A5038383595- Chronic Obstructive Pulmonary Disease (COPD) Research
- Climate Change and Health Impacts
- Child Nutrition and Water Access
- Global Public Health Policies and Epidemiology
- Air Quality and Health Impacts
- Energy and Environment Impacts
- Health Policy Implementation Science
- Community Health and Development
- Inhalation and Respiratory Drug Delivery
- Asthma and respiratory diseases
- Digital Mental Health Interventions
- Delphi Technique in Research
- Global Maternal and Child Health
- Noise Effects and Management
- Global Health Care Issues
- Telemedicine and Telehealth Implementation
- Mobile Health and mHealth Applications
- Music Therapy and Health
- Sleep and related disorders
- Public Health and Nutrition
- Health disparities and outcomes
- Food Security and Health in Diverse Populations
- Diet and metabolism studies
- Romani and Gypsy Studies
- Climate Change Communication and Perception
Leiden University Medical Center
2017-2025
Leiden University
2017-2023
Huisarts en Wetenschap
2023
Amsterdam UMC Location University of Amsterdam
2016
Studies comparing chronic obstructive pulmonary disease (COPD) prevalence across altitudes report conflicting results. However, household air pollution (HAP), a major COPD risk factor, was mostly not accounted for in previous analyses and never objectively measured. We aimed to compare the of its factors between low-resource highlands lowlands, with particular focus on measured HAP. conducted population-based, observational study highland (∼2050 m above sea level) lowland (∼750 setting rural...
Abstract OBJECTIVES An urgent transition to environmentally sustainable healthcare is required. The purpose of this study was identified key areas for environmental impact mitigation a coronary artery bypass grafting trajectory. METHODS ISO14040/44-standardised life cycle assessment conducted the functional unit an individual patient trajectory elective surgery, from operating room admission until intensive care discharge. Data were collected products, processes, and services required...
Abstract Aims Digital health technologies are considered promising innovations to reduce healthcare’s environmental footprint. However, this assumption remains largely unstudied. We compared the impact of telemonitoring and care on site (CoS) in post-myocardial infarction (MI) follow-up explored how it influenced patients’ healthcare professionals’ (HPs) perceptions using telemonitoring. Methods conducted a mixed-method study; standardised life cycle assessment qualitative interviews focus...
Objective: to explore whether advising environmentally sustainable treatment options in clinical counselling affects patients satisfaction with care compared less (standard) options, accounting for differences severity and types of medical problems. Design: a randomised, double-blinded, experimental vignette study four (between-group, Type Advice) x two Severity) five (within-group, Medical Problem) mixed design. Participants received short descriptions hypothetical patient-physician...
Abstract Background Low-resource settings are disproportionally burdened by chronic lung disease due to early childhood disadvantages and indoor/outdoor air pollution. However, data on the socioeconomic impact of respiratory diseases in these largely lacking. Therefore, we aimed estimate disease-related burden diverse low-resource across globe. To inform governmental health policy, focused work productivity activity impairment its modifiable clinical environmental risk factors. Methods We...
Abstract The objective was to evaluate the effectiveness and acceptability of locally tailored implementation improved cookstoves/heaters in low- middle-income countries. This interventional study among 649 adults children living rural communities Uganda, Vietnam Kyrgyzstan, performed after situational analyses awareness programmes. Outcomes included household air pollution (PM 2.5 CO), self-reported respiratory symptoms (with CCQ MRC-breathlessness scale), chest infections, school absence...
This Comment presents a case example of Dutch educational activism in response to growing concerns about our planet's health. After briefly outlining the relevant context, we describe GREENER-collective, hoping inspire others organise advance planetary GREENER stands for green health-care education healthy future. With an annual turnover €100 billion and employing 14% working population, sector is major economic value. The produces 7% country's greenhouse gas emission, 4% its total waste,...
Knowledge creation forms an integral part of the knowledge-to-action framework aimed at bridging gap between research and evidence-informed decision making. Although principles science communication, data visualisation user-centred design largely impact effectiveness their role in knowledge is still limited. Hence, this article aims to provide researchers a systematic approach on how can be put into practice. A two-phased towards was formulated executed. First, during preparation phase...
Dry powder inhalers (DPIs) and soft mist have a substantially lower global warming potential than pressurised metered-dose (pMDIs). To help mitigate climate change, we assessed the emission reduction in CO2 equivalents when replacing pMDIs by non-propellant (NPIs) Dutch respiratory healthcare estimated associated cost.We performed descriptive analysis of prescription data from two national databases independent governmental bodies. First, calculated number patients with chronic obstructive...
A growing body of evidence supports the potential effectiveness electronic health (eHealth) self-management interventions in improving disease skills and outcomes patients suffering from chronic kidney (CKD). However, current research on CKD eHealth has almost exclusively focused high-income, western countries.To inform adaptation a tailored intervention for with China based Dutch Medical Dashboard (MD) intervention, we examined perceptions, attitudes needs Chinese care professionals (HCPs)...
Introduction Music and dance are increasingly used as adjunctive arts-in-health interventions in high-income settings, with a growing body of research suggesting biopsychosocial benefits. Such low-cost, low-resource may have application settings such Uganda. However, on perceptions patients healthcare professionals regarding approaches is lacking. Methods We delivered sample sessions music for chronic respiratory disease (CRD) to professionals. Seven participants took part one singing...
Background eHealth offers opportunities to improve health and healthcare systems overcome primary care challenges in low-resource settings (LRS). LRS has been typically associated with low- middle-income countries (LMIC), but they can be found high-income (HIC) when human, physical or financial resources are constrained. Adopting a concept of that applies LMIC HIC facilitate knowledge interchange between initiatives while improving provision for socioeconomically disadvantaged groups across...
Bromocriptine is a glucose-lowering drug, which was shown to be effective in obese subjects with insulin resistance. It usually administered the morning. The exact working mechanism of bromocriptine still has elucidated. Therefore, this open-label randomized prospective cross-over mechanistic study, we assessed whether timing administration (morning vs evening) results different effects and these differ between lean subjects. We studied effect on sensitivity 8 overweight using an oral...
Abstract Background The implementation of youth care guidelines remains a complex process. Several evidence–based frameworks aid the identification and specification determinants strategies. However, influence specific strategies on certain unclear. Therefore, we need to clarify which active ingredients strategies, known as behaviour change techniques (BCTs), elicit improve outcomes. With this knowledge, are able formulate hypotheses. An hypothesis details how in turn, outcomes might be...
This protocol describes a systematic scoping review of chronic respiratory disease surveys in low/middle-income countries (LMICs) undertaken as part the Four Country ChrOnic Respiratory Disease (4CCORD) study within National Institute for Health Research Global Unit on (RESPIRE). Understanding prevalence and burden (CRD) underpins healthcare planning. We will systematically scope literature to identify existing strategies (definitions/questionnaires/diagnostics/outcomes) used CRDs adults...
Chronic respiratory diseases (CRDs) contribute significantly towards the global burden of disease, but true prevalence and these conditions in adults is unknown majority low- middle-income countries (LMICs). We aimed to identify strategies - particular definitions, study designs, sampling frames, instruments, outcomes used conduct surveys for CRDs LMICs. The findings will inform a future RESPIRE Four Country ChrOnic Respiratory Disease (4CCORD) study, which estimate CRD prevalence, including...
The global burden of chronic respiratory diseases (CRDs) disproportionally affects Roma populations. Health interventions addressing CRD among or other vulnerable groups often fail to be effective, as their implementation strategy misaligns with the local context. To design context-driven strategies, we studied CRD-related beliefs, perceptions, and behaviors a Greek population, focussing on asthma COPD. For this qualitative study in Crete, Greece, used Rapid Assessment Process. We conducted...