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de Jong D. Focus on ... IRC International Water and Sanitation Cen tre. Information Development 2016. [DOI: 10.1177/026666699401000219] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
In December 1993 the IRC International Water and Sanitation Centre celebrated its 25th anniversary. The centre was established in 1968 by agreement between the World Health Organization (WHO) and the Netherlands Government. WHO designated the centre as the WHO Collaborating Centre for Community Water Supply and Sanitation, a status IRC has continued to maintain. Since 1981, IRC has operated as an independent, international, non-profit organization.
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Affiliation(s)
- Dick de Jong
- IRC International Water and Sanitation Centre, The Hague,
Netherlands
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Andriessen MJ, Hartemink KJ, de Jong D. [Round ligament varicosities mimicking inguinal hernia during pregnancy]. Ned Tijdschr Geneeskd 2009; 153:A169. [PMID: 19785858] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
3 pregnant women, aged 34, 28, and 39 years respectively, presented with an inguinal swelling. In one patient the swelling was bilateral and painful. Reposition was possible and ultrasound examination revealed round ligament varicosities, the most common cause of an inguinal swelling during pregnancy. Expectative treatment is advised as the condition usually disappears after parturition. It is concluded that in every pregnant woman with an inguinal swelling, sonography with doppler imaging must be performed to confirm the diagnosis of round ligament varicosities to avoid unnecessary surgery.
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Wind J, Hofland J, Preckel B, Hollmann MW, Bossuyt PMM, Gouma DJ, van Berge Henegouwen MI, Fuhring JW, Dejong CHC, van Dam RM, Cuesta MA, Noordhuis A, de Jong D, van Zalingen E, Engel AF, Goei TH, de Stoppelaar IE, van Tets WF, van Wagensveld BA, Swart A, van den Elsen MJLJ, Gerhards MF, de Wit LT, Siepel MAM, van Geloven AAW, Juttmann JW, Clevers W, Bemelman WA. Perioperative strategy in colonic surgery; LAparoscopy and/or FAst track multimodal management versus standard care (LAFA trial). BMC Surg 2006; 6:16. [PMID: 17134506 PMCID: PMC1693570 DOI: 10.1186/1471-2482-6-16] [Citation(s) in RCA: 126] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2006] [Accepted: 11/29/2006] [Indexed: 12/13/2022] Open
Abstract
BACKGROUND Recent developments in large bowel surgery are the introduction of laparoscopic surgery and the implementation of multimodal fast track recovery programs. Both focus on a faster recovery and shorter hospital stay. The randomized controlled multicenter LAFA-trial (LAparoscopy and/or FAst track multimodal management versus standard care) was conceived to determine whether laparoscopic surgery, fast track perioperative care or a combination of both is to be preferred over open surgery with standard care in patients having segmental colectomy for malignant disease. METHODS/DESIGN The LAFA-trial is a double blinded, multicenter trial with a 2 x 2 balanced factorial design. Patients eligible for segmental colectomy for malignant colorectal disease i.e. right and left colectomy and anterior resection will be randomized to either open or laparoscopic colectomy, and to either standard care or the fast track program. This factorial design produces four treatment groups; open colectomy with standard care (a), open colectomy with fast track program (b), laparoscopic colectomy with standard care (c), and laparoscopic surgery with fast track program (d). Primary outcome parameter is postoperative hospital length of stay including readmission within 30 days. Secondary outcome parameters are quality of life two and four weeks after surgery, overall hospital costs, morbidity, patient satisfaction and readmission rate. Based on a mean postoperative hospital stay of 9 +/- 2.5 days a group size of 400 patients (100 each arm) can reliably detect a minimum difference of 1 day between the four arms (alfa = 0.95, beta = 0.8). With 100 patients in each arm a difference of 10% in subscales of the Short Form 36 (SF-36) questionnaire and social functioning can be detected. DISCUSSION The LAFA-trial is a randomized controlled multicenter trial that will provide evidence on the merits of fast track perioperative care and laparoscopic colorectal surgery in patients having segmental colectomy for malignant disease.
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Affiliation(s)
- Jan Wind
- Department of Surgery, Academic Medical Center Amsterdam, The Netherlands
| | - Jan Hofland
- Department of Anesthesiology, Academic Medical Center Amsterdam, The Netherlands
| | - Benedikt Preckel
- Department of Anesthesiology, Academic Medical Center Amsterdam, The Netherlands
| | - Markus W Hollmann
- Department of Anesthesiology, Academic Medical Center Amsterdam, The Netherlands
| | - Patrick MM Bossuyt
- Department of clinical epidemiology and biostatistics, Academic Medical Center Amsterdam, The Netherlands
| | - Dirk J Gouma
- Department of Surgery, Academic Medical Center Amsterdam, The Netherlands
| | | | - Jan Willem Fuhring
- Department of Surgery, Academic Medical Center Amsterdam, The Netherlands
| | | | - Ronald M van Dam
- Department of Surgery, University Hospital Maastricht, The Netherlands
| | - Miguel A Cuesta
- Department of Surgery, VU Medical Center Amsterdam, The Netherlands
| | - Astrid Noordhuis
- Department of Surgery, VU Medical Center Amsterdam, The Netherlands
| | - Dick de Jong
- Department of Surgery, VU Medical Center Amsterdam, The Netherlands
| | - Edith van Zalingen
- Department of Anesthesiology, VU Medical Center Amsterdam, The Netherlands
| | - Alexander F Engel
- Department of Surgery, Zaans Medical Center Zaandam, The Netherlands
| | - T Hauwy Goei
- Department of Surgery, Zaans Medical Center Zaandam, The Netherlands
| | | | - Willem F van Tets
- Department of Surgery, Sint Lucas Andreas Hospital Amsterdam, The Netherlands
| | | | - Annemiek Swart
- Department of Surgery, Sint Lucas Andreas Hospital Amsterdam, The Netherlands
| | | | - Michael F Gerhards
- Department of Surgery, Onze Lieve Vrouwen Gasthuis Amsterdam, The Netherlands
| | - Laurens Th de Wit
- Department of Surgery, Onze Lieve Vrouwen Gasthuis Amsterdam, The Netherlands
| | - Muriel AM Siepel
- Department of Anesthesiology, Onze Lieve Vrouwen Gasthuis Amsterdam, The Netherlands
| | | | | | - Wilfred Clevers
- Department of Anesthesiology, Hilversum Hospital, The Netherlands
| | - Willem A Bemelman
- Department of Surgery, Academic Medical Center Amsterdam, The Netherlands
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Abstract
With the rapid international spread of severe acute respiratory syndrome (SARS) from March through May 2003, Canada introduced various measures to screen airplane passengers at selected airports for symptoms and signs of SARS. The World Health Organization requested that all affected areas screen departing passengers for SARS symptoms. In spite of intensive screening, no SARS cases were detected. SARS has an extremely low prevalence, and the positive predictive value of screening is essentially zero. Canadian screening results raise questions about the effectiveness of available screening measures for SARS at international borders.
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Affiliation(s)
- Ronald K St John
- Centre for Emergency Preparedness and Response, Health Canada, 100 Colonnade Road, Ottawa, Ontario K1A 0K9, Canada.
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de Vries Reilingh TS, van Goor H, Rosman C, Bemelmans MHA, de Jong D, van Nieuwenhoven EJ, van Engeland MIA, Bleichrodt RP. "Components separation technique" for the repair of large abdominal wall hernias. J Am Coll Surg 2003; 196:32-7. [PMID: 12517546 DOI: 10.1016/s1072-7515(02)01478-3] [Citation(s) in RCA: 223] [Impact Index Per Article: 10.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
Abstract
BACKGROUND The "components separation technique" is a method for abdominal wall reconstruction in patients with large midline hernias that cannot be closed primarily. The early and late results of this technique were evaluated in 43 patients. METHODS Records of 43 patients, 11 women and 32 men, with a mean age of 49.7 (range 22 to 78), were reviewed for body length and weight, size and cause of the hernia, intra- and postoperative mortality and morbidity, with special attention given to wound and pulmonary complications. Patients were invited to attend the outpatient clinic afterward for at least 12 months for physical examination of the abdominal wall. RESULTS The defect resulted after elective surgery in 19 patients and after acute surgery in 24 patients. In 11 patients, the defect was a result of open treatment of generalized peritonitis, and 13 patients had a recurrent incisional hernia. One patient died on the sixth postoperative day from mesenteric thrombosis. The postoperative course was complicated in 17 patients: fascial dehiscence in one, hematoma in five, seroma in two, wound infection in six, skin necrosis in one, and respiratory insufficiency in two. Thirty-eight patients were seen for followup. After a mean followup of 15.6 months (range 12 to 30 months), a recurrent hernia was found in 12 of the 38 patients (32%). The remaining four patients had no recurrent hernia after 1, 1, 3, and 4 months, respectively. CONCLUSIONS The "components separation technique" is useful for the reconstruction of large abdominal wall hernias, especially under contaminated conditions in which the use of prosthetic material is contraindicated. Further research is needed to reduce the relatively high reherniation rate.
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