Abdominal aortic aneurysm treatment outcomes in the Netherlands

In this thesis, the nationwide trends in abdominal aortic aneurysm treatment outcomes and outcomes of subgroups such as octogenarians following abdominal aortic aneurysm repair are investigated using data from the Dutch Surgical Aneurysm Audit (DSAA). Moreover, the nationwide outcomes of complex EVAR are described, including a volume-outcome association, and new opportunities for feedback and outcome measurement are discussed

Abdominal aortic aneurysm treatment outcomes in the Netherlands

In this thesis, the nationwide trends in abdominal aortic aneurysm treatment outcomes and outcomes of subgroups such as octogenarians following abdominal aortic aneurysm repair are investigated using data from the Dutch Surgical Aneurysm Audit (DSAA). Moreover, the nationwide outcomes of complex EVAR are described, including a volume-outcome association, and new opportunities for feedback and outcome measurement are discussed

Abdominal aortic aneurysm treatment outcomes in the Netherlands

In this thesis, the nationwide trends in abdominal aortic aneurysm treatment outcomes and outcomes of subgroups such as octogenarians following abdominal aortic aneurysm repair are investigated using data from the Dutch Surgical Aneurysm Audit (DSAA). Moreover, the nationwide outcomes of complex EVAR are described, including a volume-outcome association, and new opportunities for feedback and outcome measurement are discussed

A qualitative study of independent fast food vendors near secondary schools in disadvantaged Scottish neighbourhoods

Background: Preventing and reducing childhood and adolescent obesity is a growing priority in many countries. Recent UK data suggest that children in more deprived areas have higher rates of obesity and poorer diet quality than those in less deprived areas. As adolescents spend a large proportion of time in school, interventions to improve the food environment in and around schools are being considered. Nutrient standards for school meals are mandatory in the UK, but many secondary pupils purchase foods outside schools at break or lunchtime that may not meet these standards. Methods: Qualitative interviews were conducted with fast food shop managers to explore barriers to offering healthier menu options. Recruitment targeted independently-owned shops near secondary schools (pupils aged c.12-17) in low-income areas of three Scottish cities. Ten interviews were completed, recorded, and transcribed for analysis. An inductive qualitative approach was used to analyse the data in NVivo 10. Results: Five themes emerged from the data: pride in what is sold; individual autonomy and responsibility; customer demand; profit margin; and neighbourhood context. Interviewees consistently expressed pride in the foods they sold, most of which were homemade. They felt that healthy eating and general wellbeing are the responsibility of the individual and that offering what customers want to eat, not necessarily what they should eat, was the only way to stay in business. Most vendors felt they were struggling to maintain a profit, and that many aspects of the low-income neighbourhood context would make change difficult or impossible. Conclusions: Independent food shops in low-income areas face barriers to offering healthy food choices, and interventions and policies that target the food environment around schools should take the neighbourhood context into consideration

Zika virus infection and Guillain-Barré syndrome in three patients from Suriname

We present three patients from Suriname who were diagnosed with Guillain-Barré syndrome (GBS) during the Zika virus (ZIKV) outbreak in this country. One patient had a positive ZIKV urine real-time RT-PCR (qRT-PCR) result. The other two patients had a negative ZIKV urine qRT-PCR but a positive virus neutralization test and presence of IgG antibodies against ZIKV in the serum. Considering the evidence of a past ZIKV infection and absence of evidence for recent infections with the most common preceding infections of GBS, it is very likely that these GBS cases were triggered by ZIKV

Infants\u27 detection of synchrony between sounds and pauses in the movement of an object

The present study investigated the development of sensitivity to temporal synchrony between sounds of impact and pauses in the movement of an object by infants of 2 1/2, 4 and 6 months of age. Ninety infants were tested across four experiments with side-by-side videos of a red and white square and a blue and yellow triangle along with a centralized soundtrack which was synchronized with only one of the films. This preference phase was then followed by a search phase, where the two films were accompanied by intermittent bursts of the soundtrack from each object. Twomonth- olds showed no evidence of matching films and soundtracks on the basis of synchrony, however 4-month-olds looked more on the second block of trials to the object which paused when the sound occurred and directed more first looks during the preference phase to the matching object. Six-month-olds demonstrated significantly more first looks to the mismatched object during the search phase only. These results suggest that infants relate impact sounds with synchronous pauses in continuous motion by the age of four months