Bloemen Verwelken Schepen Vergaan
DOWNLOAD eBooks
Download Bloemen Verwelken Schepen Vergaan PDF/ePub or read online books in Mobi eBooks. Click Download or Read Online button to get Bloemen Verwelken Schepen Vergaan book now. This website allows unlimited access to, at the time of writing, more than 1.5 million titles, including hundreds of thousands of titles in various foreign languages. If the content not found or just blank you must refresh this page
Bloemen Verwelken Schepen Vergaan
DOWNLOAD eBooks
Author : Fernand Auwera
language : nl
Publisher:
Release Date : 1976
Bloemen Verwelken Schepen Vergaan written by Fernand Auwera and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1976 with categories.
Bloemen Verwelken Scheepjes Vergaan
DOWNLOAD eBooks
Author : Jos Ghysen
language : nl
Publisher:
Release Date : 1986
Bloemen Verwelken Scheepjes Vergaan written by Jos Ghysen and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1986 with categories.
On Quality Improvement In Gynaecological Cancer Surgery
DOWNLOAD eBooks
Author : Evelyn Serreyn Lundin
language : en
Publisher: Linköping University Electronic Press
Release Date : 2019-12-10
On Quality Improvement In Gynaecological Cancer Surgery written by Evelyn Serreyn Lundin and has been published by Linköping University Electronic Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-12-10 with categories.
Objectives: The overall purpose of this thesis was to find medical and surgical treatment methods of improving the perioperative care of gynaecological cancer patients. The specific objectives were to determine whether a single dose tranexamic acid given immediately before surgery for presumed advanced ovarian cancer reduces perioperative blood loss and the need for blood transfusions, and to determine whether postoperative recovery, tissue damage, and inflammatory response markers differ between women operated with robotic and abdominal hysterectomy for low-risk endometrial cancer in an enhanced recovery after surgery (ERAS) programme, and to evaluate costs for hospital stay and postoperative recovery in relation to health impact. Material and Methods: The thesis was based on two randomised trials. The first trial was a randomised double-blind placebo-controlled multicentre study conducted in four hospitals in the southeast and central of Sweden between March 2008 and May 2012. One hundred women with presumed advanced ovarian cancer who had been scheduled for radical debulking surgery were included; 50 received tranexamic acid and 50 received a placebo. The main outcomes were blood loss and red blood cell transfusions. The second trial was a randomised open single centre trial at a Swedish university hospital, which included 50 women with low-risk endometrial cancer scheduled for radical surgery between February 2012 and May 2016; 25 women underwent robotic hysterectomy and 25 had abdominal hysterectomy. Anaesthesia and perioperative care followed an ERAS protocol in both groups. The EuroQol Group form EQ-5D-3L and the Short Form-36 evaluated the health-related quality of life. The Swedish Postoperative Symptoms Questionnaire assessed symptoms perioperatively until six weeks postoperatively. Venous blood samples were collected on several occasions until six weeks postoperatively and were analysed for markers reflecting inflammatory response and tissue damage. In addition, a health economic evaluation was conducted comparing total costs, qualityadjusted life years (QALYs) and cost per QALY between the surgical methods. Results: Total blood loss volume and transfusion rate following surgery in advanced ovarian cancer were significantly lower in the tranexamic group compared with the placebo group. Women with early endometrial cancer treated by robotic hysterectomy recovered significantly faster in the EQ-5D health index, and reached their preoperative level nearly two weeks earlier than the abdominal group. Differences regarding improvement in health-related quality of life (Short Form-36) comprising general health and social functioning were more favourable in the robotic hysterectomy group. Consumption of analgesics, pain intensity, postoperative symptom sum score and length of hospital stay were equal between the groups. The occurrence of complications was an independent risk factor and influenced most of the outcome measures adversely. Postoperative inflammatory response and tissue damage were lower after robotic hysterectomy compared with the abdominal approach. The robotic group gained more QALYs until six weeks after surgery than the abdominal group but the total costs were higher. The total cost per QALY gained was quite high for the robotic procedure. Conclusions: A single dose of tranexamic acid given immediately before surgery reduces blood loss and transfusion rates in advanced ovarian cancer surgery. Robotic hysterectomy in an ERAS programme treating early endometrial cancer leads to a faster recovery in the health-related quality of life than abdominal hysterectomy, the latter being strongly influenced by perioperative complications. Less tissue damage and inflammation might contribute to a faster recovery in the robotic group. Robotic hysterectomy provides more QALYs until six weeks postoperatively but with a substantially higher total cost for the society.
Dora
DOWNLOAD eBooks
Author : Toon Tellegen
language : nl
Publisher: Singel Uitgeverijen
Release Date : 2024-04-09
Dora written by Toon Tellegen and has been published by Singel Uitgeverijen this book supported file pdf, txt, epub, kindle and other format this book has been release on 2024-04-09 with Fiction categories.
Toon Tellegen op zijn best: minieme variaties, grote gevolgen Op een ochtend aan het begin van de zomer wordt Vink wakker en denkt aan Dora. Hij had haar willen vragen mee naar het strand te gaan, maar durfde niet. ‘Altijd zou ik een jongen blijven van een jaar of zestien, die iets wilde vragen, die zijn hart voelde bonzen, die zijn hoofd voelde gloeien, maar niets vroeg.’ Wat volgt zijn Vinks dromen, gedachten, wensen en nachtmerries: 52 variaties in zijn reactie op Dora, die met een picknickmand binnenkomt en vraagt of hij meegaat naar het strand. Er is een vaas met gladiolen die omvalt, er is een dreigende waarschuwing van ene mijnheer Leenderts en er is een koor dat over de liefde zingt. Maar vooral zijn de variaties een scala van herkenbare emoties en stemmingen.
Post Uit Parijs
DOWNLOAD eBooks
Author : Hans Hagen
language : nl
Publisher: Singel Uitgeverijen
Release Date : 2023-03-14
Post Uit Parijs written by Hans Hagen and has been published by Singel Uitgeverijen this book supported file pdf, txt, epub, kindle and other format this book has been release on 2023-03-14 with Juvenile Fiction categories.
Juf Merel heeft een verrassing: een postpakket van haar collega Robin uit Parijs met allerlei leuke vragen en opdrachten. Maar als de kinderen ontdekken dat juf Merel verliefd is en op bezoek gaat in Parijs, worden ze ongerust. Ook de Oekraïense tweelingzusjes Olena en Alisa. Hun juf zal toch wel terugkomen? Post uit Parijs is het vervolg op het succesvolle De Pietotoets. Ook in dit nieuwe boek staat de eigentijdse schoolklas van juf merel centraal, en zijn er weer veel vragen en opdrachten om thuis of op school mee aan de slag te gaan. Met nieuwe liedjes van Thijs Kammer, die gratis te downloaden zijn.
Een Te Gekke Geschiedenis Held Of Schurk
DOWNLOAD eBooks
Author : Benjamin Goyvaerts
language : nl
Publisher: Lannoo Meulenhoff - Belgium
Release Date : 2022-12-13
Een Te Gekke Geschiedenis Held Of Schurk written by Benjamin Goyvaerts and has been published by Lannoo Meulenhoff - Belgium this book supported file pdf, txt, epub, kindle and other format this book has been release on 2022-12-13 with Juvenile Nonfiction categories.
Kon één farao een heel leger verslaan? Welke Romeinse keizers waren wreed en gemeen? Kon je een held worden door op de bus te zitten? Wat als je bijnaam 'de Verschrikkelijke' was? Ontdek verhalen zoals dat van: Karel de Grote - Hoe groot was hij écht? Christoffel Columbus - Was hij wel een held? Josephine Baker - Hoe kon ze dansen en spioneren tegelijk? Reis mee naar het leven van helden en schurken, van lang en niet zo lang geleden.
Dora
DOWNLOAD eBooks
Author : Toon Tellegen
language : nl
Publisher: Singel Uitgeverijen
Release Date : 2013-05-30
Dora written by Toon Tellegen and has been published by Singel Uitgeverijen this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013-05-30 with Poetry categories.
`Bloemen verwelken, schepen vergaan, maar onze liefde, o onze liefde blijft altijd bestaan... Tot verdriet en woede van de dirigent weten de zangers maar niet de juiste toon te treffen. Elk tafereel weer lijken ze de plank mis te slaan. Terwijl zij repeteren op de achtergrond zien we Vink in bed liggen en horen we dat Dora naar het strand wil gaan. Mijnheer Leenderts waarschuwt keer op keer. Gaat Vink met Dora mee naar het strand? En neemt hij de waarschuwingen van Leenderts ter harte? Toon Tellegen doorloopt in Dora alle stemmingen en sferen, waardoor de personen en ten slotte de liefde in een steeds ander licht komen te staan.
De Kampioen
DOWNLOAD eBooks
Author :
language : nl
Publisher:
Release Date : 2000-05
De Kampioen written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2000-05 with categories.
De Kampioen is the magazine of The Royal Dutch Touring Club ANWB in The Netherlands. It's published 10 times a year with a circulation of approximately 3,5 million copies.
Zit Stil Op School Druk 1
DOWNLOAD eBooks
Author : Rita Bollaert
language : nl
Publisher: Lannoo Uitgeverij
Release Date : 2002
Zit Stil Op School Druk 1 written by Rita Bollaert and has been published by Lannoo Uitgeverij this book supported file pdf, txt, epub, kindle and other format this book has been release on 2002 with categories.
Praktische gids voor ouders, docenten en hulpverleners om leerlingen met ADHD in het basisonderwijs hulp te bieden.
De Sprekende Portretten
DOWNLOAD eBooks
Author : Urbanus
language : nl
Publisher: Standaard Uitgeverij
Release Date : 2016-11-09T00:00:00+01:00
De Sprekende Portretten written by Urbanus and has been published by Standaard Uitgeverij this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016-11-09T00:00:00+01:00 with Comics & Graphic Novels categories.
We maken een sprong in de tijd. Urbanus is ondertussen een frisse vijftiger die nog steeds op de schoolbanken zit. Hij vraagt zich af of het nog wel zin heeft om naar school te gaan, maar Eufrazie is vastberaden. Als sprekend portret blijft ze erop toezien dat haar zoon zijn diploma behaalt.