The First Mediterranean Conference on Cultural Psychiatry took place in Tel Aviv, Israel. This conference was a great success. With about 200 participants, mostly from Israel but with also 46 participants coming from 13 other countries: Mediterranean countries, Europe, North America and Australia. It contained three intensive days of plenary lectures and symposia, and a very impressive film, Waltz with Bashir.

This article aims (a) to get insight into intensive care nurses' most critical work-related incidents, (b) their reactions and coping and (c) perceived support, in a Dutch intensive care unit. Research about the impact of critical incidents has largely been aimed at ambulance and emergency nurses, knowledge about intensive care nurses in this respect is scarce. Persistent stress reactions after critical incidents may cause symptoms of post-traumatic stress disorder, depression and anxiety. Unresolved problems may also cause poor behaviour towards patients.

Samenvatting

Kwalitatief staat het crisismanagement in Nederland er niet goed voor. Bij vrijwel elke crisis komen dezelfde fouten terug. Hoe is dat te verklaren? Dit artikel toont aan welke structurele problemen er zijn en welke verbeterpunten er nodig zijn om de crisisbeheersing in Nederland naar een substantieel hoger niveau te tillen.

De cloud zal gevolgen hebben voor de (organisatorische) inrichting van crisisbeheersing. In dit artikel gaan de auteurs in op wat zij in de toekomst verwachten, namelijk de digitale transformatie van organisaties in crisisbeheersing.

De focus van dit onderzoek lag op drie belangrijke invloedsfactoren: adolescentie, migratie en toekomstperspectief. Het onderzoek laat zien dat ama's zowel crisis ervaren als sterke overlevingsstrategieën ontwikkelen.

Om te kunnen omgaan met de bijzondere situaties die agenten tegenkomen in hun dagelijkse werk, is het essentieel dat zij over discretionaire ruimte beschikken waarmee zij naar eigen inzicht bevoegdheden kunnen toepassen. In de ruimte die hen wordt geboden, blijken politieagenten, naast een routinematige aanpak, op allerlei 'creatieve' manieren met hun bevoegdheden om te gaan om organisatiedoelen te behalen en/of maatschappelijke belangen na te streven. Hierbij kunnen de grenzen van wet- en regelgeving worden opgezocht of overschreden.

BackgroundPost-traumatic stress disorder (PTSD) is a major health problem among refugees worldwide.

ObjectiveTo determine the cost-effectiveness of trauma room CT compared with CT performed at the radiology department.MethodsIn this randomised controlled trial, adult patients requiring evaluation in a level 1 trauma centre were included. In the intervention hospital the CT system was located within the trauma room and in the control hospital within the radiology department. Direct and indirect medical costs of the institutionalised stay and diagnostic and therapeutic procedures were calculated.ResultsA total of 1,124 patients were randomised with comparable demographic characteristics.

Only a few studies have examined cortisol response to trauma-related stressors in relation to posttraumatic stress disorder (PTSD). We followed a sample of high-exposure survivors of the attacks on September 11, 2001 (9/11, 32 men and 29 women) and examined their cortisol response after recalling the escape from the attack, 7 and 18 months post-9/11. PTSD symptoms and saliva cortisol levels were assessed before and after trauma recollection. Hierarchical regression analyses revealed that PTSD symptoms and male sex predicted increased cortisol response following recollections.