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[Hemoptysis in a Serbian male]. [塞尔维亚男性咯血]。
Nederlands tijdschrift voor geneeskunde Pub Date : 2025-05-07
Lynn M M A van den Broek, Michiel G J de Vries, Yvonne L J Vissers
{"title":"[Hemoptysis in a Serbian male].","authors":"Lynn M M A van den Broek, Michiel G J de Vries, Yvonne L J Vissers","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A 43-year-old Serbian male presented with hemoptysis concurrent with respiratory infections. A week prior, he had undergone orchidectomy for testicular carcinoma. CT showed a cavitary lesion in the right upper lobe with a dense nodule. Bronchoscopy findings were inconclusive, VATS resection revealed a shrapnel. The hemoptysis has not recurred.</p>","PeriodicalId":18903,"journal":{"name":"Nederlands tijdschrift voor geneeskunde","volume":"169 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144003390","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
[Breast cancer; article for education and training purposes]. [乳腺癌;[教育、培训用品]。
Nederlands tijdschrift voor geneeskunde Pub Date : 2025-05-06
Carolien H Smorenburg, José H Volders, J Margriet Collée, Marie-Jeanne T F D Vrancken Peeters
{"title":"[Breast cancer; article for education and training purposes].","authors":"Carolien H Smorenburg, José H Volders, J Margriet Collée, Marie-Jeanne T F D Vrancken Peeters","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Breast cancer is the most commonly occurring malignancy in women. Every year, this type of cancer is newly diagnosed in almost 15,000 women and over 150 men in the Netherlands. Survival depends on the stage of disease and has improved over time. However, every year approximately 3100 women die of breast cancer in the Netherlands. Recent developments in breast cancer care focus on more breast and axilla conserving treatments, and the omission or more limited application of (neo)adjuvant systemic or additional radiotherapy if it is deemed safe. In this educational article we discuss aspects of detection, diagnosis, treatment and follow-up of breast cancer.</p>","PeriodicalId":18903,"journal":{"name":"Nederlands tijdschrift voor geneeskunde","volume":"169 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144020116","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
[Adhesive strapping for umbilical hernias in children: does it accelerate closure?] 儿童脐疝的胶结带：是否加速闭合？］
Nederlands tijdschrift voor geneeskunde Pub Date : 2025-05-05
Anne E Petersen, Maaike Hogerwerf, Mette T Vlieger, Joep P M Derikx, Justin R de Jong, Fred C Petersen
{"title":"[Adhesive strapping for umbilical hernias in children: does it accelerate closure?]","authors":"Anne E Petersen, Maaike Hogerwerf, Mette T Vlieger, Joep P M Derikx, Justin R de Jong, Fred C Petersen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>An umbilical hernia is a common and generally benign congenital condition in children, which may occasionally cause discomfort in the child and concern for parents. Taping of an umbilical hernia in children has been shown to accelerate the closure of the hernia defect. A five-week-old girl with a reducible umbilical hernia, associated with episodes of distress, was seen at the youth health care center. After consultation with a pediatric surgeon, the parents initiated adhesive strapping of the hernia. Within three months, the swelling had resolved completely. Adhesive strapping of an umbilical hernia in children accelerates the closure process and merits consideration in shared decision-making with parents.</p>","PeriodicalId":18903,"journal":{"name":"Nederlands tijdschrift voor geneeskunde","volume":"169 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143972542","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
[Being a good and happy doctor at the same time? This is how it's done]. [同时做一名好医生和快乐医生？这是怎么做的]。
Nederlands tijdschrift voor geneeskunde Pub Date : 2025-04-29
Kiki M J M H Lombarts
{"title":"[Being a good and happy doctor at the same time? This is how it's done].","authors":"Kiki M J M H Lombarts","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Over the past decade, discussions surrounding the medical profession have shifted from focusing on what makes a 'good' doctor to prioritizing the happiness and well-being of physicians. In discussions, being good and being happy are increasingly presented as opposites. Excellence seems to become a forbidden word, instead we focus on physicians being well. I argue that such polarization is both misguiding and unjustified. It distracts from what the conversation should be about: the loss of medicine as a relational service where the doctor-patient relationship is at the center. This does not negate the fact that good performance and professional happiness are under pressure - as I acknowledge in this article. The solution may be as simple as it is radical: reunite 'good' and 'happy' in conversations, in organizations, and in healthcare policies. Research shows that both are necessary to keep the profession sustainably vital and to continue providing high-quality patientcare.</p>","PeriodicalId":18903,"journal":{"name":"Nederlands tijdschrift voor geneeskunde","volume":"169 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144002792","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
[Bilateral femoral fractures due to bisphosphonate use]. [双膦酸盐使用导致双侧股骨骨折]。
Nederlands tijdschrift voor geneeskunde Pub Date : 2025-04-28
Joey F H Reijmer, Thomas J A van Schaik, Mechteld A R Vermeulen, William J M van der Stappen, Steven Strang
{"title":"[Bilateral femoral fractures due to bisphosphonate use].","authors":"Joey F H Reijmer, Thomas J A van Schaik, Mechteld A R Vermeulen, William J M van der Stappen, Steven Strang","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The risk of an atypical femoral fracture increases with the use of bisphosphonates for longer than 5 years. The typical presentation of an atypical femoral fracture consists of a transverse subtrochanteric femoral fracture originating from the lateral cortex with a medial spike, occurring after minimal or no trauma. For patients presenting with a spontaneous femoral fracture who are using bisphosphonates, it is recommended to discontinue bisphosphonate use and to determine the future fracture risk. Imaging of the contralateral femur should always be performed in patients with an AFF. If radiological abnormalities are present, preventive surgical fixation of the contralateral side should be considered. During the first two years following an atypical femoral fracture, regular monitoring with radiographs of both femurs is advised to assess healing and detect potential new fractures.</p>","PeriodicalId":18903,"journal":{"name":"Nederlands tijdschrift voor geneeskunde","volume":"169 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144008072","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
[Rise in incidence of early-onset colorectal cancer in the Netherlands: cause for concern?] 荷兰早发性结直肠癌发病率上升：值得关注吗？］
Nederlands tijdschrift voor geneeskunde Pub Date : 2025-04-24
Marloes A G Elferink, Laskarina J K Galanos, Femke P C Sijtsma, Maarten J Bijlsma, Tineke E Buffart, Ignace H J T de Hingh, Monique E van Leerdam, Felice N van Erning
{"title":"[Rise in incidence of early-onset colorectal cancer in the Netherlands: cause for concern?]","authors":"Marloes A G Elferink, Laskarina J K Galanos, Femke P C Sijtsma, Maarten J Bijlsma, Tineke E Buffart, Ignace H J T de Hingh, Monique E van Leerdam, Felice N van Erning","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>To describe trends in incidence of early-onset colorectal cancer in the Netherlands.</p><p><strong>Design: </strong>Observational research.</p><p><strong>Method: </strong>We selected colorectal cancer patients aged 15 to 49 years, diagnosed between 1989-2023, from the Netherlands Cancer Registry (NCR). We calculated incidence rates and determined changes in trends using Joinpoint regression analyses. Furthermore, we made a prediction of the number of early-onset colorectal cancer patients in 2035.</p><p><strong>Results: </strong>The number of new early-onset colorectal cancer patients has increased; from 6.3 per 100,000 in 1998 to 9.3 per 100,000 in 2023 (Annual Percentage Change 1.41% (95% confidence interval 1.18-1.71)). This incidence is expected to increase further in the future, reaching between 629 and 871 cases by 2035.</p><p><strong>Conclusion: </strong>There is an increase in the incidence of early-onset colorectal cancer in the Netherlands which appears to persist over the next 10 years. Further research is needed to identify the causes of this increase.</p>","PeriodicalId":18903,"journal":{"name":"Nederlands tijdschrift voor geneeskunde","volume":"169 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144012065","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
[White flakes in a wound: mucormycosis]. [伤口上的白色薄片；毛霉病]。
Nederlands tijdschrift voor geneeskunde Pub Date : 2025-04-23
Corieke van der Bas-Wolvers, Nicolas F Schroten, Alieke G Vonk
{"title":"[White flakes in a wound: mucormycosis].","authors":"Corieke van der Bas-Wolvers, Nicolas F Schroten, Alieke G Vonk","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A 71-year old woman was admitted on the Intensive Care Unit after repair of an ruptured abdominal aortic aneurysm. Afterwards she developed a compartment syndrome of the lower left leg with cotton wool-like patches on the fasciotomy wound. We suspected a fungal infection. A fungal culture revealed mucormycosis.</p>","PeriodicalId":18903,"journal":{"name":"Nederlands tijdschrift voor geneeskunde","volume":"169 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143990930","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
[Falls in older persons]. [老年人跌倒]。
Nederlands tijdschrift voor geneeskunde Pub Date : 2025-04-22
Bouwien B E Smid, Nathalie van der Velde, Sofie Jansen, Irene E van de Vorst, Mathijs Kreeft, Floor J A van Deudekom
{"title":"[Falls in older persons].","authors":"Bouwien B E Smid, Nathalie van der Velde, Sofie Jansen, Irene E van de Vorst, Mathijs Kreeft, Floor J A van Deudekom","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Falling is a common issue among older persons, with significant consequences in terms of personal suffering and social care costs. There is often a wide range of underlying and treatable problems present. For instance, a fall may serve as a red flag for an underlying disease with an atypical presentation. Guidelines recommend a multifactorial fall risk assessment for every older patient presenting with a fall. In this article, we provide tools for use in the emergency department and primary care settings to assess fall risk, explore potential treatment options, and establish referral criteria for secondary care.</p>","PeriodicalId":18903,"journal":{"name":"Nederlands tijdschrift voor geneeskunde","volume":"169 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144026243","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
[Sucking bruises in infants]. [吮吸婴儿身上的瘀伤]。
Nederlands tijdschrift voor geneeskunde Pub Date : 2025-04-21
Megan F C L Go, Adriënne J van der Neut, Caroline M Hartdorff, Judith M Bosman-Vermeeren
{"title":"[Sucking bruises in infants].","authors":"Megan F C L Go, Adriënne J van der Neut, Caroline M Hartdorff, Judith M Bosman-Vermeeren","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Bruises in premobile infants are alarming signals indicating possible child maltreatment and justify an additional workup. We describe two young infants who were presented with initially unexplained hematoma on the forearm. Additional medical examination was performed. Finally it turned out that the hematoma resulted from the vigorous sucking by the infant on the forearm with a so-called sucking bruise as a result. A thoroughly taken history is necessary and a fully head-to-toe exam is mandatory. When infants in the neonatal period present with bruises, the diagnosis of sucking bruise can be considered in some cases. The diagnosis can only be confirmed by observing the neonate sucking the affected area.</p>","PeriodicalId":18903,"journal":{"name":"Nederlands tijdschrift voor geneeskunde","volume":"169 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143990927","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
[Liberal blood transfusion in acute brain injury?] 急性脑损伤的自由输血？］
Nederlands tijdschrift voor geneeskunde Pub Date : 2025-04-17
Korné Jellema, Teun P Saltzherr, Bram Jacobs
{"title":"[Liberal blood transfusion in acute brain injury?]","authors":"Korné Jellema, Teun P Saltzherr, Bram Jacobs","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Whether a liberal or restrictive blood transfusion strategy is the best treatment option in patients with an acute, severe neurological disease, such as traumatic brain injury, an intracranial hemorrhage or a subarachnoid hemorrhage, is unknown. In this article we discuss the TRAIN trial and the current literature regarding a liberal versus a restrictive blood transfusion strategy in this patient category. The TRAIN trial showed a positive effect of a liberal strategy compared to a restrictive blood transfusion strategy in patients with an acute neurological disease. Another study as well as a meta-analysis were also unable to show a positive effect of a liberal blood transfusion strategy in patients with traumatic brain injury. We therefore conclude that at this moment it is too early to adopt a new, liberal blood transfusion strategy in patients with acute, severe neurological disease.</p>","PeriodicalId":18903,"journal":{"name":"Nederlands tijdschrift voor geneeskunde","volume":"169 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144012063","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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