INTRODUCTION: Mechanical Insufflation-Exsufflation (MI-E) is used as an airway clearance intervention in primary care (home ventilation), long-term care (prolonged rehabilitation after intensive care, neuromuscular diseases, and spinal cord injury), and increasingly in acute care in intensive care units …

Purpose The aim of this study is to provide insights into how the purchasing function can increase the maturity of smart maintenance management (SMM) in construction clients by (1) assessing current SMM maturity and (2) developing an adapted service triad for purchasing's meaningful involvement in SMM. …

Background: People with dementia have a yearly risk of falling of 60 to 80 percent. Therefore, a walker is often recommended. However, the use of a walker in people with dementia is associated with a threefold increased odds of falls compared to their healthy peers. Better advice and training could reduce …

The nonlinearity induced by light-emitting diodes in visible light communication (VLC) systems presents a challenge to the parametrization of orthogonal frequency division multiplexing (OFDM). The goal of the multi-objective optimization problem presented in this study is to maximize the transmitted …

The Future of Design Education working group on sustainability developed recommendations for integrating sustainability into higher education design curricula. The recommendations provide a foundation for design instruc- tion, using well-established evidence-based tools, methods, and mindsets that apply …

The early detection of breast-cancer-related lymphedema and referral for therapy has the potential to reduce lymphedema-related morbidity. Although research shows the benefits, a gap is observed between evidence and daily practice. We aimed to determine whether the early detection of lymphedema and referral …

Background : The Strengths and Difficulties Questionnaire (SDQ) is widely used to screen for psychosocial problems among adolescents. As the severity of such problems is known to be related to age and gender, screening could be improved by interpreting SDQ scale scores with age-specific and perhaps gender-specific …

BACKGROUND: The time that nurses spent on documentation can be substantial and burdensome. To date it was unknown if documentation activities are related to the workload that nurses perceive. A distinction between clinical documentation and organizational documentation seems relevant. This study aims …

Career opportunities play an important role in keeping teachers passionate and motivated in their profession. As such opportunities contribute to growth, challenge, variation and recognition, they can both attract high quality candidates to the profession and keep talented teacher in the profession for …

Objectives To identify factors associated with kinesiophobia (fear of movement) after cardiac hospitalisation and to assess the impact of kinesiophobia on cardiac rehabilitation (CR) initiation. Design Prospective cohort study. Setting Academic Medical Centre, Department of Cardiology. Participants We …