Nederlands tijdschrift voor geneeskunde
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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.
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The total hip arthroplasty (THA) is an effective treatment of osteoarthritis of the hip joint. Each year, more than 16,000 THAs are performed in the Netherlands. The incidence of THA had doubled between 1980 and 1994. ⋯ The number of revision surgeries increased more than four folds, to 1,400 in 1994. Based on these data the increase of primary and revision hip arthroplasties is expected to continue, but it is unknown how much the exact increase will be. In view of the increased demand it is important to gain more insight into the numbers of primary and revision surgical procedures to be expected, so that a better estimation can be made of the health care capacity and financial resources required in the future.
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Ned Tijdschr Geneeskd · Jun 1998
[Continuous pressure is preferred to flow triggering of respiration in the apnea test following the protocol for brain death determination].
The apnea test is part of the brain death protocol of the National Health Council. If the patient is being given positive end-pressure respiration, he must not be uncoupled from the respirator. The apnea test should then be done by means of continuous positive airway pressure. Pressure triggering rather than the extremely sensitive flow triggering should then be chosen to trigger the respiration, since otherwise the patient may unjustifiably be declared 'not brain dead' as a result of slight aspecific movements (bumping against the bed, beating of the heart).