Netherlands: Country located in EUROPE. It is bordered by the NORTH SEA, BELGIUM, and GERMANY. Constituent areas are Aruba, Curacao, Sint Maarten, formerly included in the NETHERLANDS ANTILLES.Netherlands Antilles: Former Netherlands overseas territory in the Lesser Antilles in the West Indies. It had included the islands of Aruba, Bonaire, Curacao, Saba, St. Eustatius, and the southern part of St. Martin. The Netherlands Antilles dissolved on October 10, 2010. Aruba, Curacao and Sint Maarten became autonomous territories of the Kingdom of the Netherlands. Bonaire, Saba, and Sint Eustatius are under the direct administration of the Netherlands. (From US Department of State, Background Note)Suriname: A republic in the north of South America, bordered on the west by GUYANA (British Guiana) and on the east by FRENCH GUIANA. Its capital is Paramaribo. It was formerly called Netherlands Guiana or Dutch Guiana or Surinam. Suriname was first settled by the English in 1651 but was ceded to the Dutch by treaty in 1667. It became an autonomous territory under the Dutch crown in 1954 and gained independence in 1975. The country was named for the Surinam River but the meaning of that name is uncertain. (From Webster's New Geographical Dictionary, 1988, p1167 & Room, Brewer's Dictionary of Names, 1992, p526)Morocco: A country located in north Africa, bordering the Atlantic Ocean and the Mediterranean Sea, with a southern border with Western Sahara, eastern border with Algeria. The capital is Rabat.Euthanasia: The act or practice of killing or allowing death from natural causes, for reasons of mercy, i.e., in order to release a person from incurable disease, intolerable suffering, or undignified death. (from Beauchamp and Walters, Contemporary Issues in Bioethics, 5th ed)Euthanasia, Active, Voluntary: Active euthanasia of a patient at the patient's request and/or with the patient's consent.Suicide, Assisted: Provision (by a physician or other health professional, or by a family member or friend) of support and/or means that gives a patient the power to terminate his or her own life. (from APA, Thesaurus of Psychological Index Terms, 8th ed).BelgiumEuropeEuthanasia, Active: The act or practice of killing for reasons of mercy, i.e., in order to release a person or animal from incurable disease, intolerable suffering, or undignified death. (from Beauchamp and Walters, Contemporary Issues in Bioethics, 5th ed)Questionnaires: Predetermined sets of questions used to collect data - clinical data, social status, occupational group, etc. The term is often applied to a self-completed survey instrument.Incidence: The number of new cases of a given disease during a given period in a specified population. It also is used for the rate at which new events occur in a defined population. It is differentiated from PREVALENCE, which refers to all cases, new or old, in the population at a given time.TurkeyQ Fever: An acute infectious disease caused by COXIELLA BURNETII. It is characterized by a sudden onset of FEVER; HEADACHE; malaise; and weakness. In humans, it is commonly contracted by inhalation of infected dusts derived from infected domestic animals (ANIMALS, DOMESTIC).Influenza A Virus, H7N7 Subtype: A subtype of INFLUENZA A VIRUS comprised of the surface proteins hemagglutinin 7 and neuraminidase 7. The H7N7 subtype produced an epidemic in 2003 which was highly pathogenic among domestic birds (POULTRY). Some infections in humans were reported.Cohort Studies: Studies in which subsets of a defined population are identified. These groups may or may not be exposed to factors hypothesized to influence the probability of the occurrence of a particular disease or other outcome. Cohorts are defined populations which, as a whole, are followed in an attempt to determine distinguishing subgroup characteristics.Risk Factors: An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.Disease Outbreaks: Sudden increase in the incidence of a disease. The concept includes EPIDEMICS and PANDEMICS.Wedge Argument: An assertion that an action apparently unobjectionable in itself would set in motion a train of events leading ultimately to an undesirable outcome. (From Cambridge Dictionary of Philosophy, 1995)Prevalence: The total number of cases of a given disease in a specified population at a designated time. It is differentiated from INCIDENCE, which refers to the number of new cases in the population at a given time.Prospective Studies: Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.Coxiella burnetii: A species of gram-negative bacteria that grows preferentially in the vacuoles of the host cell. It is the etiological agent of Q FEVER.Infant, Newborn: An infant during the first month after birth.Right to Die: The right of the patient or the patient's representative to make decisions with regard to the patient's dying.Registries: The systems and processes involved in the establishment, support, management, and operation of registers, e.g., disease registers.Family Practice: A medical specialty concerned with the provision of continuing, comprehensive primary health care for the entire family.Cross-Cultural Comparison: Comparison of various psychological, sociological, or cultural factors in order to assess the similarities or diversities occurring in two or more different cultures or societies.After-Hours Care: Medical care provided after the regular practice schedule of the physicians. Usually it is designed to deliver 24-hour-a-day and 365-day-a-year patient care coverage for emergencies, triage, pediatric care, or hospice care.Age Factors: Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time.Lymphogranuloma Venereum: Subacute inflammation of the inguinal lymph glands caused by certain immunotypes of CHLAMYDIA TRACHOMATIS. It is a sexually transmitted disease in the U.S. but is more widespread in developing countries. It is distinguished from granuloma venereum (see GRANULOMA INGUINALE), which is caused by Calymmatobacterium granulomatis.Emigration and Immigration: The process of leaving one's country to establish residence in a foreign country.Cost-Benefit Analysis: A method of comparing the cost of a program with its expected benefits in dollars (or other currency). The benefit-to-cost ratio is a measure of total return expected per unit of money spent. This analysis generally excludes consideration of factors that are not measured ultimately in economic terms. Cost effectiveness compares alternative ways to achieve a specific set of results.Malta: An independent state consisting of three islands in the Mediterranean Sea, south of Sicily. Its capital is Valetta. The major island is Malta, the two smaller islands are Comino and Gozo. It was a Phoenician and Carthaginian colony, captured by the Romans in 218 B.C. It was overrun by Saracens in 870, taken by the Normans in 1090, and subsequently held by the French and later the British who allotted them a dominion government in 1921. It became a crown colony in 1933, achieving independence in 1964. The name possibly comes from a pre-Indoeuropean root mel, high, referring to its rocks, but a more picturesque origin derives the name from the Greek melitta or melissa, honey, with reference to its early fame for its honey production. (From Webster's New Geographical Dictionary, 1988, p719 & Room, Brewer's Dictionary of Names, 1992, p330)General Practitioners: Physicians whose practice is not restricted to a specific field of MEDICINE.Follow-Up Studies: Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.Euthanasia, Passive: Failing to prevent death from natural causes, for reasons of mercy by the withdrawal or withholding of life-prolonging treatment.Cross-Sectional Studies: Studies in which the presence or absence of disease or other health-related variables are determined in each member of the study population or in a representative sample at one particular time. This contrasts with LONGITUDINAL STUDIES which are followed over a period of time.Catholicism: The Christian faith, practice, or system of the Catholic Church, specifically the Roman Catholic, the Christian church that is characterized by a hierarchic structure of bishops and priests in which doctrinal and disciplinary authority are dependent upon apostolic succession, with the pope as head of the episcopal college. (From Webster, 3d ed; American Heritage Dictionary, 2d college ed)Population Surveillance: Ongoing scrutiny of a population (general population, study population, target population, etc.), generally using methods distinguished by their practicability, uniformity, and frequently their rapidity, rather than by complete accuracy.Physician's Practice Patterns: Patterns of practice related to diagnosis and treatment as especially influenced by cost of the service requested and provided.Somalia: Somalia is located on the east coast of Africa on and north of the Equator and, with Ethiopia, Eritrea, Djibouti, and Kenya, is often referred to as the Horn of Africa. It comprises Italy's former Trust Territory of Somalia and the former British Protectorate of Somaliland. The capital is Mogadishu.Retrospective Studies: Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.Occupational Health Physicians: Physicians employed in a company or corporate setting that is generally not in the health care industry.Mass Screening: Organized periodic procedures performed on large groups of people for the purpose of detecting disease.Time Factors: Elements of limited time intervals, contributing to particular results or situations.

*  Corinne or Holland? - Page 4

Holland is a region in the Netherlands. ~Boys~. ★ August Eli Benedict ★ Bram ★ Casimir Mordecai ★ Edmond John Meirion ★ Gillon ...
https://nameberry.com/nametalk/threads/114888-Corinne-or-Holland/page4

*  University Medical Center Utrecht is first hospital to expand diagnostic capabilities in daily practice with Philips IQon...

Headquartered in the Netherlands, Philips posted 2015 sales of EUR 24.2 billion and employs approximately 104,000 employees ... University Medical Center Utrecht (UMC Utrecht) belongs to the largest public healthcare institutions in the Netherlands. It ... Amsterdam, The Netherlands - Royal Philips (NYSE:PHG, AEX:PHIA) today announced the installation of its IQon Spectral CT, the ...
https://philips.com/a-w/about/news/archive/standard/news/press/2016/20160504-university-medical-center-utrecht-is-first-hospital-to-expand-diagnostic-capabilities-in-daily-practice-with-philips-iqon-spectral-ct-system.html

*  Netherlands in 2011 | Britannica.com

Netherlands in 2011: Area: 41,543 sq km (16,040 sq mi) Population (2011 est.): 16,683,000 Capital: Amsterdam; seat of ... The government of the Netherlands also announced cuts. The Netherlands Dance Theatre suffered the most devastating blow, with a ... The Netherlands, which ranked 60th in the world by population, had the 16th largest economy and the 8th biggest financial ... In the Netherlands the sale of so-called soft drugs (cannabis products) remained legal, with limited quantities available for ...
https://britannica.com/place/Netherlands-Year-In-Review-2011

*  Netherlands Keeps Its Hopes Alive - latimes

The Netherlands used to lose regularly to Japan, but no more.The rapidly improving Dutch routed Japan, 15-3, 15-10, 15-3, to ... The Netherlands used to lose regularly to Japan, but no more.. The rapidly improving Dutch routed Japan, 15-3, 15-10, 15-3, to ... The Netherlands used a powerful attack to negate Japan's ball-handling and quickness. ... Henriette Weersing had 24 kills for the Netherlands. Erna Brinkman added 15 and Cintha Boersma had 13. ...
articles.latimes.com/1996-07-25/news/ss-27837_1_hopes-alive

*  Vrije Universiteit Amsterdam

4: Netherlands Board on Research Integrity. *5: Anonymized Publication. *FAQ. *About the VU Site*VU-net-id ...
https://vu.nl/en

*  Aeras and Crucell announce Phase II clinical trial star... ( Leiden The Netherlands / Rockville M...)

Leiden The Netherlands / Rockville MD USA (September 22 2010) Dut...The main objective of the trial is to test the safety and ... Leiden The Netherlands / Rockville MD USA (September 22 2010) Dut...The main objective of the trial is to test the safety and ... Leiden, The Netherlands / Rockville, MD, USA (September 22, 2010) Dutch biopharmaceutical company Crucell N.V. (Euronext, ...
bio-medicine.org/medicine-news-1/Aeras-and-Crucell-announce-Phase-II-clinical-trial-start-in-Kenya-75891-1/

*  Causes of homebirth deaths? - Mothering Forums

Having read the most recent studies from the Netherlands and British ... Having read the most recent studies from the Netherlands and British Colmbia which affirm that homebirth is as safe if not ...
mothering.com/forum/20-homebirth/1236007-causes-homebirth-deaths.html

*  Vessel details for: MYRTE (General Cargo) - IMO 9364136, MMSI 246110000, Call Sign PBII Registered in Netherlands | AIS Marine...

Type: General Cargo Vessel, Registered in Netherlands. Find dead-weight-tonnage, Gross Tonnage and the Year of Build vessel ...
marinetraffic.com/en/ais/details/ships/shipid:265804/imo:9364136/mmsi:246110000/vessel:MYRTE

*  Trekvaart | canal system, Netherlands | Britannica.com

Amsterdam (national capital, Netherlands). city and port, western Netherlands, located on the IJsselmeer and connected to the ... coastal region of northwestern Europe, consisting of Belgium, the Netherlands, and Luxembourg. These are together known as the ... It is the capital and the principal commercial and financial centre of the Netherlands. ...
https://britannica.com/topic/Trekvaart

*  Alting, The Netherlands - MapQuest

The Netherlands around and get detailed driving directions with road conditions, live traffic updates, and reviews of local ...
https://mapquest.com/search/results?query=Alting, The Netherlands¢erOnResults=1

*  DMOZ - Health: Addictions: Substance Abuse: Alcohol: Support Groups: Alcoholics Anonymous: Europe: Netherlands

Health Addictions Substance Abuse Alcohol Support Groups Alcoholics Anonymous Europe Netherlands 1 ... The Netherlands English language AA meetings and conventions. Includes Amsterdam, Breda, Groningen, Rotterdam, The Hague, and ... By the Intergroup of the International Community of Alcoholics Anonymous in The Netherlands. ...
dmoztools.net/Health/Addictions/Substance_Abuse/Alcohol/Support_Groups/Alcoholics_Anonymous/Europe/Netherlands/

*  Second MERS case confirmed in Netherlands - CNN

A second case of the potentially deadly MERS virus has been found in the Netherlands, a spokeswoman for the country's National ... It is one man and one woman who contracted the disease, said Harald Wychgel, spokesman for the Netherlands ministry of health. ... A second case of the potentially deadly MERS virus has been identified in the Netherlands, a spokeswoman for the country's ... The cases in the Netherlands involve two family members who had traveled together to Saudi Arabia. ...
cnn.com/2014/05/15/health/mers-outbreak-netherlands/

*  Accuracy of Computed Tomographic Angiography and Magnetic Resonance Angiography for Diagnosing Renal Artery Stenosis | Annals...

Molewaterplein 40, NL-3015 GD Rotterdam, the Netherlands.. Author Contributions: Conception and design: G.B.C. Vasbinder, P.J. ... 3 large teaching hospitals and 3 university hospitals in the Netherlands.. Patients:. 402 hypertensive patients with suspected ... Radboud, Geert Grooteplein-Zuid 10, NL-6525 GA Nijmegen, the Netherlands.. Dr. Hunink: Department of Epidemiology and ... Beek: Department of Radiology, University Medical Center Utrecht, PO Box 90000, NL-3509 AA Utrecht, the Netherlands. ...
annals.org/aim/article/717920/accuracy-computed-tomographic-angiography-magnetic-resonance-angiography-diagnosing-renal-artery

*  Netherlands

University College London, Gower Street, London WC1E 6BT Tel: +44 (0)20 3108 8520 ...
ucl.ac.uk/prospective-students/international/countries/europe/netherlands

*  IEA - Netherlands

As of 2005, the EPA is no longer being subsidized as The Netherlands will conform to the EU Directive on efficiency of ...
iea.org/policiesandmeasures/pams/netherlands/name-21602-en.php

*  Netherlands - Lulu.com

Netherlands Investment and Business Guide By Int'l Business Publications USA eBook (PDF): $99.95 ... Netherlands Investment and Business Guide By Int'l Business Publications USA Paperback: $149.95 ... Schiller's great historical account of the Revolt of the Netherlands was first published at the end of October 1788, in Leipzig ... a fictional account of the political intrigues surrounding the history of the Revolt of the Netherlands and its relation to the ...
lulu.com/shop/search.ep?keyWords=Netherlands

*  Photos from The Netherlands

... (continued). My little cousin. (from left, David, Cilia, Marieka, Oma). ...
angelfire.com/ex/swaan/holland3.html

*  Dordrecht, Netherlands

... LOCATION. Official Website:. http://www.dordrecht.nl/. Population:. 119,649 (2004). Founding Date:. ...
nndb.com/geo/498/000097207/

*  Leeuwarden, Netherlands

... LOCATION. Official Website:. http://www.leeuwarden.nl/. Population:. 91,693 (2005). Founding Date:. ...
nndb.com/geo/966/000096678/

*  Winschoten, Netherlands

... CITY. Official Website:. http://www.winschoten.nl/. Population:. 18,497 (2003). Founding Date:. 1825 ( ...
nndb.com/geo/276/000203664/

*  Arnhem, Netherlands

... LOCATION. Official Website:. http://www.arnhem.nl/. Population:. 141,320 (2005). BIRTHS. Name. Occupation ...
nndb.com/geo/368/000101065/

*  netherlands | Serious Eats

Video: Nacho-Topped Whoppers from Burger King in the Netherlands. Robyn Lee ...
seriouseats.com/tags/netherlands

*  Rijksmuseum (Netherlands) [WorldCat Identities]

Italian Musée du Louvre Museo del Prado Museums Netherlands Netherlands--Amsterdam Painting Painting, Dutch Photography ... Rijksmuseum (Netherlands)( Book ). * Het nieuwe Rijks museum : Pierre Cuypers en Georg Sturm in ere hersteld by Cees de Jong( ... Rijksmuseum (Netherlands)( Book ). * The age of elegance : paintings from the Rijksmuseum in Amsterdam, 1700-1800 by ... Still-life paintings from the Netherlands, 1550-1720 by Alan Chong( Book ). 15 editions published in 1999 in English and Dutch ...
worldcat.org/identities/lccn-n79007489/

*  Netherlands Bach Collegium - Wikipedia

Penguin, 2002, p. 81 «Netherlands Bach Collegium» en Allmusic «Netherlands Bach Collegium» en Bach-cantatas.com. ... Netherlands Bach Collegium es una agrupación instrumental barroca con sede en los Países Bajos. Está dirigida por Pieter Jan ... Netherlands Bach Collegium». Bach-cantatas.com. Consultado el 15-03-2014. The Penguin guide to compact discs. ...
https://es.wikipedia.org/wiki/Netherlands_Bach_Collegium

Netherlands national rollball team: Vishwaraj JadejaTransport in the Netherlands Antilles: This article lists forms of Transport in the Netherlands Antilles.Transport in Suriname: The Republic of Suriname () has a number of forms of transport.University of Hassan II CasablancaVoluntary euthanasia: Voluntary euthanasia is the practice of ending a life in a painless manner. Voluntary euthanasia (VE) and physician-assisted suicide (PAS) have been the focus of great controversy in recent years.YourLastRight.com: YourLastRight.com Limited is an Australian national non-profit organisation which lobbies for law reform to permit voluntary euthanasia in restricted circumstances.Society for Old Age Rational Suicide: The Society for Old Age Rational Suicide (SOARS) is a group based in the United Kingdom concerned with choice at the end of life. It was established on December 10, 2009 (Human Rights Day) by Dr.Meridian of Antwerp: The meridan of Antwerp is one of several prime meridians that have been used for geographic referencing. It is running through the city of Antwerp, in Flanders, Belgium, and forming the 0° longitude upon which some Belgian maps were based.GA²LENGroningen Protocol: The Groningen Protocol is a text created in September 2004 by Eduard Verhagen, the medical director of the department of pediatrics at the University Medical Center Groningen (UMCG) in Groningen, the Netherlands. It contains directives with criteria under which physicians can perform "active ending of life on infants" (child euthanasia) without fear of legal prosecution.Closed-ended question: A closed-ended question is a question format that limits respondents with a list of answer choices from which they must choose to answer the question.Dillman D.Incidence (epidemiology): Incidence is a measure of the probability of occurrence of a given medical condition in a population within a specified period of time. Although sometimes loosely expressed simply as the number of new cases during some time period, it is better expressed as a proportion or a rate with a denominator.Kocaeli University: The University of Kocaeli (KOU) is a state university in Kocaeli, Turkey. It was founded as the Academy of Engineering and Architecture of Kocaeli in 1976.QRISK: QRISK2 (the most recent version of QRISK) is a prediction algorithm for cardiovascular disease (CVD) that uses traditional risk factors (age, systolic blood pressure, smoking status and ratio of total serum cholesterol to high-density lipoprotein cholesterol) together with body mass index, ethnicity, measures of deprivation, family history, chronic kidney disease, rheumatoid arthritis, atrial fibrillation, diabetes mellitus, and antihypertensive treatment.National Outbreak Reporting System: ==The National Outbreak Reporting System (NORS)==Euthanasia and the slippery slope: Critics of euthanasia sometimes claim that legalizing any form of the practice will lead to a slippery slope effect, resulting eventually in non-voluntary or even involuntary euthanasia. The slippery slope argument has been present in the euthanasia debate since at least the 1930s.Coxiella burnetii: Coxiella burnetii is an obligate intracellular bacterial pathogen, and is the causative agent of Q fever. The genus Coxiella is morphologically similar to Rickettsia, but with a variety of genetic and physiological differences.Disease registry: Disease or patient registries are collections of secondary data related to patients with a specific diagnosis, condition, or procedure, and they play an important role in post marketing surveillance of pharmaceuticals. Registries are different from indexes in that they contain more extensive data.Age adjustment: In epidemiology and demography, age adjustment, also called age standardization, is a technique used to allow populations to be compared when the age profiles of the populations are quite different.Wilhelm Siegmund Frei: Wilhelm Siegmund Frei (September 5, 1885, Neustadt – January 27, 1943) was a German dermatologist best known for his contributions to Durand-Nicolas-Favre disease, a sexually transmitted disease found mainly in tropical and subtropical climates. He is also known for the Frei Test, which was developed in 1925 for the detection of lymphogranuloma venereum (LGV).List of countries that regulate the immigration of felons: This is a list of countries that regulate the immigration of felons.Incremental cost-effectiveness ratio: The incremental cost-effectiveness ratio (ICER) is a statistic used in cost-effectiveness analysis to summarise the cost-effectiveness of a health care intervention. It is defined by the difference in cost between two possible interventions, divided by the difference in their effect.Malta in the Eurovision Song Contest 2007: Malta chose their entry for the Eurovision Song Contest 2007 during the Malta Song for Europe 2007. After a semi-final on 1 February and a final on 3 February, the Maltese televoters decided that Olivia Lewis would represent Malta at Eurovision with the song "Vertigo".Ellen Lewis Herndon Arthur: Ellen Lewis Herndon Arthur (August 30, 1837 – January 12, 1880) was the wife of the 21st President of the United States, Chester A. Arthur I.St. Patrick's Roman Catholic Church (Calgary, Alberta): St. Patrick's Roman Catholic Church is an historic Carpenter Gothic style Roman Catholic church building located at 14608 Macleod Trail in the Midnapore neighbourhood in Calgary, Alberta, Canada.Proportional reporting ratio: The proportional reporting ratio (PRR) is a statistic that is used to summarize the extent to which a particular adverse event is reported for individuals taking a specific drug, compared to the frequency at which the same adverse event is reported for patients taking some other drug (or who are taking any drug in a specified class of drugs). The PRR will typically be calculated using a surveillance database in which reports of adverse events from a variety of drugs are recorded.Transport in Somalia: Transport in Somalia refers to the transportation networks and modes of transport in effect in Somalia. They include highways, airports and seaports, in addition to various forms of public and private vehicular, maritime and aerial transportation.American Association of Public Health Physicians: The American Association of Public Health Physicians (AAPHP), is a professional association of public health physicians. Its motto is "the voice of Public Health Physicians / Guardians of the Public's Health".Cancer screeningTemporal analysis of products: Temporal Analysis of Products (TAP), (TAP-2), (TAP-3) is an experimental technique for studying

(1/7480) Screening for congenital heart malformation in child health centres.

BACKGROUND: Although screening for congenital heart malformations is part of the child health care programme in several countries, there are very few published evaluations of these activities. This report is concerned with the evaluation of this screening at the Dutch Child Health Centres (CHC). METHODS: All consecutive patients, aged between 32 days and 4 years, presented at the Sophia Children's Hospital Rotterdam throughout a period of 2 years, with a congenital heart malformation were included in this study. Paediatric cardiologists established whether or not these patients were diagnosed after haemodynamic complications had already developed (diagnosed 'too late'). Parents and CHC-physicians were interviewed in order to establish the screening and detection history. Test properties were established for all patients with a congenital heart malformation (n = 290), intended effects of screening were established in patients with clinically significant malformations (n = 82). RESULTS: The sensitivity of the actual screening programme was 0.57 (95% CI : 0.51-0.62), the specificity 0.985 (95% CI : 0.981-0.990) and the predictive value of a positive test result 0.13 (95% CI: 0.10-0.19). Sensitivity in a subpopulation of patients adequately screened was 0.89 (95% CI: 0.74-0.96). Adequately screened patients were less likely to be diagnosed 'too late' than inadequately screened patients (odds ratio [OR] = 0.20, 95% CI: 0.04-1.05). The actual risk of being diagnosed 'too late' in the study-population (48%) was only slightly less than the estimated risk for patients not exposed to CHC-screening (58%, 95% CI: 43%-72%). Adequately screened patients however were at considerably less risk (17%, 95% CI: 4%-48%). CONCLUSION: Screening for congenital heart malformations in CHC contributes to the timely detection of these disorders. The actual yield, however, is far from optimal, and the screening programme should be improved.  (+info)

(2/7480) Socioeconomic inequalities in health in the working population: the contribution of working conditions.

BACKGROUND: The aim was to study the impact of different categories of working conditions on the association between occupational class and self-reported health in the working population. METHODS: Data were collected through a postal survey conducted in 1991 among inhabitants of 18 municipalities in the southeastern Netherlands. Data concerned 4521 working men and 2411 working women and included current occupational class (seven classes), working conditions (physical working conditions, job control, job demands, social support at work), perceived general health (very good or good versus less than good) and demographic confounders. Data were analysed with logistic regression techniques. RESULTS: For both men and women we observed a higher odds ratio for a less than good perceived general health in the lower occupational classes (adjusted for confounders). The odds of a less than good perceived general health was larger among people reporting more hazardous physical working conditions, lower job control, lower social support at work and among those in the highest category of job demands. Results were similar for men and women. Men and women in the lower occupational classes reported more hazardous physical working conditions and lower job control as compared to those in higher occupational classes. High job demands were more often reported in the higher occupational classes, while social support at work was not clearly related to occupational class. When physical working conditions and job control were added simultaneously to a model with occupational class and confounders, the odds ratios for occupational classes were reduced substantially. For men, the per cent change in the odds ratios for the occupational classes ranged between 35% and 83%, and for women between 35% and 46%. CONCLUSIONS: A substantial part of the association between occupational class and a less than good perceived general health in the working population could be attributed to a differential distribution of hazardous physical working conditions and a low job control across occupational classes. This suggests that interventions aimed at improving these working conditions might result in a reduction of socioeconomic inequalities in health in the working population.  (+info)

(3/7480) Double-blind intervention trial on modulation of ozone effects on pulmonary function by antioxidant supplements.

The aim of this study was to investigate whether the acute effects of ozone on lung function could be modulated by antioxidant vitamin supplementation in a placebo-controlled study. Lung function was measured in Dutch bicyclists (n = 38) before and after each training session on a number of occasions (n = 380) during the summer of 1996. The vitamin group (n = 20) received 100 mg of vitamin E and 500 mg of vitamin C daily for 15 weeks. The average ozone concentration during exercise was 77 microg/m3 (range, 14-186 microg/m3). After exclusion of subjects with insufficient compliance from the analysis, a difference in ozone exposure of 100 microg/m3 decreased forced expiratory volume in 1 second (FEV1) 95 ml (95% confidence interval (CI) -265 to -53) in the placebo group and 1 ml (95% CI -94 to 132) in the vitamin group; for forced vital capacity, the change was -125 ml (95% CI -384 to -36) in the placebo group and -42 ml (95% CI -130 to 35) in the vitamin group. The differences in ozone effect on lung function between the groups were statistically significant. The results suggest that supplementation with the antioxidant vitamins C and E confers partial protection against the acute effects of ozone on FEV1 and forced vital capacity in cyclists.  (+info)

(4/7480) Assessment of complement deficiency in patients with meningococcal disease in The Netherlands.

The frequency of complement deficiency in 176 of 7,732 patients with meningococcal disease in the Netherlands from 1959 through 1992 was assessed. Complement deficiency was found in six patients (3%): 3 (7%) of the patients with Neisseria meningitidis serogroup C disease, 1 (2%) of the patients with N. meningitidis serogroup A disease, and 2 (33%) of the patients with infections due to uncommon serogroups and nongroupable strains of N. meningitidis. Of 91 additional patients with meningococcal infections due to uncommon serogroups, 33% also had complement deficiency. Thirty-four of the 36 complement-deficient patients with meningococcal disease who were from 33 families were 5 years of age or older. Twenty-six additional complement-deficient relatives were found. Screening individuals with meningococcal disease due to uncommon serogroups who were 5 years of age or older identified 30 of the 33 complement-deficient families. Only 27% of the complement-deficient relatives had had meningococcal disease. This risk was lower for relatives with properdin deficiency (18%) than for those deficient in the late component of complement (38%). Therefore, pedigree studies are warranted for identifying those complement-deficient persons who require vaccination for meningococcal disease.  (+info)

(5/7480) An expert system for the evaluation of historical asbestos exposure as diagnostic criterion in asbestos-related diseases.

Compensation schemes for asbestos-related diseases have developed different strategies for attributing a specific disease to occupational exposure to asbestos in the past. In the absence of quantitative exposure information that allows a valid estimate of an individual's historical exposure, general guidelines are required to retrospectively evaluate asbestos exposure. A risk matrix has been developed that contains qualitative information on the proportion of workers exposed and the level of exposure in particular industries over time. Based on this risk matrix, stepwise decision trees were formulated for decisions regarding the decisive role of historical asbestos exposure in case ascertainment of asbestosis and mesothelioma. Application of decision schemes will serve to speed up the process of verifying compensation claims and also contribute to a uniform decision-making process in legal procedures.  (+info)

(6/7480) Risk-adjusted capitation based on the Diagnostic Cost Group Model: an empirical evaluation with health survey information.

OBJECTIVE: To evaluate the predictive accuracy of the Diagnostic Cost Group (DCG) model using health survey information. DATA SOURCES/STUDY SETTING: Longitudinal data collected for a sample of members of a Dutch sickness fund. In the Netherlands the sickness funds provide compulsory health insurance coverage for the 60 percent of the population in the lowest income brackets. STUDY DESIGN: A demographic model and DCG capitation models are estimated by means of ordinary least squares, with an individual's annual healthcare expenditures in 1994 as the dependent variable. For subgroups based on health survey information, costs predicted by the models are compared with actual costs. Using stepwise regression procedures a subset of relevant survey variables that could improve the predictive accuracy of the three-year DCG model was identified. Capitation models were extended with these variables. DATA COLLECTION/EXTRACTION METHODS: For the empirical analysis, panel data of sickness fund members were used that contained demographic information, annual healthcare expenditures, and diagnostic information from hospitalizations for each member. In 1993, a mailed health survey was conducted among a random sample of 15,000 persons in the panel data set, with a 70 percent response rate. PRINCIPAL FINDINGS: The predictive accuracy of the demographic model improves when it is extended with diagnostic information from prior hospitalizations (DCGs). A subset of survey variables further improves the predictive accuracy of the DCG capitation models. The predictable profits and losses based on survey information for the DCG models are smaller than for the demographic model. Most persons with predictable losses based on health survey information were not hospitalized in the preceding year. CONCLUSIONS: The use of diagnostic information from prior hospitalizations is a promising option for improving the demographic capitation payment formula. This study suggests that diagnostic information from outpatient utilization is complementary to DCGs in predicting future costs.  (+info)

(7/7480) Immunosurveillance and the evaluation of national immunization programmes: a population-based approach.

Mass vaccination can change the epidemiological dynamics of infectious diseases. It may result in a limited persistence of natural and vaccine-induced immunity and a higher mean age of infection, which may lead to a greater risk of complications. The epidemiological situation should be monitored and immunosurveillance based on the assessment of specific antibodies against vaccine-preventable diseases in human serum is one of the tools. In order to estimate the immunity of the Dutch population reliably, a large-scale, population-based, collection of serum samples was established (8359 sera in a nation-wide sampling and 1589 sera from municipalities with low vaccine coverage). In contrast to collecting residual sera from laboratories, this approach gains extensive information by means of a questionnaire regarding the determinants of the immune status and the risk factors for the transmission of infectious diseases in general. The population-based approach gives a better guarantee that the data are representative than collecting sera from laboratories does.  (+info)

(8/7480) A model-based evaluation of the national immunization programme against rubella infection and congenital rubella syndrome in The Netherlands.

In order to improve the prevention of cases of congenital rubella syndrome in The Netherlands, in 1987 the selective vaccination strategy against rubella infection in girls was replaced by mass vaccination. This decision was supported by mathematical model analyses carried out by Van Druten and De Boo. In order to compare the predicted impact of the rubella vaccination programme with the current available data in more detail, a similar model was built. Although the model predicts elimination of the rubella virus, data show that virus circulation is still present at a higher level than expected by the model. Simulation studies indicate that import of infection and a lower vaccine effectiveness, related to possible asymptomatic reinfection of vaccinated people, could be sources contributing to the present virus circulation. Even though the number of infections is much higher than the number of reported cases of disease, limited serosurveillance data and case notification data show that females of childbearing age are well protected by immunization.  (+info)



Antilles


  • Get the mobile country codes for calling Netherlands Antilles from Ecuador. (countrycallingcodes.com)
  • We hope Country Calling Codes has been of help to you in finding the Dutch Antillean calling code for your international call from Ecuador to Netherlands Antilles. (countrycallingcodes.com)
  • The postal administration of the Netherlands Antilles issued (30 June 1995) six new stamps with the flags and the coats of arms of the islands. (crwflags.com)
  • St Eustatius uses the flag and coat of arms of the Netherlands Antilles as its national symbols. (crwflags.com)
  • The Postal Service of the Netherlands Antilles issued the booklet 'Flag Issue 1995 / Vlaggenserie 1995' with full details on the history and use of the national symbols of the islands. (crwflags.com)
  • According to Album 2000 [ pay00 ] - Netherlands Antilles - The flag of the Netherlands Antilles is white in proportions 2:3, on the center of the length a red vertical stripe, and on the center of the height a blue horizontal stripe across the red stripe. (crwflags.com)
  • However, during referendums held in November 1993 (Curaçao) and October 1994 (Bonaire, St.Maarten, St.Eustatius and Saba) large majorities of the people voted to remain part of the Netherlands Antilles. (crwflags.com)
  • I read today in the International Herald Tribune that St. Maarten has just voted for separation from Netherlands Antilles within the Kingdom of the Netherlands. (crwflags.com)