Active Assessment for HACCP Training: Integrating Pedagogical Reasoning with Primary Trait Analysis

An active assessment mechanism based on Primary Trait Analysis (PTA) and the six aspects of a pedagogical reasoning model was developed to leverage the effectiveness of Hazard Analysis Critical Control Point (HACCP) training. By integrating critical thinking into the design of problem scenarios, students are expected to go through five different levels of learning, starting with comprehending science content and available resources, transforming the information for accomplishing the task, and implementing into the target process and ending with evaluating and reflecting on various outcomes of the situation. Students are thereby are expected to develop new comprehension of the topics

Een kennismaking met Regionaal Innovatie Centrum Eemland

De verhoudingen tussen Stad en Platteland zijn de laatste jaren sterk en snel veranderd in Nederland (Vriend, Huijgen, Fischer, 2005). Productielandbouw biedt steeds minder kansen op bestaansrecht. Naar verwachting zal ongeveer eenderde van de boeren stoppen, eenderde zal verbreden en eenderde zal intensiever worden. De stad verwacht steeds meer een maatschappelijke functie van het platteland. Het tweederde deel van de boeren dat verbreedt ofwel intensiveert zal de maatschappelijke functie van het platteland grotendeels gaan vormgeven. Burgers hebben grote behoefte aan ruimte en rust, welzijn en welvaart en de balans vinden tussen mens en omgeving wordt steeds belangrijker. Zij willen streekproducten eten en drinken, genieten van gevarieerd landschap, de natuur en het ommeland beleven, in balans komen, maar ook leren en werken (www.veelzijdigplatteland.nl). Deze effecten zijn ook in de regio Eemland-Arkemheen merkbaar. LEI, Eemlandhoeve en CAH Dronten haken in op de ontwikkelinge

Regionale kennisarrangementen: verslag van quickscan en kennisdag 2009

In veel regio’s zijn burgers, bestuurders en ondernemers actief betrokken bij de ontwikkeling van hun omgeving. In het kader van gebiedsplannen wordt gewerkt aan doelen op het terrein van landschap, natuur, landbouw en plattelandsontwikkeling. Hierbij komen uiteenlopende (kennis)vragen naar boven. De kennisvragen worden vaak ad hoc gesteld en men weet vaak niet waar men terecht kan. In een aantal regio’s in Nederland wordt dit verschijnsel onderkend en groeit het besef dat het zoeken naar de antwoorden op deze kennisvragen een serieuze bijdrage levert aan gebiedsontwikkeling. Hier wordt een verbinding met onderwijs en onderzoek gemaakt. Omdat ook bij de kennisinstellingen steeds vaker wordt gezocht naar manieren om meer praktijkgerichte werken, ontstaan er samenwerkingsverbanden. Deze verbindingen tussen regio en onderwijs en onderzoek rond kennisvragen, noemen we een regionaal kennisarrangemen

Parents’ and healthcare professionals’ experiences with the content of an individual care plan for pediatric palliative care: a mixed-method study

Background: The Individual Care Plan (ICP) for pediatric palliative care translates the general guideline recommendations into a personalized plan for the child. Various documents exist in pediatrics globally, aimed at facilitating anticipatory care or coordinating end-of-life care. The ICP aims both, but user experiences have not been studied post-development. Objective: The overall aim is to enhance knowledge and understanding of the content of the ICP from the perspectives of parents and healthcare professionals (HCPs). Design and method: We conducted a mixed-method study using a convergent parallel design consisting of questionnaires and individual and focus group interviews among parents and HCPs having user experience with the ICP. The questionnaire and interview data were analyzed separately. Quantitative data were descriptively analyzed using mean, ±SD, and median. Qualitative data were thematically analyzed. A narrative approach and joint display were used to describe the results. Results: In total, 27 parents and 161 HCPs participated. Overall, the content of the ICP was seen as important and complete, but changes and additions were called for on language, structure, and content. The chapter on the needs and wishes of child and parents was considered most important. HCPs would like to see this chapter expanded to incorporate more advance care planning outcomes, and parents wished for this chapter to reflect better who their child is. HCPs mentioned missing a chapter for palliative sedation, mainly to guide other HCPs. The ICP was appraised as not user-friendly and might possibly improve by making the ICP available in a secure digital environment. Conclusion: To meet the needs of parents and HCPs considering importance and completeness of the content of the ICP and its user-friendliness, changes are necessary in the content of the ICP, and preferably the ICP should be made digitally available. Although various documents exist globally to facilitate anticipatory care or coordinating end-of-life care, it appears that the combination of describing the values and preferences of the child and parents, along with medical decisions and life-sustaining treatments, makes the ICP a unique and comprehensive care plan

A Dutch paediatric palliative care guideline: a systematic review and evidence-based recommendations for symptom treatment

Background: Children with life-threatening and life-limiting conditions can experience high levels of suffering due to multiple distressing symptoms that result in poor quality of life and increase risk of long-term distress in their family members. High quality symptom treatment is needed for all these children and their families, even more so at the end-of-life. In this paper, we provide evidence-based recommendations for symptom treatment in paediatric palliative patients to optimize care. Methods: A multidisciplinary panel of 56 experts in paediatric palliative care and nine (bereaved) parents was established to develop recommendations on symptom treatment in paediatric palliative care including anxiety and depression, delirium, dyspnoea, haematological symptoms, coughing, skin complaints, nausea and vomiting, neurological symptoms, pain, death rattle, fatigue, paediatric palliative sedation and forgoing hydration and nutrition. Recommendations were based on evidence from a systematic literature search, additional literature sources (such as guidelines), clinical expertise, and patient and family values. We used the GRADE methodology for appraisal of evidence. Parents were included in the guideline panel to ensure the representation of patient and family values. Results: We included a total of 18 studies that reported on the effects of specific (non) pharmacological interventions to treat symptoms in paediatric palliative care. A few of these interventions showed significant improvement in symptom relief. This evidence could only (partly) answer eight out of 27 clinical questions. We included 29 guidelines and two textbooks as additional literature to deal with lack of evidence. In total, we formulated 221 recommendations on symptom treatment in paediatric palliative care based on evidence, additional literature, clinical expertise, and patient and family values. Conclusion: Even though available evidence on symptom-related paediatric palliative care interventions has increased, there still is a paucity of evidence in paediatric palliative care. We urge for international multidisciplinary multi-institutional collaboration to perform high-quality research and contribute to the optimization of symptom relief in palliative care for all children worldwide

Degradation of haloaromatic compounds

An ever increasing number of halogenated organic compounds has been produced by industry in the last few decades. These compounds are employed as biocides, for synthetic polymers, as solvents, and as synthetic intermediates. Production figures are often incomplete, and total production has frequently to be extrapolated from estimates for individual countries. Compounds of this type as a rule are highly persistent against biodegradation and belong, as "recalcitrant" chemicals, to the class of so-called xenobiotics. This term is used to characterise chemical substances which have no or limited structural analogy to natural compounds for which degradation pathways have evolved over billions of years. Xenobiotics frequently have some common features. e.g. high octanol/water partitioning coefficients and low water solubility which makes for a high accumulation ratio in the biosphere (bioaccumulation potential). Recalcitrant compounds therefore are found accumulated in mammals, especially in fat tissue, animal milk supplies and also in human milk. Highly sophisticated analytical techniques have been developed for the detection of organochlorines at the trace and ultratrace level

Biophysical interactions in tropical agroforestry systems

sequential systems, simultaneous systems Abstract. The rate and extent to which biophysical resources are captured and utilized by the components of an agroforestry system are determined by the nature and intensity of interac-tions between the components. The net effect of these interactions is often determined by the influence of the tree component on the other component(s) and/or on the overall system, and is expressed in terms of such quantifiable responses as soil fertility changes, microclimate modification, resource (water, nutrients, and light) availability and utilization, pest and disease incidence, and allelopathy. The paper reviews such manifestations of biophysical interactions in major simultaneous (e.g., hedgerow intercropping and trees on croplands) and sequential (e.g., planted tree fallows) agroforestry systems. In hedgerow intercropping (HI), the hedge/crop interactions are dominated by soil fertility improvement and competition for growth resources. Higher crop yields in HI than in sole cropping are noted mostly in inherently fertile soils in humid and subhumid tropics, and are caused by large fertility improvement relative to the effects of competition. But, yield increases are rare in semiarid tropics and infertile acid soils because fertility improvement does not offse