Background: It is well recognized that underrepresented and minoritized groups do not have the same career opportunities. However, there are limited data on the range and specifics of potential... Show moreBackground: It is well recognized that underrepresented and minoritized groups do not have the same career opportunities. However, there are limited data on the range and specifics of potential barriers that withhold people in headache medicine and science from reaching their full potential. Moreover, people from different geographical regions often perceive different challenges. We aimed to identify world-wide perceived career barriers and possibilities for promoting equality amongst professionals in the headache fields. Methods: A cross-sectional online survey was conducted among professionals in the field of headache globally. The questions of the survey were aimed at assessing perceived career barriers in four domains: professional recognition, opportunities in scientific societies, clinical practice, and salary and compensation. Perceived mentorship was also assessed. Results: In total 580 responders completed the survey (55.3% women). Gender was the most important perceived barrier in almost all domains. Additionally, country of birth emerged as an important barrier to participation in international scientific societies. Career barriers varied across world regions. Conclusion: It is essential that longstanding and ongoing disparities by gender and country of origin for professionals in the headache field are globally acknowledged and addressed in areas of recruitment, retention, opportunities, mentor- and sponsorships, and advancement. Show less
Speyer, R.; Cordier, R.; Sutt, A.L.; Remijn, L.; Heijnen, B.J.; Balaguer, M.; ... ; Bergstrom, L. 2022
Objective: To determine the effects of behavioural interventions in people with oropharyngeal dysphagia. Methods: Systematic literature searches were conducted to retrieve randomized controlled... Show moreObjective: To determine the effects of behavioural interventions in people with oropharyngeal dysphagia. Methods: Systematic literature searches were conducted to retrieve randomized controlled trials in four different databases (CINAHL, Embase, PsycINFO, and PubMed). The methodological quality of eligible articles was assessed using the Revised Cochrane risk-of-bias tool for randomised trials (RoB 2), after which meta-analyses were performed using a random-effects model. Results: A total of 37 studies were included. Overall, a significant, large pre-post interventions effect size was found. To compare different types of interventions, all behavioural interventions and conventional dysphagia treatment comparison groups were categorised into compensatory, rehabilitative, and combined compensatory and rehabilitative interventions. Overall, significant treatment effects were identified favouring behavioural interventions. In particular, large effect sizes were found when comparing rehabilitative interventions with no dysphagia treatment, and combined interventions with compensatory conventional dysphagia treatment. When comparing selected interventions versus conventional dysphagia treatment, significant, large effect sizes were found in favour of Shaker exercise, chin tuck against resistance exercise, and expiratory muscle strength training. Conclusions: Behavioural interventions show promising effects in people with oropharyngeal dysphagia. However, due to high heterogeneity between studies, generalisations of meta-analyses need to be interpreted with care. Show less
TMG demanded a financial compensation from the State, because the Netherlands had not implemented the EU Database Directive in time. The directive should have been transposed before 1 January 1998,... Show moreTMG demanded a financial compensation from the State, because the Netherlands had not implemented the EU Database Directive in time. The directive should have been transposed before 1 January 1998, but this happened on 1 January 2015 instead. Under Dutch law the statutory limitation period is five years. However, TMG started proceedings only on 21 September 2012, because Dutch case law had suggested that there had been no violation of the directive. The CJEU-judgment Football Dataco op 1 March 2012 showed that this case law was incorrect. Finally, the Hoge Raad decides that the claim by TMG is valid for the time from 21 September 2007, that is five years before TMG started the proceedings. Show less
Following a brief description of the Herero genocide of 1904/1907, this chapter provides a chronological overview of the way in which the Herero have sought to draw the world's attention to the... Show moreFollowing a brief description of the Herero genocide of 1904/1907, this chapter provides a chronological overview of the way in which the Herero have sought to draw the world's attention to the crimes committed by imperial Germany in Namibia. Calls for recompensation revolve in the end around the issue of German government responsibility. That is, to what extent were the Herero genocide and related atrocities the product of German policy? To what extent were the criminal acts not merely the actions of individuals? Material presented in this chapter shows that the Herero genocide and associated atrocities were indeed officially sanctioned. During the Herero-German war, the German settlers and soldiers carried out a shoot-to-kill policy, conducted extrajudicial killings, established concentration camps, employed forced labour, and in at least two cases, established death camps. After the war, the loss of Herero liberty, land and stock was officially sanctioned in legislation. At no stage after 1904 were any German settlers or soldiers brought to justice for genocidal acts committed in Namibia between 1904 and 1908. Bibliogr., notes [ASC Leiden abstract] Show less
