Background and Aim: Caregivers in the home environment have an important role in timely detecting and responding to abuse. The aim of this review was to provide insight into both the existing tools for the assessment of and interventions for elder abuse by formal and informal caregivers in the home environment, and to categorize them according to a public health perspective, into primary, secondary, tertiary or quaternary prevention. Methods: We selected the assessment tools and interventions that can be used by caregivers in the home environment included in previous reviews by Gallione et al (2017) and Fearing et al (2017). To identify published studies after these reviews, a search was performed using PubMed, Cochrane Database, CINAHL and Web of Science. Results: In total, fifteen assessment tools and twelve interventions were included. The number of assessment tools for elder abuse for use in the home environment is increasing; however, tools must be validated over different cultures and risk groups. In addition, the tools lack attention for the needs of vulnerable older persons such as persons with dementia. Existing interventions for caregivers in the home environment lack evidence for addressing elder abuse and do not address potential adverse effects (quaternary prevention). Conclusion: Assessment tools for elder abuse need further testing for validity and reliability for use by caregivers in the home environment. For interventions, meaningful outcome measures are needed. Important to note is that quaternary prevention requires more attention. This argues for taking into account perspectives of (abused) older persons and caregivers in the development of assessment tools and interventions protocols.
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From the paper: "Abstract This study investigates whether there are major differences between process management and innovation between the IT and more traditional industries. Although both industries are quite similar, the research results show that the IT industry is more innovative in comparison to more traditional industries. The traditional industries are more risk averse towards new technologies, which makes them less innovative than the IT industry."
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Digitization of activities in hospitals receives more attention, due to Covid-19 related regulations. The use of e-health to support patient care is increasing and efficient ways to implement digitization of processes and other technological equipment are needed. We constructed a protocol for implementation and in this study, we evaluate this protocol based on a case to implement a device in the OR. We used various data sources to evaluate this protocol: semi-structured interviews, questionnaires, and project documents. Based on these findings, this protocol, including identified implementation activities and implementation instructions can be used for implementations of other devices. Implementation activities include setting up a project plan, organizational and technological preparation, maintenance, and training. In future research, these activities and instructions need to be evaluated in more complex projects and a flexible tool needs to be developed to select relevant activities and instructions for implementations of information systems or devices.
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In het werkveld van Life Sciences & Chemistry heeft Innovative testing te maken met het testen van stoffen op hun werking en veiligheid. Met stoffen wordt hier bedoeld alle mogelijke chemicaliën waar aan we blootgesteld worden, zoals chemicaliën in onze leef- en werkomgeving, medicijnen (inclusief biologicals), maar ook stoffen in de voeding (inclusief voedselbestanddelen en natuurlijke stoffen). Mijn les zal echter voornamelijk gaan over de laatste twee categorieën, medicijnen en stoffen in de voeding. Ik wil in mijn openbare les eerst uiteenzetten waarom het zo belangrijk is om vast te stellen wat de werking en veiligheid van stoffen is. Vervolgens wil ik beschrijven welke innovaties op dit moment al plaatsvinden, in de toxicologie en de farmacologie. Dit wil ik doen om aan te geven waar de parallellen en mogelijkheden voor synergie liggen. Daarna zal ik aan de hand van een aantal voorbeelden aangeven tegen welke grenzen men zoal aanloopt bij het testen van werking en veiligheid van stoffen, om daarbij ook aan te geven dat er duidelijk aanwijzingen zijn voor het vervagen van grenzen tussen farmacologie en toxicologie. Tot slot zal ik aangeven welke rol het Kenniscentrum Life Sciences & Chemistry van Hogeschool Utrecht op het gebied van onderzoek én onderwijs in het werkveld van Innovative testing in Life Sciences & Chemistry wil gaan spelen.
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In de openbare les van mijn collega lector Raymond Pieters, is het domein van het lectoraat ‘Innovative Testing in Life Sciences & Chemistry’ toegelicht. Kort samengevat richt dit lectoraat zich op de ontwikkeling en toepassing van innovatieve teststrategieën om geneesmiddelen, voedingsmiddelen of chemicaliën (stoffen) te beoordelen op hun werkzaamheid (effectiviteit) en veiligheid. De nadruk ligt op de ontwikkeling van snelle, kosteneffectieve testmethoden die een relevante voorspelling van effecten op de gezondheid van de mens en het milieu opleveren én waarbij geen of minder proefdieren worden gebruikt. In mijn les zal ik u laten zien waar proefdieren voor gebruikt worden. Hierbij zal ik mij voornamelijk richten op de Nederlandse situatie. Ik zal ingaan op de wetenschappelijke en maatschappelijke wens om minder proefdieren te gebruiken en op de vraag wat we verstaan onder ‘alternatieven voor dierproeven’. Daarna zal ik bespreken waarom er in Nederland en Europa recentelijk meer aandacht is voor dit onderwerp. Het overzicht zal niet uitputtend zijn, maar zal u een goede indruk geven van het landschap. Ook zal ik stil staan bij de vraag: Waarom zijn we tot nog toe zo weinig succesvol geweest op het gebied van alternatieven voor dierproeven? Wat zijn de obstakels en wat kunnen we hier van leren? Hoe zouden we in de praktijk de toepassing van alternatieven kunnen stimuleren? Wat moet er beter, en hoe gaan we dat doen? Als we slimmer willen testen moeten we de huidige grenzen verleggen, of beter over de grenzen van ons vakgebied heen kijken. Ik zal aangeven waar prioriteiten liggen en hoe we de meeste ‘winst’ kunnen behalen in termen van proefdiervermindering in relatie tot productinnovatie. Tot slot zal ik aangeven welke bruggen we moeten bouwen en wat de rol is van de Hogeschool Utrecht
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The changing climate has an effect on the quality of life in our cities: heavier rainfall (resulting infloodings), longer periods of drought, reduced air and water quality and increasing temperatures incities (heat stress). Awareness about these changes among various stakeholders is of greatimportance. Every Dutch region is required to perform a stresstest indicating the effects of climatechange (o.a. flooding and heatstress) before 2020. The level of execution, area size and level ofparticipation of stakeholders, has intentionally been made flexible.To provide more insight into the approaches and best management practices to climate resilience,this article provides 3 examples of stresstests performed on several levels: single object real estatelevel, city level and national district level. The method ‘stresstestíng’, involves flood and heatstressmodeling, defines the current status of climate adaptation characteristics of an object, city or district.The stresstest form the base line and starting point for the national 3 step approach adaptationstrategy ‘analyse, ambition and action’.The 3 pilots have been evaluated as ‘successful’ by stakeholders and yielded a significant amount ofvaluable information, further improvement is recommended as increasing the participation of theprivate sector, in a ‘quadruple helix approach’. The learning points from these 3 examples ofstresstests will subsequently be implemented in the form of improved stresstesting in the nearfuture in (inter)national cities around the world.
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In media audience research we tend to assume that media are engaged with when they are used, however ‘light’ such engagement might be. Once ‘passive media use’ was banned as a reference to media use, being a media audience member became synonymous with being a meaning producer. In audience research however I find that media are not always the object of meaning making in daily life and that media texts can be hardly meaningful. Thinking about media and engagement, there is a threefold challenge in relation to audience research. The coming into being of platform media and hence of new forms of media production on a micro level that come out of and are woven into practices of media use, suggests that we need to redraft the repertoire of terms used in audience research (and maybe start calling it something else). Material and immaterial media production, the unpaid labour on the part of otherwise audience members should for instance be taken into account. Then, secondly, there is the continuing challenge to further develop heuristically strong ways of linking media use and meaning making, and most of all to do justice, thirdly, to those moments and ways in which audiences truly engage with media texts without identifying them with those texts.
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