BACKGROUND AND PURPOSE: Radiotherapy of the head and neck is challenged by the relatively large number of organs-at-risk close to the tumor. Biologically-oriented objective functions (OF) could optimally distribute the dose among the organs-at-risk. We aimed to explore OFs based on multivariable normal …

From the article: Abstract The Information Axiom in axiomatic design states that minimising information is always desirable. Information in design may be considered to be a form of chaos and therefore is unwanted. Chaos leads to a lack of regularities in the design and unregulated issues tend to behave …

Background: Undernutrition is a common complication of disease and a major determinant of hospital stay outcome. Dutch hospitals are required to screen for undernutrition on the first day of admission. Objective: We sought to determine the prevalence of the screening score “undernourished” with the use …

Over a period of 5 years (2006-2010) there was an increase of more than 600% in performed hip arthroscopies. During hip arthroscopy a perineal post is placed between the legs, to counter the generated pulling force and to make sure the patient stays in position. Due to this dislocation procedure several …

Doelstelling: Diabetische retinopathie (DRP) is een veel voorkomende complicatie bij diabetes. Deze kan zich uiten door micro-aneurysmata, exsudaten, neovascularisatie en maculaoedeem. Dit kan blindheid tot gevolg hebben. Er zijn een aantal risicofactoren die invloed hebben op de ontwikkeling van DRP, …

OBJECTIVES: To demonstrate that novice dosimetry planners efficiently create clinically acceptable IMRT plans for head and neck cancer (HNC) patients using a commercially available multicriteria optimization (MCO) system. METHODS: Twenty HNC patients were enrolled in this in-silico comparative planning …

Background: Delirium is a high prevalent postoperative complication in older cardiac surgery patients and can have drastic consequence for the patient. Preventive interventions, diagnosis and treatment of delirium require specialized knowledge and skills. Objective: To gain insight …

Falls are common after stroke. This article presents a literature review of the incidence and risk factors of falls and the consequences for professionals working with stroke patients. It is important to consider the specific problems after stroke. Depression and cognitive impairments were found to be …

OBJECTIVE: Pre-eclampsia is a complication of pregnancy characterized by systemic vascular dysfunction and pathological changes in placental arteries. Growing evidence of chronic infection as an aetiological factor in vascular diseases prompted us to study maternal periodontal disease in subjects with …