Published in Nederlands tijdschrift voor geneeskunde
In the Netherlands, the burden of coronary artery disease is higher than that of any other disease. The healthcare costs amount to approximately 2.3 billion per year. Cardiovascular risk management (CVRM) reduces mortality and prevents myocardial infarction in patients with stable angina pectoris (AP). In patients with stable AP without a left main...
Published in Nederlands tijdschrift voor geneeskunde
In the Netherlands, the average quality of donor organs continues to decrease as a result of the increasing life expectancy, as well as higher incidence of obesity, diabetes mellitus, and other comorbidities in the general population. Storing donor organs on ice, the current standard practice, appears to be inadequate for preserving these high-risk...
Published in Nederlands tijdschrift voor geneeskunde
We discuss a meta-analysis that reported on the association between gastric acid suppression and carriage with antibiotic resistant bacteria, with a special focus on the association for carriage with ESBL-producing Gram-negative bacteria in non-hospitalized subjects. Results from a recent population-based study (not included in the meta-analysis) w...
Published in Nederlands tijdschrift voor geneeskunde
The World Health Organization launched a campaign on elimination of cervical cancer on November 17th 2020. In this article the authors give an overview of HPV-related cancer in The Netherlands and stress that HPV-vaccinations for boys and girls and screening for women is of utmost importance to eliminated cervical cancer in The Netherlands and the ...
Published in Nederlands tijdschrift voor geneeskunde
A 57-year-old man, known with severe malnutrition, vitamin E deficiency and peripheral neuropathies, presented with vomiting and abdominal tenderness. There was a suspicion of ileus and small bowel obstruction. During the exploratory laparotomy a complete brown colored bowel without peristalsis was seen.
Published in Nederlands tijdschrift voor geneeskunde
The term Wolf's isotopic response has been used to describe the occurrence of a new skin disorder at the site of another, unrelated and already healed skin disease. A 74-year-old man with type 2 diabetes mellitus and prostate carcinoma with osseous and lymphatic metastases developed a herpes zoster infection of the left shoulder after palliative ra...
Published in Nederlands tijdschrift voor geneeskunde
To evaluate the implementation of home telemonitoring and oxygen therapy in COVID-19 patients. Primary outcomes were safety, patient satisfaction, reduction of hospital stay, and cost-effectiveness. Retrospective cohort study. All COVID-19 patients who were discharged with home telemonitoring and oxygen therapy between June 1st and November 1st 202...
Published in Nederlands tijdschrift voor geneeskunde
Lymphadenopathy (painfull or enlarged lymph nodes) is a common reason for consulting a physician working in primary or secondary health care. Lymphadenopathy can be the reason for consultation, but can also be observed in patients who present with other complaints. The differential diagnosis is very broad and varies from self-limiting benign disord...
Published in Nederlands tijdschrift voor geneeskunde
To describe the care which women with postpartum depression (PPD) in the Netherlands use for their complaints, and the impact of PPD on their general use of care for themselves and for their child, and on their participation in work. The data came from the control group of a prospective comparative study on the effectiveness of screening for PPD wi...
Published in Nederlands tijdschrift voor geneeskunde
A one-year-old boy came to the doctor with a sternal swelling. Physical examination showed a parasternal tumour with a blue hue. After ultrasound SELSTOC (self-limiting sternal tumour of childhood) was diagnosed. SELSTOC is an aseptic inflammation in young children. A wait-and-see policy is recommended in the first weeks.
