A5036559863- Disaster Response and Management
- Emergency and Acute Care Studies
- Trauma and Emergency Care Studies
- COVID-19 and healthcare impacts
- COVID-19 and Mental Health
- Disaster Management and Resilience
- Health and Conflict Studies
- Suicide and Self-Harm Studies
- Long-Term Effects of COVID-19
- Chronic Disease Management Strategies
- Frailty in Older Adults
- Cardiac Arrest and Resuscitation
- COVID-19 Clinical Research Studies
- Terrorism, Counterterrorism, and Political Violence
- Injury Epidemiology and Prevention
- Gun Ownership and Violence Research
- Migration, Health and Trauma
- Patient Safety and Medication Errors
- Flood Risk Assessment and Management
- Geriatric Care and Nursing Homes
- Heart Rate Variability and Autonomic Control
- Climate Change and Health Impacts
- Posttraumatic Stress Disorder Research
- Torture, Ethics, and Law
- Healthcare Policy and Management
VieCuri Medisch Centrum
2016-2025
Xilinx (United States)
2023
Leiden University
2020
Radboud University Nijmegen
2013
Radboud University Medical Center
2013
Patients with COVID-19 present a variety of clinical manifestations, ranging from mild or asymptomatic disease to severe illness and death. Whilst previous studies have clarified these several other aspects COVID-19, one the ongoing challenges regarding is determine which patients are at risk adverse outcomes infection. It hypothesized that this result insufficient inhibition immune response, vagus nerve being an important neuro-immuno-modulator inflammation. Vagus activity can be...
During the first wave of coronavirus disease 2019 (COVID-19) pandemic, older patients had an increased risk hospitalisation and death. Reports on association frailty with poor outcome have been conflicting.The aim present study was to investigate independent between in-hospital mortality in hospitalised COVID-19 Netherlands.This a multicentre retrospective cohort 15 hospitals Netherlands, including all aged ≥70 years, who were clinically confirmed February May 2020. Data collected...
ABSTRACT Objective: Since the beginning of coronavirus disease (COVID-19) pandemic, several frontline workers have expressed their concerns about reduced emergency department (ED) utilization. We aimed to examine changes in ED utilization during early phase COVID-19 a country with well-developed primary care system. Methods: A retrospective analysis was performed 3 Dutch hospitals 60-day period, starting on February 15, 2020. The identical period 2019 used as reference. visits were labeled...
Abstract Some COVID-19 survivors suffer from persistent pulmonary function impairment, but the extent and associated factors are unclear. This study aimed to characterize impairment three five months after hospital discharge association with disease severity. Survivors of hospitalization VieCuri Medical Centre between February December 2020 were invited for follow-up, discharge. Dynamic static lung volumes, respiratory muscle strength diffusion capacity measured. The cohort comprised 257...
Analysts have warned on multiple occasions that hospitals are potential soft targets for terrorist attacks. Such attacks will far-reaching consequences, including decreased accessibility, possible casualties, and fear among people. The extent, incidence, characteristics of against unknown. Therefore, the objective this study was to identify characterize reported Global Terrorism Database (GTD) over a 50-year period.The GTD used search all from 1970-2019. Analyses were performed temporal...
Abstract Background Although the Geneva Conventions and Rome Statute demand protections for healthcare facilities during war , breaches of these are frequently reported. The ongoing in Ukraine is no exception, with several attacks eliciting widespread condemnation. Ukrainian Healthcare Center (UHC) has been collecting, verifying documenting on health infrastructure since Russia–Ukraine War was launched. aim this study to assess UHC documented facility first year (24 February 2022 25 2023)...
Abstract Background The coronavirus disease 2019 (COVID-19) outbreak has been associated with stress and challenges for healthcare professionals, especially those working in the front-line of treating COVID-19 patients. This study aimed to: 1) assess changes well-being perceived symptoms Dutch emergency department (ED) staff course first wave, 2) explore stressors experienced by ED since outbreak. Methods We conducted a cross-sectional study. An online questionnaire was administered during...
Abstract Introduction: Terrorists increasingly aim at so-called soft targets, such as hospitals. However, little is known about terrorist attacks against Emergency Medical Services (EMS). Objective: This study aims to review all documented EMS that occurred world-wide from 1970-2019 using the Global Terrorism Database (GTD). Methods: Reports of were extracted GTD 1970-2019. Data collection included temporal factors, attack and weapon type, number casualties, if it was a primary or secondary...
Abstract Introduction: Attacks on health care – which are potential war crimes increasingly observed in contemporary armed conflicts. The full-scale Russian invasion of Ukraine is no exception to this worrisome trend. War crime prosecutions suspected deliberate attacks facilities require proof that they were the intended target, extremely challenging. If attacked more than once, may increase likelihood intent. Ukrainian Healthcare Center (UHC) began documenting infrastructure since start...
Background Insight in characteristics and journey of patients the Acute Care Chain (ACC) who visit Emergency Department (ED) is lacking. Existing studies focus on prespecified (time-sensitive) complex conditions like major trauma stroke, hospital phase. This study provides a representative overview adult ED their through ACC with differences between those without conditions. Methods A prospective 72-hour flash-mob was conducted 2022 across all six EDs province Limburg, Netherlands,...
Abstract Background Chronic Q fever usually presents as endocarditis or endovascular infection. We investigated whether 18 F-FDG PET/CT and echocardiography were able to detect the localization of Also, utility modified Duke criteria was assessed. Methods Fifty-two patients, who had an IgG titre ≥ 1024 against C. burnetii phase I 3 months after primary infection a positive PCR 1 month infection, retrospectively included. Data on serology, results all imaging studies, possible risk factors...
Terrorist attacks have the potential to be mass casualty events, causing multiple injuries and deaths. High injury rate will particularly place a high burden on emergency medical systems. This study aimed assess if there is difference between with rates fatality rates.
The Netherlands has a well-developed primary care system, which increasingly collaborates with hospital emergency departments (EDs). In this setting, insight into crowding in EDs is limited. This study explored links between patients' ED Length of Stay (LOS) and their pathways. Observational multicenter 7000 patient records from 1 February 2013. Seven spread over the Netherlands, representing overall Dutch EDs, were included. included three four without an integrated primary-care-physician...
Abstract Background as the coronavirus disease of 2019 (COVID-19) pandemic progressed diagnostics and treatment changed. Objective to investigate differences in characteristics, presentation outcomes older hospitalised COVID-19 patients between first second wave The Netherlands. Methods this was a multicentre retrospective cohort study 16 hospitals Netherlands including aged ≥ 70 years, for Spring 2020 (first wave) Autumn (second wave). Data included Charlson comorbidity index (CCI),...
A high incidence of delirium has been reported in older patients with Coronavirus disease 2019 (COVID-19). We aimed to identify determinants delirium, including the Clinical Frailty Scale, hospitalized COVID-19. Furthermore, we study association independent frailty in-hospital outcomes COVID-19 patients.
The modern concept of terrorism has its roots in the "old continent" Western Europe, more specifically France, during "Reign Terror" period French Revolution. At time, this form state terror had a positive connotation: it was legitimate means defending young state. While no single accepted definition exists today, is universally considered an attack on both and society. health care impacts terrorist attacks often extend disproportionally beyond casualty toll, but potential for such events to...