Good practices in de 'spotlight'

Vanuit de projecten ‘Duurzaam telen, begint bij jou’ en ‘Telen met Toekomst’ is gezamenlijk een keuze gemaakt om per sector vijf Good Practices extra onder de aandacht te brengen. Per sector aandacht voor gewasbescherming en teeltsystemen

Gewasbescherming en de balans van milieu en economie : Berekeningen bij de 2e Nota Duurzame gewasbescherming

Ministerie van Economische ZakenLandbouw en Innovati

Waterkwaliteit binnen de normen; Haalbaarheid en betaalbaarheid van ambities in 2e Nota Duurzame Gewasbescherming

In 2012 hebben LEI Wageningen UR, CLM en RIVM al een aantal maatregelen van de 2e Nota Duurzame Gewasbescherming doorgerekend. De aanleiding van deze aanvullende studie is dat het kabinet Rutte-Asscher de kwaliteit van het oppervlaktewater verder wil verbeteren. Die aanscherping van het beleid is haalbaar en betaalbaar op zes van de zeven onderzochte bedrijfstypen. De voorgestelde maatregelen leveren de benodigde emissiereducties op en kosten de ondernemers gemiddeld minder dan één procent van het bedrijfssaldo. Een uitzondering vormen de glastuinbouwbedrijven die nog geen waterzuivering hebben: bij deze bedrijven wordt de grens voor betaalbaarheid overschreden

Personal Recovery in People With a Psychotic Disorder:A Systematic Review and Meta-Analysis of Associated Factors

Background: Personal recovery (PR) is a subjective, multidimensional concept, and quantitative research using PR as an outcome is rapidly increasing. This systematic review is intended to support the design of interventions that contribute to PR in psychotic disorders, by providing an overview of associated factors and their weighted importance to PR: clinical factors, social factors, and socio-demographic characteristics are included, and factors related to the concept of PR (organized into CHIME dimensions). Methods: A systematic literature search was conducted from inception to March 2020. Quantitative studies that had used a validated questionnaire assessing the concept of PR were included. Mean effect sizes for the relationship between PR-scale total scores and related factors were calculated using meta-analyses. Sources of heterogeneity were examined using meta-regression tests. Results: Forty-six studies, that used (a total of) eight PR measures, showed that in clinical factors, affective symptoms had a medium negative association with PR-scale total scores (r = −0.44, 95%CI −0.50 to −0.37), while positive, negative and general symptoms had small negative correlations. No association was found with neuro-cognition. Social factors (support, work and housing, and functioning) showed small positive correlations. Gender and age differences had barely been researched. Large associations were found for PR-scale total scores with the CHIME dimensions hope (r = 0.56, 95%CI 0.48–0.63), meaning in life (r = 0.48, 95%CI 0.38–0.58) and empowerment (r = 0.53, 95%CI 0.42–0.63); while medium associations were found with connectedness (r = 0.34, 95%CI 0.43–0.65) and identity (r = 0.43, 95%CI 0.35–0.50). Levels of heterogeneity were high, sources included: the variety of PR measures, variations in sample characteristics, publication bias, variations in outcome measures, and cultural differences. Discussion: Most interventions in mental healthcare aim to reduce symptoms and improve functioning. With regard to stimulating PR, these interventions may benefit from also focusing on enhancing hope, empowerment, and meaning in life. The strength of these findings is limited by the challenges of comparing separate CHIME dimensions with questionnaires assessing the concept of PR, and by the high levels of heterogeneity observed. Future research should focus on the interaction between elements of PR and clinical and social factors over time

Milieubelasting glastuinbouw 2004-2016

Deze factsheet is onderdeel van het project ‘Middelengebruik en milieubelasting glastuinbouw 2004-2020’ van Wageningen Economic Research en CLM Onderzoek en Advies. Het project is uitgevoerd in opdracht van LTO Glaskracht Nederland en de Stichting Programmafonds Glastuinbouw. De factsheet is een vervolg op de eerdere factsheet over het middelengebruik. In deze nieuwe factsheet is het middelengebruik in zeven hoofdgewassen gecombineerd met milieubelastingpunten voor spuiwater (substraatteelt) c.q. uitspoeling (grondteelt) voor berekening van de milieubelasting op het waterleven. Aanvullend is de milieubelasting op het bodemleven (bij grondteelt chrysant) en de emissie via luchtramen in beschouwing genomen

Geriatric pharmacotherapy : optimisation through integrated approach in the hospital setting

Since older patients are more vulnerable to adverse drug-related events, there is a need to ensure appropriate prescribing in these patients in order to prevent misuse, overuse and underuse of drugs. Different tools and strategies have been developed to reduce inappropriate prescribing; the available measures can be divided into medication assessment tools, and specific interventions to reduce inappropriate prescribing. Implicit criteria of inappropriate prescribing focus on appropriate dosing, search for drug-drug interactions, and increase adherence. Explicit criteria are consensus-based standards focusing on drugs and diseases and include lists of drugs to avoid in general or lists combining drugs with clinical data. These criteria take into consideration differences between patients, and stand for a medication review, by using a systematic approach. Different types of interventions exist in order to reduce inappropriate prescribing in older patients, such as: educational interventions, computerized decision support systems, pharmacist-based interventions, and geriatric assessment. The effects of these interventions have been studied, sometimes in a multifaceted approach combining different techniques, and all types seem to have positive effects on appropriateness of prescribing. Interdisciplinary teamwork within the integrative pharmaceutical care is important for improving of outcomes and safety of drug therapy. The pharmaceutical care process consists offour steps, which are cyclic for an individual patient. These steps are pharmaceutical anamnesis, medication review, design and follow-up of a pharmaceutical care plan. A standardized approach is necessary for the adequate detection and evaluation of drug-related problems. Furthermore, it is clear that drug therapy should be reviewed in-depth, by having full access to medical records, laboratory values and nursing notes. Although clinical pharmacists perform the pharmaceutical care process to manage the patient’s drug therapy in every day clinical practice, the physician takes the ultimate responsibility for the care of the patient in close collaboration with nurses

Understanding Resident Satisfaction with Involvement in Highway Planning: In-depth interviews during a highway planning process in the Netherlands

This study investigates resident satisfaction with provided involvement activities during highway planning processes, with particular attention given to the planned Southern Ring Road highway project in Groningen, the Netherlands. In-depth interviews with 38 residents living in the project area reveal important themes contributing to satisfaction. Satisfaction with passive information activities is motivated by the extent to which information addresses concerns, but (dis)trust in government and other information sources also plays a role. For residents preferring to obtain additional information, perceived access to such information and the extent to which it reduces concerns are also important to satisfaction. Finally, for residents who would rather participate actively, satisfaction is motivated by their perceived access to participation activities and the sense of being heard. Study results show how residents’ evaluations of the themes underpinning involvement satisfaction are based on their perceptions of actual project team activities and contextual factors

Породы песчаники – редкие материалы высокой крепости – уникальные фрикционные материалы

Розглядаються питання при підготовці до відпрацювання пологих вугільних пластів на великих глибинах в умовах шахти «Довжанська Капітальна» ТОВ "ДТЕК Свердловантрацит". Проведено дослідження вміщуючих підготовчу виробку порід. Запропоновано можливості проектування комплексного видобутку супутніх корисних компонентів при підготовці Антрацитівського пластів до видобутку.The questions in preparation for mining of shallow coal seams at great depths in the mine "Dolzhanskaya Capital" LLC "DTEK Sverdlovantratsit." Investigations of host rocks of underground working. Suggested the possibility of designing an integrated co-production of useful components in preparation Antratsitovskogo of flat seam to production