Activities Report Department of Social Medicine VU University Medical Center 2001 - 2002
Colophon Editing
Inge van der Leden, Mireille van Poppel, Marc Soethout, Gerrit van der Wal
Translation
Faith Maddever
Coverdesign Edition
Etienne Wolfs 900
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Content Preface.........................................................................................................4 Leadership, Strategy and Policy....................................................................................6 Mission ........................................................................................................7 Education ....................................................................................................8 Research ......................................................................................................9 Academic workplaces...................................................................................9 Employees ........................................................................................................................... 10 Resources ............................................................................................................................ 16 Education ..................................................................................................17 Research ....................................................................................................17 Processes............................................................................................................................. 19 Education ..................................................................................................20 Research ....................................................................................................26 Projects Quality of care and prevention...................................................32 Projects Public health at the end of life...................................................38 Projects Work and health ........................................................................45 Projects Physical activity and health........................................................51 Customer appreciation.................................................................................................. 59 Education (students) ..................................................................................60 Research ....................................................................................................63 Employee satisfaction .................................................................................................... 66 Societal recognition ........................................................................................................ 68 Final Results....................................................................................................................... 71 Finances ....................................................................................................72 Education ..................................................................................................72 Research ....................................................................................................75 Publications Quality of care and prevention ............................................76 Publications Public health at the end of life ............................................81 Publications Work and health ..................................................................84 Publications Physical activity and health .................................................88 Appendix 1: INK Model .............................................................................92 Appendix 2: Criteria and indicators of societal impact of research output .93 Appendix 3: Further publications...............................................................94 Quality of care and prevention ................................................................94 Public health at the end of life ................................................................97 Work and health....................................................................................100 Physical activity and health ...................................................................102 Appendix 4: Scientific and societal activities ...........................................105 Congresses and lectures .......................................................................105 Functions and activities ........................................................................118 3
Preface This is our third biannual Activities Report. It is intended for the public health and occupational health services with which we collaborate in the field of education and research, interested colleagues within our Medical Center and University, nationally and internationally affiliated institutes, and others who wish or need to be informed about our activities. This is the first time that our Activities Report has been compiled according to the so-called INK-model. This management model is based on the European ‘EFQM Excellence Model’. Although it has not been developed for academic institutions, it may help us to integrate the professional, organizational, relational and financial domains of our core activities, i.e. education and research. The model consists of nine areas which, linked together, determine the success of the organization (see Appendix 1). This new Activities Report confirms that again there has been a substantial increase in both the nature and the extent of the education and research programs. The educational activities have been extended, mainly through participation in a new branch of studies at our university, i.e. Health Sciences. A considerable ‘critical mass’ of scientific personnel has been formed, albeit mainly as a result of external finance. Again the Department grew substantially, to a large extent due to establishment of the Research Center Body@Work TNO-VU, in which the Department and the EMGO Institute collaborate with TNO Work and Employment and TNO Prevention and Health (see internetsite: www.bodyatwork.nl). There are now approximately 75 members of the scientific staff (totaling almost 50 fte) and 10 members of the administrative staff (totaling more than 6 fte). At the end of 2002 there were 53 projects in progress, 46 of which will result in a thesis. In addition, there are also a number of external PhD students. The number of articles that were published in national and international journals is satisfying, taking into account the field of research and the time lag of 3-5 years between the initiation of (recently started) research projects and their completion. However, many of the papers were published in high-impact journals. Our continuous efforts to create academic workplaces were successful in the end. The Board of Directors of the VU University Medical Center provided funding per 1-1-2003 for an academic network for research in the field of youth 4
health care. In 2002 we were reinforced with the appointment of two new honorary part-time professors, Tjabe Smid, specializing in labour conditions and Paulien Bongers, specializing in the prevention of musculoskeletal complaints by work-intensification funded by KLM and TNO, respectively. We were also delighted that two of our senior staff members, Bregje OnwuteakaPhilipsen and Allard van der Beek have both been appointed as Associate Professor. Bregje was successful in winning one of the scarce and desired Aspasia positions ( a program for promoting female researchers to Associate Professor). Although the economic recession makes it difficult to acquire grants and despite a cut of 4% in the VU University Medical Center budget from 2003 onwards, we are confident about the future. We consider this report will not only be a reflection on past activities, but also a starting point for the further development of education and research in the field of Social Medicine within the VU University Medical Center. There are more than enough new challenges, e.g. participating in the development of the new medical curriculum, set up a research center for the assessment of workdisability, and further implementing the Knowledge Center Overweight. On behalf of all members of the staff, Gerrit van der Wal, Head of the Department
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Leadership, Strategy and Policy
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Leadership, Strategy and Policy Introduction Social Medicine is one of the eleven core disciplines included in the undergraduate medical training, and can be considered as the link between medicine and society. Social Medicine physicians direct their activities towards interaction with the environment, in particular in the field of prevention and the establishment of organizational conditions. In this respect, the focus is more on a (sub-)population than on the individual. The practical domain of Social Medicine consists of two main streams: Community Medicine and Occupational Medicine. 20-25% of all physicians in the Netherlands are involved in a Social Medicine profession. Most, but not all of these physicians are officially registered as such. The scientific domain of Social Medicine is more extensive than the practical domain. As a scientific discipline, Social Medicine is involved in two major issues: Public’s Health and Health Care. The research is mainly of an epidemiological and social-scientific nature, and consists of applied and multidisciplinary research carried out in collaboration with sociologists, psychologists, health scientists, human movement scientists, anthropologists, etc. This is reflected in the composition of the staff of the Department.
Mission Because Social Medicine is one of the three mainstreams in Dutch medical specialization, our Department strives for a substantial position and excellent teaching reputation in the current and future new medical curriculum. It is our ambition to achieve a prominent national and international position in our own specific fields of research. We try to integrate education, research and practice, in particular via academic workplaces, and aim to achieve societal recognition of our scientific work. We aim to create friendly, stimulating and productive working conditions within the Department.
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Education Undergraduate medical education In the undergraduate medical education, the Department aims to accentuate the general objectives of the basic training: 'knowledge, skills and attitudes that are necessary for daily practice of a physician: aspects related to society, the health care system and prevention' (Blueprint 2001). Various forms of education, based on both theory and practice are spread over the 6-year study period. A contribution towards scientific training is an explicit component of this. The basic principle of our education is that each future physician must have adequate knowledge of Social Medicine. This is important because in individual patient care (mostly provided by curative physicians) e.g. working conditions and health must be integrated. Also the influence of the social systems are important for patient care (e.g. social insurance’s, and the structure and finance of the health care system). Furthermore an introduction to the practical aspects of Social Medicine is essential to enable curative physicians to collaborate with social medicine physicians (e.g. general practitioners and occupational physicians in the supervision of sickness absenteeism). Finally to create the opportunity for a professional orientation, because, in fact, a considerable number of students eventually opt for a career in Social Medicine.
Other undergraduate education In 2001, a new program of Health Sciences started by the Faculty of Earth and Life Sciences at the Vrije Universiteit in Amsterdam. A majority of these students will finally work in management, policy or research in the field of Preventive and Social Medicine, so the Department was requested to make a major contribution to this new education program.
Postgraduate medical education We intend to play a more significant role in postgraduate education and, in particular, in the training programs of the Netherlands School for Public and Occupational Health. In the past, the emphasis was mainly limited on activities involved in the professional training for occupational physicians, and to a lesser extent on training for forensic physicians.
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Research We have decided to concentrate our research projects on the following lines: 1) Quality of care and prevention, 2) Public health at the end of life, 3) Work and health, and 4) Physical activity and health. Cross-links between these lines are stimulated. The research projects are embedded in the Institute for Research in Extramural Medicine (EMGO Institute), which implies that, in principle, the research lines must fit into the EMGO Institute research programs. Research must be extramurally or transmurally orientated, and outcome measures are patient, individual, or population-orientated, i.e. the dependent variables are preferably a health outcome. Our Department uses the infrastructure of the EMGO Institute, i.e. the financial administration of research projects, epidemiological and statistical expertise, and assessment of quality of the research proposals by the Scientific Committee (see Internetsite: www.emgo.nl).
Academic workplaces The aim is to create academic workplaces in public and occupational health services and institutions where work is carried out at an academic level, and with which the Department will collaborate closely in the field of education and research. Examples are the larger Municipal and Community Health Services (GGD’s), Home Care Services (Parent and Child Care), Occupational Health and Safety Services (ARBO services) and the Institution for Employee Benefit Schemes (UWV) that mainly deals with the disability regulations.
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Employees
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Employees In achieving the above-mentioned ambitions, adequate human resource management is of crucial importance. Thus we aim for a reasonable remuneration, pleasant working conditions, good support, adequate potentials for (internal) training, methodological and conceptual discussions (‘stimulating environment’), adequate career prospects and an active postdoc policy (including international exchanges). The aims of the management are based on support and motivation, and creativity, precision and productivity are appreciated. We are watchful for sub-optimal performance and undesirable conduct. Performance is assessed annually with each individual member of our staff, and attention is paid to training and career development. Change-over in personnel is minimal and the rate of sick-leave is low. An optimal combination of work and private life is considered to be important, the working hours are flexible, and it is possible to work at home. However, the pressure of work is high for many members of our staff, so this problem must be addressed. In recent years there was a considerable increase in personnel. At present there are almost 75 members scientific staff and approximately 10 members non-scientific staff. The majority is junior researcher and has a formal contract with the EMGO Institute. There are two full-time Endowed Professors, a part-time Endowed Professor and, since 2002, two Honorary Professors. With the recent appointments, there are now three Associate Professors in the Department. In view of the number of junior researchers that have to be supervised, the number of directly funded senior staff members is relatively low, and the administrative support is inadequate.
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Appointment per 31/12/2002 Names
Function
Education Direct
Research Direct
Indirect
funding funding funding Ms E Althuizen, MSc JR Anema, MD
PhD Student Researcher
0.8 0.4
Ms GAM Ariëns, PhD
Senior Researcher
1.0
G Asad Abdullah
Research Assistant
0.8
AJ v/d Beek, PhD
Associate Professor
M v/d Berg, MSc
PhD Student
1.0
Ms C Bernaards, PhD Ms J de Bie, MA
Post-doc Junior Researcher
0.8 0.8
JA Bijlsma, MD, PhD
Researcher
0.3
Ms P Bongers, PhD
Senior Researcher
0.2
S Borgsteede, MSc Mw B Blatter, PhD
PhD Student Senior Researcher
1.0 0.2
DJ Bruinvels, MD, PhD
Senior Researcher
0.3
Ms MJM Chin A Paw, PhD
Senior Researcher
Ms JM Cuperus-Bosma,LLM, Senior Researcher MD, PhD
0.03
0.1
0.97
0.5
0.4
0.4
0.3
Ms C Dekkers, PhD
Post-doc
L Deliens, PhD
Senior Researcher
Ms MAM Dijkman M Echteld, MA
Research Assistant Researcher
Ms M Ershadi
Secretary
Ms E Garcia, PhD Ms C v/d Geest, MSc
PhD Student Research Assistant
0.5 0.75
Ms M Gerritsen
Research Assistant
0,15
JJ Georges, MA
Junior Researcher
0.8
Ms G Gutschow, MA Ms L Henneman, PhD
Research Assistant Post-doc
0.4 0.8
Ms I Hendriksen, PhD
Senior Researcher
0.2
MW Heymans, MSc
PhD Student
1.0
VH Hildebrandt, MD, PhD
Senior Researcher
0.2
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1.0 0.5 0.6 1.0 0.5
0.2
0.3
Name
Function
Educa-
Research
tion Direct Direct Indirect funding funding funding H Hlobil, MD
Researcher
0.3
RA Hira Sing, MD, PhD
Professor
Ms M Hopman-Rock, PhD FAG Hout, MSc
Senior Researcher Researcher
0.2 0.8
Ms AC Huizink, PhD
Post-doc
0.9
S IJmker, MSc
Junior Researcher
1.0
0.1
0.2
Ms M Jansen-v/d Weide, MA PhD Student Ms JH Kleinveld, MA PhD Student
1.0 0.8
Ms M Klinkenberg, MSc
Junior Researcher
0.8
Ms AMM Kuin, PhD
Post-doc
0.5
Ms I v/d Leden W van Mechelen, MD, PhD
Secretary Professor
M Muller, PhD
Researcher
Ms BD OnwuteakaPhilipsen, PhD
Associate Professor
J Oudhoff, MSc
Junior Researcher
1.0
Ms HRW Pasman, MA
Junior Researcher
1.0
Ms AMC Plass, MA HP van der Ploeg, MSc
Junior Researcher PhD Student
0.8 1.0
HN Plomp, PhD
Associate
0.5 0.2
0.4 0.8
0.1 0.6
0.03
0.87
0.1
0.55
Professor Ms MNM van Poppel, PhD Ms KI Proper, MSc
Senior Researcher Junior Researcher
DS Rebergen, MA
PhD Student
0.8
Ms CM Renders, PhD
Researcher
1.0
Ms M Rurup, MA Ms H Brandt, MA
Junior Researcher PhD Student
1.0 1.0
Ms WE Schimmel, MSc
PhD Student
1.0
Ms AS Singh, MSc Ms P Slottje, MSc
PhD Student Junior Researcher
1.0 1.0
Ms EMF van Sluijs, MSc
PhD Student
1.0
13
0.13
0.47
0.1 0.4
Name
Function
Educa-
Research
tion Direct Direct Indirect funding funding funding T Smid, PhD
Professor
0.2
MBM Soethout, MD
Education Co-
Ms M Spoelstra
ordinator Research Assistant
0.5
JB Staal, MSc
PhD Student
1.0
Ms JT v/d Steen, PhD
Post-doc
0.5
I Steenstra, MSc Ms SGM Stomp-v/d Berg,
PhD Student Junior Researcher
1.0 0.8
1.0
MSc Ms DRM Timmermans, PhD Senior Researcher
0.03
0.97
Ms BAM The, LL M, PhD Ms JGZ van Uffelen, MSc
Senior Researcher Junior Researcher
0.7 1.0
EALM Verhagen, MSc
PhD Student
1.0
G van der Wal, MD, PhD HJ Weevers, MA
Professor PhD Student
Ms MC v/d Weide, MSc
Junior Researcher
0.8
Ms MJ Westerman, MSc
PhD Student
1.0
Ms P van Wigcheren, MSc Ms M van Wier, MSc
Research Assistant Junior Researcher
0.5 1.0
Ms A Witteveen, MSc
Junior Researcher
0.6
Total
0.5
0.5 0.8
3.67
6.78
47.0
Most researchers have participated in the undergraduate curriculum tutorials. The following people have also contributed to the undergraduate medical curriculum and the Health Sciences curriculum: ? FJA Beumer, LLM (Inspectorate for Health Care) ? Ms A Bulk, MD, PhD (Youth Health Physician, Home Care Organization Amstelland de Meerlanden) ? Ms JH Choufoer, MD (Occupational Physician, Occupational Health and Safety Service, VU/VU University Medical Center)
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? Prof RA Coutinho, MD, PhD (Head of the Amsterdam Municipal Health Services) ? D Fangidaej, MD (Occupational Physician, ArboNed) ? Prof JH Hubben, LLD (Faculty of Law, VU University Amsterdam) ? Ms M Muris, MD (Occupational Physician, ArboNed) ? A Klomp, MD (Head of the Zaanstreek Waterland Municipal Health Services) ? Ms D Kuyvenhoven, MD (Youth Health Physician, West-Friesland Municipal Health Services) ? Ms M Oosting, MD (Youth Health Physician, Zaanstreek Waterland Municipal Health Services) ? T Pal, MD, PhD (Occupational Physician, Netherlands Center for Occupational Diseases) ? UJL Reijnders, MD, PhD (Forensic Physician, Amsterdam Municipal Health Services) ? Ms HJC Smink, LL M (Faculty of Law, VU University Amsterdam) ? P Thung, MD (Occupational Physician, Occupational Health and Safety Service, VU/VU University Medical Center) ? MJ van Til, MD (Head of the Occupational Health and Safety Service, VU/VU University Medical Center) ? M Verkuil, MD (Occupational Physician, Arbo-Unie) ? A Voorbij, MD (Occupational Physician, ArboNed) ? A van der Zeijden (Dutch Council for the Chronically Ill and the Disabled)
The following people left the Department during the period of reporting: Ms J Bosboom, Ms D Brunsting, Ms D van Dam, E Eerkens, Ms E Enting, T Hak, Ms I Haverkate, L Heintz, GLM Hilkhuysen, Ms L Ter Hofstede-Ruiter, Ms WE Hoogendoorn, Ms M van der Horst, Ms L Ingen-Housz, Ms M Kok, Ms L Kooiman, Ms Y de Liver, Ms D van Koolwijk, Ms S Mak-Kregar, D Mehr, Ms F Norwood, Ms A Paauw, Ms MAJ Verdurmen, Ms BJL Wieman, DL Willems.
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Resources
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Resources Education Undergraduate medical education Funding (€), scientific personnel (SP) and non-scientific personnel (NSP) per 31/12/01 and 31/12/02 2001 Direct funding Finance Personnel SP
2002 Indirect funding
Direct funding
53.372 3.40
-
58.019 3.27
1.0
-
1.0
Personnel NSP
Indirect funding 0.30 0.1
Health Sciences education Funding (€), scientific personnel (SP) and non-scientific personnel (NSP) per 31/12/01 and 31/12/02 2001
2002
Direct
Indirect
Direct
Indirect
funding
funding
funding
funding
Finance
-
-
1.892
Personnel SP
-
-
0.11
Personnel NSP
-
-
0.02
0.20 -
Research Funding (€), scientific personnel (SP) and non-scientific personnel (NSP) per 31/12/01 and 31/12/02 2001 Direct
Indirect
2002 Direct
Indirect
funding
a
funding
funding
funding1
Finance Personnel SP
26.000 6.68
4.570.000 30.4
21.000 6.68
3.645.000 38.7
Personal NSP
0.6
5.3
0.60
4.55
a
Finance is including personnel
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A pressing problem in the past two years concerned housing, due to the growth of the Department. A temporary solution was found by renting office space near the campus for colleagues from other groups of the EMGO Institute. Nevertheless, many of our co-workers have their workplace far from the central offices of the Department. Mainly as a consequence of the merging of the medical faculty and the academic university hospital at the beginning of 2001 there have been considerable financial, administrative and technical problems in the past two years. This has tested our patience, but we hope that most of these problems will be solved in the near future.
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Processes Education Undergraduate medical education During the period of reporting the number of first-year students increased from 245 to 324 in 2002 (10 extra students from Norway are not included). This growing number of students has had a great impact on the capacity of tutors, especially in departments such as Social Medicine with a small education staff. The Department participated in the development of a new medical curriculum, which will start in September 2004. Early patient contact in different departments, including Social Medicine, and a final preparation year for postgraduate medical education are the main components of this curriculum. Together with the Department of Social Medicine at the Academic Medical Center in Amsterdam, we obtained funding to develop a final preparation year in Social Medicine. Our Department participated in the first four years of education, mainly in the thematic courses 'Man, Medicine, Society' and 'Health Care', and to a lesser extent in the courses 'Growing Up' and ‘Aging’. We also contributed to ‘Experience training’ and contributed to the problem-orientated ‘Clinical training’. The subject matter for Social Medicine consists of texts in the various course books and in the textbook ‘Public’s Health and Health Care’ (‘Volksgezondheid en Gezondheidszorg’) edited by PJ van der Maas and JP Mackenbach, Elsevier, Bunge 1998. In the last two study years we provided a discipline-oriented internship, and also offered various elective internships. Furthermore we organized some themes for the interdisciplinary training (Figure 1).
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Figure 1: Undergraduate medical curriculum at the VU University Medical Center 1st study year Course Man, Medicine, Society Clinical training / Experience training / Skills training 2nd study year
Clinical training / Experience training / Skills training 3rd study year Elective course Clinical training / Experience training /Skills training 4th study year Course
Course Aging
Health Care
Course
Scientific
Growing Up
research training
Clinical training / Experience training /Skills training 5th study year
Interdisciplinary training 6th study year Social Medicine internship
Elective internships
Senior internship
Interdisciplinary training
Embedding The national requirements for medical training (Blueprint 2001) are the guidelines for the content of the medical curriculum. The curriculum consists of modules and the Department participates in some of these. Together with the participating tutors, the Chair of an education module is responsible for the quality of the education in this. 21
Procedures At least once every year there is an education module (or course) meeting, in which the organization, the content and the results of the student evaluation is discussed. The Chair persons of the education modules meet three times a year. The Director of Education of the Medical Center chairs these meetings. The educational responsibilities of the Department are formulated in a written education agreement. Quality assurance Each module is evaluated and a report is written and discussed with tutors and students involved. These evaluations are also discussed in the meetings of the Medical Education Committee. This Committee advises the Director of Education and the Board of Directors of the Medical Center about necessary adaptations in the education program. The quality assurance policy with regard to the examinations is the responsibility of the Examination Committee. This committee advices the Director of Education and the Board of Directors. The faculty quality assurance policy is assessed by an external institute, the Inspection Committee of the Association of Universities in the Netherlands (VSNU). Course 'Man, Medicine, Society' The disciplines Medical Psychology (Chair), Metamedics, Psychiatry, General Practice, Social Medicine and Physiology participate in this course. The course consists of lectures, supplemented with tutorials and problem-oriented training. Our Department organizes seven lectures, focussing on ‘Social meaning and implications of illness and health’, ‘Patients organizations and the chronically ill’, ‘Social security’ and ‘Structure and functioning of the health care system’. These last two themes are further explored in two 2 hours tutorials (a total of 28 groups of approx. 12 students with supervisors). The Department participates in 3 themes of problem-oriented training; in addition to participation in six plenary meetings, it organizes 15 hours of tutorials twice (of 2 groups with supervisors). The themes are ‘Chronic illness’, ‘Sexuality’ and ‘Pain’.
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Course 'Aging' and course 'Growing Up' Also in these courses various disciplines participate. Our Department organizes 3 lectures, with the following subjects: ‘Epidemiology’, ‘Aging of the population’, ‘The relationship between aging and chronic diseases’, ‘Prevention strategies’, ‘Aging in the future’ and ‘Government policies'. In the course 'Growing Up', we have one lecture on ‘Chronically ill children’. Course 'Health Care (and the public’s health)' In the course 'Health Care (and the public’s health)' the disciplines of General Practice, Metamedics and Social Medicine (Chair) collaborate. The course consists of lectures, supplemented with tutorials. Our Department organizes 19 lectures and 12.5 hours of tutorials (20 different groups of approx. 12 students). In the tutorials, 4 public health themes are studied in more depth: ‘Errors in medicine and quality of care’, ‘Terminal and palliative care’, ‘Work and health’, and ‘Life-style and health’. The tutorials involve visits to practices, group meetings, presentations, and writing a paper. The following subjects are addressed in the lectures: ‘The Public’s Health and Health Care’, ‘Quality of care’, ‘Forensic medicine’, ‘Handling errors’, ‘Physical inactivity’, ‘Life-style and health’, ‘Prevention’, ‘Youth health care’, ‘Work and health’, ‘Occupational health care’, ‘Health law’, ‘Health economics’, and ‘Medical end-of-life decisions’. A special course of 3 tutorials focusing on health care and the public’s health in the Netherlands was organized for non-EC medical doctors who entered the medical curriculum at a later point in time. Clinical training Clinical problem solving takes place during patient demonstrations and tutorials. In tutorials a multidisciplinary case is discussed under the supervision of a clinician. The Department has made contributions in the form of issues related to youth health care and occupational health care in the 4th year. Experience training The experience training provides a practical introduction to the profession of a physician. The goal of this training is to introduce the medical student to 23
medical practice from various angles, focusing not only on the user of care, but also on the care system itself. It is intended to encourage the students to reflect on their own reactions and functioning as future care-providers in the health care system. All 3rd year students visit in groups of 10 to 12 persons, one 2-hour period of ‘Occupational Medicine’ at an Occupational Health and Safety Service, and one 2-hour period of ‘Community Medicine’ at a Municipal Health Service. Scientific research training The scientific research training has duration of 10-12 weeks in the 4th year. Students participate in scientific research in one of the medical departments or research institutes. The research period ends with a written paper. Students can participate in research projects in our Department, or they can participate in a research project in one of public or occupational health services, supervised by a senior researcher from the Department. Internships The final two years of the undergraduate curriculum consists of internships in different departments of hospitals, general practices and public or occupational health services. A new 2-week internship started in 2000. An introduction day at the faculty and a final day at the faculty structure the program. In the interim period, practical training is provided by a Municipal Health Service (GGD), an Occupational Health and Safety Service (ARBO service), the Institute for Employee Benefit Schemes (UWV) or a Home Care Organisation (Parent and Child Care). On the introduction day professionals in the field inform students about the two main streams of Social Medicine: Occupational Medicine and Community Medicine. Examples from daily practice are used as illustration. Simulated patients are used for the skillstraining in Social Medicine. During the practical training, the students gain insight in the work of the institution or service they have chosen, and in the tasks of the Social Medicine physicians and other people that work there. They practice a number of pre-defined skills in Social Medicine, and they also have to find, in a structured way, a solution to a public health problem that was given to them on the introduction day at the faculty. During the final day at the
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faculty, the interns exchange their experiences, and give a presentation of ‘their’ public health problem. The preference of the intern about the place of practical training is taken into account in the final allocation of the internship. Unfortunately, however, in view of the limited offer of internships made by services and organizations during a certain period, it is not always possible to honour these preferences. In recent years there has been a marked increase in the number of interns who had a definite preference for their internship. At present, approximately two thirds of the students make use of the possibility of stating their preference beforehand. Elective internships Students can devote 6 weeks of their internships to electives. In 2001 and 2002, respectively, 14 and 20 interns completed an elective internship in Social Medicine (see Chapter 9). We are glad to report that during recent years there has been an increase in the number of elective internships in Social Medicine. Of all elective internships in the faculty, Social Medicine is second only to Radiology in popularity. Interdisciplinary training During the internships in the 5th and 6th study years, interdisciplinary revision days are held at the faculty (‘Stage Overstijgend Onderwijs’). Each session consists of a 3-hour period, and there are now approximately 10 sessions scheduled, 7 of which are compulsory for all interns. Our Department organizes and participates in 3 sessions i.e. ‘Forensic medicine’, ‘Health law’ and ‘Occupational diseases’. Case-histories are discussed in a multidisciplinary way. We collaborate with several clinical departments and with the Forensic Department of the Municipal Health Services in Amsterdam, the Faculty of Law and the Netherlands Center for Occupational Diseases.
Health Sciences Education Health Sciences is a new program at the faculty of Earth and Life Sciences. The 5-year curriculum is based on to the Bachelor-Master structure. The Department is one of the main participating disciplines, and is responsible for the co-organization of the curriculum.
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We chair the courses ‘Health care in the Netherlands’, ‘Prevention’ and ‘Policy research’. The course ‘Health care in the Netherlands’ is given during the first year, in collaboration with the Departments of Health Care and Culture and Medical History. It focuses on problem-oriented teaching (PGO) with emphasis on the themes: ‘ Infectious diseases’, ‘Demand and supply in the health care system’ and ‘Position of the patient in the health care system’. The course on ‘Prevention’ aims to give a broad overview of the theory and practice of health prevention. Students have to write a paper in which they give a review and a critical analysis of a specific prevention project they have visited. The course ‘Policy research’ in the third Bachelor year is still being developed.
Postgraduate medical education Our Department participates in the management and content of some courses of the Netherlands School of Public Health (NSPH) and the Netherlands School of Occupational Health (NSOH). The postgraduate education provided in both schools includes both main streams of Social Medicine. Professor Gerrit van der Wal is Vice-Dean and member of the Advisory Board of both the NSPH and the NSOH. These two schools were fully merged by January 2003.
Research Embedding Research in our Department is integrated in four research lines, which all focus on Public’s Health and Health Care. These research lines are: 'Quality of care and prevention', 'Public health at the end of life', 'Work and health', and 'Physical activity and health'. A senior researcher from these four research lines participates in the two-weekly staff meetings, together with the three professors, the education co-ordinator and members of the administrative staff. All research projects are embedded in the Institute for Research in Extramural Medicine (EMGO Institute) and all research projects fit into one the programs of the Institute. The EMGO Institute participates in the
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Netherlands School of Primary Care Research (CaRe), which was reacknowledged in 2000 by the Royal Netherlands Academy of Arts and Sciences (KNAW) for a second period of five years.
Quality of care and prevention ‘Quality of care and prevention’ concerns the extent to which care and prevention contribute to a good quality and duration of life for the patient/client. This care must be technically good, cost-effective and patient/client-oriented. Technically good care or prevention, according to current professional standards, is given to the right person at the right moment. Care or prevention is cost-effective if the benefits in terms of health gains are favorably balanced against the costs. Patient/client-oriented care or prevention includes aspects such as the inter-action between care-provider and patient, the quality of the communication and decision making, the provision of adequate information, and maintaining a good relationship with the patient/client. The exact definition of what constitutes good quality of care, depends on one’s perspective. The opinions of the care-providers, as well as the opinion of those who receive care, the health insurance companies and the government are important. Our research in this field is directed towards providing the patients/clients with adequate information, in order to enable them to make an informed decision about the way in which they use the care, e.g. pregnant women with regard to prenatal screening, and patients with regard to consulting a general practitioner. Other research projects investigate the consequences for patients of waiting for an operation, and the acceptability of waiting-list times, evaluated by the various parties involved. Finally, research is being carried out to evaluate the Individual Health Care Professions Act (BIG Act) and the effectiveness of prevention programs in youth health care.
Public health at the end of life ‘Public health at the end of life’ concerns research on the incidence and the prevalence of health and illness in the population in the final phase of life, their determinants, and the measures that can have a positive influence on these determinants and health related quality of life. This field of research includes palliative care, and the decisions involved may have the result of hastening death. End-of-life care demands a high level of expertise, 27
competence and integrity. Not only, for instance, in the case of euthanasia and physician-assisted suicide, but also with regard to such aspects as forgoing life-prolonging treatment, the medical profession must formulate requirements for prudent practice and be open to evaluation. The public health research focuses on the epidemiological aspects of health and illness in the final phase of life and the development of good measurement instruments, outcome measures and indicators for responsible end-of-life care. Research is also being carried out to investigate ways in which to maintain or improve functional autonomy and the social support that patients receive. Finally, the research also investigates the various ways in which, and the conditions under which, end-of-life care can be organized.
Work and health Research in the field of work and health mainly concentrates on the etiology and prevention of work-related complaints of the musculoskeletal system. These complaints are the cause of approximately one third of all sickness absenteeism and work disability in the Netherlands. The etiological research investigates the development of work-related back, neck and upper extremity complaints and work-related complaints of the musculoskeletal system in general practice, with particular focus on the collaboration between general practitioner and occupational physician. The risk of prolonged sickness absence and work disability, and gender differences in occupational exposure and exposure at home are also being studied. Research on the prevention of work-related complaints of the musculoskeletal system concerns various programs that are implemented as secondary preventive measures in the treatment of workers who are unable to work, due to nonspecific low back complaints. Finally, this research line also investigates the quality of occupational health care, with specific focus on the effectiveness and credibility of occupational health care in general, and the activities of the occupational physician in particular. For example, research on the effectiveness and quality of occupational health care on return to work after childbirth, research on gender differences in occupational health care, or research on the effectiveness of the Dutch guidelines for the management by occupational physicians of workers with mental health problems. Recently research regarding the prevention of psychological work complaints was added to this line. 28
In 2002, the Research Center Body@Work TNO-VU, collaboration between the VU and TNO, was established. One of the two main areas of interest of the Research Center is work and health, and Body@Work TNO-VU is funding two studies in which the relationship between work and health is being studied.
Physical activity and health Physical activity has a strong influence on health, both negatively and positively. Adequate physical activity is extremely beneficial for the health status, but a possible negative effect of sport and physical activity is that they increase the risk of (sports) injuries. Research in this field concentrates on the health consequences of various physical activity and training programs, for instance for the residents of long-term care facilities. Since it is a well-known fact that approximately 60% of the population in the Netherlands is insufficiently physically active, effective methods to stimulate a physically active life-style are also being investigated. This is taking place, in particular, in occupational health care, general practice, and rehabilitation centers. The second of the two main areas of interest of the Research Center Body@Work TNO-VU is physical activity and health, and the center is funding three studies in which physical activity is promoted. Overweight is becoming an increasingly urgent problem in public health care for which physical inactivity is a strong risk factor. In order to tackle this health problem, a Center of Expertise regarding the prevention of overweight and obesity has been established within the EMGO Institute, the Knowledge Center Overweight. The Department of Social Medicine is an important contributor, and the primary aim of the Center is to provide intermediary professionals with state-of-the-art knowledge with regard to the prevention of overweight and obesity (see www.overgewicht.org). Furthermore, several studies on the prevention or reduction of overweight and obesity have been initiated, focussing on working populations, adolescents, and pregnant women. In all these studies, the promotion of physical activity plays an important role. From the public health perspective, the prevention of sport injuries is important. Research on the negative aspects of physical activity and sport is, for instance, directed towards the prevention of ankle injuries among volleyball players by introducing a special device (a balance board) for 29
balance training (see Internetsite: www.abbastudy.nl). In 2002, a special grant was obtained from the Ministry of Health, Welfare and Sports, as part of a large-scale program that aims at stimulating sports medicine research in the Netherlands. Thanks to this grant, a study on the etiology and prevention of sports injuries in adolescents will be initiated in 2003.
Procedures Project leaders of research projects are senior investigators. They are responsible for supervising junior researchers and PhD students and the daily management. A professor is finally responsible for the scientific content, the project management, and the dissertation of the junior researcher or PhD student. All projects can receive statistical and methodological support from a senior member of the Department of Clinical Epidemiology and Biostatistics at the EMGO Institute. Similarly, for all projects some assistance with the design and execution of the data-management is available, and in financial affairs the financial administrator at the EMGO Institute supports all project leaders.
Quality assurance The majority of the research projects are externally funded, and most funding organizations have a strict procedure for assessment of the relevance and quality of a research proposal. This usually entails a peer review by several (national and international) referees. Research of insufficient quality will have less chance of being funded. In addition to this external quality control, all research proposals must be submitted to the Scientific Committee of the EMGO Institute. Two senior researchers assess the proposals with regard to compliance with the EMGO research programs and the scientific quality and feasibility of the project. After funding has been obtained (internally or externally), but before the actual data-collecting takes place, a detailed protocol is made, including all patient information and questionnaires and is submitted to the VUMC Medical Ethics Committee. This Committee assesses the ethical consequences of all research involving humans or animals. The quality of the data-gathering, data-storage and data analyses was previously not monitored. Recently a Quality Committee is established at the EMGO Institute to monitor and improve the research process by means of 30
audits of ongoing projects. In 2002 also an introductory course on datamanagement for new researchers was initiated. In order to improve the quality of both the research and the researchers, meetings are held every two weeks for all researchers in our Department. More specialized meetings are held regularly in each of the four research lines. Methodological and practical issues are discussed, thus improving the research projects and broadening the horizons of the researchers involved. The researchers also attend bi-monthly meetings held within the EMGO Institute research programs. Most research projects will result in several papers and a dissertation. The papers are mainly submitted to international peer reviewed journals for publication. Some papers are also submitted to national peer-reviewed journals partly in the form of a so a called ‘double-publication’. The quality of these papers is therefore widely assessed. A Thesis Committee assesses the quality of a dissertation, in which four to six (Associate) Professors with expertise in a relevant line of research participate.
Collaboration with other research groups There is substantial collaboration with other research groups within the EMGO Institute (e.g. Nursing Home Medicine, General Practice), with other departments within the VU University Medical Center (e.g. Clinical Genetics, Gynaecology and Obstetrics) and with other faculties within the University (e.g. Clinical Psychology, Health Law). There is a structural collaboration within the Research Center Body@Work TNO-VU, with TNO Work and Health, and with TNO Prevention and Health. This collaboration was recently extended to include the Faculty of Human Movement Sciences of the Vrije Universiteit on informal basis. There is external collaboration, both nationally (e.g. Institute for Public Health of the Erasmus Medical Center Rotterdam) and internationally (e.g. the European research on end-of-life decision-making).
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During the course of 2000/2001 the following research projects were carried out (in chronological order of starting date):
Projects Quality of care and prevention Title
Prevention of passive smoking among children
Period Funding
01.95 – 12.03 Netherlands Organisation for Health Research and Development (ZonMw), TNO Prevention and Health (TNO-PG)
Investigators MR Crone1, SA Reijneveld1, SP Verloove-Vanhorick 1, RA Objectives
Hirasing To assess prevalence, health consequences and determinants of passive smoking in young children and the effect of a systematic education program.
Title
Diabetes mellitus (NIDDM) in primary care
Period
04.96 – 04.01
Funding Netherlands Organisation for Scientific Research (NWO) Investigators CM Renders, GD Valk2, JThM van Eijk3, PD Bezemer4, G van der Wal Objectives
To determine the effect of a quality management system, including education, feedback on performance and audit, on the performance of general practitioners, glycaemic control, cardiovascular risk factors and perceived health of patients with type 2 diabetes mellitus in general practice.
Title
Evaluation of a program of diabetes education for South Asian diabetes patients
Period
10.97 – 06.01
Funding
Prevention Fund, Municipal Health Services The Hague, VU Medical Center
Investigators BJC Middelkoop5, G van der Wal
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Objectives
To determine the effect of a program of diabetes education for South Asian patients, including culture-specific advices on their nutritional habits and culture, on patient compliance, glycaemic control and cardiovascular risk factors.
Title
The effect of educational information about daily complaints on self care behavior and health care demands of Turkish and Dutch inhabitants of disadvantaged districts of The Hague: evaluation of an intervention
Period
08.98 – 05.03
Funding
Municipal Health Services The Hague, Netherlands Organisation for Health Research and Development (ZonMw)
Investigators AMC Plass, DRM Timmermans, G van der Wal, Objectives
To evaluate the effect of providing information about minor ailments on self-care and health care use of Turkish and Dutch patients.
Title Period
Maximum acceptable waiting times in elective surgery 09.99 – 01.05
Funding
Ministry of Health, Welfare and Sport (VWS)
Investigators J Oudhoff, DRM Timmermans, J Kievit6, G van der Wal Objectives
To determine maximal acceptable waiting times for the treatment of varicose veins, gallstones, mammary cancer and inguinal hernia, with generalisations to other common surgical treatments.
Title
Psychological well-being of pregnant women who are offered prenatal screening for congenital defects
Period
09.99 – 08.05
Funding
Netherlands Organisation for Health Research and Development (ZonMw)
Investigators JH Kleinveld, M van den Berg, DRM Timmermans, J van Vugt 7, Objectives
L Ten Kate8, D de Smit9, JThM van Eijk3, G van der Wal To determine the effect of offering pregnant women prenatal screening on their psychological well-being in the short and the long term. 33
Title
Risk perception and decision making of pregnant women who
Period
are offered prenatal screening for congenital defects 09.99 – 01.06
Funding
Netherlands Organisation for Health Research and Development (ZonMw)
Investigators M van den Berg, JH Kleinveld, DRM Timmermans, J van Vugt 7, L Ten Kate8, D de Smit9, JThM van Eijk3, G van der Wal Objectives
To determine the effect of offering pregnant women prenatal screening on their risk perception and decision making.
Title
Nocturnal Enuresis
Period
01.00 – 11.03
Funding
Ferring Nederland b.v. and TNO Prevention and Health.
Investigators FJM van Leerdam 1, AJ van der Heijden10, RA Hirasing Objectives To describe the epidemiology of enuresis (in different subgroups) and the effect of alarmtreatment (in different subgroups). Title
Evaluation of the Individual Health Care Professions Act
Period
06.00 – 09.02
Funding
Netherlands Organisation for Health Research and Development (ZonMw)
Investigators JM Cuperus-Bosma, J de Bie, FAG Hout, G van der Wal (in collaboration with three Health Law departments – Roscam Abbing HDC, Utrecht University, Gevers JKM, University of Amsterdam, Hubben JH, Vrije Universiteit, Amsterdam) Objectives
To gain insight into the extent to which the Individual Health Care Professions Act (BIG Act) serves its purposes of protecting patients against professional carelessness and incompetence (1) and of fostering and monitoring high standards of professional practice (2). The study focuses on five aspects, which are: the registration and title protection, the preserved procedures, article 40 (quality aspects of professional practice), the disciplinary code and penal provisions. 34
Title
Practice concerning reserved and other risky procedures in Dutch health care; impact of the Individual Health Care Professions Act
Period
08.00 – 01.04
Funding
Netherlands Organisation for Health Research and
Development (ZonMw) Investigators J de Bie, JM Cuperus-Bosma, JKM Gevers 11, G van der Wal, Objectives
To gain insight into the extent to which the regulation of 'reserved procedures' of the Individual Health Care Professions Act (BIG Act) serves its purposes of protecting patients against professional carelessness and incompetence and of fostering and monitoring high standards of professional practice.
Title
The Dutch disciplinary code of health care
Period
09.00 – 01.04
Funding
Netherlands Organisation for Health Research and Development (ZonMw)
Investigators FAG Hout, JM Cuperus-Bosma, JH Hubben12, G van der Wal Objectives
To gain insight into the functioning of the disciplinary code of the Individual Health Care Professions Act (BIG Act) and into the extent to which this code serves its purposes of fostering and monitoring high standards of professional practice and of protecting patients against professional carelessness and incompetence of the professionals that are covered by the disciplinary code.
Title
Factors influencing the choice of a medical career
Period Funding
01.01 – 06.05 -
Investigators MBM Soethout, ThJ ten Cate13, G van der Wal Objectives
To obtain information about career preference of (coming) medical students in different stages of their study and recent qualified medical doctors in the Netherlands and their final medical occupation, and to identify factors influencing the 35
career choice of medical specialisation, with a special focus on social medicine. In this way a better coaching can take place during the medical undergraduate course resulting in a better connection to the postgraduate medical specialisation and the labour market. Title
Public attitudes and expectations on genetic testing and human genetic information
Period
10.01 – 05.03
Funding
-
Investigators L Henneman, DRM Timmermans, G van der Wal Objectives To evaluate the experiences, genetic knowledge, attitudes towards and expectations of future genetic developments, and attitudes towards the availability of human genetic information among Dutch people. Title
The communication of genetic risks: What we know and what
Period
we need to learn 01.02 – 09.02
Funding
Netherlands Organisation of Scientific Research (NWO)
Investigators
DRM Timmermans, L Henneman
Objectives
To describe and discuss the literature about risk communication and risk perception and decision making in genetic contexts, respectively.
Title
Risk perception of disease and evaluation of the Meningococcen C vaccination campaign in 2002 by participant with different ethnic backgrounds
Period
08.02 – 05.03
Funding Investigators DRM Timmermans, L Henneman, RA Hirasing , G van der Wal Objectives
To determine the risk perception of disease and evaluation of the Meningococcen C vaccination campaign in 2002 by participants with different ethnic backgrounds
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Title
Moral considerations with respect to the decision for or against prenatal screening and the implications for the
Period
desirability of prenatal screening as community screening. 10.02 – 10.06
Funding
-
Investigators E Garcia, DRM Timmermans, G van der Wal, E van Leeuwen 14 Objectives
To determine the moral considerations of pregnant women when offered a prenatal screening test, to determine the requirements regarding education and counseling to facilitate the process of moral evaluation and to investigate the implications for health policy.
Title
Early detection and prevention of overweight
Period
12.02 – 01.06
Funding
Netherlands Organisation for Health Research and Development (ZonMw)
Investigators MLA de Kroon 15, CM Renders, JP van Wouwe1, GA de Jonge16, Objectives
RA Hirasing To determine the association between birth weight, growing pattern and overweight up to the age of young adults. In addition the association between birth weight, growing pattern and the development of type 2 diabetes, cardiovascular risk factors and asthma will be studied. Furthermore, the role of breast-feeding in these associations will be determined.
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Projects Public health at the end of life Title
Curative or palliative treatment of pneumonia in psychogeriatric nursing home patients
Period
01.95 – 04.02
Funding
Ministry of Health, Welfare and Sport (VWS)
Investigators JT van der Steen, ME Ooms 17, MW Ribbe17, HJ Adèr4, G van der Wal Objectives
To determine the clinical course of pneumonia in psychogeriatric patients treated either with or without antibiotics, and the determinants of the clinical course. To develop and evaluate the guidelines to structure the decisionmaking process whether to treat or not to treat pneumonia in a psychogeriatric nursing home patient population curatively.
Title
Starting or forgoing artificial administration of fluids and/or food in psychogeriatric nursing home patients
Period Funding
12.97 – 09.03 Ministry of Health, Welfare and Sport (VWS)
Investigators HRW Pasman, BD Onwuteaka-Philipsen, ME Ooms17, BAM The, MW Ribbe17, G van der Wal, PD Bezemer4 Objectives
To determine how often, in what way, in which patients and under what circumstances artificial administration of fluids and food (AAFF) is forgone. To determine how, and on the basis of what (medical) criteria it is decided to start or forgo AAFF. It is decided to start or forgo AAFF in psychogeriatric nursing home patients, and how the wishes or opinions of the patient and his or her relatives are taken into account in the decision-making. To determine the clinical course and quality of life/dying when a patient is artificially hydrated or fed, and when AAFF is forgone.
Title
Circumstances of and care for elderly people in the terminal months of life
Period
02.99 – 05.03
38
Funding
Program Center for Development of Palliative Care (COPZ), Ministry of Health, Welfare and Sport (VWS)
Investigators M Klinkenberg, DL Willems, DJH Deeg18, BD OnwuteakaPhilipsen, CPM Knipscheer19 , J Smit19, G van der Wal Objectives
To determine which health problems and restrictions do elderly people encounter in the last months of life. What type of care do elderly people receive and what do they think of the quality of this care. What wishes concerning the end of life do elderly people express, and how do care-givers deal with these wishes.
Title
Quality of life, values and needs of patients with terminal heart failure: a qualitative, longitudinal, prospective study
Period
10.99 – 10.01
Funding
Program Center for Development of Palliative Care (COPZ), Ministry of Health, Welfare and Sport (VWS)
Investigators B Wiemann, DL Willems, A Hak, F Visser20, G van der Wal Objectives
The gain more understanding of the problems, wishes and needs of patients with terminal heart failure and their carers, and to contribute to an improvement in the quality of life and dying. Specific objectives are (1) to describe how the values, needs and quality of life change in the course of their terminal illness, and (2) to develop a theoretical model of determinants of quality of life for patients with terminal heart failure.
Title
Single fraction radiotherapy for pain from bone metastases for patients in palliative home care
Period
10.99 – 01.02
Funding Health Care Insurance Council (CVZ) Investigators S Mak-Kregar, DL Willems, BJ Slotman21, H Langendijk21, PD Bezemer4, G van der Wal Objectives
To study the role of the general practitioner in referring patients for single fraction radiotherapy, the preferences of patients and the effects of single-fraction radiotherapy on patients’ quality of life. 39
Title
Support and consultation in euthanasia in the Netherlands: evaluation of an intervention
Period Funding
12.99 – 12.03 Royal Dutch Medical Association (KNMG), Ministry of Health, Welfare and Sports (VWS)
Investigators M van der Weide, BD Onwuteaka-Philipsen, G van der Wal Objectives
To evaluate the intervention ‘Support and Consultation in Euthanasia in the Netherlands’ (SCEN) in which GPs can request information, advice and consultation in cases of euthanasia. These services will be provided by especially trained GPs. Research questions concern the implementation of the intervention successful and the effect of the quality of care.
Title
Lower respiratory tract infection as a terminal event in US and Dutch nursing homes / Pneumonia in demented nursing home patients in the Netherlands and in the US; optimal
Period
treatment strategy and long-term prognosis 01.00-04.04
Funding
National Institute of Health, USA, Netherlands Organisation for Health Research and Development (ZONMw)
Investigators JT van der Steen, ME Ooms 17, MW Ribbe17, DR Mehr, RL Kruse a, RW Madsen b, SC Zweiga, RB D’Agostino c, G van der Wal Objectives
To improve prognostic information for physicians and families and to improve care for patients with dementia and pneumonia. For this, consequences of different treatment strategies, and how dementia and comorbid conditions affect mortality and functional decline are assessed.
Title
Wanted and unwanted effects of drugs used for the administration of euthanasia and physician-assisted suicide
Period
04.00 – 04.05
Department of Family and Community Medicine, University of Missouri-Columbia, Columbia, USA b Department of Statistics, University of Missouri-Columbia, Columbia, USA c Department of Mathematics and Statistics, Boston University, Boston, USA a
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Funding
Royal Dutch Medical Association (KNMG)
Investigators P van Wigcheren, BD Onwuteaka-Philipsen, G van der Wal Objectives
To investigate the effects of euthanatics (time between administration and coma/death, complications) in relation to the type of administration of the drugs and patient characteristics. Furthermore, the occurrence of technical problems with the administration of the drugs will be registered.
Title
Evaluation of consultation facilities concerning palliative care
Period Funding
05.00 – 08.03 Program Center for Development of Palliative Care (COPZ)
Investigators A Kuin, L Deliens, G van der Wal Objectives
To evaluate the effectiveness of different types of consultation facilities for professionals in extramural palliative care, both on process and on patient outcomes.
Title Period
Palliative care in general practice 08.00 – 04.05
Funding
Program Center for Development of Palliative Care (COPZ)
Investigators SD Borgsteede, L Deliens, DL Willems, AF Francke 22, W Objectives
Stalman2, JThM van Eijk3, G van der Wal To describe the extent and quality of the palliative care provided by general practitioners in the Netherlands, and to describe expectations and opinions of patients and their relatives concerning such care. As an additional aim, we want to describe and evaluate the ethical problems associated with investigating patients in palliative home care. The study is partly embedded in the Second National Survey of General Practice (NS2), conducted by the NIVEL.
Title
Death certificates and the role of the medical examiner
Period 09.00 – 12.03 Investigators C Das23, G van der Wal Funding
Municipal Health Services Amsterdam
Objectives
To investigate the legal system of death certificates in the 41
Netherlands, in Belgium, in Germany, in England and in the USA, to compare these systems, to point out the differences and to indicate the way in which the Dutch system could be improved. Title
Implementation and evaluation of palliative care units in
Period
nursing homes 09.00 – 03.03
Funding
Program Center for Development of Palliative Care (COPZ), Ministry of Health, Welfare and Sports (VWS)
Investigators MA Echteld, L Deliens, ME Ooms 17, PD Bezemer4, G van der Wal, MW Ribbe17 Objectives
To evaluate 10 palliative care units for terminally ill patients in nursing homes in two phases. The objectives of the first phase are to assess whether 14 specific requirements for the units are met, and to identify barriers and facilitators involved in implementing the units. In the second phase, changes in perceived quality of care, individual quality of life and perceived symptoms towards the end of life of patients who are admitted to the units are assessed.
Title
Prevalence and incidence of palliative care for nursing home patients.
Period
09.00 – 07.04
Funding
Program Center for Development of Palliative Care (COPZ),
Ministry of Health, Welfare and Sports (VWS) Investigators HSA Brandt, ME Ooms 17, L Deliens, PD Bezemer4, G van der Wal, MW Ribbe17 Objectives
To assess the incidence and prevalence of the need for palliative terminal care among patients in Dutch nursing homes. To assess care-needs, problems, and the nature and amount of care that is provided, as well as the spiritual, psychological, cognitive, emotional and physical problems of these patients.
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Title
Response shift in Quality of Life in palliative treatment of small cell lung cancer patients
Period Funding
09.00 – 09.04 Dutch Cancer Society (KWF)
Investigators MJ Westerman, T Hak24, BAM The, HJM Groen25, G van der Wal Objectives
To describe the changes in (actual) of Quality of Life (QoL) and the response shift in individual in small cell lung cancer (SCLC) patients, caused by the changes in the patients’ standards, values and concepts regarding QoL. And to interpret these against the background of the different stages of the illness trajectory that is characteristic for this group of patients. To establish a model for similar studies aimed at understanding changes in QoL and QoL scores in other group of patients.
Title
Medical end-of-life decisions: attitudes and practices in 6 European countries
Period Funding
10.00 – 09.03 European Commission
Investigators BD Onwuteaka-Philipsen, A van der Heide26, G van der Wal, PJ van der Maas 26 Objectives
To establish the incidence and characteristics of end of life practices, attitudes among medical professionals and characteristics of the health care system and of other ethical and societal aspects that may relate to end-of life decisionmaking in 6 European countries (Belgium, Denmark, Italy, the Netherlands, Sweden, Switzerland).
Title
Evaluation of the practice, notification and review of
Period
euthanasia 04.01 – 04.04
Funding
Ministry of Health, Welfare and Sports (VWS), Ministry of
Justice Investigators JJ Georges, M Rurup, MT Muller, BD Onwuteaka-Philipsen, A van der Heide26, PJ van der Maas26, G van der Wal
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Objectives
To evaluate whether the euthanasia review procedure meets its goals (disclosure, promoting adherence to the requirements for accepted practice and uniformity in notification and examination throughout the country). In order to answer this question it is necessary to look into the policies of Dutch physicians concerning end-of-life decisions, the experiences and attitudes of the physicians and the general public concerning end-of-life decisions. And the examination and notification of euthanasia and physicianassisted suicide, the actual procedures of the notification procedure and possible trends in all these issues over the last decade.
Title
Evaluation of buddy care for cancer patients in Amsterdam. A
Period
pilot study. 12.01 – 04.03
Funding
Kuria Foundation (Stichting Kuria), Amsterdam
Investigators A Kuin, L Deliens, G van der Wal Objectives To investigate the additional value of buddy care for cancer patients, as perceived by the patient as well as by the buddy. Title
The suffering of incurable cancer patients in general practice and the request for and performance of euthanasia or physician-assisted suicide
Period
01.02 – 04.06
Funding Netherlands Organisation for Scientific Research (NWO) Investigators CDM Ruijs, BD Onwuteaka-Philipsen, AJFM Kerkhof27, G van der Wal Objectives
Unbearable and hopeless suffering is one of the conditions under which euthanasia or physician-assisted suicide is allowed in the Netherlands. However, what makes this suffering unbearable and hopeless and to what extent can depression be an underlying cause.
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Projects Work and health Title
A prospective study on work-related risk factors for neck disorders
Period
12.96 – 11.01
Funding
-
Investigators GAM Ariëns, LM Bouter4, G van der Wal, BW Koes 28, PM Bongers29, WE Hoogendoorn, W Devillé4, W van Mechelen Objectives
To identity the most important risk factors for neck disorders. Special attention has been paid to the work-related dose-response relationship between physical load and neck disorders, the relative importance of work-related and nonwork-related risk factors, and the main risk factors for a poor prognosis of neck disorders.
Title
A prospective study on work-related risk factors for low back pain
Period Funding
01.97 – 12.01 TNO Work and Employment
Investigators WE Hoogendoorn, PM Bongers 29, BW Koes28, HCW de Vet 4, LM Bouter4, GAM Ariëns, W Devillé4, W van Mechelen Objectives
To identify the most important work-related physical and psychosocial risk factors for low back pain. Special attention has been paid to the dose-response relationship between physical load factors and low back pain.
Title
Intended and unintended effects of the introduction of market incentives in social security and occupational health services (OHS)
Period Funding
01.97 – 01.04 -
Investigators HN Plomp Objectives
To establish the intended and unintended effects of the introduction of market incentives in social security and occupational health services.
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Title
The efficacy of a graded-activity program for workers who are disabled as a result of non-specific low back pain; a
Period
randomized clinical trial in an occupational setting. 01.98 – 04.03
Funding
Health Insurance Executive Board (ZFR)
Investigators B Staal, H Hlobil, LM Bouter4, G van der Wal, B Koes28, T Objectives
Smid4, W Devillé4, W van Mechelen To evaluate the effectiveness of a graded-activity program to achieve early functional rehabilitation of workers who are disabled as a result of non-specific low back pain, in order to prevent the complaints from becoming chronic.
Title
The Amsterdam Sherbrooke-model Evaluation Study (ASEstudy): effective prevention of chronic low back pain by integration of ergonomic measures, social medical guidance and early return to work
Period
09.99 – 10.03
Funding
Netherlands Organization for Scientific Research (NWO), Netherlands Organisation for Health Research and Development (ZonMw)
Investigators JR Anema, IA Steenstra, PM Bongers29, HCW de Vet 4, W van Objectives
Mechelen To implement and evaluate the effect of a multi-component prevention program in occupational health care that aims at early return to work for workers with low back pain.
Title
The (cost) effectiveness of back schools for chronic and recurrent low back pain
Period
01.00 – 01.04
Funding
Netherlands Organization for Scientific Research (NWO), Netherlands Organisation for Health Research and Development (ZonMw)
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Investigators M Heymans, BW Koes 28, HCW de Vet4, PM Bongers 29, W van Mechelen Objectives
To answer the question about the effectivity of back schools with low and high intensity compared with usual care, in an occupational setting.
Title
The effectiveness of a worksite physical activity program on physical activity, fitness, musculoskeletal disorders and absenteeism from work
Period
01.00 – 05.03
Funding
Netherlands Organisation for Health Research and Development (ZonMw), Netherlands Olympic Committee / Netherlands Sports Federation (NOC*NSF)
Investigators K Proper, AJ van der Beek, VH Hildebrandt29, W van Mechelen Objectives
To asses in a randomised controlled trial 1) the effectiveness of a worksite physical activity program on physical activity, fitness, musculoskeletal disorders and work absenteeism, and 2) the cost-effectiveness of such a program.
Title
‘The Sherbrooke model’: effective prevention of chronic low back pain by participative ergonomy and graded activity, a
Period
study using the Sherbrooke model 01.00 – 01.04
Funding
Netherlands Organization for Scientific Research (NWO), Netherlands Organisation for Health Research and
Development (ZonMw) Investigators IA Steenstra, JR Anema, PM Bongers29, HCW de Vet 4, W van Mechelen Objectives
To implement and evaluate the effect of a multi component prevention program that aims at early return to work for workers with sub-acute low back pain.
Title
Epidemiological Study Air Disaster Amsterdam; long term physical health effects in occupationally involved police officers, fire fighters, and accident and wreckage investigators compared to reference groups. 47
Period
07.00 – 04.05
Funding
KLM Arbo services
Investigators P Slottje, AC Huizink, JWR Twisk 4, LM Bouter4, W van Mechelen, T Smid4 Objectives
To investigate long-term physical health effects and indicators of biochemical exposure in workers who were occupationally involved in an air disaster with a cargo aircraft in a densely populated suburb of Amsterdam in 1992.
Title
Medical examination Air Disaster Amsterdam. Epidemiological study of the incidence of Post Traumatic Stress Disorder
Period
07.00 – 07.04
Funding
KLM Arbo Services
Investigators A Witteveen30, AC Huizink, JWR Twisk4, I Bramsen30, HM van der Ploeg30, G van der Wal, LM Bouter4, W van Mechelen, T Smid4 Objectives
To examine the incidence of Post Traumatic Stress Disorder in police-officers, fire personnel, and KLM workers who were professionally involved or exposed to the results of a plane crash as compared with controls, as well as the incidence of chronic stress, chronic fatigue and stress-related psychological complaints.
Title
Work and health in general practice
Period Funding
08.01 – 07.05 -
Investigators HJA Weevers, AJ van der Beek, G van der Wal, JM Bensing22, W van Mechelen Objectives
To gain insight into: 1) relations between occupational exposures and musculoskeletal disorders as diagnosed by the general practitioner, 2) the influence of occupational exposures on the activities of general practitioners regarding patients with musculoskeletal disorders, and 3) communication and co-operation between the general practitioner and occupational physician. 48
Title
Gender differences in the risk of prolonged sickness absence and work disability: the role of work, leisure time and health
Period
care. 09.01 – 08.05
Funding
Netherlands Organization for Scientific Research (NWO)
Investigators WE Schimmel, AJ van der Beek, PM Bongers29, W van Mechelen Objectives
To find out to which extent gender differences in the risk of prolonged sickness absence and disability for work can be explained by occupational exposures, interaction between demands at work and home, and occupational health care activities.
Title
The effects of the Dutch national guideline on the management of employees with mental health problems by occupational physicians: a randomized clinical trial.
Period
01.02 – 12.07
Funding
Ministry of Internal Affairs (BZ), OHSS Commit Arbo
Investigators DS Rebergen, DJ Bruinvels, AJ van der Beek, W van Mechelen Objectives To assess the effects of the guideline on sick leave and work disability of employees with mental health problems. In a randomized controlled trial, subjects in the intervention group will be treated according to the guideline. The control group will receive usual care. Title
Prospective cohort study on risk factors for upper extremity disorders in VDU workers
Period
09.02 – 09.06
Funding
Body@Work Research Center Physical Activity, Work and
Health, TNO-VU Investigators S IJmker, B Blatter29, AJ van der Beek, PM Bongers 29 , W van Mechelen
49
Objectives
To identify the risk factors for upper extremity disorders (neck, shoulder, arm or wrist) in VDU workers. Special attention is paid to the influence of duration of keyboard and mouse use, rest breaks, precision tasks and gender on the development of upper extremity disorders. Furthermore, the effectiveness of a Computerised RSI Prevention Tool will be evaluated.
Title
Return to work after childbirth: occupational health care interventions in case of early health complaints.
Period Funding
09.02 – 09.07 Body@Work Research Center Physical Activity, Work and Health, TNO-VU
Investigators SGM Stomp-van den Berg, MNM van Poppel, I Hendriksen29, DJ Objectives
Bruinvels, W van Mechelen To evaluate the effectiveness of the first contact by a casemanager during maternity leave on sick leave and work disability postpartum, and to assess which factors contribute to the development of postpartum complaints, such as pelvic pain and fatigue/stress.
Title
The effectiveness of lumbar supports for the treatment of low-back pain among home care workers.
Period
09.02 – 05.05
Funding
External PhD-student, Netherlands Organisation for Health
Research and Development (ZonMw) Investigators PDDM Roelofs28, SMA Bierma-Zeinstra 28, MNM van Poppel, M de Ridder31, P Jellema2, BW Koes28, W van Mechelen Objectives
To investigate 1) the effectiveness of lumbar supports for the treatment of low-back pain among home care workers, in terms of a reduction in the incidence and severity of low back pain episodes and sick leave due to low back pain, and 2) the cost-effectiveness of this intervention.
Title
Ergonomic optimisation of occupational hand-arm precision tasks 50
Period
01.03 – 01.08
Funding
-
Investigators MMA Huysmans32, MJM Hoozemans32, MP de Looze29 , AJ van der Beek, JH van Dieën32 Objectives
To test hypotheses as to the etiology of upper extremity disorders (UEDs) in occupational precision tasks, and to find general strategies for the ergonomic optimisation of precision tasks. This is studied in workplace and laboratory experiments, which aim at short-term mechanical, physiological, and psychophysical responses of variations in work tasks and situations potentially related to UEDs.
Projects Physical activity and health
Title
Health-enhancing physical activity for elderly living in
Period
residential care facilities 11.99 – 03.03
Funding
Netherlands Organisation for Health Research and Development (ZonMw)
Investigators MJM Chin A Paw, MNM van Poppel, JWR Twisk4, W van Mechelen Objectives
To examine the effectiveness and cost-effectiveness of three different exercise protocols in elderly living in residential care facilities.
Title
Rehabilitation and Sports: the effect of a sports and a physical lifestyle stimulation program during and after
Period
regular rehabilitation treatment 02.00 – 01.05
Funding
Netherlands Organisation for Health Research and Development (ZonMw), Dutch Association for Sports of the Disabled (NEBAS)
Investigators HP van der Ploeg, KRM Streppel33, AJ van der Beek, LHV van der Woude 32, WH van Harten33, W van Mechelen 51
Objectives
To determine the effects of a sport stimulation program and of an additional physical lifestyle stimulation program during and after regular rehabilitation treatment, on the degree of sports participation, daily physical activity and health status in a population of rehabilitating patients.
Title
The effect and cost-effectiveness of a preventive propriocepcis and balance board training program on the risk to sustain acute lateral ankle injury
Period
02.00 – 02.04
Funding
Netherlands Organisation for Health Research and Development (ZonMw), Netherlands Volleyball Association (NeVoBo), Top Volleyball Netherlands (TVN), Netherlands Olympic Committee and Netherlands Sports Federation
(NOC*NSF) Investigators EALM Verhagen, AJ van der Beek, R Vesters 34, HJPA du Bois35, R Bahr36, JWR Twisk 4, LM Bouter4 , W van Mechelen Objectives
To investigate the (cost-)effectiveness of a preventive proprioceptive and balance board training program on the risk to sustain acute lateral ankle injury among volleyball players of the 2nd & 3rd national league. To identify factors determining compliance with this program as part of the regular training routine.
Title
The effect of a PACE intervention in general practice on determinants and levels of physical activity: a randomized controlled trial
Period
03.00 – 03.04
Funding
Netherlands Organisation for Health Research and Development (ZonMw), Dutch Heart Foundation (NHS), Netherlands Olympic Committee and Netherlands Sports Confederation (NOC*NSF)
Investigators EMF van Sluijs, MNM van Poppel, MJM Chin A Paw, JWR Twisk4, W van Mechelen
52
Objectives
To evaluate the effectiveness of an individualized minimal intervention strategy, PACE, applied by general practitioners, aimed at the enhancement of daily physical activity.
Title
More exercise for seniors: opportunities and challenges
Period
06.01 – 06.05
Funding
Netherlands Organisation for Health Research and Development (ZonMw), TNO Prevention and Health
Investigators M. Stiggelbout1, DY Popkema37, M de Greef 37, M HopmanRock1, W van Mechelen Objectives
To study the characteristics and preferences of participants in ten different organised exercise programs for older adults in the Netherlands; to study the effects of exercise programs on functional independence and quality of life for elderly people; to study the effects of More Exercise for Seniors (MBvO) – gymnastics on the motor fitness of independent living elderly people of 65-80 years old.
Title
DO iT: a school-based intervention program to improve dietary and physical activity behavior in adolescents, in order to maintain energy balance
Period Funding
08.02 – 8.06 Dutch Heart Foundation (NHS)
Investigators AS Singh, MJM Chin A Paw, J Brug 26, W van Mechelen Objectives
To develop and evaluate a school-based weight gain prevention program that addresses environmental and behavioral components. Its effects will be evaluated on the basis of changes of body composition, dietary, and physical activity behaviors of adolescents.
Title
The effect of an individualized physical activity intervention on work-related complaints in the arm- and neck region in
Period
computer workers - a randomized controlled trial 09.02 – 09.06
Funding
Body@Work Research Center Physical Activity, Work and Health, TNO-VU 53
Investigators C Bernaards, V Hildebrandt29, GAM Ariëns, W van Mechelen Objectives
To investigate whether or not individualized advice on physical activity improves the process of recovery from workrelated complaints in the arm- and neck region in computer workers.
Title
The effects of physical activity and folic-acid/vitamin B12 supplementation on cognitive functioning and psychosocial health of older persons with mild cognitive impairment
Period
09.02 – 09.06
Funding
Body@Work Research Center Physical Activity, Work and Health, TNO-VU
Investigators JGZ van Uffelen, M Hopman-Rock1, MJM Chin A Paw, W van Mechelen Objectives
To examine the effect of a walking program and/or folic acid/vitamin B12 supplementation on cognitive functioning and psychosocial health of older persons with mild cognitive impairment (1) and the cost-effectiveness of these interventions, and the effects on the psychosocial health of the caregivers (2).
Title
The Weight-To-Be by Phone, Mail or Internet: A randomized controlled trial on the preventive effects of a physical activity enhancing and healthy eating program among an overweight, physically inactive working population.
Period Funding
09.02 – 09.06 Dutch Heart Foundation (NHS), Netherlands Organisation for Health Research and Development (ZonMw), Body@Work Research Center Physical Activity, Work and Health, TNO-VU
Investigators M van Wier, JC Dekkers, GAM Ariëns, I Hendriksen1, JWR Twisk4, T Smid, NP Pronk 37, W van Mechelen
54
Objectives
To evaluate, among an overweight, physically inactive working population, the effectiveness of a lifestyle intervention program on body weight, physical activity and eating habits. Secondary objectives of this study are: 1) to compare the efficacy of the use of three different communication technologies, i.e., mail, telephone; and internet, and 2) to evaluate the cost-effectiveness of this lifestyle program.
Title
Cognitive, social and environmental determinants of behaviour regarding weight gain prevention: An Intervention Mapping approach
Period
09.02 – 08.06
Funding
Dutch Heart Foundation (NHS)
Investigators GJ de Bruijn39, S Kremers 39, T Visscher40, W. van Mechelen, J Brug39 Objectives
To analyze existing databases of cross-sectional and longitudinal studies that include information on proximal, distal and/or ultimate determinants of obesity inducing behaviors; to gather and analyze new cross-sectional and longitudinal data; data must cover all categories of determinants for three risk groups for obesity (i.e. adolescents (12-18 year old), young adults (25-35), elderly (55-65).
Title
Life-style predictors of weight gain in prospective studies, implication for age-specific weight gain prevention trials
Period
09.02 – 08.06
Funding
Dutch Heart Foundation (NHS)
Investigators A. Nooijens40, S Kremers39, T Visscher40, W. van Mechelen, JC Seidell40
55
Objectives
To investigate in large, existing, prospective populationbased databases, for the use in innovative body weight control intervention programs, determinants of weight gain that are modifiable, with a specific focus on age-categories that are at increased risk of increasing dietary intake and/or decreasing physical activity; i.e. adolescents (12-18 years), young adults (25-35 years), and recently retired persons (5565 years).
Title
An intervention aimed at the prevention of excessive weight
Period
gain during pregnancy 10.02 – 10.07
Funding
Netherlands Organisation for Health Research and Development (ZonMw)
Investigators GHCW Althuizen, MNM van Poppel, JMG van Raaij41, JC Seidell40, W van Mechelen Objectives
To investigate 1) the dietary habits and the level of physical activity during the course of pregnancy of Dutch women and the determinants for these lifestyle factors, 2) the effects of an intervention consisting of personal advice on diet and physical activity on weight gain during pregnancy and bodyweight during the first year postpartum.
Title
Foodsteps, Life style interventions at the workplace: the effects of modifications of the work site
Period Funding
12.02 – 01.06 Netherlands Organisation for Health Research and Development (ZonMw)
Investigators LH Engbers, GAM Ariëns, MNM van Poppel, W van Mechelen Objectives
To evaluate in a controlled prospective intervention study the effect of modifications of the worksite building and canteen on body mass index, physical activity and dietary habits.
Title
Promotion of a physically active lifestyle among inactive adolescents and young adults by means of an activity monitor and an individually tailored advice using internet technology. 56
Period
12.02 – 01.06
Funding
Netherlands Organisation for Health Research and
Development (ZonMw) Investigators S Slootmaker, MJM Chin A Paw, AJ Schuit42, JC Seidell40, W van Mechelen Objectives
To assess the level of physical activity of adolescents (age 1318) and young adults (age 25-35), both in the entire group and in subgroups according to educational level. Secondly, to conduct a feasibility and effect evaluation of supplying adolescents and young adults with activity monitors coupled to a tailored advice through the internet, on their level of physical activity, fitness and quality of life.
1
Child Health Division, TNO Prevention and Health, Leiden, The Netherlands
2
Department of General Practice, EMGO-institute, VUMC, Amsterdam, The Netherlands Department of Medical Sociology, University of Maastricht, Maastricht, The Netherlands 4 Department of Epidemiology and Biostatistics, EMGO Institute, VUMC, Amsterdam, The Netherlands 5 Municipal Health Services, The Hague, The Netherlands 6 Department of Medical Decision Making, LUMC, Leiden, The Netherlands 7 Department of Gynecology and Obstetrics, VUMC, Amsterdam, The Netherlands 8 Department of Clinical Genetics, VUMC, Amsterdam, The Netherlands 9 HC Project Services, Baambrugge, The Netherlands 10 Sophia Children Hospital / Erasmus MC Rotterdam, The Netherlands 11 Department of Social Medicine, Section of Health Law, AMC, University of Amsterdam, The Netherlands 12 Section of Health Law, Faculty of Law, VU University, Amsterdam, The Netherlands 13 Department of Education, University Medical Center, Utrecht, The Netherlands 14 Department of Philosophy and Medical Ethics, VUMC, Amsterdam, The Netherlands 15 Municipal Health Services Zeeland, The Netherlands 16 Peadiatrician, Oegstgeest, The Netherlands 17 Department of Nursing Home Medicine, EMGO Institute, VUMC, Amsterdam, The Netherlands 18 Longitudinal Aging Study Amsterdam (LASA), EMGO Institute, VUMC, Amsterdam, The Netherlands 19 Department of Sociology and Gerontology, VU University Amsterdam, The Netherlands 20 Department of Cardiology, VUMC, Amsterdam, The Netherlands 21 Department of Radiotherapy, VUMC, Amsterdam, The Netherlands 22 Netherlands Institute for Health Services Research (NIVEL), Utrecht, The Netherlands 23 Municipal Health Services Amsterdam, The Netherlands 3
57
24
Rotterdam School of Management, Rotterdam, The Netherlands Department of Lung Diseases, Groningen University, Groningen, The Netherlands 26 Department of Public Health, Erasmus MC, Rotterdam, The Netherlands 27 Department of Clinical Psychology, VU University, Amsterdam, The Netherlands 28 Department of General Practice, Erasmus MC, Rotterdam, The Netherlands 29 TNO Work and Employment, Hoofddorp, The Netherlands 30 Department of Medical Psychology, EMGO Institute, VUMC, Amsterdam, The Netherlands 31 Home Care Organization Rotterdam, The Netherlands 32 Department of Kinesiology, Faculty of Human Movement Sciences, VU University, Amsterdam, The Netherlands 33 Rehabilitation Center ‘Het Roessingh’ (Roessingh Research and Development), Enschede, The Netherlands 34 Dutch Volleyball Association, Woerden, The Netherlands 35 Top Volleyball Association, Woerden, The Netherlands 36 Department of Sports Medicine, Norwegian University of Physical Education and Sports, Oslo, Norway 37 Department of Human Movement Sciences, Groningen University, Groningen, The Netherlands 38 Center for Health Promotions, Minneapolis, USA 39 Department of Health Education and Promotion, Maastricht University, Maastricht, The Netherlands 40 Department of Nutrition and Health, Faculty of Earth and Life Sciences, VU University Amsterdam, The Netherlands 41 Department of Human Nutrition and Epidemiology, Wageningen University, Wageningen, The Netherlands 42 Netherlands Environmental Agency (RIVM), Bilthoven, The Netherlands 25
58
Customer appreciation Mijn begeleiders hebben mij goed geintroduceerd 5 4 3 2 1 ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) 0) 0) . . (0) 0(6 4(2 4(1 3(3 6(6 3(6 7(7 4(1 1(8 ... 6(5 (13 7(2 2(1 7(8 8(0 5(6 7(5 6(6 1.. 1.. 1(1 4(1 =5 =1 =8 N= 5N= N=1 N= 9 N= 0 N= 1N= N=1 N= N=1 N= 8 N= 9 N= 0N= 1 N= 2N= 3N= =1 N=1 N= 4N= 5 N N N . 4 8 t N 3 1 6 7 1 1 1 17 1 1 2 2 2 2 1 1 To 2 3 12 16
2001
2002
59
Customer appreciation Education (students) By means of written questionnaires and discussions with our students and their representatives we evaluate, on a regular basis, their wishes and appreciation of our teaching activities, in order to improve our education program.
Undergraduate medical education Course 'Man, Medicine, Society' Evaluation has shown that the tutorials on ‘Structure and functioning of the health care system’ and ‘Social security’ are much appreciated. By using case-histories and discussions students become interested in these sometimes boring and difficult subjects. The lectures on Social Medicine were evaluated as adequate, but more attention could be paid to the professional practice of Social Medicine. This will be done in the coming year, and will include a greater contribution from the professors themselves. Course 'Aging' and Course 'Growing Up' The evaluations were positive, and indicate that no direct changes are necessary in these courses. Course 'Health Care (and the Public’s Health)’ The evaluation results show that students are satisfied with this course and that interested students attend the lectures. The average number of students is not very high (± 50), but quite normal for the fourth year. The thematic tutorials are greatly appreciated by students, especially the practice visits. Students are mostly interested in the tutorials on ‘Terminal and palliative care’, and ‘Errors in medicine and quality of care’ (Table 1).
60
Table 1: Results of the evaluation of the 2001 and 2002 Health Care Course, expressed on a scale from 1-5 (i.e. low-high) 2001
2002
mean score VU University
Learning effect of the course
3.46
3.54
3.68
Content of the course Opinion about the exam
3.38 2.46
3.46 3.57
3.60 3.20
Usefulness of the tutorial
3.44
3.62
-
-
4.00
-
3.82
-
-
Supervision of tutorials Practical visit during tutorial Experience training
The evaluations by students and tutors are satisfying. The students not only receive information about the role of the institution or service within the health care system, but also more specific information about the work of Social Medicine physicians within these institutions and services at an early stage in their medical career. Most students would prefer a personal visit to one of these services, instead of small group visits, and a closer visit, but for logistic reasons this is not possible. The evaluations are based on questionnaires and written reports from individual students (Table 2). Table 2: Results of the evaluation of the 2002 Experience training Course, expressed on a scale from 1-5 (i.e. low-high) 2002 Understanding of the health care system Discipline of Social Medicine
3.75 3.75 (General practice 3.96,
Profession of Social Medicine
Clinical specialist 3.88) 3.71 (General practice 4.12, Clinical specialist 3.93)
Organization of visits
3.46 (General practice 4.14, Clinical specialist 3.79)
Internships The students are positive about the structure and the organization, as well as the content of the internship. The introduction and supervision during the practical training are most appreciated. Practicing the skills and specific 61
locations to see patients are evaluated less positive and need to be improved (Table 3). Internships in a Department for Youth Health Care in a Municipal Health Service, and in the Occupational Health and Safety Service of the Royal Marines are the most popular choices A comparison of the evaluation results between the old and new internship showed that more attention is paid to general objectives, and the medical problems and skills related to Social Medicine, as was intended. These results were published in the Dutch Journal of Medical Education. Table 3: Results of the evaluation by interns the of 2001 and 2002 internship in Social Medicine, expressed on scale from 1-5 (i.e. low-high) 2001
2002
Practical preparation Theoretical preparation
3.4 3.4
3.4 3.4
Information about the internship
3.8
3.6
Practising skills Introduction to internships location
3.3 4.2
3.4 4.1
Feedback at practice stage
3.9
3.8
Specific location to see patients
3.2
3.3
Documentation at practice stage Introduction to Occupational Medicine at
3.7 3.8
3.7 3.8
Introduction to Community Medicine at
3.7
3.7
faculty Final presentation at faculty
3.6
3.7
faculty
Elective internships Based on the reports and subsequent discussions, it can be concluded that interns are enthusiastic about the elective internships as were the traineeproviders. Interdisciplinary training The theme forensic medicine is greatly appreciated by the interns and is experienced as an omission in the undergraduate curriculum. The VU University Medical Center provides the first medical training in the 62
Netherlands in which forensic medicine is structurally integrated in the curriculum. The interns are also positive about the session on health law. Basic aspects of health law are missing in the medical curriculum, and students have requested more attention to this subject. Participating clinical physicians underline this necessary knowledge in their practice. The subject of occupational diseases is more distant from the practical world of the interns, so it is essential that it is closely attuned to their clinical experiences.
Other undergraduate education Health Sciences Education Evaluation of the first course on ‘Health care in the Netherlands” showed that a better presentation of the Problem-Oriented Teaching (PGO) component in the program and a better instructions for the tutors are necessary.
Research Scientific awards are clear indicators of esteem, but it is not so easy to assess customer appreciation for research. There are various types of customers, such as funding bodies, peer reviewers and editors. However invitations to act as a peer reviewer for scientific journals and funding bodies, or to function as an expert member of committees that assess research proposals may be indicators of scientific appreciation. The same applies to requests for writing a chapter in a book, joining a research group within the EMGO Institute or participating in an international research consortium. Furthermore, the opinion of our partners involved in data-collection is also important. The number and the amount of the grants received for research proposals are important too, but the decisive indicators seem to be the quality and quantity of papers published in peer-reviewed scientific journals. We have not systematically measured the appreciation of our partners and customers with regard to our research efforts. Some indicators of scientific recognition will be described below. For more details we refer to Chapter 9 and the Appendices 3 and 4. 63
A number of awards were granted to researchers of our Department. The 2002 Dutch Public Health Award (Volksgezondheidsprijs) was given to Jenny van der Steen for her PhD thesis: ‘Curative or palliative treatment of pneumonia in psychogeriatric nursing home patients’. Luc Deliens received two awards: the 2000 Roger van Geen Award and the award presented in 2001 by the (Cultural Support Fund) of the Vrije Universiteit in Brussels for his scientific work on end-of-life care. Anja Huizink received the GFTK Research Award for her PhD thesis: ‘Prenatal stress and its effect on infant development’ at the International Congress on Embryology, Therapy and Society. Han Anema received the 2002 Zielhuis Medal of the Dutch Association of Occupational Physicians (Zielhuis Penning) recognizing his occupational physician in training research in Occupational Medicine. Recognition and appreciation shown by scientific journals has several different aspects. Gerrit van der Wal was appointed as Editor of the Dutch Journal of Medicine (NTVG), Remy Hira Sing is Chief Editor of the Dutch Journal of Youth Healthcare (NTJG). Willem van Mechelen is a member of the Editorial Board of several journals on Sports Medicine, and Danielle Timmermans is Book Review Editor of the Journal of Behavioral Decision Making and is on the editorial board of Decision Making and Risk, Decision & Policy. Most of our senior researchers are reviewers on a more or less regular basis for various journals, e.g. the Lancet, British Medical Journal, Occupational and Environmental Medicine, Scandinavian Journal of Work, Environment & Health, and Social Science and Medicine. The appreciation shown by funding bodies is reflected by the fact that Willem van Mechelen, Remy Hira Sing, Anne-Mei The and Gerrit van der Wal are members of different research funding committees, e.g the committees of the ‘Netherlands Organization for Health Research and Development (ZonMw)’ programs Chronic Diseases, Evaluation Health Legislation, Healthy Living, Epidemiology, Social-medical Support, and Prevention. Furthermore, most of our senior researchers are frequently requested to review research proposals for the Netherlands Organization for Scientific Research (NWO), the Netherlands Organization for Health Research and Development (ZonMw) (for instance for the program Prevention and Healthy Living), the Dutch Heart Foundation (NHS), the Dutch Cancer Foundation
64
(KWF) and the USA National Science Foundation (Decision, Risk & Management in the Science Program). An important token of appreciation of the funding bodies for the quality of the research carried out by our Department is their willingness to provide financial support for our research projects. Both the number and the amount of the grants acquired are good, with a peak in the amount received in 2002, due to the Body@Work TNO-VU grant. This is also reported in Chapter 9. The number of papers published in refereed journals is satisfactory. Some articles were published in leading general medical journals such as the New England Journal of Medicine, British Medical Journal and Archives of Internal Medicine. A considerable number of articles were published in the upper quartile of journals in a specific field of expertise (see also Chapter 9)
65
Employee satisfaction
66
Employee satisfaction At the end of 2001 under the auspices of the Board of Directors of the VUMC, an employee satisfaction survey was conducted by Meteq Consult. Unfortunately, the employees in our Department were grouped together with those of the Department Nursing Home Medicine and, furthermore, from the two departments only a total of 20 employees participated, so these results were useless. Therefore, we carried out our own anonymous ‘quick scan’ (based on the INK-model) in May 2002. The results are shown in Table 4. Table 4 Results of a ‘quick scan’ of employee satisfaction, May 2002 (N=45; 80%) expressed on a scale from 1-5 (i.e. low-high) Quick scan items
Mean score (min-max)
Work climate
4.2 (2-5)
Adequate opportunity to organize work and private life Coaching supervision and support
4.2 (2-5) 4.1 (2-5)
Usefulness of the work
4.0 (2-5)
Feedback from colleagues
3.9 (2-5)
Stimulating workplace with opportunity for discussion Learning from mistakes
3.7 (2-5) 3.7 (1-5)
Clear tasks, responsibilities and authorities
3.6 (0-5)
Clear what happens with information given to management
3.1 (1-5)
Conditions of employment
2.8 (0-4)
The results are satisfying. In general, the employees highly appreciate the work climate, the opportunity to organize work and private life, the management, and the feedback from colleagues. They evaluate their work as useful. They are least satisfied with the conditions of employment, but this is something that we, as a department, can do little about, apart from certain facilities, e.g. congress participation. The changes that have been made in the two-weekly meetings will hopefully contribute to a working climate that is (even) more stimulating. Although there seems to be general satisfaction, the fact that certain individuals were obviously not satisfied should not be ignored. Therefore, everyone is invited to discuss any possible unsatisfactory issues, preferably with their direct supervisors. 67
Societal recognition
68
Societal recognition The societal recognition of our work has not been systematically measured. This is a relatively new issue in the academic world. In 2002 the report ‘The societal impact of applied health research: towards a quality assessment system’ from the Council for Medical Sciences of the Royal Netherlands Academy of Arts and Sciences’ was published. We agree with the statement that scientific quality is a condition sine qua non for the additional requirement of the societal impact of applied health research. To evaluate societal impact the report presented a general outline for methodology. What we will attempt here is to make a start with such an evaluation and give some examples of possible recognition of our work at different levels of society. Research has considerable societal impact when (national or local) policies are based on its results. The studies on end-of-life decision-making carried out by Gerrit van der Wal and Bregje Philipsen and their colleagues from Rotterdam are frequently cited in policy documents. The empirical data provided by these studies played a substantial role in the formulation by officials and politicians of the new law on euthanasia in the Netherlands, which came into force in 2002. Another example of the impact of our research on national policy is reflected in the Public Health Council’s (RVZ) report on unhealthy life-styles, such as physical inactivity and unhealthy diet. Two of the background studies for this report were carried out within our Department (by Carry Renders and Amika Singh, respectively). Also important is the report on the evaluation of the implementation of the Individual Health Care Professions Act (BIG Act). This report will be the basis for a statement to be formulated by the Ministry of Health, Welfare and Sports (VWS). Other reports with implications for policies concerned dehydration and tube-feeding for psychogeriatric patients (Dutch government), maximum acceptable waiting times for elective surgery (Royal Dutch Medical Association), and self-care guidelines for minor health ailments (Municipal Health Services in The Hague). A rather rough indicator of societal recognition is the number of articles published in national professional journals and other (non-scientific) publications. In this respect we have been quite successful with regard to, for example, the number and content (e.g. about unnatural death, overweight in 69
children) of our publications in the Dutch Journal of Medicine (NTVG). We have made contributions to the Cochrane Library (e.g. Carry Renders, quality programs concerning diabetes mellitus), and have (co-)authored textbooks (e.g. on 'Palliative Care' and 'Perspectives on Health and Exercise'). An example of international societal recognition is Anne Mei The’s dissertation that has been published by the Open University Press to be disseminated among the general public. Another indicator of societal impact is shown by collaboration with health care professionals and their organizations. Various implications for health care practice (e.g guidelines for the treatment of low back pain by occupational health physicians), and many reports have also been issued. A scientifically evaluated guideline for the treatment of psychogeriatric patients with pneumonia have been disseminated among nursing home physicians. Within the framework of the scientific evaluation of the so-called SCENproject (a nation-wide project in which general practitioners, who are confronted with a request for euthanasia, are supported by independent and trained colleagues) we have provided regular feedback for the participants. Another important event was the start of the Knowledge Center Overweight, which aims to advise health care professionals on how to treat and prevent overweight and obesity (see also Internetsite: www.overgewicht.org). We are frequently invited to give lectures for a non-scientific audience (e.g. physiotherapists, municipal health care workers), and we also contribute regularly to the education of health care professionals based on research output (e.g. post graduate education of general practitioners, occupational physician’s). Many of our staff are members of advisory committees, working groups, etc. within various types of organizations i.e. Dutch Association for Employment and Occupational Medicine (NVAB), Social Medicine Council (CSG), Netherlands School of Public and Occupational Health (NSPOH), Research and Health Advisory Counsil Research and Health (RGO). Recognition from the general public can be achieved by media coverage. Although we are rather reluctant in this respect, we did agree to several interviews, e.g. Remy Hira Sing on overweight, Lidewij Henneman on preconceptional cystic fibrosis carrier screening, Marijke Chin A Paw on physical activity programs for eldery people living in residential care facilities. For more details see Appendix 4.
70
Final Results
71
Final Results Finances Our reserve capital was reduced to a large extent, mainly because of an increase in the salaries of PhD students, resulting from national negotiations which had to be compensated locally, and the need to extend the contracts of certain junior researchers so that they could finish their PhD research program. In 2001 seven research projects were acquired with a total grant of € 4.570.000. The start of the Research Center Body@Work TNO-VU is the main part of this grant. In 2002 thirteen research projects were acquired with a total grant of € 3.650.000. Research projects about life style interventions and prevention of sports injuries are the main parts of this grant. Also an education project about a final preparation year Social Medicine was funded by a grant of € 43.000.
Education Undergraduate medical education Course 'Health Care (and the Public’s Health)' The examination results are satisfying (Table 5). Table 5: Examination results for the course ‘Health Care (and the Public’s Health’) 2001 2002 First
Second
Third
First
Second
Third
change change change change change change Participants Success %
186 61
38 60
14 86
194 80
45 84
45 53
Scientific research training The number of students participating in our research doubled, compared with the previous period of reporting. In the past two years 7 students participated in research projects at the Department, and 3 students 72
participated in research projects of one of the participating services, supervised by the Department of Social Medicine (Table 6). Table 6: Scientific research projects carried out by students 2001-2002 Student and project ? JM Nijhof: Case-control study of risk factors for legionella infections ? MC van Baasbank: Injury assessment/description by general practitioners ? J Oudhoff: Consequences of waiting times for surgery ? Ms SMW Roozen: Added value of an orthoptist in the Amsterdam Municipal Health Service ? Ms IGM Engelbertink: ABBA-study ? Ms EJ Woldring: Risk perception, informed decision-making and physiological well-being of pregnant women who are offered prenatal screening ? OR de Peuter: Disciplinary jurisdiction before and after the BIG Act; changes and similarities ? Ms M Seidu: Overweight in children ? Ms RAA Mungra: Initiation of a minimal intervention strategy for children between four and five years of age who are slightly overweight ? S Vos: Process evaluation of behaviour-oriented physiotherapy treatment for workers who are absent from work due to non-specific low back pain. Elective internships Personal contacts have revealed that 6 students who completed their internship in Social Medicine during this period are now employed in the institutions that provided their practical training (Table 7).
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Table 7: Elective internships Social Medicine in 2001 and 2002 2001 Elective internship
Public Health, Botswana Central Sickbay Royal
2002 Number Elective internship of
Number of
interns
interns
2 1
Marines, Den Helder
Home Care, Almere Forensic Medicine,
1 6
Municipal Health Service, Amsterdam
Forensic Medicine, Municipal Health Service,
4
Jellinek Addiction Center, Amsterdam
1
Home care Organiszation, IJmond
1
Municipal Health Service, Hoorn
2
Organization for Employee
2
Organization for Employees
1
Amsterdam
Benefit Schemes, Alkmaar
Benefit Schemes, Alkmaar
Organization for Employees Benefit Schemes, Hilversum
1
Organization for Employees Benefit Schemes, Hilversum
2
Occupational Health Service
1
Occupational Health and
3
ABN/AMRO, Amsterdam
Safety Service Maetis,
Occupational Health and
Amsterdam Occupational Health and
1
Safety Service ING,
Safety Service ArboNed,
Amsterdam
Amsterdam
Occupational Health and Safety Service KLM, Schiphol
1
Occupational Health and Safety Service KLM,
1
2
Schiphol Occupational Health and Safety Service Dutch Army,
1
Utrecht Center for the Mentally
2
Disabled people, Amsterdam Sports Medicine, Rotterdam
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2
Researcha During the period of reporting, 9 theses were completed (4 within the Department). 78 scientific articles were published in international refereed journals and 38 in national refereed journals. The average impact factor was 2.6 (including NEJM) and 1.9 (excluding NEJM). The average percentile score was 3.6 (on a scale from 1-5). The number of publications in the highest quartile was 57%. Further details are given in Table 8. Table 8: Number of peer-reviewed publications and bibliometric scores in 2001 and 2002 (percentages) Score 1
2001
2002
5
4 (14)
12 (25)
4 3
11 (39) 9 (32)
16 (33) 14 (30)
2
4 (14)
4 (8)
1
-
2 (4)
Subtotal National refereed
30 (54) 22
48 (58) 16
Total
52
64
International refereed
2
1
Based on the order of Impact Factors within the Field (from both SCI and SCSCI) in which the journal at issue has the highest relative position. This assessment is based on the latest edition of the journal Citation Reports (Social) Science Edition (ranks) of the Institute of Scientific Information available in the year at issue. 2 2 Publications were non-(S)SCI.
The theses, international (S)SCI and non-(S)SCI publications and publications in national refereed journals are listed below. Other publications, reports, etc. can be found in Appendix 3.
The reader should realize that more or less typically Dutch names that contain additional words, such as de, van, van der, etc. are written in different ways in international journals and biomedical search systems such as PubMed, Medline, etc. For example: Wal G van der or Van der Wal G. When searching for publications, both versions should be entered. a
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Publications Quality of care and prevention Dissertations Henneman L. Preconceptional cystic fibrosis carrier screening desirability and feasibility in the Netherlands. Vrije Universiteit Amsterdam; Promotors: Prof.dr. LP ten Kate and prof.dr. HM van der Ploeg. (Cat. C). Middelkoop BJC. Diabetes: a true trouble. Vrije Universiteit Amsterdam; Promotor: Prof.dr. G van der Wal. (Cat. B). Renders CM. Interventions to improve quality of diabetes care in primary care. Vrije Universiteit Amsterdam; Promotors: Prof.dr. G van der Wal and prof.dr. JThM van Eijk; Co-promotor: dr. GD Valk. (Cat. A). International (refereed journals) Asperen CJ van, Dijk S van, Zoeteweij MW, Timmermans DRM, Bock GH de, Meyers-Heyboer EJ, Niermeijer MF, Breuning M, Kievit J, Otten W. What do women really want to know? Motives for attending familial breast cancer clinics. Journal of Medical Genetics 2002;39:410-4. Crone MR, Reijneveld SA, Burgmeijer RJF, Hira Sing RA. Factors that influence passive smoking in infancy: a study among mothers of newborn babies in the Netherlands. Preventive Medicine 2001;32:209-17. Elliott EJ, Nicoll A, Lynn R, Marchessault V, Hira Sing RA, Ridley G. Rare disease surveillance: an international perspective. Paediatric Child Health 2001;6:251-60. Henneman L, Bramsen I, Ploeg HM van der, Kate LP ten. Preconceptional cystic fibrosis carrier couple screening: impact, understanding and satisfaction. Genetic Testing 2002;6:195-202. Henneman L, Kate LP ten. Preconceptional couple screening for cystic fibrosis carrier status: couples prefer full disclosure of test-results. Journal of Medical Genetics 2002;39:e26. Henneman L, Kooij L, Bouman K, Kate LP ten. Personal experiences of cystic fibrosis (CF) carrier couples prospectively identified in CF families. American Journal of Medical Genetics 2002;110:324-31.
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Henneman L, Poppelaars FAM, Kate LP ten. Evaluation of cystic fibrosis carrier screening programs according to genetic screening criteria. Genetics in Medicine 2002;4:241-49. Hira Sing RA, Leerdam FJM van, Bolk-Bennink LF, Koot HM. Effect of dry bed training on behavioural problems in enuretic children. Acta Paediatrics 2002;91:960-4. Huizink AC, Robles de Medina PG, Mulder EJH, Visser GHA, Buitelaar JK. Coping in normal pregnancy. Annals of Behavioral Medicine 2002;24:132-40. Huizink AC, Robles de Medina PG, Mulder EJH, Visser GHA, Buitelaar JK. Psychological measures of prenatal stress as predictors of infant temperament. Journal of the American Academy Child & Adolescent Psychiatry 2002;41:1078-85. Middelkoop BJC, Wal G van der, Geelhoed-Duijvestijn PHLM. Effectiveness of culture-specific diabetes care for Surinam South Asian patients in The Hague: a randomized controlled trial/controlled beforeand-after study. Diabetes Care 2001;24:1997-8. Mulder EJ, Robles de Medina PG, Huizink AC, Van den Bergh BR, Buitelaar JK, Visser GHl. Maternal stress: effects on pregnancy and the (unborn) child. Early Human Development 2002;70(1-2):3-14. Ommen CH van, Heijboer H, Büller HR, Hira Sing RA, Heijmans HSA, Peters M. Venous thromboembolism in childhood: a prospective twoyear registry in The Netherlands. The Journal of Pediatrics 2001;139:676-81. Reijneveld SA, Brugman E, Hira Sing RA. Excessive infant crying: the impact of varying definitions. Pediatrics 2001;108:893-7. Renders CM, Valk GD, Griffin S, Wagner EH, Eijk JThM van, Assendelft WJJ. Interventions to improve the management of diabetes mellitus in primary care, outpatient and community settings (completed review). In: The Cochrane Library, Issue 4, 2001. Oxford: Update Software. [last update 29 June 2000]. Renders CM, Valk GD, Griffin S, Wagner EH, Eijk JThM van, Assendelft WJJ. Interventions to improve the management of diabetes mellitus in primary care, outpatient and community settings. A systematic review. Diabetes Care 2001;24:1821-33.
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Renders CM, Valk GD, Franse LV, Schellevis FG, Eijk JThM van, Wal G van der. Long-term effectiveness of a quality improvement program for patients with type 2 diabetes in general practice. Diabetes Care 2001;24:1365-70. Roelofsen EE, The BAM, Beckerman H, Lankhorst GJ, Bouter LM. Development and implication of the rehabilitation activities profile for children: impact on the rehabilitation team. Clinical Rehabilitation 2002;16:441-54. Timmermans D, Bockel H van, Kievit J. Improving the quality of surgeons´ treatment decisions: a comparison of clinical decision making with a computerised evidence based decision analytic model. Quality in Health Care 2001;10:4-9. Poll-Franse LV van de, Valk GD, Renders CM, Heine RJ, Eijk JTM van. Longitudinal assessment of the development of diabetic polyneuropathy and associated risk factors. Diabetic Medicine 2002;19:771-6. Wagner C, Groenewegen PP, Bakker DH de, Wal G van der. Environmental and organizational determinants of quality management. Quality Management in Health Care 2001;9:63-76. Wagner C, Wal G van der, Groenewegen PP, Bakker DH de. The effectiveness of quality systems in nursing homes: a review. Quality in Health Care 2001;10:211-7. Wouwe PV, Verkerk PH, Mattiazzo GF, Mokadem NE, Hira Sing RA. Variation by ethnicity in incidence of diabetes type 1 and clinical condition at onset in The Netherlands. European Journal of Pediatrics 2002;161:559-60. Letters to the editor Renders CM, Valk GD. Response to Shandro et al. Diabetes Care: Interventions in the Community. Diabetes Care 2002;25:941-2. National (refereed journals) Aendekerk RPP, Leerdam FJM van, Hira Sing RA. Niet scrotale testes; beleid voor de eerste lijn. Nederlands Tijdschrift voor Geneeskunde 2002;146:557-61. Blankespoor MN, Leerdam FJM van, Hira Sing RA. Een verschil van dag en nacht? Resultaten van de plaswekkertherapie bij kinderen met zowel
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enuresis nocturna als diurna. Tijdschrift voor Kindergeneeskunde 2001;69:82-3. Cornel MC, Henneman L, Kate LP ten, Nelis AP, Ploeg HM van der, Smit DJ de, Timmermans DRM, Wal G van der. Onderzoek en praktijk van Community Genetics: kennis beter delen. Tijdschrift voor Gezondheidswetenschappen 2002;80:542-5. Fredriks AM, Buuren S van, Hira Sing RA, Verloove-Vanhorick SP, Wit JM. Signaleren van overgewicht en obesitas bij kinderen van Nederlandse, Turkse en Marokkaanse afkomst in Nederland aan de hand van internationale criteria. Tijdschrift voor Kindergeneeskunde 2001;69:30. Fredriks AM, Buuren S van, Hira Sing RA, Wit JM, Verloove-Vanhorick SP. De quetelet-index (‘body mass index’) bij jongeren in 1997 vergeleken met 1980; nieuwe groeidiagrammen voor de signalering van ondergewicht, overgewicht en obesitas. Nederlands Tijdschrift voor Geneeskunde 2001;145:1296-1303. Fredriks AM, Buuren S van, Hira Sing RA, Verloove-Vanhorick SP, Wit JM. Voortgaande toename van de lengtegroei bij Nederlandse kinderen in de periode 1955-1997. Nederlands Tijdschrift voor Geneeskunde 2001;145:1308-15. Groenewegen PP, Wal G van der . De toestand van de Nederlandse gezondheidszorg: behoefte aan genuanceerde en concrete maatstaven. Nederlands Tijdschrift voor Geneeskunde 2001;145:1722-5. Heijden PGM van der, Hira Sing RA. Dwalingen in de methodologie. XXX. De vangst-hervangstmethode. Nederlands Tijdschrift voor Geneeskunde 2001;145:161-3. Hira Sing RA. Jeugdgezondheidszorg en psychosociale problemen. Tijdschrift voor Gezondheidswetenschappen 2001;79:475-6. Hira Sing RA, Fredriks AM, Buuren S van, Verloove-Vanhorick SP, Wit JM. Toegenomen prevalentie van overgewicht en obesitas bij Nederlandse kinderen en signalering daarvan aan de hand van internationale normen en nieuwe referentiediagrammen. Nederlands Tijdschrift voor Geneeskunde 2001;145:1303-8. Hira Sing RA, Rodigues Pereira R. Het Nederlands Signaleringscentrum Kindergeneeskunde; een kwaliteitsinstrument voor preventie en onderzoek. Nederlands Tijdschrift voor Geneeskunde 2002;146:2409-14.
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Mattiazzo GF, Wouwe JP van, Buuren S van, Reeser HM, Hira Sing RA. Childhood diabetes type 1 in The Netherlands, clinical presentation and initial treatment during 1996-1999. Tijdschrift voor Kindergeneeskunde 2001;69:29. Mulder EJH, Huizink AC, Robles De Medina PG et al. Moederlijke stress: effecten op de zwangerschap en het (on)geboren kind. Tijdschrift voor Kindergeneeskunde 2001;69:83-90. Reijnders UJL, MBM Soethout, G van der Wal. Forensische geneeskunde in het medisch onderwijs; een eerste opzet. Tijdschrift Medisch Onderwijs 2002;21:222-7. Renders C, Valk G, Poll-Franse L van de, Schellevis F, Eijk J van, Wal G van der. De effectiviteit van een kwaliteitsbevorderingsprogramma op de zorg voor diabetespatiënten in de eerste lijn. Huisarts en Wetenschap 2002;45:512-7. Rossum AMC van, Kuiper I, Fraaij PLA, Hira Sing RA, Groot R de. Reductie van verticale transmissie door perinatale profylaxe bij aan HIV1 geëxposeerde kinderen in Nederland geboren in de periode 19952000. Tijdschrift voor Kindergeneeskunde 2001;69:77-8. Rossum AMC van, Hirasing RA, Groot R de. Epidemiologische kenmerken van gemelde HIV-I-infectie bij kinderen in Nederland, 19982000: verticale transmissie door ouders uit gebieden met een gegeneraliseerde epidemie. Nederlands Tijdschrift voor Geneeskunde 2002;146:1282-5. Siderius EJ, Borstlap R, Nijenhuis ThA, Hira Sing RA. Optimale zorg voor kinderen met het Down-syndroom en voor hun ouders. Nederlands Tijdschrift voor Geneeskunde 2001;145:1617-21. Soethout MBM, Wal G van der, Mechelen W van. Het co-assistentschap sociale geneeskunde aan het VU medisch centrum in relatie tot het Raamplan 1994. Tijdschrift voor Medisch Onderwijs 2001;20:248-56.
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Publications Public health at the end of life Dissertations Groenewoud JH. End-of-life decisions in medicine. Erasmus Universiteit Rotterdam; Promotors: Prof.dr. PJ van der Maas and prof.dr. G van der Wal; Co-promotor: dr. A van der Heide. (Cat. D). Steen JT van der. Curative or Palliative Treatment of Pneumonia in Psychogeriatric Nursing Home Patients. Vrije Universiteit Amsterdam; Promotors: Prof.dr. G van der Wal and prof.dr. MW Ribbe; Co-promotor: dr. ME Ooms. (Cat. A). International (refereed journals) Deliens L, Mortier F, Bilsen J, Cosyns M, Stichele R van der, Vanoverloop J, Ingels K, Bernheim J. Euthanasie et autres décisions concernant la fin de la vie en milieu médical en Flandre. Revue Medicale de Liège 2001;56:443-52. Georges JJ, Grypdonck M. Moral problems experienced by nurses when caring for terminally ill people: a literature review. Nursing Ethics 2002;9:155-78. Georges JJ, Grypdonck M, Dierckx de Casterle B. Being a palliative care nurse in an academic hospital: a qualitative study about nurses´ perceptions of palliative care nursing. Journal of Clinical Nursing 2002; 11:785-93. Haverkate I, Heide A van der, Onwuteaka-Philipsen BD, Maas PJ van der, Wal G van der. The emotional impact on physicians of hastening the death of a patient. Medical Journal Australia 2001;175:519-22. Onwuteaka-Philipsen BD, Pasman HRW, Kruit A, Heide A van der, Ribbe MW, Wal G van der. Withholding or withdrawing artificial administration of food and fluids in nursing-home patients. Age and Ageing 2001;30:459-65. Onwuteaka-Philipsen BD, Wal G van der. Support and consultation for general practitioners concerning euthanasia: the SCEA project. Health Policy 2001;56:33-48. Steen JT van der, Ooms ME, Ribbe MW, Wal G van der. Decisions to treat or not to treat pneumonia in demented psychogeriatric nursing
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home patients: evaluation of a guideline. Alzheimer Disease and Associated Disorders 2001;15:119-28. Errata: 2002;16:48. Steen JT van der, Ooms ME, Mehr DR, Wal G van der, Ribbe MW. Severe dementia and adverse outcomes of nursing home-acquired pneumonia: evidence for mediation by functional and pathophysiological decline. Journal of the American Geriatrics Society 2002;50:439-48. Steen JT van der, Ooms ME, Ader HJ, Ribbe MW, Wal G van der. Withholding antibiotic treatment in pneumonia patients with dementia: a quantitative observational study. Archives of Internal Medicine 2002;162:1753-60. Steen JT van der, Ooms ME, Wal G van der, Ribbe MW. Pneumonia: the demented patient's best friend? Discomfort after starting or withholding antibiotic treatment. Journal of the American Geriatrics Society 2002;50:1681-8. The BAM, Hak A, Koëter GH, Wal G van der. Collusion in doctor-patient communication on imminent death; an ethnographic study. Western Journal of Medicine 2001;174:247-53. The BAM, Pasman HRW, Onwuteaka-Philipsen BD, Ribbe MW, Wal G van der. Withholding the artificial administration of fluids and food from elderly patients with dementia: ethnographic study. British Medical Journal 2002;325:1326-30. Verstraete A, Stichele R van der, Deliens L. Ethical issues in pharmacoepidemiological research in Belgium. Pharmacoepidemiology and Drug Safety 2001;10:595-9. Veldink JH, Wokke JH, Wal G van der, Vianney de Jong JM, Berg LH van den. Euthanasia and physician-assisted suicide among patients with amyotrophic lateral sclerosis in the Netherlands. New England Journal of Medicine 2002;346:1638-44. Letters to the editor Veldink JH, Berg LH van den, Wal G van der. Physician-assisted death. Reply to the editor. New England Journal of Medicine 2002;347:1042-3. National (refereed journals) Das C, Wal G van der. Overlijdensverklaringen in Nederland: ontoereikende procedures bij niet-natuurlijke dood, lijkvinding en
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overledenen met onbekende identiteit. Nederlands Tijdschrift voor Geneeskunde 2001;145:1806-10. Das C, Wal G van der. Onduidelijke rol van de gemeentelijk lijkschouwer en de behandelend arts bij natuurlijk en niet-natuurlijk overlijden in Nederland. Nederlands Tijdschrift voor Geneeskunde 2001;145:1810-4. Das C, Wal G van der. Het begrip ‘doodsoorzaak’: een internationale vergelijking. Nederlands Tijdschrift voor Geneeskunde 2002;146:2040-3. Das C, Wal G van der. De rol van artsen bij overlijden en het beroepsgeheim in Nederland, België, Duitsland, Engeland en de VS. Nederlands Tijdschrift voor Geneeskunde 2002;146:2044-7. Haverkate I, Onwuteaka-Philipsen BD, Heide A van der, Kostense PJ, Wal G van der, Maas PJ van der. Weigering van verzoeken om euthanasie of hulp bij zelfdoding meestal gebaseerd op ingeschatte niet-ondraaglijkheid van het lijden, de beschikbaarheid van behandelalternatieven en de aanwezigheid van depressieve klachten. Nederlands Tijdschrift voor Geneeskunde 2001;145:80-4. Heide A van der, Kollee LAA, Leeuw R de, Maas PJ van der, Wal G van der. How are medical end-of-life decisions for neonates and infants made? Nederlands Tijdschrift voor Perinatale Geneeskunde 2001;2:4955. Hoogendoorn LI, Kamp S van de, Sheer Mahomed CA, Adèr HJ, Ooms ME, Steen JT van der. De rol van de observator in de betrouwbaarheid van de Nederlandse versie van de Discomfort Scale - Dementia of Alzheimer Type (DS-DAT). Tijdschrift voor Gerontologie en Geriatrie 2001;32:117-21. Jonker C, Gerritsen DL, Steen JT van der, Bosboom PR, Campen C van, Kleemans AHM, Schrijver TL. Kwaliteit van leven en dementie I. Model om welbevinden bij demente patiënten te meten. Tijdschrift voor Gerontologie en Geriatrie 2001;32:252-8. Provoost V, Deliens L, Cools Ph, Deconinck P, Ramet J, Vandenplas Y . Handelwijzen van pediaters rond het levenseinde van pasgeborenen en zuigelingen: een begrippenkader voor empirisch onderzoek in Vlaanderen. Tijdschrift van de Belgische Kinderarts 2002;4:65-71. Steen JT van der, Campen C van, Bosboom PR, Gerritsen DL, Kleemans AHM, Schrijver TL, Jonker C. Kwaliteit van leven en dementie
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II. Selectie van een meetinstrument voor welbevinden op ‘modelmaat’. Tijdschrift voor Gerontologie en Geriatrie 2001;32:259-64. Steen JT van der, Ooms ME, Muller MT, Wal G van der, Ribbe MW. Wel of niet curatief behandelen van een pneumonie bij psychogeriatrische patiënten: evaluatie van een richtlijn voor verpleeghuisartsen. Tijdschrift voor Gerontologie en Geriatrie 2002; 33:142-9. Steen JT van der, Ooms ME, Wal G van der, Ribbe MW. Het meten van (on)welbevinden bij demente patiënten - Validiteit van de Nederlandse versie van de Discomfort Scale - Dementia of Alzheimer Type (DS-DAT). Tijdschrift voor Gerontologie en Geriatrie 2002;33:257-63 Wal G van der, Maas PJ van der, Onwuteaka-Philipsen BD, Heide A van der. Nieuw onderzoek naar de praktijk, de melding en de toetsing van euthanasie en andere medische beslissingen rond het levenseinde, 2001/’02. Nederlands Tijdschrift voor Geneeskunde 2001;145:1802-6. Letters to the editor Steen JT van der. Moreel beraad. Tijdschrift voor Geneeskunde en Ethiek 2001;11:90-1.
Publications Work and health Dissertations Ariëns GAM. Work-related risk factors for neck pain.Vrije Universiteit Amsterdam; Promotors: Prof.dr. W van Mechelen and prof.dr. G van der Wal; Co-promotor: dr.ir. PM Bongers. (Cat. A). Hoogendoorn WA. Work-related risk factors for low back pain. Vrije Universiteit Amsterdam; Promotors: Prof.dr. W van Mechelen and prof.dr. LM Bouter; Co-promotors: dr.ir. PM Bongers and dr.ir. HCW de Vet. (Cat. A). Hoozemans MJM. Pushing and pulling in relation to musculoskeletal complaints. Universiteit van Amsterdam; Promotors: Prof.dr. MHW Frings-Dresen and prof.dr. FJH van Dijk; Co-promotors: dr. AJ van der Beek and dr. LHV van der Woude. (Cat.D). Kuijer PPFM. Effectiveness of interventions to reduce workload in refuse collectors. Universiteit van Amsterdam; Promotors: Prof.dr. MHW Frings84
Dresen; Co-promotors: dr. AJ van der Beek and dr. JH van Dieën. (Cat.D). International (refereed journals) Anema JR, Giezen AM van der, Buijs PC, Mechelen W van. Ineffective disability management by doctors is an obstacle for return-to-work: a cohort study on low back pain patients sicklisted for 3-4 months. Occupational and Environmental Medicine 2002;59:729-33. Ariëns GAM, Bongers PM, Douwes M, Miedema MC, Hoogendoorn WE, Wal G van der, Bouter LM, Mechelen W van. Are neck flexion, neck rotation and sitting at work risk factors for neck pain? Results of a prospective cohort study. Occupational and Environmental Medicine 2001;58:200-7. Ariëns GAM, Bongers PM, Hoogendoorn WE, Houtman ILD, Wal G van der, Mechelen W van. High quantitative job demands and low coworker support as risk factors for neck pain. Spine 2001;26:1896-1903. Ariëns GAM, Mechelen W van, Bongers PM, Bouter LM, Wal G van der. Psychosocial risk factors for neck pain: a systematic review. American Journal of Industrial Medicine 2001;39:180-193. Ariëns GAM, Bongers PM, Hoogendoorn WE, Wal G van der, Mechelen W van. High physical and psychosocial load at work and sickness absence due to neck pain. Scandinavian Journal of Work, Environment and Health 2002;28:222-31. Blatter BM, Bongers PM. Duration of computer use and mouse use in relation to musculoskeletal disorders of neck or upper limb. International Journal of Industrial Ergonomics 2002;30:295-306. Bongers PM, Kremer AM, Laak J ter. Are psychosocial factors risk factors for symptoms and signs of the shoulder, elbow or hand/wrist; A review of the epidemiological literature. American Journal of Industrial Medicine 2002;41:315-42. Croon EM de, Blonk RWB, Beek AJ van der, Frings-Dresen MHW. The trucker strain monitor: an occupation-specific questionnaire measuring psychological strain. International Archives of Occupational and Environmental Health 2001;74:429-36.
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Dieën JH van, Hoozemans MJM, Beek AJ van der, Mullender M. Precision of estimates of mean and peak spinal loads in lifting. Journal of Biomechanics 2002;35:979-82. Hoogendoorn WE, Bongers PM, Vet HCW de, Houtman ILD, Ariëns GAM, Mechelen W van, Bouter LM. Psychosocial work characteristics and psychological strain in relation to low-back pain. Scandinavian Journal of Work, Environment and Health 2001;27:258-67. Hoogendoorn WE, Bongers PM, Vet HCW de, Ariëns GAM, Mechelen W van, Bouter LM. High physical work load and low job satisfaction increase the risk of sickness absence due to low back pain: results of a prospective cohort study. Occupational and Environmental Medicine 2002;59:323-8. Hoogendoorn WE, Bongers PM, Vet HCW de, Twisk JWR, Mechelen W van, Bouter LM. Comparison of two different approaches for the analysis of data from a prospective cohort study: an application to workrelated risk factors for low back pain. Occupational and Environmental Medicine 2002;59:459-65. Hoozemans MJM, Beek AJ van der, Frings-Dresen MHW, Molen HF van der. Evaluation of methods to assess push and pull forces in a construction task. Applied Ergonomics 2001;32:509-16. Hoozemans MJM, Burdorf A, Beek AJ van der, Frings-Dresen MHW, Mathiassen SE. Group-based measurement strategies in exposure assessment explored by bootstrapping. Scandinavian Journal of Work, Environment and Health 2001;27:125-32. Hoozemans MJM, Beek AJ van der, Frings-Dresen MHW, Woude LHV van der, Dijk FJH van. Low back and shoulder complaints among workers with pushing and pulling tasks. Scandinavian Journal of Work, Environment and Health 2002;28:293-303. Hoozemans MJM, Beek AJ van der, Frings-Dresen MHW, Woude LHV van der, Dijk FJH van. Pushing and pulling in association with low back and shoulder complaints. Occupational and Environmental Medicine 2002;59:696-702. Jansen JP, Hoozemans MJM, Beek AJ van der, Frings-Dresen MHW. Evaluation of ergonomic adjustments of catering carts to reduce external pushing forces. Applied Ergonomics 2002;33:117-27.
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Jellema P, Bierma-Zeinstra SMA, Poppel MNM van, Bernsen RMD, Koes BW. Feasibility of lumbar supports in home care workers with low back pain. Occupational Medicine 2002;52:317-23. Kuijer PPFM, Frings-Dresen MHW, Dieën JH van, Beek AJ van der, Visser B. Effect of the number of two-wheeled containers at a gathering point on the energetic workload and efficiency in refuse collecting. Applied Ergonomics 2002;33:571-7. Mathiassen SE, Burdorf A, Beek AJ van der. Statistical power and measurement allocation in ergonomic intervention studies assessing upper trapezius EMG amplitude. A case study of assembly work. Journal of Electromyography and Kinesiology 2002;12:27-39. Poppel MNM van, Vet HCW de, Koes BW, Smid T, Bouter LM. Measuring sick leave: a comparison of self-reported data on sick leave and data from company records. Occupational Medicine 2002;52:485-90. Proper KI, Staal JB, Hildebrandt VH, Beek AJ van der, Mechelen W van. Effectiveness of physical activity programs at worksites with respect to work-related outcomes. Scandinavian Journal of Work, Environment and Health 2002;28:75-84. Staal JB, Hlobil H,Tulder MW van, Köke AJA, Smid T, Mechelen W van. Return to work interventions for low back pain. A descriptive review of contents and concepts of working mechanisms. Sports Medicine 2002;32:251-67. Vet HCW de, Heymans MW, Dunn KM, Pope D, Beek AJ van der, Macfarlane GJ, Bouter LM, Croft PR. Episodes of low back pain: a proposal for standardised operational definitions to be used in research. Spine 2002;27:2409-16. Young A, Pransky G, Mechelen W van. Introduction to the special issue on measurement of work outcomes (editorial). Journal of Occupational Rehabilitation 2002;12:115-7. National (refereed journals) Bongers PM, Vet HCW de, Blatter BM. RSI: vóórkomen, ontstaan, therapie en preventie. Nederlands Tijdschrift voor Geneeskunde 2002;146:1971-6.
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Burdorf A, Molenaar D, Beek AJ van der. Ergonomische aanpassingen bij assemblage van electronica-onderdelen. Tijdschrift voor Ergonomie 2001;26:4-11. Kerklaan P, Smid T, Mechelen W van, Houwaart E. De stempel van de arbeid. I. De ontwikkeling van het begrip beroepsziekten in historische context. Tijdschrift voor Gezondheidswetenschappen 2002;80:312-29. Sorgdrager B, Soethout MBM, Mechelen W van. Onderwijs over beroepsziekten tijdens de co-assistentschappen van het VU medisch centrum, Amsterdam. Tijdschrift voor Medisch Onderwijs 2002;21:75-7.
Publications Physical activity and health International (refereed journals) Bernaards CM, Kemper HC, Twisk JW, Mechelen W van, Snel J. Smoking behaviour and biological maturation in males and females: a 20-year longitudinal study. Analysis of data from the Amsterdam Growth and Health Longitudinal Study. Annals of Human Biology 2001;28:63448. Bernaards CM, Twisk JW, Snel J, Mechelen W van, Kemper HC. Is calculating pack-years retrospectively a valid method to estimate lifetime tobacco smoking? A comparison between prospectively calculated pack-years and retrospectively calculated pack-years. Addiction 2001;96:1653-61. Chin A Paw MJM, Jong N de, Stevens M, Bult P, Schouten EG. Development of an exercise program for frail elderly. Journal of Aging and Physical Activity 2001;9:476-489. Chin A Paw MJM, Jong N de, Schouten EG, Hiddink GJ, Kok FJ. Exercise and nutrient dense foods for functional improvement in frail elderly? A randomized clinical trial. Archives of Physical and Medical Rehabilitation 2001:82(6):811-817. Chin A Paw MJM, Jong N de, Schouten EG, Kok FJ. Effect of physical exercise and micronutrient supplementation on psychological well-being in frail elderly: a randomized controlled trial. British Journal of Sports Medicine 2002 Apr;36(2):126-31.
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Ferreira I, Twisk JW, Mechelen W van, Kemper HC, Stehouwer CD. Current and adolescent levels of cardiopulmonary fitness are related to large artery properties at age 36: the Amsterdam Growth and Health Longitudinal Study. European Journal of Clinical Investigation 2002;32:723-31. Jong N de, Chin A Paw MJM, Graaf C de, Hiddink GJ, Groot CPGM de, Staveren WA van. Appraisal of 4-months consumption of nutrient dense foods within the daily feeding pattern of frail elderly. Journal of Aging and Health 2001;13:200-16. Jong N de, Chin A Paw MJM, Groot CPGM de, Swinkels DW, Kok FJ, Staveren WA van. Nutrient-dense foods and exercise in frail elderly: effects on B vitamins, homocysteine, methylmalonic acid, and neuropsychological functioning. American Journal of Clinical Nutrition 2001;73(2):338-46. Karatzaferi C, Haan A de, Ferguson RA, Mechelen W van, Sargeant AJ. Phosphocreatine and ATP content in human single muscle fibres before and after maximum dynamic exercise. Pflugers Archiv 2001;442:467-74. Karatzaferi C, Haan A de, Mechelen W van, Sargeant AJ. Metabolism changes in single human fibres during brief maximal exercise. Experimental Physiology 2001;86:411-5. Kemper HC, Vente W de, Mechelen W van, Twisk JW. Adolescent motor skill and performance: is physical activity in adolescence related to adult physical fitness? American Journal of Human Biology 2001;13:180-9. Kemper HC, Twisk JW, Koppes LL, Mechelen W van, Post GB. A 15-year physical activity pattern is positively related to aerobic fitness in young males and females (13-27 years). European Journal of Applied and Occupational Physiology 2001;84:395-402. Kemper HC, Bakker I, Twisk JW, Mechelen W van. Validation of a physical activity questionnaire to measure the effect of mechanical strain on bone mass. Bone 2002;30:799-804. Kemper HC, Koppes LL, Vente W de, Lenthe FJ van, Mechelen W van, Twisk JW, Post GB. Effects of health information in youth and young adulthood on risk factors for chronic diseases 20-year study results from the Amsterdam growth and health longitudinal study. Preventive Medicine 2002;35:533-9. Kemper HCG, Verhagen EALM, Milo D, Post GB, Lenthe F van, Mechelen W van, Twisk JWR, Vente W de. Effects of health information 89
in youth on adult physical activity: 20-year study results from the Amsterdam Growth and Health Longitudinal Study. American Journal of Human Biology 2002;14:448-56. Mechelen W van. The proof of the pudding is in the eating (editorial). International Journal of Sports Medicine 2002;23(Suppl 1):S3. Proper KI, Staal JB, Hildebrandt VH, Beek AJ van der, Mechelen W van. Effectiveness of physical activity programs at worksites with respect to work-related outcomes. Scandinavian Journal of Work, Environment and Health 2002;28:75-84. Szentesi P, Zaremba R, Mechelen W van, Stienen GJ. ATP utilization for calcium uptake and force production in different types of human skeletal muscle fibres. Journal of Physiology 2001;531:393-403. Twisk JW, Kemper HC, Mechelen W van, Post GB. Clustering of risk factors for coronary heart disease. The longitudinal relationship with lifestyle. Annals of Epidemiology 2001;11:157-65. Twisk JW, Kemper HC, Mechelen W van. Prediction of cardiovascular disease risk factors later in life by physical activity and physical fitness in youth: introduction. International Journal of Sports Medicine 2002;23(Suppl 1):S5-7. Twisk JW, Kemper HC, Mechelen W van. The relationship between physical fitness and physical activity during adolescence and cardiovascular disease risk factors at adult age. The Amsterdam Growth and Health Longitudinal Study. International Journal of Sports Medicine 2002;23(Suppl 1):S8-14. Twisk JW, Kemper HC, Mechelen W van. Prediction of cardiovascular disease risk factors later in life by physical activity and physical fitness in youth: general comments and conclusions. International Journal of Sports Medicine 2002;23(Suppl 1):S44-9. Vente W de, Post GB, Twisk JW, Kemper HC, Mechelen W van. Effects of health measurements and health information in youth and young adulthood in dietary intake 20-years study results from the Amsterdam Growth and Health Longitudinal Study. European Journal of Clinical Nutrition 2001;55:819-23. Verhagen EALM, Mechelen W van, Beek AJ van der. The effect of tape, braces and shoes on ankle range of motion. Sports Medicine 2001;31:667-77. 90
Letters to the editor Chin A Paw MJM. Home-based physical therapy may reduce functional decline among moderately frail elderly adults. Evidence-based Healthcare 2003; 6:1-2 National (refereed journals) Bruil J, Hosli E, Dijkstra NS, Renders C, Fredriks M, Verloove – Vanhorick SP. Overgewicht op de kinderleeftijd; een groeiend probleem in de jeugdgezondheidszorg. Tijdschrift voor Jeugdgezondheidszorg 2002;5:95-9. Sluijs EMF van, Ploeg HP van der, Mechelen W van. Gezondheid in beweging. Hartbulletin 2002;33:31-3.
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Appendix 1: INK Model
Employee satisfaction
Employees
Leadership
Strategy and Policy
Processes
Customer appreciation
Final results
Societal recognition
Resources
O
Organisation
Results
Learn and Improve
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Appendix 2: Criteria and indicators of societal impact of research output Criterium
Indicator
content analysis
professional publications treatment guidelines and protocols (NHG, CBO) policy documents (VWS, GR, CVZ) Cochrane library textbooks teaching materials lay publications ICT and software (Internet! CD- ROM)
citation analysis
scientific publications (both (s) SCI and non- (s) SCI) cited in documents mentioned above citations in professional journals, policy documents, protocols and guidelines
authorships
( co- ) authorships of documents mentioned above under 'content analysis'
products
health care technologies and services instruments, programs, methods for (assessment or implementation of) care
funding of research
(semi) governmental funding
publicity
presentations for a non-scientific audience fact sheets public media internet
memberships
member of committee issuing a policy document or a treatment guideline member of advisory committee
teaching
contributions to initial and post-initial education of health care professionals based on research output
implementation strategy
membership of advisory committees interactions between researchers and public administration feedback from target groups
independence
operationalisation of research questions research methodology analysis and publication of results
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Appendix 3: Further publications Quality of care and prevention Other publications Aardoom HA, Leeuwenburg J, Hira Sing Ra. Opsporing van astma met de ISAACvragenlijst. Tijdschrift voor Jeugdgezondheidszorg 2001;33:30-4. Borgsteede SD. Conclusies CBS op drijfzand gebouwd. Marketing door NEFARMA. Pharmaceutisch Weekblad 2002;137:482. Crone MR, Leerdam FJM van, Verbrugge HP, Leeuwenburg J, Wagenaar-Fischer MM, Weert-Waltman ML van, Hira Sing RA. DTP- en BMR-vaccinatie bij onvolledig gevaccineerde 16-jarigen. Tijdschrift voor Jeugdgezondheidszorg 2001;33:112-6. Cuperus-Bosma JM. Hoe lang dienen medische gegevens inclusief röntgenfoto’s te worden bewaard? Hebben patiënten recht op gegevens die worden weggegooid? MemoRad 2001;6:27-8. Cuperus-Bosma JM. Hoe lang dienen medische gegevens inclusief röntgenfoto’s te worden bewaard? Hebben patiënten recht op gegevens die worden weggegooid? Vademecum permanente nascholing huisartsen 2001;19(3). Fredriks AM, Buuren S van, Bruil J, Hira Sing RA, Verloove-Vanhorick SP, Wit JM. Beschikbaarheid van alle 1997- groei-diagrammen op basis van de Vierde landelijke groeistudie. Tijdschrift voor Jeugdgezondheidszorg 2002;34(5):105. Hira Sing RA. Onze toekomst: een gezonde jeugd. Oratie. Vrije Universiteit 2001. Hira Sing RA. Redactioneel. Tijdschrift voor Jeugdgezondheidszorg 2001;33:41. Hira Sing RA, Fredriks AM, Buuren S van, Verloove-Vanhorick SP, Wit JM. Toegenomen prevalentie van overgewicht en obesitas bij Nederlandse kinderen en signalering daarvan aan de hand van internationale normen en nieuwe referentiediagrammen. Tijdschrift voor Jeugdgezondheidszorg 2002;34:82-7. Hira Sing RA, Leerdam FJM van, Sukhai RN, Capelle JW van, Vijverberg MAW, ’t Hof-Van den Brink EP van. Enuresis Nocturna: de nieuwste inzichten. Bijlage bij Modern Medicine 2002. Hoppenbrouwers K, Hira Sing RA. Redactioneel. Tijdschrift voor Jeugdgezondheidszorg 2002;34:81. Huizink AC. Prenatale maternale stress en de ontwikkeling van het jonge kind: methodologische overwegingen. Nederlandse Behavioral Medicine Federatie Nieuws 2001; november:12-5. Huizink AC. Medisch onderzoek Vliegramp Bijlmermeer. CaRre nieuwsbulletin 2002;februari:14-7. Leerdam FJM van, Hira Sing RA. Vanaf welke leeftijd is behandeling van bedplassen zinvol en welke effectieve therapieën zijn dan voorhanden? Vademecum 2002;19(52). Middelkoop BJC, Wal G van der, Geelhoed-Duijvestijn PHLM. Project ‘Diabeteszorg voor Hindostanen’: succesvol, maar niet goed genoeg. Epidemiologisch Bulletin 2001;36(4):2-10. Renders CM. Childhood adiposity and insulin resistance (referaat). Insulineresistentie 2002;1:10. Renders CM, Valk GD. Antwoord op ingezonden brief: geen allochtone patiënten in diabetesonderzoek? Huisarts en Wetenschap 2002;45:750.
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Renders CM. Kenniscentrum Overgewicht (in oprichting). Tijdschrift voor Jeugdgezondheidszorg 2002;5:106. Renders CM. Verrijking van voedsel met foliumzuur geeft lagere prevalentie van neuralebuisdefecten in de VS (referaat). Nederlands Tijdschrift voor Geneeskunde 2002;146:530. Timmermans, DRM, Henneman L. Risk perception and informed decision making in genetic contexts. Essay voor NWO programma Maatschappelijke Componenten van Genomics, September 2002. Timmermans DRM, Henneman L. The communication of genetic risks: what we know and what we need to learn. Essay voor NWO programma Maatschappelijke Componenten van Genomics, September 2002 Wagner C, Wiersma L, Ribbe MW, Wal G van der. Bewonersgebonden kwaliteitsindicatoren in de ouderenzorg. Kwaliteit in Beeld 2001;5:18-20. Wal G van der. [Recensie] Chronisch zieken en gezondheidszorg. Red. Bos GAM van den, Danner SA, Haan RJ de, Schade E. Elsevier, Maarssen 2000. ISBN 90-352-2226-1. Nederlands Tijdschrift voor Geneeskunde 2001;145:805. Wouwe JP, Hagen EE van, Rodrigues Pereira R, Hira Sing RA. Borstvoeding en de gezondheid op volwassen leeftijd.Tijdschrift voor Verloskundigen 2001;26:304-9. Books, Proceedings Aendekerk RPP, Leerdam FJM van, Hirasing RA. Niet-scrotale testes. Praktijkboek Jeugdgezondheidszorg 2002; 2.9-1-16. Broertjes JJS, Henneman L, Beemer FA (eds). Community genetics: past and future, Department of Biological Education. Utrecht University (publ.), Utrecht, 2002, ISBN 90-393-3245-2. Henneman L, Bramsen I, Gille JJP, Ploeg HM van de, Kate LP ten. Preconceptional cystic fibrosis carrier couple screening: Impact understanding and satisfaction. In: Broertjes JJS, Henneman L, Beemer FA (eds.), Community genetics: past and future, Department of Biological Education. Utrecht University (publ.), Utrecht, 2002, pp 6164. ISBN 90-393-3245-2. Hira Sing RA. Onze toekomst: een gezonde jeugd. Kon. Van Gorcum (Alle kinderen in beeld. Ouder- en Kindzorg tussen wetenschap en praktijk) 2001;29-36. Huizink AC, Robles de Medina PG, Mulder EJH, Visser GHA, Buitelaar JK. Prenatal maternal stress, HPA-axis activity, and postnatal infant development. In: Sivik T, Byrne D, Lipsitt D, Christodoulou G, Dienstfrey H (eds.), Psycho-Neuro-EndocrinoImmunology, Excerpta Medica International Congress Series 1241, Elsevier (publ.), Amsterdam, pp. 65-71, 2002, ISBN 0 444 509895. Kate L ten, Timmermans D. Genetic screening for disease-related characteristics. In: International Encyclopedia of Social and Behavioral Sciences. Eds. NJ Smelser & PB Baltes. Amsterdam: Elsevier 2001, pp. 6104-8. ISBN 0080430767. Leerdam FJM van, Hirasing RA. Gehoor. Praktijkboek Jeugdgezondheidszorg 2001;4:61-90. Leerdam FJM van, Hira Sing RA. Bedplassen anno 2002. Praktijkboek Jeugdgezondheidszorg 2002;1.9-1-18. Renders CM, Hira Sing RA. Overgewicht bij jonge kinderen. Praktijkboek Jeugdgezondheidszorg. Maarssen, Elseviers BV, 2002 Reports Cuperus-Bosma JM, Roscam Abbing HDC, Gevers JKM, Hubben JH, Wal G van der, Derckx VL, Blaas D, Biesaart MCIH, Bie J de, Hout FAG, Smink HJC. Evaluatie Wet
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op de beroepen in de individuele gezondheidszorg. Reeks evaluatie regelgeving: deel 12. Den Haag: ZonMw, 2002. Nieuwhof MGH, Oosterveld P, Wierstra RFA, Soethout MBM, Cate ThJ ten. Motivatie voor de studie geneeskunde: betrouwbaarheid en validiteit van de sterkte van motivatie voor de medische studie-vragenlijst. Universitair medisch centrum Utrecht, augustus 2002. Oudhoff J, Timmermans DRM, Wal G van der. Wachten op een operatie. Een onderzoek naar de klachten en problemen van spatader-, liesbreuk-, galsteen-, en borstkankerpatiënten op de wachtlijst voor een operatie. Amsterdam, EMGO, VUmc, december 2002. Plass AMC, Timmermans DRM, Wal G van der. "Tips voor de Thuisdokter". Evaluatie van een voorlichtingsproject over alledaagse klachten door huisartsen aan Nederlandse en Turkse patiënten in achterstandswijken van Den Haag. 2001. Amsterdam, EMGO, VUmc. Renders CM, Seidell JC, Mechelen W van, Hirasing RA. Het gezondheidsprobleem rond overgewicht bij kinderen In: Gezondheid en gedrag: debatten en achtergrondstudies. Zoetermeer: Raad voor Volksgezondheid en Zorg, 2002. Willems D, Hak T, Visser F, Wal G van der. Hartfalen-de laatste fase. Amsterdam: Vumc, Afdeling Sociale Geneeskunde, 2002. Abstracts published in journals Baars MJH, Henneman L, Cornel MC, Kate LP ten. Attitudes of Dutch general practitioners, pediatricians and gynecologists towards cystic fibrosis carrier screening. European Journal of General Practice 2002;10(suppl 1):308. Fredriks AM, Buuren S van, Hira Sing RA, Verloove-Vanhorick SP, Wit JM. Signaleren van overgewicht en obesitas bij kinderen van Nederlandse, Turkse en Marokkaanse afkomst in Nederland aan de hand van internationale criteria. Tijdschrift voor Kindergeneeskunde 2001;69:30. Nieuwhof MGH, Cate ThJ van, Kuyvenhoven MM, Soethout MBM. Percepties van studenten en art-assistenten van het beroep arts. Programma Gezond Onderwijs Congres. Veldhoven, 2001. Nieuwhof M, Oosterveld P, Wierstra R, Soethout M, Cate ThJ ten. Het bepalen van de sterkte van motivatie voor de opleiding geneeskunde. Programma Gezond Onderwijs Congres. Egmond aan zee, 2002. Nieuwhof MGH, Oosterveld P, Wierstra RAF, Soethout MBM, Cate ThJ ten. Measurement of strength of motivation for medical training. Program AMEE congres. Lisbon, Portugal, 2002. Plass AMC, Timmermans DRM, Wal G van der. Het effect van voorlichting over alledaagse klachten op het zelfzorggedrag en de zorgvraag van Turkse en Nederlandse patiënten in een achterstandswijk. Tijdschrift voor Gezondheidswetenschappen 2001;79:17. Plass AMC, Timmermans DRM. Towards more self-care and less professional care seeking behaviour through patient education. WONCA (16th World Congress of Family Doctors, Durban, SA). Abstract book 2001;ab791. Poppelaars FAM, Wal G van der, Braspenning J, Cornel MC, Henneman L, Langendam M, Kate LP ten. Possibilities and barriers in the implementation of a preconceptional screening programme for cystic fibrosis carriers: a focus group study. European Journal of Human Genetics 2002;10(suppl 1):37. Renders CM, Hirasing RA. De huidige prevalentie van overgewicht en obesitas bij
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gezonde kinderen in Nederland en mogelijkheden voor preventie. Tijdschrift voor Kindergeneeskunde 2002;Suppl 1:63. Walle HEK de, Henneman L, Verheij JBGM, Beemer FA, Broertjes JJS, Springer MP, Kate LP ten. Community Genetics in the Netherlands: past and future. European Journal of Human Genetics 2002;10(suppl 1):194.
Public health at the end of life Other publications Bilsen J, Deliens L, Mortier F, Provoost V . Intensiveren van pijn- en symptoombestrijding bij het levenseinde. Ethiek en Maatschappij 2001;4:26-38. Das C, Wal G van der. Overlijdensverklaringen en de rol van de gemeentelijk lijkschouwer en de behandelend arts bij natuurlijk en niet-natuurlijk overlijden in Nederland. Reacties op Brieven aan de Redactie. Nederlands Tijdschrift voor Geneeskunde 2001;145:1871-2. Das C, Wal G van der. De wet op de lijkbezorging. Reacties op Brieven aan de Redactie. Nederlands Tijdschrift voor Geneeskunde 2001;145:2400-1. Das C, Wal G van der. De wet op de lijkbezorging. Reacties op Brieven aan de Redactie. Nederlands Tijdschrift voor Geneeskunde 2002;146:441-3. Deliens L. Décisions médicales en Flandre concernant la fin de vie. Bulletin du Conseil National – Ordre des Médecins 2001;9:14-8. Deliens L. Medische beslissingen rond het levenseinde van patiënten in Vlaanderen. Tijdschrift van de Nationale Raad Orde van Geneesheren 2001;9:15-8. Deliens L. Methode van het HALP-onderzoek. Ethiek en Maatschappij 2001;4:12-6. Deliens L, Mortier F, eds.. Themanummer “Forum: Levensbeëindiging in Vlaanderen”. Ethiek en Maatschappij 2001;4:1-163. Deliens L, Mortier F. Euthanasie en andere vormen van levensbeëindiging in de medische praktijk in Vlaanderen. Ethiek en Maatschappij 2001;4:17-25. Deliens L, Mortier F, Provoost V . Onderzoek over medische beslissingen rond het levenseinde in Vlaanderen, themanummer “Geneeskunde, Cultuur en Maatschappij” (ed. Ch Van Schravendijck). Nieuw Tijdschrift van de Vrije Universiteit Brussel 2001;14:51-67. Echteld MA. Welbevinden blijft stabiel en kwaliteit van sterven is goed bij patiënten in units voor terminale zorg. Nieuwsbrief COPZ Amsterdam 2002;8, December. Georges JJ. Beleving van CVA-patiënten. Tijdschrift voor Verpleegkundigen 2001;111:619-23. Haverkate I, Delden J van, Nijen A van, Wal G van der. Richtlijnen voor het nemen van niet-reanimeerbesluiten in Nederlandse ziekenhuizen. Tijdschrift voor Geneeskunde en Ethiek 2001;11:35-9. Haverkate I, Heide A van der, Wal G van der. Weigering van verzoeken om euthanasie of hulp bij zelfdoding meestal gebaseerd op ingeschatte nietondraaglijkheid van het lijden, de beschikbaarheid van behandelalternatieven en de aanwezigheid van depressieve klachten. Reactie op brief aan de redactie. Nederlands Tijdschrift voor Geneeskunde 2001;145:758. Mortier F, Deliens L. Het Vlaams onderzoek naar handelingen van artsen bij het levenseinde van hun patiënten. Ethiek en Maatschappij 2001;4:3-11. Provoost V, Deliens L, Mortier F, Bilsen J. Beslissingen van artsen om niet (verder) te behandelen. Ethiek en Maatschappij 2001;4:39-45.
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Steen JT van der. Is longontsteking "The friend of the aged?". Tijdschrift voor Sociale Gezondheidswetenschappen 2002;80:408. Steen JT van der, Ribbe MW, Ooms ME, Wal G van der. Pneumonie: wel of niet behandelen? Tijdschrift voor Verpleeghuisgeneeskunde 2002;26:45-50. The BAM . Gedeelde zorgen; arts en patiënt in een volwassen relatie. ‘Patienteninvloed? Nu & Dan’ ZonMw, p. 13-22. Visser G, Klinkenberg M. Mantelzorg in de laatste levensfase. Geron, Tijdschrift over ouder worden en maatschappij 2002;3:33-9. Wal G van der, Maas PJ van der, Onwuteaka-Philipsen BD, Heide A van der. Euthanasiepraktijk in beeld. Medisch Contact 2001;56:1319-21. Books, Proceedings Bilsen J, Deliens L, Mortier F, Provoost V . Intensiveren van pijn- en symptoombestrijding bij het levenseinde. In: Deliens L, Mortier F ( eds.), Levensbeëindiging in Vlaanderen, Academia Press, Gent, pp. 19-30, 2001, ISBN 90 382 0324 1. Deliens L. Methode van het HALP-onderzoek. In: Deliens L, Mortier F (eds.), Levensbeëindiging in Vlaanderen, Academia Press, Gent, pp. 1-8, 2001, ISBN 90 382 0324 1. Deliens L, Mortier F. Empirical research on end-of-life decisions in medical practice in Belgium (Flanders). In: Heide A van der, Onwuteaka-Philipsen B, Emanuel EJ, Maas PJ van der, Wal G van der (eds.), Clinical and Epidemiological Aspects of End-of-Life Decision-Making, Royal Netherlands Academy of Arts and Sciences, Amsterdam, pp. 121-34, 2001, ISBN 90 6984 309 9. Deliens L, Mortier F. Euthanasie en andere vormen van levensbeëindiging in de medische praktijk in Vlaanderen. In: Deliens L, Mortier F (eds.), Levensbeëindiging in Vlaanderen, Academia Press, Amsterdam, pp. 9-18, 2001, ISBN 90 382 0324 1. Heide A van der, Onwuteaka-Philipsen BD, Emanuel EJ, Maas PJ van der, Wal G van der (eds). Clinical and epidemiological aspects of end-of-life decision-making. Royal Netherlands Academy of Arts and Sciences, Amsterdam, 2001. ISBN 90-6984309-9. Klinkenberg M. Zorg in de laatste levensfase en plaats van overlijden. In: Deeg DJH, Broese van Groenou MI, Horn LM (eds), Klinkenberg M, Penninx BWJH, Stel V, Ouder worden, een kwetsbaar succes, Thela Thesis, Amsterdam, pp. 61-8, 2002, ISBN 90 5170 6774. Mortier F, Deliens L. Inleiding. In: Deliens L, Mortier F (eds.), Levensbeëindiging in Vlaanderen, Academia Press, Gent, pp. 3-11, 2001, ISBN 90 382 0324 1. Mortier F, Deliens L. The prospects of effective legal control on euthanasia in belgium. Implications of recent end-of-life studies. In: Klijn A, Otlowski M, Trappenburg M (eds.), Regulating Physician-negotiated death, Elsevier, ’s Gravenhage, pp.179-95, 2002 Provoost V, Deliens L, Mortier F, Bilsen J . Beslissingen van artsen om niet (verder) te behandelen. In: Deliens L, Mortier F (eds.), Levensbeëindiging in Vlaanderen, Academia Press, Gent, pp. 31-40, 2001, ISBN 90 382 0324 1. Steen JT van der. Kwaliteit van leven bij ernstig demente patiënten: bruikbaarheid van een meetinstrument. In: Gerritsen DL, Steen JT van der, Jonker C (red.), Het beoordelen van kwaliteit van leven bij demente ouderen, Lundbeck B.V., Amsterdam / Drukkerij Hontelé-van Deursen, Roosendaal, pp. 32-9, 2001. Steen JT van der, Ribbe MW, Ooms ME, Wal G van der. Pneumonie: wel of niet behandelen? In: Cools HJM, Balder FA, Chel VGM, Iserief PB, Went PBM (red.),
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Vorderingen in de Verpleeghuisgeneeskunde, Boerhaave cursus 26 september 2002, Boerhaave Commissie voor Postacademisch Onderwijs in de Geneeskunde, Leids Universitair Medisch Centrum, Leiden, pp. 109-19, 2002, ISBN 90 6767 508 3. Steen JT van der, Ribbe MW, Ooms ME, Wal G van der. Pneumonie: wel of niet behandelen? Boerhaavecommissie LUMC, Leiden, 2002. The BAM . Palliative care and communication; experiences in the clinic. Open University Press (Facing Death), London, 2002, ISBN 9 780335 212057. Wal G van der. Clinical and epidemiological aspects of end-of-life decision-making: a conceptual framework. In: Heide A van der, Onwuteaka-Philipsen BD, Emanuel EJ, Maas PJ van der, Wal G van der (eds.), Clinical and epidemiological aspects of end-oflife decision-making, Proceedings of the colloquium 7-9 October 1999, Royal Netherlands Academy of Arts and Sciences, Amsterdam, 2001, ISBN 90-6984-309-9. Wal G van der. Euthanasie, euthanasieverklaringen en regelving. Medisch Ethische Casuïstiek: goed verklaard, goed geregeld?! Boerhaavecommissie LUMC, Leiden, 2001. Reports Bilsen J, Deliens L, Mortier F. Intensiveren van pijn- en/of symptoombestrijding aan het levenseinde van patiënten in Vlaanderen. In: Gezondheidsindicatoren 1999. Brussel: Ministerie van de Vlaamse Gemeenschap, Administratie Gezondheidszorg, 2001:189-192. Deliens L, Mortier F, Provoost V. Empirisch onderzoek naar handelwijzen van artsen rond het levenseinde van patiënten in Vlaanderen. In: Euthanasie. Brussel: Unie van Vrijzinnige Verenigingen, (extra nummer), 2002:4-12. Klinkenberg M. De laatste levensfase van ouderen; gezondheid en welzijn van ouderen in de laatste drie maanden van hun leven. EMGO Instituut VUmc, 2001. Provoost V, Deliens L, Mortier F. Niet (verder) behandelen aan het levenseinde van patiënten in Vlaanderen. In: Gezondheidsindicatoren 1999. Brussel: Ministerie van de Vlaamse Gemeenschap, Administratie Gezondheidszorg, 2001:184-188. Provoost V, Cools F, Vandenplas Y, Deliens L. Sterfgevallen bij prematuur geboren kinderen in het eerste levensjaar in Vlaanderen: een populatieonderzoek. In: Perinatale activiteiten in Vlaanderen 2001. Brussel: vzw Studiecentrum voor Perinatale Epidemiologie, 2002:87-98. Provoost V, Deliens L, Cools F, Vandenplas Y. Belangrijkste doodsoorzaken bij pasgeborenen en zuigelingen in het eerste levensjaar in Vlaanderen. In: Gezondheidsindicatoren 2000. Brussel: Ministerie van de Vlaamse Gemeenschap, Administratie Gezondheidszorg, 2002:65-74. Abstracts published in journals Borgsteede SD, Deliens L, Willems DL, Francke AL, Kerkstra A, Stalman W, Eijk JThM van, Wal G van der. Interviews met terminale patiënten: redenen waarom patiënten meedoen en ethische dilemma’s. Tijdschrift voor Gezondheidswetenschappen 2001;79:24. Borgsteede SD, Deliens L, Francke AL, Stalman WAB, Wal G van der, Eijk van JThM, Willems DL. The burden of being interviewed: autonomy or paternalism in palliative care research. European Journal of Palliative Care 2002;8. Klinkenberg M, Deeg DJH, Willems DL, Onwuteaka- Philipsen BD, Wal G van der, Knipscheer CPM. Omstandigheden en zorg voor Nederlandse ouderen in de laatste levensfase: een onderzoek onder nabestaanden. Tijdschrift voor Gezondheidswetenschappen 2001;79:3.
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Klinkenberg M, Willems DL, Onwuteaka- Philipsen BD, Deeg DJH, Wal G van der, Knipscheer CPM. Health of elderly people in the terminal months of life (poster presentation). European Journal of palliative Care 2001;105:74. Klinkenberg M, Visser G, Broese van Groenou M, Wal G van der, Deeg D, Willems D. The last three months of life: care, transfers and the place of death of older people in the Netherlands. European Journal of palliative Care 2002:17. Klinkenberg M, Smit JH, Deeg DJH, Willems DL, Onwuteaka- Philipsen BD, Wal G van der. Proxy-reporting in after-death interviews: the use of proxy respondents in retrospective assessment of chronic diseases and symptom burden in the terminal phase of life . European Journal of palliative Care 2002;46. Mehr D, Kruse R, Madsen R, Steen J van der, Ooms M. Nursing-home acquired lower respiratory infection and severe dementia: should it be an indication for palliative care? Gerontologist 2002;42(Suppl 1):155-6. Provoost V, Deliens L, Cools F, Deconinck P, Ramet J, Mortier F, Vandenplas Y. Incidence and ethical qualifications of Non Treatment Decisions preceding death of neonates and infants: a death-certificate study in Flanders, Belgium. The Journal of Maternal-Fetal & Neonatal Medicine 2002;11(Suppl 1):122-3. Sang Ajang H, Ooms ME, Deliens L, Ribbe M, van der Wal G. Palliatieve terminale zorg in verpleeghuizen. Tijdschrift voor Gezondheidswetenschappen 2001;79:30. Steen JT van der, Mehr DR, Ooms ME, Kruse RL, Madsen RW, Wal G van der, Ribbe MW. A model for predicting mortality from pneumonia in nursing home patients: transnational validation. Gerontologist 2001;41(Suppl 1):346. Steen JT van der, Ooms ME, Wal G van der, Ribbe MW. Het meten van (on)welbevinden bij demente patiënten - Validiteit van de Nederlandse versie van de Discomfort Scale - Dementia of Alzheimer Type (DS-DAT). Tijdschrift voor Gerontologie en Geriatrie 2002;33:257-63. Visser G, Klinkenberg M, Broese van Groenou M, Wal G van der, Deeg D, Willems D. The last three months of life: care, transfers and the place of death of older people in the Netherlands. The Gerontologist 2002;42(special issue I):377.
Work and health Other publications Beek AJ van der, Mechelen W van. [Recensie] Epidemiology of work related diseases. Nederlands Tijdschrijft voor Geneeskunde 2002;146:392. Looze M de, Heuvel S van den, Hildebrandt V. Helpt ‘pauzesoftware’ tegen RSI? Arbeidsomstandigheden 2002;78:41-5. Books, Proceedings Anema JR, Steenstra IA, Bongers PM, Vet HCW de, Mechelen W van. The Sherbrooke model: implementation and evaluation in The Netherlands, posterpresentation. Programme and abstract book Fourth International Scientific Conference on Prevention of Work-related Musculosketal Disorders (Premus), Amsterdam, The Netherlands, September 30-October 4, 2001, page 106. Anema JR, Giezen AM van der, Buijs PC, Mechelen W van. Ineffective disability management by doctors is an obstacle for return-to-work: a cohort study on low back pain patients sicklisted for 3-4 months, oral presentation. Proceedings of the
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10th International Congress on Occupational Health Services, Amsterdam, The Netherlands, 2002. Anema JR, Giezen AM van der, Buijs PC, Mechelen W van. Ineffective disability management by doctors is an obstacle for return-to-work: a cohort study on low back pain patients sicklisted for 3-4 months, posterpresentation. Programme and abstract book Low Back Forum for Primary Care, Montreal, Canada, May 10-11, 2002. Beek AJ van der, Vet HCW de, Frings-Dresen MHW, Sluiter JK. Het bewegingsapparaat. In: Laan G van der, Pal TM, Bruynzeel DP, (red.). Beroepsziekten in de praktijk, Elsevier Gezondheidszorg, Maarssen, pp. 125-43, 2002, ISBN 90 352 2414 0. Hoozemans MJM, Burdorf A, Beek AJ van der, Frings-Dresen MHW, Mathiassen SE. The precision of group mean exposure explored by bootstrapping. In: Hagberg M, Knave B, Lillienberg L, Westberg H (eds.), X2001 - Exposure Assessment in Epidemiology and Practice, Arbete och Hälsa 2001;10:246-9. Schimmel WE, Beek AJ van der, Mechelen W van. Men and women at work: do they differ in jobs, tasks and task performance, and what are the consequences for exposure to work-related physical and psychosocial risk factors? In: Bildt C, Gonäs L, Karlqvist L, Westberg H (eds.), Book of Abstracts of the III International Congress Women Work & Health, National Institute for Working Life, Stockholm, pp. 233-4, 2002, ISBN 91 7045 640 2. Steenstra IA, Anema JR, Bongers PM, Vet HCW de, Mechelen W van. The Sherbrooke model: implementation and evaluation in The Netherlands. Programme and abstract book Low Back Forum for Primary Care, Montreal, Canada, May 10-11, 2002. Weevers HJA, Beek AJ van der, Anema JR, Wal G van der, Mechelen W van. Work in general practice: a systematic review of the literature. Proceedings of the 10th International Congress on Occupational Health Services, Amsterdam, The Netherlands, 2002. Reports Hildebrandt VH. Stabiele beweegpatronen. Ruim de helft van de Nederlanders sport. Index CBS (6), 2002. Kuijer PPFM, Hoozemans MJM, Kingma I, Frings-Dresen MHW, Vries W de, Beek AJ van der, Dieën J van, Visser B. Effect van het herontwerp van een minicontainer op de mechanische belasting van rug en schouders. Amsterdam: Coronel Instituut voor Arbeid, Milieu en Gezondheid, 2001;1-2. Kuijer PPFM, Frings-Dresen MHW, Beek AJ van der. Evaluatie van maatregelen op het gebied van de werkorganisatie voor de verouderende werknemer in fysiek zwaar werk. In: Stronks K (red.). Sociaal-economische gezondheidsverschilen: van verklaren naar verkleinen, ZonMw, Den Haag, pp. 39-61, 2001, ISBN 90 5763 029 X. Mathiassen SE, Beek AJ van der. Design of efficient measurement strategies in ergonomic intervention studies on the basis of exposure variability data. In: Hagberg M, Knave B, Lillienberg L, Westberg H (eds.), X2001 - Exposure Assessment in Epidemiology and Practice, Arbete och Hälsa, 2001;10:243-5. Ooijendijk WTM, Hildebrandt VH, Stiggelbout M (Red.). Trendrapport bewegen en gezondheid 2000/2001. Hoofddorp: TNO Arbeid, 2002, ISBN 90 6743 926 6. Staal B. De effectiviteit van een “graded activity” oefenprogramma voor werknemers die verzuimen vanweg niet-specifieke lage rugpijn. Een gerandomiseerd gecontroleerd onderzoek in de bedrijfsgezondheidszorg. Eindverslag College voor Zorgverzekeringen. Project DPZ 169/0 2002.
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Abstracts published in journals Ariëns GAM, Bongers PM, Mechelen W van. The longitudinal relationship between neck flexion and neck pain: the effect of functional capacity of the neck muscles. Medicine and Science in Sports and Exercise 2001;33:S37. Ariëns GAM, Bongers PM, Mechelen W van. Physical and psychosocial load at work in relation to neck pain and neck-shoulder pain: a comparison of two outcome measures. La Medicina del Lavoro, Italian Journal of Occupational Health and Industrial Hygiene 2002;93:376. Blatter BM, Heuvel SG van den, Vroome E de, Bongers PM. Prognostic factors for chronic disability due to neck and upper limb disorders. La Medicina del Lavoro, Italian Journal of Occupational Health and Industrial Hygiene 2002;93:412. Bongers PM, Blatter BM, Heuvel SG van den. Repetitive Strain Injuries, extent of the problem in the Netherlands and possibilities for prevention. Der Schmerz 2002;16(Suppl 1):4. Hildebrandt VH, Proper KI, Urlings IJM. Physical activity and work performance: results from the national worker fitness test 2001 in The Netherlands. Medicine and Science in Sports and Exercise 2002;34(Suppl 5):S201. Proper KI, Beek AJ van der, Hildebrandt VH, Mechelen W van. A randomized controlled trial on the effectiveness of an individual counseling program at the worksite on physical activity, fitness and health. La Medicina del Lavoro, Italian Journal of Occupational Health and Industrial Hygiene 2002;93:453. Proper KI, Hildebrandt VH, Beek AJ van der, Mechelen W van. Het effect van individuele counseling op de werkplek op lichamelijke activiteit, fitheid en gezondheid: een gerandomiseerd, gecontroleerd onderzoek. Tijdschrift Sociale Geneeskunde 2002;80:19-20. Staal B, Hlobil H, Mechelen W van, Smid T, Wal G van der. Graded activity for low back pain in occupational health: a randomised controlled trial. Medicine and Science in Sports and Exercise 2001;32(Suppl 5):S100. Thé KH, Hildebrandt VH, Urlings IJM, Ooijendijk WTM. Enhancing physical activity by means of an interactive CDRom: a randomised controlled trial. Medicine and Science in Sports And Exercise 2002;34(Suppl 5). Weevers HJA, Beek AJ van der, Mechelen W van, Wal G van der, Bensing JM. Arbeid en gezondheid in de huisartspraktijk: een onderzoek in het kader van de 2 e Nationale Studie. Tijdschrift voor Gezondheidswetenschappen 2002;80:172.
Physical activity and health Other publications Meeusen R, Mechelen W van, Verhagen EALM. Epidemiologie bij overbelastingsletsels; enkele overpeinzingen. Richting Sportgericht 2001;1:43-8. Urlings I, Proper K, Hildebrandt V. Onderzoek in MKB kleine bedrijven toont aan: kleine werkgevers lopen nog niet warm voor bewegen. Arbeidsomstandigheden 2001;77(1):42-45.
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Books, Proceedings Hildebrandt V, Proper K, Urlings I. Lichamelijke activiteit, fitheid en gezondheid van werkenden. Resultaten van de Nationale Gezondheidstest 1999-2000. In: Ooijendijk WTM, Hildebrandt VH, Stiggelbout M. eds. Trendrapport Bewegen en Gezondheid 2000/2001, Hoofddorp: TNO Arbeid 2002: 25-38. Sluijs EMF van, Poppel MNM van, Mechelen W van. The effect of a PACE intervention in general practice on determinants and levels of physical activity: a randomized, controlled trial. In: Fourth Dutch Conference on Psychology and Health, scientific program and abstracts, IDC, Utrecht, pp. 221, 2002, ISBN 90 5187 315 8 . Sluijs EMF van, Verhagen EALM, Beek AJ van der, Poppel MNM van, Mechelen W van. Risks of physical activity. In: Riddoch C, McKenna J (eds.), Perspectives on health and exercise, Palgrave Macmillan, Basingstoke, pp. 109-27, 2002, ISBN 0-33378700-5. Sluijs EMF van, Poppel MNM van, Mechelen W van. The effect of a PACE intervention in general practice on patients physical activity. In: Miilunpalo S, Tulimäki R (eds.), Evidence-based promotion of physical activity, Tampereeen Yliopistopaino, Tampere, Finland, pp. 80, 2002, ISBN 951 9101 46 2. Verhagen EALM, Vente W de, Beek AJ van der, Mechelen W van. Effectiviteit van preventieve maatregelen voor lateraal enkelletsel. In:. Ooijendijk WTM, Hildebrandt VN, Stiggelbout M (eds.), Trendrapport bewegen en gezondheid 2000/2001, TNO Arbeid TNO PG (publ.), pp. 117-28, 2001, ISBN 90 6743 926 6. Reports Proper KI, Beek AJ van der, Hildebrandt VH. Eerste resultaten Active Living project bij de gemeente Enschede. Hoofddorp: TNO Arbeid, 2001; 1090103/R2015198. Singh AS, Poppel MNM van, Seidell JC, Hira Sing, RA, Mechelen W van. Lichamelijke inactiviteit en ongezond voedingsgedrag onder werknemers' In: Gezondheid en Gedrag, Advies uitgebracht door de Raad voor de Volksgezondheid en Zorg aan de minister van Volksgezondheid, Welzijn en Sport, Raad voor de Volksgezondheid en Zorg (eds.). Zoetermeer, pp.129-92, 2002, ISBN 90-5732-105-x. Verhagen EALM, Vente W de, Beek AJ van der, Mechelen W van. Effectiviteit van preventieve maatregelen voor lateraal enkelletsel. In: Ooijendijk WTM, Hildebrandt VH, Stiggelbout M (red.). Trendrapport bewegen en gezondheid 2000/2001, TNO Arbeid/TNO PG, Hoofddorp/Leiden, pp. 117-28, 2002, ISBN 90 6743 926 6. Abstracts published in journals Chin A Paw MJM, Poppel M van, Twisk J, Mechelen W van. Strength or skills? Effects of different exercise protocols on functioning and wellbeing of elderly living in residential care facilities. Giornato Gerontologica 2001;49:719 Hildebrandt VH, Koning M, Proper KI, Bosscher RI, Beek AJ van der, Mechelen W van. The effectiveness of worksite physical activity programs on health related outcomes – a systematic review. Medicine and Science in Sports and Exercise 2001;33:S255. Sluijs EMF van, Poppel MNM van, Mechelen W van. PACE: het bevorderen van lichamelijke activiteit via de huisarts; RCT naar het effect van individueel beweegadvies (mondeling en schriftelijk) via de huisartspraktijk (onderzoeksopzet) . Tijdschrift voor Gezondheidswetenschappen 2001;2:31. Sluijs EMF van, Poppel MNM van, Mechelen W van. The effect of a PACE intervention in general practice on patients physical activity. Seventh International
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Congress of Behavioural Medicine 2002. International Journal of Behavioral Medicine 2002;9(Suppl 1):283. Ploeg HP van der, Streppel KRM, Beek AJ van der, Woude LHV van der, Vollenbroek M, Mechelen W van. A study evaluating physical activity promotion in people with disabilities. International Journal of Behavioral Medicine 2002;9(suppl 1):282. Proper KI, Beek AJ van der, Hildebrandt VH, Mechelen W van. A randomized controlled trial on the effectiveness of an individual counseling program at the worksite on physical activity, fitness and health. La Medicina del Lavoro 2002;93:453. Proper KI, Hildebrandt VH, Beek AJ van der, Twisk JWR, Mechelen W van. Het effect van individuele counseling op de werkplek op lichamelijke activiteit, fitheid en gezondheid: een gerandomiseerd, gecontroleerd onderzoek. Tijdschrift voor Gezondheidswetenschappen 2002;80:S19. Verhagen EALM, Mechelen W van, Beek AJ van der. The effect of tape, braces and shoes on ankle range of motion: a review of the literature. Medicine and Science in Sports and Exercise 2001;33:S135. Verhagen EALM, Beek AJ van der, Mechelen W van. The mechanical effect of tape, braces and shoes on ankle range of motion. Medicine and Science in Sports and Exercise 2001;33(Suppl 5):770.
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Appendix 4: Scientific and societal activities Congresses and lectures Han Anema - The Sherbrooke model: implementation and evaluation in The Netherlands. Poster presentation. Fourth International Scientific Conference on Prevention of Work-related Musculosketal Disorders. Premus 2001, Amsterdam, The Netherlands. September 30 Oktober 4, 2001. - Ineffective disability management by doctors is an obstacle for return-to-work: a cohort study on low back pain patients sicklisted for 3-4 months. Posterpresentation, Montreal, Canada. May 10-11, 2002. - Ineffective disability management by doctors is an obstacle for return-to-work: a cohort study on low back pain patients sicklisted for 3-4 months. Oral presentation. 10th International Congress on Occupational Health Services. Amsterdam, The Netherlands, November 13-16, 2002. Geertje Ariëns - The longitudinal relationship between neck flexion and neck pain: The effect of functional capacity of the neck muscles, poster presentation, 48th annual meeting of the American college of sports medicine, Baltimore, USA, May 30-June 2, 2001. - Work-related physical and psychosocial risk factors for sickness absence due to neck pain: results of a prospective cohort study, oral presentation, Fourth international scientific conference on prevention of work-related musculoskeletal disorders PREMUS, Amsterdam, The Netherlands, September 30-October 4, 2001. - Physical and psychosocial load at work in relation to neck pain and neck-shoulder pain: a comparison of two outcome measures, oral presentation, 16th congress on epidemiology in occupational health ICOH, Barcelona, Spain, September 11-14, 2002. - Werkgerelateerde fysieke en psychosociale risicofactoren voor nekpijn: resultaten van een prospectief cohort onderzoek, voordracht, KNGF-congres fysiotherapie en bewegingsvrijheid, Den Haag, 1-2 november 2002. Allard van der Beek - De rol van observeren in ergonomisch veldonderzoek naar fysieke werkbelasting, voordracht op uitnodiging, Pdbo Ergonomie bij Arbeid, Amsterdam, 26 januari 2001. - Interventie onderzoek met betrekking tot fysieke belasting bij arbeid, voordracht op uitnodiging, Universiteit Maastricht, Maastricht, 10 april 2001. - Psychosociale belasting in het wegvervoer, voordracht op uitnodiging, NSOH, Utrecht, 10 april 2001. - Recrutering van proefpersonen in de arbeidsepidemiologie: veel problemen, weinig oplossingen, voordracht op uitnodiging, CaRe Onderzoeksdag, Maastricht, 11 mei 2001. - Principles of assement of mechanical load at the workplace, Pre-conference course, X2001, organisator, Götenborg, Sweden, June 10, 2001. - Design of efficient ergonomic measurement strategies, Special Session, X2001, organisator, Götenborg, Sweden, June 12, 2001. - Geslachtsverschillen in het risico op ziekteverzuim en arbeidsongeschiktheid, voordracht op uitnodiging, Ministerie van Sociale Zaken en Werkgelegenheid, Den Haag, 25 juni 2001.
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Model arbeidsbelasting, voordracht op uitnodiging, Pdbo Ergonomie bij Arbeid, Amsterdam, 7 september 2001. Principles of assement of mechanical load at the workplace, organisator, Pre-conference course, 4th international scientific conference on prevention of musculoskeletal disorders ‘PREMUS 2001’, organisator, Amsterdam, The Netherlands, September 30, 2001. 4th International scientific conference on prevention of musculoskeletal disorders ‘PREMUS 2001’, organisator, Amsterdam, The Netherlands, September 30-October 4 2001. De zin van wetenschappelijk onderzoek: evidence-based occupational medicine, voordracht op uitnodiging, De gezonde zaak, Garderen, 20 oktober 2001. De zin van wetenschappelijk onderzoek: evidence-based occupational medicine, voordracht op uitnodiging, De gezonde zaak, Tegelen, 21 oktober 2001. Psychosociale belasting in het wegvervoer, voordracht op uitnodiging, NSOH, Utrecht, 27 november 2001. De rol van observeren in ergonomisch veldonderzoek naar fysieke werkbelasting, voordracht op uitnodiging, Pdbo Ergonomie bij Arbeid, Amsterdam, 11 januari 2002. Body@Work, Onderzoekscentrum ‘Bewegen, arbeid en gezondheid’ TNO-VUmc, voordracht, 10e Fysieke Dag, Roessingh Research and Development, Enschede, 25 januari 2002. De effectiviteit van een individu-gericht bedrijfsbewegingsprogramma: een RCT, voordracht, 10e Fysieke Dag, Roessingh Research and Development, Enschede, 25 januari 2002. Psychosociale belasting in het wegvervoer, voordracht op uitnodiging, NSOH, Utrecht, 9 april 2002. Psychosociale belasting in het wegvervoer, voordracht op uitnodiging, NSOH, Utrecht, 25 juni 2002. A randomised controlled trial on the effectiveness of an individual counselling programme at the worksite on physical activity, fitness and health, oral presentation, 16th international symposium on epidemiology in occupational health , Barcelona, Spain, September 11-13, 2002. De rol van observeren in ergonomisch veldonderzoek naar fysieke werkbelasting, voordracht op uitnodiging, Pdbo Ergonomie bij Arbeid, Amsterdam, 1 november 2002. Arbeidsfysiologisch onderzoek, voordracht op uitnodiging, Nederlandse Hartstichting, Bilthoven, 13 november 2002. Lichamelijke activiteit (leefstijl) en gezondheid, voordracht op uitnodiging, Nederlandse Hartstichting, Bilthoven, 13 november 2002. Psychosociale belasting in het wegvervoer, voordracht op uitnodiging, NSOH, Utrecht, 26 november 2002. Lichamelijke activiteit (leefstijl) en gezondheid, voordracht op uitnodiging, Revalidatiecentrum Beatrixoord, Haren (Gr.), 12 december 2002. A randomized controlled trial on the effectiveness of an individual counseling program at the worksite on physical activity, fitness and health. Oral presentation. 16th International Symposium on Epidemiology in Occupational Health EPICOH. La Medicina del Lavoro 2002.
Matthijs van den Berg - Redenen van zwangere vrouwen om wel of geen prenatale screening te doen, voordracht, Ziekenhuis Rijnland, 25 oktober 2002.
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Risicoperceptie, besluitvorming en psychisch welbevinden van zwangere vrouwen na het aanbod van prenatale screening op aangeboren afwijkingen van de foetus, voordracht, Netherlands Association Community Genetics, VUmc, Amsterdam, 15 november 2002.
Sander Borgsteede - Interviews met terminale patiënten: redenen waarom patiënten meedoen en ethische dilemma's, posterpresentatie, congres palliatieve zorg, Rotterdam, 7 februari 2002. - The burden of being interviewed: autonomy or paternalism in palliative care research, oral presentation, 2nd congress of the EAPC research network), Lyon, France, May 2325, 2002. Luc Deliens - The patient-physician information contract: a solution to the dilemma between patient autonomy and physician paternalism, oral presentation, 7th winter oncology conference, Flims, Switserland, January 21-27, 2001. - Medische beslissingen rond het levenseinde van pasgeborenen en zuigelingen, posterpresentatie, 29ste congres belgische vereniging voor kindergeneeskunde, La hulpe, België, 23-24 maart 2001. - Palliatieve zorg in de huisartsenpraktijk. Een onderzoek naar wat huisartsen doen en hoe patiënten de zorg ervaren, posterpresentatie, huisartsenbeurs, Landelijke huisartsen vereniging, Amsterdam, 24 maart 2001. - Centrum voor ontwikkeling van palliatieve zorg Amsterdam, posterpresentatie, huisartsenbeurs, Landelijke huisartsen vereniging, Amsterdam, 24 maart 2001. - Euthanasia and physician-assisted suicide among terminally ill oncology patients in Belgum, oral presentation, 7 th congress of the European association for palliative care, Palermo, Italy, April 1-5, 2001. - Rol van verpleegkundigen bij euthanasie in Vlaanderen, voordracht op uitnodiging, Congres “Euthanasie en Verpleegkunde”, KUL, Leuven, België, 24 april 2001. - Euthanasia and other end-of-life decisions in general practice, chairman, 16 th WONCA World Congress of Family Doctors, Durban, South Africa, May 13-17, 2001 - Implications of the results of a recent nationwide end-of-life study for the prospects of legal control in Belgium, oral presentation, annual meeting law and society association, Budapest, Hungary, July 4-7, 2001. - Niet (verder) behandelen aan het levenseinde van pasgeborenen en zuigelingen: een sterfgevallenonderzoek in Vlaanderen, voordracht, Jaarlijks congres van de Belgische Vereniging voor Kindergeneeskunde, 16 maart 2002. - Incidence and ethical qualifications of Non Treatment Decisions (NTD’s) preceding death of neonates and infants: a death-certificate study in Flanders, Belgium, oral presentation, XVIII European Congress of Perinatal Medicine, Oslo, Norway, June 19-22, 2002. - Incidence and ethical qualifications of Non Treatment Decisions (NTD’s) preceding death of neonates and infants: a death-certificate study in Flanders, Belgium, Groupe de contact F.N.R.S. Epidémiologie Périnatale, Lille, France, September 19, 2002. - An ethical focus of Non treatment decisions (NTD’s) preceding death of neonates and infants in Flanders, Belgium, oral presentation, 6th World Congress of Bioethics, Brasilia, Brazil, October 30-November 3, 2002.
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Marijke Chin A Paw - Ouderen en bewegen, voordracht op uitnodiging, symposium Geneeskunde in de Sport, VUmc, Amsterdam, 21 februari 2001. - Strengths or skills? Effects of different exercise protocols on functioning and wellbeing of elderly living in residential care facilities, oral presentation, The International 17th Puijo Symposium "Health Related Physical Activity and Fitness in Health Promotion and Medical Care - Evidence-based Exercise Prescription", Kuopio, Finland, June 26-29, 2001. - Innovative research addressing the challenge of disablement among older adults, invited lecture, Cooper Institute Conference "Physical Activity: Preventing Physical Disablement in Older Adults", Dallas, USA, October 17-19, 2002 - Effectieve implementatie van beweegprogramma's voor ouderen, voordracht op uitnodiging, Slotcongres Nederland in beweging!, Papendal, 12 december 2002. Michael Echteld - Individual quality of life and response shift in patients admitted to palliative care units, oral presentation, 16th conference of the European Health Psychology Society, ‘Health Through the Life Cycle: A Life Span Perspective’, Lisbon, Portugal, October 2-5, 2002. - Implementation and evaluation of palliative care units in nursing homes, Series of three invited lectures in nursing homes in Amsterdam and Beekbergen, and a executive committee meeting of the Programme Centres for Development of Palliative Care. Jean-Jacques Georges - Zorgopvattingen van verpleegkundigen werkzaam in de palliatieve zorg, voordracht, Symposium Verplegingswetenschap ten dienste van chronisch zieken, Universitair Medisch Centrum Utrecht, Utrecht, 16 Januari 2002. - Conceptions infirmières a propos de la nature des soins palliatifs, oral presentation, posterpresentation, 2 nd Congress of the EAPC Research Network, Lyon, France, May 2325, 2002. Lidewij Henneman - Preconceptional cystic fibrosis carrier screening: impact, understanding and satisfaction, oral presentation, Symposium Community Genetics: past and future, University Utrecht, Utrecht, The Netherlands, November 8, 2001. - Symposium Community Genetics: past and future, organisator, University Utrecht, Utrecht, The Netherlands, November 8, 2001. - Preconceptionele screening op dragerschap voor cystic fibrosis, invited lecture, Netherlands School of Public Health, Utrecht, December 18, 2001. - Workshop ‘informed choice and compliance in genetic screening’, organisator, VUmc, Amsterdam, The Netherlands, June 19, 2002. - Preconceptionele screening op dragerschap voor cystic fibrosis, voordracht op uitnodiging, Workshop: mogelijkheden en barrières voor de implementatie van cystic fibrosis dragerschap screening, Amsterdam Arena, Amsterdam, 27 september 2002. - Annual scientific meeting Community Genetics, organisator, VUmc, Amsterdam, The Netherlands, November 15, 2002. - Genetic screening: a community genetics point of view, invited lecture, Ethical-legal subgroup of CF Thematic Network sponsored by the European Union, Leuven, Belgium, November 22, 2002.
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Martijn Heymans - Kosten-effectiviteit van rugscholing bij werknemers met persisterende en recidiverende lage rugpijn, voordracht, NWO, Utrecht, 1 februari 2001. - De kosten-effectiviteit van rugscholingsprogramma’s in de bedrijfsgezondheidszorg, voordracht op uitnodiging, Congres DGZ, Garderen, 6 maart 2001. - Workshop Graded Activity, voordracht op uitnodiging, Artsencongres ArboNed, Wijk aan Zee, 8 maart 2001. - The cost-effectiveness of back schools for occupational low back pain; design of a Randomized Controlled Trial, posterpresentation, International Forum V for Primary Care Research on Low-Back Pain, Montreal, Canada, May 10-11, 2002. - The cost-effectiveness of back schools in occupational care, invited lecture, Sherbrooke, Montreal, Canada, May 12, 2002. - Definities voor episodes van lage rugpijn, posterpresentatie, Weon Symposium, Amsterdam, 6-7 juni 2001. - Episodes of Low Back Pain: a proposal for standardized operational definitions, oral presentation, 4th International Scientific Conference on Prevention of Work-Related Musculoskeletal Disorders (Premus), Amsterdam, The Netherlands, October 1-4, 2001. - The cost-effectiveness of back schools for occupational low back pain; design of a Randomized Controlled Trial, posterpresentation, 4th International Scientific Conference on Prevention of Work-Related Musculoskeletal Disorders (Premus), Amsterdam, The Netherlands, October 1-4, 2001. - De kosten-effectiviteit van rugscholingsprogramma’s in de bedrijfsgezondheidszorg, voordracht, jaarcongres van het Koninklijk Genootschap voor Fysiotherapie (KNGF), De kracht van Fysiotherapie, Den Haag, 3 november 2001. - Episodes van Lage Rugpijn: een voorstel voor gestandaardiseerde definities, voordracht, Mini-symposium Interventieonderzoek in de Bedrijfsgezondheidszorg bij Klachten aan het Bewegingsapparaat, Amsterdam, 7 november 2001. - Kosten-effectiviteit van rugscholing bij werknemers met persisterende en recidiverende lage rugpijn, voordracht, ZonMw, Utrecht, 3 december 2001. - Onderzoek naar belasting & belastbaarheid in de bedrijfsgezondheidszorg, voordracht op uitnodiging, Lode, Groningen, 18 april 2002. - Wat maakt Arbeidsreintegratie Roerstreek zo uniek?, voordracht op uitnodiging, Opening Reintegratiebedrijf AAR, Roermond, 14 juni 2002. - Rug- en nekklachten: een overzicht, voordracht op uitnodiging, Onderwijs aan Tandartsen, Utrecht, 5 september 2002. - Trainingsapparatuur voor revalidatie en reïntegratie: feit of fictie?, voordracht op uitnodiging, Hogeschool van Amsterdam, opleiding Fysiotherapie, Amsterdam, 5 November 2002. Vincent Hildebrandt - Physical activity and work performance: results from the national worker fitness test 2001 in the Netherlands. Poster presentation. ACSM 2002 Annual Meeting, St. Louis, Missouri, USA, 2002. Anja Huizink - Prenatal maternal stress, HPA-axis activity, and postnatal infant development, invited lecture, 16th World Congress on Psychosomatic Medicine in Göteborg, Sweden, August 24-28, 2001. - ‘Obstetric and gynecological aspects of emotions’.16th World Congress on Psychosomatic Medicine, chairman, Göteborg, Sweden, August 24-28, 2001.
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Prenatal maternal stress and its effect on infant development, (key-note), invited lecture, congress ‘International Congress on Embryology, Therapy and Society, Nijmegen, The Netherlands, May 9-11, 2002. Prenatal stress and infant development, invited lecture, symposium ‘Fetal origins’ AMC, Amsterdam, The Netherlands, May 15, 2002.
Anke Kleinveld - What factors are related to pregnant women's perception of the chance of getting a child with down syndrome and test uptake?, oral presentation, Scientific Meeting Netherlands Forum Medical Decision Making, VUMC, Amsterdam, The Netherlands, April 12, 2002. Marianne Klinkenberg - Health of elderly people in the terminal months of life, posterpresentation, European Association of palliative Care, Palermo, Italy, April 1-5, 2001. - “De laatste levensfase van ouderen: retrospectief proxy-onderzoek onder nabestaanden en artsen”. Presentatie Onderzoeksdag CARE, 11 mei 2001. - Care arrangements in the last months of life, invited lecture, 2nd Conference of the International Network For research on Eldercare (INREC), Hannover, Germany, February 8, 2002. - Zorg in de laatste levensfase en plaats van overlijden, voordracht, Symposium “Welke kansen krijgen ouderen in de toekomst?”, voorafgaande aan de oratie van Dorly Deeg, VU, 10 april 2002. - Proxy-reporting in after-death interviews: the use of proxy respondents in retrospective assessment of chronic diseases and symptom burden in the terminal phase of life, poster presentation, European Association for Palliative Care, Lyon, France, May 23-25, 2002. - The last three months of life: care, transfers and the place of death of older people in the Netherlands, oral presentation, European Association for Palliative Care, Lyon, France, May 23-25, 2002. - Zorg in de laatste levensfase en plaatst van overlijden, workshop begeleiding op uitnodiging, Symposium professioneel werken: een vak op zich!, VUmc, Amsterdam, 21 november 2002. - The last three months of life: care, transfers and the place of death of older people in the Netherlands, posterpresentation, Gerontology Society of America, Boston, America, November 22-26, 2002. Annemieke Kuin - The 7th Congress of the European Association for Palliative care, posterpresentation, 7th Congress of the European Association for Palliative Care, Palermo, Italy, April 1-5, 2001. Willem van Mechelen - 'The Sherbrooke model: een multidisciplinair model voor de begeleiding van subacute lage rugpijn. Een uitdaging voor u?', voordracht op uitnodiging, NVAB-kring Leiden -Den Haag, 15 januari 2001. - ‘Onderzoekslijn bewegingsapparaat van het EMGO-Instituut van de Vrije Universiteit’, voordracht op uitnodiging, Kringbijeenkomst voor Bedrijfsgezondheidszorg Amsterdam e.o., KLM Arbo Services, Schiphol, 16 januari 2001. - ‘Gezondheid in beweging’, MFVU-Symposium Geneeskunde in de Sport, voordracht op uitnodiging en dagvoorzitter, VU medisch centrum, Amsterdam, 21 februari 2001.
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‘The relationship between adolescent lifestyle and adult health’and ‘the prevention of acute ankle injury’, The 17th International Jerusalem Symposium on Sports Medicine, invited lectures, Maale Hamisha, Israel, March 26-27, 2001. ‘The effectiveness of health-enhancing physical activity & exercise programmes in different settings: a public health perspective’, Seminario International Complutense ’Activida Física Y Salud’, keynote lecture, Madrid, Spain, May 10-11, 2001. 'Bewegen nu, later gezond?', KVLO-lezing 139e Openbare Jaarlijkse vergadering, voordracht op uitnodiging, Tilburg, 18 mei 2001. 'Toekomst van de geschiedenis van veiligheid en gezondheid op het werk', minisymposium, mede organisator in samenwerking met Nederlands Centrum voor Beroepsziekten (NCvB), afdeling Sociale Geneeskunde (VUmc) en het Ministerie van Sociale Zaken en Werkgelegenheid (SZW), Amsterdam, 21 juni 2001. ‘The longitudinal relationship between neck flexion and neck pain: the effect of functional capacity of the neck muscles’, 48th Annual Meeting of the American College of Sports Medicine (ACSM), oral presentation, Baltimore, Maryland, USA, May 30-June 2, 2001. ‘Physical activity and health-related fitness of school children and adolescents’, XVIIth Conference on Health Promotion and Health Education, invited lecture, Paris, France, July 15-20, 2001. ‘Physical activity and health-related fitness of school children and adolescents’, Perspectives and Profiles, 6th Annual Congress of the European College of Sport Science, invited lecture, Cologne, France, July 24-28, 2001. ‘Gezondheid in Beweging’, openingsceremonie Opleiding Sport- en Bewegingseducatie, Fontys Sporthogeschool, Openingscollege, Sittard, 29 augustus 2001. ‘Gezondheid in beweging’, Nascholings-carrousel voor huisartsen "Diabetes Mellitus type 2" georganiseerd door de Werkgroep Deskundigheidsbevordering Huisartsen, voordracht op uitnodiging, Amsterdam, 4 september 2001. ‘EBM’, Bayer BV, voordracht op uitnodiging, Mijdrecht, 14 september 2001. ‘Occupational Medicine and Participatory Ergonomics. A multidisciplinary model for the management of subacate low back pain, a future challenge’, Symposium georganiseerd door de NVAB-kring en het VUmc/afd. Sociale geneeskunde, voorzitter, Amsterdam, 2 oktober 2001. ‘Lichamelijke activiteit en Diabetes’, Voorlichtingsavond 'Kom in beweging' Diabetesvereniging, voordracht op uitnodiging, Amsterdam (VUmc), 5 november 2001. 'Interventie-onderzoek in de bedrijfsgezondheidszorg bij klachten aan het bewegingsapparaat', mini-symposium, voorzitter, Amsterdam (VUmc), 7 november 2001. ‘Arbeidsfysiologisch onderzoek’, Cursus Ergometrie Nederlandse Hartstichting, voordracht op uitnodiging, Bilthoven, 12-16 november 2001. ‘De zin van wetenschappelijk onderzoek: evidence-based occupational medicine’, symposium De Gezonde Zaak 'Reïntegratie: samen werkt het. Ethiek in de reïntegratie!', voordracht op uitnodiging, Rotterdam, 22 november 2001. ‘Lichamelijke activiteit en gezondheid’, iMGZ Seminar, gastspreker, Rotterdam, 26 november 2001. 'Bedrijfsgezondheidszorg: soep of kippensoep', jaarbijeenkomst Club 25 Nederlandse Vereniging voor Arbeids-Bedrijfsgeneeskunde, voordracht op uitnodiging, Tilburg, 27 november 2001. ‘Strength or skills? Effects of different exercise protocols on functioning and wellbeing of elderly in residential care facilities’, Symposium Physical activity for high quality assistance to nursing home residents, invited lecture,46º Congresso Nazionale 2º Corso multiproffesionale di nursing ed assistenza all'anziano, Assisi, Italy, November 28 December 2, 2001. ‘Toezicht op de Arbeidsgezondheidszorg: een visie vanuit de wetenschap’, Invitational Conference, voordracht op uitnodiging, Staatstoezicht op de volksgezondheid (Inspectie voor de Gezondheidszorg), Den Haag, 16 januari 2002.
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‘De bedrijfsarts, laverend tussen Scylla en Charibdis?’, Nationaal Rugcongres ‘Van model naar praktijk’ georganiseerd door Elsevier Gezondheidszorg, voordracht op uitnodiging, Rotterdam, 12 maart 2002. ‘Praktijk en Wetenschap: de bedrijfsarts laverend tussen Scylla en Charibdis?’, Bedrijfsartsencongres, ArboNed , voordracht op uitnodiging, Egmond aan Zee, 7-9 maart 2002. 'Op weg naar Evidence Based Reintegratie in Bedrijfsgezondheidszorg', mini-symposium BOC Study VUmc en de Gezonde Zaak BV, dagvoorzitter, Amstelveen, 17 april 2002. 'Bedrijfsarts: portier of uitsmijter?', Symposium ‘Hoe geheim is het medisch beroepsgeheim de Wet Verbetering Poortwachter', dagvoorzitter en inleider, KLM Arbo Services, Luchthaven Schiphol, 23 april 2002. ‘The promotion of physical activity in the elderly: the Dutch experience’, symposium chair, ‘(A Lack of) Recent Advances in Sports Injury Epidemiology and Prevention’, invited lecture, 49th Annual Meeting, American College of Sports Medicine, St. Louis, Missouri, USA, May 29 - June 1, 2002. ‘The relationship between physical fitness and physical activity in youth, and cardiovascular health later in life’, XXVII FIMS Congress of Sports Medicine, invited presentation, Budapest, Hungary, June 5-9, 2002. ‘Diabetes Mellitus, Zware arbeid en sport’, DiabetesVereniging Nederland (DvN), voordracht op uitnodiging, Papendal, 10 september 2002. ’The prevention of ankle injuries’, III Congreso Internacional del Fútbol, Y las Ciencias del Deporte, invited lecture, Madrid, Spain, September 12-14, 2002. 'Kosten-effectiviteit van rugscholing bij werknemers met persisterende en reciverende lage rugpijn', Aanbieding eindrapport 'Rapport in Beweging' aan Ministerie VWS, voordracht op uitnodiging, ZonMw, Den Haag (VWS) 26 september 2002. ‘What will the future bring? A Public Health perspective on opportunities, benefits and threats’, The 9th World Sport For All Congress of the IOC, keynote lecture and member of the member scientific and orgaizing committee, Arnhem, Oktober 27-30, 2002. ‘Bedrijfsarts: administrateur of medisch professional?’, Symposium ‘Poortwachter: Administreren of Reïntegreren’, TeleReturn, voordracht op uitnodiging, Beverwijk, 7 november 2002. 10th Congress on Occupational Health Services Research, member scientific and organizing committee, Amsterdam, November 13-16, 2002. ‘Introducing Body@Work TNO VU', Manchester-Amsterdam-Keele Study Days, oral presentation, Manchester, UK, November 11-12, 2002. ‘Symposium Body@Work’, Congres ‘Nederland in Beweging: Gezond bewegen, maak er een sport van!', NOC*NSF, symposiumvoorzitter, Arnhem (Papendal), 12 december 2002.
Jurriaan Oudhoff - Gevolgen van wachten op een operatie, voordracht, Kring IJsselland van de Bedrijfsarten, Deventer, 1 oktober 2002. Anne Marie Plass - Het effect van voorlichting over alledaagse klachten op het zelfzorggedrag en de zorgvraag van Turkse en Nederlandse patiënten in een achterstandswijk, Public Health Congres, Amsterdam, 10 mei 2001. - Towards more self-care and less professional care seeking behavior through patient education,16th World Congress of Family Doctors, WONCA abstact book, ab 791, Durban, South Africa, May 16, 2001. - Het effect van voorlichting over alledaagse klachten op het zelfzorggedrag en de zorgvraag van Turkse en Nederlandse patiënten in een achterstandswijk, NHG Wetenschapsdag, Amsterdam, 21 juni 2001.
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The theory of planned behaviour and medical care-seeking behaviour: perceived behavioral control and the principle of compatibility, 16th European Health Psychologists Society Conference, 16th EHPS conference abstract book, p.77, Lisbon, Portugal, October 6, 2002.
Hidde van der Ploeg - A study evaluating physical activity promotion in people with disabilities, posterpresentation, 7th International Congress of Behavioral Medicine, Helsinki, Finland, August 28-31, 2002. - Physical activity promotion in people with disabilities: a conceptual model, oral presentation, International Symposium on Health-Enhancing Physical Activity: EvidenceBased Promotion of Physical Activity, Helsinki, Finland, September 1-2, 2002. - The effects of physical activity promotion in rehabilitating patients, posterpresentation, The Cooper Institute Conference Series: physical activity: preventing physical disablement in older adults, Dallas, USA, October 17-19, 2002. Nico Plomp - Bedrijfsgezondheidszorg en Inspectie voor de Volksgezondheid, invited conference. Ministerie van VWS, Den Haag 16 januari 2001. - Vertrouwen in de ARBO-zorg, gastcollege. Vereniging van Bewegingswetenschappen Nederland, Amsterdam 31 januari 2001. - Health Service Research, invited conference, ZON, Den Haag, 2 oktober 2002. - Occupational Health Services Research; between rigor and relevance, invited lecture, 10th international conference occupational health services AMC Amsterdam, November 13, 2002. Mireille van Poppel - Bits and pieces for community interventions, invited lecture, the international symposium on Health-Enhancing Physical Activity, Helsinki, Finland, September 1-2, 2002. - Stimulating physical activity: individually tailored intervention strategies, invited lecture, the 7th International Sports Congress, Antalya, Turkey, October 27-29, 2002. - Primaire preventie op de werkplek. Voorkomen goede tilinstructies en gordels klachten aan het bewegingsapparaat?, voordracht op uitnodiging, KNGF-congres, Den Haag, 1-2 november 2002. Karin Proper - The effectiveness of worksite physical activity programs on physical activity, fitness and health. A systematic review. Oral presentation. The 4th International Scientific Conference on Prevention of Work-Related Musculoskeletal Disorders, Amsterdam, The Netherlands, September-October 2001. - The reliability of the Dutch PACE assessment forms and the effect of feedback regarding fitness and health on stage of change. Oral presentation. ISBNPA 2002 Annual Meeting Seattle, July 12-13, 2002. Het effect van individuele counseling op de werkplek op lichamelijke activiteit, fitheid en gezondheid: een gerandomiseerd, gecontroleerd onderzoek. Voordracht. Nederlands Public Health Congres, mei 2002. De effectiviteit van een individueel gericht bedrijfsbewegingsprogramma - een gerandomiseerd gecontroleerd onderzoek. Voordracht. Slotcongres Nederland in Beweging! NSC Papendal, Arnhem, 2002.
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Carry Renders - Prevalentie, signalering en preventie van overgewicht en obesitas bij kinderen, voordracht, Nascholing kinderartsen Catharinaziekenhuis, Eindhoven, 12 juni 2002. - Prevalentie, signalering en preventie van overgewicht en obesitas bij kinderen, voordracht, Nascholing kinderartsen, jeugdartsen, CB-artsen AZU/ UMC, 13 mei 2002. - Prevalentie, signalering en preventie van overgewicht en obesitas bij kinderen, Post Academisch onderwijs Geneeskunde, 19 april 2002. - Nascholing kinderartsen, jeugdartsen, CB-artsen in Amsterdam West. - Interventies om de kwaliteit van de diabeteszorg in de eerste lijn te verbeteren, voordracht, nascholing huisartsen, Utrecht (PAO-H), 31 oktober 2002. - Prevalentie, signalering en preventie van overgewicht en obesitas bij kinderen, onderwijs in kader van jeugdartsenopleiding bij TNO-PG, Leiden, 14 november 2002. Wendela Schimmel - Men and women at work: do they differ in jobs, tasks and task performance, and what are the consequences for exposure to work-related physical and psychosocial risk factors?, oral presentation, 3rd International Congress Women Work & Health, Stockholm, Sweden, May 31-June 5, 2002. Esther van Sluijs - PACE: het bevorderen van lichamelijke activiteit via de huisarts, RCT naar het effect van individueel beweegadvies (mondeling en schriftelijk) via de huisartspraktijk (onderzoeksopzet), posterpresentatie, Public Health Congres, Amsterdam, 10 juni 2001. - PACE: bevorderen van lichamelijke activiteit vanuit de huisartspraktijk, een studie naar het effect van individueel beweegadvies vanuit de huisartspraktijk, posterpresentatie, NHG-wetenschapsdag, Amsterdam, 25 juni 2001. - The effect of a PACE-intervention in general practice on determinants and levels of physical activity: a randomized controlled trial, oral presentation, 4th Dutch Conference on Psychology and Health, Kerkrade, The Netherlands, May 14, 2002. - PACE: promoting physical activity in general practice, the short term effect of individual physical activity promotion in general practice on levels of physical activity, posterpresentation, 7h International Congress of Behavioural Medicine, Helsinki, Finland, August 28-31, 2002. - Physical activity promotion in general practice: PACE-project, oral presentation, International Symposium on Health Enhancing Physical Activity, Helsinki, Finland, September 1-2, 2002. - Lichamelijke activiteit en diabetes & PACE-project, voordracht op uitnodiging, Diabetes Carrousel Amsterdamse Huisartsen Vereniging, Amsterdam, 10 september 2002. - Het stimuleren van lichamelijke activiteit in de huisartspraktijk: is dit haalbaar en uitvoerbaar?, voordracht op uitnodiging, Slotcongres Nederland in Beweging, Arnhem, 13 december 2002. Marc Soethout - Skills assesment and O.S.C.E, workshop, Krakow medical faculty, January 11-16, 2001. - Factors that influence the career choice of medical specialization, oral presentation, AMEE conference, Berlin, Germany, September 2-5, 2001. - Determinants of Dutch first year medical students career preferences, oral presentation, AMEE conference, Lissabon, Portugal, August 29-September 1, 2002.
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Bart Staal - Graded activity for low back pain in occupational health: preliminary results of a randomised controlled trial, oral presentation, 4th International Scientific Conference on Prevention of Work-Related Musculoskeletal Disorders (Premus), Amsterdam, The Netherlands, October 1-4, 2001. - Graded activity voor lage rugpijn in de bedrijfsgezondheidszorg: een gerandomiseerd gecontroleerd onderzoek, voordracht, jaarcongres van het Koninklijk Genootschap voor Fysiotherapie (KNGF), Fysiotherapie en bewegingsvrijheid, Den Haag, 1 november 2001. - Graded activity voor lage rugpijn in de bedrijfsgezondheidszorg: voorlopige resultaten van een gerandomiseerd gecontroleerd onderzoek m.b.t. de eerste periode ziekteverzuim, voordracht, jaarcongres van het Koninklijk Genootschap voor Fysiotherapie (KNGF), De kracht van Fysiotherapie, Den Haag, 2 november 2001. - “Reïntegratie en aspecifieke lage rugpijn, voorlopige resultaten van een experimenteel onderzoek naar de effecten van Graded Activity op de eerste periode van ziekteverzuim”, voordracht op uitnodiging, 3de pijncongres voor behandelaar en patiënt uitgaande van het Platform Pijn en Pijnbestrijding en het Samenwerkingsverband Pijndisciplines, Leiden, 9 november 2001. - Graded Activity voor lage rugpijn in de bedrijfsgezondheidszorg: een gerandomiseerd gecontroleerd onderzoek, Congres de gezonde zaak, Garderen, 6 maart 2002. - Workshop Graded Activity, voordracht op uitnodiging, artsencongres ArboNed, Wijk aan Zee, 8 maart 2002. - Graded Activity voor lage rugpijn in de bedrijfsgezondheidszorg: een gerandomiseerd gecontroleerd onderzoek, voordracht op uitnodiging, het Nationale Rugcongres, Rotterdam, 12 maart 2002. - Graded activity for low back pain in occupational health, posterpresentation, International Forum V for Primary Care Research on Low-Back Pain, Montreal, Canada, May 10-11, 2002. - Graded activity for low back pain in occupational health: a randomised controlled trial, invited lecture, Sherbrooke, Montreal, Canada, May 12, 2002. Jenny van der Steen - A model for predicting mortality from pneumonia in nursing home patients: transnational validtion, oral presentation, Gerontological Society of America, Chicago, America, November 18, 2001. - Pneumonie: wel of niet behandelen? Bijdrage op uitnodiging, Postacademisch onderwijs, Boerhaave cursus “Vorderingen in de Verpleeghuisgeneeskunde”, Leiden, 26 september 2002. Ivan Steenstra - Het Amsterdam Sherbrooke Evaluatie: participatieve werkaanpassing en graded activity voor werknemers met ziekteverzuim door (sub)acute rugklachten, voordracht, NWO, Utrecht, 1 februari 2001. - The Sherbrooke model: implementation and evaluation in The Netherlands. Oral presentation. Fourth International Scientific Conference on Prevention of Work-related Musculosketal Disorders. Amsterdam, The Netherlands, September 30 - October 4, 2001. - Het Amsterdam Sherbrooke Evaluatie: participatieve werkaanpassing en graded activity voor werknemers met ziekteverzuim door (sub)acute rugklachten, ZonMw, Utrecht, 3 December 2001.
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Quality care in low-back pain : How many does it take to tango? Montreal International Forum V for Primary Care Research on Low-Back Pain, 5e Forum international de recherche sur les maux de dos et les soins de première ligne, Montréal, Canada, May 10-11, 2002. History of disability legislation in the Netherlands, invited lecture, Previcap, Montreal, Canada, May 12, 2002. Onderzoek naar belasting & belastbaarheid in de bedrijfsgezondheidszorg, voordracht op uitnodiging, Lode, Groningen.
Anne-Mei The - De case-manager of zorgregisseur. Debat Patienteninvloed Nu & Dan (ZonMw), voordracht op uitnodiging. Amsterdam, januari 2001. - Communicatie en euthanasie, voordracht op uitnodiging, symposium Euthanasiewet en praktijk, Medilex, Utrecht, mei 2001. - Tussen hoop en vrees; communicatie met longkankerpatienten, voordracht op uitnodiging, bijscholing oncologieverpleegkundigen, Eli Lilly en VvOV, De Bilt, 29 november 2002. Daniëlle Timmermans - Risk perception and genetic testing: how important is an accurate understanding of personal risks for making informed decisions?, organiser, invited lecture, Symposium op het internationale congres SPUDM 18, Subjective Probability and Utility Decision Making, Universiteit van Amsterdam, Amsterdam, The Netherlands, August 22, 2001. - Risk perception and the intention to have a prenatal screening test, oral presentation, 18th Subjective Probability and Utility Decision Making conference, Amsterdam, The Netherlands, August 23, 2001. - The effect of risk information on respondents’ perceptions of the chance of getting a child with Down syndrome, posterpresentation, 18 th Subjective Probability and Utility Decision Making conference, Amsterdam, The Netherlands, August 23, 2001. - “Risk perception, informed decision making and psychological well-being of pregnant women who are offered prenatal screening for congenital defects”, Congres Community Genetics, Utrecht, The Netherlands, November 8, 2001. - Scientific Meeting Netherlands Forum Medical Decision Making, organiser, chairman, VUMC, Amsterdam, The Netherlands, April 12, 2002. Evert Verhagen - The mechanical effect of tape, braces and shoes on ankle range of motion, oral presentation, American College of Sports Medicine, Baltimore, USA, June 1-2, 2001. - First results of the ABBA-study, invited lecture, Oslo Sports Trauma Research Center Seminar, Trondheim, Norway, November 3-5, 2002. - En prospektiv kohortundersøksele av volleyballskader – preliminære resultater, oral presentation, Høstkongressen 2002, Trondheim, Norway, November 5-9, 2002. - Effekten av balansetrening på insidensen av ankelskader – en randomisert kontollert studie, oral presentation, Høstkongressen 2002, Trondheim, Norway, November 5-9, 2002. Gerrit van der Wal - Onderzoek op het terrein van de volksgezondheid in Amsterdam, voorzitter, invitational conference, GG&GD Amsterdam, Amsterdam, 30 januari 2001.
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Zorg voor het kind in de 21ste eeuw, voordracht op uitnodiging, congres Consultatiebureau 100 jaar, Landelijke Federatie van Consultatiebureauartsenverenigingen (LFC), Papendal, 29 maart 2001. Allochtonen, voorzitter sessie, Nederlands Public Health Congres 2001, Amsterdam, 10 mei 2001. Fins de vie et criteres de decision, voordracht op uitnodiging, Colloque Fin de vie, Institut Neerlandais/Espace ethique de l’Assistance Publique, Paris, France, juin 18, 2001. Euthanasie, euthanasieverklaringen en regelgeving, voordracht op uitnodiging, Boerhave-cursus Medisch-ethische casuïstiek, Leiden, 1 november 2001. Medische beslissingen rond het levenseinde: een conceptueel kader, voordracht op uitnodiging, minisymposium tgv uitreiking VUB-Prijs Roger van Geen 2000, Vrije Universiteit Brussel, Brussel, België, 23 november 2001. Euthanasie en levensbeeindigend handelen, voordracht op uitnodiging, cursus forensische geneeskunde, GG&GD Amsterdam, Amsterdam, 27 november 2001. Medically assisted death. The Dutch experience, invited lecture, conferentie, Head and Neck Cancer: Dying, Death and Bereavement, Bolton, UK, April 12-13, 2002. Research in palliative care in the VUMC, invited lecture, invitational conference, Kuria/VUMC, Amsterdam, The Netherlands, September 13, 2002. Klinische Sterbehilfe und Menschenwurde, two invited lectures, invitational conference, Konrad Adenauer Stiftung, Cadenabbia, Italy, October 5-8, 2002. Evaluatieonderzoek meldingsprocedure euthanasie, voordracht op uitnodiging, studiedag, regionale toetsingscommissies euthanasie, Utrecht, 20 november 2002. Basispakket, expertmeeting, KNMG, Utrecht, 21 november 2002.
Harm-Jan Weevers - Arbeid en gezondheid in de huisartspraktijk: een onderzoek in het kader van de 2de Nationale Studie, posterpresentatie, Nederlands Public Health Congres 2002, 10e V&W/ NVAG Congres, Nijmegen, 23 mei 2002. - Work in General Practice: a systematic review of the literature, oral presentation, 10th Congress on Occupational Health Congress, ICOH, AMC, Amsterdam, The Netherlands, November 13-16, 2002. Martine Jansen-van der Weide - Support and consultation for general practitioners concerning euthanasia in the Netherlands, oral presentation, 16th world congress of family doctors, Durban, South Africa, May 13-17, 2001. - Steun en consultatie bij euthanasie in Amsterdam en Nederland, voordracht op uitnodiging, 5 jaar SCEA dood gewoon, nascholing n.a.v. 5-jarig bestaan van SCEA, Tropen Instituut, Amsterdam, 27 juni 2002. Marjan Westerman - Response shift in quality of life in palliative treatment of small cell lung cancer patients, invited lecture, Studiegroep Empirisch Onderzoek in de Palliatieve Zorg, Amsterdam, The Netherlands, April 24, 2001. - Response shift in quality of life in palliative treatment of small cell lung cancer patients, posterpresentation, Nederlands Public Health Congres, Amsterdam, The Netherlands, May 10, 2001.
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Administration of SEIQoL-DW: threats to reliability, oral presentation, 8th Annual Conference of the International Society for Quality of Life Research, Amsterdam, The Netherlands, November 7-10, 2001. Response shift in quality of life in palliative treatment of small cell lung cancer patients, oral presentation, Research Forum Palliatieve Zorg België /Nederland, Rotterdam, The Netherlands, November 30, 2001. Kwaliteit van leven bij kankerpatiënten, voordracht op uitnodiging, Integraal Kankercentrum Amsterdam, Amsterdam, 15 januari 2002. Response shift in quality of life in palliative treatment of small cell lung cancer patients, invited lecture, Symposium Kwalitatief Onderzoek VUmc, Amsterdam, The Netherlands, January 22, 2002. Response shift in quality of life in palliative treatment of small cell lung cancer patients, oral presentation, organisator, Symposium Individuele Kwaliteit van Leven, Werkgroep Onderzoek Gezondheidsmetingen, Utrecht, The Nederlands, April 18, 2002. Response shift in quality of life in palliative treatment of small cell lung cancer patients, oral presentation, Marktdag SISWO, Amsterdam, The Netherlands, June 7, 2002. Using a then-test approach and Seiqol-DW to measure response shift, oral presentation, 9th Biennial International Congress of The European Society for Health and Medical Sociology, Groningen, The Netherlands, August 29-31, 2002. Using a then-test approach and Seiqol-DW to measure response shift, voordracht, 16th Conference of the European Health Psychology Society, Lisbon, Portugal, October 2-5, 2002. Using a then-test approach and Seiqol-DW to measure response shift, posterpresentation, 9th Annual Conference of the International Society for Quality of Life Research, Orlando, Florida, USA, October 30–November 2, 2002.
Functions and activities Geertje Ariëns - Secretaris van de Raad voor Gezondheidsonderzoek, commissie Onderzoek Arbeids- en bedrijfsgeneeskunde. Allard van der Beek - Bestuurslid Vereniging voor Bewegingswetenschappen Nederland. - Lid consensusgroep ‘Arbeidsgerelateerdheid lage rugklachten’, Nederlands Kenniscentrum Arbeid en Klachten Bewegingsapparaat. - Lid COST B13 Working Group on Prevention of Low Back Pain, European Union. - Lid expertgroep ‘Aandoeningen van het houding- en bewegingsapparaat’, Nederlands Centrum voor Beroepsziekten. - Lid International Advisory Board of Scandinavian Journal of Work, Environment & Health. - Lid redactieraad ‘Arts & Arbeid’. - Lid Scientific Committee ‘Epidemiology’, International Commission on Occupational Health. - Lid Scientific Committee ‘Musculoskeletal Disorders’, International Commission on Occupational Health. - Lid stuurgroep Onderzoekscentrum voor Motoriek en Cognitie, Roessingh Diensten Groep BV. - Referent: Tijdschrift voor Sociale Gezondheidszorg, Scandinavian Journal of Work, Environment & Health, Ergonomics en Applied Ergonomics.
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Referent voor de beoordeling van wetenschappelijke subsidie-aanvragen ten behoeve van diverse programma’s van ZonMw.
Marijke Chin A Paw - Referent voor de beoordeling van wetenschappelijke subsidieaanvragen ten behoeve van ZonMw. - Referent: Journal of Aging and Physical Activity, British Journal of Sports Medicine, Journal of Science and Medicine in Sport. Luc Deliens - Lid van de Adviesraad Palliatieve Zorg, Integraal Kankercentrum Amsterdam. - Lid Coördinatiegroep Consultatieteams regio Amsterdam. - Lid landelijk COPZ-locatieoverleg. - Redactielid ‘Nieuwsbrief COPZ Amsterdam’. - Referent: Annals of Medicine, British Journal of General Practice. Michael Echteld - Member of the Executive Committee of the European Health Psychology Society, 2001. - Staff member of Collaborative Research And Training in the EHPS, 2001. - Co-ordinator of Erasmus Network for Congestive heart failure Outcomes Research in Europe, an international research group investigating adherence, re-admission, symptoms, and quality of life in patients with congestive heart failure. Jean-Jacques Georges - Lid activiteitencommissie Sigma Theta Tau International, Honor Society of Nursing. Lidewij Henneman - Secretaris ‘Nederlandse Associatie voor Community Genetics’. Willem van Mechelen - Bestuurslid Stichting Gezondheid in Beweging. - Board member International Council for Physical Activity and Physical Fitness Research. - Fellow American College of Sports Medicine. - Lid adviesraad De gezonde zaak. - Lid Commissie Wetenschap van de Nederlandse Vereniging van Arbeids- en Bedrijfsgeneeskunde. - Lid programmacommissie bedrijfsartsenopleiding NSPOH. - Lid RGO-commissie Advies Onderzoek Arbeid en Gezondheid. - Lid wetenschappelijke adviesraad ArboNed. - Lid wetenschappelijke adviesraad Richtlijnenbureau NVAB. - Lid ZonMw deelprogrammacommissie Arbeidsgebonden Problematiek bij Chronische Zieken. - Lid ZonMw deelprogrammacommissie Epidemiologie. - Lid en vice-voorzitter ZonMw programmacommissie Gezond Leven. - Lid ZonMw programmacommissie Sociaal-Medische Begeleiding. - Lid ZonMw VIDI-commissie. - Member editorial board ‘British Journal of Sports Medicine’. - Member editorial board ‘International Journal of Sports Medicine’. - Member editorial board ‘Journal of Science and Medicine in Sports’. - Member editorial board 'Sports Medicine’.
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Member editorial board ‘The Physician and Sports Medicine’. Plaatsvervangend lid College voor Sociale Geneeskunde. Senior associate editor ‘Clinical Journal of Sports Medicine’. Voorzitter Vereniging voor Bewegingswetenschappen Nederland.
Mireille van Poppel - Lid redactieraad 'Arts & Arbeid'. - Referent British Journal of Sports Medicine, Occupational and Environmental Medicine, Scandinavian Journal of Work, Environment & Health, BioMed Central. - Referent van wetenschappelijke subsidie-aanvragen voor diverse programma's van ZonMw en voor the Workplace Safety & Insurance Board Research Advisory Council, Canada. Remy Hira Sing - Hoofd afdeling jeugdgezondheidszorg GG&GD Amsterdam. - Hoofdredacteur van Tijdschrift Jeugdgezondheidszorg. - Redacteur Praktijkboek JGZ. - Voorzitter Kennis Centrum Bedplassen. - Lid werkgroep V, preventieprogramma ZonMw. - Voorzitter stuurgroep invoering neonatale gehoorscreening. - Referent Nederlands Tijdschrift voor Geneeskunde, Diabetes Medicine, European Journal of Public Health. - Voorzitter Kennis Centrum Overgewicht. - Lid projectgroep Jeugd van GGD Nederland. - Lid College Jeugd van de Landelijke Vereniging voor Thuiszorg (LVT). - Voorzitter Stichting Tamarinde. - Voorzitter van de Wetenschappelijke Commissie van Artsen in de Jeugdgezondheidszorg. - Voorzitter PAOG VUMC Actualiteiten Jeugdgezondheidszorg. - Lid Jeugdgezondheidszorg Adviesraad Standaarden. Marc Soethout - Secretaris Interfacultair (hoogleraren en onderwijsgroep)Overleg Sociale Geneeskunde (IOSG). - Lid onderwijscommissie NVAG Bart Staal - Lid European commision Cost action B13 working group on the development of a guideline for the management of chronic low back pain. Anne-Mei The - Adviseur InfoDoc ©. - Columniste Pallium. - Denktank Euthanasie, Humanitas. - Expert Mediagids (namengids journalisten en programmamakers met vrouwelijks experts, 1999, 2001, 2002), adviseur diverse televisie- en radioprogramma’s, dag- en weekbladen. - Lid Programmacommissie ZonMw Vraagsturing in de zorg. - Lid Raad van Advies “Stichting Longkanker”. (Contactgroep van en voor longkankerpatiënten).
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Lid Raad van Advies Wetenschappelijk Onderzoek Zorgvuldige Zelfdoding. Lid Raad van Bestuur “Het Longkanker Informatie Centrum’’. Referent British Medical Journal, Lancet en Tijdschrift voor Gezondheidswetenschappen.
Daniëlle Timmermans - Book review editor for Journal of Behavioral Decision Making. - Member editorial board for Risk, Decision & Policy, Medical Decision Making. - Member Publication commite Society for Medical Decision Making - President-elect for European Association for Decision Making, member Executive Board. - Referent Social Science and Medicine; Medical Decision Making; Psychology and Health; Journal of Behavioral Decision Making; British Journal of Health Psychology; Community Genetics; Risk Analysis; Cognitive Science. - Referent National Science Foundation: Decision, Risk & Management Science Program (USA); Imperial Cancer Research Fund (UK); NHS Health Technology Assessment (UK); NWO Medische Wetenschappen; Koningin Wilhelmina Fonds (KWF); ZorgOnderzoek Nederland (ZON). Gerrit van der Wal - Lid programmacommissie chronisch zieken NWO, en lid programmacommissie Evaluatie wet- en regelgeving ZonMw. - Lid Raad van Toezicht Medisch Centrum De Heel te Zaandam. - Programmaleider COPZ – Amsterdam en voorzitter van onderzoek – en onderwijsgroep van de gezamenlijke COPZ-en. - Referent Nederlands Tijdschrift voor Geneeskunde, Quality in Health Care, Medical Journal of Australia, Patient Education and Counseling, Palliative Medicine. - Vice-decaan, lid Raad van Advies, voorzitter begeleidingscommissie opleiding Forensische Geneeskunde NSPOH. - Vice-voorzitter College voor Sociale Geneeskunde. - Voorzitter Interfacultair (hoogleraren)Overleg Sociale Geneeskunde (IOSG). - Voorzitter van enkele begeleidingscommissies van NWO/ZON-projecten.
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