Objective: To explore the course of vertigo attacks in patients with benign recurrent vertigo (BRV) as compared to patients with Meniere's disease (MD) and vestibular migraine (VM). Study design:... Show moreObjective: To explore the course of vertigo attacks in patients with benign recurrent vertigo (BRV) as compared to patients with Meniere's disease (MD) and vestibular migraine (VM). Study design: Prospective cohort study. Setting:Tertiary referral center. Patients: Adult patients who visited the Apeldoorn Dizziness Center between January 2015 and November 2016 and who were diagnosed with BRV, VM or MD. During 3 years participants were contacted every 6 months by telephone to complete a study-specific questionnaire. Main Outcome Measures: Vertigo attack frequency, use of medication, and Hospital Anxiety and Depression Scale (HADS). Results: The study population (n = 121) consisted of 44 patients with BRV, 34 with VM, and 43 with MD. For the total follow-up period no statistically significant differences between the three diagnosis groups were observed for being attack-free in the past 6 months: OR = 0.86 (95% CI 0.34-2.17; p = 0.745) for VM and OR = 1.06 (95% CI 0.44-2.51; p = 0.902) for MD, compared to BRV. Overall, 19 patients (43.2%) with BRV, 13 (38.2%) with VM, and 35 (81.0%) with MD used medication to prevent vertigo attacks at any point during their 3-year follow-up. Throughout the observation period patients with MD showed an average of 3.37 points (95% CI 0.68-6.07; p = 0.014) higher HADS scores relative to patients with BRV. Conclusion The course of vertigo attacks was rather favorable in the three groups, as 67-70% of the patients were free of vertigo attacks after 3 years of follow-up. The course of disease in patients with BRV was not distinctive from patients with MD and VM. We assume that BRV is a mild or incomplete variant of VM and MD, rather than a separate disease entity with distinct pathognomonic features. Show less
As terrorism scholars, we are intrigued by those who engage in violence. We study their motivations, tactics, ideology, organisational structures, and pathways to (de-)mobilisation, hoping to... Show moreAs terrorism scholars, we are intrigued by those who engage in violence. We study their motivations, tactics, ideology, organisational structures, and pathways to (de-)mobilisation, hoping to better understand terrorism and how we can counter it. Far less attention is paid to what happens after an attack has taken place. Terrorist attacks are means to an end; the responses to terrorism determine the impact attacks might have on societies. One way to better understand the impact of terrorism is by studying how societies deal with memories of terrorist attacks. This Perspective looks into the case of Norway following the attacks by Anders Behring Breivik on July 22, 2011. What can we learn about the societal responses to terrorism from how Norway commemorates the attacks and deals with the locations where these attacks have taken place? This perspective discusses the memorialisation process in Norway and then zooms in on a visit of the author to the island of Utøya in June 2019 in order to provide a more close-up look of how the members of the Workers’ Youth League (AUF) have found their own ways to deal with the attacks.Show less