bluuebunny/crossref_metadata_2025 huggingface dataset:
ĐỊA ĐIỂM NEO GIỮ CHẤN THƯƠNG NGƯỜI NỮ HẬU CHIẾN TRONG “NGƯỜI Ở BẾN SÔNG CHÂU” VÀ “NGƯỜI TRỞ VỀ”
Authors: Đoàn Trần Trọng , Giao Lê Phạm Quỳnh , Ngân Huỳnh Thị Tuyết , Minh Nguyễn Thị
Published: February 2025

Thông qua việc tìm hiểu quan điểm phê bình chấn thương của Michelle Balaev, bài viết tiếp cận trường hợp cải biên truyện ngắn “Người ở bến sông Châu” thành bộ phim “Người trở về” từ mô hình đa nguyên để cho thấy sức ảnh hưởng to lớn của một địa điểm cụ thể lên cách các nhân vật phản hồi chấn thương. Bài viết tập trung khảo sát ba địa điểm có vai trò then chốt trong việc neo giữ chấn thương của các nhân vật là bến sông Châu, căn nhà của Liễu và địa điểm chiến trường. Từ đó, bài viết chỉ ra sự khác biệt trong việc trình hiện chấn thương thông qua xây dựng địa điểm bằng ngôn ngữ văn học và bằng các thủ pháp điện ảnh, khẳng định mối liên hệ chặt chẽ giữa địa điểm và quá trình nhân vật xử lý các ký ức chấn thương.
Maternal Knowledge and Confidence Influence Exclusive Breastfeeding: A Study of Mothers of Toddlers in Teluk Kapuas Village, Kubu Raya, West Kalimantan, Indonesia
Authors: Wahyuni Desi , Rizky Ayu , Marlenywati
Published: February 2025

Background: One of the efforts to increase quality resources is by giving milk, especially exclusive breastfeeding. In 2019, in Teluk Kapuas Village, Kubu Raya Regency, West Kalimantan Province, the number of exclusively breastfed toddlers was 41.3%, which is very far from achieving the national target of 80%. Objective: The purpose of this study was to determine the factors of exclusive breastfeeding in mothers who have toddlers 6-24 months in Teluk Kapuas Village, Kubu Raya Regency, West Kalimantan Province. Methods: This type of research used Observational analytic with Cross Sectional approach. The sample in this study amounted to 46 respondents taken by simple random sampling. Data analysis in this study with univariate analysis and bivariate analysis using Chi-square test Results: The results showed that the related variables were maternal knowledge with a value of (P = 0.031), maternal self-confidence with a value of (P = 0.000). While the unrelated variables are the support of the closest person with a value of (P = 0.632), the mother's attitude with a value of (P = 0.454), the mother's work status with a value of (P = 0.756), the support of health workers with a value of (P = 1.000).  Conclusion: It is important to provide intensive educational programs for mothers of toddlers about the importance of exclusive breastfeeding, with a focus on increasing maternal knowledge and confidence to increase exclusive breastfeeding.
Developing a Framework for Digital Transformation in Retail Banking Operations
Authors: Olutimehin David Olanrewaju , Falaiye Titilola Olufunke , Mikki Ewim Chikezie Paul- , Ibeh Augustine Ifeanyi
Published: February 2025

Digital transformation is reshaping the retail banking industry, driving efficiency, enhancing customer experience, and fostering competitive advantage. This paper focuses on developing a comprehensive framework for digital transformation in retail banking operations, emphasizing key elements such as technological adoption, process optimization, and customer-centric innovation. The framework identifies essential components for successful digital transformation, including leveraging advanced technologies like artificial intelligence (AI), machine learning (ML), and blockchain to optimize core banking processes, enhance decision-making, and ensure secure transactions. Additionally, the integration of Internet of Things (IoT) devices and big data analytics facilitates real-time insights into customer behavior, enabling banks to deliver personalized services and build stronger customer relationships. The framework also highlights organizational factors, such as fostering a culture of innovation, upskilling employees, and aligning digital strategies with business objectives. A robust change management approach is critical to overcoming resistance and ensuring seamless integration of digital initiatives across all operational layers. Regulatory compliance, data security, and privacy are identified as pivotal challenges in the transformation process, necessitating a focus on governance and risk management. The paper presents case studies of leading banks that have successfully embraced digital transformation, offering valuable lessons and insights. It underscores the role of digital ecosystems, such as fintech collaborations and open banking models, in driving innovation and expanding service delivery. Furthermore, the research explores future trends, including the increasing use of AI-driven chatbots, blockchain for fraud prevention, and green banking practices supported by digital technologies. By providing a structured roadmap, this paper aims to guide retail banks in leveraging digital transformation to achieve operational excellence, improve customer satisfaction, and adapt to the evolving financial landscape. The proposed framework serves as a strategic tool for decision-makers seeking to navigate the complexities of digital transformation while remaining agile and competitive.
QUALIFICAÇÃO DAS PRÁTICAS DO AGENTE COMUNITÁRIO DE SAÚDE PARA O ENFRENTAMENTO DA HANSENÍASE
Authors: Fernandes Sâmia Alves , Neto Osmar Arruda da Ponte
Published: February 2025

A Hanseníase é uma doença infectocontagiosa, de evolução crônica que se manifesta, principalmente, por manchas cutâneas com diminuição de sensibilidade térmica, dolorosa e tátil. É considerada um problema de saúde pública nos países em desenvolvimento por causar incapacidade física, social e econômica. Para o controle da hanseníase, faz-se necessária a atuação efetiva das equipes da Estratégia Saúde da Família, em especial dos Agentes Comunistários de Saúde. Este estudo teve como objetivo contribuir para a qualificação do processo de trabalho do ACS, com enfoque no enfrentamento da hanseníase na ESF. Trata-se de uma pesquisa com abordagem qualitativa e intervencionista, desenvolvida em 4 etapas: apresentação do projeto a gerente do território, apresentação do projeto e assinatura do termo aos participantes, entrevista, análise dos dados e educação permanente. Foi possível mapear o conhecimento prévio dos participantes sobre hanseníase, compreender as dificuldades com o manejo da doença e orientar sobre o rastreio de casos novos e suspeitos de hanseníase. Os resultados mostraram que apesar do conhecimento prévio sobre a hanseníase, os profissionais, em alguma medida ainda tem dúvidas sobre o manejo da doença, especialmente quanto ao diagnóstico e tratamento. Evidenciou-se como importante desafio a superação do preconceito que envolve as pessoas com hanseníase, sobretudo no que diz respeito aos estigmas e como isto impacta durante o tratamento, bem como, a necessidade de maior qualificação educação permanente em saúde dos profissionais sobre o tema.
ALEITAMENTO MATERNO, CUIDADOS COM RECÉM-NASCIDOS E A ATUAÇÃO DA ENFERMAGEM
Authors: Souza Aurileni Santos de , Iria Christopher Publio Miranda , Santo Evelyn Vieira do Espírito , Leão Geovana Guimarães Garcia , Nogueira Laura Hoffman Souza , Bernardes Lina Carla , Couto Magali Simone de Souza do , Aguilar Michelle Gomes Valadares de , Baldez Patrícia Martins , Almeida Rosiane Rodrigues de
Published: February 2025

Segundo a Lei 7.498/1986, é função da enfermagem a assistência à gestante, parturiente e puérpera. Sendo assim, é de suma importância que o profissional seja capacitado a prestar assistência à mulher em sua maternidade. Conhecer e entender todas as fases desde a gestação até o aleitamento materno a fim de ser um apoio seguro e passar toda confiança, experiêcia e técnicas de forma que a paciente seja incentivada a se doar totalmente ao recém nascido e às suas necessidades.
A AVALIAÇÃO DIGITAL NO ENSINO FUNDAMENTAL: VANTAGENS E LIMITAÇÕES NO PROCESSO DE ENSINO-APRENDIZAGEM
Authors: Martins Juliana Alves
Published: February 2025

O presente estudo investigou as vantagens e limitações da avaliação digital no Ensino Fundamental, com o objetivo de analisar como as ferramentas digitais impactam o processo de ensino-aprendizagem. A pesquisa adotou uma abordagem qualitativa, de caráter bibliográfico, na qual foram revisadas obras acadêmicas sobre o tema, com ênfase em artigos, dissertações e teses. A análise foi centrada na personalização da aprendizagem, feedback imediato, aumento do engajamento dos alunos e os desafios de acesso às tecnologias e formação docente inadequada. Os resultados indicaram que, quando bem implementada, a avaliação digital favoreceu a personalização do ensino, forneceu feedback instantâneo e aumentou o envolvimento dos alunos. No entanto, a pesquisa também revelou limitações significativas, como a desigualdade de acesso às tecnologias, a dependência de dispositivos tecnológicos e a falta de capacitação dos professores. Essas barreiras dificultaram a implementação da avaliação digital em muitas escolas, especialmente nas públicas. As considerações finais apontaram que, apesar dos desafios, a avaliação digital tem um grande potencial para melhorar o ensino no Ensino Fundamental, sendo necessário garantir um acesso equitativo às ferramentas digitais e promover a formação contínua dos educadores. Por fim, sugeriu-se a realização de novos estudos empíricos para complementar os achados, especialmente com a coleta de dados diretos de docentes e alunos.
FORMAÇÃO DOCENTE PARA O USO DE TECNOLOGIAS DIGITAIS NO ENSINO
Authors: Santos Glicélio Corrêa dos , Souza Edileuza Gomes de , Trevisani Gilda Elaine , Lopes João , Lima Joseli Maria Silva de , Mercuri Luciana , Sousa Roseline Martins Sabião , Morais Sâmilla Taynara Pereira
Published: February 2025

Este estudo investigou a formação docente para o uso de tecnologias digitais no ensino, com o objetivo de analisar as abordagens e estratégias adotadas para a integração dessas ferramentas nas práticas pedagógicas. A pesquisa teve como foco os desafios e as oportunidades que surgem com o uso das tecnologias no processo educacional. Optou-se pela metodologia de pesquisa bibliográfica, que permitiu uma análise das obras e estudos relevantes sobre o tema. A análise das referências bibliográficas indicou que a formação contínua dos professores é essencial para que eles possam integrar efetivamente as tecnologias digitais em suas práticas pedagógicas. Os principais desafios encontrados foram a resistência dos docentes, a falta de infraestrutura adequada nas escolas e a formação insuficiente para o uso pedagógico das tecnologias. No entanto, as práticas bem-sucedidas, como a utilização de metodologias ativas e ferramentas colaborativas, mostraram-se eficazes na melhoria do ensino e da aprendizagem. As considerações finais destacaram que a formação docente é um fator crucial para o uso adequado das tecnologias, e que a superação dos desafios depende de investimentos em infraestrutura e de políticas públicas que incentivem a capacitação contínua dos educadores. A pesquisa também apontou a necessidade de estudos sobre a adaptação das metodologias de ensino às tecnologias digitais e o impacto da formação contínua no desempenho dos alunos.
O IMPACTO DO MODELO DE ESCOLAS DE TEMPO INTEGRAL NA GESTÃO EDUCACIONAL
Authors: Vital Luciana Matos , Franqueira Alberto da Silva , Prestes Esther Thereza Pereira , Gomes Iranilda de Argôlo , Barbosa Maria Alcione Ribeiro , Marcondes Pollyanna , Aguiar Raiana Assis da Silva , Rosa Renata Dalla , Santos Silvana Maria Aparecida Viana
Published: February 2025

O presente estudo investigou o impacto do modelo de escolas de tempo integral na gestão educacional, com o objetivo de analisar como esse modelo influencia as práticas de gestão escolar, o desempenho acadêmico dos alunos e o desenvolvimento de habilidades socioemocionais. A pesquisa foi de natureza bibliográfica, com uma abordagem qualitativa, realizada por meio da análise de literatura acadêmica sobre a implementação e os desafios do modelo de tempo integral. Os resultados indicaram que a gestão educacional desempenha um papel fundamental na adaptação e sucesso do modelo, enfrentando desafios como a falta de infraestrutura, resistência dos educadores e limitações financeiras. Contudo, o modelo de tempo integral demonstrou ser eficaz no aumento do tempo dedicado ao aprendizado, resultando em um impacto positivo no desempenho acadêmico dos alunos e no desenvolvimento de competências socioemocionais. A análise apontou também que a adoção do modelo pode contribuir para a redução da evasão escolar, promovendo um ambiente engajador para os estudantes. As considerações finais ressaltaram a necessidade de políticas públicas eficazes para garantir a continuidade e a expansão das escolas de tempo integral, além da importância de uma gestão escolar bem estruturada e capacitada para lidar com os desafios desse modelo. A pesquisa apontou para a necessidade de estudos futuros que aprofundem a análise de diferentes contextos de implementação e o impacto a longo prazo do modelo.
RETALHO PEDICULADO DE LÍNGUA PARA FECHAMENTO DE FÍSTULAS BUCONASAIS EM PACIENTES COM FISSURA LABIOPALATINA: REVISÃO DE LITERATURA
Authors: Bezerra Maria Nayara Quaresma , Souza Abna Gabrielly da Silva , Barboza Anne Beatriz de Brito , Souza Gustavo Henrique Albuquerque , Mazzaglia Giuseppe , Silva Adrielli Norvina da , Batista Vitória Marina Abrantes , Albuquerque Bruno Barros de , Barros Adriana Emanuelly da Silva , Lesser Marcelo , Rangel Larissa Souza , Aguiar Camilla Siqueira de
Published: February 2025

Introdução: A fissura labiopalatina é uma malformação congênita que afeta uma grande parcela da população mundial. Ela é caracterizada pela falha na fusão dos processos embrionários que formam o lábio e o palato, resultando em comunicação entre as cavidades oral e nasal. Um dos desafios cirúrgicos no tratamento dessas fissuras é o fechamento de fístulas buconasais, que podem surgir tanto como sequela do tratamento primário quanto como complicações pós-operatórias. Diversas técnicas têm sido propostas para o manejo dessas fístulas, e uma delas é o uso do retalho pediculado de língua. Objetivo: Avaliar a eficácia do retalho pediculado de língua para o fechamento de fístulas bucosinusais em pacientes com fissura labiopalatina. Metodologia: Esta revisão de literatura foi realizada com base em artigos científicos dispostos nas bases de dados MEDLINE via PubMed (Medical Literature Analysis and Retrieval System Online), LILACS (Literatura Latino-Americana e do Caribe em Ciências da Saúde) e Biblioteca Virtual em Saúde (BVS). Para a seleção dos estudos foram utilizados, como critérios de inclusão, artigos que estivessem dentro da abordagem temática, disponíveis na íntegra e de forma gratuita, nos idiomas inglês, português e espanhol. Como parâmetros de exclusão foram retirados artigos duplicados e que fugiam do tema central da pesquisa. Resultados: Estudos recente indicam que o retalho pediculado de língua é uma técnica eficaz para o fechamento de fístulas buconasais, especialmente em casos de fístulas de tamanho moderado a grande, com uma taxa de sucesso variando entre 80% e 95%, dependendo do tamanho e localização da fístula e da técnica utilizada. A boa vascularização da língua favorece a integração do retalho e reduz o risco de necrose, permitindo um fechamento estável da comunicação buconasal. Conclusão: Conclui-se que o retalho pediculado de língua demonstrou ser uma técnica eficaz e segura para o fechamento de fístulas buconasais em pacientes com fissura labiopalatina. A alta taxa de sucesso, associada a baixas complicações e boa aceitação funcional e estética, torna esta abordagem uma opção viável no manejo cirúrgico dessas fístulas. Estudos adicionais com amostras maiores e acompanhamento de longo prazo são necessários para confirmar esses resultados e otimizar a técnica.
OS PRINCÍPIOS FUNDAMENTAIS COMO MEIO NECESSÁRIO PARA EFICÁCIA DOS DIREITOS FUNDAMENTAIS NAS RELAÇÕES PRIVADAS: UMA ANÁLISE A LUZ DA DIGNIDADE DA PESSOA HUMANA E DO PRINCÍPIO SEGURANÇA JURÍDICA NO ORDENAMENTO BRASILEIRO
Authors: Brito Clara Rodrigues de , Trovão Lidiana Costa de Sousa , Monteiro Uendel  Roger Galvão , Arakaki Allan Thiago Barbosa , Salgado Buenã Porto
Published: February 2025

O presente estudo tem como escopo abordar a importância dos princípios fundamentais no ordenamento jurídico brasileiro, bem como demonstrar a inexorável necessidade de observar a aplicação dos direitos fundamentais na seara das relações privadas, tendo em vista o anseio e dever de garantir as premissas constitucionais elencadas na Carta Constitucional de 1988. O estudo é delineado à luz do princípio da dignidade humana, bem como pelo princípio da segurança jurídica. Desse modo, propõem-se percorrer os caminhos que possam avaliar em que medida os princípios fundamentais auxiliam na eficácia dos direitos fundamentais empregados no contexto das relações privadas. Para tanto, esse contexto deve ser analisado a partir dos arquétipos da segurança jurídica, tendo como plano de fundo o ordenamento brasileiro. Para a pesquisa, foi empregado o método dedutivo, a partir da abordagem qualitativa, ancorada em materiais bibliográficos, objetivando aprimorar ideias por meio de informações indexadas sobre o tema em tela, bem como a análise de determinados julgados da Suprema Corte brasileira. Concluiu-se que a efetividade normativa dos direitos fundamentais é integralmente aplicada para proteger os núcleos de direitos e garantias positivados na ordem constitucional, sendo, portanto, essencial recorrer aos princípios para que se possa implementar a norma jurídica de forma racional e defensiva, para que se possa preservar a dignidade humana.
Hybrid Work Culture
Authors:   M.B.A. Student, Business School, Koneru Lakshmaiah Education Foundation, Green Fields, Vaddeswaram, A.P.– 522302,, Chowdary Divya Sree
Published: February 2025

This study investigates the perceptions of employees towards learning in a hybrid work culture, where

remote and in-office work are combined. With the advent of hybrid work models following the COVID- 19 pandemic, organizations have had to adapt their learning and development (L&D) initiatives to meet evolving employee needs. The research aims to explore how employees perceive these learning

opportunities, the challenges they face, and the effectiveness of various strategies employed by organizations to enhance learning experiences.

The findings of this study show that while 68% of surveyed employees appreciate the convenience of

self-paced learning, 32% expressed concerns about limited interaction and support. Additionally, 25% of respondents reported technological challenges, and 40% cited decreased motivation due to isolation.

These factors highlight the need for organizations to provide comprehensive support to employees in hybrid work environments.

To overcome these challenges, employees and learning professionals have suggested various strategies.

Regular virtual workshops and live training sessions were identified as effective ways to foster

engagement. Peer learning initiatives and mentorship programs can help bridge the gap caused by limited face-to-face interactions. Gamification techniques, which incorporate game elements like rewards and

leaderboards into learning activities, were also recommended to enhance motivation and participation.

The study emphasizes the importance of designing hybrid-specific learning programs that balance

synchronous (real-time) and asynchronous (self-paced) learning. Organizations should also invest in robust learning management systems (LMS) to provide a seamless and efficient learning experience.

Facilitating regular feedback sessions can help identify learning gaps and ensure that employees remain engaged and supported.

Overall, the hybrid work culture presents both opportunities and challenges for employee learning.

Organizations must take a proactive approach to foster a supportive learning environment that encourages skill development and career growth. By leveraging the right strategies and technologies, companies can ensure that employees thrive in this dynamic and flexible work model.

This study also highlights the need for ongoing research in this area. Future research could explore the long-term effects of hybrid work culture on employee development and career progression across

different industries. Additionally, investigating the role of emerging technologies, such as virtual reality (VR) and artificial intelligence (AI), in enhancing hybrid learning experiences could provide further

insights.

Keywords: hybrid work culture, employee perception, learning and development, remote work, skill enhancement
Challenges in Laparoscopic Camera Stabilization and How Robotics Can Solve It
Authors: Chand Aatman
Published: February 2025

Laparoscopic surgery relies heavily on stable and precise visualization, which is essential for achieving optimal surgical outcomes. Traditionally, camera stabilization in laparoscopic procedures has been performed manually by an assistant or through the use of mechanical stabilizers. However, these conventional methods present several challenges, including hand fatigue, inconsistencies in camera movement, coordination difficulties between the surgeon and the assistant, leading ultimately to interruptions in the surgical workflow. Suboptimal imaging stability can lead to prolonged operating times, increased surgeon frustration, and a higher risk of complications.

Robotic-assisted camera stabilization has emerged as an innovative solution to overcome these limitations, offering enhanced precision, stability, and hands-free operation. This paper describes the drawbacks of manual laparoscopic camera holding and mechanical stabilizers, highlighting how robotic and semi-robotic systems can significantly improve surgical visualization. The Galaxi robotic camera holder, developed by Articulus Surgical Pvt Ltd, exemplifies a semi-robotic approach that integrates advanced motorized controls, an optics-agnostic design, and cost-effective automation to enhance laparoscopic procedures. Galaxi presents a transformative solution for modern laparoscopic surgery. The study further evaluates its impact on workforce challenges, procedural efficiency, and healthcare accessibility.

Keywords: Laparoscopic surgery, robotic-assisted stabilization, semi-robotic systems, surgical visualization, Galaxi robotic camera holder, minimally invasive surgery, economic feasibility, workforce efficiency, camera stabilization, surgical automation.
Caracterización de la Producción Académica de Artículos Científicos en Universidades y Escuelas Politécnicas del Ecuador (2015-2022)
Authors: Pesantez Granizo Carina Elizabeth , Santillán Lima Juan Carlos
Published: February 2025

Introducción: La producción académica en Ecuador es clave para el desarrollo científico y tecnológico. A pesar de esfuerzos significativos para impulsar la investigación, aún es necesario un análisis detallado de la producción académica en universidades y escuelas politécnicas. El Plan Nacional de Desarrollo y el Plan de Educación Superior 2022-2026 destacan la importancia de fomentar la investigación y aumentar las publicaciones científicas. Estudios recientes muestran un crecimiento notable en la producción científica del país, lo que ha mejorado la posición de Ecuador en América Latina, aunque persisten desafíos en cuanto a la calidad y colaboración internacional.
Objetivo: Caracterizar la producción académica de artículos científicos en las universidades y escuelas politécnicas del Ecuador durante el período de 2015 al 2022.
Métodos: El tipo de investigación es descriptivo para analizar la producción académica de artículos científicos en universidades y escuelas politécnicas de Ecuador. Adicionalmente, se lleva a cabo una investigación documental para explorar los determinantes que favorecen las colaboraciones en la publicación de artículos científicos.
Resultados: Los resultados del análisis de regresión líneal indica que con un intervalo de confianza del 95%, indica que la cantidad de artículos científicos publicados por las universidades y escuelas politécnicas del Ecuador se incrementan en un rango que va desde 563 hasta 799 artículos por año.
Conclusiones: La agrupación de los artículos científicos permiten identificar que los artículos científicos de los campos amplios del conocimiento se publican en revistas con mayor impacto. Además, el incremento de artículos científicos por año es de aproximadamente 681.
Institutional capacity, faculty capability, and research productivity in higher education institutions: A moderated mediation model
Authors: Malaga Ronora Sevilla
Published: February 2025

A strong research culture serves as a catalyst for the fulfillment of educational institutions' vision and mission. Predicated on the positivistic paradigm, the paper determined the role of research capability as a mediator in the relationship between institutional capacity and productivity in the research of HEIs' faculty in one province in the central Philippines. The paper employed descriptive and moderated mediation analyses utilizing the Research Capacity, Capability, and Productivity Metrics (RCCPM) for data collection. Forty-three HEIs and 356 faculty respondents participated in the study. Findings revealed that the faculty perceived HEIs' institutional capacity in research and their capability in research as moderate. Conversely, research production was extremely low. Applying the mediation analysis, institutional capacity influences faculty capability in research, which in turn impacts research productivity. Based on the findings, HEIs, together with allied agencies, need to boost faculty knowledge and skills in research to ensure improved productivity in research.
Impacts of real estate development on the greater Abidjan factory in Ivory coast
Authors: DEKI Kouakou Tehua Pierre , Bénoît DANVIDE T. , ZINSOU-KLASSOU Kossiwa
Published: February 2025

African cities are experiencing population growth. This growth generates housing problems that are somewhat resolved by real estate development. The city of Abidjan has benefited from a significant number of real estate developments that have contributed to its creation. The objective of this article is to highlight the contribution of real estate development to the creation of Greater Abidjan. Through a methodology combining qualitative and quantitative aspects, we have arrived at results indicating that real estate development has had a considerable social impact as well as spatial effects on the urbanization of Greater Abidjan.
Het beroepsgeheim van de bedrijfsarts en de verzekeringsarts
Authors: Gevers J.K.M.
Published: February 2025

Het beroepsgeheim van de bedrijfsarts en de verzekeringsarts

Ook voor bedrijfs- en verzekeringsartsen geldt het beroepsgeheim, zij het dat dat bij hen beperkingen kent in verband met de aard van hun functie. In deze bijdrage wordt ingegaan op de achtergrond van dat beroepsgeheim en op de uitwerking ervan in wetgeving, rechtspraak en zelfregulering. Geconcludeerd wordt dat daarbij een redelijk evenwicht is gevonden tussen de vertrouwelijkheid van medische gegevens en de belangen van werkgever en socialeverzekeringsinstelling. Wel blijft vanwege de rechtszekerheid nadere wettelijke regeling gewenst.
Verstrekking van patiëntgegevens door zorgaanbieders aan zorgverzekeraars
Authors: Citteur J.M.E. , Rijken J.J.
Published: February 2025

Verstrekking van patiëntgegevens door zorgaanbieders aan zorgverzekeraars

In deze bijdrage wordt de gegevensverstrekking door zorgaanbieders aan zorgverzekeraars onderzocht. Daartoe wordt allereerst de wettelijke basis voor die gegevensverstrekking beschreven en vervolgens nagegaan hoe de regeling in een drietal casusposities wordt toegepast. Het blijkt dat het antwoord op de vraag of patiëntgegevens al dan niet mogen worden verstrekt, staat of valt met het antwoord op de vraag of een wettelijke verplichting tot die gegevensverstrekking bestaat. Indien dat het geval is, vindt een belangenafweging plaats. Daarbij wordt, mede in het kader van artikel 8 EVRM, onder meer gekeken naar de proportionaliteit en subsidiariteit van de gegevensverstrekking.
Juridische aspecten van nieuwsvoorziening bij dwangopneming in de psychiatrie
Authors: Widdershoven T.P.
Published: February 2025

Juridische aspecten van nieuwsvoorziening bij dwangopneming in de psychiatrie

Nieuwsvoorziening bij psychiatrische dwangopneming is een veronachtzaamd onderwerp. Uit recente jurisprudentie blijkt dat beperkingen in nieuwsvoorziening mogelijk zijn op basis van de regeling van dwangbehandeling. Die route komt onvoldoende tegemoet aan het belang van het recht op nieuwsvergaring en een meer op de materie toegespitste regeling ligt in de rede. Daarnaast is het ontwikkelen van een nieuwsvoorzieningstandaard van belang. Die standaard zou ruim moeten uitvallen (met aandacht voor radio, televisie, internet, kranten, tijdschriften en boeken). Het faciliteren van mogelijkheden tot nieuwsvergaring heeft betekenis voor de legitimiteit van de dwangopneming zelf.
De veranderde positie van de verpleegkundige in de Wet BIG
Authors: van Meersbergen D.Y.A.
Published: February 2025

De veranderde positie van de verpleegkundige in de Wet BIG

Recent is aan de Wet BIG een zogenaamd experimenteerartikel toegevoegd. Op grond daarvan mogen onder meer verpleegkundig specialisten tijdelijk bepaalde voorbehouden handelingen indiceren en verrichten. Een regeling via het experimenteerartikel lijkt echter niet goed toe te passen bij beroepen die reeds bestaan, zoals de verpleegkundig specialist. Dit roept verschillende vragen op waar de auteur in dit artikel nader op ingaat. Daarnaast behandelt dit artikel de uitwerking van het experimenteerartikel op de veranderde positie van de verpleegkundige in het beroepenspectrum en de nieuwe verantwoordelijkheden die daarbij horen.
Gunstbetoon en medische hulpmiddelen
Authors: de Bruin M.E. , Schutjens M.D.B.
Published: February 2025

Gunstbetoon en medische hulpmiddelen

De wetgeving voor medische hulpmiddelen bevat – in tegenstelling tot de wetgeving voor geneesmiddelen – nauwelijks bepalingen over reclame en in het geheel geen bepalingen over financiële relaties (gunstbetoon) tussen leveranciers van hulpmiddelen en zorgprofessionals, waaronder artsen. Met ingang van 1 januari 2012 is de Gedragscode Medische Hulpmiddelen in werking getreden. Deze gedragscode bindt de leden van zes koepelorganisaties van fabrikanten/leveranciers van medische hulpmiddelen en stelt onder meer voorwaarden aan het geven van geschenken, financiële ondersteuning bij (deelname aan) bijeenkomsten, betaling voor dienstverlening en sponsoring. De Gedragscode gaat uit van wederkerigheid (wat leveranciers niet mogen aanbieden, mogen zorgprofessionals ook niet aannemen). Zorgprofessionals zullen formeel echter pas aan de Gedragscode gebonden zijn indien zij deze ook als zodanig hebben onderschreven.
Een frisse kijk op bekende en minder bekende problemen: de tweede evaluatie van de Wet medisch-wetenschappelijk onderzoek met mensen
Authors: Engberts D.P.
Published: February 2025

Een frisse kijk op bekende en minder bekende problemen: de tweede evaluatie van de Wet medisch-wetenschappelijk onderzoek met mensen

De tweede evaluatie van de Wet medisch-wetenschappelijk onderzoek met mensen (WMO) richt zich op vier hoofdthema’s: (1) informatie aan en ervaringen van proefpersonen, (2) implementatie van Europees recht in de WMO, (3) het Besluit verplichte verzekering en (4) ervaringen van onderzoekers en medisch-ethische toetsingscommissies. Op basis van literatuuronderzoek en empirisch onderzoek signaleren de onderzoekers in de wetsevaluatie met betrekking tot alle thema’s knelpunten. De auteur bevestigt de juistheid van deze observaties en zet uiteen dat achter de gesignaleerde knelpunten principiële vragen schuilgaan die steeds verbonden zijn geweest met de normering van medisch-wetenschappelijk onderzoek met mensen en nooit afdoende zijn beantwoord.
Een vergeten episode uit de schoolstrijd: de ontdekking van ‘openbaar’ en ‘bijzonder’ onderwijs
Authors: van Bijsterveld Sophie
Published: February 2025

A forgotten episode in the Dutch battle over the school system: the discovery of ‘public’ and ‘private (confessional)’ education

The battle over the school system is one of the liveliest chapters in Dutch constitutional history. It resulted, in 1848, in the constitutional acknowledgement of a dual system of education: education provided by public authority (‘public education’) and private education (practically synonymous with confessional education); and, in 1917, in the constitutional guarantee of public funding for the latter on the same footing as the former.

The battle over the school system is usually described as a battle for freedom of private, confessional education from the start. This article shows that prior to this, in the first stage of this battle, the concept of ‘private education’ itself had to be invented and that the concept of ‘public education’ had to develop a different meaning. Public education, the notion used in the Constitutions of 1814 and 1815, originally meant education in schools in contrast to house education. It was this broad concept of education that was entrusted to the care of government and, therefore, not free. This article focuses on the first half of the 19th century. On the basis of original sources it traces the fascinating process of the birth of these new categories, that determine the Dutch education system up to now.
Werkt de wildwestwaarschuwing wel?
Authors: Zijlstra Wilte , van Egmond-de Boer Nynke
Published: February 2025

Werkt de wildwestwaarschuwing wel?

Voor beleggingsaanbiedingen aan particulieren die buiten toezicht vallen, geldt sinds 2012 een verplichte vrijstellingsvermelding in een vast formaat. In een gerandomiseerd experiment tonen we aan dat afwezigheid van de melding ‘Let op! U belegt buiten AFM-toezicht. Geen vergunning- en prospectusplicht voor deze activiteit’ leidt tot een hogere investeringsintentie (het effect op het daadwerkelijke gedrag is niet gemeten), vooral bij vermogende respondenten die de melding niet kennen (58 procent van de populatie). Dit lijkt in lijn met een doel van de waarschuwing, namelijk consumenten beschermen door ze te wijzen op hun grotere eigen verantwoordelijkheid bij deze producten. Met dit gerandomiseerde experiment laten we zien dat het nuttig en uitvoerbaar is voor toezichthouders om hun interventies te testen op effectiviteit.
Veilig melden van incidenten in de gezondheidszorg: voorbeelden van (buitenlandse) wetgeving
Authors: Legemaate Johan , de Roode Robinetta
Published: February 2025

Blame free reporting of adverse events in health care: examples of (foreign) legislation

In the Dutch health care the importance of reporting adverse events is increasingly recognized. Reporting adverse events is seen as a valuable instrument to assess and improve the quality and safety of patient care. It is widely acknowledged that health care practitioners (physicians, nurses) should be able to report adverse events blame free, to prevent that information reported to improve the quality and safety of care is used for other purposes (e.g. to punish the reporter of other persons involved). Several parties have proposed to enact legislation to protect health care practitioners who report adverse events. In other sectors of the Dutch society, as well as in other countries, such legislation already exists. This legislation may serve as an example for legislative action in the area of Dutch health care.
Analyse van het Zuid-Nederlandse xtc-netwerk
Authors: Spapens Toine
Published: February 2025

An analysis of the xtc-network in the south of the Netherlands

The social network approach is gaining influence among criminologists studying organized crime and terrorism. The theoretical concept, however, still needs further elaboration. To this end, concepts developed within the field of economic sociology could provide a substantial contribution. Economic sociologists have, among other things, focused on the role of social networks with regard to the completion of economic transactions. They regard mutual trust built through personal relations as an essential part of economic transactions, particularly if these imply certain risks for the parties involved. In other words, before transactions materialize, the parties must first be able to establish trustworthy personal relations. Based on these ideas, Spapens introduced in 2006 the theoretical concept of the criminal macro network, being a social network consisting of individuals able and willing to engage in illegal activities. The capital of each member of the criminal network consists, on the one hand, of his links, defined as information relations, within the network. On the other hand, a person’s position is determined by personal knowledge and skills. It is assumed that executing an actual illegal activity – e.g. drug production, trafficking human beings, bank robbery – requires cooperation between a subset of members of the criminal network, the criminal group.An extensive study of xtc production in the south of the Netherlands between 1996 and 2004 revealed the existence of a ‘xtc network’ consisting of individuals interconnected by social relations. The macro network proved to be relatively stable over time. The composition of the criminal groups, however, changed regularly. This was not only explained by shifting business opportunities, but also by the efforts of the police and the Public Prosecution Service leading to convictions and the dismantling of criminal groups. Better knowledge of the functioning of the criminal macro network can provide valuable contributions to criminological understanding of organized crime. These insights are of course also of great practical importance for law enforcement agencies.
Additioneel seksueel gedrag van kinderpornodownloaders
Authors: Buschman Jos , Krapohl Don
Published: February 2025

Additional sexual behaviour of child porn downloaders

This article presents a study on Post-Conviction Polygraphy in the Netherlands. Importantly, it exclusively focuses on cybercrime offenders. The study was designed to systematically address the different child sexual behaviours exhibited by 38 subjects who were in treatment for possessing child abuse images. The results gave indications that post-conviction polygraphy can provide additional data to inform the development of theory in this area and contribute to the treatment, supervision and more effective containment of offending behaviour, and the reduction of future victimization.
De invloed van de omgevingskwaliteit op de beoordeling van de leefbaarheid door bewoners
Authors: Damen Martin
Published: February 2025

Environmental quality and residents’ perception of livability

The focus of this article is the relation between the factual conditions of the environmental quality of streets and neighborhoods and the perception of livability by residents.Through analysis of evaluation of environmental quality by residents, combined with observations by trained professionals of certain aspects of the environment (population, demography, type of housing etcetera) it was possible to identify the relations between the way livability is perceived, aspects of the neighborhood and household characteristics. By zooming in on the aspects environmental and personal security and safety the article shows how the environmental quality influences residents perceptions.
Vrouwen en witwassen: een logische combinatie met incoherente resultaten
Authors: Soudijn Melvin
Published: February 2025

Women and money laundering

A part in Dutch penal law defines money laundering as ‘any person who acquires an object, possesses it, hands it over or sells it or makes use of an object, knowing that the object originates – directly or indirectly – from an offense’. Under object is meant any goods and any property rights. With this in mind, the author argues that whoever knows that money (the object) is derived from crime, but spends the money anyway, is committing a money laundering offense. Taking the argument one step further, it is therefore a reasonable hypothesis that a large number of wives or girlfriends of criminals, have been prosecuted for money laundering. That is, if the women knew that the money they spent was obtained through crime. To test the hypothesis, 62 cases dealing with organized crime were selected and analyzed. These cases largely focus on male perpetrators of drug crimes, money laundering, human smuggling and human trafficking. It turns out that the women often knew their male friends or husbands were involved in crime. The women also profited of these crimes because they used their friends’ expensive cars, lived in large mansions and often went shopping for luxury items. Still, hardly anyone was prosecuted for money laundering offenses. Several explanations were found, ranging from pity of officers, an overload of work, absence of direct proof or simply male chauvinist bias. Only if the women were actively involved in other crimes, would they find themselves prosecuted with (among others) money laundering offenses.
Uitbreiding bevoegdheden ter handhaving van de openbare orde en veiligheid
Authors: Mein Arnt
Published: February 2025

Extension of the powers for maintaining public order and safety: weakening or strengthening the mayor’s position?

Lately, mayors’ powers for maintaining public order and safety have been considerably extended, and even more powers are in preparation. These powers must enable the mayor to act quickly against public order disturbances and security threats. The novelty is that the mayor may conditionally use and exercise these new powers preventively against groups of rioters. Their freedom of action and their privacy can also be considerably curtailed. This means these powers have to be used carefully and reluctantly. If the mayor overdoes the crimefighter role, he/she may lose the public’s confidence.
Gemeenten en de strijd tegen de georganiseerde misdaad
Authors: Huisman Wim
Published: February 2025

Municipalities and the fight against organized crime

Municipalities play an increasingly important role in the fight against organized crime. Following Italian and New York examples, the Netherlands have developed several instruments for an administrative approach to organized crime. This article describes these instruments on a local and a national level and discusses its theoretical foundations. A critical assessment is made on the reach of this administrative approach considering the perception and nature of organized crime in the Netherlands. Further, methods for assessing the effectiveness of such an approach are discussed. Has organized crime successfully been targeted and how could this be established?
Lokaal veiligheidsbeleid in Nederland en België: op zoek naar verschil
Authors: Cachet Lex , Prins Ruth
Published: February 2025

Local public safety policy in the Netherlands and Belgium: looking for differences

Public safety has always been a core task for local, municipal authorities. However, until rather recently only the police has been actively involved in addressing local problems of public safety and maintaining order instead. Local public safety policy – as a responsibility for local authorities together with many other partners – is a relatively new phenomenon.This article compares the main developments and trends in local public safety policy in the Netherlands and Belgium. Special attention is paid to the role and position of the local, municipal authorities. What strikes most, are the strong similarities between the two countries. National governments played an important and catalyzing role in the development of public safety policy in the Netherlands as well as in Belgium. After many years and not without a lot of trouble, the monopoly of the police on designing and implementing policy for addressing public safety and order came to an end in both countries. Which, amongst other effects, presented the local authorities with new challenges.
Openbaar brandmeldsysteem: historie, kosten en opbrengst
Authors: de Wit Ron , Helsloot Ira
Published: February 2025

Automatic fire alarm system: history, costs and benefits. A cost-benefit analysis based on studies in the Twente region

The Netherlands fire safety regulations require certain types of buildings to have a direct connection between the building fire alarm system and the dispatch centre of the fire brigade. These automatic fire alarm systems are mandatory for example in premises where inhabitants such as small children or elderly people have limited self-evacuation capabilites in case of fire. These automatic fire alarms aim at saving lives by a faster response of the fire brigade. However, the fast majority of these automatic alarms are false. As a result these calls constitute a considerable and undesirable drain on the fire brigade resources. These calls cause unwanted direct costs (salaries) and indirect costs (road accidents due to fire brigade mobilisation) apart from the regular maintenance costs. Up to now no data is available for the costs and benefits of the system of automatic fire alarms. This article describes the results of a study of the automatic fire alarm system in the region Twente. The yearly social costs are calculated at about € 3 million. In order to calculate the benefits all incident reports from automatic fire alarms during a period of 29 months have been investigated. In this period no call form an automatic fire alarm system has occured in which the fire brigade had to deploy its resources for a live saving or evacuation action.
Integrale veiligheidszorg en de burgemeester
Authors: Prins Ruth , Cachet Lex
Published: February 2025

The mayor and an integral approach to public safety problems

Changing public safety problems as well as an increasing societal demand for public safety made way for new policy approaches. During the 1990s, the so called ‘integral safety approach’ was introduced in the Netherlands. This approach manifested itself mainly on the municipal level where the mayor is being held responsible for managing public safety and order. The central question raised in this article is: what are the consequences of an integral approach to public safety problems for the mayor when managing local order and public safety? We will demonstrate that ‘integrality’ is no clear cut concept. Careful inspection of the concept learns that it has multiple meanings. Of these various meanings, especially the ambition to address public safety problems by means of ‘new alliances’ characterized the actual implementation of integral policies. However, working together within these new alliances uniting various more or less independent actors from both the public and private sector, seemed to be hampered by a lack of coordination and control. In that sense, the introduction of the integral approach had consequences for steering and control of public safety policies. These consequences have to be addressed, especially by the mayor who is accountable for local order and safety. The mayor had attributed to him – first in practice, soon by law as well – the role of director of public safety policy on the municipal level. However, as we will demonstrate in this article, the mayor lacks an important trait needed for effective directorship: decisive powers. Therefore the mayor is not able to realize effective cooperation between partners within the new alliances of the integral approach to public safety problems. As a potential solution, we will describe the characteristics of a ‘model of anticipation’ granting the mayor a certain level of decisive powers to be used as an ultimum remedium.
Stevig en nuchter
Authors: van Steden Ronald
Published: February 2025

Book review

In this contribution the author reviews: Politiewerk aan de basis: stevig en nuchter, by Edward J. van der Torre.
Cybercrime in Nederland: gewone mensen die elkaar dwarszitten
Authors: Neve Rudie
Published: February 2025

Book review

In this contribution the author reviews: Verkenning cybercrime in Nederland 2009, by E.R. Leukfeldt, M.M.L. Domenie & W.Ph. Stol.