Publications by authors named "K F M Joosten"

Background: The maintenance of a healthy lifestyle significantly influences pregnancy outcomes. Certain pregnant women are more at risk of engaging in unhealthy behaviors due to factors such as having a low socioeconomic position and low social capital. eHealth interventions tailored to pregnant women affected by these vulnerability factors can provide support and motivation for healthier choices.

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Introduction: Tracheomalacia (TM) often occurs in children with oesophageal atresia (OA), leading to recurrent respiratory symptoms and in severe cases to blue spells or ultimately respiratory arrest. In some patients, a secondary posterior tracheopexy may then be indicated. This secondary surgery, as well as respiratory morbidity, may be prevented by performing a primary posterior tracheopexy (PPT) concurrent with primary OA correction.

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Purpose: To minimize post-intubation laryngeal injury it is important to identify the factors that contribute to the development of these lesions. Previous literature has been inconsistent. This survey aims to investigate experts' opinions on the various factors associated with severe laryngeal injury following intubation in the pediatric population and to determine whether these opinions influence the treatment of patients with one or more of these factors.

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Article Synopsis
  • The study explored the potential of supervised machine learning applied to ECG data for real-time sleep monitoring in pediatric intensive care, which is currently not available.
  • Researchers analyzed polysomnography recordings from 90 non-critically ill children, developing various machine learning models to classify sleep states based on derived features from the ECG data.
  • Results showed that the models achieved moderate to good accuracy, especially in classifying two and three sleep states, with the XGBoost model performing best overall, highlighting the method's promise for bedside use.
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Study Question: Is early embryonic size and growth in the first trimester of pregnancy associated with adverse birth outcomes?

Summary Answer: Larger embryonic crown-rump length (CRL) and embryonic volume (EV) are associated with lower odds of adverse birth outcomes, especially small for gestational age (SGA).

What Is Already Known: Preterm birth, SGA, and congenital anomalies are the most prevalent adverse birth outcomes with lifelong health consequences as well as high medical and societal costs. In the late first and second trimesters of pregnancy, fetuses at risk for adverse birth outcomes can be identified using 2-dimensional ultrasonography (US).

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