2012, Part of book or chapter of book ()Terwijl de complexiteit van maatschappelijke vraagstukken toeneemt en de legitimiteit van de overheid op haar retour lijkt, probeert diezelfde overheid zich aan te passen aan de nieuwe, dynamische realiteit. Kennis als rijkdom. Wordt Nederland ‘rijker’ als de rijksoverheid een innige band zou hebben met de wetenschap? Vanuit de behoefte aan een platform om ideeën tussen theorie en praktijk uit te wisselen is het congres ‘Rijk met Wetenschap: Bestuur is Informatie’ opgezet. Het eerste congres vond plaats in de Universiteit van Tilburg op 7 juni 2012. In deze bundel vindt u de zeventien geaccepteerde bijdragen aan het congres.
2012, Article / Letter to editor (Kritiek, vol. 2012, iss. 5, (2012), pp. 10-11)Het Erasmus MC, Kennemer Gasthuis en Ziekenhuis Gelderse Vallei werken samen met het Lectoraat Acute Intensieve Zorg (LAIZ) van de Hogeschool van Arnhem en Nijmegen aan het verbeteren van de zorg voor familie en andere naasten op de intensive care (IC). Daarnaast ontwikkelen zij gezamenlijk een Consumer Quality Index (CQI) om de ervaringen van naasten met deze zorg te meten.
2014, Article / Letter to editor (Goud, vol. 11, iss. 2, (2014), pp. 28-29)De participatiesamenleving vraagt organisaties in wonen, zorg en welzijn samen te werken. De overheid voert deze strategie door om de zorg toegankelijk, goed en betaalbaar te houden. Willen organisaties aan de hoge eisen van de participatiesamenleving voldoen, dan hebben ze elkaar nodig. Investeren in succesvolle samenwerking is daarom van groot belang.
2013, Book (monograph) De kwaliteit van het onderwijs staat of valt met de kwaliteit van de docent. Een waarheid als een koe, die ook nog eens wordt benadrukt in de Lerarenagenda 2013-2020 (Min. OCW, 2013): de docent speelt een centrale rol in de verbetering van de kwaliteit van het onderwijs. Waar in andere onderwijssectoren deze verantwoordelijkheid vaak door individuele docenten wordt gedragen, is in het mbo de kwaliteit van het onderwijs bij uitstek een teamverantwoordelijkheid. Maar wat vraagt dat precies van de onderwijsteams in het middelbaar beroepsonderwijs (mbo)?
2010, Part of book or chapter of book (, pp. 13-26)Onderzoek naar sekseverschillen vindt veelal plaats binnen wetenschappelijke disciplines als antropologie, genderstudies, filosofie, sociologie, psychologie en recent ook binnen de neurowetenschappen. Binnen die disciplines focust onderzoek op het vinden van verklaringen voor het ontstaan of bestaan van sekseverschillen of het sec beschrijven van sekseverschillen als fenomeen. Informatie daarover haalt regelmatig de publiekspers. Binnen onderwijskunde en (onderwijs)pedagogiek, die beide bij uitstek gezien kunnen worden als handelingswetenschappen, is veel minder belangstelling voor sekseverschillen waardoor het in mainstream onderzoek (te) vaak genegeerd wordt of hooguit als variabele wordt meegenomen. Ook binnen de onderwijspraktijk is er slechts beperkt aandacht voor sekseverschillen terwijl dat wel nodig is. Ik wil in onderstaand artikel een pleidooi houden voor meer aandacht voor sekseverschillen en de wijze waarop we daar didactisch en pedagogisch adequaat – dus met pedagogische kwaliteit – naar zouden moeten handelen. Ik zal eerst beschrijven wat onderwijs met pedagogische kwaliteit is. Vervolgens ga ik in op de sekseverschillen zoals deze zich voordoen bij kinderen en jongeren in het onderwijs. Daarbij maak ik onderscheid tussen de eerste helft van de twintigste eeuw, waarin omgaan met sekseverschillen vanzelfsprekend bij de pedagogische taak van het onderwijs behoorde, en een latere, meer recente tweede periode waarin dat minder vanzelfsprekend is, maar des te meer gewenst.
2016, Article / Letter to editor (vol. 16, iss. 1, (2016), pp. 45)Background
Oleaginous yeast species are an alternative for the production of lipids or triacylglycerides (TAGs). These yeasts are usually non-pathogenic and able to store TAGs ranging from 20 % to 70 % of their cell mass depending on culture conditions. TAGs originating from oleaginous yeasts can be used as the so-called second generation biofuels, which are based on non-food competing “waste carbon sources”.
Results
In this study the selection of potentially new interesting oleaginous yeast strains is described. Important selection criteria were: a broad maximum temperature and pH range for growth (robustness of the strain), a broad spectrum of carbon sources that can be metabolized (preferably including C-5 sugars), a high total fatty acid content in combination with a low glycogen content and genetic accessibility.
Conclusions
Based on these selection criteria, among 24 screened species, Schwanniomyces occidentalis (Debaromyces occidentalis) CBS2864 was selected as a promising strain for the production of high amounts of lipids.
2022, Article / Letter to editor (Musculoskeletal Science and Practice, vol. 62, (2022), pp. 102675)BACKGROUND: Self-management support is considered an important component in the physiotherapeutic treatment of people with chronic low back pain. The stratified blended physiotherapy intervention e-Exercise Low Back Pain is an example of a self-management intervention. More insight may contribute to improving blended interventions to stimulate self-management after treatment and thus hopefully prevent chronicity and/or relapses in patients with chronic low back pain. OBJECTIVES: The aim of this study was to gain an in-depth understanding of the self-management behaviour after a physiotherapist guided blended self-management intervention in people with chronic low back pain. DESIGN: A qualitative study with semi-structured interviews nested within a randomized controlled trial on the (cost-)effectiveness of e-Exercise Low Back Pain was conducted. METHOD: Thematic analysis was used to analyse the transcriptions. A hybrid process of both deductive and inductive approaches was used. RESULTS: After 12 interviews, data saturation was reached. Analysis of the data yielded six themes related to self-management behaviour: illness beliefs, coping, cognitions, social support and resource utilization, physiotherapeutic involvement and motivation. CONCLUSIONS: In our study the majority of the participants seemed to show adequate self-management behaviour when experiencing low back pain. Most participants first try to gain control over their low back pain themselves when experiencing a relapse before contacting the physiotherapist. Participants struggle in continuing health behaviour in pain free periods between relapses of low back pain. Physiotherapists are recommended to encourage long-term behaviour change. Additionally, better facilitation by the physiotherapist or additional functionalities in the app to stimulate social support might have a useful contribution.
2020, Article / Letter to editor (BMC Neurology, vol. 16, (2020))Background: A description of the complexity of the process of self-management and the way stroke survivors give meaning to their process of self-management post-stroke is lacking. This study explores how stroke survivors managed their lives, gave meaning to their self-management post-stroke and how this evolved over time. Methods: Data was generated through participant observations and interviews of 10 stroke survivors at their homes at 3, 6, 9, 15 and 21 months post-discharge. A constant comparative method was chosen to analyse the data. Results: 'Situated doing' was central in stroke survivors' simultaneous development of self-management and their sense of being in charge of everyday life post-stroke. Doing everyday activities provided the stroke survivors with an arena to explore, experience, evaluate, develop and adapt self-management and being in charge of everyday activities and daily life. The influence of stroke survivors' partners on this development was sometimes experienced as empowering and at other times as constraining. Over time, the meaning of self-management and being in charge changed from the opinion that self-management was doing everything yourself towards self-managing and being in charge, if necessary, with the help of others. Moreover, the sense of self-management and being in charge differed among participants: it ranged from managing only at the level of everyday activities to full role management and experiencing a meaningful and valuable life post-stroke. Conclusions: The findings of this study indicate the doing of activities as an important arena in which to develop self-management and being in charge post-stroke. Stroke self-management programs could best be delivered in stroke survivors' own environment and focus on not only stroke survivors but also their relatives. Furthermore, the focus of such interventions should be on not only the level of activities but also the existential level of self-management post-stroke.
2013, Article / Letter to editor (Trials, vol. 14, (2013), pp. 258)BACKGROUND: Complaints of the arm, neck, or shoulder (CANS) have a multifactorial origin and cause considerable work problems, including decreased work productivity, sickness absence, and, ultimately, job loss. There is a need for intervention programs for people with CANS. Self-management is an approach used in chronic disease care to improve self-efficacy and wellness behaviors to facilitate participants to make informed choices and carry them out. This study will evaluate the effectiveness of a self-management program (including ehealth) and compare it to usual care among employees with chronic CANS (lasting >3 months). METHODS/DESIGN: This is a randomized controlled trial in which 142 participants will be recruited and randomized (with pre-stratification) to either the intervention group (IG) or control group (CG). The IG will participate in a self-management program consisting of six group sessions and an ehealth module. The CG is allowed to use all usual care available. The primary outcome of the study is the self-reported disability of arm, shoulder, and hand, measured with the Disabilities of the Arm, Shoulder and Hand questionnaire (DASH). Secondary outcomes include: absenteeism, pain in the previous week, quality of life, catastrophizing pain, self-efficacy, workstyle, presenteeism, fatigue, the use of usual care, and limitations experienced on the job. Data are collected at baseline and at 3, 6, and 12 months follow-up. DISCUSSION: Following the process of intervention mapping we developed a self-management program to suit and alleviate the problems and needs of employees with CANS. A strength of the study is that our intervention is specifically tailored to match the needs of employees with CANS. The study also has some potential weaknesses (for example, use of co-interventions, combination of group sessions and ehealth, self-reporting of data and possible contamination, Hawthorne effect, and recall or information bias) which are discussed. TRIAL REGISTRATION: The trial is registered with the Dutch Trial Register (http://www.trialregister.nlNTR3816): (January 2013). The first participant was randomized in September 2012.
2020, Article / Letter to editor (Musculoskeletal Science and Practice, vol. 50, (2020), pp. 102269)BACKGROUND: Low back pain (LBP) is a major problem across the globe and is the leading cause worldwide of years lost to disability. Self-management is considered an important component the treatment of people with non-specific LBP. However, it seems that the self-management support for people with non-specific LBP provided by physiotherapists can be improved. Moreover, the way exercise therapists (ET) address self-management in practice is unknown. The aim of this study was to investigate the ideas, opinions and methods used by physiotherapists and ET with regard to self-management and providing self-management support to patients with non-specific LBP. METHODS: This study was a qualitative survey. An online questionnaire with open-ended questions was developed. The survey was conducted among physiotherapists and ET working in the Netherlands. Data was analysed using thematic analysis. RESULTS: Respondents considered self-management support an important topic in physiotherapy and exercise therapy for people with non-specific LBP. In the self-management support provided by the respondents, providing information and advice were frequently mentioned. The topics included in the support given by the respondents covered a broad range of important factors. The topics frequently focused on biomechanical factors. The majority of respondents had a need with regard to self-management or providing self-management support. These needs include having more knowledge, skills and tools aimed at facilitating self-management. CONCLUSION: The way physiotherapists and ET address self-management in people with non-specific LBP is not optimal and should be improved.
2017, Article / Letter to editor (JMIR Research Protocols, vol. 6, iss. 2, (2017))Background: In addition to medical intervention and counseling, patients with cardiovascular disease (CVD) need to manage their disease and its consequences by themselves in daily life. Objective: The aim of this paper is to describe the development of "Vascular View," a comprehensive, multi-component, tailored, Web-based, self-management support program for patients with CVD, and how this program will be tested in an early randomized controlled trial (RCT). Methods: The Vascular View program was systematically developed in collaboration with an expert group of 6 patients, and separately with a group of 6 health professionals (medical, nursing, and allied health care professionals), according to the following steps of the intervention mapping (IM) framework: (1) conducting a needs assessment; (2) creating matrices of change objectives; (3) selecting theory-based intervention methods and practical applications; (4) organizing methods and applications into an intervention program; (5) planning the adaption, implementation, and sustainability of the program, and (6) generating an evaluation plan. Results: The needs assessment (Step 1) identified 9 general health problems and 8 determinants (knowledge, awareness, attitude, self-efficacy, subjective norm, intention, risk perception, and habits) of self-managing CVD. By defining performance and change objectives (Step 2), 6 topics were distinguished and incorporated into the courses included in Vascular View (Steps 3 and 4): (1) Coping With CVD and its Consequences; (2) Setting Boundaries in Daily Life; (3) Lifestyle (general and tobacco and harmful alcohol use); (4) Healthy Nutrition; (5) Being Physically Active in a Healthy Way; and (6) Interaction With Health Professionals. These courses were based on behavioral change techniques (BCTs) (eg, self-monitoring of behavior, modeling, re-evaluation of outcomes), which were incorporated in the courses through general written information: quotes from and videos of patients with CVD as role models and personalized feedback, diaries, and exercises. The adoption and implementation plan (Step 5) was set up in collaboration with the members of the two expert groups and consisted of a written and digital instruction manual, a flyer, bimonthly newsletters, and reminders by email and telephone to (re-) visit the program. The potential effectiveness of Vascular View will be evaluated (Step 6) in an early RCT to gain insight into relevant outcome variables and related effect sizes, and a process evaluation to identify intervention fidelity, potential working mechanisms, user statistics, and/or satisfaction. Conclusion: A comprehensive, multi-component, tailored, Web-based, self-management support program and an early RCT were developed in order to empower patients to self-manage their CVD.
2015, Article / Letter to editor (Disability and Rehabilitation, vol. 37, iss. 18-19, (2015), pp. 1745-1752)Purpose: Self-management has become an important concept in stroke rehabilitation. This study explored allied healthcare professionals' (AHPs) perceptions and beliefs regarding the self-management of stroke survivors and their knowledge and skills regarding stroke self-management interventions. Method: Four focus group interviews were conducted with 27 professionals. Verbal questions and mind mapping were used to collect data. A constant comparative framework was used for analysis. Results: The AHPs discussed different levels of post-stroke self-management, depending on factors such as pre-stroke skills, recovery-phases post-stroke and cognitive abilities of the stroke patients. They hesitated about stroke clients' capacities to self-manage. AHPs questioned whether their own attitudes and skills were really supportive for stroke clients' self-management and criticised stroke services as being too medically oriented. They recommended that self-management programmes should focus both on clients and caregivers and be delivered at peoples' homes. Conclusion: Professional perceptions and beliefs are important factors to take into account when implementing stroke self-management programmes. Before professionals can enable stroke survivors to self-manage, they first need support in acquiring knowledge and skills regarding post-stroke self-management. Moreover, professionals could benefit from behavioural change models, and professionals recognised that stroke self-management interventions would be most beneficial when delivered post-discharge at people's homes.
2012, Article / Letter to editor (International Journal of Sport Psychology, vol. 2012, iss. 43, (2012), pp. 312-325)In learning and development, self-regulation can be described as the extent to which individuals are metacognitively, motivationally, and behaviourally proactive participants in their learning process (Zimmerman, 1989, 2006). We examined the relationship between self-regulation and performance level in elite (n = 159) and non-elite (n = 285) youth soccer players aged 11-17 years (mean 14.5 years, s = 1.4). The players completed a questionnaire that assessed planning, self-monitoring, evaluation, reflection, effort, and self-efficacy. A logistic regression analysis was performed (controlling for age) to determine which self-regulatory aspects were associated with players performance level (elite vs. non-elite). High scores on reflection and effort were associated with a higher level of performance. Findings suggest that elite players may be more aware of their strong and weak points as well as better able to translate this awareness into action. In addition, elite players appear to be more willing to invest effort into practice and competition. It is suggested that these better developed self-regulatory skills may translate into a more effective learning environment and ultimately result in an increased capacity for performance in elite players relative to their non-elite peers.
2018, Article in monograph or in proceedings (15th China International Forum on Solid State Lighting: International Forum on Wide Bandgap Semiconductors China)
2012, Article in monograph or in proceedings ()During the previous HVTT conference in Melbourne, results have been presented of a project FORWARD, including eleven different trailer manufacturers, involving testing and modeling activities to establish a practical basis for realistic fatigue assessment as a step towards an improved light-weight trailer design. The present paper describes the next step as part of the follow-up project LIFE (LIfetime Fatique Enhancement), starting with the model-based assessment of a realistic loading history for a semi-trailer. Representative loading conditions in this history, being derived from three weeks of field testing, are then used in Finite Element analyses to estimate fatigue life at a critical high loaded welded connection in the aluminum
trailer chassis. Results are discussed with respect to the order of different loading cycles (Palmgren-Miner number, based on fatigue tests), 3D loading at the weld, the varying weld quality, and the impact of bonded connections in the trailer. These ‘lessons learned’ are interpreted, to result in improved general guidelines in light-weight trailer design.
2013, Inaugural lecture In mijn betoog ga ik eerst in op arbeidsdeling, een belangrijk concept bij de inrichting van voortbrengingssystemen. Arbeidsdeling bepaalt, voor een zeker deel, de afhankelijkheden in een organisatie. Ik zal duidelijk maken dat World Class organisaties op een speciale manier bezig zijn met afhankelijkheden. Ze zijn gericht op het creëren en ontwikkelen van sequentiële afhankelijkheden. Vervolgens ga ik in op de manier waarop ze dit doen. Tot slot zal ik kort aangeven hoe organisaties te werk kunnen gaan in hun streven om World Class te worden.
2012, Article / Letter to editor (Opleiding en Ontwikkeling, vol. 25, iss. 5, (2012), pp. 21-26)Van een goed spel valt veel te leren. Op zoek naar aantrekkelijke en effectieve manieren van leren wordt er binnen organisaties de laatste jaren ervaring opgedaan met het inzetten van speciaal ontwikkelde computergames, onder de naam Serious Gaming. Wat zijn Serious Games en hoe kunnen zij een bijdrage leveren aan het leren in organisaties?