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Biomedical subjects

G Saenger

Publications and source records attributed to G Saenger.

10 recordsLinked to original sources
PubMed1989

The Reason-for-Encounter mode of the ICPC: reliable, adequate, and feasible.

For three consecutive months, eight general practitioners reported and classified all reasons for encounter presented by their patients. They were taking part in an international trial of the WHO-ICPC Committee, utilizing a trial version of the 'Reasons-for-Encounter' (RFE-C)1. This scale has now been integrated with the newly developed 'International Classification of Primary Care' (ICPC)2. Attention was given to reliability, adequacy, and feasibility. Results indicated that the trial version of this classification system is highly reliable; the participating doctors found it both adequate for their purposes and feasible for use in their practices.

Evaluation Studies as Topic↗
PubMed1988

Psychological and social complaints reported by Dutch patients to their family doctors.

Ninety-three percent of all problems and complaints reported by patients aged 21 and older to their family physician dealt with somatic disorders, and only 7% with psychosocial problems. Psychological complaints were evenly distributed among major age groups, and between male and female patients. "Social problems" peaked in the middle-age range. The most frequently reported psychological problems were feeling anxious, nervous or tense; feeling irritable, angry, restless or agitated; experiencing feelings of depression; and disturbances of sleep. Marital problems, problems at work, and problems caring for an ill or disabled relative were the most frequently reported "social" reasons for encounter. More women than men reported feelings of depression and marital problems. Men more often felt irritable, angry, restless or agitated, and had more problems at work.

Adult↗
PubMed1979

Delivery of care for severely retarded children: a follow-up study.

The study progress in the move from institutional toward community care a study was made of all children below 16 years of age for whom application for residential care had been made between 1970 and 1974. These children were followed-up in 1975 to (1) compare services needed with services obtained for those residing in hospitals compared to those living in the community, and (2) ascertain factors determining placement. Among those who applied, level of functioning was associated to a greater extent with age than degree of retardation. Two thirds of the youngest group was non-ambulant, at age 11-15 only 5% were still non-ambulant. Similar improvements with age occured in speech development and ability to follow simple instructions. Children living in the community in 1975 failed to obtain needed services more than those institutionalized although both groups did not differ in regard to service needs. Especially scarce for parents of children living at home at follow-up were supportive services as counselling for parents, home-maker or baby sitters needed by most. It was expected that placement would be related to level of functioning of the retarded, behavior problems, proportion of broken families. Yet no relationship was found between these variables and placement. Placement was determined solely by social class and ethnic background of the patients. In contrast to an earlier study more parents came from ethnic minorities and the lower classes. These parents may be more tolerant, more accepting of having a retarded child that middle class parents. Progress was noted in the proportion of retarded placed into the community and regionalization.

Activities of Daily Living↗
PubMed1976

Mental retardation in a national population of young men in the Netherlands. I. Prevalence of severe mental retardation.

The prevalence of severe mental retardation, derived from military records, is analyzed in terms of time trend, region, religious affiliation and urbanization of birth place. The data are singular in that they are national and virtually complete for a total population of young men, 19-year-old survivors of male births in the Netherlands over the years 1944 through 1947, and they include variables not previously studied. Previous local studies are shown to agree well with the national prevalence of 3.7 per 1,000. Prevalence rose through the four birth years for all forms of severe mental retardation, but most markedly for Down's syndrome. In this condition agency surveys usually yeild equivalent rates to population surveys, and are an economical means of monitoring prevalence. Differences in rates are quite likely to indicate substantive differences. The remarkable similarities in rates from past surveys may reflect a high proportion of chromosomal and genetic abnormalities. The divergence between urban and rural rates over time demonstrated in this paper for four annual cohorts is attributed by inference to disparate increases in survival in different ecologic settings.

Adult↗
PubMed1976

Mental retardation in a national population of young men in the Netherlands. II. Prevalence of mild mental retardation.

The prevalence of mild mental retardation in 19-year-old survivors of male births during 1944-1947 is derived from military records. The data are singular in that they are national, virtually complete for a total population of more than 400,000 men and include attributes not previously examined. They allow for the simultaneous use of three criteria: education (history of special schooling), psychometric (Raven intelligence test score), and clinical diagnosis (ICD (1948) 325.2, 325.3), which yielded rates per 1000 of 30,58 and 61, respectively. Rates by all three criteria varied in similar fashion with father's occupation and with religious affiliation. Rates by the psychometric and diagnostic criteria were higher for rural- and urban-born, while rates by the special schooling criterion were lower for rural-born. These variations are presumed to indicate deficiencies in rural provisions of special schooling on the one hand, and a substantive increment in "true" prevalence on the other. Marked variations in rates by province are not accounted for by social class and urban/rural birthplace. A rise in rates in the 1947 birth cohort on the psychometric and diagnostic criteria but not on the schooling criterion is attributable to a scoring change in the IQ criterion. Relative risks are estimated for the psychometric criterion of low Raven test score according to father's occupation, urban-rural origin, and religious affiliation. The overlap of identification among individuals designated by one, two, or three of the criteria is examined, and the issue of labeling is explored.

Adult↗