Inkomensongelijkheid als uitdaging voor een gezonde samenleving:De invloed van geldstress op de volksgezondheid is niet te onderschatten

In arme Rotterdamse wijken komen babysterfte en vroeggeboorte veel meer voor dan in rijke. En ondanks toegankelijke zorg inNederland, leven rijkere mensen aanzienlijk langer. Micro-econoom Marike Knoef en gynaecoloog Eric Steegers pleiten voor actie.De eerste stappen zijn gezet, de babysterfte in Charlois neemt inmiddels af

Facilitators and Barriers for Successful Implementation of Interconception Care in Preventive Child Health Care Services in the Netherlands

Objectives Successful implementation of preconception and interconception care contributes to optimizing pregnancy outcomes. While interconception care to new mothers could potentially be provided by Preventive Child Health Care services, this care is currently not routinely available in the Netherlands. The purpose of this study was to identify facilitators and barriers for implementation of interconception care in Preventive Child Health Care services. Methods We organized four focus groups in which Preventive Child Health Care physicians and nurses, related health care professionals and policymakers participated. A semi-structured interview approach was used to guide the discussion. The transcribed discussions were analyzed. Results All four groups agreed that several facilitators are present, such as the unique position to reach women and the expertise in preventive health care. Identified barriers include unfamiliarity with interconception care among patients and health care providers, as well as lack of consensus about the concept of interconception care and how it should be organized. A broad educational campaign, local adaptation, and general agreement or a guideline for standard procedures were recognized as important for future implementation. Conclusionsfor practice This study identifies potentially important facilitators and barriers for the implementation of interconception care in Preventive Child Health Care services or comparable pediatric settings. These factors should be considered and strategies developed to achieve successful implementation of interconception care

Smoking cessation in early-pregnancy, gestational weight gain and subsequent risks of pregnancy complications

OBJECTIVE: Smoking cessation is associated with weight gain. We first examined the associations of smoking cessation in early-pregnancy with gestational weight gain and subsequently evaluated the risks of pregnancy complications among women who quit smoking in early-pregnancy according to their gestational weight gain. METHODS: In a population-based prospective cohort study among 7,389 women, we measured weight in each pregnancy period. Information on smoking and pregnancy complications was obtained from questionnaires and medical records. RESULTS: As compared to continued smoking during pregnancy, smoking cessation in early-pregnancy was not associated with gestational weight gain. Smoking cessation in early-pregnancy was associated with decreased risks of delivering small-for-gestational-age infants (Odds Ratio (OR) 0.52 (95% Confidence Interval (CI) 0.37, 0.75)), but with increased risks of pre-eclampsia (OR 2.07 (95 % CI 1.01, 4.27)) and delivering large-for-gestational-age infants (OR 2.11 (95 % CI 1.45, 3.09)). Among women who quit smoking in early-pregnancy with >12 kg weight gain, the risks of pre-eclampsia and delivering large-for-gestational-age infants were slightly increased. CONCLUSION: As compared to continued smoking during pregnancy, smoking cessation in early-pregnancy is not associated with increased gestational weight gain. Among women who quit smoking in early-pregnancy, higher gestational weight gain does not strongly affect their risks of pregnancy complications

Оценка человеческого капитала промышленного предприятия в условиях инновационного развития

Запропоновано методичний підхід до оцінки людського капіталу промислового підприємства для різних видів інновацій. Обґрунтовано вибір методів оцінки елементів людського капіталу для різних категорій персоналу промислового підприємства. Ключові слова: оцінка, людський капітал, метод, вид інновації, елемент.Предложен методический подход к оценке человеческого капитала промышленного предприятия для различных видов инноваций. Обоснован выбор методов оценки элементов человеческого капитала для различных категорий персонала промышленного предприятия. Ключевые слова: оценка, человеческий капитал, метод, вид инновации, элемент.The methodical approach to evaluation of an industrial enterprise’s human capital under different types of innovations is offered. The choice of methods for evaluating human capital’s elements is grounded considering different categories of personnel of the industrial enterprise. Keywords: evaluation, human capital, method, type of innovations, element