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

Objectives: The assessment of lumbar central canal stenosis (LCCS) is crucial for diagnosing and planning treatment for patients with low back pain and neurogenic pain. However, manual assessment methods are time-consuming, variable, and require axial MRIs. The aim of this study is to develop and validate an AI-based model that automatically classifies LCCS using sagittal T2-weighted MRIs.

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Purpose: To investigate health care utilization among patients with hematologic malignancies and its association with socioeconomic position (SEP) and compare health care utilization with a cancer-free population.

Methods: Patients with aggressive lymphoma, indolent lymphoma, or multiple myeloma (MM), diagnosed between 1999-2010 and 2015-2019, participated in longitudinal patient-reported outcome research, up to 11 years post-diagnosis. Questionnaires assessed health care utilization at the general practitioner (GP), medical specialist, and additional health care.

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Objectives: To evaluate whether embryo transfers at blastocyst stage improve the cumulative live birth rate after oocyte retrieval, including both fresh and frozen-thawed transfers, and whether the risk of obstetric and perinatal complications is increased compared with cleavage stage embryo transfers during in vitro fertilisation (IVF) treatment.

Design: Multicentre randomised controlled trial.

Setting: 21 hospitals and clinics in the Netherlands, 18 August 2018 to 17 December 2021.

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With the increasing prevalence of comorbidity in an ageing population, it is crucial to better understand the impact of comorbidity on health-related quality of life (HRQoL) after lymphoma or multiple myeloma (MM) diagnosis. We included 261 newly diagnosed patients (67% response rate) diagnosed with lymphoma or MM between October 2020 and March 2023 in a longitudinal survey. The European Organisation for Research and Treatment of Cancer (EORTC) questionnaires were used to measure generic and disease-specific HRQoL.

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A vegan dietary pattern is associated with high prevalence of inadequate protein intake in older adults; a simulation study.

J Nutr Health Aging

October 2024

HAN University of Applied Sciences, Department of Nutrition, Dietetics and Lifestyle, Nijmegen, the Netherlands; Wageningen University, Department of Human Nutrition and Health, Wageningen, the Netherlands. Electronic address:

Background: A more sustainable diet with fewer animal-based products has a lower ecological impact but might lead to a lower protein quantity and quality. The extent to which shifting to more plant-based diets impacts the adequacy of protein intake in older adults needs to be studied.

Objectives: We simulated how a transition towards a more plant-based diet (flexitarian, pescetarian, vegetarian, or vegan) affects protein availability in the diets of older adults.

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Porcine in vitro embryo production (IVP) protocols have conventionally used density gradient selection (DGS) by centrifugation to prepare sperm samples and achieve successful fertilisation. However, the possible toxicity of the solutions used and the potential damage caused by the centrifugation step may have a negative effect on the quality of the sample. Microfluidic chip-based sperm (MCS) sorting has been proposed as an alternative technique for the selection of high-quality sperm with the purpose of improving reproductive outcomes in IVF.

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Article Synopsis
  • Evidence indicates that mental health factors, such as anxiety and depression, significantly impact comfort and capability levels in patients with shoulder osteoarthritis more than the severity of the condition itself.
  • A study involving 1,342 patients showed that higher pain intensity and lower capability were linked to worse mental health symptoms and specific demographic factors, including gender and age.
  • The research concluded that comfort and capability variations were not influenced by the severity of the disease (Walch classification) or social health factors, emphasizing the importance of addressing mental health in treatment.
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Article Synopsis
  • Hip dysplasia poses challenges for total hip arthroplasty (THA) due to anatomical differences, prompting a study to evaluate factors affecting implant survival and patient outcomes.
  • Analyzing data from 7,465 patients treated from 2007 to 2021, the study categorized THAs based on age, prior pelvic osteotomy, and fixation methods, using statistical models to assess 5- and 10-year revision-free survival rates and reasons for revisions.
  • The study found high 10-year revision-free survival (94.9%), but noted that younger patients and those with prior pelvic osteotomies had lower survival rates and reported worse patient-reported outcome measures (PROMs) compared to others.
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Objective: To gain insight into the blood culture (BC) utilization in emergency departments (EDs) and to identify differences in the indications for BC collection.

Design: Retrospective study METHOD: Data were collected in 11 EDs for 2018, 2019, and 2020. Indications for blood culture collection were identified in from the hospital protocols.

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Objectives: This study investigates the differences in treatment perspectives of prison guards and mental health practitioners within a Psychiatric Prison Unit (PPU).

Methods: This qualitative study uses questionnaires and focus groups to explore the relationships between prison guards ( = 4) and mental health professionals ( = 6) working at the Psychiatric Prison Unit in Zwolle, the Netherlands. Two questionnaires (the Recovery Attitude Questionnaire and the Recovery Knowledge Inventory) were completed by the participants.

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Pre-operative triAge proCedure to streaMline elective surgicAl patieNts (PACMAN) improves efficiency by selecting patients eligible for phone consultation: A retrospective cohort study.

Eur J Anaesthesiol

November 2024

From the Department of Anaesthesiology and Pain Medicine (MDB, FA, BP), Department of Orthopaedics (BVDZ), Jeroen Bosch Hospital, 's-Hertogenbosch, the Netherlands.

Article Synopsis
  • Pre-operative screening is crucial for elective surgeries and can be optimized by the PACMAN procedure, designed to evaluate patient suitability for telephone consultations instead of in-person visits.
  • In a study conducted at a medical center in the Netherlands, PACMAN triaged 965 patients, with 73.1% deemed suitable for phone consultations, significantly reducing the number of in-person consultations needed.
  • The PACMAN method not only improved efficiency by 20% but also maintained a low rate of unanticipated adverse events, confirming its effectiveness in enhancing pre-operative processes while ensuring patient safety.
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Reply to: "Implications of mycophenolate mofetil in a reproductive age patient cohort: Maternal fetal medicine point of view".

J Hepatol

January 2025

Department of Gastroenterology and Hepatology, Jeroen Bosch Hospital, 's-Hertogenbosch, the Netherlands; Department of Gastroenterology and Hepatology, Radboudumc, Nijmegen, the Netherlands; European Reference Network on Hepatological Diseases (ERN RARE-LIVER), Germany. Electronic address:

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Background: Many patients with post COVID-19 condition (PCC) require healthcare services. However, qualitative studies indicate that patients with PCC encounter many barriers to healthcare access. This cross-sectional study aimed to determine how many PCC patients report barriers to healthcare access and which barriers are reported, and to explore differences between subgroups.

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There is no need for overnight fasting of rats in regulatory toxicology studies.

Toxicology

December 2024

Department of Toxicology, Charles River Laboratories, 's-Hertogenbosch 5231 DD, the Netherlands.

For many years overnight fasting of rats before the collection of clinical pathology blood samples and necropsy has been a common procedure in toxicological studies for regulatory purposes. The fasting was thought to minimize the intragroup variability for clinical pathology and organ weights. However, depriving rats of food overnight will impact animal welfare by interfering with the general metabolism and may result in physiological and behavioural changes.

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Physiological changes in pregnancy may affect drug safety and efficacy, sometimes requiring dose adjustments. Pregnancy-adjusted doses, however, are missing for most medications. Increasingly, pharmacokinetic models can be used for antenatal dose finding.

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Article Synopsis
  • * A systematic review analyzed studies regarding adverse events linked to opioid use, screening 934 articles and including 34 studies after rigorous evaluation.
  • * The findings revealed a range of adverse effects related to various opioids, especially fentanyl, morphine, and oxycodone, emphasizing the importance of preventative measures and further research to reduce opioid-related harms.
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Background: Antimicrobial Stewardship (AMS), the set of actions to ensure appropriate antimicrobial use, is increasingly considered a multidisciplinary endeavour. However, it is unclear how Dutch hospital-based nurses envision their contribution to AMS.

Objective: To explore the views and visions of Dutch bedside nurses on their role regarding appropriate antimicrobial use.

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Objectives: Adherence to lifestyle interventions is crucial for the treatment of obesity. However, there is little research about adherence to lifestyle interventions in persons around retirement age. The objectives of this study are (1) to identify factors associated with the adherence to resistance training and a hypocaloric diet and (2) to describe the association between adherence and changes in body composition outcome parameters.

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There has been a huge increase in the development of new e-health initiatives, including interventions supporting the interaction between patients and healthcare professionals - the clinical encounter. This interaction can influence clinical decision making during a patient's workup or treatment process. This scoping review was designed (i) to display the current landscape of web-based interventions to support the clinical encounter, and (ii) to critically appraise their composition.

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An algorithmic strategy for measuring police presence with GPS data.

Crime Sci

August 2024

Department of Criminology, Criminal Law and Social Law Ghent University, Universiteitstraat 4, 9000 Ghent, Belgium.

This study introduces an algorithmic strategy for measuring dimensions of police presence at microgeographic units using GPS data from police patrol units. The proposed strategy builds upon the integrated theory of hot spots patrol strategy from Sherman et al. (Journal of Contemporary Criminal Justice 30:95-122, 2014), focusing on three key dimensions: the frequency, duration, and intermittency of police presence.

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Aims: Conventional thiopurines (azathioprine and mercaptopurine) remain standard therapy to maintain steroid sparing remission in inflammatory bowel disease (IBD), but are regularly discontinued due to adverse drug reactions (ADRs). Measurement of the metabolites 6-thioguanine nucleotides (6-TGN), 6-methylmercaptopurine ribonucleotides (6-MMPR) and the 6-MMPR/6-TGN ratio, may predict the development of these ADRs. Our aim was to evaluate whether early thiopurine metabolite measurements were associated with clinical outcomes.

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Purpose: Annually, approximately 31,000 people experience a termination of pregnancy (TOP) in the Netherlands. In 2021, about one-third of them chose medical termination of pregnancy (MTOP). We explored experiences with MTOP and to what extent expectations, pain, and counselling in the clinic are associated with satisfaction with MTOP.

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Continuous professional development among stakeholders involved in drug safety monitoring and surveillance is imperative in strengthening pharmacovigilance (PV) systems. The "Pharmacovigilance infrastructure and post-marketing surveillance system capacity building for regional medicine regulatory harmonization in East Africa" (PROFORMA) project aims to enhance the national PV infrastructure, post-marketing surveillance systems and clinical trial regulatory capabilities in Ethiopia, Tanzania, Kenya and Rwanda. To achieve this, training, including short-term training (STT) activities, at various levels is required.

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Objective: Adverse drug reactions (ADRs) are a significant healthcare concern. They are often documented as free text in electronic health records (EHRs), making them challenging to use in clinical decision support systems (CDSS). The study aimed to develop a text mining algorithm to identify ADRs in free text of Dutch EHRs.

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