Apart from that this approximation does not alter the fact that at Sphinx, certainly after the departure of Petrus Regout and the transfer of the management to his sons in 1870, the social abuses of the industrial revolution continued in all vehemence. These abuses were especially put forward in the …

Background Breech presentation occurs in 3 to 4% of all term pregnancies. External cephalic version (ECV) is proven effective to prevent vaginal breech deliveries and therefore it is recommended by clinical guidelines of the Royal Dutch Organisation for Midwives (KNOV) and the Dutch Society for Obstetrics …

Patients with poststroke aphasia have higher mortality rates and worse functional outcome than patients without aphasia. Nurses are well aware of aphasia and the associated problems for patients with stroke because they have daily contact with them. The challenge is to provide evidence-based care directed …

Predictive models, such as acute physiology and chronic health evaluation II (APACHE-II), are widely used in intensive care units (ICUs) to estimate mortality. Although the presence of delirium is associated with a higher mortality in ICU patients, delirium is not part of the APACHE-II model. The aim …

It may be true (but confirmation is required) that adding delirium to a measurement such as the APACHE score is not of value. Clinicians and hospital quality officers should continue to consider early detection of delirium and ongoing delirium detection as an important prognostic tool. Despite shortcomings …

What is already known about depression in dementia? Comorbid depression in people with dementia is associated with decreased quality of life (Shin et al., 2005), greater health care utilization (Kunik et al., 2003), higher mortality rates (Suh et al., 2005) and decreased caregiver’s wellbeing (Kerkstra …

Sub-Saharan Africa (SSA) is an underdeveloped region, but had seen significant economic growth before the global financial crisis. Due to the crisis economic growth has stopped or even decreased. In addition, several other aspects are expected to become worse, such as incomes, child mortality and access …

In critically ill patients, delirium is a serious and frequent disorder that is associated with a prolonged intensive care and hospital stay and an increased morbidity and mortality. Without the use of a delirium screening instrument, delirium is often missed by ICU nurses and physicians. The effects …

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 …