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Extracorporeal shock wave lithotripsy of common bile duct stones in patients with increased operative risk.

OBJECTIVE: Assessment of efficacy of extracorporeal shock wave lithotripsy (ESWL) of stones in the common bile duct. DESIGN: Prospective clinical study. SETTING: Department of Surgery, University Hospital Rotterdam, Rotterdam, The Netherlands. SUBJECTS: 90 patients with stones in the common bile duct and at increased operative risk (median age 73 years, range 27-95). INTERVENTIONS: After failure of endoscopic measures, the first 13 patients were treated under general anaesthesia with a first generation lithotriptor. Of the next 77 patients, treated with a second generation lithotriptor, on…

[Beneficial effect of exercise therapy in urinary incontinence in family practice depends largely on therapy compliance and motivation].

OBJECTIVE: Determining the factors which influence the success of training therapy in women suffering from urinary incontinence. DESIGN: Descriptive. SETTING: Thirteen general practices in Nijmegen and environs, the Netherlands. METHOD: A total of 110 women between 20 and 65 years old, suffering from urinary incontinence were examined by their general practitioners. Age, personality, parity, psychological features and type, duration, severity, beginning of the disease, as well as the presence of cystocele or prolapse were recorded. Women were asked about their own experiences regarding fact…

The epidemiology of cutaneous malignant melanoma: aetiology and European data.

Increases in cutaneous malignant melanoma (CMM) incidence and mortality rates have occurred in the last decades in virtually all white popul … as the cause of the CMM epidemic. In Europe the highest rates of melanoma are seen in Denmark, The Netherlands, the United Kingdom, Ireland and Germany, where many individuals have light complexion with tendency to burn. Increases of 2 to 7% per year in mortality rates appeared earlier in these countries, but were subsequently seen also in relatively low-ris …

Risk factors for carpal tunnel syndrome.

Between September 1983 and July 1985, a case-control study was performed of carpal tunnel syndrome risk factors in the general population of Maastricht, The Netherlands, and some surrounding villages. Twenty-eight of the 501 participants were found to suffer from carpal tunnel syndrome. These 28 were added to a series of 128 consecutive carpal tunnel syndrome patients from the same area. The 156 (131 women and 25 men) subjects in whom carpal tunnel syndrome had been diagnosed on the basis of clinical history and neurophysiologic testing were compared with the remaining 473 (310 women and 163 m…

Use of Holter functions of the implantable pacemaker to control antiarrhythmic therapy of supraventricular and ventricular recurrent tachycardias.

Holter functions of pacemakers were studied in a total of nine patients with paroxysmal atrial flutter (Group I--a Quintech DD 931 pacemaker, manufactured by Vitatron Medical, The Netherlands), and in 11 patients with recurrent postinfarction ventricular tachycardia (Group II--a DPG P 21 diagnostic pulse generator, Vitatron Medical. Seven patients (35%) were excluded from the study for myopotential interference. Group I patients were given six antiarrhythmic drugs for eight weeks each, with only prajmalin and amiodarone significantly shortening flutter duration. Group II patients were administ…

Role of Family Medicine in Integrative Prevention and Management of Oncologic Diseases in Romania.

The incidence of neoplastic disorders worldwide has steadily increased, and Romania is no exception, showing a substantial rise in active on … nt demographic and socio-economic context, comparing the national system to models from the UK, the Netherlands, and Spain. The analysis highlights operational gaps, including low breast, cervical, and colorectal screening uptake in Romania. We concluded that optimizing patient care requires transitioning to an integrated pathway, supported by practical refor …

Bridge-to-surgery in acute right-sided obstructing colon cancer: A survey of surgeons' perspectives on treatment strategies.

AIM: To investigate surgeons' perspectives on the management of right-sided obstructing colon cancer, with particular focus on their views regarding bridge-to-surgery strategies. METHODS: A national cross-sectional descriptive survey study was conducted in the Netherlands between January and October 2024. Questionnaires were distributed among surgeons with an interest in colorectal surgery and surgical trainees specialising in gastrointestinal surgery. RESULTS: Fifty completed questionnaires were analysed; 80% of the respondents were surgeons, 20% were surgical trainees. Emergency resection …

A cross-lagged panel model examining the longitudinal associations between maternal emotion regulation difficulties, parenting stress, and child socio-emotional problems in toddlerhood.

In toddlerhood, parents play a crucial role in supporting the socio-emotional development of children through their parenting behaviors. Cer … th child socio-emotional problems. This study included 360 mothers from the Southern regions of the Netherlands (Mage = 31.4, 90.7% Dutch, 81.4% completed university) who completed questionnaires biannually (Jan 2021-May 2024) within the first 3 years postpartum, as part of a longitudinal birth cohort. Cross-lagged path analyses indicated a bidirectional rela …

Spectrum of Brain Imaging with 3T MRI for Infants with History of Perinatal Hypoxia and their Comparison with 128 Slice NCCT Images.

BACKGROUND: Neonates with a history of perinatal hypoxia often require meticulous neuroimaging to detect brain injuries promptly. This study investigates the utility of 3T magnetic resonance imaging (MRI) in assessing neonates with perinatal hypoxia and compares it with the conventional 128-slice NCCT imaging modality. MATERIALS AND METHODS: A retrospective study was conducted, encompassing 67 cases over 1 year from October 2022 to October 2023. We assessed the performance of 3T MRI using the Achieva 3T TX MRI scanner (Philips, The Netherlands) and compared it to the 128-slice GE 660 Optima C…

[A not-so-typical ankle sprain].

BACKGROUND: An estimated hundreds of thousands of patients are treated in the Netherlands every year for an ankle sprain. We describe two cases where the course of an ankle sprain differed from the usual presentation. CASE PRESENTATION: Case 1: A 22-year-old male presented to the Emergency Department following an inversion sprain to the ankle. The pain and swelling were localized around the subtalar joint rather than the lateral ankle ligament(s), with limited range of motion in the subtalar joint. Imaging revealed a fracture through a tarsal coalition. The patient was treated with cast immob…

Вирус Западного Нила и вирус Усуту нейтрализуют антитела, найденные в голландских грызунах.

Фон: В Нидерландах вирус Усуту (USUV) является эндемичным у птиц, а недавно вирус Западного Нила (WNV) также был обнаружен у птиц, комаров и людей. Здесь мы изучили возможную роль грызунов в экологии передачи вирусов. Материалы и методы: мы отобрали грызунов в шести местах, включая места, где ранее был обнаружен ВНВ. Мозги (n = 668), оральный мазок (n = 282) и грызуны (n = 91), полученные от грызунов, были испытаны на арбовирусы с помощью обратной транскрипции полимеразы (RT-PCR). Кроме того, сера 118 грызунов была опробована на WNV- и USUV-антител. Результаты и заключение: образцы мозга, мазк

Совпадение в аннотации оригинала
Background: In the Netherlands, Usutu virus (USUV) is endemic in birds, and recently West Nile virus (WNV) was also detected in birds, mosquitoes and humans. Here we investigated the possible role of rodents in the viruses' transmission ecology. Materials and Methods: We sampled rodents at six locations including sites where WNV had been previously detected.…

Measurements of dune erosion processes during the RealDune/REFLEX experiments.

Nearshore hydro- and morphodynamic data were collected during a field experiment under calm conditions, moderate conditions, and storm conditions with dune erosion in the collision regime. The experiment was conducted on the Sand Engine near Kijkduin, the Netherlands, from October 18, 2021, to January 7, 2022. Two artificial unvegetated dunes were constructed just above the high water line to measure storm erosion and dune impacts from higher water levels and waves. During the experiment, three storms occurred that resulted in significant erosion of both dunes. The collected hydrodynamic data …

Active surveillance and emerging medical treatment options for desmoid: when and for whom?

PURPOSE OF REVIEW: This article discusses the evolving approaches to desmoid tumors management, shedding light on recent developments. RECENT FINDINGS: Active surveillance has become the primary approach for managing primary peripheral desmoid tumors. This strategy was initially based on evidence from retrospective studies. Roughly 50% of cases managed with active surveillance show spontaneous stabilization or regression. Recent prospective trials conducted in Italy, The Netherlands, and France (2022-2023) confirm the efficacy of active surveillance, revealing 3-year progression-free survival…

A critical appraisal of perioperative sleep apnoea management after nasal surgery: A review of up-to-date literature supplemented by findings of a retrospective observational study.

OBJECTIVE: To review the current recommendations on postoperative precautions for obstructive sleep apnoea patients undergoing elective nasal surgery. DESIGN: Retrospective cohort study. SETTING: Department of Otorhinolaryngology and Anesthesiology/Intensive Care, University Teaching Hospital, Rotterdam, the Netherlands. PARTICIPANTS: The medical charts of 61 patients with sleep apnoea who were admitted to the post-anaesthesia care unit between 2016 and 2020, following nasal surgery were reviewed. MAIN OUTCOME MEASURES: Number of respiratory events during post-anaesthesia care unit admissi…

Prevalence of Potential Drug-Drug Interactions Among Hypertensive Pregnant Women Admitted to a Tertiary Care Hospital.

AIMS AND OBJECTIVES: The aim is to determine the frequency of potential drug-drug interactions (pDDIs) and to analyze the clinically relevant drug interactions among hypertensive pregnant women. MATERIALS AND METHODS: This was an observational, cross-sectional study conducted at a tertiary care hospital. The prescriptions of the hypertensive pregnant women admitted to the hospital from June 2021 to December 2021 were analyzed for potential drug-drug interactions using the database from Lexicomp ® Solutions android mobile application version 7.5.4 (Wolters Kluwer, The Netherlands). RESULTS: A…

Agricultural SandboxNL: A national-scale database of parcel-level processed Sentinel-1 SAR data.

Synthetic Aperture Radar (SAR) data handling, processing, and interpretation are barriers preventing a rapid uptake of SAR data by applicati … ages (5 TB) to produce a 12 GB time series database for approximately 770,000 crop parcels over the Netherlands for a period of three years. The database can be queried by Sentinel-1 system parameters (e.g. relative orbit) or user application-specific parameters (e.g. crop type, spatial extent, time period) for parcel level assessment. The database can be use …

Profiling intermittent tinnitus: a retrospective review.

Objective: We conducted a retrospective review of medical records of tinnitus patients at a tertiary ENT clinic in Groningen, Netherlands. Our goal was to identify factors that differentiated the intermittent subgroup from the larger continuous group with chronic tinnitus. Design: Tinnitus-related factors such as hearing loss, emotional aspects, and demographics were used to advance our understanding of the subgroups. We analysed the data using descriptive statistics and binomial logistic regression, supplemented by random forests classification. Study sample: Patients presenting with tinnitus…

Isolation of known and potentially pathogenic tick-borne microorganisms from European ixodid ticks using tick cell lines.

Ticks harbour and, in many cases transmit to their vertebrate hosts, a wide variety of pathogenic, apathogenic and endosymbiotic microorgani … t parts of Europe. We isolated and partially characterised four new strains of Spiroplasma from The Netherlands, Spain and Poland, two new strains of Rickettsia raoultii from Russia and Poland, one strain of Rickettsia slovaca from Spain and a species of Mycobacterium from the UK. Comparison with published sequences showed that the Spiroplasma strains were cl …

Lambert-Eaton myasthenic syndrome: Epidemiology and therapeutic response in the national veterans affairs population.

INTRODUCTION: One nationwide study (The Netherlands) of Lambert-Eaton myasthenic syndrome (LEMS) has been published. We report LEMS epidemiology and its therapeutic response in the United States Veterans Affairs (VA) population. METHODS: Medical records for all active patients (12.5 million) in the VA health system were queried for relevant ICD-9 codes for the period October 1, 1999 to September 30, 2013. Clinical, electrophysiologic, and serologic features were evaluated to confirm diagnosis; epidemiologic and treatment data were collected. RESULTS: Point prevalence was estimated at 2.6 per…

Management of the clinically N0 neck in squamous cell carcinoma of the maxillary alveolus and hard palate.

BACKGROUND: The purpose of this study was to evaluate active surveillance strategy in the clinically negative neck in maxillary squamous cell carcinoma (SCC). METHODS: One hundred fourteen consecutive patients diagnosed with oral maxillary SCC were analyzed retrospectively from 3 centers in The Netherlands. Analysis parameters included regional disease-free survival of N0 patients stratified for T classification, elective radiotherapy (RT) of the neck; and overall survival of the whole cohort, stratified by N classification; salvage neck surgery rates. RESULTS: Within the N0 cohort, 26.0% of…