OBJECTIVE: To evaluate the effect of doxepin hydrochloride 5% cream on reducing pruritus in burn scar patients compared to a placebo cream. METHOD: We conducted a multicenter triple-blind randomized clinical placebo-controlled crossover trial in which burn patients ≥18 years with an itch intensity ≥3 …

Women want positive birth experiences with high quality maternity care that is neither too much, too soon, nor too little, too late. Research confirms the effectiveness of midwifery care, and the midwifery approach to birth as physiologic may counter the upward trend of the unnecessary medicalization …

Now that the grey wolf (Canis lupus lupus) returned to Germany, pastoralists need to adopt protection measures to prevent their animals from incidents. Most of the incidents arise where wolves establish themselves in new territories and pastoralists have not yet adjusted to their presence. The facts …

BACKGROUND: The need for organisational development in primary care has increased as it is accepted as a means of curbing rising costs and responding to demographic transitions. It is only within such inter-organisational networks that small-scale practices can offer treatment to complex patients and …

We, humans have our roots in pre-Anthropocene eras where we gathered skills for survival and establishing our culture. The cumulated tacit knowledge, the skills, ideas and experiences that can only be shared by personal contact and mutual trust, is evolved and cumulated during this pre-Anthropocene era. …

A colomn about nurture (development) and innate brain structures. Our brain is important. A car does not drive without a motor, but the purpose of the journey is not anchored in the engine. As long as we are judged on what we do or don 't do in the world, running away on time in a conflict, for example, …

A school and especially a university must operate efficiently, while also offering innovation space. In meeting these requirements, it can neither leave 100% on lean, nor inspiration (think of the art schools half a century ago). Companies need continuity. Serendipity may facilitate this. However, sometimes …

Introduction: Intractable epilepsy can be treated with the Ketogenic diet (KD). One of the side-effects of the KD is poor bone health. Experience from the Erasmus MC Sophia Children’s Hospital (EMCS) shows that the status of bone mineral density (BMD) is unknown in many cases. This makes it difficult …

This chapter considers the use of haptics for learning fundamental rhythm skills, including skills that depend on multi-limb coordination. Different sensory modalities have different strengths and weaknesses for the development of skills related to rhythm. For example, vision has low temporal resolution …

According to some, developing a strategy results in producing a paper report, that does not ft the nature of SMEs. They are used to adapting pragmatically to changes. However, shifts in the economy and society are now so great that neither plans nor pragmatism is suffcient to survive. Many SMEs show …