Wat is toch de Talmud? En wat ist een Talmud-jood? : Iets uit en over de verderfelijke geloofspunten en praktijken van het jodendom

door August Rohling. Geheel herzien en verbeterd door Max. de Lamarque

Sex-related differences in access to care among patients with premature acute coronary syndrome

BACKGROUND Access to care may be implicated in disparities between men and women in death after acute coronary syndrome, especially among younger adults. We aimed to assess sex-related differences in access to care among patients with premature acute coronary syndrome and to identify clinical and gender-related determinants of access to care. METHODS We studied 1123 patients (18-55 yr) admitted to hospital for acute coronary syndrome and enrolled in the GENESIS-PRAXY cohort study. Outcome measures were door-to-electrocardiography, door-to-needle and door-to-balloon times, as well as proportions of patients undergoing cardiac catheterization, reperfusion or nonprimary percutaneous coronary intervention. We performed univariable and multivariable logistic regression analyses to identify clinical and gender-related determinants of timely procedures and use of invasive procedures. RESULTS Women were less likely than men to receive care within benchmark times for electrocardiography (≤ 10 min: 29% v. 38%, p = 0.02) or fibrinolysis (≤ 30 min: 32% v. 57%, p = 0.01). Women with ST-segment elevation myocardial infarction (MI) were less likely than men to undergo reperfusion therapy (primary percutaneous coronary intervention or fibrinolysis) (83% v. 91%, p = 0.01), and women with non-ST-segment elevation MI or unstable angina were less likely to undergo nonprimary percutaneous coronary intervention (48% v. 66%, p < 0.001). Clinical determinants of poorer access to care included anxiety, increased number of risk factors and absence of chest pain. Gender-related determinants included feminine traits of personality and responsibility for housework. INTERPRETATION Among younger adults with acute coronary syndrome, women and men had different access to care. Moreover, fewer than half of men and women with ST-segment elevation MI received timely primary coronary intervention. Our results also highlight that men and women with no chest pain and those with anxiety, several traditional risk factors and feminine personality traits were at particularly increased risk of poorer access to care.

Shire bet Aharon : gezangen der Kohaniem ; voor alle feesten

bewerkt naar de bestaande melodie͏̈n, tweestemmig ingerigt, door A. Berlijn

Vier hebreeuwsche gezangen : voor kinderstemmen, ten dienste van scholen, syngagogen enz.

gemponeerd door A. Berlijn. De tekst bewerkt onder opzigt van G. I. Polak

Drie hebreeuwsche gezangen : voor kinderstemmen, ten dienste bij confirmatien en huwelijksinzegening

in muziek gebragt door A. Berlijn. De tekst verfaardigd door A. D. Delaville

Het zionisme : Leerrede geh. op sabbath Nachamoe 5665, ter nieuwe synagoge te Amsterdam

door J. H. Dünner

Assessing distractors and teamwork during surgery: developing an event-based method for direct observation

OBJECTIVE: To develop a behavioural observation method to simultaneously assess distractors and communication/teamwork during surgical procedures through direct, on-site observations; to establish the reliability of the method for long (>3 h) procedures. METHODS: Observational categories for an event-based coding system were developed based on expert interviews, observations and a literature review. Using Cohen's κ and the intraclass correlation coefficient, interobserver agreement was assessed for 29 procedures. Agreement was calculated for the entire surgery, and for the 1st hour. In addition, interobserver agreement was assessed between two tired observers and between a tired and a non-tired observer after 3 h of surgery. RESULTS: The observational system has five codes for distractors (door openings, noise distractors, technical distractors, side conversations and interruptions), eight codes for communication/teamwork (case-relevant communication, teaching, leadership, problem solving, case-irrelevant communication, laughter, tension and communication with external visitors) and five contextual codes (incision, last stitch, personnel changes in the sterile team, location changes around the table and incidents). Based on 5-min intervals, Cohen's κ was good to excellent for distractors (0.74-0.98) and for communication/teamwork (0.70-1). Based on frequency counts, intraclass correlation coefficient was excellent for distractors (0.86-0.99) and good to excellent for communication/teamwork (0.45-0.99). After 3 h of surgery, Cohen's κ was 0.78-0.93 for distractors, and 0.79-1 for communication/teamwork. DISCUSSION: The observational method developed allows a single observer to simultaneously assess distractors and communication/teamwork. Even for long procedures, high interobserver agreement can be achieved. Data collected with this method allow for investigating separate or combined effects of distractions and communication/teamwork on surgical performance and patient outcomes.

Vervoegings Tafels, der hebreeuwsche werkwoorden

zamengesteld ... door S. Heigmans

Handelende van de bedieninge des tempels : zoo di was in de daagen van de zaligmaaker en korts voo de verstooringe van jerusalem

nieuwijx agtervolgd op de 2 stuk, eertijds uitgeg. door W[illem] Goeree

Joodsche geleerde Genootschappen

door S. Seeligmann

Chronologisch handboekje voor de geschiedenis der Israeliten van de schepping der wereld tot op onzen tijd

uit de deloofwaardigste bronnen bearb. door S. I. Mulder

Iets over Chagam Jacob Sasportas (1610-1698) en zijn tid : lezing, geh. in de Joodsch Litteraire Club te Rotterdam

door J. S. Da Silva Rosa

Uriel da Costa en Dr. Samuel da Silva : (1571 - 1631)

door J. S. da Silva Rosa

Iets over den Amsterdamschen opperrabbijn Salomo Aylion en eenigen zijner familieleden

door J. S. Da Silva Rosa

Šeërith Jisrael : of Lotgevallen der Joden in alle werelddeelen, van af de verwoesting des 2. tempels tot het jaar 1770

door Menachem Man ben Salomo Halevi... uit het Joodsch-Duitsch vertaald door L. Goudsmit ... verrijkt door G. I. Polak