Background The aim of this study was to describe barriers and facilitators for shared decision making (SDM) as experienced by older patients with multiple chronic conditions (MCCs), informal caregivers and health professionals. Methods A structured literature search was conducted with 5 databases. Two …

OBJECTIVES: Expiratory muscle strength training (EMST) is a threshold based device-driven treatment for improving expiratory pressure. EMST proved to be effective in different patient groups to improve cough function. To date, EMST has not been tested in the total laryngectomy population (TL). METHODS: …

Over my time spent at the Academy, I discovered the value of the public realm in the shaping of cities. With the high pressure on new housing areas, the quality of life in the city is becoming increasingly important, and along with this, the layout and the use of the public domain. Museums and other …

A challenge in digital content marketing is to create meaningful messages on meaningful moments. To do so, brands frequently align social media messages with topical moments, also known as Real-time Marketing (RTM). While RTM aims to make meaningful connections, the creative development is subject to …

OBJECTIVE: To evaluate the effect of doxepin hydrochloride 5% cream on reducing pruritus in burn scar patients compared to a placebo cream. METHOD: We conducted a multicenter triple-blind randomized clinical placebo-controlled crossover trial in which burn patients ≥18 years with an itch intensity ≥3 …

Introduction International placements challenge students to find the right level of participation, as local practices, language and time pressure may affect their engagement in patient-related tasks or team activities. This study sought to unpack the initiation process during international clinical placements …

The increasing demand on renewable energy in the past decade resulted in the development of more windmill parks in the north-sea. The north-sea is an ideal sea for the development of offshore structures such as windmill parks due to its morphological benefits of being a shallow sea with soft soils consist …

INTRODUCTION: This study investigated the effect of operative claw toe correction with release of the metatarsophalangeal (MTP) joint, repositioning of the plantar fat pad and resection of the proximal interphalangeal joint on foot kinematics, plantar pressure distribution and Foot Function Index (FFI). …

Objective: There are widespread shortages of personal protective equipment as a result of the COVID-19 pandemic. Reprocessing filtering facepiece particle (FFP)-type respirators may provide an alternative solution in keeping healthcare professionals safe. Design: Prospective, bench-to-bedside. Setting: …

Er iets paradoxaals aan de hand met het leren van leraren. De complexiteit van het beroep neemt toe en docenten opereren onder grote onder druk. Die complexiteit vraagt om levenslang lerende leraren en staat tegelijkertijd dat leren in de weg. Terwijl er steeds meer oog is voor de sleutelrol die de leraar …