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.

College has been shown to be a particularly stressful time both due to unique emergent stressors and because of increased vulnerability for exposure to potentially traumatic events (PTEs). Both of these conditions are associated with heightened risk for the development of stress-related pathology. However, while this period may be particularly challenging, previous work shows most students adapt in a number of heterogeneous ways that result in little or no stress-related symptomatology over the four years of college.

Theories about coping with potential trauma have emphasized the importance of concerted focus on processing the traumatic event. However, empirical evidence also suggests that it may be salubrious to distract oneself, remain optimistic, and focus on moving past the event. These seemingly contradictory perspectives are integrated in the concept of coping flexibility.