90 research outputs found

    Dorpsverhalen:Samen bouwen aan de energietransitie in het Drentsche Aa- gebied

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    Dorpen in het Nationaal Park Drentsche Aa zijn zich bewust van de kwaliteit van hun omgeving. Tegelijkertijd werken deze dorpen aan lokale energieplannen. Daarbij worden veel resultaten gerealiseerd en lessen gedaan. Met zeven dorpen terug- en vooruitgekeken naar hun initiatieven zodat motieven, doelen, activiteiten (tijdlijn) en lessen konden worden opgetekend in deze publicatie

    Dorpsverhalen:Samen bouwen aan de energietransitie in het Drentsche Aa- gebied

    Get PDF
    Dorpen in het Nationaal Park Drentsche Aa zijn zich bewust van de kwaliteit van hun omgeving. Tegelijkertijd werken deze dorpen aan lokale energieplannen. Daarbij worden veel resultaten gerealiseerd en lessen gedaan. Met zeven dorpen terug- en vooruitgekeken naar hun initiatieven zodat motieven, doelen, activiteiten (tijdlijn) en lessen konden worden opgetekend in deze publicatie

    Drehtsche Aa: dit is waar ik voor sta!:Een gedragen aanpak van de energietransitie in het Drentsche Aa-gebied

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    In het Nationaal Park Drentsche Aa wonen meer dan 30.000 mensen. En één ding staat als een paal boven water: zij voelen zich heel erg verbonden met hun leefomgeving. Daarom willen zij ook graag betrokken zijn bij beslissingen over veranderingen in het gebied. Als woningeigenaar, als inwoner en als gemeenschap. Ook als het gaat om de energietransitie.Deze toegankelijke publicatie geeft aan wat inwoners van het Nationaal Park Drentsche Aa belangrijk vinden bij de energietransitie, mede voorzien van instrumenten voor lokale energie-iniatieven en voorbeelden van dorpen uit het gebied

    Drehtsche Aa: dit is waar ik voor sta!:Een gedragen aanpak van de energietransitie in het Drentsche Aa-gebied

    Get PDF
    In het Nationaal Park Drentsche Aa wonen meer dan 30.000 mensen. En één ding staat als een paal boven water: zij voelen zich heel erg verbonden met hun leefomgeving. Daarom willen zij ook graag betrokken zijn bij beslissingen over veranderingen in het gebied. Als woningeigenaar, als inwoner en als gemeenschap. Ook als het gaat om de energietransitie.Deze toegankelijke publicatie geeft aan wat inwoners van het Nationaal Park Drentsche Aa belangrijk vinden bij de energietransitie, mede voorzien van instrumenten voor lokale energie-iniatieven en voorbeelden van dorpen uit het gebied

    Immediate postoperative high-sensitivity troponin T concentrations and long-term patient-reported

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    BACKGROUND: Myocardial injury after noncardiac surgery is associated with mortality and major adverse postoperative cardiovascular events. The effect of postoperative troponin concentrations on patient-reported health-related quality of life (HRQoL) is unknown. OBJECTIVE: The study examined the association between immediate postoperative troponin concentrations and self-reported HRQoL 1 year after surgery. DESIGN: Prospective cohort study. SETTING: Single-centre tertiary care hospital in the Netherlands between July 2012 and 2015. PATIENTS: Patients aged at least 60 years undergoing moderate and major noncardiac surgery.None. MAIN OUTCOME MEASURES: HRQoL total score was assessed with the EuroQol five-dimensional questionnaire. Tobit regression analysis was used to determine the association between postoperative troponin concentrations and 1-year HRQoL. Peak high-sensitivity troponin T values were divided into four categories: less than 14, 14 to 49, 50 to 149 and at least 150 ng l. RESULTS: A total of 3085 patients with troponin measurements were included. 2634 (85.4%) patients were alive at 1-year follow-up of whom 1297 (49.2%) returned a completed questionnaire. The median score for HRQoL was 0.82 (0.85, 0.81, 0.77 and 0.71 per increasing troponin category). Multivariable analysis revealed betas of -0.06 [95% confidence interval (CI) -0.09 to -0.02], -0.11 (95% CI -0.18 to -0.04) and -0.18 (95% CI -0.29 to -0.07) for troponin levels of 14 to 49, 50 to 149 and at least 150 ng l when compared with values less than 14 ng l. Other independent predictors for lower HRQoL were chronic obstructive pulmonary disease, female sex, peripheral arterial disease and increasing age. CONCLUSION: Higher levels of postoperative troponin measured immediately after surgery were independently associated with lower self-reported HRQoL total score at 1-year follow-up

    Postoperative troponin release is associated with major adverse cardiovascular events in the first year after noncardiac surgery

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    _Introduction:_ Troponin elevations after intermediate-to-high risk noncardiac surgery are common and can predict mortality. However, the prognostic value for early and late major adverse cardiovascular events (MACE) is less well investigated. The authors evaluated the relationship between postoperative troponin release and MACE in the first year after noncardiac surgery. _Methods:_ This observational cohort registry comprised data of patients aged ≥60 years undergoing intermediateto-high risk noncardiac surgery between July 2012 and 2015, at the Erasmus University Medical Center, Rotter

    Управление финансовой устойчивостью и рентабельностью предприятия

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    Целью статьи является изучение значения управления финансовой устойчивостью и рентабельностью предприятия в современных условиях хозяйствования

    Gestational age and socio demographic factors associated with school performance at the age of 12 years, a population based study

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    BackgroundGestational age is positively associated with cognitive development, but socio-demographic factors also influence school performance. Previous studies suggested possible interaction, putting children with low socio-economic status (SES) at increased risk of the negative effects of prematurity.ObjectivesTo investigate the association between gestational age in weeks, socio-demographic characteristics, and school performance at the age of 12 years among children in regular primary education.MethodsPopulation-based cohort study among liveborn singletons (N = 860,332) born in the Netherlands in 1999–2006 at 25–42 weeks' gestation, with school performance from 2011 to 2019. Regression analyses were conducted investigating the association of gestational age and sociodemographic factors with school performance and possible interaction.ResultsSchool performance increased with gestational age up to 40 weeks. This pattern was evident across socio-demographic strata. Children born at 25 weeks had −0.57 SD (95% confidence interval −0.79, −0.35) lower school performance z-scores and lower secondary school level compared to 40 weeks. Low maternal education, low maternal age, and non-European origin were strongly associated with lower school performance. Being born third or later and low socioeconomic status (SES) were also associated with lower school performance, but differences were smaller than among other factors. When born preterm, children from mothers with low education level, low or high age, low SES or children born third or later were at higher risk for lower school performance compared to children of mothers with intermediate education level, aged 25–29 years, with intermediate SES or first borns (evidence of interaction).ConclusionsHigher gestational age is associated with better school performance at the age of 12 years along the entire spectrum of gestational age, beyond the cut-off of preterm birth and across socio-demographic differences. Children in socially or economically disadvantaged situations might be more vulnerable to the negative impact of preterm birth. Other important factors in school performance are maternal education, maternal age, ethnicity, birth order and SES. Results should be interpreted with caution due to differential loss to follow-up

    Gestational age and socio demographic factors associated with school performance at the age of 12 years, a population based study

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    BackgroundGestational age is positively associated with cognitive development, but socio-demographic factors also influence school performance. Previous studies suggested possible interaction, putting children with low socio-economic status (SES) at increased risk of the negative effects of prematurity.ObjectivesTo investigate the association between gestational age in weeks, socio-demographic characteristics, and school performance at the age of 12 years among children in regular primary education.MethodsPopulation-based cohort study among liveborn singletons (N = 860,332) born in the Netherlands in 1999–2006 at 25–42 weeks' gestation, with school performance from 2011 to 2019. Regression analyses were conducted investigating the association of gestational age and sociodemographic factors with school performance and possible interaction.ResultsSchool performance increased with gestational age up to 40 weeks. This pattern was evident across socio-demographic strata. Children born at 25 weeks had −0.57 SD (95% confidence interval −0.79, −0.35) lower school performance z-scores and lower secondary school level compared to 40 weeks. Low maternal education, low maternal age, and non-European origin were strongly associated with lower school performance. Being born third or later and low socioeconomic status (SES) were also associated with lower school performance, but differences were smaller than among other factors. When born preterm, children from mothers with low education level, low or high age, low SES or children born third or later were at higher risk for lower school performance compared to children of mothers with intermediate education level, aged 25–29 years, with intermediate SES or first borns (evidence of interaction).ConclusionsHigher gestational age is associated with better school performance at the age of 12 years along the entire spectrum of gestational age, beyond the cut-off of preterm birth and across socio-demographic differences. Children in socially or economically disadvantaged situations might be more vulnerable to the negative impact of preterm birth. Other important factors in school performance are maternal education, maternal age, ethnicity, birth order and SES. Results should be interpreted with caution due to differential loss to follow-up
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