Publications by authors named "L V Akker"

Article Synopsis
  • The recognition and treatment of pain in nursing home residents require a multidisciplinary approach, as highlighted by Dutch guidelines, but implementing these guidelines can be challenging.
  • The study focused on evaluating how a nursing home in the Netherlands implemented the guideline for chronic pain management, utilizing interviews and document analyses.
  • Despite partial success in forming a pain team and establishing a policy, awareness of the implementation process among professionals remained low.
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Background: Outbreaks of coronavirus disease 2019 (COVID-19) have been reported in nursing homes and assisted living facilities; however, the extent of asymptomatic and presymptomatic severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in this high-risk population remains unclear.

Methods: We conducted an investigation of the first known outbreak of SARS-CoV-2 at a skilled nursing facility (SNF) in Illinois on 15 March 2020 and followed residents for 30 days. We tested 126/127 residents for SARS-CoV-2 via reverse-transcription polymerase chain reaction and performed symptom assessments.

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Objective: The new 2019 guideline of the European Society for Vascular Surgery (ESVS) recommends consideration for elective iliac artery aneurysm (eIAA) repair when the iliac diameter exceeds 3.5 cm, as opposed to 3.0 cm previously.

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Objective: This study aims to identify determinants of dietary behaviour in wheelchair users with spinal cord injury or lower limb amputation, from the perspectives of both wheelchair users and rehabilitation professionals. The findings should contribute to the field of health promotion programs for wheelchair users.

Methods: Five focus groups were held with wheelchair users (n = 25), and two with rehabilitation professionals (n = 11).

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Background: Walking tests, like the 2-minute fast walk test, are simple, inexpensive performance-based tests, and therefore seem attractive to estimate the aerobic fitness in people with chronic diseases.

Objective: To determine the criterion validity of the 2-minute fast walk test for estimating aerobic capacity in patients with Multiple Sclerosis (MS), by comparing it with the peak oxygen uptake (VO2peak in mL/kg/min) as measured by Cardiopulmonary Exercise Testing (CPET) on a cycle ergometer.

Methods: The 2 min fast walk test was performed on a marked indoor trajectory, using a static start protocol.

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