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: …

Background: The coronavirus disease 2019 (COVID-19) pandemic is rapidly expanding across the world, with more than 100,000 new cases each day as of end-June 2020. Healthcare workers are struggling to provide the best care for COVID-19 patients. Approaches for invasive ventilation vary widely between …

(1) Background: Recent research showed that subtypes of patients with type 2 diabetes may differ in response to lifestyle interventions based on their organ-specific insulin resistance (IR). (2) Methods: 123 Subjects with type 2 diabetes were randomized into 13-week lifestyle intervention, receiving …

BACKGROUND: Acute kidney injury (AKI) often occurs in critically ill patients. AKI is associated with mortality and morbidity. Interventions focusing on the reduction of AKI are suggested by the Kidney Disease: Improving Global Outcomes guideline. We hypothesized that these educational interventions …

Recently, multiple studies have been published about the mental wellbeing of seafarers. It turned out that the mental wellbeing is not good, and it has been deteriorating for multiple years. One of these reports was published, by Seafarers International Research Centre (SIRC) in October …

This thesis was written for Kenniscentrum Nelles. This company is an expertise centre for local food. Kenniscentrum Nelles focusses on bundling knowledge and experiences about local food in the Achterhoek. The company gains knowledge and insight about local food in practice and applies this in new and …

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 …

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: …

PURPOSE: Clinical examination is often the first step to diagnose shock and estimate cardiac index. In the Simple Intensive Care Studies-I, we assessed the association and diagnostic performance of clinical signs for estimation of cardiac index in critically ill patients. METHODS: In this prospective, …

Amsterdam is known worldwide for its historical beauty, liberal lifestyle and tolerant atmosphere. With 860,000 residents (fewer than 90,000 living in the inner city), Amsterdam received 8.3 million hotel guests in 2017 and is urgently searching for ways to better manage its immense popularity. Its reputation …