Reinier Akkermans

ORCID: 0000-0003-0182-6587
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About
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Research Areas
  • Chronic Obstructive Pulmonary Disease (COPD) Research
  • Asthma and respiratory diseases
  • Respiratory Support and Mechanisms
  • Material Dynamics and Properties
  • Rheology and Fluid Dynamics Studies
  • Block Copolymer Self-Assembly
  • Chemical Thermodynamics and Molecular Structure
  • Advanced Thermodynamics and Statistical Mechanics
  • Machine Learning in Materials Science
  • Advanced Battery Materials and Technologies
  • Advanced Battery Technologies Research
  • Phase Equilibria and Thermodynamics
  • Frailty in Older Adults
  • Advancements in Battery Materials
  • Inhalation and Respiratory Drug Delivery
  • Emergency and Acute Care Studies
  • Health Literacy and Information Accessibility
  • Cultural Competency in Health Care
  • Geriatric Care and Nursing Homes
  • Delphi Technique in Research
  • Pulmonary Hypertension Research and Treatments
  • Smoking Behavior and Cessation
  • Mobile Health and mHealth Applications
  • Nursing Diagnosis and Documentation
  • Health Systems, Economic Evaluations, Quality of Life

Radboud University Medical Center
2011-2025

Radboud University Nijmegen
2011-2025

Vrije Universiteit Amsterdam
2024

Dassault Systèmes (United Kingdom)
2016-2020

TropIQ Health Sciences
2020

HAN University of Applied Sciences
2020

Community Care
2011-2015

University Medical Center
2015

Cambridge Consultants (United Kingdom)
2008

Unilever (United Kingdom)
2004

We survey the use of Monte Carlo method within Materials Studio application, which integrates a large number modules for molecular simulation. Several these work by generating configurations system at random, can then be used to calculate averages interest – instance, interaction energies contacting pairs molecules (Blends module) and properties flexible polymer chain (Conformers). A different technique is sample an appropriate physical distribution (which in practice that canonical...

10.1080/08927022.2013.843775 article EN Molecular Simulation 2013-10-14

The ability to automatically extend and improve molecular force fields accurately describe an ever wider range of compounds is a key enabler for the application modelling chemicals materials in industry. In this work we have developed set tools process structural data available well-known databases, find deficiencies field, where necessary, fit force- field parameters on-the-fly calculated quantum based on Density Functional Theory, supplemented by experimental data. protocols been applied...

10.1080/08927022.2020.1808215 article EN Molecular Simulation 2020-08-24

To assess the long term effects of two different modes disease management (comprehensive self and routine monitoring) on quality life (primary objective), frequency patients' exacerbations, efficacy (secondary objectives) in patients with chronic obstructive pulmonary (COPD) general practice.24 month, multicentre, investigator blinded, three arm, pragmatic, randomised controlled trial.15 practices eastern part Netherlands.Patients COPD confirmed by spirometry treated practice. Patients very...

10.1136/bmj.e7642 article EN cc-by-nc BMJ 2012-11-28

In this study we explore a systematic procedure to coarsen microscopic model towards mesoscopic model. The is applied system of chains ten beads, representing low molecular weight polymer melt. Our method consists defining coarse-grained sites in the system, and calculating their spatial distribution on pair level. effective interaction between then obtained by bringing consistence with density. We investigate both dynamic stochastic for step. so used dynamics simulation pressure system....

10.1063/1.1330744 article EN The Journal of Chemical Physics 2001-01-08

In this study we present the coarse-graining of one polymer chain in a melt to single dimer. By using projector operator formalism derive equation motions for The different forces that occur motion are calculated from molecular dynamics simulations microscopic model, constraint fix dimer configuration. mean force serves as conserved part interaction, whereas time correlation fluctuation leads nonconserved interactions: dissipative and fluctuating forces. Using configurational dependent...

10.1063/1.1308513 article EN The Journal of Chemical Physics 2000-10-15

Various indices are used to express the bronchodilating response. It is unclear, however, which index most informative. The aim of this study was compare six expressions response and examine: 1) independence prebronchodilator forced expiratory volume in one second (FEV1); 2) reproducibility Bronchodilating responses (increases FEV1 60 min after salbutamol 400 micrograms ipratropium bromide 80 micrograms) on test occasions, during two years, 183 patients (72 asthma, 111 chronic obstructive...

10.1183/09031936.93.05080975 article EN European Respiratory Journal 1992-09-01

Background Many patients with chronic obstructive pulmonary disease (COPD) suffer from exacerbations, a worsening of their respiratory symptoms that warrants medical treatment. Exacerbations are often poorly recognized or managed by patients, leading to increased burden and health care costs. Objective This study aimed examine the effects smart mobile (mHealth) tool supports COPD in self-management exacerbations providing predictions early exacerbation onset timely treatment advice without...

10.2196/14408 article EN cc-by JMIR mhealth and uhealth 2019-10-09

Abstract Aim: To assess the impact of a person-centred culturally sensitive approach in primary care on recognition and discussion mental distress refugee youth. Background: Refugee minors are at risk for health problems. Timely treatment prevent deterioration. Primary is first point contact where these problems could be discussed. However, staff struggle to discuss with refugees. Guided by needs refugees professionals we developed implemented Empowerment intervention, consisting training,...

10.1017/s1463423625000167 article EN cc-by-nc-nd Primary Health Care Research & Development 2025-01-01

The irreversible polymerization of a monomer liquid has been studied by molecular-dynamics simulation in two and three dimensions. growth process is under good solvent conditions the dilute regime up to semidilute concentrated regimes. In we observe reaction limitation due trapping growing centers, which more pronounced lower dimension. At higher concentrations presence other chains decreases mobility rate. Conformational properties are scaling analysis end-to-end gyration radii. A crossover...

10.1063/1.476845 article EN The Journal of Chemical Physics 1998-08-15

We present a multiscale modelling approach to the mechanics of human hair fibres. On microscale, coiled coil filament proteins was mechanically unfolded in molecular–dynamics simulation. The force at unfolding found be ca. 1 nN, which we estimated an order magnitude above reversible force. Using concept folded/unfolded states, developed statistical mechanical model, predicts linear decrease yield stress with temperature. This confirmed experimentally by stretching fibres into region elevated...

10.1098/rsta.2004.1395 article EN Philosophical Transactions of the Royal Society A Mathematical Physical and Engineering Sciences 2004-06-02

In family practice, chronic obstructive pulmonary disease (COPD) is usually not diagnosed until clinically apparent and of moderately advanced severity.To analyse the diagnostic process from early development onwards to assess current state underpresentation underdiagnosis COPD asthma in primary care Netherlands.The population-based study sample consisted formerly undiagnosed subjects (n = 532) practice. Family physicians' (FPs) respiratory diagnoses (as recorded over 10 years their patient...

10.1093/fampra/cmp005 article EN Family Practice 2009-02-20

We investigate the modeling of a polymer melt on large length scale by averaging out fast fluctuating degrees freedom in microscopic model. determine pair interactions coarse-grained system that give best representation fine-grained variational sense. Starting from Gibbs-Bogoliubov inequality we derive correction to trial potential minimizes free energy system. By applying this repeatedly, are optimal sense obtained self-consistently. To calculate mean force system, consult replica approach....

10.1063/1.1396677 article EN The Journal of Chemical Physics 2001-10-01

We present an efficient, systematic, and universal method to estimate the interaction parameters used in mesoscale simulation methods such as dissipative particle dynamics self-consistent field from molecular cluster calculations. The is based on a generalized Flory-Huggins model which molecules, or fragments thereof, are contact with their van der Waals surface. sample density of states clusters space spanned by coarse-grained degrees freedom. From here, we calculate sum over free energy at...

10.1063/1.2943211 article EN The Journal of Chemical Physics 2008-06-25

Airway hyperresponsiveness (AHR) is a characteristic feature of asthma, but it unclear whether asymptomatic AHR associated with higher risk asthma. The present study assessed there an association between in adolescence and asthma adulthood. allergy development was also investigated. A follow-up general population cohort adolescents performed 14 yrs after baseline. Respiratory status at baseline 1989 2003–2004 by respiratory symptoms questionnaire, spirometry histamine challenge. Allergy...

10.1183/09031936.00088007 article EN European Respiratory Journal 2008-04-02

Establishing a link between atomistic processes and battery cell behavior is major challenge for lithium ion batteries. Focusing on liquid electrolytes, we describe parameter-free molecular dynamics predictions of their mass charge transport properties. The simulations agree quantitatively with experiments across the full range relevant concentrations different electrolyte compositions. We introduce simple analytic form to Our results are used in an extended Newman electrochemical model,...

10.1149/2.0222001jes article EN cc-by Journal of The Electrochemical Society 2019-11-22

Aim: The evidence on the acute effects of smoking biomarkers is limited. Our aim was to study effect disease-related biomarkers. Methods: serum high sensitivity CRP (hs-CRP) and plasma fibrinogen its association with disease severity studied by challenging 31 chronic obstructive pulmonary patients cigarette repeatedly measuring these before after smoking. Results: Fibrinogen hs-CRP increased directly 9.4 mg/dl (95% CI: 4.2–14.5) 0.13 mg/l 0.03–0.23), respectively. levels remained elevated 35...

10.2217/bmm.12.112 article EN Biomarkers in Medicine 2013-04-01

Current tools for recording chronic obstructive pulmonary disease (COPD) exacerbations are limited and often lack validity testing. We assessed the of an automated telephonic exacerbation assessment system (TEXAS) compared its outcomes with existing tools. Over 12 months, 86 COPD patients (22.1% females; mean age 66.5 yrs; post-bronchodilator forced expiratory volume in 1 s 53.4% predicted) were called once every 2 weeks by TEXAS to record changes respiratory symptoms, unscheduled healthcare...

10.1183/09031936.00057811 article EN European Respiratory Journal 2011-09-15

Chronic obstructive pulmonary disease (COPD) is an insidiously starting disease. Early detection has high priority because of the possibility early implementation smoking cessation interventions. An evidence based model for case finding COPD not yet available.To describe development COPD, and to assess predictive value signs (respiratory symptoms, lung function below normal range, reversibility).In a prospective study, in general practice, formerly undiagnosed subjects (n = 464) were...

10.1136/thx.2006.068007 article EN Thorax 2007-10-12

We calculate the free energy of solvation for two binary mixtures: hexane/nitrobenzene and carbon disulfide/acetone, examples regular azeotropic mixtures, respectively. Using coupling parameter approach thermodynamic integration, we obtain Henry's Raoult's laws at opposite ends composition range, with coefficients that compare reasonably experiment. For mixture, solution theory. The data can be described by a single Flory-Huggins interaction parameter, close to theoretical value critical...

10.1021/acs.jpcb.7b00125 article EN The Journal of Physical Chemistry B 2017-02-08

Abstract Introduction: Training can improve healthcare providers’ cultural competence and increase their awareness of bias discrimination in medical decision-making. Cultural competences training is lacking the education dieticians Netherlands. The aim this study was to describe pilot-implementation a for preliminary evaluation training. Methods: A developed based on Seeleman’s framework previously held interviews with migrants, dieticians, experts. consisted mixture didactic experiential...

10.1017/s1463423624000483 article EN cc-by-nc-nd Primary Health Care Research & Development 2024-01-01
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