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Search Results: 1 - 10 of 173579 matches for " Maartje de Wit "
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Pictorial Representation of Illness and Self Measure Revised II (PRISM-RII) – a novel method to assess perceived burden of illness in diabetes patients
Sandor Klis, Ad JJM Vingerhoets, Maartje de Wit, Noortje Zandbelt, Frank J Snoek
Health and Quality of Life Outcomes , 2008, DOI: 10.1186/1477-7525-6-104
Abstract: Participants were 308 adult outpatients with either type 1 or type 2 diabetes. Measures: (1) the PRISM-RII, yielding Self-Illness Separation (SIS) and Illness Perception Measure (IPM); (2) the Problem Areas in Diabetes (PAID) scale, a measure of diabetes-related distress; (3) the WHO-5 Well-Being Index; (4) and a validation question on suffering (SQ). In addition, patients' complication status, comorbidity and glycemic control values(HbA1c) were recorded.Patients with complications did have marginally significant higher scores on IPM, compared to patients without complications. Type 2 patients had higher IPM scores than Type 1 patients. SIS and IPM showed low intercorrelation (r = -.25; p < .01). Convergent validity of PRISM-RII was demonstrated by significant correlations between IPM and PAID (r = 0.50; p < 0.01), WHO-5 (r = -.26; p < 0.01) and SQ (r = 0.36; p < 0.01). SIS showed only significant correlations with PAID (r = -0.28; p < 0.01) and SQ (r = -0.22; p < 0.01). Neither IPM nor SIS was significantly associated with HbA1c. The PRISM-RII appeared easy to use and facilitated discussion with care providers on coping with the burden of diabetes.PRISM-RII appears a promising additional tool to assess the psychological burden of diabetes.Living with a chronic disease like diabetes requires considerable psychological adjustment. Failure to adjust adequately to the disease may have negative consequences for the patient's quality of life, possibly resulting in suffering. An important outcome of this adjustment is the amount of suffering that a disease potentially causes. Although suffering is frequently mentioned in the medical literature, its definition and characteristics are often implied rather than defined. One definition that has been frequently cited is that of Cassell [1]: 'a state of severe distress associated with events that threaten the intactness of the person'. From this definition, it follows that the extent of suffering is not merely determined by the
DiAlert: a prevention program for overweight first degree relatives of type 2 diabetes patients: results of a pilot study to test feasibility and acceptability
Heideman Wieke H,de Wit Maartje,Middelkoop Barend JC,Nierkens Vera
Trials , 2012, DOI: 10.1186/1745-6215-13-178
Abstract: Background Prevalence of type 2 diabetes mellitus is increasing due to lifestyle changes, particularly affecting those genetically at risk. We developed DiAlert as a targeted group-based intervention aimed to promote intrinsic motivation and action planning for lifestyle changes and weight loss in first degree relatives of patients with type 2 diabetes mellitus. The main objective of the pilot of the DiAlert intervention was to assess fidelity, feasibility and acceptability prior to starting the randomized controlled trial. Methods Individuals with a family history of type 2 diabetes mellitus were self-identified and screened for eligibility. DiAlert consists of two group sessions. Feasibility, fidelity, acceptability and self-reported perceptions and behavioral determinants were evaluated in a pre-post study using questionnaires and observations. Determinants of behavior change were analyzed using paired-samples t tests and Wilcoxon signed rank tests. Results DiAlert was delivered to two groups of first degree relatives of patients with type 2 diabetes mellitus (N = 9 and N = 12). Feasibility and fidelity were confirmed. Overall, the DiAlert group sessions were positively evaluated (8.0 on a scale of 1 to 10) by participants. The intervention did not impact perceived susceptibility or worry about personal diabetes risk. Action planning with regard to changing diet and physical activity increased. Conclusions DiAlert proved feasible and was well-accepted by participants. Positive trends in action planning indicate increased likelihood of actual behavior change following DiAlert. Testing the effectiveness in a randomized controlled trial is imperative. Trial registration Netherlands National Trial Register (NTR): NTR2036
Self-report and parent-report of physical and psychosocial well-being in Dutch adolescents with type 1 diabetes in relation to glycemic control
Maartje de Wit, Henriette A Delemarre-van de Waal, Jan Bokma, Krijn Haasnoot, Mieke C Houdijk, Reinoud J Gemke, Frank J Snoek
Health and Quality of Life Outcomes , 2007, DOI: 10.1186/1477-7525-5-10
Abstract: Demographic, medical and psychosocial data were gathered from 4 participating outpatient pediatric diabetes clinics in the Netherlands. Ninety-one patients completed the Child Health Questionnaire-CF87 (CHQ-CF87), Centre for Epidemiological Studies scale for Depression (CES-D), and the DFCS (Diabetes-specific Family Conflict Scale). Parents completed the CHQ-PF50, CES-D and the DFCS.Mean age was 14.9 years (± 1.1), mean HbA1c 8.8% (± 1.7; 6.2–15.0%). Compared to healthy controls, patients scored lower on CHQ subscales role functioning-physical and general health. Parents reported less favorable scores on the behavior subscale than adolescents. Fewer diabetes-specific family conflicts were associated with better psychosocial well-being and less depressive symptoms. Living in a one-parent family, being member of an ethnic minority and reporting lower well-being were all associated with higher HbA1c values.Overall, adolescents with type 1 diabetes report optimal well-being and parent report is in accordance with these findings. Poor glycemic control is common, with single-parent families and ethnic minorities particularly at risk. High HbA1c values are related to lower social and family functioning.Adolescence is a period of rapid biological changes accompanied by increasing physical, cognitive and emotional maturity that can seriously complicate diabetes regulation. Indeed, adolescents with type 1 diabetes as a group display the worst glycemic control compared to other age-groups [1,2], which puts them at increased risk for developing complications [3,4]. From a developmental perspective, the burden diabetes places on routines and friendships can compromise emotional and social well-being, adversely affecting quality of life (QoL). Finding the right balance between good psychosocial functioning and preserving long-term health by maintaining near normal blood glucose values is a challenge for adolescents with diabetes and their families, as well as their care providers
DiAlert: a lifestyle education programme aimed at people with a positive family history of type 2 diabetes and overweight, study protocol of a randomised controlled trial
Wieke H Heideman, Vera Nierkens, Karien Stronks, Barend JC Middelkoop, Jos WR Twisk, Arnoud P Verhoeff, Maartje de Wit, Frank J Snoek
BMC Public Health , 2011, DOI: 10.1186/1471-2458-11-751
Abstract: In this RCT, 268 (134 Dutch and 134 Turkish) overweight 1st degree relatives of patients with T2DM will be allocated to either the intervention or control group (leaflet). The intervention DiAlert aims to promote intrinsic motivation to change lifestyle, and sustain achieved behaviour changes during follow-up. Primary outcome is weight loss. Secondary outcomes include biological, behavioural and psychological indices, along with process indicators. Measurements will take place at baseline and after 3 and 9 months. Changes in outcomes are tested between intervention and control group at 3 months; effects over time are tested within and between both ethnic groups at 3 and 9 months.The DiAlert intervention is expected to be more effective than the control condition in achieving significant weight loss at 3 months, in both Dutch and Turkish Dutch participants.Netherlands National Trial Register (NTR): NTR2036The prevalence of people with type 2 diabetes (T2DM) in the general population is reaching epidemic proportions in many countries, with the total number of people with T2DM projected to rise to 366 million in 2030 worldwide [1]. It is therefore imperative that strategies to prevent the disease are implemented, this might include targeting high-risk populations to increase effectiveness. The increased prevalence is associated with lifestyle dependent risk factors, including being overweight, physical inactivity and unhealthy diet. In addition, the chance of developing T2DM is two to fourfold greater for people with a positive family history (FH) compared to those without, depending on the number of and the distance to the affected family members [2-4]. Since members of families share the same variations of genes, environment and behaviour patterns, family history information could possibly be used for screening and as a vehicle to motivate people at risk for T2DM to change behaviour [5,6]. However, targeting people with a positive family history of T2DM to promote li
Less hypoglycaemias in single room maternity care  [PDF]
Peter Gerrits, Maartje de Hosson, Ben Semmekrot, Jan Sporken
Open Journal of Pediatrics (OJPed) , 2013, DOI: 10.4236/ojped.2013.33031
Abstract: In January 2006, the Canisius-Wilhelmina Hospital introduced the concept of Single Room Maternity Care (SMRC) by realizing 13 labour rooms for mother, infant and partner. Benefits of this new care concept not only include maternal satisfaction and increased staff satisfaction, but also significant health benefits for the neonate. Since the introduction of the concept, we registered a sharp decrease in the number of hypoglycaemias (from 15.6% in 2005 to 2.5% in 2009). Varying causes, such as successful breastfeeding and/or improved attachment between mother and infant may contribute to the decrease of hypoglycaemias.
Independent administrative authorities and the standard of judicial review
Saskia Lavrijssen,Maartje de Visser
Utrecht Law Review , 2006,
Abstract: Recent developments in European competition and electronic communications law have led to an increased focus on, and importance of, independent administrative authorities. The competences available to these authorities are often wide-ranging, at times encompassing elements of all three of Montesquieu’s powers. These competences typically embody a considerable degree of discretion to allow the balancing of the – opposing – interests of various groups of stakeholders, such as consumers, competitors and manufacturers. This raises the question how the independence of administrative authorities can be counterbalanced by a certain degree of accountability for their actions. The aim of the present article is to review how three Member States – the Netherlands, the United Kingdom and France – have shaped the judicial accountability of the independent administrative authorities. On the basis of an analysis of some important cases the article attempts to assess whether there are commonalities between the ways the national courts in these Member States review the exercise of discretionary powers by independent administrative authorities. The article will also ascertain the influence of EC law and the European Convention on Human Rights, notably Articles 6 and 13 thereof, on the standard of review applied in the Member States.
Are You Networked Yet? On Dialogues in European Judicial Networks
Monica Claes,Maartje de Visser
Utrecht Law Review , 2012,
Abstract: This article critically examines the functioning of European judicial networks as one modality of transnational dialogues between judges. In order to provide a conceptual framework, we first explore the meaning of the concepts of 'network', 'dialogue' and 'constitutional pluralism' and find that existing channels of communication between national courts and the CJEU hardly qualify as real dialogues. Then follows an in-depth examination of the practical workings of a number of well-established and active European judicial networks, which bring together judges who are more or less at the same level in their domestic judicial hierarchy and have similar functions in their respective legal systems. This involves determining who participates in judicial networks; how and to what end dialogues are conducted within these forums; and why judges may be motivated to participate in such networks. Using these insights, we argue that networks require a change in legal thinking, which is facilitated in the EU context by the constitutionalism pluralism discourse. Further, judicial networks have the potential to increase the dialogic qualities of the relationship between the CJEU and national courts, while they may at the same time affect the balance within that relationship in favour of the national courts.
"CAMINO DE UN DíA" (JONáS 3,4) JONáS Y LA MEMORIA SOCIAL DE LOS PEQUE?OS
de Wit,Hans;
Theologica Xaveriana , 2008,
Abstract: the author recalls the reception history of the small prophetic book of jonah, and in particular of its main actor, the prophet jonah. many and diverse have been the identifications proposed for the prophet jonah. in the reception history jonah has become a true metaphor to represent a vast array of figures, characters, attitudes, possibilities of being. many of these identifications reflect what bathkin called "dominant reading traditions". applying the theory of social memory (halbwachs), the author explores a new way of seeing jonah and his role in the book and asks in which measure jonah should be seen as a bearer of the social memory of the little ones, those that are sacrified for the benefit of the big empires.
The deep-time treasure chest of the Makhonjwa Mountains
Maarten J. de Wit
South African Journal of Science , 2010, DOI: 10.4102/sajs.v106i5/6.277
Abstract:
The great shale debate in the Karoo
Maarten J. de Wit
South African Journal of Science , 2011, DOI: 10.4102/sajs.v107i7/8.791
Abstract:
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