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Inzet verpleegkundig specialist kan zorg eerste lijn verbeteren

Verpleegkundig specialisten moeten vaker worden ingezet in eerstelijnszorg, zoals die wordt geboden in bijvoorbeeld de huisartsenpraktijk. Dat komt de kwaliteit van de eerstelijnszorg ten goede blijkt uit onderzoek van adviesbureau BMC Groep, uitgevoerd in opdracht van Hogeschool Utrecht.

The extent of environmental and body contamination through aerosols by hydro-surgical debridement in the lumbar spine

Introduction Surgical site infections occur in 1–6% of spinal surgeries. Effective treatment includes early diagnosis, parenteral antibiotics and early surgical debridement of the wound surface. Materials and methods On a human cadaver, we executed a complete hydro-surgery debridement including a full surgical setup such as draping. The irrigation fluid was artificially ...

Strong Pinned-Spin-Mediated Memory Effect in NiO Nanoparticles

After a decade of effort, a large number of magnetic memory nanoparticles with different sizes and core/shell compositions have been developed. While the field-cooling memory effect is often attributed to particle size and distribution effects, other magnetic coupling parameters such as inter- and intra-coupling strength, exchange bias, interfacial pinned spins, and the ...

Visualization of tumor heterogeneity by in situ padlock probe technology in colorectal cancer

Tumor heterogeneity is considered a major cause for therapy resistance in colorectal cancer. Sub-populations of cells with different genetic alterations may exist in spatially distinct areas. Upon therapy, resistant sub-clones may enrich and ultimately lead to disease progression. Although ample data are available on tumors which are heterogeneous on a morphological level, only ...

Spin-1 diquark contributing to the formation of tetraquarks in light mesons

We apply a mixing framework to the light-meson systems and examine tetraquark possibility in the scalar channel. In the diquark–antidiquark model, a scalar diquark is a compact object when its color and flavor structures are in (\(\bar{\mathbf {3}}_c\), \(\bar{\mathbf {3}}_f\)). Assuming that all the quarks are in an S-wave, the spin-0 tetraquark formed out of this scalar diquark ...

Dynamic political contexts and power asymmetries: the cases of the Blue Nile and the Yarmouk Rivers

This paper explores the evolving patterns of hydropolitical relations in the dynamic contexts of Yarmouk and Blue Nile Rivers in comparison. The analysis aims at shedding light over the complex implications that recent political and social changes have aroused for the water disputes between Jordan and Syria on the one hand, and Ethiopia and Egypt on the other. In both basins, ...

Hyaluronan coating improves liver engraftment of transplanted human biliary tree stem/progenitor cells

Background Cell therapy of liver diseases with human biliary tree stem cells (hBTSCs) is biased by low engraftment efficiency. Coating the hBTSCs with hyaluronans (HAs), the primary constituents of all stem cell niches, could facilitate cell survival, proliferation, and, specifically, liver engraftment given that HAs are cleared selectively by the liver. Methods We developed a fast ...

Prognosis of cirrhotic patients admitted to intensive care unit: a meta-analysis

Background The best predictors of short- and medium-term mortality of cirrhotic patients receiving intensive care support are unknown. Methods We conducted meta-analyses from 13 studies (2523 cirrhotics) after selection of original articles and response to a standardized questionnaire by the corresponding authors. End-points were in-ICU, in-hospital, and 6-month mortality in ICU ...

Injuries in male and female semi-professional football (soccer) players in Nigeria: prospective study of a National Tournament

Background Research on the epidemiology of football injuries in Africa is very sparse despite its importance for injury prevention planning in a continent with limited sports medicine resources. The vast majority of studies available in literature were conducted in Europe and only a very few studies have prospectively reported the pattern of football injury in Africa. The purpose ...

Integration and High-Temperature Characterization of Ferroelectric Vanadium-Doped Bismuth Titanate Thin Films on Silicon Carbide

4H-SiC electronics can operate at high temperature (HT), e.g., 300°C to 500°C, for extended times. Systems using sensors and amplifiers that operate at HT would benefit from microcontrollers which can also operate at HT. Microcontrollers require nonvolatile memory (NVM) for computer programs. In this work, we demonstrate the possibility of integrating ferroelectric vanadium-doped ...

Phytase production by Aspergillus niger NCIM 563 for a novel application to degrade organophosphorus pesticides

The production of phytase using Aspergillus niger NCIM 563 under submerged fermentation conditions was studied using protein rich chickpea flour as substrate. Employing a hybrid statistical media optimization strategy of Plackett–Burman and Box-Behnken experimental designs in shake-flasks gave an increased phytase activity from an initial 66 IU/mL in 216 h to 160 IU/mL in a reduced ...

Enhancement of FSO communications links under complex environment

Free space optical communication is a line-of-sight (LOS) technology that uses lasers to provide optical bandwidth connections. Potential disturbance arising from the weather condition is one of the most effective factors that influence the bi-directional free space optics (FSO) performance. The complex weather condition in the Middle East region and Arabian Gulf has been dominated ...

CT perfusion imaging of the liver and the spleen in patients with cirrhosis: Is there a correlation between perfusion and portal venous hypertension?

Objectives To correlate hepatic and splenic CT perfusion parameters with hepatic venous pressure gradient (HVPG) measurements in patients with cirrhosis. Methods Twenty-one patients with cirrhosis (males, 17; females, 4; mean ± SD age, 57 ± 7 years) underwent hepatic and splenic perfusion CT on a 320-detector row volume scanner as well as invasive measurement of HVPG. Different CT ...

Drone Use ‘Outside Areas of Active Hostilities’: An Examination of the Legal Paradigms Governing US Covert Remote Strikes

This article examines the use by the US of drone strikes in regions described as ‘outside areas of active hostilities’ a phrase that appears to presume the application of international humanitarian law. In response to this, the article examines these regions to assess whether armed conflicts can be said to exist, and thereby whether international humanitarian law does in fact ...

Reconstruction of Monte Carlo replicas from Hessian parton distributions

We explore connections between two common methods for quantifying the uncertainty in parton distribution functions (PDFs), based on the Hessian error matrix and Monte-Carlo sampling. CT14 parton distributions in the Hessian representation are converted into Monte-Carlo replicas by a numerical method that reproduces important properties of CT14 Hessian PDFs: the asymmetry of CT14 ...

Is there a resting frame in the universe? A proposed experimental test based on a precise measurement of particle mass

According to the Special Theory of Relativity, there should be no resting frame in our universe. Such an assumption, however, could be in conflict with the Standard Model of cosmology today, which regards the vacuum not as an empty space. Thus, there is a strong need to experimentally test whether there is a resting frame in our universe or not. We propose that this can be done by ...

Mass distribution of fission fragments within the Born-Oppenheimer approximation

The fission fragments mass-yield of 236 U is obtained by an approximate solution of the eigenvalue problem of the collective Hamiltonian that describes the dynamics of the fission process whose degrees of freedom are: the fission (elongation), the neck and mass-asymmetry modes. The macroscopic-microscopic method is used to evaluate the potential energy surface. The macroscopic ...