Myocardial infarction care in low and high socioeconomic environments: claims data analysis.

Background: To date, claims data have not been used to study outcome differences between low and high socioeconomic status (SES) patients surviving ST-elevation myocardial infarction (STEMI) and non-ST-elevation myocardial infarction (NSTEMI) in the Netherlands.

Aim: To evaluate STEMI and NSTEMI care among patients with low and high SES in the referral area of three Dutch percutaneous coronary intervention (PCI) centres, using claims data as a source.

Methods: STEMI and NSTEMI patients treated in 2015-2017 were included.

Perspectives of Patients and Professionals on Patient Education in Complex Endovascular Aortic Repair.

Background: Misinterpretation of patient preferences in perioperative education can lead to an undesired treatment decision. This explorative interview study presents differences in perspectives of patients and professionals on patient education in complex endovascular aortic aneurysm management.

Methods: Using convenience sampling, a cross-sectional interview study was performed among patients who were in various stages of the decision-making process for complex endovascular aortic repair.

A Preoperative Virtual Reality App for Patients Scheduled for Cardiac Catheterization: Pre-Post Questionnaire Study Examining Feasibility, Usability, and Acceptability.

Background: Pre- and postoperative anxiety is a common phenomenon associated with negative postoperative outcomes. Symptoms of posttraumatic stress disorder, such as fear, nightmares, and sleep deprivation, are prevalent in approximately 30% to 50% of patients following discharge from intensive care units after cardiac surgery. Preliminary evidence suggests a promising role of virtual reality (VR) in preventing stress-related reactions using stress inoculation training.

Real-World Experience of mHealth Implementation in Clinical Practice (the Box): Design and Usability Study.

Background: Mobile health (mHealth) is an emerging field of scientific interest worldwide. Potential benefits include increased patient engagement, improved clinical outcomes, and reduced health care costs. However, mHealth is often studied in projects or trials, and structural implantation in clinical practice is less common.

From research to bedside: Incorporation of a CGA-based frailty index among multiple comanagement services.

The comprehensive geriatric assessment (CGA) is the core tool used by geriatricians across diverse clinical settings to identify vulnerabilities and estimate physiologic reserve in older adults. In this paper, we demonstrate the iterative process at our institution to identify and develop a feasible, acceptable, and sustainable bedside CGA-based frailty index tool (FI-CGA) that not only quantifies and grades frailty but also provides a uniform way to efficiently communicate complex geriatric concepts such as reserve and vulnerability with other teams. We describe our incorporation of the FI-CGA into the electronic health record (EHR) and dissemination among clinical services.

Development of a patient-oriented Hololens application to illustrate the function of medication after myocardial infarction.

Aims: Statin treatment is one of the hallmarks of secondary prevention after myocardial infarction. Adherence to statins tends to be difficult and can be improved by patient education. Novel technologies such as mixed reality (MR) expand the possibilities to support this process.

To treat or not to treat: left ventricular thrombus in a patient with cerebral amyloid angiopathy: a case report.

Background: Cerebral amyloid angiopathy (CAA) is an important cause of cognitive impairment and spontaneous lobar intracerebral haemorrhage in older individuals. When necessary, anticoagulant treatment in these patients comes with two dilemmas; significant intracerebral bleeding risk with treatment vs. high risk of embolic stroke with no treatment.

Perspectives of Patients and Professionals on Information and Education After Myocardial Infarction With Insight for Mixed Reality Implementation: Cross-Sectional Interview Study.

Background: Patient education is crucial in the secondary prevention of cardiovascular disease. Novel technologies such as augmented reality or mixed reality expand the possibilities for providing visual support in this process. Mixed reality creates interactive digital three-dimensional (3D) projections overlaying virtual objects on the real-world environment.

Non-ST-elevation myocardial infarction in the Netherlands: room for improvement!

Aim: To analyse non-ST-elevation myocardial infarction (NSTEMI) care in the Netherlands and to identify modifiable factors to improve NSTEMI healthcare.

Methods: This retrospective cohort study analysed hospital and pharmacy claims data of all NSTEMI patients in the Netherlands in 2015. The effect of percutaneous coronary intervention (PCI) during hospitalisation on 1‑year mortality was investigated in the subcohort alive 4 days after NSTEMI.

Teamwork and Safety Attitudes in Complex Aortic Surgery at a Dutch Hospital: Cross-Sectional Survey Study.

Background: Improving teamwork in surgery is a complex goal and difficult to achieve. Human factors questionnaires, such as the Safety Attitudes Questionnaire (SAQ), can help us understand medical teamwork and may assist in achieving this goal.

Objective: This paper aimed to assess local team and safety culture in a cardiovascular surgery setting to understand how purposeful teamwork improvements can be reached.

Heart in art: cardiovascular diseases in novels, films, and paintings.

Background: Understanding representations of disease in various art genres provides insights into how patients and health care providers view the diseases. It can also be used to enhance patient care and stimulate patient self-management.

Methods: This paper reviews how cardiovascular diseases are represented in novels, films, and paintings: myocardial infarction, aneurysm, hypertension, stroke, heart transplantation, Marfan's disease, congestive heart failure.

Trends in the incidence of dental caries in 18-year-olds in Łódzkie voivodeship in 1995-2014.

Objective: The objective of this paper was to assess the dentition status of 18-year-olds living in Łódzkie voivodeship based on the epidemiological studies conducted in 1995-2014.

Material And Methods: Study was carried out in 2014. Study group was composed of 302 adolescents aged 18 years old living in Łódzki and Brzeziński districts, including urban and rural areas selected using three stage cluster sampling method.

Age and gender differences in medical adherence after myocardial infarction: Women do not receive optimal treatment - The Netherlands claims database.

Background Following myocardial infarction, medication is, besides lifestyle interventions, the cornerstone treatment to improve survival and minimize the occurrence of new cardiovascular events. Still, data on nationwide medication adherence are scarce. This study assesses medical adherence during one year following myocardial infarction, stratifying per type of infarct, age and gender.

Salivary cortisol, alpha-amylase and immunoglobulin a responses to a morning session of basketball or volleyball training in boys aged 14-18 years.

This study investigates whether a single session of routine morning basketball or volleyball training affects saliva levels of cortisol, alpha-amylase (sAA) and secretory immunoglobulin A (sIgA) in boys aged 14–18 years. Twenty-nine boys who participate in basketball or volleyball training, recruited from the Marcin Gortat’s Athletic Championship School in Lodz, were enrolled in the study. The 90-minute routine exercise program included 15 minutes of warm-up followed by basketball or volleyball practice.

Parent's pro-health awareness concerning oral health of their children in the light of survey research.

Background: Oral hygiene is a crucial part of caring for young children. This problem is frequently marginalized or even ignored by parents/guardians, what affects child's whole further life.

Objectives: The assessment of parents' knowledge concerning oral hygiene and prevention of dental caries in infants and young children.

Dentition status in 12-year-old children in Łódzkie province in 2014.

Background: In the year 2014 an epidemiological study was carried out again in the region of Łódź amongst 12-year old children as a part of general study in Poland.

Objectives: The purpose of the study was to evaluate the prevalence of carries, caries severity measured by the DMF index among 12-year old children in the region of Łódź.

Material And Methods: 328 children aged 12 were randomly selected and examined, of which 176 girls and 152 boys respectively.

Effect of orthostatic hypotension on sustained attention in patients with autonomic failure.

Introduction: Orthostatic hypotension has been associated with impaired cognitive function, but cognitive function during orthostatic hypotension has hardly been studied. We studied the effect of orthostatic hypotension, induced by head-up tilt (HUT), on sustained attention in patients with autonomic failure.

Methods: We studied the sustained attention to response task (SART) in the supine position and during HUT in 10 patients with autonomic failure and 10 age-matched and sex-matched controls.

[Influence of smoking intoxicants on dental status. Literature search and own experience].

Amphetamines are phenylpropane derivatives belonging to the group of psychostimulating substances. Within the space of years, on account of their stimulating properties, they were used as treatment substances, e.g.

Dental status of junior high school students in Łódzkie voivodeship.

Objective: Dental caries still constitutes a serious health problem in Łódzkie voivodeship. The aim of the article was to evaluate the dental status of 15-year-old adolescents living in Łódzkie voivodeship based on epidemiological studies conducted in 2011.

Material And Methods: The study group was comprised of 177 students at the age of 15 years living in Łódzkie voivodeship, selected on the basis of stratified cluster sampling method.

[Oral health problems of 35-44-year-old inhabitants of the Lodz region].

Unlabelled: The aim of the thesis was the assessment of the teeth condition and the treatment needs of 35-44-year-old adults in the region of Lodz on the base of epidemiological research carried out in 2010. The research involved a group of 163 adults from Piotrków Trybunalski and villages of łowicki region, 82 from the city and 81 from the villages, chosen on the base on the three-ply draw. The clinical research was carried out according with the WHO criteria.

[Trend of dental caries in 18-year-old adolescents in the region of Lodz over the period from 1995 to 2008].

Unlabelled: The aim of the thesis was the assessment of the teeth condition of 18-year-old adolescents in the region of Lodz on the base of epidemiological research carried out over the period from 1995 to 2008. The research involved a group of 120 adolescents aged 18 from Lodz, Łowicz and Zduny village, chosen on the base on the three-ply draw. The clinical research was carried out according with the WHO criteria.

[Oral health problems in type 1 diabetic children].

The number of children with diabetes mellitus is continually increasing and they are known to have some buccal disorders. It is important for the dentist to know the different signs and symptoms that diabetes can present in the oral cavity. Some epidemiological studies investigating the number of caries, absences and obturations found no differences in their frequency between patients with diabetes and the control group; however periodontal diseases are more frequent in diabetics.

Colon interposition for esophageal replacement: a single-center experience.

Background: Gastric tube interposition has become the method of choice for esophageal replacement after esophagectomy. Colon interposition, on the other hand, is widely considered to be a method of last resort, associated with high morbidity and mortality. The present study reviews our experience with colon interposition for esophageal replacement.

Carryover effects of free reinforcement on children's work completion.

Patterns of behavior that persist during transition to a new set of contingencies are referred to as reinforcement history or carryover effects. The authors examined the carryover effects of a fixed-time (FT) schedule of free reinforcement on children's work completion and accuracy. Two female students with learning disabilities participated.