388 research outputs found
Praktijkevaluatie levert waarheden, onderzoek levert verwachtingen; Verkenning Praktijkevaluatie van toegepaste energiebesparingstechnieken in de glastuinbouw
Economische en bedrijfskundige aspecten van milieuvriendelijkere bedrijfssystemen in de glastuinbouw. Project B: Simulatie van milieuvriendelijkere bedrijfssystemen in de glastuinbouw. Gewasgroep: eenmalig oogstbare snijbloemen
Gender and educational leadership in England: a comparison of secondary headteachers' views over time
In the context of gender being a barrier to accessing leadership, this paper presents a comparison of the views of men and women head teacher (principals) of secondary schools in England in the 1990s and in 2004. The same survey instrument was used on both occasions. The perceptions of the head teachers show change in some areas and no change in others. Overall, women are more likely to become head teachers and are now less likely to be categorised into pastoral roles, but in some cases women still meet prejudice from governors and others in the wider community. Women head teachers are more likely to have partners and children than in the 1990s, sharing equally or carrying most of the domestic responsibilities, whereas male colleagues are most likely to have partners who take the majority of responsibility in the home. Essentialist stereotypes about women and men as leaders still prevail, although both the women and men head teachers see themselves as adopting a traditionally ‘feminine’ style of leadership. Women head teachers are likely to see some benefits in being a woman in a role stereotypically associated with men. However, there has been an increase in the proportion of women who feel that they have to prove their worth as a leader, and this may be linked with increased levels of accountability in schools
Report on economic & environmental profile of new technology greenhouses at the three scenarios
The EUPHOROS project is co-funded by the European Commission, Directorate General for Research, within the 7th Framework Programme of RTD, Theme 2 – Biotechnology, Agriculture & Food, contract 211457. The views and opinions expressed in this Deliverable are purely those of the writers and may not in any circumstances be regarded as stating an official position of the European Commission. This Deliverable 5 Annex is the latest updated version in September 2011
A simple model to quantitatively account for periodic outbreaks of the measles in the Dutch Bible Belt
In the Netherlands there has been nationwide vaccination against the measles since 1976. However, in small clustered communities of orthodox Protestants there is widespread refusal of the vaccine. After 1976, three large outbreaks with about 3000 reported cases of the measles have occurred among these orthodox Protestants. The outbreaks appear to occur about every twelve years. We show how a simple Kermack-McKendrick-like model can quantitatively account for the periodic outbreaks. Approximate analytic formulae to connect the period, size, and outbreak duration are derived. With an enhanced model we take the latency period in account. We also expand the model to follow how different age groups are affected. Like other researchers using other methods, we conclude that large scale underreporting of the disease must occur
Environmental and economic profile of present greenhouse production systems in Europe. Annex
The EUPHOROS project is co-funded by the European Commission, Directorate General for Research, within the 7th Framework Programme of RTD, Theme 2 – Biotechnology, Agriculture & Food, contract 211457. The views and opinions expressed in this Deliverable are purely those of the writers and may not in any circumstances be regarded as stating an official position of the European Commission. This Deliverable 5 Annex is the latest updated version in September 2011
Under-vaccinated groups in Europe and their beliefs, attitudes and reasons for non-vaccination; two systematic reviews
The broad spectrum of unbearable suffering in end of life cancer studied in dutch primary care
<p>Abstract</p> <p>Background</p> <p>Unbearable suffering most frequently is reported in end-of-life cancer patients in primary care. However, research seldom addresses unbearable suffering. The aim of this study was to comprehensively investigate the various aspects of unbearable suffering in end-of-life cancer patients cared for in primary care.</p> <p>Methods</p> <p>Forty four general practitioners recruited end-of-life cancer patients with an estimated life expectancy of half a year or shorter. The inclusion period was three years, follow-up lasted one additional year. Practices were monitored bimonthly to identify new cases. Unbearable aspects in five domains and overall unbearable suffering were quantitatively assessed (5-point scale) through patient interviews every two months with a comprehensive instrument. Scores of 4 (serious) or 5 (hardly can be worse) were defined unbearable. The last interviews before death were analyzed. Sources providing strength to bear suffering were identified through additional open-ended questions.</p> <p>Results</p> <p>Seventy six out of 148 patients (51%) requested to participate consented; the attrition rate was 8%, while 8% were alive at the end of follow-up. Sixty four patients were followed up until death; in 60 patients interviews were complete. Overall unbearable suffering occurred in 28%. A mean of 18 unbearable aspects was present in patients with serious (score 4) overall unbearable suffering. Overall, half of the unbearable aspects involved the domain of traditional medical symptoms. The most frequent unbearable aspects were weakness, general discomfort, tiredness, pain, loss of appetite and not sleeping well (25%-57%). The other half of the unbearable aspects involved the domains of function, personhood, environment, and nature and prognosis of disease. The most frequent unbearable aspects were impaired activities, feeling dependent, help needed with housekeeping, not being able to do important things, trouble accepting the situation, being bedridden and loss of control (27%-55%). The combination of love and support was the most frequent source (67%) providing strength to bear suffering.</p> <p>Conclusions</p> <p>Overall unbearable suffering occurred in one in every four end-of-life cancer patients. Half of the unbearable aspects involved medical symptoms, the other half concerned psychological, social and existential dimensions. Physicians need to comprehensively assess suffering and provide psychosocial interventions alongside physical symptom management.</p
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