Publications by authors named "S O Stapel"

The human-caused climate crisis is advancing relentlessly and poses a global threat. But to what extent is our psyche also in crisis due to climate change? This article explores the profound impacts of the climate crisis and environmental destruction on mental health, advocating for a comprehensive, ecologically-oriented approach to psychiatry and psychotherapy.

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Patients receiving mechanical ventilation in the intensive care unit (ICU) frequently develop contractile weakness of the diaphragm. Consequently, they may experience difficulty weaning from mechanical ventilation, which increases mortality and poses a high economic burden. Because of a lack of knowledge regarding the molecular changes in the diaphragm, no treatment is currently available to improve diaphragm contractility.

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Article Synopsis
  • ICU patients experience rapid muscle loss, and maintaining muscle mass may enhance survival and quality of life; increasing protein intake (recommended 1.2 to 2.0 g/kg) could help.* -
  • A systematic review and meta-analysis included 29 studies analyzing various outcomes related to protein intake among ICU patients, focusing on those receiving ≥1.2 g/kg versus <1.2 g/kg.* -
  • Results indicated that higher protein intake (over 1.2 g/kg) was linked to improved nitrogen balance, increased muscle mass, and potentially reduced 60-day mortality, but more research on long-term quality of life effects is needed.*
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Introduction: The association between obesity and outcome in critical illness is unclear. Since the amount of visceral adipose tissue(VAT) rather than BMI mediates the health effects of obesity we aimed to investigate the association between visceral obesity, BMI and 90-day mortality in critically ill patients.

Method: In 555 critically ill patients (68% male), the VAT Index(VATI) was measured using Computed Tomography scans on the level of vertebra L3.

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