We describe the incidence, practice and associations with outcomes of awake prone positioning in patients with acute hypoxemic respiratory failure due to coronavirus disease 2019 (COVID-19) in a national multicenter observational cohort study performed in 16 intensive care units in the Netherlands (PRoAcT−COVID-study). …

The white rhino is a keystone species and an ecosystem engineer. Though there have been conservation efforts to protect this species, the current red list status of the white rhino is 'Nearly threatened'. The biggest threat that rhinos are facing nowadays is poaching for theirhorns. The rhino population …

Introduction It is unknown how awake prone positioning was practiced in patients with COVID–19 in the second wave of the national outbreak in the Netherlands. Objectives We studied the practice of awake prone positioning in COVID–19 patients admitted to the ICU because of acute hypoxemic respiratory …

An architect’s research on a self-designed building: residential care facility for residents showing challenging behaviour. A seminar by Berit Ann RoosAs an architect I have designed a very intensive care (VIC) residential facility for intellectually impaired individuals showing challenging behavior. …

BACKGROUND: Early mobilization (EM) of intensive care (IC) patients is important but complex with facilitators and barriers. Compared to general IC patients, burn IC patients are more hyper-metabolic. They have extensive wounds, lengthy wound dressing changes, and repeated surgeries that may affect possibilities …

Achtergrond: Onder het verpleegkundig team van de post Intensive-Care/High-Care (IC/HC)-neonatologieafdeling van het Deventer Ziekenhuis (DZ) heerst het gevoel dat de complexiteit van zorg is toegenomen en de verpleegkundige activiteiten zijn veranderd. Er is geen inzicht in de verpleegkundige werklast …

De ontwikkelingen in de zorg voor ernstig zieke patiënten dragen bij aan een verhoogde overlevingskans voor deze patiënten. De langdurige bedrust die voor behandeling van ernstig ziekzijn echter noodzakelijk wordt geacht, draagt aanzienlijk bij aan het verminderen van de fitheid van deze patiënten. Een …

BACKGROUND: Increasing evidence indicates the potential benefits of restricted fluid management in critically ill patients. Evidence lacks on the optimal fluid management strategy for invasively ventilated COVID-19 patients. We hypothesized that the cumulative fluid balance would affect the successful …

The majority of Dutch peatlands are drained and used intensively as grasslands for dairy farming. This delivers high productivity but causes severe damage to the provisioning of ecosystem services. Peatland rewetting is the best way to reverse the damage, but high water levels do not fit with intensive …