178 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
No full textSupplemental 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
No full textSupplemental 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
No full textAdvance 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
Towards Self-Reliant Development: Inhabitant Housing Capacity Gap of Rural Inhabitants on Mt. Elgon
No full textRural communities in developing countries show a socially inclusive, resilient, and self-reliant model for their housing, despite the lack of individual capacities. However, due to scarce opportunities, many people move to the cities, often returning to challenging living conditions. As a result, both urban and rural inhabitants struggle to reach the desired living standards and well-being. This article explores general capacities of rural inhabitants in Kenya and identifies what shortages prevent inhabitant well-being within their housing. Outcomes of the interviews performed on two hundred families (four communities) evaluate whether the different communities still build housing by themselves, if they would like to continue this ‘self-reliant model’, or would prefer professionals ro realize their housing. The conclusion indicates that inhabitants would prefer to build housing by themselves and exposes why these communities change to ‘external’, housing solutions. Housing alternatives which lie within their capacities, play a crucial role in sustaining the communities’ self-reliance in relation to their housing.Green Open Access added to TU Delft Institutional Repository 'You share, we take care!' - Taverne project https://www.openaccess.nl/en/you-share-we-take-care Otherwise as indicated in the copyright section: the publisher is the copyright holder of this work and the author uses the Dutch legislation to make this work public.Situated Architectur
The Total Cost of Living in Relation to Energy Efficiency Upgrades in the Dutch, Multi-Residential Building Stock
No full textDecarbonizing the housing stock is one of the largest challenges in the built environment today, and is getting attention not only from policymakers, but also from social housing corporations, financial and tenants’ organisations. In line with the international Paris-Climate-Change-Conference 2015, Dutch cities and housing associations have embraced this challenge with the ambitions to become carbon neutral in 2050. To reach such ambitious goals, both the rate and depth of renovation need to increase significantly. In the Netherlands, the Energy Agreement for Sustainable Growth, indicates that 300.000 dwellings have to be renovated annually, in accordance with the Energy Performance of Buildings Directive adopted by the European Union, to improve the Dutch building stock towards energy neutrality. Several technical solutions to eliminate the energy demand in dwelling have been developed and tested. Nevertheless, the intake rate of deep retrofitting is low. Currently, most improvements in residential buildings consist of basic maintenance and shallow renovation, but broader or deeper energy renovation measures are required. Despite more recent developments, there are still significant barriers related to financing, lack of information, and user acceptance. Complex technical characteristics are not always taken into account by tenants; the focus is usually on the ease of use, comfort and living expenses.To this end, the present study sets of to investigate the relationship between energy efficiency upgrade measures and cost of living. Focusing on the post-war, multi-family social housing in the Netherlands, a framework of refurbishment measures that affect the energy efficiency were identified, and their performance was simulated. The variations refer to the façade design, thermal envelope upgrade, winter-garden addition and reviewable energy. The energy efficiency indicator is the energy cost reduction, as well as the carbon footprint of the energy use. Furthermore, the rental price adjustment was estimated, taking into account the refurbishment investment and the operation cost of the renovated dwellings. All tested combination of variables resulted in significant energy savings, up to 70%, while energy generation was proven to be cost-effective, as it has a considerable positive effect on the energy use and the energy cost, without increasing the rental price.The results aim at supporting the decision-making discussion between the stakeholders, primarily housing associations and tenants. The relation between the energy consumption and rental price for the different options identifies the effect of design variation and demonstrated the attractive solutions that the tenants are more likely to accept, taking into account the overall cost of living and sustainability benefits.Green Open Access added to TU Delft Institutional Repository 'You share, we take care!' - Taverne project https://www.openaccess.nl/en/you-share-we-take-care Otherwise as indicated in the copyright section: the publisher is the copyright holder of this work and the author uses the Dutch legislation to make this work public.Building Product InnovationHousing Institutions & GovernanceHousing ManagementDesign & Construction ManagementArchitectural Engineerin
«Труд в крови». О языке женского субъекта и животного субъекта в поэтическом сборнике Matecznik [Матечник] Малгожаты Лебды
No full textAnouk Herman’s aim in this article is to introduce the ecofeminist theory of the animal subject and its absent referent in the poetry book Matecznik by Polish author Małgorzata Lebda. Ecofeminism provides tools for elaborate analysis of the conceptual connections between women (as well as persons of nonbinary identities) and animals and may be used as a theoretical background for ecocritical research on literature. Ecofeminist philosophers Carol J. Adams and Marti Kheel have developed theories regarding relationships of human and non-human phenomena. They examine the issues of sexuality and carnality in the context of the killing and hunting of animals, themes which constitute important motifs in Lebda’s poetry.Celem niniejszej pracy jest przybliżenie ekofeministycznej teorii zwierzęcego podmiotu i jego nieobecnego przedmiotu odniesienia w tomiku Matecznik Małgorzaty Lebdy. Ekofeminizm dostarcza narzędzi do rozbudowanej analizy konceptualnych związków pomiędzy kobietami (a także osobami niebinarnymi) i zwierzętami, może być również stanowić teoretyczne zaplecze ekokrytycznego badania literatury. Ekofeministyczne myślicielki, Carol J. Adams i Marti Kheel, rozwinęły teorie dotyczące relacji ludzkich i nieludzkich fenomenów, zbadały także zagadnienia seksualności i cielesności w kontekście zabijania i polowania na zwierzęta. Wszystkie te problemy są ważnymi motywami w twórczości Małgorzaty Lebdy.Цель этой статьи – представить экофеминистскую теорию животного субъекта и его отсутствующего референтного объекта в книге Matecznik [Матечник] Малгожаты Лебды. Экофеминизм предоставляет инструменты для обширного анализа концептуальных отношений между женщинами (и небинарными людьми) и животными, а также может служить теоретической основой для экокритического исследования литературы. Мыслители-экофеминистки Кэрол Дж. Адамс и Марти Хил разработали теории о взаимосвязи между человеческими и нечеловеческими феменами и исследовали вопросы сексуальности и телесности в контексте убийства и охоты на животных. Все эти проблемы являются важными мотивами творчества Малгожаты Лебды
The development of children in foster care
No full textIn 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
Literary Representations of Non-heteronormative and Trans People in Polish Young Adult (YA) Literature: the example of Natalia Osińska’s trilogy and Anouk Herman’s novel <i>Nigdy nie będziesz szło samo</i>
No full textThe author focuses on literary representations of LGBT+ youth in Polish novels classified as Young Adult Literature (YAL). They use a three-part framework created by Michael Cart and Christine A. Jenkins to analyse books viewed as emblematic for Polish queer YAL: Natalia Osińska’s trilogy (Fanfik 2016, Slash 2017, Fluff 2019) and Anouk Herman’s novel Nigdy nie będziesz szło samo [You’ll Never Walk Alone, 2023]. When describing literary representations of coming out and queer youth subcultures, the author draws attention to the multidimensionality of the identities of the characters in this type of literary work. They are presented not only in the context of their gender identity and sexual orientation, but also through the prism of their economic situation and place of birth. The queerness of the characters is not limited to issues of gender and sexuality, but also involves challenging the norm of neurotypicality. According to the author, the novels analysed represent an interesting cultural representation of the Polish community of young people who identify as gay, lesbian, transgender and non-binary, as well as their allies (parents, friends)
Unilateral changes of the multifidus in persons with lumbar disc herniation: a systematic review and meta-analysis
No full textBACKGROUND: Lumbar disc herniation (LDH) is one of the most often diagnosed degenerative pathologies within the lumbar spine. Paraspinal muscle involvement could be a possible mediator in the pathophysiology of disc herniation and influences the course of pain and disability after both surgical or nonsurgical treatment. To potentially improve treatment, it may be important to assess multifidus muscle morphology in patients diagnosed with a LDH. OBJECTIVE: A systematic literature review and meta-analysis regarding the multifidus morphology in patients diagnosed with a LDH was conducted to assess the differences in multifidus muscle morphology between persons with LDH and healthy controls, and between the involved and the uninvolved side within subjects experiencing unilateral LDH. METHODS: A systematic search was conducted of articles published up to and including November 2019 using the Pubmed, Web of Science, EMBASE, and MEDLINE Ovid search engines. The articles obtained from this search were screened based on title and abstract using the predetermined eligibility criteria. Included full text articles were assessed for their methodologic quality using the modified Downs and Black checklist. Heterogeneous data regarding multifidus muscle morphology was included in the descriptive analysis; data that was homogenous was included in the meta-analysis. RESULTS: We identified 3,176 articles. Based on the screening for inclusion/exclusion criteria, 18 articles were included. Studies were either cross sectional or case-control studies assessing side-toside differences or comparing patients diagnosed with a LDH to a healthy control group. Nine studies investigated whole muscle atrophy, six looked at muscle fat infiltration, seven studies assessed microscopic muscle properties including muscle fiber size, distribution, and muscle fibrosis. From the 18 articles, 10 were included in the meta-analysis. In the meta-analysis, a comparison was made between side-to-side differences for muscle fiber size, distribution, and whole muscle size. Descriptive analysis showed increased fat infiltration and atrophy (muscle and individual fiber) of the multifidus muscle when comparing side-to-side differences or comparing cases to controls. Meta-analysis showed a significant decrease in type I and II muscle fiber size (p=.002, .01, respectively) combined with a significant increase in the number of type I muscle fibers (p=.008) at the side of LDH. Regarding whole muscle size, no significant differences were found. CONCLUSIONS: This study shows the presence of ipsilateral multifidus muscle changes in persons with unilateral LDH. (C) 2020 Elsevier Inc. All rights reserved.This research did not receive any specific grant from funding agencies in the public, commercial, or not-forprofit sectors. None of the authors state to have professional
and financial affiliations that may be perceived to have biased the presentation.Stevens, S (corresponding author), Hasselt Univ, Fac Rehabil Sci, Rehabil Res Ctr, Agoralaan Bldg A, B-3590 Diepenbeek, Belgium.
[email protected]
Pam Kaspers. End-of-life care and preferences for (non) treatment decisions in older people during the last 3 months of life
No full textReview:
Pam Kaspers beschrijft in haar proefschrift de
resultaten van een onderzoek naar wensen
rondom levenseindezorg en beslissingen
omtrent het wel of niet ondergaan van medische
behandelingen van ouderen. Bijzondere
aandacht wordt besteed aan de rol van
wilsverklaringen. Zij heeft voor haar onderzoek
voornamelijk gebruik gemaakt van gegevens
over overleden leden van het LASAouderencohort
(Longitudinal Aging Study
Amsterdam) en van een cohort van ouderen
met een wilsverklaring. De resultaten van het
onderzoek zijn beschreven in vijf
hoofdstukken
- …
