76 research outputs found
De landbouwkundige grondslag van snoei en pluk bij Assamthee
From experiments the following conclusions could be drawn: The increase in diameter of the stems of free growing tea plants is practically proportional to time if the growing conditions of the shrubs do not change. However, tea plants in gardens producing tea leaf are planted so closely, that full development of the bushes is hampered. Pruning and plucking further influences the trees physiologically.Tea shoots have an alternation of periods in which leaves are formed, and periods in which the development of leaves completely stops. Every shoot has its own rhythm not necessarily coinciding with that of other shoots of the same bush. This rhythm is not autonomic but is determined by outward circumstances. The effect of plucking green leaves for the production of dried tea can be divided into influences of the kind of leaves plucked, the length of the plucking round and the kind of leaves left on the bush on the production, quality of the leaves, and physiological condition of the plant. So nine different influences can be distinguished.Over a long period tea bushes cannot stand such severe plucking that would prevent the plucking level rising. Consequently pruning periodically is essential to keep the tea plantation productive. Pruning of tea gardens is also necessary to keep the plants in a good physiological condition.<p/
The effect of a birthplace decision support tool on women’s decision-making and information gathering behaviours during pregnancy: mybirthplace study protocol
Background The Maternity Review for England highlighted the need for more accessible information to support decisions. This study assesses the effect of a decision support tool (DST) on women’s decision-making regarding birthplace. Methods A mixed method sequential exploratory design involving three phases and 169 women from a large UK maternity hospital. Phase one: A questionnaire survey pre and post-access to the DST examining knowledge level and stages of decision-making scale. Phase 2: Follow-up questionnaire at 28 weeks to enable the usefulness of Mybirthplace to be evaluated. Phase 3: Qualitative interviews with 10 purposely chosen women at 36 weeks gestation. Collection of data on actual birthplace. Discussion This study is the first to assess the effect of a DST in supporting women’s choice of place of birth
What Triggers and Barriers to Practicing Consumption Ideals Must Be Addressed By Sustainable Consumption Solutions?
Despite a wealth of knowledge on the psycho-social and ideological functions of personal consumption, we have yet to successfully address unsustainable consumption practices in developed urban spaces. This study develops a contemporary understanding of how people from Sydney engage in their personal consumption practices. Using both focus groups and personal consumption journals, I identified the common consumption considerations of all participants regardless of whether their goal was to minimise or maximise their resource consumption. This data was collected into eight categories of psycho-social and ideological issues that are argued to consistently contribute to the renegotiation of consumption ideals into practices. These results show that personal consumption is a fluid act that occurs anew with each decision. As such, these eight categories offer points of entry to affect sustainable consumption practices
Development and measurement of guidelines-based quality indicators of caesarean section care in the Netherlands: A RAND-modified delphi procedure and retrospective medical chart review
Background
There is an ongoing discussion on the rising CS rate worldwide. Suboptimal guideline adherence may be an important contributor to this rise. Before improvement of care can be established, optimal CS care in different settings has to be defined. This study aimed to develop and measure quality indicators to determine guideline adherence and identify target groups for improvement of care with direct effect on caesarean section (CS) rates.
Method
Eighteen obstetricians and midwives participated in an expert panel for systematic CS quality indicator development according to the RAND-modified Delphi method. A multi-center study was performed and medical charts of 1024 women with a CS and a stratified and weighted randomly selected group of 1036 women with a vaginal delivery were analysed. Quality indicator frequency and adherence were scored in 2060 women with a CS or vaginal delivery.
Results
The expert panel developed 16 indicators on planned CS and 11 indicators on unplanned CS. Indicator adherence was calculated, defined as the number of women in a specific obstetrical situation in which care was performed as recommended in both planned and unplanned CS settings. The most frequently occurring obstetrical situations with low indicator adherence were: 1) suspected fetal distress (frequency 17%, adh
Pregnancy after caesarean : current care, clinical prediction and risk counselling
In the Netherlands, more and more women are giving birth by caesarean. This study shows that the guidelines that determine when to perform a caesarean are not always followed. Interestingly, the guidelines governing the type of delivery after a prior caesarean are only followed 15% of the time. Moreover, major differences exist between hospitals, often independent of patient characteristics. It can therefore be concluded that local policies are largely determined based on the opinions of individual healthcare providers and hospital policies. A decision-making tool has been developed to improve the quality of care. Gynaecologists can use this tool in the examination room to make the best decision in consultation with the patient about the type of delivery: a natural birth or a caesarean
Stofoverdracht met homogene reactie in een vloeistof-vloeistof systeem
Applied SciencesKramers Laboratorium voor Fysische Technologi
Acetyleen (wulff)
Document(en) uit de collectie Chemische ProcestechnologieDelftChemTechApplied Science
- …