Publications by authors named "Arie Bijl"
Objectives: To investigate the relationship between lean adoption and problem-solving behaviour in nursing teams, and to explore the practices of lean leaders on nursing wards to reveal how they can stimulate second-order problem-solving within their teams.
Design: A mixed-methods retrospective multiple case study using semistructured interviews. Interview data were used to assess the level of lean maturity (based on a customised validated instrument) and the level of second-order problem-solving (based on scenarios).
Article Synopsis
- The study analyzed data from 512 newly diagnosed rheumatoid arthritis (RA) patients to evaluate the relationship between the patient global assessment (PGA) score and their clinical disease state, finding that only about 20% met the ACR/EULAR criteria for remission.
- Despite fulfilling other clinical criteria, 21% of patients had a PGA score greater than 1, indicating that their subjective assessment of health was not aligned with objective measures of disease activity.
- The findings suggest that the PGA may not accurately reflect disease activity alone, highlighting the need for careful interpretation when using the ACR/EULAR definition of remission in RA patients.
This prospective open-label pilot study evaluated the effectiveness and safety of adalimumab and the relationship to antibodies against infliximab (IFX) in adult patients with active rheumatoid arthritis (RA) who had been treated previously with IFX and experienced treatment failure owing to lack or loss of response or intolerance. Patients self-administered adalimumab 40 mg subcutaneously every other week for 16 weeks, followed by maintenance therapy for up to Week 56. Measures of effectiveness included American College of Rheumatology (ACR) and European League Against Rheumatism (EULAR) response criteria, 28-joint Disease Activity Score, and the Health Assessment Questionnaire Disability Index.
View Article and Find Full Text PDF