Publications by authors named "M A M Smit"
A certified nursing assistant (CNA) at a long-term care-facility (LTCF) worked 3 shifts while infectious with monkeypox virus providing direct care to most or all 56 LTCF residents. Despite exposures and a delay of 16 days from symptom onset to diagnosis and public health notification, there is no evidence that transmission occurred. We describe details of this healthcare-associated exposure, public health response, situational risk factors for transmission, and discuss factors that might have contributed to the lack of transmission.
View Article and Find Full Text PDFBackground And Aims: Current estimates for the lifetime risk to develop heart failure with either a reduced (HFrEF) or preserved ejection fraction (HFpEF) and their associated risk factors are derived from two studies from the USA. The sex-specific lifetime risk and population attributable fraction of potentially modifiable risk factors for incident HFpEF and HFrEF are described in a large European community-based cohort with 25 years of follow-up.
Methods: A total of 8558 participants from the PREVEND cohort were studied at baseline from 1997 onwards and followed until 2022 for cases of new-onset HFrEF (ejection fraction < 50%) and HFpEF (ejection fraction ≥ 50%) by assessment of hospital records.
Background: This study investigated the long-term impact of the primary school-based multicomponent lifestyle intervention "Lekker Fit!" (LF) on obesity-related outcomes, and studied whether the impact differed between population subgroups.
Methods: Children from the Generation R Study (Rotterdam, the Netherlands) were categorized into the LF group (6 years exposure, between the ages 6/7 to 12/13 years) or regular school group (no exposure). BMI and DXA-derived fat mass were assessed after 4 years of intervention (age 10 years), and 1.