Nederlands tijdschrift voor geneeskunde
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Ned Tijdschr Geneeskd · Oct 1992
Randomized Controlled Trial Multicenter Study Clinical Trial[Prevention and treatment of respiratory distress syndrome in premature infants using intratracheally administered surfactants].
To study the effects of administration of surfactant immediately after birth (prophylactic) or after 6 hr (therapeutic) to 81 Dutch preterm infants from a multicentre trial. ⋯ Surfactant, given either prophylactically or therapeutically, results in clinical improvement of children with biochemically immature lungs. A prophylactic treatment, moreover, results in reduced incidence and severity of RDS, in a significant shortening of the time spent on the respirator and in reduced need of extra oxygen compared with therapeutic treatment. We recommend to give surfactant prophylactically or at the first signs of RDS.
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Ned Tijdschr Geneeskd · Sep 1992
[Psychiatric disorders in elderly patients admitted in a general hospital].
To determine the prevalence of psychiatric disorders, especially depressive illness, in elderly medical inpatients. ⋯ The prevalence of major depression is lower than found until now among elderly medical inpatients.
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In the final months of his life Theo van Gogh was admitted to the 'Geneeskundig Gesticht voor Krankzinnigen te Utrecht'. In November 1990 from the archives of the Willem Arntsz Huis, psychiatric centre in Utrecht, the medical files from this period were made available and a transcription was made by Han van Crimpen and Sjraar van Heugten, scientific collaborators of the Van Gogh Museum. From these data it is acceptable to conclude that Theo van Gogh had dementia paralytica and suffered a fast deterioration of his situation in these last few months. ⋯ Gruby. There are insufficient indications that in Vincent van Gogh's case the same diagnosis can be put forward. It is most probable that during Vincent's visit to Theo in Paris in July 1890 in Theo's case symptoms of his medical deterioration were to be seen and this may have influenced the considerations finally leading to Vincent van Gogh's suicide.