C. De Herdt, F. Peiffer, S. Vanden Bossche, C. De Block, M. Finoulst, P. Vankrunkelsven, L. Heyens, J. Bauer, G. Koek, N. Mutebi, A. Kharagjitsing, M. Strubbe, S. Caerels, K. David, M. Naesens, T. Vanassche, A. Mertens, C. Mathieu, S. Buyse, W. Daneels, B. Lapauw, D. De Looze
{"title":"E-book: Gewichtsverlies - Uitgave 2024","authors":"C. De Herdt, F. Peiffer, S. Vanden Bossche, C. De Block, M. Finoulst, P. Vankrunkelsven, L. Heyens, J. Bauer, G. Koek, N. Mutebi, A. Kharagjitsing, M. Strubbe, S. Caerels, K. David, M. Naesens, T. Vanassche, A. Mertens, C. Mathieu, S. Buyse, W. Daneels, B. Lapauw, D. De Looze","doi":"10.47671/tvg.80.24.e002","DOIUrl":"https://doi.org/10.47671/tvg.80.24.e002","url":null,"abstract":"","PeriodicalId":23124,"journal":{"name":"Tijdschrift Voor Geneeskunde","volume":"15 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140259946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Context en kennis: 2 ingrediënten van een doeltreffende zorg","authors":"J. De Lepeleire","doi":"10.47671/tvg.80.24.023","DOIUrl":"https://doi.org/10.47671/tvg.80.24.023","url":null,"abstract":"","PeriodicalId":23124,"journal":{"name":"Tijdschrift Voor Geneeskunde","volume":"12 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140083129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Speekseltest kan de diagnose van endometriose vereenvoudigen","authors":"M. Finoulst, P. Vankrunkelsven, J. Verguts","doi":"10.47671/tvg.80.24.024","DOIUrl":"https://doi.org/10.47671/tvg.80.24.024","url":null,"abstract":"","PeriodicalId":23124,"journal":{"name":"Tijdschrift Voor Geneeskunde","volume":"11 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140409827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Folia Pharmacotherapeutica maart 2024","authors":"","doi":"10.47671/tvg.80.24.019","DOIUrl":"https://doi.org/10.47671/tvg.80.24.019","url":null,"abstract":"","PeriodicalId":23124,"journal":{"name":"Tijdschrift Voor Geneeskunde","volume":"86 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140422791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Uit de oude doos: Praatjes in de wind - mei 1947","authors":"B. Vandekerkhove","doi":"10.47671/tvg.77.21.165","DOIUrl":"https://doi.org/10.47671/tvg.77.21.165","url":null,"abstract":"","PeriodicalId":23124,"journal":{"name":"Tijdschrift Voor Geneeskunde","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140420704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C. De Somer, S. Delrue, T. Cammaert, D. Verschueren, K. De Waele
Development of vestibular rehabilitation in an ambulatory care centre: treatment protocol and results in a group of 12 patients with a unilateral vestibular hypofunction Vestibular rehabilitation (VR) is recommended in patients with a unilateral vestibular hypofunction (UVH) or areflexia resulting from inflammatory, traumatic or other aetiologies. In this study, the authors describe the treatment protocol and discuss the results of individually delivered VR in combination with a home exercise programme in patients initiating therapy 2 months or more post-onset of a UVH. Retrospectively, the data were analysed of patients presenting with > 25% hypofunction on caloric irrigation who were referred by an ear, nose and throat (ENT) specialist in the period of January 2021 until January 2023. The patients received individualized therapy sessions of 45 minutes in combination with a home exercise programme. The following outcome measures were used: Dizziness Handicap Inventory (DHI), Functional Gait Assessment (FGA), Foam Stance Eyes Closed (FSEC), Dynamic Visual Acuity Test-Non Instrumented (DVAT-NI) and comfortable gait speed. Twelve patients (9 men and 3 women) with a mean percentual hypofunction of 81% were included (6 right- and 6 left-sided). The study found clinically relevant improvements for DHI and FGA, based on the minimally clinically important difference (MCID) of these tests. The mean DVAT-NI and FSEC scores normalized towards an age-appropriate level. VR leads to clinically relevant changes on different outcome measures in UVH patients. A centre for ambulatory rehabilitation (CAR) where multidisciplinary rehabilitation for people with hearing loss is provided, is a suitable setting to offer VR because of the longstanding cooperation between ENT specialists and physiotherapists. Nevertheless, there are challenges that need consideration when implementing VR into a CAR.
{"title":"Uitbouw van vestibulaire revalidatie in een centrum voor ambulante revalidatie: behandelmethoden en resultaten bij patiënten met een unilaterale vestibulaire hypofunctie","authors":"C. De Somer, S. Delrue, T. Cammaert, D. Verschueren, K. De Waele","doi":"10.47671/tvg.80.24.001","DOIUrl":"https://doi.org/10.47671/tvg.80.24.001","url":null,"abstract":"Development of vestibular rehabilitation in an ambulatory care centre: treatment protocol and results in a group of 12 patients with a unilateral vestibular hypofunction\u0000\u0000 \u0000\u0000Vestibular rehabilitation (VR) is recommended in patients with a unilateral vestibular hypofunction (UVH) or areflexia resulting from inflammatory, traumatic or other aetiologies. In this study, the authors describe the treatment protocol and discuss the results of individually delivered VR in combination with a home exercise programme in patients initiating therapy 2 months or more post-onset of a UVH.\u0000\u0000 \u0000\u0000Retrospectively, the data were analysed of patients presenting with > 25% hypofunction on caloric irrigation who were referred by an ear, nose and throat (ENT) specialist in the period of January 2021 until January 2023. The patients received individualized therapy sessions of 45 minutes in combination with a home exercise programme. The following outcome measures were used: Dizziness Handicap Inventory (DHI), Functional Gait Assessment (FGA), Foam Stance Eyes Closed (FSEC), Dynamic Visual Acuity Test-Non Instrumented (DVAT-NI) and comfortable gait speed.\u0000\u0000 \u0000\u0000Twelve patients (9 men and 3 women) with a mean percentual hypofunction of 81% were included (6 right- and 6 left-sided). The study found clinically relevant improvements for DHI and FGA, based on the minimally clinically important difference (MCID) of these tests. The mean DVAT-NI and FSEC scores normalized towards an age-appropriate level.\u0000\u0000 \u0000\u0000VR leads to clinically relevant changes on different outcome measures in UVH patients. A centre for ambulatory rehabilitation (CAR) where multidisciplinary rehabilitation for people with hearing loss is provided, is a suitable setting to offer VR because of the longstanding cooperation between ENT specialists and physiotherapists. Nevertheless, there are challenges that need consideration when implementing VR into a CAR.","PeriodicalId":23124,"journal":{"name":"Tijdschrift Voor Geneeskunde","volume":"5 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140426830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Vandewal, A. Thaens, S. Fransis, S. De Bont, F. Bosisio, M. Garmyn, E. Decommer, A. Stuer, C. Verbist, E. Geuens, D. Gorissen, J. Willems, A. Bilge, B. Depreitere, F. Van Calenbergh, L. Baert, S. Bosma, M. Goeteyn, I. Van Den Berghe, L. Vanwalleghem, M. Moyaert, A. Van Boven, G. De Vos, J. Dever, D. Slock, H. Deldycke, T. Carpentier
{"title":"E-book: Zeldzame ziektes - Uitgave 2024","authors":"A. Vandewal, A. Thaens, S. Fransis, S. De Bont, F. Bosisio, M. Garmyn, E. Decommer, A. Stuer, C. Verbist, E. Geuens, D. Gorissen, J. Willems, A. Bilge, B. Depreitere, F. Van Calenbergh, L. Baert, S. Bosma, M. Goeteyn, I. Van Den Berghe, L. Vanwalleghem, M. Moyaert, A. Van Boven, G. De Vos, J. Dever, D. Slock, H. Deldycke, T. Carpentier","doi":"10.47671/tvg.80.24.e001","DOIUrl":"https://doi.org/10.47671/tvg.80.24.e001","url":null,"abstract":"","PeriodicalId":23124,"journal":{"name":"Tijdschrift Voor Geneeskunde","volume":"233 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140447622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Lutin, A. Verstraete, J. Versijpt, B. Sabbe, M. Petrović, M. Tant
Medical fitness to drive: summary and recommendations of the symposium by the Royal Academy of Medicine of Belgium on April 29, 2023 Mobility is considered a fundamental right, with most people aspiring to exercise this right by driving themselves. To do so safely, the European Commission has established standards for drivers, which the Belgian legislator has translated into national laws and regulations. This article introduces 3 crucial concepts: knowledge, skill and medical fitness, which determine whether someone can safely participate in traffic. Problems can arise due to insufficient knowledge of traffic rules, inadequate control of the vehicle or insufficient health. A driver’s condition is often the result of interactions between these factors. Health is a significant condition for license holders, assessed through medical criteria. In Belgium, physicians can make decisions regarding the fitness to drive and they are required to inform the patient if this person no longer meets the medical criteria. This decision can also be delegated to CARA, a specialized entity that evaluates the fitness to drive in a multidisciplinary manner. Making fitness to drive decisions and the associated discussions between the physician and the patient are often sensitive due to the complexity of the topic and the impact on the physician-patient relationship. Integrating the evaluation of the fitness to drive into regular medical practice and providing concrete and validated guidelines can improve the perception of this process. The text then discusses topics related to fitness to drive, including aging (both pathological and non-pathological), Alzheimer’s disease and the use of psychotropic substances such as alcohol and medication.
{"title":"Medische rijgeschiktheid: synthese en aanbevelingen van het symposium van de Koninklijke Academie voor Geneeskunde van België op 29 april 2023","authors":"M. Lutin, A. Verstraete, J. Versijpt, B. Sabbe, M. Petrović, M. Tant","doi":"10.47671/tvg.79.23.131","DOIUrl":"https://doi.org/10.47671/tvg.79.23.131","url":null,"abstract":"Medical fitness to drive: summary and recommendations of the symposium by the Royal Academy of Medicine of Belgium on April 29, 2023\u0000\u0000 \u0000\u0000Mobility is considered a fundamental right, with most people aspiring to exercise this right by driving themselves. To do so safely, the European Commission has established standards for drivers, which the Belgian legislator has translated into national laws and regulations.\u0000\u0000 \u0000\u0000This article introduces 3 crucial concepts: knowledge, skill and medical fitness, which determine whether someone can safely participate in traffic. Problems can arise due to insufficient knowledge of traffic rules, inadequate control of the vehicle or insufficient health. A driver’s condition is often the result of interactions between these factors.\u0000\u0000 \u0000\u0000Health is a significant condition for license holders, assessed through medical criteria. In Belgium, physicians can make decisions regarding the fitness to drive and they are required to inform the patient if this person no longer meets the medical criteria. This decision can also be delegated to CARA, a specialized entity that evaluates the fitness to drive in a multidisciplinary manner. Making fitness to drive decisions and the associated discussions between the physician and the patient are often sensitive due to the complexity of the topic and the impact on the physician-patient relationship. Integrating the evaluation of the fitness to drive into regular medical practice and providing concrete and validated guidelines can improve the perception of this process. The text then discusses topics related to fitness to drive, including aging (both pathological and non-pathological), Alzheimer’s disease and the use of psychotropic substances such as alcohol and medication.","PeriodicalId":23124,"journal":{"name":"Tijdschrift Voor Geneeskunde","volume":"66 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140449627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Folia Pharmacotherapeutica februari 2024","authors":"","doi":"10.47671/tvg.80.24.002","DOIUrl":"https://doi.org/10.47671/tvg.80.24.002","url":null,"abstract":"","PeriodicalId":23124,"journal":{"name":"Tijdschrift Voor Geneeskunde","volume":"165 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140471255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Onduidelijkheid over langdurige Covid blijft groot","authors":"P. Vankrunkelsven, M. Finoulst","doi":"10.47671/tvg.80.24.008","DOIUrl":"https://doi.org/10.47671/tvg.80.24.008","url":null,"abstract":"","PeriodicalId":23124,"journal":{"name":"Tijdschrift Voor Geneeskunde","volume":"173 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140480957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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