[Who decides what appropriate care is, and how? Time for societal considerations and explicit choices in the Netherlands] [0.03%]
谁来决定什么是适当的护理？以及如何决定？荷兰社会考虑和明确选择的时机到了吗？
Rob Baltussen,Wija Oortwijn,Bram Wouterse
Rob Baltussen
Appropriate care in the Netherlands is defined as care that is value-based, demonstrably effective and organised around patients. Yet within the 'open system", covering about 90% of insured care, it often remains unclear which interventions...
B Barsoum,A M van Coevorden,E B M Kroft
B Barsoum
A 53-year-old woman with Down syndrome presented with progressive palmar hyperkeratosis, erythema, and pruritus, accompanied by widespread papules and nodules. Considering a recent institutional outbreak of scabies and dermoscopic findings ...
Case Reports
Nederlands tijdschrift voor geneeskunde. 2026 Feb 11:169:D8630. DOI: 2026
[Probabilities for individual patients: misconceptions about uncertainty and the role of statistical models in medical decision making] [0.03%]
个体患者误用不确定性及其在医疗决策中的统计模型作用
Harm-Jan de Grooth,Ewout W Steyerberg
Harm-Jan de Grooth
Interpreting probability in the context of individual patients remains conceptually difficult. The common interpretation is that a 5% probability means 5 out of 100 similar patients will experience the event. This is suspect to many: what d...
Sanne van de Vondervoort,Alike Kamerbeek,Esther Harnisch et al.
Sanne van de Vondervoort et al.
Pink-red discoloration in the diaper of neonates is often attributed to harmless urate crystals, formed from uric acid. However, clinicians should remain alert to other possible causes of pink-red discoloration. Here we present two cases of...
Case Reports
Nederlands tijdschrift voor geneeskunde. 2026 Feb 23:170:D8720. DOI: 2026
Sofie Jacobse,Hanneke Rijkels-Otters,Laura Zwaan
Sofie Jacobse
Shared decision-making (SDM) involves patients and clinicians making medical decisions as equal partners, combining professional expertise with patients' values and preferences. While increasingly applied in treatment and screening, SDM is ...
Anuradha S Ter Haar,Hans de Groot
Anuradha S Ter Haar
Rectal bleeding in infants is frequently regarded as an alarming symptom for healthcare providers and often causes significant concern and anxiety among parents. In this article, we discuss two infants who were urgently referred to pediatri...
Case Reports
Nederlands tijdschrift voor geneeskunde. 2026 Feb 17:170:D8676. DOI: 2026
Janine M A Canoy-Schoorl,Rob T M Leenen
Janine M A Canoy-Schoorl
Early recognition and treatment of disturbed eating behavior is crucial. It can develop into a full-blown eating disorder through various mechanisms. Often this process can be interrupted at an early stage. Training of primary care professi...
[Culturally sensitive care delivery on the nursing ward: a mixed-methods study] [0.03%]
[护理病房中的文化敏感照护：一种混合研究方法的研究]
Soulaiman Lagzimi,Laurien Oswald,Pieter Jan Bougie et al.
Soulaiman Lagzimi et al.
Objective: This study aims to provide tools for improving culturally sensitive care in clinical practice by gaining insight into how healthcare professionals assess their own cultural competencies and what challenges they...
Florine E G Guilonard,Gabriëlle W C M Beelen,Charlotte S Schouten
Florine E G Guilonard
A healthy 22-year-old male presented to the Emergency Department with left-sided neck pain, dyspnea, and hoarseness following blunt neck trauma. CT imaging revealed a fracture of the left inferior horn of the thyroid cartilage. The patient ...
Case Reports
Nederlands tijdschrift voor geneeskunde. 2026 Feb 12:170:D8547. DOI: 2026
Inez W S Renne,Jelle L Faessen,Inez Curfs et al.
Inez W S Renne et al.
Sacroiliac joint (SIJ) dysfunction is an underrecognized yet frequent cause of low back pain, often misdiagnosed due to symptom overlap with other spinal disorders and the absence of clear anatomical abnormalities. This article outlines the...