Nederlands tijdschrift voor geneeskunde
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The moratorium in the USA on inserting breast implants filled with silicone gel caused global alarm by inaccurate media reports resulting from settlements and verdicts against the manufacturers. In fact, there still is no scientific evidence that the implants have negative effects on health. ⋯ In the Netherlands it has been obligatory since June 1998 for all medical implants to carry a quality mark. In addition, it is the intention that data on silicone breast implants will be recorded in a national registration.
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Ned Tijdschr Geneeskd · Dec 1998
Review[Bronchoalveolar lavage in the diagnosis of diffuse interstitial lung disease].
Since the introduction of bronchoalveolar lavage (BAL), this technique is used both clinically and for research. Use of BAL as a diagnostic aid was introduced fairly recently. For the different steps of the procedure a standardized approach has been proposed. ⋯ Smoking and pharmacotherapy affect the results of the analysis. BAL is a safe procedure with hardly any side effects. This method may in some diseases replace more invasive diagnostic procedures such as biopsy by demonstrating characteristic cells or micro-organisms.
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Ned Tijdschr Geneeskd · Dec 1998
Comparative Study Clinical Trial Controlled Clinical Trial[The Dutch version of 'Functional Status II(R)': a questionnaire measuring the functional health status of children].
Clinimetric evaluation of the Dutch version of the Functional Status II(R) (FS II), measuring children's behaviour and the effect of disease on it. ⋯ The parent version of the Dutch FS II is recommended as a generic measure of functional health status of children for medical research. The child version should be improved first.
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Ned Tijdschr Geneeskd · Dec 1998
Comparative Study Clinical Trial Controlled Clinical Trial[The Dutch 'Rand General Health Rating Index for Children': a questionnaire measuring the general health status of children].
Clinimetric evaluation of the Dutch version of the RAND general health rating index for children (child RAND), measuring the general health of children. ⋯ The Dutch child RAND is recommended as a generic measure of perceived health of children for medical research and may serve as a valuable addition to the measurement of functional health status by the FS II.