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Now showing items 1-50 of 416
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101 innovations for active aging From the onset of mankind to nowadays 2012, Part of book or chapter of book (, pp. 84-87)In order to support aging in place, Dutch elderly that cannot live at home any longer are housed in Assisted Living Facilities (ALF’s). Here they live as independently as possible and can rely on care and services 24 hours a day. Nowadays the intended home-like atmosphere is threatened by the increasing number of inhabitants needing high levels of care. Initiators have to cope with this issue and have to decide on the most desirable scale of ALFs and the optimal mix of different user groups and facilities. The Assisted Living Atlas shows a huge number of different projects in a standard way, in order to help decision makers to be aware of different solutions and to find best practices. -
A compentence-based approach for small and medium-sized enterprises 2012, Part of book or chapter of book (, pp. 137-155)On the basis of empirical research, a competence-based model of the internationalization process of Small and Medium-sized Enterprises (SMEs) is developed. The model focuses on so-called International Market-Entry Core Competencies (IMECC), which are global management competences considered crucial during the formulation of a market-entry strategy. This article aims to emphasize the relevance of international managerial competencies as fundamental resources for the internationalization of SMEs and their relation with the market-entry modes.
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A conceptual framework for lecturers' role transitions at new universities 2011, Article in monograph or in proceedings (The annual meeting of the European Association for Practitioner Research on Improving Learning.) -
A conceptual framework to identify spatial implications of new ways of learning in higher education 2015, Article / Letter to editor (Facilities, vol. 33, iss. 1/2, (2015), pp. 2-19)Purpose – The purpose of this paper is to explore the spatial implications of new learning theories and the use of information and communication technologies (ICT) in higher education. Design/methodology/approach – Based on a review of the literature, a theoretical framework has been developed that visualises the spatial implications of developments in higher education. To further explore spatial configurations that support changes in education, a comparative floor plan analysis was carried out at four Dutch institutes of higher education. Findings – The findings show that the traditional classroom space is progressively being replaced by a variety of learning settings to support contemporary learning activities. Practical implications – The research findings contribute to a better understanding of the alignment of learning space to the evolving needs that come from new ways of learning, supported by advanced ICT, and can be used to support space planning in higher education. Originality/value – This paper builds upon findings from different disciplines: Facilities Management and Corporate Real Estate Management (suitability of floor plans) and Theory of Education (the pedagogical approaches and pedagogical assumptions those floor plans convey).
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A future for quality professionals? 2012, Part of book or chapter of book (, pp. 186)Although quality management has a long tradition and plays an important role in operational and managerial activities in organizations nowadays, it also seems to be less clear and less visible. In this paper the focus is on the rise and fall of quality management in organizations and the impact this has had on professionals. Starting with an historical perspective, comments will be made on the trends in literature and the opinions and experiences from both entrepreneurs and managers. It is argued that in the near future professionals will have to focus on entrepreneurship and intrapreneurship, demanddriven contributions, working simultaneously with commitment and assurance paradigm and also working on multiple value optimization. Then the professionals’ role and impact in organizations will stay visible and valuable.
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A preliminary study into the instrumentation of collaborative improvement in organisational networks 2009, Article in monograph or in proceedings (Proceedings of the 10th International CINet Conference)In striving for an excellent position regarding competitors in all aspects of management and operations, organizations benefit from establishing strategic cooperations. With allies they can be more successful in surviving the hyper competition. From this survey we derived the frequency, importance and effect of instruments also regarding the organization’s collaborative maturity. The results give food to the assumption that the application of ‘hard’ Continuous Improvement tools (CI) and techniques are of more relevance in achieving the goals of cooperation than ‘soft’ CI-tools.
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A Quality Improvement Project to Support Post-Intensive Care Unit Patients with COVID- 19: Structured Telephone Support Op 't Hoog, S.A.J.J. ; Eskes, A.M. ; Oers, J.A.H. van ; Boerrigter, J.L. ; Prins-Smulders, M.W.J.C. ; Oomen, M. ; Hoeven, J.G. van der ; Vermeulen, H. ; Vloet, L.C.M.2022, Article / Letter to editor (International Journal of Environmental Research and Public Health, (2022))
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A Suboptimal Diet Is Associated with Poorer Cognition: The NUDAD Project Fieldhouse, J.L.P. ; Doorduijn, A.S. ; Leeuw, F.A. de ; Verhaar, BJH ; Koene, T ; Wesselman, L.M.P. ; Schueren, M.A.E. de van der ; Visser, M. ; Rest, O. van de ; Scheltens, P. ; Kester, M.I. ; Flier, W.M. van der et al.2020, Article / Letter to editor (Nutrients, vol. 12, iss. 3, (2020))Nutrition is one of the modifiable risk factors for cognitive decline and Alzheimer's disease (AD) dementia, and is therefore highly relevant in the context of prevention. However, knowledge of dietary quality in clinical populations on the spectrum of AD dementia is lacking, therefore we studied the association between dietary quality and cognitive impairment in Alzheimer's disease (AD) dementia, mild cognitive impairment (MCI) and controls. We included 357 participants from the NUDAD project (134 AD dementia, 90 MCI, 133 controls). We assessed adherence to dietary guidelines (components: vegetables, fruit, fibers, fish, saturated fat, trans-fat, salt, and alcohol), and cognitive performance (domains: memory, language, visuospatial functioning, attention, and executive functioning). In the total population, linear regression analyses showed a lower vegetable intake is associated with poorer global cognition, visuospatial functioning, attention and executive functioning. In AD dementia, lower total adherence to dietary guidelines and higher alcohol intake were associated with poorer memory, a lower vegetable intake with poorer global cognition and executive functioning, and a higher trans-fat intake with poorer executive functioning. In conclusion, a suboptimal diet is associated with more severely impaired cognition-this association is mostly attributable to a lower vegetable intake and is most pronounced in AD dementia.
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A Typical Case of Recommending the Use of a Hierarchical Data Format 2012, Article / Letter to editor (International Journal of Database Management Systems (IJDMS), vol. 4, iss. 6, (2012), pp. 27-48)Storing large amounts of data in an efficient way from the point of view of very fast retrieval is animportant requirement for many industries like KEMA, a company offering consulting, testing andcertification in the energy business. Because their relational database could not cope fast enough with thelarge amounts of data involved, an alternative way for data storage was proposed, called HierarchicalData Format 5 (HDF5). HDF5 is a data model, a library, and file format for storing and managing data.Four hierarchical designs for storing and retrieving the large amounts of data involved were investigated.A benchmark was carried out in order to know which hierarchical structure would perform best.Eventually, a benchmark between HDF5 and MS SQL Server was carried out. It could be shown thatHDF5 performs four (4) times better for inserting and even 200 times better for retrieving data than theMS. SQL Server.
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Aanbieders aan het woord : Samenwerken, regie en vertrouwen in inkoopprocessen 2013, Article / Letter to editor (Opleiding en Ontwikkeling, (2013))In dit derde en (voorlopig) laatste artikel over het inkopen van HRD-activiteiten staat het perspectief van de opleidingsaanbieder en -dienstverlener centraal. In een rondetafelgesprek bespreken we met vertegenwoordigers van vijf bureaus wat zij nodig hebben om een goed voorstel voor een organisatie te maken.
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Activity Sets in Multi-Organizational Ecologies : A Project-Level Perspective on Sustainable Energy Innovations 2014, Article / Letter to editor (Technological Forecasting and Social Change, (2014))Complex innovations involve multi-organizational ecologies consisting of a myriad of different actors. This study investigates how innovation activities can be interpreted in the context of multi-organizational ecologies. Taking a project-level perspective, this study proposes a typology of four activity sets that are relevant in this context: strategic predevelopment, engineering, commercialization, and project management. The authors use archival and survey data on government-funded sustainable energy projects in the Netherlands to study the validity and relevance of the typology and show that the typology has discriminant and convergent validity. Results on the prevalence of the activity sets show that all four activity sets occur in sustainable energy projects, but to differing degrees. Furthermore, the typology is relevant because it helps to explain differences in innovation performance for complex innovations. Two activity sets – strategic predevelopment activities and commercialization activities – have significant and positive effects on innovation performance, whereas the two other activity sets – engineering and project management – do not. The data show that for sustainable energy projects, commercialization activities are often insufficient, but important to reach high innovation performance.
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Adherence to guidelines and protocols in the prehospital and emergency department setting : A systematic review 2011, Article / Letter to editor (Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, vol. 21, iss. 9, (2011))A gap between guidelines or protocols and clinical practice often exists, which may result in patients not receiving appropriate care. Therefore, the objectives of this systematic review were (1) to give an overview of professionals’ adherence to (inter)national guidelines and protocols in the emergency medical dispatch, prehospital and emergency department (ED) settings, and (2) to explore which factors influencing adherence were described in studies reporting on adherence. PubMed (including MEDLINE), CINAHL, EMBASE and the Cochrane database for systematic reviews were systematically searched. Reference lists of included studies were also searched for eligible studies. Identified articles were screened on title, abstract and year of publication (=1990) and were included when reporting on adherence in the eligible settings. Following the initial selection, articles were screened full text and included if they concerned adherence to a (inter)national guideline or protocol, and if the time interval between data collection and publication date was <10 years. Finally, articles were assessed on reporting quality. Each step was undertaken by two independent researchers. Thirty-five articles met the criteria, none of these addressed the emergency medical dispatch setting or protocols. Median adherence ranged from 7.8-95% in the prehospital setting, and from 0-98% in the ED setting. In the prehospital setting, recommendations on monitoring came with higher median adherence percentages than treatment recommendations. For both settings, cardiology treatment recommendations came with relatively low median adherence percentages. Eight studies identified patient and organisational factors influencing adherence. The results showed that professionals’ adherence to (inter)national prehospital and emergency department guidelines shows a wide variation, while adherence in the emergency medical dispatch setting is not reported. As insight in influencing factors for adherence in the emergency care settings is minimal, future research should identify such factors to allow the development of strategies to improve adherence and thus improve quality of care.
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Afname van de Maastrichtse Sociale Netwerk Analyse voor mensen met een Verstandelijke Beperking. Handleiding bij trainingsfilm. 2012, Book (monograph) Deze handleiding is onderdeel van de training "Werken met sociale netwerken van mensen met een verstandelijke beperking", die deel uitmaakt van het trainingspakket: Ondersteuning aan mensen met een verstandelijke beperking: 4 trainingen in werken met sociale netwerken en aansluiten bij cliënten en hun ouders. Dit trainingspakket is ontwikkeld door het lectoraat Zorg voor Mensen met een Verstandelijke Beperking van de Hogeschool van Arnhem en Nijmegen. Deze handleiding geeft de trainer handvaten bij het gebruik van de trainingsfilm om deelnemers te trainen in het gebruik van het instrument: Maastrichtse Sociale Netwerk Analyse voor mensen met een Verstandelijke Beperking (MSNA-VB) (zie link 2). Bijbehorende materialen: Bestand 1: Handleiding trainingsfilm Bestand 2: Werkmaterialen bij trainingsfilm Bestand 3: Filmfragmenten van trainingsfilm Deze handleiding bij de trainingsfilm heeft tot doel om deelnemers middels filmfragmenten te trainen in het gebruik van de Maastrichtse Sociale Netwerk Analyse voor mensen met een Verstandelijke Beperking (MSNA-VB) en is onderdeel van de training Werken met sociale netwerken van mensen met een verstandelijke beperking. Doelstelling van deze training is dat deelnemers zich bewust worden van het belang, de structuur en de betekenis van sociale netwerken van henzelf en van hun cliënten. Deelnemers worden gemotiveerd om (nieuwe) netwerkleden van cliënten te betrekken en krijgen handvatten om cliënten te motiveren dat te doen. Zij zijn in staat het sociale netwerk in kaart te brengen en te analyseren en op grond daarvan hulpbronnen uit te bouwen, om zo het sociale netwerk te versterken en uit te breiden.
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Agents of Change: Strategy and Tactics for Social Innovation 2012, Book (monograph) While governments around the world struggle to maintain service levels amid fiscal crises, social innovators are improving social outcomes for citizens by changing the system from within. In Agents of Change, three cutting-edge thinkers and entrepreneurs present case studies of social innovation that have led to significant social change. Drawing on original empirical research in the United States, Canada, Japan, Germany, Denmark, and the Netherlands, they examine how ordinary people accomplished extraordinary results.
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Alain Badiou. Een steek onder water 2011, Part of book or chapter of book (, pp. 117-146)De Franse filosoof Alain Badiou creëert in zijn werk een wiskundig universum, waarin verschillende gebeurtenissen, die toch ook weer een sterke samenhang vertonen, in de wereld oproepen tot een trouwverklaring hieraan. Ook al weet je vooraf niet wat deze gebeurtebnissen in de liefde, de politiek, de wetenschap en de kunst met je zullen doen. Die brandende onzelerheid biedt echter ook houvast.
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Aligning corporate real estate with the corporate strategies of higher education institutions 2015, Article / Letter to editor (Facilities, vol. 33, iss. 13/14, (2015), pp. 775-793)Purpose – The purpose of this paper is to explore how corporate real estate (CRE) managers of higher education institutions formulate their CRE strategies and CRE operating decisions to align CRE with the corporate strategies of these institutions. Design/methodology/approach – An analytical alignment framework has been developed, which was used to study the possible and actual connections between CRE management and corporate management at 13 large Dutch Universities of Applied Sciences. The data collection included a content analysis of the strategic plans of these universities and interviews with the CRE managers. Findings – The research findings show several layers of how CRE managers aim to align CRE with corporate goals to add value to the organization. It appears that the CRE strategies in-use are more clearly aligned with the corporate strategies than with the espoused CRE strategies. Practical implications – The paper emphasizes the relevance of involving CRE management in corporate decision-making to contribute to the attainment of the organizational objectives with an efficient and effective accommodation. Originality/value – Substantial changes in learning and teaching practices in higher education lead to evolving corporate strategies, which result in the need for aligned CRE strategies and CRE operating decisions. This paper makes practitioners and researchers aware of the differences between alignment-based espoused CRE strategies and alignment that results from CRE strategies in-use in the field of higher education. The findings and insights might be applicable in other sectors as well.
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Alleen maar Winnaars! 2010, Article / Letter to editor (De Lichamelijke Opvoeding, (2010), pp. 49-52)Veel leerlingen associëren sport met competitie, de strijd aangaan en winnen en verliezen. Zeker in 2010 met talloze grote topsportevenementen zoals de Olympische Winterspelen en het WK voetbal staat sport als wedstrijd voor veel mensen voorop en beheersen sportprestaties het nieuws. Als wij met ons vak leerlingen willen voorbereiden op een actieve deelname aan de sport- en beweegcultuur dan is het noodzaak leerlingen met de wedstrijdcultuur in aanraking te laten komen. Hoe dat te bewerkstelligen op een dusdanige wijze dat de ‘verliezers’ niet in het gedrang komen is de insteek van dit artikel.
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Alles is leren 2013, Article / Letter to editor (Onderwijsinnovatie, vol. 15, iss. 1, (2013), pp. 36-39)Leren kent veel verschijningsvormen. In dit artikel een verslag van het proces dat binnen de bacheloropleiding Opleidingskunde, training & human development van de Hogeschool van Arnhem en Nijmegen (HAN) heeft gezorgd voor een omslag in denken en doen over teamprofessionalisering. Dit proces, met een andere benadering van leren, heeft een breed scala aan professionaliseringsactiviteiten opgeleverd.
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Alliance in Youth Care 2015, Article / Letter to editor (Dialogue in Praxis, vol. 4 (17), iss. 1-2, (2015), pp. 28-29)This article introduces the concept of alliance in youth care. The concept of (therapeutic) alliance originates in adult psychotherapy and related research. Alliance refers to the working relationship between youth care workers and their clients. Within this concept, personal (emotional) and task related components can be discerned. The body of psychotherapy research suggests that a positive alliance is perhaps the most powerful predictor of a positive outcome of the collaboration between clients and care professionals. The question that arises there from is: does this also hold true for youth care? Firstly, this article provides a brief overview of alliance, based on the research in psychotherapy (where the concept was thoroughly analysed). Secondly the article gives an overview of alliance in youth care, researched by the Research Group for Key Factors in Youth Care. It is presented as a vital factor within the conceptual theoretical frame of the Integrative Change Factors (ICF) model for youth care. The concept of the ICF model is followed by a description of the development of the YCAS, an instrument to measure alliance in youth care. In conclusion the article reflects on goals for future research on the concept of alliance, aimed at assessing its importance for youth care provision and at providing professionals with valid tools to boost and uphold their alliance building and monitoring skills.
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Alliantie motiveert lvb-jongere met leerstraf 2013, Article / Letter to editor (Jeugdkennis, (2013))Jongeren met een lichte verstandelijke beperking (lvb) die een delict hebben gepleegd, kunnen als leerstraf een socialevaardigheidstraining opgelegd krijgen. Motivatie is belangrijk voor het succes van zo’n straf, maar over het motiveren van lvb-jongeren is weinig bekend. Uit onderzoek van de William Schrikker Groep blijkt dat volgens de jongeren een goede relatie tussen trainer en jongere, het samen vaststellen van de doelen van de training en betrokkenheid van hun netwerk hun motivatie vergroten.
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Anthropometric and physical performance determinants of young tennis players progressing through a talent identification and development programme Chapelle, L ; Pion, J ; Clarys, P ; Rommers, N ; D'Hondt, E2022, Article / Letter to editor (International Journal of Sports Science & Coaching, (2022))This study examined the influence of both anthropometric and physical performance determinants on the likelihood to be selected to progress through a talent identification and development programme in young tennis. Data were collected in 538 young tennis players (323 males and 215 females) from 6 age categories (U8-U13). A principal component analysis was used to generate one anthropometric determinant (based on body height, body weight and maturity offset) and four physical performance determinants: speed and agility (based on 5 m sprint, 20 m sprint and 505 change of direction test); jumping power (based on standing broad jump and standing broad jump in series); motor coordination (based on balancing backwards and jumping sideways) and tennis ball control (based on a throw and catch test and hold tennis ball up test). For all determinants, tertiles were generated for every age category and both sexes separately. Univariate binary logistic regressions were performed to examine the influence of each determinant on the chances to be selected to progress in the talent identification and development programme. Significant odds ratios were found for all included anthropometric and physical performance determinants (p < 0.05), ranging from 0.26 to 7.50 in the male young tennis players and from 0.18 to 6.87 in the female young tennis players. The included determinants influenced selection chances mostly in the early age categories (U8-U10) as opposed to the later age categories (U11-U13). Future research should examine the influence of additional determinants (such as tennis (match-play) performance) on the selection chances to progress through a talent identification and development programme.
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Applicaties voor talentmanagement: Wat kan HRD daar mee? 2009, Article / Letter to editor (Opleiding en Ontwikkeling, (2009))In deze reportage de mogelijkheden van software ter ondersteuning van talentmanagement besproken, waarbij specifiek wordt gekeken naar de toepassingsmogelijkheden voor HRD’ers.
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Arbeidsmarktgegevens op Studiekeuze123.nl 2010, Article / Letter to editor (Bij de les: magazine voor leerlingbegeleiding en schooldecanaat, vol. 6, iss. 2, (2010), pp. 22)Studiekeuze123.nl is één van de sites waarop studenten en scholieren opleidingen in het hoger onderwijs kunnen vergelijken. Ook hier vinden er ze gegevens over de arbeidsmarkt. Maar hoe werkt Studiekeuze123?
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Arbeidsmarktproblematiek vraagt om creatieve oplossingen 2022, Article / Letter to editor (ICT&Health Magazine, vol. nr. 04, (2022), pp. 50-51)
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Architectuurbeschrijvingen voor ICT in zorg 2012, Part of book or chapter of book (, pp. 190-199)Voor steeds meer zorgprocessen komen slimme mogelijkheden voor optimalisaties, door de toepassing van ICT. In dit artikel introduceren we een architectuurbeschrijving van zorgprocessen, die geschikt is om: - ICT innovaties in de gezondheidszorg te positioneren - Samenwerking tussen zorgprofessionals te optimaliseren - Implementatieplannen realiseren
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Are Social Enterprises in Romania EMES Social Enterprises? 2014, Article / Letter to editor (The Review of International Comparative Management, vol. 15, iss. 2, (2014), pp. 154-173)Recent efforts of the European Union to integrate new member states such as Romania expand to the social economy sector as well. Works by Hoogendoorn et al. (2010) and Kerlin (2010) regard Europe as accommodating two schools of thought related to social entrepreneurship: EMES and the UK - social enterprise. Both views place great emphasis on social enterprise as the main indicator of the social entrepreneurial phenomena for the European continent.
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Artificial Intelligence: Bias uitbannen of in gesprek met AI? 2021, Article / Letter to editor (AG Connect, (2021), pp. 62-64)
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Assessment of delirium in ICU patients : A literature review 2010, Article / Letter to editor (Netherlands Journal of Critical Care, vol. 14, iss. 1, (2010), pp. 10-15)A psycho-organic disorder such as delirium is a frequently occurring and serious disorder especially on Intensive Care units. Nowadays, more attention is paid to this problem by physicians, nurses and by researchers, but assessment of delirium in all ICU patients is still not common practice. If patients are not screened for delirium in a standard manner, once or several times a day, the delirium diagnose will be missed. In this systematic review we describe and analyse six delirium screening instruments available from the literature: the Cognitive Test for Delirium (CTD), the abbreviated CTD, Intensive Care Delirium Screening Checklist (ICDSC), Delirium Detection Score (DDS), NEECHAM confusion scale and the Confusion Assessment Method-ICU (CAM-ICU). Each assessment tool its characteristics, reliability and validity testing is briefly described. We conclude that important delirium criteria are not integrated into some screening tools (CTD and aCTD, DDS), or an important group of ICU patients cannot be tested (NEECHAM). The ICDSC and the CAM-ICU appear to represent the most feasible instruments for delirium screening in the ICU. Of these two tests, the CAM-ICU prevails because of the validated Dutch version and its reported high sensitivity and specificity.
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Assessment of dual tasking has no clinical value for fall prediction in Parkinson’s disease Smulders, Katrijn ; Bloem, Bastiaan ; Kessels, Roy ; Geurts, Alexander ; Weiss, Aner ; Esselink, Rianne2012, Article / Letter to editor (Journal of Neurology, vol. 259, iss. 9, (2012), pp. 1840-1847)The objective of this study is to investigate the value of dual-task performance for the prediction of falls inpatients with Parkinson’s disease (PD). Two hundred sixty three patients with PD (H&Y 1–3, 65.2 ± 7.9 years)walked two times along a 10-m trajectory, both under single-task and dual-task (DT) conditions (combined with an auditory Stroop task). To control for a cueing effect, Stroop stimuli were presented at variable or fixed 1- or 2-s intervals. The auditory Stroop task was also performed alone. Dual-task costs were calculated for gait speed, stride length, stride time, stride time variability, step and stride regularity, step symmetry and Stroop composite scores(accuracy/reaction time). Subsequently, falls were registered prospectively for 1 year (monthly assessments). Patients were categorized as non-recurrent fallers (no or 1 fall) or recurrent fallers ([1 falls). Recurrent fallers (35%) had a significantly higher disease severity, lower MMSE scores, and higher Timed ‘‘Up & Go’’ test scores than non recurrent fallers. Under DT conditions, gait speed and stride lengths were significantly decreased. Stride time, stride time variability, step and stride regularity, and step symmetry did not change under DT conditions. Stroop dual-task costs were only significant for the 2-s Stroop interval trials. Importantly, recurrent fallers did not show different dual-task costs compared to non-recurrent fallers on any of the gait or Stroop parameters. These results did not change after correction for baseline group differences. Deterioration of gait or Stroop performance under dual task conditions was not associated with prospective falls in this large sample of patients with PD.
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Assessment of purchasing contribution to the development and growth of SMEs, evidence from Tanzania 2012, Article / Letter to editor (Journal of Entrepreneurship and Small Business, vol. 17, iss. 1, (2012), pp. 27-43)The contribution of purchasing to the development and growth of small- and medium-sized enterprises (SMEs) and the overall performance of supply chain has been neither rigorously examined nor empirically substantiated. This paper provides empirical evidence on how purchasing variables (relationship, product quality and quantity, and price) contribute to the development and growth of SMEs in Tanzania. In this study, it was found that poor relationships between suppliers and SMEs and low quality of products sold by SMEs affect the provision of service to customers and lead to poor development and growth of SMEs while high prices of products and low quantity of goods have no direct effect. Conclusions drawn include: SMEs can improve the supplier relationship, e.g., by finding alternative product sources at low prices but not at the expense of quality, and by ordering the products from suppliers on time to avoid late delivery and stock depletion.
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Assessors' approaches to portfolio assessment in Assessment of Prior Learning procedures 2009, Article / Letter to editor (Assessment and Evaluation in Higher Education, vol. 35, iss. 1, (2009), pp. 55-70)In an effort to gain better understanding of the assessment of prior informal and non-formal learning, this article explores assessors’ approaches to portfolio assessment. Through this portfolio assessment, candidates had requested exemptions from specific courses within an educational programme or admission to the programme based on their prior learning. The assessors judged the portfolios according to set rating criteria, and subsequently discussed their approaches. Their decision-making processes, perception of portfolio use in the Assessment of Prior Learning (APL), deciding factors in portfolio assessment and use of the rating criteria were key elements in this discussion. The results show that they do use the rating criteria as an indicator in decision-making, but have mixed perceptions regarding the fairness of APL portfolio assessment. They perceive the portfolio evidence in combination with sound argumentation as the deciding elements in portfolio assessment.
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Begeleiders in beeld : Een onderzoek naar de effectiviteit van een training voor begeleiders van cliënten met een lichte verstandelijke beperking en gedragsproblemen 2009, Article / Letter to editor (vol. 7, iss. 1, (2009), pp. 5-10)Gedragsproblemen zijn een veelvoorkomend verschijnsel in de zorg voor cliënten met een lichte verstandelijke beperking. Naast het gegeven dat mensen met een lichte verstandelijke beperking een grotere kans hebben op het ontwikkelen van gedrags- en psychische problemen, speelt ook de omgeving van deze mensen een rol bij het ontstaan en voortduren van deze problemen. Gedragsproblemen van cliënten hebben invloed op het emotionele welzijn en handelen van begeleiders. De training Begeleiders in Beeld richt zich op emotionele intelligentie en begeleidingsvaardigheden van begeleiders van cliënten met een lichte verstandelijke beperking en gedragsproblemen. In dit artikel wordt allereerst het theoretisch kader van Begeleiders in Beeld geschetst. Daarnaast wordt ingegaan op de inhoud van de training, de doelstellingen van de training en de voortgang van het effectonderzoek gekoppeld aan Begeleiders in Beeld dat uitgevoerd wordt door de Radboud Universiteit Nijmegen. Begeleiders in Beeld is onderdeel van het ZonMw consortium “Coping LVB”, een samenwerking tussen VOBC LVG, de Borg, de Universiteit Utrecht en de Radboud Universiteit Nijmegen.
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Begeleiders in Beeld: Een onderzoek naar de effecten van een training voor begeleiders 2013, Part of book or chapter of book (, pp. 91-96)Gedragsproblemen zijn een veelvoorkomend verschijnsel in de zorg voor cliënten met een verstandelijke beperking. Naast het gegeven dat mensen met een verstandelijke beperking een grotere kans hebben op het ontwikkelen van gedrags- en psychische problemen, speelt ook de omgeving van deze mensen een rol bij het ontstaan en voortduren van deze problemen. Gedragsproblemen van cliënten hebben invloed op het emotionele welzijn en handelen van begeleiders. De training Begeleiders in Beeld richt zich op emotionele intelligentie en begeleidingsvaardigheden van begeleiders van cliënten met een lichte verstandelijke beperking en gedragsproblemen. In de training wordt onder andere gebruik gemaakt van videofeedback. Deelnemers aan dit onderzoek waren 60 begeleiders die werkten met cliënten met een verstandelijke beperking en gedragsproblemen. Hiervan namen er 34 deel aan een vier maanden durend trainingsprogramma en 26 begeleiders participeerden in een controlegroep. Er is gebruikgemaakt van een pretest-posttest controlegroepdesign. De effectiviteit werd bepaald op grond van de scores op de Bar-On EQ-i.Begeleiders in Beeld is onderdeel van het ZonMw consortium "Coping LVB", een samenwerking tussen VOBC LVG, de Borg, de Universiteit Utrecht en de Universiteit van Tilburg.
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Behandelen of voorkomen van contracturen in de hand : CAT 2011, Article / Letter to editor (Wetenschappelijk Tijdschrift voor Ergotherapie, vol. 2011, iss. 2, (2011))Doel: Dit literatuuronderzoek richt zich op de vraag: ‘Is er wetenschappelijke onderbouwing te vinden voor de huidige ‘best practice’ voor het behandelen of voorkomen van contracturen in de hand van patiënten met perifeer en centraal neurologische aandoeningen (NA) die op een intensive care (IC) verblijven?’ Methode: Er is op systematische wijze gezocht naar literatuur in de databases Pubmed en Cochrane. Artikelen over patiënten met NA waarbij de aansturing van de handfunctie verstoord is, werden geïncludeerd. De gevonden artikelen zijn beoordeeld aan de hand van de literatuurbeoordelingslijsten van het Centraal Begeleidings Orgaan voor intercollegiale toetsing (CBO). Conclusie: De drie aanbevelingen voor de praktijk voortvloeiend uit de resultaten zijn: het gebruik van best practice binnen de behandeling van contracturen voortzetten. Het up-to-date blijven van nieuwe onderzoeken en het starten van onderzoek naar de meest effectieve behandelmethode van dreigende contracturen van de hand bij patiënten met NA in de acute fase.
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Beoordelen in het teken van een leven lang leren [Assessment for life long learning] 2009, Article / Letter to editor (Tijdschrift voor Hoger Onderwijs, iss. 1, (2009), pp. 29-39)Door de opkomst van competentiegericht leren is het thema beoordelen sinds enkele jaren nadrukkelijker op de innovatieagenda gezet. Gezien de sturende kracht die beoordelen heeft op het studeergedrag van studenten, hebben opleidingen leren en beoordelen dichter bij elkaar gebracht. Dit heeft geresulteerd in een generieke toepassing van portfolios en andere proeven van bekwaamheid, met het doel studenten actief te betrekken bij het aantonen van hun competentieontwikkeling. De implementatie van deze nieuwe benadering van beoordelen verloopt echter niet zonder slag of stoot. Wanneer we kijken naar de dagelijkse onderwijspraktijk, is nog niet echt sprake van een volledige integratie van leren en beoordelen. Sterker nog, studenten zien toch nog steeds beoordelen – zelfs het portfolio – als het sluitstuk van onderwijs, in plaats van een rijke bron voor verder leren. Als gevolg van de redenering De voldoende is binnen, dus het leren is klaar is het beklijven van kennis en kunde op lange termijn een illusie. In dit artikel betoog ik dat het roer om moet als het gaat om de functie van beoordelen. Ik introduceer duurzaam beoordelen als dé wijze van beoordelen die past bij leren voor de toekomst. Een goed ontwerp van beoordelen, een heldere communicatie over beoordelen en een zelfsturende rol van de student in beoordelen zie ik daarbij als de drie belangrijkste speerpunten. Met deze bijdrage hoop ik bij opleidingen een herbezinning op het waarom van beoordelen te stimuleren.
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Beter leren in een learning environment : Een leeromgeving die stimuleert en motiveert 2013, Article / Letter to editor (FMI: facility management informatie, vol. 2013, iss. 5, (2013), pp. 24-25)Bij een learning environment kijkt men door een integrale bril naar onderwijs en fysieke leeromgeving, zodat het schoolgebouw optimal aansluit bij leerbehoeften. Dit kan leiden tot verhoogde studieprestaties, -rendenment, studentaantallen en wellicht ook een financiële spin-off.
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Betrokken beoordelen : Duurzaam beoordelen in vraaggestuurd leren 2011, Book (monograph) Intreerede, in verkorte vorm uitgesproken bij de aanvaarding van het ambt van lector ‘Duurzaam beoordelen in vraaggestuurd leren’ aan de Faculteit Educatie van de Hogeschool van Arnhem en Nijmegen op 6 juni 2008
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Beweegteams: een impuls 2009, Article / Letter to editor (De Lichamelijke Opvoeding, iss. 10, (2009), pp. 6-7)Overgewicht, beweegachterstanden, terugloop bij sportverenigingen, kinderen die nauwelijks in aanraking komen met de veelzijdigheid en mogelijkheden die sport en bewegen ze kan bieden. Dit zijn de bekende geluiden en signalen die de laatste jaren helaas maar al te vaak worden gehoord. In dit artikel de visie van de HAN.
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Biomarkers associated with delirium in critically ill patients and their relation with long-term subjective cognitive dysfunction : Indications for different pathways governing delirium in inflamed and noninflamed patients Hoeven, Hans van der ; Kox, M. ; Pickkers, Peter ; Quinn, K. ; Achterberg, Theo van ; Schoonhoven, Lisette ; Boogaard, Mark van den2011, Article / Letter to editor (Critical Care, vol. 15, iss. 6, (2011), pp. R297)Delirium occurs frequently in critically ill patients and is associated with disease severity and infection. Although several pathways for delirium have been described, biomarkers associated with delirium in intensive care unit (ICU) patients is not well studied. We examined plasma biomarkers in delirious and nondelirious patients and the role of these biomarkers on long-term cognitive function.
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Biomarkers in delirious patients at the critical care unit Boogaard, Mark van den ; Hoeven, Hans van der ; Quinn, K. ; Schoonhoven, Lisette ; Pickkers, Peter ; Hoedemaekers, A.2010, Article / Letter to editor (Intensive Care Medicine, vol. 2010, iss. 36, (2010), pp. suppl.-2 s221)Delirium occurs frequently in critically ill patients, and especially in severely ill and in infectious patients. Although several causal pathways for delirium have been described, the role of biomarkers in ICU patients is unknown. We investigated potential differences in various serum biomarkers between delirious and non-delirious ICU patients with and without an infection.
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Bondgenoten in concurrentie 2004, Inaugural lecture Inaugurele rede voor het Lectoraat Total Quality Management in Organisatienetwerken aan de Faculteit Economie en Management van de Hogeschool van Arnhem en Nijmegen verkort uitgesproken op vrijdag 14 mei 2004
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Bouwtomotive : De uniformiteit voorbij: VBI samen met de HAN op zoek naar het bouwconcept van de toekomst 2005, Article / Letter to editor (Hanblad, iss. 2, (2005), pp. 26-27)Het ketendenken staat in de bouwwereld nog in de kinderschoenen. In de automotive industrie bijvoorbeeld is het al jaren gebruik de klant niet met voorraad op te zadelen en daarom elke paar minuten onderdelen direct aan de band af te leveren. Hoe je het de volgende schakels gemakkelijker kunt maken is in de bouw echter nog geen vraag die architecten of aannemers uit hun slaap houdt. Vloer- en muurpanelenbouwer VBI gaat daar verandering in brengen. HANstudenten helpen in kaart te brengen wat de wensen zijn.
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Building a self-management program for workers with a chronic somatic disease 2012, Dissertation Eén op de drie Nederlanders heeft ten minste één chronische aandoening. Sarah Detaille onderzocht knelpunten die zij op het werk tegenkomen, en evalueerde een zelfmanagementtraining bedoeld om hen te ondersteunen. Die training bestaat uit zes groepsbijeenkomsten waarin deelnemers advies krijgen over leefstijl, arbeid en belastbaarheid, communicatietechnieken en de omgang met symptomen van de aandoening. Daarnaast moeten zij thuis of op hun werk opdrachten uitvoeren. Oudere en vrouwelijke deelnemers ontwikkelden door de training een positieve houding tegenover zelfmanagement op het werk. Bij laagopgeleide werknemers verbeterde de gezondheid. Dit proefschrift beschrijft wat voor werknemers met een chronische lichamelijke aandoening belangrijk is om zich te kunnen handhaven in het werk, de ontwikkeling van een programma van zelfmanagement en de toets op de effectiviteit daarvan.
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Buiten-gewoon Attent! : Onderzoek naar de ontwikkeling en inrichting van het Centrum Behandeling en Begeleiding 2011, Part of book or chapter of book (, pp. 89-94)Dit onderzoek heeft betrekking op de ontwikkeling en inrichting van het Centrum Behandeling en Begeleiding en heeft plaatsgevonden bij Gelders Hof te Dieren. Gelders Hof is een woonzorgcentrum en maakt deel uit van Attent wonen, welzijn, zorg. Het Centrum Behandeling en Begeleiding speelt in op de actuele zorgvraag van ouderen om naast intramurale zorg ook in de eerste lijn zorg aan te bieden. De adviezen hebben zich gericht op procesmatige, bedrijfseconomische en juridische aspecten.
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Changes in Health and Health Behavior Associated With Retirement 2015, Article / Letter to editor (Journal of Aging & Health, vol. 2015, iss. December, (2015), pp. 1-29)Objectives: While poor health contributes to early work exits, it is less clear how early work exits affect health. This study therefore examines changes in health associated with retirement. Method: Survey data from gainfully employed individuals aged 57 to 66 in 2002 were used to assess changes in health status and behaviors associated with retirement (49%) 5 years later (N = 546). Results: Compared with workers, retirees were more likely to report improvements in mental health (odds ratio [OR] = 1.67), and less likely to report mental health deteriorations (OR = 0.56). Retirees were more likely to both increase (OR = 2.03) and reduce (OR = 1.87) their alcohol intake, and to increase physical activity (OR = 2.01) and lose weight (OR = 1.75). Discussion: As welfare states aim to extend working life to counteract repercussions of population aging, findings on possible health benefits for retirees may warrant more focus on the pros and cons of a prolonged working life.
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The characteristics and pre-hospital management of blunt trauma patients with suspected spinal column injuries: a retrospective observational study 2017, Article / Letter to editor (European Journal of Trauma and Emergency Surgery, vol. 43, iss. 4, (2017), pp. 513-524)Background Pre-hospital spinal immobilisation by emergency medical services (EMS) staff is currently the standard of care in cases of suspected spinal column injuries. There is, however, a lack of data on the characteristics of patients who received spinal immobilisation during the pre-hospital phase and on the adverse effects of immobilisation. The objectives of this study were threefold. First, we determined the pre-hospital characteristics of blunt trauma patients with suspected spinal column injuries who were immobilised by EMS staff. Second, we assessed the choices made by EMS staff regarding spinal immobilisation techniques and reasons for immobilisation. Third, we researched the possible adverse effects of immobilisation. Design A retrospective observational study in a cohort of blunt trauma patients. Study method Data of blunt trauma patients with suspected spinal column injuries were collected from one EMS organisation between January 2008 and January 2013. Coded data and free text notes were analysed. Results A total of 1082 patients were included in this study. Spinal immobilisation was applied in 96.3 % of the patients based on valid pre-hospital criteria. In 2.1 % of the patients immobilisation was not based on valid criteria. Data of 1.6 % patients were missing. Main reasons for spinal immobilisation were posterior midline spinal tenderness (37.2 % of patients) and painful distracting injuries (13.5 % of patients). Spinal cord injury (SCI) was suspected in 5.7 % of the patients with posterior midline spinal tenderness. A total of 15.8 % patients were immobilised using non-standard methods. The reason for departure from the standard method was explained for 3 % of these patients. Reported adverse effects included pain (n = 10, 0.9 %,); shortness of breath (n = 3, 0.3 %); combativeness or anxiety (n = 6, 0.6 %); and worsening of pain when supine (n = 1, 0.1 %). Conclusion/recommendation Spinal immobilisation was applied in 96.3 % of all included patients based on pre-hospital criteria. We found that consensus among EMS staff on how to interpret the criterion 'distracting injury' was lacking. Furthermore, the adverse effects of spinal immobilisation were incompletely documented in pre-hospital care reports. To provide validated information on potential symptoms of SCI, a uniform EMS scoring system for motoric assessment should be developed.
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Characterization of Social Risk Factors Among Newborns Seen at an Urban Pediatric Primary Care Predictive of Appointment Nonattendance During the First 6 Months of Life. 2022, Article / Letter to editor (Health Equity, vol. 6, iss. 1, (2022), pp. 40-48)Purpose: Appointment attendance is critical in monitoring health and well-being of children. Low income Medicaid-insured families with newborns often experience social risks that may affect attendance. This project sought to characterize social risk factors present at first newborn visits predictive of future appointment nonattendance. Methods: Retrospective cohort study of minority and Medicaid-insured population at St. Christopher's Hospital for Children using a standardized social risk screener administered at first newborn visits as part of routine clinical care. In total, 720 survey responses between December 2016 and June 2017 were correlated with electronic health record-derived sociodemographic and appointment attendance data in the first 6 months of life. Nonattendance included missed and canceled appointments. Caregiver-reported social risk factors were included as covariates in linear regressions predicting proportion nonattendance outcomes. Results: Newborn caregivers identified many social risk factors including mental health diagnoses (14%), lack of child care support (45%), and food insecurity (9%). Approximately 74% had nonattendance with 41% missing or canceling a quarter or more appointments. Number of siblings (p<0.01) and maternal age (p<0.01) were most predictive for nonattendance, respectively. Other social risks were not significant except for maternal mental health (p=0.01) among those identifying number of risk factors above cohort average (16%). Conclusion: Screening of newborns at first medical visits can be used to characterize social risks. Most social risk factors at first visits were not strongly predictive of nonattendance, although our results suggested associations between non-attendance and maternal demographics, mental health and household makeup.
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Choices in scale, guided by quality or legislation? : The influence of institutional factors on assisted living facilities 2011, Article / Letter to editor (Tussenstand, vol. 2012, (2011))Since the eighties, Dutch residents of care homes have been housed in Assisted Living Facilities (ALFs) in order to age in place and live with higher social quality of housing. Scale, group mix and social quality of housing of these ALFs has not yet been explored. Initiators decide on experience and intuition or guided by policy and exploitation. The question arises: Are choices in scale for assisted living facilities based on quality factors or guided by institutional influences as legislation and financing? A desk research of 593 projects was made besides a multiple case study in 24 projects. Significant relations were found, partly in line with presuppositions on quality drivers, partly inexplicable. Comparing these incongruities with changes in legislation and financing, plausible relations were found. This leads to the conclusion that decisions for ALFs are based more on institutional factors and less strictly on quality choices than is avowed.
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Clinical leadership and integrated primary care: A systematic literature review 2018, Article / Letter to editor (European Journal of General Practice, vol. 2018, (2018), pp. 1-12)
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