Cytomegalovirus immunity in allogeneic marrow grafting

Contains fulltext : 4452.pdf (publisher's version ) (Open Access

Immune reactivity in relationto cytomegalovirusinfection after allogeneic bone marrow transplantation

Contains fulltext : 4445.pdf (publisher's version ) (Open Access

Appropriate use criteria for optical coherence tomography guidance in percutaneous coronary interventions: Recommendations of the working group of interventional cardiology of the Netherlands Society of Cardiology

Introduction: Optical coherence tomography (OCT) enables detailed imaging of the coronary wall, lumen and intracoronary implanted devices. Responding to the lack of specific appropriate use criteria (AUC) for this technique, we conducted a literature review and a procedure for appropriate use criteria. Methods: Twenty-one of all 184 members of the Dutch Working Group on Interventional Cardiology agreed to evaluate 49 pre-specified cases. During a meeting, factual indications were established whereupon members individually rated indications on a 9-point scale, with the opportunity to substantiate their scoring. Results: Twenty-six indications were rated ‘Appropriate’, eighteen indications ‘May be appropriate’, and five ‘Rarely appropriate’. Use of OCT was unanimously considered ‘Appropriate’ in stent thrombosis, and ‘Appropriate’ for guidance in PCI, especially in distal left main coronary artery and proximal left anterior descending coronary artery, unexplained angiographic abnormalities, and use of bioresorbable vascular scaffold (BVS). OCT was considered ‘Rarely Appropriate’ on top of fractional flow reserve (FFR) for treatment indication, assessment of strut coverage, bypass anastomoses or assessment of proximal left main coronary artery. Conclusions: The use of OCT in stent thrombosis is unanimously considered ‘Appropriate’ by these experts. Varying degrees of consensus exists on the appropriate use of OCT in other settings

Europese integratie en de beroepspraktijk

In dit essay wordt de invloed van het proces van Europese integratie op de beroepspraktijk belicht: welke opleidingen worden geraakt door de beleidsontwikkelingen in Brussel, en welke beroepen en vakken worden er in de praktijk door beinvloed? Tevens wordt stilgestaan bij mogelijke ontwikkelingen in de toekomst ten aanzien van deze onderwerpe

EU is een piramide op z'n kop: [online interview]

De EMU is volgens Jaap de Zwaan, de nieuwe Haagse lector Europese Integratie, eigenlijk alleen maar een MU, want gemeenschappelijk economisch beleid is er nooit gekomen. Als het aan hem ligt, wordt de EU gewoon een aparte staatsvorm. [tekst van een kort interview met Jaap de Zwaan in online nieuwsmagazine ScienceGuide