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Biomedical subjects

F J Meijman

Publications and source records attributed to F J Meijman.

14 recordsLinked to original sources
PubMed2006

[Historical health posters as expressions of public health dilemmas].

Historical health posters as expressions of public health dilemmas. The University of Amsterdam's historical collection of health and safety posters (1914-1960) from various countries deals primarily with workplace safety, infectious diseases and the early detection of cancer. Distinct underlying socio-medical dilemmas emerge in four areas: the industrial-political issues behind promoting responsible behaviour in the workplace; class issues in public tuberculosis education; public morality in anti-venereal propaganda, and dealing with fear and hope in the management of cancer. The main goal of the historical posters was to establish a general awareness of both health and individual responsibility. Yet this collection illustrates how socio-medical, political and cultural contextual factors strongly influenced the message and style of the posters.

Advertising↗
PubMed2005

[Infectious disease prevention and occupational-disability insurance for medical students].

OBJECTIVE: To gain insight into the rate of immunization for hepatitis B and the status of infectious-disease prevention among Dutch medical students working in areas where HIV is endemic. Additionally, to provide an overview of the preparedness of medical schools in the Netherlands to collaborate in the development of a collective occupational disability insurance for their students. DESIGN: Literature review and survey. METHOD: A questionnaire was sent to all 8 Dutch medical schools in 2003 and a follow-up telephone interview was conducted in July 2005. The results of this survey were compared with the international scientific literature, which was systematically searched using PubMed, Web of Science and Picarta up to and including March 2005. RESULTS: There was a great deal of international variation in the proven degree of immunization against hepatitis B. Infectious-disease prevention measures for students on rotation in HIV-endemic areas left much to be desired. Occupational-disability insurance for students who started their clinical rotations was described, particularly in the United States, but details on participation and costs were lacking. In 2003 there were considerable differences between medical schools in the Netherlands regarding hepatitis-B immunization. However, in 2005, all schools reported the implementation of a new national hepatitis-B immunization protocol. Compared to 2003, most schools reported higher safety standards for electives in HIV-endemic areas and post-exposure prophylaxis was more frequently made available at no cost. Individual preparation for these electives still occurred infrequently. None of the medical schools were pursuing a policy of providing occupational disability insurance for students from the beginning of their clinical rotations.

Communicable Disease Control↗
PubMed2004

[Sexual contact between doctor and patient].

Codes of medical practice forbid a doctor to have sex with a patient. Still, practice and attitudes turn out to be unruly, so there is a need for (public) discussion and education. Moreover, other professional limitations in the doctor-patient relationship (e.g., 'non-medical' physical contact, dating a patient, accepting gifts from a patient, and treating partners, family-members and friends) require more attention to facilitate the reverification of the impermissibility of a sexual relationship with a patient. The need for such reverification is underlined by the expected changes in the balance between engagement and detachment in the doctor-patient relationship due to the influences on medical practice of technology, protocols and the discontinuity of personal care.

Codes of Ethics↗
PubMed2004

[The practice guideline 'Rheumatoid arthritis' (first revision) from the Dutch College of General Practitioners: a response from the perspective of general practice].

In the revised guideline on rheumatoid arthritis of the Dutch College of General Practitioners, in contrast to the previous guideline, particular emphasis is given to an early diagnosis. Moreover, rapid and maximal suppression of the disease process is recommended to delay or prevent damage to the joints. This policy however does not take into account the lack of evidence with regard to improvement of prognostic disability parameters. A careful, individualized referral indication is necessary so as to reduce the chance that patients are referred and treated but later turn out not to have had rheumatoid arthritis.

Arthritis, Rheumatoid↗
PubMed2002

[Screening on tuberculosis: an occasion for public debate?].

This article focuses on the public debate in the mid-twentieth century concerning government-directed screening on tuberculosis as reflected in newspapers and medical literature. According to communication theory, media show a variety of functions within the process of democratic political decision-making. This study points out that all national Dutch newspapers, in contradiction to the theory underlined the ideology of screening without any critical contribution. The debate within the medical profession shows a defence of positions in a 'pillarized' society rather than a more ethical discussion.

Health Education↗
PubMed2001

[The Dutch College of General Practitioners' guideline on urinary tract infections: response from the viewpoint of family practice].

Asymptomatic bacteriuria in healthy non-pregnant women is common, mostly transient and benign, whilst antimicrobial drug treatment is highly successful in women with a symptomatic and uncomplicated urinary tract infection. So, from a practical point of view the need to treat could be solely based on patients' preferences and symptoms. Yet recent Dutch professional guidelines have chosen an objective diagnosis based on the examination of a urine sample, although consensus is still lacking as to the most effective and efficient diagnostic method. In the debate about predictive values and the practical consequences of the various methods, the differences in the pathological backgrounds of the tests can easily be overlooked. Bacteriuria and inflammatory response have a causal connection, but reflect distinct phenomena. Symptoms do not necessarily result from the former but may result from the latter. Attention needs to be paid to these triangular correlations in future studies.

Adult↗
PubMed1995

The extent of inter- and intrareviewer agreement on the classification and assessment of designs of single-practice research.

The aim of this study was to investigate how much inter- and intrareviewer agreement there was with regard to the classification of research designs and the assessment of the methodological quality of research reports. This was done by means of formal criteria and criteria relating to content. Three successive reliability tests were performed on two random samples of reports of single-practice research in general practice. Inter- and intrareviewer agreement on the classification tended to be satisfactory. The results of the tests to assess the methodological quality were, however, more deviant, the interreviewer agreement ranging from predominantly mediocre/poor to mostly good and intrareviewer agreement ranging from mediocre to good. These results emphasize the need for further discussion and follow-up research.

Evaluation Studies as Topic↗
PubMed1990

[Symptoms in suspected and early stages of HIV infections in 2 Amsterdam family practices].

The symptoms and courses of (suspected) HIV infections before referral were investigated in a retrospective patient chart survey in two general practices with a total of 8500 patients. The patients comprised 47 men and three women. In 38 men and one woman, symptoms suggestive of HIV infection were observed while the results of serotesting were unknown. Six men (in addition) could be assigned to the group of patients with HIV infection and with symptoms without specialist treatment; five men and two women had an asymptomatic HIV infection. The observation periods ranged from one to 70 months with averages of 16.5, 16 and 15 months, respectively. Half the symptoms observed involved the skin or mucous membranes; eight patients had oral hairy leukoplakia. Other symptoms included constitutional symptoms, symptoms due to airway disorders and lymphadenopathy, and neurological signs of loss of function. In 13 of the 14 patients who were referred, the HIV infection could be confirmed or demonstrated. Three patients died. Family doctors' coping with patients (presumably) infected with HIV is characterized by uncertainty and varying symptoms over relatively long periods.

AIDS Serodiagnosis↗