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Using molecular techniques and microsensors for H(2)S and CH(4), we studied the population structure of and the activity distribution in anaerobic aggregates. The aggregates originated from three different types of reactors: a methanogenic reactor, a methanogenic-sulfidogenic reactor, and a sulfidogenic reactor. Microsensor measurements in(More)
BACKGROUND Evidence shows that suboptimum handovers at hospital discharge lead to increased rehospitalizations and decreased quality of health care. PURPOSE To systematically review interventions that aim to improve patient discharge from hospital to primary care. DATA SOURCES PubMed, CINAHL, PsycInfo, the Cochrane Library, and EMBASE were searched for(More)
BACKGROUND Advocates for quality and safety have called for healthcare that is patient-centred and decision-making that involves patients. OBJECTIVE The aim of the paper is to explore the barriers and facilitators to patient-centred care in the hospital discharge process. METHODS A qualitative study using purposive sampling of 192 individual interviews(More)
BACKGROUND Organizational culture is seen as having a growing impact on quality and safety of health care, but its impact on hospital to community patient discharge is relatively unknown. OBJECTIVES To explore aspects of organizational culture to develop a deeper understanding of the discharge process. RESEARCH DESIGN A qualitative study of stakeholders(More)
OBJECTIVE To identify barriers experienced and perceived at discharge by physicians, nurses, patients and relatives. DESIGN We developed questionnaires based on focus group interviews with hospital and community care providers, and individual interviews with patients and relatives. A survey was conducted among patients, relatives and related nurses and(More)
BACKGROUND Ethics-of-care theories contain important notions regarding the quality of care; however, until now, concrete translations of the insights into instruments are lacking. This may be a result of the completely different type of epistemology, theories and concepts used in the field of quality of care research. OBJECTIVES Both the fields of 'ethics(More)
We have developed a computer program based on the geometrical optics approach proposed by Roosen to calculate the forces on dielectric spheres in focused laser beams. We have explicitly taken into account the polarization of the laser light and thd divergence of the laser beam. The model can be used to evaluate the stability of optical traps in a variety of(More)
BACKGROUND Patient safety experts have postulated that increasing patient participation in communications during patient handovers will improve the quality of patient transitions, and that this may reduce hospital readmissions. Choosing strategies that enhance patient safety through improved handovers requires better understanding of patient experiences and(More)
BACKGROUND There is a growing impetus to reorganize the hospital discharge process to reduce avoidable readmissions and costs. The aim of this study was to provide insight into hospital discharge problems and underlying causes, and to give an overview of solutions that guide providers and policy-makers in improving hospital discharge. METHODS The(More)
BACKGROUND Much of the research on improving patient handovers has focused on enhancing communication within the hospital system, but there have been relatively few efforts aimed at addressing the challenges at the interface between the hospital and the primary care setting. METHODS A qualitative thematic analysis using a clinical microsystems lens(More)