ABSTRACT: Background Population aging is occurring worldwide. As a result, frailty and disability are in the full interest of practice, policy, and science. An increase in healthcare utilization is an adverse outcome of frailty and disability. Objective The aim of the present study was the prediction of six indicators of healthcare utilization by frailty and disability measures. The six indicators of healthcare utilization of interest were: use of informal care, number of visits to a general practitioner, hospital admission, receiving nursing care, receiving personal care, and contacts with (health)care professionals.
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Since 2012 the dutch metropolitan area (the metropole region of amsterdam, the city of amsterdam, rotterdam, the hague, utrecht ) cooperate in finding the best way to stimulate electric mobility through the implementation of a public charging infrastructure. with more than 5600 charge points and 1.6 million charge sessions in the last two years this is one of the most extensively used public charging infrastructure available worldwide. in this paper a benchmark study is carried out to identify different charge patterns between these 5 leading areas with an extensive public charging infrastructure to establish whether and how charge behaviour (e.g. charged volume, capacity utilization, unique users) differs between cities. based on the results first explanations for possible differences in charge patterns between cities will be provided. the study aims to contribute to a better understanding of the utilization of public charging infrastructure in a metropolitan area existing of four city centres and the amsterdam metropolitan area and to provide input for policy makers to prepare a public charging infrastructure ready for the projected growth of electric mobility in the next five years.
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From Narcis.nl :" Patients with substance use disorder (SUD) are frequently suffering from co-occurring somatic disorders, increasing the risk of mortality. Somatic health care utilization (sHCU) often remains unknown to the physician during SUD treatment. This paper analyses sHCU and associated costs among patients in SUD treatment compared to matched, non-substance dependent controls. METHODS: Health care utilization data on 4972 SUD patients were matched to 19,846 controls by gender, birth year and ethnic origin. Subcategories of patients were formed based on SUD and on co-morbid psychiatric disorder. Data on sHCU during the year prior to the last treatment contact (the 'index date') for both patients and their matched controls were extracted from a health insurance database. RESULTS: Patients had a higher sHCU (with increased associated costs) than controls, especially when alcohol dependence was involved. In particular, sHCU for cardiovascular, respiratory, infectious diseases, injuries and accidents was increased among patients. However, the use of preventive medication, such as lipid-lowering drugs, is lower among SUD patients. Co-morbidity of psychiatric disorders led to further increase of sHCU, whereas patients with comorbid non-affective psychotic disorder (NAPD) showed lower sHCU and costs. CONCLUSION: Patients with SUD overall have a high sHCU, associated with high costs. There are indications that SUD patients have less access to preventive medication. Patients with comorbid NAPD are at risk of possible underutilization of somatic health care. Furthermore, we conclude that these larger administrative databases allow for comparisons between various diagnostic categories."
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Background: Information is scarce concerning the perceived needs and the amount of health-care utilization of persons with suicidal ideation (SI) compared to those without SI. Aims: To describe the needs and health care use of persons with and without SI and to investigate whether these differences are associated with the severity of the axis-I symptomatology. Method: Data were obtained from 1,699 respondents with a depressive and/or anxiety disorder who participated in the Netherlands Study of Depression and Anxiety. Persons with and without SI were distinguished. Outcome variables were perceived needs and health-care utilization. We used multivariate regression in two models: (1) adjusted only for sociodemographic variables and (2) adjusted additionally for severity of axis-I symptomatology. Results: Persons with SI had higher odds for both unmet and met needs in almost all domains and made more intensive use of mental-health care. Differences in needs and health-care utilization of persons with and without SI were strongly associated with severity of axis I symptomatology. Conclusions: Our results validate previous findings about perceived needs and health-care use of persons with SI. The results also suggest that suicidal persons are more seriously ill, and that they need more professional care, dedication, and specialized expertise than anxious and depressed persons without SI, especially in the domains of information and referral.
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Aim: Research has revealed higher risks of somatic problems among patients with non-affective psychotic disorders (NAPD) compared to the general population. The aim of this study was to examine whether NAPD patients also show increased somatic health care utilization compared to personally-matched controls without a psychiatric diagnosis and patients with unipolar depression, anxiety disorder or bipolar disorder. Methods: Data from a large Health Insurance agency were used to analyze prescribed somatic medication, general practitioner consultations, and treatment by a somatic specialist. Results: Patients with NAPD showed serious somatic under treatment, which was associated with older age and longer illness duration. Conclusion: In view of the high risk on natural death causes among patients with NAPD, our data indicate under treatment for physical disorders, especially at older age and with longer duration of the mental disorder.
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This letter to the editor argues that the assumption of a single value for the acetate recovery factor in carbon-13 stable isotope research for different individuals, can lead to significant errors in the outcomes of substrate utilization measurements.
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Educational design research yields design knowledge, often in the form ofdesign principles or guidelines that provide the rationale or ‘know-why’ for the design of educational interventions. As such, design principles can be utilized by designers in contexts other than the research context in which they were generated. Although research has shown that quality support is important for design success, less is known about processes that promote utilization of design principles as the rationale for instructional design.In this study we therefore explored an intervention for promoting the utilization of a set of research-based design principles in educational practice. This intervention aimed to promote utilization through enhancing perceived usefulness of the design principles by design teams in various contexts. The set of design principles that was utilized by the design teams in this study underpins the design of so-called hybrid learning configurations that aresituated at the interface between school and workplace. The intervention was developed from the perspective of boundary crossing theory and was conducted with four different design teams. It was evaluated by way of a questionnaire and a dialogue with members of the design teams. This boundary crossing intervention appeared to bring about the desiredoutcomes. Most of the design team members considered the set of design principles useful in several different ways and they expected that utilization of the principles would lead to an improved learning configuration.
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Aim: Research has revealed higher risks of somatic problems among patients with non-affective psychotic disorders (NAPD) compared to the general population. The aim of this study was to examine whether NAPD patients also show increased somatic health care utilization compared to personally-matched controls without a psychiatric diagnosis and patients with unipolar depression, anxiety disorder or bipolar disorder. Methods: Data from a large Health Insurance agency were used to analyze prescribed somatic medication, general practitioner consultations, and treatment by a somatic specialist. Results: Patients with NAPD showed serious somatic under treatment, which was associated with older age and longer illness duration. Conclusion: In view of the high risk on natural death causes among patients with NAPD, our data indicate under treatment for physical disorders, especially at older age and with longer duration of the mental disorder. Presentatie voor UMCU Psychiatrie All-in 24 oktober 2017
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Production of dry encapsulated forms of anthocyanins from tulip petals with high antioxidant activity and their utilization in lipsticks.Anthocyanins (of the Greek anthos = flower and kianos = blue) are the most important pigments of the plants. These pigments are responsible of the shiny orange, pink, red, violet and blue colors in the flowers and fruits of some plants. The most interesting substances of the waste material are anthocyanins as natural water soluble antioxidants with a great health benefit besides the coloring properties. Tulip is a perennial bulbous plant which is popular worldwide and especially in the Holland due to the showy flowers of the great variety of colors and shades. It was found that for flowers of different colors biosynthesis of anthocyanins of the three anthocyanidin backbones may occur. Thus, pelargonidin (Pg), cyanidin (Cy) and delphinidin (Dp) derivatives, are responsible for tulip flowers color.
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Climate change calls for an energy transition utilizing all available renewable energy resources, such as bioenergy from biomass. However, the use of biomass is debated in society, and public acceptance is low or lacking. This survey-based research demonstrates for the first time that public acceptance of bioenergy hinges on (a) the type of biomass feedstock used to generate bioenergy and (b) the perceptions of the effectiveness of bioenergy in contributing to the energy transition. A survey-embedded vignette experiment (with 409 Dutch participants) shows that public acceptance of the biomass feedstocks 'wood' and 'energy crops' is significantly lower than the acceptance of 'organic waste' and 'manure' for bioenergy. These results indicate that the biomass feedstock type should be more carefully considered and specified in future research and communication on public acceptance of bioenergy. Thematic coding and bootstrapped mediation analyses identified the perceived effectivity of bioenergy in contributing to the energy transition as a prime explanatory (i.e., mediating) variable for acceptance. A subsequent message-framing communication experiment (with 414 Dutch participants) demonstrates that emphasizing biomass feedstock as a form of waste utilization is a frame that helps to increase public acceptance of bioenergy. The waste utilization frame notably improves the perceptions of the effectiveness of bioenergy as contributing to the energy transition for the two lesser accepted biomass feedstocks. The emphasis on biomass feedstock type as a form of waste treatment can improve strategic communications on bioenergy and foster wider public acceptance of bioenergy in the transition toward a more sustainable energy system.
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