Different types of partial hospitalization programs: results of a nationwide survey in The Netherlands.

An outline is presented of four characteristically different types of partial hospitalization programs currently operating in the Netherlands. The findings are based on empirical data gathered from a study of 85 institutions active in this particular field. The institutions are distinguished according to the function they perform within the total mental health care system, the assumption being that these programs are capable of fulfilling four main functions: 1) an alternative to full-time hospitalization; 2) a continuation of full-time hospitalization; 3) an extension of ambulatory treatment; 4) a day care or rehabilitation service for the chronically mental ill.

Development and current status of partial hospitalization in The Netherlands.

In order to assess the development and current status of partial hospitalization in The Netherlands, a survey was conducted among the 85 Dutch institutions active in this field. The response rate to a carefully formulated questionnaire was 100%. The 85 institutions included in the study offered 1914 places at which 2995 patients per week received treatment.

Absorption of 17 beta-estradiol in a neovagina constructed from the peritoneum.

Estrogen absorption from the neovagina was studied by administering 2.0 mg of micronized 17 beta-estradiol (E2) neovaginally to 6 patients. The neovagina in each patient was constructed by using the peritoneum from the pouch of Douglas.

Artificial vaginas: possible sources of epithelialization.

Biopsy specimens from surgically created peritoneium-lined vaginas in 23 patients with complete vaginal agenesis showed squamous metaplastic epithelium lining the vaginal canal. In nine of the patients, histologic or cytologic evidence, or both, suggested that the metaplastic squamous epithelium could be derived from pre-existing glandular epithelium - sebaceous, paramesonephric (mullerian), or urogenital sinus. The histologic and cytologic features in six patients with paramesonephric-like gland elements in the mucosa and submucosa of the neovagina were similar to the features seen in milder forms of vaginal adenosis.

Restriction on the indications for metroplasty.

When a congenital uterine anomaly has been diagnosed, surgical correction of the malformed uterus is usually carried out. However, minor disturbances of glucose metabolism are easily overlooked in the presence of major congenital uterine malformation. In this paper we studied the obstetrical histories of 76 patients with congenital uterine anomalies.