Publications by authors named "M van Gestel"

Background: Obtaining a properly fitting non-invasive ventilation (NIV) mask to treat acute respiratory failure is a major challenge, especially in young children and patients with craniofacial abnormalities. Personalization of NIV masks holds promise to improve pediatric NIV efficiency. As current customization methods are relatively time consuming, this study aimed to test the air leak and surface pressure performance of personalized oronasal face masks using 3D printed soft materials.

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Article Synopsis
  • Research indicates that vegetation and local host communities heavily influence the density and disease risk of Ixodes ricinus ticks in green spaces, yet micro-geographic variation remains less understood.
  • The study measured various factors such as nymphal density, infection rates, and the presence of different pathogens in relation to recreational forest infrastructure using methods like vegetation surveys and tick pathogen screening.
  • Results showed that tick density was highest in forest interiors, with lower disease risk near forest edges, and highlighted the importance of vegetation cover and local wildlife in influencing tick behavior and pathogen prevalence.
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The distribution of ticks in the Ixodes ricinus species complex is partly driven by climate, with temperature and relative humidity affecting survival. These variables are driven by macroclimate, but vary locally due to microclimate buffering. This buffering has been suggested to be one of the driving forces behind variation in tick survival and density in time and space.

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Non-invasive ventilation (NIV) is increasingly used in the support of acute respiratory failure in critically ill children admitted to the pediatric intensive care unit (PICU). One of the major challenges in pediatric NIV is finding an optimal fitting mask that limits air leakage, in particular for young children and those with specific facial features. Here, we describe the development of a pediatric head-lung model, based on 3D anthropometric data, to simulate pediatric NIV in a 1-year-old child, which can serve as a tool to investigate the effectiveness of NIV masks.

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Non-invasive ventilation (NIV) is increasingly used in the supportive treatment of acute respiratory failure in children in the pediatric intensive care unit (PICU). However, finding an optimal fitting commercial available NIV face mask is one of the major challenges in daily practice, in particular for young children and those with specific facial features. Large air leaks and pressure-related skin injury due to suboptimal fit are important complications associated with NIV failure.

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