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Effectiveness of the PLAYgrounds for Toddlers program on type and amount of physical activity in playgrounds of Dutch preschools: a cluster randomized controlled trial

Abstract and poster (poster title differs).

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Effectiveness of the PLAYgrounds for Toddlers program on type and amount of physical activity in playgrounds of Dutch preschools: a cluster randomized controlled trial

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PreSchool@HealthyWeight: A preschool-based intervention for Early Childhood Education and Care (ECEC) teachers in promoting healthy eating and physical activity in toddlers

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Overgewicht, slaap en evolutie.

Het overvoeren van zeer jonge kinderen (0 - 3 jaar) leidt ertoe dat zij later als volwassene een enorm hongergevoel hebben en daardoor in onze maatschappij van automatisering en overvloed overgewicht ontwikkelen. Daarnaast slapen mensen met overgewicht significant korter. In dit artikel wordt uiteengezet wat de evolutionaire verklaring hiervoor zou kunnen zijn. Tevens wordt een toetsbare hypothese opgesteld waarin de voorspelling wordt gedaan dat overvoeren op jonge leeftijd leidt tot overgewicht en korter slapen op latere leeftijd.

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Hoe kan sport bijdragen aan het re-integreren van delinquenten?

Er is veel geschreven over de rol van sport in het bevorderen van sociaal, psycho‐ logisch en fysiek welbevinden van mensen. Deze literatuur is echter grotendeels gericht op het sociaal domein en daarbinnen veel op jonge mensen, maar weinig op contexten binnen een justitieel kader, bijvoorbeeld de gevangenis of reclasse‐ ring. De wetenschappelijke aandacht voor de meerwaarde van sport en bewegen voor delinquenten is beperkt. In een lopend onderzoeksproject onderzoeken wij de belangrijkste factoren om sport in te zetten ter bevordering van participatie van mensen in een kwetsbare positie (in detentie, de reclassering en de maatschappelijke opvang). Daarbinnen is een literatuurstudie uitgevoerd naar de meerwaarde van sport en bewegen, specifiek voor delinquenten. Dit betreft dus personen die binnen een justitieel kader sport- en beweegactiviteiten ondernemen of binnen een sportcontext re-integreren (denk bij dat laatste bijvoorbeeld aan vrijwilligerswerk op een sportclub in de laatste fase van detentie). In dit artikel wordt antwoord gegeven op de vraag: wat is in de literatuur bekend over de meerwaarde van sport en bewegen voor het reintegreren van delinquenten?

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Hoe kan sport bijdragen aan het re-integreren van delinquenten?

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A mobile phone application to stimulate daily physical activity in patients with chronic obstructive pulmonary disease: development, feasibility and pilot studies

Background: Patients with chronic obstructive pulmonary disease (COPD) demonstrate reduced levels of daily physical activity (DPA) compared to healthy controls. This results in a higher risk of hospital admission and shorter survival. Performing regular DPA reduces these risks. Objective: To develop an eHealth intervention that will support patients with COPD to improve or maintain their DPA after pulmonary rehabilitation. Methods: The design process consisted of literature research and the iterative developing and piloting phases of the Medical Research Council (MRC) model for complex clinical interventions and the involvement of end users. Participants were healthy adults and persons with COPD. Results: The mobile phone interface met all the set requirements. Participants found that the app was stimulating and that reaching their DPA goals was rewarding. The mean (SD) scores on a 7-point scale for usability, ease of use, ease of learning, and contentment were 3.8 (1.8), 5.1 (1.1), 6.0 (1.6), and 4.8 (1.3), respectively. The mean (SD) correlation between the mobile phone and a validated accelerometer was 0.88 (0.12) in the final test. The idea of providing their health care professional with their DPA data caused no privacy issues in the participants. Battery life lasted for an entire day with the final version, and readability and comprehensibility of text and colors were favorable. Conclusions: By employing a user-centered design approach, a mobile phone was found to be an adequate and feasible interface for an eHealth intervention. The mobile phone and app are easy to learn and use by patients with COPD. In the final test, the accuracy of the DPA measurement was good. The final version of the eHealth intervention is presently being tested by our group for efficacy in a randomized controlled trial in COPD patients.

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Antoine Braet, Retorische kritiek - Overtuigingskracht van Cicero tot Balkenende

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Antoine Braet, Retorische kritiek - Overtuigingskracht van Cicero tot Balkenende

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A predictive model of symptoms for pain in independently living frail older people in palliative care

Background: Pain assessment is a necessary step in pain management in older people in palliative care. In older people, pain assessment can be challenging due to underreporting and atypical pain manifestations by other distressing symptoms. Anxiety, fatigue, loss of appetite, insomnia, dyspnoea, and bowel problems correlate with pain in palliative care patients. Insight into these symptoms as predictors may help to identify the underlying presence of pain. This study aimed to develop a prediction model for pain in independently living frail older people in palliative care.Methods: In this cross-sectional observational study, community-care nurses from multiple organizations across the Netherlands included eligible patients (life expectancy < 1 year, aged 65+, independently living and frail). The outcome pain and symptoms were assessed by means of the Utrecht Symptom Diary. Also, demographic and illness information, including relevant covariates age, sex and living situation, was collected. Multivariable logistic regression and minimum Akaike Information Criterion(AIC) were used for model development and Receiver Operating Characteristics(ROC)-analysis for model performance. Additionally, predicted probability of pain are given for groups differing in age and sex.Results: A total of 157 patients were included. The final model consisted of insomnia(Odds Ratio[OR]=2.13, 95% Confidence Interval[CI]=1.013-1.300), fatigue(OR=3.47, 95% CI=1.107-1.431), sex(female)(OR=3.83, 95% CI=2.111-9.806) and age(OR=-1.59, 95% CI=0.922-1.008) as predicting variables. There is an overall decreasing trend for age, older persons suffer less from pain and females have a higher probability of experiencing pain. Model performance was indicated as fair with a sensitivity of 0.74(95% CI=0.64-0.83) and a positive predictive value of 0.80(95% CI=0.70-0.88).Conclusion: Insomnia and fatigue are predicting symptoms for pain, especially in women and younger patients. The use of a symptom diary in primary care can support the identification of pain.

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Respiratory and non-respiratory symptoms in patients with IPF or sarcoidosis and controls

Introduction: Besides dyspnoea and cough, patients with idiopathic pulmonary fibrosis (IPF) or sarcoidosis may experience distressing non-respiratory symptoms, such as fatigue or muscle weakness. However, whether and to what extent symptom burden differs between patients with IPF or sarcoidosis and individuals without respiratory disease remains currently unknown. Objectives: To study the respiratory and non-respiratory burden of multiple symptoms in patients with IPF or sarcoidosis and to compare the symptom burden with individuals without impaired spirometric values, FVC and FEV1 (controls). Methods: Demographics and symptoms were assessed in 59 patients with IPF, 60 patients with sarcoidosis and 118 controls (age ≥18 years). Patients with either condition were matched to controls by sex and age. Severity of 14 symptoms was assessed using a Visual Analogue Scale. Results: 44 patients with IPF (77.3% male; age 70.6±5.5 years) and 44 matched controls, and 45 patients with sarcoidosis (48.9% male; age 58.1±8.6 year) and 45 matched controls were analyzed. Patients with IPF scored higher on 11 symptoms compared to controls (p<0.05), with the largest differences for dyspnoea, cough, fatigue, muscle weakness and insomnia. Patients with sarcoidosis scored higher on all 14 symptoms (p<0.05), with the largest differences for dyspnoea, fatigue, cough, muscle weakness, insomnia, pain, itch, thirst, micturition (night, day). Conclusions: Generally, respiratory and non-respiratory symptom burden is significantly higher in patients with IPF or sarcoidosis compared to controls. This emphasizes the importance of awareness for respiratory and non-respiratory symptom burden in IPF or sarcoidosis and the need for additional research to study the underlying mechanisms and subsequent interventions.

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Respiratory and non-respiratory symptoms in patients with IPF or sarcoidosis and controls

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Lying awake in forensic hospitals

Insomnia has a negative impact on mental health and is a potential risk factor for impulsive and problematic behavior. This multicenter, cross-sectional study investigated the prevalence of insomnia and underlying and maintaining factors in a group of forensic psychiatric inpatients (N = 281). Insomnia severity, subjective sleep quality, sleep hygiene and erroneous cognitions about sleep were measured with the Insomnia Severity Index, Pittsburgh Sleep Quality Index, Sleep Hygiene questionnaire and Dysfunctional Beliefs and Attitudes about Sleep, respectively. Impulsivity was derived from risk assessment instruments routinely completed by trained professionals. Almost half of the patients (48.7%) appeared to suffer from insomnia. Particularly moderate-severe insomnia (26.7%) was significantly associated with worse sleep quality, poorer sleep hygiene, stronger endorsement of dysfunctional sleep cognitions and higher impulsivity scores. It can be concluded that insomnia is rather common in forensic psychiatric patients. Insomnia appears related to various sleep hygiene behaviors and sleep-related cognitions, and probably also to diverse situational and environmental factors as well as a lack of autonomy. Cognitive behavioral therapy for insomnia, with some adjustments specific for this population, may be an effective intervention, ameliorating sleep problems and possibly also emotional and behavioral dysregulation.

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Zoekresultaten

Producten 44

Effectiveness of the PLAYgrounds for Toddlers program on type and amount of physical activity in playgrounds of Dutch preschools: a cluster randomized controlled trial

PreSchool@HealthyWeight: A preschool-based intervention for Early Childhood Education and Care (ECEC) teachers in promoting healthy eating and physical activity in toddlers

Overgewicht, slaap en evolutie.

Hoe kan sport bijdragen aan het re-integreren van delinquenten?

A mobile phone application to stimulate daily physical activity in patients with chronic obstructive pulmonary disease: development, feasibility and pilot studies

Antoine Braet, Retorische kritiek - Overtuigingskracht van Cicero tot Balkenende

A predictive model of symptoms for pain in independently living frail older people in palliative care

Respiratory and non-respiratory symptoms in patients with IPF or sarcoidosis and controls

Lying awake in forensic hospitals

Projecten 1

Digitale Slaapcoach

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Producten 44

Effectiveness of the PLAYgrounds for Toddlers program on type and amount of physical activity in playgrounds of Dutch preschools: a cluster randomized controlled trial

PreSchool@HealthyWeight: A preschool-based intervention for Early Childhood Education and Care (ECEC) teachers in promoting healthy eating and physical activity in toddlers

Overgewicht, slaap en evolutie.

Hoe kan sport bijdragen aan het re-integreren van delinquenten?

A mobile phone application to stimulate daily physical activity in patients with chronic obstructive pulmonary disease: development, feasibility and pilot studies

Antoine Braet, Retorische kritiek - Overtuigingskracht van Cicero tot Balkenende

A predictive model of symptoms for pain in independently living frail older people in palliative care

Respiratory and non-respiratory symptoms in patients with IPF or sarcoidosis and controls

Lying awake in forensic hospitals

Projecten 1

Digitale Slaapcoach