Prof. dr. Andrea Woltman will give her Inaugural lecture entitled “Fostering Flourishing” (Floreren (stimu)leren) in honor of her appointment as Professor Innovation of Health Professions Education on Friday the 27th of September 2024 at 4:00 pm. The lecture will be given in Dutch.
There will be a reception afterwards.
The inaugural lecture can also be viewed via a livestream : https://eur.cloud.panopto.eu/Panopto/Pages/Viewer.aspx?id=f0d05f94-2dd7-4719-8218-b1a40087ac42
De rede is ook te volgen via een livestream.
Link: https://eur.cloud.panopto.e
u/Panopto/Pages/Viewer.aspx?id=c11b80b4-9598-4203-bf04-b0a1009b2b25
Vrijdag 26 januari 2024 houdt Judith Rietjens om 15 uur in de aula van de TU Delft haar oratie met de titel: “The Person Formerly Known as Patient”. Dit is de officiële en openbare aanvaarding van haar leerstoel “Design for Public Health” in de afdeling Maatschappelijke Gezondheidszorg van het Erasmus MC, én de faculteit Industrieel Ontwerpen van de TU Delft.
Ze zal reflecteren op het “wicked problem” van de zorg die onvoldoende persoonsgericht is. Ze zal laten zien hoe ontwerpers en public health onderzoekers nieuwe richtingen kunnen aandragen om het tij te keren.
De oratie wordt gevolgd door een interactieve tentoonstelling die bezocht kan worden tijdens de receptie.
Inschrijven kan hier: https://www.aanmelder.nl/rietjens/subscribe
De rede is ook te volgen via een livestream.
Link: https://nmclive.tudelft.nl/Mediasite/Play/4abeb10ba4e84bc2b75f37fa22d4a0471d
picture: Geisje van der Linden.
Aneurysmal subarachnoid hemorrhage is a bleed into the subarachnoid space that surrounds the brain caused by the rupture of an intracranial aneurysm. Because aneurysmal subarachnoid hemorrhage affects relatively young patients, it disproportionately contributes to stroke-related loss of (productive) life. The cornerstone of treatment of aneurysmal subarachnoid hemorrhage is occlusion of the aneurysm, thereby preventing an aneurysmal rebleed. By and large, there are two approaches to aneurysm occlusion: neurosurgical clip-reconstruction and endovascular coiling. The choice between these approaches depends on multiple factors and is made multidisciplinary on a case-by-case basis.
This dissertation aims to explore and improve such decision-making processes. Firstly, by describing international practice variability of aneurysmal subarachnoid hemorrhage treatment and paving the way for conducting comparative effectiveness research on observational data (PART I). Secondly, by enabling individualized outcome prediction to tailor treatment to the individual instead of the group (PART II). Thirdly, by developing models to predict individualized treatment benefit of endovascular coiling versus neurosurgical clip-reconstruction in terms of functional outcome, durability of treatment, and quality-adjusted life expectancy (PART III).
The Case detection delay (CDD), as reflected by grade 2 disability (G2D), is still a problem in leprosy programs globally, including in Indonesia. Unfortunately, there is no clear information on duration delay and related factors to case detection delay. Also, Indonesia has no valid instruments to measure case detection delay. This thesis used a narrative systematic review method, an instrument validity and reliability test, and a community-based study to describe the duration of CDD and its related factors in Indonesia. According to systematic review results, the predominant factors associated with CDD are health-seeking behaviour, stigma, and misdiagnosis in individuals, communities, and healthcare factors, respectively. The validated CDD questionnaire in the Indonesian context is reliable and valid for measuring the duration of CDD of leprosy in Indonesia. The mean CDD is 13 months. The factors associated with CDD of leprosy in Indonesia are being younger of age, being male, not having a family member with leprosy, having inappropriate health-seeking behaviour, anticipated stigma of leprosy, and being found through passive case detection. It is recommended that an integrated leprosy intervention programme, combining active case detection with health education, be implemented to improve the early leprosy case detection program in Indonesia.
Providing care that aligns with patients’ values, wishes, and preferences, also during periods of incapacity, is the foundation of patient-centered care. However, patients’ values, wishes, and preferences are not always known by healthcare professionals and their family members. Asian cultural characteristics of collectiveness where one’s health and illness are a collective matter and care for an individual is viewed mainly as a family responsibility and social harmony is often valued over individual autonomy may influence advance care planning. Particularly, in Indonesia, where faith drives many aspects of life, including healthcare decision-making in the end of life, culturally sensitive advance care planning could facilitate individual’s engagement in it. This thesis describes how to approach advance are planning with consideration of cultural aspects in Asia and Indonesia. https://epubs.ogc.nl/?epub=d.martina&k=ab577757-ecc4-43d2-8cf2-5422643d0eae
Countries worldwide are faced with the major challenge to promote sustainable employability among vulnerable groups, such as persons with poor health, with lower socioeconomic positions, and those with unfavourable working conditions.
To promote sustainable employability among vulnerable groups, information is needed on the extent to which these groups are more likely to exit the labour market or to get precarious employment, the degree to which changes in employment status affect health, and whether workers’ health could be improved through the workplace.
This dissertation demonstrated that both selection and causation mechanisms explained inequalities in health and employment, and that improvements in working conditions as well as health promotion through the workplace could provide benefits to worker’s health in general and workers in lower socioeconomic positions in particular.
The research is valuable for both policy makers and practitioners because directions are provided on how to improve sustainable employability among vulnerable groups.
https://download.ogc.nl/epub/50b26546-fc4c-4d36-9b06-32e5224b849f/David%20van%20de%20Ven%20Proefschrift%20-%20Embargo%20v2.pdf
Cervical cancer is an important but largely preventable health problem. Vaccination for human papillomavirus (HPV) can prevent infections that cause the majority of cervical cancers, and organised screening can detect pre-invasive lesions so that they can be treated or detect cancer at an earlier stage to improve treatment options. The health policy cycle can be used to continuously improve the balance between harms, benefits and costs of cervical cancer prevention. In this thesis we focused on the first three steps of the health policy cycle: monitoring, evaluation and barriers. We monitored the current situation by performing a systematic literature review on the effect of cervical cancer screening on cervical cancer mortality and by comparing cancer risks after different test results. We evaluated the effects of the current situation and optimized strategies for the future by applying microsimulation models to quantify the effects of cervical cancer screening and HPV vaccination, taking into account existing barriers. These models were integrated in a user-friendly web-based evaluation tool for researchers and policymakers in the EU-TOPIA project (www.eu-topia.org).
https://download.ogc.nl/epub/21f2fe0a-3683-4d09-8371-2da260553d1b/Erik%20Jansen%20Thesis.pdf
In 2020, colorectal cancer was diagnosed in approximately 1.9 million persons worldwide and caused 900,000 deaths. Screening is proven to effectively reduce colorectal cancer- related mortality by detection in an early stage and removing pre-cursors of colorectal cancer (adenomas). Therefore, a population-based colorectal cancer screening programme was implemented in 2014 in the Netherlands, biennially inviting inhabitants between 55 to 75 for a stool-based screening test, called the faecal immunochemical test (FIT). Participants with positive FIT are referred for endoscopic examination of the colon (colonoscopy).
The benefits of screening ought to outweigh the harms. This thesis aims to evaluate the benefits (yield of screening) and harms (colonoscopy complications) of FIT-based colorectal cancer screening to provide further insights in how these aspects relate to each other and how a disbalance between them can be corrected.