Publications by authors named "R Bakx"
Article Synopsis
- Child abuse in Suriname has a high prevalence rate between 58.2% and 68.8%, prompting a study to evaluate child abuse screening in the Emergency Department of the Academic Hospital Paramaribo (AZP).* -
- From February to August 2018, 3253 children attended the ED, with screening completed for 1190; 12% screened positive, but only 6% confirmed cases were found, indicating good test accuracy.* -
- The implementation of screening improved detection rates of child abuse from 4.4% in 2016 to 6% in 2018, highlighting the need for better training for healthcare professionals to enhance screening effectiveness.*
Background And Objectives: Variability in outcome reporting in necrotizing enterocolitis (NEC) treatment trials hinders conducting meta-analyses and implementing novel treatments. We aimed to develop a core outcome set (COS) for NEC treatment trials including outcome measures most relevant to patients and physicians, from NEC diagnosis to adulthood.
Methods: Clinicians and/or researchers from low-middle- and high-income countries were approached based on their scientific contributions to NEC literature, and patients and parents through local organizations.
Background: Pediatric patients undergoing minor, but painful procedures in an Emergency Department (ED) need adequate relief of pain and distress to prevent long term negative effects and adversely impact procedures. Inhaled nitrous oxide (NO) is a needle-free pain management option. We conducted a systematic review to determine whether NO is as effective as local anesthesia in minor procedures.
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- Appendicitis is a common issue leading to surgery in kids, with differing levels of severity (simple vs. complex) that aren't fully understood, particularly regarding T cell responses.
- Research involved collecting samples from 20 children to analyze T cells and appendiceal microbiota through flow cytometry.
- Results showed that complex appendicitis had more highly differentiated T cells and changes in cytokine production, indicating disrupted immune responses and alterations in gut bacteria compared to simple appendicitis, suggesting a link between T cell dysregulation and microbiota changes.
The aim of this study was to evaluate the annual, seasonal and monthly trends in children with simple and complex appendicitis and their correlation to common viral pathogens in the Netherlands. A consecutive multicenter retrospective cohort study was performed between 2010 and 2019 including children (<18 years) surgically treated for appendicitis. The primary outcome was the distribution of children with simple and complex appendicitis per year, season and month.
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