102 research outputs found

    Schaalvergroting in kleinschalig landschap : [Innovatieve bedrijfsontwikkeling melkveehouderij in Noardlike Fryske Wâlden]

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    Dit rapport gaat in op kansen voor een renderende bedrijfsvoering in een kleinschalig landschap. Er is in het gebied al veel gediscussieerd over aanpassen van de kavels en landschapselementen aan de schaalvergroting in de landbouw. zodat je goed uit de voeten kunt met grote machines. In een bijeenkomst met melkveehouders en regionale overheden is nagedacht over het omgekeerde, namelijk hoe kan de landbouw zich aanpassen aan het landschap, waarbij beide voordeel hebben. Het perspectief van een aantal innovatieve gedachten zijn besproken en beoordeeld. Vervolgens zijn met een kleine groep melkveehouders scenarioberekeningen gemaakt. rond schaalvergroting die rekening houdt met knelpunten en kansen in het gebied. De verschillende scenario’s en innovaties worden toegelicht

    Factors associated with successful rehabilitation in older adults: A systematic review and best evidence synthesis

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    Purpose; Returning to community living is an indicator for successful rehabilitation in older adults admittedto geriatric rehabilitation. Predicting successful rehabilitation could contribute to the deployment of earlydischarge planning, and leads to a more custom-made rehabilitation trajectory. This review aims to presentan overview of factors associated with successful rehabilitation following inpatient geriatric rehabilitation.Method; A systematic literature review was conducted in PubMed, CINAHL and Embase. Extracted factorswere analysed via Bakker’s five levels of evidence.Results; Nine studies with methodological quality of good to moderate were included. For 13 of the 18 extractedfactors, limited (n=3),moderate (n=5) and conflicting (n=5) evidence found a significant association.Conclusions; Caregiver, comorbidities, motor-function, nutritional status, time from onset are significantlyrelated to successful rehabilitation. These factors could support healthcare professionals to indicate successfulrehabilitation at admission and contributes to deployment of early discharge planning and developmentof more custom-made rehabilitation trajectories.Public Health and primary careGeriatrics in primary car

    Linkage in mice of genes controlling an immunoglobulin kappa-chain marker and the surface alloantigen Ly-3 on T lymphocytes

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    Evidence obtained using recombinant inbred and congenic mouse strains has shown that the PC8 locus responsible for determining a marker on a single k chain in inbred mice is linked to the Ly - 2,3 locus on chromosome 6. The upper limit of the map distance between these loci is approximately three centimorgans. This finding is discussed in relation to other known light-chain variants that are associated with the Ly - 2,3 locus.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/46753/1/251_2005_Article_BF01563929.pd

    Factors Associated with Revision Surgery after Internal Fixation of Hip Fractures

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    Background: Femoral neck fractures are associated with high rates of revision surgery after management with internal fixation. Using data from the Fixation using Alternative Implants for the Treatment of Hip fractures (FAITH) trial evaluating methods of internal fixation in patients with femoral neck fractures, we investigated associations between baseline and surgical factors and the need for revision surgery to promote healing, relieve pain, treat infection or improve function over 24 months postsurgery. Additionally, we investigated factors associated with (1) hardware removal and (2) implant exchange from cancellous screws (CS) or sliding hip screw (SHS) to total hip arthroplasty, hemiarthroplasty, or another internal fixation device. Methods: We identified 15 potential factors a priori that may be associated with revision surgery, 7 with hardware removal, and 14 with implant exchange. We used multivariable Cox proportional hazards analyses in our investigation. Results: Factors associated with increased risk of revision surgery included: female sex, [hazard ratio (HR) 1.79, 95% confidence interval (CI) 1.25-2.50; P = 0.001], higher body mass index (fo

    Identification of the Hin

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