Remming van het NF-κB gen vertraagt achteruitgang van hersenen

​Het gen NF-κB in de hersenen versnelt de neurodegeneratie ofwel de achteruitgang van de hersenen. Dat concludeert Yixian Li in haar proefschrift. …

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Structurele biologische verschillen tussen depressie en bipolaire stoornis

Het promotieonderzoek van Karlijn Becking laat zien dat er structurele biologische verschillen lijken te bestaan tussen mensen met een depressieve of …

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Het belang van de rechterhartkamer in linkszijdig hartfalen

Om verdere achteruitgang van de rechterhartkamer af te remmen en de kans op ziekenhuisopname te verminderen, moeten patiënten met linkszijdig …

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Verbetering van de zorgketen voor diagnostiek en behandeling van endocarditis

Als artsen en specialisten uit verschillende disciplines goed met elkaar te communiceren en de juiste diagnostische methoden te gebruiken, kan …

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Gepersonaliseerde zorg bij astma en COPD kan nóg beter

​De astma/COPD-dienst in Groningen is een goed voorbeeld van gepersonaliseerde zorg. Dat concludeert Esther Metting in haar proefschrift over …

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The development and evaluation of a computerized decision aid for the treatment of psychotic disorders

The development and evaluation of a computerized decision aid for the treatment of psychotic disorders

Tasma, M., Roebroek, L. O., Liemburg, E. J., Knegtering, H., Delespaul, P., Boonstra, A., Swart, M. & Castelein, S. 4-Jun-2018 In : BMC Psychiatry. 18, 163, p. 1-11 11 p., 163

Research output: Contribution to journalArticle

Original language English
Article number 163
Pages (from-to) 1-11
Number of pages 11
Journal BMC Psychiatry
Volume 18
Issue number 163
State Published – 4-Jun-2018
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The development and evaluation of a computerized decision aid for the treatment of psychotic disorders

The development and evaluation of a computerized decision aid for the treatment of psychotic disorders

Tasma, M., Roebroek, L. O., Liemburg, E. J., Knegtering, H., Delespaul, P., Boonstra, A., Swart, M. & Castelein, S. 4-Jun-2018 In : BMC Psychiatry. 18, 163, p. 1-11 11 p., 163

Research output: Contribution to journalArticle

Original language English
Article number 163
Pages (from-to) 1-11
Number of pages 11
Journal BMC Psychiatry
Volume 18
Issue number 163
State Published – 4-Jun-2018
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The development and evaluation of a computerized decision aid for the treatment of psychotic disorders

The development and evaluation of a computerized decision aid for the treatment of psychotic disorders

Tasma, M., Roebroek, L. O., Liemburg, E. J., Knegtering, H., Delespaul, P., Boonstra, A., Swart, M. & Castelein, S. 4-Jun-2018 In : BMC Psychiatry. 18, 163, p. 1-11 11 p., 163

Research output: Contribution to journalArticle

Original language English
Article number 163
Pages (from-to) 1-11
Number of pages 11
Journal BMC Psychiatry
Volume 18
Issue number 163
State Published – 4-Jun-2018
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Selection procedures in sports: Improving predictions of athletes’ future performance

Original language English
Number of pages 9
Journal European Journal of Sport Science
Early online date 1-Jun-2018
State E-pub ahead of print – 1-Jun-2018
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The oxygen reserve index (ORI): a new tool to monitor oxygen therapy

The oxygen reserve index (ORI): a new tool to monitor oxygen therapy

Scheeren, T. W. L., Belda, F. J. & Perel, A. Jun-2018 In : Journal of clinical monitoring and computing. 32, 3, p. 379-389 11 p.

Research output: Contribution to journalReview article

Original language English
Pages (from-to) 379-389
Number of pages 11
Journal Journal of clinical monitoring and computing
Volume 32
Issue number 3
State Published – Jun-2018
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Gut microbiota, metabolism and psychopathology: A critical review and novel perspectives

Gut microbiota, metabolism and psychopathology: A critical review and novel perspectives

Groen, R. N., de Clercq, N. C., Nieuwdorp, M., Hoenders, H. J. R. & Groen, A. K. Jun-2018 In : Critical reviews in clinical laboratory sciences. 55, 4, p. 283-293 11 p.

Research output: Contribution to journalArticle

Original language English
Pages (from-to) 283-293
Number of pages 11
Journal Critical reviews in clinical laboratory sciences
Volume 55
Issue number 4
State Published – Jun-2018
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Internists’ dilemmas in their interactions with chronically ill patients; A comparison of their interaction strategies and dilemmas in two different medical contexts.

Internists’ dilemmas in their interactions with chronically ill patients; A comparison of their interaction strategies and dilemmas in two different medical contexts.

PLoS One. 2018;13(5):e0194133

Authors: Kromme NMH, Ahaus KTB, Gans ROB, van de Wiel HBM

Abstract
BACKGROUND: Internists appear to define productive interactions, key concept of the Chronic Care Model, as goal-directed, catalyzed by achieving rapport, and depending on the medical context: i.e. medically explained symptoms (MES) or medically unexplained symptoms (MUS).
OBJECTIVE: To explore internists’ interaction strategy discourses in the context of MES and MUS.
METHODS: We interviewed twenty internists working in a Dutch academic hospital, identified relevant text fragments in the interview transcripts and analyzed the data based on a discourse analysis approach.
RESULTS: We identified four interaction strategy discourses: relating, structuring, exploring, and influencing. Each was characterized by a dilemma: relating by ‘creating nearness versus keeping distance’; structuring by ‘giving space versus taking control’; exploring by ‘asking for physical versus psychosocial causes’; and influencing by ‘taking responsibility versus accepting a patient’s choice. The balance sought in these dilemmas depended on whether the patient’s symptoms were medically explained or unexplained (MES or MUS). Towards MUS the internists tended to maintain greater distance, take more control, ask more cautiously questions related to psychosocial causes, and take less responsibility for shared decision making.
DISCUSSION AND CONCLUSIONS: Adopting a basic distinction between MES and MUS, the internists in our study appeared to seek a different balance in each of four rather fundamental clinical dilemmas. Balancing these dilemmas seemed more difficult regarding MUS where the internists seemed more distancing and controlling, and tended to draw on their medical expertise. Moving in this direction is counterproductive and in contradiction to guidelines which emphasize that MUS patients warrant emotional support requiring a shift towards interpersonal, empathic communication.

PMID: 29847552 [PubMed – in process]

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Physicians’ self-assessed empathy levels do not correlate with patients’ assessments

Physicians’ self-assessed empathy levels do not correlate with patients’ assessments

Bernardo, M. O., Cecílio-Fernandes, D., Costa, P., Quince, T. A., Costa, M. J. & Carvalho-Filho, M. A. 31-May-2018 In : PLoS ONE. 13, 5, 13 p., e0198488

Research output: Contribution to journalArticle

Original language English
Article number e0198488
Number of pages 13
Journal PLoS ONE
Volume 13
Issue number 5
State Published – 31-May-2018
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O. A. Catalano: PET/MRI veelbelovende hybride beeldvormingstechniek

​De beeldvormingstechniek PET/MRI, die gebruik maakt van een combinatie van PET en MRI-scans, gebruikt de beste, sterke punten van oudere technologie …

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X. Zhang: Epigenetische veranderingen in afweercellen in de hersenen

​Ontstekingsreacties in hersenen van muizen veroorzaken een permanente verandering in microglia, de immuuncellen van het centrale zenuwstelsel. Dat …

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M Scheffers: Negatieve lichaamsbeleving bij mensen met psychische problematiek

​Mensen met psychische problematiek hebben een negatiever gevoel over hun lichaam dan de algemene bevolking. Dat concludeert Mia Scheffers in haar …

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Employment status transitions in employees with and without chronic disease in the Netherlands

Employment status transitions in employees with and without chronic disease in the Netherlands

de Boer, A. G. E. M., Geuskens, G. A., Bültmann, U., Boot, C. R. L., Wind, H., Koppes, L. L. J. & Frings-Dresen, M. H. W. 30-May-2018 In : International Journal of Public Health. 10 p.

Research output: Contribution to journalArticle

Original language English
Number of pages 10
Journal International Journal of Public Health
State E-pub ahead of print – 30-May-2018
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Internists’ dilemmas in their interactions with chronically ill patients: A comparison of their interaction strategies and dilemmas in two different medical contexts

Original language English
Journal PLoS ONE
Early online date 30-May-2018
State Published – 30-May-2018
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Atg9 establishes Atg2-dependent contact sites between the endoplasmic reticulum and phagophores

Atg9 establishes Atg2-dependent contact sites between the endoplasmic reticulum and phagophores

Gómez-Sánchez, R., Rose, J., Guimarães, R., Mari, M., Papinski, D., Rieter, E., Geerts, W. J., Hardenberg, R., Kraft, C., Ungermann, C. & Reggiori, F. 30-May-2018 In : The Journal of Cell Biology.

Research output: Contribution to journalArticle

Original language English
Journal The Journal of Cell Biology
State Published – 30-May-2018
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Ketogenic Diet in Refractory Childhood Epilepsy: Starting With a Liquid Formulation in an Outpatient Setting

Ketogenic Diet in Refractory Childhood Epilepsy: Starting With a Liquid Formulation in an Outpatient Setting

Weijenberg, A., van Rijn, M., Callenbach, P. M. C., de Koning, T. J. & Brouwer, O. F. 29-May-2018 In : Child neurology open. 5, p. 1-7 7 p., 2329048X18779497

Research output: Contribution to journalArticle

Original language English
Article number 2329048X18779497
Pages (from-to) 1-7
Number of pages 7
Journal Child neurology open
Volume 5
State Published – 29-May-2018
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