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Aquajogging keeps the 94-year-old Jo from Apeldoorn top fit: ‘If the legs have to go four times, I sometimes only do three’

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He may not see anything less, furthermore Jo Mikkers is top fit. During the aqua jogging there is nothing that betrays his age of 94 years. Until he ends up honestly after the lesson: “If the legs have to go four times in the air, I sometimes do that only three times. Tempo 90-plus, I always say. ”

Everyone knows: Exercise is healthy. And whoever swims uses almost all muscles. Nevertheless, there are barely 80-year-olds in the water. Apeldoorner Jo Mikkers is an exception. He is not only the oldest participant during the aquajogging in swimming pool De Sprenkelaar, he is also almost always the only man. ,, Every now and then another man joins in ”, Mikkers knows. ,, But after two times they hook off again. I do not know why. This is a nice group. And moving is really as healthy for men as for women. ”

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Medication helps breech baby

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A baby in a bounce can be turned more easily when the mother receives a medicine. That prevents hundreds of caesareans per year, according to research by the University of Amsterdam.

In a breech presentation, a baby is lying down with his buttocks instead of the head. When the child does not turn on time, there is more chance that everything goes wrong during delivery. The head of the child can remain stuck, causing a lack of oxygen. 

At 36 weeks about four percent of the babies are in a bounce. The majority, 85 percent, is delivered via caesarean sections. The fenoterol medication relaxes the uterine muscle, making it easier to rotate from the outside. In twenty percent of cases, cesarean sections can be prevented, up to six hundred cesarean sections per year.

Without the medicine, there are sometimes two midwives who come with their full weight on the belly to squeeze the child out of the pelvis. The treatment lasts about one hour, but is often without result.

Shudder

,, Unfortunately it only works in less than half of the cases. In addition, women often find this method painful or have a scholarship feel about it “, says gynecologist in training Joost Velzel, who is today receiving his doctorate on this subject at the University of Amsterdam. 

He researched two drugs that weakened the uterine muscle. Fenoterol came out on top. This is an old medicine that is used in forty percent of cases. “Many doctors are hesitant to use this medicine because it can cause severe side effects such as headaches, hot flashes and palpitations. But the symptoms only last ten minutes and disappear again. “

According to Velzel, the side effects do not outweigh the serious complications that a caesarean section can bring to the mother.

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Doctor: ‘Terminal patients get too much medication’

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Patients with a limited life expectancy, for example because they have an incurable form of cancer, often receive unnecessary and harmful medical interventions. This is evident from the thesis of internist oncologist in training and clinical pharmacologist Eric Geijteman. He will be awarded a PhD today at the Erasmus MC in Rotterdam.

According to Geijteman, physicians need to look more consciously at the list of medication and other treatments that patients get in their final phase of life. “Doctors are uncertain about this. Still, it would not hurt if they look carefully at the list of drugs that their patients still swallow in their final phase of life. If you know that someone is about to die of his illness soon, is it useful to have him or her blood pressure or cholesterol reducers swallowed? Every medicine has side effects. “

For his dissertation, Geijteman used data from the death investigation, retrospective case studies, questionnaire surveys and an interview study. According to him, doctors often continue to treat because clear guidelines are lacking and because too little research has been done to the result of stopping medication.

The PhD student therefore argues for more research into the effect of stopping medication that can be presumed to be superfluous. “Physicians may not accept the creed” we have done everything to prevent death “. Instead, the aim should be: ‘we have not gone too far to prevent inevitable dying’. ”

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AH doctor: alcohol is a bigger problem than ghb

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BERGEN op ZOOM – The emergency department (SEH) of the Bravis hospital in Bergen op Zoom and Roosendaal sees fewer and fewer people who are ‘out’ of ghb.

That says Robbert Groenewegen, emergency room doctor and medical manager of the Bravis SEH. He was seen on Monday evening in the EO series about the use of the drug ghb which was largely included in West-Brabant.

That says Robbert Groenewegen, emergency room doctor and medical manager of the Bravis SEH. He was seen on Monday evening in the EO series about the use of the drug ghb which was largely included in West-Brabant.

Peak years

“In the ghb peak years 2010-2015, around 300 people were brought in every year with an overdose or severe withdrawal symptoms. Meanwhile, users know how to handle it better and the number has dropped to 50 to 75 per year. Such a decline is customary when the novelty of a certain substance is complete. “

A larger problem for the Bravis emergency room is currently the number of people with alcohol-related injuries and disorders coming in: about a thousand per year, which is almost a third of the total number of patients who need help urgently. “It’s about falls, fights, car accidents, alcohol poisoning. Sometimes 7 to 8 cases in a night shift. Actually too ridiculous for words that you are busy all night with people who come here by themselves. “

That says Robbert Groenewegen, emergency room doctor and medical manager of the Bravis SEH. He was seen on Monday evening in the EO series about the use of the drug ghb which was largely included in West-Brabant.

“In the ghb peak years 2010-2015, around 300 people were brought in every year with an overdose or severe withdrawal symptoms. Meanwhile, users know how to handle it better and the number has dropped to 50 to 75 per year. Such a decline is customary when the novelty of a certain substance is complete. “

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