Microbiology of surgical site infections after gastrointestinal surgery in the south region of The Netherlands

2014 ◽  
Vol 9 (3) ◽  
pp. 291-298 ◽  
Author(s):  
Amita A Ramcharan ◽  
Casper DJ den Heijer ◽  
Ed EJ Smeets ◽  
Margriet MJ Rouflart ◽  
Frank H van Tiel ◽  
...  
Keyword(s):  
The Netherlands ◽  
Gastrointestinal Surgery ◽  
Surgical Site Infections ◽  
The South

scholarly journals Surveillance of surgical site infections after gastrointestinal surgery in the south region of the Netherlands

2014 ◽  
Vol 10 (2) ◽  
Author(s):  
Amita Ramcharan ◽  
Ed Smeets ◽  
Margriet Rouflart ◽  
Frank Tiel, van ◽  
Cathrien Bruggeman ◽  
...  
Keyword(s):  
The Netherlands ◽  
Gastrointestinal Surgery ◽  
Surgical Site Infections ◽  
The South

scholarly journals Palynological indications for Silurian – earliest Devonian age strata in the Netherlands

2021 ◽  
Vol 100 ◽  
Author(s):  
Alexander J.P. Houben ◽  
Geert-Jan Vis
Keyword(s):  
The Netherlands ◽  
Core Material ◽  
Late Devonian ◽  
Time Interval ◽  
The South ◽  
Early Devonian ◽  
The North ◽  
Depositional Settings ◽  
Palynological Study ◽  
Devonian Age

Abstract Knowledge of the stratigraphic development of pre-Carboniferous strata in the subsurface of the Netherlands is very limited, leaving the lithostratigraphic nomenclature for this time interval informal. In two wells from the southwestern Netherlands, Silurian strata have repeatedly been reported, suggesting that these are the oldest ever recovered in the Netherlands. The hypothesised presence of Silurian-aged strata has not been tested by biostratigraphic analysis. A similar lack of biostratigraphic control applies to the overlying Devonian succession. We present the results of a palynological study of core material from wells KTG-01 and S05-01. Relatively low-diversity and poorly preserved miospore associations were recorded. These, nonetheless, provide new insights into the regional stratigraphic development of the pre-Carboniferous of the SW Netherlands. The lower two cores from well KTG-01 are of a late Silurian (Ludlow–Pridoli Epoch) to earliest Devonian (Lochkovian) age, confirming that these are the oldest sedimentary strata ever recovered in the Netherlands. The results from the upper cored section from the pre-Carboniferous succession in well KTG-01 and the cored sections from the pre-Carboniferous succession in well S05-01 are more ambiguous. This inferred Devonian succession is, in the current informal lithostratigraphy of the Netherlands, assigned to the Banjaard group and its subordinate Bollen Claystone formation, of presumed Frasnian (i.e. early Late Devonian) age. Age-indicative Middle to Late Devonian palynomorphs were, however, not recorded, and the overall character of the poorly preserved palynological associations in wells KTG-01 and S05-01 may also suggest an Early Devonian age. In terms of lithofacies, however, the cores in well S05-01 can be correlated to the upper Frasnian – lower Famennian Falisolle Formation in the Campine Basin in Belgium. Hence, it remains plausible that an unconformity separates Silurian to Lower Devonian strata from Upper Devonian (Frasnian–Famennian) strata in the SW Netherlands. In general, the abundance of miospore associations points to the presence of a vegetated hinterland and a relatively proximal yet relatively deep marine setting during late Silurian and Early Devonian times. This differs markedly from the open marine depositional settings reported from the Brabant Massif area to the south in present-day Belgium, suggesting a sediment source to the north. The episodic presence of reworked (marine) acritarchs of Ordovician age suggests the influx of sedimentary material from uplifted elements on the present-day Brabant Massif to the south, possibly in relation to the activation of a Brabant Arch system.

scholarly journals Selective Decontamination of the Digestive Tract to Prevent Postoperative Pneumonia and Anastomotic Leakage after Esophagectomy: A Retrospective Cohort Study

Antibiotics ◽  
2021 ◽  
Vol 10 (1) ◽  
pp. 43
Author(s):  
Robin Janssen ◽  
Frans Van Workum ◽  
Nikolaj Baranov ◽  
Harmen Blok ◽  
Jaap ten Oever ◽  
...  
Keyword(s):  
Cohort Study ◽  
Anastomotic Leakage ◽  
Digestive Tract ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Protective Factor ◽  
Gastrointestinal Surgery ◽  
Surgical Site Infections ◽  
Selective Decontamination ◽  
Postoperative Pneumonia

Infectious complications occur frequently after esophagectomy. Selective decontamination of the digestive tract (SDD) has been shown to reduce postoperative infections and anastomotic leakage in gastrointestinal surgery, but robust evidence for esophageal surgery is lacking. The aim was to evaluate the association between SDD and pneumonia, surgical-site infections (SSIs), anastomotic leakage, and 1-year mortality after esophagectomy. A retrospective cohort study was conducted in patients undergoing Ivor Lewis esophagectomy in four Dutch hospitals between 2012 and 2018. Two hospitals used SDD perioperatively and two did not. SDD consisted of an oral paste and suspension (containing amphotericin B, colistin, and tobramycin). The primary outcomes were 30-day postoperative pneumonia and SSIs. Secondary outcomes were anastomotic leakage and 1-year mortality. Logistic regression analyses were performed to determine the association between SDD and the relevant outcomes (odds ratio (OR)). A total of 496 patients were included, of whom 179 received SDD perioperatively and the other 317 patients did not receive SDD. Patients who received SDD were less likely to develop postoperative pneumonia (20.1% vs. 36.9%, p < 0.001) and anastomotic leakage (10.6% vs. 19.9%, p = 0.008). Multivariate analysis showed that SDD is an independent protective factor for postoperative pneumonia (OR 0.40, 95% CI 0.23–0.67, p < 0.001) and anastomotic leakage (OR 0.46, 95% CI 0.26–0.84, p = 0.011). Use of perioperative SDD seems to be associated with a lower risk of pneumonia and anastomotic leakage after esophagectomy.

scholarly journals A southern North Sea Miocene dinoflagellate cyst zonation

2004 ◽  
Vol 83 (4) ◽  
pp. 267-285 ◽  
Author(s):  
D.K. Munsterman ◽  
H. Brinkhuis
Keyword(s):  
The Netherlands ◽  
North Sea ◽  
North Atlantic ◽  
The South ◽  
Dinoflagellate Cyst ◽  
South Eastern ◽  
Southern North Sea ◽  
Age Model

AbstractAn integrated stratigraphical analysis emphasizing organic-walled dinoflagellate cyst (dinocyst) distribution has been carried out on multiple boreholes penetrating the Miocene in the subsurface of the Netherlands (southern North Sea Basin). The bulk of the investigated successions is attributed to the Breda Formation, a regional lithostatigraphical unit most complete in the south-eastern part of the Netherlands. In concert with a first regional integrated bio (chrono) sequence-stratigraphical framework, fourteen informal dinocyst zones for the southern North Sea Miocene (SNSM), and three subzones are proposed for the Breda Formation. By also integrating (chrono)stratigraphic information from Mediterranean and North Atlantic dinocyst studies a first ever detailed age-model is here proposed for the Miocene in the subsurface of the Netherlands.

Harlequin Stock-Jobber

2020 ◽  
pp. 61-80
Author(s):  
Joyce Goggin ◽  
Merlijn Erken ◽  
Frans De Bruyn ◽  
Henk Looijesteijn ◽  
Helen J. Paul ◽  
...  
Keyword(s):  
The Netherlands ◽  
Commedia Dell'arte ◽  
The South ◽  
South Sea ◽  
The Rich ◽  
Character Types

This short comic harlequinade is written in the rich and enormously popular theatrical tradition of the Italian commedia dell’arte, imported into the Netherlands via France. Langendijk borrows a range of well-known commedia character types to populate his farce. In a series of twelve scenes he tells the story of Capitano. who plans a voyage to the South Sea (the Mississippi country) to trade in shares. Harlequin, himself a speculator in shares, undertakes to sell Capitano provisions for his voyage. When Capitano discovers that the provisions Harlequin has sold him are nothing but wind-filled bladders and animal guts, a battle ensues between two squadrons armed with inflated pig’s bladders. The cowardly Capitano faints from shock, and Harlequin is taken captive but is set free when he promises to bequeath his paper shares to his captors. The play concludes with Harlequin auctioning off a candle stub, which is handed back and forth between the characters until Gilles, who buys the candle, burns his fingers and drops the stub on a pile of shares that go up flames. The foolish investors are left with nothing, an ending that provides a comic warning to those who risk being burnt by the bubble craze.

scholarly journals Nederland(s) en sy (Suid-) Afrikaanse metafore

Literator ◽  
1994 ◽  
Vol 15 (3) ◽  
pp. 1-20
Author(s):  
H. Viljoen
Keyword(s):  
South Africa ◽  
The Netherlands ◽  
South African ◽  
Family Relations ◽  
The South ◽  
Popular Imagination ◽  
Descriptive System ◽  
Postcolonial Literatures

Afrikaans metaphors for Dutch and the NetherlandsThere seems to be an irrepressible urge to metaphorize the relation between the Netherlands and South Africa in the Afrikaans popular imagination, perhaps in order to bridge the growing separation between the two countries. Four complexes of such metaphors, window, family relations, root and landscape, are briefly analysed, with most emphasis on the last category. From a handful of Afrikaans poems since 1950, and especially from poems by Elizabeth Eybers, Lina Spies and Marlene van Niekerk, it seems possible to reconstruct a descriptive system that underlies poems contrasting the Netherlands (represented by Amsterdam in particular) as a safe, protected space with the South African landscape as open and exposed. These poems also clearly show up the dialectic of abrogation and appropriation and the anxiety about land and identity so typical of postcolonial literatures.

scholarly journals Kerk, volk en owerheid in die 1858-grondwet van die Zuid-Afrikaansche Republiek

1995 ◽  
Vol 51 (2) ◽  
Author(s):  
W. A. Dreyer
Keyword(s):  
Sixteenth Century ◽  
The Netherlands ◽  
South African ◽  
Old Testament ◽  
The South ◽  
History Of ◽  
History Of The South ◽  
The Church

Church, people and government in the  1858 constitution of the South African Republic During the years 1855 to 1858 the South African Republic in the Transvaal created a new constitution. In this constitution a unique relation-ship between church, people and government was visible. This relationship was influenced by the Calvinist confessions of the sixteenth century, the theology of W ά Brakel and orthodox Calvinism, the federal concepts of the Old Testament and republican ideas of the Netherlands and Cape Patriots. It becomes clear that the history of the church in the Transvaal was directly influenced by the general history of the South African Republic.

scholarly journals The cumulative needs for care monitor: a unique monitoring system in the south of the Netherlands

2009 ◽  
Vol 45 (4) ◽  
pp. 475-485 ◽  
Author(s):  
Marjan Drukker ◽  
Maarten Bak ◽  
Joost à Campo ◽  
Ger Driessen ◽  
Jim Van Os ◽  
...  
Keyword(s):  
The Netherlands ◽  
Monitoring System ◽  
The South ◽  
Needs For Care
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