Illuminazione a LED degli ambienti di lavoro: analisi tecnico-economica della sostituzione di lampade fluorescenti lineari con LED Tube in uffici e laboratori universitari

Analisi del rischio da Radiazioni Ottiche Artificiali dei LED, valutazione del rispetto dei parametrici illuminotecnici in ambienti di lavoro universitari e valutazione tecnico economica della sostituzione di lampade fluorescenti lineari con lampade LE

The criterion-related validity of the Northwick Park Dependency Score as a generic nursing dependency instrument for different rehabilitation patient groups

Objective: To investigate the criterion or concurrent validity of the Northwick Park Dependency Score (NPDS) for determining nursing dependence in different rehabilitation groups, with the Barthel Index (BI) and the Care Dependency Scale (C D S).Design: Cross-sectional study.Setting: Centre for Rehabilitation of the University Medical Center Groningen, The Netherlands.Subjects: Patients after stroke, spinal cord injury, multitrauma, head injury, amputation, rheumatoid arthritis, diabetes mellitus, lung diseases, tuberculosis and coronary artery disease. One hundred and fifty-four patients were included.Measures: The Northwick Park Dependency Score (NPDS), the Barthel Index (BI) and the Care Dependency Scale (CDS).Results: The correlation (rho) between the NPDS and the BI for all groups was - 0.87-1 R-2 = 0.76 (n = 154). Per patient group rho varied from - 0.70 (R-2 = 0.49) to - 0.93 (R-2 = 0.86). The overall correlation between the NPDS and CDS was larger than the criterion of rho = 0.60 (r=- 0.74; R-2 = 0.55) but was &lt;0.60 in the rheumatoid arthritis and tuberculosis group. The overall correlation between BI and CDS exceeded the criterion (r = 0.75; R-2 = 0.56).Conclusions: The NPDS is a generic nursing dependency instrument that can be used as a valid measure across various patient groups in rehabilitation.</p

The degree of joint range of motion limitations after burn injuries during recovery

Introduction: The aim of this study was to determine the degree of ROM limitations of extremities, joints and planes of motion after burns and its prevalence over time. Method: The database of a longitudinal multicenter cohort study in the Netherlands (2011–2012) was used. From patients with acute burns involving the neck, shoulder, elbow, wrist, hip, knee and ankle joints that had surgery, ROM of 17 planes of motion was assessed by goniometry at 3, 6 weeks, 3–6–9 and 12 months after burns and at discharge. Results: At 12 months after injury, 12 out of 17 planes of motion demonstrated persistent joint limitations. The five unlimited planes of motion were all of the lower extremity. The most severely limited joints at 12 months were the neck, ankle, wrist and shoulder. The lower extremity was more severely limited in the early phase of recovery whereas at 12 months the upper extremity was more severely limited. Conclusion: The degree of ROM limitations and prevalence varied over time between extremities, joints and planes of motion. This study showed which joints and planes of motion should be watched specifically concerning the development of scar contracture

Gebitstoestand en mondgezondheid van basisschoolkinderen

De laatste decennia is er veel aandacht besteed aan het verbeteren van de gebitstoestand van basisschoolkinderen. Om een indruk te krijgen van de huidige stand van zaken met betrekking tot de gebitstoestand en de mondgezondheid is in de provincie Drenthe een onderzoek gedaan onder 1.147 kinderen van groep 2 en groep 8. Van de kinderen heeft 33% een niet-gaaf gebit en 13% heeft last van gingivitis. Het hoogste percentage niet-gave gebitten is te vinden onder kinderen uit de lage sociaaleconomische klasse en kinderen uit het speciaal onderwijs. Het blijkt dat deze kinderen minder vaak poetsen, later naar de tandarts gaan en vaker snoepen. De gebitstoestand van kinderen die een poetsinstructie hebben gehad is niet beter dan die van kinderen die geen poetsinstructie hebben gehad. Ook van de kinderen van wie de ouders voorlichting over mondgezondheid hebben gehad, is de gebitstoestand niet beter dan die van kinderen van wie de ouders geen voorlichting hebben gehad. Versch. in: Ned Tijdschr Tandheelkd 2005; 112: 358-362