Nederlands tijdschrift voor geneeskunde
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What is a good doctor? From the 12th to the 19th century the doctor was mostly an intellectual largely restricted to observing and describing symptoms and diseases. The 19th century saw the beginning of scientific insight into the causes of diseases. ⋯ This involves both knowledge and art. Both arise from talent and education and are best achieved by early practical introduction to the basic subjects and scientific research, and during contacts with prominent teachers.
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Ned Tijdschr Geneeskd · Dec 1998
Editorial Comment[Who is the author and why? Will the scientific authorship be revised?].
There is much ado about medical and scientific authorship. The criteria for authorship as stated by the International Committee of Medical Journal Editors are debated. For readers, reviewers and editors it is of importance to know who is accountable and responsible for the contents of published articles. ⋯ This discussion has not come to a conclusion yet, but some journals (Journal of the American Medical Association (JAMA), British Medical Journal (BMJ), The Lancet) have already begun to publish the contribution(s) of individual authors (as stated by the authors themselves) at the end of their articles. The editors of the Nederlands Tijdschrift voor Geneeskunde (Dutch Journal of Medicine) are also going to ask for the authors' contributions from January 1, 1999 and intend to publish them later on in the year in the same way as The Lancet does. The maximum number of 6 authors that is allowed now, may be lapsed since the contributions of all authors will be known.
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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.