Als je deze podcast luistert via je mobieltje, dan zitten daar wel honderd verschillende grondstoffen in. Ook zeldzame grondstoffen, die kleinschalig en soms illegaal worden gemijnd in... Show moreAls je deze podcast luistert via je mobieltje, dan zitten daar wel honderd verschillende grondstoffen in. Ook zeldzame grondstoffen, die kleinschalig en soms illegaal worden gemijnd in verschillende Afrikaanse landen. Grondstoffen die rebellengroepen financiëren en soms gewonnen zijn met kinderhanden. Dit onderwerp is een echt Africast-onderwerp, want onze blik, vanuit Europa, is volgens onze gasten gebaseerd op vooroordelen en heel eenzijdig. De twee wetenschappers van vandaag gaan ons alles vertellen over grondstofwinning en we nemen Uganda en Ivoorkust als casus. Onze gasten deze week zijn Esther van de Camp (PhD Candidate aan de Universiteit Leiden) en Titus Sauerwein (PhD Candidate aan de University of Surrey) Hosts: Joeri Nortier & Jos Hummelen Mede mogelijk gemaak door Netherlands-African Business Council (NABC) Muziek door Alisdair Pickering Show less
Velde, C.J.H. van de; Blok, E.; Kranenbarg, E.M.K.; Putter, H.; Bosch, J. van den; Maartense, E.; ... ; Kroep, J. 2017
Background: Hospitals in the Midwestern part of the Netherlands carried out a clinical audit to monitor the quality of breast cancer care during the years 2002-2008. Compliance with the National... Show moreBackground: Hospitals in the Midwestern part of the Netherlands carried out a clinical audit to monitor the quality of breast cancer care during the years 2002-2008. Compliance with the National Guideline was investigated together with improvement in quality over time. Methods: Patients with a malignancy of the breast (including ductal carcinoma in situ) participated in this study. Nine quality indicators were evaluated over the years. In 2004 and 2005 the hospitals also carried out an intervention project aimed at improvement of the efficiency of both the diagnostic process and the surgical treatment. Results: At the end of the project all nine indicators showed significant improvement compared to the start of the project. Discussion of treatment strategy in a multidisciplinary breast cancer team took place more often before surgery (83% versus 56%) as well as after surgery (98% versus 70%). The National Guideline for maximum waiting times was met more often for the outpatient clinic (74% versus 61%), time to diagnosis (92% versus 82%), and surgical treatment (52% versus 34%). More sentinel node procedures were performed successfully (92% versus 69%), and for more patients more than 10 lymph nodes were evaluated in case of axillary lymph node dissection (85% versus 58%). More patients had definitive surgical treatment consisting of one surgical intervention (87% versus 75%), and left the hospital within 7 days after hospital admission (98% versus 66%). Conclusion: The clinical audit contributed to improvement of the quality of breast cancer care in the Midwestern part of the Netherlands between 2002 and 2008. (C) 2011 Elsevier Ltd. All rights reserved. Show less
