Publications by authors named "T Paul de Cock"

Background: Immunosuppressive drugs such as tacrolimus have revolutionized our ability to transplant organs between individuals. Tacrolimus acts systemically to suppress the activity of T-cells within and around transplanted organs. However, tacrolimus also suppresses T-cell function in the skin, contributing to a high incidence of skin cancer and associated mortality and morbidity in solid organ transplant recipients.

View Article and Find Full Text PDF
Article Synopsis
  • - The study examined long-term health conditions in older adults (aged 65 and up) in Northern Ireland, analyzing how these conditions relate to mortality and socio-demographic factors using census data from over 244,000 individuals.
  • - Four main patterns of long-term health were identified: 'low impairment', 'pain/mobility', 'cognitive/mental', and 'sensory impairment', with the 'cognitive/mental' class showing the strongest association with increased mortality rates.
  • - Findings highlight that both the patterns of long-term health issues and socio-economic status influence mortality in older adults, emphasizing the need for targeted healthcare strategies and public health policies for this population.
View Article and Find Full Text PDF

Objective: The postpartum period is an important time in the lives of new mothers, their children and their families. The aim of postpartum care is 'to detect health problems of mother and/or baby at an early stage, to encourage breastfeeding and to give families a good start' (Wiegers, 2006). The Netherlands maternity care system aims to enable every new family to receive postpartum care in their home by a maternity care assistant (MCA).

View Article and Find Full Text PDF

Background: Inter-professional collaboration is considered essential in effective maternity care. National projects are being undertaken to enhance inter-professional relationships and improve communication between all maternity care providers in order to improve the quality of maternity care in the Netherlands. However, little is known about primary care midwives' satisfaction with collaboration with other maternity care providers, such as general practitioners, maternity care assistance organisations (MCAO), maternity care assistants (MCA), obstetricians, clinical midwives and paediatricians.

View Article and Find Full Text PDF

Background: A major change in the organisation of maternity care in the Netherlands is under consideration, going from an echelon system where midwives provide primary care in the community and refer to obstetricians for secondary and tertiary care, to a more integrated maternity care system involving midwives and obstetricians at all care levels. Student midwives are the future maternity care providers and they may be entering into a changing maternity care system, so inclusion of their views in the discussion is relevant. This study aimed to explore student midwives' perceptions on the current organisation of maternity care and alternative maternity care models, including integrated care.

View Article and Find Full Text PDF