Nederlands tijdschrift voor geneeskunde
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Ned Tijdschr Geneeskd · Sep 1998
Comparative Study Clinical Trial[The ear thermometer; not a good replacement for the rectal thermometer].
To compare the measurements of body temperature with the tympanic infrared thermometer and the digital rectal thermometer. ⋯ The low sensitivity of the tympanic measurement to establish fever renders the tympanic infrared thermometer unsuitable for use as a fever thermometer.
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Ned Tijdschr Geneeskd · Sep 1998
Comparative Study[Migrants in family practice: their symptoms and diagnoses differ from the Dutch].
To determine to what extent Turks, Moroccans and Surinamese differ from the Dutch in health problems, while taking the impact of relevant background characteristics into account. ⋯ In some areas ethnic minorities have more health problems than Dutch patients who are comparable with them in background characteristics. This clearly suggests an 'ethnic' factor.
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Three women, aged 54, 69 and 73 years, respectively, developed diplopia together with ptosis of an upper eyelid during light exercise or fatigue or continuous; in one patient the diplopia was followed by headache and vomiting. The diagnoses made were 'intracranial aneurysm', 'myasthenia gravis' and 'temporal arteritis'. Diplopia may be a symptom of a disorder timely diagnosis and treatment of which may prevent serious consequences.
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Ned Tijdschr Geneeskd · Sep 1998
[Good results from treatment of patients with abdominal pain at the emergency department of the Amsterdam OLVG Hospital].
Evaluation of the treatment of patients with abdominal complaints at the first aid department of a city hospital, where patients were treated by emergency doctors (EMD) in combination with specialists. ⋯ The organisation of a first aid department like that in the OLVG, with EMDs and specialists, appeared efficient; the rates of morbidity, mortality and missed diagnoses are acceptable. With relatively few additional tests, the EMD appeared to be able to differentiate between GP care and hospital care.