Samenvatting Behandelbeslissingen voor oudere oncologie patiënten zijn vaak complex. Dit komt door de grote variatie in achtergrond, comorbiditeiten, functionele capaciteiten en de impact van kankerbehandelingen op zowel de levenskwaliteit als de levensverwachting. In deze context is samen beslissen, …

Background: Cancer survivors face various short- and long-term consequences of their disease and treatment, which may negatively impact their quality of life. Healthy lifestyle changes can have a positive effect on these consequences but current counselling does not sufficiently meet their needs. This …

Achtergrond: Het is belangrijk om volwassen broers en zussen te betrekken bij personen met intensieve ondersteuningsbehoeften. Deze studie onderzoekt de houding van zorgprofessionals in dit proces. Methode: De houding van zorgprofessionals (n=60) in Nederland werd onderzocht door middel van een online, …

The Quality Cost Indicator (QCI) model supports value-based health care at the institutional level, by calculating disease-specific health outcomes per unit cost over time. The aim of this study was to adapt the QCI model for specialized burn care (the BC-QCI model) and explore its utilization using …

In nature, resources necessary for reproduction and survival are often spatially distributed or scarce. Parasitoid wasps are insects that develop as larvae in or on a single invertebrate resource (often another insect), while the adults are free-living and rely on carbohydrates, for example, floral nectar, …

Family breakup dynamics in mammals can be complex due to competing interests between parents and offspring. Parents need to balance their own as well as their offspring's fitness through either terminating care early or extending care. Yet, males can disrupt this trade-off as they may force females to …

OBJECTIVES: Amplitude-mode (A-mode) ultrasonography is a promising technique to monitor loss and recovery of skeletal muscle in patients with burns. However, its clinimetric properties are unknown. Therefore, we determined its feasibility, interrater, and intrarater reliability, and clinical utility. …

Achtergrond Objectieve beoordeling van pijngerelateerd gedrag is cruciaal bij volwassenen met een ernstige verstandelijke en meervoudige beperking. Er is momenteel geen gestandaardiseerd instrument voor pijnobservatie beschikbaar dat specifiek op deze doelgroep is gericht. In een eerder onderzoek zijn …

Background and purpose A generic, structured transitional care pathway dedicated to patients in the academic setting is currently lacking. This study aimed to identify the key factors influencing a successful transition from pediatric to adult care for adolescents and young adults and to develop a generic, …

Addiction is a major social problem that affects not only the person with these problems but also causes harm to family members, for example, by domestic violence, abuse, and neglect. They are often called Affected Family Members (AFMs). While the adverse effects of parental substance use on children …