When defending against hostile enemies, individual group members can benefit from others staying in the group and fighting. However, individuals themselves may be better off by leaving the group and avoiding the personal risks associated with fighting. While fleeing is indeed commonly observed, when and why defenders fight or flee remains poorly understood and is addressed here with three incentivized and preregistered experiments (total n = 602). In stylized attacker-defender contest games in which defenders could stay and fight or leave, we show that the less costly leaving is, the more likely individuals are to abandon their group. In addition, more risk-averse individuals are more likely to leave. Conversely, individuals more likely stay and fight when they have pro-social preferences and when fellow group members cannot leave. However, those who stay not always contribute fully to group defense, to some degree free-riding on the efforts of other group members. Nonetheless, staying increased intergroup conflict and its associated costs.
BackgroundSpecialist palliative care teams are consulted during hospital admission for advice on complex palliative care. These consultations need to be timely to prevent symptom burden and maintain quality of life. Insight into specialist palliative care teams may help improve the outcomes of palliative care.MethodsIn this retrospective observational study, we analyzed qualitative and quantitative data of palliative care consultations in a six-month period (2017 or 2018) in four general hospitals in the northwestern part of the Netherlands. Data were obtained from electronic medical records.ResultsWe extracted data from 336 consultations. The most common diagnoses were cancer (54.8%) and organ failure (26.8%). The estimated life expectancy was less than three months for 52.3% of all patients. Within two weeks after consultation, 53.2% of the patients died, and the median time until death was 11 days (range 191) after consultation. Most patients died in hospital (49.4%) but only 7.5% preferred to die in hospital. Consultations were mostly requested for advance care planning (31.6%). End-of-life preferences focused on last wishes and maintaining quality of life.ConclusionThis study provides detailed insight into consultations of palliative care teams and shows that even though most palliative care consultations were requested for advance care planning, consultations focus on end-of-life care and are more crisis-oriented than prevention-oriented. Death often occurs too quickly after consultation for end-of-life preferences to be met and these preferences tend to focus on dying. Educating healthcare professionals on when to initiate advance care planning would promote a more prevention-oriented approach. Defining factors that indicate the need for timely palliative care team consultation and advance care planning could help timely identification and consultation.
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this thesis was simply a research done to see how the manor amsterdam can use technologies to enhance its guest eperience. Surveys and intervews were conducted to see what the guest preferences were after which an implementation process was also drawn up.
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