76 research outputs found

    Слово головного редактора

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    De jaren 1947-1991 waren de periode van de Koude Oorlog. Twee hegemoniale machtsblokken stonden lijnrecht en tot de tanden toe bewapend tegenover elkaar. Dit conflict overschaduwde de internationale en nationale verhoudingen in de wereld. De Koude Oorlog was in veel opzichten een unieke periode in de geschiedenis. Tegelijkertijd vormde wat in deze periode internationaal politiek en economisch tot stand was gekomen, het uitgangspunt van waaruit na afloop van het conflict nieuwe wegen zijn ingeslagen. Alle reden om de eigen logica, paradoxen en reflexen tijdens de Koude Oorlog eens in kaart te brengen. Recent onderzoek maakt dat goed mogelijk

    Деградационные превращения в топологически разупорядоченных твердых телах: 3. Бимолекулярная кинетика затухания радиационных эффектов в ХСП

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    Решение задачи способствует созданию функциональных материалов электронной техники с наперед заданными и стабильными эксплуатационными свойствами

    The effect of a sport-based intervention to prevent juvenile delinquency in at-risk adolescents

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    Despite the wide implementation of sport-based crime prevention programs, there is a lack of empirical knowledge on the effectiveness of these interventions. This study evaluated a Dutch sport-based program in N = 368 youth at risk for juvenile delinquency. Intervention effects were tested in a quasi-experimental study, comparing the intervention group with a comparison group using multiple sources of information. The study was conducted under conditions that resemble real-life implementation, thereby enhancing the relevance of this contribution to practitioners. The primary outcome was juvenile delinquency, measured by official police data. The secondary outcomes were risk and protective factors for delinquency, assessed with self- and teacher reports. A significant effect was found on one delinquency measure. The intervention group consisted of fewer youth with police registrations as a suspect than the comparison group (d = −0.34). We did not find an intervention effect on the number of registrations as a suspect in each group. In addition, no significant intervention effects were found on the secondary outcomes. Implications for theory and practice concerning the use of sport-based crime prevention programs are discussed

    The Impact of Having a Baby on the Level and Content of Women’s Well-Being

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    The primary objective of this study was to more fully understand the impact of having a baby on women’s well-being by attending to both the level and the content of well-being. To cover the judgemental and affective aspects of well-being we included global measures of life satisfaction and well-being and affective experience measures derived from the day reconstruction method. In a sample of 19 first-time mothers no differences between pre and postnatal reports of general life satisfaction, depression, anxiety, and experienced positive and negative affect were found, suggesting that the arrival of the newborn baby does not universally impact on women’s level of well-being. Changes in the content of well-being were studied by examining changes in the way women experience specific activities and interactions with various social partners. There appeared to be an upward shift in experienced positive affect during active leisure and a slight decrease in negative affect during time spent with relatives. The results are discussed in light of previously documented changes across the transition to motherhood in negative mood states, time use, women’s evaluation of various aspects of daily life, and relational satisfaction

    Long-term changes in parenting and child behavior after the Home-Start family support program

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    Background: The intervention Home-Start is a wide spread program in a number of countries, among which the Netherlands. In Home-Start, trained volunteers visit families with young children in need of support once or twice a week to help them to deal with problems in family life and parenting. Little is known, however, about the effects of Home-Start. This study describes short-term and long term changes in families that participated in Home-Start. Methods: Three groups of families with young children (at the start mean age 1 1/2 years) were followed over a period of four years. One of the groups of families participated in the Home-Start family support program in the first 6.6 months of this period. The two other groups were (1) a randomly selected community sample and (2) a group of families with elevated parenting stress and a need for support. Data were collected at the beginning of the study, (after median 1.4 months), directly after the intervention (median 6.6 months) and at two follow-up occasions (respectively, median 12.5 and 49.2 months after the first measurement). At the last measurement, data were available for 33, 45 and 34 families respectively. Results: Multilevel analysis showed more positive changes in parental wellbeing, competence and behavior (more consistent behavior and less rejection) during the intervention period in the Home-Start group than in the two other groups. At the three year follow up, the Home-Start group showed, compared to the other groups, more improvements in parenting (more responsiveness), but also diminished child externalizing and internalizing behavior problems (less oppositional defiant behavior, affective problems and anxiety problems). Conclusions: Home-Start seems a promising family support intervention that deserves to be studied more extensively

    A systematic review, evidence synthesis and meta-analysis of quantitative and qualitative studies evaluating the clinical effectiveness, the cost-effectiveness, safety and acceptability of interventions to prevent postnatal depression

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    Background: Postnatal depression (PND) is a major depressive disorder in the year following childbirth, which impacts on women, their infants and their families. A range of interventions has been developed to prevent PND. Objectives: To (1) evaluate the clinical effectiveness, cost-effectiveness, acceptability and safety of antenatal and postnatal interventions for pregnant and postnatal women to prevent PND; (2) apply rigorous methods of systematic reviewing of quantitative and qualitative studies, evidence synthesis and decision-analytic modelling to evaluate the preventive impact on women, their infants and their families; and (3) estimate cost-effectiveness. Data sources: We searched MEDLINE, EMBASE, Science Citation Index and other databases (from inception to July 2013) in December 2012, and we were updated by electronic alerts until July 2013. Review methods: Two reviewers independently screened titles and abstracts with consensus agreement. We undertook quality assessment. All universal, selective and indicated preventive interventions for pregnant women and women in the first 6 postnatal weeks were included. All outcomes were included, focusing on the Edinburgh Postnatal Depression Scale (EPDS), diagnostic instruments and infant outcomes. The quantitative evidence was synthesised using network meta-analyses (NMAs). A mathematical model was constructed to explore the cost-effectiveness of interventions contained within the NMA for EPDS values. Results: From 3072 records identified, 122 papers (86 trials) were included in the quantitative review. From 2152 records, 56 papers (44 studies) were included in the qualitative review. The results were inconclusive. The most beneficial interventions appeared to be midwifery redesigned postnatal care [as shown by the mean 12-month EPDS score difference of –1.43 (95% credible interval –4.00 to 1.36)], person-centred approach (PCA)-based and cognitive–behavioural therapy (CBT)-based intervention (universal), interpersonal psychotherapy (IPT)-based intervention and education on preparing for parenting (selective), promoting parent–infant interaction, peer support, IPT-based intervention and PCA-based and CBT-based intervention (indicated). Women valued seeing the same health worker, the involvement of partners and access to several visits from a midwife or health visitor trained in person-centred or cognitive–behavioural approaches. The most cost-effective interventions were estimated to be midwifery redesigned postnatal care (universal), PCA-based intervention (indicated) and IPT-based intervention in the sensitivity analysis (indicated), although there was considerable uncertainty. Expected value of partial perfect information (EVPPI) for efficacy data was in excess of £150M for each population. Given the EVPPI values, future trials assessing the relative efficacies of promising interventions appears to represent value for money. Limitations: In the NMAs, some trials were omitted because they could not be connected to the main network of evidence or did not provide EPDS scores. This may have introduced reporting or selection bias. No adjustment was made for the lack of quality of some trials. Although we appraised a very large number of studies, much of the evidence was inconclusive. Conclusions: Interventions warrant replication within randomised controlled trials (RCTs). Several interventions appear to be cost-effective relative to usual care, but this is subject to considerable uncertainty. Future work recommendations: Several interventions appear to be cost-effective relative to usual care, but this is subject to considerable uncertainty. Future research conducting RCTs to establish which interventions are most clinically effective and cost-effective should be considered

    Military planning for European theatre conflict during the Cold War: an oral history roundtable, Stockholm, 24-25 April 2006

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    ISSN:1662-3711ISSN:1423-389
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