9,881 results match your criteria: "University Medical Center Rotterdam.[Affiliation]"

Background: The transmission cycle of Schistosoma is remarkably complex, including sexual reproduction in human hosts and asexual reproduction in the intermediate host (freshwater snails). Patterns of rapid recrudescence after treatment and stable low transmission are often observed, hampering the achievement of control targets. Current mathematical models commonly assume regulation of transmission to occur at worm level through density-dependent egg production.

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Practices of assessment of pain, sedation, iatrogenic withdrawal syndrome, and delirium in European paediatric intensive care units: A secondary analysis of the European Prevalence of Acute Rehab for Kids in the paediatric intensive care unit study.

Aust Crit Care

September 2024

Institute of Higher Education and Research in Healthcare - IUFRS, Faculty of Biology and Medicine, University of Lausanne, Lausanne, Switzerland; Lausanne University Hospital, Department of Woman-Mother-Child, Paediatric Intensive and Intermediate Care, Switzerland. Electronic address:

Background: Analgosedation is standard practice to ensure comfort and safety of critically ill children in paediatric intensive care units (PICUs). However, a significant number of children develop iatrogenic withdrawal syndrome or delirium with these drugs. The European Society of Paediatric and Neonatal Intensive Care published a position statement in 2016, but how successfully its recommendations have been implemented is unknown.

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An increasing number of longitudinal studies investigates long-term PTSD, related outcomes and potential gender differences herein. However, a knowledge gap exists when it comes to studies following individual civilian trauma beyond a decade post-trauma. To investigate the long-term PTSD prevalence, associated adverse psychological, functional and economic outcomes related to (suspected) serious injury of 12-15 years ago in Dutch adults, as well as potential gender differences herein.

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Insights in age- and sex-specific coronary atherosclerotic plaque characteristics may contribute to a better understanding of coronary artery disease and, ultimately, to its prevention and treatment. In 307 women and 406 men aged 20 to 90 years undergoing intravascular ultrasound imaging, sex-based differences in coronary atherosclerotic plaque characteristics were mainly present in younger patients, while these differences were less pronounced at advanced age.

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Article Synopsis
  • Periampullary cancer poses a significant risk for older patients, with surgical resection being a high-risk yet potentially curative option.
  • A study on patients aged 70 and older found that 75% were frail, which influenced treatment decisions; frail patients were more likely to choose nonsurgical options and had a higher incidence of postoperative complications.
  • The findings suggest that comprehensive geriatric assessment (CGA) can improve treatment planning and care for older patients undergoing pancreatic surgery, particularly by highlighting the risks associated with frailty.
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Metabolic syndrome, radiographic osteoarthritis progression and chronic pain of the knee among men and women from the general population: The Rotterdam study.

Semin Arthritis Rheum

December 2024

Department of Internal Medicine, Erasmus MC, University Medical Center Rotterdam, the Netherlands; Department of Epidemiology, Erasmus MC, University Medical Center Rotterdam, the Netherlands; Department of Orthopedics & Sports Medicine, Erasmus MC, University Medical Center Rotterdam, the Netherlands. Electronic address:

Objective: Although a relationship between osteoarthritis and components of metabolic syndrome (MetS) has been suggested, most of the results have been cross-sectional. We, therefore, aimed to investigate the sex-specific longitudinal association of (components of) MetS with progression of radiographic osteoarthritis and chronic pain in the knee joints in a large prospective cohort.

Method: In the large population-based Rotterdam study of up to 6,138 individuals, median follow-up time 5.

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Embryonic size and growth and adverse birth outcomes: the Rotterdam Periconception Cohort.

Hum Reprod

November 2024

Department of Neonatal and Pediatric Intensive Care, Division of Neonatology, Erasmus MC-Sophia Children's Hospital, Rotterdam, The Netherlands.

Study Question: Is early embryonic size and growth in the first trimester of pregnancy associated with adverse birth outcomes?

Summary Answer: Larger embryonic crown-rump length (CRL) and embryonic volume (EV) are associated with lower odds of adverse birth outcomes, especially small for gestational age (SGA).

What Is Already Known: Preterm birth, SGA, and congenital anomalies are the most prevalent adverse birth outcomes with lifelong health consequences as well as high medical and societal costs. In the late first and second trimesters of pregnancy, fetuses at risk for adverse birth outcomes can be identified using 2-dimensional ultrasonography (US).

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Article Synopsis
  • The case emphasizes the difficulty of diagnosing and treating eumycetoma in regions like Sudan, where factors like conflict and economic instability hinder patient care and access to effective treatments.* -
  • Mycetoma is a serious infectious disease that leads to painful swellings and can lead to severe disability if not treated properly, as shown in a 37-year-old male patient who struggled with symptoms for years.* -
  • A coordinated approach involving healthcare professionals and community health workers is crucial to improve treatment adherence and patient outcomes, as it addresses both medical needs and social challenges.*
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  • Patients with hemophilia B receive factor IX concentrates to prevent bleeding, and new extended half-life (EHL) options allow for less frequent dosing compared to standard treatments.
  • The recombinant FIX-Fc fusion protein (rFIXFc) is highlighted for its rapid distribution, potentially due to its binding to type IV collagen in the body, which may help prevent bleeding even when FIX activity is not measurable in plasma.
  • A physiologically based pharmacokinetic (PBPK) model accurately predicts how rFIXFc behaves in the body, showing significantly higher concentrations of the drug in the extravascular space compared to plasma, indicating its crucial role in achieving effective bleeding control after treatment.
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Background: Phosphate is important for several metabolic functions and essential for bone mineralization. Sex-differences exist in the relation between serum phosphate and certain diseases. The reference interval for phosphate is age-adjusted in infants, but most institutions use the same intervals for adult men and women despite increasing evidence for age and sex-differences.

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Background: Despite global efforts to reduce and eventually interrupt malaria transmission, the disease remains a pressing public health problem, especially in sub-Saharan Africa. This study presents a detailed spatio-temporal analysis of malaria transmission in Rwanda from 2012 to 2022. The main objective was to gain insights into the evolving patterns of malaria and to inform and tailor effective public health strategies.

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Introduction: Severely injured patients are often incapacitated to provide informed consent for clinical studies. Deferred consent could facilitate unbiased enrollment in studies involving these patients. Little is known about how healthcare professionals (HCPs) perceive deferred consent and how this impacts patient enrollment.

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Statistical questions FESSH 2024 workshop.

J Hand Surg Eur Vol

September 2024

University of Groningen, University Medical Center Groningen, Department of Plastic Surgery, Groningen, The Netherlands.

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Plastin-3 (PLS3) encodes T-plastin, an actin-bundling protein mediating the formation of actin filaments by which numerous cellular processes are regulated. Loss-of-function genetic defects in PLS3 are reported to cause X-linked osteoporosis and childhood-onset fractures. However, the molecular etiology of PLS3 remains elusive.

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Objective: Patients with back pain (BP) and radiating leg pain have poorer clinical outcomes compared to patients with BP alone. We aimed to describe the 1-year clinical course and to identify prognostic factors associated with non-recovery in older BP patients with radiating leg pain.

Design: Patients in the BACE cohort aged >55 years with a new episode of BP and radiating leg pain were included (n = 377).

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Porcine submucosal extracellular matrix wrapping of the ulnar nerve in revision cubital tunnel surgery.

J Plast Reconstr Aesthet Surg

November 2024

Department Hand and Peripheral Nerve Surgery, Queen Elizabeth Hospital Birmingham, Mindelsohn Way, Birmingham B15 2TH, United Kingdom. Electronic address:

Article Synopsis
  • The wrapping technique aims to protect nerves from scar tissue and enhance their function, particularly after neurolysis for conditions like cubital tunnel syndrome (CuTS).
  • A study analyzed the effectiveness of AxoGuard® nerve protector, a porcine-derived matrix used during revision surgeries for CuTS, comparing outcomes between patients who had only surgery versus those who received the nerve wrapping.
  • Results showed that the wrapping group had significantly better clinical improvement, with 84.4% achieving excellent or good outcomes and no complications related to the implant, indicating that PECM wrapping may help reduce nerve scarring and improve nerve function.
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First-line treatment for advanced-stage diffuse large B-cell lymphoma (DLBCL) typically involves 6x R-CHOP21 or 6x R-CHOP21 with two additional rituximab administrations (6x R-CHOP21 + 2 R). In contemporary practice, this treatment choice might be guided by interim PET scan results. This nationwide, population-based study investigates the comparative effectiveness of these treatment regimens in an era where interim PET-guided treatment decisions were not standard practice.

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What every intensivist should know about augmented renal clearance (ARC).

J Crit Care

December 2024

Department of Hospital Pharmacy, Erasmus MC University Medical Center Rotterdam, Doctor Molewaterplein 40, 3015 GD Rotterdam, the Netherlands; Department of Intensive Care Adults, Erasmus MC University Medical Center Rotterdam, Doctor Molewaterplein 40, 3015 GD Rotterdam, the Netherlands.

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Self-healing in leprosy: A systematic review.

PLoS Negl Trop Dis

September 2024

Department of Global Health, Institute of Public Health and Nursing Research, University of Bremen, Bremen, Germany.

Article Synopsis
  • Leprosy, caused by Mycobacterium leprae, can lead to disabilities if not treated, although multidrug therapy (MDT) has been available since 1982, and there are historical cases of spontaneous self-healing.
  • A 2023 systematic review analyzed six studies from 1938 to 1978 on self-healing in leprosy, identifying groups like children and paucibacillary (PB) cases with higher healing rates, typically within two years.
  • Despite limited recent research on self-healing due to ethical concerns and lack of consensus on its definition, findings suggest that self-healing is influenced by geographic and demographic factors, indicating a need for further investigation to enhance treatment and public health strategies
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Objective: Hypofractionation has become the new clinical standard for prostate cancer. We investigated the management of acute toxicity in patients treated with moderate hypofractionation (MHF) or Ultrahypofractionation (UHF).

Methods: In a prospective cohort setting, patients (N=316) received either MHF (20 fractions of 3/3.

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Background: Early childcare attendance may be related to children's internalizing and externalizing symptoms throughout childhood and young adolescence, however evidence from Europe is limited. We aimed to assess this association across multiple population-based birth cohorts of children recruited in different European countries.

Methods: Data come from six parent-offspring prospective birth cohort studies across five European countries within the EU Child Cohort Network.

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SF3B1 mutations are recurrent in chronic lymphocytic leukemia (CLL), particularly enriched in clinically aggressive stereotyped subset #2. To investigate their impact, we conducted RNA-sequencing of 18 SF3B1 and 17 SF3B1 subset #2 cases and identified 80 significant alternative splicing events (ASEs). Notable ASEs concerned exon inclusion in the non-canonical BAF (ncBAF) chromatin remodeling complex subunit, BRD9, and splice variants in eight additional ncBAF complex interactors.

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Neighborhood Characteristics Related to Changes in Anthropometrics During a Lifestyle Intervention for Persons with Obesity.

Int J Behav Med

September 2024

Department of Internal Medicine, Division of Endocrinology, Obesity Center CGG, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.

Background: Since obesity has emerged as a major public health concern, there is an urgent need to better understand factors related to weight gain and treatment success.

Methods: This study included 118 persons with obesity who participated in a multidisciplinary combined lifestyle intervention with cognitive-behavioral therapy at the outpatient clinic of the Obesity Center CGG at Erasmus University Medical Center, Rotterdam, The Netherlands. Neighborhood characteristics were assessed using a 13-item questionnaire.

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Background: Malaria remains an important public health problem, particularly in sub-Saharan Africa. In Rwanda, where malaria ranks among the leading causes of mortality and morbidity, disease transmission is influenced by climatic factors. However, there is a paucity of studies investigating the link between climate change and malaria dynamics, which hinders the development of effective national malaria response strategies.

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