757 research outputs found
Increasing access to anesthesia in Ethiopia: task shifting
No full textRoosmalen, J.J.M. van [Promotor]Stekelenburg, J. [Promotor]Kim, Y.M. [Copromotor
Identifying needs for optimizing the health workforce in Ethiopia: With focus on sexual, reproductive, maternal and newborn health services providers
No full textRoosmalen, J.J.M. van [Promotor]Stekelenburg, J. [Promotor]Kim, Y.M. [Copromotor
Severe maternal morbidity in ectopic pregnancy is not associated with maternal factors but may be associated with quality of care
No full textAbstract not availableNorah M. van Mello, Carlijn S. Zietse, Femke Mol, Joost J. Zwart, Jos van Roosmalen, Kitty W. Bloemenkamp, Willem M. Ankum, Fulco van der Veen, Ben Willem J. Mol, and Petra J. Hajeniu
Voor kota en kampong: Het ontstaan van een stedenbouwkundige discipline
No full textDit hoofdstuk, een korte versie van Van Roosmalens dissertation, schetst de ontwikkeling en professionalisering van stedenbouw in Nederlands-Indië en Indonesië tussen 1905 en 1950, de modernisering van de kolonie en het ontstaan van Indonesië. Een Engelse versie van het hoofdstuk verscheen in 2008 (‘For Kota and Kampong. The Emergence of Town Planning as a Discipline’).Institute for the History of Art, Architecture and UrbanismArchitectur
Using audit to enhance quality of maternity care in resource limited countries: lessons learnt from rural Africa.
No full textAlthough clinical audit is an important instrument for quality care improvement, the concept has not yet been adequately taken on board in rural settings in most resource limited countries where the problem of maternal mortality is immense. Maternal mortality and morbidity audit was established at Saint Francis Designated District Hospital (SFDDH) in rural Tanzania in order to generate information upon which to base interventions. Methods are informed by the principles of operations research. An audit system was established, all patients fulfilling the inclusion criteria for maternal mortality and severe morbidity were reviewed and selected cases were audited from October 2008 to July 2010. The causes and underlying factors were identified and strategic action plans for improvement were developed and implemented. There were 6572 deliveries and 363 severe maternal morbidities of which 36 women died making institutional case fatality rate of 10%. Of all morbidities 341 (94%) had at least one area of substandard care. Patients, health workers and administration related substandard care factors were identified in 50% - 61% of women with severe morbidities. Improving responsiveness to obstetric emergencies, capacity building of the workforce for health care, referral system improvement and upgrading of health centres located in hard to reach areas to provide comprehensive emergency obstetric care (CEmOC) were proposed and implemented as a result of audit. Our findings indicate that audit can be implemented in rural resource limited settings and suggest that the vast majority of maternal mortalities and severe morbidities can be averted even where resources are limited if strategic interventions are implemented
The other ‘other’: Re-framing and re-defining research on Southeast Asian colonial and postcolonial architecture and urbanism
No full textAccepted Author ManuscriptTeachers of Practic
For Kota and Kampong: The Emergence of Town Planning as a Discipline
No full textThis chapter, an abridged version of Van Roosmalen's dissertation, describes the development and professionalization of Dutch Indian (Indische) town planning between 1905 and 1950, the simultaneous modernisation of the Dutch East Indies and the emergence of modern day Indonesia. A Dutch version of the chapter was published in 2004 ('Voor kota en kampong. Het ontstaan van een stedenbouwkundige discipline')Institute for the History of Art, Architecture and UrbanismArchitectur
Surface passivation for ultrathin Al2O3 layers grown at low temperature by thermal atomic layer deposition
No full textThin layers of Al2O3 with thickness tox ≤ 8 nm were grown by thermal atomic layer deposition at low temperature of 100 °C and applied to achieve functional surface passivation of crystalline silicon substrates. Measurements of the effective lifetime were performed to characterize the surface passivation effect. Lifetime values in the range of 0.5 ms were obtained for Al2O3 films with tox ≥ 6 nm upon post-deposition annealing (PDA) at 250 °C in N2 atmosphere. However, when the thickness of the Al2O3 films was reduced to 4 nm, lifetime values well below 0.1 ms were observed even after PDA. Combined capacitance-voltage and conductance-voltage measurements were carried out to extract the amount of charges located near the silicon-oxide interface and the density of electrically active interface states, respectively. The results of the electrical characterization were used to elucidate the intimate physical mechanisms that govern charge recombination at the Al 2O3/Si interface. Density of interface states (a) and lifetime (b) values are reported as a function of the PDA temperature for Al2O3 films of three different thickness values: 4, 6, and 8 nm
Management of gestational hypertension and mild pre-eclampsia at term
No full textZwangerschapshypertensie en preëclampsie compliceren 6-8% van alle zwangerschappen en vormen in Nederland de belangrijkste oorzaak van maternale morbiditeit en mortaliteit. Vaak is het ziektebeeld mild en treedt op in de aterme periode. Soms ontstaan ernstige complicaties, zoals eclampsie, abruptio placentae of het HELLP-syndroom. Wereldwijd was er tot nu toe geen overeenstemming over het beste beleid bij deze aandoeningen. Inleiding van de baring zou enerzijds maternale complicaties kunnen reduceren, maar anderzijds de kans op een sectio caesarea kunnen verhogen.
Het eerste deel van dit proefschrift beschrijft een multicentrisch gerandomiseerde klinische studie (HYPITAT trial (HYpertension and Pre-eclampsia Intervention Trial At Term)), uitgevoerd binnen het Verloskundige Consortium (www.studies-obsgyn.nl/hypitat). Wij onderzochten wat beter is voor vrouwen met een milde zwangerschapsgerelateerde aterme hypertensie: inleiden of afwachten, met het oog op klinische effectiviteit, maternale kwaliteit van leven en kosten. Deze studie werd uitgevoerd in 38 Nederlandse ziekenhuizen. In totaal werden 756 vrouwen gerandomiseerd voor inleiden (n=377) of afwachten (n=379). De resultaten wijzen uit dat inleiden de kans op maternale complicaties verkleint (31% versus 44%; RR 0.71; p<0.001), inleiden een tendens laat zien van minder sectio caesarea (14% versus 19%; RR0.75; p=0.085) en inleiden gemiddeld 831 euro per patiënt goedkoper is dan afwachten. De neonatale uitkomst en de maternale kwaliteit van leven is gelijk tussen beide strategieën. Daarom adviseren wij een inleiding van de baring bij vrouwen met een zwangerschapshypertensie of milde preëclampsie na 37 weken zwangerschap.
Het tweede gedeelte van dit proefschrift beschrijft welke factoren een slechte maternale uitkomst bij vrouwen met een aterme zwangerschapshypertensie of milde preëclampsie kunnen voorspellen. Voor deze studies hebben wij gebruik van de HYPITAT database.
- …
