Fertility after photodynamic inactivation of bacteria in extended boar semen.

Antimicrobial resistance is an increasing challenge in semen preservation of breeding animals, especially in the porcine species. Bacteria are a natural component of semen, and their growth should be inhibited to protect sperm fertilizing capacity and the female's health. In pig breeding, where semen is routinely stored at 17°C in the liquid state, alternatives to conventional antibiotics are urgently needed.

Putting ICU triage guidelines into practice: A simulation study using observations and interviews.

Background: The COVID-19 pandemic has prompted many countries to formulate guidelines on how to deal with a worst-case scenario in which the number of patients needing intensive care unit (ICU) care exceeds the number of available beds. This study aims to explore the experiences of triage teams when triaging fictitious patients with the Dutch triage guidelines. It provides an overview of the factors that influence decision-making when performing ICU triage with triage guidelines.

Storage of Extended Boar Semen at 5 °C Inhibits Growth of Multi-Drug Resistant and while Maintaining High Sperm Quality.

Multi-drug antibiotic resistance of and in boar semen is an emerging threat to pig reproduction and the environment. The aim of this study is to examine the efficiency of a novel hypothermic preservation method to inhibit the growth of these bacterial species in extended boar semen and to maintain the sperm quality. The semen samples extended in an antibiotic-free Androstar Premium extender were spiked with ~10 CFU/mL of or .

Communication between Dutch community nurses and general practitioners lacks structure: An explorative mixed methods study .

Background: Community nurses and general practitioners evaluate their patient-related communication to be poor. However, their actual communication has hardly been investigated and specific strategies for improvement are unclear.

Objectives: To explore actual community nurse-general practitioner communication in primary care and gain insights into communication style, and conversation structure and their determinants.

Substituting physicians with nurse practitioners, physician assistants or nurses in nursing homes: a realist evaluation case study.

Objectives: This study aimed to gain insight into how substitution of elderly care physicians (ECPs) by nurse practitioners (NPs), physician assistants (PAs) or registered nurses (RNs) in nursing homes is modelled in different contexts and what model in what context contributes to perceived quality of healthcare. Second, this study aimed to provide insight into elements that contribute to an optimal model of substitution of ECPs by NPs, PAs or RNs.

Design: A multiple-case study was conducted that draws on realist evaluation principles.

Identification of influencing factors and strategies to improve communication between general practitioners and community nurses: a qualitative focus group study.

Background: As the number of patients with complex healthcare needs grows, inter-professional collaboration between primary care professionals must be constantly optimized. General practitioners (GPs) and community nurses (CNs) are key professions in primary care; however, poor GP-CN communication is common, and research into the factors influencing its quality is limited.

Objective: To explore patient-related GP-CN communication and facilitating and hindering factors, and to identify strategies to enhance this communication.

Determinants of the sustained employment of physician assistants in hospitals: a qualitative study.

Objectives: To identify determinants of the initial employment of physician assistants (PAs) for inpatient care as well as of the sustainability of their employment.

Design: We conducted a qualitative study with semistructured interviews with care providers. Interviews continued until data saturation was achieved.

Reducing the use of out-of-hours primary care services: A survey among Dutch general practitioners.

Background: Out-of-hours primary care services have a high general practitioner (GP) workload with increasing costs, while half of all contacts are non-urgent.

Objectives: To identify views of GPs to influence the use of the out-of-hours GP cooperatives.

Methods: Cross-sectional survey study among a random sample of 800 GPs in the Netherlands.

A systematic approach towards the development of a set of quality indicators for public reporting in community-based maternity care.

Objective: to demonstrate the process and outcome of a systematic approach towards the development of a set of quality indicators for public reporting on quality of community-based maternity care.

Design And Setting: a four-stepped approach was adopted. Firstly, we defined key elements of community-based maternity care, by performing a systematic search on care guidelines/ standards.

Patient safety in midwifery care for low-risk women: instrument development.

Introduction: Few studies have examined the safety of midwife-led care for low-risk childbearing women. While most women have a low-risk profile at the start of pregnancy, validated measures to detect patient safety risks for this population are needed. The increased interest of midwife-led care for childbearing women to substitute for other models of care requires careful evaluation of safety aspects.

Patient safety in midwifery-led care in the Netherlands.

Objective: to describe the incidence and characteristics of patient safety incidents in midwifery-led care for low-risk pregnant women.

Design: multi-method study.

Setting: 20 midwifery practices in the Netherlands; 1,000 patient records.

Experienced barriers and facilitators for integrating smoking cessation advice and support into daily dental practice. A short report.

In a controlled study, primary care dental professionals in the intervention group were encouraged to provide smoking cessation advice and support for all smoking patients with the help of a stage-based motivational protocol. The barriers and facilitators reported by the dental professionals on two occasions for their efforts to incorporate smoking cessation advice and counselling into daily patient care are summarised here. Lack of practice time and anticipated resistance on the part of the patient were cited as barriers by over 50% of the dental professionals in the first interviews.

Are oral health complaints related to smoking cessation intentions?

Objective: Smoking influences oral health in several ways (such as the occurrence of periodontitis, teeth discolouration and oral cancer); therefore, smoking behaviour should be addressed in dental care. Dentists can play a role in primary and secondary prevention of tobacco dependence. They see their patients repeatedly over time.

Improving access to primary care: the impact of a quality-improvement strategy.

Problem: Many patients are not satisfied with the accessibility and availability of general practice, and they would like to see improvement.

Design: Quality-improvement study with pre-intervention and post-intervention data collection in 36 general practices.

Setting: General practices located in the south of The Netherlands.

What determines the provision of smoking cessation advice and counselling by dental care teams?

Objective: To investigate determinants of the provision of smoking cessation advice and counselling by various dental professionals in the dental team (dentists, dental hygienists and prevention auxiliaries).

Design: Cross-sectional design.

Setting: Sixty-two general dental practices in the Netherlands.

[Stop smoking advice for patients who smoke: feasible in the dental practice?].

Smoking may cause periodontal diseases and raises the chance of getting oral cancer. The Dutch Guideline for the Treatment of Tobacco Addiction recommends that dental professionals explicitly advise all patients who smoke to stop smoking. In 12 dental practices a study was made of how the guidelines could be implemented.

Smoking initiation among Gambian adolescents: social cognitive influences and the effect of cigarette sampling.

In this study, determinants of tobacco use among Gambian youths were examined. A cross-sectional school-based survey was conducted among 282 students, aged 14-18. The potential determinants were derived from the core constructs of the Theory of Planned Behavior and the ASE model.