RELEASE-HF study:a protocol for an observational, registry-based study on the effectiveness of telemedicine in heart failure in the Netherlands

Introduction:Meta-analyses show postive effects of telemedicine in heart failure (HF) management on hospitalisation, mortality and costs. However, these effects are heterogeneous due to variation in the included HF population, the telemedicine components and the quality of the comparator usual care. Still, telemedicine is gaining acceptance in HF management. The current nationwide study aims to identify (1) in which subgroup(s) of patients with HF telemedicine is (cost-)effective and (2) which components of telemedicine are most (cost-) effective. Methods and analysis:The RELEASE-HF ('REsponsible roLl-out of E-heAlth through Systematic Evaluation -Heart Failure') study is a multicentre, observational, registry-based cohort study that plans to enrol 6480 patients with HF using data from the HF registry facilitated by the Netherlands Heart Registration. Collected data include patient characteristics, treatment information and clinical outcomes, and are measured at HF diagnosis and at 6 and 12 months afterwards. The components of telemedicine are described at the hospital level based on closed-ended interviews with clinicians and at the patient level based on additional data extracted from electronic health records and telemedicine-generated data. The costs of telemedicine are calculated using registration data and interviews with clinicians and finance department staff. To overcome missing data, additional national databases will be linked to the HF registry if feasible. Heterogeneity of the effects of offering telemedicine compared with not offering on days alive without unplanned hospitalisations in 1 year is assessed across predefined patient characteristics using exploratory stratified analyses. The effects of telemedicine components are assessed by fitting separate models for component contrasts. Ethics and dissemination:The study has been approved by the Medical Ethics Committee 2021 of the University Medical Center Utrecht (the Netherlands). Results will be published in peer-reviewed journals and presented at (inter)national conferences. Effective telemedicine scenarios will be proposed among hospitals throughout the country and abroad, if applicable and feasible.</p

RELEASE-HF study:a protocol for an observational, registry-based study on the effectiveness of telemedicine in heart failure in the Netherlands

Introduction:Meta-analyses show postive effects of telemedicine in heart failure (HF) management on hospitalisation, mortality and costs. However, these effects are heterogeneous due to variation in the included HF population, the telemedicine components and the quality of the comparator usual care. Still, telemedicine is gaining acceptance in HF management. The current nationwide study aims to identify (1) in which subgroup(s) of patients with HF telemedicine is (cost-)effective and (2) which components of telemedicine are most (cost-) effective. Methods and analysis:The RELEASE-HF ('REsponsible roLl-out of E-heAlth through Systematic Evaluation -Heart Failure') study is a multicentre, observational, registry-based cohort study that plans to enrol 6480 patients with HF using data from the HF registry facilitated by the Netherlands Heart Registration. Collected data include patient characteristics, treatment information and clinical outcomes, and are measured at HF diagnosis and at 6 and 12 months afterwards. The components of telemedicine are described at the hospital level based on closed-ended interviews with clinicians and at the patient level based on additional data extracted from electronic health records and telemedicine-generated data. The costs of telemedicine are calculated using registration data and interviews with clinicians and finance department staff. To overcome missing data, additional national databases will be linked to the HF registry if feasible. Heterogeneity of the effects of offering telemedicine compared with not offering on days alive without unplanned hospitalisations in 1 year is assessed across predefined patient characteristics using exploratory stratified analyses. The effects of telemedicine components are assessed by fitting separate models for component contrasts. Ethics and dissemination:The study has been approved by the Medical Ethics Committee 2021 of the University Medical Center Utrecht (the Netherlands). Results will be published in peer-reviewed journals and presented at (inter)national conferences. Effective telemedicine scenarios will be proposed among hospitals throughout the country and abroad, if applicable and feasible.</p

Search for resonant Bhabha scattering around an invariant mass of 1.8 MeV

A search was made for resonant Bhabha scattering of positrons on atomic electrons using two Mini-Orange spectrometers and relatively thick targets of low Z. No resonances were found within (trre~ F) limits of -~20 to 40 barn eV for lifetimes in the 10- ~o_ 10- ~ 2 s range of an intermediate particle propagating freely in the target material

Home and away: constructing family and childhood in the context of working parenthood

Little is known about children's views and experiences of their parents’ work−life reconciliation and how these are negotiated in everyday family practices. This article examines families' experiences of work−life reconciliation from both children's and parents' perspectives, drawing on a qualitative longitudinal study with 14 families in Scotland. Such experiences have implications for the spatial and temporal construction of family and childhood in the UK, where working parenthood is increasingly the norm

"You Try to Be Superman and You Don't Have to Be": Gay Adoptive Fathers' Challenges and Tensions in Balancing Work and Family

A body of literature has emerged that focuses on work-family balance among heterosexual fathers. Little attention has been paid to how gay fathers balance work and family, despite the reality that they too are likely affected by similar masculine norms. The current qualitative study of 70 gay adoptive fathers (35 couples) begins to fill this gap in the literature. Analyzing interview data through the lens of Voydanoff\u27s (2005) work-family fit and balance model, we examine the ways in which gay men\u27s experiences of work-family balance are both constrained and enhanced by particular demands and resources. Highlighting the role of gender and sexual orientation, we analyze the challenges these men face and the strategies they use to cope with work-family tensions. © 2012 by the Men\u27s Studies Press, LLC. All rights reserved