Thromboembolic complications remain a major public health burden, making antithrombotic agents one of the most widely prescribed groups of medication, but the treatment is often challenging as it... Show moreThromboembolic complications remain a major public health burden, making antithrombotic agents one of the most widely prescribed groups of medication, but the treatment is often challenging as it at the same time increases risk of bleeding. With nationwide data from Statistics Netherlands, antithrombotic therapy and relevant clinical outcomes were comprehensively examined in the patient population of atrial fibrillation, overall or among those with comorbid cancer. The results suggest the patient population was increasingly receiving anticoagulants, driven by the newly introduced medication- direct oral anticoagulant and guided by the CHA2DS2-VASc score, and meanwhile the patient population experienced fewer ischemic stroke and major bleeding. In spite of these promising changes, suboptimal medication adherence and potential underuse of anticoagulants remain directions for further improvement. Antithrombotic agent use during pregnancy was also examined in the general Dutch pregnant population, which featured a surge in antiplatelet prescriptions, and risk of preeclampsia/eclampsia decreased and several newborn outcomes improved simultaneously. Together, the studies presented in this thesis provide an overview of antithrombotic therapy in the Netherlands in recent years, providing insights for further improving this treatment and relevant patient outcomes. Show less
This dissertation examines the educational positions of children of immigrants in the Netherlands from 1980 to 2020. In particular, the influence of migration background and socioeconomic factors... Show moreThis dissertation examines the educational positions of children of immigrants in the Netherlands from 1980 to 2020. In particular, the influence of migration background and socioeconomic factors on educational positions is studied. Findings reveal substantial progress in education for migrant children overall, especially among the second generation, younger cohorts, and girls with a migrant background, indicating promising upward mobility within the education system for many of these children. The family environment impacts educational outcomes, with socioeconomic background playing a crucial role. Higher parental incomes correlate with higher education levels for children in both the short and long term. Additionally, the living environment affects outcomes such as school dropout rates, especially among boys from migrant backgrounds in larger cities. They are more prone to leaving education prematurely than their female or non-migrant peers. Despite institutional barriers and discrimination within the education system, these children demonstrate an upward trend in education, highlighting the need for further research incorporating discrimination as a factor. Show less
The African Studies Centre Leiden celebrated its 75th anniversary at Museum Volkenkunde in Leiden on 8 September 2022. It was a festive day with colleagues, students, alumni, and societal partners.... Show moreThe African Studies Centre Leiden celebrated its 75th anniversary at Museum Volkenkunde in Leiden on 8 September 2022. It was a festive day with colleagues, students, alumni, and societal partners. This ASCL Occasional Publication presents the keynote speeches of the day, giving insight into the Centre’s rich past and present research, education, library and societal activities. In addition, it is illustrated with many pictures of the day and showcases the ASCL Library’s special items from the collection that were exhibited. Show less
Since the opening of the first CLIL department in the Netherlands in 1989, tweetalig onderwijs (‘bilingual education’) has expanded into a national network of over 130 secondary schools, serving a... Show moreSince the opening of the first CLIL department in the Netherlands in 1989, tweetalig onderwijs (‘bilingual education’) has expanded into a national network of over 130 secondary schools, serving a population of around 37,000 learners. While academic interest in the field has also seen growth and diversification, the pace of practical developments and the lack of a structured research agenda have led to research becoming fragmented and lagging behind practice. This chapter provides an overview of the Dutch CLIL context followed by a critical review of research into organisation, implementation, outcomes and experiences in Dutch bilingual education. The chapter concludes with a reflection on the ways in which future research could support further developments in practice. Show less
Harkel, A.T. ten; Dierendonck, R. van; Farber, E.; Dee, M.; Doeve, P.; Hamerow, H.; ... ; Deckers, P. 2023
THIS PAPER ADDRESSES THE QUESTION, who were the people who were buried at the early medievalNorth Sea emporia? Conclusions about the mercantile character of the North Sea emporia are often based on... Show moreTHIS PAPER ADDRESSES THE QUESTION, who were the people who were buried at the early medievalNorth Sea emporia? Conclusions about the mercantile character of the North Sea emporia are often based on portablematerial culture. In recognition of the fact that it is difficult to draw conclusions about the identities of people basedon finds assemblages, two pilot projects have been completed that involved bioarchaeological analyses of cemetery pop-ulations associated with these sites. The first of these, the Investigating the Dead in Early Medieval Domburg project,undertook multi-disciplinary analyses of the (very small) surviving burial population from the mostly destroyed sitesin the Domburg area (Netherlands), combining isotope analysis, radiocarbon dating, biological anthropology, dendro-chronology, and provenancing and study of previous use of coffin wood. The second, the Medieval Migrants of theNorth Sea World project, inventoried available isotopic evidence for human remains from emporia sites in England,the Netherlands and Scandinavia, alongside contextual archaeological information. This paper presents both projects,providing the detailed information from Domburg in its wider, international context, and highlighting the need for acomprehensive research agenda to fill current gaps in our understanding of early medieval emporia populations. Show less
In 1727 the Dutch United East India Company (Verenigde Oostindische Compagnie, or VOC) ship Zeewijk wrecked in the Pelsaert Group of the Houtman Abrolhos Islands.This report details the methodology... Show moreIn 1727 the Dutch United East India Company (Verenigde Oostindische Compagnie, or VOC) ship Zeewijk wrecked in the Pelsaert Group of the Houtman Abrolhos Islands.This report details the methodology, outputs and conclusions of a 2022 field survey conducted between 11 and 17 March 2022. The primary aim was to create a 3D record of the Zeewijk (1727) shipwreck site using photogrammetry. The work would allow for a critical assessment of Mr Hugh Edwards’ claim of finding the wreck of Aagtekerke (1726) on the same site as Zeewijk. It would also better visualise the site for research, management, and public interpretation purposes. The fieldwork successfully mapped the widely dispersed Zeewijk shipwreck site on the inner (inside lagoon) and outer reef (in the surf zone) using digital cameras and GPS positioning. It resulted in significant new findings allowing a re-evaluation of the total count of all iron cannon and anchors in the offshore reef, and inshore lagoon areas.This work, when combined with findings of the earlier ‘Roaring Forties Project’ (Paterson et al. 2019), and more recent research undertaken by the Western Australian (WA) Museum, provides convincing evidence that there is only one shipwreck on the Zeewijk site, and negates the hypothesis of two VOC shipwrecks present within the Pelsaert Group. The resulting updated corpus of high-resolution digital imagery, 3D models and site data will greatly facilitate future studies, public interpretation outputs and on-going site monitoring and management of this highly significant Dutch-Australian mutual heritage site. It is gratefully acknowledged that the field work was primarily funded by a grant from the Embassy of the Kingdom of the Netherlands (GCE-2019-03), with additional funding support provided through the WA Museum/Australian Government’s Underwater Cultural Heritage Program and Flinders University’s Maritime Archaeology Program. Transport, logistics and local knowledge to enable safe access to the Zeewijk site were provided by the Liddon family. Show less
The overall aim of this dissertation was to study the contribution of a syndemics framework to understanding and addressing persistent health disparities. Departing from an interdisciplinary... Show moreThe overall aim of this dissertation was to study the contribution of a syndemics framework to understanding and addressing persistent health disparities. Departing from an interdisciplinary approach, the dissertation attends to research questions on syndemics indicators, contextual drivers for syndemics, the intergenerational nature of syndemics, and possibilities for early public health interventions in Katwijk, a former fishing town in the Netherlands. An epidemiological study described the three most prevalent disease clusters in Katwijk. A qualitative life course study found a first indication that syndemic vulnerability is potentially intergenerational, and that syndemic processes can be countered. A mixed method study showed that while challenging, a family-engagement approach can elicit positive effects on families’ health and wellbeing. The ethnographic study described the hurdles for implementing family-focused health promotion for multifaceted health conditions, such as childhood obesity. This dissertation establishes that the syndemics framework provides tools to identify past and present factors on the complex pathways to persistent poor health, which in turn point at directions for breaking patterns of generational health. The findings highlight a need for multisystem approaches in which stakeholders develop a thorough understanding of a community’s history and past legacies with institutions, and professionals are equipped with the necessary knowledge, attitudes and skills for community-based and family-focused interventions. Show less
This thesis researches the profession of the upholsterer – or ‘kamerbehanger’ in Dutch – and the role they played in the creation of interiors in the Dutch Republic, in the long eighteenth century ... Show moreThis thesis researches the profession of the upholsterer – or ‘kamerbehanger’ in Dutch – and the role they played in the creation of interiors in the Dutch Republic, in the long eighteenth century (1680-1810). Its research centers on the cities of Amsterdam, The Hague and Haarlem. A total of 234 shops or individual upholsterers working there in this period were found. Hopefully, the index of their names included in this thesis will advance future research. The first chapter describes the way the profession developed, as well as how upholsterers learned the trade, worked, kept their shops and advertised. In the following four chapters, the relation between upholsterer and client is explored in-depth through case studies from the period 1680-1810.Upholsterers provided bed and wall hangings, curtains of all sorts, upholstered furniture and other textile wares. They were a relatively small but diverse group working in the luxury industries, with about 10 shops at any one time in Amsterdam and in The Hague, and about 1-5 shops in Haarlem. Some upholsterers did not have a shop but worked their trade from a single room, or worked for others. Most kept a small shop. For some, this was indeed the best profession (‘le meilleur métier’). Upholsterers such as a Pierre Courtonne or Johannes Deel, working for the Stadholders and the elite of their day, were able to amass fortunes of 20,000-50,000 guilders and played a role in designing interiors. Succes was dependent on factors such as seed money, an up-to-date knowledge of current fashions, and maintaining good relations with clients. Most shops went from father to son, and most of the upholsterers working in the Republic were locals. Only a small percentage were foreign-born, and even though France exercised a large influence on the luxury market in the eighteenth century, this is not reflected in the number of French upholsterers settling in the Republic. Only at the end of the century can an increase in their number be seen, and a handful of ‘French upholsterers’ settle in Holland. They seem to have had an advantage over their Dutch colleagues in that they were able to purchase the latest French wares directly through their connections.Regarding the relationship with their clients, it has been found that most upholsterers played the role of advisor and facilitator, when helping their clients buy a new interior or furniture. All-in-all, the case studies show how upholsterers would balance their client’s quest for the newest and most fashionable furniture and interiors with their budget and the available goods. Show less
Background:Identification of risk factors and causes of stroke is key to optimize treatment and prevent recurrence. Up to one-third of young patients with stroke have a cryptogenic stroke according... Show moreBackground:Identification of risk factors and causes of stroke is key to optimize treatment and prevent recurrence. Up to one-third of young patients with stroke have a cryptogenic stroke according to current classification systems (Trial of ORG 10172 in Acute Stroke Treatment [TOAST] and atherosclerosis, small vessel disease, cardiac pathology, other causes, dissection [ASCOD]). The aim was to identify risk factors and leads for (new) causes of cryptogenic ischemic stroke in young adults, using the pediatric classification system from the IPSS study (International Pediatric Stroke Study).Methods:This is a multicenter prospective cohort study conducted in 17 hospitals in the Netherlands, consisting of 1322 patients aged 18 to 49 years with first-ever, imaging confirmed, ischemic stroke between 2013 and 2021. The main outcome was distribution of risk factors according to IPSS classification in patients with cryptogenic and noncryptogenic stroke according to the TOAST and ASCOD classification.Results:The median age was 44.2 years, and 697 (52.7%) were men. Of these 1322 patients, 333 (25.2%) had a cryptogenic stroke according to the TOAST classification. Additional classification using the ASCOD criteria reduced the number patients with cryptogenic stroke from 333 to 260 (19.7%). When risk factors according to the IPSS were taken into account, the number of patients with no potential cause or risk factor for stroke reduced to 10 (0.8%).Conclusions:Among young adults aged 18 to 49 years with a cryptogenic ischemic stroke according to the TOAST classification, risk factors for stroke are highly prevalent. Using a pediatric classification system provides new leads for the possible causes in cryptogenic stroke, and could potentially lead to more tailored treatment for young individuals with stroke. Show less
Jongenelen, R.G.L.; Leighton, T.; Veldkamp, F. 2023
Afscheidscollege van Prof. dr. Gert J. Oostindie Directeur van het Koninklijk Instituut voor Taal-, Land- en Volkenkunde (KITLV-KNAW) Hoogleraar Koloniale en Postkoloniale Geschiedenis aan de... Show moreAfscheidscollege van Prof. dr. Gert J. Oostindie Directeur van het Koninklijk Instituut voor Taal-, Land- en Volkenkunde (KITLV-KNAW) Hoogleraar Koloniale en Postkoloniale Geschiedenis aan de Universiteit Leiden uitgesproken op vrijdag 17 december 2021 Show less
Broecks, K.; Jack, C.; ter Mors E.; Boomsma, C.; Shackley, S. 2021
Carbon Capture and Storage at industrial processes (industrial CCS) is expected to play an important role in reducing industrial CO2 emissions in the short term. Industrial CCS involves capturing... Show moreCarbon Capture and Storage at industrial processes (industrial CCS) is expected to play an important role in reducing industrial CO2 emissions in the short term. Industrial CCS involves capturing CO2 from industrial processes, such as steel and cement making, and storing the CO2 underground. This study examined the public opinion of industrial CCS through an informed opinion survey in the Netherlands (N = 987) and the United Kingdom (UK; N = 974). On average, respondents were neutral to slightly positive about the implementation of industrial CCS in their country. UK respondents were slightly more positive (M = 4.66 on a 7-point scale) than Dutch respondents (M = 4.38). Awareness and perceived knowledge levels were somewhat higher in the Netherlands than in the UK. In both countries, perceived outcomes of industrial CCS (e.g. for climate change; safety; employment) were strongly associated with industrial CCS opinion, when compared to socio-demographics, proximity to industry (actual and perceived), and psychological variables. Differences between countries in outcome perceptions occur. For example, the safety of CO2 transport is a larger concern in the Netherlands than in the UK, while cost-control is a larger concern in the UK than in the Netherlands. These findings suggest that the national context for CCS implementation matters. Our research suggests that public engagement strategies will benefit from focusing on the economic and climate impacts of industrial CCS, as well as from building trust in industry and addressing perceived safety concerns surrounding different aspects of industrial CCS. Show less
Homicide is generally considered the most serious of all crimes and according to this line of reasoning, constitutes the “tip of the iceberg” of underlying crime. As such, homicide is frequently... Show moreHomicide is generally considered the most serious of all crimes and according to this line of reasoning, constitutes the “tip of the iceberg” of underlying crime. As such, homicide is frequently used as an indicator of the level of violence in cross-national and historical studies. The same could be said for drug-related homicide, specifically. Many drug-related violent incidents remain unreported – including torture, physical assault, threats and so on. In the absence of a full picture of the level of drug-related violence, it can be necessary to use other related indicators for which data is more readily available such as drug-related homicide (DRH). From this perspective, DRH would form a lethal tip of the iceberg of underlying drug-related criminal violence, which in turn could be an indicator of underlying drug market activity. If we indeed consider drug-related homicide as a tip of the iceberg of underlying criminal violence, then we would expect such homicides to cluster together in time and space with other types of criminal violence – in particular firearm-related homicides and other, non-lethal firearm incidents.In this working paper we seek to assess to what extent DRH cluster together with firearm- related violence and whether these forms of violence could be used as indicators of underling drug crime. Show less
This study describes how the interpretations, aspirations and school identity development of Islamic primary schools developed in the period 1988-2013. It gives an overview of the most important... Show moreThis study describes how the interpretations, aspirations and school identity development of Islamic primary schools developed in the period 1988-2013. It gives an overview of the most important turning points for Islamic education and how these turning points have influenced identity development.In this study, the administrators and directors of Islamic primary schools who have at least 10 years of experience in identity development are interviewed. This research shows how complex and diverse the identity of Islamic primary schools is. The main internal and external factors and actors that have influenced the development of school identity are discussed. National and international events have led to a social debate in which the role of Islamic primary schools regarding the integration of Muslims has been questioned. Partly because of this negative attention, Islamic schools have changed from introverted to extroverted organisations. This discussion has also led to unequal treatment of these schools. This research shows precisely how important these schools are for the emancipation of Muslims in the Netherlands. After all, Muslims themselves take the responsibility for education. Islamic primary schools are typical Dutch schools that make an important contribution to a safe pedagogical climate. Show less
Although the Netherlands remained neutral during the First World War, its population was nonetheless affected by the war. Already in the 1920s and 1930s, Dutch journalists wrote about the... Show moreAlthough the Netherlands remained neutral during the First World War, its population was nonetheless affected by the war. Already in the 1920s and 1930s, Dutch journalists wrote about the possibility of a war in which the Netherlands would also be involved. From the early 1920s to the German invasion in May 1940, journalists, political commentators, politicians, military officials and civilians were occupied by the question what tomorrow’s war might look like. This book captures their efforts and brings to life the cultural memories of the First World War and the expectations for the war to come.By focusing on the dynamics of cultural memories, predictions for the future, and the resultant fear and anxiety, this book provides a better understanding of the ways in which the cultural memories of the Great War and expectations for a future war were part of Dutch society. It draws from a wide array of sources, ranging from newspaper clippings, novels, films and theatre plays to political cartoons and paintings. Most importantly, this study has a unique perspective. Whereas most existing studies look back from the Second World War, this book instead looks forward from the interbellum. Show less
Studies of motivation in bilingual education settings often address questions of differences between learners in bilingual programmes and those in mainstream education. Problematic in this respect... Show moreStudies of motivation in bilingual education settings often address questions of differences between learners in bilingual programmes and those in mainstream education. Problematic in this respect is our increasing awareness of the inherent differences between these two learner groups, as learners in bilingual programmes have often chosen or been selected for a bilingual route (Mearns et al., 2017). The study presented here therefore does not seek to compare learners in bilingual and non-bilingual programmes, but rather to explore the nature of language learning motivation within the context of bilingual secondary education (BSE) in the Netherlands. Using a purpose-designed tool reflecting the L2 Motivational Self System (Dörnyei, 2009), this study investigated trends in motivation across genders, academic tracks and year-groups of nearly 2000 learners. Findings suggest that, although these learners all have bilingual education in common, differences between the motivations of these groups should not be overlooked. Show less
