"You did exactly, what we suggest: using the 4A model to improve alignment between business people and IT." Dat is de kern van George Westermans reactie op het IT-risico-onderzoek van Fontys Hogeschool.
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Falls are common after stroke. This article presents a literature review of the incidence and risk factors of falls and the consequences for professionals working with stroke patients. It is important to consider the specific problems after stroke. Depression and cognitive impairments were found to be risk factors for fall incidents after stroke. In the relevant literature many different risk factors and circumstances are described. When patients move from bed to chair, walk to the bathroom and the first few days after the patient is discharged to another setting, - all these circumstances showed high percentages of falling. A fall during hospital stay is a significant risk factor for future fall incidents. A reliable index to measure the fall risk is not (yet) available. But scores on the Barthel Index and the Timed-Up-and-Go test can be used as fall risk indicators. Fear of falling is an important complication after a fall and therefore it is recommended prior to discharge to inquire about the patients self efficacy in maintaining balance. Few intervention studies use the number of falls as an outcome measure. Exercising balance following a mass training protocol seems to diminish the risk of falling.
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Purpose: This study analyses how weather shocks influence agricultural entrepreneurs’ risk perception and how they manage these risks. It explores what risks agricultural entrepreneurs perceive as important, and how they face climate change and related weather shock risks compared to the multiple risks of the enterprise. Design/methodology: This paper uses qualitative data from several sources: eight semi-structured interviews with experts in agriculture, three focus groups with experts and entrepreneurs, and 32 semi-structured interviews with agricultural entrepreneurs. Findings: not published yet Originality and value: This study contributes to the literature about risk management by small- and medium-sized agricultural enterprises: it studies factors that shape perceptions about weather shocks and about climate change and how these perceptions affect actions to manage related risks, and it identifies factors that motivate agricultural entrepreneurs to adapt to climate change and changing weather shock risks. Practical implications can lay the foundation for concrete actions and policies to improve the resilience and sustainability of the sector, by adjusting risk management strategies, collaboration, knowledge sharing, and climate adaptation policy support.
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Full text met HU account. In this article we report a study into the Dutch probation service about the question whether structured decision making about case management plans does or does not improve the quality of these plans, and subsequently improves the effectiveness of offender supervision. Two samples of nearly 300 case management plans each were compared. In the first sample a tool for risk/needs assessment was used to assess the risks and needs but decision making about the subsequent case management plan was not structured (RISc2-sample). In the second sample professionals used the same tool for risk and needs assessment but now it also contained a section for structured decision making about the case management plan (RISc3-sample). Results showed that in the RISc3-sample the quality of the plans was significantly better than in the RISc2-sample: a better match between criminogenic needs and goals, a better match between goals of the offender and goals in the plan, more focus on strengthening social bonds, and a better match between risk of recidivism and intensity of the plan. Some significant correlations between the quality of the plans and the effectiveness of offender supervision were found, indicating that improving case management plans by structured decision support indeed can contribute to probation practice.
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Background: Multimodal prehabilitation programs are effective at reducing complications after colorectal surgery in patients with a high risk of postoperative complications due to low aerobic capacity and/or malnutrition. However, high implementation fidelity is needed to achieve these effects in real-life practice. This study aimed to investigate the implementation fidelity of an evidence-based prehabilitation program in the real-life context of a Dutch regional hospital.Methods: In this observational cohort study with multiple case analyses, all patients who underwent colorectal surgery from January 2023 to June 2023 were enrolled. Patients meeting the criteria for low aerobic capacity or malnutrition were advised to participate in a prehabilitation program. According to recent scientific insights and the local care context, this program consisted of four exercise modalities and three nutrition modalities. Implementation fidelity was investigated by evaluating: (1) coverage (participation rate), (2) duration (number of days between the start of prehabilitation and surgery), (3) content (delivery of prescribed intervention modalities), and (4) frequency (attendance of sessions and compliance with prescribed parameters). An aggregated percentage of content and frequency was calculated to determine overall adherence.Results: Fifty-eight patients intended to follow the prehabilitation care pathway, of which 41 performed a preoperative risk assessment (coverage 80%). Ten patients (24%) were identified as high-risk and participated in the prehabilitation program (duration of 33-84 days). Adherence was high (84-100%) in five and moderate (72-73%) in two patients. Adherence was remarkably low (25%, 53%, 54%) in three patients who struggled to execute the prehabilitation program due to multiple physical and cognitive impairments.Conclusion: Implementation fidelity of an evidence-based multimodal prehabilitation program for high-risk patients preparing for colorectal surgery in real-life practice was moderate because adherence was high for most patients, but low for some patients. Patients with low adherence had multiple impairments, with consequences for their preparation for surgery. For healthcare professionals, it is recommended to pay attention to high-risk patients with multiple impairments and further personalize the prehabilitation program. More knowledge about identifying and treating high-risk patients is needed to provide evidence-based recommendations and to obtain higher effectiveness.
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Social media and sharing economy platforms do not only disrupt industries. They also bypass democratic institutions. That’s not without risk, because the dominant Silicon Valley based online platforms are designed to create shareholder value, not to strengthen society or democracy. Which is unfortunate, because online platforms – if designed to that purpose – can be uniquely power full tools for organising our networked society.In Amsterdam over 90 neighbourhood networks use online platforms for self organisation. This development accelerated from 2010 on. The networks aim at strengthening social ties and local initiatives and are increasingly involved in some way of democratic innovation. This study is a deep dive into this urban bottom-up-movement. It puts the phenomena of online neighbourhood platforms in a broader societal and economical context. It points at the importance of user owned platforms and data. And it draws conclusions on how society and specifically municipal management can bring this movement to a next level. Ultimately with the potential of growing into an alternative for the Silicon Valley owned online platform ecosystem.
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Purpose: The purpose of this research is to develop a “risk resilience model” for agricultural SMEs, that prepares farmers to the effects of major environmental challenges like climate change and weather shocks. Methodology: Action research is the methodology used. It was based on a template for qualitative research. Involved in the inquiry, action and reflection phase are: four Dutch SME farmers, strategic risk management experts, agricultural experts, and bachelor students. Findings: As an outcome of this study, a “risk resilience model” has been developed. It supports farmers/agribusiness firms to reach their orientation to a longer timeframe. Systemically seen, it provides a holistic view that enables farmers/entrepreneurs, and stakeholders to operationalize their ambitions from a responsible and sustainable business, including environmental, social, governance elements in interaction with the system they are part of. Originality and value: This study contributes by proposing a “risk resilience model” for SME farmers. Furthermore, the study conceptualizes risk resilience for farmers, by looking through a lens of multiple value creation in a dynamic context and based on insights from different fields, actual ESG knowledge, and determinants for risk resilience, competitive advantage and agricultural resilience.
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Why are risk decisions sometimes rather irrational and biased than rational and effective? Can we educate and train vocational students and professionals in safety and security management to let them make smarter risk decisions? This paper starts with a theoretical and practical analysis. From research literature and theory we develop a two-phase process model of biased risk decision making, focussing on two critical professional competences: risk intelligence and risk skill. Risk intelligence applies to risk analysis on a mainly cognitive level, whereas risk skill covers the application of risk intelligence in the ultimate phase of risk decision making: whether or not a professional risk manager decides to intervene, how and how well. According to both phases of risk analysis and risk decision making the main problems are described and illustrated with examples from safety and security practice. It seems to be all about systematically biased reckoning and reasoning.
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This dissertation focuses on the question how money mules are recruited and which mechanisms play a role. Money mules are people who receive money from victims of online fraud. They are an indispensable link in the commission of financial-economic cybercrimes, such as phishing and bank helpdesk fraud, because they break the financial trail from victims to core members. The crucial role of money mules in the crime script and the possible consequences for young money mules themselves make them a valuable target group for scientific research. Almost no empirical research has been conducted into money mules and the involvement mechanisms of cybercrime. However, this knowledge is necessary for the development and application of prevention measures: interventions aimed at money mules disrupt the execution of various forms of online fraud, which can reduce victimization of cybercrime among citizens and businesses. In total, the dissertation consists of six empirical chapters, in which different research methods were used. This includes questionnaires and expert interviews, but also more unique and innovative methods such as online field experiments and analysis of police investigations into cybercriminal networks. The dissertation shows that money mules - still - form a crucial link in the world of financial-economic cybercrime. It is clear that this phenomenon manifests itself in different ways over time: online bank accounts, international bank accounts and crypto wallets are currently popular among cybercriminal networks because they offer even more anonymity than bank accounts at large traditional banks. This also means that money mules are also recruited for their identification cards instead of their bank card, which offenders use to open up accounts for themselves. It can be concluded that the social environment of money mules forms a criminal opportunity structure. Money mules are approached via-via and actively addressed; online on social media such as Instagram and Telegram but also offline on the street, at school or at the metro station. Social relationships therefore offer cybercriminal networks access to co-offenders, including money mules, and can explain why young people become involved in the world of cybercrime. Financial motivations play a role here, because money mules often look up to the luxurious lifestyle of criminals and give up bank account details in exchange for compensation. Risk perceptions regarding the likelihood of being caught and the consequences of money muling are low and money mules justify the criminal behavior. In addition to financial considerations, some recruiters also exert pressure or even threaten with violence. This reflects the heterogeneous nature of the target group and makes it clear that various involvement mechanisms play a role.
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The consequences of cardiovascular diseases are substantial and include increasing numbers of morbidity and mortality. With a population getting more and more inactive and having a sedentary lifestyle, the risk for cardiovascular disease and type 2 diabetes rises. This dissertation reports on people with one or more cardiovascular risk factor(s) and who are having an inactive lifestyle, and how healthcare professionals can encourage these people at risk to become and stay physically active in a way that cardiovascular fitness is improved. The assumption is that if an intervention can reduce the prevalence of risk factors, it can also reduce the prevalence of disease. When cardiovascular fitness improves and a person is capable of keeping a physically active lifestyle, levels and number of cardiovascular risk factors can decrease in a population.
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