Nederlands tijdschrift voor geneeskunde. Amsterdam
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[Women with chronic constipation: clinical examination is more important than anorectal function testing].
- Chronic constipation is a common disorder, particularly in women and the elderly.- Physical examination of patients with constipation should include rectal examination and in women also vaginal examination.- The patient is asked to relax, contract and bear down on the pelvic floor during inspection...
[No end to selective publication yet].
Selective publication of complete studies or outcomes within studies hampers unbiased medical decision making. If the available body of evidence does not offer a fair representation of all existing evidence, the true effect of an intervention cannot be judged, possible harmful effect...
[Fertility after high-dose sex steroid treatment to reduce final height].
We compared 239 tall women and 60 tall men treated with high-dose sex steroids during puberty with respectively 174 untreated tall women and 56 untreated tall men. Reproductive history was assessed by interview in addition to ultrasound imaging of the testes or ovaries, endocrine parameters and seme...
[Effect of treatment with growth hormone on mortality in adults with severe growth hormone deficiency].
WE CONCLUDE THAT THE SEX AND THE HETEROGENEOUS NATURE OF THE GROUP OF PATIENTS WITH GROWTH HORMONE DEFICIENCY ARE IMPORTANT FOR THE ASSESSMENT OF THE EFFECT OF GROWTH HORMONE ON MORTALITY. : Conflict of interest: A.A.M. Franken received reimbursement for his activities for the Medicines Evaluation B...
[Determinants for reintegration and sick leave duration in employees with symptoms of a psychological nature].
To examine the associations between sociodemographic, medical, work-related and organisational factors and the moment of first return to work by employees as well as the total duration of sick leave resulting from common mental disorders. Cross-sectional study....
[Parental smoking and vascular damage in their young children].
We used data on smoking behaviour of parents during and after pregnancy from the "WHeezing Illnesses STudy LEidsche Rijn" (WHISTLER)-birth cohort. In 259 participating children who had turned 5 years of age, the carotid artery intima-media thickness (CIMT) and arterial wall distensibility were measu...
[Consent for the secondary use of human residual tissue: the patient is best served by an 'opting-out' procedure].
In medical scientific research much use is made of human bodily material (residual tissue) which remains after treatment or diagnosis. Using this, relevant research questions can be answered. The way in which patients can consent to the secondary use of residual tissue is now formali...
[Worse prognosis for older breast cancer patients].
- The prognosis for older post-menopausal breast cancer patients is worse than for younger post-menopausal patients.- This applies to the relatively healthy patients taking part in randomized clinical studies, but is also the case for older breast cancer patients in the general popul...
[Patients' perspective on self-management during recovery from depression].
To investigate what patients themselves think they can contribute to recovery from depression, and what they find to be effective. The patients' perspective is necessary to improve treatment for depression. Qualitative, hypothesis-generating study. The...
[A woman with periocular swelling].
We present a 37-year-old woman with an 8-year history of rosacea, who developed persistent swelling of the right lower eyelid, diagnosed as Morbihan's disease. Morbihan's disease is considered a rare complication of rosacea.