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Browsing Han Publications by Author "Engelen, M.M."
Now showing items 1-11 of 11
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Lessons learned from patients with spinal cord injury in managing pressure ulcers: A qualitative study 2022, Article / Letter to editor (Journal of Tissue Viability, (2022)) -
Early Signs of Impaired Gut Function Affect Daily Functioning in Patients With Advanced Cancer Undergoing Chemotherapy 2021, Article / Letter to editor (Jpen, Journal of Parenteral and Enteral Nutrition, vol. 45, iss. 4, (2021), pp. 752-760)Background Gastrointestinal symptoms are common during chemotherapy, but underlying disturbances in gut function and their impact on daily life are unclear. This study investigates gut function in a heterogenous group of cancer patients with gastrointestinal symptoms during chemotherapy and its relation to anabolic response, muscle health, and daily functioning. Methods In 16 patients with solid tumors (mostly stage III+IV) undergoing chemotherapy (T) and 16 healthy (H) matched controls, small-intestinal membrane integrity was measured by urine sugar tests. Protein digestion, absorption, and anabolic response to a conventional protein supplement were analyzed by stable-tracer methods. Muscle mass and strength and daily functioning were assessed. Results Eighty-one percent of T patients reported gastrointestinal symptoms. Small-intestinal membrane permeability was similar, but active glucose transport was lower in the T group (T, 35.5% +/- 3.4% vs H, 48.4% +/- 4.7%; P = .03). Protein digestion and absorption tended to be lower in the T group (0.67 +/- 0.02 vs 0.80 +/- 0.04; P = .08). Net protein anabolic response to feeding was comparable, although lower in cancer patients with recent weight loss. Gut permeability negatively correlated to hand grip strength, global health, and physical functioning, and active-transport capacity positively correlated to global health in the T group. Conclusion Advanced cancer patients with gastrointestinal symptoms during chemotherapy, particularly those with recent weight loss, show signs of impaired gut function negatively affecting muscle health, daily functioning, and anabolic response to feeding.
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De herziene richtlijn decubitus 2021, Article / Letter to editor (TVZ : verpleegkunde in praktijk en wetenschap, vol. 131(4), (2021), pp. 18-21)
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The content and effectiveness of self-management support interventions for people at risk of pressure ulcers: A systematic review 2021, Article / Letter to editor (International Journal of Nursing Studies, vol. 122, 10401, (2021))
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Nieuwe richtlijn Decubitus; van knelpunt tot implementatie 2021, Article / Letter to editor (Wcs Nieuws, vol. 37(2):p5, (2021))
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Evaluation of a Web-Based Self-Management Program for Patients With Cardiovascular Disease: Explorative Randomized Controlled Trial Engelen, M.M. ; Dulmen, S. van ; Gaal, B.G.I. van ; Nijhuis, R ; Vermeulen, H. ; Puijk-Hekman, S. ; Bredie, S.J.H.2020, Article / Letter to editor (Journal of Medical Internet Research, (2020)) -
Sexual Health Communication Between Healthcare Professionals and Adolescents with Chronic Conditions in Western Countries: An Integrative Review 2020, Article / Letter to editor (SEXUALITY AND DISABILITY, vol. 38, iss. 2, (2020), pp. 191-216)Adolescent patients and healthcare professionals find it difficult to initiate the discussion on sexual health in consultations. The aim of this integrative review is to give an overview of determinants in the communication about sexual health between adolescents with chronic conditions, their parents, and their healthcare professionals. A systematic literature search for the period of January 2000 to October 2018 was conducted in four databases (Cinahl, Cochrane, PsycINFO, and Pubmed) and resulted in fifteen included studies. Four determinants were found in these studies: attitude, beliefs, knowledge, and self-efficacy. Patients, parents, and healthcare professionals experienced sexual health as a taboo topic and felt not comfortable talking about it. Both patients and professionals expressed a need to discuss sexual health, however personal and practical barriers withhold them from initiating the discussion. This in-depth overview suggests that all four determinants should be targeted to improve communication about sexual health in healthcare settings. Future research should be conducted to give more insight in the experiences and support needs of adolescent patients. On the long term, the discussion about sexual health should become normalized by improving knowledge, training, and support for healthcare professionals and integrating sexual health in education and hospital policies.
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Self-management support in cardiovascular consultations by advanced practice nurses trained in motivational interviewing: An observational study Engelen, M.M. ; Dulmen, S. van ; Nijhuis-van der Sanden, M.W.G. ; Adriaansen, M.J.M. ; Vermeulen, H. ; Bredie, S.J.H. ; Gaal, B.G.I. van2019, Article / Letter to editor (Patient Education and Counseling, vol. 103, iss. 1, (2019), pp. 159-164)
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Definition of Health 2.0 and Medicine 2.0 : A systematic review 2010, Article / Letter to editor (Journal of Medical Internet Research, vol. 12, iss. 2, (2010), pp. e18)During the last decade, the Internet has become increasingly popular and is now an important part of our daily life. When new "Web 2.0" technologies are used in health care, the terms "Health 2.0" or "Medicine 2.0" may be used. The objective was to identify unique definitions of Health 2.0/Medicine 2.0 and recurrent topics within the definitions. A systematic literature review of electronic databases (PubMed, Scopus, CINAHL) and gray literature on the Internet using the search engines Google, Bing, and Yahoo was performed to find unique definitions of Health 2.0/Medicine 2.0. We assessed all literature, extracted unique definitions, and selected recurrent topics by using the constant comparison method.
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De ontwikkeling van een minor High Care 2009, Article / Letter to editor (TVZ : verpleegkunde in praktijk en wetenschap, vol. 2009, iss. 11/12, (2009), pp. 20-21)Een aantal HBO-V-studenten wil na hun afstuderen binnen de hoogcomplexe acute zorg aan de slag. Dat dit tot de mogelijkheden behoort, blijkt uit de ervaringen met de minor High Care aan de HBO-V van de Hogeschool van Arnhem en Nijmegen.
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Dysphagia is present but mild in myotonic dystrophy type 2 2009, Article / Letter to editor (Neuromuscular Disorders, vol. 19, iss. 3, (2009), pp. 196-198)The phenotype of myotonic dystrophy type 2 (DM2) shows similarities as well as differences to that of myotonic dystrophy type 1 (DM1). Dysphagia, a predominant feature in DM1, has not yet been examined in DM2. In a recent nationwide questionnaire survey of gastrointestinal symptoms in DM2, 12 out of 29 DM2 patients reported to have difficulty in swallowing for solid food. The aim of the study was to investigate the presence of dysphagia in patients with genetically proven DM2 who reported difficulty in swallowing for solid food at the questionnaire survey. Swallowing function and fiberoptic endoscopic evaluation of swallowing (FEES) were examined by a speech therapist and otorhinolaryngologist, respectively. In DM2 patients who reported difficulty in swallowing the presence of dysphagia could be confirmed (clinically in 100%, by FEES in 88%). A correlation exists between Dysphagia Outcome and Severity Score (DOSS) and age (p = 0.05). None of the patients was underweight, and none of the patients had suffered aspiration pneumonia in the past. Dysphagia is present among DM2 patients and is more severe in older patients. However, dysphagia is generally mild, and do not lead to weight loss, or aspiration pneumonia.
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