Primary Malignant Lymphoma of the Uterus: A Case Report and Review of the Literature

Primary malignant lymphomas in the female genital tract are rare. Most cases are non-Hodgkin lymphomas of which diffuse large B-cell lymphomas are most commonly seen. Symptoms are associated with other, more common diseases; therefore, a doctors’ delay can be expected. In this case a woman presented with complaints of urinary obstruction due to a large tumour in the pelvic area. A laparotomy was performed. A very large tumour of the uterus was found with adherence to the pelvic wall and urinary bladder. Diagnostic histological examination showed a diffuse large B-cell lymphoma. Treatment with R-CHOP chemotherapy was started shortly after the operation. The treatment of patients with a primary malignant lymphoma of the uterus should be individualized with the following options: surgery, radiotherapy and/or chemotherapy

The dynamics and control of a three-wheeled tilting vehicle

EThOS - Electronic Theses Online ServiceGBUnited Kingdo

HPV 16-specific cellular immunity in health and disease

Over de afweerreacties tegen humaan papillomavirus type 16.LEI Universiteit LeidenCervixcarcinoo

Interview met Prof. Dr. René Torenvlied

Prof. Dr. René Torenvlied is sinds kort de Wetenschappelijk Directeur van het Instituut Bestuurskunde. De redactie ging langs om dhr. Torenvlied wat beter te leren kennen

The Dynamics and Control of a Three-Wheeled Tilting Vehicle

EThOS - Electronic Theses Online ServiceGBUnited Kingdo

Multi-level governance

Wat is multi-level governance? Het is een begrip dat vaak voorbijkomt in colleges. De redactie heeft een interview gehouden met Dr. Caspar van den Berg, docent van het Instituut Bestuurskunde, om te achterhalen wat multi-level governance precies inhoudt

Medical Specialists' Perspectives on the Influence of Electronic Medical Record Use on the Quality of Hospital Care:Semistructured Interview Study

Objective: The aim of this study was to examine how, and by which aspects, the relationship between EMR use and the quality of care in hospitals is influenced according to medical specialists. Methods: To answer this question, a qualitative study was conducted in the period of August-October 2018. Semistructured interviews of around 90 min were conducted with 11 medical specialists from 11 different Dutch hospitals. For analysis of the answers, we used a previously published taxonomy of factors that can influence the use of EMRs. Results: The professional experience of the participating medical specialists varied between 5 and 27 years. Using the previously published taxonomy, these medical specialists considered technical barriers the most significant for EMR use. The suboptimal change processes surrounding implementation were also perceived as a major barrier. A final major problem is related to the categories “social” (their relationships with the patients and fellow care providers), “psychological” (based on their personal issues, knowledge, and perceptions), and “time” (the time required to select, implement, and learn how to use EMR systems and subsequently enter data into the system). However, the medical specialists also identified potential technical facilitators, particularly in the assured availability of information to all health care professionals involved in the care of a patient. They see promise in using EMRs for medical decision support to improve the quality of care but consider these possibilities currently lacking. Conclusions: The 11 medical specialists shared positive experiences with EMR use when comparing it to formerly used paper records. The fact that involved health care professionals can access patient data at any time they need is considered important. However, in practice, potential quality improvement lags as long as decision support cannot be applied because of the lack of a fully coded patient record

Verhalen uit de praktijk

De redactie is een kijkje gaan nemen in het openbaar bestuur. Wij hebben bestuurders uit verschillende bestuurslagen gesproken over het openbaar bestuur en multi-level governance. Hieronder staan hun verhalen en meningen