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Kaal AG, Roos R, de Jong P, Pepping RMC, van den Berg JMW, van Aken MO, Steyerberg EW, Numans ME, van Nieuwkoop C. Oral versus intravenous antibiotic treatment of moderate-to-severe community-acquired pneumonia: a propensity score matched study. Sci Rep 2024; 14:8271. [PMID: 38594555 PMCID: PMC11004140 DOI: 10.1038/s41598-024-59026-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2024] [Accepted: 04/05/2024] [Indexed: 04/11/2024] Open
Abstract
Community-acquired Pneumonia (CAP) guidelines generally recommend to admit patients with moderate-to-severe CAP and start treatment with intravenous antibiotics. This study aims to explore the clinical outcomes of oral antibiotics in patients with moderate-to-severe CAP. We performed a nested cohort study of an observational study including all adult patients presenting to the emergency department of the Haga Teaching Hospital, the Netherlands, between April 2019 and May 2020, who had a blood culture drawn. We conducted propensity score matching with logistic and linear regression analysis to compare patients with moderate-to-severe CAP (Pneumonia Severity Index class III-V) treated with oral antibiotics to patients treated with intravenous antibiotics. Outcomes were 30-day mortality, intensive care unit admission, readmission, length of stay (LOS) and length of antibiotic treatment. Of the original 314 patients, 71 orally treated patients were matched with 102 intravenously treated patients. The mean age was 73 years and 58% were male. We found no significant differences in outcomes between the oral and intravenous group, except for an increased LOS of + 2.6 days (95% confidence interval 1.2-4.0, p value < 0.001) in those treated intravenously. We conclude that oral antibiotics might be a safe and effective treatment for moderate-to-severe CAP for selected patients based on the clinical judgement of the attending physician.
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Affiliation(s)
- Anna G Kaal
- Department of Internal Medicine, Haga Teaching Hospital, The Hague, The Netherlands.
- Department of Biomedical Data Sciences, Leiden University Medical Center, Leiden, The Netherlands.
| | - Rick Roos
- Department of Internal Medicine, Haga Teaching Hospital, The Hague, The Netherlands
- Health Campus The Hague/Department of Public Health and Primary Care, Leiden University Medical Center, The Hague, The Netherlands
| | - Pieter de Jong
- Department of Surgery, Albert Schweitzer Hospital, Dordrecht, The Netherlands
| | - Rianne M C Pepping
- Department of Internal Medicine, Haga Teaching Hospital, The Hague, The Netherlands
- Health Campus The Hague/Department of Public Health and Primary Care, Leiden University Medical Center, The Hague, The Netherlands
| | | | - Maarten O van Aken
- Department of Internal Medicine, Haga Teaching Hospital, The Hague, The Netherlands
- Health Campus The Hague/Department of Public Health and Primary Care, Leiden University Medical Center, The Hague, The Netherlands
| | - Ewout W Steyerberg
- Department of Biomedical Data Sciences, Leiden University Medical Center, Leiden, The Netherlands
| | - Mattijs E Numans
- Health Campus The Hague/Department of Public Health and Primary Care, Leiden University Medical Center, The Hague, The Netherlands
| | - Cees van Nieuwkoop
- Department of Internal Medicine, Haga Teaching Hospital, The Hague, The Netherlands
- Health Campus The Hague/Department of Public Health and Primary Care, Leiden University Medical Center, The Hague, The Netherlands
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Burggraaf-van Delft JLI, van Rein N, Bemelmans RHH, van den Berg JWK, Bruggeman CY, Cloos-van Balen M, Coppens M, Eefting M, Ende-Verhaar Y, van Es N, van Guldener C, de Jong WK, Kleijwegt F, Koster T, Kroon C, Kuipers S, Leentjens J, Luijten D, Mairuhu ATA, Meijer K, van de Ree MA, Roos R, Schrover I, Swart-Heikens J, van der Velden AWG, van den Akker-van Marle EM, le Cessie S, Geersing GJ, Middeldorp S, Huisman MV, Klok FA, Cannegieter SC. Tailored anticoagulant treatment after a first venous thromboembolism: protocol of the Leiden Thrombosis Recurrence Risk Prevention (L-TRRiP) study - cohort-based randomised controlled trial. BMJ Open 2024; 14:e078676. [PMID: 38521524 PMCID: PMC10961563 DOI: 10.1136/bmjopen-2023-078676] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/08/2023] [Accepted: 02/06/2024] [Indexed: 03/25/2024] Open
Abstract
INTRODUCTION Patients with a first venous thromboembolism (VTE) are at risk of recurrence. Recurrent VTE (rVTE) can be prevented by extended anticoagulant therapy, but this comes at the cost of an increased risk of bleeding. It is still uncertain whether patients with an intermediate recurrence risk or with a high recurrence and high bleeding risk will benefit from extended anticoagulant treatment, and whether a strategy where anticoagulant duration is tailored on the predicted risks of rVTE and bleeding can improve outcomes. The aim of the Leiden Thrombosis Recurrence Risk Prevention (L-TRRiP) study is to evaluate the outcomes of tailored duration of long-term anticoagulant treatment based on individualised assessment of rVTE and major bleeding risks. METHODS AND ANALYSIS The L-TRRiP study is a multicentre, open-label, cohort-based, randomised controlled trial, including patients with a first VTE. We classify the risk of rVTE and major bleeding using the L-TRRiP and VTE-BLEED scores, respectively. After 3 months of anticoagulant therapy, patients with a low rVTE risk will discontinue anticoagulant treatment, patients with a high rVTE and low bleeding risk will continue anticoagulant treatment, whereas all other patients will be randomised to continue or discontinue anticoagulant treatment. All patients will be followed up for at least 2 years. Inclusion will continue until the randomised group consists of 608 patients; we estimate to include 1600 patients in total. The primary outcome is the combined incidence of rVTE and major bleeding in the randomised group after 2 years of follow-up. Secondary outcomes include the incidence of rVTE and major bleeding, functional outcomes, quality of life and cost-effectiveness in all patients. ETHICS AND DISSEMINATION The protocol was approved by the Medical Research Ethics Committee Leiden-Den Haag-Delft. Results are expected in 2028 and will be disseminated through peer-reviewed journals and during (inter)national conferences. TRIAL REGISTRATION NUMBER NCT06087952.
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Affiliation(s)
| | - Nienke van Rein
- Department of Clinical Epidemiology, Leiden University Medical Center, Leiden, Zuid-Holland, The Netherlands
- Department of Clinical Pharmacy and Toxicology, Leiden University Medical Center, Leiden, Zuid-Holland, The Netherlands
| | - Remy H H Bemelmans
- Department of Internal Medicine, Ziekenhuis Gelderse Vallei, Ede, Gelderland, The Netherlands
| | | | - Coty Y Bruggeman
- Department of Internal Medicine, Martini Ziekenhuis, Groningen, Groningen, The Netherlands
| | - Marissa Cloos-van Balen
- Department of Internal Medicine, Groene Hart Ziekenhuis, Gouda, Zuid-Holland, The Netherlands
| | - Michiel Coppens
- Department of Vascular Medicine, Amsterdam UMC Location AMC, Amsterdam, Noord-Holland, The Netherlands
- Pulmonary Hypertension & Thrombosis, Amsterdam Cardiovascular Sciences, Amsterdam, Noord-Holland, The Netherlands
| | - Matthijs Eefting
- Department of Internal Medicine, Ikazia Ziekenhuis, Rotterdam, Zuid-Holland, The Netherlands
| | - Yvonne Ende-Verhaar
- Department of Internal Medicine, Medisch Centrum Haaglanden, Den Haag, Zuid-Holland, The Netherlands
| | - Nick van Es
- Department of Vascular Medicine, Amsterdam UMC Location AMC, Amsterdam, Noord-Holland, The Netherlands
- Pulmonary Hypertension & Thrombosis, Amsterdam Cardiovascular Sciences, Amsterdam, Noord-Holland, The Netherlands
| | - Coen van Guldener
- Department of Internal Medicine, Amphia Ziekenhuis, Breda, North Brabant, The Netherlands
| | - Wouter K de Jong
- Department of Pulmonology, Ziekenhuis Gelderse Vallei, Ede, Gelderland, The Netherlands
| | - Fleur Kleijwegt
- Department of Internal Medicine, Rode Kruis Ziekenhuis, Beverwijk, Noord-Holland, The Netherlands
| | - Ted Koster
- Department of Internal Medicine, Groene Hart Ziekenhuis, Gouda, Zuid-Holland, The Netherlands
| | - Cees Kroon
- Department of Internal Medicine, Ziekenhuis Nij Smellinghe, Drachten, Friesland, The Netherlands
| | - Saskia Kuipers
- Department of Internal Medicine, ADRZ, Goes, Zeeland, The Netherlands
| | - Jenneke Leentjens
- Department of Internal Medicine, Radboud university medical center, Nijmegen, Gelderland, The Netherlands
| | - Dieuwke Luijten
- Department of Medicine-Thrombosis and Hemostasis, Leiden University Medical Center, Leiden, Zuid-Holland, The Netherlands
| | - Albert T A Mairuhu
- Department of Internal Medicine, Haga Hospital, Den Haag, Zuid-Holland, The Netherlands
| | - Karina Meijer
- Department of Clinical Epidemiology, Leiden University Medical Center, Leiden, Zuid-Holland, The Netherlands
| | - Marcel A van de Ree
- Department of Clinical Epidemiology, Leiden University Medical Center, Leiden, Zuid-Holland, The Netherlands
| | - Rick Roos
- Department of Internal Medicine, Haga Hospital, Den Haag, Zuid-Holland, The Netherlands
| | - Ilse Schrover
- Department of Clinical Epidemiology, Leiden University Medical Center, Leiden, Zuid-Holland, The Netherlands
| | - Janneke Swart-Heikens
- Department of Clinical Epidemiology, Leiden University Medical Center, Leiden, Zuid-Holland, The Netherlands
| | | | | | - Saskia le Cessie
- Department of Clinical Epidemiology, Leiden University Medical Center, Leiden, Zuid-Holland, The Netherlands
- Department of Clinical Epidemiology, Leids Universitair Medisch Centrum, Leiden, The Netherlands
| | - Geert-Jan Geersing
- Department of Clinical Epidemiology, Leiden University Medical Center, Leiden, Zuid-Holland, The Netherlands
| | - Saskia Middeldorp
- Department of Internal Medicine, Radboud university medical center, Nijmegen, Gelderland, The Netherlands
| | - Menno V Huisman
- Department of Medicine-Thrombosis and Hemostasis, Leiden University Medical Center, Leiden, Zuid-Holland, The Netherlands
| | - Frederikus A Klok
- Department of Medicine-Thrombosis and Hemostasis, Leiden University Medical Center, Leiden, Zuid-Holland, The Netherlands
| | - Suzanne C Cannegieter
- Department of Clinical Epidemiology, Leiden University Medical Center, Leiden, Zuid-Holland, The Netherlands
- Department of Medicine-Thrombosis and Hemostasis, Leiden University Medical Center, Leiden, Zuid-Holland, The Netherlands
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Roos R, Pepping RMC, van Aken MO, Labots G, Lahdidioui A, van den Berg JMW, Kolfschoten NE, Pasha SM, Ten Holder JT, Mollink SM, van den Bos F, Kant J, Kroon I, Vos RC, Numans ME, van Nieuwkoop C. Evaluation of an integrated care pathway for out-of-hospital treatment of older adults with an acute moderate-to-severe lower respiratory tract infection or pneumonia: protocol of a mixed methods study. BMJ Open 2023; 13:e073126. [PMID: 37591644 PMCID: PMC10441079 DOI: 10.1136/bmjopen-2023-073126] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/24/2023] [Accepted: 08/04/2023] [Indexed: 08/19/2023] Open
Abstract
INTRODUCTION Older adults with an acute moderate-to-severe lower respiratory tract infection (LRTI) or pneumonia are generally treated in hospitals causing risk of iatrogenic harm such as functional decline and delirium. These hospitalisations are often a consequence of poor collaboration between regional care partners, the lack of (acute) diagnostic and treatment possibilities in primary care, and the presence of financial barriers. We will evaluate the implementation of an integrated regional care pathway ('The Hague RTI Care Bridge') developed with the aim to treat and coordinate care for these patients outside the hospital. METHODS AND ANALYSIS This is a prospective mixed methods study. Participants will be older adults (age≥65 years) with an acute moderate-to-severe LRTI or pneumonia treated outside the hospital (care pathway group) versus those treated in the hospital (control group). In addition, patients, their informal caregivers and treating physicians will be asked about their experiences with the care pathway. The primary outcome of this study will be the feasibility of the care pathway, which is defined as the percentage of patients treated outside the hospital, according to the care pathway, whom fully complete their treatment without the need for hospitalisation within 30 days of follow-up. Secondary outcomes include the safety of the care pathway (30-day mortality and occurrence of complications (readmissions, delirium, falls) within 30 days); the satisfaction, usability and acceptance of the care pathway; the total number of days of bedridden status or hospitalisation; sleep quantity and quality; functional outcomes and quality of life. ETHICS AND DISSEMINATION The Medical Research Ethics Committee Leiden The Hague Delft (reference number N22.078) has confirmed that the Medical Research Involving Human Subjects Act does not apply to this study. The results will be published in international peer-reviewed journals. TRIAL REGISTRATION NUMBER ISRCTN68786381.
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Affiliation(s)
- Rick Roos
- Department of Internal Medicine, Haga Teaching Hospital, The Hague, The Netherlands
- Health Campus The Hague/Department of Public Health and Primary Care, Leiden University Medical Center, The Hague, The Netherlands
| | - Rianne M C Pepping
- Department of Internal Medicine, Haga Teaching Hospital, The Hague, The Netherlands
- Health Campus The Hague/Department of Public Health and Primary Care, Leiden University Medical Center, The Hague, The Netherlands
| | - Maarten O van Aken
- Department of Internal Medicine, Haga Teaching Hospital, The Hague, The Netherlands
- Health Campus The Hague/Department of Public Health and Primary Care, Leiden University Medical Center, The Hague, The Netherlands
| | - Geert Labots
- Department of Internal Medicine, Haga Teaching Hospital, The Hague, The Netherlands
| | - Ali Lahdidioui
- Department of Internal Medicine, Haga Teaching Hospital, The Hague, The Netherlands
| | | | - Nikki E Kolfschoten
- Department of Emergency Medicine, Haga Teaching Hospital, The Hague, The Netherlands
| | - Sharif M Pasha
- Department of Internal Medicine, Haaglanden Medical Center, The Hague, The Netherlands
| | - Joris T Ten Holder
- Department of Pulmonology, Haaglanden Medical Center, The Hague, The Netherlands
| | - Susan M Mollink
- Department of Emergency Medicine, Haaglanden Medical Center, The Hague, The Netherlands
| | - Frederiek van den Bos
- Department of Internal Medicine, Leiden University Medical Center, Leiden, The Netherlands
| | | | - Ingrid Kroon
- Kroon Elderly Care Physician, The Hague, The Netherlands
| | - Rimke C Vos
- Health Campus The Hague/Department of Public Health and Primary Care, Leiden University Medical Center, The Hague, The Netherlands
| | - Mattijs E Numans
- Health Campus The Hague/Department of Public Health and Primary Care, Leiden University Medical Center, The Hague, The Netherlands
| | - Cees van Nieuwkoop
- Department of Internal Medicine, Haga Teaching Hospital, The Hague, The Netherlands
- Health Campus The Hague/Department of Public Health and Primary Care, Leiden University Medical Center, The Hague, The Netherlands
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4
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van Rijn AL, Roos R, Dekker FW, Rotmans JI, Feltkamp M. Torque teno virus load as marker of rejection and infection in solid organ transplantation - A systematic review and meta-analysis. Rev Med Virol 2023; 33:e2393. [PMID: 36056751 PMCID: PMC10078304 DOI: 10.1002/rmv.2393] [Citation(s) in RCA: 10] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2022] [Revised: 08/16/2022] [Accepted: 08/24/2022] [Indexed: 01/28/2023]
Abstract
Balancing immunosuppression to prevent rejection in solid organ transplant (SOT) recipients remains challenging. Torque teno virus (TTV), a commensal non-pathogenic virus, has been proposed as marker of functional immunity: higher loads correspond to over-immunosuppression, and lower loads to under-immunosuppression. This review offers an overview of the current evidence of the association between TTV-load and infection and rejection after SOT. A systematic literature search strategy, deposited in the PROSPERO registry, resulted in 548 records. After screening, 23 original and peer-reviewed articles were assessed investigating the association between TTV-load, infection and/or rejection in SOT. The Quality in Prognostic Studies (QUIPS)-tool was used to assess the risk of bias. Meta-analysis with random-effects was performed on results with similar outcomes and exposure measures. Most of the included studies involved retrospective cohorts in which the TTV-load was measured longitudinally, within the first 2 years post-transplantation. Infection outcomes differed between studies and included viral, bacterial, parasitic and fungal infections. Rejection was defined by biopsy confirmation or initiation of rejection treatment. Twelve out of 16 studies reported an association between high TTV-load and infections, whereas 13 out of 15 reported an association between low TTV-load and rejection. Meta-analysis showed an increased risk of infection (OR: 1.16, 95% CI: 1.03-1.32; HR: 1.05, 95% CI: 0.97-1.14) and a decreased risk of rejection (OR: 0.90, 95% CI: 0.87-0.94; HR: 0.74, 95% CI: 0.71-0.76) per 1 log TTV-load increase. The qualitative assessment showed varying risks of bias in the included studies. This systematic review and meta-analysis indicates that blood TTV-load measured within the first 2 years after SOT is associated with the risk of infection or allograft rejection, although substantial risk of bias in the studies included warrant cautious interpretation. The results in this review provide a rationale for larger, prospective, studies into TTV as marker of infection and rejection after SOT.
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Affiliation(s)
- A L van Rijn
- Department of Medical Microbiology, Leiden University Medical Center, Leiden, The Netherlands
| | - R Roos
- Department of Internal Medicine, HagaZiekenhuis, The Hague, The Netherlands
| | - F W Dekker
- Department of Clinical Epidemiology, Leiden University Medical Center, Leiden, The Netherlands
| | - J I Rotmans
- Department of Internal Medicine, Leiden University Medical Center, Leiden, The Netherlands
| | - McW Feltkamp
- Department of Medical Microbiology, Leiden University Medical Center, Leiden, The Netherlands
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5
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Dirikgil E, Roos R, Groeneveld GH, Heringhaus C, Silven AV, Petrus AHJ, Villalobos-Quesada M, Tsonaka R, van der Boog PJM, Rabelink TJ, Bos WJW, Chavannes NH, Atsma DE, Teng YKO. Home monitoring reduced short stay admissions in suspected COVID-19 patients: COVID-box project. Eur Respir J 2021; 58:13993003.00636-2021. [PMID: 33795321 PMCID: PMC8015644 DOI: 10.1183/13993003.00636-2021] [Citation(s) in RCA: 24] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2021] [Accepted: 03/21/2021] [Indexed: 12/22/2022]
Affiliation(s)
- Ebru Dirikgil
- Dept of Nephrology, Leiden University Medical Center, Leiden, The Netherlands
| | - Rick Roos
- Dept of Nephrology, Leiden University Medical Center, Leiden, The Netherlands
| | - Geert H Groeneveld
- Dept of Infectious Diseases, Leiden University Medical Center, Leiden, The Netherlands
| | - Christian Heringhaus
- Dept of Emergency Medicine, Leiden University Medical Center, Leiden, The Netherlands
| | - Anna V Silven
- Dept of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands.,National eHealth Living Lab, Leiden University Medical Center, Leiden, The Netherlands
| | - Annelieke H J Petrus
- Dept of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands.,National eHealth Living Lab, Leiden University Medical Center, Leiden, The Netherlands
| | - Maria Villalobos-Quesada
- Dept of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands.,National eHealth Living Lab, Leiden University Medical Center, Leiden, The Netherlands
| | - Roula Tsonaka
- Dept of Medical Statistics and Bioinformatics, Leiden University Medical Center, Leiden, The Netherlands
| | | | - Ton J Rabelink
- Dept of Nephrology, Leiden University Medical Center, Leiden, The Netherlands
| | - Willem Jan W Bos
- Dept of Nephrology, Leiden University Medical Center, Leiden, The Netherlands.,Dept of Internal Medicine, St Antonius Hospital, Nieuwegein, The Netherlands
| | - Niels H Chavannes
- Dept of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands.,National eHealth Living Lab, Leiden University Medical Center, Leiden, The Netherlands
| | - Douwe E Atsma
- National eHealth Living Lab, Leiden University Medical Center, Leiden, The Netherlands.,Dept of Cardiology, Leiden University Medical Center, Leiden, The Netherlands
| | - Y K Onno Teng
- Dept of Nephrology, Leiden University Medical Center, Leiden, The Netherlands
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6
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Dekkers IA, Roos R, van der Molen AJ. Gadolinium retention after administration of contrast agents based on linear chelators and the recommendations of the European Medicines Agency. Eur Radiol 2018; 28:1579-1584. [PMID: 29063255 DOI: 10.1007/s00330-017-5065-8] [Citation(s) in RCA: 71] [Impact Index Per Article: 11.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2017] [Revised: 08/19/2017] [Accepted: 09/07/2017] [Indexed: 10/18/2022]
Abstract
The Pharmacovigilance Risk Assessment Committee (PRAC) of the European Medicines Agency (EMA) earlier this year recommended to suspend some marketing authorisations for Gadolinium Containing Contrast Agents (GCCAs) based on linear chelators due to the potential risk of gadolinium retention in the human body. These recommendations have recently been re-evaluated by EMA's Committee for Medicinal Products for Human Use (CHMP), and confirmed the final opinion of the European Medicines Agency. This editorial provides an overview of the available GCCAs and summarises the recent evidence of gadolinium retention. Moreover, a critical appraisal of the strengths and limitations of the scientific evidence currently available on gadolinium retention is given. KEY POINTS • EMA recommended suspension of some EU marketing authorisations of four linear GCCAs. • Brain MRI findings indicating gadolinium retention have been confirmed by mass spectrometry. • Current scientific evidence for gadolinium retention has several methodological limitations. • No clear clinical evidence exists indicating that gadolinium retention causes neurotoxicity. • Long-term safety of GCCAs, however, remains unclear.
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Affiliation(s)
- Ilona A Dekkers
- Department of Radiology, Leiden University Medical Centre, C-2S, Albinusdreef 2, NL-2333, ZA, Leiden, The Netherlands.
| | - Rick Roos
- Department of Radiology, Leiden University Medical Centre, C-2S, Albinusdreef 2, NL-2333, ZA, Leiden, The Netherlands
| | - Aart J van der Molen
- Department of Radiology, Leiden University Medical Centre, C-2S, Albinusdreef 2, NL-2333, ZA, Leiden, The Netherlands
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7
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Roos R, Myezwa H, van Aswegen H. Barriers and facilitators of physical activity in people living with HIV on a home-based physical activity programme. Physiotherapy 2015. [DOI: 10.1016/j.physio.2015.03.1215] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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8
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Schewitz J, Roos R, van Aswegen H, Manda S. The effect of two passive head down diaphragm stretching manoeuvres on diaphragm length in healthy adult individuals. Physiotherapy 2015. [DOI: 10.1016/j.physio.2015.03.1276] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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9
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Roos R, Myezwa H, van Aswegen H, Musenge E. The effect of physical activity modification on ischaemic heart disease risk factors in people living with HIV: randomised control trial. Physiotherapy 2015. [DOI: 10.1016/j.physio.2015.03.1216] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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10
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Johnson E, Rees E, Labuschagne I, Durr A, Leavitt B, Roos R, Johnson H, Hobbs N, Crawford H, Langbehn D, Stout J, Tabrizi S, Scahill R. E04 Cortical Thinning Of The Occipital Lobe In Huntington's Disease And Associations With Cognitive Performance. Journal of Neurology, Neurosurgery & Psychiatry 2014. [DOI: 10.1136/jnnp-2014-309032.107] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Bouwens J, van der Mast R, van Duijn E, Cobbaert C, Roos R, Giltay E. D02 Associations Between Disease Stage And Levels Of Cytokines In Huntington's Disease. Journal of Neurology, Neurosurgery & Psychiatry 2014. [DOI: 10.1136/jnnp-2014-309032.94] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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12
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Evers M, Schut M, Pepers B, Atalar M, Van Belzen M, Faull R, Roos R, Van Roon-Mom W. B03 Making (anti-) Sense Out Of Huntingtin Levels In Huntington Disease. Journal of Neurology, Neurosurgery & Psychiatry 2014. [DOI: 10.1136/jnnp-2014-309032.31] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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13
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Gregory S, Scahill R, Stopford C, Orth M, Durr A, Leavitt B, Roos R, Langbehn D, Johnson H, Rees G, Tabrizi S, Craufurd D. E16 Diffusion Tensor Imaging And Neuropsychiatric Disturbance In Huntington 's Disease. Journal of Neurology, Neurosurgery & Psychiatry 2014. [DOI: 10.1136/jnnp-2014-309032.119] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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14
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Hobbs N, Farmer R, Rees E, Cole J, Haider S, Malone I, Sprengelmeyer R, Johnson H, Mueller H, Sussmuth S, Roos R, Durr A, Frost C, Scahill R, Landwehrmeyer G, Tabrizi S. E05 6-,9- And 15-Month Change in Cortical Thickness and Region-Of-Interest Volume And Diffusion Metrics in Huntington's Disease: Informing Trial Design. J Neurol Psychiatry 2014. [DOI: 10.1136/jnnp-2014-309032.108] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Odish O, Leemans A, Reijntjes R, van den Bogaard S, Dumas E, Wolterbeek R, Tax C, Kuijf H, Vincken K, van der Grond J, Roos R. E18 Diffusion Tensor Imaging In Hd: A Two Year Follow-up - Results From The Track-hd Study. Journal of Neurology, Neurosurgery & Psychiatry 2014. [DOI: 10.1136/jnnp-2014-309032.121] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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16
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Oosterloo M, van Belzen M, Bijlsma E, Roos R. K10 Is there Convincing Evidence that Intermediate Repeats in the HTT Gene Cause Huntington's Disease? Journal of Neurology, Neurosurgery & Psychiatry 2014. [DOI: 10.1136/jnnp-2014-309032.234] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Crawford H, Gregory S, Hobbs N, Johnson H, Cole J, Rees E, Malone I, Sprengelmeyer R, Durr A, Leavitt B, Roos R, Langbehn D, Landwehrmeyer G, Tabrizi S, Scahill R. E11 Association Between Brain Volume and White Matter Microstructure in Healthy Controls. Journal of Neurology, Neurosurgery & Psychiatry 2014. [DOI: 10.1136/jnnp-2014-309032.114] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Farmer R, Mulick Cassidy A, Hobbs N, Scahill R, Rees E, Haider S, Roos R, Durr A, Leavitt B, Landwehrmeyer G, Tabrizi S, Frost C. E03 Can The Distribution Of Caudate Atrophy Rates Seen Over Short Time Intervals Be Predicted From Changes Over Longer Intervals? Journal of Neurology, Neurosurgery & Psychiatry 2014. [DOI: 10.1136/jnnp-2014-309032.106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Hubers A, Hamming A, Giltay E, von Faber M, Roos R, van der Mast R, van Duijn E. J41 Suicidality In Huntington's Disease: A Qualitative Study On Coping Strategies And Treatment Options. J Neurol Psychiatry 2014. [DOI: 10.1136/jnnp-2014-309032.224] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Gregory S, Scahill R, Durr A, Leavitt B, Roos R, Johnson H, Langbehn D, Rees G, Tabrizi S. E15 Structural Connectivity In Huntington's Disease. J Neurol Psychiatry 2014. [DOI: 10.1136/jnnp-2014-309032.118] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Muller H, Kassubek J, Gron G, Sprengelmeyer R, Hobbs N, Roos R, Duerr A, Tabrizi S, Sussmuth S, Orth M, Landwehrmeyer G. E20 Diffusion Tensor Imaging In Huntington's Disease: Impact Of The Control For Corrupted Data In Comparisons At The Group Level. Journal of Neurology, Neurosurgery & Psychiatry 2014. [DOI: 10.1136/jnnp-2014-309032.123] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Hubers A, van der Mast R, Pereira A, Roos R, Veen L, Cobbaert C, van Duijn E, Giltay E. D05 Hypothalamic-pituitary-adrenal Axis Activity in Huntington's Disease And Its Association With Depressive Symptoms And Suicidality. Journal of Neurology, Neurosurgery & Psychiatry 2014. [DOI: 10.1136/jnnp-2014-309032.97] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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van Bruggen-Rufi M, Roos R, Achterberg W, Vink A. J11 Can Music Therapy Improve The Quality Of Life In Huntington's Disease? Journal of Neurology, Neurosurgery & Psychiatry 2014. [DOI: 10.1136/jnnp-2014-309032.194] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Belohradsky B, Adam D, Daschner F, Roos R, Weiß M. Obituary Prof. Dr. Walter Marget. Infection 2013; 41:1055-6. [PMID: 24217960 DOI: 10.1007/s15010-013-0551-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Affiliation(s)
- B Belohradsky
- University Children's Hospital, Ludwig Maximilians University Munich, Dr. von Haunersches Kinderspital, Lindwurmstrasse 4, 80337, Munich, Germany,
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Olivier B, Naidoo V, Humphries C, Godlwana L, Romm M, Ntsiea V, Van Aswegen H, Myezwa H, Roos R, Mudzi W, Potterton J, Watt B, Maleka D, Mtshali S, Stewart A. Inter-examiner reliability when using the Objective Structured Practical Examination (OSPE) mark sheet for physiotherapy practical. South African Journal of Physiotherapy 2013. [DOI: 10.4102/sajp.v69i4.375] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
Abstract
The Objective Structured Practical Examination (OSPE) format is used during practical examinations as part of the physiotherapy undergraduate curriculum at the University of the Witwatersrand. Various factors influence inter-examiner reliability and investigating the inter-examiner reliability when using the OSPE can lead to improvement of the examination process. The aim of this study was to establish inter-examiner reliability when using the OSPE mark sheet. Methods: Twelve examiners participated in this study. Thirty-three second year PT students were examined at six stations and by two examiners at each station. The Spearman’s correlation test was used to establish inter-examiner reliability. Results: The general inter-examiner reliability of the OSPE mark sheet was high. There was a high correlation between examiners who had the same level of experience (r=0.79 to r=0.93; p<0.001). The background knowledge section of the OSPE mark sheet showed the greatest inter-examiner reliability (r=0.75 to r=0.91; p<0.001). Discussion: In general, a high inter-examiner reliability was found. Examiners with the same level of experience seemed to generally have better inter-examiner reliability when using the OSPE mark sheet. Furthermore, a well-described, operationalised list of micro-skills also improved inter-examiner reliability. Conclusion: The OSPE mark sheet aids inter-examiner reliability. The use of this method of examination should be encouraged.
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van Bruggen-Rufi M, Roos R. Q18 Music therapy as a method to improve the quality of life of patients with Huntington's Disease: preliminary findings. J Neurol Psychiatry 2012. [DOI: 10.1136/jnnp-2012-303524.188] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Bouwens J, Hubers M, van der Mast R, Roos R, van Duijn E, Giltay E. F07 Cross-sectional and longitudinal associations between CRP and neuropsychiatric symptoms in HD. J Neurol Neurosurg Psychiatry 2012. [DOI: 10.1136/jnnp-2012-303524.72] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Frost C, Jones R, Labuschange I, Say M, Justo D, Coleman A, Dumas E, 't Hart E, Owen G, Durr A, Leavitt B, Roos R, O'Regan A, Tabrizi SJ, Stout JC. J03 The potential of a composite cognitive score for tracking progression in Huntington's disease. J Neurol Neurosurg Psychiatry 2012. [DOI: 10.1136/jnnp-2012-303524.113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Reedeker N, Bouwens J, Giltay E, van der Mast R, Roos R, van Duijn E. K04 Incidence and course of irritability in huntington's disease. J Neurol Psychiatry 2012. [DOI: 10.1136/jnnp-2012-303524.131] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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't Hart E, Marinus H, Burgunder JM, Bentivoglio AR, Craufurd D, Reilmann R, Saft C, Roos R. A06 Better global and cognitive functioning for choreatic compared to hypokinetic-rigid huntington's disease. J Neurol Neurosurg Psychiatry 2012. [DOI: 10.1136/jnnp-2012-303524.6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Hubers M, van Duijn E, Roos R, van der Mast R, Giltay E. K05 Suicidality in a European huntington's disease population. J Neurol Psychiatry 2012. [DOI: 10.1136/jnnp-2012-303524.132] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Borowsky B, Warner J, Matson W, Johnson H, Durr A, Roos R, Tabrizi SJ, Leavitt B, Becker C, Tobin A, Schulman H. F14 8OHdG is not a biomarker for Huntington's disease; lessons for future biomarker studies. J Neurol Neurosurg Psychiatry 2012. [DOI: 10.1136/jnnp-2012-303524.79] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Roos R, Van Aswegen H. Physiotherapy management of patients with coronary artery disease: a report on current practice in South Africa. South African Journal of Physiotherapy 2011. [DOI: 10.4102/sajp.v67i1.33] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
Abstract
Coronary artery disease (CAD) is a worldwide health problem with an increased prevalence in sub-Saharan Africa. Physiotherapists inter-nationally are involved in the care of these patients from the acute stage following a cardiac event until phase III cardiac rehabilitation is completed. The purpose of this study was to determine the current physiotherapy management of patients with CAD in South Africa. An observational cross-sectional study was conducted over two months with a questionnaire that was sent to the government and private health care sectors. Results showed that more cardiopulmonary physiotherapists provided care (62%) than those who didn’t (38%). Care was mostly provided in a hospital setting (81%) and out- patient phase III cardiac rehabilitation was lacking (11%). In-hospital physiotherapy treatment was mostly provided once daily. Deep breathing exercises (99%), circulatory exercises (95%) and manual chest clearance techniques (88%) were mostly used during physiotherapy. Evidence based practice was consistent regarding early mobilization but was inconsistent with regards to the use of manual chest clearance techniques.
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Schneiderman J, Van Aswegen H, Roos R. Toxic epidermal necrolysis and its impact on physiotherapy management: a case report. South African Journal of Physiotherapy 2010. [DOI: 10.4102/sajp.v66i2.65] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
Abstract
The purpose of this paper is to report on the modified physiotherapy intervention for toxic epidermal necrolysis (TEN) in a 31 year old pregnant human immunodeficiency virus (HIV) seropositive woman on antiretroviral therapy. Physiotherapy intervention consisted of nebulisation and the active cycle of breathing technique in order to clear secretions. To restore lung volumes, the active cycle of breath-ing technique was utilized in addition to positive expiratory pressure, incentive spirometry and positioning. Passive and active exercises and stretches were employed to maintain and regain range of motion in affected limbs. Following intervention, positive changes were noted in outcome measures such as secretion clearance, breath sounds and general function. It is concluded that physiotherapy intervention has a role to play in the rehabilitation of patients with TEN.
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Evans K, Vaccarino A, Craufurd D, Callaghan J, Durr A, Leavitt B, Roos R, Tabrizi S. Poster 9: The Short Version of the Problem Behaviours Assessment for HD (PBA-s): An Item Response Analysis Using Data from the TRACK-HD Study. Neurotherapeutics 2010. [DOI: 10.1016/j.nurt.2009.09.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Reilmann R, Roos R, Rosser A, Grimbergen Y, Kraus P, Craufurd D, Dose M, Weindl A, Howard E, Ecker D, Bohlen S, Burgunder JM, Lange HW, Landwehrmeyer GB. A teaching film, video library and online certification for the Unified Huntington's Disease Rating Scale Total Motor Score. Akt Neurol 2009. [DOI: 10.1055/s-0029-1238568] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Rohm S, Bechtel N, Beckmann H, Sturrock A, van den Bogaard S, Say M, Jauffret C, Mills JA, Archarya TP, Langbehn DR, Johnson H, Borowsky B, Durr A, Leavitt BR, Roos R, Stout JC, Tabrizi SJ, Landwehrmeyer B, Reilmann R. Sensitivity of gait analysis to detect motor phenotype in pre-manifest and manifest Huntington's disease – cross-sectional results from the TRACK-HD Study. Akt Neurol 2009. [DOI: 10.1055/s-0029-1238520] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Bechtel N, Jauffret C, Say M, Sturrock A, van den Bogaard S, Mills JA, Archarya TP, Langbehn DR, Johnson H, Borowsky B, Durr A, Leavitt B, Roos R, Stout JC, Tabrizi SJ, Landwehrmeyer B, Reilmann R. Finger tapping as an objective motor phenotype marker in pre-manifest and symptomatic Huntington's disease – cross-sectional results from the TRACK-HD Study. Akt Neurol 2009. [DOI: 10.1055/s-0029-1238474] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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van den Bogaard S, Bechtel N, Sturrock A, Jauffret C, Say M, Mills JA, Archarya TP, Langbehn DR, Johnson H, Borowsky B, Durr A, Leavitt BR, Roos R, Tabrizi SJ, Landwehrmeyer B, Reilmann R. On Chorea – quantitative and objective analysis – cross-sectional results of the TRACK-HD Study. Akt Neurol 2009. [DOI: 10.1055/s-0029-1238519] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Loibl J, Esser T, Hofacker NV, Roos R, Grab D. Pleuraerguß bei Down-Syndrom – ein „Soft Marker“? Z Geburtshilfe Neonatol 2009. [DOI: 10.1055/s-0029-1222764] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Christ S, Zikulnig E, Ovens-Raeder A, Kronawitter-Fesl M, Roos R, Grab D. Auftreten einer VACTERL-Assoziation bei zwei konsekutiven Schwangerschaften. Z Geburtshilfe Neonatol 2009. [DOI: 10.1055/s-0029-1223074] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Ensslen M, Ulmer J, Roos R. Parapneumonische Erguss- und Empyembildung im Kindesalter – Outcome unter konservativem Therapiemanagement. Klin Padiatr 2009. [DOI: 10.1055/s-0029-1214279] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Schmid L, Roos R. Laborchemischer Vergleich GBS-positiver Neugeborener mit Neugeborenen von Müttern mit GBS-unbekanntem oder -negativem Status. Klin Padiatr 2009. [DOI: 10.1055/s-0029-1214264] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Schmid L, Gehrmann A, Roos R. Jungen haben im Hochsommer ein erhöhtes Risiko an einer serösen Meningitis durch Enteroviren zu erkranken. Klin Padiatr 2009. [DOI: 10.1055/s-0029-1214346] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Roos R. Perinatale Infektionen. Z Geburtshilfe Neonatol 2008. [DOI: 10.1055/s-2008-1079066] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Roos R. Tipps und Tricks für die Erstversorgung im Kreißsaal. Z Geburtshilfe Neonatol 2008. [DOI: 10.1055/s-2008-1079072] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Keus S, Nijkrake M, Bloem B, Kwakkel G, Berendse H, Roos R, Borm G, Munneke M. 3.405 ParkNet implementation: Evaluation of health benefits. Parkinsonism Relat Disord 2007. [DOI: 10.1016/s1353-8020(08)70907-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Munneke M, Keus S, Nijkrake M, Kwakkel G, Berendse H, Roos R, Borm G, Bloem B. 3.404 ParkNet: A multifaceted strategy to implement practice guidelines for physiotherapy in Parkinson's disease. Parkinsonism Relat Disord 2007. [DOI: 10.1016/s1353-8020(08)70906-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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A'Campo L, Roos R, Spleithoff-Kamminga N. 3.425 Efficacy of the Patient Education Program Parkinson (PEPP). Parkinsonism Relat Disord 2007. [DOI: 10.1016/s1353-8020(08)70927-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Munneke M, Nijkrake M, Keus S, Bloem B, Kwakkel G, Berendse H, Roos R, Borm G. 3.406 A process evaluation of ParkNet implementation. Parkinsonism Relat Disord 2007. [DOI: 10.1016/s1353-8020(08)70908-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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