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CaRré newsletter March 2017 (65)
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CaRe news topics
The National Research school CaRe is a collaboration of APH (Amsterdam Public Health research institute) of the AMC, VUmc, VU and UvA in Amsterdam, CAPHRI (Care and Public Health Research Institute) of Maastricht University, NIVEL (Netherlands Institute for Health Services Research) in Utrecht, and  RIHS (Radboud Institute for Health Sciences) of the Radboud university medical centre in Nijmegen.
CaRe’s mission is national research collaboration as well as support and coaching of promising young researchers in the field of public health and primary care.

Editorial staff:
Christel van Gool & Annerika Slok, CAPHRI
Roxanne Schaakxs & Deborah Gibson-Smith, APH
Indira Nandram-Tewari, NIVEL 
Marieke de Visser, RIHS

Letter from the director


Dear CaRe colleagues,
Again it is a pleasure to write to you in this CaRre Newsletter. Many exciting happenings are taking place at the moment. We are looking forward to our yearly CaRe days on May 18th and 19th in Maastricht. Together with our PhD representatives and Institute Directors we composed an exciting program  specifically for PhD students on the first day and for all researchers on the second day. At the end of these two days, everyone is invited to attend the inaugural lecture of our first CaRe professor, Dr Fiona Godlee, editor of the BMJ. These CaRe days seem to be so popular that they are almost overbooked already!
Another exciting happening in line with the ongoing merger between VUmc and AMC ....

Link to complete message
Save the date:  18 and 19 May 2017
Annual PhD and CaRe members day
On Friday May 19, 2017 the annual CaRe symposium of Research School CaRe will be held in Maastricht at La Bonbonnière. 
The day before (May 18) the annual CaRe-PhD day is taking place in Maastricht at Kasteel Vaeshartelt. PhD students will have a free overnight and stay in Kasteel Vaeshartelt, which is very close to Maastricht and easily reachable by train.
Fiona Godlee, editor of the BMJ, will give her inaugural lecture that Friday at Maastricht University!

You can register here!
News from the institutes

ZonMw grant for research projects into Responsible Research Practices   >> read more

The MEETINGDEM project, implementation and validation of the Meeting Centres Support Programme in Europe  
>> read more

TOP grant for VU and VUmc: “Towards better phenotyping and cellular models for sensory sensitivity in Autism Spectrum Disorder”   >> read more

5 million ZonMw and The Hartstichting grants for 2 APH research projects: maintain a healthy lifestyle  >> read more

Study about Stepped-Care program for cancer patients published in renowned Journal of Clinical Oncology  >> read more

News from the institutes
We are pleased to announce the launch of our new name and logo of our School  >> read more

David Townend, endowed professor of Law and Legal Philosophy in Health, Medicine and Life Sciences >> read more 

Maike Tietschert awarded Harkness Fellowship in Health Care Policy and Practice >> read more 

Maria Jansen wins ‘Woman in the Media Award 2016 – Limburg’ >> read more

PhD cum laude for Annerika Slok >> read more

News from the institutes
In memoriam Dinny de Bakker >> read more

Geen extra patiënten bij de huisarts na publiekscampagne depressie >> read more

Voorschrijven van antibiotica door huisartsen kan nog doelmatiger >> read more

Zinvolle daginvulling intramurale ouderenzorg >> read more

News from the institutes
Radboud Institute for Health Sciences
Vaccination coverage among Dutch orthodox Protestants is increasing over time >> read more

UKON receives 500,000 euro grant >> read more

Medical ethicists receive grant of €391.000,- from the ZonMw Palliantie program >> read more

650.000 euro for development of structural health monitoring of people with intellectual disabilities >> read more

New book on integrated palliative care >> read more

Adventures in Iceland - Hi, I am Deborah, a PhD student in my 3rd year. I am employed as part of the large EU MooDFOOD project, which is looking at the bidirectional link between obesity, nutrition and depression. I analyse existing cohort data, but I am also involved in the MooDFOOD intervention study. As an EU project we have lots of other European partners who either have suitable cohort data or are participating in the intervention study.  In May 2016 we (me and the other PhD students) were lucky enough to be invited to Iceland to present our current findings within the cohort studies. During that meeting I discovered that data were available for one of the project goals but no one was available to run the analysis. I couldn’t believe it, this project fitted perfectly with what I had already been doing on the topic of obesity and depression....

Follow this link to read more
Test of Time
by Jochen Cals
Jochen Cals, general practitioner and researcher at the department of Family Medicine looks back at his statements belonging to his PhD thesis in 2009.
It is quite a while ago, but most statements will still stand the test of time I suppose. My thesis was titled: ‘Respiratory tract infections in general practice - enhanced communication skills and C-reactive protein testing to optimise management’.  My first 4 statements were findings derived from the trials and studies I did. The first statement (in Dutch) would translate as follows: A point of care test for C-reactive protein and disease-specific training in communication skills are cost-effective in reducing antibiotic prescribing for lower respiratory tract infections. Well, interestingly our findings received lots of media attention.....

To read more about the statements...
CaRe collaborations
The project ‘Hear, see and speak’
What is the project ‘Hear, see and speak’ about?
In May 2016, NIVEL and RIHS started the collaborative research project ‘Hear, see and speak: Client evaluation of the care relationship in long-term care’, funded by ZonMw. In long-term care it has not yet been studied which qualitative method is most effective and useful for monitoring the care relationship from a client perspective.  We try to find the most suitable and useful qualitative method to evaluate the client-professional relationship in long term care. This participatory study will be performed in three different healthcare organizations, representing the three main sectors of the long term care: residential elderly care and home care, mental health care and care for persons with a disability. Clients will contribute actively as co-researchers to this quality evaluation and improvement of the client-care professional relationship. They will be involved in several research activities. Clients as co-researchers have a lot to offer to this study, mainly for their experiential knowledge derived from personal experiences of being in a client role, receiving care and being part of the client-professional relationship.

Follow this link to read the full story
PhD tales
Annerika Slok (CAPHRI)
After a trajectory of almost 5 years I finished my thesis about the development and evaluation of the Assessment of Burden of COPD tool (in Dutch: Ziektelastmeter COPD). When I started my project I wasn’t even sure if there was going to be a project. The Dutch Lung Alliance installed an expert group with the assignment: develop and evaluate a tool that can measure experienced burden of COPD. I was invited into this expert group as a PhD student, to work out all the ideas that the expert team came up with during meetings.

Follow this link to read the full story
PhD tales
Rogier van Deijck (RIHS)
The results of the study show that Continuous palliative sedation (CPS) appears to be an effective intervention for refractory symptoms in the final days of a patient’s life. However, the administration of CPS should be considered as a palliative intervention of last resort. Additionally, CPS is not a one-size-fits-all intervention because some sedated patients still experienced higher levels of discomfort in the last hours of life. Therefore, both in clinical practice as well as in the national guideline on palliative sedation, more awareness for monitoring for signs of opioid toxicity, the presence and intensity of delirium, pain, dyspnea and feelings of hopelessness should be present in patients in the palliative trajectory.

Follow this link to read the full story
The mission of The Netherlands School of Primary Care Research concerns:
Contributing to better health and health care through high quality training of young researchers and multidisciplinary cooperation between excellent research institutes in the field of primary health care, transmural care, public and occupational health and health policy, focused on the development and implementation of new scientific knowledge in these fields.
This mission is shared by the four participating research institutes of CaRe, i.e. APH (Amsterdam Public Health research institute) of the AMC, VUmc, VU and UvA in Amsterdam, CAPHRI (Care and Public Health Research Institute) of Maastricht University, NIVEL (Netherlands Institute for Health Services Research) in Utrecht, and  RIHS (Radboud Institute for Health Sciences) of the Radboud university medical centre in Nijmegen

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© CaRe, Maastricht
With this newsletter CaRe would like to keep you informed of the most recent developments and achievements within the School CaRe. Your e-mail address will not be made available to other persons or organizations. If you have suggestions or comments, please, let us know via e-mail care-secretariaat@maastrichtuniversity.nl.