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Biomedical subjects

D L Stronks

Publications and source records attributed to D L Stronks.

8 recordsLinked to original sources

Psychosocial effects of skin treatment with Imedeen.

In a 3-mo. randomized double-blind placebo-controlled study, the psychosocial effects of the food supplement IMEDEEN on health-specific quality of life were examined. Participants were 45 Caucasian women with a normal skin condition in relation to their age. The variables measured were social anxiety and social skills, self-esteem, satisfaction with several parts of the body, state and trait anxiety, and psychological and social problems related to the skin. No significant effect of IMEDEEN was found on any of these psychosocial variables. Suggestions for further research are given.

Administration, Oral

[Marked decrease in the number of hospitalizations for gonococcal infections in The Netherlands from 1981-1988].

The number of admissions for gonococcal infections in the Netherlands fell strongly over the period 1981 to 1988, in particular in the 15 to 40-year age group. The decline can only partly be explained by a change in sexual behaviour associated with the fear of AIDS. The change from clinical to outpatient treatment of these infections offers no explanation either because the number of outpatients treated dropped substantially as well.

Adolescent

[Number of admissions for Reiter's disease (ICD-9-code 099.3) in Dutch hospitals in 1981-1987].

The number of hospitalisations of male patients for Reiter's syndrome in the Netherlands declined over the period 1981 to 1987 by almost 40%. This decline is probably connected with a change in sexual behaviour, associated with the fear of AIDS. The number of admissions of female patients is considerably smaller than that of male patients, possibly due to underdiagnosis of the disease.

Adolescent

The Dutch version of the Nottingham Health Profile: investigations of psychometric aspects.

Data on the adaptation, reliability, and validity of the Dutch version of the Nottingham Health Profile are discussed. The linguistic adaptation of the English version into Dutch is described, followed by the field-testing procedure and the analyses of data from 276 selected subjects from an average general medical group practice in a village nearby Rotterdam. The internal consistency, Cronbach alphas, of the subscales varied from .70 to .85. Test-retest measures for 51 patients with cardiac problems gave Spearman correlations from .69 to .92, while the interscale relationships yielded six relatively independent areas of discomfort and stress. By means of logistic regression analysis on differences between old versus young, male versus female, and healthy versus ill individuals, discriminant validity was satisfactory. Findings suggest that the psychometric aspects of the Dutch version, also seen from a cross-cultural point of view, are sufficient. Nevertheless, further research on reliability and validity of the Dutch version is required to establish its usefulness with different patient groups.

Adult

Psychological consequences of genital herpes, an exploratory study with a gonorrhea control-group.

Measurements of some psychosocial variables were obtained from 27 patients with a genital herpes infection and compared with those from 12 patients with a gonorrhea infection. The measurements referred to the period before and during the infection. Evidence was found that during the infection patients were more anxious, more sexually inhibited, more bitter towards their partners, and had more psychological complaints than before the infection. Generally there was no difference between the two groups of patients, with one exception: patients with genital herpes judged themselves as having fewer psychological complaints prior to the disease than did patients with gonorrhea.

Adaptation, Psychological

[The number of admissions to Dutch hospitals for barbiturate poisoning from 1981-1989 and those for poisoning with sedatives and hypnotics,and benzodiazepines].

Over the period 1981 to 1989, the number of admissions to Dutch general hospitals for barbiturate poisoning has dropped sharply and steadily, due to a more restrictive policy in prescribing regarding these sedatives. This trend is also present concerning poisoning with sedatives and hypnotics in general (ICD-code 967), but not concerning those with benzodiazepines (ICD-code 969.4). The female-male ratio was nearly 2:1. This difference is possibly due to the fact that females take more medication than males.

Adolescent

Value of the Mini-Mental State Examination and informants' data for the detection of dementia in geriatric outpatients.

The Dutch version of the Mini-Mental State Examination was administered to 138 elderly patients who were referred to a geriatric outpatient clinic for a variety of reasons. An optimal cut-off point of 24/25 was found for the detection of dementia. At this cut-off point, the Mini-Mental State Examination was 87.6% sensitive and 81.6% specific in detecting dementia. The discriminative validity was influenced by education and by the presence of psychiatric disorders other than dementia. Informants' data showed better sensitivity and specificity than the Mini-Mental State Examination for the detection of dementia. The findings suggest that informants' data are a primary source of information for the detection of dementia in geriatric outpatients.

Aged