Towards good modelling practice for parallel hybrid models for wastewater treatment processes.

This study explores various approaches to formulating a parallel hybrid model (HM) for Water and Resource Recovery Facilities (WRRFs) merging a mechanistic and a data-driven model. In the study, the HM is constructed by training a neural network (NN) on the residual of the mechanistic model for effluent nitrate. In an initial experiment using the Benchmark Simulation Model no.

[Better identifying and understanding post-traumatic stress disorder in the elderly].

Post-traumatic stress disorder (PTSD) is particularly common in the elderly, including those with cognitive impairments. We need to stress the importance of early detection to better understand the specific signs of this disorder in the elderly. Psychotherapies such as cognitive-behavioral therapy and Eye Movement Desensitization and Reprocessing are being explored for their effectiveness and adaptability with the elderly.

The process of clinical decision-making in chronic wound care: A scenario-based think-aloud study.

Aims: To undertake a comprehensive investigation into both the process of information acquisition and the clinical decision-making process utilized by primary care nurses in the course of treating chronic wounds.

Design: Scenario-based think-aloud method, enriched by the integration of information processing theory. The study was conducted within the framework of home care nursing organizations situated in Flanders, the Flemish speaking part of Belgium.

Generalizable calibrated machine learning models for real-time atrial fibrillation risk prediction in ICU patients.

Background: Atrial Fibrillation (AF) is the most common arrhythmia in the intensive care unit (ICU) and is associated with increased morbidity and mortality. Identification of patients at risk for AF is not routinely performed as AF prediction models are almost solely developed for the general population or for particular ICU populations. However, early AF risk identification could help to take targeted preemptive actions and possibly reduce morbidity and mortality.

Recovery of leg strength based on isokinetic testing after tumor resection and reconstruction with a modular rotating hinge knee system: Prospective cross-sectional study with a minimum follow-up of 24 months.

Background: While modular reconstruction implants can be used to replace the bone lost after bone tumor resection, tumor excision from the neighboring soft tissues can lead to loss of strength and joint range of motion (ROM), which results in worse knee function. Functional recovery after total knee arthroplasty for osteoarthritis has been extensively documented. But few studies have evaluated the recovery after total knee reconstruction following tumor excision despite the fact that most of these patients are young and have high functional demands.

Participation of inpatients in multidisciplinary team meetings: An explorative study of mental healthcare workers' perception.

Aim: To explore the perception of mental healthcare workers about participation of inpatients during multidisciplinary team meetings (MTMs) and to determine which demographic and contextual factors are associated with this perception.

Methods: A cross-sectional multicentre study in 17 psychiatric hospitals with 701 mental healthcare workers was performed between 29 April and 19 May 2019. For measuring the perception of the mental healthcare workers, the Patient Participation during Multidisciplinary Team meetings Questionnaire was used.

Development and evaluation of uncertainty quantifying machine learning models to predict piperacillin plasma concentrations in critically ill patients.

Background: Beta-lactam antimicrobial concentrations are frequently suboptimal in critically ill patients. Population pharmacokinetic (PopPK) modeling is the golden standard to predict drug concentrations. However, currently available PopPK models often lack predictive accuracy, making them less suited to guide dosing regimen adaptations.

Integrating Sensor Technology in Disposable Body-Worn Absorbent Products: A Qualitative Study to Define User Profile, (Technical) Criteria, Conditions, and Potential Benefits.

Purpose: The purpose of this study was to define the user profile, (technical) criteria, conditions, and potential benefits of the integration of sensor technology in disposable body-worn incontinence materials.

Design: Qualitative study using a framework method.

Subject And Setting: The sample included residents with incontinence, nurses, and decision-makers in a selection of Flemish nursing homes (Belgium).

Balance between larval and pupal development time in carrion blowflies.

Several studies have highlighted the impact of environmental factors such as food type or larval density on the development of blowfly larvae. We investigated how changes in development speed (due to larval density and group composition) are divided among feeding and post-feeding stages. Even if these parameters impinge only on feeding larvae, they may ultimately also affect their subsequent development, and especially metamorphosis duration.

Assessment of operator performance during oocyte retrievals: residents' learning curve and continuous monitoring of senior physicians.

Background: The learning curve cumulative summation test (LC CUSUM test) allows to define an individualized learning curve and determine the moment when clinical proficiency is attained. After acquisition of the skills, the cumulative summation test (CUSUM test) allows to monitor the maintenance of the required level over time. The LC CUSUM test has been frequently used in the field of Obstetrics and Gynecology (Ob/Gyn) for several procedures, but only once for OR.

Estimation of the net influx rate K and the cerebral metabolic rate of glucose MR using a single static [F]FDG PET scan in rats.

Since accurate quantification of 2-deoxy-2-F-fluoro-D-glucose ([F]FDG) positron emission tomography (PET) requires dynamic acquisition with arterial input function, more practical semi-quantitative (static) approaches are often preferred. However, static standardized uptake values (SUV) are typically biased due to large variations in body weight (BW) occurring over time in animal studies. This study aims to improve static [F]FDG PET SUV quantification by better accounting for BW variations in rats.

A Fully Automated Pulsating Support System for Pressure Injury Prevention and Treatment in 10 Belgium Nursing Homes: An Observational Study.

Purpose: We studied pressure injury (PI) stage II-IV cumulative incidence and the change of PI status in the sacral area of nursing home residents associated with the use of a fully automated pulsating support system air mattress in use for 30 days. We also assessed caregivers', residents', and their family members' experiences and perceptions of mattress comfort and other factors such as pain.

Design: Multicenter cohort study.

Pregnancy after chemoradiotherapy in childhood: Complications and recommendations - about one case.

The question of pregnancy prognosis after radio chemotherapy is unaddressed. We report here the case of three successive spontaneous pregnancies 17 years after the management of a thigh rhabdomyosarcoma treated by radiochemotherapy. In 2018 the patient aged 22 presented with a spontaneous miscarriage.

Coping Strategies of Adolescent and Young Adult Survivors of Childhood Cancer: A Qualitative Study.

Background: Many adolescent and young adult (AYA) survivors of childhood cancer are dealing with late effects of the cancer and its treatment.

Objective: The aim of this study was to explore how AYA survivors cope with their childhood cancer experience and its long-term consequences.

Methods: This is a descriptive qualitative study in which 21 semistructured interviews with AYA survivors of childhood cancer were conducted.

Measurement properties of classifications for skin tears: A systematic review.

Background: Skin tear classifications support the assessment and reporting of skin tears in a consistent way. The measurement properties of skin tear classifications have not been compared so far.

Objectives: To critically appraise, compare and summarise the quality of the measurement properties of available skin tear classifications.

Sustaining the quality of midwifery practice in Belgium: Challenges and opportunities for advanced midwife practitioners.

Background: Midwifery practice is essential in achieving high-quality maternal and newborn care in all settings and countries. However, midwifery practice has become more complex over the past decades. Considerable demands are being placed on midwives to meet increasing epidemiological, socio-economic, and technological challenges.