2,769 results match your criteria: "'s-Hertogenbosch; †Maastricht University; ‡Tilburg University; §University of Amsterdam; and ∥Radboud University Nijmegen[Affiliation]"

Utilising automated content analysis with transformer-based topic modelling (BERTopic), this study examines cross-outlet variation in volume and topics over two decades (2000-2022) of abortion coverage in seven major daily newspapers in the Netherlands. Our findings reveal an ongoing coverage of abortion. Volume of coverage was notably highest in religious newspapers, indicating that these newspapers constitute a prominent voice in Dutch abortion debate.

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Purpose: The loss of olfactory function is known to occur in patients suffering from (behavioral variant) frontotemporal dementia ((bv)FTD) and Alzheimer's disease (AD), although different pathophysiological mechanisms underpin this clinical symptom in both disorders. This study assessed whether brain metabolism of the olfactory circuit as assessed by positron emission tomography (PET) imaging with 2-[fluorine-18]fluoro-2-deoxy-d-glucose ([F]-FDG) can distinguish these entities in different subsets of patients.

Methods: Patients presenting with cognitive decline were included from a prospectively kept database: (1) bvFTD patients, (2) AD patients and (3) patients with logopenic primary progressive aphasia (PPA).

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Background: Intravascular lithotripsy (IVL) is increasingly used for treatment of coronary artery calcification. This study aimed to evaluate contemporary utilisation patterns, safety and efficacy of IVL in an unselected real-world patient cohort.

Methods: We included 454 patients undergoing IVL from May 2019 to February 2024 across seven centres in two European countries.

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Background: Clinical quality registries (CQR) aid in measuring, collecting and monitoring outcome data but it is still unknown how these data are used by hospitals to improve the quality of care. This study assessed the current state of outcome-based quality improvement in the Netherlands in 2022 based on data from multiple disease areas and CQRs; cardiothoracic surgery (Netherlands Heart Registration [NHR]), cardiology (NHR), nephrology, (Nefrovision), intensive care (National Intensive Care Evaluation [NICE]), and orthopaedic surgery (Dutch Arthroplasty Register [LROI]).

Methods & Results: The Health Outcomes Management Evaluation (HOME) model was used to assess the current state of outcome-based quality improvement.

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Prevalence of potentially inappropriate medications according to STOPP-Frail criteria in nursing home residents, the SHELTER study.

BMC Geriatr

October 2024

Amsterdam University Medical Center, Departments of General Practice and Medicine for Older Persons, Vrije Universiteit, Amsterdam Public Health Research Institute, Meibergdreef 9, Amsterdam, The Netherlands.

Article Synopsis
  • - The study aimed to investigate the prevalence of potentially inappropriate medications (PIMs) in nursing home residents across eight countries, focusing on differences based on cognitive impairment and life expectancy.
  • - Data from 3,832 residents showed that 87.9% were prescribed at least one PIM, with an average of 2.16 PIMs per person; cognitively impaired individuals had slightly fewer PIMs than those without cognitive issues.
  • - The average number of PIMs varied by country, with Finland having the highest (3.23) and the UK the lowest (2.15); anti-platelets and aspirin were commonly prescribed.
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  • Pruritus, or itchiness, is commonly experienced by dialysis patients and linked to lower quality of life and sleep issues, but the reasons behind it and effective treatments are still not well understood.
  • A study of 1,438 new dialysis patients showed that around 50.5% to 56.6% experienced pruritus within the first year, with 35% having persistent itching and only a small percentage receiving treatment; emollients even worsened the severity.
  • Overall, pruritus negatively impacted both physical and mental health-related quality of life, indicating a significant need for better awareness and development of treatment options for affected patients.
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Objectives: To explore associations between the physical, cognitive, and mental post-intensive care syndrome (PICS) health domains with changes in health-related quality of life (HRQoL) following ICU admission.

Design: A longitudinal prospective multicenter cohort study.

Setting/patients: Patients ( n = 4092) from seven Dutch ICUs.

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Rationale: Despite functional impairments, ICU survivors can perceive their quality of life as acceptable.

Objectives: To investigate discrepancies between calculated health, based on self-reported physical, mental and cognitive functioning, and perceived health one year after ICU admission.

Methods: Data from an ongoing prospective multicenter cohort study, MONITOR-IC, were used.

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In recent years, it has become clear that artificial intelligence (AI) models can achieve high accuracy in specific pathology-related tasks. An example is our deep-learning model, designed to automatically detect serous tubal intraepithelial carcinoma (STIC), the precursor lesion to high-grade serous ovarian carcinoma, found in the fallopian tube. However, the standalone performance of a model is insufficient to determine its value in the diagnostic setting.

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Decline in Isotope Dilution Space Ratio Above Age 60 Could Affect Energy Estimates Using the Doubly Labeled Water Method.

J Nutr

December 2024

Institute for Active Health, Kyoto University of Advanced Science, Kyoto, Japan; National Institute of Health and Nutrition, National Institutes of Biomedical Innovation, Health and Nutrition, Tokyo, Japan.

Article Synopsis
  • Doubly labeled water is the most reliable method for measuring total energy expenditure (TEE), but its accuracy can be affected by the isotope dilution space ratio (DSR).
  • This study explored factors like age, sex, ethnicity, body composition, and geographical elevation to see how they influence DSR, using various statistical analysis methods.
  • Results showed that while DSR decreased with age in individuals 60 and older, no significant effects were found from other variables, suggesting that previous estimates of TEE might be overestimating values for older individuals, especially those around 90 years old.
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  • Arthrofibrosis is a condition that affects knee joint movement and can lead to complications following knee replacement surgeries, specifically unicompartmental and total knee arthroplasties.
  • A study analyzed data from 14,325 revision surgeries from the Dutch Arthroplasty Registry, examining factors like age, sex, BMI, smoking status, and type of surgery to understand their connection to arthrofibrosis-related revisions.
  • Results showed that younger age, male sex, lower BMI, non-smoking status, and total knee arthroplasty were significantly linked to higher rates of revision due to arthrofibrosis.
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Objectives: Iron deficiency anemia is a significant global health concern, diagnosed by measuring hemoglobin concentrations in combination with plasma ferritin concentration. This study investigated the variability in ferritin reference intervals among laboratories in the Netherlands and examined how this affects the identification of iron-related disorders.

Methods: Ferritin reference intervals from 52 Dutch ISO15189-certified medical laboratories were collected.

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  • Endoscopic retrograde cholangiopancreatography (ERCP) with fully covered self-expandable metal stent (FCSEMS) is the main method for biliary drainage in cases of suspected malignant biliary obstruction, but it carries a high risk of post-ERCP pancreatitis (PEP).
  • A study aimed to compare the effects of performing an endoscopic sphincterotomy before FCSEMS placement versus not performing it at all on the incidence of PEP.
  • The trial included 297 patients and found no significant difference in PEP rates between those who had the sphincterotomy and those who did not, leading to the conclusion that routine sphincterotomy is not necessary before FCSEMS placement
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Risk factors and outcomes of conversions in robotic and laparoscopic liver resections: A nationwide analysis.

Surgery

February 2025

Department of Surgery, Amsterdam UMC, Location University of Amsterdam, Amsterdam, the Netherlands; Cancer Center Amsterdam, Amsterdam, the Netherlands. Electronic address:

Article Synopsis
  • * Out of 3,530 patients, 11.6% required conversion, with robotic procedures having a lower conversion rate compared to laparoscopic ones, and conversion associated with various complications, like increased blood loss and longer hospital stays.
  • * Emergency conversions showed even more severe outcomes, such as significantly higher blood loss and increased rates of intensive care admissions compared to non-emergency cases.
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Introduction: Crohn's disease and ulcerative colitis are chronic inflammatory bowel diseases (IBD) with a relapsing-remitting nature. With adequate non-invasive prediction of mucosal inflammation, endoscopies can be prevented and treatment optimised earlier for better disease control. We aim to validate and recalibrate commonly used patient-reported symptom scores combined with a faecal calprotectin (FC) home test as non-invasive diagnostic tool for remote monitoring of IBD, both in daily practice and in a strict trial setting.

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Fast meta-analytic approximations for relational event models: applications to data streams and multilevel data.

J Comput Soc Sci

June 2024

Department Methodology and Statistics, Tilburg University, PO Box 90153, 5000 LE Tilburg, The Netherlands.

Large relational-event history data stemming from large networks are becoming increasingly available due to recent technological developments (e.g. digital communication, online databases, etc).

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Positive Experiences with the Use of an eHealth Smartphone Application During the Treatment of an Abdominal Aortic Aneurysm.

Ann Vasc Surg

January 2025

Department of Vascular Surgery, Amphia Hospital, Breda, The Netherlands; Department of Cardiovascular Sciences, Vascular Surgery Research group, KU Leuven, Leuven, Belgium.

Article Synopsis
  • A study evaluated a personalized eHealth app designed for abdominal aortic aneurysm (AAA) patients undergoing surgery to assess patient satisfaction and feasibility.
  • Out of 65 patients, 91% installed the app, with high satisfaction scores for guidance, information, and overall usefulness, although 10% deactivated it.
  • The app is considered a valuable tool for enhancing prehabilitation and contributes to the digital transformation in healthcare, with users reporting positive lifestyle changes and areas for improvement.
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(1) To describe ACPT implementation frequency in practice. (2) To assess associations of ACPT documentation with a) hospital care consumption, including systemic anti-tumor treatment in the last month(s) of life, and b) match between preferred and actual place of death, among oncology patients. A retrospective cohort study was performed.

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Objective: The prevalence of chronic limb threatening ischaemia (CLTI) is increasing worldwide, resulting in the need for more patients to undergo revascularisation, especially for below the knee pathology. Nevertheless, prospective data on below the knee endovascular interventions are lacking. The aim of the study was to provide large scale, real world data on procedural and short term outcomes of popliteal and infrapopliteal endovascular interventions in patients with CLTI.

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Conventional vaccines rarely cause severe allergic reactions. However, the rapid development and approval of COVID-19 vaccines left limited initial data on their adverse reactions, particularly in individuals with a history of allergy. The aim of this study was to assess and compare the safety profile of different doses and brands of COVID-19 vaccines in subjects with a history of allergy vs.

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Article Synopsis
  • This study investigated how diet influences gastrointestinal symptoms in patients with Hirschsprung Disease (HD) using a comprehensive online questionnaire distributed across multiple countries.
  • A total of 563 respondents reported various dietary habits and identified specific foods that exacerbated their symptoms, with many managing these findings independently.
  • The research highlights key dietary associations with gastrointestinal issues and emphasizes the need for a multidisciplinary approach to manage diet while ensuring proper nutrition and quality of life for affected individuals.
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The association between peripheral neuropathy and daily-life gait quality characteristics in people with diabetes.

Gait Posture

October 2024

Amsterdam Movement Sciences, Ageing & Vitality and Rehabilitation & Development, Amsterdam, the Netherlands; Department of Human Movement Sciences, Amsterdam Movement Sciences, Vrije Universiteit Amsterdam, van der Boechorststraat 7, Amsterdam 1081 BT, the Netherlands.

Background: Peripheral neuropathy is a common complication of diabetes and increases the risk of falls, possibly through gait (quality) impairments in daily life. Characteristics of gait quality have been associated with peripheral neuropathy in a laboratory setting, but little is known about the more relevant association with gait quality in daily life.

Research Question: What is the association between peripheral neuropathy and gait quality characteristics in daily life in people with diabetes?

Methods: Data from two cross-sectional studies were combined in an exploratory analysis, including a total of 98 participants with diabetes (mean age: 68 (SD 7) years, 32 females), of which 68 with peripheral neuropathy.

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An Integrated Approach for Representing Knowledge on the Potential of Drugs to Cause Acute Kidney Injury.

Drug Saf

January 2025

Department of Medical Informatics, Amsterdam University Medical Centre, University of Amsterdam, Meibergdreef 15, 1105 AZ, Amsterdam, The Netherlands.

Introduction And Objective: The recent rise in acute kidney injury (AKI) incidence, with approximately 30% attributed to potentially preventable adverse drug events (ADEs), poses challenges in evaluating drug-induced AKI due to polypharmacy and other risk factors. This study seeks to consolidate knowledge on the drugs with AKI potential from four distinct sources: (i) bio(medical) peer-reviewed journals; (ii) spontaneous reporting systems (SRS); (iii) drug information databases (DIDs); and (iv) NephroTox website. By harnessing the potential of these underutilised sources, our objective is to bridge gaps and enhance the understanding of drug-induced AKI.

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Background: Percutaneous coronary intervention of calcified aorto-ostial lesions (AOL) pose unique challenges due to anatomical propensity for recoil, leading to poorer outcomes compared to non-AOL. Although intravascular lithotripsy (IVL) has shown excellent success and safety in heavily calcified plaques, evidence specific to AOL is limited. This study aims to evaluate the efficacy and safety of IVL in AOL versus non-AOL.

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Understanding groundwater contamination patterns is hampered by the heterogeneous groundwater age and redox status over the depth range typically sampled for identifying pesticides and emerging contaminants threats. This study explores depth patterns of groundwater age and redox status across various land use types, unraveling spatial and temporal trends of pesticides and emerging contaminants using data from groundwater quality monitoring in the south of the Netherlands. The Netherlands is an ideal testing ground due to its high population density and widespread groundwater contamination from multiple sources.

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