Переходная зона между шельфом и континентальным склоном северной части Чёрного моря. Ландшафтный подход

На основе данных, полученных с применением обитаемых подводных аппаратов, рассмотрена проблема положения бровки шельфа как важной структурно фациальной границы морского бассейна. Описана ландшафтная фациальная зональность в диапазоне глубин 70–220 м в северной части Черного моря. Выявлено, что смена фаций в переходной зоне между шельфом и материковым склоном от бровки шельфа до глубины около 200 м находится в тесной связи с усилением гипоксии до полной аноксии.На основі даних, отриманих із застосуванням підводних апаратів, розглянуто проблему положення бровки шельфу як важливої структурно фаціальної межі морського басейну. Описано ландшафтну фаціальну зональність в діапазоні глибин 70–20 м у північній частині Чорного моря. Виявлено, що зміна фацій у перехідній зоні між шельфом і материковим схилом від бровки шельфу до глибини близько 200 м тісно пов’язана із збільшенням гіпоксії до повної аноксії.The problem of continental shelf break position as an important structural – facial marine basin boundary discussed on the basis of manned submersibles’ data. The range and setting of Northern Black Sea facial zones in the depths interval 70 220m are described. It’s found that the facial changes are related closely with hypoxia increasing to complete anoxia from the shelf break to the depth of about 200 m

The right test in the right situation, with the right behavior after the result: suggestions for communication and policy

In deze notitie van de RIVM Corona Gedragsunit bieden we, op basis van beschikbare gegevens uit gedragswetenschappelijk onderzoek en consultatie van experts op het gebied van gedrags- en communicatiewetenschap, suggesties voor communicatie en beleid omtrent testen voor het coronavirus. De nadruk ligt op het ondersteunen van mensen om de juiste test te kiezen in de juiste situatie en daar ook de juiste gedragsconsequenties aan te kunnen verbinden

The right test in the right situation, with the right behavior after the result: suggestions for communication and policy

In deze notitie van de RIVM Corona Gedragsunit bieden we, op basis van beschikbare gegevens uit gedragswetenschappelijk onderzoek en consultatie van experts op het gebied van gedrags- en communicatiewetenschap, suggesties voor communicatie en beleid omtrent testen voor het coronavirus. De nadruk ligt op het ondersteunen van mensen om de juiste test te kiezen in de juiste situatie en daar ook de juiste gedragsconsequenties aan te kunnen verbinden

Safe holidays, behavioral insights for policy and communication

Deze memo combineert de inzichten van verschillende onderzoeken (uitgevoerd door de RIVM Corona Gedragsunit en door anderen) over hoe men dit jaar vakantie wil vieren en hoe men dit het afgelopen jaar deed. We maken onderscheid in 5 gedragsstappen: oriëntatie op bestemming, vooraf afspraken maken, voorbereiden op vertrek, naleving onderweg en op locatie, en bij thuiskomst. We beschrijven welke aanknopingspunten er zijn voor beleid en communicatie om ondersteuning te bieden voor een veilige vakantie

Safe holidays, behavioral insights for policy and communication

Deze memo combineert de inzichten van verschillende onderzoeken (uitgevoerd door de RIVM Corona Gedragsunit en door anderen) over hoe men dit jaar vakantie wil vieren en hoe men dit het afgelopen jaar deed. We maken onderscheid in 5 gedragsstappen: oriëntatie op bestemming, vooraf afspraken maken, voorbereiden op vertrek, naleving onderweg en op locatie, en bij thuiskomst. We beschrijven welke aanknopingspunten er zijn voor beleid en communicatie om ondersteuning te bieden voor een veilige vakantie

Older Cancer Patients’ User Experience of Online Health Information Tools: A Think Aloud Study

Background: Health information is increasingly presented on the Internet. Several Web design guidelines for older Web users have been proposed; however, these guidelines are often not applied in website development. Furthermore, although we know that older individuals use the Internet to search for health information, we lack knowledge on how they use and evaluate Web-based health information. Objective: This study evaluates user experiences with existing Web-based health information tools among older (≥ 65 years) cancer patients and survivors and their partners. The aim was to gain insight into usability issues and the perceived usefulness of cancer-related Web-based health information tools. Methods: We conducted video-recorded think-aloud observations for 7 Web-based health information tools, specifically 3 websites providing cancer-related information, 3 Web-based question prompt lists (QPLs), and 1 values clarification tool, with colorectal cancer patients or survivors (n=15) and their partners (n=8) (median age: 73; interquartile range 70-79). Participants were asked to think aloud while performing search, evaluation, and application tasks using the Web-based health information tools. Results: Overall, participants perceived Web-based health information tools as highly useful and indicated a willingness to use such tools. However, they experienced problems in terms of usability and perceived usefulness due to difficulties in using navigational elements, shortcomings in the layout, a lack of instructions on how to use the tools, difficulties with comprehensibility, and a large amount of variety in terms of the preferred amount of information. Although participants frequently commented that it was easy for them to find requested information, we observed that the large majority of the participants were not able to find it. Conclusions: Overall, older cancer patients appreciate and are able to use cancer information websites. However, this study shows the importance of maintaining awareness of age-related problems such as cognitive and functional decline and navigation difficulties with this target group in mind. The results of this study can be used to design usable and useful Web-based health information tools for older (cancer) patients

De juiste test in de juiste situatie, mét het juiste gedrag na de uitslag: suggesties voor communicatie en beleid

In deze notitie van de RIVM Corona Gedragsunit bieden we, op basis van beschikbare gegevens uit gedragswetenschappelijk onderzoek en consultatie van experts op het gebied van gedrags- en communicatiewetenschap, suggesties voor communicatie en beleid omtrent testen voor het coronavirus. De nadruk ligt op het ondersteunen van mensen om de juiste test te kiezen in de juiste situatie en daar ook de juiste gedragsconsequenties aan te kunnen verbinden

Lack of Development and Usability Descriptions in Evaluation Reports on Online Health Information Tools for Older Patients

New media play an increasing role in the everyday life of older individuals. They extensively use the Internet to search for health-related information. In our systematic review we found that online health information tools have been proven to be effective in improving self-efficacy and several clinical outcomes in older (≥ 65 years) patients. The aim of this study was to evaluate the development and usability of the effective online health information tools. The reporting of the development of the online health information tools turned out to be too succinct. Moreover, we were unable to evaluate the usability of online health information tools as none of them were publicly available. We argue the need to report more detailed information about the development and usability of online health information tools in evaluation studies in order to replicate findings and to develop new evidence-based online health information tools for older patient

Medical decision making for older patients during multidisciplinary oncology team meetings

Objectives: Multidisciplinary team meetings aim to facilitate efficient and accurate communication surrounding the complex process of treatment decision making for older patients with cancer. This process is even more complicated for older (≥70 years) patients as the lack of empirical evidence on treatment regimens in patients with age-related problems such as comorbidity and polypharmacy, necessitates a patient-centred approach.This study investigates the decision making process for older patients with cancer during multidisciplinary team meetings and the extent to which geriatric evaluation and geriatric expertise contribute to this process. Methods: Non-participant observations of 171 cases (≥70 years) during 30 multidisciplinary team meetings in five hospitals and systematically analysed using a medical decision making framework. All cases were in patients with colon or rectal cancer. Results: First, not all steps from the medical decision making framework were followed. Second, we found limited use of patient-centred information such as (age-related) patient characteristics and patient preferences during the decision making process. Third, a geriatric perspective was largely missing in multidisciplinary team meetings. Conclusions: This study uncovers gaps in the treatment decision making process for older patients with cancer during multidisciplinary team meetings. In particular individual vulnerabilities and patient wishes are often neglected

Medical decision making for older patients during multidisciplinary oncology team meetings

Objectives: Multidisciplinary team meetings aim to facilitate efficient and accurate communication surrounding the complex process of treatment decision making for older patients with cancer. This process is even more complicated for older (≥70 years) patients as the lack of empirical evidence on treatment regimens in patients with age-related problems such as comorbidity and polypharmacy, necessitates a patient-centred approach.This study investigates the decision making process for older patients with cancer during multidisciplinary team meetings and the extent to which geriatric evaluation and geriatric expertise contribute to this process. Methods: Non-participant observations of 171 cases (≥70 years) during 30 multidisciplinary team meetings in five hospitals and systematically analysed using a medical decision making framework. All cases were in patients with colon or rectal cancer. Results: First, not all steps from the medical decision making framework were followed. Second, we found limited use of patient-centred information such as (age-related) patient characteristics and patient preferences during the decision making process. Third, a geriatric perspective was largely missing in multidisciplinary team meetings. Conclusions: This study uncovers gaps in the treatment decision making process for older patients with cancer during multidisciplinary team meetings. In particular individual vulnerabilities and patient wishes are often neglected