Publications by authors named "Emma F van Bussel"
Background: A poor prenatal environment adversely affects brain development. Studies investigating long-term consequences of prenatal exposure to the 1944-45 Dutch famine have shown that those exposed to famine in early gestation had poorer selective attention, smaller brain volumes, poorer brain perfusion, older appearing brains, and increased reporting of cognitive problems, all indicative of increased dementia risk.
Objective: In the current population-based study, we investigated whether dementia incidence up to age 75 was higher among individuals who had been prenatally exposed to famine.
Cardiovascular risk prediction is mainly based on traditional risk factors that have been validated in middle-aged populations. However, associations between these risk factors and cardiovascular disease (CVD) attenuate with increasing age. Therefore, for older people the authors developed and internally validated risk prediction models for fatal and non-fatal CVD, (re)evaluated the predictive value of traditional and new factors, and assessed the impact of competing risks of non-cardiovascular death.
View Article and Find Full Text PDFIntroduction: Primary cardiovascular prevention through simultaneously targeting multiple risk factors may be even more effective than single risk factor modification in older adults. The effects of multicomponent cardiovascular prevention on cardiovascular risk are explored.
Study Design: Post hoc analysis of the cluster randomized Prevention of Dementia by Intensive Vascular care trial.
Background: Recent reports have suggested declining age-specific incidence rates of dementia in high-income countries over time. Improved education and cardiovascular health in early age have been suggested to be bringing about this effect. The aim of this study was to estimate the age-specific dementia incidence trend in primary care records from a large population in the Netherlands.
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- Scientists wanted to see if treating heart health could help prevent dementia in older people.
- They did a study with people aged 70-78 in the Netherlands, with some getting special care for 6 years and others getting regular care.
- After following them for about 6.7 years, they found no big difference in dementia rates or disability scores between the two groups, meaning the special care didn’t help as expected.
Background: Cardiovascular prevention programmes are increasingly being offered to older people. To achieve the proposed benefits, adherence is crucial. Understanding the reasons for adherence and non-adherence can improve preventive care.
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- In Alberta, Canada, there were problems with accessing good stroke care, especially in faraway places, so they created a plan called the Alberta Provincial Stroke Strategy (APSS) in 2005 to fix this.
- The APSS uses modern technology like telehealth and focuses on working together among doctors and nurses to make sure stroke care is better and quicker.
- Since starting the APSS, stroke care has improved a lot, making it easier for patients to get help and ensuring that medical staff are better trained and have the right tools.