Publications by authors named "Janssen I"

Objective: Neurosurgical care is difficult to access in many scenarios. Aeromedical evacuation of acutely unwell neurosurgical patients from remote, isolated or poorly equipped locations can be considered. This article aims to provide a framework of logistical factors which deserve special consideration in the preparation of these patients for transfer.

View Article and Find Full Text PDF

Objective: To describe the 12-month mortality of Dutch COVID-19 intensive care unit patients, the total COVID-19 population and various subgroups on the basis of the number of comorbidities, age, sex, mechanical ventilation, and vasoactive medication use.

Methods: We included all patients admitted with COVID-19 between March 1, 2020, and March 29, 2022, from the Dutch National Intensive Care (NICE) database. The crude 12-month mortality rate is presented via Kaplan-Meier survival curves for each patient subgroup.

View Article and Find Full Text PDF

Social media use (SMU) has rapidly increased among children and adolescents in the past decade, and has been linked with poorer mental health. However, moderate SMU can facilitate connectedness among peers, which may have positive impacts for well-being - these associations are underexplored. This study examined the associations between SMU and several indicators of PMH in a nationally representative sample of 13,113 adolescents in grades 6 to 10 from the 2017/2018 cycle of the Canadian Health Behavior in School-aged Children (HBSC) study.

View Article and Find Full Text PDF

The harmful effects of perceived discrimination for physical and mental health are well documented. Evidence identifies how dimensions of religious/spiritual (R/S) involvement may reduce these harmful effects. This study examined how R/S experiences are associated with the effects of discrimination on perceived stress.

View Article and Find Full Text PDF
Article Synopsis
  • The study investigates how multimodal treatment affects progression-free survival (PFS) and overall survival (OS) for patients with multiple localizations of glioblastoma, a rare and aggressive brain tumor.* -
  • Researchers analyzed data from 483 glioblastoma patients, finding that the extent of surgical resection significantly predicts both PFS and OS, and that various treatment strategies improved outcomes.* -
  • The results indicate that patients with multiple lesions can achieve similar survival rates as those with a single tumor when receiving aggressive, comprehensive treatment.*
View Article and Find Full Text PDF

Background: Sleep, sedentary behaviour, physical activity, and the composition of these movement behaviours across the 24-h day are associated with cognitive function in early years children. This study used a Goldilocks day compositional data analysis approach to identify the optimal duration of sleep, sedentary behaviour, light physical activity, and moderate-to-vigorous physical activity associated with desired cognitive function outcomes in early years children.

Methods: This cross-sectional study included 858 children aged 2.

View Article and Find Full Text PDF

Background: Essential amino acid (EAA) and omega-3 fatty acid ingestion independently attenuate leg skeletal muscle disuse atrophy in uninjured persons. However, no data exist regarding the effectiveness of combined EAA and omega-3 fatty acid ingestion to mitigate skeletal muscle disuse atrophy in response to anterior cruciate ligament reconstruction (ACLR) surgery. This pilot trial will explore the feasibility of recruitment and retention of ACLR outpatients from a single center across 18 months to consume either a combination of omega-3 fatty acids and EAAs, or a placebo control, for 4 weeks before and 2 weeks after surgery.

View Article and Find Full Text PDF
Article Synopsis
  • This study looked at how sleep health factors (like insomnia, sleep duration, and daytime wakefulness) relate to mental health indicators among Canadian youth in grades 6-10.
  • The analysis involved nearly 14,900 students and used logistic regression models to evaluate the connections while accounting for other influencing factors.
  • Results indicated that better sleep health is linked to greater life satisfaction, positive feelings, self-efficacy, and self-confidence, with these associations being significant across different genders and ages.
View Article and Find Full Text PDF

Introduction: Plantar flexors play a pivotal role in human locomotion and balance. Several original research studies and systematic reviews have characterised the impact of single-leg disuse on plantar flexor strength and size. However, no meta-analysis has quantified the effects of single-leg disuse on changes in plantar flexor strength and size in uninjured adults.

View Article and Find Full Text PDF

Odontoid fractures (OFs) represent up to 15% of all cervical fractures encountered and present most commonly amongst elderly patients, typically in the setting of low energy trauma such as falls. The Anderson and D'Alonzo classification and Roy-Camille subtype description are the most clinically noteworthy descriptions of OFs used. Even though most patients will not present with neurological injury, mechanical instability can occur with type II and type III (Anderson and D'Alonzo) fractures, particularly if the transverse ligament of the atlas is ruptured; however, this is very rare.

View Article and Find Full Text PDF
Article Synopsis
  • The study focuses on the experiences of women in neurosurgery who face challenges in balancing their careers with motherhood, particularly due to the timing of pregnancy coinciding with demanding training periods.
  • Through interviews with 21 women in varying stages of their neurosurgery careers, the research found that many feel social stigma around pregnancy and that support in the workplace tends to be more theoretical than practical.
  • The conclusion emphasizes the need for greater flexibility and support in the field to help women integrate their professional aspirations with family life, which is crucial for retaining talented professionals in neurosurgery.
View Article and Find Full Text PDF

Rationale: Despite functional impairments, ICU survivors can perceive their quality of life as acceptable.

Objectives: To investigate discrepancies between calculated health, based on self-reported physical, mental and cognitive functioning, and perceived health one year after ICU admission.

Methods: Data from an ongoing prospective multicenter cohort study, MONITOR-IC, were used.

View Article and Find Full Text PDF

The lack of standardization in patient-reported outcome measures (PROMs) has made measurement and comparison of quality of life (QoL) outcomes in research focused on obesity treatment challenging. This study reports on the results of the second and third global multidisciplinary Standardizing Quality of life measures in Obesity Treatment (S.Q.

View Article and Find Full Text PDF

Introduction: Interdisciplinary guidelines recommend preoperative psychological evaluation before metabolic and bariatric surgery (MBS). The Cleveland Clinic Behavioral Rating System (CCBRS) has been developed to evaluate the psychological state of individuals undergoing MBS. However, its predictive value concerning long-term weight loss and follow-up attendance has not been extensively studied.

View Article and Find Full Text PDF
Article Synopsis
  • * Researchers analyzed data from 503 midlife women, focusing on various HDL components and their changes over time to see their impact on cognitive functions like working memory and processing speed.
  • * Findings suggest that higher levels of certain HDL metrics are linked to better memory and cognitive performance, indicating that improving these HDL measures could be beneficial for cognitive health, especially in relation to Alzheimer’s disease.
View Article and Find Full Text PDF

Bicycle set-up dimensions and cycling kinematic data are important components of bicycle fitting and cyclist testing protocols. However, there are no guidelines on how bicycles should be measured and how kinematic data should be collected to increase the reliability of outcomes. This article proposes a consensus regarding bicycle set-up dimensions and recommendations for collecting cycling-related kinematic data.

View Article and Find Full Text PDF

Patients treated for hypothyroidism with levothyroxine (LT4) monotherapy may present with persistent hypothyroidism symptoms, including cognitive symptoms, despite having a normal thyroid stimulating hormone (TSH) level. It remains unclear whether LT4 monotherapy is sufficient to normalize cognitive function outcomes over time. This is a multisite longitudinal study of a diverse group of women during midlife representing 5 ethnic/racial groups from 7 enrollment sites across the United States in the Study of Women's Health Across the Nation.

View Article and Find Full Text PDF

Background: The number of quality indicators for which clinicians need to record data is increasing. For many indicators, there are concerns about their efficacy. This study aimed to determine whether working with only a consensus-based core set of quality indicators in the intensive care unit (ICU) reduces the time spent on documenting performance data and administrative burden of ICU professionals, and if this is associated with more joy in work without impacting the quality of ICU care.

View Article and Find Full Text PDF

This study evaluated the International Society of Biomechanics in Sports (ISBS) women's mentor circle programme. Forty-eight ISBS women members completed a survey that provided insight into how the circles operated, perceived benefits, and challenges to participation. Most circles met every 6-8 weeks with meetings lasting 1 to 1.

View Article and Find Full Text PDF

Background: Given the emergence of climate change and health risks, this review examined potential relationships between varying indicators of climate change, movement behaviors (ie, physical activity [PA], sedentary behavior, and sleep), and health.

Methods: Seven databases were searched in March 2020, April 2023, and April 2024. To be included, studies must have examined indicators of climate change and at least one of the movement behaviors as either an exposure or a third variable (ie, mediator/moderator), and a measure of health as outcome.

View Article and Find Full Text PDF

The presence of a calcified or ossified chronic cranial epidural hematoma (EDH) is rare and has been described in only a few case reports in the literature. Consequently, clear treatment strategies remain elusive and may entail conservative and surgical approaches. In this study, we performed a systematic review of reported cases to evaluate the clinical course and treatment options for these patients.

View Article and Find Full Text PDF

Background: Calcific tendonitis is a painful shoulder disorder characterized by calcium deposits (CDs) in the rotator cuff tendon. This systematic review and meta-analysis examined the most efficient surgical procedure for calcific tendonitis. This includes the comparison between the three main surgical techniques: CD removal, CD removal with subacromial decompression (SAD) and CD removal with tendon repair with respect to functional outcomes and pain control scores.

View Article and Find Full Text PDF
Article Synopsis
  • Increasing concerns about how social media use affects adolescent health have led to studies in Canada focusing on sleep health in 11 to 17-year-olds.
  • Analysis of 12,557 participants revealed that non-active social media users tend to have better sleep outcomes compared to active and intense users, with intense use linked to significant sleep difficulties, especially in girls.
  • The study concluded that intense and problematic social media use correlates with worse sleep health in Canadian adolescents, emphasizing the need for further research to uncover the underlying causes and to shape public health guidelines.
View Article and Find Full Text PDF
Article Synopsis
  • The study investigates the role of high-density lipoprotein cholesterol (HDL-C) in midlife women diagnosed with metabolic syndrome (MetS) and its relation to the risk of diabetes and carotid intima-media thickness (cIMT).
  • Researchers categorized participants into three groups: women without MetS, those with MetS and HDL-C levels ≥ 50 mg/dL (MetS hiHDL), and those with HDL-C < 50 mg/dL (MetS loHDL), measuring cIMT 13.8 years later and assessing diabetes risk yearly.
  • Findings indicate that although both MetS groups (hiHDL and loHDL) had higher risks of
View Article and Find Full Text PDF