Major resections for esophageal, gastric, hepatic, pancreatic, and colorectal cancer continue to be associated with a high peri-operative morbidity of up to 30%–40%. To a large extent, this morbidity is caused by infectious complications that add up to a considerable burden to patients and hospital costs. …

Surgery aims to improve a patient’s medical condition. However, surgery is a major life event with the risk of negative consequences, like peri- and postoperative complications, prolonged hospitalization and delayed recovery of physical functioning. One of the major common side effects, functional …

Frail elderly patients undergoing major surgery experience a decrease of physical capacity due to their hospital stay and surgery. This affects the risk of postoperative complications and their performance of activities, independence and participation.The Better in, Better out™ (BiBo™) strategy was developed …

Background: Postprocedural complications after elective cardiac interventions include hematomas and infections. Telemedical wound assessment using mobile phones with integrated cameras may improve quality of care and help reduce costs. Aims: We aimed to study the feasibility of telemedical wound assessment …

A substantial proportion of patients with burn injury develop chronic itch, which can severely affect their quality of life. As found in research on chronic pain, different psychophysiological processes may also play a role in chronic itch, of which central sensitization, conditioned modulation, and …

Introduction Nutrition is an important determinant in maintaining health and functionality in older people. Undernutrition is still a common problem in Dutch older people and is related to increased length of stay in hospitals, early institutionalization, decreased quality of life and possibly contributes …

Objective external cephalic version (ECV) is a relatively simple and safe manoeuvre and a proven effective approach in the reduction of breech presentation at term. There is professional consensus that ECV should be offered to all women with a fetus in breech presentation, but only up to 70% of women …

This article describes experiences with a qualitative research project into teachers’ learning from innovating their own educational practices. Decades of New Public Management (NPM) in the Netherlands, with its top-down and businesslike approach to areas of public interest, obscured the learning and …

OBJECTIVE: Periodontitis, mostly associated with Porphyromonas gingivalis, has frequently been related to adverse pregnancy outcomes. We therefore investigated whether lipopolysaccharides of P. gingivalis (Pg-LPS) induced pregnancy complications in the rat. METHODS: Experiment 1: pregnant rats (day 14) …

Executive summary This paper about the recently ratified Treaty on the Transfer of Sentenced Persons (TTSP) and the execution of sentences imposed by judgments between Brazil and the Netherlands aims to explore best practices and potential obstacles concerning its implementation. This is based on the …