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  1. Article ; Online: Parental and child adjustment to amyotrophic lateral sclerosis: transformations, struggles and needs.

    Sommers-Spijkerman, Marion / Rave, Neele / Kruitwagen-van Reenen, Esther / Visser-Meily, Johanna M A / Kavanaugh, Melinda S / Beelen, Anita

    BMC psychology

    2022  Volume 10, Issue 1, Page(s) 72

    Abstract: Background: Amyotrophic lateral sclerosis (ALS), progressive muscular atrophy (PMA) and primary lateral sclerosis (PLS), together referred to as ALS, are life-limiting diagnoses affecting not only patients but also the families surrounding them, ... ...

    Abstract Background: Amyotrophic lateral sclerosis (ALS), progressive muscular atrophy (PMA) and primary lateral sclerosis (PLS), together referred to as ALS, are life-limiting diagnoses affecting not only patients but also the families surrounding them, especially when dependent children are involved. Despite previous research highlighting the vulnerability of children in these families, they are, as yet, often overlooked in healthcare. Efforts are needed to better support children in families living with ALS, both directly and through strengthening parents in their parental role. This study sought to gain a better understanding of parental and children's experiences, struggles and support needs in families living with ALS.
    Methods: Semi-structured interviews were conducted with 8 parents with ALS, 13 well parents and 15 children, together representing 17 families. Interview data were analyzed using qualitative content analysis.
    Results: Three major themes were identified relating to (1) ALS-related transformations in families' homes, activities, roles and relationships, that trigger (2) distress among families, which, in turn, evokes (3) emotional, psychological, educational and practical support needs. For emotional and practical support, parents and children mainly rely on their own family and social network, whereas they seek educational and psychological support from healthcare professionals.
    Conclusions: Our findings imply that ALS care professionals may foster family adjustment to living with ALS, most notably through encouraging parents to engage in a dialogue with their children about the many transformations, struggles and needs imposed by ALS and teaching them how to start the dialogue.
    MeSH term(s) Amyotrophic Lateral Sclerosis/psychology ; Child ; Family/psychology ; Health Personnel/psychology ; Humans ; Parents/psychology ; Qualitative Research
    Language English
    Publishing date 2022-03-17
    Publishing country England
    Document type Journal Article
    ZDB-ID 2705921-2
    ISSN 2050-7283 ; 2050-7283
    ISSN (online) 2050-7283
    ISSN 2050-7283
    DOI 10.1186/s40359-022-00780-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Control in the absence of choice: A qualitative study on decision-making about gastrostomy in people with amyotrophic lateral sclerosis, caregivers, and healthcare professionals.

    van Eenennaam, Remko M / Rave, Neele / Kruithof, Willeke J / Kruitwagen-van Reenen, Esther T / van den Berg, Leonard H / Visser-Meily, Johanna A / Beelen, Anita

    PloS one

    2023  Volume 18, Issue 9, Page(s) e0290508

    Abstract: Background: Gastrostomy is recommended in amyotrophic lateral sclerosis for long-term nutritional support, however, people with amyotrophic lateral sclerosis and healthcare professionals perceive decision-making as complex.: Method: To explore their ... ...

    Abstract Background: Gastrostomy is recommended in amyotrophic lateral sclerosis for long-term nutritional support, however, people with amyotrophic lateral sclerosis and healthcare professionals perceive decision-making as complex.
    Method: To explore their perspectives on decision-making regarding gastrostomy, we used semi-structured interviews with people with amyotrophic lateral sclerosis, who had made a decision, and their caregivers; healthcare professionals were interviewed separately. Interviews were transcribed and analyzed thematically.
    Results: In 14 cases, 13 people with amyotrophic lateral sclerosis and 12 caregivers were interviewed; and in 10 of these cases, 5 healthcare professionals. Participants described decision-making on gastrostomy as a continuous process of weighing (future) clinical need against their values and beliefs in coming to a decision to accept or reject gastrostomy, or to postpone decision-making, while being supported by loved ones and healthcare professionals. Participants described gastrostomy as inevitable, but retained agency through control over the timing of decision-making. They said physical necessity, experiences of loss and identity, and expectations about gastrostomy placement were important factors in decision-making. Decision-making was described as a family affair, with caregivers supporting patient choice. healthcare professionals supported people with amyotrophic lateral sclerosis during the decision-making process and respected their autonomy and values. People with amyotrophic lateral sclerosis stressed the importance of adequate information on the procedure and the benefits.
    Conclusion: People with amyotrophic lateral sclerosis feel in control of decision-making on gastrostomy if they are able to make their own choice at their own pace, supported by loved ones and healthcare professionals. Person-centered decision-making on gastrostomy requires early information exchange and repeated discussions with people with amyotrophic lateral sclerosis and their caregivers, incorporating their values and respecting patient choice.
    MeSH term(s) Humans ; Caregivers ; Gastrostomy ; Amyotrophic Lateral Sclerosis/therapy ; Health Personnel ; Delivery of Health Care
    Language English
    Publishing date 2023-09-08
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2267670-3
    ISSN 1932-6203 ; 1932-6203
    ISSN (online) 1932-6203
    ISSN 1932-6203
    DOI 10.1371/journal.pone.0290508
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Year-Round Respiratory Syncytial Virus Transmission in The Netherlands Following the COVID-19 Pandemic: A Prospective Nationwide Observational and Modeling Study.

    Löwensteyn, Yvette N / Zheng, Zhe / Rave, Neele / Bannier, Michiel A G E / Billard, Marie-Noëlle / Casalegno, Jean-Sebastien / Pitzer, Virginia E / Wildenbeest, Joanne G / Weinberger, Daniel M / Bont, Louis

    The Journal of infectious diseases

    2023  Volume 228, Issue 10, Page(s) 1394–1399

    Abstract: We initiated a nationwide prospective study to monitor respiratory syncytial virus (RSV)-related pediatric hospitalizations in 46 hospitals throughout the Netherlands between May 2021 and August 2022. We showed year-round RSV transmission in the ... ...

    Abstract We initiated a nationwide prospective study to monitor respiratory syncytial virus (RSV)-related pediatric hospitalizations in 46 hospitals throughout the Netherlands between May 2021 and August 2022. We showed year-round RSV transmission in the Netherlands after an initial 2021 summer outbreak. The pattern was unprecedented and distinct from neighboring countries. We extended a dynamic simulation model to evaluate the impact of waning immunity on pediatric RSV hospitalizations in the Netherlands using 4 different scenarios. Our results suggest that the observed continuous RSV transmission pattern could be associated with waning immunity due to the period of very low RSV circulation during the COVID-19 pandemic.
    MeSH term(s) Child ; Humans ; COVID-19/epidemiology ; Netherlands/epidemiology ; Pandemics ; Prospective Studies ; Respiratory Syncytial Virus Infections ; Respiratory Syncytial Virus, Human ; Seasons
    Language English
    Publishing date 2023-07-21
    Publishing country United States
    Document type Journal Article ; Observational Study ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 3019-3
    ISSN 1537-6613 ; 0022-1899
    ISSN (online) 1537-6613
    ISSN 0022-1899
    DOI 10.1093/infdis/jiad282
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Sleep health practices and sleep knowledge among healthcare professionals in Dutch paediatric rehabilitation.

    Hulst, Raquel Y / Pillen, Sigrid / Voorman, Jeanine M / Rave, Neele / Visser-Meily, Johanna M A / Verschuren, Olaf

    Child: care, health and development

    2020  Volume 46, Issue 6, Page(s) 703–710

    Abstract: Background: Sleep disorders are highly prevalent in children with neurodisabilities, yet they seem under-recognized in paediatric rehabilitation settings. The aim of this study was to assess among two groups of healthcare professionals (HCPs) working in ...

    Abstract Background: Sleep disorders are highly prevalent in children with neurodisabilities, yet they seem under-recognized in paediatric rehabilitation settings. The aim of this study was to assess among two groups of healthcare professionals (HCPs) working in paediatric rehabilitation: (1) sleep health practices and (2) knowledge about sleep physiology, sleep disorders and sleep hygiene.
    Methods: We performed a cross-sectional sleep survey among medical and non-medical HCPs and the general population. Participants (30 rehabilitation physicians [RPs], 54 allied health professionals [AHPs] and 63 controls) received an anonymous 30-item survey consisting of three domains: (1) general information, (2) application of sleep health practices and (3) sleep knowledge.
    Results: RPs address sleep issues more frequently in clinical practice than AHPs. Sleep interventions mostly consist of giving advice about healthy sleep practices and are given by the majority of HCPs. While RPs demonstrated the highest scores on all knowledge domains, total sleep knowledge scores did not exceed 50% correct across groups, with AHPs and controls showing equal scores. Sleep hygiene rules closest to bedtime and related to the sleep environment were best known, whereas those related to daytime practices were rarely mentioned across all groups. A small minority of HCPs (RPs 20%; AHPs 15%) believed to possess sufficient sleep knowledge to address sleep in clinical practice. No association was found between self-perceived knowledge and sleep knowledge scores among HCPs.
    Conclusions: Sleep should become a standard item for review during routine health assessments in paediatric rehabilitation settings. HCPs' limited exposure to sleep education may result in feelings of incompetence and inadequate sleep knowledge levels, affecting their sleep health practices. Appropriate sleep training programs should be implemented to empower HCPs with knowledge, skills and confidence, needed to recognize and treat sleep disorders in children with neurodisabilities, as well as to be able to guide parents.
    MeSH term(s) Adult ; Aged ; Clinical Competence ; Cross-Sectional Studies ; Female ; Humans ; Male ; Middle Aged ; Netherlands ; Pediatrics ; Practice Patterns, Physicians' ; Rehabilitation ; Sleep Wake Disorders/diagnosis ; Sleep Wake Disorders/etiology ; Sleep Wake Disorders/therapy ; Surveys and Questionnaires ; Young Adult
    Language English
    Publishing date 2020-08-12
    Publishing country England
    Document type Journal Article
    ZDB-ID 223039-2
    ISSN 1365-2214 ; 0305-1862
    ISSN (online) 1365-2214
    ISSN 0305-1862
    DOI 10.1111/cch.12799
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Decreased Antibody Response After Severe Acute Respiratory Syndrome Coronavirus 2 Vaccination in Patients With Down Syndrome.

    Streng, Bianca M M / Bont, Marin / Delemarre, Eveline M / Binnendijk, Rob S / Smit, Gaby / den Hartog, Gerco / Coppus, Antonia M W / de Vries, Esther / Weijerman, Michel E / Lamberts, Regina / de Graaf, Gert / van der Klis, Fiona R / Vidarsson, Gestur / Rave, Neele / Bont, Louis J / Wildenbeest, Joanne G

    The Journal of infectious diseases

    2022  Volume 226, Issue 4, Page(s) 673–677

    Abstract: The risk of a severe course of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in adults with Down syndrome is increased, resulting in an up to 10-fold increase in mortality, in particular in those >40 years of age. After primary ... ...

    Abstract The risk of a severe course of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in adults with Down syndrome is increased, resulting in an up to 10-fold increase in mortality, in particular in those >40 years of age. After primary SARS-CoV-2 vaccination, the higher risks remain. In this prospective observational cohort study, SARS-CoV-2 spike S1-specific antibody responses after routine SARS-CoV-2 vaccination (BNT162b2, messenger RNA [mRNA]-1273, or ChAdOx1) in adults with Down syndrome and healthy controls were compared. Adults with Down syndrome showed lower antibody concentrations after 2 mRNA vaccinations or after 2 ChAdOx1 vaccinations. After 2 mRNA vaccinations, lower antibody concentrations were seen with increasing age.
    Clinical trials registration: NCT05145348.
    MeSH term(s) Adult ; Antibodies, Viral ; Antibody Formation ; BNT162 Vaccine ; COVID-19/prevention & control ; COVID-19 Vaccines ; Down Syndrome ; Humans ; Prospective Studies ; RNA, Messenger ; SARS-CoV-2 ; Vaccination
    Chemical Substances Antibodies, Viral ; COVID-19 Vaccines ; RNA, Messenger ; BNT162 Vaccine (N38TVC63NU)
    Language English
    Publishing date 2022-07-18
    Publishing country United States
    Document type Journal Article ; Observational Study ; Research Support, Non-U.S. Gov't
    ZDB-ID 3019-3
    ISSN 1537-6613 ; 0022-1899
    ISSN (online) 1537-6613
    ISSN 0022-1899
    DOI 10.1093/infdis/jiac235
    Database MEDical Literature Analysis and Retrieval System OnLINE

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