Saxion University of Applied Sciences

About: Saxion University of Applied Sciences is a education organization based out in Enschede, Netherlands. It is known for research contribution in the topics: Health care & Context (language use). The organization has 390 authors who have published 653 publications receiving 8859 citations. The organization is also known as: Saxion University of Applied Sciences.

The harms of human trafficking: demonstrating the applicability and value of a new framework for systematic, empirical analysis

Abstract: This article uses human trafficking in Belgium to test a newly developed framework for assessing the harms of crime that has been applied previously to cocaine trafficking in the same country. We chose this criminal activity because of its policy relevance and to address apparent needs for systematic, evidence-based analysis. The framework uses quantitative and qualitative evidence to assess harms to individuals, private-sector entities, and others and to establish crime control priorities. The assessment process models the activity, evaluates the severity and incidence of harms, ranks priorities, and considers causality. We highlight three findings. First, trafficking victims can experience catastrophic harms, but the overall dimensions of human trafficking in Belgium appear to be modest. Second, the evidence suggests significant recent declines in the degree of exploitation and use of violence. Third, most harms to individual victims result directly from the activity, which sets it apart from other form...

Trajectories of Disability and Low Back Pain Impact: 2-year Follow-up of the Groningen Spine Cohort.

Abstract: Study design Prospective cohort study. Objective The aim of this study was to identify treatment response trajectories in patients with low back pain (LBP) during and after multidisciplinary care in a tertiary spine center, and to examine baseline patient characteristics that can distinguish trajectories. Summary of background data Treatment response is often heterogeneous between patients with LBP. Knowledge on key characteristics that are associated with courses of disability could identify patients at risk for less favorable outcome. This knowledge will help improve shared decision-making. Methods Adult patients with LBP completed questionnaires on disability (Pain Disability Index) and LBP impact (Impact Stratification of the National Institutes of Health minimal dataset) at baseline, 6, 12, 18, and 24 months' follow-up. Latent class analyses were applied to identify trajectories of disability and LBP impact. Baseline sociodemographic and clinical patient characteristics were compared between trajectory subgroups. Results Follow-up was available for 996 patients on disability and 707 patients on LBP impact. Six trajectories were identified for both outcome measures. Three disability trajectories remained stable at distinct levels of severity (68% of patients) and three trajectories showed patterns of recovery (32%). For LBP impact there was one stable trajectory (17%), two slightly improving (59%), two recovering (15%), and one with a pattern of recovery and relapse (15%). Significant differences between trajectories were observed for almost all baseline patient characteristics. Conclusion On average, patients show moderate improvements in disability and LBP impact 2 years after visiting a multidisciplinary tertiary spine center. However, latent class analyses revealed that most patients belong to subgroups experiencing stable levels of disability and LBP impact. Differences in baseline patient characteristics were mostly associated with baseline levels of functioning, instead of (un)favorable outcome during follow-up. Level of evidence 2.

"Providing structure" as a psychiatric nursing intervention: a review of the literature.

Abstract: Purpose The focus is on a nursing intervention called “providing structure” (PS). This label does not exist in the Nursing Interventions Classification. The following three questions were asked: (a) How is PS defined? (b) What are the goals of PS? and (c) What is the evidence regarding the effectiveness of PS? Design and Method A systematic literature review. Forty articles, predominantly qualitative studies of PS, were selected for review. Findings Regarding PS, three elements were mentioned: to impose and maintain rules and limits; to assess the condition of the patient; and to interact with the patient. The goals for PS related to patient security, making expectations explicit, and recovering from illness. Major findings were reviewed, but little was found about the effectiveness of PS.

Prognostic Factors for Sustained Work Participation in Early Osteoarthritis: A Follow-Up Study in the Cohort Hip and Cohort Knee (CHECK)

Abstract: Objective To identify prognostic factors for the 2-year course of work participation in early osteoarthritis (OA) of hips or knees. Methods In this prospective cohort study, questionnaire data from 925 subjects was analyzed. Rate ratios were calculated to compare work participation with the general Dutch population, corrected for age, sex and education. The overall participation rate at T2 was compared to baseline. Personal factors, self-reported health status (Western Ontario McMasters Arthritis Index—WOMAC), medical consumption and physical work demands were compared between subjects with sustained work participation and subject who stopped working; factors that differed significantly were included in a logistic regression analysis. Results Work participation in the cohort (mean age 58, 79 % females) decreased from 51 to 46 %, a similar rate to the general population. Subjects who continued working were younger than those who stopped working (mean 4.2 years) and they had less frequently reported sick-leave at baseline; the regression model included both factors. 11 % Of the workers reported sick-leave in the past year because of hip/knee complaints (similar to baseline). 20 % Reported work adaptations, compared to 14 % at baseline. Conclusion The 2-year course of work participation of people with early OA was similar to the general Dutch population. Sustained work participation was predicted by lower age, not by OA related factors.