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In this cohort profile article we describe the lifetime major depressive disorder (MDD) database that has been established as part of the BIObanks Netherlands Internet Collaboration (BIONIC). Across the Netherlands we collected data on Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) lifetime MDD diagnosis in 132,850 Dutch individuals. Currently, N = 66,684 of these also have genomewide single nucleotide polymorphism (SNP) data. We initiated this project because the complex genetic basis of MDD requires large population-wide studies with uniform in-depth phenotyping. For standardized phenotyping we developed the LIDAS (LIfetime Depression Assessment Survey), which then was used to measure MDD in 11 Dutch cohorts. Data from these cohorts were combined with diagnostic interview depression data from 5 clinical cohorts to create a dataset of N = 29,650 lifetime MDD cases (22%) meeting DSM-5 criteria and 94,300 screened controls. In addition, genomewide genotype data from the cohorts were assembled into a genomewide association study (GWAS) dataset of N = 66,684 Dutch individuals (25.3% cases). Phenotype data include DSM-5 -based MDD diagnoses, sociodemographic variables, information on lifestyle and BMI, characteristics of depressive symptoms and episodes, and psychiatric diagnosis and treatment history. We describe the establishment and harmonization of the BIONIC phenotype and GWAS datasets and provide an overview of the available information and sample characteristics. Our next step is the GWAS of lifetime MDD in the Netherlands, with future plans including fine-grained genetic analyses of depression characteristics, international collaborations and multi-omics studies. [ABSTRACT FROM AUTHOR]

Nurse workforce shortages put healthcare systems under pressure, moving the nursing profession into the core of healthcare policymaking. In this paper, we shift the focus from workforce policy to workforce politics and highlight the political role of nurses in healthcare systems in England, Spain, Sweden, and the Netherlands. Using a comparative discursive institutionalist approach, we study how nurses are organised and represented in these four countries. We show how nurse politics plays out at the levels of representation, working conditions, career building, and by breaking with the public healthcare system. Although there are differences between the countries – with nurses in England and Spain under more pressure than in the Netherlands and Sweden – nurses are often not represented in policy discourses; not just because of institutional ignorance but also because of fragmentation of the profession itself. This institutional ignorance and lack of collective representation, we argue, requires attention to foster the role and position of nurses in contemporary healthcare systems. [ABSTRACT FROM AUTHOR]

The literature on older migrants often focuses on identifying the characteristics of ethnic groups that constitute 'barriers' for members of these populations to access care. This paper offers an alternative conceptualisation of access to care, by combining relational approaches to place and the notion of super-diversity. From this perspective, 'access to care' is perceived as an outcome of an individual's embeddedness in relationships of care in urban places. The objective of the study is to identify relationships of care that facilitate access to aged care for older first-generation migrants. Thirty-two semi-structured interviews were conducted with older migrants who were residents of Nijmegen or The Hague, The Netherlands. All interviewees had accessed home care, home aid and/or day care. Both relationships with minority-specific services and informal relationships of care, particularly those within local minority communities, were found to facilitate access to aged care. Past experiences with health and social care were also found to influence current relationships with formal care providers. This study, therefore, suggests that policy makers and care organisations should build long-term positive relationships with new and incoming migrant groups. In addition, it argues that policy makers and care providers should identify locally relevant shared migration-related (rather than ethnic) identities around which communities can be mobilised and targeted with appropriate services. [ABSTRACT FROM AUTHOR]

Interactions between social identity groups can reduce perceptions of threatening out-groups and improve inter-group attitudes. But these interactions have an inevitable side effect: while an interaction may improve attitudes among its participants, the same interaction can increase exposure to out-groups in the proximity of the interaction, leading to increased perceptions of threat among those not participating in the interaction. With such negative externalities in mind, this paper argues that the presence of a large number of out-group members both improves and aggravates native attitudes toward out-groups in the same area, which may, in the aggregate, conceal a hot spot of anti-immigration attitudes. This study examines the effects of interaction and exposure through a series of surveys of native attitudes toward Muslim immigrants in the Netherlands. While the exposure effect was not observed, empirical analyses suggest that brief interactions tend to worsen negative attitudes toward Muslims, possibly due to their physical and religious appearances. This highlights the importance of visual cues in shaping inter-group relations, as these visual cues may prompt natives to sort out interactions based on appearance, hindering efforts to promote inter-group contact between Muslims and non-Muslims. [ABSTRACT FROM AUTHOR]

Applying a qualitative framing analysis, this paper examines narratives of the right-wing populist parties Alternative for Germany (AfD) and the Party for Freedom (PVV) in the Netherlands on religion. The paper argues that references of these populist parties to religion can be interpreted against the background of specific national context factors such as the respective history of nation building, the traditional role of religion in society and secularization processes. A rigorous examination of parliamentary documents published between 2017 and 2019 shows that whereas the PVV clearly defines Christianity in civilizational and not religious terms, the AfD takes a less clear-cut stance toward the religion framing it both as culture and faith. We contend that this difference can be explained by the lower degree of secularization and the greater role of Christianity as a collective identity marker in post-war Germany. [ABSTRACT FROM AUTHOR]

Two Twitter-based corpus studies are reported to account for the increasing preference in The Netherlands for the stigmatized subject use of the object pronoun hun 'them.' Twitter data were collected to obtain a sufficient number of hun -tokens, but also to investigate the validity of two hypotheses on the preference for hun , this is, that subject- hun is a contrast profiler which thrives in contexts of evaluation and qualification, and that subject- hun is propelled by its dynamic social meaning, being a tool for nonposh and streetwise self-stylization. Although the latter is not normally a predictor included in regression analyses of constructional choice, it turns out that expressively spruced up tweets with vivid contrast profiling are the prime biotope of subject- hun. Along the way, this paper reviews the potential of Twitter data for the reconciliation of macro-big-data analysis with micro-sociolinguistic focus, but it also reports and attempts to remedy three concerns. [ABSTRACT FROM AUTHOR]

This paper discusses the regional variation in four ongoing sound changes in the Dutch vowels /eː,øː,oː,ɛi,œy/ that are conditioned by a following coda /l/. The synchronic diatopic diffusion of these changes is charted using the Dutch teacher corpus, a comprehensive dataset containing word-list data from four regions in The Netherlands and four in Flanders. Comparisons are made of the five vowels preceding nonapproximant consonants and preceding coda /l/. To avoid manually segmenting the oftentimes highly gradient vowel–/l/ boundary, GAMMs are used to model whole formant trajectories. Comparisons are then made of trajectories and of peaks of trajectories. The results are used to classify the nature of the four sound changes in terms of phonetic and lexical abruptness/graduality and to show that the changes are intertwined in such a way that they can only be considered as separate facets of a single, currently ongoing vowel shift. [ABSTRACT FROM AUTHOR]

Although social frailty has been described from a theoretical perspective, the lived experiences of older adults regarding social frailty are yet unknown. In this paper, we aim to (a) gain more in-depth insights into community-dwelling and assisted-living older adults' experiences of social frailty and (b) explore the differences in these experiences between these two groups. We conduct a thematic analysis of 38 interviews with community-dwelling and assisted-living older adults in rural villages the Netherlands. We structure our findings along three overarching themes which highlight different aspects of the social frailty experiences of our participants: (a) present resources and activities to fulfil social needs, (b) resources and activities that have been lost, and (c) how they manage and adapt to changes in resources and activities over time. Loneliness is only reported among the community-dwelling participants, while the loss of mobility and participation in (social) activities is experienced most strongly by the assisted-living participants. These findings challenge the widespread policies and practices of ageing in place. We conclude that for some older adults, living in assisted arrangements is preferred over ageing in place, as doing so can prevent social frailty. The key reason for this is that life in assisted living is likely to bring about new social resources and activities, which may serve to fulfil the social needs of older adults. [ABSTRACT FROM AUTHOR]

This paper deals in a qualitative discourse analysis with the role of Islamic organizations in welfare delivery in Germany and the Netherlands. Referring to Jonathan Fox's "secular–religious competition perspective", the paper argues that similar trends of exclusion of Islamic organizations from public social service delivery can be explained with discourses on Islam in these two countries. The analysis, first, shows that in the national competitions between religious and secular ideologies on the public role of religion, different views are dominant (i.e., the support for the Christian majority in Germany and equal treatment of all religions in the Netherlands) which can be traced back to the respective regimes of religious governance. However, and second, when it comes to Islam in particular, in the Netherlands, the perspective of restricting all religions from public sphere prevails which leads to the rather exclusivist view on Islamic welfare that dominates in Germany, too. [ABSTRACT FROM AUTHOR]

This paper summarizes recent developments in Dutch occupational pensions of both the defined contribution and defined benefit (DB) types. A reform of DB schemes is discussed that introduces financial assets as individual entitlements. At the same time, the reformed schemes derive (dis)saving, financial risk management and insurance decisions from the explicit objective of adequate and stable lifelong retirement income. The proposed system also involves an insurance contract pooling longevity risks and possibly collective buffers that share systematic risks with future pension savers. The paper identifies the strengths and weaknesses of the Dutch contract design and draws lessons for other countries. [ABSTRACT FROM AUTHOR]

Little is known about the effects of informal care-giving on employees' absenteeism due to illness. This paper therefore provides a longitudinal analysis of the consequences of taking on informal care-giving for men's and women's working hours and workplace absenteeism due to illness. Data were taken from the Dutch Labour Supply Panel (waves 2004–2018); 495 of the 6,452 male observations in this panel and 696 of the 5,961 female observations had taken on informal care-giving. It was tested whether respondents who became (intensive) informal carers were more likely than respondents who remained non-care-givers to reduce their work hours or stop working between waves t and t1, or to be absent from work due to illness in wave t1. (Multinomial) logistic regression analyses showed that taking on informal care reduced women's working hours when the care they provided was intensive, but not men's. The predicted probability of women reducing their work hours was 12 per cent if they had remained non-care-givers between waves t and t1, 15 per cent if they had started giving non-intensive care and 19 per cent if they had begun providing intensive help. In addition, starting to provide (non-intensive) informal care increased the risk of workplace absenteeism among both women and men. The study highlights the need for workplace policies that prevent female carers from reducing their work hours, and enable male and female carers to continue working in a healthy way. [ABSTRACT FROM AUTHOR]

Using detailed spending and time use data from the Netherlands, this paper analyzes the causal effect of retirement on spending and time use decisions. Both total consumption and disaggregated consumption categories are considered. We do not find empirical evidence for drops in households' total non-durable spending at retirement. Our estimates suggest increases in spending at retirement on goods that are complementary to leisure, but no decreases in spending on goods that are replaceable by home production. The quantitative implication of our empirical results for the Life-Cycle Model is an intertemporal elasticity of substitution for leisure below unity. [ABSTRACT FROM AUTHOR]

The 2002 Dutch Euthanasia law applies to patients aged 12 years and older. Developments in end-of-life care and decision-making in the last decade have sparked the debate about usefulness and necessity to extend euthanasia to include children under 12 years of age. This paper describes two opposite positions: the affirmative position of a pediatrician and expert in pediatric palliative care and the negative position of a jurist and specialist in health law. [ABSTRACT FROM AUTHOR]

The Eetscore FFQ was developed to score the Dutch Healthy Diet index 2015 (DHD2015-index) representing the Dutch food-based dietary guidelines of 2015. This paper describes the development of the Eetscore FFQ, a short screener assessing diet quality, examines associations between diet quality and participants' characteristics, and evaluates the relative validity and reproducibility of the Eetscore FFQ in a cross-sectional study with Dutch adults. The study sample consisted of 751 participants, aged 19–91 years, recruited from the EetMeetWeet research panel. The mean DHD2015-index score based on the Eetscore FFQ of the total sample was 111 (sd 17·5) out of a maximum score of 160 points and was significantly higher in women than in men, positively associated with age and education level, and inversely associated with BMI. The Kendall's tau-b coefficient of the DHD2015-index between the Eetscore FFQ and the full-length FFQ (on average 1·7-month interval, n 565) was 0·51 (95 % CI 0·47, 0·55), indicating an acceptable ranking ability. The intraclass correlation coefficient between DHD2015-index scores derived from two repeated Eetscore FFQ (on average 3·8-month interval, n 343) was 0·91 (95 % CI 0·89, 0·93) suggesting a very good reproducibility. In conclusion, the Eetscore FFQ was considered acceptable in ranking participants according to their diet quality compared with the full-length FFQ and showed good to excellent reproducibility. [ABSTRACT FROM AUTHOR]

Understanding the causes of the Industrial Revolution, namely the process of transition from a Malthusian equilibrium to modern economic growth, has been the subject of passionate debate. This paper contributes to insights into the process of industrialization and the demographic transition that followed. We present a model that proposes a mechanism behind the claim that landed elites had strong incentives to block education reforms. By applying the theory of interest groups to landownership, landowners could delay education. However, they could not prevent its introduction indefinitely since gains for the landed elites derived from education would at some moment surpass the costs associated with them. We also sustain that improvements in agricultural productivity prior to the Industrial Revolution may have induced a positive impact on the landowners' decision to educate the population, which led to an earlier introduction of education reforms. The conclusions fit the patterns of the late boom of industrialization and demographic transition and help explain why some countries (e.g., Britain and The Netherlands) had accelerated education reforms and a faster process of industrialization than most continental countries. A theoretical model is presented, and numerical simulations are exhibited to illustrate our claims. [ABSTRACT FROM AUTHOR]

Summary: Invasive alien species represent a multifaceted management problem in terms of threats to biodiversity and ecosystems and their impacts on agriculture and human well-being. Ambrosia artemisiifolia is an invasive alien plant in Europe that affects the human population as its already highly allergenic pollen can interact with air pollutants, resulting in detrimental effects on health. In this context, the invasive beetle Ophraella communa was proposed as a biocontrol agent of A. artemisiifolia , as it feeds on its leaves, leading to a decrease in pollen production. This paper takes advantage of the different co-occurrence classes obtained by the ecological niche models inferred for both of these species based on current and future climatic conditions. We integrate them with spatial data regarding major air pollutants (nitrogen dioxide and fine particulate matter). We couple this information with European human population density data at a narrow territorial scale to infer current and future statistically significant hotspots of health risk. The Netherlands and the UK host the widest hotspots within their national territory for both current (7.09% and 3.54%, respectively) and future (15.04% and 6.70%, respectively) scenarios. Considering the alarming results obtained for some areas, the monitoring and biocontrol of A. artemisiifolia should be applied as a European strategy. [ABSTRACT FROM AUTHOR]

Participatory action research (PAR) advocates end-user involvement in various societal domains. This paper aims to identify and analyse impacts of PAR involving older persons as co-researchers, and how these impacts spread and are enhanced throughout the research process and after its completion. By impact we mean transformational change throughout and after a PAR study. We present a qualitative community-based research project involving older people who live in sparsely populated areas in the Netherlands, and explore three types of PAR impact: personal, interpersonal and community impacts. We demonstrate how these impacts unfold through expanding circles, from a personal to a community level, and how these circles enhance each other. The project was conducted by a PAR team consisting of one researcher and seven co-researchers. The data were collected from observations, interviews and minutes of meetings, which the team subsequently analysed. The results are presented as a narrative account, whereby four project stages are followed by reflection on the impact it made. The discussion addresses the circles of impact, and whether and how they can strengthen each other in community-based projects involving older people. The concluding remarks address the influence of group dynamics on PAR, whether frail older adults can be expected to take an active part in PAR projects and the extent to which the results from such community-based PAR projects can be generalised. [ABSTRACT FROM AUTHOR]

The Covid-19 pandemic has put policy systems to the test. In this paper, we unmask the institutionalized resilience of the Dutch health care system to pandemic crisis. Building on logics of crisis decision-making and on the notion of 'tact', we reveal how the Dutch government initially succeeded in orchestrating collective action through aligning public health purposes and installing socio-economic policies to soften societal impact. However, when the crisis evolved into a more enduring one, a more contested policy arena emerged in which decision-makers had a hard time composing and defending a united decision-making strategy. Measures have become increasingly debated on all policy levels as well as among experts, and conflicts are widely covered in the Dutch media. With the 2021 elections ahead, this means an additional test of the resilience of the Dutch socio-political and health care systems. [ABSTRACT FROM AUTHOR]

Euthanasia and physician-assisted suicide are common practice in the Netherlands. In response to increasing requests from patients to end their lives, physicians are finding themselves placed in particularly precarious situations because of advance directives written by patients suffering from severe dementia. In April 2020, the Supreme Court of the Netherlands issued two judgments in the so-called Dormicum case: a case involving the deliberate termination of the life of a 74-year-old woman suffering from advanced dementia by a geriatrician in a nursing home in The Hague. The judgment of the lower criminal court was upheld, but the sanction imposed by the appellate disciplinary court was quashed. In this paper, the author reviews the two Supreme Court rulings, argues that both are fundamentally flawed and raises questions as to what they mean for Dutch criminal law, physicians, and patients going forward. [ABSTRACT FROM AUTHOR]

Roman military bases were once regarded as strictly male domains with the only women living there being the senior officers' wives. This view was challenged by studies that used material culture to identify women in Roman forts and interpret the roles they played. The best of this work considers both the multiple identities expressed through objects and the complexities of depositional and recovery processes. The article presented here fits into this recent development, as it investigates the presence of women in the Augustan military base and the Flavio-Trajanic fortress on the Hunerberg in Nijmegen, the Netherlands, by examining the spatial distribution of brooches (fibulae) associated with women. The distribution of female brooches is compared to that of military (male) brooches in order to highlight and interpret any significant patterns. While numbers are small, the quality of the contextual information allows for the examination of depositional and recovery practices. The paper also raises wider questions about the possibility of 'gendering' brooches. [ABSTRACT FROM AUTHOR]

It must have been early 2000, around the start of the new Millennium. I was working as a junior lecturer/researcher at the then Institute for Health Care Policy and Management at Erasmus University in Rotterdam, the Netherlands. Still barely familiar with Dutch health care as a policy system, let alone with European health care policy systems I decided that it would be a good idea to attend a seminar of the recently established European Health Policy Group. I had heard good stories about this new multidisciplinary group, founded by Elias Mossialos and Adam Oliver. My PhD thesis supervisor, Tom van der Grinten, also went there, as did some of my colleagues from the Department of Health Economics and Health Insurance, people like Erik Schut and Wynand van de Ven for example. They were close colleagues of me, although our respective disciplines from which we studied health care policy were different. [ABSTRACT FROM AUTHOR]

This paper shows the effect that the medical expertise of medical practitioners had on the life chances of their children. We focus on infant and early childhood mortality. We reconstructed the life histories of the offspring of a group of around 2800 medical practitioners who were practicing in a high-mortality region in the Netherlands between 1850 and 1922, the period during which infant and child mortality in the Netherlands underwent the largest changes. The survival of their offspring is compared with that of a random sample of children from the Historical Sample of the Netherlands. Multilevel hazard analysis, using Cox proportional hazards models with shared frailty, is applied to study the effect of belonging to the medical profession on survival, in relation to the level of infant mortality in the regions where children were born. Within the group of medical practitioners, attention is paid to differences in children's survival according to the level of medical knowledge of the fathers. Our statistical analyses show that the offspring of medical practitioners as a whole did have better survival prospects than children born to families without a father with a medical background. When medical practitioners had effective medical knowledge, measured by the period of graduation and the highest level of medical training reached, the positive effects on the survival of their children were even stronger. [ABSTRACT FROM AUTHOR]

Biodiversity points are a quantitative measure for biodiversity. For over a decade, biodiversity points are being applied in the Netherlands for measuring the impact of roads, enclosure dams, and other water management projects on the non-use value of biodiversity. Biodiversity points are quite similar to the quality-adjusted life years used for cost-effectiveness analysis of healthcare treatments. Biodiversity points can be calculated by multiplying the size of the ecotope (e.g., number of hectare), the ecological quality of the ecotope (0–100 %), and the ecological scarcity of each type of ecotope. For many infrastructure projects, the impact on the non-use value of biodiversity can be a principal purpose or a major co-benefit or trade-off, for example, for a park, a fish sluice, a road, an ecoduct, an enclosure dam, or a marine protected area. Biodiversity points are a simple, transparent, and standardized way to aggregate and quantify the qualitative or ordinal assessments by ecological experts. For measuring the non-use value of biodiversity, they are also more informative than valuation by revealed or stated preferences methods. This paper provides the first overview of the application of this method in the Dutch practice of cost–benefit analysis. It also discusses its merits and limitations. The calculation and use of biodiversity points are illustrated by four case studies. [ABSTRACT FROM AUTHOR]

This interview study investigates the short- and long-term implications of incidental findings detected through brain imaging on research participants' lives and their surroundings. For this study, nine participants of the Rotterdam Scan Study with an incidental finding were approached and interviewed. When examining research participants' narratives on the impact of the disclosure of incidental findings, the authors identified five sets of tensions with regard to motivations for and expectations of research participation, preferences regarding disclosure, short- and long-term impacts and impacts on self and others. The paper shows: (1) that the impact of incidental findings may be greater than participants at first let on; (2) incidental findings can have significant effects on participants' social environment; and (3) participants may not feel prepared for disclosure even if incidental findings have been discussed during the informed consent process. The authors call for investigators to be aware of research participants' experiences and these short- and long-term impacts when designing suitable courses of action for the detection and management of incidental findings in research settings. [ABSTRACT FROM AUTHOR]

In the Dutch health care system, health insurers negotiate with hospitals about the pricing of hospital products in a managed competition framework. In this paper, we study these contract prices that became for the first time publicly available in 2016. The data show substantive price variation between hospitals for the same products, and within a hospital for the same product across insurers. About 27% of the contract prices for a hospital product are at least 20% higher or lower than the average contract price in the market. For about half of the products, the highest and the lowest contract prices across hospitals differ by a factor of three or more. Moreover, hospital product prices do not follow a consistent ranking across hospitals, suggesting substantial cross-subsidization between hospital products. Potential explanations for the large and seemingly random price variation are: (i) different cost pricing methods used by hospitals, (ii) uncertainty due to frequent changes in the hospital payment system, (iii) price adjustments related to negotiated lumpsum payments and (iv) differences in hospital and insurer market power. Several policy options are discussed to reduce variation and increase transparency of hospital prices. [ABSTRACT FROM AUTHOR]

This paper explores the common argument proposed by opponents of the legalization of euthanasia that permitting ending a patient's life at their request will lead to the eventual legalization of terminating life without request. The author's examination of data does not support the conclusion that a causal connection exists between legalizing ending of life on request and an increase in the number of cases without request. [ABSTRACT FROM AUTHOR]

After the subprime financial crisis, the countries who were worst affected set about reforming legacy financial regulations. Given multiple similarities in the way they experienced the crisis and the similar complexions of their post-crisis economies and politics, the contrast between the UK and the Netherlands' approaches to breaking up their largest banks presents a puzzle for prevailing theories in the politics of financial regulation. Both countries explored a range of reform options using similar expert committees, but while UK policymakers determined that commercial and investment operations should be ring-fenced in the largest British banks, the Dutch reform program centered on the banks' own recommendations to change banking culture from the bottom up by developing a code of conduct and banker's oath. The paper traces this divergence to two related effects produced by the countries' contrasting majoritarian and consensus party systems: power sharing and coalition formation. Under conditions of high issue salience, both worked to encourage British policymakers to prioritize reform, while in the Netherlands each factor reduced party political responsiveness and de-emphasized alternatives to the banks' own reform prescriptions. The paper ultimately suggests that institutional democratic variables are worthy of greater recognition among scholars of business power and financial regulation. [ABSTRACT FROM AUTHOR]

This paper investigates whether there are changes in gesture rate when speakers of two languages with different gesture rates (Turkish-high gesture; Dutch-low gesture) come into daily contact. We analyzed gestures produced by second-generation heritage speakers of Turkish in the Netherlands in each language, comparing them to monolingual baselines. We did not find differences between bilingual and monolingual speakers, possibly because bilinguals were proficient in both languages and used them frequently – in line with a usage-based approach to language. However, bilinguals produced more deictic gestures than monolinguals in both Turkish and Dutch, which we interpret as a bilingual strategy. Deictic gestures may help organize discourse by placing entities in gesture space and help reduce the cognitive load associated with being bilingual, e.g., inhibition cost. Therefore, gesture rate does not necessarily change in contact situations but might be modulated by frequency of language use, proficiency, and cognitive factors related to being bilingual. [ABSTRACT FROM AUTHOR]

In this paper, the approaches of a sample of small firms to environmental issues in the UK and the Netherlands are compared. The study makes a contribution by addressing the lack of research on small firms and the environment, as well as offering insights into the influence that cultural, institutional, and political frameworks can have on small firm owner-managers' attitudes to external issues. The environment is considered here as an ethical issue, drawing on work on the environmental responsibility of business by both Bowie (1990) and Hoffman (1991). It is argued that the approaches to the environment identified in this study by Dutch and UK small firm owner-managers do not fit in with the positions of either Bowie or Hoffman. The concept of stakeholder cooperation is proposed as a more realistic alternative. [ABSTRACT FROM AUTHOR]

Inpolicy and research, migration and thewelfare state are often seen as being at odds.When 'strangers' enter the welfare state, the financial and social foundations of solidarity are said to crumble. A prominent question, therefore, is whether immigrants should have the same rights as the autochthonous population. Within this frame, migrants are often 'objects'. This paper reports on qualitative research exploring what different types of labour migrants themselves think about the Dutch welfare state in general, and about giving social rights to immigrants, in particular. The differences in national backgrounds and levels of education in labour migrants' views are striking: lower-educated Turkish and Polish migrants showlittle interest in thewelfare state, whereas higher-educatedWestern Europeans seek welfare state security. Higher-educated Indian migrants find the welfare state a totally new concept, although after a while some come to appreciate it. A significant proportion of the questioned migrants, moreover, believe that people should not be entitled to welfare state rights immediately upon arrival. They favour 'earned citizenship', with the welfare state being a 'contribution state', but stress that migrants should not have to wait too long before being entitled to such rights. The paper also suggests new topics for further research in the increasingly important field of migration, diversity and the welfare state. [ABSTRACT FROM AUTHOR]

Global trade in the 21st century is characterised by complex value chains. Successful exporters usually rely on quality imports, and exported goods cross borders many times before reaching their final consumer. This poses challenges to economic measurement as well as policymaking because it becomes difficult to characterise the true interdependencies between countries. Currently, estimates of the share of imports from a trade partner destined for re-exports, and the share used in the domestic economy, are crude at best. We develop a novel approach to estimate these shares. Instead of assigning imports for re-exports proportionally across all source countries, we consider the origin of imports for each trader who re-exports goods. The method is illustrated for the Netherlands, a major re-exporter. We find that non-European member states export 10 billion euros of commodities to the Netherlands that are destined for re-export to the United Kingdom. We also find that the goods trade deficit between the Netherlands and the United States is drastically reduced when taking re-export flows into account. [ABSTRACT FROM AUTHOR]

A literature review was carried out to identify pre and perinatal characteristics associated with variation in Apgar scores in population-based studies. The parameters identified in the literature search were included in the classical twin design study to estimate effects of pre and perinatal factors shared and nonshared by twins and to test for a contribution of genetic factors in 1- and 5-min Apgar scores in a large sample of Dutch monozygotic (MZ) and dizygotic (DZ) twins. The sample included MZ and DZ twins (N = 5181 pairs) recruited by the Netherlands Twin Register shortly after birth, with data on prenatal characteristics and Apgar scores at first and/or fifth minutes. The ordinal regression and structural equation modeling were used to analyze the effects of characteristics identified in the literature review and to estimate genetic and nongenetic variance components. The literature review identified 63 papers. Consistent with the review, we observed statistically significant effects of birth order, zygosity and gestational age (GA) for 1- and 5-min Apgar scores of both twins. Apgar scores are higher in first-born versus second-born twins and DZ first-born versus MZ first-born twins. Birth weight had an effect on the 5-min Apgar of the first born. Fetal presentation and mode of delivery had different effects on Apgar scores of first- and second-born twins. Parental characteristics and chorionicity did not have significant main effects on Apgar scores. The MZ twins' Apgar correlations equaled the DZ Apgar correlations. Our analyses suggest that individual differences in 1- and 5-min Apgar scores are attributable to shared and nonshared pre and perinatal factors, but not to genotypic factors of the newborns. The main predictors of Apgar scores are birth order, zygosity, GA, birth weight, mode of delivery and fetal presentation. [ABSTRACT FROM AUTHOR]

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Welfare states increasingly activate citizens in the provision of care and welfare services, expecting them to take over certain parts of professional work. The consequences of this ‘volunteer responsibilisation’ for front-line workers’ professionalism have not been studied extensively. Professionalism may be pointed in another direction, from professional self-control or organisational forms of control based on management criteria toward forms of embedded control in which professional work is defined in interaction with all kinds of ‘outsiders’, including volunteers. In this paper we analyse how front-line workers cope with such shifts in care and welfare provision. We find that they move away from frail volunteers, move toward vigorous volunteers, and move against policy makers. [ABSTRACT FROM AUTHOR]

The objective of the paper is to estimate the number of patients presenting with chest pain suspected of acute coronary syndrome (ACS) in primary care and to calculate possible cost effects of a future clinical decision rule (CDR) incorporating a point-of-care test (PoCT) as compared with current practice. The annual incidence of chest pain, referrals and ACS in primary care was estimated based on a literature review and on a Dutch and Belgian registration study. A health economic model was developed to calculate the potential impact of a future CDR on costs and effects (ie, correct referral decisions), in several scenarios with varying correct referral decisions. One-way, two-way, and probabilistic sensitivity analyses were performed to test robustness of the model outcome to changes in input parameters. Annually, over one million patient contacts in primary care in the Netherlands concern chest pain. Currently, referral of eventual ACS negative patients (false positives, FPs) is estimated to cost €1,448 per FP patient, with total annual cost exceeding 165 million Euros in the Netherlands. Based on ‘international data’, at least a 29% reduction in FPs is required for the addition of a PoCT as part of a CDR to become cost-saving, and an additional €16 per chest pain patient (ie, 16.4 million Euros annually in the Netherlands) is saved for every further 10% relative decrease in FPs. Sensitivity analyses revealed that the model outcome was robust to changes in model inputs, with costs outcomes mainly driven by costs of FPs and costs of PoCT. If PoCT-aided triage of patients with chest pain in primary care could improve exclusion of ACS, this CDR could lead to a considerable reduction in annual healthcare costs as compared with current practice. [ABSTRACT FROM PUBLISHER]

This article explores the Catholic exile experience in the Dutch revolt of the 1570s and 1580s. It shows how Catholic refugees negotiated their stay in places such as Cologne and Douai and developed a more militant, Tridentine identity. This process of religious radicalisation is reflected in a series of white papers by leading refugees about Catholic renewal in the contested Netherlands. This article argues that Catholic exiles became the mobilising forces of a popular Counter-Reformation movement in the southern Netherlands, thereby facilitating the eventual split of the Low Countries into a northern and southern state. [ABSTRACT FROM PUBLISHER]

Using data from the first wave of the Netherlands Kinship Panel Study conducted in 2002-03, this paper examines the economic, psychological and social wellbeing among 1,467 men aged 40-59 years with different parenthood histories and circumstances: the childless, fathers who live with their children, non-co-resident fathers, and 'empty-nest fathers '. The gerontological interest is whether there are variations in wellbeing by parenting, and whether they persist in old age. The results showed that fathers have higher incomes than childless men, regardless of their partner history. As regards psychological wellbeing, men's partner history counts, not their parenthood status. Being single contributes to low levels of psychological wellbeing. The findings provide evidence of the socially integrating effects of parenthood and for men's 'good-provider ' role. Childless men and non-co-resident fathers report poorer quality family relationships. In addition, childless men were least likely to report helping others in the community. Overall, more support is found for the notion that fatherhood is a transforming event than that the wellbeing benefits derive from fathering activities. The paper concludes with a discussion of the implications of the findings for inequalities in wellbeing and informal support among the male members of the cohort born during 1943-63 when they reach old age. [ABSTRACT FROM AUTHOR]

We consider the problem of combining forecasts from two different levels (called “macro” and “micro”), where we have access to the forecasts and their precisions but not to the full data set. We develop a theoretical framework and provide Monte Carlo evidence in the cases of both perfect and imperfect aggregation. Our proposed procedure is simple and robust. We also extend the procedure to time series and propose a forecast model for the European zero rates, combining quarterly and monthly observations. We show that forecast accuracy is improved at both levels.We are grateful to the editors of this special issue and to two referees for their constructive comments, which greatly helped improve the paper. Earlier versions of this paper were presented at the NAKE workshop in Amsterdam, at Tilburg University, and at ESEM 2006 in Vienna. We thank the participants for their useful comments. In addition, we thank Steffan Berridge, John Einmahl, and Hans Schumacher for their constructive comments. [ABSTRACT FROM AUTHOR]

Youth unemployment is an issue that has increasingly troubled western countries since the 1970's. This paper provides data on youth unemployment in Australia and the Netherlands, and discusses government policy in both countries. The rate of youth unemployment was similar in both countries in the mid 1980's, but since then it has declined dramatically in the Netherlands, while changing little in Australia. Youth unemployment policy in Australia has been driven by the concept of obligations while in the Netherlands youth unemployment policy has been organized around the principle of a guarantee for youth. The Dutch labor market program offers more continuity and coherence than the rather ad hoc Australian programs. However, the paper argues that youth labor market policy in both countries is of a controlling nature, and does not serve marginalised youth. Moreover, policy in neither country meets OECD criteria for effective labor market programs. The paper concludes with the description of a Dutch program which, to a large extent, does meet the OECD criteria, and demonstrates that a more constructive approach to youth unemployment is possible. [ABSTRACT FROM AUTHOR]

This article is a review of the book "Visitor Experiences and Audiences for the Roman Frontiers: Developing Good Practice in Presenting World Heritage." The book is an edited collection of papers that explore the intersection of heritage management and Roman frontier studies. It focuses on the challenges of interpreting and presenting Roman frontiers, such as language barriers, accessibility issues, and the need for community engagement. The book includes case studies from the UK, Netherlands, and Serbia, and emphasizes the importance of audience research and stakeholder consultation. Overall, the book provides valuable insights for museum staff, heritage professionals, and scholars in the field. [Extracted from the article]

The primary goal of front of pack (FOP) labelling is to help consumers make healthier choices through communication. A secondary goal is to encourage producers to improve the nutritional composition of their products. Evidence has shown that (FOP) labelling can help consumers to make healthier food choices and has been an incentive for producers to improve product composition. As FOP labelling is seen as an important tool to improve food environments for public health purposes, the WHO supports initiatives of governments to implement an FOP labelling system. Based on the experiences of a wide range of countries over many years, possible success factors for such an FOP system have been defined, six of which are discussed in the present paper and used to evaluate the Dutch Choices Programme that was started in 2006. In the course of time a large number of producers joined the programme and the logo was recognised by more than 90 % of the consumers, but by 2016 the Dutch consumer organisation argued on the basis of their own research that a quarter of the consumers did not understand the colour coding of the logo and as a result the Dutch government decided to no longer support this logo and to introduce a nutrition app. The challenge that remains is to find a system that consumers understand well and that still encourages manufacturers of food to improve product composition. New technology-based data collecting initiatives might provide the right tools to develop such a system. [ABSTRACT FROM AUTHOR]

Why is it that many people fail to seek retirement planning advice when doing so is clearly indicated? Distrust of financial intermediaries is often presented as the common answer. But this paper shows that trust issues are only part of the answer; an appreciable proportion of individuals experience anxiety at the prospect of visiting a financial adviser. In the present investigation, financial adviser anxiety is studied among 950 Dutch adults over the age of 50. Anxiety levels were measured using a six-item scale that was administered as part of a larger nationwide investigation on retirement attitudes and behaviour. Findings revealed that nearly one-third of respondents reported having moderate to severe levels of anxiety at the prospect of visiting a financial professional. Furthermore, a hierarchical regression analysis revealed that strong predictors of anxiety included one's educational level, income, age, level of future time perspective, risk tolerance, financial knowledge and scepticism regarding whether advice from a financial professional can be trusted. A cluster analysis using demographic and psychological covariates identified three separate groups of older adults that were found to differ in terms of their mean level of anxiety. Those who had low levels of education and low incomes were found to disproportionately display high levels of financial adviser anxiety. [ABSTRACT FROM AUTHOR]

The article focuses on examining how the financialization and marketization of healthcare infrastructures, specifically through the case of Slotervaart Hospital in Amsterdam, Netherlands, contributed to its bankruptcy and left it unprepared for a pandemic. Topics discussed include the intersection of Social Reproduction Theory and financialization, the impact of financialization on healthcare provision, and the shift towards market efficiency in healthcare management.

The Dutch pension system is highly ranked on adequacy. These rankings, however, are based on fictitious replacement rates for median income earners. This paper investigates whether the Dutch pension adequacy is still high when we take into account the resources that people really accumulate, using a large administrative data set. A comprehensive approach is followed: not only public and private pension rights, but also private savings and housing wealth are taken into account. Summed over all age- and socioeconomic groups we find a median gross replacement rate of 83% and a net replacement rate of 101%. At retirement age, 31% of all households face a gross replacement rate that is lower than 70% of current income. Public and occupational pensions each account for more than 35% of total pension annuities. Private non-housing assets account for 14% and imputed rental income from net housing wealth accounts for about 10%. Some vulnerable groups, such as the self-employed, have below average replacement rates. Results are fairly similar to results found in the UK, indicating that we should be careful in evaluating the adequacy of pensions systems on the basis of fictitious replacement rates. [ABSTRACT FROM PUBLISHER]

The share of older migrants in Dutch cities is increasing. However, only limited knowledge has been gained about the urban conditions that older migrants live in and how these compare to those of their native Dutch counterparts. This paper contributes to filling this knowledge gap using detailed information on residential patterns, housing conditions and levels of neighbourhood deprivation in the city of Amsterdam in the Netherlands, and links this information to data about housing and neighbourhood satisfaction and perceived safety. Empirical evidence demonstrates that there is strong path dependence with regard to the places in which one finds different groups of older non-Western migrants. Older non-Western migrants in Amsterdam are highly concentrated in disadvantaged neighbourhoods. The number of concentrations has increased significantly over the past decade, as well as the concentration levels. Nevertheless, we did not find indications of social isolation. With regard to housing conditions, we found better conditions for socio-economically similar groups of native Dutch and Surinamese 55+ residents, compared to Turkish and Moroccan 55+ residents. These conditions correspond with levels of housing satisfaction. Surinamese older people are more positive about their neighbourhoods. We hypothesise that this is related to the restructuring of neighbourhoods where Surinamese 55+ residents are concentrated. Although the immediate environment of older non-Western people is characterised by high levels of social deprivation, this does not translate into dissatisfaction with social relations or feelings of lack of safety. This suggests that their residential concentration in particular urban neighbourhoods may also bring significant opportunities. [ABSTRACT FROM PUBLISHER]

The article focuses on the Framework for Regulatory Policy of the Organisation for Economic Co-operation and Development (OECD) which evaluates policies and rules of a legal system. It discusses a case study about the significance of the framework on evaluation practices under the Dutch General Administrative Law Act (GALA). Also mentioned are the purpose of the framework, further development for the framework, and indicators recommended by the framework which corresponds to different phases.

Some previous studies have shown that the availability of orthographic information leads to positive effects for second language (L2) phonology, while others document negative effects. In this paper, we examine the role of orthography on novel spoken-word learning by comparing word pairs that differed in most or all of their segments (nonminimal pairs) and those that only differed in one phoneme (minimal pairs) that was considered easy or difficult to discriminate. We tested the performance of learners whose native languages have transparent orthographies as well as learners with opaque orthographies. Our findings show that regardless of linguistic background and native orthographic system, availability of orthographic information during word learning did not have an effect on nonminimal pairs or perceptually easy minimal pairs. However, it had a positive effect on two minimal pairs that had the highest accuracy among the seven perceptually difficult ones, indicating that orthography only helped contrasts that were relatively easy to discriminate. The implications of these findings for L2 teaching and for future directions within L2 phonology are discussed. [ABSTRACT FROM AUTHOR]

The Danish and the Dutch pension systems are often referred to as "among the best in the world". We compare pension systems and pension products in Denmark and The Netherlands. We focus on the shifts that have taken place in both countries, from pension products with relatively low levels of risk for the participant to pension products with more risk but also higher expected return. We end by drawing lessons that are relevant for discussions in many countries. [ABSTRACT FROM AUTHOR]