Publications by authors named "Nijman S"

Article Synopsis
  • The study investigates how well clinicians accept real-time data imputation to address missing patient data in a clinical decision support system (CDSS) designed for assessing cardiovascular risk.
  • Seventeen clinicians evaluated a CDSS using a method called joint modelling imputation (JMI), assessing vignettes that simulated situations with missing data and provided different risk estimates.
  • Although the study found JMI useful for educational purposes, clinicians felt uncomfortable with the reliability of imputed predictions, indicating a need for more accurate data imputation for effective use in clinical practice.
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  • A study was conducted to compare two strategies for diagnosing interstitial lung disease (ILD): a step-up approach using transbronchial cryobiopsy followed by surgical lung biopsy (SLB) if needed, versus starting with immediate SLB.
  • The COLD study included 55 patients across six hospitals in the Netherlands and measured outcomes like unexpected chest tube drainage, diagnostic yield, and adverse events over a 12-week follow-up.
  • Findings showed that 11% of patients in the step-up group required unexpected chest tube drainage, indicating varying risks and benefits between the two biopsy methods.
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Meta-analyses have found that social cognition training (SCT) has large effects on the emotion recognition ability of people with a psychotic disorder. Virtual reality (VR) could be a promising tool for delivering SCT. Presently, it is unknown how improvements in emotion recognition develop during (VR-)SCT, which factors impact improvement, and how improvements in VR relate to improvement outside VR.

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Article Synopsis
  • Young people with psychotic disorders want to socialize like their peers but face barriers, including smaller networks and lower success in education and work, which current treatments don't fully address.
  • A study is being conducted with 116 participants to assess the effectiveness of a new virtual reality treatment (VR-SOAP) compared to a control program (VRelax) over 14 sessions, focusing on improving social functioning.
  • If successful, VR-SOAP could give therapists a valuable tool to enhance the social lives of young adults with these disorders.
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Objectives: We evaluated the presence and frequency of spin practices and poor reporting standards in studies that developed and/or validated clinical prediction models using supervised machine learning techniques.

Study Design And Setting: We systematically searched PubMed from 01/2018 to 12/2019 to identify diagnostic and prognostic prediction model studies using supervised machine learning. No restrictions were placed on data source, outcome, or clinical specialty.

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Background And Objectives: We sought to summarize the study design, modelling strategies, and performance measures reported in studies on clinical prediction models developed using machine learning techniques.

Methods: We search PubMed for articles published between 01/01/2018 and 31/12/2019, describing the development or the development with external validation of a multivariable prediction model using any supervised machine learning technique. No restrictions were made based on study design, data source, or predicted patient-related health outcomes.

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Background And Hypothesis: Social cognition training (SCT), an intervention for social cognition and social functioning, might be improved by using virtual reality (VR), because VR may offer better opportunities to practice in a potentially more realistic environment. To date, no controlled studies have investigated VR-SCT. This study investigated a VR-SCT, "DiSCoVR".

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Background And Objective: To develop targeted and efficient follow-up programmes for patients hospitalized with coronavirus disease 2019 (COVID-19), structured and detailed insights in recovery trajectory are required. We aimed to gain detailed insights in long-term recovery after COVID-19 infection, using an online home monitoring programme including home spirometry. Moreover, we evaluated patient experiences with the home monitoring programme.

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Background: While many studies have consistently found incomplete reporting of regression-based prediction model studies, evidence is lacking for machine learning-based prediction model studies. We aim to systematically review the adherence of Machine Learning (ML)-based prediction model studies to the Transparent Reporting of a multivariable prediction model for Individual Prognosis Or Diagnosis (TRIPOD) Statement.

Methods: We included articles reporting on development or external validation of a multivariable prediction model (either diagnostic or prognostic) developed using supervised ML for individualized predictions across all medical fields.

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While the opportunities of ML and AI in healthcare are promising, the growth of complex data-driven prediction models requires careful quality and applicability assessment before they are applied and disseminated in daily practice. This scoping review aimed to identify actionable guidance for those closely involved in AI-based prediction model (AIPM) development, evaluation and implementation including software engineers, data scientists, and healthcare professionals and to identify potential gaps in this guidance. We performed a scoping review of the relevant literature providing guidance or quality criteria regarding the development, evaluation, and implementation of AIPMs using a comprehensive multi-stage screening strategy.

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The monomorphic antigen-presenting molecule major histocompatibility complex-I-related protein 1 (MR1) presents small-molecule metabolites to mucosal-associated invariant T (MAIT) cells. The MR1-MAIT cell axis has been implicated in a variety of infectious and noncommunicable diseases, and recent studies have begun to develop an understanding of the molecular mechanisms underlying this specialized antigen presentation pathway. However, proteins regulating MR1 folding, loading, stability, and surface expression remain to be identified.

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Objectives: Missing data is a common problem during the development, evaluation, and implementation of prediction models. Although machine learning (ML) methods are often said to be capable of circumventing missing data, it is unclear how these methods are used in medical research. We aim to find out if and how well prediction model studies using machine learning report on their handling of missing data.

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Article Synopsis
  • The study investigated how often patients with COVID-19 also had bacterial lung infections, focusing on those with positive SARS-CoV-2 tests or high CO-RADS scores.
  • Conducted from March to June 2020, the research involved a retrospective analysis of COVID-19 patients, categorizing them as unlikely, possible, or probable for bacterial co-infection based on clinical and laboratory data.
  • Findings revealed that 82.9% of patients were unlikely to have bacterial co-infections, suggesting that antibiotics should be used sparingly in COVID-19 cases, as 81% of all patients received them within 72 hours despite low co-infection rates.
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Objective: To assess the methodological quality of studies on prediction models developed using machine learning techniques across all medical specialties.

Design: Systematic review.

Data Sources: PubMed from 1 January 2018 to 31 December 2019.

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Purpose: Nucleoside analogues form the backbone of many therapeutic regimens in oncology and require the presence of intracellular enzymes for their activation. A ProTide is comprised of a nucleoside fused to a protective phosphoramidate cap. ProTides are easily incorporated into cells whereupon the cap is cleaved and a preactivated nucleoside released.

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Background: Virtual reality (VR) enables the administration of realistic and dynamic stimuli within a social context for the assessment and training of emotion recognition. We tested a novel VR emotion recognition task by comparing emotion recognition across a VR, video and photo task, investigating covariates of recognition and exploring visual attention in VR.

Methods: Healthy individuals (n = 100) completed three emotion recognition tasks; a photo, video and VR task.

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Objective: Evaluation of an early discharge program for COVID-19-patients who still required additional oxygen support, supervised by their own general practitioner (GP) in a home setting. We evaluated safety and gathered experiences from patients, caregivers and GPs.

Design: Cohort study (prospective and retrospective inclusion) METHOD: Adult COVID-19-patients admitted to one of the three Amsterdam hospitals, the Netherlands, were eligible when clinically stable for at least 48 hours, with a minimum oxygen saturation of 94% and a maximum of 3 l/min oxygen support.

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The aim of this study was to determine the association between bicycle helmet use in adults (16 years and older) and traumatic brain injury (TBI) in emergency departments (EDs) in the Netherlands.The conducted research was a retrospective case-control study in patients aged 16 years and older who sustained a bicycle accident and therefore visited the EDs of participating hospitals throughout 2016. Cases were patients with TBI; controls were patients without TBI but with other trauma.

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Objective: To illustrate how to evaluate the need of complex strategies for developing generalizable prediction models in large clustered datasets.

Study Design And Setting: We developed eight Cox regression models to estimate the risk of heart failure using a large population-level dataset. These models differed in the number of predictors, the functional form of the predictor effects (non-linear effects and interaction) and the estimation method (maximum likelihood and penalization).

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Objectives: In clinical practice, many prediction models cannot be used when predictor values are missing. We, therefore, propose and evaluate methods for real-time imputation.

Study Design And Setting: We describe (i) mean imputation (where missing values are replaced by the sample mean), (ii) joint modeling imputation (JMI, where we use a multivariate normal approximation to generate patient-specific imputations), and (iii) conditional modeling imputation (CMI, where a multivariable imputation model is derived for each predictor from a population).

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Aims: Use of prediction models is widely recommended by clinical guidelines, but usually requires complete information on all predictors, which is not always available in daily practice. We aim to describe two methods for real-time handling of missing predictor values when using prediction models in practice.

Methods And Results: We compare the widely used method of mean imputation (M-imp) to a method that personalizes the imputations by taking advantage of the observed patient characteristics.

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Introduction: Studies addressing the development and/or validation of diagnostic and prognostic prediction models are abundant in most clinical domains. Systematic reviews have shown that the methodological and reporting quality of prediction model studies is suboptimal. Due to the increasing availability of larger, routinely collected and complex medical data, and the rising application of Artificial Intelligence (AI) or machine learning (ML) techniques, the number of prediction model studies is expected to increase even further.

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Article Synopsis
  • Forward genetic screens in cells, using tools like RNAi and CRISPR-Cas9, have been valuable for studying signaling pathways, particularly mTORC1, which controls cell growth in response to metabolism.
  • Researchers used human haploid cells for quantitative screenings that validated known mTORC1 signaling interactions and showed its connection to lysosomal function, revealing different roles for regulatory subunits LAMTOR4 and LAMTOR5 based on nutrient availability.
  • The study also discovered a new relationship between the tumor suppressor folliculin and LAMTOR4 that could influence cancer treatments, illustrating how genetic experimentation can uncover complex signaling pathways in mammalian cells.
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Background: People with a psychotic disorder commonly experience problems in social cognition and functioning. Social cognition training (SCT) improves social cognition, but may inadequately simulate real-life social interactions. Virtual reality (VR) provides a realistic, interactive, customizable, and controllable training environment, which could facilitate the application of skills in daily life.

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