Nederlands tijdschrift voor geneeskunde
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Blunt scrotal trauma, mostly induced by sports injuries, can cause a testis rupture. Patient exhibit extreme pain and swollen tender testicle. ⋯ A rupture or a suspicion thereof requires a surgical exploration. Delay of diagnosis can cause irreversible damage to the testicle.
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A good performance indicator reflects the quality of care and uses clinical outcomes. When outcomes are difficult to obtain, process and structure variables can provide a good picture of quality of care. ⋯ There are limitations to the use of performance indicators to compare hospitals; these include correction for case mix, the statistical reliability of the measurements and the validation of performance indicators. Well-considered performance indicators can be used to monitor trends and identify providers that perform below a certain benchmark, but not to rank them.
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This article describes the history and significance of the eponym 'Wegener'. After the American College of Chest Physicians awarded Wegener with the Master Clinician Award, discussion about his Nazi past arose. Should the eponym 'Wegener' be maintained?
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The new global strategy to achieve long-term malaria eradication is based on rapid treatment of individual malaria patients and blocking the spread of Plasmodium parasites in the population. In a number of countries increased funding combined with more effective control measures have resulted in a substantial decline in the incidence of malaria and in the resulting morbidity and mortality. Increasing resistance of Anopheles mosquitoes to insecticides (pyrethroids and DDT), and reduced sensitivity of Plasmodium parasites to various antimalarials increase the need for the development of new vector control strategies and medicines. Vaccine development efforts have been speeding up and a first vaccine is expected within three years.
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Ned Tijdschr Geneeskd · Jan 2012
Case Reports[Torticollis and seizures due to neuroborreliosis in a child].
In children, neuroborreliosis often manifests itself as cranial neuritis (particularly facial palsy) or aseptic meningitis. Presentation with torticollis and simple partial seizures resulting from diffuse leptomeningeal inflammation is rare. ⋯ As illustrated by this case neuroborreliosis can manifest itself atypically with torticollis, seizures and diffuse leptomeningeal enhancement due to inflammation. If there is leptomeningeal enhancement on MRI then neuroborreliosis should be included in the differential diagnosis. In childhood neuroborreliosis can be successfully treated and the prognosis is good.