Publications by authors named "R A J Smit"
Catatonia is a complex neuropsychiatric syndrome characterised by abnormal psychomotor disturbance, which poses a diagnostic and treatment challenge to clinicians. It is a life-threatening condition in its severe form, termed malignant and characterised by hyperthermia and autonomic disturbances. Early recognition and treatment are important in its management.
View Article and Find Full Text PDFIn this article 10 important questions for physicians and other health care providers who are confronted with death during practice of their profession are answered. In the vast majority of cases, the attending physician can perform postmortem examination of those deceased. This article describes how an postmortem examination should be carried out correctly, what to do in unclear circumstances surrounding death and when an unnatural death should be considered.
View Article and Find Full Text PDFRegulators worldwide introduce measures to improve energy consumption and reduce greenhouse emissions of road vehicles. The present study focuses on the impacts of passenger car carbon dioxide (CO) and fuel efficiency measures, attempting to evaluate their effectiveness using vehicle and fleet modelling. To obtain a robust counterfactual result, two regions are compared as a case study: the European Union (EU), where CO emissions have been regulated for over fifteen years, and Australia, a region that recently introduced such a policy element.
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- Females with schizophrenia experience more severe depressive symptoms than males, especially during the acute phase of the illness, but the impact of gender (a societal concept) is less understood than biological sex.
- The study examined how sex and gender affected changes in depressive symptoms over 24 months in first-episode schizophrenia patients compared to healthy controls, using various assessment tools.
- Results indicated that higher endorsement of feminine gender roles was linked to more severe depression and worse treatment outcomes, with childhood trauma also playing a significant role in these associations.
Objectives: In absence of national legislation, local governments may stimulate outdoor sports clubs to become smoke-free. However, it is unknown whether and to what extent such efforts are effective in encouraging sports clubs to adopt a smoke-free policy (SFP). The aim of this study was to assess the association between tobacco control policies of municipalities and the prevalence of SFPs among outdoor sports clubs.
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