A search for transiting planets in the β\beta Pictoris system

The bright $(V=3.86)$ star $\beta$ Pictoris is a nearby young star with a debris disk and gas giant exoplanet, $\beta$ Pictoris b, in a multi-decade orbit around it. Both the planet's orbit and disk are almost edge-on to our line of sight. We carry out a search for any transiting planets in the $\beta$ Pictoris system with orbits of less than 30 days that are coplanar with the planet $\beta$ Pictoris b. We search for a planetary transit using data from the BRITE-Constellation nanosatellite BRITE-Heweliusz, analyzing the photometry using the Box-Fitting Least Squares Algorithm (BLS). The sensitivity of the method is verified by injection of artificial planetary transit signals using the Bad-Ass Transit Model cAlculatioN (BATMAN) code. No planet was found in the BRITE-Constellation data set. We rule out planets larger than 0.6 $\mathrm{R_J}$ for periods of less than 5 days, larger than 0.75 $\mathrm{R_J}$ for periods of less than 10 days, and larger than 1.05 $\mathrm{R_J}$ for periods of less than 20 days.Comment: 6 pages, 6 figures, 3 tables. Accepted for publication in A&

Wearable sensor monitoring in hospital care

Contains fulltext : 202630.pdf (publisher's version ) (Open Access)Radboud University, 22 mei 2019Promotor : Goor, H. van Co-promotores : Belt, T.H. van de, Bredie, S.J.H

A New Cuffless Device for Measuring Blood Pressure: A Real-Life Validation Study

Contains fulltext : 165696.pdf (publisher's version ) (Open Access)BACKGROUND: Cuffless blood pressure (BP) monitoring devices, based on pulse transit time, are being developed as an easy-to-use, more convenient, fast, and relatively cheap alternative to conventional BP measuring devices based on cuff occlusion. Thereby they may provide a great alternative to BP self-measurement. OBJECTIVE: The objective of our study was to evaluate the performance of the first release of the Checkme Health Monitor (Viatom Technology), a cuffless BP monitor, in a real-life setting. Furthermore, we wanted to investigate whether the posture of the volunteer and the position of the device relative to the heart level would influence its outcomes. METHODS: Study volunteers fell into 3 BP ranges: high (>160 mmHg), normal (130-160 mmHg), and low (5 mmHg in 17 of 37 volunteers (46%), of whom 9 of 37 (24%) had a difference >10 mmHg and 5 of 37 (14%) had a difference >15 mmHg. CONCLUSIONS: BP obtained with Checkme correlated well with RM BP, particularly in the position (supine) in which the device was calibrated. These preliminary results are promising for conducting further research on cuffless BP measurement in the clinical and outpatient settings

Factors influencing the decision to pursue immediate breast reconstruction after mastectomy for breast cancer

BACKGROUND: Immediate breast reconstruction (IBR) after mastectomy has shown to be oncologically safe and to improve quality of life in breast cancer patients. However, most women undergoing mastectomy do not undergo IBR. In this study, we aim to identify breast surgeon-related factors in considering IBR and factors affecting patients' decision to choose for IBR. METHODS: Retrospective analysis of the records of breast cancer patients who underwent mastectomy with or without IBR between 2010 and 2013. We documented all information whether or not a patient underwent IBR after mastectomy. RESULTS: Of 437 patients, 97 (22.2%) underwent IBR, 89.8% of which received tissue expanders. Patient who did not undergo IBR had a higher age (62.2 versus 51.9 years, P<0.001) and higher body mass index (BMI) (27.0 versus 24.3, P<0.001). Hundred three patients declined IBR, mainly because considering reconstruction as too much trouble. In 128 cases the breast surgeon did not offer IBR, mostly because of the predicted need for post mastectomy radiation. Approximately 11% of the patients were not informed about IBR. CONCLUSIONS: Anticipated radiation therapy, higher age and higher BMI were important breast surgeon-related factors in refraining from IBR. Almost one third of all patients declined IBR. In almost 10% of all patients, IBR was not discussed

Wireless and continuous monitoring of vital signs in patients at the general ward

Contains fulltext : 202173.pdf (publisher's version ) (Closed access

Integrating technical and non-technical skills coaching in an acute trauma surgery team training: Is it too much?

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Continuous Monitoring of Vital Signs in the General Ward Using Wearable Devices: Randomized Controlled Trial

Contains fulltext : 220052.pdf (publisher's version ) (Open Access

Exploring barriers to physical activity of patients at the internal medicine and surgical wards: a retrospective analysis of continuously collected data.

PURPOSE: To analyse physical activity of patients during their hospital stay and to explore the relationship between physical activity and barriers to physical activity. METHODS: This was a secondary analysis of physical activity data for patients admitted to the internal medicine and surgical wards. Physical activity data, collected with a wireless patch sensor, was operationalized as time spent lying, sitting/standing, and walking. Barriers to physical activity included patients' pain levels, the use of urinary catheters, intravenous tubing, oxygen lines, drains, and level of dependence. Regression analysis explored the relationship between physical activity and barriers to physical activity. RESULTS: Physical activity data were collected in 39 patients (aged 27-88, mean 54 years) during hospital stay. Patients were admitted for a median of 10 d (interquartile range [IQR]: 7-15 d). These patients were lying for a median of 12.1 h (7.6-17.7), sitting/standing 11.8 h (6.3-15.7), and walking 0.1 h (0-0.3) per day. Time lying during the day related to pain levels (β = 0.4 h per unit increase in pain, p < 0.01) and drain use (β = 3.1 h, p < 0.01). CONCLUSIONS: Patients spent the most time during the hospital stay lying in bed. Improved pain management and decreased drain use may be worth exploring to increase inpatient physical activity.Implications for rehabilitationContinuous monitoring of physical activity in patients during hospital stay is an important tool for health care professionals to improve multidisciplinary care and rehabilitation.Health care professionals should be aware of the necessity of adequate pain management and critically review the use of drains in order to improve physical activity of patients during hospital stay.Patients need extra support of health care professionals to increase physical activity during consecutive days of their hospital stay