1,158 results match your criteria: "Amsterdam UMC - Location Vrije Universiteit Amsterdam[Affiliation]"

In large transdisciplinary research teams finding the balance between using the most appropriate and needed measures for data collection and minimising participant burden is often a significant challenge. This paper aims to describe the development process for selecting a set of determinants of physical activity behaviours in 9-12 years old children. An internal small group ( = 8) worked iteratively with an external large group of experts and stakeholders ( = 30-50) in three steps: 1) External input - Identification through expert opinion; 2) Internal input - Identification and selection via a systematized approach; 3) External validation of the selected measures.

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Cerebral small vessel disease and its relationship with all-cause mortality risk: Results from the Amsterdam Ageing cohort.

Arch Gerontol Geriatr

February 2025

Department of Internal Medicine, Geriatric Medicine Section, Amsterdam UMC location Vrije Universiteit Amsterdam, The Netherlands; Amsterdam Cardiovascular Sciences, De Boelelaan 1117, Amsterdam, 1081HV, The Netherlands.

Introduction: Cerebral Small-Vessel Disease (CSVD) is a complex condition affecting the brain's vascular network, linked to cognitive and physical decline, cerebrovascular disease, and death. This study assesses the relationship between CSVD (composite and individual features) and all-cause mortality in a large cohort of geriatric outpatients.

Methods: Data from 1305 geriatric outpatients (mean age 78 ± 7; 51 % female) in the Amsterdam Ageing cohort were analysed.

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Running therapy or antidepressants as treatments for immunometabolic depression in patients with depressive and anxiety disorders: A secondary analysis of the MOTAR study.

Brain Behav Immun

January 2025

Amsterdam UMC Location Vrije Universiteit Amsterdam, Department of Psychiatry, Boelelaan 1117, Amsterdam, the Netherlands; Amsterdam Public Health, Mental Health Program, Amsterdam, the Netherlands; Amsterdam Neuroscience, Mood, Anxiety, Psychosis, Sleep & Stress Program, Amsterdam, the Netherlands.

Background: Exercise promotes immunometabolic health and is increasingly recognized as an effective depression treatment. Exercise may be beneficial for patients with immunometabolic depression (IMD), who experience inflammatory and metabolic dysregulations and may respond less to antidepressants. This secondary analysis of the MOTAR study compared the effects of running therapy and antidepressants on IMD features among patients with depression and/or anxiety disorder.

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A one year follow-up on quality of adherent scars after autologous fat grafting processed by a filtration technique.

Burns

December 2024

Burn Centre, Red Cross Hospital, Vondellaan 13, 1942 LE, Beverwijk, the Netherlands; Amsterdam UMC location Vrije Universiteit Amsterdam, Plastic, Reconstructive and Hand Surgery, De Boelelaan 1117, Amsterdam, the Netherlands; Amsterdam Movement Sciences Institute, Amsterdam UMC, Amsterdam, the Netherlands; Department of Plastic, Reconstructive and Hand Surgery, Red Cross Hospital, Vondellaan 13, 1942 LE, Beverwijk, the Netherlands; Amsterdam UMC location University of Amsterdam, Paediatric Surgical Centre, Emma Children's Hospital, Meibergdreef 9, Amsterdam, Netherlands. Electronic address:

Autologous fat grafting (AFG), mostly in combination with adhesiolysis, has become the workhorse for reconstructing a dysfunctional or absent subcutaneous layer. In a previous study we showed that fat grafts isolated by centrifuging led to more than 20 % improvement in scar pliability. Nevertheless, there is still debate on which technique should be used to process and purify fat grafts.

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  • Many youths with mental health issues in the Netherlands are overlooked in primary healthcare, leading to delays in support; the CandA team was created to help GPs and youth professionals address these problems.
  • The study involved interviews and analyzed data from 706 youths (ages 0-18) who used the CandA team, focusing on their mental health concerns and the services provided from 2015 to 2017.
  • Results showed that the team effectively addressed various behavioral issues, received positive feedback from stakeholders, and highlighted the need for better cooperation with schools and further evaluation of the team's impact.
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Background: Limitations of traditional structures and approaches to further enhance patient safety, satisfaction, and systemic sustainability in healthcare, are becoming increasingly visible. Embedding reflexivity is a proposed strategy to promote progress. We aimed to explore the potential of creating reflexive spaces for promoting integration and client-centeredness in maternity care specifically.

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Fibrodysplasia ossificans progressiva (FOP) is a rare genetic bone disorder characterized by episodic flare-ups in connective tissue, which are frequently followed by the formation of heterotopic ossification. The absence of available plasma-soluble biomarkers for flare-ups or heterotopic bone formation poses severe challenges to the monitoring of disease activity to measure or predict disease progression. Recently, 18-fluor-sodium fluoride positron emission tomography/computed tomography ([F]NaF PET/CT) was introduced as a potential marker for ossifying FOP activity.

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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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Purpose: Patients with exudative and nonexudative age-related macular degeneration (AMD) can experience physical, mental, social, administrative or financial burden that are associated with the treatment of this progressive chronic disease. The role of healthcare providers in supporting patients who experience high treatment burden can be important, especially when it comes to effective communication. Despite previous research underlining the need to improve patient-provider communication in AMD care, patient experiences with communication, and how these are related to perceived treatment burden, remain underexplored.

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Capabilities for Using Telemonitoring in Physiotherapy Treatment: Exploratory Qualitative Study.

JMIR Rehabil Assist Technol

October 2024

Physiotherapy Department, Faculty of Health, Sport and Physical Activity, Amsterdam University of Applied Sciences, Tafelbergweg 51, Amsterdam, 1105 BD, Netherlands, 31 634853608.

Background: Telemonitoring (TM), as part of telehealth, allows physiotherapists to monitor and coach their patients using remotely collected data. The use of TM requires a different approach compared with face-to-face treatment. Although a telehealth capability framework exists for health care professionals, it remains unclear what specific capabilities are required to use TM during physiotherapy treatments.

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'So Let's Go On Like This?'-Shared Decision-Making and the Use of Outcome Information in Routine Care Management for People With Multiple Sclerosis.

Health Expect

October 2024

Department of Neurology, MS Center Amsterdam, Amsterdam Neuroscience and Amsterdam Public Health Research Institute, Quality of Care, Amsterdam UMC location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.

Introduction: This study aimed to investigate how shared decision-making (SDM) and the use of different types of outcome information are applied in routine care management for people with multiple sclerosis (MS) in an academic outpatient clinic.

Methods: This qualitative study used the following: (a) observations of clinical encounters (N = 23) between patients and healthcare professionals (HCPs), (b) interviews with those patients (N = 17) and (c) interviews with those HCPs (N = 7). HCPs were not trained in SDM before the study.

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Co-creation in public health research: an introduction to basic principles.

Public Health Res Pract

October 2024

Global Centre for Preventive Health and Nutrition (GLOBE), School of Health and Social Development, Institute for Health Transformation, Deakin University, Geelong, Victoria, Australia.

Co-creation is a participatory design approach that leverages the experiential knowledge of non-academic actors. It is increasingly adopted in public health research to enhance the relevance, acceptability, and impact of interventions. This perspective article provides a practical introduction to co-creation, its application, and benefits and considerations for public health researchers.

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Clinical monitoring of pulmonary edema due to vascular hyperpermeability in acute respiratory distress syndrome (ARDS) poses significant clinical challenges. Presently, no biological or radiological markers are available for quantifying pulmonary edema. Our aim was to phenotype pulmonary edema and pulmonary vascular permeability in patients with coronavirus disease 2019 (COVID-19) ARDS.

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Dermal substitutes have been introduced in burn care to improve wound healing outcomes; however, their use remains limited in standard treatments. This systematic review and meta-analysis aimed to evaluate the outcomes of dermal substitutes in patients with burns and patients requiring burn scar reconstruction and subsequently contribute to optimising the integration of dermal substitutes into clinical practice and reducing the knowledge gap. A comprehensive search across various databases included human studies from peer-reviewed journals on dermal substitutes for deep dermal and full-thickness burns, and scar reconstruction across all ages.

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Objective: The Plants for Joints (PFJ) intervention significantly improved pain, stiffness, and physical function, and metabolic outcomes, in people with metabolic syndrome-associated osteoarthritis (MSOA). This secondary analysis investigated its effects on body composition.

Method: In the randomized PFJ study, people with MSOA followed a 16-week intervention based on a whole-food plant-based diet, physical activity, and stress management, or usual care.

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Background: While multidisciplinary teams with clinical pharmacists improve medication use and outcomes, their integration in South Africa faces limitations. A lack of dedicated positions and healthcare professionals' misunderstanding restrict ward activities and hinder full collaboration, limiting their potential to optimize patient care. This study addresses a gap by exploring how perceived healthcare professionals' understanding of clinical pharmacists' roles impacts their motivation and service implementation.

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Article Synopsis
  • Subcortical brain structures play a crucial role in various developmental and psychiatric disorders, and a study analyzed brain volumes in 74,898 individuals, identifying 254 genetic loci linked to these volumes, which accounted for up to 35% of variation.
  • The research included exploring gene expression in specific neural cell types, focusing on genes involved in intracellular signaling and processes related to brain aging.
  • The findings suggest that certain genetic variants not only influence brain volume but also have potential causal links to conditions like Parkinson’s disease and ADHD, highlighting the genetic basis for risks associated with neuropsychiatric disorders.
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Characteristics of Geriatric Rehabilitation Inpatients with Nocturia: RESORT.

Gerontology

December 2024

Department of Human Movement Sciences, @AgeAmsterdam, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, Amsterdam, The Netherlands.

Article Synopsis
  • The study investigates nocturnal lower urinary tract symptoms, specifically nocturia, in geriatric rehabilitation patients, highlighting their prevalence and impact on patient characteristics.
  • It involved a cohort of 641 inpatients who were assessed upon admission and discharge, revealing that over half experienced nocturia more than once a night, with associated factors like urinary incontinence and comorbid illnesses.
  • The findings suggest that repeated episodes of nocturia correlate with worse functional status and quality of life, indicating that targeted interventions could improve symptoms and overall patient outcomes.
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Aims: To report the changes in nutritional status, nutrition-related complaints and risk of sarcopenia in individuals attending a primary care dietitian in the Netherlands after a COVID-19 infection.

Methods: The study was registered on the clinicaltrials.gov registry (NCT04735744).

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Article Synopsis
  • * Researchers analyzed data from over 1500 patients and found that women reported higher sleepiness on the Epworth Sleepiness Scale compared to men, with specific age-related trends observed in different patient groups.
  • * Notably, in women with narcoleptic conditions, an increase in daytime sleepiness was linked to age, while weight gain appeared later, suggesting a complex relationship that warrants further research for targeted treatment approaches.
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Objectives: To develop a gadolinium-free MRI-based diagnosis prediction decision tree (DPDT) for adult-type diffuse gliomas and to assess the added value of gadolinium-based contrast agent (GBCA) enhanced images.

Materials And Methods: This study included preoperative grade 2-4 adult-type diffuse gliomas (World Health Organization 2021) scanned between 2010 and 2021. The DPDT, incorporating eleven GBCA-free MRI features, was developed using 18% of the dataset based on consensus readings.

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  • The World Falls Guidelines (WFG) propose a fall risk classification system (low, intermediate, high) and were evaluated against other fall screening tools, like the AGS/BGS algorithm and fall history.
  • A study with 1509 older adults assessed falls over one year, using various methods to measure the algorithm’s predictive performance.
  • The WFG algorithm can effectively identify fall risk, especially when using the 3KQ tool, but shows similar performance to other tools, with the 3KQ being more sensitive but less specific.
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Current predictors for morbidity regarding choice of birth after a previous caesarean section, show poor predictive value in prediction modelling.

Eur J Obstet Gynecol Reprod Biol

December 2024

Department of Obstetrics and Gynecology, Maastricht University Medical Center+, Maastricht, Netherlands (the); Maastricht University Medical Center+, GROW-School for Oncology and Developmental Biology, Department of Obstetrics and Gynaecology, PO Box 5800, 6202 AZ Maastricht, Netherlands (the).

Article Synopsis
  • - The study aimed to create prediction models for maternal and neonatal morbidity related to vaginal birth after a previous caesarean section or elective repeat caesarean in Dutch women, highlighting the need for better counseling based on individual risks.
  • - Researchers analyzed data from 2,592 women with prior caesarean sections and found a 12.7% rate of maternal or fetal complications, with higher overall morbidity in those opting for trial of labor (TOL) compared to elective repeat caesarean (ERCS).
  • - The prediction models developed showed poor performance, with an area under the receiver operating characteristic curve below 0.6, preventing accurate validation of the models prior to addressing overfitting issues.
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Objective: Serum prolactin measurements are important in the differential diagnosis of pituitary masses and subfertility. We observed discrepancies in serum prolactin levels in several patients measured with different immunoassays. Despite differences in assay results, the reference intervals (RIs) derived by the manufacturers were similar.

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