185 research outputs found
The Rhythm of Risk: Sexual Behaviour, PrEP Use and HIV Risk Perception Between 1999 and 2018 Among Men Who Have Sex with Men in Amsterdam, The Netherlands
Structural mechanical and RF measurements on the superconducting 217 MHz CH cavity for the cw demonstrator at GSI
First RF Measurements of the Superconducting 217 MHz CH Cavity for the cw Demonstrator at GSI
The perceived impact of an HIV cure by people living with HIV and key populations vulnerable to HIV in the Netherlands: A qualitative study
The experienced positive and negative influence of HIV on quality of life of people with HIV and vulnerable to HIV in the Netherlands
Beam dynamics for the sc cw heavy ion linac at GSI
For future experiments with heavy ions near the coulomb barrier within the SHE (super-heavy elements) research project a multi-stage R&D program of GSI, HIM and IAP is currently in progress. It aims at developing a superconducting (sc) continuous wave (cw) LINAC with multiple CH cavities as key components downstream the High Charge Injector (HLI) at GSI. The beam dynamics concept is based on EQUUS (equidistant multigap structure) constant-beta cavities. Advantages of its periodicity are a high simulation accuracy, easy manufacturing and tuning with minimized costs as well as a straightforward energy variation. The next milestone will be a full performance beam test of the first LINAC section, comprising two solenoids and a 15-gap CH cavity inside a cryostat (Demonstrator)
Cost Analysis of the Dutch Obstetric System: low-risk nulliparous women preferring home or short-stay hospital birth - a prospective non-randomised controlled study
<p>Abstract</p> <p>Background</p> <p>In the Netherlands, pregnant women without medical complications can decide where they want to give birth, at home or in a short-stay hospital setting with a midwife. However, a decrease in the home birth rate during the last decennium may have raised the societal costs of giving birth. The objective of this study is to compare the societal costs of home births with those of births in a short-stay hospital setting.</p> <p>Methods</p> <p>This study is a cost analysis based on the findings of a multicenter prospective non-randomised study comparing two groups of nulliparous women with different preferences for where to give birth, at home or in a short-stay hospital setting. Data were collected using cost diaries, questionnaires and birth registration forms. Analysis of the data is divided into a base case analysis and a sensitivity analysis.</p> <p>Results</p> <p>In the group of home births, the total societal costs associated with giving birth at home were €3,695 (per birth), compared with €3,950 per birth in the group for short-stay hospital births. Statistically significant differences between both groups were found regarding the following cost categories 'Cost of contacts with health care professionals during delivery' (€138.38 vs. €87.94, -50 (2.5-97.5 percentile range (PR)-76;-25), p < 0.05), 'cost of maternity care at home' (€1,551.69 vs. €1,240.69, -311 (PR -485; -150), p < 0.05) and 'cost of hospitalisation mother' (€707.77 vs. 959.06, 251 (PR 69;433), p < 0.05). The highest costs are for hospitalisation (41% of all costs). Because there is a relatively high amount of (partly) missing data, a sensitivity analysis was performed, in which all missing data were included in the analysis by means of general mean substitution. In the sensitivity analysis, the total costs associated with home birth are €4,364 per birth, and €4,541 per birth for short-stay hospital births.</p> <p>Conclusion</p> <p>The total costs associated with pregnancy, delivery, and postpartum care are comparable for home birth and short-stay hospital birth. The most important differences in costs between the home birth group and the short-stay hospital birth group are associated with maternity care assistance, hospitalisation, and travelling costs.</p
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