A Consensus Development Conference on the Practice of Platelet Transfusion in the Netherlands

1990 ◽  
Vol 6 (1) ◽  
pp. 163-174
Author(s):  
W. G. van Aken ◽  
J. A. van der Does ◽  
C. Dudok de Wit ◽  
J. J. E. van Everdingen
Keyword(s):  
The Netherlands ◽  
Good Reason ◽  
Severe Trauma ◽  
Major Surgery ◽  
Consensus Development ◽  
Platelet Concentrates ◽  
Platelet Suspension ◽  
Consensus Development Conference ◽  
The Past ◽  
Number Of Patients

During the past 5 years, hospitals in several countries have experienced a significant increase in the use of platelet concentrates. In the Netherlands, e.g., the number of donor units of platelet concentrates rose from 59,000 in 1981 to almost 97,000 in 1984 at a cost of 5 million guilders (US $2,800,000) annually. This increased utilization has been attributed to such factors as chemo- and radiotherapy, major surgery, severe trauma, and bone marrow transplantation.However, there was concern that in a significant number of patients, platelet concentrates are administered for no good reason, that the effect of platelet transfusions is often not adequately controlled, that insufficient care is taken to prevent side effects (notably alloimmunization), and that the quality control applied to platelet suspension is not optimal.

Decision Analysis as a Synthetic Tool for Achieving Consensus in Technology Assessment

1986 ◽  
Vol 2 (1) ◽  
pp. 83-97 ◽  
Author(s):  
Stephen G. Pauker
Keyword(s):  
Decision Analysis ◽  
Expert Opinion ◽  
Technology Assessment ◽  
Scientific Community ◽  
Medical Application ◽  
National Institutes Of Health ◽  
Consensus Development ◽  
Consensus Development Conference ◽  
The Past

Over the past decade the Office of Medical Application of Research (OMAR) of the National Institutes of Health has developed the consensus development conference (18) to assess technologies in cases where the scientific community has been unable, or unwilling, to reach a firm position as to efficacy but which require some better form of assessment than expert opinion (8). Another paper in this issue describes the principles that underlie such conferences (9).

Evaluation of consensus development conference on cutaneous melanoma in The Netherlands

1990 ◽  
Vol 123 (2) ◽  
pp. 259-260
Author(s):  
J.J.E. Everdingen ◽  
F.H.J. Rampen ◽  
D.J. Ruiter ◽  
A.F. Casparie
Keyword(s):  
The Netherlands ◽  
Cutaneous Melanoma ◽  
Consensus Development ◽  
Consensus Development Conference

Report of the consensus development conference on the management of differentiated thyroid cancer in the Netherlands

1988 ◽  
Vol 24 (2) ◽  
pp. 287-292 ◽  
Author(s):  
C.J.H. Van De Velde ◽  
J.F. Hamming ◽  
B.M. Goslings ◽  
L.J.D.M. Schelfhout ◽  
O.H. Clark ◽  
...  
Keyword(s):  
Thyroid Cancer ◽  
The Netherlands ◽  
Differentiated Thyroid Cancer ◽  
Consensus Development ◽  
Consensus Development Conference

How and Why the Populist Radical Right Persuades Citizens

2019 ◽  
pp. 813-837
Author(s):  
Elisabeth Ivarsflaten ◽  
Scott Blinder ◽  
Lise Bjånesøy
Keyword(s):  
Political Parties ◽  
Good Reason ◽  
Radical Right ◽  
Right Wing ◽  
Large Share ◽  
The Past ◽  
Populist Radical Right ◽  
Electoral Support ◽  
Party Family ◽  
Established Democracies

The “populist radical right” is a contested concept in scholarly work for good reason. This chapter begins by explaining that the political parties usually grouped together under this label are not a party family in a conventional sense and do not self-identify with this category. It goes on to show how political science scholarship has established that in Europe during the past thirty or so years we have seen the rise of a set of parties that share a common ideological feature—nativism. The nativist political parties experiencing most electoral support have combined their nativist agenda with some other legitimate ideological companion, which provides deniability—a shield against charges that the nativist agenda makes the parties and their supporters right-wing extremist and undemocratic. The chapter goes on to explain that in order to make progress on our understanding of how and why the populist radical right persuades citizens, we need to recognize: first, that nativism is the only necessary ingredient without which the populist radical right loses its force; and second, that nativism in contemporary established democracies has tended not to persuade a large share of voters without an ideological companion.

scholarly journals The evolution of trauma care in the Netherlands over 20 years

2019 ◽  
Vol 46 (2) ◽  
pp. 329-335 ◽  
Author(s):  
Falco Hietbrink ◽  
Roderick M. Houwert ◽  
Karlijn J. P. van Wessem ◽  
Rogier K. J. Simmermacher ◽  
Geertje A. M. Govaert ◽  
...  
Keyword(s):  
The Netherlands ◽  
Trauma Care ◽  
Trauma System ◽  
Trauma Surgeon ◽  
Severely Injured ◽  
Severely Injured Patients ◽  
The Past ◽  
Level 1 ◽  
Trauma Surgeons ◽  
Injured Patients

Abstract Introduction In 1999 an inclusive trauma system was initiated in the Netherlands and a nationwide trauma registry, including all admitted trauma patients to every hospital, was started. The Dutch trauma system is run by trauma surgeons who treat both the truncal (visceral) and extremity injuries (fractures). Materials and Methods In this comprehensive review based on previous published studies, data over the past 20 years from the central region of the Netherlands (Utrecht) was evaluated. Results It is demonstrated that the initiation of the trauma systems and the governance by the trauma surgeons led to a region-wide mortality reduction of 50% and a mortality reduction for the most severely injured of 75% in the level 1 trauma centre. Furthermore, major improvements were found in terms of efficiency, demonstrating the quality of the current system and its constructs such as the type of surgeon. Due to the major reduction in mortality over the past few years, the emphasis of trauma care evaluation shifts towards functional outcome of severely injured patients. For the upcoming years, centralisation of severely injured patients should also aim at the balance between skills in primary resuscitation and surgical stabilization versus longitudinal surgical involvement. Conclusion Further centralisation to a limited number of level 1 trauma centres in the Netherlands is necessary to consolidate experience and knowledge for the trauma surgeon. The future trauma surgeon, as specialist for injured patients, should be able to provide the vast majority of trauma care in this system. For the remaining part, intramural, regional and national collaboration is essential

scholarly journals Routine clinical care data from thirteen cardiac outpatient clinics: design of the Cardiology Centers of the Netherlands (CCN) database

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sophie H. Bots ◽  
Klaske R. Siegersma ◽  
N. Charlotte Onland-Moret ◽  
Folkert W. Asselbergs ◽  
G. Aernout Somsen ◽  
...  
Keyword(s):  
Risk Factors ◽  
General Practitioner ◽  
Data Collection ◽  
The Netherlands ◽  
Strong Base ◽  
Daily Care ◽  
Cardiac Symptoms ◽  
Number Of Patients ◽  
Patient Groups

Abstract Background Despite the increasing availability of clinical data due to the digitalisation of healthcare systems, data often remain inaccessible due to the diversity of data collection systems. In the Netherlands, Cardiology Centers of the Netherlands (CCN) introduced “one-stop shop” diagnostic clinics for patients suspected of cardiac disease by their general practitioner. All CCN clinics use the same data collection system and standardised protocol, creating a large regular care database. This database can be used to describe referral practices, evaluate risk factors for cardiovascular disease (CVD) in important patient subgroups, and develop prediction models for use in daily care. Construction and content The current database contains data on all patients who underwent a cardiac workup in one of the 13 CCN clinics between 2007 and February 2018 (n = 109,151, 51.9% women). Data were pseudonymised and contain information on anthropometrics, cardiac symptoms, risk factors, comorbidities, cardiovascular and family history, standard blood laboratory measurements, transthoracic echocardiography, electrocardiography in rest and during exercise, and medication use. Clinical follow-up is based on medical need and consisted of either a repeat visit at CCN (43.8%) or referral for an external procedure in a hospital (16.5%). Passive follow-up via linkage to national mortality registers is available for 95% of the database. Utility and discussion The CCN database provides a strong base for research into historically underrepresented patient groups due to the large number of patients and the lack of in- and exclusion criteria. It also enables the development of artificial intelligence-based decision support tools. Its contemporary nature allows for comparison of daily care with the current guidelines and protocols. Missing data is an inherent limitation, as the cardiologist could deviate from standardised protocols when clinically indicated. Conclusion The CCN database offers the opportunity to conduct research in a unique population referred from the general practitioner to the cardiologist for diagnostic workup. This, in combination with its large size, the representation of historically underrepresented patient groups and contemporary nature makes it a valuable tool for expanding our knowledge of cardiovascular diseases. Trial registration: Not applicable.

scholarly journals The Resolution of International Commercial Disputes – What Role (if any) for Continental Europe?

AJIL Unbound ◽  
2021 ◽  
Vol 115 ◽  
pp. 11-16
Author(s):  
Giesela Rühl
Keyword(s):  
The Netherlands ◽  
Dispute Settlement ◽  
Middle Eastern ◽  
National Level ◽  
High Volume ◽  
Radical Change ◽  
The Past ◽  
The World ◽  
Traditional Market ◽  
Commercial Courts

The past sixteen years have witnessed the proliferation of international commercial courts around the world. However, up until recently, this was largely an Asian and a Middle Eastern phenomenon. Only during the past decade have Continental European countries, notably Germany, France and the Netherlands, joined the bandwagon and started to create new judicial bodies for international commercial cases. Driven by the desire to attract high-volume commercial litigation, these bodies try to offer international businesses a better dispute settlement framework. But what are their chances of success? Will more international litigants decide to settle their disputes in these countries? In this essay, I argue that, despite its recently displayed activism, Continental Europe lags behind on international commercial courts. In fact, although the various European initiatives are laudable, most cannot compete with the traditional market leaders, especially the London Commercial Court, or with new rivals in Asia and the Middle East. If Continental Europe wants a role in the international litigation market, it must embrace more radical change. And this change will most likely have to happen on the European––not the national––level.

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