Publications by authors named "A C M Siebers"

Objective: This study aimed to assess the resources involved in collecting data for both the WHO/Health Action International (HAI) methodology and the Sustainable Development Goal 3.b.3 indicator to determine the availability and affordability of medicines.

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Background: Despite its proven efficacy and recommendations in national clinical guidelines, Constraint-Induced Movement Therapy (CIMT) is rarely implemented, sustained over time, nor evaluated in regular clinical practice.

Aims: To evaluate the effects of CIMT that has been delivered in a clinical setting over a sustained period of time, and to study the relationship between patient characteristics and outcomes.

Material And Methods: This practice-based, retrospective, observational study utilised a before-and-after design.

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Objective: Several European and American guidelines recommend to perform an additional hysterectomy in patients with cervical adenocarcinoma in situ (AIS), who initially received conservative treatment and who completed childbearing during follow-up. This study aimed to evaluate cost-effectiveness of performing an additional hysterectomy in comparison to expectative management.

Methods: This post-hoc analysis was based on a retrospective cohort of patients diagnosed with AIS, who were conservatively treated by a radical (i.

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Article Synopsis
  • * It compares outcomes of large loop excision (LLETZ), cold-knife conization (CKC), and hysterectomy in a cohort of 4,243 patients, finding that LLETZ had a higher recurrence rate of high-grade dysplasia compared to CKC.
  • * When a complete radical excision is achieved, both LLETZ and CKC show similar low rates of recurrence, while hysterectomy results in no cases of cervical dysplasia or cancer, suggesting conservative treatments can be
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Thermal regimes of aquatic ecosystems are predicted to change as climate warming progresses over the next century, with high-latitude and high-elevation regions predicted to be particularly impacted. Here, we have modelled alpine stream water temperatures from air temperature data and used future predicted air temperature trajectories (representative concentration pathway [rcp] 4.5 and 8.

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