Nederlands tijdschrift voor geneeskunde
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Ned Tijdschr Geneeskd · Jul 1998
[Psychiatric symptoms in refugees reported to the Psychiatric Center De Vonk].
To determine traumatic experiences and psychological symptoms in refugees reported to the psychiatric centre De Vonk, and the relationship between biographical data, experiences of violence and post-traumatic stress symptoms on the one hand and the referral or admission policy on the other. ⋯ In spite of the diversity of language, culture and education among the refugees/asylum seekers referred to De Vonk, it proved adequately possible in practice to use standardized psychological and psychiatric instruments in this group of patients. The symptom level of the patients referred was particularly high.
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Ned Tijdschr Geneeskd · Jul 1998
Historical Article[Fifty years of the column 'Question and Answer'].
The section 'Question and answer' in the Nederlands Tijdschrift voor Geneeskunde (Dutch Journal of Medicine) has existed for over 50 years. Medical questions of readers are published anonymously and answered by an anonymous expert consulted by the editorial staff. At first the column grew rather large but in the last few decades it shrank to only few publications a year. Due to improvements in communication (Internet) and provision of information (electronic databases) it appears that the column, as a medium for questions of readers, is becoming obsolete.
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Laryngeal tuberculosis was diagnosed in two men, a 73-year-old man Dutch by birth and a 40-year-old one Turkish by birth. In the former patient it was probably primary tuberculosis, in the latter secondary (he had lung tuberculosis as well). The clinical picture was highly suggestive of laryngeal carcinoma in both patients. ⋯ The diagnosis is based on Ziehl-Neelsen staining, culture and polymerase chain reaction (PCR) on Mycobacterium tuberculosis. Because laryngeal tuberculosis is highly infectious, the patient has to be nursed in isolation and people in his or her environment have to be screened. The response of laryngeal tuberculosis to chemotherapy is good.
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Ned Tijdschr Geneeskd · Jul 1998
[A large-scale diagnostic program for the fragile X-syndrome among the mentally retarded. II. Implications for parents and family].
Studying the attitudes and reactions of (non)consenting parents/guardians of mentally retarded patients regarding the screening programme for the fragile X syndrome in the Netherlands. ⋯ The fragile X screening programme was rated positively by parents/guardians.
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Acute urinary retention in women is not a common problem. The incidence is 0.07 per 1000 inhabitants per year. The causes of acute urinary retention can be divided into four groups: obstructive, neurological, pharmacological and psychogenic. ⋯ The most common obstructive cause is a gynaecologic tumor. A psychogenic cause is a diagnosis per exclusionem. The treatment of the acute urinary retention has to be catheterisation before further investigation is done.