20 research outputs found

    Wormindex hoger en speendip lager

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    Schoolverzuim verminderen en tegengaan

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    Frozen Food: Enthalpy

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    When Do Offenders Commit Crime? An Analysis of Temporal Consistency in Individual Offending Patterns

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    Abstract Objectives Building on Hägerstrand’s time geography, we expect temporal consistency in individual offending behavior. We hypothesize that repeat offenders commit offenses at similar times of day and week. In addition, we expect stronger temporal consistency for crimes of the same type and for crimes committed within a shorter time span. Method We use police-recorded crime data on 28,274 repeat offenders who committed 152,180 offenses between 1996 and 2009 in the greater The Hague area in the Netherlands. We use a Monte Carlo permutation procedure to compare the overall level of temporal consistency observed in the data to the temporal consistency that is to be expected given the overall temporal distribution of crime. Results Repeat offenders show strong temporal consistency: they commit their crimes at more similar hours of day and week than expected. Moreover, the observed temporal consistency patterns are indeed stronger for offenses of the same type of crime and when less time has elapsed between the offenses, especially for offenses committed within a month after the prior offense. Discussion The results are consistent with offenders having recurring rhythms that shape their temporal crime pattern. These findings might prove valuable for improving predictive policing methods and crime linkage analysis as well as interventions to reduce recidivism. </jats:sec

    Right place, right time? Making crime pattern theory time-specific

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    Abstract Objectives Crime pattern theory and the related empirical research have remained rather a-temporal, as if the timing of routine activities and crime plays no role. Building on previous geography of crime research, we extend crime pattern theory and propose that an offender’s spatial knowledge acquired during daily routine activities is not equally applicable to all times of day. Methods We put this extended theory to a first empirical test by applying a discrete spatial choice model to detailed information from the Netherlands on 71 offences committed by 30 offenders collected through a unique online survey instrument. The offenders reported on their most important activity nodes and offence locations over the past year, as well as the specific times they regularly visited these locations. Results The results show that almost 40% of the offences are committed within the neighbourhoods of offenders’ activity nodes, increasing to 85% when including first-, second- and third-order neighbourhoods. Though not statistically significant in our small sample, the results further suggest that offenders are more likely to commit crime in neighbourhoods they have regularly visited at the same time of day than in neighbourhoods they have regularly visited at different times of day. Conclusion Our extension of crime pattern theory is only tentatively supported. We argue for replication research with larger samples before any firm conclusions are warranted. </jats:sec

    Health problems among family caregivers of former intensive care unit (ICU) patients: an interview study

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    Contains fulltext : 229434.pdf (publisher's version ) (Open Access)BACKGROUND: Family caregivers of former intensive care unit (ICU) patients may suffer from physical and mental problems owing to ICU hospitalisation of their loved ones. These problems can have a major impact on their daily lives. Little is known about experienced consequences of ICU hospitalisation on caregivers in general practice. AIM: To explore health problems in family caregivers of former ICU patients and the consequences in their daily lives. DESIGN & SETTING: Semi-structured interviews with family caregivers of former critically ill patients treated in a Dutch ICU. METHOD: Purposively sampled relatives of former ICU patients were interviewed between April and May 2019. Interviews were conducted until data saturation was reached. Interviews were then thematically analysed. RESULTS: In total, 13 family caregivers were interviewed. The interviews took place 3 months to 3 years after ICU discharge. Expressed problems were categorised into six themes: (1) physical functioning (for example, tiredness, headache, and feeling sick more often); (2) mental health (for example, anxiety, more stress and difficulty in expressing emotions); (3) existential dimension and future (for example, uncertainty about the future); (4) quality of life (for example, losing freedom in life); (5) relationship and social participation (for example, experiencing a lack of understanding); and (6) daily functioning (for example, stopping working). CONCLUSION: Caregivers experience several health problems, even years after their relative's ICU episode. Healthcare providers should be focused not only on former ICU patients' health, but also on their caregivers', and need to signal and identify caregivers' health problems earlier in order to give them the appropriate care and support they need

    Post-intensive care syndrome in primary care: The development of new diseases and primary care services utilisation - a prospective cohort study.

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    BACKGROUND: Patients experience long-lasting health problems defined as post-intensive care syndrome (PICS) after Intensive Care Unit (ICU) admission. Little is known about PICS in primary care. OBJECTIVES: To investigate whether ICU survivors encounter more new International Classification of Primary Care-2 (ICPC-2) diagnoses and general practitioner (GP) contact compared to patients with similar comorbidity without ICU admission. METHODS: Prospective multicentre cohort study in three Dutch general practices. Numbers of disease-episodes and GP contacts of ICU survivors ≥ 16 years admitted between 2008 and 2017 were extracted from GPs' information systems. A non-ICU reference cohort was matched 1:1 for age, sex, follow-up period and comorbidity groups from patients' medical history. Negative binominal regression analysis was used to compare both cohorts 0-3, 3-6, 6-12 months, 1-2 and 2-5 years after ICU admission and 1 year prior to admission. RESULTS: ICU survivors (n = 199) encountered more new disease-episodes 1 year before (mean 3.97 (95% confidence interval [CI] 3.50-4.52]]; reference 2.36 [1.28-3.17]) to 2-5 years after ICU admission (3.65 [3.15-4.26]; reference 2.86 [2.52-3.22]). ICU survivors also had more GP contacts 1 year before (mean 19.61 [17.31-22.17]; reference 10.02 [7.81-12.38]) to 2-5 years after ICU admission (18.53 [15.58-21.85]; reference 12.03 [10.33-13.91]). Patients with prior ICU admission did not encounter patterns in specific ICPC-2 chapters compared to non-ICU patients. CONCLUSION: Patients admitted to the ICU encounter more new primary care disease-episodes and GP contacts. As patients present their symptoms to their GP first, it is therefore up to the GP to recognise these critical illness-related symptoms

    Breast cancer survivors’ experiences with an activity tracker integrated into a supervised exercise program:qualitative study

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    \u3cp\u3eBackground: There is growing evidence that physical activity is related to a better prognosis after a breast cancer diagnosis, whereas sedentary behavior is associated with worse outcomes. It is therefore important to stimulate physical activity and reduce sedentary time among patients with breast cancer. Activity trackers offer a new opportunity for interventions directed at stimulating physical activity behavior change. Objective: This study aimed to explore the experience of patients with breast cancer who used an activity tracker in addition to a supervised exercise intervention in the randomized UMBRELLA Fit trial. Methods: A total of 10 patients with breast cancer who completed cancer treatment participated in semistructured in-depth interviews about their experience with and suggestions for improvements for the Jawbone UP2 activity tracker. Results: The activity tracker motivated women to be physically active and created more awareness of their (sedentary) lifestyles. The women indicated that the automatically generated advice (received via the Jawbone UP app) lacked individualization and was not applicable to their personal situations (ie, having been treated for cancer). Furthermore, women felt that the daily step goal was one-dimensional, and they preferred to incorporate other physical activity goals. The activity tracker’s inability to measure strength exercises was a noted shortcoming. Finally, women valued personal feedback about the activity tracker from the physiotherapist. Conclusions: Wearing an activity tracker raised lifestyle awareness in patients with breast cancer. The women also reported additional needs not addressed by the system. Potential improvements include a more realistic total daily physical activity representation, personalized advice, and personalized goals.\u3c/p\u3
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