Nederlands tijdschrift voor geneeskunde
-
Ned Tijdschr Geneeskd · Jan 2001
[Limited effect of Health Council guideline on outpatient preoperative evaluation clinics in the Netherlands: an inventory].
To investigate the current status of preoperative evaluation in the Netherlands and the implementation of the Health Council recommendations. ⋯ The recommendations of the Health Council of the Netherlands with respect to contents and organisation of the preoperative evaluation had, 3 years after being published, limited effect.
-
Ned Tijdschr Geneeskd · Dec 2000
Biography Historical Article[Psychiatric case history of Vincent van Gogh].
Much has been written about Vincent van Gogh's pathological condition. Most authors base their various diagnoses on the symptoms he exhibited in the last years of his life. ⋯ He (also) developed an organic psychosyndrome with psychotic and epileptic elements. The stress (due to social isolation, by his being a psychiatric patient, and by poor prospects), the intoxication going on outside the hospitals and especially also the problems relating to his brother Theo caused a downward spiral culminating in suicide.
-
Gastrointestinal luminal tonometry is a minimally invasive technique for measuring gastrointestinal ischaemia. Mucosal ischaemia leads to excessive production of tissue CO2 and thus to an increase of luminal PCO2. For this measurement, a nasogastric catheter is introduced with at its end a balloon permeable for CO2, this balloon is filled with air or liquid. ⋯ Tonometric parameters are reliable indicators of morbidity and mortality in critically ill patients. The effect of 'tonometry-guided' treatment on the morbidity and mortality is still a matter of debate. Other than using tonometry as a global ('hemodynamic') monitoring device, selective monitoring of the regional perfusion of the digestive tract--such as for diagnostic purpose in suspected chronic ischaemia due to splanchnic arterial disease--is a promising new application area.
-
Ned Tijdschr Geneeskd · Nov 2000
[Clinical presentation, treatment, and follow-up of 32 patients with a primary intracranial germinoma, registered during the previous 15 years in the Dutch Pathological-Anatomical National Automated Archive (PALGA)].
Evaluation of clinical presentation, treatment and follow-up of patients with intracranial germinoma in the Netherlands. ⋯ At the time of this study 84% of all patients treated with radiotherapy were disease-free. Although the percentage patients who had recovered after treatment (surgical and radiotherapy) was high, many patients either already had or subsequently developed neurological and endocrinological deficiencies.