In the Netherlands, like in many other developed countries, the care sector is facing challenges in a dynamic environment. Regulation is increasing, patients are becoming more critical, budget responsibility will be transferred from country- to municipality level in association with cuts in funding, …

Background: Haemodialysis patients have a high risk of malnutrition which is associated with increased mortality. Nocturnal haemodialysis (NHD) is associated with a significant increase in protein intake compared with conventional haemodialysis (CHD). It is unclear whether this leads to improved nutritional …

Meer aandacht voor verschillen tussen disciplines en achtergrondkenmerken van studenten leidt tot een hoger rendement in het hbo. De invloed van psychologische en omgevingsfactoren op studiesucces verschilt naar etnische groep, geslacht en hbo-sector. De werkzaamheid van psychologische factoren verschilt …

OBJECTIVE: Evaluate clinical outcome of early cyclic intravenous pamidronate treatment in children with moderate-to-severe osteogenesis imperfecta (OI), commenced before three years of age. METHODS: A retrospective review of 17 patients with moderate-to-severe OI. Development, anthropometry, fracture …

The EAS conference theme “Craftsmanship & Artistry” confers the image that general music education in 21st western century society moves from a work-based (cf. Small 1998: 2) towards a performance-based definition of music. An example is the work of the MayDay-Group, which formulates many of its seven …

BACKGROUND: Chest physiotherapy is widely used in people with cystic fibrosis in order to clear mucus from the airways. OBJECTIVES: To determine the effectiveness and acceptability of chest physiotherapy compared to no treatment or spontaneous cough alone to improve mucus clearance in cystic fibrosis. …

Thirty years ago, in the summer of 1982, I was introduced to pediatric nursing during my internship in the Sophia Children’s Hospital, Academic Hospital Rotterdam (now Erasmus MC). One of my unforgettable patients was Dirk, a 24-year-old man with cystic fibrosis (CF), who spent his time in hospital in …

Doel: Op systematische wijze de werking van IMT onderzoeken bij COPD en CF patiënten. Methode: Voor deze studie is literatuur gezocht in PubMed, Cochrane, PEDro en Googlescholar met betrekking tot IMT bij COPD en CF. De volgende zoektermen zijn gehanteerd: Inspiratory muscle training - IMT, COPD, Cystic …

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 …

This paper will initially describe the elements of the broad conceptual framework that was employed. It will then describe the specific concept developed within the CF and an outline of the structures that have been put into place. The paper gives observations on lessons learned, being learned and to …