Objectives: To cross-validate the existing peak rate of oxygen consumption (VO2peak) prediction equations in Dutch law enforcement officers and to determine whether these prediction equations can be used to predict VO2peak for groups and in a single individual. A further objective was to report normative absolute and relative VO2peak values of a sample of law enforcement officers in the Netherlands. Material and Methods: The peak rate of oxygen consumption (ml×kg–1×min–1) was measured using a maximal incremental bicycle test in 1530 subjects, including 1068 male and 461 female police officers. Validity of the prediction equations for groups was assessed by comparing predicted VO2peak with measured VO2peak using paired t-tests. For individual differences limits of agreement (LoA) were calculated. Equations were considered valid for individuals when the difference between measured and predicted VO2peak did not exceed ±1 metabolic equivalent (MET) in 95% of individuals. Results: None of the equations met the validity criterion of 95% of individuals having ±1 MET difference or less than the measured value. Limits of agreement (LoAs) were large in all predictions. At the individual level, none of the equations were valid predictors of VO2peak (ml×kg–1×min–1). Normative values for Dutch law enforcement officers were presented. Conclusions: Substantial differences between measured and predicted VO2peak (ml×kg–1×min–1) were found. Most tested equations were invalid predictors of VO2peak at group level and all were invalid at individual levels.
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Coronary artery bypass grafting is the most frequently performed cardiac surgical procedure. Despite its benefits on survival and quality of life, it is associated with a considerable financial burden on society including sick leave. Our study aimed to explore the barriers that obstruct return to work after coronary artery bypass grafting. We performed a qualitative study with in-depth interviewing of patients 6 months after their surgery. We included ten working patients and interviewed them and their spouses at home. The interviews were transcribed and two investigators independently searched the transcriptions for barriers that had obstructed return to work. Based on the interviews we were able to distinguish four main groups of barriers: 'personal', 'healthcare', 'work' and 'law & regulation.' The personal barriers were subgrouped in affective, physical, cognitive, social and individually determined factors. Conclusion In a qualitative study we showed that personal barriers as well as barriers regarding healthcare, work and law & regulation, were perceived by patients as important factors obstructing return to work after coronary artery bypass grafting. To overcome the identified barriers, the process of return to work could preferably be initiated during the hospital phase, started during cardiac rehabilitation, and coordinated by a case-managing professional.
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The focus of my research is how Bartholomeus Guesthouse (BG), founded in 1407 by Willem van Abcoude, has organized care over more than 600 years for the elderly and elderly sick people in the Centre of Utrecht. After the reorganization of 1817 -by Royal Law- the 7 (9) Guesthouses were merged to one Board called “College van Regenten der Vereenigde Gods-en Gasthuizen” .They have had their domicile in Bartholomeus Guesthouse. This Guesthouse survived as elderly care centre on particular foundation, which has meant until today that people from different religions were welcome. The properties of the other guesthouses came under supervision of the Board of “Vereenigde Gods-en Gasthuizen”. The heritage of the other foundations was , in terms of property and land, considerable. In my paper I will present the following items: -An inventarisation of the situation after 1817 and the ‘cameren’ (vrij woningen) of the different guesthouses in Utrecht and what their (living) conditions were at that time; -the Policy of the Board supervising the Free Houses/ Cameren for Elderly during this area; the observation of the archive manager S.Muller Fz.is good illustration of the situation in 1900; -the inhabitants of the ‘vrij woningen’; the selection and the rules as part of the social housing policy; - a more general analysis: the policy of poor relief and the debate of who had to take care of the poor? - all subjects give an answer to the question whether or not poor relief can be regarded as a safety valve for the (lower) middle class, in the ninetheenth century.
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Het verzuim en de instroom in de WIA als gevolg van een psychische aandoening zijn hoog. Dat komt niet alleen door de aandoening, maar ook doordat werknemers met een psychische aandoening daar vaak niet open over durven te zijn. Ze zijn bijvoorbeeld bang dat collega’s en leidinggevenden hen buitensluiten of dat ze hun baan verliezen, als bekend wordt wat er aan de hand is. Deze angst is terecht want er bestaan veel vooroordelen over werken met een psychische aandoening en er is sprake van stigmatisering. Het gevolg van niet-open erover zijn is echter dat de werkgever er ook geen rekening mee kan houden. Veel medewerkers met een psychische aandoening staan er daardoor alleen voor, lopen op hun tenen of gaan onderpresteren. Eventuele klachten worden daardoor erger. Werkgevers en HR-professionals kunnen daar wat aan doen. In dit artikel bespreken Aukje Smit, Dorien Verhoeven en Tinka van Vuuren de vooroordelen, de benodigde maatregelen en de strategieën om werkgevers (en dus ook HR-professionals) in beweging te krijgen aan de hand van een literatuuronderzoek naar stigmatisering van werkenden met een psychische aandoening
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Het tekort aan handjes in de accountancy neemt toe. Tegelijk groeit de maatschappelijk druk om bedrijven zo goed mogelijk te controleren, om te zorgen dat ze financieel, fiscaal en qua duurzaamheid in de pas blijven lopen met de (toenemende) regelgeving. Gelukkig komt er steeds meer technologie voorhanden die de accountant kan helpen bij het controleren van de boeken, schetst Eric Mantelaers, hoofd Bureau Vaktechniek, RSM Accountants. Medio juni is hij aan de Open Universiteit gepromoveerd op zijn proefschrift ‘An evaluation of technologies to improve auditing’.
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Werkgevers in de Europese Unie gebruiken draagbare technologie, zoals smartphones, om er preventief voor te zorgen dat hun bedrijf geen besmettingshaard wordt. Door bron- en contactonderzoek en tracking van werknemers proberen zij dat te bereiken. Maar hoe zit dit in relatie tot de Europese AVG-regels? Stefania Marassi van de Haagse Hogeschool stelt dat er strikte voorwaarden moeten zijn om deze technologie te mogen gebruiken.
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This paper explores whether constitutional litigation contributes to sustaining the equity element of the right to health. Equity entails a fair distribution of the burden of healthcare financing across the different socio-economic groups of the population. A shift towards uncontrolled private healthcare provision and financing raises equity challenges by disproportionately benefitting those who are able to afford such services. The extent to which equity is enforced is an indicator of the strength of the right to health. However, do domestic constitutional courts second-guess, based on equity, policy decisions that impact on healthcare financing? Is it the task of constitutional courts to scrutinize such policy decisions? Under what conditions are courts more likely to do so? The paper addresses these questions by focusing on the case of Hungary, where the right to health has been present in the Fundamental Law adopted in 2010 and the Constitutions preceding it. While the Hungarian Constitutional Court has been traditionally cautious to review policy decisions pertaining to healthcare financing, the system has been struggling with equity issues and successive government coalitions have had limited success in tackling these. The paper discusses the role of constitutional litigation in addressing such equity concerns. In doing so, it contributes to the discussion on the role of domestic constitutional courts in the protection of social and economic rights.
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This article examines two areas of tension within environmental ethics literature and relates them to the case study of the animal representation in the Dutch media. On the one hand, there is a tension between those who propagate clear division between anthropocentric and non-anthropocentric views; on the other hand, there is a tension between the land ethics perspective and animal right proponents. This article examines the media representation of animals using content analysis, and links the findings back to the areas of tension within environmental ethics. The main findings indicate that the division between anthropocentric and ecocentric perspectives is still relevant for evaluating the human-animal relations, while the convergence of the land ethics and animal rights perspectives can be helpful in explaining why this division is relevant. This is a post-peer-review, pre-copyedit version of an article published in "Environmental Processes".The final authenticated version is available online at: https://doi.org/10.1007/s40710-014-0025-7 https://www.linkedin.com/in/helenkopnina/
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The aim of this project & work package is to develop a European action plan on mental health at work. A major and essential ingredient for this is the involvement of the relevant stakeholders and sharing experiences among them on the national and member state level. The Dutch Ministries of Health and Social Affairs and Employment have decided to participate in this “joint action on the promotion of mental health and well-being” with a specific focus on the work package directed at establishing a framework for action to promote taking action on mental health and well-being at workplaces at national level as well.
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