Real sustainable development involves a drastic reduction in environmental ánd social effects compared to our present ways of satisfying our needs. A system approach is asked for, taking into account total chains for resource use and production, paying attention to cultural and socio-economic factors …

Tom van Weert argues that economic, societal and cultural developments in indus-trialized countries push for educational innovation. He sees Information and Communication Technology (ICT) as enabling factor of this innovation. His line of reasoning is the following. Knowledge intensive economies have …

This relationship between external knowledge providers, e.g. consultants and academic institutions, and small and medium enterprises (SMEs) is a difficult one. SME entrepreneurs think external advice is expensive, not required and/or not useful. In this paper these arguments are explored against the …

In this paper, we explore the desires that play a role at the palliative stage and relate them to various approaches to patient autonomy. What attitude can physicians and other caregivers take to the desires of patients at the palliative stage? We examine this question by introducing five physicians …

This pilot study explores the reasons patients have for refusing chemotherapy, and the ways oncologists respond to them. Our hypothesis, generated from interviews with patients and oncologists, is that an ethical approach that views a refusal as an autonomous choice, in which patients are informed about …

The presentation of management information on screens and paper is aimed at the initiation of control actions in order to bring about predefinied goals. The terms and concepts used in this control information can be interptreted in different ways. It is of vital importance that adequate definitions for …

The emphasis that is presently put on clean and integrated technologies, does not imply that the conventional environmental technologies, developed for end-of-pipe treatment, will become obsolete. Development of new processes, other production methods and complete different ways to satisfy human needs …