108 research outputs found
Supplementary_file_S1_revision – Supplemental material for Advance Care Planning for frail older adults: Findings on costs in a cluster randomised controlled trial
Supplemental material, Supplementary_file_S1_revision for Advance Care Planning for frail older adults: Findings on costs in a cluster randomised controlled trial by Anouk Overbeek, Suzanne Polinder, Juanita Haagsma, Pascalle Billekens, Kim de Nooijer, Bernard J Hammes, Daniel Muliaditan, Agnes van der Heide, Judith AC Rietjens and Ida J Korfage in Palliative Medicine</p
801751_Supplementary_file_S2_clean_version – Supplemental material for Advance Care Planning for frail older adults: Findings on costs in a cluster randomised controlled trial
Supplemental material, 801751_Supplementary_file_S2_clean_version for Advance Care Planning for frail older adults: Findings on costs in a cluster randomised controlled trial by Anouk Overbeek, Suzanne Polinder, Juanita Haagsma, Pascalle Billekens, Kim de Nooijer, Bernard J Hammes, Daniel Muliaditan, Agnes van der Heide, Judith AC Rietjens and Ida J Korfage in Palliative Medicine</p
Advance Care Planning In Frail Older People In The Netherlands
Advance Care Planning (ACP) enables individuals to define goals and preferences for future medical treatment and care, to discuss these goals and preferences with family and healthcare providers, and to record and review these preferences if appropriate. ACP may be especially relevant for frail older people since this population is most likely to develop physical and cognitive deficits in the near future and most likely to have to rely on others to communicate their treatment preferences. This thesis describes the effects of an ACP program in a randomized controlled trial among frail older people in the Netherlands, and concludes with recommendations for clinical practice and future research
Agile Process for Integrated Service Delivery (APISD)
As companies have increasingly become dependent on IT to interact with clients, the issue of business agility has become one of IT agility. Companies look for agility in their business for flexibility and adaptation with respect to changing environments. They seek to make use of the market competencies and deliver customer-centric services to gain the competitive advantage by providing a one-stop mall where customers can experience several kinds of integrated services. With the opportunity of Integrated Service Delivery (ISD), companies can support clients in an integrated environment possibly reducing cost and time. Doing so, service providers face a number of challenges related to organizational integration, resistance towards change and being customer-centric. With a structured process, collaboration and coordination of activities in ISD can be efficient, reducing the complexities in those challenges. Research has shown adoption of Agile methodologies has reduced complexities in software development and focused on collaboration and coordination to achieve performance gain. Therefore, in this case, adopting Agile management principles will be highly beneficial in ISD. To the best of our knowledge there has not been research on how to manage the service lifecycle of ISD in a holistic view and focus on the collaboration of parties involved in the process and coordination of activities, by working in an Agile approach. Therefore, the main research question of this research is: "How can Agile management and service development principles be incorporated together for effective collaboration between parties and coordination of activities in Integrated Service Delivery?" Following a design science research methodology and case study research, this research was conducted to develop a conceptual process model, namely Agile Process for Integrated Service Delivery (APISD), which was evaluated by three cases conducted in three organizations. From the case study findings, the APISD model was enhanced. Furthermore, an illustration of APISD was given to materialize the model in practice.Information and Communication TechnologyManagement of TechnologyTechnology, Policy and Managemen
The development of children in foster care
In deze rubriek komt een promovendus aan het woord. Waar ging het onderzoek over? En wat hebben professionals eraan in de praktijk?Development Psychopathology in context: clinical setting
Concept development of an unmanned, non-lethal, anti-piracy craft: The Beagle
Maritime piracy has been a problem for the last decades and peaked in 2010. This resulted in large investments in anti-piracy measures, but as piracy waned over the following years, so did the investments in anti-piracy measures. This could be an indication that the stage for maritime piracy has been reset. This report suggests a more efficient and cheaper approach to counteract maritime piracy on merchant vessels indefinitely.SeaState5, the company at which this research is done, came up with the idea to combat pirate attacks on merchant vessels using a Fast Rescue Craft (FRC). Merchant vessels are obligated by law to carry an FRC; used for instance for man over board missions. SeaState5 focuses on developing an add-on plug and play system compatible with existing FRC. It turns these sole-purpose rescue craft into a multi-purpose craft, in this research referred to as the Beagle. This Beagle will serve both rescue and anti-piracy purposes. In this report the concept development of this add-on system is established.This is done by developing a simulation in MATLAB and Simulink that mimics a pirate attack on a merchant vessel. During the pirate attack the Beagle uses a defense strategy to repel the pirates. A Beagle defense strategy is a combination of a non-lethal weapon and a set of parameters that define the trajectory of the Beagle. Different Beagle defense strategies are subjected to different pirate attack scenarios to find the most effective one. The simulations resulted in a list of requirements for the Beagle. A check has been done to prove the feasibility of equipping an existing FRC with the add-on system meeting these requirements.Marine Technolog
Combining fixed-path and free-range AGV routing on a container terminal
Terminals are encouraged to redesign their operations to facilitate future growth of container freight. Routing of Automated Guided Vehicles (AGVs) can contribute significantly to this trend. Traditional routing, as implemented in real-life terminals, uses a topology of paths. To improve flexibility and scalability of the AGV system, a promising control method is already proposed in literature that does not require a topology of paths: free-ranging. For local control methods, problems are expected to rise near the cranes where the risk of deadlocks is high due to crowding. A new routing type is proposed in this paper that is aims to combine the benefits of free-range and traditional routing: mixed routing. A topology of paths is implemented near the quay cranes (QCs) to guide the AGV flow, the rest of the terminal is a free-range zone. This study compares traditional, free-range and mixed routing on both routing- and terminal performance for several QC capacities.Marine Technology | Transport Engineering and Logistic
Sustainable Value Drivers: A research on the added value of environmental certification in the Dutch office market
A considerable share of the global greenhouse gases is caused by the construction and real estate sector, but the increasing awareness on global climate change within the industry caused the emergence of multiple voluntary environmental certifications. The effects of environmental certification on office rents have received considerable attention in the last decade and there is now much evidence supporting the hypothesis that environmentally certified office buildings achieve higher rents over conventional office buildings. Although much attention has been paid to the United States office market, less attention was spent on the European and specifically the Dutch real estate market. The aim of this thesis is to examine the relationship between environmental certification and market value within the Dutch office market and therefore answers the following question: How does environmental certification influence market value within the dynamics of the Dutch office market? Empirical evidence shows that BREEAM-NL certified office buildings hold an average rental premium of 10.30% over non-certified offices. Furthermore, the rental premium in the G5 varies between 5.13% and 12.64%. The results indicate that the rental premium is positively correlated with the label score and show rental premiums of 10.19%, 6.18% and 14.34% for respectively BREEAM-NL Good, Very Good and Excellent. The results do not show significant occupancy premiums for BREEAM-NL certified offices. This practical evidence on the willingness to pay from the Dutch occupier market intends to bring clarification in the public debate and helps owners and investors in their decision-making around environmental certified investments in their building assets.Architecture, Urbanism and Building Sciences | Management in the Built Environmen
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