Publications by authors named "N M C Mathijssen"

The objective of an operating room (OR) ultra-clean ventilation system is to eliminate or reduce the quantity of dust particles and colony-forming units per cubic meter of air (CFU/m). To achieve this, ultra-clean goal high air change rates per hour are required to reduce the particle load and number of CFU/m. To determine the air quality in an ultra-clean OR during surgery, in terms of the number and type of microorganism and quantity of dust particles in order to establish a benchmark.

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Background: While shared decision making is a cornerstone of orthopedic care, orthopedic surgeons face challenges in tailoring their advice and expectation management to individual shoulder arthroplasty patients due to the lack of systematically summarized evidence-based knowledge. This systematic review aims to provide an overview of current knowledge on independent predictive effects of patient-related factors on functional and pain-related outcomes after shoulder arthroplasty.

Methods: We included longitudinal cohort studies including patients receiving total or reverse shoulder arthroplasty or hemiarthroplasty for primary osteoarthritis or cuff tear arthropathy.

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Article Synopsis
  • * A review of 16 studies (involving 2,352 TKA procedures) found that corticosteroids generally reduced pain scores and PONV, with some high-dose groups showing greater pain relief.
  • * However, the impact of corticosteroids on the length of hospital stay (LOS) was minimal, and the studies were inconsistent regarding dosage and timing of administration, with few negative effects noted like increased infection rates.
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Background: The operating room (OR) department is one of the most energy-intensive departments of a hospital. The majority of ORs in the Netherlands have an air-handling installation with an ultra-clean ventilation system. However, not all surgeries require an ultra-clean OR.

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