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[Automatic formula dispensers, relief or risk?]
Nederlands tijdschrift voor geneeskunde Pub Date : 2025-02-04
Ilse Bel, Justus M Maier, Sanne de Kreij, Richard A van Lingen
{"title":"[Automatic formula dispensers, relief or risk?]","authors":"Ilse Bel, Justus M Maier, Sanne de Kreij, Richard A van Lingen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The usage of automatic formula dispensers comes with certain risks which are commonly unknown to parents and caregivers. In this article we describe two cases in which incorrect usage of these dispensers resulted in health issues. In one case the usage of a formula dispenser resulted in failure to thrive and in the other case it resulted in prolonged abdominal pain. These two cases emphasize the importance of extensive history taking regarding nutrition in cases with failure to thrive or nutritional difficulties. Caregivers should be aware of the potential risks associated with automatic formula dispensers. Furthermore, it is of importance to provide comprehensive guidance to parents regarding the correct utilization of these dispensers.</p>","PeriodicalId":18903,"journal":{"name":"Nederlands tijdschrift voor geneeskunde","volume":"169 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143255845","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
['More research is needed' is a meaningless conclusion]. （‘需要更多的研究’是一个毫无意义的结论）。
Nederlands tijdschrift voor geneeskunde Pub Date : 2025-01-28
Yvo M Smulders, Jonne J Sikkens
{"title":"['More research is needed' is a meaningless conclusion].","authors":"Yvo M Smulders, Jonne J Sikkens","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This sentence often concludes medical research articles. We argue that 'more research is needed' is an empty phrase. There is always room for synthesis of previously existing and currently added knowledge, allowing for a conclusion on what we now know. Surely, current knowledge is rarely definitive. Sometimes it is, however, in which case valuable resources are better spent elsewhere, rather than in more research on the topic of interest.</p>","PeriodicalId":18903,"journal":{"name":"Nederlands tijdschrift voor geneeskunde","volume":"169 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143008643","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
[Should we all do mouth taping? The real story behind breathing through the nose.]
Nederlands tijdschrift voor geneeskunde Pub Date : 2025-01-23
Digna M A Kamalski
{"title":"[Should we all do mouth taping? The real story behind breathing through the nose.]","authors":"Digna M A Kamalski","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Breathing through the nose has many benefits compared to mouth breathing. There are ways to force breathing through the nose, for instance by mouth taping. It is, however, normal that nasal passage variates. This article describes the normal physiologic variations in nasal breathing. Mouth taping is not needed to change it!</p>","PeriodicalId":18903,"journal":{"name":"Nederlands tijdschrift voor geneeskunde","volume":"169 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143255849","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 lady who is lying crooked]. [斜躺着的女士]。
Nederlands tijdschrift voor geneeskunde Pub Date : 2025-01-22
Lise A J Kusters, Linda van de Winkel, Luuk C Otterspoor
{"title":"[A lady who is lying crooked].","authors":"Lise A J Kusters, Linda van de Winkel, Luuk C Otterspoor","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We present a 78-year-old, unvaccinated woman with a tetanus induced severe opisthotonos, requiring mechanical ventilation. We point out the importance of verifying the vaccination status for older patients born before the early 1950's and patients with a migration background. Additionally, we emphasize on administering appropriate post-exposure prophylaxis.</p>","PeriodicalId":18903,"journal":{"name":"Nederlands tijdschrift voor geneeskunde","volume":"169 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143008638","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
[Mucosal disorders of the tongue]. [舌头粘膜紊乱]。
Nederlands tijdschrift voor geneeskunde Pub Date : 2025-01-21
Najiba Chargi, Munther Al-Rushdy, Thijs Merkx, Marie-Charlotte Huysmans, Stefaan Bergé, Eric Dik
{"title":"[Mucosal disorders of the tongue].","authors":"Najiba Chargi, Munther Al-Rushdy, Thijs Merkx, Marie-Charlotte Huysmans, Stefaan Bergé, Eric Dik","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Mucosal diseases of the tongue, such as lingua geographica and lingua villosa, are relatively common and are usually harmless, but can also be more serious, such as oral cavity carcinoma of the tongue. In this article we discuss the diagnosis and treatment of the most common mucosal diseases of the tongue. The influence of underlying systemic conditions, certain medications and preventive advice are also discussed. We also pay attention to the indications for referral to secondary care.</p>","PeriodicalId":18903,"journal":{"name":"Nederlands tijdschrift voor geneeskunde","volume":"169 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143008644","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
[Hirsutism: a common problem; when to consider rare causes?] 多毛症：常见问题；什么时候考虑罕见原因？］
Nederlands tijdschrift voor geneeskunde Pub Date : 2025-01-20
Myrthe M Kuijpers, Tessa G Steenbruggen, Bart E Pelzer, Joost G Lange, A W A Koot, Iris M M J Wakelkamp
{"title":"[Hirsutism: a common problem; when to consider rare causes?]","authors":"Myrthe M Kuijpers, Tessa G Steenbruggen, Bart E Pelzer, Joost G Lange, A W A Koot, Iris M M J Wakelkamp","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Excessive hair growth is a common and distressing complaint in women. It is imperative to differentiate excessive hair growth from hirsutism with possible other signs of virilization. Hirsutism is commonly attributed to polycystic ovary syndrome (PCOS). Hirsutism with rapid onset or progression, potentially combined with other signs of virilisation or secondary amenorrhea, should prompt evaluation of other underlying causes. In this clinical lesson, we present three cases of hirsutism to illustrate red flags to consider rare diagnoses. Diagnoses include non-classical congenital adrenal hyperplasia, a testosterone-secreting Leydig-cell tumour and PCOS. Early recognition and diagnosis can improve quality of life and, in cases of malignancy, enhance survival outcomes.</p>","PeriodicalId":18903,"journal":{"name":"Nederlands tijdschrift voor geneeskunde","volume":"169 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143008640","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
[Trajectories of health-related quality of life and symptom burden in patients with advanced cancer towards the end of life: longitudinal results from the eQuiPe study]. [晚期癌症患者临终前与健康相关的生活质量和症状负担轨迹：eQuiPe研究的纵向结果]。
Nederlands tijdschrift voor geneeskunde Pub Date : 2025-01-16
Dana van Son, Moyke A J Versluis, Lonneke V van de Poll-Franse, Natasja J H Raijmakers
{"title":"[Trajectories of health-related quality of life and symptom burden in patients with advanced cancer towards the end of life: longitudinal results from the eQuiPe study].","authors":"Dana van Son, Moyke A J Versluis, Lonneke V van de Poll-Franse, Natasja J H Raijmakers","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The number of individuals with advanced cancer is increasing, making palliative care more important. However, there is limited knowledge in the Netherlands about the quality of care received by patients in the palliative phase. This is why the Netherlands comprehensive cancer organization (IKNL) started the 'eQuiPe study' to understand the experienced quality of care and quality of life of patients with advanced cancer and their relatives to further improve palliative care.</p><p><strong>Methods: </strong>Patients with advanced cancer (stage IV) and their relatives were asked to complete questionnaires regarding quality of care and quality of life every three months in 40 Dutch hospitals.</p><p><strong>Results: </strong>The quality of life of patients (n=1108) with advanced cancer declines, particularly in the last three months of life, accompanied by an increase in symptom burden. Quality of life is strongly associated with continuity of care, advance care planning, and open communication about end-of-life situations. Additionally, there is a relation between the well-being of patients and that of their relatives (n=836), which emphasizes the importance of a family-centered approach in palliative care.</p><p><strong>Discussion: </strong>This is the first study to prospectively and longitudinally explore experienced quality of care and quality of life in patients with advanced cancer and their relatives. The key lessons learned from the eQuiPe study indicate that patients and relatives should be regarded as a whole, with attention given to the four dimensions of quality of life (physical, psychological, social and spiritual). Continuity of care must be warranted to provide patients and their relatives with a better support network. Advance care planning is essential in this context.</p>","PeriodicalId":18903,"journal":{"name":"Nederlands tijdschrift voor geneeskunde","volume":"169 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142983752","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
[Older patients with suspected malignancy]. [疑似恶性肿瘤的老年患者]。
Nederlands tijdschrift voor geneeskunde Pub Date : 2025-01-14
Ewout B Smit, J Wessel Versteeg, Kathelijn S Versteeg
{"title":"[Older patients with suspected malignancy].","authors":"Ewout B Smit, J Wessel Versteeg, Kathelijn S Versteeg","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Some older patients with suspected malignancy are not automatically eligible for a standard care process due to frailty or limited treatment wishes. For this group we recommend a personalized approach in which frailty is identified and the patient's wishes are central. To achieve appropriate care, cooperation and timely consultation between primary care or elderly care with a geriatric and/or oncological specialist from secondary care is important. Together, a care plan can be realized, and agreements can be made as to who will have the management role.</p>","PeriodicalId":18903,"journal":{"name":"Nederlands tijdschrift voor geneeskunde","volume":"169 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142983750","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
[Building trust together]. （共同建立信任）。
Nederlands tijdschrift voor geneeskunde Pub Date : 2025-01-09
Arno van Dam, Bart Timmers
{"title":"[Building trust together].","authors":"Arno van Dam, Bart Timmers","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Since the corona pandemic, there has been more distrust towards the government and official institutions, more people are attracted to conspiracy theories and society has become more polarized. This increased distrust is also reflected in doctors' consulting rooms. It can be specifically aimed at medical interventions, the prescription of medication and the use of vaccinations, but also more broadly at the doctor as a representative of the established order. This requires doctors to be able to build a good working relationship with a distrustful patient. A conversation technique that has proven effective in promoting collaborative relationships in the event of conflicting beliefs between doctor and patient is the LEAP method. This article provides directions on how doctors can talk and collaborate with distrustful patients.</p>","PeriodicalId":18903,"journal":{"name":"Nederlands tijdschrift voor geneeskunde","volume":"169 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142971511","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 14-year-old boy with painful oral lesions]. [14岁男孩，口腔病变疼痛]。
Nederlands tijdschrift voor geneeskunde Pub Date : 2025-01-08
Martijn P van Vliet, Frank J Smit
{"title":"[A 14-year-old boy with painful oral lesions].","authors":"Martijn P van Vliet, Frank J Smit","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This case concerns a boy presenting with oral pain and multiple mucocutaneous lesions such as mucositis, conjunctivitis, and a rash on the trunk, extremities, and genitalia. The presence of mild respiratory complaints raised suspicion of an extrapulmonary manifestation of <i>Mycoplasma pneumoniae</i>, known as <i>Mycoplasma pneumoniae</i>-induced Rash and Mucositis (MIRM). The patient underwent conservative treatment and was monitored to prevent chronic sequels such as ocular damage or sicca keratoconjunctivits.</p>","PeriodicalId":18903,"journal":{"name":"Nederlands tijdschrift voor geneeskunde","volume":"169 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142971442","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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