Background: More knowledge about characteristics of children and adolescents who need intensive levels of psychiatric treatment is important to improve treatment approaches. These characteristics were investigated in those who need youth Assertive Community Treatment (youth-ACT). Method: A cross-sectional …

Objective In voice assessment, the evaluation of voice quality is a major component in which roughness has received wide acceptance as a major subtype of abnormal voice quality. The aim of the present study was to develop a new multivariate acoustic model for the evaluation of roughness. Method In …

Background: Medically unexplained physical symptoms are an important health problem in primary care, with a spectrum from mild to chronic. The burden of chronic medically unexplained physical symptoms is substantial for patients, health care professionals, and society. Therefore, early identification …

Inleiding: In Nederland leven naar schatting 10 tot 12 duizend mensen met een ernstig meervoudige beperking (EMB) (Schuurman, 2010). Bij een EMB is het ontwikkelingsniveau gemiddeld gelijk aan een kind van maximaal 24 maanden. Daarnaast zijn er vaak neurologische problemen zoals epilepsie of spasticiteit, …

BACKGROUND: To evaluate the effect of (new) treatments or analyse prevalence and risk factors of contractures, rating scales are used based on joint range of motion. However, cut-off points for levels of severity vary between scales, and it seems unclear how cut-off points relate to function. The purpose …

Physician associates are new to the United Kingdom and set to expand in numbers. Little is known about the patient's perspective. A qualitative study, using semistructured interviews with thematic analysis, was undertaken with 30 volunteer patients of 430 who had consulted PAs in six general practices. …

Pilot fatigue has been identified as a determinative factor in various safety events, leading to the introduction of Fatigue Risk Management regulations and standards worldwide. The scope of this study was to examine whether event and pilot characteristics recorded in safety investigation reports were …

This study aimed to identify simple rules for allocating chronic obstructive pulmonary disease (COPD) patients to clinical phenotypes identified by cluster analyses. Data from 2409 COPD patients of French/Belgian COPD cohorts were analysed using cluster analysis resulting in the identification of subgroups, …

In the aviation sector, communication problems have contributed into 70% to 80% of safety occurrences. However, to date we haven’t depicted which communication aspects have affected aviation safety most frequently. Based on literature, we developed a tool which includes communication characteristics …

BACKGROUND: Ankle decision rules are developed to expedite patient care and reduce the number of radiographs of the ankle and foot. Currently, only three systematic reviews have been conducted on the accuracy of the Ottawa Ankle and Foot Rules (OAFR) in adults and children. However, no systematic review …