461 research outputs found

    A Dutch translation of the Self-Efficacy for Rehabilitation Outcome Scale (SER):a first impression on reliability and validity

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    Self-efficacy is a relevant factor during rehabilitation after total hip or knee arthroplasty. Research was done into the reliability and validity of a Dutch translation of the Self-Efficacy for Rehabilitation Outcome Scale (SER). One hundred and forty-one persons filled in the SER questionnaire and the Self-Efficacy Expectation Scale (SES) as a control scale. Research was done into reliability and into construct- and criterion-related validity. Factor analysis yielded two factors. Pearson's correlation between the two factors was 0.61 (P <0.01). To assess criterion-related validity, the Pearson's correlation coefficient was calculated between the sum score of the SER and the SES. The scales had a correlation of 0.62 (P <0.01). Internal consistency resulted in a Cronbach's coefficient alpha of 0.94 for the entire SER scale, and 0.94 and 0.87 for the first and second factors. It is concluded that for the time being the Dutch version of the SER can be considered a reliable and valid questionnaire. (c) 2004 Elsevier Ireland Ltd. All rights reserved

    Totale heupvervanging gecombineerd met bottransplantatie bij protrusio acetabuli

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    Safeguarding resettlement: global expectations and local experiences in Cambodia

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    Planned community relocation or “resettlement” is not new, however the contexts in which people are being relocated and the safeguards in place to protect them are changing. Multilateral development banks are under competing pressures to minimise the negative impacts of community resettlement without over-burdening the governments of borrowing countries. Intensive debates are underway about what rights should be afforded to resettled people and what safeguards are most effective. Similar concerns are being voiced by policy-makers working on climate change adaptation, who are looking to the World Bank and Asian Development Bank (ADB) to identify ways to safeguard communities being resettled in response to climate change. One of the most important tensions shaping these debates, is how resettlement safeguards developed at an international or “global” level can cater to the needs and aspirations of affected people in different local settings. As a contribution to this debate, this thesis explores a resettlement scheme for an ADB co-financed railway project in Cambodia in which advocacy interventions resulted in improvements in the resettlement sites over the eight years of the project from 2006 to 2014. Drawing on the railway project as a case study, the research focuses on understanding how safeguards, developed at a “headquarter level”, aligned and misaligned with community needs and aspirations at different points in time. It investigates how advocacy interventions altered the course of the project and considers the implications of relying on resettlement safeguards in a country where domestic legal protections are otherwise not well-established

    Design and analysis of coupling methods for modular endoprosthetic systems as an alternative to the conical coupling

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    Modular endoprostheses are often used in bone tumor management. However, the conical coupling that connects the various modules has several shortcomings. As an alternative, four new couplings have been developed. To find out if they have sufficient strength and show no movement during loading, each coupling was analysed using the finite element method. Bolt force and friction coefficient was varied to examine their influence. From the analysis it was concluded that coupling B, a dovetail coupling, meets all requirements and is the best alternative to the conical coupling. Sensitivity to bolt force and friction coefficient is very limited

    Problemen rond het ontslag uit het ziekenhuis van 'total hip' patiënten

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    Waarom blijven 'total hip' patiënten zo lang in het ziekenhuis liggen ? En wat is daaraan te doen ? In het Medisch Spectrum Twente heeft men getracht op dit punt verbetering te brengen door in het behandeltraject een eenvoudige vragenlijst in te voegen, zodat bekend wordt welke hulp de patient na de operatie nodig zal hebben
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