Dutch Oncology COVID-19 consortium:Outcome of COVID-19 in patients with cancer in a nationwide cohort study

Aim of the study: Patients with cancer might have an increased risk for severe outcome of coronavirus disease 2019 (COVID-19). To identify risk factors associated with a worse outcome of COVID-19, a nationwide registry was developed for patients with cancer and COVID-19. Methods: This observational cohort study has been designed as a quality of care registry and is executed by the Dutch Oncology COVID-19 Consortium (DOCC), a nationwide collaboration of oncology physicians in the Netherlands. A questionnaire has been developed to collect pseudonymised patient data on patients' characteristics, cancer diagnosis and treatment. All patients with COVID-19 and a cancer diagnosis or treatment in the past 5 years are eligible. Results: Between March 27th and May 4th, 442 patients were registered. For this first analysis, 351 patients were included of whom 114 patients died. In multivariable analyses, age ≥65 years (p < 0.001), male gender (p = 0.035), prior or other malignancy (p = 0.045) and active diagnosis of haematological malignancy (p = 0.046) or lung cancer (p = 0.003) were independent risk factors for a fatal outcome of COVID-19. In a subgroup analysis of patients with active malignancy, the risk for a fatal outcome was mainly determined by tumour type (haematological malignancy or lung cancer) and age (≥65 years). Conclusion: The findings in this registry indicate that patients with a haematological malignancy or lung cancer have an increased risk of a worse outcome of COVID-19. During the ongoing COVID-19 pandemic, these vulnerable patients should avoid exposure to severe acute respiratory syndrome coronavirus 2, whereas treatment adjustments and prioritising vaccination, when available, should also be considered

Household Food Waste—How to Avoid It? An Integrative Review

Behavioural change interventions directed at consumers have a great potential to reduce overall food waste levels. Van Geffen, van Herpen and van Trijp provide an overview of the literature on drivers of in-home food waste and translate them into guidelines for effective intervention development. They make a clear distinction between interventions that encourage goal setting to reduce food waste and interventions that encourage goal striving, to allow for the best intervention selection. They argue that consumers are best served by interventions that enable alignment between multiple food-related goals with food waste prevention, as this normative goal is difficult to act upon when hedonic and gain goals are also activated.<br/

Causes & Determinants of Consumers Food Waste. : Project Report, EU Horizon 2020 REFRESH

Consumer food waste is not the consequence of discarding waste, but of the accumulation of behaviours performed earlier in time. This report describes and interlinks the behaviours leading to waste and the factors influencing them. This report has integrated prior research into one theoretical framework in which the focus lies on the motivation, the abilities and the opportunities of consumers to prevent food waste while managing their household

Applying Behaviour Change Methods to Food Waste

Similar to all human behaviours, food management behaviours are very complex with many external and internal influences. Knowledge of these influences is critical to develop effective interventions to minimize household food waste. This chapter explains two psycho-social models that can help understand householders’ wasteful food behaviours, and guide interventions to promote more desirable food behaviours – The Motivation, Ability and Opportunity Model (MOA) and the Transtheoretical Model (TTM). The MOA identifies people’s limitations to perform more desirable behaviours. It explains that behaviours are only performed when they are in the households’ self-interest, and if people have the abilities and opportunities to perform them. The TTM is based on several psychological behaviour change theories and identifies where people sit in various ‘stages of change’ (from not contemplating any change, to achieving a change and performing a new desirable behaviour). The TTM can also identify what people see as the costs and benefits of making a behaviour change, as well as explaining several psycho-social processes that need to be operating for a change to occur

How do people with weak and strong pro-environmental worldviews process visual climate change information? An EEG study / ¿Cómo procesan la información visual relacionada con el cambio climático las personas con una visión del mundo ambiental arraigada o sin ella? Un estudio con EEG

In a pioneering work, this study explores the potential that may befound in combining the environmental psychological concept environmentalworldview with the neurocognitive study technique electroencephalography(EEG). With this research, we aim to bridge between the research traditions ofenvironmental communication and neuro-cognition by investigating in anqEEG experiment (N = 19) if different levels of environmental worldview,measured by the NEP, influence the processing of visual climate changeimagery, reflected by the theta and gamma oscillations in the frontal andparietal areas. Our results confirm the assumptions that there is a relationshipbetween the degree of environmental worldview and visual environmentalcommunication processing. The pattern is interpreted as an indication thatpeople with weak pro-environmental worldviews show cognitive signs ofmismatch between what is in line with their environmental worldview andwhat they are confronted with in the visual stimulus.Keywords: environmental communication; EEG; information processing;climate change imageryEn un estudio pionero, este artículo explora el potencial que puedeencontrarse en la combinación del concepto de psicología ambiental visióndel mundo ambiental con la técnica neurocognitiva de estudio del electroencefalograma(EEG). Con esta investigación pretendemos enlazar las tradicionesde investigación de la comunicación ambiental y la neurocognición,estudiando a través de un experimento qEEG (N = 19) si diferentes niveles dela visión del mundo ambiental, medidos a través del nuevo paradigmaambiental (NPA), influyen en el procesamiento de imágenes sobre el cambioclimático, y su reflejo en las oscilaciones theta y gamma de las áreas frontal y parietal. Nuestros resultados confirman la hipótesis de que existe una relaciónentre el grado de filiación a la visión del mundo ambiental y el procesamientovisual de información ambiental. Este patrón se interpreta como un indicio deque las personas con un nivel bajo de visión del mundo pro-ambientalmuestran signos cognitivos de desajuste entre lo que coincide con su visióndel mundo ambiental y aquello que los estímulos visuales representan.<br/

Transport of the patient with trauma: a narrative review

Trauma and injury place a significant burden on healthcare systems. In most high-income countries, well-developed acute pre-hospital and trauma care systems have been established. In Europe, mobile physician-staffed medical teams are available for the most severely injured patients and apply a wide variety of lifesaving interventions at the same time as ensuring patient comfort. In trauma systems providing pre-hospital care, medical interventions are performed earlier in the patient journey and do not affect time to definite care. The mode of transport from the accident scene depends on the organisation of the healthcare system and the level of hospital care to which the patient is transported. This varies from 'scoop and run' to a basic community care setting, to advanced helicopter emergency medical service transport to a level 4 trauma centre. Secondary transport of trauma patients to a higher level of care should be avoided and may lead to a delay in definitive care. Critically injured patients must be accompanied by at least two healthcare professionals, one of whom must be skilled in cardiopulmonary resuscitation and advanced airway management techniques. Ideally, the standard of care provided during transport, including the level of monitoring, should mirror hospital care. Pre-hospital care focuses on the critical care patient, but the majority of injured patients need only close observation and pain management during transport. Providing comfort and preventing additional injury is the responsibility of the whole transport team