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[Osteoarthritis Care; in transition towards a national movement and education program?] (骨关节炎护理;向全国运动和教育计划过渡？］
Nederlands tijdschrift voor geneeskunde Pub Date : 2026-03-12
Taco Gosens, Matthijs J J van Dam, Jernt Korst, Lucien Maas, Gerben Aarnoudse
{"title":"[Osteoarthritis Care; in transition towards a national movement and education program?]","authors":"Taco Gosens, Matthijs J J van Dam, Jernt Korst, Lucien Maas, Gerben Aarnoudse","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Osteoarthritis of the knee and hip leads to pain, functional limitations, and reduced quality of life. Although hip and knee arthroplasty are effective treatments, they remain costly and carry procedural risks. Evidence from the GLA:D programme shows that structured education, exercise therapy, and lifestyle interventions can delay surgery and improve mental wellbeing. Dutch policy documents emphasise prevention and network-based care, but regional variation and fragmented financing hinder nationwide implementation. A national movement and education programme, embedded within multidisciplinary regional networks and supported by digital monitoring, could deliver sustainable non-operative osteoarthritis care. Healthcare professionals can already initiate lifestyle interventions, apply framing techniques, and strengthen collaboration within regional networks.</p>","PeriodicalId":18903,"journal":{"name":"Nederlands tijdschrift voor geneeskunde","volume":"170 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147434374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[A woman with inspiratory stridor]. [有吸气性喘鸣的妇女]。
Nederlands tijdschrift voor geneeskunde Pub Date : 2026-03-11
Sophie M P Nieuwendijk, Merel Willeboer, Victor A van Bochove
{"title":"[A woman with inspiratory stridor].","authors":"Sophie M P Nieuwendijk, Merel Willeboer, Victor A van Bochove","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>An 80-year-old woman presented with inspiratory stridor after eating. Imaging revealed a decompensated esophagus. Endoscopy showed food retention and a narrowed lower esophageal sphincter. Achalasia, a rare motility disorder, was diagnosed and a botulinum toxin injection was administered. Treatment options include botox, pneumatic dilation, or surgery, the patient opted to await botox effects.</p>","PeriodicalId":18903,"journal":{"name":"Nederlands tijdschrift voor geneeskunde","volume":"170 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147434353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Prostate cancer]. (前列腺癌)。
Nederlands tijdschrift voor geneeskunde Pub Date : 2026-03-10
André N Vis, Esther H J Hamoen, Jean-Paul A van Basten
{"title":"[Prostate cancer].","authors":"André N Vis, Esther H J Hamoen, Jean-Paul A van Basten","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Prostate cancer is a common diagnosis and is usually established by PSA-driven diagnostics. The disease is often asymptomatic and does not affect the patient's life expectancy. Prostate cancer may follow an aggressive course with substantial mortality. Curative treatment options include robot-assisted radical prostatectomy and radiotherapy, sometimes in combination with hormonal therapy. Although these treatments are effective, they may be associated with urinary incontinence, erectile dysfunction, and urinary and gastrointestinal symptoms. Hormonal therapy has a broad spectrum of side-effects. The treatment of metastatic disease consists of hormonal therapy, in combinations or sequentially, and chemotherapy. Mortality in metastatic prostate cancer is high.</p>","PeriodicalId":18903,"journal":{"name":"Nederlands tijdschrift voor geneeskunde","volume":"170 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147434346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Neurogenic thoracic outlet syndrome: a rare diagnosis in the pediatric population]. 【神经源性胸廓出口综合征：儿科人群中罕见的诊断】。
Nederlands tijdschrift voor geneeskunde Pub Date : 2026-03-09
Stijn B J Teijink, Niels Pesser, Bart F L van Nuenen, Joep A W Teijink
{"title":"[Neurogenic thoracic outlet syndrome: a rare diagnosis in the pediatric population].","authors":"Stijn B J Teijink, Niels Pesser, Bart F L van Nuenen, Joep A W Teijink","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Neurogenic thoracic outlet syndrome (NTOS) is a complex diagnosis and a result of compression of the brachial plexus in one or more of three compression zones. In children it is a rare and complex diagnosis resulting in significant disability in daily life activities. Children with NTOS may experience milder complaints then adults with often only a heavy or numb feeling of the arm. Given the lack of recognition for TOS in children and the milder presentation diagnosis is often missed or delayed. The diagnosis NTOS should be more regularly thought of in children with unexplained complaints of the upper extremity. Provocation tests such as the upper limb tension test, Tinel sign, Morleys' sign and the elevated arm stress test can be used as an aid in diagnosing NTOS. We suggest to refer suspected children with NTOS to a TOS expert centre with extensive experience in thoracic outlet decompression.</p>","PeriodicalId":18903,"journal":{"name":"Nederlands tijdschrift voor geneeskunde","volume":"170 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147434433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Procedural comfort care in pediatric healthcare: bringing children from fear to trust]. 【儿科保健中的程序性舒适护理：使儿童从恐惧走向信任】。
Nederlands tijdschrift voor geneeskunde Pub Date : 2026-03-03
Piet L Leroy, Rhymme Dickens, Anne Zirar-Vroegindeweij, Elodie Mendels
{"title":"[Procedural comfort care in pediatric healthcare: bringing children from fear to trust].","authors":"Piet L Leroy, Rhymme Dickens, Anne Zirar-Vroegindeweij, Elodie Mendels","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Approximately two-thirds of children naturally fear medical procedures, with their subjective experience being more influential than the actual severity of the intervention. Procedural stress can lead to anticipatory anxiety, distrust, and post-traumatic stress symptoms, making effective management crucial. This article presents a comprehensive approach to pediatric procedural comfort care through the 7P model for trauma-free care. Key strategies include building trust through age-appropriate communication, using \"helpful language\" that redirects attention away from pain and anxiety, implementing distraction techniques, and ensuring adequate pain management through topical anesthetics and local anesthesia. Parents play a vital role as active partners in care. The 3R model (Regulate, Relate, Reason) provides a structured approach for managing highly anxious children. Implementing procedural comfort care requires specific competencies including child-centered communication and emotion regulation skills. Investment in team training and educational programs is essential for widespread implementation and preventing long-term medical trauma in pediatric patients.</p>","PeriodicalId":18903,"journal":{"name":"Nederlands tijdschrift voor geneeskunde","volume":"170 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147355829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Shared decision-making in diagnostics: practical guidelines]. [诊断中的共同决策：实用指南]。
Nederlands tijdschrift voor geneeskunde Pub Date : 2026-02-26
Sofie Jacobse, Hanneke Rijkels-Otters, Laura Zwaan
{"title":"[Shared decision-making in diagnostics: practical guidelines].","authors":"Sofie Jacobse, Hanneke Rijkels-Otters, Laura Zwaan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Shared decision-making (SDM) involves patients and clinicians making medical decisions as equal partners, combining professional expertise with patients' values and preferences. While increasingly applied in treatment and screening, SDM is rarely used in the diagnostic process, despite its potential value. Diagnostic decision-making differs fundamentally from treatment choices: uncertainty plays a larger role, evidence is often limited, and decisions unfold over time. To explore when SDM is most relevant, we analyzed malpractice claims related to diagnostic decisions in general practice. From 90 anonymized cases, six themes emerged where perspectives of doctors and patients diverged and SDM could add value: risk assessment, time as a diagnostic tool, consequences of testing, practical execution, re-evaluation of a diagnosis, and individual context. Addressing these themes through SDM may improve mutual understanding, prevent delays, enhance patient-centeredness, and reduce harm. SDM should therefore be considered a structural component of diagnostic practice.</p>","PeriodicalId":18903,"journal":{"name":"Nederlands tijdschrift voor geneeskunde","volume":"170 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146258845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[A teenager with hyperpigmentation]. [色素沉着过度的青少年]。
Nederlands tijdschrift voor geneeskunde Pub Date : 2026-02-25
Maik Tenhagen, Wim Opstelten
{"title":"[A teenager with hyperpigmentation].","authors":"Maik Tenhagen, Wim Opstelten","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This case concerns a 13-year-old girl with a dark discoloration on her neck for 1 year. The skin condition was clinically diagnosed as terra firma-forme dermatosis. Treatment consists of firmly wiping the affected skin with gauze soaked in 70% alcohol.</p>","PeriodicalId":18903,"journal":{"name":"Nederlands tijdschrift voor geneeskunde","volume":"70 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146258893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Menopausal transition]. (围绝经期)。
Nederlands tijdschrift voor geneeskunde Pub Date : 2026-02-24
C A H Ineke Janssen, Anneloes A L Smits
{"title":"[Menopausal transition].","authors":"C A H Ineke Janssen, Anneloes A L Smits","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In this educative article 10 medical questions related to the menopausal transition are answered. The questions are related to etiology, symptomatology, lab investigation, sexuality, need for contraception, hormonal and non-hormonal treatments and their risks and benefits. The purpose of this article is to assist the healthcare practitioner to understand the impact of the menopausal transition, to recognize the symptoms and to understand the risks and benefits of treatment. As women on average work and live longer, they are on average 30 percent of their lives postmenopausal. Attention should be paid to quality of life not only during menopausal transition, but also thereafter, with special awareness of the long term sequelae on women's health.</p>","PeriodicalId":18903,"journal":{"name":"Nederlands tijdschrift voor geneeskunde","volume":"170 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146258836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Declining number of home visits to older adults by GPs: an observational study using data from electronic health records in The Netherlands, 2017-2023]. [全科医生对老年人家访次数减少：一项使用荷兰电子健康记录数据的观察性研究，2017-2023年]。
Nederlands tijdschrift voor geneeskunde Pub Date : 2026-02-24
Joost W Vanhommerig, Chantal J Leemrijse, Marianne J Heins, Bart J Knottnerus, Ron F Schipper, Mariette Hooiveld
{"title":"[Declining number of home visits to older adults by GPs: an observational study using data from electronic health records in The Netherlands, 2017-2023].","authors":"Joost W Vanhommerig, Chantal J Leemrijse, Marianne J Heins, Bart J Knottnerus, Ron F Schipper, Mariette Hooiveld","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>To analyse the number of GP home visits from 2017-2023 in The Netherlands, and to investigate whether this trend differed according to age, sex, multimorbidity, and neighbourhood deprivation.</p><p><strong>Design: </strong>An observational study that used data derived from Nivel Primary Care Database, containing routinely recorded data from approximately 500 Dutch GP practices.</p><p><strong>Method: </strong>The number of home visits was calculated by age, sex, multimorbidity, and neighbourhood deprivation.</p><p><strong>Results: </strong>A 32% overall decrease in home visits was observed, with the sharpest decline in 2020. Short visits dropped by 52%, while visits for intensive GP care, often related to end-of-life situations, increased by 12%.</p><p><strong>Conclusion: </strong>We report a continuing decline in the number of home visits by GPs, comparing 2023 with 2017. Home visits for intensive GP care, often for patients at the end of life, increased since 2017. GPs may be forced to make choices owing to increasing workload and evolving care demands.</p>","PeriodicalId":18903,"journal":{"name":"Nederlands tijdschrift voor geneeskunde","volume":"170 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146258758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Pink-red discoloration in the diaper of a neonate]. [新生儿尿布上的粉红色斑点]。
Nederlands tijdschrift voor geneeskunde Pub Date : 2026-02-23
Sanne van de Vondervoort, Alike Kamerbeek, Esther Harnisch, Marjolijn Goos
{"title":"[Pink-red discoloration in the diaper of a neonate].","authors":"Sanne van de Vondervoort, Alike Kamerbeek, Esther Harnisch, Marjolijn Goos","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Pink-red discoloration in the diaper of neonates is often attributed to harmless urate crystals, formed from uric acid. However, clinicians should remain alert to other possible causes of pink-red discoloration. Here we present two cases of pink-red discoloration in neonates: one due to a congenital mesoblastic nephroma and the other one due to renal vein thrombosis as underlying cause. Additional diagnostics should be considered at a low threshold, starting with a simple urine dipstick. If the dipstick is negative for haem, hematuria can be excluded. If positive, urine sediment analysis is the next step to differentiate between hematuria, myoglobinuria or hemoglobinuria. In case of persisting haem-negative pink-red discoloration or in case of hematuria, myoglobinuria or hemoglobinuria consultation with a pediatrician is recommended, as further diagnostic evaluation is recommended.</p>","PeriodicalId":18903,"journal":{"name":"Nederlands tijdschrift voor geneeskunde","volume":"170 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146258812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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