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Trial and error: Taking a cheat sheet to work

Taking a cheat sheet to work

It was the first week at my final internship and we were doing ward rounds. As always, I had my little paper with a description of every patient in the ward with me as a quick reminder before seeing the patient. Afterwards, the resident told me that was the most unprofessional thing she had ever seen. Well, no notes for me anymore. The next day I tried to memorize all treatment plans of the patients. I totally messed up. “We will perform an X-ray, oh no, sorry, that was your neighbor.”

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Interview: Prof. dr. L. Vermeulen

Prof. dr. L. Vermeulen

In October 2017 Prof. dr. Louis Vermeulen became
the youngest professor ever at the AMC. He received a lot of media attention from outlets such as Medisch Contact, RTL and many others. Meanwhile,
he is still in training to become a specialist in internal medicine. We were keen in interviewing the just 33-year-old professor about his success in research, his view on the medical curriculum and the future of medicine in general. But of course, we had to ask one question first:

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Expert Opinion: Green leafy vegetables protective against cognitive decline?

Green leafy vegetables protective against cognitive decline?

Background

As life expectancy rises worldwide, so does the prevalence of dementia. Consequently, there is a great need for knowledge regarding preventive measures. Nutritional intake is likely to influence cognitive health, but the specific role of different food items remains unclear. Two large prospective studies previously investigated the relation between several types of vegetables and cognitive decline.¹·² Both studies showed an association between green leafy vegetables (spinach, kale, collards and lettuce) and a slower rate of cognitive decline. The research discussed in this article aimed to identify the individual nutrients that may contribute to the underlying protective mechanisms of green leafy vegetables.

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Editorial: the General Data Protection Regulation (GDPR)

Arterial Blood Gas 101

It could not be missed the last months; the introduction of the new General Data Protection Regulation (GDPR) or in Dutch ‘Algemene Verordening Gegevensbescherming (AVG)’. Many fields, including our medical research field, are impacted by this regulation. Since the introduction of this regulation at the 25th of May, we have to be much more careful with our patient data.

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Clinical Image: From arterial blood gas to bedside diagnosis

From arterial blood gas to bedside diagnosis

[headline_subtitle subtitle=”Can you come up with the proper diagnosis?”]
Presentation
A 37-year old man, with a medical history of obesity, insulin-dependent type 2 diabetes mellitus and asthma was admitted to the emergency room. For the last couple of days, he had been sick with fever, nausea, vomiting, weakness, and shortness of breath. He did not use any alcohol or party drugs. Today, when his girlfriend returned home, she met him in a confused state and called an ambulance. At the emergency room, physical examination shows decreased consciousness, a temperature of 38.4 degrees Celsius, blood pressure of 141/78 mmHg, heart rate of 116/min, and a respiratory rate of 31/min with SpO2 of 94%. Auscultation of heart and lungs revealed no abnormalities. The arterial blood gas is presented below (TABLE 1). Furthermore, X-ray revealed no infiltrate.

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