Nederlands tijdschrift voor geneeskunde
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Ned Tijdschr Geneeskd · Jan 2014
Review[The chikungunya epidemic in the Caribbean: implications for travellers and physicians].
In 2013, the first autochthonous cases of the chikungunya virus (CHIKV) were reported on the Caribbean island of Saint Martin. The chikungunya virus has since become endemic in the Caribbean due to autochthonous transmission. In the presence of fever and joint symptoms in any traveller returning from the Caribbean, CHIKV should be considered. ⋯ There is no specific treatment for the chikungunya virus. A correct diagnosis can prevent unnecessary additional tests and unjustified treatment. The chikungunya virus can be prevented by the use of insect-repelling substances, nets and air-conditioning.
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Ned Tijdschr Geneeskd · Jan 2014
Review Case Reports[Burn injuries during MR scanning: a case report].
In this paper we report one case of skin burns in MRI caused by induced electrical currents. Two second degree skin burns occurred during imaging, while operating within all current safety guidelines. The currents are induced by the magnetic-gradient field, as well as the radiofrequency pulses. ⋯ When a loop originates within the patient for a longer time, the current can resonate and dissipate high local energy through a rise in temperature. While rare, clinicians need to be aware of this possible event. By avoiding focal skin-to-skin contact of the extremities in this case, the adverse event could have been avoided.
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Mallet finger is a very common injury, but there is still much discussion about the best treatment. Mallet finger should be operated on if a fracture is larger than 1/3 of the articular surface or in volar subluxation, because otherwise the fracture may remain unstable or there may be loss of function. ⋯ Although there is no significant difference in complications between splinting and surgery, the complications of an operation may be far more serious. In spite of the current operation indication, we should be more reluctant to operate on mallet finger.
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Ned Tijdschr Geneeskd · Jan 2014
Case Reports[A woman with knee locking after a partial knee arthroplasty].
A 57-year-old woman presented with knee locking and lateral knee pain after a partial knee arthroplasty. Consequently, during knee arthroscopy 2 cement particles were found and removed.
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Ned Tijdschr Geneeskd · Jan 2014
[People with dementia have more contact with their general practitioners: contact with GPs peaks around the time of diagnosis].
To investigate how often and why people with dementia and their partners have contact with the general practitioner (GP) before and after the diagnosis of dementia. ⋯ People with dementia have more contact with their GP than people without dementia. From 1.5 years before diagnosis they visit the GP with specific complaints more often. Their partners also have regular contact with their GP, especially in the year after diagnosis.