BackgroundVaccine uptake differs between social groups. Mobile vaccination units (MV-units) were deployed in the Netherlands by municipal health services in neighbourhoods with low uptake of COVID-19 vaccines.AimWe aimed to evaluate the impact of MV-units on vaccine uptake in neighbourhoods with low vaccine uptake.
View Article and Find Full Text PDFAims: Postoperative atrial fibrillation (POAF) is a common complication of cardiac surgery, yet difficult to detect in ambulatory patients. The primary aim of this study is to investigate the effect of a mobile health (mHealth) intervention on POAF detection after cardiac surgery.
Methods And Results: We performed an observational cohort study among 730 adult patients who underwent cardiac surgery at a tertiary care hospital in The Netherlands.
Background: Atrial fibrillation (AF), sternal wound infection, and cardiac decompensation are complications that can occur after cardiac surgery. Early detection of these complications is clinically relevant, as early treatment is associated with better clinical outcomes. Remote monitoring with the use of a smartphone (mobile health [mHealth]) might improve the early detection of complications after cardiac surgery.
View Article and Find Full Text PDFThe practice guideline 'Venous leg ulcer' from the Dutch College of General Practitioners provides recommendations for the diagnosis and treatment of venous leg ulcer by the general practitioner. When counseling the patient it is important to make clear that the healing process can take a long time. Compression therapy remains the most important treatment for venous leg ulcer; it also reduces recurrence rates.
View Article and Find Full Text PDFPurpose: To evaluate Cine MRI (cMRI) of the temporomandibular joint in comparison to static MRI (sMRI) and axiography.
Materials And Methods: In a prospective study with 57 healthy volunteers as well as 33 patients after temporomandibular joint (TMJ) surgery or with severe joint dysfunction, we measured the mobility of both condyle and disc as well as the sagittal angle of condylar inclination with sMRI and cMRI. Measurements and image analysis were performed by a radiologist and a maxillofacial surgeon in consensus.
Musculoskeletal neoplasms are rare, and both the medical history and complaints of the patients are usually uncharacteristic and of limited information. After a clinical evaluation and biplane conventional radiography, the clinician must classify the patient as having a nonprogressive or progressive primary benign, primary malignant, or metastatic bone tumor. In the case of a probably benign, nonprogressive bone tumor, the patient has to be observed continuously or an additional biopsy should be performed.
View Article and Find Full Text PDFAim Of Study: To develop recommendations for appropriate diagnostic procedures and conservative treatment of knee osteoarthritis in outpatients.
Material And Methods: Following a consensus conference and expert reviews basic recommendations were developed.
Results: While standardized radiographic assessment is mandatory, MRI investigation should be restricted to problems apart from osteoarthritis.
Knee Surg Sports Traumatol Arthrosc
April 1999
The results of magnetic resonance imaging (MRI) were compared with those of arthroscopy in a prospective series of 244 patients. A dedicated system for MRI of limbs and peripheral joints--the 0.2-T Artoscan (Esaote, Italy)--was used for imaging knee joint lesions.
View Article and Find Full Text PDFZ Orthop Ihre Grenzgeb
December 1996
The results of magnetic resonance imaging (MRI) were compared with those of arthroscopy in a prospective series of 276 patients. A "dedicated system" for MRI of limbs and peripheral joints--the 0,2 Tesla ARTOSCAN (ESAOTE, Italy)--was used for imaging knee joint lesions. T1-weighted spin echo sagittal images, T2-weighted gradient-echo coronal images, and axial views for lesions of bone and the femoropatellar joint were acquired.
View Article and Find Full Text PDFPurpose: To evaluate percutaneous sclerotherapy of idiopathic varicocele in left internal spermatic vein variants.
Materials And Methods: The left spermatic vein was embolized with a liquid sclerosing agent in 386 patients (mean age, 29.5 years) with idiopathic varicocele.
In the age of health care cost containment new imaging technology has to meet diagnostic requirements as well as economic limitations. In the MR sector new dedicated systems promise reliable diagnostic information at considerably lower costs than whole-body imagers. Within the past 18 months we have examined 2200 patients with acute and chronic lesions of peripheral joints (knee, ankle, foot, elbow, wrist, hand) in a 0.
View Article and Find Full Text PDFPurpose: Diagnostic accuracy and image quality of a specialised system for MR examinations of peripheral joints were evaluated.
Materials And Methods: 20 patients with acute or chronic injuries of the knee were examined using a low-field MR system (0.2 T).
During a period of four years, 386 patients with left sided varicoceles were treated by sclerotherapy of the left internal spermatic vein. This was successful in 93.8%.
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