Eutrophication because of heightened phosphorus and nitrogen input into freshwater ecosystems is an increasing problem, while at the same time phosphorus availability for agricultural purposes is decreasing on a high pace. B-Ware Research Centre and Radboud University Nijmegen developed a novel biocascade …

Prevalence rates and the health problems related to maternal distress instigated the development of an intervention to prevent and reduce maternal distress during pregnancy. Intervention Mapping served as a framework for the intervention development. A needs assessment using the PRECEDE model and the …

Maternal distress varies in prevalence rates and displays various complaints, signs and symptoms. Additionally, multiple factors and causes contribute to both women’s vulnerability and manifestation of maternal distress. Worldwide maternal distress prevalence rates are up to 41% and the evidence of short …

Cervical spinal manipulations (CSM) are frequently employed techniques to alleviate neck pain and headache. Minor and major complications following CSM have been described, though clear consensus on definition and the classification of the complications had not yet been achieved. As a result, incidence …

Research question:As a result of the expansion of opportunities for leisure-time sport participation (LTSP), the question arises if differing organisational settings relate to differences in participation behaviour. This paper compares participation frequency and time spent on sport between club-organised …

Objective To develop, implement and evaluate a personalized patient discharge letter (PPDL) to improve the quality of handoff communication from hospital to home. Design From the end of 2006–09 we conducted a quality improvement project; consisting of a before–after evaluation design, and a process evaluation. …

Introduction: Major Adverse Events (MAE) following Cervical Spinal Manipulations (CSM) have been described anecdotally and are frequently discussed. Until now, exact incidence rates are unknown. Furthermore, there are doubts concerning the factors which may play a role in the occurrence of MAE. Objectives: …

Objective to assess the mode of childbirth and adverse neonatal outcomes in women with a breech presentation with or without an external cephalic version attempt, and to compare the mode of childbirth among women with successful ECV to women with a spontaneous cephalic presentation. Design prospective …

Objectives To identify distinct sets of disability trajectories in the year before and after a Medicare qualifying skilled nursing facility (Q-SNF) admission, evaluate the associations between the pre–and post–Q-SNF disability trajectories, and determine short-term outcomes (readmission, mortality). …

BACKGROUND: Most studies on multiple health risk behaviors among adolescents have cross-sectionally studied a limited number of health behaviors or determinants. PURPOSE: To examine the prevalence, longitudinal patterns and predictors of individual and multiple health risk behaviors among adolescents. …