Lovrić

    2012-06-01

    Full Text Available Background and Purpose: National forest programs have been promoted by the international forest policy sphere as a preferred form of policy process by which the sustainable forest management should be reached on national level. As such, it has received a lot of attention in the international legislation and has been important part of the forest policy dialogue. This paper examines the national forest programs from the side of its theoretical development, and how it has been transposed from the international sphere onto the national domains. Material and Methods: Paper examines international legislation refereeing to the national forest programs, and provides an overview of its development. Comparative analysis of national forest program processes in Europe has been made, along with presentation of different national approaches to it. Topic-related scientific literature has been analyzed, with special emphasis on its procedural elements. Results and Conclusion: International legislation shows great coherence regarding the development of the concept of national forest programs. The same coherence is present in the scientific community, but not among the forest policy practitioners, which is reflected by a great variety of developments of national forest programs across Europe. This variety is not as important as are the procedural aspects of the process, which promote mode of governance in line with the new general paradigm of forest planning. The article critically reviews the procedural and outcome elements of national forest programmes, which are then analysed in the context of Croatian perspectives for a formal process of a national forest program.

  5. Gerontology and geriatrics in Dutch medical education.

    Science.gov (United States)

    Tersmette, W; van Bodegom, D; van Heemst, D; Stott, D; Westendorp, R

    2013-01-01

    The world population is ageing and healthcare services require trained staff who can address the needs of older patients. In this study we determined how current medical education prepares Dutch students of medicine in the field of Gerontology and Geriatrics (G&G). Using a checklist of the essentials of G&G, we assessed Dutch medical education on three levels. On the national level we analysed the latest National Blueprint for higher medical education (Raamplan artsopleiding 2009). On the faculty level we reviewed medical curricula on the basis of interviews with program directors and inspection of course materials. On the student level we assessed the topics addressed in the questions of the cross-institutional progress test (CIPT). The National Bluepr int contains few specific G&G objectives. Obligatory G&G courses in medical schools on average amount to 2.2% of the total curriculum measured as European Credit Transfer System units (ECTS). Only two out of eight medical schools have practical training during the Master phase in the form of a clerkship in G&G. In the CIPT, on average 1.5% of questions cover G&G. Geriatric education in the Netherlands does not seem to be in line with current demographic trends. The National Blueprint falls short of providing sufficiently detailed objectives for education on the care of older people. The geriatric content offered by medical schools is varied and incomplete, and students are only marginally tested on their knowledge of G&G in the CIPT.

  6. Present readiness of and white spots in the Dutch National System for greenhouse gas reporting of the Land Use, Land-Use Change and Forestry sector (LULUCF)

    Energy Technology Data Exchange (ETDEWEB)

    Nabuurs, G.J.; Dirkse, G.M.; Kuikman, P.J. [Alterra, Green World Research, Wageningen (Netherlands); Daamen, W. [Bureau Daamen, Kesteren (Netherlands); Paasman, J. [Institute for Forests and Forest Products, Wageningen (Netherlands); Verhagen, A. [Plant Research International, Wageningen (Netherlands)

    2003-07-01

    Current LULUCF greenhouse gas reporting by the Netherlands is incomplete. The few sections that are included in the current reporting are done at lower Tiers. Thirty nine existing monitoring systems or databases were identified as possibly relevant for setting up a national system. The systems are grouped as follows : (1) systems for land use and area (mapping), including soil maps:13; (2) data on agricultural and forestry practices that may serve to derive emission factors: 16; (3) data on emission factors including weather and groundwater data: 8; (4) modelling systems: 2. Based on the identified existing systems, the report concludes on the main discrepancies between the ongoing reporting/current monitoring systems and the requirements as set out by the Marrakesh Accords and the 1st draft of the Good Practice Guidance.

  7. Status of IT in Dutch Hospitals in 2011

    NARCIS (Netherlands)

    Krediet, Irene; Goossen, William

    2013-01-01

    The IT-monitor gives an overview on the use and implementation of information technology (IT) in general and university hospitals in the Netherlands. Using the questionnaire, earlier applied in Germany and Austria, all Dutch hospitals were requested to participate, of which 20% responded. The result

  8. Early outcomes from the Dutch Upper Gastrointestinal Cancer Audit

    NARCIS (Netherlands)

    Busweiler, L A D; Wijnhoven, B P L; van Berge Henegouwen, M I; Henneman, D; van Grieken, N C T; Wouters, M W J M; van Hillegersberg, R; van Sandick, J W

    2016-01-01

    BACKGROUND: In 2011, the Dutch Upper Gastrointestinal Cancer Audit (DUCA) group began nationwide registration of all patients undergoing surgery with the intention of resection for oesophageal or gastric cancer. The aim of this study was to describe the initiation and implementation of this process

  9. Dutch new nature: (re)landscaping the Millingerwaard

    NARCIS (Netherlands)

    Bulkens, M.G.; Muzaini, H.B.; Minca, C.

    2016-01-01

    This paper analyses how discourses of “new nature” have been implemented in the Dutch context – as a front runner of broader “rewilding” processes throughout Europe – frequently tied to imperatives of water safety. Drawing on the specific case of the Millingerwaard, we first examine how such discour

  10. Career Guidance and Student Success in Dutch Higher Vocational Education

    Science.gov (United States)

    te Wierik, Mark L. J.; Beishuizen, Jos; van Os, Willem

    2015-01-01

    To enhance student success, a growing number of vocational education and training institutions in the Netherlands are nowadays implementing new career guidance practices in their competence-based approaches to learning. Based on individual-level data of undergraduate first-year full-time students from a Dutch university of applied sciences, this…

  11. Implementing school malaria surveys in Kenya: towards a national surveillance system

    Directory of Open Access Journals (Sweden)

    Snow Robert W

    2010-10-01

    Full Text Available Abstract Objective To design and implement surveys of malaria infection and coverage of malaria control interventions among school children in Kenya in order to contribute towards a nationwide assessment of malaria. Methods The country was stratified into distinct malaria transmission zones based on a malaria risk map and 480 schools were visited between October 2008 and March 2010. Surveys were conducted in two phases: an initial opportunistic phase whereby schools were selected for other research purposes; and a second phase whereby schools were purposively selected to provide adequate spatial representation across the country. Consent for participation was based on passive, opt-out consent rather than written, opt-in consent because of the routine, low-risk nature of the survey. All children were diagnosed for Plasmodium infection using rapid diagnostic tests, assessed for anaemia and were interviewed about mosquito net usage, recent history of illness, and socio-economic and household indicators. Children's responses were entered electronically in the school and data transmitted nightly to Nairobi using a mobile phone modem connection. RDT positive results were corrected by microscopy and all results were adjusted for clustering using random effect regression modelling. Results 49,975 children in 480 schools were sampled, at an estimated cost of US$ 1,116 per school. The overall prevalence of malaria and anaemia was 4.3% and 14.1%, respectively, and 19.0% of children reported using an insecticide-treated net (ITN. The prevalence of infection showed marked variation across the country, with prevalence being highest in Western and Nyanza provinces, and lowest in Central, North Eastern and Eastern provinces. Nationally, 2.3% of schools had reported ITN use >60%, and low reported ITN use was a particular problem in Western and Nyanza provinces. Few schools reported having malaria health education materials or ongoing malaria control activities

  12. Implementing school malaria surveys in Kenya: towards a national surveillance system.

    Science.gov (United States)

    Gitonga, Caroline W; Karanja, Peris N; Kihara, Jimmy; Mwanje, Mariam; Juma, Elizabeth; Snow, Robert W; Noor, Abdisalan M; Brooker, Simon

    2010-10-30

    To design and implement surveys of malaria infection and coverage of malaria control interventions among school children in Kenya in order to contribute towards a nationwide assessment of malaria. The country was stratified into distinct malaria transmission zones based on a malaria risk map and 480 schools were visited between October 2008 and March 2010. Surveys were conducted in two phases: an initial opportunistic phase whereby schools were selected for other research purposes; and a second phase whereby schools were purposively selected to provide adequate spatial representation across the country. Consent for participation was based on passive, opt-out consent rather than written, opt-in consent because of the routine, low-risk nature of the survey. All children were diagnosed for Plasmodium infection using rapid diagnostic tests, assessed for anaemia and were interviewed about mosquito net usage, recent history of illness, and socio-economic and household indicators. Children's responses were entered electronically in the school and data transmitted nightly to Nairobi using a mobile phone modem connection. RDT positive results were corrected by microscopy and all results were adjusted for clustering using random effect regression modelling. 49,975 children in 480 schools were sampled, at an estimated cost of US$ 1,116 per school. The overall prevalence of malaria and anaemia was 4.3% and 14.1%, respectively, and 19.0% of children reported using an insecticide-treated net (ITN). The prevalence of infection showed marked variation across the country, with prevalence being highest in Western and Nyanza provinces, and lowest in Central, North Eastern and Eastern provinces. Nationally, 2.3% of schools had reported ITN use >60%, and low reported ITN use was a particular problem in Western and Nyanza provinces. Few schools reported having malaria health education materials or ongoing malaria control activities. School malaria surveys provide a rapid, cheap and

  13. Changes in acute response to radiation after implementation of new national guidelines for head and neck cancer

    DEFF Research Database (Denmark)

    Hansen, C. R.; Bertelsen, Anders; Zukauskaite, R.

    2015-01-01

    for simple glottic tumours. Acute skin and mucosal reactions were scored weekly during RT, and 2 and 8 weeks after (0 none, 1 erythema, 2 dry desquamation/patchy mucositis, 3 wet desquamation/confluent mucositis, 4 ulceration). Use of analgesics was recorded equivalently on a 5-point scale. Clinical......Purpose/Objective: New national guidelines (GL) for radiotherapy (RT) of head and neck cancer (HNC) were implemented at the beginning of 2013. One purpose of the new GL was to nationally standardise the expansion from GTV to high risk CTV (CTV1). This standardisation has resulted in change...

  14. Empowerment Patterns of Leaders in ICT and School Strengths Following the Implementation of National ICT Reform

    Science.gov (United States)

    Avidov-Ungar, Orit; Shamir-Inbal, Tamar

    2013-01-01

    The Ministry of Education in Israel has, over the past two years, been running an education program designed to lead the implementation of ICT (Information and Communications Technology) in schools. Implementation of the program is accompanied by training and support of teachers selected to be ICT leaders. The role of the ICT leader is divided to…

  15. Reflexive choice in Dutch and German

    NARCIS (Netherlands)

    Hendriks, Petra; Hoeks, John C. J.; Spenader, Jennifer

    2014-01-01

    Standard Dutch and German have two reflexive forms: a weak form ('zich' in Dutch and 'sich' in German) and a strong form ('zichzelf' in Dutch and 'sich selbst' in German). The choice between the two reflexive forms in Dutch has been explained by the selectional restrictions of the verb, distinguishi

  16. Persistent Socioeconomic and Political Dilemmas to the Implementation of the 1989 United Nations' Convention on the Rights of the Child in Sub-Saharan Africa

    Science.gov (United States)

    Mulinge, Munyae M.

    2010-01-01

    Objective: The aim of this article is to revisit the subject of the implementation of the 1989 United Nations Convention on the Rights of the Child in Africa. Specifically, the article is an update to a previous article titled "Implementing the 1989 United Nations' Convention on the Rights of the Child in sub-Saharan Africa: The Overlooked…

  17. Rationale, design, and implementation protocol of the Dutch clinical practice guideline Pain in patients with cancer: a cluster randomised controlled trial with short message service (SMS and interactive voice response (IVR

    Directory of Open Access Journals (Sweden)

    te Boveldt Nienke

    2011-12-01

    Full Text Available Abstract Background One-half of patients with cancer have pain. In nearly one out of two cancer patients with pain, this was undertreated. Inadequate pain control still remains an important problem in this group of patients. Therefore, in 2008 a national, evidence-based multidisciplinary clinical practice guideline 'pain in patients with cancer' has been developed. Yet, publishing a guideline is not enough. Implementation is needed to improve pain management. An innovative implementation strategy, Short Message Service with Interactive Voice Response (SVS-IVR, has been developed and pilot tested. This study aims to evaluate on effectiveness of this strategy to improve pain reporting, pain measurement and adequate pain therapy. In addition, whether the active role of the patient and involvement of caregivers in pain management may change. Methods/design A cluster randomised controlled trial with two arms will be performed in six oncology outpatient clinics of hospitals in the Southeastern region of the Netherlands, with three hospitals in the intervention and three in the control condition. Follow-up measurements will be conducted in all hospitals to study the long-term effect of the intervention. The intervention includes training of professionals (medical oncologists, nurses, and general practitioners and SMS-IVR to report pain in patients with cancer to improve pain reporting by patients, pain management by medical oncologists, nurses, and general practitioners, and decrease pain intensity. Discussion This innovative implementation strategy with technical tools and the involvement of patients, may enhance the use of the guideline 'pain in patients with cancer' for pain management. Short Message Service alerts may serve as a tool to support self-management of patients. Therefore, the SMS-IVR intervention may increase the feeling of having control over one's life. Trail registration Netherlands Trial Register (NTR: NTR2739

  18. Determining direction and implementing strategy of national nuclear policy under the joint declaration of denuclearization of the korean peninsula.

    Energy Technology Data Exchange (ETDEWEB)

    Shin, Sung Tack [Korea Inst. for Defeuse Analyses, Seoul (Korea, Republic of)

    1997-12-01

    From the nuclear fuel cycle standpoint, it is possible to argue that the current research and development program related to nuclear energy of South Korea lacks a well-balanced approach. One of the constraints is the Joint Declaration of Denuclearization of the Korean Peninsula. The Joint Declaration prohibits both the uranium enrichment and the reprocessing of spent nuclear fuel. Due to such prohibitions, research and development of nuclear energy is under severe imbalance. I suggest the following policy alternatives which would enable South Korea to indirectly overcome those. The background and problems of the Declaration and solutions for it; Prospect and measures for the environment for the use of nuclear energy on the Korean Peninsula; Direction and implementation strategy of national nuclear policy in preparation of the reunification; and Implementation direction of national nuclear policy in the era of reunification. 25 refs., 11 tabs. (author)

  19. A qualitative exploration of workarounds related to the implementation of national electronic health records in early adopter mental health hospitals.

    Directory of Open Access Journals (Sweden)

    Gloria Ser

    Full Text Available AIMS: To investigate the perceptions and reported practices of mental health hospital staff using national hospital electronic health records (EHRs in order to inform future implementations, particularly in acute mental health settings. METHODS: Thematic analysis of interviews with a wide range of clinical, information technology (IT, managerial and other staff at two early adopter mental health National Health Service (NHS hospitals in London, UK, implementing national EHRs. RESULTS: We analysed 33 interviews. We first sought out examples of workarounds, such as delayed data entry, entering data in wrong places and individuals using the EHR while logged in as a colleague, then identified possible reasons for the reported workarounds. Our analysis identified four main categories of factors contributing to workarounds (i.e., operational, cultural, organisational and technical. Operational factors included poor system integration with existing workflows and the system not meeting users' perceived needs. Cultural factors involved users' competence with IT and resistance to change. Organisational factors referred to insufficient organisational resources and training, while technical factors included inadequate local technical infrastructure. Many of these factors, such as integrating the EHR system with day-to-day operational processes, staff training and adequate local IT infrastructure, were likely to apply to system implementations in various settings, but we also identified factors that related particularly to implementing EHRs in mental health hospitals, for example: EHR system incompatibility with IT systems used by mental health-related sectors, notably social services; the EHR system lacking specific, mental health functionalities and options; and clinicians feeling unable to use computers while attending to distressed psychiatric patients. CONCLUSIONS: A better conceptual model of reasons for workarounds should help with designing, and

  20. A qualitative exploration of workarounds related to the implementation of national electronic health records in early adopter mental health hospitals.

    Science.gov (United States)

    Ser, Gloria; Robertson, Ann; Sheikh, Aziz

    2014-01-01

    To investigate the perceptions and reported practices of mental health hospital staff using national hospital electronic health records (EHRs) in order to inform future implementations, particularly in acute mental health settings. Thematic analysis of interviews with a wide range of clinical, information technology (IT), managerial and other staff at two early adopter mental health National Health Service (NHS) hospitals in London, UK, implementing national EHRs. We analysed 33 interviews. We first sought out examples of workarounds, such as delayed data entry, entering data in wrong places and individuals using the EHR while logged in as a colleague, then identified possible reasons for the reported workarounds. Our analysis identified four main categories of factors contributing to workarounds (i.e., operational, cultural, organisational and technical). Operational factors included poor system integration with existing workflows and the system not meeting users' perceived needs. Cultural factors involved users' competence with IT and resistance to change. Organisational factors referred to insufficient organisational resources and training, while technical factors included inadequate local technical infrastructure. Many of these factors, such as integrating the EHR system with day-to-day operational processes, staff training and adequate local IT infrastructure, were likely to apply to system implementations in various settings, but we also identified factors that related particularly to implementing EHRs in mental health hospitals, for example: EHR system incompatibility with IT systems used by mental health-related sectors, notably social services; the EHR system lacking specific, mental health functionalities and options; and clinicians feeling unable to use computers while attending to distressed psychiatric patients. A better conceptual model of reasons for workarounds should help with designing, and supporting the implementation and adoption of, EHRs for

  1. A review of the small pelagics fishery resources of the Dutch Caribbean and adjacent areas

    NARCIS (Netherlands)

    Couperus, A.S.; Beek, van I.J.M.; Debrot, A.O.; Fassler, S.M.M.; Gastauer, S.

    2015-01-01

    This deskstudy gives a review of small pelagic fish species and fisheries in the Dutch Caribbean, specifically species which distributions exceed the national boundaries and where international cooperation in research and management is required.

  2. Characteristics of children and adolescents in the Dutch national in- and outpatient mental health service for deaf and hard of hearing youth over a period of 15 years.

    Science.gov (United States)

    van Gent, Tiejo; Goedhart, Arnold W; Treffers, Philip D A

    2012-01-01

    In this study socio-demographic, deafness-related and diagnostic characteristics of hearing impaired children and adolescents referred to a national mental health service for deaf and hard of hearing children and adolescents were examined. Socio-demographic and diagnostic characteristics were compared to corresponding characteristics of hearing referred peers with identified mental health problems. The difference in characteristics between them and hearing referred peers with identified mental health problems was analyzed. A total of 389 deaf and hard of hearing and 3361 hearing children and adolescents was extracted from a database, all first referrals of patients of a center for child and adolescent psychiatry over a 15-year period. With deaf and hard of hearing patients we found higher rates of environmental stress, as indicated by conditions such as more one parent families (38.6% versus 25.8%), and more parents with a low educational level (44.2% versus 31.1%). Moreover, deaf and hard of hearing patients were older at their first referral (10.8 versus 9.4 years) and had higher rates of pervasive developmental disorders (23.7% versus 12.3%) and mental retardation (20.3% versus 3.9%). Within the target group of deaf and hard of hearing patients, most patients were deaf (68.9%; 22.3% was severely hard of hearing), relatively few (13.7%) had a non-syndromal hereditary hearing impairment, and more (21.3%) had a disabling physical health condition, especially those with a pervasive developmental disorder (42.6%). These findings illustrate both the complexity of the problems of deaf and hard of hearing children and adolescents referred to specialist mental health services, and the need for preventive interventions aimed at early recognition.

  3. A Proposal Towards a Dutch Caribbean Marine Mammal Sanctuary

    NARCIS (Netherlands)

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

    2011-01-01

    Based on the goals set forth in the Dutch Biodiversity Policy Programme, The Netherlands has a traditionally strong commitment to protect biodiversity and marine mammals both internationally and in its own national and Kingdom waters. Last year the responsible ministry, namely the Netherlands

  4. Attitudes toward lesbians and gays among American and Dutch adolescents

    NARCIS (Netherlands)

    K.L. Collier; S.S. Horn; H.M.W. Bos; T.G.M. Sandfort

    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 United States. In this study, we compared beliefs about and attitudes toward lesbians and gays in samples of Dutch and Americ

  5. Dutch Culture Wars : On the politics of gutting the arts

    NARCIS (Netherlands)

    Oudenampsen, M.; Kastner, Jens; Birkenstock, Eva; Hinderer Cruz, Max Jorge

    “No one is safe.” With these words Halbe Zijlstra, the State Secretary of Education, Culture and Science, announced the slashing of the cultural budget on the Dutch national news in December 2010. Whereas cutbacks are generally accompanied by at least the pretension of reluctance or regret, Zijlstra

  6. Collaboration on ICT in Dutch Higher Education: The SURF Approach

    Science.gov (United States)

    Boezerooy, Petra; Cordewener, Bas; Liebrand, Wim

    2007-01-01

    In "Thinking Ahead: A Vision of the Role of ICT in Education and Research in the Future, 2007-2010," the higher education institutions in the Netherlands agreed on future strategy. Under the direction of SURF, the Dutch national organization, a collaborative strategy for the application of information and communications technology (ICT)…

  7. A Proposal Towards a Dutch Caribbean Marine Mammal Sanctuary

    NARCIS (Netherlands)

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

    2011-01-01

    Based on the goals set forth in the Dutch Biodiversity Policy Programme, The Netherlands has a traditionally strong commitment to protect biodiversity and marine mammals both internationally and in its own national and Kingdom waters. Last year the responsible ministry, namely the Netherlands Minist

  8. The life and death of the Dutch groundwater tax

    NARCIS (Netherlands)

    Schuerhoff, M.; Weikard, H.P.; Zetland, D.J.

    2013-01-01

    We examine the Dutch national groundwater tax (GWT) – a ‘win–win, green’ tax that promised to reduce distortions by simultaneously reducing the income tax burden and improving environmental outcomes. We find no evidence of these impacts. Instead, we see that the GWT increased distortions by taxing a

  9. Attitudes toward lesbians and gays among American and Dutch adolescents

    NARCIS (Netherlands)

    Collier, K.L.; Horn, S.S.; Bos, H.M.W.; Sandfort, T.G.M.

    2015-01-01

    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 United States. In this study, we compared beliefs about and attitudes toward lesbians and gays in samples of Dutch and Americ

  10. A Proposal Towards a Dutch Caribbean Marine Mammal Sanctuary

    NARCIS (Netherlands)

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

    2011-01-01

    Based on the goals set forth in the Dutch Biodiversity Policy Programme, The Netherlands has a traditionally strong commitment to protect biodiversity and marine mammals both internationally and in its own national and Kingdom waters. Last year the responsible ministry, namely the Netherlands Minist

  11. Dutch (organic) agriculture, carbon sequestration and energy production

    NARCIS (Netherlands)

    Burgt, van der G.J.H.M.; Staps, S.; Timmermans, B.

    2010-01-01

    Carbon sequestration in soils is often mentioned in the discussions about climate changes. In this paper the opportunities for carbon sequestration in Dutch agriculture are discussed at farm and national level. Farm internal carbon sources are already completely used in livestock farming. The effect

  12. Dutch Culture Wars : On the politics of gutting the arts

    NARCIS (Netherlands)

    Oudenampsen, M.; Kastner, Jens; Birkenstock, Eva; Hinderer Cruz, Max Jorge

    2014-01-01

    “No one is safe.” With these words Halbe Zijlstra, the State Secretary of Education, Culture and Science, announced the slashing of the cultural budget on the Dutch national news in December 2010. Whereas cutbacks are generally accompanied by at least the pretension of reluctance or regret, Zijlstra

  13. 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

  14. National security governance exemplified by South Africa's cyber security policy implementation

    CSIR Research Space (South Africa)

    Burmeister, OK

    2014-06-01

    Full Text Available There exists a paucity of research on ethical considerations in cyberdefence policies that can provide nation states guidance in mitigating the risks of a cyber attack to their national interests and to preparing for a cyber offence in response...

  15. EVALUATING THE EFFECTS OF THE IMPLEMENTATION OF IRAN NATIONAL QUALITY AWARD NEW MODEL (INQA IN IRANIAN ORGANIZATIONS

    Directory of Open Access Journals (Sweden)

    Mahmoud Zamani

    2014-09-01

    Full Text Available The aim of this study is to examine the effectiveness of the Iran National Quality Award new model (INQA in corporations that have implemented this model in Iran. This research aims to reveal the effects of implementation of Iran National Quality Award (INQA New Model on seven dimensions of the Iranian companies which indeed are seven core factors of this model, i.e. Management & leadership, People, Processes, Resources, Customer & consumer results, Environment & community results, and Performance results. A mail survey was conducted on a simple random sample of 210 organizations that have achieved certification or appreciation during the implementation of INQA model in four rounds. 400 questionnaires were randomly distributed and 392 complete and correct questionnaires were returned. Descriptive and inferential statistics were employed to analyze the data.Results indicated that the highest positive impact of INQA New Model on the improvement of organizational performance of the surveyed organizations was on customers' area. Performance results, leadership and management, processes improvement, environment and society results, and finally better utilization of organizational resources were respectively other areas which are affected mostly. Also, this study found no significant relationship between the implementation of this model and the improvement of employees' conditions in the surveyed organizations.

  16. 76 FR 43616 - Procedures for Implementing the National Environmental Policy Act

    Science.gov (United States)

    2011-07-21

    ... regulations. Introduction NASA is amending its procedures for implementing the requirements of NEPA, 42 U.S.C... space science (e.g., physics and astronomy research and analysis, planetary exploration...

  17. Laboratory quality stepwise implementation tool: National reference TB laboratory of Iran

    Directory of Open Access Journals (Sweden)

    Ali Naghi Kebriaee

    2015-01-01

    Conclusions: As the internal score of NRL reaches 5, an international evaluation of accreditation scheme is sought. This is the first investigation that used the quality stepwise implementation tool in Iran.

  18. A review of the National pharmacovigilance system in Malta - implementing and operating a pharmacovigilance management system.

    Science.gov (United States)

    Tanti, Amy; Micallef, Benjamin; Serracino-Inglott, Anthony; Borg, John-Joseph

    2017-01-01

    Regulatory authorities have a legal mandate to implement and maintain a Pharmacovigilance System designed to monitor the safety of authorised medicinal products and detect any change to their risk-benefit balance. Areas covered: This review maps the implementation of pharmacovigilance activities in Malta since accession in the EU in mid 2004 and discusses the challenges the Maltese Regulator encountered while setting up adequate and effective systems to fulfil its legal mandate. Areas reviewed are those around ADR reporting, promotion and safety communications including rapid alerts and recalls, direct healthcare professional communications, risk minimisation measures and safety circulars and quality systems. Expert opinion: Within a ten year period, 3 EU directives on pharmacovigilance were implemented by our agency. Despite limitations to resources, based on a prioritised implementation, the legislation provisions are now fully operational with a good level of sustainability. Lessons learnt from this process are discussed in this review. The coming years will involve strengthening and consolidation of existing processes.

  19. PATIENT SAFETY CULTURE AND PATIENT SAFETY IMPLEMENTATION IN STELLA MARIS HOSPITAL DURING NATIONAL HEALTH INSURANCE ERA

    OpenAIRE

    Rivai, Fridawaty

    2017-01-01

    Implementation of patient safety in hospital is influenced by several factors such as culture of patient safety. The aim of the research was to analyze the effect of patient safety culture on the implementation of patient safety in Stella Maris Hospital in 2016. The research was a quantitative studyusinganalytic operationaldesign withcross-sectional approach. The samples consisted of 234people selected using proportional stratified random sampling technique. The results of the research ...

  20. Anything but engaged: user involvement in the context of a national electronic health record implementation

    Directory of Open Access Journals (Sweden)

    Kathrin Cresswell

    2011-07-01

    Conclusions This work has allowed us to further develop an existing model of user engagement from the commercial sector and adapt it to inform user engagement in the context of large-scale eHealth implementations. By identifying key points of possible engagement, disengagement and re-engagement, this model will we hope both help those planning similar large-scale EHR implementation efforts and act as a much needed catalyst to further research in this neglected field of enquiry.

  1. Economics of forests and REDD+ projects: Translating lessons learned into national REDD+ implementation

    Energy Technology Data Exchange (ETDEWEB)

    Zaballa Romero, M.; Traerup, S.; Wieben, E.; Ravnkilde Moeller, L.; Koch, A.

    2012-11-15

    The financial implications of implementing a new forest management paradigm have not been well understood and have often been underestimated. Resource needs for e.g., stakeholder consultation, capacity building and addressing the political economy are seldom fully accounted for in the resource needs estimates put forward in connection to REDD+. This report investigates the economics of implementing forest and REDD+ projects through eight case studies from Africa, Latin America and Asia, analyzing real forest and REDD+ investments. (Author)

  2. End-of-life decisions in dutch neonatology.

    Science.gov (United States)

    Moratti, Sofia

    2010-01-01

    This contribution describes the regulation of end-of-life decisions in neonatology in the Netherlands. An account is given of the process of formulating rules, which includes a report by the Dutch Association for Paediatrics, two Court rulings, a report by a Consultation Group appointed by the Ministry of Health and a professional Protocol regulating deliberate ending of life in neonatology that was subsequently adopted as the regulation of this type of decision-making at the national level. The paper presents Dutch and comparative data on the attitude of the medical profession towards end-of-life decisions in neonatology and the frequency of such decisions in medical practice.

  3. National Geoscience Data Repository System, Phase III: Implementation and operation of the repository

    Energy Technology Data Exchange (ETDEWEB)

    American Geological Institute

    2000-03-13

    The American Geological Institute's (AGI) National Geoscience Data Repository System (NGDRS) was initiated in response to the fact that billions of dollars worth of domestic geoscience data are in jeopardy of being irrevocably lost or destroyed as a consequence of the ongoing downsizing of the U.S. energy and minerals industry. Preservation and access to domestic geological and geophysical data are critical to the energy security and economic prosperity of the nation. There is a narrow window of opportunity to act before valuable data are destroyed. The data truly represent a national treasure and immediate steps must be taken to assure their preservation.

  4. Barriers influencing implementation of the National Science Education Standards by middle school teachers engaged in collaborative professional development

    Science.gov (United States)

    Johnson, Carla Cunnagin

    This study focused on implementation of the National Science Education Standards by middle school science teachers. Science teachers from two suburban middle schools who engaged in structured collaborative professional development over a period of two years were participants in the study. A review of the current literature in this field indicated a need for further research on sustained, collaborative professional development (Loucks-Horsley, Hewson, Love & Stiles, 1998; Supovitz & Turner, 2000). Previous findings indicated teachers implementing curricular reform encounter barriers and/or dilemmas when implementing the new instructional strategies into their teaching practices (Anderson, 1996). This study sought to find out what technical, political and cultural barriers teachers encounter when implementing standards-based instruction and how those barriers impacted implementation. There were twelve participants in this mixed methods study. A stratified random sample of a high, medium and low implementer of standards-based instruction, based upon their self-reported use in a teacher questionnaire, were selected at each of the two middle schools. Detailed classroom observations were conducted using the Local Systemic Change Classroom Observation Protocol (Horizon Research, 2002) identifying their level of use of standards-based instruction. All twelve teachers were interviewed regarding their instructional practices and possible barriers they encountered to implementation. Findings in this study indicated that as the number of technical, political or cultural barriers increased, implementation of standards-based instruction decreased. Cultural dimension categories such as existing teacher beliefs about instruction and how students learn science, as well as the belief that standards-based instruction is not aligned with state assessments were barriers for teachers in this study. In addition, if a teacher had a high barrier in a cultural category, they also were one

  5. Senior Managers’ Viewpoints Toward Challenges of Implementing Clinical Governance: A National Study in Iran

    Directory of Open Access Journals (Sweden)

    Hamid Ravaghi

    2013-11-01

    Full Text Available BackgroundQuality improvement should be assigned as the main mission for healthcare providers. Clinical Governance (CG is used not only as a strategy focusing on responding to public and government’s intolerance of poor healthcare standards, but also it is implemented for quality improvement in a number of countries. This study aims to identify the key contributing factors in the implementation process of CG from the viewpoints of senior managers in curative deputies of Medical Universities in Iran. MethodsA quantitative method was applied via a questionnaire distributed to 43 senior managers in curative deputies of Iran Universities of Medical Sciences. Data were analyzed using SPSS. ResultsAnalysis revealed that a number of items were important in the successful implementation of CG from the senior managers’ viewpoints. These items included: knowledge and attitude toward CG, supportive culture, effective communication, teamwork, organizational commitment, and the support given by top managers. Medical staff engagement in CG implementation process, presence of an official position for CG officers, adequate resources, and legal challenges were also regarded as important factors in the implementation process. ConclusionKnowledge about CG, organizational culture, managerial support, ability to communicate goals and strategies, and the presence of effective structures to support CG, were all related to senior managers’ attitude toward CG and ultimately affected the success of quality improvement activities.

  6. 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

  7. Implementation of national body contouring surgery guidelines following massive weight loss: A national cross-sectional survey of commissioning in England.

    Science.gov (United States)

    Dunne, Jonathan A; Wormald, Justin C R; Ghedia, Reshma; Soldin, Mark

    2017-01-01

    National guidelines for commissioning of body contouring surgery (BCS) following massive weight loss (MWL) in England were published in 2014. Nearly three-quarters of patients who have MWL seek BCS; however, access is known to vary according to the region. The aim of national guidelines was to standardise access. The purpose of this study was to determine implementation of the national guidelines by clinical commissioning groups (CCGs) in England. A cross-sectional, web-based survey was sent to all CCG chairs in England. Of 211 potential respondents, 108 completed the survey or provided funding guidelines (response rate = 52%). Eight CCGs (7%) had implemented the guidelines. A total of 69 CCGs were aware of the new guidelines (64%), and 66 CCGs stated that they fund BCS after MWL (61%). A total of 81 CCGs (75%) identified local funding guidelines, while 15 CCGs (14%) cited individual funding requests (IFRs) as the means of accessing funding. To improve patient access to BCS; 58 of 65 respondents (89%) stated cost-effectiveness, whereas 56 of 75 respondents (75%) thought patient-reported outcome measures were key. Qualitative data to improve access included an integrated pathway from bariatric surgery to BCS, an improved evidence base and greater CCG finances. One CCG stated that it cannot afford to fund cosmetic procedures. The purpose of national guidelines was to simplify the pathway to BCS after MWL and create fair distribution of funds across the country to needy patients; however, their uptake has been poor. Access to funding for BCS across England varies according to the location. Copyright © 2016 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

  8. Counterfeits and imitations of Viagra and Cialis tablets: trends and risks to public health - A survey of the analyses carried out at the Dutch National Institute for Public Health and the Environment in the time period 2000 - 2004

    NARCIS (Netherlands)

    Blok-Tip L; Vogelpoel H; Vredenbregt MJ; Barends DM; Kaste D de; KCF

    2005-01-01

    During the last years de Dutch market has been flooded with falsifications of Viagra. and Cialis.. Both products are used for the treatment of erectile dysfunction. This report is about the trend of these falsifications during the years 2000 - 2004. The risks of these products to public health are s

  9. Counterfeits and imitations of Viagra and Cialis tablets: trends and risks to public health - A survey of the analyses carried out at the Dutch National Institute for Public Health and the Environment in the time period 2000 - 2004

    NARCIS (Netherlands)

    Blok-Tip L; Vogelpoel H; Vredenbregt MJ; Barends DM; Kaste D de; KCF

    2005-01-01

    During the last years de Dutch market has been flooded with falsifications of Viagra. and Cialis.. Both products are used for the treatment of erectile dysfunction. This report is about the trend of these falsifications during the years 2000 - 2004. The risks of these products to public health are s

  10. Surges and ebbs: National politics and international influence in the formulation and implementation of IWRM in Zimbabwe

    Directory of Open Access Journals (Sweden)

    Emmanuel Manzungu

    2016-10-01

    Full Text Available In the 1990s, the Government of Zimbabwe undertook water reforms to redress racially defined inequitable access to agricultural water. This paper analyses how a water reform process, seemingly informed by a clear political economy objective, was hijacked by efforts directed at implementing Integrated Water Resources Management (IWRM. It uses the notion of policy articulation to analyse why and how IWRM 'travelled' to and in Zimbabwe and with what outcomes. The paper shows that attempts at introducing and implementing IWRM in Zimbabwe have had a chequered history. The efforts of Zimbabwe in pioneering implementation of IWRM in southern Africa, have subsequently waned, and prospects for resurrecting IWRM in its original form are low. Introduced in the 1990s when Western donors jumped on the bandwagon of the liberal economic agenda inspired by the IMF/World Bank, it declined between 2000 and 2009 due to a combination of poor economic performance, national-level politics and international isolation. In 2011 IWRM was reintroduced as the country re-engaged with the international community. The re-emergence of IWRM, however, seems to be largely rhetorical as the focus is now on fixing a crisis-ridden water sector, with a new political dispensation adding another layer of complexity. The paper concludes that the development of IWRM in Zimbabwe mirrors broader national-level socio-political processes and their complex relationship with the international community.

  11. National Implementation of an Evidence-Based HIV Prevention and Reproductive Health Program for Bahamian Youth

    Science.gov (United States)

    Knowles, Valerie; Kaljee, Linda; Deveaux, Lynette; Lunn, Sonja; Rolle, Glenda; Stanton, Bonita

    2012-01-01

    A wide range of behavioral prevention interventions have been demonstrated through longitudinal, randomized controlled trials to reduce sexual risk behaviors. Many of these interventions have been made available at little cost for implementation on a public health scale. However, efforts to utilize such programs typically have been met with a…

  12. Implementing and Investigating Distributed Leadership in a National University Network--SaMnet

    Science.gov (United States)

    Sharma, Manjula D.; Rifkin, Will; Tzioumis, Vicky; Hill, Matthew; Johnson, Elizabeth; Varsavsky, Cristina; Jones, Susan; Beames, Stephanie; Crampton, Andrea; Zadnik, Marjan; Pyke, Simon

    2017-01-01

    The literature suggests that collaborative approaches to leadership, such as distributed leadership, are essential for supporting educational innovators in leading change in teaching in universities. This paper briefly describes the array of activities, processes and resources to support distributed leadership in the implementation of a network,…

  13. Implementing and Investigating Distributed Leadership in a National University Network--SaMnet

    Science.gov (United States)

    Sharma, Manjula D.; Rifkin, Will; Tzioumis, Vicky; Hill, Matthew; Johnson, Elizabeth; Varsavsky, Cristina; Jones, Susan; Beames, Stephanie; Crampton, Andrea; Zadnik, Marjan; Pyke, Simon

    2017-01-01

    The literature suggests that collaborative approaches to leadership, such as distributed leadership, are essential for supporting educational innovators in leading change in teaching in universities. This paper briefly describes the array of activities, processes and resources to support distributed leadership in the implementation of a network,…

  14. Implementation of Electronic Commerce in the Department of Defense and the National Aeronautics and Space Administration.

    Science.gov (United States)

    1996-12-01

    President Clinton’s Executive Memorandum of 26 October 1993 mandated that all Federal Government agencies implement Electronic Commerce (EC) in order... Electronic Commerce /Electronic Data Interchange (EC/EDI) architecture. The NASA employed an Internet based tool, the NASA Acquisition Internet Service

  15. Tobacco control policies in hospitals before and after the implementation of a national smoking ban in Catalonia, Spain

    Directory of Open Access Journals (Sweden)

    Puig Montse

    2009-05-01

    Full Text Available Abstract Background Diverse projects and guidelines to assist hospitals towards the attainment of comprehensive smoke-free policies have been developed. In 2006, Spain government passed a new smoking ban that reinforce tobacco control policies and banned completely smoking in hospitals. This study assesses the progression of tobacco control policies in the Catalan Network of Smoke-free Hospitals before and after a comprehensive national smoking ban. Methods We used the Self-Audit Questionnaire of the European Network for Smoke-free Hospitals to score the compliance of 9 policy standards (global score = 102. We used two cross-sectional surveys to evaluate tobacco control policies before (2005 and after the implementation of a national smoking ban (2007 in 32 hospitals of Catalonia, Spain. We compared the means of the overall score in 2005 and 2007 according to the type of hospital, the number of beds, the prevalence of tobacco consumption, and the number of years as a smoke-free hospital. Results The mean of the implementation score of tobacco control policies was 52.4 (95% CI: 45.4–59.5 in 2005 and 71.6 (95% CI: 67.0–76.2 in 2007 with an increase of 36.7% (p 300 beds (41.1% increase; p Conclusion The national smoking ban appears to increase tobacco control activities in hospitals combined with other non-bylaw initiatives such as the Smoke-free Hospital Network.

  16. National scale-up of integrated community case management in rural Ethiopia: implementation and early lessons learned.

    Science.gov (United States)

    2014-10-01

    Although under-five mortality in Ethiopia has decreased 67% in the past two decades, many, children still die from preventable or treatable conditions, mainly pneumonia, newborn problems, diarrhea, malaria and malnutrition. Most of these deaths can be avoided with timely and appropriate care, but access to and use of treatment remains inadequate. Community health workers, appropriately trained, supervised, and supplied with essen- tial equipment and medicines, can deliver case management or referral to most sick children. In 2010, Ethiopia added pneumonia to diarrhea, malaria and severe acute malnutrition, targeted for treatment in the integrated community case management (iCCM) strategy. This article describes the national scale-up of iCCM implementation and early lessons learned. We reviewed data related to iCCM program inputs and processes from reports, minutes, and related documents from January 2010 through July 2013. We describe introduction and scale-up through eight health system components. The government and partners trained and supplied 27,116 of the total 32,000 Health Extension Workers and mentored 80% of them to deliver iCCM services to over one million children. The government led a strong-iCCM partnership that attracted development partners in implementation, monitoring, evaluation, and research. Service utilization and weak supply chain remain-major challenges. Strong MOH leadership, policy support, and national partnerships helped successful national iCCM scale-up and should help settle remaining challenges.

  17. Text4baby: Development and Implementation of a National Text Messaging Health Information Service

    Science.gov (United States)

    Whittaker, Robyn; Meehan, Judy; Jordan, Elizabeth; Stange, Paul; Cash, Amanda; Meyer, Paul; Baitty, Julie; Johnson, Pamela; Ratzan, Scott; Rhee, Kyu

    2012-01-01

    Text4baby is the first free national health text messaging service in the United States that aims to provide timely information to pregnant women and new mothers to help them improve their health and the health of their babies. Here we describe the development of the text messages and the large public–private partnership that led to the national launch of the service in 2010. Promotion at the local, state, and national levels produced rapid uptake across the United States. More than 320 000 people enrolled with text4baby between February 2010 and March 2012. Further evaluations of the effectiveness of the service are ongoing; however, important lessons can be learned from its development and uptake. PMID:23078509

  18. 78 FR 8273 - Approval of Air Quality Implementation Plans; Navajo Nation; Regional Haze Requirements for...

    Science.gov (United States)

    2013-02-05

    ... Mountain WA, Sycamore Canyon WA, and Zion NP. These areas support an active tourism industry drawing over 4... this region. \\23\\ See Navajo National Monument: A Place and its People, An Administrative History, Hal...://www.nps.gov/history/history/online_books/nava/adhi/adhi4e.htm . As Congress recognized, visibility is...

  19. Governing ecosystem services : National and local lessons from policy appraisal and implementation

    NARCIS (Netherlands)

    Verburg, R.W.; Selnes, T.; Verweij, P.A.

    2016-01-01

    The TEEB approach to the use of ecosystem services has found its way to policy as a means to biodiversity conservation and greening of the economy. In this paper we analysed the uptake of the TEEB approach at national and local levels by applying a framework that revolves around the problem, approac

  20. Journal Article: EPA's National Dioxin Air Monitoring Network (Ndamn): Design, Implementation, and Final Results

    Science.gov (United States)

    The U.S. Environmental Protection Agency (U.S. EPA) established the National Dioxin Air Monitoring Network (NDAMN) in June of 1998, and operated it until November of 2004. The objective of NDAMN was to determine background air concentrations of polychlorinated dibenzo-p-dioxins (...