BACKGROUND: Chest physiotherapy is widely prescribed to assist the clearance of airway secretions in people with cystic fibrosis (CF). Positive expiratory pressure (PEP) devices provide constant back pressure to the airways during expiration. This may improve clearance by building up gas behind mucus …

Eight new primer sets were designed for PCR detection of (i) mono-oxygenase and dioxygenase gene sequences involved in initial attack of bacterial aerobic BTEX degradation and of (ii) catechol 2,3-dioxygenase gene sequences responsible for meta-cleavage of the aromatic ring. The new primer sets allowed …

Peter Olsthoorn approaches terrorists' motives from the perspective of political philosophy. He seeks to explain the notions of humiliation, dignity and honor, which occur frequently in discussions of terrorism. He argues that Western cultures have in the process of individualization replaced shame, …

INTRODUCTION: A stay in the intensive care unit (ICU), although potentially life-saving, may cause considerable discomfort to patients. However, retrospective assessment of discomfort is difficult because recollection of stressful events may be impaired by sedation and severe illness during the ICU stay. …

International joint ventures (IJVs) are frequently stated to be increasingly popular but with significant managerial dissatisfaction in their operations (Madhok, 1995a). Therefore, a great deal of attention has been paid to the performance of IJVs (e.g. Contractor and Lorange, 1988; special issue of …

As labour is becoming more and more knowledge controlled, it also getting closer to the individual person. We sometimes seem to forget this. To an increasing extent it is becoming a part of oneself and therefore of the personal identity. The increasing humanization of labour asks for an HRM-policy and …

STUDY OBJECTIVE: Endotracheal suctioning in intubated patients is routinely applied in most ICUs but may have negative side effects. We hypothesised that on-demand minimally invasive suctioning would have fewer side effects than routine deep endotracheal suctioning, and would be comparable in duration …

Samenvatting Tegenwoordig willen patiënten steeds meer weten over hun gezondheidsprobleem, de mogelijke therapieën en de effecten daarvan. Fysiotherapeuten zijn hierdoor veel tijd kwijt aan het voorlichten en informeren van patiënten. Imagine-E (IT - bedrijf en opdrachtgever) heeft het plan op zich genomen …

To identify ethical issues that interns encounter in their clinical education and thus build a more empirical basis for the required contents of the clinical ethics curriculum. The authors analyzed a total of 522 required case reports on ethical dilemmas experienced by interns from September 1995 to …

Psychogeriatric patients are a very vulnerable group among the elderly. A relative large proportion is institutionalized. In addition, many studies point to the heavy burden on the informal carers of psychogeriatric patients, frequently leading to depression. Geriatric expertise in primary care, however, …