Bij kanker zit ook partner in emotionele achtbaan

Hoe gaat het nou met jou? Partners van kankerpatiënten krijgen die vraag maar zelden te horen. En druk als ze zijn met de zorg voor de zieke, stellen ze hem zelf ook niet gauw. Psychische en fysieke klachten kunnen zich zo gemakkelijk opstapelen. Met de online zelfhulpcursus ‘Houvast, voor elkaar’ wil UT-promovenda Nadine Köhle hen helpen in balans te blijven

Eye movements explain decodability during perception and cued attention in MEG

Contains fulltext : 202750.pdf (publisher's version ) (Open Access)Eye movements are an integral part of human perception, but can induce artifacts in many magneto-encephalography (MEG) and electroencephalography (EEG) studies. For this reason, investigators try to minimize eye movements and remove these artifacts from their data using different techniques. When these artifacts are not purely random, but consistent regarding certain stimuli or conditions, the possibility arises that eye movements are actually inducing effects in the MEG signal. It remains unclear how much of an influence eye movements can have on observed effects in MEG, since most MEG studies lack a control analysis to verify whether an effect found in the MEG signal is induced by eye movements. Here, we find that we can decode stimulus location from eye movements in two different stages of a working memory match-to-sample task that encompass different areas of research typically done with MEG. This means that the observed MEG effect might be (partly) due to eye movements instead of any true neural correlate. We suggest how to check for eye movement effects in the data and make suggestions on how to minimize eye movement artifacts from occurring in the first place.10 p

Considerations for Post-processing Parameters in Mixed-Method 3D Analyses: A Mesolithic Mandibular Case Study

The production of three-dimensional (3D) digital meshes of surface and computed tomographic (CT) data has become widespread in morphometric analyses of anthropological and archaeological data. Given that processing methods are not standardized, this leaves questions regarding the comparability of processed and digitally curated 3D datasets. The goal of this study was to identify those processing parameters that result in the most consistent fit between CT-derived meshes and a 3D surface model of the same human mandible. Eight meshes, each using unique thresholding and smoothing parameters, were compared to assess whole-object deviations, deviations along curves, and deviations between specific anatomical features on the surface model when compared with the CT scans using a suite of comparison points. Based on calculated gap distances, the mesh that thresholded at “0” with an applied smoothing technique was found to deviate least from the surface model, although it is not the most biologically accurate. Results have implications for aggregated studies that employ multimodal 3D datasets, and caution is recommended for studies that enlist 3D data from websites and digital repositories, particularly if processing parameters are unknown or derived for studies with different research foci. La producción de mallas digitales tridimensionales (3D) de superficie e información tomográfica computarizada (TC) se ha generalizado en los analisis morfométricos de datos antropológicos y arqueológicos. Dado que los métodos de procesamiento no están estandarizados quedan dudas sobre la comparabilidad de conjuntos de datos 3D procesados y curados digitalmente. El objetivo de este estudio fue identificar los parámetros de procesamiento que tienen la compatibilidad más consistente entre mallas derivadas de TC y un modelo de superficie 3D de la misma mandibula humana. Fueron comparadas ocho mallas cada una con parámetros únicos de umbralización y suavizado, para evaluar las desviaciones de todo el objeto, las desviaciones a lo largo de las curvas y las desviaciones entre características anatómicas específicas en el modelo de superficie, en comparación con cada una de las tomografías computarizadas utilizando un conjunto de puntos de comparación. Con base en las distancias de separación calculadas, aunque no las más precisas desde el punto de vista biológico, se encontró que la malla con umbral en “0” con una técnica de suavizado aplicada se desvía menos de la superficie modelo. Los resultados tienen implicaciones para los estudios agregados que emplean conjuntos de datos 3D multimodales y se recomienda precaución para los estudios que incluyen datos 3D de sitios web y repositorios digitales, especialmente si los parámetros de procesamiento son desconocidos o derivados de estudios con diferentes focos de investigación

Magnesium Chloride as a Leaching and Aragonite-promoting Self-regenerative Additive for the Mineral Carbonation of Calcium-rich Materials

Two approaches for the intensification of the mineral carbonation reaction are combined and studied in this work, namely: (i) the calcium leaching and aragonite promoting effects of magnesium chloride (MgCl2), and (ii) the passivating layer abrasion effect of sonication. The alkaline materials subjected to leaching and carbonation tests included lime, wollastonite, steel slags, and air pollution control (APC) residue. Batch leaching tests were conducted with varying concentrations of additives to determine extraction efficiency, and with varying solids-to-liquid ratios to determine solubility limitations. Aqueous mineral carbonation tests, with and without the use of ultrasound, were conducted applying varying concentrations of magnesium chloride and varying durations to assess CO2 uptake improvement and characterize the formed carbonate phases. The leaching of calcium from lime with the use of MgCl2 was found to be atomefficient (1 mol Ca extracted for every mole Mg added), but the extraction efficiency from slags and APC residue was limited to 26–35 % due to mineralogical and microstructural constraints. The addition of MgCl2 notably improved argon oxygen decarburization (AOD) slag carbonation extent under sonication, where higher additive dosage resulted in higher CO2 uptake. Without ultrasound, however, carbonation extent was reduced with MgCl2 addition. The benefit of MgCl2 under sonication can be linked to the preferential formation of aragonite (85 wt% of formed carbonates), which precipitates on the slag particles in the form of acicular crystals with low packing density, thus becoming more susceptible to the surface erosion effect of sonication, as evidenced by the significantly reduced carbonated slag particle size

Predicting CYP3A-mediated midazolam metabolism in critically ill neonates, infants, children and adults with inflammation and organ failure.

Aims: Inflammation and organ failure have been reported to have an impact on cytochrome P450 (CYP) 3A-mediated clearance of midazolam in critically ill children. Our aim was to evaluate a previously developed population pharmacokinetic model both in critically ill children and other populations, in order to allow the model to be used to guide dosing in clinical practice. Methods: The model was evaluated externally in 136 individuals, including (pre)term neonates, infants, children and adults (body weight 0.77–90 kg, C-reactive protein level 0.1–341 mg l–1 and 0–4 failing organs) using graphical and numerical diagnostics. Results: The pharmacokinetic model predicted midazolam clearance and plasma concentrations without bias in postoperative or critically ill paediatric patients and term neonates [median prediction error (MPE) 180%). Conclusion: The recently published pharmacokinetic model for midazolam, quantifying the influence of maturation, inflammation and organ failure in children, yields unbiased clearance predictions and can therefore be used for dosing instructions in term neonates, children and adults with varying levels of critical illness, including healthy adults, but not for extrapolation to preterm neonates

Predicting CYP3A-mediated midazolam metabolism in critically ill neonates, infants, children and adults with inflammation and organ failure

Aims: Inflammation and organ failure have been reported to have an impact on cytochrome P450 (CYP) 3A-mediated clearance of midazolam in critically ill children. Our aim was to evaluate a previously developed population pharmacokinetic model both in critically ill children and other populations, in order to allow the model to be used to guide dosing in clinical practice. Methods: The model was evaluated externally in 136 individuals, including (pre)term neonates, infants, children and adults (body weight 0.77-90 kg, C-reactive protein level 0.1-341 mg l-1 and 0-4 failing organs) using graphical and numerical diagnostics. Results: The pharmacokinetic model predicted midazolam clearance and plasma concentrations without bias in postoperative or critically ill paediatric patients and term neonates [median prediction error (MPE) 180%). Conclusion: The recently published pharmacokinetic model for midazolam, quantifying the influence of maturation, inflammation and organ failure in children, yields unbiased clearance predictions and can therefore be used for dosing instructions in term neonates, children and adults with varying levels of critical illness, including healthy adults, but not for extrapolation to preterm neonates

Learners in a Changing Learning Landscape: Reflections from an Instructional Design Perspective

Van Merriënboer, J. J. G., & Stoyanov, S. (2008). Learners in a changing learning landscape: Reflections from an instructional design perspective. In J. Visser & M. Visser-Valfrey (Eds.), Learners in a changing learning landscape: Reflections from a dialogue on new roles and expectations (pp. 69-90). Dordrecht, The Netherlands: Springer.Both learners and teachers find themselves in a learning landscape that is rapidly changing, along with fast societal and technological developments. This paper discusses the new learning landscape from an instructional design perspective. First, with regard to what is learned, people more than ever need flexible problem-solving and reasoning skills allowing them to deal with new, unfamiliar problem situations in their professional and everyday life. Second, with regard to the context in which learning takes place, learning in technology-rich, informal and professional 24/7 settings is becoming general practice. And third, with regard to the learners themselves, they can more often be characterized as lifelong learners who are mature, bring relevant prior knowledge, and have very heterogeneous expectations and perceptions of learning. High-quality instructional design research should focus on the question which instructional methods and media-method combinations are effective, efficient and appealing in this new learning landscape. Some innovative instructional methods that meet this requirement are discussed

Exploring the Relationship between Noise Sensitivity, Annoyance and Health-Related Quality of Life in a Sample of Adults Exposed to Environmental Noise

The relationship between environmental noise and health is poorly understood but of fundamental importance to public health. This study estimated the relationship between noise sensitivity, noise annoyance and health-related quality of life in a sample of adults residing close to the Auckland International Airport, New Zealand. A small sample (n = 105) completed surveys measuring noise sensitivity, noise annoyance, and quality of life. Noise sensitivity was associated with health-related quality of life; annoyance and sleep disturbance mediated the effects of noise sensitivity on health