11 results match your criteria: "The University Medical Centre Utrecht[Affiliation]"

Background: In healthcare education, preparing students for interprofessional feedback dialogues is vital. However, guidance regarding developing interprofessional feedback training programs is sparse. In response to this gap, the Westerveld framework, which offers principles for interprofessional feedback dialogue, was developed.

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Predicting Response to Neoadjuvant Therapy in Oesophageal Adenocarcinoma.

Cancers (Basel)

February 2022

Upper Gastrointestinal Surgery Department, St Vincent's Hospital Melbourne, 41 Victoria Parade, Fitzroy, VIC 3065, Australia.

(1) Background: Oesophageal cancers are often late-presenting and have a poor 5-year survival rate. The standard treatment of oesophageal adenocarcinomas involves neoadjuvant chemotherapy with or without radiotherapy followed by surgery. However, less than one third of patients respond to neoadjuvant therapy, thereby unnecessarily exposing patients to toxicity and deconditioning.

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Thyroid cancer is one of the most common carcinomas diagnosed in adolescents and young adults, with a rapidly rising incidence for the past three decades. Surgery is the standard treatment for patients with differentiated thyroid carcinoma (DTC), and when indicated, followed by radioactive iodine (RAI) treatment. The aim of this study was to evaluate the possible effects of RAI therapy on ovarian function and fertility in women.

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Effects of paediatric HIV infection on electrical conduction of the heart.

Open Heart

April 2016

Julius Global Health , Julius Centre for Health Sciences and Primary Care, the University Medical Centre Utrecht, Utrecht , The Netherlands.

Objective: To investigate the effects of HIV infection in children on heart electrical conduction, particularly to delineate the effects of HIV infection from treatment.

Methods: On a 12-lead ECG, available for 37 antiretroviral therapy (ART) naïve, 42 ART-exposed vertically-acquired HIV-infected and 50 healthy children in Jakarta, Indonesia, we measured cardiac conduction parameters: PR, QRS, and QTc (corrected using Bazett's formula) intervals. The associations between HIV infection/treatment status and ECG intervals were evaluated using general linear modelling with further adjustment for potential confounders or intermediary variables.

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Background: Cardiac involvement in HIV infected children has been frequently reported, but whether this is due to HIV infection itself or to antiretroviral treatment (ART) is unknown.

Methods: This cross sectional study involved 114 vertically-acquired HIV-infected (56 ART-naive, 58 ART-exposed) and 51 healthy children in Jakarta, Indonesia. Echocardiography was performed to measure dimensions of the left ventricle (LV) and systolic functions.

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Effects of paediatric HIV infection on childhood vasculature.

Eur Heart J

December 2016

Julius Global Health, Julius Centre for Health Sciences and Primary Care, The University Medical Centre Utrecht, Utrecht, The Netherlands.

Article Synopsis
  • The study examines how HIV infection and antiretroviral therapy (ART) affect vascular properties in children, aiming to determine their influence on future cardiovascular risk.
  • A total of 114 children with vertically acquired HIV (56 ART-naive and 58 ART-exposed) and 51 healthy controls underwent vascular ultrasound tests, measuring carotid intima media thickness (cIMT), distensibility, and elastic modulus.
  • Results showed that ART-naive children had significantly thicker cIMT compared to healthy peers, while ART-exposed children had similar cIMT to healthy children, although they exhibited increased elastic modulus when HIV was well-controlled.
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Introduction: The current opinion is that split thickness skin grafts are not suitable to reconstruct a degloved foot sole. The tissue is too fragile to carry full bodyweight; and therefore, stress lesions frequently occur. The treatment of choice is the reuse of the avulsed skin whenever possible, or else the use of a full thickness fascio-cutaneus flap.

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Introduction: Dealing with major incidents requires an immediate and coordinated response by multiple organizations. Communicating and coordinating over multiple geographical locations and organizations is a complex process. One of the greatest challenges is patient tracking and tracing.

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Global payment for health services as a solution in the financial crisis in Europe.

Int J Integr Care

October 2012

Julius Centre for Patient Oriented Research, The University Medical Centre Utrecht, Netherlands.

In these financial difficult years many European governments used global ceilings to control costs of health services. Two scenarios are thinkable. The first is that all individual providers get a budget for their own costs: general practitioners, specialists, hospitals, nursing homes and mental health institutes.

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The care pathway: concepts and theories: an introduction.

Int J Integr Care

January 2012

Julius Centre for Patient Oriented Research, The University Medical Centre Utrecht, The Netherlands.

This article addresses first the definition of a (care) pathway, and then follows a description of theories since the 1950s. It ends with a discussion of theoretical advantages and disadvantages of care pathways for patients and professionals. The objective of this paper is to provide a theoretical base for empirical studies on care pathways.

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Medial tibial stress syndrome (MTSS) is one of the most common leg injuries in athletes and soldiers. The incidence of MTSS is reported as being between 4% and 35% in military personnel and athletes. The name given to this condition refers to pain on the posteromedial tibial border during exercise, with pain on palpation of the tibia over a length of at least 5 cm.

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