1e alinea column: Wat is de les van Haren? Ik denk dat de les is dat Nederland zich niet kan verdedigen tegen dit soort agressie. En ik denk dat de agressor ook deze conclusie heeft getrokken .
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Introduction: The Netherlands does not have a national guideline for performing radiographic examinations on pregnant patients. Radiographic examination is a generic term for all examinations performed using ionizing radiation, including but not limited to radiographs, fluoroscopy and computed tomography. A pilot study amongst radiographers (Medical Radiation Technologists (MRTs)) showed that standardized practice of radiographic examinations on pregnant women is not evident between Radiology departments and that there is a need for a national guideline as the varying practice methods may lead to confusion and uncertainty amongst both patients and MRTs. Methods: Focus groups consisting of MRTs from several Radiology departments within the Netherlands were used to map ideas and requirements as to what should be included in the national guideline. Nine focus group sessions were organized with a total of 52 participants. Using a previous review (Wit, Fleur; Vroonland, Colinda; Bijwaard H. Pre-natal X-ray exposure and the risk of developing paediatric cancer; a systematic review of risk factors and a comparison of international guidelines. Health Physics 2021; 121 (3):225e233), the following key points were chosen as discussion topics for the focus group sessions: dose reduction, confirming pregnancy and risk communication. Results: Results showed that the participating MRTs did not agree on the use of lead aprons. That the national guideline should include standardized methods to adjust parameters to decrease radiation dose. Focus group participants find it difficult to ask a patient's pregnancy status, especially when dealing with relatively young and old (er) patients. When communicating the level of risk associated with a radiographic examination the participating MRTs would like to be able to use examples and comparisons, preferably by means of a multilingual website. Conclusion: A national guideline must include information on justification, available alternatives, dose reductions methods and confirmation of pregnancy requirements when fetal dose is a significant risk. Implications for practice: A national guideline ensures standardized practice can be implemented in Radiology departments, increasing clarity of the issues for both patients and MRTs.
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Samenvatting: In het kader van een afstudeerproject zijn data van 33 kinderen verzameld die een X-abdomen onderzoek ondergingen in het Wilhelmina Kinderziekenhuis. Uit deze data zijn curves afgeleid van Dosis Oppervlakte Product (DOP) ten opzichte van het lichaamsgewicht om te dienen als Diagnostisch ReferentieNiveau (DRN). De spreiding in de data leidt echter tot onzekerheid over de beste DRN-curve. Die curve is bovendien slechts gebaseerd op de data van één ziekenhuis en is daarmee hooguit bruikbaar als lokaal DRN. Door deze studie te herhalen in andere ziekenhuizen en meer data te verzamelen zou een nationale DRN-curve afgeleid kunnen worden. Zo’n curve zou de toetsing van doses aan DRN’s voor kinderen vergemakkelijken.
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The project X-TEAM D2D (Extended ATM for Door-to-Door Travel) has been funded by SESAR JU in 2020 and completed its activities in 2022, pursuing and accomplishing the definition, development and initial assessment of a Concept of Operations (ConOps) for the seamless integration of ATM and air transport into an overall intermodal network, including other available transportation means (surface, water), to support the door-to-door connectivity, in up to 4 hours, between any location in Europe. The project addressed the ATM and air transport, including Urban Air Mobility (UAM), integration in the overall transport network serving urban and extended urban (up to regional level) mobility, specifically identifying and considering the transportation and passengers service scenarios expected for the near, medium and long-term future, i.e. for the project baseline (2025), intermediate (2035) and final (2050) time horizons. In this paper, the main outcomes from the project activities are summarized, with particular emphasis on the studies about the definition of future scenarios and use cases for the integration of the vertical transport with the surface transport towards integrated intermodal transport system and about identification of the barriers towards this goal. In addition, an outline is provided on the specific ConOps for the integration of ATM in intermodal transport infrastructure (i.e. the part of the overall ConOps devoted to integration of different transportation means) and on the specific ConOps for the integration of ATM in intermodal service to passengers (i.e. the specific component of the ConOps devoted to design of a unique service to passengers). Finally, the main outcomes are summarized from the validation of the proposed ConOps through dedicated simulations.
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Sustainability transition research seeks to understand the patterns and dynamics of structural societal change as well as unearth strategies for governance. However, existing frameworks emphasize innovation and build-up over exnovation and break-down. This limits their potential in making sense of the turbulent and chaotic dynamics of current transition-in-the-making. Addressing this gap, our paper elaborates on the development and use of the X-curve framework. The X-curve provides a simplified depiction of transitions that explicitly captures the patterns of build-up, breakdown, and their interactions.Using three cases, we illustrate the X-curve’s main strength as a framework that can support groups of people to develop a shared understanding of the dynamics in transitions-in-the-making. This helps them reflect upon their roles, potential influence, and the needed capacities for desired transitions. We discuss some challenges in using the X-curve framework, such as participants’ grasp of ‘chaos’, and provide suggestions on how to address these challenges and strengthen the frameworks’ ability to support understanding and navigation of transition dynamics. We conclude by summarizing its main strength and invite the reader to use it, reflect on it, build on it, and judge its value for action research on sustainability transitions themselves.
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Powerpoint presented at the IPMA (International Project Management Association) World Conference 2014, Rotterdam, The Netherlands; 09/2014.
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From the article: "The vast amount of previous research on project management competence does not provide a basis for educational needs. Analyzing previous research poses two challenges: the lack of a uniform list of competences, necessitating a taxonomy, and the use of importance as a criterion, favoring general important competences. Criticality is introduced as the competence a project manager adds to the team. Validation research using criticality and the taxonomy among experienced Dutch project managers is more comprehensive and provides a less focus on general important competences than previous research. Criticality focuses more on the essence of the profession."
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From the article: "The object of this paper is to explore the actual practice in project management education in the Netherlands and compare it to reference institutions and recent literature. A little over 40% of the Higher Education institutions in the Netherlands mentions PM education in programs and/or courses. A total of 264 courses, minors and programs in the Netherlands found. In reference institutions 33 courses and programs are found and 36 publications deal with actual teaching of project management in Higher Education. Comparing these sources finds traditional methods of teaching and testing, a roughly comparable focus on subjects and an unsupported high claim of learning level, while the number of credits assigned to project management is relatively small. There is a strong focus on planning without execution, which is critiqued as is the promoted Project Based Learning."
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It is becoming clear that the project management practice must embrace sustainability in order to develop into a 'true profession' (Silvius et al., 2012). In project management, sustainability can be gained in both the product of the project and in the process of delivering the product. (Gareis et al., 2010) Nine sustainability principles have been identified that should be implemented in the project management practice. These nine principles are: (1) values and ethics; (2) holistic approach; (3) long term view; (4) large scale; (5) risk reduction; (6) participation; (7) accountability; (8) transparency; (9) stakeholder interest. In a case study it is researched which project and program management roles can exert an influence to have the sustainability principles implemented in the project management practice and how they can accomplish this implementation.
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Deze studie beschrijft de effecten van twee regio-issues op het imago van die regio’s: het effect van de aankondiging van (meer en zwaardere) aardbevingen op de aantrekkelijkheid van Noord-Groningen, en het effect van Project X Haren (jongerenrelletjes) op de aantrekkelijkheid van het dorp Haren. Tevens is gekeken of mogelijke effecten verschillen naar gelang afstand tot de regio of doelgroep (bewoners versus niet bewoners, en bedrijven). Er is in juni 2013 een korte vragenlijst verspreid onder ruim 300 bedrijven in Nederland, en ruim 400 particulieren. Het blijkt dat beide issues goed bekend waren in heel Nederland en dat het inderdaad geleid heeft tot een negatief effect op de regio’s als woon- en/of vestigingslocatie. Er was nauwelijks effect aantoonbaar op bezoekaantrekkelijkheid (case Noord Groningen). Bedrijven en bewoners uit de eigen regio zijn (logischerwijs) beter op de hoogte van regionieuws dan buiten de regio. Er is geen verband met afstand gevonden. Wel geldt zowel binnen als buiten de eigen regio dat als een regio minder aantrekkelijk gevonden wordt, men ook minder goed op de hoogte is van regionieuws. Dit vergroot het belang van goede communicatie met de eigen doelgroepen in een regio. Landelijk nieuws kan ook, zoals in geval van Haren, leiden tot grotere bekendheid. Ondanks dat een aantal mensen daar een negatief gevoel bij heeft, blijven er grote groepen over waarbij het geen negatief effect heeft zodat ook slecht nieuws kan leiden tot versterking van het regiomerk.
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