Op het congres van de Britisch Transplant Society en de Nederlandse Transplantatie Vereniging dat gehouden werd in Bournemouth, Engeland is deze bijgevoegde poster gepresenteerd. De poster beschrijft het onderzoek naar de inspanningstolerantie van mensen na een orgaantransplantatie op grote hoogte, tijdens de beklimming van de Kilimanjaro.
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PURPOSE: To explore the underlying dimensions of the Barriers and Motivators Questionnaire that is used to assess barriers to and motivators of physical activity experienced by recipients of solid organ transplantation and thereby improve the application in research and clinical settings.METHOD: A cross-sectional study was performed in recipients of solid organ transplantation (n = 591; median (IQR) age = 59 (49; 66); 56% male). The multidimensional structure of the questionnaire was analyzed by exploratory principal component analysis. Cronbach's α was calculated to determine internal consistency of the entire questionnaire and individual components.RESULTS: The barriers scale had a Cronbach's α of 0.86 and was subdivided into four components; α of the corresponding subscales varied between 0.80 and 0.66. The motivator scale had an α of 0.91 and was subdivided into four components with an α between 0.88 to 0.70. Nine of the original barrier items and two motivator items were not included in the component structure.CONCLUSION: A four-dimensional structure for both the barriers and motivators scale of the questionnaire is supported. The use of the indicated subscales increases the usability in research and clinical settings compared to the overall scores and provide opportunities to identify modifiable constructs to be targeted in interventions. Implications for rehabilitation Organ transplant recipients are less active than the general population despite established health benefits of physical activity. A multidimensional structure is shown in the Barriers and Motivators Questionnaire, the use of the identified subscales increases applicability in research and clinical settings. The use of the questionnaire with its component structure in the clinical practice of a rehabilitation physician could result in a faster assessment of problem areas in daily practice and result in a higher degree of clarity as opposed to the use of the individual items of the questionnaire.
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BACKGROUND: Sufficient physical activity is important for solid organ transplant recipients (heart, lung, liver, kidney). However, recipients do not meet the recommended amount or required type of physical activity. The perceived barriers to and facilitators of physical activity in this population are largely unknown.METHODS: Semi-structured in depth interviews were conducted with solid organ transplant recipients in order to explore experienced barriers and facilitators. Qualitative methodology with thematic line-by-line analysis was used for analysis, and derived themes were classified into personal and environmental factors.RESULTS: The most important indicated barriers were physical limitations, insufficient energy level, fear, and comorbidities. The most frequently mentioned facilitators included motivation, coping, consequences of (in)activity, routine/habit, goals/goal priority, and responsibility for the transplanted organ. Neutral factors acting as a barrier or facilitator were self-efficacy and expertise of personnel. A comparison of barriers and facilitators between transplant recipient groups yielded no overt differences.CONCLUSION: Several personal and environmental factors were indicated that should be considered in intervention development to increase physical activity behavior in solid organ transplant recipients.
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Background: Short-term survival after solid-organ transplantation has substantially improved, and the focus has shifted to long-term survival, including the role of physical activity (PA). Knowledge about PA and sedentary time in recipients of solid-organ transplantation is limited, and identification of the levels and associated factors is necessary for intervention development.Objective: The objectives of this study were to investigate the level of PA and sedentary time in recipients of solid-organ transplantation and to identify factors associated with these behaviors.Design: The design consisted of a cross-sectional survey.Methods: Questionnaires on PA level, sedentary time, and potential associated factors were used for recipients of solid-organ transplantation (kidney, liver, lung, and heart [N = 656]). Multiple regression analyses with a variable selection procedure were used.Results: Fewer than 60% of the recipients fulfilled the PA guideline. Factors significantly associated with a lower level of PA included being a woman, younger age (nonlinear), not actively working or being retired, physical limitations, and low expectations and self-confidence. Factors significantly associated with less sedentary time included exercise self-efficacy and not actively working or being retired. Significantly associated with more sedentary time were a high education level, fear of negative effects, physical limitations, and the motivator "health and physical outcomes." The type of transplantation did not significantly influence either of the outcome measures.Limitations: The design did not allow for causal inferences to be made. The studied associated factors were limited to individual and interpersonal factors. Self-reported measures of PA and sedentary time were used.Conclusions: In intervention development directed at increasing the level of PA and reducing sedentary time in recipients of solid-organ transplantation, attention should be paid to physical limitations, fear of negative effects, low expectations and self-confidence, health and physical outcomes, and exercise self-efficacy.
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De fysische, chemische en microbiologische gevaren van het opwerken van vezelcomponenten uit reststromen van uien zijn geanalyseerd op basis van literatuuronderzoek. Uienreststromen zijn geschikt voor het winnen van olie door middel van stoomdestillatie of eiwitten door middel van iso-elektrische precipitatie. Bij deze processen wordt ook de uienschil verwerkt. Er blijft o.a. een vezelrijke fractie over die in principe geschikt is voor humane consumptie. Fysische vreemde delen vormen zeer zelden een acuut risico voor de gezondheid. De meest voorkomende pesticiden op ui zijn maleïnehydrazide, fluopyram en fipronil. Incidenteel kan de maximaal toelaatbare hoeveelheid van een pesticide overschreden worden, maar dit heeft geen acute nadelige gezondheidsgevolgen. Van zware metalen is er alleen Europese wetgeving voor gehaltes aan lood en cadmium in ui. Microbiologische gevaren voor de processen zijn gerelateerd aan vegetatieve cellen, toxines of sporen van pathogenen. Vegetatieve cellen zijn alleen een risico voor onverhitte vezelfracties of na kruisbesmetting. Toxines kunnen nog actief zijn na stoomdestillatie en ook na pasteurisatie van eiwitpasta. Hetzelfde geldt voor de sporen van bacteriën. Om ontkieming van sporen te voorkomen moet de uienstroom boven 48 °C gehouden worden of snel worden gekoeld .
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BACKGROUND: It is generally unknown to what extent organ transplant recipients can be physically challenged. During an expedition to Mount Kilimanjaro, the tolerance for strenuous physical activity and high-altitude of organ transplant recipients after various types of transplantation was compared to non-transplanted controls.METHODS: Twelve organ transplant recipients were selected to participate (2 heart-, 2 lung-, 2 kidney-, 4 liver-, 1 allogeneic stem cell- and 1 small bowel-transplantation). Controls comprised the members of the medical team and accompanying family members (n = 14). During the climb, cardiopulmonary parameters and symptoms of acute mountain sickness were recorded twice daily. Capillary blood analyses were performed three times during the climb and once following return.RESULTS: Eleven of the transplant participants and all controls began the final ascent from 4700 meters and reached over 5000 meters. Eight transplant participants (73%) and thirteen controls (93%) reached the summit (5895m). Cardiopulmonary parameters and altitude sickness scores demonstrated no differences between transplant participants and controls. Signs of hyperventilation were more pronounced in transplant participants and adaptation to high-altitude was less effective, which was related to a decreased renal function. This resulted in reduced metabolic compensation.CONCLUSION: Overall, tolerance to strenuous physical activity and feasibility of a high-altitude expedition in carefully selected organ transplant recipients is comparable to non-transplanted controls.
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Inaugurele rede uitgesproken op 9 mei 2019 door Dr. J.E. (Judith) van de Mortel bij de benoeming tot lector “Gezonde plant op een vitale en duurzame bodem” aan HAS Hogeschool Venlo. De krant werd uitgegeven ter ere van de inaugurele rede. Dit deed ze op een bijzondere manier: alle genodigden gingen met een denkbeeldige tijdmachine vooruit naar het jaar 2030 waar ze Judith ontmoetten. Judith keek vervolgens terug naar het jaar 2019 en stelde dat ze hoopt dat de sector in de tussenliggende jaren bereikt heeft dat alle agrarische bodems in Nederland duurzaam beheerd worden door verschillende aanpakken te combineren. Om dit te illustreren schetste ze een beeld van hoe de agrarische onderneming er in 2030 uitziet. Met het lectoraat wil ze hieraan bijdragen. De krant is dan ook geschreven alsof het 9 mei 2030 is.
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In dit webinar 'Weerbare planten telen is het nieuwe normaal' van de collegereeks ‘What about Soil’ leggen we de focus op de urgentie van een gezonde bodem voor het verkrijgen van een gezond gewas. In een 1 uur durend webinar deelt Pius Floris, directeur/adviseur bij Plant Health Cure (PHC), ruim 35 jaar ervaring met het wereldwijd verbeteren van de bodemkwaliteit. Hij laat zien dat in de ‘gangbare’ manier van bodembewerking nog een wereld te winnen is.
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Het Nieuwe Telen (HNT) heeft in haar theoretisch kader de teeltprocessen ingedeeld in zes balansen. De energiebalans, de waterbalans en de assimilatenbalans van de plant en de CO2 balans, de vochtbalans en de energiebalans van de kas. In dit project is onderzocht of de mineralenbalans, de ecologische balans en de hormoonbalans nuttige aanvullingen zijn op de bestaande balansen van HNT. Aanbevelingen: faciliteer onderzoek naar metingen die het mogelijk maken de status van de plant te volgen m.b.t. de mineralenbalans en ecologische balans.
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