Het waarom-daarom of Het omdat van de Star

Logici zullen aanvoeren dat, over het algemeen, men de oorzaak van zijn handeling niet kent, maar dat men wel de indruk heeft de reden van zijn handeling te kennen. In feite is het handelende subject de enige die in staat is te oordelen over zijn handelingen, ze te benoemen, de motieven ervan aan te geven. ....... 02 02 137 143

Gerund, gerundive and supines as used by C.J. Caesar : A statistical approach I

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Modeling and supporting the authoring process of multimedia simulation based educational software: a knowledge engineering approach

Abstract. Traditionally, support for authoring educational software focuses on the authoring process: the nature and sequence of the activities that must be performed to deliver the required product. As a consequence, the methods that are used tend to have a strong linear flavor, which resembles the classical waterfall approach. Development strategies as currently used in software engineering shift the attention from activities to products (see The SIMQUEST authoring system SIMQUEST is an authoring system for designing and creating simulationbased learning environments. The unique character of SIMQUEST learning environments is that they include support for the discovery processes of the learner. This support consists of explanations, assignments, a monitoring tool, and the use of model progression. In SIMQUEST learning environments a designer has to try to find a balance between direct guidance of the learning processes and sufficient freedom for learners to regulate the learning processes themselves. The learner aspects of SIMQUEST have been extensively studied; reports can be found in De Jong et al. (1996, 1998, 1999) and Technically, a SIMQUEST learning environment consists of (a) a simulation model (or simulation models) needed to run the simulation, (b) one or more user interfaces to this model, (c) a collection of instructional supports

The effects of an integrated care intervention for the frail elderly on informal caregivers: A quasi-experimental study

__Abstract__ Background: This study explored the effects of an integrated care model aimed at the frail elderly on the perceived health, objective burden, subjective burden and quality of life of informal caregivers. Methods. A quasi-experimental design with before/after measurement (with questionnaires) and a control group was used. The analysis encompassed within and between groups analyses and regression analyses with baseline measurements, control variables (gender, age, co-residence with care receiver, income, education, having a life partner, employment and the duration of caregiving) and the intervention as independent variables. Results: The intervention significantly contributed to the reduction of subjective burden and significantly contributed to the increased likelihood that informal caregivers assumed household tasks. No effects were observed on perceived, health, time investment and quality of life. Conclusions: This study implies that integrated care models aimed at the frail elderly can benefit informal caregivers and that such interventions can be implemented without demanding additional time investments from informal caregivers. Recommendations for future interventions and research are provided. Trial registration. Current Controlled Trials. Registration date: 14/03/2013

Do integrated care structures foster processes of integration? A quasi-experimental study in frail elderly care from the professional perspective

Objective: This study explores the processes of integration that are assumed to underlie integrated care delivery. Design: A quasi-experimental design with a control group was used; a new instrument was developed to measure integration from the professional perspective. Setting and participants: Professionals from primary care practices and home-care organizations delivering care to the frail elderly in the Walcheren region of the Netherlands. Intervention: An integrated care intervention specifically targeting frail elderly patients was implemented. Main Outcome Measures: Structural, cultural, social and strategic integration and satisfaction with integration. Results: The intervention significantly improved structural, cultural and social integration, agreement on goals, interests, power and resources and satisfaction with integration. Conclusions: This study confirms that integrated care structures foster processes of integration among professionals. Trial registration: Current Controlled Trials ISRCTN05748494