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Nederlands Tijdschrift Voor Geneeskunde

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https://www.readbyqxmd.com/read/28325162/-active-anti-smoking-policy-is-a-moral-duty-of-government-responsibility-for-reducing-smoking-lies-with-both-the-individual-and-society
#1
M Verweij
Tobacco discouragement, smoking cessation and tobacco endgame policies are sometimes criticised for being unduly paternalistic: governments should respect citizens' freedom and not take over their individual responsibility for healthy behaviour. In this commentary, I argue that very strict tobacco policies can be justified on multiple grounds, including the harm principle, the public good of maintaining a healthy society, and the reduction of health inequities. The moral reasons governments have to protect people against the harms of smoking do not limit or infringe upon the responsibility of each individual to take care of her own health: responsibility for healthy behaviour is not a zero-sum game...
2017: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/28325161/-surgery-for-colorectal-cancer-since-the-introduction-of-the-netherlands-national-screening-programmeinvestigations-into-changes-in-number-of-resections-and-waiting-times-for-surgery
#2
M P M de Neree Tot Babberich, E M van der Willik, J T van Groningen, M Ledeboer, T Wiggers, M W J M Wouters
OBJECTIVE: To investigate the impact of the Netherlands national colorectal cancer screening programme on the number of surgical resections for colorectal carcinoma and on waiting times for surgery. DESIGN: Descriptive study. METHOD: Data were extracted from the Dutch Surgical Colorectal Audit. Patients with primary colorectal cancer surgery between 2011-2015 were included. The volume and median waiting times for the years 2011-2015 are described...
2017: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/28325160/-procedural-sedation-and-analgesia-with-nitrous-oxide-for-children-in-the-emergency-department
#3
W P Kluijfhout, R T C Welsing
Procedural sedation and analgesia with nitrous oxide in children who are anxious or in pain is a relatively new type of sedation in emergency departments in the Netherlands. The gas is inhaled through a face mask and does not require intravenous access. Furthermore, nitrous oxide does not influence the circulatory and respiratory systems and airway reflexes remain intact, which means that the child does not need to be fasted. Children who are treated with nitrous oxide experience significantly less pain and discomfort compared to the application of conventional analgesia...
2017: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/28325159/-a-preschooler-with-a-skin-lesion-on-the-face
#4
C van der Bas-Wolvers, R W A Janssens, R S Rijlaarsdam
A 4-year-old girl presented to the paediatric department with a red squamous spot around her right eye. Based on the clinical presentation and anamnesis, we suspected a zoonotic dermatomycosis obtained via her guinea pigs. PCR of the skin flakes revealed dermatophytes.
2017: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/28325158/-clinical-application-of-rom-in-psychosis
#5
M Tasma, M Swart, G Wolters, E J Liemburg, R Bruggemans, H Knegtering, S Castelein
AIM: The use of 'routine outcome monitoring' (ROM) in mental health care has increased widely during the past decade. However, little is known about the use of ROM outcome in daily clinical practice. We investigated to what extent ROM results were reflected in psychotic patients' treatment plans. DESIGN: Cross-sectional study. METHOD: The ROM-Phamous, a ROM-protocol for patients with psychotic disorders in which data is collected on the basis of interviews, questionnaires and physical examination was implemented in the northern Netherlands...
2017: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/28325157/-a-preschooler-with-abdominal-pain-in-the-right-lower-quadrant
#6
J J Atema, B C Vrouenraets
A 5-year-old boy with acute abdominal pain in the right lower quadrant and fever underwent open appendectomy following clinical observation and serial equivocal ultrasound. During exploration we encountered a normal-looking appendix but multiple enlarged mesenteric lymph nodes, suggestive of mesenteric lymphadenitis. The boy had an uneventful postoperative course and recovered completely.
2017: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/28325156/-the-reversed-shoulder-prosthesis
#7
J van Rijn, T Gosens
In patients aged over 70 years, a non-functioning rotator cuff is an indication for a reversed shoulder prosthesis. Here we describe an 84-year-old woman with rotator cuff arthropathy and a 76-year-old man with a proximal humerus fracture, who both received a reversed shoulder prosthesis. This prosthesis decreases pain and improves the range of movement; however, the high risk of complications associated with this prosthesis should be taken into account and should be discussed preoperatively.
2017: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/28325155/-secondary-prevention-of-coronary-heart-disease-results-of-euroaspire-iv
#8
M Snaterse, S Khatibi, W J M Scholte Op Reimer, R J G Peters, Y Feng, J W Deckers
OBJECTIVE: Secondary prevention is an important part of cardiovascular risk management. Since 1996, an inventory of cardiovascular risk factors and their treatment has been carried out periodically among patients with coronary heart disease within the framework of the European Action on Secondary Prevention by Intervention to Reduce Events (Euroaspire) project. DESIGN: Retrospective investigation of consecutively hospitalised patients with coronary heart disease...
2017: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/28294932/-improve-but-measure-in-moderation-quality-management-in-specialty-residency-training
#9
E W M T Ter Braak
Intuitively, we believe we gain knowledge through taking measurements, and our appetite for quality measurement in general has grown spectacularly. However, this approach has to be qualified. Many aspects of quality are difficult to measure, yet are very important, and choosing what to measure may be heavily influenced by the availability bias of instruments. Moreover, a lot can be known without actually measuring. Quantitative results tend to offer false reassurance simply by their abundance, and results presented by means of Likert scales may obscure the crucial critique of a minority of respondents...
2017: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/28294931/-how-we-can-learn-better-and-more-safely-from-serious-incidents-translation-of-just-culture-and-safety-ii-into-clinical-practice
#10
M S de Vos, L den Dijker, J F Hamming
After a serious incident, all involved expect it will provide an opportunity to learn and that improvements will follow. However, 'safe' learning is often threatened due to a primary focus on accountability. Focus should, instead, be on the needs of both patients and care providers, with the goal of repairing damage and restoring trust in the wider sense - a culture of justice ('Just Culture'). Common daily practice is a more realistic focus for further investigation, with active involvement of healthcare professionals ('Safety-II')...
2017: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/28294930/-the-alpha-gal-syndrome-an-allergic-reaction-to-mammalian-meat-secondary-to-a-tick-bite
#11
M A Berends, J N G Oude Elberink
Here we present the case of a 68-year-old patient with alpha-gal syndrome. This is a delayed-onset allergic reaction, characteristically occurring 2-6 hours after ingestion of mammalian meat products. The reaction occurs because the patient has developed IgE antibodies to a mammalian oligosaccharide epitope, galactose-╬▒-1,3-galactose (alpha-gal); tick bites induce this IgE antibody response. Presentation varies from chronic urticaria to life-threatening anaphylaxis. The alpha-gal syndrome is usually self-limiting as long as there are no new tick bites...
2017: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/28294929/-written-advance-euthanasia-directives-in-mentally-incompetent-patients-with-dementia-a-systematic-review-of-the-literature
#12
K de Nooijer, V E van de Wetering, E C T Geijteman, L Postma, J A C Rietjens, A van der Heide
OBJECTIVE: To present the knowledge, experiences and attitudes of the general population, patients, relatives and health care professionals concerning written advance euthanasia directives in patients who have become mentally incompetent. DESIGN: Systematic review of the literature. METHOD: We systematically searched Medline, Cochrane Library and Embase for articles published in the period 2002-2016. RESULTS: The search yielded 775 articles, of which 11 met the inclusion criteria...
2017: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/28294928/-a-man-with-bowen-disease-of-the-nail
#13
J C J Hendriks, E T Hamers, H Martens
We describe a 40-year-old male patient with a 2-year history of a sensitive fingernail of the right hand. The nail had partly a rough surface, longitudinal cleavage and was brittle and vulnerable at the tip. Biopsy of the nail showed a Bowen disease (squamous cell carcinoma in situ) of the nail.
2017: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/28294927/-a-woman-with-onychomatricoma-of-a-toe-nail
#14
E T Hamers, A J Jensema
The authors present a 43-year-old woman with a yellow, swollen toe nail of the right foot. This nail was lesioned 20 years before. The proximal nail fold of the right hallux was erythematous and indurated. The medial half of the nail was thickened and yellowish, sharply demarcated from the unaffected half. This aspect is typical for onychomatricoma.
2017: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/28294926/-paediatric-palliative-care-multidisciplinary-and-pro-active
#15
G C B Bindels de Heus, L M Ball, E M C Michiels, H A Moll, E H Niks, S M van Walraven
Every child with a life-limiting or threatening illness, and his or her family, has a right to palliative care. Palliative care is not limited to end-of-life care, but starts from the moment of diagnosis and is independent of whether there are curative options. To optimise quality of life of both the child and the family, the emphasis of care should be on both somatic and psychosocial and spiritual aspects from the very start, and goals should be set together with the child and the family. A multidisciplinary and pro-active approach is essential if this is to be achieved...
2017: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/28294925/-assessing-the-quality-of-the-medical-learning-environment-comparison-of-two-validated-dutch-questionnaires
#16
P L P Brand, A D C Jaarsma, J Sch├Ânrock-Adema
- Assessing the quality of the medical learning environment is an important part of the quality cycle of postgraduate medical education programmes.- The quality of the medical learning environment is primarily assessed by systematically documenting the experiences of doctors-in-training (residents).- For this purpose, several questionnaires have been developed, two of which have been specifically developed for use in the Dutch clinical learning environment.- D-RECT is a commonly-used, 50-item questionnaire (11 subscales), developed from qualitative research on the optimal learning environment for ObGyn residents...
2017: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/28294924/-cost-variation-in-care-groups
#17
S M Mohnen, C C M Molema, W Steenbeek, M J van den Berg, S R de Bruin, C A Baan, J N Struijs
OBJECTIVE: Is the simple mean of the costs per diabetes patient a suitable tool with which to compare care groups? Do the total costs of care per diabetes patient really give the best insight into care group performance? DESIGN: Cross-sectional, multi-level study. METHOD: The 2009 insurance claims of 104,544 diabetes patients managed by care groups in the Netherlands were analysed. The data were obtained from Vektis care information centre...
2017: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/28270241/-substitution-of-care-what-do-we-know-what-should-we-know-and-what-should-we-do
#18
D Westra, M Kroese, D Ruwaard
In order to contain rising healthcare expenditure, the Dutch minister of Health, Welfare, and Sport has agreed with various stakeholders to shift care as much as possible from the expensive specialised care sector to the cheaper primary care sector. Such a shift is only desirable if it constitutes a permanent shift to the primary care sector thereby reducing costs while simultaneously increasing quality of care and the health of the population. In order to prove the success of substitution initiatives, their effects must be compared with the national trend at population level...
2017: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/28270240/-how-does-a-surgeon-decide-that-surgery-is-the-best-option-assessing-whether-or-not-to-operate
#19
J F Hamming, P J Marang-van de Mheen
All abdominal surgical procedures have a certain risk/benefit ratio. Recently, the way surgeons come to a decision whether to operate, or not, was discussed in the Annals of Surgery. First, the assessment of the decision for an operative versus a non-operative strategy was addressed on the basis of clinical vignettes. The perceptions concerning risk/benefit balance varied considerably between surgeons and these perceptions predicted the decision to operate. In a second paper, surgeons were randomized to either an arm in which they were exposed to a risk calculator or to a control arm...
2017: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/28270239/-late-presentation-of-congenital-diaphragmatic-hernia
#20
N S Planting, A K E Hoffman-Haringsma
Congenital diaphragmatic hernia (CDH) is a rare congenital defect. Most cases are currently diagnosed either prenatally by ultrasound or shortly after birth. Late presentation of CDH is uncommon, and symptoms vary greatly. Here we describe two cases. The first concerns a 9-year-old boy with abdominal pain. The symptoms were interpreted as constipation and he was admitted for a high enema. After a few hours he developed severe respiratory distress; chest X-ray revealed a tension gastrothorax, and thoracostomy resulted in immediate respiratory improvement...
2017: Nederlands Tijdschrift Voor Geneeskunde
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