Inleiding: Resectabel pancreascarcinoom heeft postoperatief een schrijnende prognose. Verondersteld wordt dat voedingstoestand bij kankerpatiënten invloed heeft op klinische uitkomst. Ondervoeding wordt bij patiënten met pancreascarcinoom in het LUMC met preoperatief gewichtsverloop en BMI geconstateerd. …

Inleiding/probleemanalyse: De prevalentie van obesitas bij kinderen neemt wereldwijd toe en vormt een ernstig gezondheidsprobleem. Het ontstaan van obesitas op kinderleeftijd heeft eerdere waarneming van cardiovasculaire risicofactoren tot gevolg, waaronder afwijkingen in cholesterolwaarden. In verband …

Objectives: To systematically review interventions that aim to improve the governance of patient safety within emergency care on effectiveness, reliability, validity and feasibility. Design: A systematic review of the literature. Methods: PubMed, EMBASE, Cumulative Index to Nursing and Allied Health …

Integrated photonic sensors are promising devices for various sensing applications due to their low cost, small size, and high sensitivities that can be reached. In this thesis, ring resonators and three-port Mach-Zehnder interferometer (MZI) devices fabricated on Silicon-On-Insulator were compared for …

BACKGROUND: Unhealthy diets and inactivity are still common among patients with cardiovascular diseases. This study evaluates the effects of the telephonic lifestyle intervention 'Hartcoach' on risk factors and self-management in patients with recent coronary events. DESIGN: This was a randomised trial …

BACKGROUND: Muscle quantity at intensive care unit (ICU) admission has been independently associated with mortality. In addition to quantity, muscle quality may be important for survival. Muscle quality is influenced by fatty infiltration or myosteatosis, which can be assessed on computed tomography …

BACKGROUND: In critically ill patients, muscle loss is associated with adverse outcomes. Raw bioelectrical impedance analysis (BIA) parameters (eg, phase angle [PA] and impedance ratio [IR]) have received attention as potential markers of muscularity, nutrition status, and clinical outcomes. Our objective …

BACKGROUND: To evaluate the effects of nurse-led multifactorial care to prevent disability in community-living older people. METHODS: In a cluster randomized trail, 11 practices (n = 1,209 participants) were randomized to the intervention group, and 13 practices (n = 1,074 participants) were randomized …

In the Netherlands, over 40% of nursing home residents are estimated to have visual impairments. This results in the loss of basic visual abilities. The nursing home environment fits more or less to residents’ activities and social participation. This is referred to as environmental fit. To raise professional …

Background: COPD self-management is a complex behavior influenced by many factors. Despite scientific evidence that better disease outcomes can be achieved by enhancing self-management, many COPD patients do not respond to self-management interventions. To move toward more effective self-management interventions, …