Tijdschrift Voor Geneeskunde最新文献_第8页

Het aantal en de aard van de aanmeldingen bij de psychiatrische crisiszorg tijdens de COVID-19-pandemie: een retrospectieve observationele studie 在covid -19大流行期间，申请精神危机护理的人数和性质:回顾性观察研究

Tijdschrift Voor Geneeskunde Pub Date : 2023-10-12 DOI: 10.47671/tvg.79.23.096

L. Van Steen, J. Wijnants, G. Lemmens, G. Heylens

{"title":"Het aantal en de aard van de aanmeldingen bij de psychiatrische crisiszorg tijdens de COVID-19-pandemie: een retrospectieve observationele studie","authors":"L. Van Steen, J. Wijnants, G. Lemmens, G. Heylens","doi":"10.47671/tvg.79.23.096","DOIUrl":"https://doi.org/10.47671/tvg.79.23.096","url":null,"abstract":"The number and nature of admissions to psychiatric crisis care during the COVID-19 pandemic: a retrospective observational study. Aim: The aim of this study is to describe and evaluate the admissions to the University Psychiatric Emergency Unit of University Hospital Ghent (UPSIE) and the Mobile Crisis Team (MCT) of the Gent-Eeklo-Vlaamse Ardennen region during the COVID-19-pandemic. Method: A retrospective observational study was conducted, analyzing data from UPSIE and MCT from 2018 to 2021. We compared the clinical and socio-demographic characteristics of admission in 2020 and 2021 with those in 2018 and 2019. Results: During the COVID-19 pandemic, we observed a decrease in admissions at UPSIE. There was an increase in suicidality and requests for involuntary hospitalization in 2020 and 2021. The proportion of female admissions increased during the COVID-19 pandemic. As for MCT, we observed an increase in admissions in 2021, with a rise in the proportion of anxiety disorders in 2020 and mood disorders in 2021. Conclusion: We found changes in the number and nature of admissions to UPSIE and MCT during the COVID-19 pandemic. Further research is needed to clarify the impact of COVID on psychiatric crisis care.","PeriodicalId":23124,"journal":{"name":"Tijdschrift Voor Geneeskunde","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136013613","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

Zeldzame neutrofiele dermatose met belangrijke hematologische implicaties 罕见的中性粒细胞性皮肤病，具有重要的血液学意义

Tijdschrift Voor Geneeskunde Pub Date : 2023-10-12 DOI: 10.47671/tvg.79.23.048

L. Baert, S. Bosma, M. Goeteyn, I. Van Den Berghe, L. Vanwalleghem

{"title":"Zeldzame neutrofiele dermatose met belangrijke hematologische implicaties","authors":"L. Baert, S. Bosma, M. Goeteyn, I. Van Den Berghe, L. Vanwalleghem","doi":"10.47671/tvg.79.23.048","DOIUrl":"https://doi.org/10.47671/tvg.79.23.048","url":null,"abstract":"Rare neutrophilic dermatosis with significant hematologic implications A patient was seen in the dermatology department because of a solitary lesion on the right forearm. This lesion had an annular aspect with a raised, bright erythematous, inflammatory border of confluent papules with an oedematous aspect. Previously, similar lesions had developed, regressing spontaneously after a few weeks. Histological examination showed a marked oedema and a dens dermal predominant neutrophilic infiltrate with leucocytoclasia without vasculitis. Based on the clinical picture, the chronic recurrent course and the histology, the diagnosis of chronic recurrent annular neutrophilic dermatosis (CRAND) was made. Since CRAND belongs to the neutrophilic skin disorders, a comprehensive blood test was performed, showing a monoclonal B cell population. In consultation with a fellow haematologist, additional CT scans of the thorax and abdomen were performed. These showed neither adenopathies nor hepatosplenomegaly, upon which the diagnosis of monoclonal B cell lymphocytosis was made. This condition increases the risk of developing chronic lymphatic leukaemia. This case report thus shows a rare neutrophilic dermatosis that differs from Sweet syndrome given the absence of fever, systemic symptoms or neutrophilia in the blood. This case is specifically relevant because of the additional finding of a monoclonal B cell lymphocytosis, increasing the risk of developing chronic lymphatic leukaemia. This demonstrates the importance of further additional investigation to exclude possible (pre)malignancies when the diagnosis of CRAND is made.","PeriodicalId":23124,"journal":{"name":"Tijdschrift Voor Geneeskunde","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135923410","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: 1

Boekbespreking: Vascular challenges in skull base surgery boekspoke:颅底手术中的血管挑战

Tijdschrift Voor Geneeskunde Pub Date : 2023-10-09 DOI: 10.47671/tvg.78.22.104

F. Weyns, S. BROEKX

引用次数: 0

‘Enhanced recovery after surgery’: tijd voor de standaard in chirurgie? “手术后增强恢复”:是时候设定手术标准了吗?

Tijdschrift Voor Geneeskunde Pub Date : 2023-10-06 DOI: 10.47671/tvg.79.23.060

T. Boogmans, L. Bogaert, H. Smid-Nanninga, H.D. de Boer, L. Beckers, S. Maes

{"title":"‘Enhanced recovery after surgery’: tijd voor de standaard in chirurgie?","authors":"T. Boogmans, L. Bogaert, H. Smid-Nanninga, H.D. de Boer, L. Beckers, S. Maes","doi":"10.47671/tvg.79.23.060","DOIUrl":"https://doi.org/10.47671/tvg.79.23.060","url":null,"abstract":"Enhanced recovery after surgery: towards a new standard in surgery? In a changing healthcare landscape and the hospital of the future, a crucial question remains how to maintain a good quality of care for patients in a healthcare system under pressure. Enhanced recovery after surgery (ERAS) may provide the answer to this question and focuses on a multimodal, multidisciplinary patient-centered care pathway. The pathophysiological core of ERAS consists of reducing the surgical stress response and the associated inflammation to limit the degree of organ dysfunction and to enhance recovery. ERAS programs include (but are not limited to) evidence-based guidelines regarding a reduced fasting time and allowing the intake of carbohydrate-rich drinks up to 2 hours prior to surgery, minimally invasive surgery, multimodal opioid-sparing analgesia, normovolemia, normothermia, the avoidance or early removal of drains, and the early restart of nutrition and mobilization. With an increased compliance to ERAS elements, the outcome becomes better. Ample evidence exists that ERAS programs lead to a reduced length of stay, less complications, less readmissions, less reoperations and a reduced mortality. Additionally, ERAS programs are cost-saving. The implementation of ERAS care pathways requires a policy focused on ‘change’ management, teamwork, leadership, vision, communication and a continuous audit of the entire care process.","PeriodicalId":23124,"journal":{"name":"Tijdschrift Voor Geneeskunde","volume":"299 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135351927","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

Eosinofiele fasciitis na immuuncheckpointinhibitie met pembrolizumab 使用pembrolizumab的免疫检查点抑制剂引发卵磷脂性筋膜炎

Tijdschrift Voor Geneeskunde Pub Date : 2023-10-03 DOI: 10.47671/tvg.79.23.043

J. Vanhees, F. Lockefeer, C. Bohyn, E. Vandenbroucke, M. Lebeer

引用次数: 1

Vinger aan de pols 手指放在手腕上

Tijdschrift Voor Geneeskunde Pub Date : 2023-10-01 DOI: 10.47671/tvg.79.23.103

P. Lacor

引用次数: 0

Folia Pharmacotherapeutica oktober 2023 Folia Pharmacotherapeutica oktober 2023

Tijdschrift Voor Geneeskunde Pub Date : 2023-09-29 DOI: 10.47671/tvg.79.23.102

引用次数: 0

Meta-analyse doorprikt het Mozart-effect bij epilepsie 荟萃分析揭示了莫扎特对癫痫的影响

Tijdschrift Voor Geneeskunde Pub Date : 2023-09-28 DOI: 10.47671/tvg.79.23.104

M. Finoulst, P. Vankrunkelsven

引用次数: 0

Het belang van vroegtijdige diagnose van een spinaal epiduraal abces: een casus 早期诊断脊髓硬膜外脓肿的重要性:一个案例

Tijdschrift Voor Geneeskunde Pub Date : 2023-09-25 DOI: 10.47671/tvg.79.23.066

P. Verbiest, A. Bosmans, L. van den Hauwe, K. Declerck

引用次数: 0

Preconceptionele uitgebreide dragerschapsscreening: een genetische test voor koppels met een kinderwens 怀孕前广泛的载体筛选:对有生育愿望的夫妇的基因测试

Tijdschrift Voor Geneeskunde Pub Date : 2023-09-22 DOI: 10.47671/tvg.79.23.040

A. Van Tongerloo, H. Verdin, B. Blaumeiser, L. Polster, P.J. Coucke, S. Janssens

{"title":"Preconceptionele uitgebreide dragerschapsscreening: een genetische test voor koppels met een kinderwens","authors":"A. Van Tongerloo, H. Verdin, B. Blaumeiser, L. Polster, P.J. Coucke, S. Janssens","doi":"10.47671/tvg.79.23.040","DOIUrl":"https://doi.org/10.47671/tvg.79.23.040","url":null,"abstract":"Preconception expanded carrier screening: a genetic test for couples planning to conceive Approximately 1% to 2% of all couples have a risk of conceiving a child with a severe recessive disorder. Genetic expanded carrier screening (ECS) can determine this risk and allows couples planning a pregnancy to make informed reproductive choices. The Belgian genetic centers developed the ‘Belgian Genetic Expanded Carrier Screening’ (BeGECS), an ECS for 1,248 genes. The center for medical genetics (CMGG) of the Ghent University Hospital already received samples from over 350 couples. This article discusses the results of the first 250 analyses. Of the 250 couples, 70% consulted in the context of a preimplantation genetic testing (PGT) trajectory. These couples had an already known carriership in 1 or both partners of an autosomal dominant, autosomal recessive and/or X-linked disorder. These risks are of course not included in the results of the BeGECS analyses. The BeGECS analyses showed that 15 couples (6%) were at risk of having a child with an autosomal recessive disorder and 5 (2%) of having a child with a severe phenotype. In 7 couples (2.8%), 1 of the partners was carrier of an X-linked disorder. In 26% of those screened, individual carriership was identified for 1 of the highly frequent autosomal recessive disorders. Couples who are aware of this risk, prior to pregnancy, can make autonomous informed reproductive choices. To allow every couple to choose for ECS, it is essential that offering the test becomes part of standard preconception care.","PeriodicalId":23124,"journal":{"name":"Tijdschrift Voor Geneeskunde","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136061101","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