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Sample records for netherlands standardisation institute

  1. Identifying suicide risk in penal institutions in the Netherlands

    NARCIS (Netherlands)

    Blaauw, E.; Kerkhof, A.J.F.M.; Winkel, F.W.; Sheridan, L.

    2001-01-01

    Suicide is the main cause of death among prison inmates, comprising almost half of all deaths in penal institutions in the Netherlands. Suicides in prisons have major consequences. They are a cause of distress to prison staff, other inmates, relatives and partners. They may cause unrest among other

  2. The Netherlands Institute for Social Research | SCP at a glance

    NARCIS (Netherlands)

    2009-01-01

    The Netherlands Institute for Social Research supplies central government with information on the Dutch welfare state. For more than 30 years, the SCP has been charting developments in the daily lives of the Dutch population: work, income, health, education, social security, housing, culture, how

  3. IT-supported skill-mix change and standardisation in integrated eyecare: lessons from two screening projects in The Netherlands

    Directory of Open Access Journals (Sweden)

    Marleen de Mul

    2007-05-01

    Full Text Available Introduction: Information Technology (IT has the potential to significantly support skill-mix change and, thereby, to improve the efficiency and effectiveness of integrated care. Theory and methods: IT and skill-mix change share an important precondition: the standardisation of work processes. Standardisation plays a crucial role in IT-supported skill-mix change. It is not a matter of more or less standardisation than in the ‘old’ situation, but about creating an optimal fit. We used qualitative data from our evaluation of two integrated-care projects in Dutch eyecare to identify domains where this fit is important. Results: While standardisation was needed to delegate screening tasks from physicians to non-physicians, and to assure the quality of the integrated-care process as a whole, tensions arose in three domains: the performance of clinical tasks, the documentation, and the communication between professionals. Unfunctional standardisation led to dissatisfaction and distrust between the professionals involved in screening. Discussion and conclusion: Although the integration seems promising, much work is needed to ensure a synergistic relationship between skill-mix change and IT. Developing IT-supported skill-mix change by means of standardisation is a matter of tailoring standardisation to fit the situation at hand, while dealing with the local constraints of available technology and organisational context.

  4. Current use and barriers and facilitators for implementation of standardised measures in physical therapy in the Netherlands

    NARCIS (Netherlands)

    Harriet Wittink; Raymond Swinkels; Jan Custers; Roland van Peppen; Anna Beurskens

    2011-01-01

    In many countries, the need for physical therapists to use standardised measures has been recognised and is recommended in clinical practice guidelines. Research has shown a lack of clinimetric knowledge and clinical application of measurement instruments in daily practice may hamper implementation

  5. Personal Meaning in the Public Sphere: The Standardisation and Rationalisation of Biodiversity Data in the UK and the Netherlands

    Science.gov (United States)

    Lawrence, Anna; Turnhout, Esther

    2010-01-01

    The demand for biodiversity data is increasing. Governments require standardised, objective data to underpin planning and conservation decisions. These data are produced by large numbers of (volunteer) natural historians and non-governmental organisations. This article analyses the interface between the state and the volunteer naturalists to…

  6. Standardisation education

    NARCIS (Netherlands)

    H.J. de Vries (Henk)

    2002-01-01

    textabstractThe importance of standardisation is growing. This might be reflected in a growth of standardisation education. In this paper we will elaborate on education in the field of standardisation.

  7. Current use and barriers and facilitators for implementation of standardised measures in physical therapy in the Netherlands.

    Science.gov (United States)

    Swinkels, Raymond A H M; van Peppen, Roland P S; Wittink, Harriet; Custers, Jan W H; Beurskens, Anna J H M

    2011-05-22

    In many countries, the need for physical therapists to use standardised measures has been recognised and is recommended in clinical practice guidelines. Research has shown a lack of clinimetric knowledge and clinical application of measurement instruments in daily practice may hamper implementation of these guidelines. The aims of our study were a) to investigate the current use of measurement instruments by Dutch physical therapists; b) to investigate the facilitators and barriers in using measurement instruments. To get a complete and valid overview of relevant barriers and facilitators, different methods of data collection were used. We conducted a literature search, semi-structured interviews with 20 physical therapists and an online survey. Facilitators are the fact that most therapists indicated a positive attitude and were convinced of the advantages of the use of measurement instruments. The most important barriers to the use of measurement instruments included physical therapists' competence and problems in changing behaviour, practice organisation (no room; no time) and the unavailability and feasibility of measurement instruments. Furthermore, physical therapists indicated the need to have a core set of measurement instruments with a short user's instruction on application, scoring and interpretation. The main barriers are on the level of the physical therapist (lack of knowledge; not focusing on the use of outcome measures) and organisation (lack of time; availability; lack of management support).There seems to be a disparity between what physical therapists say and what they do. The majority of participating physical therapists indicated a positive attitude and were convinced of the advantages of the use of measurement instruments. However, the main problem for physical therapists is when to use which instrument for what patient (lack of knowledge). Furthermore, physical therapists indicated a need to compile a core set of measurement instruments with

  8. Current use and barriers and facilitators for implementation of standardised measures in physical therapy in the Netherlands

    Directory of Open Access Journals (Sweden)

    Wittink Harriet

    2011-05-01

    Full Text Available Abstract Background In many countries, the need for physical therapists to use standardised measures has been recognised and is recommended in clinical practice guidelines. Research has shown a lack of clinimetric knowledge and clinical application of measurement instruments in daily practice may hamper implementation of these guidelines. Objectives The aims of our study were a to investigate the current use of measurement instruments by Dutch physical therapists; b to investigate the facilitators and barriers in using measurement instruments. Methods To get a complete and valid overview of relevant barriers and facilitators, different methods of data collection were used. We conducted a literature search, semi-structured interviews with 20 physical therapists and an online survey. Results Facilitators are the fact that most therapists indicated a positive attitude and were convinced of the advantages of the use of measurement instruments. The most important barriers to the use of measurement instruments included physical therapists' competence and problems in changing behaviour, practice organisation (no room; no time and the unavailability and feasibility of measurement instruments. Furthermore, physical therapists indicated the need to have a core set of measurement instruments with a short user's instruction on application, scoring and interpretation. Conclusions The main barriers are on the level of the physical therapist (lack of knowledge; not focusing on the use of outcome measures and organisation (lack of time; availability; lack of management support. There seems to be a disparity between what physical therapists say and what they do. The majority of participating physical therapists indicated a positive attitude and were convinced of the advantages of the use of measurement instruments. However, the main problem for physical therapists is when to use which instrument for what patient (lack of knowledge. Furthermore, physical

  9. Pre-hospital and acute management of traumatic spinal cord injury in the Netherlands: survey results urge the need for standardisation

    NARCIS (Netherlands)

    Fransen, B.L.; Hosman, A.J.; Middendorp, J.J. van; Edwards, M.J.; Grunsven, P.M. van; Meent, H. van de

    2016-01-01

    STUDY DESIGN: Questionnaire survey. OBJECTIVES: Although a range of novel therapeutic approaches for traumatic spinal cord injury (tSCI) are being trialled in highly standardised, pre-clinical research models, little has been published about the extent of standardisation in health service delivery

  10. Strikes in France and the Netherlands; A Comparison of Labour Market Institutions

    NARCIS (Netherlands)

    Butter, den F.A.G.; Koppes, S.Y.

    2003-01-01

    Strikes as a consequence of labour conflicts occur about 28 times as much in France as in the Netherlands. This paper examines the institutional differences underlying these differences in strike activity. Our empirical analysis shows that strike activity is high in France if workers were successful

  11. Supporting Open Education Policymaking by Higher Education Institutions in The Netherlands: Lessons Learned

    NARCIS (Netherlands)

    Hester Jelgerhuis; Ben Janssen; Robert Schuwer

    2014-01-01

    A survey conducted in 2012 among publicly financed higher education institutions in the Netherlands revealed a growing awareness of the strategic relevance of Open Educational Resources (OER) and Open Education. However, hardly any policy or strategy related to OER and Open Education had been

  12. Governance of electrotechnical standardisation in Europe

    NARCIS (Netherlands)

    H.J. de Vries (Henk)

    2015-01-01

    markdownabstract__Abstract__ This report provides recommendations about the governance of electrotechnical standardisation in Europe to seven independent National Committees: DKE (Germany), Electrosuisse (Switzerland), OVE (Austria), NEC (the Netherlands), NEK (Norway), SEK (Sweden), and SESKO

  13. Firm performance, financial institutions and corporate governance in the Netherlands

    NARCIS (Netherlands)

    Chirinko, Bob

    1999-01-01

    This paper analyses the impact of share ownership, creditorship and net-working by financial institutions on the performance of 94 Dutch non-financial firms in the period 1992-1996. We find a nonlinear relationship between firm performance and ownership by banks. Because of various defense

  14. Horticultural auctions in The Netherlands: A transition from 'price discovery' institution to 'marketing' institution

    NARCIS (Netherlands)

    Meulenberg, M.T.G.

    1989-01-01

    This paper depicts the evolution of Dutch auctions during the past hundred years from a "price discovery" institution to a "marketing" institution, focusing on price discovery. A conceptual framework is proposed to assess the suitablility of marketing management by agricultural marketing

  15. [The rise and fall of Zander-Institutes in The Netherlands around 1900].

    Science.gov (United States)

    Terlouw, Thomas J A

    2007-01-01

    The Swedish physician, Dr Jonas Gustav W. Zander (1835-1920), set himself the task of devising different contraptions around 1860. He believed that people who needed medical gymnastics could be treated better and more efficiently with the help of machines. His mechanistic approach can be understood in the context of the emerging industrialisation that rapidly took hold in Europe in this period. After very successful presentations at the World Exhibitions in Philadelphia (1876) and in Paris (1878), the Zander-method soon caught on in the medical world and many so-called Zander-Institutes (very similar to fitness-centres today) emerged in the larger cities of a number of European countries. Zander-therapy became very popular in The Netherlands during the 1890s. The first Zander-Institute opened its doors in Groningen in 1894 to be followed, within four years, by another eight Zander-Institutes in the major cities of The Netherlands. Physical education teachers, engaging in medical gymnastics, and physicians worked closely together in these institutes. This was considered to be a positive development as medical gymnastics was a heavily contested area in the field of labour in the last quarter of the nineteenth century. After a short period of success almost all of the Zander-Institutes had great difficulty in maintaining their existence in the first decade of the twentieth century. Both the rise and fall of the Zander-Institutes can be ascribed to a combination of factors of a scientific (concerning the method), social (legislation concerning the care of the crippled) and professional (concerning the different strategies of the involved professions) nature. These factors and the relationships between them are analysed in this article.

  16. Netherlands Institute for Higher Education Early Childhood Development (ECD Diploma Course: Impressions and Suggestions

    Directory of Open Access Journals (Sweden)

    Dide Karaşahin

    2011-12-01

    Full Text Available Quality of the personnel employed at libraries for children in pre-school or early childhood years has gained in significance nowadays. For the personnel to be employed at pre-school and children’s departments, Netherlands Institute for Higher Education based in Ankara implemented the project called “Early Childhood Development (ECD Diploma Course” to give training in the fields of pre-school education, child psychology and children’s literature. The first program was completed at the end of 2010 while the second started in January 2011 and ended with the graduation ceremony in November 2011. Throughout the year 2011, 3-day trainings were given for 5 times in different time spans and a one-week training trip to the Netherlands was organized. It was understood that habits of reading and library usage are gained more easily in early childhood years and that public and children’s libraries assume a special role in the process of learning how to read and meeting libraries for the first time.

  17. Changing institutional landscapes for implementing wind power : A geographical comparison of institutional capacity building: The Netherlands, England and North Rhine-Westphalia

    NARCIS (Netherlands)

    Breukers, Sylvia

    2006-01-01

    This international comparative study provides insight in the political-institutional conditions that have impeded and encouraged onshore wind power implementation in the Netherlands, England and the German state of North Rhine-Westphalia. The extent to which wind power, as a new energy technology,

  18. Knowledge Transfer between SMEs and Higher Education Institutions: Differences between Universities and Colleges of Higher Education in the Netherlands

    Science.gov (United States)

    Delfmann, Heike; Koster, Sierdjan

    2012-01-01

    Knowledge transfer (KT) between higher education institutions (HEIs) and businesses is seen as a key element of innovation in knowledge-driven economies: HEIs generate knowledge that can be adopted in the regional economy. This process of valorization has been studied extensively, mainly with a focus on universities. In the Netherlands, there is a…

  19. Digitising the Past: The Beginning of a New Future at the Royal Tropical Institute of The Netherlands

    Science.gov (United States)

    Levi, Peter

    2010-01-01

    Purpose: The purpose of this paper is to describe a project to digitise maps at the Royal Tropical Institute, or Koninklijk Instituut voor de Tropen (KIT), of The Netherlands. KIT has an extensive collection of maps and nautical charts of (sub-) tropical regions, including general maps and topographical map series, city maps, thematic maps and…

  20. Internationalization of Curricula in Higher Education Institutions in Comparative Perspectives: Case Studies of China, Japan and The Netherlands

    Science.gov (United States)

    Huang, Futao

    2006-01-01

    This article discusses the major issues and character of internationalization of curricula in higher education institutions in recent years in three non-English-speaking countries--China, Japan and The Netherlands. By making a comparative analysis of curricula provided for international students and curricula with international subjects,…

  1. Why does education matter to employers in different institutional contexts? A vignette study in England and the Netherlands

    NARCIS (Netherlands)

    Di Stasio, V.; van de Werfhorst, H.G.

    We study the process by which employers evaluate and interpret information related to the educational background of job applicants in simulated hiring contexts. We focus on England and the Netherlands, countries with very different education systems and labor-market institutions. Using a vignette

  2. The institutional space of community initiatives for renewable energy: a comparative case study of the Netherlands, Germany and Denmark

    OpenAIRE

    Oteman, M.I.; Wiering, M.A.; Helderman, J.K.

    2014-01-01

    Background Community initiatives for renewable energy are emerging across Europe but with varying numbers, success rates and strategies. A literature overview identifies structural, strategic and biophysical conditions for community success. Our analysis focuses on institutional structure, as we describe the variety between the Netherlands, Germany and Denmark, and place this within the institutional context of the policies, power structures and energy discourses of each country. Methods We c...

  3. Oral and oropharyngeal squamous cell carcinoma in young patients: the Netherlands Cancer Institute experience.

    Science.gov (United States)

    van Monsjou, Hester S; Lopez-Yurda, Marta I; Hauptmann, Michael; van den Brekel, Michiel W M; Balm, Alfons J M; Wreesmann, Volkert B

    2013-01-01

    Head and neck squamous cell carcinoma (HNSCC) mainly affects patients between the fifth and seventh decade of life but is increasingly seen in young patients (<40 years old). Controversy exists in the literature regarding outcomes for younger patients with HNSCC. A retrospective cohort analysis was performed comparing survival of 54 early-onset (<40 years) and 1708 older patients with oral and oropharyngeal squamous cell carcinomas (SCC) treated at The Netherlands Cancer Institute between 1977 and 2008. Survival analysis was performed using univariable and multivariable weighted Cox proportional hazards regression. The primary endpoint for the survival analysis was disease-specific survival (DSS). There was no difference in DSS between patients who were 40 years or younger and those older than 40 years (p = .878), although young patients had significantly better overall survival (OS). In this series, patients younger than 40 years with oral and oropharyngeal SCC showed no significant difference in DSS compared with patients older than 40 years, even when adjusted for tobacco and alcohol consumption. Copyright © 2011 Wiley Periodicals, Inc.

  4. New developments in EPID-based 3D dosimetry in The Netherlands Cancer Institute

    Science.gov (United States)

    Mijnheer, B.; Rozendaal, R.; Olaciregui-Ruiz, I.; González, P.; van Oers, R.; Mans, A.

    2017-05-01

    EPID-based offline 3D in vivo dosimetry is performed routinely in The Netherlands Cancer Institute for almost all RT treatments. The 3D dose distribution is reconstructed using the EPID primary dose in combination with a back-projection algorithm and compared with the planned dose distribution. Recently the method was adapted for real-time dose verification, performing 3D dose verification in less than 300 ms, which is faster than the current portal frame acquisition rate. In this way a possibility is created for halting the linac in case of large delivery errors. Furthermore, a new method for pre-treatment QA was developed in which the EPID primary dose behind a phantom or patient is predicted using the CT data of that phantom or patient in combination with in-air EPID measurements. This virtual EPID primary transit dose is then used to reconstruct the 3D dose distribution within the phantom or patient geometry using the same dose engine as applied offline. In order to assess the relevance of our clinically applied alert criteria, we investigated the sensitivity of our EPID-based 3D dose verification system to detect delivery errors in VMAT treatments. This was done through simulation by modifying patient treatment plans, as well as experimentally by performing EPID measurements during the irradiation of an Alderson phantom, both after deliberately introducing errors during VMAT delivery. In this presentation these new developments will be elucidated.

  5. Ocean color and transparency data received from Royal Netherlands Institute for Sea Research collected in the years 1889-99, 2001, 2002 and 2013 (NODC Accession 0114317)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Ocean color and transparency data received from Royal Netherlands Institute for Sea Research collected in the years 1889-99, 2001, 2002 and 2013.

  6. Standardisation of spirometry

    National Research Council Canada - National Science Library

    Miller, M. R; Hankinson, J; Brusasco, V; Burgos, F; Casaburi, R; Coates, A; Crapo, R; Enright, P; van der Grinten, C. P. M; Gustafsson, P; Jensen, R; Johnson, D. C; MacIntyre, N; McKay, R; Navajas, D; Pedersen, O. F; Pellegrino, R; Viegi, G; Wanger, J

    2005-01-01

    ..., V.le Benedetto XV, 6, I-16132 Genova, Italy. Fax: 39 103537690. E-mail: vito.brusasco@unige.it Keywords: Peak expiratory flow, spirometry, spirometry standardisation, spirometry technique, spirometry traning, ventilation Received...

  7. 2D AND 3D dose verification at The Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital using EPIDs

    Energy Technology Data Exchange (ETDEWEB)

    Mijnheer, Ben; Mans, Anton; Olaciregui-Ruiz, Igor; Sonke, Jan-Jakob; Tielenburg, Rene; Van Herk, Marcel; Vijlbrief, Ron; Stroom, Joep, E-mail: b.mijnheer@nki.n [Department of Radiation Oncology, The Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital, Plesmanlaan 121, 1066 CX Amsterdam (Netherlands)

    2010-11-01

    A review is given of the clinical use of EPID dosimetry in the Department of Radiation Oncology of The Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital. All curative plans (almost all IMRT or VMAT) are verified with EPID dosimetry, mostly in vivo. The 2D approach for IMRT verification and the 3D method for VMAT verification are elucidated and their clinical implementation described. It has been shown that EPID dosimetry plays an important role in the total chain of verification procedures that are implemented in our department. It provides a safety net for advanced treatments such as IMRT and VMAT, as well as a full account of the dose delivered.

  8. 'Who's afraid of High Def?'' Institutional factors influencing HDTV diffusion in the Netherlands

    NARCIS (Netherlands)

    Baaren, E.; Wijngaert, L.A.L. van de; Huizer, E.

    2008-01-01

    Since digital HDTV has made an entrance in the Netherlands, ‘HD ready’ TV sets are sold and HDTV cable subscription services are available. In contrast, no Dutch TV channel offers HD content and publicity is mostly negative. This paper analyses the economical, organizational, historical and cultural

  9. Strategies of citizens’ initiatives in the Netherlands: connecting people and institutions

    NARCIS (Netherlands)

    Dam, van R.I.; Salverda, I.E.; During, R.

    2014-01-01

    Research on active citizenship tends to focus on the government perspective on initiatives from the public. In this paper we seek to redress the balance by focusing on the practice of citizens’ initiatives. Two citizens’ initiatives in the Netherlands are analyzed in terms of their evolution, their

  10. Implementation of Wind Energy in the Netherlands: The Importance of the Social-Institutional Setting

    NARCIS (Netherlands)

    Agterbosch, S.; Vermeulen, W.; Glasbergen, P.

    2004-01-01

    This paper analyses the differences in performance of the different types of wind power entrepreneurs now active on the wind power supply market in the Netherlands. The development of the market is divided into three successive market periods: Monopoly powers (1989–1995), Interbellum (1996–1997)

  11. Changes in admission to long-term care institutions in the Netherlands: comparing two cohorts over the period 1996–1999 and 2006–2009

    NARCIS (Netherlands)

    P.G.W. Alders (Peter); H.C. Comijs (Hannie); D.J.H. Deeg (Dorly)

    2016-01-01

    textabstractUsing data from two cohorts, we examine to what extent a decline in institutional care in the Netherlands is associated with changes in the need for care and/or societal factors. We compared older adults, aged 65–89, who were admitted to a long-term care (LTC) institution in the period

  12. Flemish Sign Language Standardisation

    Science.gov (United States)

    Van Herreweghe, Mieke; Vermeerbergen, Myriam

    2009-01-01

    In 1997, the Flemish Deaf community officially rejected standardisation of Flemish Sign Language. It was a bold choice, which at the time was not in line with some of the decisions taken in the neighbouring countries. In this article, we shall discuss the choices the Flemish Deaf community has made in this respect and explore why the Flemish Deaf…

  13. Standardisation of 210Pb

    Science.gov (United States)

    Woods; Bowles; Jerome; de Lavison P; Lineham; Makepeace; Woodman; Woods

    2000-03-01

    The standardisation of 210Pb is complicated by the presence of the daughters, 210Bi and 210Po. In addition, the low energies of the beta emissions from 210Pb make it difficult to obtain high detection efficiencies in an atmospheric proportional counter and hence produce the need for large extrapolations with consequential large uncertainties when extrapolating to unit efficiency with the conventional 4pi(PC)-gamma-coincidence technique. In order to produce a reliable standardisation, it is necessary to remove the daughter products. A solution of 210Pb was therefore chemically separated from its daughters and then standardised using the conventional 4pi(LS)-gamma-coincidence technique. The low energy (46 keV) and low emission probability (4%) of the associated photon emissions effectively rules out the possibility of using ionisation chambers as secondary standard transfer instruments for this nuclide. A germanium spectrometer therefore was calibrated for this purpose using 241Am as a normalising agent. The results of this work are presented together with an analysis of the standardisation uncertainties that can be achieved in practice.

  14. SWOV – Institute for Road Safety Research in the Netherlands : introducing the organization of transport studies.

    NARCIS (Netherlands)

    Maas, J.

    2015-01-01

    SWOV Institute for Road Safety Research was founded in 1962. SWOV's main objective is to contribute to road safety by means of scientific research and dissemination of results and knowledge to professionals and policy makers. SWOV is the national institute for road safety research in the

  15. R&D Internationalization, R&D Collaboration and Public Knowledge Institutions in Small Economies : Evidence from Finland and the Netherlands

    NARCIS (Netherlands)

    Van Beers, C.; Berghäll, E.; Poot, T.

    2009-01-01

    This paper investigates domestic and foreign innovating firms’ determinants of R&D collaboration with domestic universities and public knowledge institutes in Finland and the Netherlands. We put particular emphasis on the impact of incoming academic spillovers on the probability to co-operate with

  16. An outbreak of colistin-resistant Klebsiella pneumoniae carbapenemase-producing Klebsiella pneumoniae in the Netherlands (July to December 2013), with inter-institutional spread

    NARCIS (Netherlands)

    Weterings, V; Zhou, K; Rossen, J W; van Stenis, D; Thewessen, E; Kluytmans, J|info:eu-repo/dai/nl/323262139; Veenemans, J

    We describe an outbreak of Klebsiella pneumoniae carbapenemase (KPC)-producing Klebsiella pneumoniae (KPC-KP) ST258 that occurred in two institutions (a hospital and a nursing home) in the Netherlands between July and December 2013. In total, six patients were found to be positive for KPC-KP. All

  17. An outbreak of colistin-resistant Klebsiella pneumoniae carbapenemase-producing Klebsiella pneumoniae in the Netherlands (July to December 2013), with inter-institutional spread

    NARCIS (Netherlands)

    Weterings, V.; Zhou, K.; Rossen, J. W.; van Stenis, D.; Thewessen, E.; Kluytmans, J.; Veenemans, J.

    We describe an outbreak of Klebsiella pneurnonine carbapenemase (KPC)-producing Klebsiella pneumoniae (KPC-KP) ST258 that occurred in two institutions (a hospital and a nursing home) in the Netherlands between July and December 2013. In total, six patients were found to be positive for KPC-KP. All

  18. How sustainable entrepreneurs engage in institutional change : insights from biomass torrefaction in the Netherlands

    NARCIS (Netherlands)

    Thompson, N.A.; Herrmann, A.M.; Hekkert, M.P.

    2015-01-01

    Sustainable entrepreneurship often requires a purposeful change to the existing business environment, market regulations, and societal norms and values (institutions) to ensure sustainable products and services become legitimate and competitive. Yet, how sustainable entrepreneurs alter or create

  19. A Q fever outbreak in a psychiatric care institution in The Netherlands

    NARCIS (Netherlands)

    Koene, R.P.M.; Schimmer, B.; Rensen, H.; Biesheuvel, M.; Bruin, A. de; Lohuis, A.; Horrevorts, A.; Lunel, F.V.; Delsing, C.E.; Hautvast, J.L.A.

    2011-01-01

    In May 2008 the Nijmegen Municipal Health Service (MHS) was informed about an outbreak of atypical pneumonia in three in-patients of a long-term psychiatric institution. The patients had been hospitalized and had laboratory confirmation of acute Q fever infection. The MHS started active case finding

  20. Standardised parenteral nutrition.

    Science.gov (United States)

    Simmer, Karen; Rakshasbhuvankar, Abhijeet; Deshpande, Girish

    2013-03-28

    Parenteral nutrition (PN) has become an integral part of clinical management of very low birth weight premature neonates. Traditionally different components of PN are prescribed individually considering requirements of an individual neonate (IPN). More recently, standardised PN formulations (SPN) for preterm neonates have been assessed and may have advantages including better provision of nutrients, less prescription and administration errors, decreased risk of infection, and cost savings. The recent introduction of triple-chamber bag that provides total nutrient admixture for neonates may have additional advantage of decreased risk of contamination and ease of administration.

  1. The role of government and financial institutions during a housing market crisis : a case study of the Netherlands

    NARCIS (Netherlands)

    Boelhouwer, P.J.

    2017-01-01

    The generous mortgage tax relief enjoyed in the Netherlands and the possible existence of a house price bubble cannot explain the sharp decrease of house prices in the Netherlands in the period from 2011–2013. This sharp decline can, however, be explained by the rigorous adjustments to mortgage

  2. The logic of Technical Standardisation

    DEFF Research Database (Denmark)

    Nedergaard, Peter

    In this paper technical standardisation is understood and explained in a model where economic analysis is coupled with an analysis of the political system as proposed in rational choice theory. The aim is to answer both the question why various countries (e.g. the United States versus European...... countries) let either the market or public intervention determine the mode of technical standardisation and the possible implications of these two ways of organizing technical standardisation from an economic and a political point of view. Based upon the analysis of the paper a couple of general policy...... recommendations are made concerning the mode of technical standardisation....

  3. The Institutional Embedding of Interactive Policy Making Insights From a Comparative Research Based on Eight Interactive Projects in the Netherlands

    NARCIS (Netherlands)

    Edelenbos, Jurian; Klok, Pieter J.; van Tatenhove, Jan

    2009-01-01

    In this article, the authors address citizen involvement at the central government level in the Netherlands. Through comparative research in which they systematically analyze eight interactive projects in three governmental departments, the authors especially pay attention to the relation between

  4. Standardisation of digital human models.

    Science.gov (United States)

    Paul, Gunther; Wischniewski, Sascha

    2012-01-01

    Digital human models (DHM) have evolved as useful tools for ergonomic workplace design and product development, and found in various industries and education. DHM systems which dominate the market were developed for specific purposes and differ significantly, which is not only reflected in non-compatible results of DHM simulations, but also provoking misunderstanding of how DHM simulations relate to real world problems. While DHM developers are restricted by uncertainty about the user need and lack of model data related standards, users are confined to one specific product and cannot exchange results, or upgrade to another DHM system, as their previous results would be rendered worthless. Furthermore, origin and validity of anthropometric and biomechanical data is not transparent to the user. The lack of standardisation in DHM systems has become a major roadblock in further system development, affecting all stakeholders in the DHM industry. Evidently, a framework for standardising digital human models is necessary to overcome current obstructions. Practitioner Summary: This short communication addresses a standardisation issue for digital human models, which has been addressed at the International Ergonomics Association Technical Committee for Human Simulation and Virtual Environments. It is the outcome of a workshop at the DHM 2011 symposium in Lyon, which concluded steps towards DHM standardisation that need to be taken.

  5. Standardisation of {sup 210}Pb

    Energy Technology Data Exchange (ETDEWEB)

    Woods, D.H. E-mail: denise.woods@npl.co.uk; Bowles, N.E.; Jerome, S.M.; Lavison, P. de; Lineham, S.; Makepeace, J.L.; Woodman, A.P.; Woods, M.J

    2000-03-01

    The standardisation of {sup 210}Pb is complicated by the presence of the daughters, {sup 210}Bi and {sup 210}Po. In addition, the low energies of the beta emissions from {sup 210}Pb make it difficult to obtain high detection efficiencies in an atmospheric proportional counter and hence produce the need for large extrapolations with consequential large uncertainties when extrapolating to unit efficiency with the conventional 4{pi}(PC)-{gamma}-coincidence technique. In order to produce a reliable standardisation, it is necessary to remove the daughter products. A solution of {sup 210}Pb was therefore chemically separated from its daughters and then standardised using the conventional 4{pi}(LS)-{gamma}-coincidence technique. The low energy (46 keV) and low emission probability (4%) of the associated photon emissions effectively rules out the possibility of using ionisation chambers as secondary standard transfer instruments for this nuclide. A germanium spectrometer therefore was calibrated for this purpose using {sup 241}Am as a normalising agent. The results of this work are presented together with an analysis of the standardisation uncertainties that can be achieved in practice.

  6. 3GPP Standardisation 2007 - 2008

    NARCIS (Netherlands)

    Baker, M.P.J.

    2009-01-01

    This report reviews work carried out under SLA for NXP under the title Tracking and Analysis of 3GPP Standards” during 2007 and 2008. An overview of the status of the standardisation work in 3GPP is provided, together with an outline for its continuation. The report alsodetails the contributions

  7. [Forensic assessments from the Netherlands Institute of Forensic Psychiatry and Psychology in retrospect; applications of genetics and neuroscience, in 2000 and 2009].

    Science.gov (United States)

    Ter Harmsel, J F; Molendijk, T; van El, C G; M'charek, A; Kempes, M; Rinne, T; Pieters, T

    2016-01-01

    Developments in neurosciences and genetics are relevant for forensic psychiatry. To find out whether and how genetic and neuroscientific applications are being used in forensic psychiatric assessments, and, if they are, to estimate to what extent new applications will fit in with these uses. We analysed 60 forensic psychiatric assessments from the Netherlands Institute of Forensic Psychiatry and Psychology, Pieter Baan Center, and 30 non-clinical assessments from 2000 and 2009. We found that (behavioral) genetic, neurological and neuropsychological applications played only a modest role in forensic psychiatric assessment and they represent different phases of the implementation process. Neuropsychological assessment already occupied a position of some importance, but needed to be better integrated. Applications from neurology were still being developed. Clinical genetic assessment was being used occasionally in order to diagnose a genetic syndrome with behavioral consequences. If further validated information becomes available in the future, it should be possible to integrate new research methods more fully into current clinical practice.

  8. Astronomy in the Netherlands

    Science.gov (United States)

    Boland, Wilfried; Habing, Harm

    2013-01-01

    We describe the state of astronomical research in the Netherlands per early 2012. We add some notes on its history of this research and on the strategic choices for the future. Compared to the size of the country (16 million people) the Netherlands is maintaining a high profile in astronomical research over a period of more than one century. The professional research community consists of about 650 people. This includes research staff, postdocs, PhD students, technical staff working on instrumentation projects and people involved in the operations of ground-based telescopes and astronomical space missions. We do not take into account staff working for international organizations based in the Netherlands. Astronomical research in the Netherlands is carried out at four university institutes and two national research institutes that fall under the umbrella of the national funding agency NWO. The Netherlands is the host of two international organizations: ESTEC, the technology division of the European Space Agency (ESA), and the Joint Institute for VLBI in Europe (JIVE). The Netherlands are one of the founding members of the European Southern Observatory (ESO) and of ESA. This paper will address a number of significant multilateral collaborations.

  9. The institutional space of community initiatives for renewable energy: a comparative case study of the Netherlands, Germany and Denmark

    NARCIS (Netherlands)

    Oteman, M.I.; Wiering, M.A.; Helderman, J.K.

    2014-01-01

    Background Community initiatives for renewable energy are emerging across Europe but with varying numbers, success rates and strategies. A literature overview identifies structural, strategic and biophysical conditions for community success. Our analysis focuses on institutional structure, as we

  10. Experiences of home and institution in a secured nursing home ward in the Netherlands : A participatory intervention study

    NARCIS (Netherlands)

    Klaassens, Mirjam; Meijering, Louise

    Nursing homes have been criticised for not providing a home for their residents. This article aims to provide insight into (I) the features of home and institution as experienced by residents and caregivers of a secured ward in a nursing home, and (2) how interventions implemented on the ward can

  11. Epidural failure rate using a standardised definition.

    Science.gov (United States)

    Thangamuthu, A; Russell, I F; Purva, M

    2013-11-01

    There is no globally-accepted definition of epidural failure; this leads to wide differences in reported failure rates. A definition of epidural failure was standardised using a modified Delphi approach involving senior obstetric anaesthetists in the UK. Using this definition, epidural failures were calculated in our institution. Following clinical governance approval, anonymised data from 1521 epidurals inserted between September 2010 and December 2011 were collected from our database. Details included pain relief 45 min from the start of the procedure, accidental dural puncture, epidural re-siting, maternal satisfaction, time of insertion and positioning for insertion. The overall failure rate was 23%. Individual failure rates for trainees were: Year 2, 26.8%; Year 3, 26.3%; Year 4, 21.4%; Year 5, 25%; Year 6, 18.5%; and Year 7, 13.5%. Epidural re-site rates for trainees were: Year 2, 6.5%; Year 3, 3.5%; Year 4, 4%; Year 5 and above, 1.5%. Cervical dilatation, time of day and position for insertion did not have a statistically significant association with the failure rate. However, the failure rate of the Year 2, Year 3, and Year 4 trainees was significantly higher when compared to that of Year 5 and above. The re-site rate was statistically higher for Year 2 and Year 4 trainees when compared to those of Year 5 and above. The accidental dural puncture rate was statistically higher among Year 3 trainees when compared to Year 5 and above. The study identified epidural failure rates using a standardised definition. This information could be used to guide training decisions and to support doctors during their training period. Crown Copyright © 2013. Published by Elsevier Ltd. All rights reserved.

  12. The Netherlands

    Science.gov (United States)

    De Vries, Anthon K.

    1975-01-01

    Examines early childhood education in the Netherlands: its history, general conceptions of child upbringing and developmental psychology, organizational patterns, main research projects, and goals. (JH)

  13. Explaining the Decline in Coronary Heart Disease Mortality in the Netherlands between 1997 and 2007

    National Research Council Canada - National Science Library

    Koopman, Carla; Vaartjes, Ilonca; van Dis, Ineke; Verschuren, W. M. Monique; Engelfriet, Peter; Heintjes, Edith M; Blokstra, Anneke; Deeg, Dorly J. H; Visser, Marjolein; Bots, Michiel L; O’Flaherty, Martin; Capewell, Simon

    2016-01-01

    ... for Public Health and the Environment, Bilthoven, the Netherlands Edith M. Heintjes Affiliation: PHARMO Institute for drug research, Utrecht, the Netherlands Anneke Blokstra Affiliation: National...

  14. Parallel Professionalism in an Era of Standardisation

    Science.gov (United States)

    Stone-Johnson, Corrie

    2014-01-01

    Today's American educational context is characterised by increasing standardisation coupled with heightened accountability. While some view standardisation as a lever for equity, many view it as problematic for the work of teachers. Efforts to improve student achievement by focusing on the activities of teachers have resulted in an over-riding…

  15. Standardising Software Processes - An Obstacle for Innovation?

    DEFF Research Database (Denmark)

    Aaen, Ivan; Pries-Heje, Jan

    2004-01-01

    Over the last 10 years CMM has achieved widespread use as a model for improving software organisations. Often CMM is used to standardise software processes across projects. In this paper we discuss this standardisation of SPI in relation to innovation, organisational size and company growth. Our...

  16. The relationship between standardised test performance and ...

    African Journals Online (AJOL)

    ... of compensation, metacognitive, affective and social strategies. The implications for language teaching in Curriculum 2005 context are briefly indicated. Key words: standardised test performance, language learning strategies, English Second Language, KwaZulu-Natal, underachievement, secondary school, case study

  17. Netherlands: archives, libraries and museums

    NARCIS (Netherlands)

    Ketelaar, E.; Huysmans, F.; van Mensch, P.; Bates, M.J.; Maack, M.N.

    2010-01-01

    This entry provides an overview of the development and current state of archives, libraries, and museums as institutions, and the related professions and disciplines within the Netherlands. The entry describes social and political issues affecting information institutions from the early nineteenth

  18. Thirty-minute compared to standardised office blood pressure measurement in general practice

    Science.gov (United States)

    Scherpbier-de Haan, Nynke; van der Wel, Mark; Schoenmakers, Gijs; Boudewijns, Steve; Peer, Petronella; van Weel, Chris; Thien, Theo; Bakx, Carel

    2011-01-01

    Background Although blood pressure measurement is one of the most frequently performed measurements in clinical practice, there are concerns about its reliability. Serial, automated oscillometric blood pressure measurement has the potential to reduce measurement bias and white-coat effect' Aim To study agreement of 30-minute office blood pressure measurement (OBPM) with standardised OBPM, and to compare repeatability Design and setting Method comparison study in two general practices in the Netherlands Method Thirty-minute and standardised OBPM was carried out with the same, validated device in 83 adult patients, and the procedure was repeated after 2 weeks. During 30-minute OBPM, blood pressure was measured automatically every 3 minutes, with the patient in a sitting position, alone in a quiet room. Agreement between 30-minute and standardised OBPM was assessed by Bland–Altman analysis. Repeatability of the blood pressure measurement methods after 2 weeks was expressed as the mean difference in combination with the standard deviation of difference (SDD) Results Mean 30-minute OBPM readings were 7.6/2.5 mmHg (95% confidence interval [CI] = 6.1 to 9.1/1.5 to 3.4 mmHg) lower than standardised OBPM readings. The mean difference and SDD between repeated 30-minute OBPMs (mean difference = 3/1 mmHg, 95% CI = 1 to 5/0 to 2 mmHg; SDD 9.5/5.3 mmHg) were lower than those of standardised OBPMs (mean difference = 6/2 mmHg, 95% CI = 4 to 8/1 to 4 mmHg; SDD 10.9/6.3 mmHg). Conclusion Thirty-minute OBPM resulted in lower readings than standardised OBPM and had a better repeatability. These results suggest that 30-minute OBPM better reflects the patient's true blood pressure than standardised OBPM does. PMID:22152748

  19. Empowering wind power; On social and institutional conditions affecting the performance of entrepreneurs in the wind power supply market in the Netherlands

    NARCIS (Netherlands)

    Agterbosch, S.

    2006-01-01

    This dissertation focuses on wind energy for electricity generation, analysing the evolution of the wind power supply market in the Netherlands. We analysed different kind of wind power entrepreneurs (energy distributors, small private investors, wind cooperatives and new independent wind power

  20. The Netherlands

    NARCIS (Netherlands)

    Schelhaas, M.; Clerkx, A.P.P.M.

    2017-01-01

    Forest coverage in the Netherlands has expanded from 2% at the beginning of the nineteenth century to 11% nowadays (370,000 ha). Wood production is only one function among many others including recreation and nature protection. Consequently, the harvest level is low relative to the increment (~55%),

  1. Standardisation of haemoglobinometry : History and new challenges

    NARCIS (Netherlands)

    Zijlstra, WG

    1997-01-01

    During the 1950s several attempts were made to standardise the measurement of the haemoglobin concentration in human blood, for which numerous different methods were in use giving widely different results. In 1966, a consensus was reached on the general use of a photometric determination after

  2. The relationship between standardised test performance and ...

    African Journals Online (AJOL)

    Data gathering took place by means of the application of two standardised tests, the Writing Performance Test in English and the Strategy Inventory for Language Learning, an individual interview using a structured interview schedule and observation in the teaching and learning environment. It was found that a significant ...

  3. "Should I Buy or Should I Grow?" How drug policy institutions and drug market transaction costs shape the decision to self-supply with cannabis in the Netherlands and the Czech Republic.

    Science.gov (United States)

    Belackova, Vendula; Maalsté, Nicole; Zabransky, Tomas; Grund, Jean Paul

    2015-03-01

    This paper uses the framework of institutional economics to assess the impact of formal and informal institutions that influence the transaction costs on the cannabis market, and users' decisions to self-supply in the Czech Republic and the Netherlands, two countries with seemingly identical policies towards cannabis cultivation. A comparative analysis was conducted using secondary qualitative and quantitative data in four areas that were identified as relevant to the decision to cultivate cannabis: (i) the rules of the game - cannabis cultivation policy; (ii) "playing the game" - implementation of cannabis cultivation policy, (iii) informal institutions - cannabis cultivation culture, and (iv) the transaction costs of the cannabis market - availability, quality, and relative cannabis prices adjusted by purchasing power parity. Although the two policies are similar, their implementation differs substantially. In the Czech Republic, law enforcement has focused almost exclusively on large-scale cultivation. This has resulted in a competitive small-scale cultivation market, built upon a history of cannabis self-supply, which is pushing cannabis prices down. In the Netherlands, the costs of establishing one's own self-supply have historically outweighed the costs associated with buying in coffee shops. Additionally, law enforcement has recently pushed small-scale growers away from the market, and a large-scale cannabis supply, partly controlled by organised criminal groups, has been established that is driving prices up. The Czech cannabis prices have become relatively lower than the Dutch prices only recently, and the decision to buy on the market or to self-supply will be further shaped by the transactions costs on both markets, by policy implementation and by the local culture. The ability to learn from the impacts of cannabis cultivation policies conducted within the framework of UN drug treaties is particularly important at a time when increasing numbers of

  4. Effects and feasibility of a standardised orientation and mobility training in using an identification cane for older adults with low vision : design of a randomised controlled trial

    NARCIS (Netherlands)

    Zijlstra, G. A. R.; van Rens, G. H. M. B.; Scherder, E. J. A.; Brouwer, D. M.; van der Velde, J.; Verstraten, P. F. J.; Kempen, G. I. J. M.

    2009-01-01

    Background: Orientation and mobility training (O&M-training) in using an identification cane, also called symbol cane, is provided to people with low vision to facilitate independent participation in the community. In The Netherlands this training is mainly practice-based because a standardised and

  5. Effects and feasibility of a standardised orientation and mobility training in using an identification cane for older adults with low vision: design of a randomised controlled trial

    NARCIS (Netherlands)

    Zijlstra, G. A.; van Rens, G.H.M.B.; Scherder, E.J.A.; Brouwer, D. M.; van der Velde, J.; Verstraten, P. F.; Kempen, G.I.

    2009-01-01

    Background: Orientation and mobility training (O&M-training) in using an identification cane, also called symbol cane, is provided to people with low vision to facilitate independent participation in the community. In The Netherlands this training is mainly practice-based because a standardised and

  6. Usefulness and acceptability of a standardised orientation and mobility training for partially-sighted older adults using an identification cane.

    Science.gov (United States)

    Ballemans, Judith; Zijlstra, G A Rixt; van Rens, Ger H M B; Schouten, Jan S A G; Kempen, Gertrudis I J M

    2012-06-08

    Orientation and mobility (O&M) training in using an identification (ID) cane is provided to partially-sighted older adults to facilitate independent functioning and participation in the community. Recently, a protocolised standardised O&M-training in the use of the ID cane was developed in The Netherlands. The purpose of this study is to assess the usefulness and acceptability of both the standardised training and the regular training for participants and O&M-trainers in a randomised controlled trial (NCT00946062). The standardised O&M-training consists of two structured face-to-face sessions and one telephone follow-up, in which, in addition to the regular training, self-management and behavioural change techniques are applied. Questionnaires and interviews were used to collect data on the training's usefulness, e.g. the population reached, self-reported benefits or achievements, and acceptability, e.g. the performance of the intervention according to protocol and participants' exposure to and engagement in the training. Data was collected from 29 O&M-trainers and 68 participants. Regarding the self-reported benefits, outcomes were comparable for the standardised training and the regular training according the trainers and participants e.g., about 85% of the participants in both groups experienced benefits of the cane and about 70% gained confidence in their capabilities. Participants were actively involved in the standardised training. Nearly 40% of the participants in the standardised training group was not exposed to the training according to protocol regarding the number of sessions scheduled and several intervention elements, such as action planning and contracting. The standardised and regular O&M-training showed to be useful and mostly acceptable for the partially-sighted older adults and trainers. Yet, a concern is the deviation from the protocol of the standardised O&M-training by the O&M-trainers regarding distinguishing elements such as action planning

  7. Spinoza and the Netherlands

    NARCIS (Netherlands)

    L. van Bunge (Wiep)

    2012-01-01

    textabstractMoving to my topic of Spinoza and the Netherlands, two separate questions present themselves: what did the Netherlands mean to Spinoza, and reversely, what did Spinoza mean to the Netherlands?

  8. Standardised Packaging of Tobacco Products Evidence Review

    OpenAIRE

    Department of Health (Ireland)

    2014-01-01

    The current report reviews the scientific evidence on standardised or “plain” packaging, and the extent to which plain packaging regulations would help Ireland to achieve its tobacco control objectives.   Plain packaging is a form of marketing restriction that prohibits the use of logos, colours, brand images and promotional information on tobacco packaging. Under plain packaging regulations, the colour of the pack is uniform across different brands and varieties. Regulations ma...

  9. Criteria for standardising counselling for HIV testing

    Directory of Open Access Journals (Sweden)

    Anna Maria Luzi

    2010-03-01

    Full Text Available In the present work, we outline basic health counselling skills, specifically, those for performing pre-test and post-test counselling for HIV infection. The ultimate goal is to propose that counselling be performed in facilities that carry out screening for anti-HIV antibodies, following standardised (and thus replicable criteria, with consistent focus on the quality of the relationship between the healthcare professional and the individual undergoing testing and on the individual's specific needs.

  10. Standardisation of magnetic nanoparticles in liquid suspension

    Science.gov (United States)

    Wells, James; Kazakova, Olga; Posth, Oliver; Steinhoff, Uwe; Petronis, Sarunas; Bogart, Lara K.; Southern, Paul; Pankhurst, Quentin; Johansson, Christer

    2017-09-01

    Suspensions of magnetic nanoparticles offer diverse opportunities for technology innovation, spanning a large number of industry sectors from imaging and actuation based applications in biomedicine and biotechnology, through large-scale environmental remediation uses such as water purification, to engineering-based applications such as position-controlled lubricants and soaps. Continuous advances in their manufacture have produced an ever-growing range of products, each with their own unique properties. At the same time, the characterisation of magnetic nanoparticles is often complex, and expert knowledge is needed to correctly interpret the measurement data. In many cases, the stringent requirements of the end-user technologies dictate that magnetic nanoparticle products should be clearly defined, well characterised, consistent and safe; or to put it another way—standardised. The aims of this document are to outline the concepts and terminology necessary for discussion of magnetic nanoparticles, to examine the current state-of-the-art in characterisation methods necessary for the most prominent applications of magnetic nanoparticle suspensions, to suggest a possible structure for the future development of standardisation within the field, and to identify areas and topics which deserve to be the focus of future work items. We discuss potential roadmaps for the future standardisation of this developing industry, and the likely challenges to be encountered along the way.

  11. On the standardisation of Web service management operations

    NARCIS (Netherlands)

    van Sloten, J.; Harju, J.; Pras, Aiko; Moltchanov, D.; van Sinderen, Marten J.; Silverajan, B.

    2004-01-01

    Given the current interest in TCP/IP network management research towards Web services, it is important to recognise how standardisation can be achieved. This paper mainly focuses on the standardisation of operations and not management information. We state that standardisation should be done by

  12. Workshop report: Immunoassay standardisation for "universal" influenza vaccines.

    Science.gov (United States)

    Pavlova, Sophia; D'Alessio, Flavia; Houard, Sophie; Remarque, Edmond J; Stockhofe, Norbert; Engelhardt, Othmar G

    2017-05-01

    The development of broadly reactive influenza vaccines raises the need to identify the most appropriate immunoassays that can be used for the evaluation of so-called universal influenza vaccines and to explore a path towards the standardisation of such assays. More than fifty experts from the global influenza vaccine research and development field met to initiate such discussion at a workshop co-organised by the EDUFLUVAC consortium, a European Union funded project coordinated by the European Vaccine Initiative, and the National Institutes of Health/National Institute of Allergy and Infectious Diseases, USA. The workshop audience agreed that it was not possible to establish a single immunoassay for "universal" influenza vaccines because the current approaches differ in the vaccines' nature and immunogenicity properties. Therefore, different scientific rationales for the immunoassay selection are required. To avoid dilution of efforts, the choice of the primary evaluation criteria (eg serological assays or T-cell assays) should drive the effort of harmonisation. However, at an early phase of clinical development, more efforts on exploratory assessments should be undertaken to better define the immune profile in response to immunisation with new vaccines. The workshop concluded that each laboratory should aim towards validation of the appropriate immunoassays used during the entire process of vaccine development from antigen discovery up to establishment of correlates of protection, including the different steps of quality control (eg potency assays), animal studies and human clinical development. Standardisation of the immunoassays is the ultimate goal, and there is a long way to go. © 2017 Crown copyright. Influenza and Other Respiratory Viruses Published by John Wiley & Sons Ltd.

  13. Standardised opt-out testing for HIV.

    Science.gov (United States)

    Millett, Danna

    2011-12-01

    This article offers a literature review of the benefits of, and problems associated with, a standardised opt-out screening programme for HIV, and the attitudes of healthcare professionals and patients to its potential introduction in emergency departments. There is a lack of research on the subject in the UK and so the article relies on work undertaken in the US and on opt-out testing in antenatal services in the UK. It reviews the potential benefits of such a programme, in particular the opportunities it offers to improve public health and reduced the stigma associated with HIV, and discusses the issue of consent.

  14. Standardisation and decay data of 186Re

    Science.gov (United States)

    Woods; Ciocanel; Husband; Keightley; de Lavison P; Lineham; Woods; Woods

    2000-03-01

    A solution of 186Re was standardised using the 4pi(PC)-gamma-coincidence technique. Two gamma channels were employed to provide separate detection efficiency data arising from the two decay modes (beta and electron capture): the resulting data were analysed using a two-dimensional extrapolation. Calibration factors for a high pressure re-entrant ionisation chamber as well as for the NPL secondary standard radionuclide calibrator were also determined. An efficiency-calibrated germanium spectrometer was used to measure the emission probabilities of the X- and gamma-rays.

  15. Towards standardised evaluative measurement of nature impacts: two spatial planning case studies for major Dutch lakes.

    Science.gov (United States)

    van Puijenbroek, P J T M; Sijtsma, F J; Wortelboer, F G; Ligtvoet, W; Maarse, M

    2015-02-01

    In the assessment of complex spatial planning projects, the ecological impacts and socio-economic impacts are fundamental to the evaluation. The measurements of ecological impacts of spatial plans have to be integrated in a standardised way. In the present paper, we analyse two Dutch case studies and apply the standardised Threat-Weighted Ecological Quality Area measurement. This measurement is developed to evaluate projects with terrestrial impacts but has not yet been applied for water evaluations. We aim to show how the use of a common measurement tool incorporates both ecological quality and degree of threat on criteria in the EU Water Framework Directive and Nature 2000. The measurements discussed here derive from two cases of cost-benefit analysis: The first case is the Markermeer, the second largest lake of The Netherlands, and a study on water quality improvement and nature restoration; an artificial island will also be the setting for a new residential area. The second case study is on water level management carried out on the IJsselmeer, the largest lake in the country. Results of our analysis show the potential impacts with a standardised method to the spatial distribution and quality of the ecosystems.

  16. Standardised metrics for global surgical surveillance.

    Science.gov (United States)

    Weiser, Thomas G; Makary, Martin A; Haynes, Alex B; Dziekan, Gerald; Berry, William R; Gawande, Atul A

    2009-09-26

    Public health surveillance relies on standardised metrics to evaluate disease burden and health system performance. Such metrics have not been developed for surgical services despite increasing volume, substantial cost, and high rates of death and disability associated with surgery. The Safe Surgery Saves Lives initiative of WHO's Patient Safety Programme has developed standardised public health metrics for surgical care that are applicable worldwide. We assembled an international panel of experts to develop and define metrics for measuring the magnitude and effect of surgical care in a population, while taking into account economic feasibility and practicability. This panel recommended six measures for assessing surgical services at a national level: number of operating rooms, number of operations, number of accredited surgeons, number of accredited anaesthesia professionals, day-of-surgery death ratio, and postoperative in-hospital death ratio. We assessed the feasibility of gathering such statistics at eight diverse hospitals in eight countries and incorporated them into the WHO Guidelines for Safe Surgery, in which methods for data collection, analysis, and reporting are outlined.

  17. A catalogue of the type-specimens of Recent fishes in the Institute of Taxonomic Zoology (Zoölogisch Museum), University of Amsterdam, The Netherlands

    NARCIS (Netherlands)

    Nijssen, H.; Tuijl, van L.; Isbrücker, I.J.H.

    1982-01-01

    This catalogue resulted from our attempts (since 1963) to accommodate and modernize the labelling of type-material of Recent fishes in the collections of the Zoölogisch Museum Amsterdam (ZMA), now named Institute of Taxonomie Zoology, University of Amsterdam. We traced 6625 type-specimens of 714

  18. Dutch scholarship in the age of empire and beyond : KITLV - The Royal Netherlands Institute of Southeast Asian and Caribbean Studies, 1851-2011

    NARCIS (Netherlands)

    Kuitenbrouwer, Maarten; Poeze, H.A.; Granger, Lorri

    2013-01-01

    How was it possible for the Koninklijk Instituut voor Taal-, Land- en Volkenkunde (KITLV) to grow from a learned society with fewer than a hundred members and only one partly salaried employee in 1851 into a modern professional institute with 1800 members and a staff of over fifty in 2001? This book

  19. Dutch scholarship in the age of empire and beyond: KITLV - The Royal Netherlands Institute of Southeast Asian and Caribbean Studies, 1851-2011

    OpenAIRE

    Kuitenbrouwer, Maarten; H.A. Poeze; Granger, Lorri

    2013-01-01

    How was it possible for the Koninklijk Instituut voor Taal-, Land- en Volkenkunde (KITLV) to grow from a learned society with fewer than a hundred members and only one partly salaried employee in 1851 into a modern professional institute with 1800 members and a staff of over fifty in 2001? This book provides the answer to this question.

  20. Acceptance of homosexuality in the Netherlands 2011

    OpenAIRE

    Saskia Keuzenkamp

    2011-01-01

    The Dutch government wishes to promote the social acceptance of homosexuality. To gain an impression of the current status and the progress in achieving this objective, the government asked the Netherlands Institute for Social Research/SCP to carry out a study of the current statistics and trends in this regard. This report shows that the Netherlands is still the most gay-tolerant country in Europe. Nonetheless, there are limits to that tolerance and there are some groups in Dutch society whi...

  1. Multi-Dimensional Impact of the Public–Private Center for Translational Molecular Medicine (CTMM) in the Netherlands: Understanding New 21st Century Institutional Designs to Support Innovation-in-Society

    Science.gov (United States)

    2016-01-01

    Abstract Knowledge translation is at the epicenter of 21st century life sciences and integrative biology. Several innovative institutional designs have been formulated to cultivate knowledge translation. One of these organizational innovations has been the Center for Translational Molecular Medicine (CTMM), a multi-million public–private partnership in the Netherlands. The CTMM aims to accelerate molecular diagnostics and imaging technologies to forecast disease susceptibilities in healthy populations and early diagnosis and personalized treatment of patients. This research evaluated CTMM's impact on scientific, translational, clinical, and economic dimensions. A pragmatic, operationally-defined process indicators approach was used. Data were gathered from CTMM administrations, through a CTMM-wide survey (n = 167) and group interviews. We found that the CTMM focused on disease areas with high human, clinical, and economic burden to society (i.e., oncology, cardiovascular, neurologic, infection, and immunity diseases). CTMM displayed a robust scientific impact that rests 15%–80% above international reference values regarding publication volume and impact. Technology translation to the clinic was accelerated, with >50% of projects progressing from pre-clinical development to clinical testing within 5 years. Furthermore, CTMM has generated nearly 1500 Full Time Equivalent (FTE) of translational R&D capacity. Its positive impact on translational, (future) clinical, and economic aspects is recognized across all surveyed stakeholders. As organizational innovation is increasingly considered critical to forge linkages between life sciences discoveries and innovation-in-society, lessons learned from this study may inform other institutions with similar objectives such as the Clinical and Translational Science Awards (CTSA) Program of the National Institutes of Health (NIH) in the United States. PMID:27195965

  2. Multi-Dimensional Impact of the Public-Private Center for Translational Molecular Medicine (CTMM) in the Netherlands: Understanding New 21(st) Century Institutional Designs to Support Innovation-in-Society.

    Science.gov (United States)

    Steuten, Lotte M

    2016-05-01

    Knowledge translation is at the epicenter of 21st century life sciences and integrative biology. Several innovative institutional designs have been formulated to cultivate knowledge translation. One of these organizational innovations has been the Center for Translational Molecular Medicine (CTMM), a multi-million public-private partnership in the Netherlands. The CTMM aims to accelerate molecular diagnostics and imaging technologies to forecast disease susceptibilities in healthy populations and early diagnosis and personalized treatment of patients. This research evaluated CTMM's impact on scientific, translational, clinical, and economic dimensions. A pragmatic, operationally-defined process indicators approach was used. Data were gathered from CTMM administrations, through a CTMM-wide survey (n = 167) and group interviews. We found that the CTMM focused on disease areas with high human, clinical, and economic burden to society (i.e., oncology, cardiovascular, neurologic, infection, and immunity diseases). CTMM displayed a robust scientific impact that rests 15%-80% above international reference values regarding publication volume and impact. Technology translation to the clinic was accelerated, with >50% of projects progressing from pre-clinical development to clinical testing within 5 years. Furthermore, CTMM has generated nearly 1500 Full Time Equivalent (FTE) of translational R&D capacity. Its positive impact on translational, (future) clinical, and economic aspects is recognized across all surveyed stakeholders. As organizational innovation is increasingly considered critical to forge linkages between life sciences discoveries and innovation-in-society, lessons learned from this study may inform other institutions with similar objectives such as the Clinical and Translational Science Awards (CTSA) Program of the National Institutes of Health (NIH) in the United States.

  3. [Body plethysmography (I): Standardisation and quality criteria].

    Science.gov (United States)

    de Mir Messa, I; Sardón Prado, O; Larramona, H; Salcedo Posadas, A; Villa Asensi, J R

    2015-08-01

    Whole body plethysmography is used to measure lung volumes, capacities and resistances. It is a well standardised technique, and although it is widely used in paediatric chest diseases units, it requires specific equipment, specialist staff, and some cooperation by the patient. Plethysmography uses Boyle's law in order to measure the intrathoracic gas volume or functional residual capacity, and once this is determined, the residual volume and total lung capacity is extrapolated. The measurement of total lung capacity is necessary for the diagnosis of restrictive diseases. Airway resistance is a measurement of obstruction, with the total resistance being able to be measured, which includes chest wall, lung tissue and airway resistance, as well as the specific airway resistance, which is a more stable parameter that is determined by multiplying the measured values of airway resistance and functional residual capacity. The complexity of this technique, the reference equations, the differences in the equipment and their variability, and the conditions in which it is performed, has led to the need for its standardisation. Throughout this article, the practical aspects of plethysmography are analysed, specifying recommendations for performing it, its systematic calibration and the calculations that must be made, as well as the interpretation of the results obtained. The aim of this article is to provide a better understanding of the principles of whole body plethysmography with the aim of optimising the interpretation of the results, leading to improved management of the patient, as well as a consensus among the speciality. Copyright © 2014 Asociación Española de Pediatría. Published by Elsevier España, S.L.U. All rights reserved.

  4. Institute of Dramatic Art

    Science.gov (United States)

    Schoenmakers, H.

    1976-01-01

    There is a fundamental difference between the courses given at university drama institutes in the Netherlands and those of the drama departments in the American universities. This is one of the points to emerge from this article on the University of Amsterdam's Institute of Dramatic Art written by a senior staff member of that institute.…

  5. Institutional Repositories in Indian Universities and Research Institutes: A Study

    Science.gov (United States)

    Krishnamurthy, M.; Kemparaju, T. D.

    2011-01-01

    Purpose: The purpose of this paper is to report on a study of the institutional repositories (IRs) in use in Indian universities and research institutes. Design/methodology/approach: Repositories in various institutions in India were accessed and described in a standardised way. Findings: The 20 repositories studied covered collections of diverse…

  6. [Standardised environmental conditions for neurocognitive laboratories].

    Science.gov (United States)

    Matamoros-Tuma, M; Alvarez-González, M

    The exploration of neurocognition in neurology departments has gone a long way from the traditional psychometric tests to the present day use of high technology methods in cognitive neurophysiology, as is the case of event related potentials. Given the increased sensitivity of these procedures, it has become absolutely essential to control the influence of environmental variables that may exert non controlled effects on the patient s response. Many neurocognitive laboratories have been set up in premises in which the spatial layout and the environmental characteristics have been determined beforehand and consequently technical staff has had to prepare these rooms in an empirical way. This gives rise to two types of drawbacks: interferences in the patient s concentration and low reproducibility of the results in other laboratories. In this paper we present a proposed set of standardised conditions for a neurocognitive laboratory from an architectural perspective, and more specifically with regard to interior design. We outline the functional design of the premises, the conditions for workplaces where VDU computers (Video Display Units) are used and where psychometric evaluation is carried out. We also discuss the criteria to be followed when placing the laboratory within a hospital, lighting parameters, air conditioning and suggestions about psychological input. Although we do not seek to establish a rigid set of norms, these conditions will raise the quality of evaluations and facilitate the comparison of results because of the reduced variability from the environment.

  7. Lessons from Small-scale Standardised Testing of English Reading ...

    African Journals Online (AJOL)

    Small-scale standardised testing for ESL performance is an assessment strategy that can contribute to identifying specific needs at a particular school. Standardised testing, as a sub-component of the broader concept of assessment which includes a range of assessment options, is defined as any form of test that requires all ...

  8. Minority Language Standardisation and the Role of Users

    Science.gov (United States)

    Lane, Pia

    2015-01-01

    Developing a standard for a minority language is not a neutral process; this has consequences for the status of the language and how the language users relate to the new standard. A potential inherent problem with standardisation is whether the language users themselves will accept and identify with the standard. When standardising minority…

  9. Total and free available fluoride in toothpastes in Brunei, Cambodia, Laos, the Netherlands and Suriname.

    Science.gov (United States)

    Benzian, Habib; Holmgren, Christopher; Buijs, Mark; van Loveren, Cor; van der Weijden, Fridus; van Palenstein Helderman, Wim

    2012-08-01

    This study assessed total and free fluoride concentrations in samples of toothpaste from Brunei, Cambodia, Laos, the Netherlands and Suriname, and investigated the labelling practices of the respective manufacturers. Convenience samples were bought in the five countries and sent for analysis to the Netherlands. Levels of total and free available fluoride were measured. Details of the information declared on the packaging about type of fluoride and abrasives were recorded, and manufacturing and expiry dates were noted. A total of 119 samples of toothpaste were analysed. With one exception, all samples from the Netherlands complied with ISO (International Organisation for Standardisation) labelling requirements and there were no differences between the fluoride content declared and that found to be present on analysis. In samples purchased in the other countries, sodium monofluorophosphate (SMFP) toothpastes predominantly showed a low percentage of free available fluoride and the majority of toothpastes did not follow standard labelling guidelines. This study is not representative of any of the brands analysed, yet it highlights problematic discrepancies in products across countries. These may be related to the lack of a generally accepted methodology for analysing total and free fluoride content, absence of an agreement on the minimum concentration of fluoride required to ensure efficacy, weak regulating institutions that are unable to control labelling and consumer information, as well as a possible influx of counterfeit low-quality toothpaste. Renewed international focus should be directed towards closing gaps in guidelines and standards. Consumers should use only non-expired toothpaste, which should preferably be silica-based fluoride toothpaste that does not include abrasives containing calcium and that is properly labelled. © 2012 FDI World Dental Federation.

  10. HIV-related mortality among tuberculosis patients in The Netherlands, 1993-2001

    NARCIS (Netherlands)

    Haar, C. H.; Cobelens, F. G. J.; Kalisvaart, N. A.; van Gerven, P. J. H. J.; van der Have, J. J.

    2007-01-01

    Human immunodeficiency virus (HIV) infection in tuberculosis (TB) patients in The Netherlands during the period 1993-2001 was associated with an increased risk of death (adjusted odds ratio 4.71, P < 0.002). Age and sex-standardised mortality rates among HIV-infected TB patients decreased

  11. Standardisation and "Quick Languages": The Shape-Shifting of Standardised Measurement of Pupil Achievement in Sweden and Germany

    Science.gov (United States)

    Lundahl, Christian; Waldow, Florian

    2009-01-01

    The article discusses the entry of standardised measurement into the educational systems of Sweden and Germany and the processes of shape-shifting associated with this process. In the first part of the article, we investigate how standardised measurement challenged existing ways of conceiving education in Sweden and Germany during the first half…

  12. netherland hydrological modeling instrument

    Science.gov (United States)

    Hoogewoud, J. C.; de Lange, W. J.; Veldhuizen, A.; Prinsen, G.

    2012-04-01

    Netherlands Hydrological Modeling Instrument A decision support system for water basin management. J.C. Hoogewoud , W.J. de Lange ,A. Veldhuizen , G. Prinsen , The Netherlands Hydrological modeling Instrument (NHI) is the center point of a framework of models, to coherently model the hydrological system and the multitude of functions it supports. Dutch hydrological institutes Deltares, Alterra, Netherlands Environmental Assessment Agency, RWS Waterdienst, STOWA and Vewin are cooperating in enhancing the NHI for adequate decision support. The instrument is used by three different ministries involved in national water policy matters, for instance the WFD, drought management, manure policy and climate change issues. The basis of the modeling instrument is a state-of-the-art on-line coupling of the groundwater system (MODFLOW), the unsaturated zone (metaSWAP) and the surface water system (MOZART-DM). It brings together hydro(geo)logical processes from the column to the basin scale, ranging from 250x250m plots to the river Rhine and includes salt water flow. The NHI is validated with an eight year run (1998-2006) with dry and wet periods. For this run different parts of the hydrology have been compared with measurements. For instance, water demands in dry periods (e.g. for irrigation), discharges at outlets, groundwater levels and evaporation. A validation alone is not enough to get support from stakeholders. Involvement from stakeholders in the modeling process is needed. There fore to gain sufficient support and trust in the instrument on different (policy) levels a couple of actions have been taken: 1. a transparent evaluation of modeling-results has been set up 2. an extensive program is running to cooperate with regional waterboards and suppliers of drinking water in improving the NHI 3. sharing (hydrological) data via newly setup Modeling Database for local and national models 4. Enhancing the NHI with "local" information. The NHI is and has been used for many

  13. The standardised copy of pentagons test

    Science.gov (United States)

    2011-01-01

    Background The 'double-diamond copy' task is a simple paper and pencil test part of the Bender-Gestalt Test and the Mini Mental State Examination (MMSE). Although it is a widely used test, its method of scoring is crude and its psychometric properties are not adequately known. The aim of the present study was to develop a sensitive and reliable method of administration and scoring. Methods The study sample included 93 normal control subjects (53 women and 40 men) aged 35.87 ± 12.62 and 127 patients suffering from schizophrenia (54 women and 73 men) aged 34.07 ± 9.83. Results The scoring method was based on the frequencies of responses of healthy controls and proved to be relatively reliable with Cronbach's α equal to 0.61, test-retest correlation coefficient equal to 0.41 and inter-rater reliability equal to 0.52. The factor analysis produced two indices and six subscales of the Standardised Copy of Pentagons Test (SCPT). The total score as well as most of the individual items and subscales distinguished between controls and patients. The discriminant function correctly classified 63.44% of controls and 75.59% of patients. Discussion The SCPT seems to be a satisfactory, reliable and valid instrument, which is easy to administer, suitable for use in non-organic psychiatric patients and demands minimal time. Further research is necessary to test its psychometric properties and its usefulness and applications as a neuropsychological test. PMID:21481250

  14. Standardised Embedded Data framework for Drones [SEDD

    Science.gov (United States)

    Wyngaard, J.; Barbieri, L.; Peterson, F. S.

    2015-12-01

    A number of barriers to entry remain for UAS use in science. One in particular is that of implementing an experiment and UAS specific software stack. Currently this stack is most often developed in-house and customised for a particular UAS-sensor pairing - limiting its reuse. Alternatively, when adaptable a suitable commercial package may be used, but such systems are both costly and usually suboptimal.In order to address this challenge the Standardised Embedded Data framework for Drones [SEDD] is being developed in μpython. SEDD provides an open source, reusable, and scientist-accessible drop in solution for drone data capture and triage. Targeted at embedded hardware, and offering easy access to standard I/O interfaces, SEDD provides an easy solution for simply capturing data from a sensor. However, the intention is rather to enable more complex systems of multiple sensors, computer hardware, and feedback loops, via 3 primary components.A data asset manager ensures data assets are associated with appropriate metadata as they are captured. Thereafter, the asset is easily archived or otherwise redirected, possibly to - onboard storage, onboard compute resource for processing, an interface for transmission, another sensor control system, remote storage and processing (such as EarthCube's CHORDS), or to any combination of the above.A service workflow managerenables easy implementation of complex onboard systems via dedicated control of multiple continuous and periodic services. Such services will include the housekeeping chores of operating a UAS and multiple sensors, but will also permit a scientist to drop in an initial scientific data processing code utilising on-board compute resources beyond the autopilot. Having such capabilities firstly enables easy creation of real-time feedback, to the human- or auto- pilot, or other sensors, on data quality or needed flight path changes. Secondly, compute hardware provides the opportunity to carry out real-time data triage

  15. The distribution of bats in The Netherlands

    NARCIS (Netherlands)

    Braaksma, S.

    1970-01-01

    The Research Institute for Nature Management (R.I.N.) has compiled all available information on the distribution of bats in the Netherlands up till 1968. The data were derived from literature and museum specimens, as well as from numerous unpublished observations. Around 1960 much was known already

  16. Monitoring Acceptance of homosexuality in the Netherlands

    NARCIS (Netherlands)

    Saskia Keuzenkamp

    2010-01-01

    Promoting acceptance of homosexuality is the main objective of current Dutch policy on the emancipation of gays and lesbians. At the request of Ronald Plasterk, the former Dutch government minister with responsibility for this policy, the Netherlands Institute for Social Research/SCP is

  17. The development of marketing in the Netherlands

    NARCIS (Netherlands)

    B. Wierenga (Berend)

    1981-01-01

    textabstractThe article discusses marketing developments in the Netherlands. The author describes the evolution of marketing in the country from the traditional institutions such as wholesaling, retailing, and auctions, etc. to the nonprofit sectors. Marketing in the country has been described in

  18. Going Dutch: Higher Education in the Netherlands

    Science.gov (United States)

    Law, David

    2016-01-01

    This article outlines some of the policy issues currently faced by research-based universities in the Netherlands. The focus is on four leading universities (University of Amsterdam: UvA; Free University of Amsterdam: VU; Leiden University; and Delft University of Technology: TUD). The author visited these institutions as part of a Study Tour…

  19. Education in General Practice in the Netherlands*

    African Journals Online (AJOL)

    In the Netherlands medicine is taught at 7 universities, while in a few years an 8th faculty will be in operation in Maastricht. Each faculty has a department for general practice. We will show you the set-up of the institutes of. Groningen, Utrecht, Nijmegen and Leyden. We are dealing with the education of all medical students ...

  20. Acceptance of homosexuality in the Netherlands 2011

    NARCIS (Netherlands)

    Saskia Keuzenkamp

    2011-01-01

    The Dutch government wishes to promote the social acceptance of homosexuality. To gain an impression of the current status and the progress in achieving this objective, the government asked the Netherlands Institute for Social Research/SCP to carry out a study of the current statistics and

  1. Recommendations for using standardised phenotypes in genetic association studies

    Directory of Open Access Journals (Sweden)

    Naylor Melissa G

    2009-07-01

    Full Text Available Abstract Genetic association studies of complex traits often rely on standardised quantitative phenotypes, such as percentage of predicted forced expiratory volume and body mass index to measure an underlying trait of interest (eg lung function, obesity. These phenotypes are appealing because they provide an easy mechanism for comparing subjects, although such standardisations may not be the best way to control for confounders and other covariates. We recommend adjusting raw or standardised phenotypes within the study population via regression. We illustrate through simulation that optimal power in both population- and family-based association tests is attained by using the residuals from within-study adjustment as the complex trait phenotype. An application of family-based association analysis of forced expiratory volume in one second, and obesity in the Childhood Asthma Management Program data, illustrates that power is maintained or increased when adjusted phenotype residuals are used instead of typical standardised quantitative phenotypes.

  2. Assessment framework for standardisation activities ResiStand

    OpenAIRE

    Stolk, D.J.; Lee, M.D.E. van der; Petiet, P.J.; Liedtke, C; Lindner, R.; Zetten, J. van; Karppinen, A.; Anson, S.; Kroener, I.

    2017-01-01

    Standardisation is a powerful tool to achieve better interoperability. However, it needs to overcome a lack of interest and modest participation from stakeholders. Also, promising research results are not always used as the basis for new standards. The overall goal of ResiStand is to find new ways to improve the crisis management and disaster resilience capabilities of the European Union and individual Member States through standardisation. ResiStand contributes to an improved disaster resili...

  3. In vitro drug susceptibility of 2275 clinical non-tuberculous Mycobacterium isolates of 49 species in The Netherlands.

    NARCIS (Netherlands)

    Ingen, J. van; Laan, T. van der; Dekhuijzen, R.; Boeree, M.J.; Soolingen, D. van

    2010-01-01

    In this study, 2275 clinical isolates of 49 species of non-tuberculous mycobacteria isolated in The Netherlands were subjected to standardised drug susceptibility testing using the Middlebrook 7H10 agar dilution method. Clarithromycin and rifabutin were most active, with 87% and 83% of all isolates,

  4. Standardised neonatal parenteral nutrition formulations - an Australasian group consensus 2012.

    Science.gov (United States)

    Bolisetty, Srinivas; Osborn, David; Sinn, John; Lui, Kei

    2014-02-18

    Standardised parenteral nutrition formulations are routinely used in the neonatal intensive care units in Australia and New Zealand. In 2010, a multidisciplinary group was formed to achieve a consensus on the formulations acceptable to majority of the neonatal intensive care units. Literature review was undertaken for each nutrient and recommendations were developed in a series of meetings held between November 2010 and April 2011. Three standard and 2 optional amino acid/dextrose formulations and one lipid emulsion were agreed by majority participants in the consensus. This has a potential to standardise neonatal parenteral nutrition guidelines, reduce costs and prescription errors.

  5. Schoolsystem in the Netherlands

    NARCIS (Netherlands)

    ing., M.Sc F.C. Holtkamp

    2004-01-01

    This paper explains the history of the graduate course in prosthetics and orthotics in the Netherlands. It also explains the schoolstystem in relationship towards vocational education and postgraduate education.

  6. Standardised patient-simulated practice learning: A rich ...

    African Journals Online (AJOL)

    Background. Nursing education needs to adapt to be relevant to student nurses' learning needs. This study investigates the use of standardised patients (SPs) in a simulated patient interview as a learning strategy to bridge the theory-practice gap. Simulation helps students to develop skills such as communication, higher ...

  7. Dialogic Teaching to the High-Stakes Standardised Test?

    Science.gov (United States)

    Segal, Aliza; Snell, Julia; Lefstein, Adam

    2017-01-01

    Within current educational discourse, dialogic pedagogy is diametrically opposed to "teaching to the test", especially the high-stakes standardised test. While dialogic pedagogy is about critical thinking, authenticity and freedom, test preparation evokes all that is narrow, instrumental and cynical in education. In this paper, we argue…

  8. Standardisation of Bull's Mental Skills Questionnaire in South Africa ...

    African Journals Online (AJOL)

    The contemporary science of sport and exercise psychology requires the standardisation of mental skills questionnaires to facilitate accurate assessment of and intervention for individuals and groups in various health and sport related contexts. The study presents international research findings regarding the ...

  9. Standardised testing in South Africa: the annual national ...

    African Journals Online (AJOL)

    Standardised testing in South Africa: the annual national assessments under the microscope. ... Governments worldwide use standardized tests to address educational deficiencies and improve public accountably and quality of education in their countries. In South Africa the Department of Basic Education resorted to ...

  10. The “diamond port configuration”: A standardised laparoscopic ...

    African Journals Online (AJOL)

    This is particularly important when undertaking complex bowel resections. We report a standardised protocol that includes theatre layout, patient position and port insertion, which we believe facilitates excellent abdominal access and ergonomics and has the potential to shorten the duration of the team-learning curve.

  11. Assessment framework for standardisation activities ResiStand

    NARCIS (Netherlands)

    Stolk, D.J.; Lee, M.D.E. van der; Petiet, P.J.; Liedtke, C.; Lindner, R.; Zetten, J. van; Karppinen, A.; Anson, S.; Kroener, I.

    2017-01-01

    Standardisation is a powerful tool to achieve better interoperability. However, it needs to overcome a lack of interest and modest participation from stakeholders. Also, promising research results are not always used as the basis for new standards. The overall goal of ResiStand is to find new ways

  12. Inequalities in mortality: study rates, not standardised mortality ratios [Letter

    NARCIS (Netherlands)

    Bonneux, L.G.A.

    2010-01-01

    In their study from 1921 to 2007 Thomas and colleagues conclude on the basis of standardised mortality ratios that inequalities in mortality continue to rise and are now almost as high as in the 1930s. Relative ratios are, however, misleading when absolute rates change strongly. I calculated the

  13. Development of a standardised methodology for event impact ...

    African Journals Online (AJOL)

    ... Western Cape, supporting events to maximise brand building potential and triple bottom line benefits. WCG acknowledges that assessing the impacts of events in the province has become increasingly complex and there is a lack of a standardised methodology to measure the economic, social and environmental impacts.

  14. On Automating and Standardising Corpus Callosum Analysis in Brain MRI

    DEFF Research Database (Denmark)

    Stegmann, Mikkel Bille; Skoglund, Karl

    2005-01-01

    Corpus callosum analysis is influenced by many factors. The effort in controlling these has previously been incomplete and scattered. This paper sketches a complete pipeline for automated corpus callosum analysis from magnetic resonance images, with focus on measurement standardisation. The prese...

  15. Standardised proformas improve patient handover: Audit of trauma handover practice

    Directory of Open Access Journals (Sweden)

    Metcalfe Andrew J

    2008-09-01

    Full Text Available Abstract Background The implementation of the European Working Time Directive has meant the introduction of shift patterns of working for junior doctors. Patient handover between shifts has become a necessary part of practice in order to reduce the risk of medical errors. Data handed over between shifts are used to prioritise clinical jobs outstanding, and to create theatre lists. We present a closed-loop audit of handover practice to assess whether standardised proformas improve clinical data transfer between shifts during handover in our Orthopaedic Unit. Methods We collected data handed over between shifts for a period of one week at our department. The data were in the form of hand written data on plain paper used to assist verbal handover. Data were analysed and a standardised handover sheet was trialled. After feedback from juniors the sheet was revised and implemented. A re-audit, of handover data, was then undertaken using the revised standardised proforma during a period of 1 week. Results Forty-eight patients were handed over in week 1 while 55 patients were handed over during re-audit. The standardised proformas encouraged use of pre-printed patient labels which contained legible patient identifiers, use of labels increased from 72.9% to 93.4%. Handover of outstanding jobs increased from 31.25% to 100%. Overall data handed over increased from 72.6% to 93.2%. Handover of relevant blood results showed little improvement from 18.8% to 20.7% Conclusion This audit highlights the issue of data transfer between shifts. Standardised proformas encourage filling of relevant fields and increases the data transferred between shifts thereby reducing the potential for clinical error cause by shift patterns.

  16. Monitoring Acceptance of homosexuality in the Netherlands

    OpenAIRE

    Saskia Keuzenkamp

    2010-01-01

    Promoting acceptance of homosexuality is the main objective of current Dutch policy on the emancipation of gays and lesbians. At the request of Ronald Plasterk, the former Dutch government minister with responsibility for this policy, the Netherlands Institute for Social Research/SCP is monitoring developments in society in this regard. This preliminary publication, which precedes a report to be published in June 2010, contains data from population surveys. What are the attitudes of the Dutch...

  17. Standardising Assessment to Meet Student Needs in Foreign Language Modules in a University Context: Is Standardisation Possible?

    Science.gov (United States)

    Nunan, Anna

    2014-01-01

    The Applied Language Centre at University College Dublin offers foreign language modules to students in ten languages at CEFR [Common European Framework of Reference for Languages] levels ranging from A1 to B2. Efforts have been underway in the Centre to standardise the assessment components across languages to ensure parity between module credits…

  18. Cardiovascular autonomic function testing under non-standardised and standardised conditions in cardiovascular patients with type-2 diabetes mellitus.

    Science.gov (United States)

    Keet, S W M; Bulte, C S E; Sivanathan, A; Verhees, L; Allaart, C P; Boer, C; Bouwman, R A

    2014-05-01

    Autonomic function tests require standardised test conditions. We compared testing under non-standardised and standardised conditions and investigated the agreement between heart and pulse rate variability in 30 subjects with diabetes mellitus. Deep breathing, Valsalva manoeuvre and quick standing tests showed non-standardised reproducibility intraclass correlations (95% CI) of 0.96 (0.82-0.99), 0.96 (0.81-0.99) and 0.75 (-0.98 to 0.94), respectively. Intraclass correlations for sustained handgrip and quick standing were poor. Heart and pulse rate variability showed high-frequency band intraclass correlations (95% CI) of 0.65 (-0.07 to 0.89) and 0.47 (-0.88 to 0.85) for the very low-frequency band, respectively, 0.68 (0.00-0.90) and 0.70 (-0.09 to 0.91) for the low-frequency band, and 0.86 (0.57-0.95) and 0.82 (0.39-0.95) for the high-frequency band. Reproducibility under standardised conditions was comparable. The mean difference (95% limits of agreement) between heart and pulse rate variability was 0.99 (0.80-1.22) for very low frequency, 1.03 (0.88-1.21) for low frequency and 1.35 (0.84-2.16) for high frequency, with a Spearman's correlation coefficient of 1.00, 0.99 and 0.98, respectively. We demonstrated a high agreement between heart and pulse rate variability and acceptable reproducibility with most autonomic function tests, heart and pulse rate variability. © 2014 The Association of Anaesthetists of Great Britain and Ireland.

  19. Teachers’ explanations of learners’ errors in standardised mathematics assessments

    Directory of Open Access Journals (Sweden)

    Yael Shalem

    2014-05-01

    Full Text Available With the increased use of standardised mathematics assessments at the classroom level, teachers are encouraged, and sometimes required, to use data from these assessments to inform their practice. As a consequence, teacher educators and researchers are starting to focus on the development of analytical tools that will help them determine how teachers interpret learners’ work, in particular learners’ errors in the context of standardised and other assessments. To detect variation and associations between and within the different aspects of teacher knowledge related to mathematical error analysis, we developed an instrument with six criteria based on aspects of teachers’ knowledge related to explaining and diagnosing learners’ errors. In this study we provide evidence of the usability of the criteria by coding 572 explanations given by groups of mathematics educators (teachers and district officials in a professional development context. The findings consist of observable trends and associations between the different criteria that describe the nature of teachers’ explanations of learners’ errors.

  20. Educating Students About Standardisation Relating to Universal Design.

    Science.gov (United States)

    Darzentas, Jenny

    2016-01-01

    Standardisation education is rarely taught to students in the design disciplines in academic settings, and consequently there is not much evidence about best practices. This paper examines this situation, and elaborates on some of the possible reasons for this situation. Further, it gives an example of how students may be instructed and encouraged to further their interests in standards and the standardization-making process as a means for increasing Universal Design in practice.

  1. [Adverse events in neonatology, contribution of a standardised register].

    Science.gov (United States)

    Normand, Marie-Madeleine; Ejarque Albuquerque, Margarida; Grouazel, Anne-Laure; Cottereau, Marie-Noëlle

    Despite the recommendation to report all adverse events to the risk management unit, such reporting is far from consistent. An internal, standardised register of adverse events, was put in place in a neonatology unit for six months. An analysis of the reports has led to the reorganisation of the unit and practices as part of a drive to improve the quality of care. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

  2. Wind Energy Research in the Netherlands

    Energy Technology Data Exchange (ETDEWEB)

    Eecen, P.

    2011-07-01

    The chapter (9) describes the developments within The Netherlands with regard to the wind energy research since the first funding was organized by the National Wind Energy Research Program in the period 1976 to 1985. Wind energy research activities in the Netherlands have been and are predominantly performed at the wind energy department of the Energy Research Centre of the Netherlands ECN and the interfaculty wind energy department DUWIND at Delft University of Technology. Both institutes are involved in wind energy research since the start of the modern wind turbines. These institutes match their research programs with each other so that a consistent research program in The Netherlands is in place. The research activities in wind energy have a strong focus on international cooperation, where the cooperation was organized through among others the International Energy Agency (IEA), European Wind Energy Association (EWEA), European Academy of Wind Energy (EAWE), the International Electrotechnical Commission (IEC), the European Energy Research Alliance (EERA), and European research projects. In the Netherlands, the wind energy research is supported by an extensive experimental infrastructure. The Knowledge Centre WMC that has been founded by the DUT and ECN is a research institute for materials, components, and structures. WMC is performing blade tests for large wind turbines to 60 m in length. ECN made available a research wind farm where prototype wind turbines are tested, where a research farm of five full-scale turbines are used for research activities, and where a scale wind farm is located for research on farm control and wind farm aerodynamic research. At DUT, a large selection of experimental facilities is being used for wind energy applications. The most prominent facilities are the wind tunnels, of which the Open Jet Facility is the most recent addition. The historic overview of the wind energy research activities in the Netherlands is written from the

  3. Assessment of acrylamide toxicity using a battery of standardised bioassays.

    Science.gov (United States)

    Zovko, Mira; Vidaković-Cifrek, Željka; Cvetković, Želimira; Bošnir, Jasna; Šikić, Sandra

    2015-12-01

    Acrylamide is a monomer widely used as an intermediate in the production of organic chemicals, e.g. polyacrylamides (PAMs). Since PAMs are low cost chemicals with applications in various industries and waste- and drinking water treatment, a certain amount of non-polymerised acrylamide is expected to end up in waterways. PAMs are non-toxic but acrylamide induces neurotoxic effects in humans and genotoxic, reproductive, and carcinogenic effects in laboratory animals. In order to evaluate the effect of acrylamide on freshwater organisms, bioassays were conducted on four species: algae Desmodesmus subspicatus and Pseudokirchneriella subcapitata, duckweed Lemna minor and water flea Daphnia magna according to ISO (International Organization for Standardisation) standardised methods. This approach ensures the evaluation of acrylamide toxicity on organisms with different levels of organisation and the comparability of results, and it examines the value of using a battery of low-cost standardised bioassays in the monitoring of pollution and contamination of aquatic ecosystems. These results showed that EC50 values were lower for Desmodesmus subspicatus and Pseudokirchneriella subcapitata than for Daphnia magna and Lemna minor, which suggests an increased sensitivity of algae to acrylamide. According to the toxic unit approach, the values estimated by the Lemna minor and Daphnia magna bioassays, classify acrylamide as slightly toxic (TU=0-1; Class 1). The results obtained from algal bioassays (Desmodesmus subspicatus and Pseudokirchneriella subcapitata) revealed the toxic effect of acrylamide (TU=1-10; Class 2) on these organisms.

  4. Worker participation - the Netherlands

    NARCIS (Netherlands)

    Kwantes, J.H.

    2014-01-01

    Worker participation relates to the involvement of workers in the management decision-making processes. In this article attention is focused on worker participation related to occupational safety and health in the Netherlands. Worker participation can refer either to direct or indirect participation

  5. Mechatronics in the Netherlands

    NARCIS (Netherlands)

    van Amerongen, J.; Jongkind, Wim

    1996-01-01

    This article assesses the present situation of mechatronics in the Netherlands. After a short historical survey, it describes the postgraduate ¿mechatronic designer course¿, introduced in 1991. It deals with the principles of this course and how these principles have been implemented. Also, the

  6. Sport in the Netherlands

    NARCIS (Netherlands)

    Annet Tiessen-Raaphorst; Koen Breedveld

    2007-01-01

    Sport is a popular pastime in the Netherlands; 10 million people take part in at least one sport. To do this, they can choose from more than 27,000 non-profit sports clubs, or more than 5,000 commercial providers such as fitness centres or riding stables. These clubs and commercial providers

  7. Telework in the Netherlands

    NARCIS (Netherlands)

    van het Kaar, R.

    2008-01-01

    Statistics show that the incidence of telework in the Netherlands has been rising since 2000, regardless of the precise definition used. The government has encouraged the use of telework by introducing tax benefits for employers who facilitate such work. This article looks at the extent of telework

  8. Morocco and the Netherlands

    NARCIS (Netherlands)

    Fritschy, W.; Bos, P. (eds.)

    2006-01-01

    This book on aspects of society, economy and culture in Morocco and the Netherlands contains contributions of 28 Moroccan and Dutch authors on religion, family and marriage law, local government and PJD, Abdelkrim, Morocco and the EU, drug trafficking, migration, youth, Dutch-Moroccan writers, and

  9. Country Report - The Netherlands

    NARCIS (Netherlands)

    Schermers, G.; Wegman, F.; Vliet, P. van; Horst, A.R.A. van der; Boender, J.

    2010-01-01

    This paper provides an overview of the most significant developments in the area of road (geometric) design practices and standards and related research in the Netherlands in recent years. The paper describes the importance of the Sustainable Road Safety policy in this context. Furthermore, it

  10. Out in the Netherlands

    NARCIS (Netherlands)

    Saskia Keuzenkamp; David Bos

    2007-01-01

    The Netherlands is generally regarded as a gay-friendly country. It was the first country in the world where partners of the same sex were allowed to marry. Any number of famous Dutch figures openly profess their homosexuality, including one of the ministers in the present  Dutch cabinet.

  11. Nonconformist Television in The Netherlands: Two Curious Cases of Amateur Media as Counter-Technologies

    NARCIS (Netherlands)

    Slootweg, Tom; Aasman, Susan

    2015-01-01

    abstractFor this article, the authors retrieved two curious cases of nonconformist TV from the archives of The Netherlands Institute of Sound and Vision. Being made in the late 1970s and early 1980s, the two cases represent an alternative history of broadcast television in the Netherlands. Whereas

  12. Democratic Television in the Netherlands : Two Curious Cases of Alternative Media as Counter-Technologies

    NARCIS (Netherlands)

    Slootweg, Tom; Aasman, Susan

    2015-01-01

    For this article, the authors retrieved two curious cases of non-conformist TV from the archives of the Netherlands Institute of Sound and Vision. Being made in the late 1970s and early 1980s, the two cases represent an alternative history of broadcast television in the Netherlands. Whereas Neon

  13. Radar facies of unconsolidated sediments in The Netherlands : A radar stratigraphy interpretation method for hydrogeology

    NARCIS (Netherlands)

    Overmeeren, R.A. van

    1998-01-01

    Since 1990, The Netherlands Institute of Applied Geoscience TNO has been carrying out ground penetrating radar (GPR) measurements to assess the potential for imaging and characterising different hydrogeological targets in more than 30 pilot areas in The Netherlands. The experience gained by

  14. Standardisation of imaging in neuroendocrine tumours: results of a European delphi process

    Energy Technology Data Exchange (ETDEWEB)

    Ricke, J. E-mail: jens@charite.de; Klose, K.-J.; Mignon, M.; Oeberg, K.; Wiedenmann, B

    2001-01-01

    In 1998 and 1999, a delphi consensus procedure was performed to establish guidelines for standardised diagnostic imaging of neuroendocrine tumours. The procedure included four consecutive workshops of a European group of experts in neuroendocrine tumours as well as feedback given by specialists from the departments of radiology, nuclear medicine, surgery and internal medicine of the according home institutions. Diverging approaches among the centres, which became apparent during the discussion, reflect a lack of controlled studies specifically for rare subgroups of neuroendocrine tumours. This paper summarises the standards for diagnostic imaging as developed during the delphi process. In particular, the diagnostic workflows as well as the technical properties of different imaging modalities are described in detail.

  15. Education governance and standardised tests in Denmark and England

    DEFF Research Database (Denmark)

    Andreasen, Karen Egedal; Ydesen, Christian; Kelly, Peter

    2017-01-01

    In this study we identify and compare the impact of standardised student assessment in England, an established neoliberal context, and in Denmark where a neoliberal education reform agenda is emerging in response to both national concerns and international governance. National reading tests...... and analysed to identify the extent to which neoliberal reform is mobilised through testing in each context and how testing shapes curriculum and pedagogy. Significantly, we find that in Denmark, where professional judgement still dominates, teachers often deploy pedagogical approaches to service what...

  16. A standardised language code for rail freight operations

    Directory of Open Access Journals (Sweden)

    Marin MARINOV

    2012-01-01

    Full Text Available In this paper a standardised language code for rail freight operations is developed that aims to facilitate communication between dispatchers, train drivers and traffic managers when running freight trains abroad. In developing the language code the existing situation in the bi-lingual Belgian railways has been taken as a starting point. Communication codes from public services like police, fire brigade, ambulance and military services have been studied. It is believed that, if implemented, the code will improve significantly integrated rail freight services in Europe.

  17. Standardisation and decay data of {sup 186}Re

    Energy Technology Data Exchange (ETDEWEB)

    Woods, D.H. E-mail: denise.woods@npl.co.uk; Ciocanel, M.; Husband, L.J.; Keightley, J.D.; Lavison, P. de; Lineham, S.; Woods, M.J.; Woods, S.A

    2000-03-01

    A solution of {sup 186}Re was standardised using the 4{pi}(PC)-{gamma}-coincidence technique. Two gamma channels were employed to provide separate detection efficiency data arising from the two decay modes (beta and electron capture): the resulting data were analysed using a two-dimensional extrapolation. Calibration factors for a high pressure re-entrant ionisation chamber as well as for the NPL secondary standard radionuclide calibrator were also determined. An efficiency-calibrated germanium spectrometer was used to measure the emission probabilities of the X- and gamma-rays.

  18. Standardisation Versus Adaptation in Canton’s Luxury Fashion Industry

    OpenAIRE

    Li, Yang

    2009-01-01

    In view of the dynamic growth in the luxury market and the availability of luxury goods to a wider range of consumers than ever before, it is critically important for luxury researchers and marketers to understand why consumers buy luxury, what they believe luxury is and how their perception of luxury value impacts their buying behavior. In a global context, it is faced with a very important marketing decision: to standardise or to adapt its marketing mix? This study draws a wide range of lit...

  19. Euthanasia in The Netherlands.

    Science.gov (United States)

    van der Wal, G.; Dillmann, R. J.

    1994-01-01

    The practice of euthanasia in the Netherlands is often used as an argument in debates outside the Netherlands--hence a clear description of the Dutch situation is important. This article summarises recent data and discusses conceptual issues and relevant characteristics of the system of health care. Special emphasis is put on regulation, including relevant data on notification and prosecution. Besides the practice of euthanasia the Dutch are confronted with the gaps in reporting of cases to the public prosecutor and the existence of cases of ending a life without an explicit request. Nevertheless, the "Dutch experiment" need not inevitably lead down the slippery slope because of the visibility and openness of this part of medical practice. This will lead to increased awareness, more safeguards, and improvement of medical decisions concerning the end of life. PMID:8019226

  20. Out in the Netherlands

    OpenAIRE

    Saskia Keuzenkamp; David Bos

    2007-01-01

    The Netherlands is generally regarded as a gay-friendly country. It was the first country in the world where partners of the same sex were allowed to marry. Any number of famous Dutch figures openly profess their homosexuality, including one of the ministers in the present  Dutch cabinet. And according to international comparative research, homosexuality is widely accepted in Dutch public opinion. However, hostility towards homosexuality also occurs, for example in schools. And gays and ...

  1. Space-time analysis of pneumonia hospitalisations in the Netherlands.

    Science.gov (United States)

    Benincà, Elisa; van Boven, Michiel; Hagenaars, Thomas; van der Hoek, Wim

    2017-01-01

    Community acquired pneumonia is a major global public health problem. In the Netherlands there are 40,000-50,000 hospital admissions for pneumonia per year. In the large majority of these hospital admissions the etiologic agent is not determined and a real-time surveillance system is lacking. Localised and temporal increases in hospital admissions for pneumonia are therefore only detected retrospectively and the etiologic agents remain unknown. Here, we perform spatio-temporal analyses of pneumonia hospital admission data in the Netherlands. To this end, we scanned for spatial clusters on yearly and seasonal basis, and applied wavelet cluster analysis on the time series of five main regions. The pneumonia hospital admissions show strong clustering in space and time superimposed on a regular yearly cycle with high incidence in winter and low incidence in summer. Cluster analysis reveals a heterogeneous pattern, with most significant clusters occurring in the western, highly urbanised, and in the eastern, intensively farmed, part of the Netherlands. Quantitatively, the relative risk (RR) of the significant clusters for the age-standardised incidence varies from a minimum of 1.2 to a maximum of 2.2. We discuss possible underlying causes for the patterns observed, such as variations in air pollution.

  2. Improving and standardising assessment of patients with immune-mediated neuropathies: Peripheral Neuropathy outcome measures Standardisation study (PeriNomS study – part 1)

    NARCIS (Netherlands)

    S.I. van Nes (Sonja)

    2012-01-01

    textabstractIn this thesis, the outline and the results of the fi rst part of the Peripheral Neuropathy outcome measures Standardisation (PeriNomS) study are described. The PeriNomS study aims to improve and standardise the assessment of patients with immune-mediated neuropathies. These disorders

  3. Open university of the Netherlands & Centre for Learning Sciences and Technologies

    NARCIS (Netherlands)

    Janssen, José; Stoyanov, Slavi

    2012-01-01

    Janssen, J., & Stoyanov, S. (2011, 14 December). Open University of the Netherlands & Centre for Learning Sciences and Technologies. Presentation for The Institute for Prospective Technological Studies (IPTS), Seville, Spain.

  4. Democratic police governance in comparative perspective: reflections from England & Wales and the Netherlands

    NARCIS (Netherlands)

    Jones, T.; van Steden, R.

    2013-01-01

    Purpose: The purpose of this paper is to compare the specific institutional arrangements for realizing democratically accountable policing in England & Wales and the Netherlands. It assesses each accountability system against a set of "democratic criteria" and considers the implications for

  5. Maria van der Hoeven, the Netherlands minister for education, culture and science, visited CERN

    CERN Multimedia

    maximilien Brice

    2005-01-01

    On 21 April, the Netherlands Minister for Education, Culture and Science, Mrs Maria van der Hoeven, was welcomed to CERN by the Director-General, Robert Aymar, and the Chief Scientific Officer, Jos Engelen. Minister van der Hoeven visited the ATLAS installations, the LHC tunnel and the magnet assembly and test hall before meeting a group of young scientists from the Netherlands. Picture 05 : from left to right, Frank Linde, Director of the Netherlands National Institute for Nuclear Physics and High Energy Physics (NIKHEF), Jos Engelen, CERN's Chief Scientific Officer, Maria van der Hoeven, Netherlands Minister for Education, Culture and Science, and Herman Ten Kate, Head of the ATLAS magnet project, visiting the ATLAS assembly hall.Picture 09 ; Here she talks with, from left to right, Jos Engelen, CERN's chief scientific officer, Peter Jenni, the ATLAS spokesman, Herman Ten Kate, head of the ATLAS magnet project, and Frank Linde, director of the Netherlands National Institute for Nuclear Physics and High Ener...

  6. Netherlands in the spotlight at the ENLIGHT meeting on particle therapy

    CERN Multimedia

    Virginia Greco (CERN) and Manjit Dosanjh (ENLIGHT co-coordinator)

    2016-01-01

    The annual meeting of ENLIGHT, which focuses on particle therapy for cancer treatment, was held in the Netherlands.   Participants of the annual meeting of ENLIGHT, held in the Netherlands from 15-17 September 2016. The annual meeting of ENLIGHT (European Network for Light Hadron Therapy), which gathers experts working worldwide in centres and research institutions for particle therapy for cancer treatment, was hosted this year by the Dutch National Institute for Subatomic Physics (Nikhef) and the University of Utrecht, in the Netherlands, from 15-17 September. Chaired by the co-coordinator of ENLIGHT, Manjit Dosanjh, and the local organisers, Els Koffeman and Jan Visser from Nikhef, the meeting was attended by almost 100 participants from 15 countries. The Netherlands took centre stage at the ENLIGHT meeting: four brand new centres for proton therapy in the Netherlands are currently at various phases of completion as a consequence of the recent approval by the Dutch government of a plan for mak...

  7. Perceived discrimination in the Netherlands

    OpenAIRE

    Iris Andriessen; Henk Fernee; Karin Wittebrood

    2014-01-01

    Only available in electronic version There is no systematic structure in the Netherlands for mapping out the discrimination experiences of different groups in different areas of society. As in many other countries, discrimination studies in the Netherlands mostly focus on the experiences of specific groups, on specific domains or on specific types of discrimination. This study aims to chart the extent to which residents of the Netherlands perceive that they are subject to discrimination, from...

  8. Results of a cosmetovigilance survey in The Netherlands

    NARCIS (Netherlands)

    Salverda, Joanne G. W.; Bragt, Peter J. C.; de Wit-Bos, Lianne; Rustemeyer, Thomas; Coenraads, Pieter Jan; Tupker, Ron. A.; Kunkeler, Lia C. M.; Laheij-de Boer, Anna-Marijke; Stenveld, Harma J.; van Ginkel, Cees J. W.; Kooi, Myrna W.; Bourgeois, Francois C.; van Gorcum, Teetske F.; van Engelen, Jacqueline G. M.; van Dijk, Remmelt; de Graaf, Judith; Donker, Ge A.; de Heer, Cees; Bruynzeel, Derk

    Background. Cosmetic products contribute considerably to the incidence of contact dermatitis. In response to a resolution of the Council of Europe, the National Institute for Public Health and the Environment (RIVM) in The Netherlands set up a pilot project to report undesirable effects attributed

  9. Terrestrial amphipoda collected in greenhouses in the Netherlands

    NARCIS (Netherlands)

    Vader, W.

    1972-01-01

    During the years 1942-1949 investigations were made on the fauna of the greenhouses of several Botanic Gardens in the Netherlands, on the initiative of Dr. A. D. J. Meeuse; material was also collected in greenhouses belonging to other institutions and in those kept for commercial purposes. A list of

  10. Neighbourhood status development in the Netherlands 1998-2010

    NARCIS (Netherlands)

    Frans Knol; with Jeroen Boelhouwer; Vic Veldheer

    2012-01-01

    Original title: Statusontwikkeling van wijken in Nederland 1998-2010 The Netherlands Institute for Social Research | SCP has a long tradition in describing the social status of neighbourhoods. The last time a report was published on this subject was in 1998 (Van hoog naar laag, van laag

  11. Environmental radioactivity in the Netherlands : results in 2009

    NARCIS (Netherlands)

    Groot, M.C.E.; Knetsch, G.J.; Krijger, G.C.; Weseman, J.M.; Vos van Avezathe, A.; Verbunt, J.T.

    2011-01-01

    The National Institute for Public Health and the Environment (RIVM) reports on behalf of the Netherlands to the European Union about radioactivity in the environment. Radioactivity levels in food and milk were well below the export and consumption limits set by the European Union. The activity

  12. Results of a cosmetovigilance survey in The Netherlands.

    NARCIS (Netherlands)

    Salverda, J.G.W.; Bragt, P.J.C.; Wit-Bos, L. de; Rustemeyer, T.; Coenraads, P.J.; Tupker, R.A.; Kunkeler, L.C.M.; Laheij-de Boer, A.M.; Stenveld, H.J.; Ginkel, C.J.W. van; Kooi, M.W.; Bourgeois, F.C.; Gorcum, T.F. van; Engelen, J.G.M. van; Dijk, R. van; Graaf, J. de; Donker, G.A.; Heer, C. de; Bruynzeel, D.

    2013-01-01

    Background: Cosmetic products contribute considerably to the incidence of contact dermatitis. In response to a resolution of the Council of Europe, the National Institute for Public Health and the Environment (RIVM) in The Netherlands set up a pilot project to report undesirable effects attributed

  13. Emissions of Greenhouse gases in the Netherlands

    Energy Technology Data Exchange (ETDEWEB)

    Evers, C.W.A. [Ministry of Housing, The Hague (Netherlands). Inspectorate for Environmental Protection; Berdowski, J.J.M.; Pulles, T.P.J. [TNO Inst. for Environmental Sciences, Delft (Netherlands)

    1995-12-31

    The Dutch emission inventory system enables the registration, analysis and localization of emission data of both industrial and non-industrial sources in the Netherlands. The results can be used to test the effectiveness of governmental environmental policy. These activities are part of the policy evaluation tasks of the Inspectorate General for Environmental Protection (IGEP) and of the Ministry of Transport, Public Works and Water Management. The emission inventory takes place in cycles of one year. Recently, the most relevant results of the Dutch emission inventory for 1992 have been published. In that cycle the emissions in 1992 to air and water from about 800 major companies have been registered. These 800 companies are the most important contributors to the total industrial emissions in the Netherlands. The emissions of these companies are registered within the individual inventory system. The emissions from the smaller enterprises and from diffuse non-industrial sources are stored in the collective emission inventory system. The data collected in the 1992 inventory have been established for the first time in close cooperation between the IGEP, TNO, the Central Bureau of Statistics and the National Institute of Public Health and Environmental Protection. This implies that the data presented here have to be considered as the official data for the emissions in the Netherlands for the year 1992. (author)

  14. Implementing a Standardised Annual Programme Review Process in a Third-Level Institution

    Science.gov (United States)

    Wickham, Sheelagh; Brady, Malcolm; Ingle, Sarah; McMullan, Caroline; Nic Giolla Mhichíl, Mairéad; Walshe, Ray

    2017-01-01

    Purpose: Ideally, quality should be, and is, an integral element of education, yet capturing and articulating quality is not simple. Programme quality reviews in third-level education can demonstrate quality and identify areas for improvement, offering many potential benefits. However, details on the process of quality programme review are limited…

  15. Standardised method for reporting exercise programmes: protocol for a modified Delphi study.

    Science.gov (United States)

    Slade, Susan C; Dionne, Clermont E; Underwood, Martin; Buchbinder, Rachelle

    2014-12-30

    Exercise is integral to health across the lifespan and important for people with chronic health conditions. A systematic review of exercise trials for chronic conditions reported suboptimal descriptions of the evaluated interventions and concluded that this hinders interpretation and replication. The aim of this project is to develop a standardised method for reporting essential exercise programme details being evaluated in clinical trials. A modified Delphi technique will be used to gain consensus among international exercise experts. We will use three sequential rounds of anonymous online questionnaires to refine a standardised checklist. A draft checklist of potentially relevant items was developed based on the results of a systematic review of exercise systematic reviews. An international panel of experts was identified by exercise systematic review authorship, established international profile in exercise research and practice and by peer referral. In round 1, the international panel of experts will be asked to rate the importance of each draft item and provide additional suggestions for revisions or new items. Consensus will be considered reached if at least 70% of the panel strongly agree/disagree that an item should be included or excluded. Where agreement is not reached or there are suggestions for altered or new items, these will be taken to round 2 together with an aggregated summary of round 1 responses. Following the second round, a ranking of item importance will be made to rationalise the number of items. The final template will be distributed to panel members for approval. Ethics approval was received from The Cabrini Institute Ethics Committee, Melbourne, Australia (HREC 02-07-04-14). We plan to use a stepwise process to develop and refine a standardised and internationally agreed template for explicit reporting of exercise programmes. The template will be generalisable across all types of exercise interventions. The findings will be disseminated

  16. Soil Texture Aanalysis by Laser Diffraction – Standardisation Needed

    DEFF Research Database (Denmark)

    Callesen, Ingeborg; Palviainen, Marjo; Kjoenaas, O. Janne

    2017-01-01

    -sized fraction results obtained by laser diffraction analysis of fine-textured soil samples are not comparable to those obtained with sedimentation and sieving methods, when translating to the traditional particle size limits clay, silt and sand. Also, operating procedures for pretreatment of soil samples......Soil texture is a key soil physical property for soil quality and used in modeling studies through pedotransfer functions (PTF) for the prediction of physical, e.g. hydraulic, soil properties. Soil texture is quantified by a particle size distribution (PSD) of the fine earth fraction and often...... translated into a texture class using defined separates of clay (0 - 2 µm), silt (2 µm to 20 µm, 50 µm or 63 µm) and sand (20 µm, 50 µm or 63 µm up to 2 mm) illustrated in a texture triangle. Until now pretreatment methods (e.g. humus and carbonate removal and dispersion) followed by standardised...

  17. International Standardisation in the Field of Renewable Energy

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2013-03-15

    Renewable energy standards, regularly reviewed and updated by international committees of technical experts, can help policy makers as an instrument to demonstrate national regulatory compliance, as well as ensuring successful deployment of renewable energy technologies (RET). This study identifies over 570 standards in the current RET landscape, yet finds gaps in the existing standards, particularly for post-installation aspects of RET, such as operation, maintenance and repair. The study calls for a more structured information platform to make appropriate standards accessible to a variety of users. All stakeholders, including those from developing countries, need to be engaged in the standardisation process. IRENA's analysis also underlines the importance of RET certification schemes as a risk-mitigation tool, particularly to help small-scale projects obtain financing.

  18. Education governance and standardised tests in Denmark and England

    DEFF Research Database (Denmark)

    Kousholt, Kristine; Kelly, Peter; McNess, Elizabeth

    2017-01-01

    In this study we identify and compare the impact of standardised student assessment in England, an established neoliberal context, and in Denmark where a neoliberal education reform agenda is emerging in response to both national concerns and international governance. National reading tests...... for students aged 11–12 years, long established in England, were introduced in Denmark in 2010. The form they take differs considerably, being primarily formative in Denmark and largely summative in England. Culturally sensitive extended semi-structured interviews are conducted with both teachers and students...... they believe to be their students’ best interests. In England, however, teachers try to accommodate a concern for both their students’ and their own interests, and the pedagogy they enact is more often controlling, instrumental and reductionist; their wish to be proactive is compromised by their need...

  19. Student Standardised Testing: Current Practices in OECD Countries and a Literature Review. OECD Education Working Papers, No. 65

    Science.gov (United States)

    Morris, Allison

    2011-01-01

    This report discusses the most relevant issues concerning student standardised testing in which there are no-stakes for students ("standardised testing") through a literature review and a review of the trends in standardised testing in OECD countries. Unlike standardised tests in which there are high-stakes for students, no-stakes implies that…

  20. Distant cancer effects on standardised testing of peripheral vision.

    Science.gov (United States)

    Dawson, W W; Jordan, B L; Marsh, R D; Hazariwala, K; Flowers, F P; Fang, T

    2001-03-01

    Profound central-retinal visual losses have been a major presenting factor reported in cancer and melanoma associated retinopathies (CAR, MAR). However, it is well established that standardised tests of peripheral retinal function are often the most sensitive detectors of early eye disease. This is a preliminary investigation of the responsiveness of the peripheral retina to "distant" (non-eye or CNS) cancers using easily obtained standardised tests. The design is a single blind study where test results are compared with published norms and a small age matched control group. Of 120 ambulatory cancer outpatients who were interviewed at routine follow up examinations, 111 volunteered and admitted a range of mild visual changes. 25 cancer patients completed all tests of peripheral vision function and a clinical screening. There were seven control subjects of the same age range. 98% (49 of 50) of eyes from the patient cohort were judged clinically normal following examinations which emphasised the central retina, fundus appearance, and static fields. On testing which emphasised the visual periphery, 46 (92%) eyes showed one or more quantitative abnormalities >2 SD from the age adjusted norm means. These abnormalities clustered mainly about dark adaptation (rod cell) sensitivity (31, 62% of measured sites), the blue sensitive retinal cells (17, 34% of measured eyes), and the oscillatory component (OP) of the electroretinogram (23, 46% of measured eyes). One control eye (7%) showed a significant dark adaptation abnormality and ERG reduction. There was no identifiable interaction between chemotherapy mode and the cancer associated retinal deficits (CARD). Antiretinal antibodies were found in sera from most patients and controls. CARD is common in the retinal periphery of many cancer patients, and is distinct from rare CAR, MAR central-retinal responses. CARD has numerous potential clinical uses which justify expanded research with more defined large samples.

  1. The Chinese in the Netherlands

    NARCIS (Netherlands)

    Mérove Gijsberts; Willem Huijnk; Ria Vogels

    2011-01-01

    Original title: Chinese Nederlanders This report presents the first national picture of the position of the Chinese community in the Netherlands. A large-scale survey was conducted among persons of Chinese origin living in the Netherlands, with the aim of answering questions on a wide range of

  2. Biomass gasification in the Netherlands

    Energy Technology Data Exchange (ETDEWEB)

    Van der Drift, A. [ECN Biomass and Energy Efficiency, Petten (Netherlands)

    2013-07-15

    This reports summarizes the activities, industries, and plants on biomass gasification in the Netherlands. Most of the initiatives somehow relate to waste streams, rather than clean biomass, which may seem logic for a densely populated country as the Netherlands. Furthermore, there is an increasing interest for the production of SNG (Substitute Natural Gas) from biomass, both from governments and industry.

  3. Marriage migration in the Netherlands

    NARCIS (Netherlands)

    Leen Sterckx; Jaco Dagevos; Willem Huijnk; Jantine van Lisdonk

    2014-01-01

    Original title: Huwelijksmigratie in Nederland When a man or woman living in the Netherlands embarks on a relationship with a partner from another country and the couple decide to build a married life together in the Netherlands, we call this marriage migration. The foreign partner who moves to

  4. Perceived discrimination in the Netherlands

    NARCIS (Netherlands)

    Iris Andriessen; Henk Fernee; Karin Wittebrood

    2014-01-01

    Only available in electronic version There is no systematic structure in the Netherlands for mapping out the discrimination experiences of different groups in different areas of society. As in many other countries, discrimination studies in the Netherlands mostly focus on the experiences

  5. QANU - Quality Assurance Netherlands Universities

    DEFF Research Database (Denmark)

    Jensen, Henrik Toft; Maria E., Weber; Vyt, André

    The Quality Assurance Netherlands Universities (QANU) underwent an ENQA-coordinated external review in 2016. The review was chaired by Henrik Toft Jensen, Research fellow at Roskilde University (RUC), Denmark.......The Quality Assurance Netherlands Universities (QANU) underwent an ENQA-coordinated external review in 2016. The review was chaired by Henrik Toft Jensen, Research fellow at Roskilde University (RUC), Denmark....

  6. Potato breeding in the Netherlands

    NARCIS (Netherlands)

    Haan, de H.

    1953-01-01

    A remarkable feature of potato breeding in the Netherlands is the great number of private breeders who have concentrated their efforts on the improvement of the potato. The author calls attention to some circumstances and measures that have made potato breeding attractive in the Netherlands

  7. The Impact of Standardised Testing on Later High Stakes Test Outcomes

    OpenAIRE

    Regan-Stansfield, Joseph

    2017-01-01

    Standardised tests are a common, yet contentious, feature of many countries’ schooling systems. In May 2010, over one-quarter of English primary schools boycotted that year’s mandatory age eleven standardised tests (colloquially known as SATs tests). This paper investigates the plausibly causal effect of participation in standardised testing on later end-of-schooling qualification (GCSE) attainment. After controlling for non-random boycott participation, and relying on a selection-on-observab...

  8. The Psychiatric Case Register Middle Netherlands

    Directory of Open Access Journals (Sweden)

    Boks Marco PM

    2011-06-01

    Full Text Available Abstract Background The Psychiatric Case Register Middle Netherlands (PCR-MN registers the mental healthcare consumption of over Dutch 760,000 inhabitants in the centre of the Netherlands. In 2010 the follow-up period was over ten years. In this paper we describe the content, aims and research potential of this case register. Description All mental healthcare institutions in the middle-western part of the province of Utrecht participate in the PCR-MN case register. All in- and out-patients treated in these institutions have been included in the database from the period 2000 to 2010. Diagnosis according to DSM-IV on axis I to IV, visits to in- and out-patient clinics and basic demographics are recorded. A major advantage of this register is the possibility to link patients anonymously from the PCR-MN cohort to other databases to analyze relationships with determinants and outcomes, such as somatic healthcare consumption, mortality, and demographics, which further increases the research potential Conclusions The PCR-MN database has a large potential for scientific research because of its size, duration of follow-up and ability to link with additional databases, and is accessible for academic researchers.

  9. Environmental radioactivity in the Netherlands. Results in 2009

    Energy Technology Data Exchange (ETDEWEB)

    Knetsch, G.J.; Groot, M.C.E. (eds.)

    2011-11-15

    In 2009 the Netherlands fulfilled the European obligation to annually measure radioactivity in the environment and in food. According to the Euratom Treaty of 1957, all Member States of the European Union are obliged to perform these measurements each year. Euratom has provided guidelines for performing the measurements uniformly since 2000. However, Member States are not obliged to comply with these recommended guidelines. In the Netherlands, in 2009 strontium-90 was also determined (for the first time) in a mixed food package for which the above recommendations had been fulfilled. The National Institute for Public Health and the Environment (RIVM) reports on behalf of the Netherlands to the European Union about radioactivity in the environment. Moreover, this information provides background values and/or amounts of radioactivity that are present under normal circumstances. These background values can be used as reference values, for instance, during a disaster.

  10. Ministers from Belgium and the Netherlands visit CERN

    CERN Multimedia

    2005-01-01

    The Belgian Minister of Economy, Energy, Foreign Trade and Science Policy, Marc Verwilghen, with CERN's Director-General, Robert Aymar.From left to right, Frank Linde, Director of the Netherlands National Institute for Nuclear Physics and High Energy Physics (NIKHEF), Jos Engelen, CERN's Chief Scientific Officer, Maria van der Hoeven, Netherlands Minister for Education, Culture and Science, and Herman Ten Kate, Head of the ATLAS magnet project, visiting the ATLAS assembly hall. Marc Verwilghen, Belgian Minister of Economy, Energy, Foreign Trade and Science Policy, came to CERN on 8 April 2005, where he visited the CMS assembly hall and underground cavern, as well as the hall where the LHC superconducting magnets are being tested. A few days later, on 21 April, the Netherlands Minister for Education, Culture and Science, Mrs Maria van der Hoeven, was welcomed to CERN by the Director-General, Robert Aymar, and the Chief Scientific Officer, Jos Engelen. Minister van der Hoeven visited the ATLAS installations, t...

  11. Probability density functions for use when calculating standardised drought indices

    Science.gov (United States)

    Svensson, Cecilia; Prosdocimi, Ilaria; Hannaford, Jamie

    2015-04-01

    Time series of drought indices like the standardised precipitation index (SPI) and standardised flow index (SFI) require a statistical probability density function to be fitted to the observed (generally monthly) precipitation and river flow data. Once fitted, the quantiles are transformed to a Normal distribution with mean = 0 and standard deviation = 1. These transformed data are the SPI/SFI, which are widely used in drought studies, including for drought monitoring and early warning applications. Different distributions were fitted to rainfall and river flow data accumulated over 1, 3, 6 and 12 months for 121 catchments in the United Kingdom. These catchments represent a range of catchment characteristics in a mid-latitude climate. Both rainfall and river flow data have a lower bound at 0, as rains and flows cannot be negative. Their empirical distributions also tend to have positive skewness, and therefore the Gamma distribution has often been a natural and suitable choice for describing the data statistically. However, after transformation of the data to Normal distributions to obtain the SPIs and SFIs for the 121 catchments, the distributions are rejected in 11% and 19% of cases, respectively, by the Shapiro-Wilk test. Three-parameter distributions traditionally used in hydrological applications, such as the Pearson type 3 for rainfall and the Generalised Logistic and Generalised Extreme Value distributions for river flow, tend to make the transformed data fit better, with rejection rates of 5% or less. However, none of these three-parameter distributions have a lower bound at zero. This means that the lower tail of the fitted distribution may potentially go below zero, which would result in a lower limit to the calculated SPI and SFI values (as observations can never reach into this lower tail of the theoretical distribution). The Tweedie distribution can overcome the problems found when using either the Gamma or the above three-parameter distributions. The

  12. Direction of arrival estimates with vector sensors : First results of an atmospheric infrasound array in the Netherlands

    NARCIS (Netherlands)

    Zon, A.T. van; Evers, L.; Vossen, R. van; Ainslie, M.A.

    2009-01-01

    The Royal Netherlands Meteorological Institute has continuously operated an outdoor atmospheric infrasound array containing 37 pairs of particle velocity sensors (Microflown) and 6 pressure sensors in the north of the Netherlands in the fall of 2008. As initial results, we detected transients caused

  13. Quantitative standardised analysis of advanced laparoscopic surgical procedures.

    Science.gov (United States)

    Claus, G P; Sjoerdsma, W; Jansen, A; Grimbergen, C A

    1995-08-01

    To support the improvement of advanced laparoscopic surgical procedures, we designed a quantitative analysis method to monitor surgical activities. The emphasis lies on the time spent on these activities and on the instruments controlled by the hands of the surgeon. Our method uses combined video images originating from the laparoscope, an overview CCD camera placed in the operating theatre and, when available, a video colonoscope. After the operation is finished, the images are evaluated by means of a standardised analysis routine based on a spreadsheet program and a set of standard terms (thesaurus), to minimise subjectivity of the analysis. After calculations, the data are presented in tables and graphs, resulting in objective information for research on the operation. Seven advanced laparoscopic procedures, in this case colon resections, have been analysed, and it was demonstrated that the analysis method is capable of describing different laparoscopic procedures using the limited thesaurus. Possible areas of application of the method are the evaluation of time-consuming parts of the operation, of surgical tasks and measurement of the surgeon's learning curve. Other applications are the prediction and measurement of the impact of new instruments and techniques.

  14. Direct data-transformation calculation of Standardised Precipitation Indices.

    Science.gov (United States)

    Crockett, Robin; Holt, Christopher

    2010-05-01

    Standardised Precipitation Indices (SPIs), a form of Drought Index, were first proposed by McKee, Doesken and Kleist in 1993. In using SPIs calculated according to their original specification, we observed that SPI-sets for UK precipitation data in general are negatively skewed and have non-zero means and non-unity standard deviations, i.e. are not standard-normally distributed. We also observed that the deviations of SPIs from the standard normal distribution increase with increasing magnitude, positive or negative. We attribute these observations to the equiprobability mapping between the cumulative Gamma distribution, used to fit the precipitation data, and the cumulative standard normal distribution, from which the SPIs are derived as abscissae. We present a new method for calculating SPIs. This is based on a generalisation of the square-root normal and cube-root normal distributions used elsewhere to model precipitation data. The resulting sets of SPIs are standard-normally distributed, having (very close to) zero skewness, zero mean and unity standard deviations. The resulting root-normal distributions are, in general, also better fits to the data than the Gamma distribution used by McKee et al. For small-magnitude SPIs, these root-normal SPIs are in agreement with those calculated according to McKee et al.'s specification, but that agreement decreases with increasing SPI magnitude, in accordance with our observations of SPI distributions which triggered the research..

  15. Standardisation of sheep model for endodontic regeneration/revitalisation research.

    Science.gov (United States)

    Altaii, Milad; Broberg, Marita; Cathro, Peter; Richards, Lindsay

    2016-05-01

    Different endodontic regeneration/revitalisation protocols have been suggested for the treatment of immature permanent teeth with pulp necrosis. Many aspects of these protocols require further investigating necessitating a suitable standardised animal model for research purposes. The focus of this study was to examine the anatomy and histology of sheep teeth at different stages of development to find an appropriate dental age for endodontic regeneration/revitalisation research. Sheep teeth at mature and immature dental ages were investigated. Standardized radiography, computed tomography, and histology were used to measure root length, apical-third dentine thickness and apex diameter, and to evaluate tissue development stages. A mature sheep tooth has an apical area which consists of a major foramen, intermediate dilatation and minor foramen. From the time of eruption to maturation no major changes occur in the incisor root lengths, but the apical foramen width decreases and the dentinal wall thickness increases. The two-tooth age exhibited the most similar features to that of an immature permanent human tooth. Sheep appears to be an appropriate animal model for endodontic regeneration/revitalization research with similar dimension and characteristics to human anterior teeth. Each dental age has its advantages and disadvantages. The two-tooth age showed the most favourable criteria making this age the most suitable for in vivo regeneration/revitalisation research. Copyright © 2016. Published by Elsevier Ltd.

  16. FRACTAL ANALYSIS OF TRABECULAR BONE: A STANDARDISED METHODOLOGY

    Directory of Open Access Journals (Sweden)

    Ian Parkinson

    2011-05-01

    Full Text Available A standardised methodology for the fractal analysis of histological sections of trabecular bone has been established. A modified box counting method has been developed for use on a PC based image analyser (Quantimet 500MC, Leica Cambridge. The effect of image analyser settings, magnification, image orientation and threshold levels, was determined. Also, the range of scale over which trabecular bone is effectively fractal was determined and a method formulated to objectively calculate more than one fractal dimension from the modified Richardson plot. The results show that magnification, image orientation and threshold settings have little effect on the estimate of fractal dimension. Trabecular bone has a lower limit below which it is not fractal (λ<25 μm and the upper limit is 4250 μm. There are three distinct fractal dimensions for trabecular bone (sectional fractals, with magnitudes greater than 1.0 and less than 2.0. It has been shown that trabecular bone is effectively fractal over a defined range of scale. Also, within this range, there is more than 1 fractal dimension, describing spatial structural entities. Fractal analysis is a model independent method for describing a complex multifaceted structure, which can be adapted for the study of other biological systems. This may be at the cell, tissue or organ level and compliments conventional histomorphometric and stereological techniques.

  17. Standardised Models for Inducing Experimental Peritoneal Adhesions in Female Rats

    Directory of Open Access Journals (Sweden)

    Bernhard Kraemer

    2014-01-01

    Full Text Available Animal models for adhesion induction are heterogeneous and often poorly described. We compare and discuss different models to induce peritoneal adhesions in a randomized, experimental in vivo animal study with 72 female Wistar rats. Six different standardized techniques for peritoneal trauma were used: brushing of peritoneal sidewall and uterine horns (group 1, brushing of parietal peritoneum only (group 2, sharp excision of parietal peritoneum closed with interrupted sutures (group 3, ischemic buttons by grasping the parietal peritoneum and ligating the base with Vicryl suture (group 4, bipolar electrocoagulation of the peritoneum (group 5, and traumatisation by electrocoagulation followed by closure of the resulting peritoneal defect using Vicryl sutures (group 6. Upon second look, there were significant differences in the adhesion incidence between the groups (P<0.01. Analysis of the fraction of adhesions showed that groups 2 (0% and 5 (4% were significantly less than the other groups (P<0.01. Furthermore, group 6 (69% was significantly higher than group 1 (48% (P<0.05 and group 4 (47% (P<0.05. There was no difference between group 3 (60% and group 6 (P=0.2. From a clinical viewpoint, comparison of different electrocoagulation modes and pharmaceutical adhesion barriers is possible with standardised models.

  18. Standardised methods for amino acid analysis of food.

    Science.gov (United States)

    Otter, Don E

    2012-08-01

    Amino acids (AA) are essential nutritional components of a balanced diet and occur in foods in either the free AA form or as the building blocks of proteins. The analysis of AAs in foods is composed of a number of unit operations; the release of the AAs from the food matrix, the separation of the individual AAs and their quantification using calibration standards. Each of these steps has their own idiosyncrasies, e.g. different hydrolysis conditions are required for the optimal release of different AAs and there are a diverse number and type of food matrices, such that most laboratories adapt methods to best suit their applications. There is currently no official standardised method for AA analysis, although the Association of Analytical Communities (AOAC) has validated methods for a number of individual AA components. The established analytical techniques of HPLC (ion exchange or reversed phase) and GC-MS have recently been supplemented by a number of new methods. These include capillary electrophoresis MS and Ultra HPLC-MS, and LC with other detectors. This review will address the intricacies and concerns of the protein hydrolysis step, discuss what specifications or prerequisites need to be placed on the existing and new methods and laboratories using these methods, comment on whether one method can successfully satisfy the exacting requirements of the various unit operations, and finally pose the question 'Is there any merit in 'developing' a validated (e.g. AOAC) official method of analysis for AAs in food?'

  19. Multi-mode standardisation : A critical review and a research agenda

    NARCIS (Netherlands)

    Wiegmann, Paul Moritz; de Vries, H.J.; Blind, Knut

    2017-01-01

    Standardisation is key to shaping new technologies and supporting major ongoing trends, such as the increased importance of platforms, developing 'smart' technologies and innovating large-scale complex systems. Standardisation plays a key role in shaping the rules that govern these developments

  20. Refugee groups in the Netherlands

    NARCIS (Netherlands)

    Edith Dourleijn; Jaco Dagevos

    2011-01-01

    Original title: Vluchtelingengroepen in Nederland This report describes for the first time the socioeconomic and sociocultural position of the four largest refugee groups in the Netherlands, originating from Afghanistan, Iraq, Iran and Somalia. Virtually nothing is known about these migrants,

  1. Organic agriculture in the Netherlands

    NARCIS (Netherlands)

    Sukkel, W.; Hommes, M.

    2009-01-01

    Dutch organic agriculture has unique characteristics and peculiarities. It is still a relatively small sector compared to conventional agriculture in the Netherlands. However, its market share is growing and organic agriculture leads the way in terms of sustainability and innovations

  2. Effects and feasibility of a standardised orientation and mobility training in using an identification cane for older adults with low vision: design of a randomised controlled trial.

    Science.gov (United States)

    Zijlstra, G A R; van Rens, G H M B; Scherder, E J A; Brouwer, D M; van der Velde, J; Verstraten, P F J; Kempen, G I J M

    2009-08-27

    Orientation and mobility training (O&M-training) in using an identification cane, also called symbol cane, is provided to people with low vision to facilitate independent participation in the community. In The Netherlands this training is mainly practice-based because a standardised and validly evaluated O&M-training in using the identification cane is lacking. Recently a standardised O&M-training in using the identification cane was developed. This training consists of two face-to-face sessions and one telephone session during which, in addition to usual care, the client's needs regarding mobility are prioritised, and cognitive restructuring techniques, action planning and contracting are applied to facilitate the use of the cane. This paper presents the design of a randomised controlled trial aimed to evaluate this standardised O&M-training in using the identification cane in older adults with low vision. A parallel group randomised controlled trial was designed to compare the standardised O&M-training with usual care, i.e. the O&M-training commonly provided by the mobility trainer. Community-dwelling older people who ask for support at a rehabilitation centre for people with visual impairment and who are likely to receive an O&M-training in using the identification cane are included in the trial (N = 190). The primary outcomes of the effect evaluation are ADL self care and visual functioning with respect to distance activities and mobility. Secondary outcomes include quality of life, feelings of anxiety, symptoms of depression, fear of falling, and falls history. Data for the effect evaluation are collected by means of telephone interviews at baseline, and at 5 and 17 weeks after the start of the O&M-training. In addition to an effect evaluation, a process evaluation to study the feasibility of the O&M-training is carried out. The screening procedure for eligible participants started in November 2007 and will continue until October 2009. Preliminary findings

  3. Effects and feasibility of a standardised orientation and mobility training in using an identification cane for older adults with low vision: design of a randomised controlled trial

    Directory of Open Access Journals (Sweden)

    van der Velde J

    2009-08-01

    Full Text Available Abstract Background Orientation and mobility training (O&M-training in using an identification cane, also called symbol cane, is provided to people with low vision to facilitate independent participation in the community. In The Netherlands this training is mainly practice-based because a standardised and validly evaluated O&M-training in using the identification cane is lacking. Recently a standardised O&M-training in using the identification cane was developed. This training consists of two face-to-face sessions and one telephone session during which, in addition to usual care, the client's needs regarding mobility are prioritised, and cognitive restructuring techniques, action planning and contracting are applied to facilitate the use of the cane. This paper presents the design of a randomised controlled trial aimed to evaluate this standardised O&M-training in using the identification cane in older adults with low vision. Methods/design A parallel group randomised controlled trial was designed to compare the standardised O&M-training with usual care, i.e. the O&M-training commonly provided by the mobility trainer. Community-dwelling older people who ask for support at a rehabilitation centre for people with visual impairment and who are likely to receive an O&M-training in using the identification cane are included in the trial (N = 190. The primary outcomes of the effect evaluation are ADL self care and visual functioning with respect to distance activities and mobility. Secondary outcomes include quality of life, feelings of anxiety, symptoms of depression, fear of falling, and falls history. Data for the effect evaluation are collected by means of telephone interviews at baseline, and at 5 and 17 weeks after the start of the O&M-training. In addition to an effect evaluation, a process evaluation to study the feasibility of the O&M-training is carried out. Discussion The screening procedure for eligible participants started in November

  4. Design and initial results of a programme for routine standardised longitudinal follow-up after congenital heart surgery.

    Science.gov (United States)

    Pasquali, Sara K; Ravishankar, Chitra; Romano, Jennifer C; Kane, Kristin; Viers, Suzanne; Kennedy, Andrea; Burnham, Nancy; Lowery, Ray; Uzark, Karen; Retzloff, Lauren; Rome, Jonathon J; Rossano, Joseph W; Charpie, John R; Spray, Thomas L; Gaies, Michael G; Ohye, Richard G; Gaynor, J William

    2016-12-01

    With improvements in early survival following congenital heart surgery, it has become increasingly important to understand longer-term outcomes; however, routine collection of these data is challenging and remains very limited. We describe the development and initial results of a collaborative programme incorporating standardised longitudinal follow-up into usual care at the Children's Hospital of Philadelphia (CHOP) and University of Michigan (UM). We included children undergoing benchmark operations of the Society of Thoracic Surgeons. Considerations regarding personnel, patient/parent engagement, funding, regulatory issues, and annual data collection are described, and initial follow-up rates are reported. The present analysis included 1737 eligible patients undergoing surgery at CHOP from January 2007 to December 2014 and 887 UM patients from January 2010 to December 2014. Overall, follow-up data, of any type, were obtained from 90.8% of patients at CHOP (median follow-up 4.3 years, 92.2% survival) and 98.3% at UM (median follow-up 2.8 years, 92.7% survival), with similar rates across operations and institutions. Most patients lost to follow-up at CHOP had undergone surgery before 2010. Standardised questionnaires assessing burden of disease/quality of life were completed by 80.2% (CHOP) and 78.4% (UM) via phone follow-up. In subsequent pilot testing of an automated e-mail system, 53.4% of eligible patients completed the follow-up questionnaire through this system. Standardised follow-up data can be obtained on the majority of children undergoing benchmark operations. Ongoing efforts to support automated electronic systems and integration with registry data may reduce resource needs, facilitate expansion across centres, and support multi-centre efforts to understand and improve long-term outcomes in this population.

  5. On the viability of state-church models: Muslim burial and mosque building in France and the Netherlands

    NARCIS (Netherlands)

    van den Breemer, R.; Maussen, M.

    2012-01-01

    Do national institutional repertoires of religious governance still have an effect on the accommodation of Muslims' religious needs in France and the Netherlands? Or do they become inconsequential because of increasing European pressures on liberal democracies to accommodate? Comparing the

  6. How immigrants adapt their smoking behaviour: comparative analysis among Turkish immigrants in Germany and the Netherlands.

    Science.gov (United States)

    Reiss, Katharina; Sauzet, Odile; Breckenkamp, Jürgen; Spallek, Jacob; Razum, Oliver

    2014-08-14

    Smoking behaviour among immigrants is assumed to converge to that of the host country's majority population with increasing duration of stay. We compared smoking prevalence among Turkish immigrants residing in two different countries (Germany (DE)/the Netherlands (NL)) between and within countries by time spent in Turkey and DE/NL. The German 2009 micro-census and the Dutch POLS database (national survey, 1997-2004) were analysed. An interaction variable with dichotomised length of stay (LOS) in Turkey (age: 0-17; 18+) and categorised LOS in the host country (immigration year: 1979 and earlier, 1980-1999, 2000-2009; the latter only for Germany) was generated. Age standardised smoking prevalences and sex-specific logistic regression models were calculated. 6,517 Turkish participants were identified in Germany, 2,106 in the Netherlands. Age-standardised smoking prevalences were higher among Turkish immigrants in the Netherlands compared to those in Germany: 62.3% vs. 53.1% (men/lower education); 30.6% vs. 23.0% (women/lower education). A similar trend was observed for the majority population of both countries. The chance of being a smoker was lower among Turkish men with short LOS in Turkey and middle LOS in Germany/the Netherlands compared to those with short LOS in Turkey and long LOS in Germany/the Netherlands (NL: OR = 0.57[95% CI = 0.36-0.89]; DE: OR = 0.73[95% CI = 0.56-0.95]). Contrary to that, the chance of being a smoker was higher among Turkish men with long LOS in Turkey and middle LOS in Germany/the Netherlands compared to those with long LOS in Turkey and long LOS in Germany/the Netherlands (NL: OR = 1.35[95% CI = 0.79-2.33]; DE: OR = 1.44[95% CI = 1.03-2.02]). The effects for Turkish women were similar, but smaller and often non-significant. Turkish immigrants adapt their smoking behaviour towards that of the Dutch/German majority population with increasing duration of stay. This was particularly obvious among those who left Turkey before the age of 18

  7. [Evidence-based guideline development in the Netherlands: the EBRO platform

    NARCIS (Netherlands)

    Burgers, J.S.; Everdingen, J.J. van

    2004-01-01

    In the Netherlands many institutes, associations and professional organisations are active in the development of guidelines for clinical practice. In 1997, the Dutch Cochrane Centre and the Dutch Institute for Healthcare Improvement (CBO) took the initiative and set up a national platform of

  8. The Dutch Hospital Standardised Mortality Ratio (HSMR) method and cardiac surgery: benchmarking in a national cohort using hospital administration data versus a clinical database

    Science.gov (United States)

    Siregar, S; Pouw, M E; Moons, K G M; Versteegh, M I M; Bots, M L; van der Graaf, Y; Kalkman, C J; van Herwerden, L A; Groenwold, R H H

    2014-01-01

    Objective To compare the accuracy of data from hospital administration databases and a national clinical cardiac surgery database and to compare the performance of the Dutch hospital standardised mortality ratio (HSMR) method and the logistic European System for Cardiac Operative Risk Evaluation, for the purpose of benchmarking of mortality across hospitals. Methods Information on all patients undergoing cardiac surgery between 1 January 2007 and 31 December 2010 in 10 centres was extracted from The Netherlands Association for Cardio-Thoracic Surgery database and the Hospital Discharge Registry. The number of cardiac surgery interventions was compared between both databases. The European System for Cardiac Operative Risk Evaluation and hospital standardised mortality ratio models were updated in the study population and compared using the C-statistic, calibration plots and the Brier-score. Results The number of cardiac surgery interventions performed could not be assessed using the administrative database as the intervention code was incorrect in 1.4–26.3%, depending on the type of intervention. In 7.3% no intervention code was registered. The updated administrative model was inferior to the updated clinical model with respect to discrimination (c-statistic of 0.77 vs 0.85, padministrative model. Conclusions In cardiac surgery, administrative data are less suitable than clinical data for the purpose of benchmarking. The use of either administrative or clinical risk-adjustment models can affect the outlier status of hospitals. Risk-adjustment models including procedure-specific clinical risk factors are recommended. PMID:24334377

  9. Integrated palliative care is about professional networking rather than standardisation of care: A qualitative study with healthcare professionals in 19 integrated palliative care initiatives in five European countries.

    Science.gov (United States)

    den Herder-van der Eerden, Marlieke; van Wijngaarden, Jeroen; Payne, Sheila; Preston, Nancy; Linge-Dahl, Lisa; Radbruch, Lukas; Van Beek, Karen; Menten, Johan; Busa, Csilla; Csikos, Agnes; Vissers, Kris; van Gurp, Jelle; Hasselaar, Jeroen

    2018-02-01

    Integrated palliative care aims at improving coordination of palliative care services around patients' anticipated needs. However, international comparisons of how integrated palliative care is implemented across four key domains of integrated care (content of care, patient flow, information logistics and availability of (human) resources and material) are lacking. To examine how integrated palliative care takes shape in practice across abovementioned key domains within several integrated palliative care initiatives in Europe. Qualitative group interview design. A total of 19 group interviews were conducted (2 in Belgium, 4 in the Netherlands, 4 in the United Kingdom, 4 in Germany and 5 in Hungary) with 142 healthcare professionals from several integrated palliative care initiatives in five European countries. The majority were nurses ( n = 66; 46%) and physicians ( n = 50; 35%). The dominant strategy for fostering integrated palliative care is building core teams of palliative care specialists and extended professional networks based on personal relationships, shared norms, values and mutual trust, rather than developing standardised information exchange and referral pathways. Providing integrated palliative care with healthcare professionals in the wider professional community appears difficult, as a shared proactive multidisciplinary palliative care approach is lacking, and healthcare professionals often do not know palliative care professionals or services. Achieving better palliative care integration into regular healthcare and convincing the wider professional community is a difficult task that will take time and effort. Enhancing standardisation of palliative care into education, referral pathways and guidelines and standardised information exchange may be necessary. External authority (policy makers, insurance companies and professional bodies) may be needed to support integrated palliative care practices across settings.

  10. [Surgical History Taking and Clinical Examination: Establishing a Standardised System by Means of a Nation-Wide Academic Teaching Project].

    Science.gov (United States)

    von Bernstorff, W; Irmer, H; Menges, P; Peters, S; Heidecke, C-D; Busemann, A

    2017-02-01

    Background: History taking and systematic clinical examination are central techniques of physicians. Medicine in general and surgery in particular frequently require immediate decisions and start of therapies. So far, a standardised surgical system for history taking and clinical examination in teaching has been lacking at our faculty. A consensus of all medical faculties on a standardised system could be a tool to improve the medical teaching and education at our teaching institutions. Methods: The established Anglo-Saxonian system of history taking and clinical examination was adapted to our own clinical needs. Thereafter, this system was sent out to all chairmen of general and visceral surgery departments in German University Hospitals asking for evaluation and improvements. We adapted the system according to the chairmen's comments and suggestions. Since winter semester 2011 this system has been integrated into the clinical course of history taking and examination. It is compulsory for all 5th semester students (first clinical year/graduate course) at the Universitätsmedizin Greifswald. In addition, a video was produced demonstrating all major techniques of clinical examination. This video is available for all students on a password blocked site of the World Wide Web. Results: Altogether, 89 % of all contacted chairmen returned their comments and suggestions for improvements. After implementation of the new system, positive evaluations of students increased significantly from 63.5 to 77.0 % in general and abdominal surgery (p history taking and clinical examination applicable for students as well as qualified surgeons in daily routine work. It has been approved by the majority of the departments of surgery of all German university hospitals. Furthermore, it can be applied by other medical specialties, in particular, internal medicine. Furthermore, the standardisation of history taking and clinical examination can contribute to improve patients' safety as

  11. Towards a standardised surveillance for Trichinella in the European Union.

    Science.gov (United States)

    Alban, L; Pozio, E; Boes, J; Boireau, P; Boué, F; Claes, M; Cook, A J C; Dorny, P; Enemark, H L; van der Giessen, J; Hunt, K R; Howell, M; Kirjusina, M; Nöckler, K; Rossi, P; Smith, G C; Snow, L; Taylor, M A; Theodoropoulos, G; Vallée, I; Viera-Pinto, M M; Zimmer, I A

    2011-05-01

    Each year, more than 167 million pigs in the European Union (EU) are tested for Trichinella spp. under the current meat hygiene regulations. This imposes large economic costs on countries, yet the vast majority of these pigs test negative and the public health risk in many countries is therefore considered very low. This work reviewed the current Trichinella status across the EU as well as the national level of monitoring and reporting. It also reviewed which animal species were affected by Trichinella and in which species it should be surveyed. This information was used to design a cost-effective surveillance programme that enables a standardised monitoring approach within the EU. The proposed surveillance programme relies on identifying sub-populations of animals with a distinct risk. Low-risk pigs are finisher pigs that originate from so-called controlled housing. All other pigs are considered high-risk pigs. Controlled housing is identified by the application of a specific list of management and husbandry practices. We suggest that member states (MS) be categorised into three classes based on the confidence that Trichinella can be considered absent, in the specified sub-population of pigs above a specified design prevalence which we set to 1 per million pigs. A simple and transparent method is proposed to estimate this confidence, based on the sensitivity of the surveillance system, taking into account the sensitivity of testing and the design prevalence. The probability of detecting a positive case, if present, must be high (>95 or >99%) to ensure that there is a low or negligible risk of transmission to humans through the food chain. In MS where the probability of a positive pig is demonstrated to be negligible, testing of fattening pigs from a sub-population consisting of pigs from controlled housing can be considered unnecessary. Furthermore, reduced testing of finishers from the sub-population consisting of pigs from non-controlled housing might even be

  12. Reliability of consultation skills assessments using standardised versus real patients

    NARCIS (Netherlands)

    Reinders, M.E.; Blankenstein, A.H.; van Marwijk, H.W.J.; Knol, D.L.; Ram, P.; van der Horst, H.E.; de Vet, H.C.W.; van der Vleuten, C.P.

    2011-01-01

    Objectives Training in and assessment of consultation skills are high on the agenda of vocational training institutes for postgraduate training. There is a need to establish valid and reliable instruments to assess consultation skills in authentic settings. We investigated the number of assessors

  13. Family and family therapy in the Netherlands.

    Science.gov (United States)

    Wagenaar, Karin; Baars, Jan

    2012-04-01

    This article describes how families are functioning in the Netherlands, and how family therapy is used in mental healthcare. In the open Dutch society, new ideas are easily incorporated, as exemplified by the rapid introduction and growth of family therapy in the 1980s. In recent decades, however, family therapy has lost ground to other treatment models that are more individually orientated, and adhere to stricter protocols. This decline of family therapy has been exacerbated by recent budget cuts in mental healthcare. In regular healthcare institutes family therapy now has a marginal position at best, although family treatment models are used in specific areas such as forensic treatments. In addition, the higher trained family therapists have found their own niches to work with couples and families. We argue that a stronger position of family therapy would be beneficial for patients and for families, in order to counteract the strong individualization of Dutch society.

  14. Enchytraeidae of the Netherlands (Annelida; Oligochaeta)

    NARCIS (Netherlands)

    Gunst, de J.H.

    1965-01-01

    This paper presents a preliminary check list of 46 species of Enchytraeidae hitherto found in the Netherlands. With the exception of Enchytraeus albidus and Hemifridericia parva, these species are recorded from the Netherlands for the first time.

  15. Standardised test protocol (Constant Score) for evaluation of functionality in patients with shoulder disorders

    DEFF Research Database (Denmark)

    Ban, Ilija; Troelsen, Anders; Christiansen, David Høyrup

    2013-01-01

    published in 2008 with several new recommendations, but a standardised test protocol was not included. Also, this new version has not been translated into Danish. The aims of the present study were to develop a standardised English test protocol for the newly modified CS, and to translate and cross...... physiotherapists gave feedback on the objective part. Relevant items were culturally adapted and rephrased, and a simple standardised test protocol was developed. RESULTS: Only minor inconsistencies in the translations were found. A few questions and words had to be rephrased due to cultural and linguistic...... internationally for standardised assessment of the CS. Testing of validity, reliability and responsiveness of both versions needs to be done in future research. FUNDING: not relevant. TRIAL REGISTRATION: not relevant....

  16. Diabetes MILES--The Netherlands

    DEFF Research Database (Denmark)

    Nefs, Giesje; Bot, Mariska; Browne, Jessica L

    2012-01-01

    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...

  17. The incidence of anorexia nervosa in Netherlands Antilles immigrants in the Netherlands

    NARCIS (Netherlands)

    van Hoeken, Daphne; Veling, Wim; Smink, Frederique R. E.; Hoek, Hans W.

    2010-01-01

    Objective: Previously we found that the incidence of anorexia nervosa (AN) in the general population was much lower in the Netherlands Antilles than in the Netherlands. As a follow-up we compared the incidence of AN in the Netherlands in persons from the Netherlands Antilles to native Dutch. Method:

  18. Latest developments in the field of solar thermal standardisation

    OpenAIRE

    Fischer, S.; M. J. Carvalho; Kovacs, P.; Malenkovic, I.

    2011-01-01

    The European project QAiST-―Quality Assurance in Solar Thermal Heating and Cooling Technology‖ funded by the Intelligent Energy Europe program and by the participating countries, gathers 15 participating organizations including the European Solar Thermal Industry Federation ESTIF and major testing and research institutes in Europe. The objective of the project is to enhance the competitiveness of the European Solar thermal industry and further increase consumer confidence through improved ...

  19. Using standardised patients in an objective structured clinical examination as a patient safety tool

    OpenAIRE

    Battles, J; Wilkinson, S; Lee, S

    2004-01-01

    Standardised patients (SPs) are a powerful form of simulation that has now become commonplace in training and assessment in medical education throughout the world. Standardised patients are individuals, with or without actual disease, who have been trained to portray a medical case in a consistent manner. They are now the gold standard for measuring the competence of physicians and other health professionals, and the quality of their practice. A common way in which SPs are used in performance...

  20. The Bologna process - governing higher education in Europe through standardisation

    Directory of Open Access Journals (Sweden)

    Andreas Fejes

    2006-01-01

    Full Text Available This article studies the rationalities of governing that makes it possible to govern higher education in Europe through a voluntarily process such as the Bologna process. 45 nations have signed it and try to accommodate to the ideas in it without anyone telling them they have to. Drawing on the Foucaultian notion of governmentality official documents concerning the Bologna process, higher- and adult education on the European and Swedishlevels are analysed. In the first part «planetspeak» discourses such asknowledge society, employability, lifelong learning, quality assurance and mobility are analysed. They create a configuration of thought that makes following the Bologna process a rational way to act. In the second part we analyse this process as a standardisation technique which creates a tension related to the idea of freedom. The narratives create exclusion; those nations who chose not to participate are created as «the other», in need of remedy. Inthe third part we problematize how these ideas mesh with, and challenge local ideas about education. Even though the narratives produced in Sweden to major parts seem to adapt to the process, there is a creation of the«specific» Swedish. It acts as a persuasive technique for implement the ideas in the Bologna declaration.Este artículo analiza las razones de gobierno o gubernamentalidad que hacen posible la legislación de la educación superior en Europa, a través de su configuración en una suerte de proceso voluntario como el de Bolonia, cuarenta y cinco países han ratificado tal proceso e intentan acomodarse a las ideas en él expuestas, sin que nadie les haya dicho que deban hacerlo. Partiendo de la noción foucaultiana de gubernamentabilidad, se analizan los documentos oficiales referentes al proceso de Bolonia y la educación superior y de adultos a niveles europeos y suecos. En su primera parte, se estudian discursos y términos mundialmente aceptados tales como la saciedad del

  1. Nurse's use of power to standardise nursing terminology in electronic health records.

    Science.gov (United States)

    Ali, Samira; Sieloff, Christina L

    2017-07-01

    To describe nurses' use of power to influence the incorporation of standardised nursing terminology within electronic health records. Little is known about nurses' potential use of power to influence the incorporation of standardised nursing terminology within electronic health records. The theory of group power within organisations informed the design of the descriptive, cross-sectional study used a survey method to assess nurses' use of power to influence the incorporation of standardised nursing terminology within electronic health records. The Sieloff-King Assessment of Group Power within Organizations© and Nursing Power Scale was used. A total of 232 nurses responded to the survey. The mean power capability score was moderately high at 134.22 (SD 18.49), suggesting that nurses could use power to achieve the incorporation of standardised nursing terminology within electronic health records. The nurses' power capacity was significantly correlated with their power capability (r = 0.96, P power to achieve their goals, such as the incorporation of standardised nursing terminology within electronic health records. Nurse administrators may use their power to influence the incorporation of standardised nursing terminology within electronic health records. If nurses lack power, this could decrease nurses' ability to achieve their goals and contribute to the achievement of effective patient outcomes. © 2017 John Wiley & Sons Ltd.

  2. European Bat Lyssaviruses, the Netherlands

    NARCIS (Netherlands)

    Poel, van der W.H.M.; Heide, van der R.; Verstraten, E.R.A.M.; Kramps, J.A.

    2005-01-01

    To study European bat lyssavirus (EBLV) in bat reservoirs in the Netherlands, native bats have been tested for rabies since 1984. For all collected bats, data including species, age, sex, and date and location found were recorded. A total of 1,219 serotine bats, Eptesicus serotinus, were tested, and

  3. Robotics Activities in The Netherlands

    NARCIS (Netherlands)

    Kranenburg- de Lange, D.J.B.A.

    2010-01-01

    Since April 2010, in The Netherlands robotics activities are coordinated by RoboNED. This Dutch Robotics Platform, chaired by Prof. Stefano Stramigioli, aims to stimulate the synergy between the robotics fields and to formulate a focus. The goal of RoboNED is three fold: 1) RoboNED aims to bring the

  4. Work life in the Netherlands

    NARCIS (Netherlands)

    Bossche, S. van den; Dhondt, S.; Genabeek, J. van; Goudswaard, A.; Hooftman, W.; Houtman, I.; Klein Hesselink, J.; Korte, E. de; Kraan, K.; Oeij, P.; Pot, F.; Smulders, P.G.W.; Vaas, F.; Wevers, C.; Willems, D.

    2012-01-01

    The nature of work is changing, not only in the Netherlands but throughout Europe. There is a growing demand for different types of products and services. These demands are influenced by technological developments and innovations, but also by globalization, which indicates the integration of

  5. Central Planning in the Netherlands

    NARCIS (Netherlands)

    J. Tinbergen (Jan)

    1947-01-01

    textabstractImmediately after the Liberation the Netherlands were faced with a severe shortage of all essential goods, particularly in the Western part of the country, where the period of famine had led to a complete exhaustion of all stocks, and where the Germans had deliberately destroyed the

  6. Coeliac disease in The Netherlands.

    NARCIS (Netherlands)

    Schweizer, JJ; Blomberg - van der Flier, von B.M.E.; Mesquita, HB Bueno-de; Mearin, ML

    2004-01-01

    BACKGROUND: The prevalence of adult coeliac disease in The Netherlands was studied in the Dutch Coeliac Disease Society and in blood donors but not in the general population. We therefore studied the prevalence of recognized and unrecognized coeliac disease in a large cohort, representative of the

  7. Emergency departments in The Netherlands.

    NARCIS (Netherlands)

    Thijssen, W.A.M.H.; Giesen, P.H.J.; Wensing, M.J.

    2012-01-01

    Emergency medicine in The Netherlands is faced with an increasing interest by politicians and stakeholders in health care. This is due to crowding, increasing costs, criticism of the quality of emergency care, restructuring of out-of-hours services in primary care and the introduction of a training

  8. Environmental chronology of the Netherlands

    NARCIS (Netherlands)

    Windt, Henny J. van der; Harle, Nigel

    1997-01-01

    This report encompasses all major events in nature management and environmental policy in the Netherlands from 1814-1995. All relevant bills, policy documents and government departments as well as important events and incidents have been included. For instant mass demonstrations against nuclear

  9. Rural areas in the Netherlands

    NARCIS (Netherlands)

    Haartsen, T.; Huigen, P.P.P.; Groote, P.

    2003-01-01

    According to the OECD standard, there are no rural areas in the Netherlands. Nonetheless, debate continues about the future of the Dutch countryside. In order to explore how Dutch inhabitants think about rural areas a survey was conducted by the authors, focusing on two topics: the kind of

  10. Adaptation strategies in the Netherlands

    NARCIS (Netherlands)

    Gupta, J.; Klostermann, J.E.M.; Bergsma, E.; Jong, P.; Albrecht, E.; Schmidt, M.; Mißler-Behr, M.; Spyra, S.P.N.

    2014-01-01

    Although climate change has been prominently featured on the global scientific and political agendas since the World Climate Conference in 1979 (WCC 1979), the specific importance of adaptation to climate change has only been underlined about 20 years later. The Netherlands, because it lies largely

  11. Sport in the Netherlands 2009

    NARCIS (Netherlands)

    Annet Tiessen-Raaphorst; Koen Breedveld

    2009-01-01

    Sport is a popular pastime in the Netherlands; More than 10 million people take part in at least one sport. To do this, they can choose from more than 27,000 non-profit sports clubs, or more than 7,200 commercial providers such as fitness centres or riding stables. Among the most popular sports

  12. The Netherlands : A tax haven?

    NARCIS (Netherlands)

    Kemmeren, Eric; Kuijer, Martin; Werner, Wouter

    2017-01-01

    The taxation of multinational enterprises is currently subject to intensive international and national debates. In these debates the Netherlands has sometimes been labelled as a ‘tax haven’. This term has a strong negative connotation. In any case, a country’s reputation is at stake if it is

  13. Patient education in The Netherlands

    NARCIS (Netherlands)

    Bensing, J.; Visser, Adriaan; Saan, Hans

    2001-01-01

    This article presents the development of patient education (PE) in The Netherlands from a historical perspective. A description is given of the first pioneering years from the 70s till the late 80s, in which early topics like the organization of PE, the orchestration of PE between different

  14. Chinese Companies in the Netherlands

    NARCIS (Netherlands)

    Hong, T.M.; Pieke, F.N.; Stam, T.

    2017-01-01

    The rapid growth of Chinese investment in the Netherlands has been cause for both excitement and anxiety. Many of the companies and other investors are still unknown and the background and objectives of their investment often remain unclear. This research takes a close look at fourteen Chinese

  15. Infrared activities in the Netherlands

    NARCIS (Netherlands)

    Jong, A.N. de

    1987-01-01

    This presentation summarizes the infrared activities in the Netherlands during the past 30 years and indicates the directions for future work. The capabilities of infrared technology, being passive and useful for night vision applications were envisaged for a long time in our country. The dependence

  16. Net Neutrality in the Netherlands

    NARCIS (Netherlands)

    van Eijk, N.

    2014-01-01

    The Netherlands is among the first countries that have put specific net neutrality standards in place. The decision to implement specific regulation was influenced by at least three factors. The first was the prevailing social and academic debate, partly due to developments in the United States. The

  17. Sport clubs in the Netherlands

    NARCIS (Netherlands)

    Werff, H. van der; Hoekman, R.H.A.; Kalmthout, J. van; Breuer, C.; Hoekman, R.; Nagel, S.; Werff, H. van der

    2015-01-01

    The Netherlands are a prosperous country. Compared to other countries wage differences and social inequality are low, and the standards for education, health, safety and security are high. Furthermore, with approximately 500 inhabitants per square kilometre it is dense populated. The culture of the

  18. Elder abuse in the Netherlands

    NARCIS (Netherlands)

    Inger Plaisier; Mirjam de Klerk

    2015-01-01

    Original title: Ouderenmishandeling in Nederland It is twenty years since the last study was carried out on the number of older persons in the Netherlands who are deliberate or accidental victims of abuse in the form of verbal, physical or sexual violence, financial abuse and/or neglect by

  19. Including post-discharge mortality in calculation of hospital standardised mortality ratios: retrospective analysis of hospital episode statistics.

    Science.gov (United States)

    Pouw, Maurice E; Peelen, L M; Moons, K G M; Kalkman, C J; Lingsma, H F

    2013-10-21

    To assess the consequences of applying different mortality timeframes on standardised mortality ratios of individual hospitals and, secondarily, to evaluate the association between in-hospital standardised mortality ratios and early post-discharge mortality rate, length of hospital stay, and transfer rate. Retrospective analysis of routinely collected hospital data to compare observed deaths in 50 diagnostic categories with deaths predicted by a case mix adjustment method. 60 Dutch hospitals. 1 228 815 patients discharged in the period 2008 to 2010. In-hospital standardised mortality ratio, 30 days post-admission standardised mortality ratio, and 30 days post-discharge standardised mortality ratio. Compared with the in-hospital standardised mortality ratio, 33% of the hospitals were categorised differently with the 30 days post-admission standardised mortality ratio and 22% were categorised differently with the 30 days post-discharge standardised mortality ratio. A positive association was found between in-hospital standardised mortality ratio and length of hospital stay (Pearson correlation coefficient 0.33; P=0.01), and an inverse association was found between in-hospital standardised mortality ratio and early post-discharge mortality (Pearson correlation coefficient -0.37; P=0.004). Applying different mortality timeframes resulted in differences in standardised mortality ratios and differences in judgment regarding the performance of individual hospitals. Furthermore, associations between in-hospital standardised mortality rates, length of stay, and early post-discharge mortality rates were found. Combining these findings suggests that standardised mortality ratios based on in-hospital mortality are subject to so-called "discharge bias." Hence, early post-discharge mortality should be included in the calculation of standardised mortality ratios.

  20. Standardisation of the FAERS database: a systematic approach to manually recoding drug name variants.

    Science.gov (United States)

    Wong, Carmen K; Ho, Samuel S; Saini, Bandana; Hibbs, David E; Fois, Romano A

    2015-07-01

    The US Food and Drug Administration Adverse Event Reporting System (FAERS), one of the world's largest spontaneous reporting systems, is difficult to use because of report duplication and a lack of standardisation in the recording of drug names. Unresolved data quality issues may distort statistical analyses, rendering the results difficult to interpret when detecting and monitoring adverse effects of pharmaceutical products. The aim of this study was to develop and implement a data cleaning protocol to identify and resolve drug nomenclature issues. The key 'data treatment' plan involved standardising drug names held in the FAERS database. Four million five hundred and six thousand five hundred and seventy-seven. Individual Safety Reports submitted to the FAERS between 1 January 2003 and 31 August 2012 were included for this study. OpenRefine was used to standardise drug name variants in the database such that they were consistent with international non-proprietary nomenclature defined by the World Health Organisation Anatomical Therapeutic Chemical classification. Drug variants where generic constituents could not be confidently determined, undecipherable drug names and non-medicinal products were retained verbatim. After the standardisation process, more than 16 611 916 drug entries were cleaned to their relevant international non-proprietary name. The cleaned drug table comprised 71 858 drug name variants and includes both standardised and original terms. Ninety-nine per cent of drug names was standardised using this method. The millions of reports enclosed in the FAERS contain valuable information that is of interest to pharmacovigilance, toxicology and post-marketing surveillance researchers. With the standardisation of the drug nomenclature, the database can be better utilised by research groups around the world. Copyright © 2015 John Wiley & Sons, Ltd.

  1. A standardised graphic method for describing data privacy frameworks in primary care research using a flexible zone model.

    Science.gov (United States)

    Kuchinke, Wolfgang; Ohmann, Christian; Verheij, Robert A; van Veen, Evert-Ben; Arvanitis, Theodoros N; Taweel, Adel; Delaney, Brendan C

    2014-12-01

    To develop a model describing core concepts and principles of data flow, data privacy and confidentiality, in a simple and flexible way, using concise process descriptions and a diagrammatic notation applied to research workflow processes. The model should help to generate robust data privacy frameworks for research done with patient data. Based on an exploration of EU legal requirements for data protection and privacy, data access policies, and existing privacy frameworks of research projects, basic concepts and common processes were extracted, described and incorporated into a model with a formal graphical representation and a standardised notation. The Unified Modelling Language (UML) notation was enriched by workflow and own symbols to enable the representation of extended data flow requirements, data privacy and data security requirements, privacy enhancing techniques (PET) and to allow privacy threat analysis for research scenarios. Our model is built upon the concept of three privacy zones (Care Zone, Non-care Zone and Research Zone) containing databases, data transformation operators, such as data linkers and privacy filters. Using these model components, a risk gradient for moving data from a zone of high risk for patient identification to a zone of low risk can be described. The model was applied to the analysis of data flows in several general clinical research use cases and two research scenarios from the TRANSFoRm project (e.g., finding patients for clinical research and linkage of databases). The model was validated by representing research done with the NIVEL Primary Care Database in the Netherlands. The model allows analysis of data privacy and confidentiality issues for research with patient data in a structured way and provides a framework to specify a privacy compliant data flow, to communicate privacy requirements and to identify weak points for an adequate implementation of data privacy. Copyright © 2014 Elsevier Ireland Ltd. All rights

  2. Standardised test protocol (Constant Score) for evaluation of functionality in patients with shoulder disorders.

    Science.gov (United States)

    Ban, Ilija; Troelsen, Anders; Christiansen, David Høyrup; Svendsen, Susanne Wulff; Kristensen, Morten Tange

    2013-04-01

    The Constant Score (CS), developed as a scoring system to evaluate overall functionality of patients with shoulder disorders, is widely used but has been criticised for relying on an imprecise terminology and for lack of a standardised methodology. A modified guideline was therefore published in 2008 with several new recommendations, but a standardised test protocol was not included. Also, this new version has not been translated into Danish. The aims of the present study were to develop a standardised English test protocol for the newly modified CS, and to translate and cross-culturally adapt this version into Danish. An English test protocol was developed and translated into Danish at two independent centres according to international recommendations. Consensus on a preliminary version was achieved. The subjective part was tested on six patients, while two physiotherapists gave feedback on the objective part. Relevant items were culturally adapted and rephrased, and a simple standardised test protocol was developed. Only minor inconsistencies in the translations were found. A few questions and words had to be rephrased due to cultural and linguistic differences. One of the authors of the modified CS approved both the English and the Danish test protocol. A simple test protocol of the modified CS was developed in both English and Danish. With precise terminology and definitions, the test protocol is the first of its kind. We suggest its use internationally for standardised assessment of the CS. Testing of validity, reliability and responsiveness of both versions needs to be done in future research. not relevant. not relevant.

  3. Standardised test protocol (Constant Score) for evaluation of functionality in patients with shoulder disorders

    DEFF Research Database (Denmark)

    Ban, Ilija; Troelsen, Anders; Christiansen, David Høyrup

    2013-01-01

    physiotherapists gave feedback on the objective part. Relevant items were culturally adapted and rephrased, and a simple standardised test protocol was developed. RESULTS: Only minor inconsistencies in the translations were found. A few questions and words had to be rephrased due to cultural and linguistic...... published in 2008 with several new recommendations, but a standardised test protocol was not included. Also, this new version has not been translated into Danish. The aims of the present study were to develop a standardised English test protocol for the newly modified CS, and to translate and cross-culturally...... adapt this version into Danish. MATERIAL AND METHODS: An English test protocol was developed and translated into Danish at two independent centres according to international recommendations. Consensus on a preliminary version was achieved. The subjective part was tested on six patients, while two...

  4. Neutron activation analysis with k{sub 0}-standardisation : general formalism and procedure

    Energy Technology Data Exchange (ETDEWEB)

    Pomme, S.; Hardeman, F. [Centre de l`Etude de l`Energie Nucleaire, Mol (Belgium); Robouch, P.; Etxebarria, N.; Arana, G. [European Commission, Joint Research Centre, Institute for Reference Materials and Measurements, Geel (Belgium)

    1997-09-01

    Instrumental neutron activation analysis (INAA) with k{sub 0}-standardisation is a powerful tool for multi-element analysis at a broad range of trace element concentrations. An overview is given of the basic principles, fundamental equations, and general procedure of this method. Different aspects of the description of the neutron activation reaction rate are discussed, applying the Hogdahl convention. A general activation-decay formula is derived and its application to INAA is demonstrated. Relevant k{sub 0}-definitions for different activation decay schemes are summarised and upgraded to cases of extremely high fluxes. The main standardisation techniques for INAA are discussed, emphasizing the k{sub 0}-standardisation. Some general aspects of the basic equipment and its calibration are discussed, such as the characterisation of the neutron field and the tuning of the spectrometry part. A method for the prediction and optimisation of the analytical performance of INAA is presented.

  5. Local Taxation in the Netherlands

    OpenAIRE

    van der Hoek, M. Peter

    1991-01-01

    Provincial governments in the Netherlands have only one general tax at their disposal. However, it has become an insufficient source of revenue for this level of government in the Dutch system. To increase the revenue raising capacity of the provincial governments, thirteen broad-based general tax proposals not used at the local level were examined. The objective was to find a fair and equitable tax that could easily be collected and would result in fl. 200 million in additional revenue for t...

  6. Safety regions in the Netherlands

    OpenAIRE

    Jazić, Aleksandar

    2016-01-01

    Political, economic, social and environmental changes that accompany the development of the modern world, encourage states to implement changes in the security field. One of these countries is the Netherlands, which reformed its system of public security by introducing safety regions. The safety regions represent a new form of organization in the field of emergency and disaster. They are not a new level of local government but rather a new form of public policy that involves all levels of the...

  7. The US hospital standardised mortality ratio: Retrospective database study of Massachusetts hospitals

    Science.gov (United States)

    Alexandrescu, Roxana; Bottle, Alex; Hua Jen, Min; Jarman, Brian

    2015-01-01

    Summary Objectives To present a case-mix adjustment model that can be used to calculate Massachusetts hospital standardised mortality ratios and can be further adapted for other state-wide data-sets. Design We used binary logistic regression models to predict the probability of death and to calculate the hospital standardised mortality ratios. Independent variables were patient sociodemographic characteristics (such as age, gender) and healthcare details (such as admission source). Statistical performance was evaluated using c statistics, Brier score and the Hosmer–Lemeshow test. Setting Massachusetts hospitals providing care to patients over financial years 2005/6 to 2007/8. Patients 1,073,122 patients admitted to Massachusetts hospitals corresponding to 36 hospital standardised mortality ratio diagnosis groups that account for 80% of in-hospital deaths nationally. Main outcome measures Adjusted in-hospital mortality rates and hospital standardised mortality ratios. Results The significant factors determining in-hospital mortality included age, admission type, primary diagnosis, the Charlson index and do-not-resuscitate status. The Massachusetts hospital standardised mortality ratios for acute (non-specialist) hospitals ranged from 60.3 (95% confidence limits 52.7–68.6) to 130.3 (116.1–145.8). The reference standard hospital standardised mortality ratio is 100 with the values below and above 100 suggesting either random or special cause variation. The model was characterised by excellent discrimination (c statistic 0.87), high accuracy (Brier statistics 0.03) and close agreement between predicted and observed mortality rates. Conclusions We have developed a case-mix model to give insight into mortality rates for patients served by hospitals in Massachusetts. Our analysis indicates that this technique would be applicable and relevant to Massachusetts hospital care as well as to other US hospitals. PMID:25852951

  8. Standardised tobacco packaging: a health policy case study of corporate conflict expansion and adaptation.

    Science.gov (United States)

    Hatchard, Jenny L; Fooks, Gary J; Gilmore, Anna B

    2016-10-07

    To investigate opposition to standardised tobacco packaging in the UK. To increase understanding of how transnational corporations are adapting to changes in their access to policymakers precipitated by Article 5.3 of the Framework Convention on Tobacco Control (FCTC). Case study web-based documentary analysis, using NVivo V.10. Examination of relationships between opponents of standardised packaging and transnational tobacco companies (TTCs) and of the volume, nature, transparency and timing of their activities. UK standardised packaging policy debate 2011-2013. Organisations selected on basis of opposition to, or facilitation thereof, standardised tobacco packaging in the UK; 422 associated documents. Excluding tobacco manufacturing and packaging companies (n=12), 109 organisations were involved in opposing standardised packaging, 82 (75%) of which had a financial relationship with 1 or more TTC. These 82 organisations (43 actively opposing the measure, 39 facilitating opposition) were responsible for 60% of the 404 activities identified, including the majority of public communications and research production. TTCs were directly responsible for 28% of total activities, predominantly direct lobbying, but also financially underwrote third party research, communication, mass recruitment and lobbying. Active organisations rarely reported any financial relationship with TTCs when undertaking opposition activities. The multifaceted opposition to standardised packaging was primarily undertaken by third parties with financial relationships with major tobacco manufacturers. Low levels of transparency regarding these links created a misleading impression of diverse and widespread opposition. Countries should strengthen implementation of Article 5.3 of the FCTC by systematically requiring conflict of interest declarations from all organisations participating in political or media debates on tobacco control. Published by the BMJ Publishing Group Limited. For permission to

  9. Standardisation of bioelectrical impedance analysis for the estimation of body composition in healthy paediatric populations

    DEFF Research Database (Denmark)

    Brantlov, Steven; Jødal, Lars; Lange, Aksel

    2017-01-01

    BACKGROUND: Bioelectrical impedance analysis (BIA) requires a high degree of standardisation in order to ensure valid and reproducible impedance measurements. The overall aim of this review was to study the degree to which BIA papers conducted in healthy paediatric populations (aged 0-17 years......) were standardised. METHODS: Literature was identified on the basis of a systematic search of internationally-recognised electronic databases and hand searching of the reference lists of the included papers in order to identify additional relevant papers. The review was limited to lead-type BIA devices...

  10. Airborne trace element pollution in 11 European cities assessed by exposure of standardised ryegrass cultures

    DEFF Research Database (Denmark)

    Klumpp, Andreas; Ansel, Wolfgang; Klumpp, Gabriele

    2009-01-01

    Within a European biomonitoring programme, Italian ryegrass (Lolium multiflorum Lam.) was employed as accumulative bioindicator of airborne trace elements (As, Cd, Cr, Cu, Fe, Ni, Pb, Sb, V, Zn) in urban agglomerations. Applying a highly standardised method, grass cultures were exposed for consec......Within a European biomonitoring programme, Italian ryegrass (Lolium multiflorum Lam.) was employed as accumulative bioindicator of airborne trace elements (As, Cd, Cr, Cu, Fe, Ni, Pb, Sb, V, Zn) in urban agglomerations. Applying a highly standardised method, grass cultures were exposed...

  11. Standardised neonatal parenteral nutrition formulations – an Australasian group consensus 2012

    Science.gov (United States)

    2014-01-01

    Standardised parenteral nutrition formulations are routinely used in the neonatal intensive care units in Australia and New Zealand. In 2010, a multidisciplinary group was formed to achieve a consensus on the formulations acceptable to majority of the neonatal intensive care units. Literature review was undertaken for each nutrient and recommendations were developed in a series of meetings held between November 2010 and April 2011. Three standard and 2 optional amino acid/dextrose formulations and one lipid emulsion were agreed by majority participants in the consensus. This has a potential to standardise neonatal parenteral nutrition guidelines, reduce costs and prescription errors. PMID:24548745

  12. Multicentre chest computed tomography standardisation in children and adolescents with cystic fibrosis

    DEFF Research Database (Denmark)

    Kuo, Wieying; Kemner-van de Corput, Mariette P. C.; Perez-Rovira, Adria

    2016-01-01

    Progressive cystic fibrosis (CF) lung disease is the main cause of mortality in CF patients. CF lung disease starts in early childhood. With current standards of care, respiratory function remains largely normal in children and more sensitive outcome measures are needed to monitor early CF lung...... disease. Chest CT is currently the most sensitive imaging modality to monitor pulmonary structural changes in children and adolescents with CF. To quantify structural lung disease reliably among multiple centres, standardisation of chest CT protocols is needed. SCIFI CF (Standardised Chest Imaging...

  13. Correlations between rainfall data and insurance damage data on pluvial flooding in The Netherlands

    NARCIS (Netherlands)

    Spekkers, M.H.; ten Veldhuis, J.A.E.; Kok, M.; Clemens, F.H.L.R.

    2012-01-01

    The objective of this paper is to establish relationships between rainfall extremes and damage data from Dutch insurance industry. Rainfall data are based on a network of 33 automatic rain gauges held by the Royal Netherlands Meteorological Institute. Rainfall characteristics, such as peak rainfall

  14. Epidemiology of multiple Acinetobacter outbreaks in The Netherlands during the period 1999-2001

    NARCIS (Netherlands)

    van den Broek, P. J.; Arends, J.; Bernards, A. T.; De Brauwer, E.; Mascini, E. M.; van der Reijden, T. J. K.; Spanjaard, L.; Thewessen, E. A. P. M.; van der Zee, A.; van Zeijl, J. H.; Dijkshoorn, L.

    An increase in the number of outbreaks of Acinetobacter infection was notified in The Netherlands during 1999-2001. The present study compared the outbreaks at the species and strain levels, and analysed the epidemiology and control measures at the different locations. For each institute, three

  15. Let's say goodbye : The moralising practices of gap year organisations in the Netherlands

    NARCIS (Netherlands)

    Hermann, I. (Inge)

    2013-01-01

    http://cts.som.surrey.ac.uk/publication/lets-say-goodbye-the-moralising-practices-of-gap-year-organisations-in-the-netherlands/wppa_open/   Responding to the growing appeal of the gap year amongst young people, the higher education sector, governmental institutions and, perhaps foremost, the

  16. A retrospective study of registered retinitis pigmentosa patients in The Netherlands

    NARCIS (Netherlands)

    van den Born, L. I.; Bergen, A. A.; Bleeker-Wagemakers, E. M.

    1992-01-01

    A retrospective study was performed of patients with retinitis pigmentosa (RP) registered at the Department of Ophthalmogenetics of the Netherlands Ophthalmic Research Institute. The aim was to establish the relative frequencies of the genetic modes and to attempt a clinical subclassification. Of

  17. Similar problems, different solutions: Comparing refuse collection in the Netherlands and Spain

    NARCIS (Netherlands)

    Gradus, R.H.J.M.; Bel, G.; Dijkgraaf, E.; Fageda, X.

    2010-01-01

    Because of differences in institutional arrangements, public service markets, and national traditions regarding government intervention, local public service provision can vary greatly. In this paper we compare the procedures adopted by the local governments of The Netherlands and Spain in arranging

  18. New Roles and training programs for managers in the communicating and printing industry in The Netherlands

    NARCIS (Netherlands)

    Nijhof, W.J.; Streumer, Jan

    1998-01-01

    The communications industry has been subject to radical changes in this decade. Managers working in this branch of industry need to adapt their management style to changing conditions. This study was carried out for the branch training and education institute in The Netherlands (STIVAKO) to provide

  19. Happy Dutch organic calves: suckling systems in organic dairying in the Netherlands

    NARCIS (Netherlands)

    Wagenaar, J.P.

    2009-01-01

    Organic dairy farmers in the Netherlands, supported by the Louis Bolk Institute, developed a calf rearing system in whicht newborn heifer calves suckle their mother or a nurse cow up to three months of age. Consumers played an important role. Their critical questions made farmers take the initiative

  20. Hepatic resections for colorectal metastases in The Netherlands. A multiinstitutional 10-year study

    NARCIS (Netherlands)

    van Ooijen, B.; Wiggers, T.; Meijer, S.; van der Heijde, M. N.; Slooff, M. J.; van de Velde, C. J.; Obertop, H.; Gouma, D. J.; Bruggink, E. D.; Lange, J. F.

    1992-01-01

    BACKGROUND AND METHODS: The records of 118 patients who had hepatic resections for colorectal liver metastases were analyzed retrospectively. RESULTS: The patient group, from 15 institutions in The Netherlands, was found to have a 5-year actuarial survival rate of 21% and a 5-year actuarial

  1. Surveillance of acute respiratory infections in general practices - The Netherlands, winter 1997/98

    NARCIS (Netherlands)

    Heijnen MLA; Bartelds AIM; Wilbrink B; Verweij C; Bijlsma K; Nat H van der; Boswijk H; Boer AB de; Sprenger MJW; Dorigo-Zetsma JW; NIVEL; CIE; NIVEL; LIS

    1999-01-01

    To provide insight into the virological aetiology of influenza-like illnesses and other acute respiratory infections, nose/throat swabs were taken by 30 general practitioners of the sentinel surveillance network of the Netherlands Institute of Primary Health Care from a random selection of patients

  2. HIV Transmission Patterns Among The Netherlands, Suriname, and The Netherlands Antilles: A Molecular Epidemiological Study

    NARCIS (Netherlands)

    Kramer, Merlijn A.; Cornelissen, Marion; Paraskevis, Dimitrios; Prins, Maria; Coutinho, Roel A.; van Sighem, Ard I.; Sabajo, Lesley; Duits, Ashley J.; Winkel, Cai N.; Prins, Jan M.; van der Ende, Marchina E.; Kauffmann, Robert H.; Op de Coul, Eline L.

    2011-01-01

    We aimed to study patterns of HIV transmission among Suriname, The Netherlands Antilles, and The Netherlands. Fragments of env, gag, and pol genes of 55 HIV-infected Surinamese, Antillean, and Dutch heterosexuals living in The Netherlands and 72 HIV-infected heterosexuals living in Suriname and the

  3. Road deaths in the Netherlands. [Previously known as: Road fatalities in The Netherlands.

    NARCIS (Netherlands)

    2011-01-01

    This fact sheet outlines the development of the number of road deaths in the Netherlands since 1950. After a rise in the 1950s and 1960s, the number of road deaths in the Netherlands has shown a gradual decline since 1973. In 2016, there were 629 road deaths in the Netherlands. After the years of

  4. Consequences of Climate Change for agriculture and nature in the Netherlands

    Directory of Open Access Journals (Sweden)

    Jeroen Arends

    2012-07-01

    Full Text Available After the publication of the IPCC reports on climate change, the Dutch Meteorological Institute of the Netherlands (KNMI conducted a study on the consequences of climate change for the Netherlands. Four different scenarios regarding the rise in temperature and their consequences have been developed. Other institutes have elaborated more on these scenarios, making predictions on the effects of climate change on nature and agriculture for the Netherlands. Overall conclusions are that climate change will have dramatic consequences for nature, agriculture and Dutch society in general, being so exposed to rising sea levels. Depending on the scenario, consequences have various gradients of impacts and effects. In general, it is estimated that winters will be softer and wetter, and that summers will be hotter and drier with intermittent torrential rains that can have dire consequences for agriculture and nature. Growing seasons will start earlier and will last longer which could lead to mismatches in species interaction. Species of various kind will suffer the effects of climate change and will disappear from the Netherlands altogether, either through extinction or by moving away north. Other warmth loving species from the south of the Netherlands will move upwards towards the country leading to possible threats to indigenous species.

  5. Which characteristics of nursing home residents influence differences in malnutrition prevalence? An international comparison of The Netherlands, Germany and Austria.

    Science.gov (United States)

    van Nie-Visser, Noémi C; Meijers, Judith; Schols, Jos; Lohrmann, Christa; Bartholomeyczik, Sabine; Spreeuwenberg, Marieke; Halfens, Ruud

    2014-03-28

    Prevalence rates of malnutrition vary considerably internationally, partly due to differences in measurement methodology and instruments. In the present study, the same measurement methodology and instruments were used in The Netherlands, Germany and Austria. The aim of the present study was to investigate whether resident characteristics influence possible differences in malnutrition prevalence between countries. The study followed a cross-sectional, multi-centre design that measured malnutrition in nursing home residents from The Netherlands, Germany and Austria. Resident data were gathered using a standardised questionnaire. Malnutrition was operationalised using BMI, unintentional weight loss and nutritional intake. Data were analysed using an association model. The prevalence rates of malnutrition in The Netherlands, Germany and Austria were 18·3, 20·1 and 22·5 %, respectively. The multivariate generalised estimating equation (GEE) logistic regression analysis showed that sex, age, care dependency, the mean number of diseases and some specific diseases were influencing factors for whether the resident was malnourished or not. The OR of malnutrition in the three countries declined after including the influencing factors resulting from the multivariate GEE analysis. The present study reveals that differences in the prevalence rates of malnutrition in nursing homes in The Netherlands, Germany and Austria are influenced by different resident characteristics. Since other country-related factors could also play an important role in influencing differences in the prevalence rates of malnutrition between the countries (structural and process factors of malnutrition care policy). We recommend the investigation of these factors in future studies.

  6. 75 FR 30431 - Carboxymethylcellulose from Finland, Mexico, Netherlands, and Sweden

    Science.gov (United States)

    2010-06-01

    ... COMMISSION Carboxymethylcellulose from Finland, Mexico, Netherlands, and Sweden AGENCY: United States... on carboxymethylcellulose from Finland, Mexico, Netherlands, and Sweden. SUMMARY: The Commission... carboxymethylcellulose from Finland, Mexico, Netherlands, and Sweden would be likely to lead to continuation or...

  7. Vocational Training and European Standardisation of Qualifications: The Case of Aircraft Maintenance

    Science.gov (United States)

    Haas, Joachim; Ourtau, Maurice

    2009-01-01

    Initiatives to standardise the conditions for practising certain regulated activities are being taken at European level, particularly in light of the free movement of people and the recognition of qualifications in Member states. This paper looks at the introduction of european licences for aircraft maintenance engineers. It follows an in-depth…

  8. Standardised Observation Analogue Procedure (SOAP) for Assessing Parent and Child Behaviours in Clinical Trials

    Science.gov (United States)

    Johnson, Cynthia R.; Butter, Eric M.; Handen, Benjamin L.; Sukhodolsky, Denis G.; Mulick, James; Lecavalier, Luc; Aman, Michael G.; Arnold, Eugene L.; Scahill, Lawrence; Swiezy, Naomi; Sacco, Kelley; Stigler, Kimberly A.; McDougle, Christopher J.

    2009-01-01

    Background: Observational measures of parent and child behaviours have a long history in child psychiatric and psychological intervention research, including the field of autism and developmental disability. We describe the development of the Standardised Observational Analogue Procedure (SOAP) for the assessment of parent-child behaviour before…

  9. Euthanatics: implementation of a protocol to standardise euthanatics among pharmacists and GPs

    NARCIS (Netherlands)

    Philipsen, B.D.; Muller, M.T.; van der Wal, G.

    1997-01-01

    The purpose of this study was to evaluate the implementation of a protocol to standardise euthanatics among pharmacists and general practitioners (GPs). Data over 1993 and 1994 were collected by means of an anonymous postal questionnaire sent to all pharmacists (n = 37) and all GPs (n = 283) working

  10. A review of imaging protocols for suspected skeletal dysplasia and a proposal for standardisation

    Energy Technology Data Exchange (ETDEWEB)

    Watson, Sarah G. [Royal Surrey County Hospital, Department of Radiology, Surrey (United Kingdom); Calder, Alistair D. [Great Ormond Street Hospital for Children, NHS Foundation Trust, Department of Radiology, London (United Kingdom); Offiah, Amaka C. [Sheffield Children' s NHS Foundation Trust, The University of Sheffield Academic Unit of Child Health, Sheffield (United Kingdom); Negus, Samantha [St George' s Hospital, Department of Radiology, London (United Kingdom)

    2015-11-15

    Expert radiology opinions are often requested to aid diagnosis of skeletal dysplasias or dysostoses, but due to variability in the imaging protocols used at different centres the views presented may be considered inadequate or incomplete resulting in diagnostic delays and increased patient and family anxiety. We propose the introduction of a standardised protocol that may be adapted in certain specific situations. (orig.)

  11. Standardising the Chinese Language in Singapore: Issues of Policy and Practice

    Science.gov (United States)

    Shang, Guowen; Zhao, Shouhui

    2017-01-01

    The selection of standards and norms constitutes the first and most important step for language standardisation. In this paper, we examine the standard establishment for Huayu (or Singapore Mandarin), a new Chinese variety that has emerged in Singapore as a result of centralised planning and inter-linguistic contact. Huayu is the officially…

  12. Walking and Talking with Living Texts: Breathing Life against Static Standardisation

    Science.gov (United States)

    Phillips, Louise Gwenneth; Willis, Linda-Dianne

    2014-01-01

    Current educational reform, policy and public discourse emphasise standardisation of testing, curricula and professional practice, yet the landscape of literacy practices today is fluid, interactive, multimodal, ever-changing, adaptive and collaborative. How then can English and literacy educators negotiate these conflicting terrains? The nature…

  13. Letter to the Editor: Standardised use of the terms “sedentary” and ...

    African Journals Online (AJOL)

    Letter to the Editor: Standardised use of the terms “sedentary” and “sedentary behaviours”. M Tremblay. Abstract. No Abstract. Full Text: EMAIL FULL TEXT EMAIL FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT · AJOL African Journals Online. HOW TO USE AJOL... for Researchers · for Librarians ...

  14. Students' Interpersonal Trust and Attitudes towards Standardised Tests: Exploring Affective Variables Related to Student Assessment

    Science.gov (United States)

    Chu, Man-Wai; Guo, Qi; Leighton, Jacqueline P.

    2014-01-01

    Cognitive and psychometric variables have directed research on student test performance. However, student learning involves a substantial affective component. The objective of this study was to explore the relationship between two kinds of affective variables--interpersonal trust and attitudes towards standardised tests--likely to underlie student…

  15. The Impact of Mobile Learning on Student Performance as Gauged by Standardised Test (NAPLAN) Scores

    Science.gov (United States)

    Males, Steven; Bate, Frank; Macnish, Jean

    2017-01-01

    This paper discusses the National Assessment Program for Literacy and Numeracy (NAPLAN) performance of Years Five, Seven and Nine students in standardised tests prior and post the implementation of a mobile learning initiative in a Western Australian school for boys. The school sees the use of ICT as important in enhancing its potential to deliver…

  16. Reproducibility of non-standardised autonomic function testing in the pre-operative assessment screening clinic*.

    Science.gov (United States)

    Keet, S W M; Bulte, C S E; Boer, C; Bouwman, R A

    2011-01-01

    By convention, autonomic function tests are undertaken under standard test conditions that limit their implementation during routine pre-operative assessment. We therefore evaluated the comparability of autonomic function tests under both non-standardised and standardised test conditions in 20 healthy male subjects. Autonomic function was assessed using an ECG monitor and a continuous non-invasive blood pressure measurement device. Under non-standardised conditions, intraclass correlation for heart rate variability analysis was good for the low and high frequency bands (0.87; 95% CI 0.58-0.96 and 0.83; 95% CI 0.56-0.94, respectively), but moderate (0.65; 95% CI 0.14-0.86) for the very low frequency band; reproducibility was high for the expiration/inspiration ratio (0.89; 95% CI 0.71-0.96), Valsalva ratio (0.76; 95% CI 0.37-0.91) and handgrip test (0.76; 95% CI 0.35-0.91) (all pstandardised conditions was comparable to the above values. We demonstrated that reproducibility for most autonomic tests under non-standardised conditions is acceptable and suggest that implementation of these tests during pre-operative assessment may be feasible. © 2010 The Authors. Anaesthesia © 2010 The Association of Anaesthetists of Great Britain and Ireland.

  17. Standardisation and Diversity in International Assessments: Barking up the Wrong Tree?

    Science.gov (United States)

    Guadalupe, César

    2017-01-01

    This article organises potential areas of criticism or challenges embedded in the design and administration of standardised assessments of learning levels in order to promote dialogue and research on educational assessments. The article begins by addressing debates around epistemological claims: issues that pertain to testing in general and issues…

  18. Trends in Examination Performance and Exposure to Standardised Tests in England and Wales

    Science.gov (United States)

    Goldstein, Harvey; Leckie, George

    2016-01-01

    Schools in England and Wales since the late 1980s have been compared in terms of their performances in public examinations and standardised test scores in the form of "school league tables", with Wales ceasing to produce these after 2001. One of the factors related to performance in examinations is the choice of the examination board,…

  19. Standardised test protocol (Constant Score) for evaluation of functionality in patients with shoulder disorders

    DEFF Research Database (Denmark)

    Ban, Ilija; Troelsen, Anders; Christiansen, David Høyrup

    2013-01-01

    INTRODUCTION: The Constant Score (CS), developed as a scoring system to evaluate overall functionality of patients with shoulder disorders, is widely used but has been criticised for relying on an imprecise terminology and for lack of a standardised methodology. A modified guideline was therefore...

  20. The Misdirection of Public Policy: Comparing and Combining Standardised Effect Sizes

    Science.gov (United States)

    Simpson, Adrian

    2017-01-01

    Increased attention on "what works" in education has led to an emphasis on developing policy from evidence based on comparing and combining a particular statistical summary of intervention studies: the standardised effect size. It is assumed that this statistical summary provides an estimate of the educational impact of interventions and…

  1. Pressure-standardised mammography does not affect visibility, contrast and sharpness of stable lesions

    NARCIS (Netherlands)

    de Groot, J. E.; Hopman, I. G. M.; van Lier, M. G. J. T. B.; Branderhorst, W.; Grimbergen, C. A.; den Heeten, G. J.

    2017-01-01

    Introduction: A recent technological development allows pressure-standardised mammography by personalizing the compression force to the breast size and firmness. The technique has been shown to reduce pain and compression variability between consecutive exams, but also results in a slightly thicker

  2. European seroepidemiology network 2: Standardisation of assays for seroepidemiology of varicella zoster virus.

    NARCIS (Netherlands)

    Ory, Fernando de; Echevarría, José Manuel; Kafatos, George; Anastassopoulou, Cleo; Andrews, Nick; Backhouse, Josephine; Berbers, Guy A M; Bruckova, Blazena; Cohen, Daniel I; Melker, Hester E de; Davidkin, Irja; Gabutti, Giovanni; Hesketh, Louise M; Johansen, Kari; Jokinen, Sari; Jones, Lindsay; Linde, Anika; Miller, Elisabeth; Mossong, Joël; Nardone, Anthony; Rota, Maria Cristina; Sauerbrei, Andreas; Schneider, François; Smetana, Zahava; Tischer, Annedore; Tsakris, Athanassios; Vranckx, Robert

    2006-01-01

    BACKGROUND: The aim of the European Sero-Epidemiology Network (ESEN2) is to harmonise the serological surveillance of vaccine-preventable diseases in Europe. OBJECTIVE: To allow comparison of antibody prevalence in different countries by standardising results into common units. STUDY DESIGN: For

  3. Effectiveness of a standardised oral Vitamin D dosing regimen for somatic and psychogeriatric nursing home residents

    NARCIS (Netherlands)

    Toren-Wielema, M.L.; Veenhuizen, R.B.; Kappelle, J.W.; Veeger, N.J.G.M.; Van Roon, E.N.

    2017-01-01

    BACKGROUND The prevalence of Vitamin D deficiency in nursing home residents (NHR) ranges from 79 to 98%. OBJECTIVE To determine the efficacy of a standardised oral Vitamin D dosing regimen (VDDRI consisting of a loading dose (ID) of 200,000 IU followed by a maintenance dose (MD) of 100.000 IU every

  4. The Political Economy of E-Learning Educational Development Strategies, Standardisation and Scalability

    Science.gov (United States)

    Kenney, Jacqueline; Hermens, Antoine; Clarke, Thomas

    2004-01-01

    The development of e-learning by government through policy, funding allocations, research-based collaborative projects and alliances has increased recently in both developed and under-developed nations. The paper notes that government, industry and corporate users are increasingly focusing on standardisation issues and the scalability of…

  5. The Knowledge Work of Professional Associations: Approaches to Standardisation and Forms of Legitimisation

    Science.gov (United States)

    Nerland, Monika; Karseth, Berit

    2015-01-01

    This paper examines how professional associations engage themselves in efforts to develop, regulate and secure knowledge in their respective domains, with special emphasis on standardisation. The general emphasis on science in society brings renewed attention to the knowledge base of professionals, and positions professional bodies as key…

  6. Tensions and Fissures: The Politics of Standardised Testing and Accountability in Ontario, 1995-2015

    Science.gov (United States)

    Pinto, Laura Elizabeth

    2016-01-01

    While Ontario has received international accolades for its enactment of province-wide standardised testing upon the formation of the Education Quality and Accountability Office (EQAO), a closer look at provincial assessments over a 20-year span reveals successes as well as systemic tensions and fissures. The purpose of this paper is twofold.…

  7. WoSIS: providing standardised soil profile data for the world

    NARCIS (Netherlands)

    Batjes, N.H.; Carvalho Ribeiro, E.D.; Oostrum, van A.J.M.; Leenaars, J.G.B.; Hengl, T.; Mendes de Jesus, J.S.

    2017-01-01

    The aim of the World Soil Information Service (WoSIS) is to serve quality-assessed, georeferenced soil data (point, polygon, and grid) to the international community upon their standardisation and harmonisation. So far, the focus has been on developing procedures for legacy point data with special

  8. Problematising the Standardisation of Leadership and Management Development in South African Schools

    Science.gov (United States)

    Williams, Clarence

    2015-01-01

    In 2007 the Department of Education introduced the standards-based Advanced Certificate in Education: School Management and Leadership. The standardisation of leadership and management development in South African schools has been uncritically accepted by most academics and professionals. The purpose of this article is to problematise the…

  9. The Copenhagen Standardised MRI protocol to assess the pubic symphysis and adductor regions of athletes

    DEFF Research Database (Denmark)

    Branci, Sonia; Thorborg, Kristian; Bech, Birthe Højlund

    2015-01-01

    radiologists developed an 11-element MRI evaluation protocol defined according to precise criteria and illustrated in a pictorial atlas. Eighty-six male athletes (soccer players and non-soccer players) underwent standardised 3 Tesla MRI of the pelvis. Two external musculoskeletal radiologists were trained...

  10. A process-stakeholder analysis of B2B industry standardisation

    NARCIS (Netherlands)

    Rodon, J.; Ramis-Pujol, J.; Christiaanse, E.

    2007-01-01

    Purpose - Interoperability standards are a crucial aspect in the development of B2B e-business. The aim of this paper is to understand how standardisation evolves by analysing the interplay between activities and stakeholders within the process. Unlike most of the IS research that focuses on the

  11. Striving for best practice: standardising New Zealand nursing procedures, 1930-1960.

    Science.gov (United States)

    Wood, Pamela J; Nelson, Katherine

    2013-11-01

    To identify how nurses in the past determined best practice, using the context of New Zealand, 1930-1960. In the current context of evidence-based practice, nurses strive to provide the best care, based on clinical research. We cannot assume that nurses in the past, prior to the evidence-based practice movement, did not also have a deliberate process for pursuing best practice. Discovering historical approaches to determining best practice will enrich our understanding of how nurses' current efforts are part of a continuing commitment to ensuring quality care. Historical research. The records of the Nursing Education Committee of the New Zealand Registered Nurses' Association, 1940-1959, and the 309 issues of New Zealand's nursing journal, Kai Tiaki, 1930-1960, were analysed to identify the profession's approach to ensuring best practice. This approach was then interpreted within the international context, particularly Canada and the USA. For nearly 30 years, nurse leaders collaborated in undertaking national surveys of training hospitals requesting information on different nursing practices. They subsequently distributed instructions for a range of procedures and other aspects of nursing care to standardise practice. Standardising nursing care was an effective way to ensure quality nursing at a time when hospital care was delivered mostly by nurses in training. The reasons for and timing of standardisation of nursing care in New Zealand differed from the international move towards standardisation, particularly in the USA. Historically, nurses also pursued best practice, based on standardising nursing procedures. Examining the antecedents of the present evidence-based approach to care reminds us that the process and reasons for determining best practice change through time. As knowledge and practice continually change, current confident assertions of best practice should and will continue to be challenged in future. © 2013 John Wiley & Sons Ltd.

  12. Coeliac disease in The Netherlands.

    Science.gov (United States)

    Schweizer, J J; von Blomberg, B M E; Bueno-de Mesquita, H B; Mearin, M L

    2004-04-01

    The prevalence of adult coeliac disease in The Netherlands was studied in the Dutch Coeliac Disease Society and in blood donors but not in the general population. We therefore studied the prevalence of recognized and unrecognized coeliac disease in a large cohort, representative of the adult Dutch general population. Blood samples were available for anonymous research, as well as data on dietary habits, self-reported physical characteristics, health problems, quality of life and socio-economic circumstances. Subjects included 50,760 individuals who had previously participated in two large population-based studies on health status in relation to lifestyle factors. Recognized coeliac disease was studied in all subjects by identification of self-reported adherence to a gluten-free diet and subsequent confirmation of the diagnosis of coeliac disease. Unrecognized coeliac disease was studied in a random sample of 1440 out of the 50,760 subjects through serologic screening and human lymphocyte antigen (HLA) typing. The prevalence of recognized coeliac disease was 0.016% (95% confidence interval 0.008-0.031) and of unrecognized coeliac disease 0.35% (95% confidence interval 0.15-0.81). Menarcheal age was higher in women with recognized coeliac disease than in women without coeliac disease. The prevalence of adult recognized coeliac disease in The Netherlands is one of the lowest in Europe, while the prevalence of unrecognized coeliac disease is comparable with that in other European countries. Adult coeliac disease is strongly under diagnosed in The Netherlands. The higher menarcheal age in women with recognized coeliac disease may be explained by diagnostic delay.

  13. The Upper Permian in the Netherlands

    NARCIS (Netherlands)

    Visser, W.A.

    1955-01-01

    The Upper Permian in the Netherlands, as known from borehole data, is deposited in a mainly evaporitic facies north of the Brabant and Rhenish Massifs. In the extreme south (Belgian Campine, de Peel) a near-shore facies of reef dolomites and elastics occurs. In the western and central Netherlands

  14. A soil sampling program for the Netherlands

    NARCIS (Netherlands)

    Visschers, R.; Finke, P.A.; Gruijter, de J.J.

    2007-01-01

    Soil data users in The Netherlands were inventoried for current and future data needs. Prioritized data needs were used to design the Netherlands Soil Sampling Program (NSSP) as a framework containing 3 groups of related projects: map upgrading, map updating and upgrading of pedotransfer functions.

  15. Serious road injuries in The Netherlands dissected.

    NARCIS (Netherlands)

    Weijermars, W.A.M. Bos, N.M. & Stipdonk, H.L.

    2015-01-01

    This paper discusses the characteristics and injury patterns of serious road injuries (MAIS2+ inpatients) in the Netherlands. Methods: In the Netherlands, the actual number of serious injuries is estimated by linking police data to hospital data. The distribution of serious road injuries over 1)

  16. The Poor Side of the Netherlands

    NARCIS (Netherlands)

    Cok Vrooman; Stella Hoff

    2004-01-01

    Poverty is a theme that has attracted a great deal of attention in the Netherlands over the last decade, both in government policy and in academic research and statistics. Since 1997 the Social and Cultural Planning Office (SCP) and Statistics Netherlands (CBS) have published a regular Poverty

  17. Agricultural marketing in Belgium and The Netherlands

    NARCIS (Netherlands)

    Meulenberg, M.T.G.; Viaene, J.

    1993-01-01

    Agriculture in Belgium and the Netherlands has a strong export tradition and has been market oriented for a long time. In this article agricultural markeling in Belgium and the Netherlands is analyzed on the basis of the concepts structure, conduct and performance. In our review of market structure

  18. Personal identity in Belgium and The Netherlands

    NARCIS (Netherlands)

    Klimstra, T.A.; Luyckx, K.; Meeus, W.H.J.

    2012-01-01

    This chapter provides an overview of research on personal identity formation in the Low Countries (Belgium and The Netherlands). First we describe the broader societal context and specificities of Belgium and The Netherlands, then we move to a historical overview of the identity models that have

  19. The Netherlands: A Case of Fading Leadership

    NARCIS (Netherlands)

    Liefferink, J.D.; Boezeman, D.F.; Coninck, H.C. de; Wurzel, R.K.W.; Connelly, J.; Liefferink, D.

    2017-01-01

    This chapter analyses the relationship between the development of domestic climate policy in the Netherlands and the Dutch efforts in this field in the EU and international arena since the 1980s. Traditionally, the Netherlands has enjoyed a reputation as an environmental and climate leader, based on

  20. Nonconformist Television in the Netherlands: Two Curious Cases of Amateur Media as Counter-Technologies

    OpenAIRE

    Tom Slootweg; Susan Aasman

    2015-01-01

    For this article, the authors retrieved two curious cases of nonconformist TV from the archives of The Netherlands Institute of Sound and Vision. Being made in the late 1970s and early 1980s, the two cases represent an alternative history of broadcast television in the Netherlands. Whereas Neon (1979-1980) aimed to establish a punk-inspired DIY video culture, Ed van der Elsken (1980, 1981) strived for an expressive amateur film culture. The authors propose to regarded these cases as two diffe...

  1. Democratic Television in the Netherlands: Two Curious Cases of Alternative Media as Counter-Technologies

    OpenAIRE

    Slootweg, Tom; Aasman, Susan

    2015-01-01

    For this article, the authors retrieved two curious cases of non-conformist TV from the archives of the Netherlands Institute of Sound and Vision. Being made in the late 1970s and early 1980s, the two cases represent an alternative history of broadcast television in the Netherlands. Whereas Neon (1979–1980) aimed to establish a punk-inspired DIY video culture, Ed van der Elsken (1980, 1981) strived for an expressive amateur film culture. The authors propose to regard these cases as two differ...

  2. Results of Infrasound Interferometry in Netherlands

    Science.gov (United States)

    Fricke, J. T.; Ruigrok, E. N.; Evers, L. G.; Simons, D. G.; Wapenaar, K.

    2012-04-01

    The travel time of infrasound through the atmosphere depends on the temperature and the wind. These atmospheric conditions could be estimated by measuring the travel times between different receivers (microbarometers). For such an estimation an inverse model of the propagation of infrasound through the atmosphere is essential. In the first step it is useful to build a forward model. The inputs of our raytracing model are the atmospheric conditions and the positions of source and receiver. The model consists of three elements the source, the channel and the receiver. The source is a blast wave or microbaroms. The channel is the atmosphere and it takes into account the travel time along the eigen ray, the attenuation of the different atmospheric layers, the spreading of the rays and the influence of caustics. Each receiver is reached by different rays (eigen rays). To determine the eigen rays is part of the receiver element. As output the model generates synthetic barograms. The synthetic barograms can be used to explain measured barograms. Furthermore the synthetic barograms can also be used to evaluate the determination of the travel time. The accurate travel time is for the inverse model as input essential. Since small changes of the travel time lead to big changes of the output (temperature and wind). The travel time between two receivers is determined by crosscorrelating the barograms of these two receivers. This technique was already successfully applied in the troposphere (Haney, 2009). We show that the same can be achieved with more complicated stratospheric phases. Now we compare the crosscorrelation of synthetic barograms with the crosscorrelation of measured barograms. These barograms are measured with the 'Large Aperture Infrasound Array' (LAIA). LAIA is being installed by the Royal Netherlands Meteorological Institute (KNMI) in the framework of the radio-astronomical 'Low Frequency Array' (LOFAR) initiative. LAIA will consist of thirty microbarometers

  3. IT-enabled Quality Management implementations in Small Healthcare Institutions: Method and Case Study

    NARCIS (Netherlands)

    Koen Smit; Pascal Ravesteijn; Joris Mens; Johan Versendaal; Navin Sewberath Misser

    2013-01-01

    In the dynamic environment of increasing regulations, increasing patient demand, decentralization of budgets and enforcement of efficiency, small sized healthcare institutions in the Netherlands are having a difficult time. Although these service providers are usually capable of flexibly delivering

  4. Towards a Standardised Method to Acquire and Store Liver Samples and Guidelines to Improve Quality Control and Exchange of Relative Expression Data

    Directory of Open Access Journals (Sweden)

    Frank M. Riemers

    2013-12-01

    Full Text Available The current ‘state-of-the-art’ molecular techniques are extremely sensitive and consequently prone to false results. Even more so than in the past, today’s hepatology research depends on high quality samples, especially for the molecular analyses. In all steps, starting with specimen sampling, fixation, storage, molecular processing and finally data calculation, variations in procedures between research laboratories may have a profound effect on the final conclusions. At the end of the day, this is an enormous drawback once data from different research institutes need to be reproduced, compared and/or combined. To improve standardisation, the so-called MIQE guidelines (Minimum Information for Publication of Quantitative Real- Time PCR Experiments were presented for quantitative PCR (qPCR studies.1,2 Furthermore, around the same time, recommendations were presented regarding human biospecimen collection, storage and processing, the so-called BRISQ-guidelines (Biospecimen Reporting for Improved Study Quality.3 Finally, the editors of The Journal of Pathology as well as Histopathology required in the December 2012 issue of The Journal of Pathology that researchers needed to follow the BRISQ guidelines in their papers in order to improve the sample quality in biomedical research.4 These initiatives hold great promise to improve the comparison and independent reproduction of data acquired in different research centres. Pancreas, gall bladder and liver research will especially benefit from the standardisation protocols since these organ systems are highly vulnerable to post-biopsy autolytic degradation. This comment illustrates that standardisation in molecular liver research is not yet at the point where experiments can be easily replicated, and data can be compared and combined.

  5. Netherlands

    NARCIS (Netherlands)

    Guibault, L.; van 't Klooster, K.; Hilty, R.M.; Nérisson, S.

    2012-01-01

    Generally speaking, Dutch copyright law does not differentiate in terms of the effects of copyright law according to various work categories. The Dutch Copyright Act protects "works of literature, science or art", as exemplified in the non-exhaustive list of work categories of Article 10(1) which is

  6. Evolutionary institutionalism.

    Science.gov (United States)

    Fürstenberg, Dr Kai

    Institutions are hard to define and hard to study. Long prominent in political science have been two theories: Rational Choice Institutionalism (RCI) and Historical Institutionalism (HI). Arising from the life sciences is now a third: Evolutionary Institutionalism (EI). Comparative strengths and weaknesses of these three theories warrant review, and the value-to-be-added by expanding the third beyond Darwinian evolutionary theory deserves consideration. Should evolutionary institutionalism expand to accommodate new understanding in ecology, such as might apply to the emergence of stability, and in genetics, such as might apply to political behavior? Core arguments are reviewed for each theory with more detailed exposition of the third, EI. Particular attention is paid to EI's gene-institution analogy; to variation, selection, and retention of institutional traits; to endogeneity and exogeneity; to agency and structure; and to ecosystem effects, institutional stability, and empirical limitations in behavioral genetics. RCI, HI, and EI are distinct but complementary. Institutional change, while amenable to rational-choice analysis and, retrospectively, to criticaljuncture and path-dependency analysis, is also, and importantly, ecological. Stability, like change, is an emergent property of institutions, which tend to stabilize after change in a manner analogous to allopatric speciation. EI is more than metaphorically biological in that institutional behaviors are driven by human behaviors whose evolution long preceded the appearance of institutions themselves.

  7. Institutional advantage

    NARCIS (Netherlands)

    Martin, Xavier

    Is there such a thing as institutional advantage—and what does it mean for the study of corporate competitive advantage? In this article, I develop the concept of institutional competitive advantage, as distinct from plain competitive advantage and from comparative institutional advantage. I first

  8. The state of ethical-legal oaths in UK medical practice today: Is it time to look at standardising?

    Science.gov (United States)

    Atenstaedt, R L

    2016-12-01

    The taking of an ethical-legal oath is a "rite of passage" for many medical practitioners. A 1997 paper noted that half of medical schools in the UK administer an oath. I performed a survey of UK medical schools to see whether these are still used today. An electronic survey was sent to 31 UK medical schools, asking them whether the Hippocratic Oath (in any version) was taken by their medical students; non-respondents were followed up by telephone. Information was obtained from 21 UK medical schools, giving a response rate of 68% (21/31). A total of 18 (86%) institutions use an oath. Ethical-legal oaths are therefore taken in the vast majority of UK medical schools today. However, a great variety are used, and there are advantages in standardisation. My recommendation is that the Standard Medical Oath of the UK (SMOUK) is adopted by all medical schools, and that this is also taken regularly by doctors as part of revalidation. © The Author(s) 2016.

  9. Survey of HTR related research at IRI, Delft, Netherlands

    Energy Technology Data Exchange (ETDEWEB)

    Hoogenboom, J.E.; Wallerbos, E.J.M.; Van der Hagen, T.H.J.J.; Van Dam, H. [Interfaculty Reactor Institute IRI, Delft University of Technology, Delft (Netherlands); Tuerkcan, E. [ECN Nuclear Research, Petten (Netherlands)

    1998-09-01

    High temperature helium-cooled reactors have a large potential for inherent safety. Therefore, several projects on HTR research are being carried out or were carried out at the Interfaculty Reactor Institute (IRI) of the Delft University of Technology in Delft, Netherlands. As part of a larger research programme measurements of core reactivity, reactivity worth of safety rods and of small samples being oscillated in the reactor core were carried out at the PROTEUS facility of the Paul Scherrer Institute at Villigen, Switzerland. Together with other partners in the Netherlands a small inherently safe co-generation plant with a pebble-bed HTR core was designed and analysed. It was verified that such a reactor can operate continuously for 10 years by adding continuously fuel pebbles until the maximum available core height is reached. As a new, innovative, inherently safe reactor type the design of a fluidized-bed reactor with coated fuel particles on a helium gas stream is discussed and results are shown for the analysis of inherent criticality safety under varying coolant flow rates. IRI is also taking part in the new IAEA Co-ordinated Research Programme, which involves participation in the start-up experiments of the Japanese HTTR and carrying out calculations for the core physics benchmark test. 11 refs.

  10. Institutional entrepreneurship:

    DEFF Research Database (Denmark)

    Gretzinger, Susanne

    2018-01-01

    of agents or organisations in the policy arena. The present chapter understands institutional entrepreneurship as the process of changing institutionalised practices. Based on a literature review, it describes the triggers, activities and potential effects of institutional entrepreneurs. The chapter......Institutional entrepreneurship pays specific attention to the process and outcomes of agents who are willing and capable of changing institutions. It has some common ground with the political entrepreneur, a concept that proposes change in norms and institutions because of commitment and activities...... concludes by tentatively arguing that political entrepreneurs can be institutional entrepreneurs, but institutional entrepreneurship can be considered as the broader concept that incorporates strategies and visions as well as interpretative-discursive power into the conceptual framework....

  11. Standardised procedures can improve the validity of susceptibility testing of uropathogenic bacteria in general practice.

    Science.gov (United States)

    Bjerrum, L; Grinsted, P; Petersen, P H; Søgaard, P

    2000-12-01

    To investigate whether the validity of susceptibility testing in general practice would improve when preceded by an intervention. Instruction in standardised susceptibility testing procedures given by laboratory instructors. Urine specimens containing monocultures of typical uropathogenic bacteria were sent to 23 general practices before and after the intervention. Practices performed susceptibility testing by the Sensicult and the Iso-Res agar methods and the validity of the results before and after the intervention was compared. Results from susceptibility testing at the bacteriological laboratory, Odense University Hospital, were used as gold standard. The median frequency of correct results increased from 82% to 98% for susceptibility testing based on Sensicult (p = 0.001) and from 90% to 96% based on Iso-Res agar (p = 0.05). The validity of susceptibility testing in general practice improves when preceded by instruction in standardised procedures.

  12. The Dibber: Designing a standardised handheld tool for lay-up tasks.

    Science.gov (United States)

    Jones, Helene; Roudaut, Anne; Chatzimichali, Anna; Potter, Kevin; Ward, Carwyn

    2017-11-01

    We present an application of engineering and ergonomics principles in the design of a standardised tool, The Dibber, which is a tool with multiple geometric features to fit the diversity of lay-up tasks used in the composites industry. The Dibber is the result of a design process, which consists of a series of observations and prototyping to extract geometric requirements for lay-up tasks. To demonstrate that it is possible to design a standardised tool prototypes of the Dibber were distributed and 91 participants gave feedback. Our results are positive and show consistent patterns of use across industry sectors, as well as between novice and expert laminators. Copyright © 2017. Published by Elsevier Ltd.

  13. Respiratory rates measured by a standardised clinical approach, ward staff, and a wireless device

    DEFF Research Database (Denmark)

    Granholm, A; Pedersen, N E; Lippert, A.

    2016-01-01

    BACKGROUND: Respiratory rate is among the first vital signs to change in deteriorating patients. The aim was to investigate the agreement between respiratory rate measurements by three different methods. METHODS: This prospective observational study included acutely admitted adult patients...... in a medical ward. Respiratory rate was measured by three methods: a standardised approach over 60 s while patients lay still and refrained from talking, by ward staff and by a wireless electronic patch (SensiumVitals). The Bland-Altman method was used to compare measurements and three breaths per minute (BPM...... of agreement were -13.3 (95% CI: -17.2 to -9.5) BPM and 16.8 (95% CI: 13.0 to 20.6) BPM. CONCLUSION: A concerning lack of agreement was found between a wireless monitoring system and a standardised clinical approach. Ward staff's measurements also seemed to be inaccurate....

  14. Standardised test protocol (Constant Score) for evaluation of functionality in patients with shoulder disorders

    DEFF Research Database (Denmark)

    Ban, Ilija; Troelsen, Anders; Christiansen, David Høyrup

    2013-01-01

    INTRODUCTION: The Constant Score (CS), developed as a scoring system to evaluate overall functionality of patients with shoulder disorders, is widely used but has been criticised for relying on an imprecise terminology and for lack of a standardised methodology. A modified guideline was therefore......-culturally adapt this version into Danish. MATERIAL AND METHODS: An English test protocol was developed and translated into Danish at two independent centres according to international recommendations. Consensus on a preliminary version was achieved. The subjective part was tested on six patients, while two...... physiotherapists gave feedback on the objective part. Relevant items were culturally adapted and rephrased, and a simple standardised test protocol was developed. RESULTS: Only minor inconsistencies in the translations were found. A few questions and words had to be rephrased due to cultural and linguistic...

  15. Intensity standardisation of 7T MR images for intensity-based segmentation of the human hypothalamus.

    Directory of Open Access Journals (Sweden)

    Stephanie Schindler

    Full Text Available The high spatial resolution of 7T MRI enables us to identify subtle volume changes in brain structures, providing potential biomarkers of mental disorders. Most volumetric approaches require that similar intensity values represent similar tissue types across different persons. By applying colour-coding to T1-weighted MP2RAGE images, we found that the high measurement accuracy achieved by high-resolution imaging may be compromised by inter-individual variations in the image intensity. To address this issue, we analysed the performance of five intensity standardisation techniques in high-resolution T1-weighted MP2RAGE images. Twenty images with extreme intensities in the GM and WM were standardised to a representative reference image. We performed a multi-level evaluation with a focus on the hypothalamic region-analysing the intensity histograms as well as the actual MR images, and requiring that the correlation between the whole-brain tissue volumes and subject age be preserved during standardisation. The results were compared with T1 maps. Linear standardisation using subcortical ROIs of GM and WM provided good results for all evaluation criteria: it improved the histogram alignment within the ROIs and the average image intensity within the ROIs and the whole-brain GM and WM areas. This method reduced the inter-individual intensity variation of the hypothalamic boundary by more than half, outperforming all other methods, and kept the original correlation between the GM volume and subject age intact. Mixed results were obtained for the other four methods, which sometimes came at the expense of unwarranted changes in the age-related pattern of the GM volume. The mapping of the T1 relaxation time with the MP2RAGE sequence is advertised as being especially robust to bias field inhomogeneity. We found little evidence that substantiated the T1 map's theoretical superiority over the T1-weighted images regarding the inter-individual image intensity

  16. Desmopressin in haemophilia: The need for a standardised clinical response and individualised test regimen.

    Science.gov (United States)

    Stoof, S C M; Schütte, L M; Leebeek, F W G; Cnossen, M H; Kruip, M J H A

    2017-06-21

    Due to interindividual variation in desmopressin response, non-severe haemophilia A patients require desmopressin testing prior to therapeutic treatment. However, adequate response or frequency of blood sampling is not standardised in international guidelines. Consequently, various definitions and blood sampling protocols are currently applied. Interestingly, sustainability of desmopressin response is not incorporated into these definitions. To study desmopressin response rates in a cohort of non-severe haemophilia A patients using currently accepted desmopressin response definitions. This, in order to formulate a standardised, uniform response which includes information on sustainability and to design a standardised blood sampling protocol. Currently used desmopressin responses in non-severe haemophilia A patients were derived from a literature search. Actual desmopressin response rates were individualised in 105 non-severe HA patients from the Erasmus University Medical Centre and classified according to current varying definitions. Five response definitions were evaluated, three of which included only factor VIII (FVIII):C cut-off levels and two also incorporated FVIII:C-fold increase over baseline. C-fold increase showed no association with desmopressin response sustainability. C 1 hour after infusion (standardised desmopressin response based on clinically relevant FVIII:C levels, e.g. 0.30 and 0.50 IU/mL. In addition, patients with <0.30 IU/mL FVIII:C after 1 hour (non-responder) or ≥0.80 IU/mL (sustained responder) do not require subsequent blood sampling. However, patients with ≥0.30-0.79 IU/mL FVIII:C after 1 hour should undergo blood sampling after 6 hours to additionally determine response sustainability. © 2017 John Wiley & Sons Ltd.

  17. WoSIS: providing standardised soil profile data for the world

    Science.gov (United States)

    Batjes, Niels H.; Ribeiro, Eloi; van Oostrum, Ad; Leenaars, Johan; Hengl, Tom; Mendes de Jesus, Jorge

    2017-01-01

    The aim of the World Soil Information Service (WoSIS) is to serve quality-assessed, georeferenced soil data (point, polygon, and grid) to the international community upon their standardisation and harmonisation. So far, the focus has been on developing procedures for legacy point data with special attention to the selection of soil analytical and physical properties considered in the GlobalSoilMap specifications (e.g. organic carbon, soil pH, soil texture (sand, silt, and clay), coarse fragments ( Profile data managed in WoSIS were contributed by a wide range of soil data providers; the data have been described, sampled, and analysed according to methods and standards in use in the originating countries. Hence, special attention was paid to measures for soil data quality and the standardisation of soil property definitions, soil property values, and soil analytical method descriptions. At the time of writing, the full WoSIS database contained some 118 400 unique shared soil profiles, of which some 96 000 are georeferenced within defined limits. In total, this corresponds with over 31 million soil records, of which some 20 % have so far been quality-assessed and standardised using the sequential procedure discussed in this paper. The number of measured data for each property varies between profiles and with depth, generally depending on the purpose of the initial studies. Overall, the data lineage strongly determined which data could be standardised with acceptable confidence in accord with WoSIS procedures, corresponding to over 4 million records for 94 441 profiles. The publicly available data - WoSIS snapshot of July 2016 - are persistently accessible from ISRIC WDC-Soils through doi:10.17027/isric-wdcsoils.20160003.

  18. The influence of standardisation and task load on team coordination patterns during anaesthesia inductions.

    Science.gov (United States)

    Zala-Mezö, E; Wacker, J; Künzle, B; Brüesch, M; Grote, G

    2009-04-01

    The use of different forms of coordination according to situational demands plays a crucial role in teams working in complex environments. This study aimed to describe patterns of coordinative actions (CAs) as they occur during anaesthesia induction and to analyse the influence of two crucial situational factors on these patterns, namely the amount of existing standards and the level of task load. 23 anaesthesia inductions were videotaped, and CAs of the anaesthesia teams were coded. The coding system distinguished between implicit and explicit coordination, coordination via leadership and heedful inter-relating as the individual effort to reach smooth coordination. Five phases within anaesthesia inductions were determined according to their level of standardisation and task load. Overall, 67.7% of all CAs were rated as explicit CA and 32.3% as implicit CAs. When we considered the duration of those CAs, we found the reverse tendency (coordination was explicit 40% of the time and implicit 60% of the time). In highly standardised phases, we observed less explicit coordination, less leadership behaviour and less heedful interrelating compared with less standardised phases. In high-task-load phases, we observed more heedful interrelating than in low-task-load phases. The anaesthesia teams relied greatly on implicit coordination, which contrasts with findings indicating a performance benefit through explicit coordination in other work settings. Standardisation in the form of written departmental directives may have a supportive effect on coordination by partially substituting for other forms of coordination. The effect of high task load should be tested further in a simulator setting, where high task load can be induced in a more controlled fashion.

  19. A CAN Solution Supporting Satcom Payload Evolution: Design, Validation and Standardisation

    Science.gov (United States)

    Gunes-Lasnet, Sev; Furano, Gianluca; Vidaud, Olivier; Dalenq, Jean; Notebaert, Olivier

    2011-08-01

    The optimisation of telecom satellites payload through the use of efficient standard serial buses is under renewed interest especially as harness optimisation together with the ability to accommodate complex payload are key competitivity drivers. CAN has been selected as suitable for payload architecture upgrade, and further to an architecture demonstration is under full electrical characterisation and deployment. The satcom CAN will benefit from ECSS standardisation insuring harmonisation of CAN implementations in European space projects, and reduced engineering effort for interface development and compatibility.

  20. Standardisation and measurement of the decay scheme data of 237Np

    Science.gov (United States)

    Woods; Woods; de Lavison P; Jerome; Makepeace; Woods; Husband; Lineham

    2000-03-01

    Within the framework of a EUROMET project, a solution of 237Np/233Pa at equilibrium has been standardised by 4pi(PC)-gamma counting. An intrinsic Ge spectrometer was employed to measure relevant gamma-ray emission probabilities. Good agreement was obtained for those pertaining to the decay of 233Pa, but not for the gamma-ray emissions following the decay of 237Np. The cause of such discrepancies is discussed.

  1. Strategic Standardisation of Smart Systems: Roadmapping Process in Support of Innovation

    OpenAIRE

    Ho, Jae-Yun; O'Sullivan, Eoin

    2016-01-01

    This is the author accepted manuscript. The final version is available from Elsevier via https://doi.org/10.1016/j.techfore.2016.04.014 With increasing awareness among policymakers and other stakeholders of the importance of standards in supporting innovation, many national governments and standards organisations are taking strategic foresight approaches to standardisation . This is especially the case for ICT-based ‘smart systems’, where an increasing number of different technologies and ...

  2. Standardised criteria improve accuracy of ECG interpretation in competitive athletes: a randomised controlled trial.

    Science.gov (United States)

    Exeter, Daniel J; Elley, C Raina; Fulcher, Mark L; Lee, Arier C; Drezner, Jonathan A; Asif, Irfan M

    2014-08-01

    Screening to prevent sudden cardiac death remains a contentious topic in sport and exercise medicine. The aim of this study was to assess whether the use of a standardised criteria tool improves the accuracy of ECG interpretation by physicians screening athletes. Design: Randomised control trial. Study Population: General practitioners with an interest in sports medicine, sports physicians, sports medicine registrars and cardiologists from Australia and New Zealand were eligible to participate. Outcome Measures: Accuracy, sensitivity, specificity and false-positive rates of screening ECG interpretation of athletes. Intervention: A two-page standardised ECG criteria tool was provided to intervention participants. Control participants undertook 'usual' interpretation. 62 physicians, with a mean duration of practice of 16 years, were randomised to intervention and control. 10 baseline and 30 postrandomisation athlete ECGs were interpreted by the participants. Intervention participants were more likely to be correct: OR 1.72 (95% CI 1.31 to 2.27, pathletes can be improved by using a standardised ECG criteria tool. Use of the tool results in lower false-positive rates; this may have implications for screening recommendations. ACTRN12612000641897. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  3. Mortality measurement in transition: proof of principle for standardised multi-country comparisons*

    Science.gov (United States)

    Fottrell, Edward; Kahn, Kathleen; Ng, Nawi; Sartorius, Benn; Huong, Dao Lan; Van Minh, Hoang; Fantahun, Mesganaw; Byass, Peter

    2010-01-01

    Objective To demonstrate the viability and value of comparing cause-specific mortality across four socioeconomically and culturally diverse settings using a completely standardised approach to VA interpretation. Methods Deaths occurring between 1999 and 2004 in Butajira (Ethiopia), Agincourt (South Africa), FilaBavi (Vietnam) and Purworejo (Indonesia) health and socio-demographic surveillance sites were identified. VA interviews were successfully conducted with the caregivers of the deceased to elicit information on signs and symptoms preceding death. The information gathered was interpreted using the InterVA method to derive population cause-specific mortality fractions for each of the four settings. Results The mortality profiles derived from 4784 deaths using InterVA illustrate the potential of the method to characterise sub-national profiles well. The derived mortality patterns illustrate four populations with plausible, markedly different disease profiles, apparently at different stages of health transition. Conclusions Given the standardised method of VA interpretation, the observed differences in mortality cannot be because of local differences in assigning cause of death. Standardised, fit-for-purpose methods are needed to measure population health and changes in mortality patterns so that appropriate health policy and programmes can be designed, implemented and evaluated over time and place. The InterVA approach overcomes several longstanding limitations of existing methods and represents a valuable tool for health planners and researchers in resource-poor settings. PMID:20701726

  4. Building Information Modelling and Standardised Construction Contracts: a Content Analysis of the GC21 Contract

    Directory of Open Access Journals (Sweden)

    Aaron Manderson

    2015-08-01

    Full Text Available Building Information Modelling (BIM is seen as a panacea to many of the ills confronting the Architectural, Engineering and Construction (AEC sector. In spite of its well documented benefits the widespread integration of BIM into the project lifecycle is yet to occur. One commonly identified barrier to BIM adoption is the perceived legal risks associated with its integration, coupled with the need for implementation in a collaborative environment. Many existing standardised contracts used in the Australian AEC industry were drafted before the emergence of BIM. As BIM continues to become ingrained in the delivery process the shortcomings of these existing contracts have become apparent. This paper reports on a study that reviewed and consolidated the contractual and legal concerns associated with BIM implementation. The findings of the review were used to conduct a qualitative content analysis of the GC21 2nd edition, an Australian standardised construction contract, to identify possible changes to facilitate the implementation of BIM in a collaborative environment. The findings identified a number of changes including the need to adopt a collaborative contract structure with equitable risk and reward mechanisms, recognition of the model as a contract document and the need for standardisation of communication/information exchange.

  5. XML-based clinical data standardisation in the National Health Service Scotland

    Directory of Open Access Journals (Sweden)

    Raluca Bunduchi

    2006-12-01

    Full Text Available The objective of this paper is to clarify the role that socio-economic factors played in shaping the development of XML-based clinical data standards in the National Health Service in Scotland from 2000 to 2004. The paper discusses the NHS Scotland approach to clinical data standardisation, emphasising the actors involved, their choices during the standard development process and the factors that have shaped these choices. The case suggests that the NHS Scotland approach to clinical data standardisation is shaped by strong political pressures for fast development of an integrated electronic patient care system, economic pressures for high efficiency and cost reductions, and organisational requirements for strong clinical support. Such economic, political and organisational pressures explain the informal approach to standard development, the emphasis on fast system development and strong clinical involvement. At the same time, market factors explain the low commitment of the IT vendors, which might have otherwise put significant pressure onNHSScotland to pursue a more formalised standardisation approach within an internationally recognised standard-setting body.

  6. Clinical immunology--autoimmunity in the Netherlands.

    Science.gov (United States)

    Tervaert, Jan Willem Cohen; Kallenberg, Cees G M

    2014-12-01

    Clinical immunology is in the Netherlands a separate clinical specialty within internal medicine and pediatrics. Clinical immunologists work closely together with nephrologists, rheumatologists and many other medical specialists. Apart from research and teaching, clinical immunologists are taking care of patients with immune-deficiencies, vasculitides and systemic auto-immune diseases. Clinical immunology in the Netherlands has always been an important contributor to basic and clinical science in the Netherlands. Major scientific contributions were made in the field of Systemic Lupus Erythematosus and ANCA associated vasculitis. These Dutch contributions will be reviewed in this article. Copyright © 2014 Elsevier B.V. All rights reserved.

  7. Staff exchange within and between nursing homes in The Netherlands and potential implications for MRSA transmission.

    Science.gov (United States)

    VAN Gaalen, R D; Hopman, H A; Haenen, A; VAN DEN Dool, C

    2017-03-01

    A recent countrywide MRSA spa-type 1081 outbreak in The Netherlands predominantly affected nursing homes, generating questions on how infection spreads within and between nursing homes despite a low national prevalence. Since the transfer of residents between nursing homes is uncommon in The Netherlands, we hypothesized that staff exchange plays an important role in transmission. This exploratory study investigated the extent of former (last 2 years) and current staff exchange within and between nursing homes in The Netherlands. We relied on a questionnaire that was targeted towards nursing-home staff members who had contact with residents. We found that 17·9% and 12·4% of the nursing-home staff formerly (last 2 years) or currently worked in other healthcare institutes besides their job in the nursing home through which they were selected to participate in this study. Moreover, 39·7% of study participants worked on more than one ward. Our study shows that, in The Netherlands, nursing-home staff form a substantial number of links between wards within nursing homes and nursing homes are linked to a large network of healthcare institutes through their staff members potentially providing a pathway for MRSA transmission between nursing homes and throughout the country.

  8. How television went digital in the Netherlands

    NARCIS (Netherlands)

    van Eijk, N.; van der Sloot, B.

    2011-01-01

    This paper summarizes the development of digital television in the Netherlands, analyzing such key policy issues as: technical decisions on access for public television, license conditions, and other issues.

  9. Gambling and problem gambling in The Netherlands

    NARCIS (Netherlands)

    Goudriaan, Anna E.

    2014-01-01

    To provide an overview of gambling in the Netherlands, focusing on historical background, policy, legislation, prevalence of problem gambling, availability of treatment options and research base. Literature review. Contradictions between gambling policy and practice have been present in the past

  10. Clinical immunology - Autoimmunity in the Netherlands

    NARCIS (Netherlands)

    Tervaert, Jan Willem Cohen; Kallenberg, Cees G. M.

    2014-01-01

    Clinical immunology is in the Netherlands a separate clinical specialty within internal medicine and pediatrics. Clinical immunologists work closely together with nephrologists, rheumatologists and many other medical specialists. Apart from research and teaching, clinical immunologists are taking

  11. Urban Scaling of Cities in the Netherlands

    OpenAIRE

    van Raan, Anthony F. J.; Gerwin van der Meulen; Willem Goedhart

    2016-01-01

    We investigated the socioeconomic scaling behavior of all cities with more than 50,000 inhabitants in the Netherlands and found significant superlinear scaling of the gross urban product with population size. Of these cities, 22 major cities have urban agglomerations and urban areas defined by the Netherlands Central Bureau of Statistics. For these major cities we investigated the superlinear scaling for three separate modalities: the cities defined as municipalities, their urban agglomeratio...

  12. INLAND DUNE VEGETATION OF THE NETHERLANDS

    Directory of Open Access Journals (Sweden)

    R. HAVEMAN

    2003-01-01

    Full Text Available Drifting sands in the Netherlands are the result of human over-exploitation (sod-cutting, over-grazing of woodlands and heathlands. The most important association of inland sand dune areas is the Spergulo-Corynephoretum (Corynephorion canescentis, which is poor in vascular plants, but in it older stager rich in mosses and especially lichens. In the Netherlands, the area of drifting sand is reduced dramatically in the last 70 years. mainly by afforestation and spontaneous succession.

  13. Acceptance of homosexuality in the Netherlands

    OpenAIRE

    Lisette Kuyper; Floor Bakker

    2006-01-01

    Original title: De houding ten opzichte van homoseksualiteit. To date, relatively little systematic research has been carried out on public attitudes to homosexual men and women in the Netherlands - far less than in the United States, for example. SCP has recently carried out a large-scale survey of the attitudes of the Dutch public to homosexuality; this was published earlier this year under the title Just doing what comes naturally. Acceptance of homosexuality in the Netherlands (Gewoon doe...

  14. Screening for personality disorder in a sample of incarcerated male youth: preliminary validation of the Standardised Assessment of Personality-Abbreviated Scale (SAPAS)

    DEFF Research Database (Denmark)

    Kongerslev, Mickey; Bo, Sune; Simonsen, Erik

    2011-01-01

    Aims: To test the validity of an age-appropriate adaptation of the Standardised Assessment of Personality - Abbreviated Scale (SAPAS) in a sample of incarcerated male youth Method: A sample of incarcerated boys, age 15 to 18, were administered the SAPAS by social workers from the participating...... prisons and secure institutions Within one week a clinical psychologist administered the Structured Clinical Inter-view for DSM-IV Personality Disorders (SCID-II) and the Psychopathy Checklist: Youth Version (PCL:YV) to assess for personality disorders and psychopathy In order to control for confounding......, including assessment of the sensitivity and specificity of the SAPAS for various cut-off scores, will be presented Conclusions: The study provides a basis for preliminary conclusions regarding the validity of SAPAS as a brief routine screen for personality disorders amongst incarcerated male youth...

  15. A critical discourse analysis of the attitudes of occupational therapists and physiotherapists towards the systematic use of standardised outcome measurement

    DEFF Research Database (Denmark)

    Jaeger Pedersen, Tonny; Kaae Kristensen, Hanne

    2016-01-01

    PURPOSE: To investigate discourses relating to the implementation of standardised outcome measurement within rehabilitation practise. METHOD: It is a critical discourse analysis of texts in professional occupational therapist (OT) and physiotherapist (PT) journals, along with transcriptions from...... to make use of research in knowledge translation and adapt it to fit with the ways in which new ideas and recommendations are implemented in local rehabilitation contexts. Implications for Rehabilitation Successful implementation of standardised outcome measurements depends on whether occupational...

  16. Coping and chronic psychosocial consequences of female genital mutilation in The Netherlands.

    Science.gov (United States)

    Vloeberghs, Erick; van der Kwaak, Anke; Knipscheer, Jeroen; van den Muijsenbergh, Maria

    2012-01-01

    The study presented in this article explored psychosocial and relational problems of African immigrant women in The Netherlands who underwent female genital mutilation/cutting (FGM/C), the causes they attribute to these problems--in particular, their opinions about the relationship between these problems and their circumcision--and the way they cope with these health complaints. This mixed-methods study used standardised questionnaires as well as in-depth interviews among a purposive sample of 66 women who had migrated from Somalia, Sudan, Eritrea, Ethiopia or Sierra Leone to The Netherlands. Data were collected by ethnically similar female interviewers; interviews were coded and analysed by two independent researchers. One in six respondents suffered from post-traumatic stress disorder (PTSD), and one-third reported symptoms related to depression or anxiety. The negative feelings caused by FGM/C became more prominent during childbirth or when suffering from physical problems. Migration to the Netherlands led to a shift in how women perceive FGM, making them more aware of the negative consequences of FGM. Many women felt ashamed to be examined by a physician and avoided visiting doctors who did not conceal their astonishment about the FGM. FGM/C had a lifelong impact on the majority of the women participating in the study, causing chronic mental and psychosocial problems. Migration made women who underwent FGM/C more aware of their condition. Three types of women could be distinguished according to their coping style: the adaptives, the disempowered and the traumatised. Health care providers should become more aware of their problems and more sensitive in addressing them.

  17. The "diamond port configuration": A standardised laparoscopic technique for adolescent intestinal resection and anastomosis

    Directory of Open Access Journals (Sweden)

    Richard Hill

    2012-01-01

    Full Text Available Background: Familiarity with technique and repetition enhance efficiency during laparoscopic surgery. This is particularly important when undertaking complex bowel resections. We report a standardised protocol that includes theatre layout, patient position and port insertion, which we believe facilitates excellent abdominal access and ergonomics and has the potential to shorten the duration of the team-learning curve. Materials and Methods: A strategic unit development plan led to the commencement of a laparoscopic service for adolescents with bowel disorders. A standardised protocol for intestinal resections was agreed upon at a monthly Paediatric Minimal Access Group meeting. This covered patient position, port insertion, technical aspects of intestinal resection and perioperative management. In particular, a diamond configuration for ports was agreed upon. Data were prospectively collected, and included patient demographics, operative times, conversion rates and postoperative outcomes. Unless otherwise indicated, data are presented as medians with ranges. Results: Seven procedures were carried out in six patients (three female aged 14 (11-14 years. Access to the entire abdominal cavity, vision and ergonomics were excellent in all. There were no conversions to open surgery. In all procedures, the technique was considered safe and effective. The length of hospital stay was 6.5 (5.8-14 days. Conclusion: A standardised protocol including the use of the diamond port configuration has several putative advantages for laparoscopic bowel resections and anastomoses. These include efficiency, reproducibility, predictability, good visibility and excellent ergonomics. We recommend this approach as a means to shorten the procedure-specific learning curve of the laparoscopic team.

  18. Opportunities for Integrated Ecological Analysis across Inland Australia with Standardised Data from Ausplots Rangelands.

    Directory of Open Access Journals (Sweden)

    Greg R Guerin

    Full Text Available Australian rangelands ecosystems cover 81% of the continent but are understudied and continental-scale research has been limited in part by a lack of precise data that are standardised between jurisdictions. We present a new dataset from AusPlots Rangelands that enables integrative rangelands analysis due to its geographic scope and standardised methodology. The method provides data on vegetation and soils, enabling comparison of a suite of metrics including fractional vegetation cover, basal area, and species richness, diversity, and composition. Cover estimates are robust and repeatable, allowing comparisons among environments and detection of modest change. The 442 field plots presented here span a rainfall gradient of 129-1437 mm Mean annual precipitation with varying seasonality. Vegetation measurements include vouchered vascular plant species, growth form, basal area, height, cover and substrate type from 1010 point intercepts as well as systematically recorded absences, which are useful for predictive modelling and validation of remote sensing applications. Leaf and soil samples are sampled for downstream chemical and genomic analysis. We overview the sampling of vegetation parameters and environments, applying the data to the question of how species abundance distributions (SADs vary over climatic gradients, a key question for the influence of environmental change on ecosystem processes. We found linear relationships between SAD shape and rainfall within grassland and shrubland communities, indicating more uneven abundance in deserts and suggesting relative abundance may shift as a consequence of climate change, resulting in altered diversity and ecosystem function. The standardised data of AusPlots enables such analyses at large spatial scales, and the testing of predictions through time with longitudinal sampling. In future, the AusPlots field program will be directed towards improving coverage of space, under-represented environments

  19. Opportunities for Integrated Ecological Analysis across Inland Australia with Standardised Data from Ausplots Rangelands.

    Science.gov (United States)

    Guerin, Greg R; Sparrow, Ben; Tokmakoff, Andrew; Smyth, Anita; Leitch, Emrys; Baruch, Zdravko; Lowe, Andrew J

    2017-01-01

    Australian rangelands ecosystems cover 81% of the continent but are understudied and continental-scale research has been limited in part by a lack of precise data that are standardised between jurisdictions. We present a new dataset from AusPlots Rangelands that enables integrative rangelands analysis due to its geographic scope and standardised methodology. The method provides data on vegetation and soils, enabling comparison of a suite of metrics including fractional vegetation cover, basal area, and species richness, diversity, and composition. Cover estimates are robust and repeatable, allowing comparisons among environments and detection of modest change. The 442 field plots presented here span a rainfall gradient of 129-1437 mm Mean annual precipitation with varying seasonality. Vegetation measurements include vouchered vascular plant species, growth form, basal area, height, cover and substrate type from 1010 point intercepts as well as systematically recorded absences, which are useful for predictive modelling and validation of remote sensing applications. Leaf and soil samples are sampled for downstream chemical and genomic analysis. We overview the sampling of vegetation parameters and environments, applying the data to the question of how species abundance distributions (SADs) vary over climatic gradients, a key question for the influence of environmental change on ecosystem processes. We found linear relationships between SAD shape and rainfall within grassland and shrubland communities, indicating more uneven abundance in deserts and suggesting relative abundance may shift as a consequence of climate change, resulting in altered diversity and ecosystem function. The standardised data of AusPlots enables such analyses at large spatial scales, and the testing of predictions through time with longitudinal sampling. In future, the AusPlots field program will be directed towards improving coverage of space, under-represented environments, vegetation types

  20. Institutional actorhood

    DEFF Research Database (Denmark)

    Madsen, Christian Uhrenholdt

    In this paper I describe the changing role of intra-organizational experts in the face of institutional complexity of their field. I do this through a qualitative investigation of the institutional and organizational roles of actors in Danish organizations who are responsible for the efforts...... to comply with the Danish work environment regulation. And by doing so I also describe how institutional complexity and organizational responses to this complexity are particular important for the changing modes of governance that characterizes contemporary welfare states....

  1. Testing the use of standardised indices and GRACE satellite data to estimate the European 2015 groundwater drought in near-real time

    Science.gov (United States)

    Van Loon, Anne F.; Kumar, Rohini; Mishra, Vimal

    2017-04-01

    In 2015, central and eastern Europe were affected by a severe drought. This event has recently been studied from meteorological and streamflow perspective, but no analysis of the groundwater situation has been performed. One of the reasons is that real-time groundwater level observations often are not available. In this study, we evaluate two alternative approaches to quantify the 2015 groundwater drought over two regions in southern Germany and eastern Netherlands. The first approach is based on spatially explicit relationships between meteorological conditions and historic groundwater level observations. The second approach uses the Gravity Recovery Climate Experiment (GRACE) terrestrial water storage (TWS) and groundwater anomalies derived from GRACE-TWS and (near-)surface storage simulations by the Global Land Data Assimilation System (GLDAS) models. We combined the monthly groundwater observations from 2040 wells to establish the spatially varying optimal accumulation period between the Standardised Groundwater Index (SGI) and the Standardized Precipitation Evapotranspiration Index (SPEI) at a 0.25° gridded scale. The resulting optimal accumulation periods range between 1 and more than 24 months, indicating strong spatial differences in groundwater response time to meteorological input over the region. Based on the estimated optimal accumulation periods and available meteorological time series, we reconstructed the groundwater anomalies up to 2015 and found that in Germany a uniform severe groundwater drought persisted for several months during this year, whereas the Netherlands appeared to have relatively high groundwater levels. The differences between this event and the 2003 European benchmark drought are striking. The 2003 groundwater drought was less uniformly pronounced, both in the Netherlands and Germany. This is because slowly responding wells (the ones with optimal accumulation periods of more than 12 months) still were above average from the wet

  2. A method for developing standardised interactive education for complex clinical guidelines

    Directory of Open Access Journals (Sweden)

    Vaughan Janet I

    2012-11-01

    Full Text Available Abstract Background Although systematic use of the Perinatal Society of Australia and New Zealand internationally endorsed Clinical Practice Guideline for Perinatal Mortality (PSANZ-CPG improves health outcomes, implementation is inadequate. Its complexity is a feature known to be associated with non-compliance. Interactive education is effective as a guideline implementation strategy, but lacks an agreed definition. SCORPIO is an educational framework containing interactive and didactic teaching, but has not previously been used to implement guidelines. Our aim was to transform the PSANZ-CPG into an education workshop to develop quality standardised interactive education acceptable to participants for learning skills in collaborative interprofessional care. Methods The workshop was developed using the construct of an educational framework (SCORPIO, the PSANZ-CPG, a transformation process and tutor training. After a pilot workshop with key target and stakeholder groups, modifications were made to this and subsequent workshops based on multisource written observations from interprofessional participants, tutors and an independent educator. This participatory action research process was used to monitor acceptability and educational standards. Standardised interactive education was defined as the attainment of content and teaching standards. Quantitative analysis of positive expressed as a percentage of total feedback was used to derive a total quality score. Results Eight workshops were held with 181 participants and 15 different tutors. Five versions resulted from the action research methodology. Thematic analysis of multisource observations identified eight recurring education themes or quality domains used for standardisation. The two content domains were curriculum and alignment with the guideline and the six teaching domains; overload, timing, didacticism, relevance, reproducibility and participant engagement. Engagement was the most

  3. A method for developing standardised interactive education for complex clinical guidelines.

    Science.gov (United States)

    Vaughan, Janet I; Jeffery, Heather E; Raynes-Greenow, Camille; Gordon, Adrienne; Hirst, Jane; Hill, David A; Arbuckle, Susan

    2012-11-06

    Although systematic use of the Perinatal Society of Australia and New Zealand internationally endorsed Clinical Practice Guideline for Perinatal Mortality (PSANZ-CPG) improves health outcomes, implementation is inadequate. Its complexity is a feature known to be associated with non-compliance. Interactive education is effective as a guideline implementation strategy, but lacks an agreed definition. SCORPIO is an educational framework containing interactive and didactic teaching, but has not previously been used to implement guidelines. Our aim was to transform the PSANZ-CPG into an education workshop to develop quality standardised interactive education acceptable to participants for learning skills in collaborative interprofessional care. The workshop was developed using the construct of an educational framework (SCORPIO), the PSANZ-CPG, a transformation process and tutor training. After a pilot workshop with key target and stakeholder groups, modifications were made to this and subsequent workshops based on multisource written observations from interprofessional participants, tutors and an independent educator. This participatory action research process was used to monitor acceptability and educational standards. Standardised interactive education was defined as the attainment of content and teaching standards. Quantitative analysis of positive expressed as a percentage of total feedback was used to derive a total quality score. Eight workshops were held with 181 participants and 15 different tutors. Five versions resulted from the action research methodology. Thematic analysis of multisource observations identified eight recurring education themes or quality domains used for standardisation. The two content domains were curriculum and alignment with the guideline and the six teaching domains; overload, timing, didacticism, relevance, reproducibility and participant engagement. Engagement was the most challenging theme to resolve. Tutors identified all themes for

  4. Preliminary Insights into the Implementation of Standardised IT in Franchise Systems

    Directory of Open Access Journals (Sweden)

    Angele Cavaye

    1999-05-01

    Full Text Available The franchise context provides a rich background for studying the implementation of standardised, interlinked IT systems. Benefits of IT implementation in franchises appear obvious, but the small business context and potential tension between the two main stakeholders (franchisor and franchisees tend to create difficulties in the implementation process. Case study methods were used to investigate IT implementation in franchise systems. Franchisee-related factors that clearly impact on implementation include perceived need for the IT system, cost of the system and the level of IT literacy among franchisees. Franchisor-related factors like coercion of franchisees and education of franchisees strongly facilitate implementation.

  5. A method for developing standardised interactive education for complex clinical guidelines

    Science.gov (United States)

    2012-01-01

    Background Although systematic use of the Perinatal Society of Australia and New Zealand internationally endorsed Clinical Practice Guideline for Perinatal Mortality (PSANZ-CPG) improves health outcomes, implementation is inadequate. Its complexity is a feature known to be associated with non-compliance. Interactive education is effective as a guideline implementation strategy, but lacks an agreed definition. SCORPIO is an educational framework containing interactive and didactic teaching, but has not previously been used to implement guidelines. Our aim was to transform the PSANZ-CPG into an education workshop to develop quality standardised interactive education acceptable to participants for learning skills in collaborative interprofessional care. Methods The workshop was developed using the construct of an educational framework (SCORPIO), the PSANZ-CPG, a transformation process and tutor training. After a pilot workshop with key target and stakeholder groups, modifications were made to this and subsequent workshops based on multisource written observations from interprofessional participants, tutors and an independent educator. This participatory action research process was used to monitor acceptability and educational standards. Standardised interactive education was defined as the attainment of content and teaching standards. Quantitative analysis of positive expressed as a percentage of total feedback was used to derive a total quality score. Results Eight workshops were held with 181 participants and 15 different tutors. Five versions resulted from the action research methodology. Thematic analysis of multisource observations identified eight recurring education themes or quality domains used for standardisation. The two content domains were curriculum and alignment with the guideline and the six teaching domains; overload, timing, didacticism, relevance, reproducibility and participant engagement. Engagement was the most challenging theme to resolve

  6. Towards a Smarter Greenport: Public‐Private Partnership to Boost Digital Standardisation and Innovation in the Dutch Horticulture

    Directory of Open Access Journals (Sweden)

    Cor Verdouw

    2014-07-01

    Full Text Available The horticulture and propagation materials sector has been designated as one of the so‐called top sectors in which the Netherlands excels globally and that are a government priority. The top sector approach for further innovation is based on public‐private partnerships (PPPs in which businesses, knowledge institutes and the (national government are working closely together towards a common vision and action plans (the 'golden triangle'. This paper introduces the Digital Greenport Holland (Dutch: Tuinbouw Digitaal and its research and innovationprogramme ‘a Smarter Greenport’. Digital Greenport Holland is the PPP of the horticultural top sector that focuses on digital information management. The business involvement consists of the collaboration between three activeindustry associations for chain information, i.e. Frug I Com (fruit and vegetables, Floricode (flowers and plants and EDIbulb (flower bulbs. The activities focus on four main themes: E‐standards, E‐information‐integration, Ebusiness‐to‐government and E‐competence. The programme ‘a Smarter Greenport’ has currently conducted eight projects on these themes.

  7. New initiatives in the Netherlands Open Air Museum: how an early open air museum keeps up with the times

    NARCIS (Netherlands)

    de Jong, A.

    2010-01-01

    The Netherlands Open Air Museum in Arnhem is one of the oldest open air museums of Europe. From the 1990s the staff has been engaged in an intense process of fundamentally changing the museum. The major step was to redefine the museum’s institutional identity. We believed that a good museum not only

  8. Valuing popular music heritage : Exploring amateur and fan-based preservation practices in museums and archives in the Netherlands

    NARCIS (Netherlands)

    A.M.C. Brandellero (Amanda); A.J.C. van der Hoeven (Arno); M.S.S.E. Janssen (Susanne)

    2015-01-01

    textabstractThe institutional context for the preservation of popular music-related heritage in the Netherlands has in recent years changed dramatically. On the one hand, this is related to major cuts in government support for all kinds of culture-related initiatives (OCW, 2011) On the other hand,

  9. Surveillance of acute respiratory infections in general practices - The Netherlands, winters 1998/1999 and 1999/2000

    NARCIS (Netherlands)

    Brandhof WE van den; Bartelds AIM; Wilbrink B; Verweij C; Bijlsma K; Nat H van der; Boswijk H; Pronk JDD; Dorigo-Zetsma JW; Heijnen MLA; NIVEL; CIE; LIS

    2001-01-01

    To provide insight into the virological aetiology of influenza-like illnesses and other acute respiratory infections, nose/throat swabs were taken by 30-35 general practitioners of the sentinel surveillance network of The Netherlands Institute of Health Services Research from a random selection of

  10. Institutional Controls

    Data.gov (United States)

    U.S. Environmental Protection Agency — This dataset consists of institutional control data from multiple Superfund sites in U.S. EPA Region 8. These data were acquired from multiple sources at different...

  11. Institutional upbringing

    DEFF Research Database (Denmark)

    Gulløv, Eva

    2008-01-01

    current testing of Danish language fluency levels among pre-school minority children. Testing language skills marks and defines distinctions that reinforce images of deviance that, in turn, legitimize initiatives to enrol children, specifically minority children, in child care institutions....

  12. Institutional ethnography

    DEFF Research Database (Denmark)

    Lund, Rebecca; Tienari, Janne

    2016-01-01

    of managerial respondents. This leads to another bias in the study of M&As: an managerial one. These critiques are an important step in pinpointing some of the problematic aspects in the field, which we suggest can be part remedied by institutional ethnography developed by Dorothy Smith and her colleagues....... In institutional ethnography the notion of objectification is applied to describe research processes like those that have been found to dominate in scholarly work on M&As. In this chapter, we offer an outline of Smiths critique of objectification, elucidate how institutional ethnography seeks to address it......, and point to some of the problems in M&A studies identified through this lens. Finally, we argue why institutional ethnography, in comparison with other methods of inquiry, is particularly fruitful in the study of mergers and acquisitions....

  13. Institutional Investors

    DEFF Research Database (Denmark)

    Birkmose, Hanne Søndergaard; Strand, Therese

    Research Question/Issue: Institutional investors are facing increased pressure and threats of legislation from the European Union to abandon passive ownership strategies. This study investigates the prerequisites for – and potential dissimilarities in the practice of, active ownership among....../Policy Implications: Regulators should be aware of the impact by local governance mechanisms, and how shareholders react under different legal and practical prerequisites. The paper also highlights legal elements that differ between Denmark and Sweden, and which might affect institutional activism....

  14. Happy Dutch organic calves: suckling systems in organic dairying in the Netherlands

    OpenAIRE

    Wagenaar, J. P.

    2009-01-01

    Organic dairy farmers in The Netherlands, supported by the Louis Bolk Institute, developed a calf rearing system in which newborn heifer calves suckle their mother or a nurse cow up to three months of age. Consumers played an important role. Their critical questions made farmers take the initiative to investigate and develop an alternative way (more animal friendly) to raise organic dairy calves. Increased animal welfare and health were the focus of system development, but the practical an...

  15. Similar problems, different solutions: Comparing refuse collection in the Netherlands and Spain

    OpenAIRE

    Germà Bel; Elbert Dijkgraaf; Xavier Fageda; Raymond Gradus

    2008-01-01

    Local public service provision can vary greatly because of differences in institutional arrangements, public service markets, and national traditions regarding government intervention. In this paper we compare the procedures adopted by the local governments of the Netherlands and Spain in arranging for the provision of solid waste collection. We find that Spain faces a consolidation problem, opting more frequently to implement policies of privatization and cooperation, at the expense of compe...

  16. Acceptance of lesbian, gay, bisexual and transgender individuals in the Netherlands 2013

    OpenAIRE

    Saskia Keuzenkamp; Lisette Kuyper

    2013-01-01

    Original title: Acceptatie van homoseksuelen, biseksuelen en transgenders in Nederland 2013 The Dutch government is committed to equal rights for and social acceptance of lesbian, gay, bisexual and transgender (LGBT) individuals, and also to securing their acceptance in Dutch society. Since social acceptance is one of the most important goals of the gay emancipation policy, at the request of the Minister of Education, Culture and Science the Netherlands Institute for Social Research/SCP publi...

  17. Treatment of forefoot problems in older people: study protocol for a randomised clinical trial comparing podiatric treatment to standardised shoe advice

    Directory of Open Access Journals (Sweden)

    Peeraer Louis

    2011-03-01

    Full Text Available Abstract Background Foot problems in general and forefoot problems in particular can lead to a decrease in mobility and a higher risk of falling. Forefoot problems increase with age and are more common in women than in men. Around 20% of people over 65 suffer from non-traumatic foot problems and 60% of these problems are localised in the forefoot. Little is known about the best way to treat forefoot problems in older people. The aim of this study is to compare the effects of two common modes of treatment in the Netherlands: shoe advice and podiatric treatment. This paper describes the design of this study. Methods The study is designed as a pragmatic randomised clinical trial (RCT with 2 parallel intervention groups. People aged 50 years and over who have visited their general practitioner (GP with non traumatic pain in the forefoot in the preceding year and those who will visit their GP during the recruitment period with a similar complaint will be recruited for this study. Participants must be able to walk unaided for 7 metres and be able to fill in questionnaires. Exclusion criteria are: rheumatoid arthritis, neuropathy of the foot or pain caused by skin problems (e.g. warts, eczema. Inclusion and exclusion criteria will be assessed by a screening questionnaire and baseline assessment. Those consenting to participation will be randomly assigned to either a group receiving a standardised shoe advice leaflet (n = 100 or a group receiving podiatric treatment (n = 100. Primary outcomes will be the severity of forefoot pain (0-10 on a numerical rating scale and foot function (Foot Function 5-pts Index and Manchester Foot Pain and Disability Index. Treatment adherence, social participation and quality of life will be the secondary outcomes. All outcomes will be obtained through self-administered questionnaires at the start of the study and after 3, 6, 9 and 12 months. Data will be analysed according to the "intention-to-treat" principle using

  18. Pension funds in The Netherlands

    NARCIS (Netherlands)

    Kemna, A.G.Z.; Ponds, E.H.M.; Steenbeek, O.W.

    2012-01-01

    The Dutch pension fund system, considered among the best in the world, successfully combines a first-pillar flat-rate pension for all residents with a labor-related second pillar and voluntary savings accounts as the third pillar. This paper describes the main institutional characteristics of the

  19. Outcome of treatment of MDR-TB patients with standardised regimens, Iran, 2002-2006.

    Science.gov (United States)

    Masjedi, M R; Tabarsi, P; Chitsaz, E; Baghaei, P; Mirsaeidi, M; Amiri, M V; Farnia, P; Javanmard, P; Mansouri, D; Velayati, A A

    2008-07-01

    Multidrug-resistant tuberculosis (MDR-TB) imposes a formidable burden on national health systems. There is still no consensus on the subject, with controversies regarding treatment protocols, treatment outcomes and the various treatment regimens. The present study describes Iran's second national cohort for treatment of MDR-TB. The study comprised all documented MDR-TB cases in Iran referred to our centre during the period 2002-2006. All patients received a standardised second-line regimen consisting of ofloxacin, cycloserine, prothionamide and amikacin. Based on drug susceptibility testing results, ethambutol and pyrazinamide were added to the regimen. Forty-three patients diagnosed with MDR-TB, with a mean age of 44.38 +/- 19.05 years, received treatment; of these, 27 (62.8%) were male. Twenty-three were (53.5%) Iranians and the remainder were Afghans. All patients were acquired MDR-TB cases. Of the 43 cases, 25 (58.1%) experienced severe clinically significant adverse effects; 29 (67.5%) had a successful outcome and 14 (32.5%) had a poor outcome (treatment failure in six [14%] and death in eight [18.6%]). Mortality was higher in Iranians (P = 0.039) and in patients whose initial regimen was changed due to adverse drug reactions (P = 0.01). Compared with previous studies, our study was able to obtain more favourable outcomes of MDR-TB treatment using a standardised regimen.

  20. Standardised evaluation of medicine acceptability in paediatric population: reliability of a model.

    Science.gov (United States)

    Vallet, Thibault; Ruiz, Fabrice; Lavarde, Marc; Pensé-Lhéritier, Anne-Marie; Aoussat, Ameziane

    2017-10-26

    Our novel tool to standardise the evaluation of medicine acceptability was developed using observational data on medicines use measured in a paediatric population included for this purpose (0-14 years). Using this tool, any medicine may be positioned on a map and assigned to an acceptability profile. The present exploration aimed to verify its statistical reliability. Permutation test has been used to verify the significance of the relationships among measures highlighted by the acceptability map. Bootstrapping has been used to demonstrate the accuracy of the model (map, profiles and scores of acceptability) regardless of variations in the data. Lastly, simulations of enlarged data sets (×2; ×5; ×10) have been built to study the model's consistency. Permutation test established the significance of the meaningful pattern identified in the data and summarised in the map. Bootstrapping attested the accuracy of the model: high RV coefficients (mean value: 0.930) verified the mapping stability, significant Adjusted Rand Indexes and Jaccard coefficients supported clustering validity (with either two or four profiles), and agreement between acceptability scores demonstrated scoring relevancy. Regarding enlarged data sets, these indicators reflected a very high consistency of the model. These results highlighted the reliability of the model that will permit its use to standardise medicine acceptability assessments. © 2017 Royal Pharmaceutical Society.

  1. Understanding the 'Silver Book' - An important reference for standardised nomenclature in clinical laboratory sciences.

    Science.gov (United States)

    Flatman, Robert; Férard, Georges; Dybkaer, René

    2017-04-01

    Clinical laboratories perform a wide menu of testing (examinations). Successful requesting, examination, and ordering in this environment requires clear standardised nomenclature. The Silver Book (SB) is an IUPAC (International Union of Pure and Applied Chemistry) publication, produced with the support of both IUPAC and the IFCC (International Federation of Clinical Chemistry and Laboratory Medicine), that makes recommendations on logical standardised nomenclature, symbols, properties, and units in many disciplines of the clinical laboratory sciences. These recommendations are founded on and in agreement with the principles and work of the International Organization for Standardization (ISO), Bureau International des Poids et Mesures (BIPM), IUPAC, and the IFCC. Practical applications described are based on those scientific principles. The SB recommendations apply to all types of examination, not only to measurement of quantities but also examination of nominal properties where no magnitude is involved. The SB is applicable not only to clinical chemistry, but to many other clinical laboratory disciplines. For examples, reports regarding haemostasis, toxicology, clinical microbiology, reproduction and fertility, clinical pharmacology, clinical allergology, clinical molecular biology, and clinical immunohaematology have been published by the IUPAC and the IFCC. Peak scientific bodies such as the IUPAC and the IFCC have important roles in the development of sound international standards for nomenclature of examinations. Such standards support safe and effective representation of patient health information, foster portability, and empower future decision support systems. Copyright © 2016. Published by Elsevier B.V.

  2. Recency, primacy, and memory: reappraising and standardising the serial position curve.

    Science.gov (United States)

    Capitani, E; Della Sala, S; Logie, R H; Spinnler, H

    1992-09-01

    In this paper we consider the serial position curve in immediate verbal free recall. A large literature has argued that two components of the serial position curve, recency and primacy, reflect the functioning respectively of short-term and of long-term memory. However, there are a number of difficulties in interpreting the recency effect as a phenomenon uniquely associated with short-term memory. Moreover, the serial position curve has been used widely for clinical investigations in patients with memory deficits. This is despite the lack of norms for the measures derived from the curve. We present a set of standardised norms based on 321 Italian normal subjects. These norms are shown to be applicable both to an English speaking population, and to three groups of brain damaged-patients, namely Alzheimer's, amnesics, and frontals. The standardised norms offer a clinical and experimental tool which, coupled with a multiple single case approach, allows us to show dissociations and double dissociations among the performance patterns obtained from all three pathological groups. The paper concludes with a discussion of a possible interpretation of the recency effect as a emergent property of all types of memory system, including verbal short-term memory. Taking into account previous literature as well as our own data, the recency effect in immediate verbal free recall is here interpreted in terms of a two-component view of verbal short-term memory.

  3. Standardisation of {sup 124}SB and {sup 152}EU using software coincidence counting system

    Energy Technology Data Exchange (ETDEWEB)

    Havelka, Miroslav, E-mail: mhavelka@cmi.c [Czech Metrology Institute, Inspectorate for Ionizing Radiation, Radiova 1, 102 00 Prague (Czech Republic); Sochorova, Jana [Czech Metrology Institute, Inspectorate for Ionizing Radiation, Radiova 1, 102 00 Prague (Czech Republic)

    2010-07-15

    Activities of the radionuclides {sup 124}Sb and {sup 152}Eu were determined by the efficiency extrapolation method applied to 4{pi}(PC)-{gamma} coincidence counting. The {sup 124}Sb sources were prepared from a solution with the chemical form of 50 {mu}g g{sup -1} SbCl{sub 3} in 2 M HCl. To inhibit the volatility of antimony chlorides, the sources were slowly dried in a H{sub 2}S atmosphere with relative humidity of 76% for about 48 h. This procedure increased the beta detection efficiency up to 0.98, which simplified the standardisation. In the {sup 152}Eu standardisation, the optimal {gamma}-ray energy window setting to achieve a linear dependency and the correct slope of the extrapolation curve were derived by means of software coincidence counting system using offline evaluation of data with different coincidence parameter settings. The results obtained by the software coincidence counting system were compared with those obtained by the conventional coincidence method.

  4. Development of a standardised approach to river habitat assessment in Australia.

    Science.gov (United States)

    Parsons, Melissa; Thoms, Martin C; Norris, R H

    2004-11-01

    Despite the demonstrated utility of the Australian River Assessment Scheme (AUSRIVAS) to provide national-scale information on the biological condition of rivers, there is no commensurate scheme that can provide standardised information on physical habitat. Existing habitat assessment methods are not suitable for implementation on a national scale, so we present a new habitat assessment protocol that incorporates favorable elements of existing methods. Habitat Predictive Modelling forms the basis for the protocol because it can predict the occurrence of local-scale features from large-scale data, uses the reference condition concept, can be modified to incorporate a range of biologically and geomorphologically relevant variables, and employs a rapid survey approach. However, the protocol has been augmented with geomorphological variables and incorporates principles of hierarchy and geomorphological river zonation. There are four sequential components to the implementation of the protocol: reference site selection, data collection, predictive model construction and assessment of test sites using the predictive models. Once implemented, the habitat assessment protocol will provide a standardised tool for the assessment of river habitat condition at a variety of governance levels.

  5. Using standardised patients in an objective structured clinical examination as a patient safety tool.

    Science.gov (United States)

    Battles, J B; Wilkinson, S L; Lee, S J

    2004-10-01

    Standardised patients (SPs) are a powerful form of simulation that has now become commonplace in training and assessment in medical education throughout the world. Standardised patients are individuals, with or without actual disease, who have been trained to portray a medical case in a consistent manner. They are now the gold standard for measuring the competence of physicians and other health professionals, and the quality of their practice. A common way in which SPs are used in performance assessment has been as part of an objective structured clinical examination (OSCE). The use of an SP based OSCE can be a powerful tool in measuring continued competence in human reliability and skill performance where such skills are a critical attribute to maintaining patient safety. This article will describe how an OSCE could be used as a patient safety tool based on cases derived from actual events related to postdonation information in the blood collection process. The OSCE was developed as a competency examination for health history takers. Postdonation information events in the blood collection process account for the majority of errors reported to the US Food and Drug Administration. SP based assessment is an important patient safety tool that could be applied to a variety of patient safety settings and situations, and should be considered an important weapon in the war on medical error and patient harm.

  6. Effects of pre-conditioning on behavior and physiology of horses during a standardised learning task.

    Directory of Open Access Journals (Sweden)

    Kate Fenner

    Full Text Available Rein tension is used to apply pressure to control both ridden and unridden horses. The pressure is delivered by equipment such as the bit, which may restrict voluntary movement and cause changes in behavior and physiology. Managing the effects of such pressure on arousal level and behavioral indicators will optimise horse learning outcomes. This study examined the effect of training horses to turn away from bit pressure on cardiac outcomes and behavior (including responsiveness over the course of eight trials in a standardised learning task. The experimental procedure consisted of a resting phase, treatment/control phase, standardised learning trials requiring the horses (n = 68 to step backwards in response to bit pressure and a recovery phase. As expected, heart rate increased (P = 0.028 when the handler applied rein tension during the treatment phase. The amount of rein tension required to elicit a response during treatment was higher on the left than the right rein (P = 0.009. Total rein tension required for trials reduced (P < 0.001 as they progressed, as did time taken (P < 0.001 and steps taken (P < 0.001. The incidence of head tossing decreased (P = 0.015 with the progression of the trials and was higher (P = 0.018 for the control horses than the treated horses. These results suggest that preparing the horses for the lesson and slightly raising their arousal levels, improved learning outcomes.

  7. Euthanasia in Belgium, the Netherlands and Luxembourg.

    Science.gov (United States)

    2013-11-01

    Each of the Benelux countries (Belgium, Luxembourg, Netherlands) has enacted legislation that partially decriminalises euthanasia, defined as an act that intentionally terminates someone's life at their request. In the Netherlands and Luxembourg, but not in Belgium, the legislation partially decriminalised assisted suicide at the same time. In all three countries, euthanasia can only be performed by a doctor, in response to the patient's voluntary and well-considered request, and for patients who have an incurable disease that causes unbearable suffering, without any prospect of relief. In the Netherlands, minors can request euthanasia as of the age of 12 years. In 2011, reported euthanasia accounted for about 1% of deaths in Belgium and 3% in the Netherlands. In 75% of cases, cancer was the disease leading to a request for euthanasia. In the Netherlands, the number of cases of euthanasia reported by doctors in surveys matches the number that is officially declared. In Belgium, it is thought that there are as many unreported as reported cases of euthanasia. Since the enactment of euthanasia legislation, fewer deaths involve the intentional administration of lethal drugs without an explicit request from the patient.

  8. A critical discourse analysis of the attitudes of occupational therapists and physiotherapists towards the systematic use of standardised outcome measurement.

    Science.gov (United States)

    Jaeger Pedersen, Tonny; Kaae Kristensen, Hanne

    2016-08-01

    To investigate discourses relating to the implementation of standardised outcome measurement within rehabilitation practise. It is a critical discourse analysis of texts in professional occupational therapist (OT) and physiotherapist (PT) journals, along with transcriptions from three focus group interviews with 25 OTs and PTs in local rehabilitation settings. Although positive attitudes towards outcome measurement were expressed in the professional journals, OTs and PTs in local settings had professional reservations about standardisation of the rehabilitation practise. The therapists were caught in what they considered to be a dilemma between taking a holistic approach and performing standardised practise. Systematic outcome measurement challenged the core values of their practise. Therapists often felt that 'it did not make sense' to use outcome measurement and this became a barrier to its implementation. If the use of standardised outcome measurement is to be increased, reflection is needed on how the measurements can be integrated to provide a meaningful contribution to individual rehabilitation processes. To optimise implementation, it is essential to make use of research in knowledge translation and adapt it to fit with the ways in which new ideas and recommendations are implemented in local rehabilitation contexts. Implications for Rehabilitation Successful implementation of standardised outcome measurements depends on whether occupational therapists and physiotherapists have an experience of the measurements as being meaningful. Enforcement of standardised outcome measurements must be done by means of more than a few isolated arguments, if professional acceptance is to be gained. To reject established dogmas on, e.g. standardisation, deliberate and conscious reflections in local settings are needed. It is necessary to go beyond normal and familiar professional reflections. To this end, newcomers' opinions are valuable.

  9. How national institutions mediate the global : Screen translation, institutional interdependencies and the production of national difference in four European countries

    NARCIS (Netherlands)

    Kuipers, G.

    2015-01-01

    How do national institutional contexts mediate the global? This article aims to answer this question by analyzing screen translation—the translation of audiovisual materials like movies and television programs—in four European countries: France, Italy, the Netherlands, and Poland. A cross-national,

  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. The development of a new chemistry curriculum in the Netherlands ...

    African Journals Online (AJOL)

    The development of a new chemistry curriculum in the Netherlands: Introducing ... Journal Home > Vol 4, No 2 (2014) >. Log in or ... This paper describes the recent changes in chemistry education in secondary school in the Netherlands.

  12. Institutional Awareness

    DEFF Research Database (Denmark)

    Ahlvik, Carina; Boxenbaum, Eva

    Drawing on dual-process theory and mindfulness research this article sets out to shed light on the conditions that need to be met to create “a reflexive shift in consciousness” argued to be a key foundational mechanism for agency in institutional theory. Although past research has identified diff...... in consciousness to emerge and argue for how the varying levels of mindfulness in the form of internal and external awareness may manifest as distinct responses to the institutional environment the actor is embedded in....

  13. Photochemical and other air pollutions in the Netherlands

    Energy Technology Data Exchange (ETDEWEB)

    Floor, H.

    1975-01-01

    Together with the State Institute of Public Health and the Royal Dutch Meteorological Institute, the Institute of Phytopathological Research continued investigations on incidence of air pollution in the country. The main purpose is to measure the effects of air pollution on indicator plants and to detect over the years which components separately or perhaps together damage indicator plants. In 1974, the network of experimental fields in the Netherlands was completed. From April until October, 29 fields were inspected weekly for typical symptoms of air pollution. Just as in the preceding year O3 caused most injury of the photochemical air pollutants, as shown by Spinacia oleracea and Nicotiana tabacum. Other photochemical air pollutants like PAN, and the pollutants SO2, NO/sub x/ and ethylene caused little injury to the indicator plants Urtica urens, Poa annua, Medicago sativa, Petunia nyctaginiflora and Solanum tuberosum. Symptoms of damage on Tulipa gesneriana, Gladiolus gandavensis and Freesia refracta indicated air pollution by HF in all experimental fields, but especially in the south of the country. The F determination in the air by means of the limed paper method established the results with the indicator plants.

  14. The effect of same-sex marriage laws on different-sex marriage: Evidence from the Netherlands

    OpenAIRE

    Trandafir, Mircea

    2014-01-01

    It has long been argued that the legalization of same-sex marriage would have a negative impact on marriage. In this article, I examine how different-sex marriage in the Netherlands was affected by the enactment of two laws: a 1998 law that provided all couples with an institution almost identical to marriage (a “registered partnership”) and a 2001 law that legalized same-sex marriage for the first time in the world. I first construct a synthetic control for the Netherlands using OECD data fo...

  15. Agricultural Cooperatives in the Netherlands: key success factors

    NARCIS (Netherlands)

    Bijman, J.

    2016-01-01

    The paper argues that the ongoing success of agricultural cooperatives in the Netherlands can be explained by the combination of five factors. First, the Netherlands has an enabling cooperative legislation. Second, cooperatives in the Netherlands have been able to maintain effective member control

  16. Institutional Assessment

    International Development Research Centre (IDRC) Digital Library (Canada)

    Organizational incentives refer to the way an organization's system of rewards and punishments either encourages or discourages behaviours – in the case of research institutions, productivity and creativity. Incentives are important to individual research careers and to overall organizational success and can help ...

  17. European Institutions?

    NARCIS (Netherlands)

    Meacham, Darian

    2016-01-01

    The aim of this article is to sketch a phenomenological theory of political institutions and to apply it to some objections and questions raised by Pierre Manent about the project of the European Union and more specifically the question of “European Construction”, i.e. what is the aim of the

  18. Functional Imaging in Radiotherapy in the Netherlands: Availability and Impact on Clinical Practice.

    Science.gov (United States)

    Vogel, W V; Lam, M G E H; Pameijer, F A; van der Heide, U A; van de Kamer, J B; Philippens, M E; van Vulpen, M; Verheij, M

    2016-12-01

    , conformation strategies). Access to functional imaging with PET/CT and mpMR for radiotherapy purposes, with collaborating technologists and multimodal delineation, can be considered standard of care in the Netherlands. For several specific clinical situations, the interpretation of images may benefit from further standardisation. Copyright © 2016 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.

  19. Certifying leaders? high-quality management practices and healthy organisations: an ISO-9000 based standardisation approach.

    Science.gov (United States)

    Montano, Diego

    2016-08-05

    The present study proposes a set of quality requirements to management practices by taking into account the empirical evidence on their potential effects on health, the systemic nature of social organisations, and the current conceptualisations of management functions within the framework of comprehensive quality management systems. Systematic reviews and meta-analyses focusing on the associations between leadership and/or supervision and health in occupational settings are evaluated, and the core elements of an ISO 9001 standardisation approach are presented. Six major occupational health requirements to high-quality management practices are identified pertaining to communication processes, organisational justice, role clarity, decision making, social influence processes and management support. It is concluded that the quality of management practices may be improved by developing a quality management system of management practices that ensures not only conformity to product but also to occupational safety and health requirements. Further research may evaluate the practicability of the proposed approach.

  20. Development of a standardised multidrug-resistant/extensively drug-resistant tuberculosis assessment and monitoring tool.

    Science.gov (United States)

    Migliori, G B; Sotgiu, G; Jaramillo, E; Mirzayev, F; Centis, R; Colvin, C; Richardson, M D

    2009-10-01

    Multidrug-resistant (MDR) and extensively drug-resistant (XDR) tuberculosis (TB) threaten global TB control. The MDR/XDR-TB Assessment and Monitoring Tool was developed to standardise evaluations of country capacity to prevent, diagnose and treat MDR/XDR-TB and identify program gaps. It provides data to guide national plans, generates baseline data to measure progress, provides information for Green Light Committee (GLC) and Global Fund to Fight AIDS, Tuberculosis and Malaria applications, guides technical assistance and informs donor investment. In field testing, the tool scoring system performed equally well in high- and low-prevalence settings. This GLC-endorsed tool supports global efforts to contain MDR/XDR-TB and is useful in developing national MDR/XDR-TB control strategies.

  1. Quality reforms in Danish home care - balancing between standardisation and individualisation.

    Science.gov (United States)

    Rostgaard, Tine

    2012-05-01

    Despite relatively generous coverage of the over-65 population, Danish home help services receive regular criticism in the media and public opinion polls. Perhaps as a consequence, reforms of Danish home care policy for senior citizens have placed a strong emphasis on quality since the 1990s. This reform strategy represents a shift from the welfare state modernisation programme of the 1980s, which built mainly on economic strategies of cost-efficiency and New Public Management principles, including contract management and performance management. Recent reforms have instead attempted to increase the overall quality of care by increasing the transparency at the political, administrative and user levels. However, reforms have revolved around the conflicting principles of standardisation and the individualisation of care provision. This approach has succeeded in increasing the political and administrative control over home help at the expense of the control by users, care workers and case managers. © 2012 Blackwell Publishing Ltd.

  2. Care package for anxiety disorders: no-show and dropout of standardised, time restricted treatment

    DEFF Research Database (Denmark)

    Tranberg, Hanne; Mortensen, Erik Lykke; Lau, Marianne Engelbrecht

    of treatment characterised by standardisation, time restriction and pre-coordination. Currently, the impact of care packages on patient non-attendance remains unknown. Objectives: The aim was to study the influence of care packages treatment organisation on non-attendance for treatment for anxiety disorders...... or therapist characteristics. Organisational variables are sparsely studied although waiting time may affect no-show and dropout. In order to reduce waiting time the Mental Health Services in Denmark have introduced care packages in the treatment of non-psychotic disorders. Care packages are courses...... disorders (F40-41) at Stolpegaard Psychotherapy Centre, were included. The treatment as usual sample were patients referred before implementing care packages treatment (1 August 2007 to 31 July 2009) and the post care packages patients were referred from December 1 2012 until April 1 2014. Sociodemographic...

  3. Standardisation and measurement of the decay scheme data of {sup 237}Np

    Energy Technology Data Exchange (ETDEWEB)

    Woods, S.A. E-mail: simon.woods@npl.co.uk; Woods, D.H.; Lavison, P. de; Jerome, S.M.; Makepeace, J.L.; Woods, M.J.; Husband, L.J.; Lineham, S

    2000-03-01

    Within the framework of a EUROMET project, a solution of {sup 237}Np/{sup 233}Pa at equilibrium has been standardised by 4{pi}(PC)-{gamma} counting. An intrinsic Ge spectrometer was employed to measure relevant {gamma}-ray emission probabilities. Good agreement was obtained for those pertaining to the decay of {sup 233}Pa, but not for the {gamma}-ray emissions following the decay of {sup 237}Np. The cause of such discrepancies is discussed. It has been shown that the CIEMAT/NIST method is appropriate for {sup 237}Np standardization, whereas the pulse shape discriminator (PSD) method is affected by much higher uncertainties due di difficulties to discriminate precisely {alpha} and {beta} pulses.

  4. Growth hormone response to a standardised exercise test in relation to puberty and stature.

    OpenAIRE

    Greene, S A; Torresani, T; Prader, A.

    1987-01-01

    Growth hormone (GH) was measured before and 10 minutes after a standardised bicycle exercise test (duration 15 minutes) in 37 short children (group 1: mean (SD) age 12.8 (3.5) years; mean (SD) bone age 10.4 (3.6) years; mean (SD) height standard deviation score (SDS) -2.8 (0.7], 16 tall children (group 2: mean age 12.9 (2.8) years; mean bone age 13.9 (1.4) years; mean height SDS 3.0 (0.8], and 30 normal children (group 3: mean age 13.3 (3.2) years; mean bone age 12.8 (3.4) years; mean height ...

  5. Clinical utility of Standardised Assessment of Personality - Abbreviated Scale (SAPAS) among patients with first episode depression

    DEFF Research Database (Denmark)

    Bukh, Jens Drachmann; Bock, Camilla; Vinberg, Maj

    2010-01-01

    BACKGROUND: Personality disorder frequently co-occurs with depression and seems to be associated with a poorer outcome of treatment and increased risk for recurrences. However, the diagnosing of personality disorder can be lengthy and requires some training. Therefore, a brief screening interview...... for comorbid personality disorder among patients suffering from depression would be of clinical use. METHOD: The present study aimed to assess the utility of the Standardised Assessment of Personality - Abbreviated Scale (SAPAS) as a screen for personality disorder in a population of patients recently...... diagnosed with first episode depression. A total number of 394 patients with an ICD-10 diagnosis of a single depressive episode were sampled consecutively via the Danish Psychiatric Central Research Register during a 2years inclusion period and assessed by the screening interview and, subsequently...

  6. A standardised individual unsupervised water exercise intervention for healthy pregnant women. A qualitative feasibility study

    DEFF Research Database (Denmark)

    Backhausen, Mette G; Katballe, Malene; Hansson, Helena

    2014-01-01

    INTRODUCTION: Low back pain during pregnancy is common and associated with sick leave. Studies suggest that exercise may reduce low back pain during pregnancy. Before carrying out a randomised controlled trail with individual water exercise as intervention a qualitative feasibility study was done...... was used. RESULTS: Four main categories emerged: motivation to participate, attitudes towards the exercise programme, perception of benefits, and acceptability of supportive components. The women had a desire to stay physically active during pregnancy and found water exercise a suitable, type of exercise....... OBJECTIVE: To explore women's views and experiences of the acceptability and benefits of and possible barriers to the standardised individual unsupervised water exercise intervention. MATERIALS AND METHODS: Eleven women were interviewed after participating in a water exercise intervention. Content analysis...

  7. INTEROPERABILITY AND STANDARDISATION IN THE DEPARTMENT OF DEFENCE: AN EXPLORATORY STUDY

    Directory of Open Access Journals (Sweden)

    J. De Waal

    2012-01-01

    Full Text Available

    ENGLISH ABSTRACT: The political changes in South Africa have extended its international obligations by actively involving it in the social wellbeing of troubled African states. Under the auspices of the United Nations, this role is manifested in peacekeeping operations and other standard international practices. The ability of African allied forces to train, exercise, and operate efficiently, effectively, and economically together depends on the interoperability of their operational procedures, doctrine, administration, materiel and technology. This implies that all parties must have the same interpretation of ‘interoperability’. In this study, a conceptual model that explains interoperability and standardisation in terms of a systems hierarchy and the systems engineering process is developed. The study also explores the level of understanding of interoperability in the South African Department of Defence in terms of the levels of standardisation and its relationship to the concepts of systems, systems hierarchy, and systems engineering.

    AFRIKAANSE OPSOMMING: Die politieke veranderinge in Suid-Afrika het daartoe aanleiding gegee dat verdere internasionale verpligtinge die land opgelê is. Suid-Afrika, in samewerking met mede-Afrika lande en onder toesig van die Verenigde Nasies, moet deur middel van vredesoperasies by onstabiele Afrika lande betrokke raak. Die vermoë om gesamentlik aan vredesopleiding, vredesoefeninge en vredesoperasies op ‘n effektiewe, doeltreffende en ekonomiese wyse deel te neem, vereis dat daar versoenbaarheid tussen onderlinge operasionele prosedures, doktrine, administrasie, materieel en tegnologie is. Dit beteken dat alle partye eens omtrent die begrip ‘versoenbaarheid’ moet wees. In hierdie studie is ‘n konseptuele model wat versoenbaarheid en standaardisasie verduidelik in terme van die stelselhiërargie en die stelselingenieursweseproses ontwikkel. Hierdie studie het ook die vlak van begrip en

  8. Standardised assessment of functioning in ADHD: consensus on the ICF Core Sets for ADHD.

    Science.gov (United States)

    Bölte, Sven; Mahdi, Soheil; Coghill, David; Gau, Susan Shur-Fen; Granlund, Mats; Holtmann, Martin; Karande, Sunil; Levy, Florence; Rohde, Luis A; Segerer, Wolfgang; de Vries, Petrus J; Selb, Melissa

    2018-02-12

    Attention-deficit/hyperactivity disorder (ADHD) is associated with significant impairments in social, educational, and occupational functioning, as well as specific strengths. Currently, there is no internationally accepted standard to assess the functioning of individuals with ADHD. WHO's International Classification of Functioning, Disability and Health-child and youth version (ICF) can serve as a conceptual basis for such a standard. The objective of this study is to develop a comprehensive, a common brief, and three age-appropriate brief ICF Core Sets for ADHD. Using a standardised methodology, four international preparatory studies generated 132 second-level ICF candidate categories that served as the basis for developing ADHD Core Sets. Using these categories and following an iterative consensus process, 20 ADHD experts from nine professional disciplines and representing all six WHO regions selected the most relevant categories to constitute the ADHD Core Sets. The consensus process resulted in 72 second-level ICF categories forming the comprehensive ICF Core Set-these represented 8 body functions, 35 activities and participation, and 29 environmental categories. A Common Brief Core Set that included 38 categories was also defined. Age-specific brief Core Sets included a 47 category preschool version for 0-5 years old, a 55 category school-age version for 6-16 years old, and a 52 category version for older adolescents and adults 17 years old and above. The ICF Core Sets for ADHD mark a milestone toward an internationally standardised functional assessment of ADHD across the lifespan, and across educational, administrative, clinical, and research settings.

  9. The effect of standardised implantoplasty protocol on titanium surface roughness: an in-vitro study.

    Science.gov (United States)

    Tawse-Smith, Andrew; Kota, Akash; Jayaweera, Yathen; Vuuren, Wendy Jansen van; Ma, Sunyoung

    2016-12-22

    To analyse the changes of surface characteristics of machined and moderately roughened titanium disks following a standardised implantoplasty protocol. Forty titanium discs (machined: n = 20; moderately roughened: n = 20) were instrumented with one half of each disc maintained as the control (non-instrumented). The standardised implantoplasty protocol was carried out using a custom jig with the sequential change of burs: 1) Regular grit diamond [10s], 2) Super-fine grit diamond [10s], 3) Brownie(tm) silicone polisher [15s], 4) Greenie(tm) silicone polisher [15s]. Surface topography was analysed using confocal laser scanning microscopy (CLSM) and scanning electron microscopy (SEM). Energy dispersive x-ray spectroscopy (EDS) was used to measure the elemental profiles of each disc. Quantitative analysis showed similar changes in level of roughness between the machined and moderately roughened titanium discs. CLSM demonstrated an increased roughness (Ra and Sa values) after polishing with a regular grit diamond bur when compared to the uninstrumented surfaces. Although the roughness decreased after the further polishing with the super-fine grit diamond bur, subsequent instrumentation using silicon burs tended to increase the roughness, albeit being statistically insignificant. There was a residue of silicon particles despite the irrigation after each polishing stage. The proposed implantoplasty protocol did not achieve a sufficient level of smoothness on the machined or moderately roughened titanium surfaces when compared to the Ra threshold. Further research is recommended to test the efficacy of each bur on titanium surfaces with longer duration using actual oral implants to allow better comparison.

  10. The effect of standardised implantoplasty protocol on titanium surface roughness: an in-vitro study

    Directory of Open Access Journals (Sweden)

    Andrew TAWSE-SMITH

    Full Text Available Abstract: To analyse the changes of surface characteristics of machined and moderately roughened titanium disks following a standardised implantoplasty protocol. Forty titanium discs (machined: n = 20; moderately roughened: n = 20 were instrumented with one half of each disc maintained as the control (non-instrumented. The standardised implantoplasty protocol was carried out using a custom jig with the sequential change of burs: 1 Regular grit diamond [10s], 2 Super-fine grit diamond [10s], 3 Brownie(tm silicone polisher [15s], 4 Greenie(tm silicone polisher [15s]. Surface topography was analysed using confocal laser scanning microscopy (CLSM and scanning electron microscopy (SEM. Energy dispersive x-ray spectroscopy (EDS was used to measure the elemental profiles of each disc. Quantitative analysis showed similar changes in level of roughness between the machined and moderately roughened titanium discs. CLSM demonstrated an increased roughness (Ra and Sa values after polishing with a regular grit diamond bur when compared to the uninstrumented surfaces. Although the roughness decreased after the further polishing with the super-fine grit diamond bur, subsequent instrumentation using silicon burs tended to increase the roughness, albeit being statistically insignificant. There was a residue of silicon particles despite the irrigation after each polishing stage. The proposed implantoplasty protocol did not achieve a sufficient level of smoothness on the machined or moderately roughened titanium surfaces when compared to the Ra threshold. Further research is recommended to test the efficacy of each bur on titanium surfaces with longer duration using actual oral implants to allow better comparison.

  11. Standardisation of labial salivary gland histopathology in clinical trials in primary Sjögren's syndrome.

    Science.gov (United States)

    Fisher, Benjamin A; Jonsson, Roland; Daniels, Troy; Bombardieri, Michele; Brown, Rachel M; Morgan, Peter; Bombardieri, Stefano; Ng, Wan-Fai; Tzioufas, Athanasios G; Vitali, Claudio; Shirlaw, Pepe; Haacke, Erlin; Costa, Sebastian; Bootsma, Hendrika; Devauchelle-Pensec, Valerie; Radstake, Timothy R; Mariette, Xavier; Richards, Andrea; Stack, Rebecca; Bowman, Simon J; Barone, Francesca

    2017-07-01

    Labial salivary gland (LSG) biopsy is used in the classification of primary Sjögren's syndrome (PSS) and in patient stratification in clinical trials. It may also function as a biomarker. The acquisition of tissue and histological interpretation is variable and needs to be standardised for use in clinical trials. A modified European League Against Rheumatism consensus guideline development strategy was used. The steering committee of the ad hoc working group identified key outstanding points of variability in LSG acquisition and analysis. A 2-day workshop was held to develop consensus where possible and identify points where further discussion/data was needed. These points were reviewed by a subgroup of experts on PSS histopathology and then circulated via an online survey to 50 stakeholder experts consisting of rheumatologists, histopathologists and oral medicine specialists, to assess level of agreement (0-10 scale) and comments. Criteria for agreement were a mean score ≥6/10 and 75% of respondents scoring ≥6/10. Thirty-nine (78%) experts responded and 16 points met criteria for agreement. These points are focused on tissue requirements, identification of the characteristic focal lymphocytic sialadenitis, calculation of the focus score, identification of germinal centres, assessment of the area of leucocyte infiltration, reporting standards and use of prestudy samples for clinical trials. We provide standardised consensus guidance for the use of labial salivary gland histopathology in the classification of PSS and in clinical trials and identify areas where further research is required to achieve evidence-based consensus. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  12. A benchmarking study of two trauma centres highlighting limitations when standardising mortality for comorbidity

    Directory of Open Access Journals (Sweden)

    McKenzie Gilbert

    2008-01-01

    Full Text Available Abstract Introduction A continuous process of trauma centre evaluation is essential to ensure the development and progression of trauma care at regional, national and international levels. Evaluation may be by comparison between pooled datasets or by direct benchmarking between centres. This study attempts to benchmark mortality at two trauma centres standardising this for multiple case-mix factors, which includes the prevalence of individual background pre-existing diseases within the study population. Methods Trauma patients with an Injury Severity Score (ISS >15 admitted to the two centres in 2001 and 2002 were included in the study with the exception of those who died in the emergency department. Patient characteristics were analysed in terms of 18 case-mix factors including Glasgow Coma Scale on arrival, Injury Severity Score and the presence or absence of 9 co-morbidity types, and patient outcome was compared based on in-hospital mortality before and after standardisation. Results Crude mortality was greater at UHNS (18.2 vs 14.5% with a non-significant odds ratio of 1.31 prior to adjusting for case-mix (P = 0.171. Adjustment for case mix using logistic regression analysis altered the odds ratio to 1.64, which was not significant (P = 0.069. Discussion This study did not demonstrate any significant difference in the outcome of patients treated at either hospital during the study period. More importantly it has raised several important methodological issues pertinent to researchers undertaking registry based benchmarking studies. Data at the two registries was collected by personnel with differing backgrounds, in formats that were not completely compatible and was collected for patients that met different admissions criteria. The inclusion of a meaningful analysis of pre-existing disease was limited by the availability of robust data and sample size. We suggest greater communication between trauma research coordinators to ensure equivalent

  13. Towards a standardised definition for fundamental care: a modified Delphi study.

    Science.gov (United States)

    Feo, Rebecca; Conroy, Tiffany; Jangland, Eva; Muntlin Athlin, Asa; Brovall, Maria; Parr, Jenny; Blomberg, Karin; Kitson, Alison

    2017-12-26

    To generate a standardised definition for fundamental care and identify the discrete elements that constitute such care. There is poor conceptual clarity surrounding fundamental care. The Fundamentals of Care Framework aims to overcome this problem by outlining three core dimensions underpinning such care. Implementing the Framework requires a standardised definition for fundamental care that reflects the Framework's conceptual understanding, as well as agreement on the elements that comprise such care (i.e., patient needs, such as nutrition, and nurse actions, such as empathy). This study sought to achieve this consensus. Modified Delphi study. Three phases: (1) engaging stakeholders via an interactive workshop; (2) using workshop findings to develop a preliminary definition for, and identify the discrete elements that constitute, fundamental care; and (3) gaining consensus on the definition and elements via a two-round Delphi approach (Round 1 n=38; Round 2 n=28). Delphi participants perceived both the definition and elements generated from the workshop as comprehensive, but beyond the scope of fundamental care. Participants questioned whether the definition should focus on patient needs and nurse actions, or more broadly on how fundamental care should be delivered (e.g., through a trusting nurse-patient relationship), and the outcomes of this care delivery. There were also mixed opinions whether the definition should be nursing specific. This study has initiated crucial dialogue around how fundamental care is conceptualised and defined. Future work should focus on further refinements of the definition and elements with a larger, international group of practising nurses and service users. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

  14. A Standardised Vocabulary for Identifying Benthic Biota and Substrata from Underwater Imagery: The CATAMI Classification Scheme.

    Directory of Open Access Journals (Sweden)

    Franziska Althaus

    Full Text Available Imagery collected by still and video cameras is an increasingly important tool for minimal impact, repeatable observations in the marine environment. Data generated from imagery includes identification, annotation and quantification of biological subjects and environmental features within an image. To be long-lived and useful beyond their project-specific initial purpose, and to maximize their utility across studies and disciplines, marine imagery data should use a standardised vocabulary of defined terms. This would enable the compilation of regional, national and/or global data sets from multiple sources, contributing to broad-scale management studies and development of automated annotation algorithms. The classification scheme developed under the Collaborative and Automated Tools for Analysis of Marine Imagery (CATAMI project provides such a vocabulary. The CATAMI classification scheme introduces Australian-wide acknowledged, standardised terminology for annotating benthic substrates and biota in marine imagery. It combines coarse-level taxonomy and morphology, and is a flexible, hierarchical classification that bridges the gap between habitat/biotope characterisation and taxonomy, acknowledging limitations when describing biological taxa through imagery. It is fully described, documented, and maintained through curated online databases, and can be applied across benthic image collection methods, annotation platforms and scoring methods. Following release in 2013, the CATAMI classification scheme was taken up by a wide variety of users, including government, academia and industry. This rapid acceptance highlights the scheme's utility and the potential to facilitate broad-scale multidisciplinary studies of marine ecosystems when applied globally. Here we present the CATAMI classification scheme, describe its conception and features, and discuss its utility and the opportunities as well as challenges arising from its use.

  15. Gait and Lower Limb Observation of Paediatrics (GALLOP): development of a consensus based paediatric podiatry and physiotherapy standardised recording proforma.

    Science.gov (United States)

    Cranage, Simone; Banwell, Helen; Williams, Cylie M

    2016-01-01

    Paediatric gait and lower limb assessments are frequently undertaken in podiatry and physiotherapy clinical practice and this is a growing area of expertise within Australia. No concise paediatric standardised recording proforma exists to assist clinicians in clinical practice. The aim of this study was to develop a gait and lower limb standardised recording proforma guided by the literature and consensus, for assessment of the paediatric foot and lower limb in children aged 0-18 years. Expert Australian podiatrists and physiotherapists were invited to participate in a three round Delphi survey panel using the online Qualtrics(©) survey platform. The first round of the survey consisted of open-ended questions on paediatric gait and lower limb assessment developed from existing templates and a literature search of standardised lower limb assessment methods. Rounds two and three consisted of statements developed from the first round responses. Questions and statements were included in the final proforma if 70 % or more of the participants indicated consensus or agreement with the assessment method and if there was support within the literature for paediatric age-specific normative data with acceptable reliability of outcome measures. There were 17 of the 21 (81 %) participants who completed three rounds of the survey. Consensus was achieved for 41 statements in Round one, 54 statements achieved agreement in two subsequent rounds. Participants agreed on 95 statements relating to birth history, developmental history, hip measurement, rotation of the lower limb, ankle range of motion, foot posture, balance and gait. Assessments with acceptable validity and reliability were included within the final Gait and Lower Limb Observation of Paediatrics (GALLOP) proforma. The GALLOP proforma is a consensus based, systematic and standardised way to collect information and outcome measures in paediatric lower limb assessment. This standardised recording proforma will assist

  16. Green data centres in the Netherlands

    NARCIS (Netherlands)

    Owen van der Lee; ir. A. Kasper; ir. Marco A. Dorenbos; Anda Counotte-Potman; dr. Th.J.G. Thiadens

    2010-01-01

    Green data centres are the talk of the day. But who in fact is involved in developing green data centres? What is their contribution? And what does this contribution constitute in practical terms? This article states which stakeholders are involved in green data centres in the Netherlands, what

  17. Shellfish reef restoration pilots: Voordelta The Netherlands

    NARCIS (Netherlands)

    Sas, H.; Kamermans, P.; Have, van der T.M.; Lengkeek, W.; Smaal, A.C.

    2016-01-01

    Once, shellfish reefs - mainly flat oysters - covered about 20% of the North Sea floor, but diseases, pollution and overfishing have led to a significant decline. As part of the Haringvliet Dream Fund Project (www.haringvliet.nu), ARK
    Nature and World Wildlife Fund Netherlands are working on

  18. Restructuring Environmental Legislation in the Netherlands

    NARCIS (Netherlands)

    Verschuuren, J.M.

    2004-01-01

    In 2002, the newly elected Cabinet in the Netherlands decided to act upon a growing number of complaints from businesses that government legis-lation is the cause of heavy administrative burdens for companies. According to businesses, this has a negative impact on the economy. The Cabinet promised

  19. Administration by negotiation in the Netherlands

    NARCIS (Netherlands)

    Jansen, O.J.D.M.L.

    2002-01-01

    The legal literature in the Netherlands has been paying a considerable amount of attention for some time now to horizontal administration or administration by negotiation., voluntary agreements, mediation, Alternative Dispute Resolution (ADR) and dispute settlement. The issue is still of continued

  20. Modelling Forest Water Consumption in The Netherlands

    NARCIS (Netherlands)

    Dolman, A.J.; Nonhebel, S.

    1988-01-01

    The water consumption of oak, beech, spruce and pine forest is predicted from routinely measured meteorological data for five locations in the Netherlands. Differences in water consumption are found to be primarily a result of differences in interception loss. Predicted interception loss was found

  1. The Netherlands Yearbook on International Cooperation 2008

    NARCIS (Netherlands)

    Hoebink, P.R.J.

    2009-01-01

    'The Netherlands Yearbook on International Cooperation 2008' is a second of the series yearbooks. The Yearbook has as objectives: to stimulate and feed the scientific and political debate on the Dutch international cooperation; to offer opportunities for publication for researchers in the field of

  2. Chapter 5: Adaptation Strategies in the Netherlands

    NARCIS (Netherlands)

    Klostermann, J.E.M.; Gupta, J.; Bergsma, E.; Jong, P.

    2014-01-01

    Although climate change has been prominently featured on the global scientific and political agendas since the World Climate Conference in 1979 (WCC 1979), the specific importance of adaptation to climate change has only been underlined about 20 years later. The Netherlands, because it lies largely

  3. The Netherlands in a European Perspective

    NARCIS (Netherlands)

    2000-01-01

    How does the Netherlands compare with the other members of the European family? This issue of the Social and Cultural Report is devoted chiefly to answering that question. From how long we can expect to live to how much television we watch: from having the most part-time jobs to the least number

  4. Calcareous sponges of the Netherlands (Porifera, Calcarea)

    NARCIS (Netherlands)

    Koolwijk, van Th.

    1982-01-01

    The taxonomy of calcareous sponges occurring in the Netherlands is reviewed, using field observations of live individuals, microscopical examination of individual skeletons and study of the breeding cycle. This led to the conclusion that a new species had to be erected and other species

  5. Mapping groundwater quality in the Netherlands

    NARCIS (Netherlands)

    Pebesma, Edzer Jan

    1996-01-01

    Groundwater quality is the suitability of groundwater for a certain purpose (e.g. for human consumption), and is mostly determined by its chemical composition. Pollution from agricultural and industrial origin threatens the groundwater quality in the Netherlands. Locally, this pollution is

  6. Norms of filial obligation in the Netherlands

    NARCIS (Netherlands)

    P.A. Dykstra (Pearl); T. Fokkema (Tineke)

    2012-01-01

    textabstractIn this article we examine to what extent norms of filial obligation in the Netherlands are shaped by group value patterns, family constellation, possibilities for helping others, and actual experiences of support exchange. The data are drawn from the first wave of the combined main and

  7. The Netherlands: wage flexibility and collective bargaining

    NARCIS (Netherlands)

    van het Kaar, R.

    2009-01-01

    In the Netherlands, the incidence of variable payments systems (VPS) and performance-related pay (PRP) gradually increases. Most forms of VPS are covered by collective bargaining, with the exception of share and option schemes. Virtually all agreements only allow upward variability. Employers and

  8. Regional labour market dynamics in the Netherlands

    NARCIS (Netherlands)

    Broersma, Lourens; van Dijk, J.

    This article analyzes the response of regional labor markets in the Netherlands to region-specific labor demand shocks. Previous studies show remarkable differences in response between regions in European countries and regions in the United States. The analysis shows that, in Dutch regions, the

  9. Wildlife value orientations in the Netherlands

    NARCIS (Netherlands)

    Jacobs, M.H.

    2007-01-01

    Wildlife value orientations among inhabitants of the Netherlands were explored by conducting semi-structured interviews, and using predefined value orientations that were previously revealed in the United States. Special attention was paid to the existence of mutualism orientations, viewing wildlife

  10. Acceptance of homosexuality in the Netherlands

    NARCIS (Netherlands)

    Lisette Kuyper; Floor Bakker

    2006-01-01

    Original title: De houding ten opzichte van homoseksualiteit. To date, relatively little systematic research has been carried out on public attitudes to homosexual men and women in the Netherlands - far less than in the United States, for example. SCP has recently carried out a large-scale

  11. Prevalence of Dupuytren Disease in The Netherlands

    NARCIS (Netherlands)

    Lanting, Rosanne; van den Heuvel, Edwin R; Westerink, Bram; Werker, Paul M N

    Background: Dupuytren disease is a fibroproliferative disease of palmar fascias of the hand. The prevalence of Dupuytren disease and the association with potential risk factors have been the subject of several studies, although there is a paucity of such data from The Netherlands. Methods: To study

  12. Issues and party competition in the Netherlands

    NARCIS (Netherlands)

    Aarts, Kees; Macdonald, Stuart Elaine; Rabinowitz, George

    1999-01-01

    The Netherlands represents the prototypic case of a consociational democracy; in addition, the Dutch system has an extremely low threshold for obtaining representation in the legislature, making it open to challengers of any political persuasion. This article has two explicit goals: to compare two

  13. Jews in the Netherlands and their languages

    NARCIS (Netherlands)

    de Ruiter, A.C.J.

    2014-01-01

    Cultural contacts between majority and minority groups involve many different aspects, one of which is language. Jews have been living in the Netherlands since around the beginning of the sixteenth century. In the two centuries that followed, their language repertoire was very rich, consisting of at

  14. Euthanasia in the Netherlands: a slippery slope?

    NARCIS (Netherlands)

    Toebes, Brigit

    2017-01-01

    The Dutch euthanasia legislation has been lauded as well as criticized by legal scholars and physicians in the Netherlands and abroad. The legal framework so established is renowned for setting a number of valuable due-care criteria for the physician to follow when performing euthanasia on a

  15. The Umbelliferae of the Netherlands Indies

    NARCIS (Netherlands)

    Buwalda, P.

    1936-01-01

    Besides the Umbelliferae of the Netherlands Indies proper, also those of the Malay Peninsula and the non-Dutch parts of Borneo and New Guinea have been taken up in this revision. The materials examined belong to the following Herbaria: (B) = the Herbarium of the Botanic Garden, Buitenzorg. (BD) =

  16. Recognizablility of rural roads in the Netherlands.

    NARCIS (Netherlands)

    Aarts, L.T. & Davidse, R.J.

    2008-01-01

    In the Netherlands, the Sustainable Safety vision is an important guide in improving road safety. It is considered that the road environment shouldconform to the expectations of road users in order to prevent errors thatcould lead to road crashes. These expectations are based on the characteristics

  17. Engaging scientists : organising valorisation in the Netherlands

    NARCIS (Netherlands)

    Jong, Stefan de

    2015-01-01

    Globally, the call for impact of science on society is louder than ever. The Netherlands is no exception. In 2004, valorisation was introduced as a core element of Dutch science policy, aiming to increase the societal benefits of academic research. In scientific practice, the introduction

  18. Rapid response systems in The Netherlands

    NARCIS (Netherlands)

    Ludikhuize, Jeroen; Hamming, Annette; de Jonge, Evert; Fikkers, Bernard G.

    2011-01-01

    Sixty-three (approximately 80%) of the 81 hospitals that responded to a survey sent to all hospitals in The Netherlands with nonpediatric intensive care units had a rapid response system (RRS) in place or were in the final process of starting one. Among many other findings regarding RRS

  19. Road safety of children in The Netherlands.

    NARCIS (Netherlands)

    2006-01-01

    Compared to other ages groups, relatively few children in the Netherlands in the 0-14 age group are killed in traffic. What is more, the number of casualties in this age group has diminished considerably over the past twenty years, more than in other age groups. This is due to a combination of

  20. Rural youth culture : Keten in the Netherlands

    NARCIS (Netherlands)

    Haartsen, Tialda; Strijker, Dirk

    A remarkable present-day phenomenon in rural areas in the Netherlands is that young people, mostly males, often meet in small groups in self-built or at least self-fitted out sheds or caravans (keten). At first glance, these keten seem to be substitutes for more official entertainment sites in the

  1. Aerosol light-scattering in the Netherlands

    NARCIS (Netherlands)

    Brink, H.M. ten; Veefkind, J.P.; Waijers-IJpelaan, A.; Hage, J.C. van der

    1996-01-01

    The relation between the (midday) aerosol light-scattering and the concentrations of nitrate and sulfate has been assessed at a site near the coast of the North Sea in The Netherlands. Midday was selected for the measurements because this is the time at which the aerosol is most effective in the

  2. Review of Infrared Technology in the Netherlands

    NARCIS (Netherlands)

    Jong, A.N. de

    1993-01-01

    The use of infrared sensors in the Netherlands is substantial. Users can be found in a variety of disciplines, military as well as civil. This need for IR sensors implied a long history on IR technology and development. The result was a large technological-capability allowing the realization of IR

  3. The reception of relativity in the Netherlands

    NARCIS (Netherlands)

    van Besouw, J.; van Dongen, J.; Maas, A.; Schatz, H.

    2013-01-01

    This article reviews the early academic and public reception of Albert Einstein's theory of relativity in the Netherlands, particularly after Arthur Eddington's eclipse experiments of 1919. Initially, not much attention was given to relativity, as it did not seem an improvement over Hendrik A.

  4. Public Administration Programmes in The Netherlands

    NARCIS (Netherlands)

    J.C.N. Raadschelders; F.K.M. van Nispen tot Pannerden (Frans)

    1999-01-01

    textabstractPublic administration in The Netherlands is generally approached as a multi-disciplinary field of inquiry, especially in the social sciences. Some schools attempt a more integrating approach preserving the integrity of Public Administration as an academic discipline. Its focus is on: 1.

  5. Social Housing in the Netherlands, Chapter 10

    NARCIS (Netherlands)

    Elsinga, M.; Wassenberg, F.

    2007-01-01

    Nowhere else in Europe does social housing dominate the housing market as it does in the Netherlands. Over one third of all households rent a social-sector dwelling. There are 2.4 million social rented dwellings, a number that has been stable during the last decade. Almost all social housing is

  6. The history of radiotherapy in The Netherlands

    NARCIS (Netherlands)

    Levendag, PC; Vermey, J; Senan, S

    1996-01-01

    Soon after the discovery of x-rays by W. C. Rontgen in 1895, a publication on fluoroscopy and x-ray pictures/films appeared in the Dutch medical literature in February 1896, The present article reviews the subsequent developments in the field of therapeutic radiology in The Netherlands and, in

  7. Severe Neonatal Hyperbilirubinemia in the Netherlands

    NARCIS (Netherlands)

    Gotink, Mark J.; Benders, Manon J.; Lavrijsen, Selma W.; Pereira, Rob Rodrigues; Hulzebos, Christian V.; Dijk, Peter H.

    2013-01-01

    Background: The occurrence of severe neonatal hyperbilirubinemia (SH) is partly attributed to nonhospitalized perinatal care. The Netherlands have a high frequency of home births and nonhospitalized perinatal care, and the incidence of SH is unknown. Objective: To assess the effects of home births

  8. Islamic Primary Schools in the Netherlands

    Science.gov (United States)

    Dronkers, Jaap

    2016-01-01

    During the last 20 years of the 20th century, Islamic primary schools were founded in the Netherlands thanks to its constitutional "freedom of education" (which allows state-funded religious schools), its voucher system (each school receives the same amount of money per pupil), and school choice by parents. This essay gives some…

  9. Childcare in the Netherlands: Lessons in Privatisation

    Science.gov (United States)

    Akgunduz, Yusuf Emre; Plantenga, Janneke

    2014-01-01

    In 2005 the Child Care Act was introduced in the Netherlands. The explicit objective of the childcare reform has been to stimulate the operation of market forces so that childcare services are provided in an efficient way. The change towards a demand-driven financing system implies that there is no longer public provision of childcare services in…

  10. Gambling and problem gambling in The Netherlands.

    Science.gov (United States)

    Goudriaan, Anna E

    2014-07-01

    To provide an overview of gambling in the Netherlands, focusing on historical background, policy, legislation, prevalence of problem gambling, availability of treatment options and research base. Literature review. Contradictions between gambling policy and practice have been present in the past 15-20 years, and have led to an increasingly stricter gambling regulation to retain the government policy to restrict gambling within a national monopoly. Conversely, political efforts have been made to legalize internet gambling, but have not yet been approved. Compared to other European countries, slot machine gambling and casino gambling are relatively popular, whereas betting is relatively unpopular. Last-year problem gambling prevalence (South Oaks Gambling Screen score > 5) is estimated at 0.22-0.15% (2005, 2011). Treatment for problem gambling is covered by health insurance under the same conditions as substance dependence, but only a small proportion of Dutch problem gamblers seeks help at addiction treatment centres. Gambling policy in the Netherlands has become stricter during recent last years in order to maintain the Dutch gambling monopoly. Problem gambling in the Netherlands is relatively stable. Dutch research on problem gambling has a lack of longitudinal studies. Most of the epidemiological gambling studies are reported in non-peer-reviewed research reports, which diminishes control by independent peers on the methodology and interpretation of results. Recent efforts to enhance consistency in research methods between gambling studies over time could enhance knowledge on changes in (problem) gambling in the Netherlands. © 2013 Society for the Study of Addiction.

  11. Start-up incentives the Netherlands

    NARCIS (Netherlands)

    Bekker, S.; van den Eijnden, J.

    2014-01-01

    Generally, there are three different types of start-up incentive for unemployed and inactive people in the Netherlands. The first is a set of incentives for potential entrepreneurs receiving Unemployment Benefits (UB) (Werloosheidwet - WW). Such incentives have existed since 2006 and were adjusted

  12. Part time working in the Netherlands

    NARCIS (Netherlands)

    Wil Portegijs; Saskia Keuzenkamp

    2008-01-01

    Original title: Nederland deeltijdland. The Netherlands is at the top of the league when it comes to part-time working. Women in particular very frequently work part-time. This is blamed on the difficulty of combining paid employment with care tasks, thus limiting the scope for participation

  13. Climate Change Communication in the Netherlands

    NARCIS (Netherlands)

    Dewulf, A.; Boezeman, D.F.; Vink, M.J.; Vink, M.

    2017-01-01

    Climate change communication in the Netherlands started in the 1950s, but it was not until the late 1970s that the issue earned a place on the public agenda, as an aspect of the energy problem, and in the shadow of controversy about nuclear energy. Driven largely by scientific reports and political

  14. International bioenergy trade in the Netherlands

    NARCIS (Netherlands)

    Junginger, H.M.|info:eu-repo/dai/nl/202130703; de Wit, M.P.|info:eu-repo/dai/nl/310873754; Sikkema, R.|info:eu-repo/dai/nl/110609913; Faaij, A.P.C.|info:eu-repo/dai/nl/10685903X

    2008-01-01

    The international biomass trade in the Netherlands has been growing strongly over the last few years, but information on the corresponding volumes, origins and prices is barely available. The objectives of this paper are to quantify imported and exported biomass volumes and origins, and identify

  15. Bibliography "Visual Signalling", The Netherlands, 1979.

    NARCIS (Netherlands)

    Schreuder, D.A.

    1983-01-01

    This bibliography pertains to publications produced in the netherlands and/or by dutch authors concerning the subject-matter of visual signalling between 1979 and 1982 inclusive. Some information regarding publications of 1983 is included. The bibliography includes books, journals and research

  16. Chronic Q fever in The Netherlands

    NARCIS (Netherlands)

    Kampschreur, L.M.|info:eu-repo/dai/nl/344824497

    2013-01-01

    From 2007-2010, during the recent Q fever epidemic in the Netherlands, over 4000 cases of acute Q fever were registered, which is an underestimation of the total amount of Coxiella burnetii infections due to a high amount of asymptomatic primary infections. In the literature it is stated that 1-5%

  17. Prioritizing emerging zoonoses in the Netherlands

    NARCIS (Netherlands)

    A.H. Havelaar (Arie); F. van Rosse (Floor); C. Bucura (Catalin); M.A. Toetenel (Milou); J.A. Haagsma (Juanita); D. Kurowicka (Dorota); A.J.P. Heesterbeek (Hans); N. Speybroeck (Niko); M.F.M. Langelaar (Merel); J.W.B. van der Giessen (Joke); R.M. Cooke (Roger); M.A.H. Braks (Marieta)

    2010-01-01

    textabstractBackground: To support the development of early warning and surveillance systems of emerging zoonoses, we present a general method to prioritize pathogens using a quantitative, stochastic multi-criteria model, parameterized for the Netherlands. Methodology/Principal Findings: A risk

  18. Prioritizing Emerging Zoonoses in The Netherlands

    NARCIS (Netherlands)

    Havelaar, A.H.; Van Rosse, F.; Bucura, C.; Toetenel, M.A.; Haagsma, J.A.; Kurowicka, D.; Heesterbeek, J.A.P.; Speybroeck, N.; Langelaar, M.F.M.; Cooke, R.M.

    2010-01-01

    Background: To support the development of early warning and surveillance systems of emerging zoonoses, we present a general method to prioritize pathogens using a quantitative, stochastic multi-criteria model, parameterized for the Netherlands. Methodology/Principal Findings: A risk score was based

  19. Prioritizing emerging zoonoses in The Netherlands.

    NARCIS (Netherlands)

    Havelaar, A.H.|info:eu-repo/dai/nl/072306122; van Rosse, F.; Bucura, C.; Toetenel, M.A.; Haagsma, J.A.; Kurowicka, D.; Heesterbeek, J.A.P.|info:eu-repo/dai/nl/073321427; Speybroeck, N.; Langelaar, M.F.M.; van der Giessen, J.W.; Cooke, R.M.; Braks, M.A.H.

    2010-01-01

    To support the development of early warning and surveillance systems of emerging zoonoses, we present a general method to prioritize pathogens using a quantitative, stochastic multi-criteria model, parameterized for the Netherlands. A risk score was based on seven criteria, reflecting assessments of

  20. Prioritizing Emerging Zoonoses in The Netherlands

    NARCIS (Netherlands)

    Havelaar, A.H.; Rosse, F.; Bubura, C.; Toetenel, M.A.; Haagsma, J.A.; Kurowicka, D.; Heesterbeek, J.A.P.; Giessen, van der J.W.B.

    2010-01-01

    Background To support the development of early warning and surveillance systems of emerging zoonoses, we present a general method to prioritize pathogens using a quantitative, stochastic multi-criteria model, parameterized for the Netherlands. Methodology/Principal Findings A risk score was based on

  1. The prevalence of stalking in the Netherlands

    NARCIS (Netherlands)

    van der Aa, S.; Kunst, M.J.J.

    2009-01-01

    Over eight years after the enactment of the Dutch anti-stalking provisions there are still no figures detailing the prevalence of stalking in The Netherlands. This article aims to estimate the lifetime and annual prevalence of this form of victimization within the Dutch population. Questionnaires

  2. The genus Alangium in the Netherlands Indies

    NARCIS (Netherlands)

    Bloembergen, S.

    1935-01-01

    The present revision comprises, besides the Alangia of the Netherlands Indies proper, also those of the Malay Peninsula, North Borneo, and Eastern New Guinea. The materials examined were kindly put at the author’s disposal by the Directions of the following herbaria: B = the Herbarium of the Botanic

  3. Biotechnology in the Netherlands: controversy or consensus?

    NARCIS (Netherlands)

    Gutteling, Jan M.

    2002-01-01

    This paper addresses the issue of public perception of modern biotechnology in the Netherlands. Contrary to expectations, data from the 1999 Eurobarometer on biotechnology indicate that the position of the Dutch public in general is rather ambiguous, which is in contrast to many of its neighboring

  4. Stimulating medical education research in the Netherlands

    NARCIS (Netherlands)

    Jaarsma, Debbie; Scherpbier, Albert; Van Der Vleuten, Cees; Ten Cate, Olle

    BACKGROUND: Since the 1970s, the Dutch have been active innovators and researchers in the medical education domain. With regards to the quantity of publications in the medical education literature, the Netherlands rank second among countries in Europe and fourth worldwide over the past years,

  5. Critical (information) Infrastructure Protection in The Netherlands

    NARCIS (Netherlands)

    Luiijf, H.A.M.; Burger, H.H.; Klaver, M.H.A.

    2003-01-01

    Some sectors and parts of the Dutch national infrastructure are that essential to the Netherlands that serious disruption or even loss of service could lead to a severe impact to the Dutch society, government and industry as well as to those of neighbouring countries. Early 2002, the Dutch

  6. A standardised knowledge test to measure the extent of knowledge of agricultural extension personnel on m-tools

    Directory of Open Access Journals (Sweden)

    Kusuma Kumari Nagam

    2016-11-01

    Full Text Available A standardised teacher made test for assessing the extent of knowledge of agricultural extension on m-tools was developed using the item analysis procedure. For the purpose, a teacher made test consisting of 30 items were prepared and administered to 30 agricultural extension personnel. Based on the results of the study,14 items having difficulty index value ranging from 20 to 80 and discrimination index value above 0.10 were selected to construct the knowledge test. This standardised test can be used to measure knowledge level of the extension personnel on m-tools.

  7. Socioeconomic Differences in Parenting Strategies to Prevent Adolescent Smoking: A Case Study from the Netherlands.

    Science.gov (United States)

    Kuipers, Mirte A G; Haal, Sylke; Kunst, Anton E

    2016-06-01

    This study aimed to identify possible socioeconomic differences in the use of anti-smoking parenting strategies. In 2012, survey data of adolescents (N = 225) aged 13 to 17 years and their mothers (N = 122) and fathers (N = 105) were collected in Haarlem, the Netherlands. Questions on smoking behaviour and eleven anti-smoking parenting strategies were answered by adolescents, mothers and fathers. School tracks of adolescents and educational level of parents were measured as indicators of socioeconomic position. Linear multilevel regression analyses were applied to study the association between socioeconomic position (SEP) and standardised scores of anti-smoking strategies. Analyses were controlled for age, sex and smoking by parents and adolescents. We found no consistent socioeconomic differences in the use of anti-smoking parenting strategies. There were no statistically significant differences in relation to parental educational level or when using adolescent reports on parenting practices. However, when using parental reports, a few strategies varied significantly according to adolescent educational track. Adolescents in higher educational tracks were more likely to have no-smoking rules in the home (standardised regression coefficient (β) = 0.20, 95 % confidence interval (CI): 0.03; 0.37, p = 0.022) and more likely to have a no-smoking agreement (β = 0.17, 95 % CI: 0.00; 0.34, p = 0.048). However, they were less likely to frequently communicate about smoking with their parents (β = -0.25, 95 % CI: -0.41; -0.08, p = 0.004). In this specific population, there was no consistent support for the hypothesis that anti-smoking parenting strategies contribute to socioeconomic inequalities in adolescent smoking. Parental factors that are more likely to contribute to these inequalities include parental smoking and parenting styles.

  8. Term perinatal mortality audit in the Netherlands 2010–2012: a population-based cohort study

    Science.gov (United States)

    Eskes, Martine; Waelput, Adja J M; Erwich, Jan Jaap H M; Brouwers, Hens A A; Ravelli, Anita C J; Achterberg, Peter W; Merkus, Hans (J) M W M; Bruinse, Hein W

    2014-01-01

    Objective To assess the implementation and first results of a term perinatal internal audit by a standardised method. Design Population-based cohort study. Setting All 90 Dutch hospitals with obstetric/paediatric departments linked to community practices of midwives, general practitioners in their attachment areas, organised in perinatal cooperation groups (PCG). Population The population consisted of 943 registered term perinatal deaths occurring in 2010–2012 with detailed information, including 707 cases with completed audit results. Main outcome measures Participation in the audit, perinatal death classification, identification of substandard factors (SSF), SSF in relation to death, conclusive recommendations for quality improvement in perinatal care and antepartum risk selection at the start of labour. Results After the introduction of the perinatal audit in 2010, all PCGs participated. They organised 645 audit sessions, with an average of 31 healthcare professionals per session. Of all 1102 term perinatal deaths (2.3/1000) data were registered for 86% (943) and standardised anonymised audit results for 64% (707). In 53% of the cases at least one SSF was identified. Non-compliance to guidelines (35%) and deviation from usual professional care (41%) were the most frequent SSF. There was a (very) probable relation between the SSF and perinatal death for 8% of all cases. This declined over the years: from 10% (n=23) in 2010 to 5% (n=10) in 2012 (p=0.060). Simultaneously term perinatal mortality decreased from 2.3 to 2.0/1000 births (pperinatal audit is implemented nationwide in all obstetrical units in the Netherlands in a short time period. It is possible that the audit contributed to the decrease in term perinatal mortality. PMID:25763794

  9. Term perinatal mortality audit in the Netherlands 2010-2012: a population-based cohort study.

    Science.gov (United States)

    Eskes, Martine; Waelput, Adja J M; Erwich, Jan Jaap H M; Brouwers, Hens A A; Ravelli, Anita C J; Achterberg, Peter W; Merkus, Hans J M W M; Bruinse, Hein W

    2014-10-14

    To assess the implementation and first results of a term perinatal internal audit by a standardised method. Population-based cohort study. All 90 Dutch hospitals with obstetric/paediatric departments linked to community practices of midwives, general practitioners in their attachment areas, organised in perinatal cooperation groups (PCG). The population consisted of 943 registered term perinatal deaths occurring in 2010-2012 with detailed information, including 707 cases with completed audit results. Participation in the audit, perinatal death classification, identification of substandard factors (SSF), SSF in relation to death, conclusive recommendations for quality improvement in perinatal care and antepartum risk selection at the start of labour. After the introduction of the perinatal audit in 2010, all PCGs participated. They organised 645 audit sessions, with an average of 31 healthcare professionals per session. Of all 1102 term perinatal deaths (2.3/1000) data were registered for 86% (943) and standardised anonymised audit results for 64% (707). In 53% of the cases at least one SSF was identified. Non-compliance to guidelines (35%) and deviation from usual professional care (41%) were the most frequent SSF. There was a (very) probable relation between the SSF and perinatal death for 8% of all cases. This declined over the years: from 10% (n=23) in 2010 to 5% (n=10) in 2012 (p=0.060). Simultaneously term perinatal mortality decreased from 2.3 to 2.0/1000 births (pperinatal audit is implemented nationwide in all obstetrical units in the Netherlands in a short time period. It is possible that the audit contributed to the decrease in term perinatal mortality. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  10. Models, Simulations and Games for Water Management: A Comparative Q-Method Study in The Netherlands and China

    Directory of Open Access Journals (Sweden)

    Qiqi Zhou

    2017-12-01

    Full Text Available Abstract: How do policy analysts perceive the various roles that Models, Simulations and Games (MSG have, or can have in Integrated Water Resources Management (IWRM? Fifty-five policy analysts in water management in The Netherlands and China were interviewed, following the procedure of the Q-method. Comparative analysis of the combined quantitative and qualitative data show that: (1 The debate on the role of MSG for IWRM is structured around five frames in The Netherlands and three frames in China. (2 The frames in The Netherlands and China are significantly different. (3 In China, there is a predominant frame that perceives MSG for IWRM as data driven simulation technology for rationalization of water management, which is less significant in The Netherlands. (4 The reverse is true with regard to MSG for stakeholder interaction, learning and integrated assessment, which are significant frames in The Netherlands, but not in China. The conclusion is that frame differences can easily confuse professional and academic debate about MSG for water management; within the same institutional and cultural context, but even more so in Netherlands–China co-operation projects. Frames are also relevant when designing, using or evaluating innovative methods for integrated water resources management.

  11. Analysis of timeliness of infectious disease reporting in the Netherlands

    Directory of Open Access Journals (Sweden)

    Kretzschmar Mirjam EE

    2011-05-01

    reported more than three days after laboratory diagnosis. An increase in direct laboratory reporting of diagnoses to MHS would improve timeliness, as would the use of fax rather than post or e-mail. Automated reporting systems have to be explored in the Netherlands. Development of standardised and improved measures for timeliness is needed.

  12. Institutional determinants and entrepreneurial action

    Directory of Open Access Journals (Sweden)

    Barbara Bradač Hojnik

    2016-01-01

    Full Text Available The paper examines the effect of specific institutional factors on entrepreneurial activity. In the course of the examination, we encounter various viewpoints regarding entrepreneurship and different needs of national politics. The research objective is to determine whether institutional factors influence early-stage entrepreneurial activity. There is a broad array of opinions on appropriate set of factors that influence the entrepreneurship processes, on ways of their influence and on differentiating between the developed and less developed countries. Therefore, we examined the defined research hypothesis in the light of 24 countries (Argentina, Belgium, Brazil, Chile, Columbia, Croatia, Denmark, Finland, France, Greece, Hungary, Island, Italy, Japan, Latvia, Netherlands, Norway, Peru, Russia, Slovenia, Spain, United Kingdom, Uruguay and USA, in the period between the years 2006 and 2010 (24 countries * 5 years = 120 observations. The data was obtained from Global Entrepreneurship Monitor (GEM database and complemented with data from other international sources such as Heritage Foundation, among others. With econometrics business methods, we determined that greater economic freedom in the institutional context of a country affects the extension of productive entrepreneurship, while the individual's decision for the entrepreneurship is conditioned significantly by the prevailing cultural and social norms.

  13. Comparing patient characteristics and treatment processes in patients receiving physical therapy in the United States, Israel and the Netherlands: Cross sectional analyses of data from three clinical databases

    Directory of Open Access Journals (Sweden)

    Dekker Joost

    2008-07-01

    Full Text Available Abstract Background Many assume that outcomes from physical therapy research in one country can be generalized to other countries. However, no well designed studies comparing outcomes among countries have been conducted. In this exploratory study, our goal was to compare patient demographics and treatment processes in outpatient physical therapy practice in the United States, Israel and the Netherlands. Methods Cross-sectional data from three different clinical databases were examined. Data were selected for patients aged 18 years and older and started an episode of outpatient therapy between January 1st 2005 and December 31st 2005. Results are based on data from approximately 63,000 patients from the United States, 100,000 from Israel and 12,000 from the Netherlands. Results Age, gender and the body part treated were similar in the three countries. Differences existed in episode duration of the health problem, with more patients with chronic complaints treated in the United States and Israel compared to the Netherlands. In the United States and Israel, physical agents and mechanical modalities were applied more often than in the Netherlands. The mean number of visits per treatment episode, adjusted for age, gender, and episode duration, varied from 8 in Israel to 11 in the United States and the Netherlands. Conclusion The current study showed that clinical databases can be used for comparing patient demographic characteristics and for identifying similarities and differences among countries in physical therapy practice. However, terminology used to describe treatment processes and classify patients was different among databases. More standardisation is required to enable more detailed comparisons. Nevertheless the differences found in number of treatment visits per episode imply that one has to be careful to generalize outcomes from physical therapy research from one country to another.

  14. Comparing patient characteristics and treatment processes in patients receiving physical therapy in the United States, Israel and the Netherlands: cross sectional analyses of data from three clinical databases.

    Science.gov (United States)

    Swinkels, Ilse C S; Hart, Dennis L; Deutscher, Daniel; van den Bosch, Wil J H; Dekker, Joost; de Bakker, Dinny H; van den Ende, Cornelia H M

    2008-07-30

    Many assume that outcomes from physical therapy research in one country can be generalized to other countries. However, no well designed studies comparing outcomes among countries have been conducted. In this exploratory study, our goal was to compare patient demographics and treatment processes in outpatient physical therapy practice in the United States, Israel and the Netherlands. Cross-sectional data from three different clinical databases were examined. Data were selected for patients aged 18 years and older and started an episode of outpatient therapy between January 1st 2005 and December 31st 2005. Results are based on data from approximately 63,000 patients from the United States, 100,000 from Israel and 12,000 from the Netherlands. Age, gender and the body part treated were similar in the three countries. Differences existed in episode duration of the health problem, with more patients with chronic complaints treated in the United States and Israel compared to the Netherlands. In the United States and Israel, physical agents and mechanical modalities were applied more often than in the Netherlands. The mean number of visits per treatment episode, adjusted for age, gender, and episode duration, varied from 8 in Israel to 11 in the United States and the Netherlands. The current study showed that clinical databases can be used for comparing patient demographic characteristics and for identifying similarities and differences among countries in physical therapy practice. However, terminology used to describe treatment processes and classify patients was different among databases. More standardisation is required to enable more detailed comparisons. Nevertheless the differences found in number of treatment visits per episode imply that one has to be careful to generalize outcomes from physical therapy research from one country to another.

  15. Nonconformist Television in the Netherlands: Two Curious Cases of Amateur Media as Counter-Technologies

    Directory of Open Access Journals (Sweden)

    Tom Slootweg

    2015-09-01

    Full Text Available For this article, the authors retrieved two curious cases of nonconformist TV from the archives of The Netherlands Institute of Sound and Vision. Being made in the late 1970s and early 1980s, the two cases represent an alternative history of broadcast television in the Netherlands. Whereas Neon (1979-1980 aimed to establish a punk-inspired DIY video culture, Ed van der Elsken (1980, 1981 strived for an expressive amateur film culture. The authors propose to regarded these cases as two different experiments of participation in and through media. By conceptualising amateur film and video as counter-technologies, the discursive expectations around their democratic potential can be explored further.

  16. [New developments in the treatment and rehabilitation of head and neck cancer in the Netherlands].

    Science.gov (United States)

    Timmermans, A J Jacqueline; van den Brekel, Michiel W M; van der Molen, Lisette; Navran, Arash; Nijssen, Theo F; Hilgers, Frans J M

    2012-01-01

    Head and neck cancer is relatively rare: in the Netherlands, some 2600 newly diagnosed cases are registered annually. Its treatment is centralised and is actually performed only in Dutch Head and Neck Society (DHNS) accredited medical centres. Although survival rates have improved only marginally, treatment regimens have changed over the past few years. Treatment has become increasingly focused on the preservation of organs and their functionalities. The effects of both a tumour and its treatment can have a serious impact on the functioning and quality of life of a patient. Therefore, sufficient attention to post-treatment rehabilitation is necessary. The Netherlands Cancer Institute has recently collaborated with the Amsterdam Rehabilitation Research Center Reade in developing a structured multidisciplinary rehabilitation programme. This programme has also been made available to other DHNS centres.

  17. Similar problems, different solutions: comparing refuse collection in the Netherlands and Spain.

    Science.gov (United States)

    Bel, Germà; Fageda, Xavier; Dijkgraaf, Elbert; Gradus, Raymond

    2010-01-01

    Because of differences in institutional arrangements, public service markets, and national traditions regarding government intervention, local public service provision can vary greatly. In this paper we compare the procedures adopted by the local governments of The Netherlands and Spain in arranging for the provision of solid waste collection. We find that Spain faces a problem of consolidation, opting more frequently to implement policies of privatization and cooperation, at the expense of competition. By contrast, The Netherlands, which has larger municipalities on average, resorts somewhat less to privatization and cooperation, and more to competition. Both options-cooperation and competition-have their merits when striving to strike a balance between transaction costs and scale economies. The choices made in organizational reform seem to be related to several factors, among which the nature of the political system and the size of municipalities appear to be relevant.

  18. Institutional ethnography

    DEFF Research Database (Denmark)

    Lund, Rebecca; Tienari, Janne

    2016-01-01

    The study of M&As is dominated by positivist and functionalist world views and the use of quantitative methods. Although extant research also uses qualitative and mixed methods, it can be criticized for viewing its subject matter through an abstract and external lens. The researcher is placed in ......, and point to some of the problems in M&A studies identified through this lens. Finally, we argue why institutional ethnography, in comparison with other methods of inquiry, is particularly fruitful in the study of mergers and acquisitions....

  19. Forensic cases involving the use of GHB in The Netherlands.

    Science.gov (United States)

    Bosman, Ingrid J; Lusthof, Klaas J

    2003-04-23

    In this study, forensic cases involving the use of Gamma Hydroxy Butyric acid (GHB) from the second half of 1999 through the second half of 2001 in The Netherlands (blood >5mg/l and urine >10mg/l) are described. GHB was analysed by GC-MS after lactone formation and using GHB-d6 as internal standard. The results are divided into three groups: cases of chemical submission, cases of driving under the influence and cases of unknown causes of death.GHB was found in six cases of possible chemical submission. In these cases, relatively low concentrations of GHB were found. The results show that in cases of chemical submission, urine should be analyzed, because GHB is present longer in urine than in blood. The police should collect the samples in containers that do not contain citrate as anticoagulant. Especially at low levels of GHB, the formation of GHB in these tubes hampers an interpretation of the results.GHB was found in 13 cases of driving under the influence. In contrast to the cases of chemical submission, high concentrations of GHB were found, corresponding with observations of extreme sleepiness or temporary loss of consciousness.GHB was found in 16 cases of unexplained death: the measured range of GHB concentrations in blood might correspond to effects such as drowsiness, but not to serious toxicity of GHB. In 4 of these 16 cases, the role of GHB could be excluded. In the remaining cases, the role of GHB remains unclear; more research into "background" concentrations of GHB in post-mortem material is required. The incidence of the use of GHB in The Netherlands cannot be derived from these toxicological data. As GHB is not routinely found during systematical toxicological analyses, these data may seriously underestimate the use of GHB. Therefore, information from the police to the forensic institute is essential.

  20. Gender equity and fertility intentions in Italy and the Netherlands

    Directory of Open Access Journals (Sweden)

    Maria Letizia Tanturri

    2008-02-01

    Full Text Available Fertility levels have fallen drastically in most industrialized countries. Diverse theoretical and empirical frameworks have had difficulty in explaining these unprecedented low levels of fertility. More recently, however, attention has turned from classic explanations, such as women's increased labour market participation, to gender equity as the essential link to understand this phenomenon. The increase in women's labour market participation did not prompt an increase in men's domestic duties, which is often referred to women's 'dual burden' or 'second shift'. Institutions and policies within countries also facilitate or constrain the combination of women's employment with fertility. This paper provides an empirical test of gender equity theory by examining whether the unequal division of household labour leads to lower fertility intentions of women in different institutional contexts. Italy constitutes a case of high gender inequity, low female labour market participation and the lowest-low fertility. The Netherlands has moderate to low gender inequity, high part-time female labour market participation and comparatively higher fertility. Using data from the 2003 Italian Multipurpose Survey - Family and Social Actors and the 2004/5 Dutch sample from the European Social Survey, a series of logistic regression models test this theory. A central finding is that the unequal division of household labour only has a significant impact on women's fertility intentions when they already carry the load of high paid work hours or children, a finding that is particularly significant for working women in Italy.

  1. Who Pays for Standardised Testing? A Cost-Benefit Study of Mandated Testing in Three Queensland Secondary Schools

    Science.gov (United States)

    Carter, Merilyn Gladys; Klenowski, Valentina; Chalmers, Christina

    2016-01-01

    This paper reports on an Australian study that explored the costs and benefits of the National Assessment Programme, Literacy and Numeracy (NAPLAN) testing, both tangible and intangible, of Year 9 students in three Queensland schools. The study commenced with a review of pertinent studies and other related material about standardised testing in…

  2. The Power of Numbers: The Adoption and Consequences of National Low-Stakes Standardised Tests in Israel

    Science.gov (United States)

    Feniger, Yariv; Israeli, Mirit; Yehuda, Smadar

    2016-01-01

    The use of standardised tests as a central tool in education policy has in recent decades become a common feature of many national education systems. In 2002 the Israeli Ministry of Education introduced new mandatory state tests for primary and middle schools. The article describes the adoption of these low-stakes tests and assesses their impact…

  3. The use of standardised short-term and working memory tests in aphasia research: a systematic review.

    Science.gov (United States)

    Murray, Laura; Salis, Christos; Martin, Nadine; Dralle, Jenny

    2018-04-01

    Impairments of short-term and working memory (STM, WM), both verbal and non-verbal, are ubiquitous in aphasia. Increasing interest in assessing STM and WM in aphasia research and clinical practice as well as a growing evidence base of STM/WM treatments for aphasia warrant an understanding of the range of standardised STM/WM measures that have been utilised in aphasia. To date, however, no previous systematic review has focused on aphasia. Accordingly, the goals of this systematic review were: (1) to identify standardised tests of STM and WM utilised in the aphasia literature, (2) to evaluate critically the psychometric strength of these tests, and (3) to appraise critically the quality of the investigations utilising these tests. Results revealed that a very limited number of standardised tests, in the verbal and non-verbal domains, had robust psychometric properties. Standardisation samples to elicit normative data were often small, and most measures exhibited poor validity and reliability properties. Studies using these tests inconsistently documented demographic and aphasia variables essential to interpreting STM/WM test outcomes. In light of these findings, recommendations are provided to foster, in the future, consistency across aphasia studies and confidence in STM/WM tests as assessment and treatment outcome measures.

  4. On the origin of patterning in movable Latin type : Renaissance standardisation, systematisation, and unitisation of textura and roman type

    NARCIS (Netherlands)

    Blokland, F.E.

    2016-01-01

    This PhD-research is conducted to test the hypothesis that Gutenberg and consorts developed a standardised and even unitised system for the production of textura type, and that this system was extrapolated for the production of roman type in Renaissance Italy. For roman type, Humanistic handwriting

  5. Comparison of Rotavirus and Norovirus transport in standardised and natural soil-water systems

    Science.gov (United States)

    Gamazo, P. A.; Schijven, J. F.; Victoria, M.; Alvareda, E.; Lopez, F.; Ramos, J.; Lizasoain, A.; Sapriza-Azuri, G.; Castells, M.; Colina, R.

    2016-12-01

    Rotavirus and Norovirus are waterborne viruses that are major causes of diarrhea and others symptoms of acute gastroenteritis. An important pathway of these viruses is groundwater. In Uruguay, as in many developed and developing countries, there are areas where the only source of water for human consumption is groundwater. In the rural area of the Salto district, groundwater is commonly used without any treatment, as it is traditionally considered as a safe source. However, virus contamination have been detected in several wells in the area. The most probable source of contamination are nearby septic systems, since the sewer coverage is scarce. This work aims to evaluate and compare the virus transport processes for a standardised soil-water systems and for the Salto aquifer system. For this, the transport of Rotavirus and Norovirus from clinic samples was studied in two sets of column experiments: 6.7 cm columns with quartz sand under saturated conditions (ionic strength 1mM, pH 7.0) and with sand from the Salto aquifer (Uruguay) (9,2% coarse sand, 47,8% medium sand, 40,5% fine sand, magnesium/calcium bicarbonate water, Ionic strength 15.1 mM, pH 7.2). Both viruses were seeded for 2 pore volumes on the columns. Samples were collected at the column outlet and viruses were enumerated by Q-PRCR. Breakthrough curves were constructed and fitted to a two-site kinetic attachment/detachment model, including blocking using Hydrus-1D. In the quartz sand column, both Rotavirus and Norovirus were removed two orders in magnitude. In the Salto sand column, Rotavirus was removed 2 log10 as well, but Norovirus was removed 4 log10. The fitting of the breakthrough curves indicated that blocking played a role for Rotavirus in the Salto sand column. These results are consistent with field observation where only Rotavirus was detected in the Salto aquifer, while similar concentrations in Salto sewer effluent was measured for these two viruses. This work, besides reporting actual

  6. Standardisation of oxygen exposure in the development of mouse models for bronchopulmonary dysplasia

    Science.gov (United States)

    Nardiello, Claudio; Mižíková, Ivana; Silva, Diogo M.; Ruiz-Camp, Jordi; Mayer, Konstantin; Vadász, István; Herold, Susanne; Seeger, Werner

    2017-01-01

    ABSTRACT Progress in developing new therapies for bronchopulmonary dysplasia (BPD) is sometimes complicated by the lack of a standardised animal model. Our objective was to develop a robust hyperoxia-based mouse model of BPD that recapitulated the pathological perturbations to lung structure noted in infants with BPD. Newborn mouse pups were exposed to a varying fraction of oxygen in the inspired air (FiO2) and a varying window of hyperoxia exposure, after which lung structure was assessed by design-based stereology with systemic uniform random sampling. The efficacy of a candidate therapeutic intervention using parenteral nutrition was evaluated to demonstrate the utility of the standardised BPD model for drug discovery. An FiO2 of 0.85 for the first 14 days of life decreased total alveoli number and concomitantly increased alveolar septal wall thickness, which are two key histopathological characteristics of BPD. A reduction in FiO2 to 0.60 or 0.40 also caused a decrease in the total alveoli number, but the septal wall thickness was not impacted. Neither a decreasing oxygen gradient (from FiO2 0.85 to 0.21 over the first 14 days of life) nor an oscillation in FiO2 (between 0.85 and 0.40 on a 24 h:24 h cycle) had an appreciable impact on lung development. The risk of missing beneficial effects of therapeutic interventions at FiO2 0.85, using parenteral nutrition as an intervention in the model, was also noted, highlighting the utility of lower FiO2 in selected studies, and underscoring the need to tailor the model employed to the experimental intervention. Thus, a state-of-the-art BPD animal model that recapitulates the two histopathological hallmark perturbations to lung architecture associated with BPD is described. The model presented here, where injurious stimuli have been systematically evaluated, provides a most promising approach for the development of new strategies to drive postnatal lung maturation in affected infants. PMID:28067624

  7. Standardisation of oxygen exposure in the development of mouse models for bronchopulmonary dysplasia

    Directory of Open Access Journals (Sweden)

    Claudio Nardiello

    2017-02-01

    Full Text Available Progress in developing new therapies for bronchopulmonary dysplasia (BPD is sometimes complicated by the lack of a standardised animal model. Our objective was to develop a robust hyperoxia-based mouse model of BPD that recapitulated the pathological perturbations to lung structure noted in infants with BPD. Newborn mouse pups were exposed to a varying fraction of oxygen in the inspired air (FiO2 and a varying window of hyperoxia exposure, after which lung structure was assessed by design-based stereology with systemic uniform random sampling. The efficacy of a candidate therapeutic intervention using parenteral nutrition was evaluated to demonstrate the utility of the standardised BPD model for drug discovery. An FiO2 of 0.85 for the first 14 days of life decreased total alveoli number and concomitantly increased alveolar septal wall thickness, which are two key histopathological characteristics of BPD. A reduction in FiO2 to 0.60 or 0.40 also caused a decrease in the total alveoli number, but the septal wall thickness was not impacted. Neither a decreasing oxygen gradient (from FiO2 0.85 to 0.21 over the first 14 days of life nor an oscillation in FiO2 (between 0.85 and 0.40 on a 24 h:24 h cycle had an appreciable impact on lung development. The risk of missing beneficial effects of therapeutic interventions at FiO2 0.85, using parenteral nutrition as an intervention in the model, was also noted, highlighting the utility of lower FiO2 in selected studies, and underscoring the need to tailor the model employed to the experimental intervention. Thus, a state-of-the-art BPD animal model that recapitulates the two histopathological hallmark perturbations to lung architecture associated with BPD is described. The model presented here, where injurious stimuli have been systematically evaluated, provides a most promising approach for the development of new strategies to drive postnatal lung maturation in affected infants.

  8. Effects of limited midwifery clinical education and practice standardisation of student preparedness.

    Science.gov (United States)

    Vuso, Zanyiwe; James, Sindiwe

    2017-08-01

    To explore the perceptions of midwifery educators regarding effects of limited standardisation of midwifery clinical education and practice on clinical preparedness of midwifery students. Investigation of levels of clinical competency of students is a critical need in the current era. Such competency levels are especially important in midwifery practice in South Africa as there is a significant increase of maternal deaths and litigations in the country. Most of the deaths are in the primary healthcare level maternity units where the newly qualified midwives practise. These areas are mainly run by midwives only. The current article seeks to report the findings of the study that was conducted to investigate how midwifery educators prepare students adequately for clinical readiness. The study was conducted amongst midwifery nurse educators on three campuses of the Nursing College in the Eastern Cape. A qualitative, explorative, descriptive and contextual research design was used for the study. Seventeen purposively selected midwifery educators, with the researcher using set criteria, from a Nursing college in the Eastern Cape, were the participants in the study. Data was collected using focus-group interviews that were captured by means of an audio-voice recorder. Tesch's data-analysis method was used to develop themes and sub-themes. Trustworthiness of the study was ensured using the criteria of credibility, transferability, dependability and confirmability. Inconsistent clinical practice amongst midwifery educators in their clinical teaching and assessment were found to be the major factors resulting from limited standardisation. The inconsistent clinical practice and assessments of midwifery educators was found to lead to loss of the necessary skills required by the students which led them to perform poorly in their final clinical assessments. There are some barriers in the current clinical teaching and education strategy used in this college that prohibit the

  9. Impact of the introduction of standardised packaging on smokers' brand awareness and identification in Australia.

    Science.gov (United States)

    Balmford, James; Borland, Ron; Yong, Hua-Hie

    2015-09-15

    The introduction of standardised packaging (SP) in Australia in December 2012 has heightened interest in how image and branding might affect smoking. This paper tests the hypothesis that brand awareness and identification among smokers will decline after the introduction of SP. Longitudinal study of three waves of smokers in Australia, conducted between October 2011-February 2012 (pre-SP) (n = 1104), February-May 2013 (post-SP1) (n = 1093) and August-December 2014 (post-SP2) (n = 1090). We explored the extent of changes in two variables, brand awareness (noticing others with the brand of cigarettes you smoke) and brand identification (perceiving something in common among smokers of your brand), and examined change in a number of other measures of brand appeal, brand characteristics and determinants of brand choice. Brand awareness 'at least sometimes' reduced from 45.3% pre-SP to 26.9% at post-SP2 [odds ratio (OR) 0.35 (0.27-0.45)]. Brand identification also decreased from 18.2% to 12.7% [OR 0.62 (0.42-0.91)]. Significant decline was also found in measures of perceived brand prestige [OR 0.51 (0.39-0.66)] and choice of brand for health reasons [OR 0.45 (0.32-0.63)]. Liking the look of the pack was strongly associated with brand identification, but only post-SP (P = 0.02 for interaction across the three waves). The introduction of SP of tobacco products in Australia has been associated with reductions in brand awareness and identification, and changes in related measures. The findings support the notion that SP has reduced the capacity for smokers to use pack branding to create and communicate a desired identity. [Balmford J, Borland R, Yong H-H. Impact of the introduction of standardised packaging on smokers' brand awareness and identification in Australia. Drug Alcohol Rev 2015;00:000-000]. © 2015 Australasian Professional Society on Alcohol and other Drugs.

  10. Institute news

    Science.gov (United States)

    1999-11-01

    Joining the team A new member of staff has recently joined the Institute of Physics Education Department (Schools and Colleges) team. (Dr) Steven Chapman will have managerial responsibility for physics education issues in the 11 - 16 age range, particularly on the policy side. He will work closely with Mary Wood, who spends much of her time out and about doing the practical things to support physics education pre-16. Catherine Wilson will be spending more of her time working to support the Post-16 Physics Initiative but retains overall responsibility for the department. Steven graduated in Physics and Astronomy and then went on to do his doctorate at Sussex University. He stayed in the research field for a while, including a period at NPL. Then, having decided to train as a teacher, he taught for the last five years, most recently at a brand new school in Sutton where he was Head of Physics. Physics update Dates for `Physics Update' courses in 2000, intended for practising science teachers, are as follows: 1 - 3 April: Malvern College 9 - 10 June: Stirling University 8 - 10 July: York University 8 - 10 December: Oxford University The deadline for applications for the course to be held on 11 - 13 December 1999 at the School of Physics, Exeter University, is 12 November, so any late enquiries should be sent to Leila Solomon at The Institute of Physics, 76 Portland Place, London W1N 3DH (tel: 020 7470 4821) right away. Name that teacher! Late nominations are still welcome for the Teachers of Physics/Teachers of Primary Science awards for the year 2000. Closing date for nominations is `the last week in November'. Further details can be obtained from Catherine Wilson or Barbara Hill in the Institute's Education Department. Forward and back! The Education Group's one-day meeting on 13 November is accepting bookings until almost the last minute, so don't delay your application! The day is entitled `Post-16 physics: Looking forward, learning from the past' and it aims to

  11. Analysis of the logic and framing of a tobacco industry campaign opposing standardised packaging legislation in New Zealand.

    Science.gov (United States)

    Waa, Andrew Morehu; Hoek, Janet; Edwards, Richard; Maclaurin, James

    2017-11-01

    The tobacco industry routinely opposes tobacco control policies, often using a standard repertoire of arguments. Following proposals to introduce standardised packaging in New Zealand (NZ), British American Tobacco New Zealand (BATNZ) launched the 'Agree-Disagree' mass media campaign, which coincided with the NZ government's standardised packaging consultations. This study examined the logic of the arguments presented and rhetorical strategies employed in the campaign. We analysed each advertisement to identify key messages, arguments and rhetorical devices, then examined the arguments' structure and assessed their logical soundness and validity. All advertisements attempted to frame BATNZ as reasonable, and each contained flawed arguments that were either unsound or based on logical fallacies. Flawed arguments included misrepresenting the intent of the proposed legislation (straw man), claiming standardised packaging would harm all NZ brands (false dilemma), warning NZ not to adopt standardised packaging because of its Australian origins (an unsound argument) or using vague premises as a basis for claiming negative outcomes (equivocation). BATNZ's Agree-Disagree campaign relied on unsound arguments, logical fallacies and rhetorical devices. Given the industry's frequent recourse to these tactics, we propose strategies based on our study findings that can be used to assist the tobacco control community to counter industry opposition to standardised packaging. Greater recognition of logical fallacies and rhetorical devices employed by the tobacco industry will help maintain focus on the health benefits proposed policies will deliver. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  12. How tobacco companies in the UK prepared for and responded to standardised packaging of cigarettes and rolling tobacco.

    Science.gov (United States)

    Moodie, Crawford; Angus, Kathryn; Mitchell, Danielle; Critchlow, Nathan

    2018-01-10

    As a result of the Standardised Packaging of Tobacco Products Regulations and Tobacco Products Directive, all packs of cigarettes (factory-made and hand-rolled) in the UK must be drab brown, display pictorial warnings on the principal display areas and contain no less than 20 cigarettes or 30 g of tobacco. The legislation was phased in between May 2016 and May 2017. Our objective was to monitor pack, brand and product changes preimplementation and postimplementation. Our surveillance of the cigarette market involved a review of the trade press, a monthly monitor of online supermarkets and regular visits to stores, from May 2015 to June 2017. Before standardised packaging there were changes to the pack graphics (eg, redesigned packs and limited editions) and pack structure (eg, resealable inner foil) and the issue of a number of reusable tins. After standardised packaging, changes included newer cigarette pack sizes for some brand variants (eg, 23 and 24 packs). Changes to the branding prestandardised packaging included brand extensions, and poststandardised packaging included brand and/or variant name change, often with the inclusion of colour descriptors and brand migrations. Product changes prestandardised packaging included the introduction of novel filters (eg, filters with two flavour-changing capsules, tube filters, firmer filters and filters with granular additives). There was non-compliance with the legislation, with slim packs, which are not permitted, on sale after standardised packaging was implemented. Our findings highlight the need to monitor developments in markets introducing standardised packaging and have policy implications for countries considering this measure. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  13. Impact of the introduction of a standardised ICD programming protocol: real-world data from a single centre.

    Science.gov (United States)

    Sunderland, Nicholas; Kaura, Amit; Li, Anthony; Kamdar, Ravi; Petzer, Ed; Dhillon, Para; Murgatroyd, Francis; Scott, Paul A

    2016-09-01

    Randomised trials have shown that empiric ICD programming, using long detection times and high detection zones, reduces device therapy in ICD recipients. However, there is less data on its effectiveness in a "real-world" setting, especially secondary prevention patients. Our aim was to evaluate the introduction of a standardised programming protocol in a real-world setting of unselected ICD recipients. We analysed 270 consecutive ICD recipients implanted in a single centre-135 implanted prior to protocol implementation (physician-led group) and 135 after (standardised group). The protocol included long arrhythmia detection times (30/40 or equivalent) and high rate detection zones (primary prevention lower treatment zone 200 bpm). Programming in the physician-led group was at the discretion of the implanter. The primary endpoint was time-to-any therapy (ATP or shocks). Secondary endpoints were time-to-inappropriate therapy and time-to-appropriate therapy. The safety endpoints were syncopal episodes, hospital admissions and death. At 12 months follow-up, 47 patients had received any ICD therapy (physician-led group, n = 31 vs. standardised group, n = 16). There was a 47 % risk reduction in any device therapy (p = 0.04) and an 86 % risk reduction in inappropriate therapy (p = 0.009) in the standardised compared to the physician-led group. There was a non-significant 30 % risk reduction in appropriate therapy (p = 0.32). Results were consistent across primary and secondary prevention patients. There were no significant differences in the rates of syncope, hospitalisation, and death. In unselected patients in a real-world setting, introduction of a standardised programming protocol, using long detection times and high detection zones, significantly reduces the burden of ICD therapy without an increase in adverse outcomes.

  14. Governance Change In Facilities Management: An Institutional Perspectives

    Directory of Open Access Journals (Sweden)

    Muhammad Kaleem Zahirul Hassan

    2012-12-01

    Full Text Available Governance of a specific field is shaped by not only the instrumental rationality but also the institutional rationality. In this research the instrumental rationality was manifested by the service providers and consultants who played a pivotal role in the construction of new governance in the field of facilities services in the Netherlands. Further, the role of institutional rationality was investigated wherein it was found that the logic of rationalization shaped the governance in the field of facilities services. Moreover, the implication for the explanation of practice variation by institutional theory is discussed.

  15. Screening for personality disorder in incarcerated adolescent boys: preliminary validation of an adolescent version of the standardised assessment of personality – abbreviated scale (SAPAS-AV)

    Science.gov (United States)

    2012-01-01

    Background Personality disorder (PD) is associated with significant functional impairment and an elevated risk of violent and suicidal behaviour. The prevalence of PD in populations of young offenders is likely to be high. However, because the assessment of PD is time-consuming, it is not routinely assessed in this population. A brief screen for the identification of young people who might warrant further detailed assessment of PD could be particularly valuable for clinicians and researchers working in juvenile justice settings. Method We adapted a rapid screen for the identification of PD in adults (Standardised Assessment of Personality – Abbreviated Scale; SAPAS) for use with adolescents and then carried out a study of the reliability and validity of the adapted instrument in a sample of 80 adolescent boys in secure institutions. Participants were administered the screen and shortly after an established diagnostic interview for DSM-IV PDs. Nine days later the screen was readministered. Results A score of 3 or more on the screening interview correctly identified the presence of DSM-IV PD in 86% of participants, yielding a sensitivity and specificity of 0.87 and 0.86 respectively. Internal consistency was modest but comparable to the original instrument. 9-days test-retest reliability for the total score was excellent. Convergent validity correlations with the total number of PD criteria were large. Conclusion This study provides preliminary evidence of the validity, reliability, and usefulness of the screen in secure institutions for adolescent male offenders. It can be used in juvenile offender institutions with limited resources, as a brief, acceptable, staff-administered routine screen to identify individuals in need of further assessment of PD or by researchers conducting epidemiological surveys. PMID:22846474

  16. Euthanasia: law and practice in The Netherlands.

    Science.gov (United States)

    Gevers, S

    1996-04-01

    In The Netherlands, euthanasia is defined as the deliberate termination of the life of a person on his request by another person. Although, in this limited sense, euthanasia is only one of the issues raised by medical decision-making at the end of life, it is, in particular, the acceptance of euthanasia in this country that has attracted attention from abroad. Also, in The Netherlands itself, the toleration of the courts of euthanasia (if carried out by a physician under strict conditions) has given rise to much debate. This contribution surveys the developments in the law (including recent legislation), and in medical practice, and explores the relation between the two, with particular attention to the position of the physician.

  17. The implementation of CHARM in the Netherlands

    Energy Technology Data Exchange (ETDEWEB)

    Hendriks, R.V.; Henriquez, L.R. [Ministerie van Economische Zaken, The Hague (Netherlands). Commissie Opberging te Land

    1996-12-31

    This paper presents an overview of current development in the Netherlands together with a government perspective with regard to the application of the CHARM model covering chemical hazard assessment and risk management offshore. In the context of the North East Atlantic Convention (OSPAR), the Esbjerg Declaration and the risk policy established in the Netherlands, CHARM or any other risk model should be used after all necessary measures have been taken for abatement at the source by submitting the substances/preparations by alternatives or taking other physical treatment measures (pre screening application). CHARM will be used to set priorities in case no alternatives are available or to set limits in e.g. dosage application or other measures when permits for discharge are issued. CHARM will also be used for ranking or substances/preparations when chemicals have to perform during a specific application

  18. [Imported Zika virus infection in the Netherlands].

    Science.gov (United States)

    von Eije, Karin J; Schinkel, Janke; van den Kerkhof, J H C T Hans; Schreuder, Imke; de Jong, Menno D; Grobusch, Martin P; Goorhuis, Abraham

    2015-01-01

    Since mid-2015, a rapidly expanding outbreak of Zika virus infection is spreading across Latin America and the Caribbean. Although Zika virus infection usually causes only mild disease, the World Health Organization has declared the epidemiological association with the occurrence of congenital microcephaly and neurological complications a 'Public Health Emergency of International Concern' and urged the international community to mount a coordinated international response aimed to protect people at risk, especially pregnant women. In December 2015, the first case of imported Zika virus infection in the Netherlands was diagnosed in a returned traveler from Surinam. To date, more than 20 cases have been reported in The Netherlands, all imported from Surinam. We describe the epidemiology, clinical aspects, diagnostic challenges and the existing evidence to date that link Zika virus infection to complications.

  19. The real estate industry in the Netherlands

    OpenAIRE

    Engelberts, Reinout; Suarez, Jose L.

    2004-01-01

    The real estate industry in the Netherlands is one of the most sophisticated in Europe. In fact, some Dutch real estate companies are among the most active in the international arena, and are major players in the ongoing integration in European markets. The paper describes the sectors of the real estate industry, i.e. residential and commercial (offices, retail and industrial), social housing policies, and the characteristics of the major companies. Individualized descriptions of listed real ...

  20. Cointegration analysis of vulnerability index and standardised precipitation index in Mafeteng district, Lesotho

    Directory of Open Access Journals (Sweden)

    Bernard M. Hlalele

    2017-01-01

    Full Text Available Given the high poverty levels in Africa, with most countries’ economy and populations’ livelihood dependent on rain-fed agriculture, land degradation among other environmental hazards has proven to be a major threat to economic growth and food insecurity, respectively. Drought, which is on the increase at the global level and said to create over 78% of other hazards, has aggravated land degradation. Dry conditions lessen soil particles cohesion force, thereby increasing susceptibility of such soils to be lost by wind and water. The current study aimed at estimating land degradation from drought hazard index, standardised precipitation index (SPI over the drought declared district of Mafeteng Lesotho. Data were provided by Lesotho Meteorological Services for a period of 30 years (1984–2014. All missing values that existed in the collected precipitation data were filled with average values of the months with data. The computation of SPI was performed by using DrinC software in SPI-3 and SPI-Annual time step. The results revealed a constant condition of land degradation vulnerability over a 30-year period, implying a continuous loss of soil fertility, agricultural gross domestic product (GDP, water and bio-energy, malnutrition and increased poverty levels.

  1. Treatment of polydrug-using opiate dependents during withdrawal: towards a standardisation of treatment

    Science.gov (United States)

    Kristensen, Øistein; Lølandsmo, Terje; Isaksen, Åse; Vederhus, John-Kåre; Clausen, Thomas

    2006-01-01

    Background The growing tendency among opioid addicts to misuse multiple other drugs should lead clinicians and researchers to search for new pharmacological strategies in order to prevent life-threatening complications and minimize withdrawal symptoms during polydrug detoxification. Methods A non-randomised, open-label in-patient detoxification study was used to compare the short-time efficacy of a standardised regimen comprising 6 days Buprenorphine and 10 days Valproate (BPN/VPA) (n = 12) to a control group (n = 50) who took a 10-day traditional Clonidine/Carbamazepine (CLN/CBZ) regimen. Sixty-two dependent subjects admitted to a detoxification unit were included, all dependent on at least opioids and benzodiazepines. Other dependencies were not excluded. Results In the BPN/VPA group, 8 out of 12 patients (67%) completed treatment compared with 25 of 50 patients (50%) in the CLN/CBZ group; this difference between the groups was non-significant (p = 0.15). Withdrawal symptoms were reduced in both groups, but only the BPN/VPA group achieved a reduction in withdrawal symptoms from day one. The difference between the two groups was significantly in favour of the BPN/VPA group for days 2 (p Carbamazepine. However, a randomised, double-blind study with a larger sample size to confirm our results is recommended. Trial registration Clinical Trials.gov: NCT00367874 PMID:17107609

  2. Recent standardisation work in Sweden related to measurement of biomass fuel quality

    Energy Technology Data Exchange (ETDEWEB)

    Maansson, Margret [Swedish National Testing and Research Inst., Boraas (Sweden)

    1998-06-01

    Work on Swedish standards for peat and biofuels started close to fifteen years ago. The same technical committee that has the responsibility for peat and solid biofuels is also handling the standardisation work on solid mineral fuels. Its counterpart within the ISO is TC 27 Solid mineral fuels. A number of the Swedish analysis standards are structured such that they define methods for all of the solid fuels in the same standard, with specific requirements for the type of fuel if necessary. By now, twenty Swedish biomass standards have been prepared and adopted, half of them already revised at least once. There are dedicated biofuel standards for terminology, sampling and sample preparation and for determination of parameters such as moisture, ash, size distribution, bulk density and mechanical strength. Solid fuels standards that include biomass and peat in their range of application exist for the determination of volatile matter, sulfur chlorine and calorific value. Solid fuel ash methods have been specifically developed for the determination of unburned material and sulfur content. At the present time, standard methods are being defined for the determination of total amounts of heavy metals in ash, and also methods for measuring the availability (leaching properties) of certain elements in ash, in particular ash from combustion of biomass. Ash methods are of interest because of the focus on the possibilities of returning biomass-origin ash to forest soil as a fertilizer and also to prevent depletion of trace elements caused by the increase in the utilisation of the forest growth

  3. Working Up a Good Sweat - The Challenges of Standardising Sweat Collection for Metabolomics Analysis.

    Science.gov (United States)

    Hussain, Joy N; Mantri, Nitin; Cohen, Marc M

    2017-02-01

    Human sweat is a complex biofluid of interest to diverse scientific fields. Metabolomics analysis of sweat promises to improve screening, diagnosis and self-monitoring of numerous conditions through new applications and greater personalisation of medical interventions. Before these applications can be fully developed, existing methods for the collection, handling, processing and storage of human sweat need to be revised. This review presents a cross-disciplinary overview of the origins, composition, physical characteristics and functional roles of human sweat, and explores the factors involved in standardising sweat collection for metabolomics analysis. A literature review of human sweat analysis over the past 10 years (2006-2016) was performed to identify studies with metabolomics or similarly applicable 'omics' analysis. These studies were reviewed with attention to sweat induction and sampling techniques, timing of sweat collection, sweat storage conditions, laboratory derivation, processing and analytical platforms. Comparative analysis of 20 studies revealed numerous factors that can significantly impact the validity, reliability and reproducibility of sweat analysis including: anatomical site of sweat sampling, skin integrity and preparation; temperature and humidity at the sweat collection sites; timing and nature of sweat collection; metabolic quenching; transport and storage; qualitative and quantitative measurements of the skin microbiota at sweat collection sites; and individual variables such as diet, emotional state, metabolic conditions, pharmaceutical, recreational drug and supplement use. Further development of standard operating protocols for human sweat collection can open the way for sweat metabolomics to significantly add to our understanding of human physiology in health and disease.

  4. Treatment of polydrug-using opiate dependents during withdrawal: towards a standardisation of treatment.

    Science.gov (United States)

    Kristensen, Øistein; Lølandsmo, Terje; Isaksen, Ase; Vederhus, John-Kåre; Clausen, Thomas

    2006-11-15

    The growing tendency among opioid addicts to misuse multiple other drugs should lead clinicians and researchers to search for new pharmacological strategies in order to prevent life-threatening complications and minimize withdrawal symptoms during polydrug detoxification. A non-randomised, open-label in-patient detoxification study was used to compare the short-time efficacy of a standardised regimen comprising 6 days Buprenorphine and 10 days Valproate (BPN/VPA) (n = 12) to a control group (n = 50) who took a 10-day traditional Clonidine/Carbamazepine (CLN/CBZ) regimen. Sixty-two dependent subjects admitted to a detoxification unit were included, all dependent on at least opioids and benzodiazepines. Other dependencies were not excluded. In the BPN/VPA group, 8 out of 12 patients (67%) completed treatment compared with 25 of 50 patients (50%) in the CLN/CBZ group; this difference between the groups was non-significant (p = 0.15). Withdrawal symptoms were reduced in both groups, but only the BPN/VPA group achieved a reduction in withdrawal symptoms from day one. The difference between the two groups was significantly in favour of the BPN/VPA group for days 2 (p withdrawal symptoms. The results of this study suggest that the BPN/VPA combination is potentially a better detoxification treatment for polydrug withdrawal than the traditional treatment with Clonidine and Carbamazepine. However, a randomised, double-blind study with a larger sample size to confirm our results is recommended.

  5. Components of a standardised olive leaf dry extract (Ph. Eur.) promote hypothiocyanite production by lactoperoxidase.

    Science.gov (United States)

    Flemmig, Jörg; Rusch, Dorothea; Czerwińska, Monika Ewa; Rauwald, Hans-Wilhelm; Arnhold, Jürgen

    2014-05-01

    We investigated in vitro the ability of a standardised olive leaf dry extract (Ph. Eur.) (OLE) as well as of its single components to circumvent the hydrogen peroxide-induced inhibition of the hypothiocyanite-producing activity of lactoperoxidase (LPO). The rate of hypothiocyanite (⁻OSCN) formation by LPO was quantified by spectrophotometric detection of the oxidation of 5-thio-2-nitrobenzoic acid (TNB). By using excess hydrogen peroxide, we forced the accumulation of inactive enzymatic intermediates which are unable to promote the two-electronic oxidation of thiocyanate. Both OLE and certain extract components showed a strong LPO-reactivating effect. Thereby an o-hydroxyphenolic moiety emerged to be essential for a good reactivity with the inactive LPO redox states. This basic moiety is found in the main OLE components oleuropein, oleacein, hydroxytyrosol, caffeic acid as well as in different other constituents including the OLE flavone luteolin. As LPO is a key player in the humoral immune response, these results propose a new mode of action regarding the well-known bacteriostatic and anti-inflammatory properties of the leaf extract of Olea europaea L. Copyright © 2014 Elsevier Inc. All rights reserved.

  6. Rainfall characterisation by application of standardised precipitation index (SPI) in Peninsular Malaysia

    Science.gov (United States)

    Yusof, Fadhilah; Hui-Mean, Foo; Suhaila, Jamaludin; Yusop, Zulkifli; Ching-Yee, Kong

    2014-02-01

    The interpretations of trend behaviour for dry and wet events are analysed in order to verify the dryness and wetness episodes. The fitting distribution of rainfall is computed to classify the dry and wet events by applying the standardised precipitation index (SPI). The rainfall amount for each station is categorised into seven categories, namely extremely wet, severely wet, moderately wet, near normal, moderately dry, severely dry and extremely dry. The computation of the SPI is based on the monsoon periods, which include the northeast monsoon, southwest monsoon and inter-monsoon. The trends of the dry and wet periods were then detected using the Mann-Kendall trend test and the results indicate that the major parts of Peninsular Malaysia are characterised by increasing droughts rather than wet events. The annual trends of drought and wet events of the randomly selected stations from each region also yield similar results. Hence, the northwest and southwest regions are predicted to have a higher probability of drought occurrence during a dry event and not much rain during the wet event. The east and west regions, on the other hand, are going through a significant upward trend that implies lower rainfall during the drought episodes and heavy rainfall during the wet events.

  7. A standardised approach for the dispersion of titanium dioxide nanoparticles in biological media.

    Science.gov (United States)

    Taurozzi, Julian S; Hackley, Vincent A; Wiesner, Mark R

    2013-06-01

    We describe a comprehensive optimisation study culminating in a standardised and validated approach for the preparation of titanium dioxide (TiO₂) nanoparticle dispersions in relevant biological media. This study utilises a TiO₂ reference nanomaterial based on a commercially available powder that has been widely examined in both acute and chronic toxicity studies. The dispersion approach as presented here satisfies four key harmonisation requirements not previously addressed: (1) method transferability, based in part on the use of a sonication energy calibration method that allows for power measurement and reporting in a device-independent manner; (2) optimisation of sonication parameters and thorough method validation in terms of particle size distribution, pH, isoelectric point, concentration range and batch variability; (3) minimisation of sonolysis side effects by elimination of organics during sonication and (4) characterisation of nanoparticle agglomeration under various dispersion conditions by use of laser diffraction spectrometry, an in situ size characterisation technique that provides advantages over other techniques more commonly employed within the context of nanotoxicology (e.g. dynamic light scattering). The described procedure yields monomodal, nanoscale, protein-stabilised nanoparticle dispersions in biological media that remain stable for at least 48 h (acute testing timeframe) under typical incubation conditions.

  8. Analysis of drought condition and risk in Peninsular Malaysia using Standardised Precipitation Index

    Science.gov (United States)

    Zin, Wan Zawiah Wan; Jemain, Abdul Aziz; Ibrahim, Kamarulzaman

    2013-02-01

    Contrary to the belief that Peninsular Malaysia experiences wet condition throughout the year, prolonged dry condition has lately become a recurrent phenomenon in this region. As a result, country's agricultural sector and water resources have been under severe constraints from this situation. To get a clearer picture of the dry condition in Peninsular Malaysia, the Standardised Precipitation Index, based on the data of monthly rainfall from 50 stations, is derived. Spatial analysis is used to illustrate the percentage of occurrences of dry and very dry events. To evaluate the potential risk due to the dry conditions, we modelled the joint distribution of severity and duration of dry condition by means of bivariate copula. Several copula models were tested, and the model, which best represents the relationship between severity and duration, is determined using Akaike information criterion. Based on the results, the return period for the drought severity, based on the longest duration of drought at each station, can be estimated. This enables the drought risk to be calculated, thus planning on the measures to minimise the impact of a prolonged drought to the societies, which can be done by the relevant authorities.

  9. Biomedical laboratory science education: standardising teaching content in resource-limited countries

    Directory of Open Access Journals (Sweden)

    Wendy Arneson

    2013-03-01

    Full Text Available Background: There is a worldwide shortage of qualified laboratory personnel to provide adequate testing for the detection and monitoring of diseases. In an effort to increase laboratory capacity in developing countries, new skills have been introduced into laboratory services. Curriculum revision with a focus on good laboratory practice is an important aspect of supplying entry-level graduates with the competencies needed to meet the current needs.Objectives: Gaps in application and problem-solving competencies of newly graduated laboratory personnel were discovered in Ethiopia, Tanzania and Kenya. New medical laboratory teaching content was developed in Ethiopia, Tanzania and Kenya using national instructors, tutors, and experts and consulting medical laboratory educators from the United States of America (USA.Method: Workshops were held in Ethiopia to create standardised biomedical laboratory science (BMLS lessons based on recently-revised course objectives with an emphasis on application of skills. In Tanzania, course-module teaching guides with objectives were developed based on established competency outcomes and tasks. In Kenya, example interactive presentations and lesson plans were developed by the USA medical laboratory educators prior to the workshop to serve as resources and templates for the development of lessons within the country itself.Results: The new teaching materials were implemented and faculty, students and other stakeholders reported successful outcomes.Conclusions: These approaches to updating curricula may be helpful as biomedical laboratory schools in other countries address gaps in the competencies of entry-level graduates.

  10. Standardised assessment of personality – a study of validity and reliability in substance abusers

    Science.gov (United States)

    Hesse, Morten; Rasmussen, Joachim; Pedersen, Mads Kjær

    2008-01-01

    Background Brief screening instruments for co-morbid personality disorders could potentially have great value in substance abuse treatment settings. Methods We assessed the psychometric properties of the 8-item Standardised Assessment of Personality – Abbreviated Scale (SAPAS) in a sample of 58 methadone maintenance patients. Results Internal consistency was modest, but similar to the original value (alpha = 0.62), and test-retest correlation at four months follow-up was moderately encouraging for a short instrument such as this (n = 31, test retest intraclass correlation = 0.58), and change at the mean level was minimal, but marginally significant (from an average of 3.3 to 3.8, p = 0.06). Analyses of nurse ratings of patients' behaviour at the clinic showed that SAPAS was significantly correlated with nurse ratings of externalizing behaviour (r = 0.42, p = 0.001), and Global Assessment of Functioning (r = -0.36, p = 0.006), but unrelated to intoxication (r = 0.02, NS), or withdrawal (r = 0.20, NS). Conclusion There is evidence that the SAPAS is a modestly valid and relatively reliable brief screening measure of personality disorders in patients with ongoing substance abuse undergoing methadone maintenance. It can be used in situations where limited resources are available, and researchers or others wish to get an impression of the degree of personality pathology in a clinical population, as well as for screening purposes. PMID:18221511

  11. Pervasive Monitoring—An Intelligent Sensor Pod Approach for Standardised Measurement Infrastructures

    Directory of Open Access Journals (Sweden)

    Michael Lippautz

    2010-12-01

    Full Text Available Geo-sensor networks have traditionally been built up in closed monolithic systems, thus limiting trans-domain usage of real-time measurements. This paper presents the technical infrastructure of a standardised embedded sensing device, which has been developed in the course of the Live Geography approach. The sensor pod implements data provision standards of the Sensor Web Enablement initiative, including an event-based alerting mechanism and location-aware Complex Event Processing functionality for detection of threshold transgression and quality assurance. The goal of this research is that the resultant highly flexible sensing architecture will bring sensor network applications one step further towards the realisation of the vision of a “digital skin for planet earth”. The developed infrastructure can potentially have far-reaching impacts on sensor-based monitoring systems through the deployment of ubiquitous and fine-grained sensor networks. This in turn allows for the straight-forward use of live sensor data in existing spatial decision support systems to enable better-informed decision-making.

  12. The inter-rater reliability of a standardised classification system for pregnancy-related lumbopelvic pain.

    Science.gov (United States)

    Gutke, Annelie; Kjellby-Wendt, Gunilla; Oberg, Birgitta

    2010-02-01

    Pregnancy-related lumbopelvic pain has varying clinical presentations and effects among subgroups. Different lumbopelvic pain subgroups require different specific management approaches which require the differentiation between lumbar and pelvic girdle pain (PGP). Thirty-one consecutive pregnant women with non-specific lumbopelvic pain were evaluated by two examiners and classified into lumbar pain, PGP, or combined pelvic girdle and lumbar pain. A standard history about different positions/activities of daily life such as bending, sitting, standing, walking, and lying, was followed by a standardised mechanical assessment of the lumbar spine (Mechanical Diagnosis and Therapy), including tests of repeated end-range movements to standing and lying, pelvic pain provocation tests (distraction test, posterior pelvic pain provocation test, Gaenslen's test, compression test, and sacral thrust) a hip-rotation range-of-motion test, the active straight-leg-raising test, and a neurological examination. Agreement for the three syndromes (lumbar pain, PGP, or combined pelvic girdle and lumbar pain) was 87% (27/31), with a kappa coefficient of 0.79 (95% CI 0.60-0.98). It was possible to perform the classification procedure throughout pregnancy. There was substantial agreement between the two examiners for the classification of non-specific lumbopelvic pain into lumbar pain and PGP in pregnant women.

  13. A universal radiation protection system based on individual standardised integrated doses.

    Science.gov (United States)

    Sohrabi, M

    2015-06-01

    A 'Universal Radiation Protection System' (URPS) is proposed in this paper with a novel philosophy, concept and methodology. It applies a 'Standardised Integrated Dose System' (SIDS) based on health risk limits for workers and public, no matter where they live in the world. The URPS assigns equal radiation health risk limit to an individual by integrating doses from national natural background (NBG) radiation and from man-made sources. For public, the SIDS integrates doses from planned exposure situations within a dose limit (e.g. 1 mSv y(-1)) on top of the mean national NBG dose in a country. For workers, the SIDS integrates within a dose limit (e.g. 20 mSv y(-1)) of occupational dose and doses from mean national NBG and from planned exposure situations as a member of public within the public dose limit. A panorama overview and the rationale in support of the URPS are presented and discussed with a hope to ignite further thoughts and ideas towards establishing the URPS for universal use. © The Author 2015. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  14. Plasma proteins in a standardised skin mini-erosion (II: effects of extraction pressure

    Directory of Open Access Journals (Sweden)

    Ryan Terence J

    2002-02-01

    Full Text Available Abstract Background A standardised suction technique has been used to sample plasma proteins in dermal interstitial fluid (IF serially for 5 to 6 days from a suction-induced skin mini-erosion. Increased protein concentrations ascribed to inflammation have been shown from day 1 onward. In this study, we assessed the effect of two different extraction pressures on IF sample composition. Methods Total protein concentration and the concentrations of insulin, prealbumin, albumin, transferrin, IgG and alpha-2-macroglobulin were assessed daily in healthy volunteers. Samples were extracted at 50 mmHg and 200 mmHg below the atmospheric. Results At 0 h after forming the erosion, mean total IF protein content (relative to plasma was lower in the samples extracted at -200 mmHg than at -50 mmHg (26 +/-13% (SD vs 48 +/-9.8%; p Conclusions Samples of IF extracted at 0 h at -200 mmHg contained lower protein concentrations, indicating an increased water fraction and an intact sieve function of the vascular wall. The difference in protein concentration extracted at higher and lower pressure from 24 h onward was less pronounced. Lower pressure should be used to sample substances of greater molecular size.

  15. Standardised ileal crude protein and amino acid digestibilities in protein supplements for piglets.

    Science.gov (United States)

    Urbaityte, Renata; Mosenthin, Rainer; Eklund, Meike; Piepho, Hans-Peter; Sauer, Nadja; Rademacher, Meike

    2009-01-01

    Standardised ileal digestibilities (SID) of crude protein and amino acids (AA) originating from 24 different feed ingredients, including 11 feed ingredients produced from soybeans, seven by-products of starch processing, four whey products and two fish meals, were determined in piglets by means of the difference method. For the indispensable AA, the highest SID values were obtained in three out of four whey proteins (SID ≥90% for most indispensable AA), one out of two fish meals (SID ≥86%), soy protein concentrate, hydrolysed soy protein isolate (SID ≥86% for most indispensable AA), and by-products of starch processing (SID ≥84% for most indispensable AA). The lowest SID values were obtained in extruded soybeans and microbially fermented soy protein (SID ≤78% for most indispensable AA), whereas the SID values for high-protein soybean meal were intermediate (SID 80-89% for indispensable AA except for Thr). The SID values in the three enzymatically fermented soy proteins (SID 80-94% for most indispensable AA) were similar to those in high-protein soybean meal and soy protein concentrate. The results of the present study indicate that SID values of AA in feed ingredients for piglets differ considerably from those reported for grower-finisher pigs, thus there may be a need for separate feed tables for piglets.

  16. Evaluating surgeons' informed decision making skills: pilot test using a videoconferenced standardised patient.

    Science.gov (United States)

    Clever, Sarah L; Novack, Dennis H; Cohen, Diane G; Levinson, Wendy

    2003-12-01

    Standardised patients (SPs) are effective in evaluating communication skills, but not every training site may have the resources to develop and maintain SP programmes. To test whether videoconferencing technology (VT) could enable an interaction between an SP and an orthopaedic surgeon that would allow the SP to accurately evaluate the surgeon's informed decision making (IDM) skills. We also assessed whether this sort of interaction was acceptable to orthopaedic surgeons as a means of learning IDM skills. We trained an SP to represent a 75-year-old woman considering hip replacement surgery. Orthopaedic surgeons in Chicago individually consulted with the SP in Philadelphia; each participant could see and hear the other on large television screens. The SP evaluated the surgeons' advice using a 23-item checklist of IDM elements, and gave each surgeon verbal and written feedback on his IDM skills. The surgeons then gave their evaluations of the exercise. Twenty-two surgeons completed the project. The SP was > or = 80% accurate in classifying 20 of the 23 IDM skills when compared to a clinician rater. Although 12 (55%) of the orthopaedic surgeons felt that some aspects of the technology were distracting, most were pleased with it, and 19 of 22 (86%) would recommend the videoconferenced SP interaction to their colleagues as a means of learning IDM skills. These results suggest that VT allows accurate evaluation of IDM skills in a format that is acceptable to orthopaedic surgeons. Videoconferencing technology may be useful in long-distance SP communication assessment for a variety of learners.

  17. Validation of the standardised assessment of personality--abbreviated scale in a general population sample.

    Science.gov (United States)

    Fok, Marcella Lei-Yee; Seegobin, Seth; Frissa, Souci; Hatch, Stephani L; Hotopf, Matthew; Hayes, Richard D; Moran, Paul

    2015-11-01

    Personality disorder (PD) is associated with important health outcomes in the general population. However, the length of diagnostic interviews poses a significant barrier to obtaining large scale, population-based data on PD. A brief screen for the identification of people at high risk of PD in the general population could be extremely valuable for both clinicians and researchers. We set out to validate the Standardised Assessment of Personality - Abbreviated Scale (SAPAS), in a general population sample, using the Structured Clinical Interviews for DSM-IV Personality Disorders (SCID-II) as a gold standard. One hundred and ten randomly selected, community-dwelling adults were administered the SAPAS screening interview. The SCID-II was subsequently administered by a clinical interviewer blind to the initial SAPAS score. Receiver operating characteristic analysis was used to assess the discriminatory performance of the SAPAS, relative to the SCID-II. Area under the curve for the SAPAS was 0.70 (95% CI = 0.60 to 0.80; p < 0.001), indicating moderate overall discriminatory accuracy. A cut point score of 4 on the SAPAS correctly classified 58% of participants. At this cut point, the sensitivity and specificity were 0.69 and 0.53 respectively. The SAPAS operates less efficiently as a screen in general population samples and is probably most usefully applied in clinical populations. © 2015 The Authors Personality and Mental Health published by John Wiley & Sons Ltd.

  18. Development, standardisation and pilot testing of an online fatigue self-management program.

    Science.gov (United States)

    Ghahari, Setareh; Packer, Tanya Leigh; Passmore, Anne Elizabeth

    2009-01-01

    Although an effective face-to-face fatigue program is available, people with transportation, time or geographic restrictions cannot access this intervention. Therefore, the aim of this study was to develop and to evaluate effectiveness of an online fatigue self-management program (online FSMP). Key features of the face-to-face program were captured and transferred to an online FSMP prototype. Subsequently, three pilot tests were conducted for formative evaluation of the program and necessary changes were made to improve the program. During the third pilot test, the effectiveness of the online FSMP was also tested using a pre-test post-test design on a sample of individuals with multiple sclerosis, Parkinson's disease or post-polio syndrome. The study resulted in a standardised 7-week online FSMP mimicking its face-to-face version. Participants were offered fatigue self-management skills through structured activities, sharing information and experiences, expressing their ideas or feelings and offering advice and support to one another. The participants in the third pilot study improved significantly on the Fatigue Impact Scale (p <0.05) and a trend toward significance was shown on the Personal Wellbeing index (p = 0.08). The online FSMP is a viable treatment for people with neurological conditions and warrants further study.

  19. Neurological Soft Signs in Obsessive Compulsive Disorder: Standardised Assessment and Comparison with Schizophrenia

    Directory of Open Access Journals (Sweden)

    D. Bolton

    1999-01-01

    Full Text Available While several studies have detected raised levels of neurological soft signs in patients with obsessive compulsive disorder (OCD, the specificity of these abnormalities remains uncertain. This study used a new standardised measure, the Cambridge Neurological Inventory (CNI, to assess soft signs in 51 subjects with OCD. Comparison was made with data on patients with schizophrenia and a non-clinical control group from a previously reported study. Individuals with OCD showed raised levels of soft signs compared with non-clinical controls in many categories of the CNI: Motor Coordination, Sensory Integration, Primitive Reflexes, Extrapyramidal Signs, and Failure of Suppression. Compared with patients with schizophrenia, the OCD group had lower levels of neurological signs in some CNI categories: Hard Signs, Motor Co-ordination, Tardive Dyskinesia, Catatonic Signs, and Extrapyramidal Signs. However, levels of soft signs in the OCD group did not significantly differ from those in the schizophrenia group in other CNI categories: Sensory Integration, Primitive Reflexes and Failure of Suppression. The significance of these patterns of findings is discussed.

  20. Congenital toxoplasmosis and DALYs in the Netherlands

    Directory of Open Access Journals (Sweden)

    LM Kortbeek

    2009-03-01

    Full Text Available The calculation of disability-adjusted life years (DALYs enables public health policy makers to compare the burden of disease of a specific disease with that of other (infectious diseases. The incidence of a disease is important for the calculation of DALYs. To estimate the incidence of congenital toxoplasmosis (CT, a random sample of 10,008 dried blood spot filter paper cards from babies born in 2006 in the Netherlands were tested for Toxoplasma gondii-specific IgM antibodies. Eighteen samples were confirmed as positive for IgM, resulting in an observed birth incidence of CT of 1.8 cases per 1,000 live-born children in 2006 and an adjusted incidence of 2.0 cases per 1,000. This means that 388 infected children were born in 2006. The most likely burden of disease is estimated to be 2,300 DALYs (range 820-6,710 DALYs. In the previous calculations, using data from a regional study from 1987, this estimate was 620 DALYs (range 220-1,900 DALYs. The incidence of CT in the Netherlands is much higher than previously reported; it is 10 times higher than in Denmark and 20 times higher than in Ireland, based on estimates obtained using the same methods. There is no screening program in the Netherlands; most children will be born asymptomatic and therefore will not be detected or treated.

  1. [Medicinal use of cannabis in the Netherlands: towards a responsible pattern of use].

    Science.gov (United States)

    de Jong, Floris A

    2009-01-01

    Since 2003, medicinal cannabis has been legally cultivated and distributed in the Netherlands under the auspices of the Dutch Office of Medicinal Cannabis (BMC), part of the Ministry of Health, Welfare and Sport. As a result of this measure, the indication, dosage, administration route, and safety of cannabis can now be investigated, information necessary for justifying its potentially future position as a standard medicinal product. Despite the current lack of reliable scientific efficacy data, standardised medicinal cannabis without microbes has also been made available on prescription. This has led to a safer and more responsible use. However, it is a bridge too far to say that 'it doesn't hurt to try'. The legalization of medicinal cannabis has also stimulated the development of new purified cannabis-based products, although it is claimed that some patients specifically benefit from using cannabis as a whole product. Despite disappointing sales at the end of 2007, the Minister of Health, Welfare and Sport has announced that the current policy will be extended for a further five years. The Minister also indicated that he would consider discontinuing the availability of medicinal cannabis for patients, if new cannabis products are granted market authorization. This might, however, give rise to a new era of illegal cannabis use for medicinal purposes, notably for the use as a whole product.

  2. HBO Social Studies: Learning How To Learn in Social Studies. An Impression of the Social Studies Program of the Noordelijke Hogeschool Leeuwarden (NHL) in the Netherlands.

    Science.gov (United States)

    Steur, Rick

    This booklet describes the offerings of the Noordelijke Hogeschool Leeuwarden, a large institute of higher education (a polytechnic) in the north of The Netherlands. Special emphasis is placed on the social studies teacher training programs and the social studies general and applied programs. Blending the definition of the social studies of the…

  3. "Making a Mess in the Mud": The Discovery of Toddlers' Special Needs by Child Scientists in the 1930s in the Netherlands

    Science.gov (United States)

    Bakker, Nelleke

    2012-01-01

    In this article, the author discusses plans that were launched at three consecutive conferences on care for toddlers between 1929 and 1938 in the Netherlands. These plans and their realisation are evaluated in terms of what was seen as the missing link in the supply of institutional care for young children. The author identifies the professional…

  4. The occurrence of the Golden Grey Mullet, Liza aurata (Risso, 1810) in the coastal waters of the Netherlands (Pisces, Perciformes, Mugilidae)

    NARCIS (Netherlands)

    Nijssen, H.; Groot, de S.J.; Doornbos, G.

    1981-01-01

    The Golden grey mullet, Liza aurata (Risso, 1810), inhabits the coastal waters of the Netherlands at least since 1939, as was established by re-examining preserved specimens in the collection of the Institute of Taxonomic Zoology (Zoological Museum), Amsterdam. A key to the three Mullet species in

  5. Regulations, policies and practices concerning work stress prevention and improving well-being at work in Sweden, Great-Britain, Germany, France and the Netherlands

    NARCIS (Netherlands)

    Gier, E. de; Kompier, M.; Draaisma, D.; Smulders, P.

    1994-01-01

    At the request of the Dutch Ministry of Social Affairs and Employment, the TNO Institute of Preventive Health Care (NIPG) carried out a comparative survey of regulations, policies and practices in the Netherlands, Sweden, the United Kingdom, Germany and France with regard to the prevention of work

  6. Performance of the Brighton collaboration case definition for hypotonic-hyporesponsive episode (HHE) on reported collapse reactions following infant vaccinations in the Netherlands.

    NARCIS (Netherlands)

    Vermeer-de Bondt, Patricia E; Dzaferagić, Aida; David, Silke; Maas, Nicoline A T van der

    2006-01-01

    We reviewed collapse (sudden onset of pallor, limpness and hyporesponsiveness) following the first infant (DPTP+Hib) vaccination reported to the enhanced passive surveillance system of the Netherlands in 1994-2003. All 1303 reports identified by the current RIVM (National Institute for Public Health

  7. Widening educational inequalities in adolescent smoking following national tobacco control policies in the Netherlands in 2003: a time-series analysis

    NARCIS (Netherlands)

    Kuipers, M.A.G.; Nagelhout, G.E.; Willemsen, M.C.; Kunst, A.E.

    2014-01-01

    Background and Aims In 2003, the Netherlands introduced tobacco control policies, including bans on tobacco sales to minors, advertising and sponsoring and tobacco sales in government institutions. We examined the extent to which these policies were associated with a change in educational

  8. ISMIR 2010 Proceedings of the 11th International Society for Music Information Retrieval Conference, August 9-13, 2010 Utrecht, Netherlands

    NARCIS (Netherlands)

    Downie, J. Stephen; Veltkamp, Remco C.

    2010-01-01

    Welcome to the 11th International Society for Music Information Retrieval Conference (ISMIR 2010). ISMIR 2010 will be convened in Utrecht, Netherlands, 9-13 August 2010 and is jointly organised by Utrecht University, the Utrecht School of the Arts, the Meertens Institute and Philips Research. The

  9. "Making a mess in the mud" : The discovery of toddlers' special needs by child scientists in the 1930s in the Netherlands

    NARCIS (Netherlands)

    Bakker, Nelleke

    2012-01-01

    In this article, the author discusses plans that were launched at three consecutive conferences on care for toddlers between 1929 and 1938 in the Netherlands. These plans and their realisation are evaluated in terms of what was seen as the missing link in the supply of institutional care for young

  10. Standardised nomenclature for glucocorticoid dosages and glucocorticoid treatment regimens : current questions and tentative answers in rheumatology

    NARCIS (Netherlands)

    Buttgereit, F; da Silva, JAP; Burmester, GR; Cutolo, M; Jacobs, J; Kirwan, J; Kohler, L; van Riel, P; Vischer, T; Bijlsma, JWJ

    In rheumatology and other medical specialties there is a discrepancy between the widespread use and the imprecise designation of glucocorticoid treatment regimens. Verbal descriptions of glucocorticoid treatment regimens used in various phases of diseases vary between countries and institutions.

  11. Co-evolution of waste and electricity regimes: Multi-regime dynamics in the Netherlands (1969-2003)

    Energy Technology Data Exchange (ETDEWEB)

    Raven, Rob [Eindhoven University of Technology, Department of Technology Management, Section of Technology and Sustainability Studies, Room IPO 2.10, P.O. Box 513, 5600 MB Eindhoven (Netherlands)]. E-mail: r.p.j.m.raven@tm.tue.nl

    2007-04-15

    This article explores how the relation between waste and electricity regimes changed in the Netherlands in a long-term perspective. The concept of socio-technical regime is used to investigate institutional, technological and social (network) changes. The conclusion is that the relationship changed from two regimes being separated into a much more symbiotic and integrated relationship through a multi-level and co-evolutionary process. The concept of 'biomass' has become a binding element in the relationship.

  12. Claims and Counterclaims: Institutional Arrangements and Farmers' Response to the Delivery and Adoption of Innovations in the Okavango Delta, Botswana

    Science.gov (United States)

    Noga, Sekondeko Ronnie; Kolawole, Oluwatoyin Dare; Thakadu, Olekae Tsompi; Masunga, Gaseitsiwe Smollie

    2017-01-01

    Purpose: This article examined how institutional factors influencing the promotion of two elephant crop-raiding deterrent innovations (ECDIs) introduced to farmers through a ministry-based extension system in the Okavango Delta, Botswana, have impacted farmers' adoption behaviour. Methodology: A standardised interview schedule was used to elicit…

  13. Use of non-standardised micro-destructive techniques in the characterization of traditional construction materials

    Science.gov (United States)

    Ioannou, Ioannis; Theodoridou, Magdalini; Modestou, Sevasti; Fournari, Revecca; Dagrain, Fabrice

    2013-04-01

    The characterization of material properties and the diagnosis of their state of weathering and conservation are three of the most important steps in the field of cultural heritage preservation. Several standardised experimental methods exist, especially for determining the material properties and their durability. However, they are limited in their application by the required size of test specimens and the controlled laboratory conditions needed to undertake the tests; this is especially true when the materials under study constitute immovable parts of heritage structures. The current use of other advanced methods of analysis, such as imaging techniques, in the aforementioned field of research offers invaluable results. However, these techniques may not always be accessible to the wider research community due to their complex nature and relatively high cost of application. This study presents innovative applications of two recently developed cutting techniques; the portable Drilling Resistance Measuring System (DRMS) and the scratch tool. Both methods are defined as micro-destructive, since they only destroy a very small portion of sample material. The general concept of both methods lies within the forces needed to cut a material by linear (scratch tool) or rotational (DRMS) cutting action; these forces are related to the mechanical properties of the material and the technological parameters applied on the tool. Therefore, for a given testing configuration, the only parameter influencing the forces applied is the strength of the material. These two techniques have been used alongside a series of standardised laboratory tests aiming at the correlation of various stone properties (density, porosity, dynamic elastic modulus and uniaxial compressive strength). The results prove the potential of both techniques in assessing the uniaxial compressive strength of stones. The scratch tool has also been used effectively to estimate the compressive strength of mud bricks. It

  14. Recommendation for a Standardised Method of Broth Microdilution Susceptibility Testing for Porcine Bordetella bronchiseptica.

    Directory of Open Access Journals (Sweden)

    Sandra Prüller

    Full Text Available The objective was to establish and standardise a broth microdilution susceptibility testing method for porcine Bordetella (B. bronchiseptica. B. bronchiseptica isolates from different geographical regions and farms were genotyped by macrorestriction analysis and subsequent pulsed-field gel electrophoresis. One reference and one type strain plus two field isolates of B. bronchiseptica were chosen to analyse growth curves in four different media: cation-adjusted Mueller-Hinton broth (CAMHB with and without 2% lysed horse blood, Brain-Heart-Infusion (BHI, and Caso broth. The growth rate of each test strain in each medium was determined by culture enumeration and the suitability of CAMHB was confirmed by comparative statistical analysis. Thereafter, reference and type strain and eight epidemiologically unrelated field isolates of B. bronchiseptica were used to test the suitability of a broth microdilution susceptibility testing method following CLSI-approved performance standards given in document VET01-A4. Susceptibility tests, using 20 antimicrobial agents, were performed in five replicates, and data were collected after 20 and 24 hours incubation and statistically analysed. Due to the low growth rate of B. bronchiseptica, an incubation time of 24 hours resulted in significantly more homogeneous minimum inhibitory concentrations after five replications compared to a 20-hour incubation. An interlaboratory comparison trial including susceptibility testing of 24 antimicrobial agents revealed a high mean level of reproducibility (97.9% of the modified method. Hence, in a harmonization for broth microdilution susceptibility testing of B. bronchiseptica, an incubation time of 24 hours in CAMHB medium with an incubation temperature of 35°C and an inoculum concentration of approximately 5 x 10(5 cfu/ml was proposed.

  15. Working Up a Good Sweat – The Challenges of Standardising Sweat Collection for Metabolomics Analysis

    Science.gov (United States)

    Hussain, Joy N; Mantri, Nitin; Cohen, Marc M

    2017-01-01

    Introduction Human sweat is a complex biofluid of interest to diverse scientific fields. Metabolomics analysis of sweat promises to improve screening, diagnosis and self-monitoring of numerous conditions through new applications and greater personalisation of medical interventions. Before these applications can be fully developed, existing methods for the collection, handling, processing and storage of human sweat need to be revised. This review presents a cross-disciplinary overview of the origins, composition, physical characteristics and functional roles of human sweat, and explores the factors involved in standardising sweat collection for metabolomics analysis. Methods A literature review of human sweat analysis over the past 10 years (2006–2016) was performed to identify studies with metabolomics or similarly applicable ‘omics’ analysis. These studies were reviewed with attention to sweat induction and sampling techniques, timing of sweat collection, sweat storage conditions, laboratory derivation, processing and analytical platforms. Results Comparative analysis of 20 studies revealed numerous factors that can significantly impact the validity, reliability and reproducibility of sweat analysis including: anatomical site of sweat sampling, skin integrity and preparation; temperature and humidity at the sweat collection sites; timing and nature of sweat collection; metabolic quenching; transport and storage; qualitative and quantitative measurements of the skin microbiota at sweat collection sites; and individual variables such as diet, emotional state, metabolic conditions, pharmaceutical, recreational drug and supplement use. Conclusion Further development of standard operating protocols for human sweat collection can open the way for sweat metabolomics to significantly add to our understanding of human physiology in health and disease. PMID:28798503

  16. A standardised static in vitro digestion method suitable for food - an international consensus.

    Science.gov (United States)

    Minekus, M; Alminger, M; Alvito, P; Ballance, S; Bohn, T; Bourlieu, C; Carrière, F; Boutrou, R; Corredig, M; Dupont, D; Dufour, C; Egger, L; Golding, M; Karakaya, S; Kirkhus, B; Le Feunteun, S; Lesmes, U; Macierzanka, A; Mackie, A; Marze, S; McClements, D J; Ménard, O; Recio, I; Santos, C N; Singh, R P; Vegarud, G E; Wickham, M S J; Weitschies, W; Brodkorb, A

    2014-06-01

    Simulated gastro-intestinal digestion is widely employed in many fields of food and nutritional sciences, as conducting human trials are often costly, resource intensive, and ethically disputable. As a consequence, in vitro alternatives that determine endpoints such as the bioaccessibility of nutrients and non-nutrients or the digestibility of macronutrients (e.g. lipids, proteins and carbohydrates) are used for screening and building new hypotheses. Various digestion models have been proposed, often impeding the possibility to compare results across research teams. For example, a large variety of enzymes from different sources such as of porcine, rabbit or human origin have been used, differing in their activity and characterization. Differences in pH, mineral type, ionic strength and digestion time, which alter enzyme activity and other phenomena, may also considerably alter results. Other parameters such as the presence of phospholipids, individual enzymes such as gastric lipase and digestive emulsifiers vs. their mixtures (e.g. pancreatin and bile salts), and the ratio of food bolus to digestive fluids, have also been discussed at length. In the present consensus paper, within the COST Infogest network, we propose a general standardised and practical static digestion method based on physiologically relevant conditions that can be applied for various endpoints, which may be amended to accommodate further specific requirements. A frameset of parameters including the oral, gastric and small intestinal digestion are outlined and their relevance discussed in relation to available in vivo data and enzymes. This consensus paper will give a detailed protocol and a line-by-line, guidance, recommendations and justifications but also limitation of the proposed model. This harmonised static, in vitro digestion method for food should aid the production of more comparable data in the future.

  17. Recommendation for a Standardised Method of Broth Microdilution Susceptibility Testing for Porcine Bordetella bronchiseptica.

    Science.gov (United States)

    Prüller, Sandra; Frömke, Cornelia; Kaspar, Heike; Klein, Günter; Kreienbrock, Lothar; Kehrenberg, Corinna

    2015-01-01

    The objective was to establish and standardise a broth microdilution susceptibility testing method for porcine Bordetella (B.) bronchiseptica. B. bronchiseptica isolates from different geographical regions and farms were genotyped by macrorestriction analysis and subsequent pulsed-field gel electrophoresis. One reference and one type strain plus two field isolates of B. bronchiseptica were chosen to analyse growth curves in four different media: cation-adjusted Mueller-Hinton broth (CAMHB) with and without 2% lysed horse blood, Brain-Heart-Infusion (BHI), and Caso broth. The growth rate of each test strain in each medium was determined by culture enumeration and the suitability of CAMHB was confirmed by comparative statistical analysis. Thereafter, reference and type strain and eight epidemiologically unrelated field isolates of B. bronchiseptica were used to test the suitability of a broth microdilution susceptibility testing method following CLSI-approved performance standards given in document VET01-A4. Susceptibility tests, using 20 antimicrobial agents, were performed in five replicates, and data were collected after 20 and 24 hours incubation and statistically analysed. Due to the low growth rate of B. bronchiseptica, an incubation time of 24 hours resulted in significantly more homogeneous minimum inhibitory concentrations after five replications compared to a 20-hour incubation. An interlaboratory comparison trial including susceptibility testing of 24 antimicrobial agents revealed a high mean level of reproducibility (97.9%) of the modified method. Hence, in a harmonization for broth microdilution susceptibility testing of B. bronchiseptica, an incubation time of 24 hours in CAMHB medium with an incubation temperature of 35°C and an inoculum concentration of approximately 5 x 10(5) cfu/ml was proposed.

  18. Standardising the Lay: Logics of Change in Programs of Disease Self-management

    Directory of Open Access Journals (Sweden)

    Annegrete Juul Nielsen

    2012-11-01

    Full Text Available The health political discourse on self-care is dominated by the view that the selfmanaging patient represents a more democratic and patient-centric perspective, as he or she is believed to renegotiate the terms on which patient participation in health care has hitherto taken place. The self-managing patient is intended as a challenge to traditional medical authority by introducing lay methods of knowing disease. Rather than a meeting between authoritative professionals and vulnerable patients, the self-managing patient seeks to open up new spaces for a meeting between experts. The present paper questions these assumptions through an ethnographic exploration of a patient-led self-management program called the Chronic Disease Self-Management Program. The program is concerned with what its developers call the social and mental aspects of living with a chronic disease and uses trained patients as role models and program leaders. Drawing inspiration from Annemarie Mol’s term ‘logic’, we explore the rationale of ‘situations of selfmanagement’ and identify what we call a ‘logic of change’, which involves very specific ideas on how life with a chronic condition should be dealt with and directs attention towards particular manageable aspects of life with a chronic condition. This logic of change entails, we argue, a clash not between ‘medical’ and ‘lay’ forms of knowledge but between different logics or perceptions of how transformation can be achieved: through open-ended and ongoing reflection and experimentation in social settings or through standardised trajectories of change. Returning to the literature on lay forms of knowledge and illness perspectives, we question whether programs such as the Chronic Disease Self-Management Program – despite its apparent patient-centric perspective – reproduces classical hierarchical relations between lay and expert knowledge, albeit in new forms.

  19. Teaching paediatric residents about learning disorders: use of standardised case discussion versus multimedia computer tutorial.

    Science.gov (United States)

    Bridgemohan, Carolyn Frazer; Levy, Sharon; Veluz, Anna K; Knight, John R

    2005-08-01

    We developed a standardised case-based educational exercise on the topic of childhood learning disorders, and a multimedia computerised adaptation of this exercise, as part of a national curriculum project based on the Bright Futures guidelines. To explore resident perceptions of the facilitated case discussion (FCD) and the computerised tutorial (CT). Quasi-randomised comparison of two educational interventions. Preclinic teaching conferences at a large urban children's hospital. A total of 46 paediatric residents years 1-3 assigned to either FCD (n = 21) or CT (n = 25). FCD residents met in groups of 8-12 with a trained facilitator for a structured case discussion, while CT residents worked in groups of 2-3 at a computer station linked to an interactive website. Participant responses during semistructured focus group interviews. Focus group transcripts, field notes and computer logs were analysed simultaneously using qualitative grounded theory methodology. Residents experienced CT as fun, offering flexibility, greater auditory and visual appeal and more opportunities for active learning. FCD allowed greater contact with expert faculty and made the material more relevant to clinical practice. FCD participants emphasised the clinical skills gleaned and stated that the learning experience would change their future patient management. Both groups reported that case discussion was more interactive than computer learning. Median time spent on learning was slightly shorter for the CT group. All groups of learners arrived at the correct final diagnosis. FCD and CT stimulate different types of learning among paediatric residents. Future studies are needed to determine how to integrate these two techniques to meet the learning needs of residents in diverse settings.

  20. Evaluating Rotavirus and Norovirus transport processes in standardised and natural soil-water columns experiments

    Science.gov (United States)

    Gamazo, Pablo; Schijven, Jack; Victoria, Matias; Alvareda, Elena; López Tort, Fernando; Ramos, Julián; Lizasoain, Andrés; Sapriza, Gonzalo; Castells, Matias; Colina, Rodney

    2017-04-01

    In Uruguay, as in many developed and developing countries, rotavirus and norovirus are major causes of diarrhea and others symptoms of acute gastroenteritis. In some areas of Uruguay, groundwater is the only source of water for human consumption. In the rural area of the Salto district, virus contamination has been detected in several groundwater wells. Because sewer coverage is low, the most probable sources of contamination are nearby septic systems. This work aims to evaluate the transport of rotavirus and norovirus from clinic samples in two sets of column experiments under saturated conditions: 6.7-cm columns with quartz sand (ionic strength 1mM, pH 7.0) and with sand from the Salto aquifer (Uruguay) (9,2% coarse sand, 47,8% medium sand, 40,5% fine sand, magnesium/calcium bicarbonate water, Ionic strength 15.1 mM, pH 7.2). Both viruses were seeded for 2 pore volumes onto the columns. Samples were collected at the column outlet and viruses were enumerated by Q-PRCR. Breakthrough curves were constructed and fitted to a two-site kinetic attachment/detachment model, including blocking using Hydrus-1D. In the quartz sand column, both rotavirus and norovirus were removed two orders in magnitude. In the Salto sand column, rotavirus was removed 2 log10 as well, but norovirus was removed 4 log10. The fitting of the breakthrough curves indicated that blocking played a role for rotavirus in the Salto sand column. These results are consistent with the field observation where only rotavirus was detected in the Salto aquifer, while similar concentrations in Salto sewer effluent were measured for both viruses. This work, besides reporting actual parameters values for human virus transport modelling, shows the significant differences in transport that human viruses can have in standardised and natural soil-water systems.