Vrest’s Post

🌐✨ 𝗘𝘅𝗰𝗶𝘁𝗶𝗻𝗴 𝗥𝗲𝘀𝗲𝗮𝗿𝗰𝗵 𝗮𝘁 𝘁𝗵𝗲 𝗨𝗻𝗶𝘃𝗲𝗿𝘀𝗶𝘁𝘆 𝗼𝗳 𝗧𝘄𝗲𝗻𝘁𝗲 A fascinating study by researcher Anique Bellos-Grob and her team aims to address a distressing medical condition using a unique approach. An innovative investigation into faecal incontinence involves 15 brave women participating in a groundbreaking experiment using mashed potatoes! 🥔👩🔬 Bellos, an assistant professor at the TechMed Centre - University of Twente is optimistic about finding motivated volunteers. The study focuses on involuntary bowel leakage, a debilitating condition affecting many women, especially post-childbirth. In collaboration with hospitals Medisch Spectrum Twente and ZGT, the team received funding from the #PIHC to explore new solutions for cases where traditional surgery falls short. The experimental procedure involves introducing mashed potatoes via the anus during an MRI scan to gain insights into the effectiveness of previous surgeries. The goal? To enhance surgical outcomes and relieve those suffering from this challenging condition. Read more below (Dutch) by Josien Kodde in De Twentsche Courant Tubantia. #SMEAR: Anique Bellos-Grob | Frank Simonis | Jan Vanstiphout | Henk-Jan Mantel | Akeel Alhafidh | Ingrid vanZon | Manon Perik | Mart Kortman #Womenshealth | TechMed Centre - University of Twente | University of Twente #MedicalInnovation #ResearchBreakthrough #HealthcareAdvancement #Womenshealth

Here's a VASCULAR thought provoking question for all of you: Where does GRAVITY take everything, including venous blood? ___________ Which direction is venous blood trying to flow, to return to the heart? ________ APPLY STEM to the venipuncture/IV procedure - and it will improve everything, including that infiltation problem.

Great news to share! Thanks to a grant from ZonMw we can start with the Spatial and temporal Exploration of the Evolution of brain changes in sepsis-induced cognitive Dysfunction and neurodegeneration (SEED) project! The project is a collaboration betweent the departments of Internal Medicine(Monika Trzpis-Bremer , Barbara van Munster ,Hjalmar Bouma and Rijk Gans), Pathology and Medical Biology (Jon Laman), Gynaecology (Marco de Bruyn), Amsterdam Medical Center (Eleonora Aronica) and University of Dublin (colm cunningham). We aim to unravel the mechanisms underlying sepsis-induced encephalopathy (#delirium) with relevance to lowering acute morbidity and understanding long-term cognitive decline and #neurodegeneration after #sepsis. In this translational project, we use blood samples from patients included in Acutelines, brain specimens donated to the The Netherlands Brain Bank and a sepsis mouse model to connect molecular changes in the brain to soluble markers in blood. The expected results: a fingerprint of delirium, potential biomarkers and novel therapeutic targets.

WRONG...this is a 'fantastical imagination' of how the infiltration occurs. 1. Infiltration CAN occur at the needle insertion site - but this CAN be avoided by applying Engineering and Physics to the needle insertion and change the needle angle of entry and the grip pressure on the needle insertion. See VATmethod - STEM applications. 2. Veins DO NOT just 'narrow' (vasoconstrictor) without provocation/stimulation to do so. This film gives no explanation for the 'narrowing'. [And it's NOT BECAUSE OF THE VALVE]. AND.... 3. AND there CAN BE 'back flow' (to the needle insertion site) but that actually occurs when the IV site is in the dependent position (with respect to the heart) and/or there is no MOVEMENT (patient sits completely quiet because they don't want to disturb the IV). This is all based upon using GRAVITY (Physics) to move venous blood and MOVEMENT (A&P) - as these are the ONLY two things that return venous blood back to the heart. 4. AND if you are fighting gravity and there is no 'skeletal muscle contraction to squeeze the vein to move the blood along' (MOVEMENT), the venous blood AND THE INFUSED FLUID OR MED will accumulate AND DISTEND THE VEIN - with back flow to the needle insertion AND with a forced over distention of the venule and VENOUS PART OF THE CAPILLARY BED - which then LEAKS.......THAT is called extravasation/edema/lymphedema/INFILTRATION. There is SO MUCH MORE to the infiltration story - how fast is the patient's blood moving, how fast are you infusing, what size needle occupies the lumen of the vein, etc., etc., etc. PLEASE, PLEASE, PLEASE - you have nothing to lose - PLEASE READ THE STEM INFORMATION on venipuncture/vein access. Nursing does not currently teach this STEM information. REALLY!!!!!!!

Cruciates at risk in Dutch adolescent girls. Same is true, as in boys, for their discs, their hamstrings, their semilunar cartilages and so on. If prevention on proper growth (posture, alignement, flexability, optimal ROM) is missing by their sedentary lifestyle and shortage on Physical Education the costs of repair will come above the other orthopedic socio-economic Burdens of Diseases: low back pain and degenerative arthritis. #cruciates #sportinjuries #prevention #physicaleducation https://lnkd.in/emdqZcgn

𝗘𝘅𝗽𝗲𝗿𝘁 𝗦𝘂𝗺𝗺𝗮𝗿𝗶𝗲𝘀: Scientific Insights for Clinicians by our 𝘍𝘺𝘴𝘪𝘰𝘚𝘤𝘪𝘦𝘯𝘤𝘦 𝘥𝘦𝘱𝘢𝘳𝘵𝘮𝘦𝘯𝘵 Check out our latest posts and follow our page for valuable scientific insights and summaries curated by our scientists, specifically tailored for clinicians. #ScientificInsights #ClinicalSummaries #Healthcare #MedicalResearch #fysiotherapie #physiotherapy

Based on the available evidence, the following recommendations were provided in the Dutch Multidisciplinary Guideline Acute Muscle Injuries of the Lower Limbs in Sports: 📸 Be reserved with performing MRI, Ultrasound or X-rays in case of muscle injuries if you are not suspecting a full rupture or avulsion, as it will not be able to provide a prediction for time to return to play 🏥 If proximal avulsion of the hamstrings or rectus femoris can not be ruled out clinically, arrange timely MRI to facilitate potential surgical options within 6-8 weeks. 🔮 Consider repeating pain and strength testing within two weeks to provide a more accurate prediction on time to return to play after muscle injury. Less pain and less strength deficits upon re-testing indicate shorter time to return to play. 🏋♂️ Train strength and function (in lengthened positions) with a gradual build-up for strength, length and speed. Be reserved with rest periods, passive interventions and/or NSAIDs 💊 . Avoid PRP 💉 . 🛏 There are indications for surgery (such as proximal avulsions), which should be discussed and considered. Surgical fixation after proximal hamstring and rectus femoris avulsions/ruptures should preferably be performed within 6-8 and 4 weeks respectively. 🤗 Prevention is better than cure. Gradually build up load with respect for recovery time, add warm-up strategies and strength exercises. Be reserved with passive treatment modalities.

𝗟𝘂𝗻𝗴 𝗰𝗮𝗻𝗰𝗲𝗿 𝗮𝗻𝗱 𝗯𝗿𝗮𝗶𝗻 𝗺𝗲𝘁𝗮𝘀𝘁𝗮𝘀𝗲𝘀🧠 In lung cancer, metastases to the brain are common. Our researcher and lung specialist lizza hendriks studied whether those metastases can be predicted. In interviews with patients and their loved ones Lizza and her research group also explored whether people with lung cancer want screening to examine if cancer spread to the brain, even if there are no symptoms yet. Read the full article below (Dutch only).👇

Do you recognise this situation? Having simply too many patients to follow up with as intensively in person as you're used to. 🏥 At UZ Leuven , they don't wait until that moment comes but are proactively seeking innovative ways to follow up with patients. The cochlear implant (CI) team, for example, is currently testing a telemonitoring solution, Remote Check by Cochlear, which allows for digital follow-ups with patients. With this application, cochlear implant users can have check-ups conducted from home. This allows the care team to verify whether the implant still provides the best support for the patient. If necessary, they can invite him or her for a further check-up at the hospital. 👉 "For patients, this is a huge time saver: they need to come to the hospital much less often," says Head of Audiology Lieselot Van Deun. 👉 "For us as a care team, the application helps with triaging. Since we would no longer have to invite everyone for an in-person annual check-up, we can spend more time with patients who need it. This way, we can continue to provide the highest quality care while keeping the workload for our team manageable." ---------------------------------------------------------------- It’s a great example of the versatility of medical technologies. The goal of every medical technology is to support patients and healthcare providers. By combining different technologies (e.g., a cochlear implant and a telemonitoring app), we can often enhance that support even further. 1 + 1 = 3 ---------------------------------------------------------------- 🌐 Read the full story of UZ Leuven on our website: • In Dutch: https://lnkd.in/eMp-KZU7 • In French: https://lnkd.in/exfuQ7a7 ---------------------------------------------------------------- Nicolas Verhaert RIZIV #medtechmatters #digitalhealth #integratedcare #telemonitoring #cochlearimplant

Here are intraop & postop images of yesterday's case by Maximilian Heitmann, MD and Helios ENDO Clinic Berlin, Medical School Berlin. TRAUMATIC FOOT INJURY IN 16F ATHLETE PROCEDURE: ORIF WITH CANNULATED POSITIONING SCREWS Here is the link to the clinical presentation and the pre-op imaging: https://lnkd.in/gdtk4zck HPI: A 16-year-old competitive equestrian fell off her horse during a competition and landed awkwardly on her right foot during the fall. There was no impact to the back or head. Immediately afterward, she experienced severe pain in the affected foot, accompanied by a visible deformity on the dorsum of the foot. The athlete was immediately taken to the emergency department at the nearest trauma center, where she arrived at 9 pm on a Saturday. PMH: She is otherwise healthy and has no medical conditions. The sports practiced are vaulting, badminton, and golf. PE: During the physical examination in the emergency department, aside from the painful deformity in the foot, there are no additional bruises or injuries. The patient was conscious and fully responsive, with stable circulation and no neurological symptoms. Notable findings included severe pain and a deformity on the dorsum of the foot, with moderate swelling. Using a vascular Doppler, foot pulses distal to the deformity were detected, and the capillary refill time in the toes was less than one second. Additionally, there were no sensory disturbances in the toes, indicating no signs of compartment syndrome in the foot. How would you manage this patient? Share your opinion with the Orthobullets community about this case by joining the discussion and taking the poll on our site! Vote on this case and Earn FREE CME: https://lnkd.in/dDJy7sZz